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HomeMy WebLinkAbout990 CHEYENNE ST - Building Permits� �.'OStB ��C'Sd� L'8�-li, January 31, 1968 S T. d T E 1i E N T. The undersigned ✓Y.t�1�4m, E�y::, purchaser of Lot #.��.., Tract 5994, Ccunty of Orange, states that he is w.il].in� and desirous of receiving i:nmediate possessior. o:F gaid property. He will not complain or cause any acticn a�ainst the City of Co�ta Mesa, FI1A or VA, or Rancho t�4esa Venture due to incomplete drive-way, Stre�:t, fencing, or any other items connected with above resi3ence. It is un3erstood that any items not comnletel at time of. possession will be i'inisned accordin�; to 'JA/FHA s�eciti.cations as soan as time an3 weather permit. � " . Sclimid Develop ent�: Co.: � �.. ( - . .. . . f�� �y. ,. � r .. .. . . . . •,-' ''F. Kelso, Supt. ��, , , •� , : �� ' ;, :,: , - , ;�`,;; , :� � � .. , . , X� .� . � �: .- �� w (714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA BI/ILpING D/VIS/ON DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT JobAddress: JJO CHEYENNEST Suite: Vicinity: Parcel Nunmber: 14705263 Appliwnt: DAVIS, WES Address: 238 GARFIELD AVE POMONA, CA , �- �' � ' / : i owner. GU,Y; STEPNEN R � Address 990 CHEYENNE'ST - A„ �. . � ��% � �� A . - , / �;1 COSTA�MESA, CA' i ' %�/ � �- ' ' ' - � �/i � i:�._ ntracror �� GREEN DIAMOND ROOFING i� i� i �i�, i address: 238 GARFIELD-AVE � j = � �% „ �i; i i , �% POMONA; CA � Zip. � 91767; � Zoning: R1 R1 PERIGIIT NUF�3ER ✓ 699-00724 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 05/24/1999 Issued: 05/24/1999 , ;- ..- .- . - ., . Phone: 909�23-7911-�. � Zip; 91767 - � _� ��`. _ j, � �- � , � � � Phone: -- ' ''- � .� .�. - • . � � � � Zip: 92626 � ` �� � , � � � � \\\ ' , � ' �\\\\ �L���\ i / �� Phonel, 909-623-7911 \T\:\ / \\�� � � / � �t• � l A i \��. _icense: � 7426W i ` . � � A i , _ . � �� � �, `-, i .ArcFi � ��� � � � �� � ,, Eng: . ' � , . ��\,�� x. , Address: � � � _ � Address: ` � , � � '��`l � .�' � � � , !Phone: � - - ' > � � ' Phone. � �� � � i � �z - � �i � --" ,- � r / ��.� ��., '����� � �, �- � f �/.r� � --/ i ,�,; Zip ✓ , License: Zip: \License, i„ � r. ;,� �� i_. � '; i', ��� � + J �' �> . I `�� i " /t" � ' SCOPE OF PERMIT � � ` ���v i . � , ��;:� '/ TEAR�OFF WOOD SHAKE INSATLL il2" CDX AND REROOF WITH 25 YEAR COMP. SHINGLES. / ' ,�` � . .._ - . ._ . i . _ _ . .. . . � _l ��. I ���' , � � PEE SUMMARY � -;� 1 � - �' � � Plan Check: ' $0.00 , �„ ., Calc Valuation: -f � _ g3,9oo.00 � � �t 1 ",.; - , � Permd , � $87.25 ' ` y _. -- Claim Valuation , ,' _ ss,soo:oo; ', �'. SMIP Re5 $0.50 � - - . � ' � � /;� � " _� '�I I '\�SMIP Com. "` $0.00 � � '""� l � � 7 %� r l � � � -Other. `��:' � $0.00 � � -- -. - i �;� � 7 ; �� � � Inspection' $0.00 � � : ' / �� , �\\�,TotaL•' $87J5 . %; ` �� ,'/! '\`��\ .;�, , - �� , �- . .a.. !�j' i����/; i V�A� , �� ,• y ;:�;�r':-' PLANNING & ZONING � . %/ ' � /,;!� ����; �/ � ` SETBACKS� :%% ^ � "i ; MAINSTRUCTURE�Front 0-0 � A�, � ' � . ,.. � ACCESSORY F,ront� 0-0� PARKING Existinq:� -o NOTES: -� � � �� � Rear . 0- 0 Rear 0- 0 Required: 0 �,� , _ , i, �, � 1� � - , � , _ � ` �s: ` ��i �� , Left 0-0�, � �Right � 0 0� � � � Left 0- 0 Right _� �0- 0, �='� �'. , Pro osed: 0 , NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis 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 780 days, or if work is suspended or abandoned for a period of 180 days. , INSPECTIONS: In order tor the work authorized under this pertnit to be considered lagal, such work must comply with all applicable codes, and all requlred Inapectiona end tinal approvel must be obteined. Failure to obtain