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Home My WebLink About1949 CONTINENTAL AVE - Building Permits CITY OF COSTA MESA 4 BUILDING DIVISION ____ DEVELOPMENT SERVICES DEPARTMENT PERMIT MBER i PERMIT 05-00938 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1949 CONTINENTAL AV Status: ISSUED Suite: Applied: 06/09/2005 Vicinity: Issued: 06/09/2005 Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N Parcel Number: 42251309 Zoning: Q� Applicant: SANDMEYER-DODGE, MARGARET ISSUED BY: SC { Address: 1949 CONTINENTAL AVE Phone: (949)642-7189 COSTA MESA,CA Zip: 92627-4125 Owner: DODGE, DRAKE W AND SANDMEYER-DODGE,'MARGARET Address 1949 CONTINENTAL AVE - Phone: (949)642-7189 COSTA MESA,CA• Zip: 92627-4125 Contractor: OWNER-BUILDER Address: Phone: Zip: .License: • 000000 Arch : • - Eng: Address: - - Address: Phone: Phone: Zip: / License: License: SCOPE OF PERMIT REPLACE 7 WINDOWS THROUGHOUT S.F.D.WITH DUAL PANE,VINYL TO MEET 1997 U.B.C. EGRESS REQUIREMENTS. FEE SUMMARY Pan Check: $0.00 Calc Valuation: $4,335.00 Permit: $111.25 • Claim Valuation: $4,335.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 PLANNING &ZONING SETBACKS, MAIN STRUCTURE Front -0-0 Rear 0-0 - Left 0-0 Right 0-0 ACCESSORY Front I.. 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: NOTICE: The work authorized by this 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 the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required 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 2446-46(6/00) • DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. Y ❑ I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (Thi section need not be completed if the permit is valued at one hundred dollars($100)or less.) certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' 11.. compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these'revisions. 1 '14. / �6/q / A•plice Signature` ifh1 II, . !Maar%1. Da[ei �l t 0 C 02tar!RI ItUREITOsECURE W&ERS'COMPENSATION•.&•-GE IS UNLAWFUL AND SHALLSUDIECr AN ER TO-i4IMIIJAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED nril AND DOLLARE($100,000),IN 1.DITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR WOE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect.IJc.N Class N Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).), ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is oldS�r t within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • k.� ?�`,;l ,dwner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions ode:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am e e pt under sec at Business and Professions Code for this reason: _- j Slgrtffiurea�rr/.d�/r4 ..—na _%s_� ' _ oa `/q/DC_,, / ^/ .[Orauer7 e' e..bxfivers license. ❑ '�s 0 No License No., Expires: 2P1OS/ Verification of Ownership by(type of document,i.e.-property tax bill or dee : • DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title B,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Duality Management District or from any other air pollution control district or agency? j�Yes 0 No (Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health end Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: • CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the Information given is corrggeccct. I agree to comply ,ith all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the aboJe{described pr..et Mspeylion purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. N/ I/V// AA 57/ �_ J( y. Signa .:110f—legal Owrer(s) - "---�...y�, �! �l7at �h«.. And/Or Authorized Applicant Date CODE E INSPECTION TYPE RAM DAME CODE t INSPECTION TYPE PAIL UMW 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site � �A�� 204 Final Demolition 250 Final Bullding/Occupancy 1 E'2)— K4` —. RECORDING REQUESTED BY- This Document was electronically recorded by South!, ; Title Company_B Southland Title Corporation AND WHEN RECORDED MAIL THIS DEED AND TAX STATEMENTS i0 Recorded in Official Records, County of Orange Drake W. Dodge & Margarets Tom Daly, Clerk-Recorder NAME pp p ADDRESS 611Y6 1949 Cantinental Avenue IISandmeyer-Dodge III�IIIIII�V�II�gg II�II�IIlII111111III�uII10.00 ""t_Costa Mesa, California 92627_1_1 2003000656937 04:OSpm 06/05/03 1108G023 Title Order No. 2351 2039 0.00 0.00 0.00 0.00 4.00 0.00 0.00 0.00 Escrow No. 27350-KC Assessor's Parcel No. 422-513-09 Date April 11 , 2003, SPACE ABOVE