HomeMy WebLinkAbout880 CONGRESS ST - Building Permits` CITY OF COSTA MESA
� � BUILDING DIVISION � -f�
� �
� DEVELOPMENT SERVICES DEPARTMENT -�J>"
V. . .
�� PERMIT PERMIT NUMBER
B98-01578
(714) 754-5273 • Fau (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
JobAddress: 880 CONGRESSST
Suite:
Vicinity:
Parcel Nunmber: 42243104 ZOning:
App�icant: VON TING, CLIFF
Address:
Phone: � 714-004=9752
, -,;
, � Zip:
Owner: FOGARTY,:WILLIAM J TR
Address 88%CONGRESS�ST � _ � �
Contrador:
Address:
Arch / Eng :
Address:
, . ,�, / , �� . ' Phone: - . . �
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�COSTqMESA,CA - "- 2ip: 92627 � .
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PRECISION CONST & ROOFING
01115 EL CAMINO��
� �.�,.;
Phone:
COSTq MESA CA Zip�� 92626
- � License� 658880
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' /Phone:. . �
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Status: ISSUED
Applied: 08/31/1998
Issued: OB/31/1998
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� , License: �"' � ,
� ' � � � SCOPE OF PERMIT
� ,T/O EXIST AND INST 3Q# FELT AND NEW COMP,SHINGCES.+ ���� �
�` , .
�
Plan Check: - $0.00
Permit: $87.25
SMIP Res: � $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
FEE SUMMARY �,�
` --- ` � �
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Calc Valuation: sa,sao.00
Claim Valuation: $3,380.00
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Total: $87:75 • ,
„,
� � , '�PLANNING & ZONING " � �
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-.0
PARKING
C[�il�'A
Existina: p
Rear 0. 0 � `
Rear 0-0
Required: 0
Lefl ' 0- 0
Left 0. 0
Proposed: 0
Right �0-0� � ,
Right 0. 0
IEXPIRATION: 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 pedod of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inepeetlone and final epproval must be obtained. Failure �o obtain inspectlons and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION: �
I hereby atfirm untl�r penaly oi per�ury one oi the Following deUeretlons:
❑ I heve entl will meintain e certiflcete at consent to selt-Insure tor warkere' campensetion, es proWtled for by senlon 3700 of the Lebor Code, for the peAortnance ot the
for whicn ihis permit is Issuetl.
I heve and will maintain workere' compensetio� insurence, as requlred by seMion 3700 of the Lebor Code, tor the peAortnance of the work for which ��Is pertnit is issued.
My workars' compensetlanqln_sure� carrler and palicy number ere: /��jo �� �y^
CBR�Bf. � PollGy Numbar: /J
(7l�ls sectlan need �ot be comp/ete01/ the permif is velued ef one bundred dollers (5700) or /ess.)
❑ I certity ihat in lhe peAormence af Iha work for which Ihis pertnit is issued, I shall not employ any person in eny manner so es to Decome sub�ect to the workers'
wmpensation laws of Celitomla, end q�re that tl I shoultl become sub�ed to the workers' compensation proWsions of Section 3700 of Ihe Lebor Cotle, I s�ell forthwith
� ' i IMese pravis�� � /`� � � I _ � � /
Appllcant Signature: �i� Date: ( �
wAFIGfRG.'F�C�F�TO SECUR W ERS' GY)MPENSATION COVERAGE IS UNLAWFUL AN� SHALL SUBJECT M! EMPLOVER TO CRIMINAL PENALTES M'D GVIL FlNES UP TO ONE HUNDRED
TFKKISAND DOLLARE (5100.000). IN ADDfiION TO THE COST OF COMPENSAiION, DAA41GE5 AS PROVIDED FOR IN SECTION 3708 OF TMElABOR CODE, INTEREST, M1D ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirm ihet I em licensed un�er provl �
SignatV�e:
(commencing with Sectlon 7000) of Divislan 3 af iM1e Business entl Professions Code, entl my Iicense is In full
Class N � �
Date:
CONSTRUC710N LENDING AGENCY:
❑ I hareby aFfrtn that there is e consiruction lending agency for Iha peAormance ot the work for whlch this permil Is issued. (Sec. 3097, Civil Code).