inspections and final approvel will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: � � � ' I here6y eflirtn untl�r penalty of perjury one oi the following tlaclarationsf �, .,., , _-'' i=.; ' �` � ❑ I h�ve end will maintain a ceniticate of consent to seli-Insure�for workers' compensation, as provided foc.by,sectlon 3700 oi the Labor Cotle, tor the pertormance of �he wark far which this permit is issuetl. � "" ' - � I have antl wlll maintain workers' compensation insurance, as required by section 3700 of �he Labor Code, for Ihe peAormance of the work for which this.permit is issued. My workers' compensetion Insurence carrier end policy number are: � Cerrier: PoliCy NUmbef: (This sectlon nesd not be compleretl il the permit is valued et one�hundred dollers ($100) ar less.) '' � �" ' �� ' ❑ I certity thet in the pertormance work tor which this pertnit is issued, I shall not employ eny person in any manner so as to become subjecl lo ihe workers' compensation laws of Celifori' and a e Ihat if I should become subject to ihe workers' compensation provisions of Section 3700 ryof the Labor Code, I shall forihwith co ihese rovi ions. s 2`%' '7 / P % i ntSianature� 1� �.ril � ��--+ Da . RNING FAIL SECURE WOHKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT LOYER TO CRIMINAL PENP.LTIES AND CIVIL FINES UP TO ONE HUNDRE� TFIO LLARE($100.000),INADDI710NTOTHECOSTOFCOMPENSATIIXJ,DAMAGESASPROVIDEDFORINSECfION37060FTHELABOflCO�E,IMEREST,MIDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby a' am ic sed un er p ovisions of Chapter 9(commencing with Section 7000) of Division 3 04 e Busine and Pr f ions Code, antl my license is in full i tor ntl ect. Lic. p � Cless N �^ Coniractoi s Signature: � Date: S"� RUCTION LENDING AGENCV: ❑ I hereby atfirm ihat there Is a constmction lending agency for the pedormanca of the work tor which this pertnit is Issuad. (Sec. 3097, Civil Code). Lender's Name: Lendefs Address: Signature: Dale: OWNER-BUILDER DECLARATIONS: I hereby aNirm that under penalry of perjui Code: Any ciry or coun �ch requires a b flle a slgnetl stete ent that he or she i� Business and Pio sslons Cotle) or th sub�ects ihe ep cant ta e civil penel at ❑ I, as aw ar of the property, my e (IF or herself or thr gh his or vi�hin one year o ompletion, owner of the roperty, em E : The contr tors License Ls ��e oursue o the Contractor. i am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Professions t to construct, elter, improve, demoli , repair any siructure, prior to its issuence, also requires the applicant tor such permit �� .setl pursueni to the provisions of Co rectors License law (Chap�er 9(commencing with Sedion 7000) of DiNslon 3 of tha she is exempt t�ereirom end t esis t the alleged exemption. Any violation of Section 7031.5 by any epplicant tor e permit more �hen five hundred tlollar 500).): • loyees with wages es iheir le compens ion, WILL DO THE WOR ntl e structure is not inlended or oftered lor sale (Sec. �. The Contractors Licens Law does not pty to en owner of prope who uilds or improves thereon, and who does such work own employees, provi C that such impro ements are not imend or oHer d for sale. tl, however, ihe 6uiltling o' ment is owner-builtler will h e the burden of pro ing Ihat he or she did ot build o improve tor purpose of sale.). .USIVELY CON ACTING WITH LICE SED CONTRAC7 5 to const uct the project (Sec. 7 , Business antl Profes ons oes not apply an owner ot property w o builtls or imp ves thereon, d who coniract such pmject with a contract r(s) Business and Protessi�ns Cotle � this reason: Dete: ID ven' d by drivels license. ❑ Yes ❑ Na Driver's License No. tio t Ownership by (type of document, i.e. - property tax 6ill or deed): Expires: DIVISION OF INDUS7RIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in tlepth into which e person is requiretl to tlescend, will be made in connection with work authorizetl by thls permit, end Ihat no builtling siructure, scaHolding, falsework, or demolition or tlismantling thereot, will be more ihan Ihirry-six (36) teet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Tltle 8, Celitornia Adminisirative Code). ❑ As owner-builder, I will not employ anyona to do work which would require a permit trom ihe Division ot Intlustnal Safety, es noted above, unless such person has a permit to da such work irom the division. ' Signatura: Oate: Division of Intlustnal Safety Permit Number: CERTIFlCATE OF COMPLIANCE AND AIlTHORIZATON OF ENTRV: I certify under penalty of perjury ihat I have read ihis application and state that the infortnation given is correct. I agree to comply with all state laws and clry ortlinances relating to building constmction, and euthorize representativas of ihe City of Cwta Mesa to anter upon Ihe above-descnbe�,prope(!y for inspection purposes. I agree not to occupy or allow occupancy of any builtling authorized by ihis permi� until final inspection. CQ�E t. 1616 7266 200 201 202 203 204 2448�46 INSPECTIONTYPE " Fixed System Finel Fire Prevention Pool Spa Final Final Re-Roof � Final BIocWRetaining Wall Final Fectory Fire Place Finel Slgn Final Demolition � -. . . � � .... CODE� ixsvetnoxrrae 206 � Final Mechanical 200 Final Plumbing 210 Finel Electncal 212 Final Fire Preventlon 220 ' Final Planning Approval 222 Final Site 250 Final Building/Occupancy PAIE irvTmn�s � � PACZFIC INSTALLF�RS, INC. ,..754��Aathony Avenue G8r8en Grove, California 926l�1 P.O. Boz 728 Weatminater, Calif. 92683 State I,i.c. #�I 1,�,�-�.�. City Lic. #�5��' �te Z�/.����- c,�c�er x�e J Pezmit xo's. /� , - ,✓� , � � City of ��1`l2l� i /�� Department of Huilding and Ssfety Gerc�tlemen: -7� 7� Pleaee be adviaed that as of all work bq Paoific 7nstallere, Incorporated, on the pe avmbere listed above have been cancelled. Therefore, Paoifio Iaetallera, Incorporated, requeats that the permite be canaelled and that all pre-paid feee be refluxded. Thie oanoellatioa aotioe ia advice to you that Pacific Inatallere, Iaaorporated, hae no re�4�e ibil q Por vrork accomplished imder Pe�,ite aoted at _L`' �/(� �o��_ Px-264 Rev. 3/74 Vezy tru�4 yovre, PACIFIC INSTALLERS, INC. � �� Manag�er 27585 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1T00 � COSTA MESA, GALIFORNIA 9R616 For Appltcant fo FIII In Completely - O TYPE OR PRINT ` ILDINO ]R899' COSTA MESA. CALIFORNIA � SIZE NO. 01 �LOot. OF LOT � � 11ow N US80P EXISTIN6 BLDO: YLTpAGK LIX[ II10Y ' cENTBR OP iTR6R � _ RUR YA D JI. 81D8 YARD I L[RT � RIOFIT � DESCRIPTION OF WORK tl9 EXTERIOR LOG lU I XHRBBY ACKNOWL6D06 TNAT I AND eT�TH TXAT THB ApOV6 IY PLY WITX ALL CITY ORDINANCf� BUILOINO CONBTRUGTION.. . � wurHort�zan wasrR � Shake-Shingle HRINa B6P6RPORM6D I8[ TO COM• R[OYLIITINO . P�I6 S£P 25-67c,;sk�0 C,35:� �*�:��9.{)Q APPLICATION FOR PERMR BUILDINf3 : For Offlce Use Only ' . ncc�irtno. _ negMirpo. ZONING . ZON NO.O� Ua[OINfW _ �uns � eui � a � �.sow P'�-� •– ftQ� uacnirtion A. P. NO. NOTH: NOGV60V[RHAN6SHALL�EL888TNAN 90' TO 8ID[ 8 RBAR P. L 8AVE8 ALLOWQD ' .<U.B.G.REQUIRHMEMI YARDSMPROVHD YAROSMPXOVED MAIN BUILDIN6 ACCES80RY BUILGIN6 vwrt. # ;Q I.SY%c. v iX8 AMOUNT BM PUHPO88 OP 61 VALUATION ao?D %/�/ DAT6 � , r a m � 60° � 0 VALUATION IB FOR TX8 j A P6PMIT FfiB ONLY. i5 // � IT FEE S Gl 6— p C 3— w . FEE $ �/ �