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Home My WebLink About967 CHEYENNE ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • w�wi.ci.costa-mesa��DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 967 CHEYENNEST Suile: Vicinity: RESIDENCE AND ATTACHED GARAGE Primary Occ: R3 DWellings/ Cong Res <10 Type of Constmction: V-N Parcel Number: 14172421 Zoning: Applicant: WIL50N, ROGER Address: 967 CHEYENNE ST Phone: 714-850-1495 COSTA MESA, CA Zip: 92626 Owner: WIL50N, R Address 967 CHEYENNE ST . � - � Phone: COSTA MESA, CA Zip: 92626 Contractor: OW N ER-BU I LDER Address: � � . � � � � . Phone: 2ip: Arch : Address: � Phone: Zip: " • "License: J` -. License: 000000 Eng: Address: ISSUED BY: Status: ISSUED Applied: O6/OB/2006 Issued: O6/08/2006 Phone: License: SCOPE OF PERMIT REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXISTING COMPNVOOD ROOF, 1/2" OSB SHTG, FELT PER MFG'S SPECS, APPLY 25- YEAR COMP SHINGLES: 2800 SQ FT Plan Check: Permit: SMIP Res: SMIP Com: Other: ., I nspection: Total: $0.00 $111.25 $0.50 $tl.00 $tl.00 $0.00 $111.75 SETBACKS , MAINSTRUCTURE Front 0-0 Rear 0-0 i. < . : ACCESSORY Front . 0- 0; -� - Rear � 0. 0 PARKING �'� Existin :' - 0. � Reauired: 0 FEE SUMMARY Calc Valuation: $s,000.00 Claim Valuation: Ss,000.00 PLANNING & ZONING Lefl 0-0 Right 0-0 Lefl 0-0 � RiqhV" 0-0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1. 12-21-92) 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 for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754•5626 WORKERS'COMPENSAnON DEGLARAnON: -� I hereDy aHirtn under penalry of perjury one of the following tleclarations: ❑ I have antl will maintain a certiFicate oi consent to seli-Insure for workers' compensetion, es provitled for by section 3700 of the Labor Cotle, tor the pertormance of the work tor which this permii is issuetl. ❑ I have and will maintain workers' compensation insurance, as requiretl Dy section 3700 of ihe Labor Cotle, for the peAortnance ot tha work for which this pertnit is issuetl. My workars' compensation Insurance carrier and policy number are: Carner: Policy Number: (This section need not be comple(ed It tne permR ls valuetl ef one huntlretl tlollars ($100) or Iess.J / I certity that in the pertorman i the for which ihis permit is issued, I shall not employ any person in any manner so as to become sublect to the workers' ' compensation laws of Califor , antl re that if I should bewme subject to the workers' compensation provisions of Section 3700 oi ihe Labor Code, I shall forihwith camply with ihese provision App�iCaM.6igna�Nre.�- � �D— B — O(o WARNING: FAILURE TO SECURE WORKERS' COFAPENS4TION COVERAGE IS UNLAWFUL ANO SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FWES UP TOONE HUNDRED THOUSAND WLLARE ($100,000), IN AO��TION TO THE WST OP COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]OG OF THE LABOF CADE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DEC4AAATION: I hereby aHirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Protessions Code, antl my license is in full force end eHect. Lic. # Class p Coniractor's Signature: Dete: CONSTRUCTION LENDING AGENCV: ❑ I hereby aflirm Ihat there is a Gonsiruction lending agency for Ihe performance of ihe work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: � Lentler's Address: Signature: Dale: OWNER-BUILDER DECLARATIONS: I hereby aHirtn ihat untler penalry of perjury ihat i am EXEMPT FROM THE CON7RACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Protessions Code: Any ciry or counry which reqVires e permit to constmct, alter, improve, tlamolish, or repair any structure, prior to its issuance, also requires the applicant for such pertnit b tile e signed statement ihat he or she is licensed pursuem to the provisions of ihe Contractors License Ww (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or thet he or she is eaempt therefrom and the basis for the allaged exemption. Any violation of Section 7031.5 by any applicant tor a pertnit sub�' its the applicant to e civil penalty ot not more than tive huntlred tlollars ($500).): .