Lendefs Name:
Slpnature: _
OWNER-BUILDER DECLARATIONS:
Lentler's Address:
Date:
I hereby aHlrtn t�et Vnder penelry of perJury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business end Profeulons
Cotle: Any ciry ar caunry which reQulres a pertnit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, elso raquires the epplicant tor such pertnit
ro Nle e sipned stetement that he or she is licensetl pursuant lo the pmvlsions of ihe Contrectors LJcense Law (Chepter 9(commencing wl�h Section 7000) ot Division 3 of the
Business end Professions Cotle) or that he or she is exempt iherelrom flntl the basis for Ne elleged exemplion. Any violation of Sacfion 7031.5 by eny applicant for a pertnit
sub�ecls the applican� to a civil penelry of not more Nan five hundred dollars ($500).):
❑ I, es owner ot Ihe property, w my employees with wages as their sole compensetion, WILL DO 7TIE WORK. and the structure is not intentletl or oMeretl for sale (Sac.
7044, Business antl Protessions Code: The Contractors License Lew tloes not appty to en owner ol properry who builtls or improves Ihereon, antl who does such work
hlmself or herself or ihrough his ar her own employees, provltletl ihet such improvements ere not Intendetl or oRered for sele. Ii, however, t�e bullding or improvement Is
soltl within on6 year oi completlon, ihe owner-builtler wlll �ave ihe burtlen of proving thet he or she dId not bulld or imprava for purpose of sale.).
❑ I, es owner of �he property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS �o consiruct the OroJect (Sec. 7044, Business end Professions
Code'. The coP«acbrs License Law does not epply b en owner of properry who Cuiltls or Improves theraon, and who coMrecis for such projed with a conirapor(s)
Ilcense pursuant to the Contrectors License Lews.).
❑ I em exempt under sec.
Signature:
O.vner ID veritied by drivers license. ❑ Ves ❑ No
Busineu and Protessions Cotle tor this reason:
VeAlication of Ownership by (rype ot documenl, i.e. - properry tex bill or deed):
Drivers Licensa No.
Date:
Ezplres:
DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFICATION: '
❑ I hereby certily that no excevetlon five (5) or more feet in depth Into which a pereon is raqulretl to tlescend, will be mede in connectlon with work euthodzed by t�is
permit, end ih6t no building structure, scaMolding, felsework, or tlemolition or dismantling thereol, will be more than Ihirry-six (38) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, 71t1e 8, C��iiomie AdmlNstrative Cotle).
❑ As ownerbuildar, I will not employ enyona to do work which woultl requlre a permit Irom the Divislon ol IndusMel Salery, es notetl ebove, unless such person hes a
pertnit to do sUch work from the tlivision.
Signeture: Date:
Division of InOustrial Safery Partnit Number:
CERTIFlCATE OF COMPLIANCE AND AUTFiOR¢ATON OF ENTRY: I certity untler penalry of per�ury thet I have read ihis epplication end stete thet ihe informetion qiven is
correct. I agree to comply with all state laws end city ordinances relating to building consWction, end euthorize representetives of the City of Coste Mese to enter upan ihe
ebove-descdDed pr��for inspectjon puryoses. I agree not to occupy or allow occupancy ot eny building authonzed by this permit until final Inspection.
% �/ �
/ SlgneNre Of Legal Ownar(s) � �' D
���G,� ✓u N + �w-G �rS� � � - �
�C/Or AuNonZetl AOD��� � Date �
LO�F �. IHSPECTIONNPE
7616 Fizetl System Finel Fire Prevention
1288
200
201
202
203
Pool Spe Fi�el
Finel Re-Rooi
Finel Block/Retaining Wall
Finel Fadory Fire Plece
Finel Sign
20A Finel Damol�tion
2H&4e
� I��
LQpEj INSPECTIONTYVE
206 Finel Mechanical
208 Finel PlumDing
210 Flnel Electrical
212 Finel Fire Pre�ention
220 Flnal Planning Approval
222 Final Site
250 Flnel BuiMing(Occupafwy
AP No. �15-401-04 LO
INSPECTIONS
SOIL
Gn5
WRTER �N�ia.Y
ROUGH PLUMBING
PROP. SWR. LINE [] NOUSE CON
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING NN� RIR CONDIT
TEMPORRFY SEHVICE OR POLE
UNDEFGROUNO � POWER C
ROWN WIRING
TRENCNES �] FORMS ST
FLOOR SYSTEM
BON� BEAM � STEEL NEINF
SNEr1THING
FRAME ANO FLRSNING
LATHING — IN i OUT
PLASTER,BROWN COAT
STRUCTURRL, FINRL
ME/TING, VENT., REFRIG. ANO A
PLUMBING, FIN4L RND GAS TESI
ELECTRIC, FIN�L
BWLDING, iVNAL
SPECIr1L REOUIREMENTS
A
SUBCONTRACTOR
Q�
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• • �- 4241.9
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING Q�� / ' _ �l
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OWNER ,��,/��.M �^OGf�2
ADDRE55 �U�/ `--aN��S J�t
CITV Sj �7 ��j%� NOLG� �
CONSTRUCT'ION
BRANCH
A�DRES
ARCHITI
TEL.