THIS LINE FOR RECORDER'S USE . GRANT DEED NO CQNSIDERATION _r The undersigned declares that there is no documen ary transfer tax. The property is located in the city of Costa Mesa . FOR A VALUABLE CONSIDERATION , receipt of which is hereby acknowledged , Drake W. Dodge, a single man and Margaret Sandmeyer, a single woman as joint tenants do hereby GRANT to Drake W. Dodge and Margaret Sandmeyer-Dodge, husband and wife as community property with right of survivorship the following described real property in the City of Costa Mesa , County of ORANGE, State of California : SEE EXHIBIT °A" ATTACHED HERETO AND MADE A PART HEREOF • "This conveyance Glenda leaneef in which title is held, .1yL- grantorls) and granteels)remain the samRe an 11911 roue 'k to hold the same proportionate Interest. GRANTEES HEREBY EXPRESSLY DECLARE AND ACCEPT THE TRANSFER OF THE HEREIN DESCRIBED PROPERTY AS COMMUNITY PROPERTY WITH RIGHT OF SURVIVORSHIP. ��. L £dig Drak ' �` . odg Marga t Sandmeyer rb • STATE OF CA LIPpf{[JIA. !! COUNTY OF L 1Jee }ss. 2s9 ,2403 FOR NOTARY SEAL OR STAMP On 1•/1• ,�-!h 1 before me, the undersigned ' Notary P blic in and for said State, personally appeared Drake W. Dodge and Margaret S andrneyer, pr _ I asis ofsatisfactory evidencr- e)otvoetl beto the a persons — whose names are subscribed to the within COrnrl�lo�Il�lANS instrument and acknowledged to me that they , , rls._ executed the same in their authorized capacities, r NplmyfattWe-Callontlo and that by their signatures on the instrument the Countypersons, or the entity on behalf of which the i P", Cave persons acted, executed the instrument. tMYComm.Expire*Nov 24.2 WITNESS my hand and off' ?al seal . Signature r-r2ACA/A7tY\4^-- f MAIL TAX STATEMENTS AS IIIRECFEU ABOVE 5551270A REV.7,94 y7p S CITY OF COSTA MESA ae BUILDING DIVISION Y• _Alirriel DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER ' F I In i PERMIT ero ,n'fi' B01-00586 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1949 CONTINENTAL AV Status: ISSUED Suite: Applied: 04/30/2001 Vicinity: DETACHED GARAGE Issued: 04/30/2001 Parcel Number: 42251309 Zoning: Applicant: SANDMEYER, MARGARET ISSUED BY: Address: 1949 CONTINENTAL AVE Phone: (949)642-7189 COSTA MESA,CA Zip: 92627 Owner: DRAKE DODGE & MARGARET SANDMEYER Address 1949 CONTINENTAL AVE Phone: (949)642-7189 COSTA MESA,CA Zip: 92627 Contractor: OWNER-BUILDER Address: Phone: Zip: ' License: 0 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING DETACHED 2-CAR GARAGE.TEAR OFF EXISTING ROOFING, INSTALL 15#FELT UNDERLAYMENT& REROOF WITH 25 YEAR ASPHALT SHINGLES. FEE SUMMARY ,Plan Check: $0.00 Calc Valuation: $500.00 Permit: $23.50 Claim Valuation: " $500.00 SMIP Res: • $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 • Total: $24.00 PLANNING &ZONING -- .4 / / /7 SETBACKS " MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right "0.0 - " // ACCESSORY Front 0-0: Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: NOTICE: The work authorized by this 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 the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expirationof this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46( ) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ' ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. 01/nave and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. — My workers'compensation Insurance carrier and policy number are: Cartier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RUES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lie.a Class ft Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he Or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): LQ. I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. - 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exam t nder sec. Business and Professions Code for this reason: �Slgnaturei_ - .1-Expires: OS(D 3 Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341.Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? j�Yes u No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (if yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 II a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the Information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above- escnbed prope y or spection purposes.I agree not to occupy or allow occupancy of any building authorized by this per t until pal inspection. � as�3D (� r Signature Of Legal Ownegs)_�"- tDate---`� And/Or Authorised Applicant Date CODE r INSPECRON TYPE Off' It lAL3 CODEINSPECTION TYPE PAg jam$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof fl-24'49( ^�6441. 