HomeMy WebLinkAbout3124 BOSTON WAY - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.cBaUILDING PERMIT �� FAIR DRIVE, COSTA MESA. CA 92626
Job Address: 3124 BOSTON WY �
Suite:
Vicinity:
Parcel Number: 14169127
App�icant: MC CLURG, KENNY
Address:
Owner: LUDES, MARK STEVEN
Address 3124 BOSTON WAY
COSTA MESA, CA
Contractor. KENNY MCCLURG
Address: 9661 CAITHNESS
CA
HUNTINGTON BEACH
Zip: 92660 .
Arch :
Address:
Phone:
Zoning:
Phone: 714-9641762
Zip:
Phone:
Zip: 92626
Phone: (714)964-1762
License: 356431
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 05/16/2001
Issued: 05/16/2001
Phone:
Zip: License: � License:
SCOPE OF PERMIT
TEAR OFF SHAKE, APPLY 7/16 OSB SHEATHING, APPLY 30 YEAR COMP SHINGLES. INCLUDES ATTACHED GAR4GE. .
Plan Check: $0.00 —_ - -
Permit: $139.25
SMIP.Res: $0.63
SMIP Com:, $0.00
Other: $0.00
Inspection: $0.00
Total: $139.88 �
FEE SUMMARY
_ --- - - _ - - Calc Valuation: : �ss,zss.00
— • - � , Ciaim Valuation: ss,zssbo
., . �
SETBACKS � - � � i �„ � � -�;� ' ,' -
MAIN STRUCTURE Front 0�0 . , Rear �0- 0
ACCESSORY Front 0- 0 �". � Rear 0- 0
PARKING existinq: q �Required: o
NOTES:
Left
Left
� � � i�,',� " ,
D,,' � ,
',
'�s: .
:ZONING :� ;�, /- -
. _ j l � .�� � '.
r� � i.
. 0=�0 � ` � Rig6t � 0�0� � � '
0-0 � . �. Right �' 0,.0 � ,
j .
Pr000sed: - 0 ' - ��� �
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related I
regulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order tor ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
244fi3fi (fJ00)
WORKERS'COMPENSAnON DECLARAnON:
I hereby aRirm under penalty of perjury one of the following declerations: .
I heve and wlll maintain e certificete of consent to seN-Insure tor workers' compensation, es provided for 6y section 3700 of ihe Labor Cotle, for Ihe pertortnance of ihe
w tor which ihis permit is issued.
I have antl will meintain wo efs' compensation insurance, as required by section 3700 of the Labor Code, for ihe pedortnance of the work tor which this permit is issued.
My workers' com e at nsur c cerner end policy number are:
r
Cerner: � �� Policy Number: l
(This section need nof be campl il the permit /s valuetl et one hundred dollars ($100) or less.)
❑ I certity that in the pertortna ce oi ihe work for which this permit is issuetl, I shall not employ any person in eny manner so as to become subject to the workers'
crompensation laws oi Cellf ia, antl e� e that if I shoultl beco sub�ect to [he workers' compensation provisions of Section 3700 of t Lebor Code, I shall forthwith
comply with ihese pro si . �//� j� ��
ApplicantSignaNre: (�i .�%./,/ i � Date: � /l(i� '
WARNINO: FAILURE TO 5 CURE WORKER CAMGENSATION COVERA I NLAWFUL ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
TVKKISAND DOILARE (5100,000�, IN ADDITION TO THE COST OF COMPE ION, DAMAGES AS PROVIDE� FOR IN SECTION 31060F THE LABOR CADE, IMEPEST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I �ereby aflirtn that I am licensed under pr isions of Chepter 9(commencin th Section 7000) of Division 3 oi the Business antl Protessions Cotle, end my license is In tull
farce and ettect. Llc. x Cless a
ConiractoYs Signeture: -G �� Date:
� �
7
CONSTRUCTION LENDING AGENCV:
❑ I heraby eHirtn Ihat thera is a construction lending agency for the pertormance ot Ihe work for which this permit is iuued. (Sec. 3097, Civil Code).
Lendefs Neme:
Signature: _
OWNER-BUILDER DECLARATIONS:
Lentler's Atltlress:
Date:
I hereby aNirm that under penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for tha following reason (Sec. 7031.5, Business entl Professions
Cotle: Any ciry or counry which reduires e permit to consWct, elter, improve, demolish, or repair any strucNre, prior to its issuance, elso requires the applicant tor such pertnit
to file a signed stetement that he or she is Ilcensed pursuant to ihe proNsions ot ihe Contrectors license Lew (Chapter 9(commencing with Section 7000) of Divislon 3 of the
Business and Professlons Code) or Ihat he or she is exempt Iherafrom and the 6asis for the allegad exemption. Any violetion of Sectlon 7031.5 by any epplicant for a permit
subjects the apD�lcant to e civil penalry of not more then five hundred dollars ($500).):
❑ I, as owner of ihe property, oi my employees with wages as their sole compensation, WILL DO THE WORK, antl ihe structure is not intended or oHeretl for sale (Sac.
7044, Business and Professions Cotle: The Contractors License Lew tloes not apply to an owner of property who builds or improves ihereon, and who does such work
himself or herseN or ihrough his or her own employees, provided that such improvemenis are not intendetl or oNared for sele. It, however, ihe builtling or improvement is
sold within one year af wmpletion, ihe owner-builder will heve ihe burden of praving that he or she did not build or improve for purpose of sale.).