� I, as owner ot ihe properry, or my employeas with wages as Iheir sole compensation, WILL DO THE WORK, and ihe siructure is not intendetl or oflered tor sale (Sec. 7044. Business antl Professions Code: The Contractors License Law dces not apply �o an owner of property who builtls or improves thereon, and who dces such work himself or hersetl or ihrough his or her own employees, provided that such improvements are not intentled or oHeretl for sale. If, however, ihe building or improvement is sold within one year of comple�ion, ihe ownerbuilder will have �he burtlen of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of ihe property, art� EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the prolect (Sec. 7046, Business and Professions Code: Y11e contraaors License Law does not apply to an owner of pmperty who builtls or improves ihereon, and who contracls for such project with a con�ractor(s) IiCenS�dursuarH'iqthe Conira��ors License Wws.). �� ID veriNed by driver's license. Verificallon ot Ownershlp by �lype oi Business and Protessions Code for this reason: ves ❑ No i.a. - pmperty tax bill or tleatl): DIVISION OF INDUSTRIAL SAFET�' PERMIT CERTIFICATION: ❑ I hereby cetlify ihat no excava�ion five (5) or more feet in depih Into which a person is required to descentl, will be made in co�nection with work authonzetl by ihis permit, and ihat no building stNcture, scattoltling, falsework, or demolition or tlismantling thereof, will 6e more �han Ihirry�six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, California Admini5��ative Code). ❑ As owner-builder, I will not employ anyone to do work which woultl require a permit fwm the Division of Indusirial Safery, as noted above, unless such person has e permit to do such work from tbe divisian. Signawre: Date: Division ot Intlustrial Safety Permi� Number: CERTIFICA7E F COMPLIANCE AND AU7HORIZJITON OF ENTRV: I certify untlar penalty ot perjury that I have read ihis application antl state Ihat the information given is correct I agre �o coI p with all state laws antl ciry ordinances relating to building construction, and authorize representa�ives ot Ihe Ciry of Casta Mesa to enter upon Ihe above-descri e propl ny for inspec�ion puryoses. I agree not to occupy or allow acupancy of any building au�hodzed by ihis permit until final inspection. G-�:� SignaN�e OfTegal Owner(s) lData� And/Or Authorized Applicant COUE �. INSPECTIONTYPE 1616 Fi:etl Sysiem Final Fire Pre�ention 1266 Pool Spa Final 200 Final Re-Rool 201 Final BIocWRetainin9 Well 202 Final FeCtOry Fire PlaCe 203 Finel Sign 204 Final Demolitian Q�jjfi INTRIALS � � � • 1� �. CO�E� INSPECTIONTYPE 206 Finai MeChanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Si�e 250 Final Building/Occupancy �ATE INTRULS INSPE SOIL H PLUMBING FIP CONDIYIONING POWER ftOUGH WIRING TRENCHES � FORMS [ FLOOR SYSTEM BON� BEAM n STEEL FRAME ANO FLASHING t I PLASTEP, BFOWN COA TING. VENT., REFRIG. ANO DATE (-28-68 BUILDING PERMIT N0. SUBCONTRACTOR l � {�V I V I .� COSfA MESA BUILDING�SAFETY DEPARTMENT P.O. BOX 12M COSTA ME.4A� CALIFORNIA 9262! For Appl)caM ro Fill In ComphNly TYPE OR PRINT � ooae�n"a°967 CHEYNNE STREET COSTA MESA. CALIFORNIA RCAPITUL 1WaSONRY CO 1151 BAKER ST. 6RBACK LIN6 DESCRIPTION OF WORK WALL dl PLY AUTHORIZtD AO6N'[ e�co�. � r1�0� -005 ntrrt*a3.00 MPLICATION FOR PERMR BUILDINO For Off(cv Uio Onfy 'n�c�i'rno. �� r .owtewccnvso . e� RIRt ZON� TYPL OROVP � MPROy6p 7�� // / p BY' /J,p� �bb�LJ GC�('i OAT6 �O'a0-� --� ZONING � zoHa wo.o� � usaorn[w � _ ./] t . � ( -�uns '� emco�xo CA/LL.._ J_. �L-U-- oiacw�mon�� `.