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition _ 250 •Final Building/Occupancy • CITY OF COSTA MESA frac) BUILDING DIVISION }:<<, r .' DEVELOPMENT SERVICES DEPARTMENT PER NUMBER I 01 lit PERMIT aam0 01-00585 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1949 CONTINENTAL AV Status: ISSUED Suite: Applied: 04/30/2001 Vicinity: HOUSE Issued: 04/30/2001 Parcel Number: 42251309 Zoning: Applicant: SANDMEYER, MARGARET ISSUED BY: Address: 1949 CONTINENTAL AVE Phone: (949)642-7189 COSTA MESA,CA Zip: 92627 Owner: DRAKE DODGE & MARGARET SANDMEYER Address . 1949 CONTINENTAL AVE Phone: (949)642-7189 COSTA MESA,CA Zip: 92627 Contractor: OWNER-BUILDER Address: Phone: Zip: ' License: 0 - Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: • SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE.TEAR OFF EXISTING ROOFING, INSTALL 15#FELT UNDERLAYMENT, , 8 REROOF WITH 25 YEAR ASPHALT SHINGLES. FEE SUMMARY • ,Plan Check: $0.00 Calc Valuation: $1,500.00 Permit: $54.00 Claim Valuation: " $1,500.00 SMIP Res:. $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 - Total: $54.50 PLANNING &ZONING - SETBACKS • \ , ,' , MAIN STRUCTURE Front 0-0 - • Rear 0-0 Left 0-0 Right 0-0 / ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right . 0-0 PARKING Existing: 0 .., Required: 0 Proposed: 0 NOTES: NOTICE: The work authorized by this 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 the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required 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 2446-46(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued. ❑ I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.), ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT MJ EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# Class x Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subj cts the applicant to a civil penalty of not more than five hundred dollars($500).): —I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business end Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the Property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt Inder sec. Business and Professions Code for this reason: `Signature:"+ r Date: 7041 9° J O I QWDaf ID verified by ddv s license. ❑Yes 0 No (Driver's.License"No. iExpires: O6/03 Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(38)feet high.(Chap.3.2,Gm 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: • HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time hes on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑Na (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ......... ... . 4 If en RMPPPPisis presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication akEermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Alr Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE Or COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION.OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the abov -described pr p rt for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by thisp rmit until final inspection. D4/I76la Signature Of Legal Owner(s). ( Date '—� And/Or Authorized Applicant Date CODE 1 JNSPECT1ONTYP$ PATE' INRRALS D • INSPECTIONTYP$ LAIF. INTRIALE 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 1 6144-- _- - J, 208 Final Plumbing 200 Final Re-Roof S.Z_I i� !Lt4 %'— 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory fire Place 220 Final Planning Approval . 203 Final Sign 222 Final Site 204 Final Demolition 250 .Final Building/Occupancy OWNER GRAY, ALLAN DATE July b, 19b) JOB ADDRESS 1949 Continental Street BUILDING PERMIT NO. 24382 �GENERAL CONTRACTOR Fred H. Gerwick DESCRIPTION OF WORK 2 Car Garage AP No. 115-483=G9 LOT TRACT FIRE ZONE 3 VALUE $ 1,102.00 INSPECTIONS I Signature Date GROUP J TYPE V ZONE R 1 Soil TRI PERMITS ISSUED gs SUBCONTRACTOR Date Number Signature ter Plumbing ugh Plumbing op. Swr. Line 0 House Con.0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 Rough Wiring 2--PPT Heating and Vent. Trenches p Forms El Steel Reinf. E .7/,,/c{ Floor System Bond Beam 0 Steel Reinforce 0 Sheathing RNt? -977-yr Frame and Flashing GZ, 4/ 7�,.. Lathing —In 0 Out 1. 