❑ I, es owner of the properry, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contrac[ors License Law does not apply ro an owner of propeny who builds or improves thereon, antl who coniraas for such project with a contrador(s)
licanse pursuant to ihe Contractors License Laws.).
❑ I am exempt under sac.
Signeture:
Owner ID verified by dnver5 license. ❑ Yes ❑ No
Business antl Professions Code lor Ihis reason:
Veriticatian of Ownership by (type of tlocument, i.e. � property taz bill or tleetl):
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATON:
Driver'S License No.
Date:
Expires:
❑ I hereby certify ihat no excavation tive (5) or mora feet in depth into which a person is required to tlescend, will be mede in connection with work authonzetl by ihis
permit, and that no builtling strucWre, scaHolding, falsework, or demolition or dismantling ihereot, will be more than thirty-six (3fi) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, 7tle B, Celifomia Adminisirative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from tha Division of Industnal Safery, as noted above, unless such person has e
permit to do such work Irom the division.
Signature: Date:
Division oi Intlustnal Satery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I certify under penalry of perjury ihat I have read this application and state Ihat the information given is
wrrect. I egree �o comply with all state laws and city ortlinances relating to building consiruction, and authorize representatives of ihe City of Costa Mesa to enter upon the
ebove-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
naiure Of Le er(S)� � D e
�,,��`��2�fi '� l l (O / �.�
� And/Or Authoriz pplicant ' � Date
COOE I. INSPEGTIONTYPE
1616 Fixetl System Final Fire Prevention
1266 Pool Spa Final
200 Finel Re-Roof
201 Final Block/Retaining Wail
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
PSI& INTRIRLS
2�{-0 �u-�'`
CO�E� INSPECTIONTYPE
206 Final Mechanical
20B Final Plum�ing
210 Final Electrical
212 Final Flre Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
PdIE 1tlIlI1SL5
w_ �o�� � � FEE RECEI�ED
� oci z �ab
� � COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX9f7 C06TAM68A��A��POR�,a . � � fINANCE DEPT.�
For Applican► to Fill In Completely AF�LfCA110NFCSR'F�MR
TYPE OR PRINT BUILDING �
BUILOIN6 ' � FO� Ofiica Usa Only�
ADDRESS � 1� nv '
R6CCIPT NO. /l�61{Mlf��
' � COSTA MESA, -CALIFORNIA ���I �
ncc¢yveo ev oAi n¢ex ve�� � ^� is��
OWNER 1`?OT'Yf1P�f�.te� `d l�J�`,a'. t. P, C � . ��� �
MAIL � BUILDIN6 . '
AODRESS 1 �i�Q L • h T . .0 AOORESS
b'ountain V lley re�.316792 ZONB TYPE • GROUP �
cirr o N
APPROVED. '
OREN'GEN ER C. �Hiller .No'KB�200 BY � DATE -
An�heim ZONING
AODRE53
i0 NO.OP � O6EO�N6
� . PLANe BUILDI�V�
CONTRACTOR B Y1.^�iP. C 'T (` Il
1K9�9 L�sFloree • o��A�.r�o� �.QT ` � � - rCiV
ADDRESS
�QTY .Fountsin V`d�.�P A�P•NO.�
. NOTE: NO EAVE OVERHANG BHALL BE LE95 THAN '
STATE t� TEL 30^ TO 61DE @ REAR P. L.
LIC. NO. W NO. rii
. EAVES
6¢E No.oPeLDoe.. ALLOWED � fU.B.QREQUIREMENT7
OF LOT K� � now oN LOT -
, � . � �YARD8APPROVEO YARDSAPPROVED
USE OF MAIN BUILDIN6 ACCESSORY BUILDIN6
EXISTIN6 BLD6.
(FROMGLSTREET) �
BETBACK LINE FPOM� O� REAR VA D 1 � RRONT � FT. FR.
C¢NTER OF 6TRE6!
SIDE YAROI LEFT � S� I RIGHT � R.8ID6 ��/PT. �•
DESCRIPTION OF WORK L.81D •J r-r. Fr.
NEW I X II ALTERATION I II A�OITION I REAR �� �• � FT•
q USE OF BIIILOIl16
� HEREBY ACKN LEO�
AN� 6TATE T T THE
PLY W�TH A CITY�Oq
BU�LDINQ C BTRUCTI<
SIGNATUR
PERMITfE
AUTHORIZED AGENT
TO BE PERFORMHD —
V raS. w�af.t.anh
gar�ge I c/'�z
MAV HEAO TXIB APPL�CATION
CORR�i AND A�REfi TO COM.
kN� AT[ LAWB RBOULATINO
D18TANCE B6T. ' BET. MAIN @
MAIN BLD 3. ' . ACCES3. BLD08.
VAR.}C . . DATE
C. U. P.1C APPROVEO.
AsPPROV� . IAA/�ti. nn�rc ��'.'!" Ca
0
�
6Q. Ff. �
TNe �MOUM eHOWN UNOEP VALUAT�ON �B FOR THE F
PUIVPO58 OF EBTABLIBXINO A PEPMIT FE¢ ONLY. �
VALUATION % m
PERMITFEE $ /� ' � j
$ a � �6s_ 3 m
J PLAN CHECK 4 �'�' �
¢
TOTALFEE $���'^