�- I %�yZ� 5 �9 4 , A. P. NO. �� N0T8� NO EAV6 OVBNHANO BHALL B6 LE88 THAN 80• TO 81D6 8 REAR P. L EAVEB ALLOWHD (U.B.C.R84UIR8MHNT'. YAR�DAPPROVED YAPDeAPPROVHD MAIN BUILDIN6 ACCBS80RY BUILDIN6 R. ID D F 481Di c��lT. � F RBAR -IT. F D16iANG6 B6T. � BET. MAIN R MAIN BLD6H. ACCESS. BLC VAR.� DATE C. . MPROV6D �.�RPx�� O , ..._e I� - ��ii y m � BQ. Fr. � TXl AYOYM' YXOWN UN08H VALUATION IB POq TX8 � �IIRPo![ 01 if�AGYGXINO A PlRMIT Pi6 ONLY. � VALUATION p PERMIT F86 �• � : �� O - w TOTAL PEfi � DATE 5-23-75 BUILDING PERMIT N0. PNo.it,t_7�[,_�i LOT TRACT FIR SUBCONTRACTOR W ATER 114JuL'L:[k MISCEILANE0U5 ' ROUGH HEATING AN� AIP CONDITIONI TEMPaRAftY SERVICE OR Pp�E IIN�ERGR0UN0 � POWER � ROUGH WIRING TRENCHES � FOfiMS � STEEL FLOOR SYSTEM ' BONO BEAM � STEEL REINFORC SHEATHING FRAME NNO FLASHING � . i_� P�ASTER,BROWN COAT IN FIIII nING FINAI -��, 4002Z COSTA MESA BUILDING-SAFETY DEPARTMENT - P.O.BOX 7200 COSTA MESA,CAIIFORNIA 92626 For Applicant to Fill in Completely BUILDING ADDRESS OWNEF MAIL Z ADDPESS W W TEL. d U CITV �y ' NO. ZZ Q CONSTRUCTION O N LENDER am J � BRANCH J N m J ADDRESS m ARCHITECT TEL. J N OR ENGINEER N UQ W � ADOflESS aW J O CONTRACTOR m Z J � ADORESS ' W W TEL. � = CITV NO. Z F— W O STATE CITY y� LIC. NO. LIC. NO. � � SIZE NO.OF BLDCaS. OF LOT NOW ON LOT USE OF EX15TING BLOG. PAIL' ' � �*�� aaY 2�-�5�,,��; 00 97 i� 18.5,E ON FOR BUILDING PERMIT DATE RECEIVED DATE /I�SSUE '�l —L�` A.P. NO. FL'L�I �` �_� � C ADDRESS([�/ �—TT� TRACT EF FIFE NO.OF '7 USE OF NE PLANS G� BUILDING � YARDSAPPRaVEO YAROS F� � IZE OF ) 'L NO. OF Z EWBLDG. 0��.�!• ROOMS STORIES L.SIDE S FT� a EXTEFIOR WALL ROOF V COVERING COVERING REAfl Z FT. J USE OF UILDING AND WORK TO BE ERFOFMED DISTANCE BET. a MAIN BLDGS. a — Q � i VAR.# O C.U.P.� yAPPROVEO � z � 0 UI hereby acknawletlga Mat I have reetl this application and nete � that the abova intormation is correct antl agree to comply with � all laws ragulating builtllnB consttuction, and � shall not employ F eny person in vialation of the workman's comp¢nsation laws of y t�e State of Californla. r zI hereby certify that 1 em properly licensetl as e coMrector under SQ. F? the State ot Calitornie Business entl Protessio�s Code, Divisicn 3, THE AMOUNT S Chaptar 9, antl thet sach licanses ere in tull forca and effect, or I THE PURPOSE Of am exempt from the provisions ot the Stete of California Businezs VALUATION a�d Professions Cotle, Division 3, Chapter 9. • Sienature of t�-�7 � Permittee � �j'� �� /ke/�1.Q� $ y Authorizatl Agent a BET. MAIN & ACCESS. BLQ DATE APPROVED TOTAL A � � O IS FOR � ONLV: m ¢ � m N 7 m `o � LL .-- - :'. � ` 2�596 COSTA MESA BUILDING-SAFETY DEPARTMENf P.O. BOX 7200 - COSTA MESA� CALIFOflNIA 9262! For Appllcant to Fill In Comple ly TYPE R PRINT BUILDIN6 AODRESY COSTA MESA, CAL FORNIA , una BUILDINO SIZE EXTERIOR COVERINO U9H OF �U s he Schmid Raiidolph Ave. 3� i�i3�.j.f • ' . T"� 51�ao96o NO. �' INO.OPOLDOO. NOW ON IAT O riM nw�n veen 9�� _ r. i DESCRIPTIOPI OF WORK r,srn�� 697" -�t;�::�i9.QU SEP 25-6?crs,', �APPLICATION FOR PERMR BUILDIPIG /or Offlae Use Only 11[C[I'T NO. I ^ P'. �� ZONIPIG NO.O� ^ Ui[O�N[W � �U1N0 .�(� lYILD11 -/ 4 5 „n_vn/�i� —�� 'H OV[RHANO BHALL BE L888 THAN I NBAR P. L .. /U..B.C.NCCUIRHMENTI YARDBMPROVlD YARD9MPROVED MAIN BUILDINO ACC6880RY Bl11LDIN6 . I 0 DBMOLl6tl I M NABLD MOVINO NO. OP VAR. �C 8� aonua ' 6 arnomn 1 r. �� e ft Lot 21 - D Plan I XCPEBY ACKNOWL[p08 THAT I XAVH qGD TNI/ APPLIGTION AND BTATB TXAT iN8 AGOV[ 10 CORP[GT�AND AORB[ TO COM- PLY WIiX ALL cITY ORDIfUNCiO AND RAT6 LI1Wt R[OYUITINO BUILOINO CONBTRIICIION. �-, / � AUTHORIZiDAO[NT iH8 AMOUM OMON{ �YHPO88 OP [OTAI VALUATION s�� 1�1�� BET. MAIN Q ACCES9.BLC GATB / � � �! / - ' LL D7 � i y a � 0 UNO6R VAIUATON �9 POR TH8 j 19XIN0 l� PERMIT RHB ONIY. 5 �` _ � PERMIT FEE E .,. ... ,..,�..., . e 3 3— w �