415.0 7/745" Plaster, Brown Coat 464 S/9/o.. _ Structural, Final Elc Heating, Vent., Refrig. and AC., Final (1�,�...,..._ PP/prA 1:2 A,4L7S7 Plumbing, Final and Gas Test 0 Electric, Final 99-7-65 ' Building, Final 7-7-�s'� r 24382 CITY OF CaStA MESA '"COSTA MESA BUILDING-SAFETY DEPARTMENT 1965 r P.O.BOE 517 COSTA MESA.CALIFORNIA JUL 8 For Applicant to Fill In Completely APPLI 0 IT TYPE OR PRINT BUILDING ✓ kite-Uao Only ADDRESS in, /..... (I,ivihi/EA/7 1L Sr RECEIPT NO. -245'82P124 �2 COSTA MESA, CALIFORNIA a "cc / OATS gEIVED, DATE ISSUED MAILER 4/ AA61ey ADDRESS 1 9 4 t7 C40 kJII�I:Ai FAi. FT l` ADDRE8B ,gyy GIC„I^/77/VEit/TA-L _' CITY COSTA- NES-A NO. ZONE PEGROUP '-f'— APPROVED)///Ja jr /�. ARCHITECT TEL. BY iYl//F� De OR ENGINEER NO. ZONING CQ 91- J ADDRESS /�' Al, /' �P�MEButt/yr: A f` CONTRACTOR ARFQ /7' C>F' wieK x�� ( I PLANS v I NOEW LF' �A LEOAL Lal Li? ? 1I 2/ 1— ADDRESS Soy ('o4,FA, Po p DESCRIPTION CITY 0ORO / 4 DEL AAR A.P.NO. l__t3 - C _ STATE TEL.��7�J 90NOT TO SIDE @ REAR P.LEAVE NG SHALL BE LESS THAN LIC.NO. �1 ^✓ f /) NO. q /J- 62 0 V! EAVES OF LOT 7 U I \ 1 I " I NO.OF NOW ON LOTS / ALLOWED (U.B.C.REQUIREMENT) 1111 rC YARDS APPROVED YARDS APPROVED EXISTUSE O NG BLDG. Rp cj p'# / MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET/ D CENTER FST PROM Ip S r REAR YARD /f / FRONT FT. I B FT.�{ OENTER OP STREET R. t� SIDE YARD I LEFT S" I RIGHT R.SIDE FT. 1/S FT. DESCRIPTION� OF WORK L.SIDE Fr, ,j FT. 1NEW $'I ALTERATION ADDITION REAR FT. l j FT. TII DISTANCE BET. BET.MAIN @ REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS.BLOCS. BUILDING 2 `, NO.OF VAR.# DATE SIZE 11��T� ZCJ ROOMS /SSTTO�RIES ( C.U.P..# APPROVED ^ / EXTERIOR IN WALI�wi, �COVVERING a A." p OYPROVfiD (la ^ J_ /`/ ./'i COVERING aIU coh /ly7�A, ( 6 6 USE OF BUILDING AND WORK TO BE PERFORMED CF4/C CoAR,4 GSE �/ 'C/ 206D.pr.. coo I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER V ATION IS FOR THE F AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. D PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION m BUILDING CONSTRUCTION. n /�/, 4,7„ N SIGNATURE OP I/�1 ��,�'AA�//-- CC) PERMIT FEE 5 m m PERMITTED , ate. cztc ._ . c >�/ E ' II $ / ? 0 PLAN CHECK $ p I AUTHORIZED AGENT /7 a : TOTAL FEE $ / J ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT A 636 NorthBroadway SANTA ANA, CALIFORNIA BUILDING VILDINv FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY RECEIPT NO. PERMIT NO. BUILDING ADDRESS 1949 Continental AVP. . n/ T hirfob• SCHOOL DIST. OR TOWN Costa, MP as RECE VE BV I DATE RECD. DATE ISSUED NEAREST \) y/ 18'. P..-9 ` 3 (� -2//•-3 CROSS ST. Arbor St ry V a a OWNER Cherokee Homes Inc. BADDILRESS Y Cern y/,� ADDRESS 9363 Wi 1 shi re Blvd.. SCHOOL DIST. / et OR TOWN CITY Beverly Hills NoCR54361 CROSS ST.T, ARCHITECENGINEER a ,n & McKe rrach , ZONE P Arps TYPE GROUP m / I IzJ ADDRESS 2110 F WA]nut-PasadenaS r CONTRACTOR Newport Vista No 135882 BY DATE./ DATE./ w• .../ ADDRESS 9363 Wils ire-Beverly Hilll CORRECTIONS LEGALLOT p '�II r� DESCRIPTION I NO470 BLOCK I TRACTI!12 (ATTACH METES A EIOUNDS) NO.OF BLDGS, SIZE OF LOT7(� R 11 0 I NOW ON LOT 0 USE OF I NO. OF I NO. OF EXISTING BLDG. FAMILIES ROOMS SETBACK LINE FROM; REAR YARDo Z CENTER OF STREET Sn f t SIDE YARQO t- it DESCRIPTION OF WORK 00 Fl NEW I x I ALTERATION I I ADDITION I Z D REPAIR I I MOVING I I DEMOLISH r BUILDIN NO. OF SIZE 1 034 s4,ft ROOMS 5 STOpIES 1 Ad EXTERIOR WALT,,, ROOF Li OmpO ® COVERING r7tucco I COVERING hi ng1 p \ .r / { Ar' USE OF NEW V-- BUILDING Re sidle nos-At tch.Carport Ii V APPROVALS FOUNDATION: LOCATION INSPECTOR DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS UNDER-PINNING FORMS, MATERIALS, /�s'), q`/` S�-a APPLICATION AND STATE THAT THE ABOVE IS CORRECTL / �•1 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS. % ./ ,-I BRACING, BOLTS ./i -�' -. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. t � LATH. INT. ♦ 1 fn' .°) I n .r_ , ) 1 r�' "r--.- SIGNATURE r„ SIGNATURE OF /� LATH, EXT. 1 - PERMITTEF I -T•7Y_X/ i to yQ_� //` A////Iaf/L/�--•- PLASTER, INT. yP9 J /y 1, t� AUTHORIZED AGT %./ '��'r 'PLASTER, EXT. :/VC .frs i1-�[ •4-3 VALUATION g 4830.00 PERMIT FEE SI 5 MASONRY REINFORCED fff PLAN JHECKS ' / 2--- BOND BEAM TOTFEE AL 5/if FINAL ,. 2 a` -41 r a k W Z W J O - .. 0 n n n - r • - STREET 1 _ 1 - PLOT PLAN Show location and distances from property line and between buildings. • - • .i ' .1