CONTRACTOF ���j�'/ `�ti�B/�/�
ADDRES5
TEL.
CITY NO.
STATE CITV
LIC. NO. LIC. NO.
SIZE NO.OF BLDGS.
OF lOT NOW ON LOT
USE OF
EXI5TING d�DG.
Separate permils are required for
elec[ric, plumbing and heating work.
J
I haraby acknowletlBe t�et I �eve reatl ihis application and stata
that the above informatlon ia corract and aprae to comply with
all laws reButating bulltlinp construction, entl 1 sha�l not employ
any perzoP In viole[lon of the workmen'a compensation laws ot
t�e Stete o1 California.
I hereby cenify that I em prope�ly licensetl es a contractor untlar
Me Smte 01 Celifornia Business antl Professions Code, Divislon 3,
C�epter 9, antl that sue� licenses are In full force and affect, or 1
am exampt irom the prouislons ot the Stete of Calitornia Business
anC Protecslom Cotla, Divislon 9, Chepier 9.
sie�emre ot .
Permlttee
n�inon:ed Aee�i
>U" -6-76�ry���� 7297- :`•:.•t.t•�18.5�
ON FOR STRUCTURAL PERMIT
OATE RECEIVED nert icmiFn
A.P. NO.
BUILDING
ADDRESS
OWNER /�(.�.�
us e A���
FIRE
ZONE T
APPROVED I
eY
Z NO.OF �
PLANS
VARDS APPflOVED
MAIN BUILDING
VAfi. qW
C.U.P.qW
PERMIT NO.
USE OF NEW
APPROV E
RV BVIIC
BET. MAIN &
ACCESS. BLP
DATE
APPqOVED
��
m
i
e
� 54. FT. N
THE AMOUNT SHOWN UNDER VALUATION IS FOR m
THE PURPO6E OF ESTABIISHING A PERMIT FEE ON�Y: �
VALUATION PERMIT FEE 5 a
di m
r� PLAN CHECK S ^�
0
s'�� TAX 8 �j� I�.
�� V
TOTALPAID § �
-� Ca'�ta Mesa Building Department 3�3 APPLICA�ION FOR PERMIT
111 EAST 20th STREET ,B �' L D_�� N G ...
r"� %COSTA MESA, CALIFORNIA - '- -' - �
FOR APPLICANT TO FII.L IN ; �' OR O�'d'ICE USE_ ONLY
Receipt No. Permit��
1 -
nddre� 880 Con ress St. ! -' `3 6"�
Costa Diesa> California p«eived by, Date Rec'd. Date Issu
Nearest � �
CrossSt. N&t'.�Ori& Ave e��ia��9 .
Add�ess '
owner Chi}�et�a Hnmes Tnc, ' CoStaMeSa,California,
Mai1
nddress q�F�� ?•li l chire Bl vd _ Nearert
Address 211Q E'_
Contractor $A1 b08
Address O��� 1..l �•
Legal Lot
Deserfption I No. j
(A�tacfi Metes and Bc
Size of Lot �n x
Use oi '
Existing Bldg.
Setback Linefro
CeninrMC}reaf �(1 I
New
Repair
Buflding
Size 10
Exterlor W;
Covering
Use of New
Buildin4
Lic.
No.
0
o.
Date
CORRECTIONS '
No. oT Bldgs
Now on Lot � - - - � � - � - O
No.of 'I No.of f�r:-> A
Femilies . Rooms — y�
RearYar � - '"'-" -' " - � � Z
Side Vard � n I_� � _ y
,n..tr�urr ----'�� ,- -- - r
Addition
of
ms 5 Stories
Coverina Sli'1'f7
I'hereby acknowledge that I have read this Application
and.state that the above is correct and agree to comply
�vith all City Ordinances 3nd State L.a�vs regulating
building construction.
Signature of
Permittee & �% g �i
Authorized Agt.
Valuation 'IP4�3�, �0 Permft Fee $
Plan Check $
$ Total
Fee S
APPROVALS
Foundation Location Inspecto
Farms, Materials,
Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
Lath.lnt.
Lath. Ext. �
Plaster, Int.
Plaster. Ext. �
�.�
Show Iocation and distances irom
property line and between buildings.
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