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Home My WebLink About440 ELMHURST LN - Building Permits(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 ,lob Address: 440 ELMHURST LN • Status: ISSUEo Suite: . Applied: 08/21/2003 Vicinity: RESIDENCE AND ATTACHED GARAGE . Issued: 08/21I2003 Parcel Number: 14137220 Zoning: Applicane SCHULTZ, GARY D Address: 440 ELMHURST LN _- "- - -_ ISSUED BY: -- .. ,; i:,�c_. ,�i . _,<.-.. �;- >`--�. "'C _ _ '-_ -� � �� Phone: -714-9737770 . - _ _ � COSTA MESA; CA C�� '� - Zipi, 92626-6112 `, �- - �.� � - - � r � �� G',�'` �.-�., , - � - ' Ownec SCHULTZ,.GARY�D " � � � �� Address • 440 ECMHURST LN � � �-" . . �� " � ' . �� ' �1� � j,�� " - _.:Phone � `,. .: . _ � ��v �� . � . � .. /�' COSTA MESA, CA - : - Zip: 92626-6112 � � � �-J ' / � C�� i/ � � %�, �% � \'�� \ // /\\\`�� . ConVactor. �� OWNER BUILDER � A �� \, � � �� ii /,.;' � V � / �� ;� .Address: ,/ �,,: � \ � �; � � � 'rr . � - � Phone:.�. � �� , � � . ' � �! � '� �; . �. �'� / .�,�� • � i � . ! � � � ' Zip: �- , /ir, �� n License, �� 000000 •, � - � � ��_ �.. � 4,- � �� . � � . - � • � � � Arch _ ; ` �� . . Eng: '. ' ; '�, �� ,� �,� � Address , � '� .� . ` , - _ �� ' -;- Address:�. , � � � A �� . � , �a `� � r f, - � �� Phone� .. _ ' ' ��', Phone: - , �. . ' � . � � / ` _ '.1��,�� ;'�it �. A '��'� r _ I ti • "�Zip: � ; i �--''� . License: � �-License: � � . � � � , .,� , , �;' I '� / 1 ;' SCOPE-OF PERMIT - ..l �•'+REROOF RESIDENCE AND ATTACHED�GARAGE: T/O EXISTING-ROOF; REPAIR�AND REPCACE'SHEATHING AS NECESSARY, APPLY F.ELT �i '� AND COVER WITH 30 YEAR COMP. REPAIR AND�REPLACE FACIA AS.NECESSARY.•� -= w- � ��' �, � � '�� ; �, „ �� sj Plan Check� �„ i, �� $0.00 � '� . PermiN $125.25 ', \� SMIP Res: ', •, $0.60 \ �SMIP Com; �. . $0.00 ��t', QfhBC �: � $�.�0 llnepection � ��,'$0.00 \`, �\ � � `T t I• ' $125 85 , '�� FEE SUMMARY ,,,` � ' �' ' � ' ' � � � �_-- _ _ '-;� _—, � ;�� ` ' Calc Valuation: :.i ��' � � =-gs,000.00 � � -� Claim Valuation: � ' ` . Sa,000po' �' _ _ . , , i.''i. ' 1 d� ' �" � i� t i' , � � ` , � ' , �-��-� � /Sj� _ _ J.) � t i � ; , . J �:. - . �! ,�. � !, � � � «..r - � �� . ..�_�, � ,�/ / �� , / �1 ( � i.�Yf � � 1 ��/�/% / _nJ/% ,o a . � , �� ^ `.. ' �; :�, ; �� ` �% � ,� r- � '�,�� ; � � PLANNING�&ZONING ' �i'� SETBACKS � �� ,. �. . �..,' , ; ; � ,. �/ ' � � , MAINSTRUCTURE�Front�-,0=0 • 'Rear 0=0�. Left �0 0� `- —" Right � 0 0�;� ' y'�� V'\,, �� .�,, . - _ - . _ . ��- .: �i� i ` ACCESSORY Front=�`0-0 �'� / �� Reac--0-0 �-` �Left 0-0 _ � "-� Right �. 0-0� %j ��. . � � , - - .. _ _ �.-� . . .,�� '�.�.'-.'.r -�- i'.1� +�� .% PARKING Existin �-�6\�_ ~Re uired: � ,0' ' ,� Proposed: ; 0- � � ;;, J�� ' '--- --' -��..�,-_, ' .:�. ' - - -- — :%�� , � _ _ � _ --._ _-'. �� =�--� � A 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, § 7, 12-27-92) 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 mus� comply with all applicable codes, and all ' required Inspaetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiratlon of this permit. I FOR INSPECTIONS CALL: p14) 7545626 2aauas �sroo� WORKERS'COMPENSAnON DECLANAnON: w ! I hereDy eflirtn under penalry ot perjury one ot the tollowing tleclaratlons: f •,� ❑ I heve end will meintein e�pnitkate o�consent ro self-Insure tor workers' compensailon, es providetl for by section 3700 of Ihe Lebor Code, for Ihe pertormance of the work for wnich this pertnit Is issued. ❑ I have end wlll malntain workers' compensetlon insurance, es raquireG by section 3700 of the Lebor Cotle, for the pertortnance oi tne work tor wMch this pertnit is Issued. . My worker5' �mpensatlo Insur c rtfer and pgl� mber are: Cerrier � Pollcy Number. (ThIs ecHar need naf be campletetll! e perm�f /s � uetl t wre hundred dWlers (Sf00) or less.) I certity that �� the performance of tha work for hich this pertnit is issued, I shall not employ eny person In eny manner so as t become sub�ect to the workers' compensail� laws of Calif ia, enC e Iha I sho come subject to the workers' compensatlon proWsions ot Sectlo 3700 ot t e Lebor Code, 1 shell forthwith com I wllM �hese rovi I y�y / 7 �\ AppficentSlpn6Nre:�� Dete: /� Zl I l,J� WARNINO: FAI�URE TO SEW RE W RS' CO�.IPENS4TION COVE OE IS UNLAW FUL PND SHFl1 SUBIECT PN EMPLOVER TO CRIMINAL PE� AND CNI� FlNES UP TO ONE HUNDRED 7/1d1SAND OOl1ARE (5100,000�, IN ADIXTION TOTNE COST OF COMPENSATION, DPMAGES AS PROVIDED FOR IN SEGTION 37080F THE LABOR CODE, INiEREST, AND ATTORNEI^S FEES. LICENSED CONn1ACTORS DECLARATION: � I hereDy eRirtn that i em Iicensed untler proWs�ons ot Chepter 9(commencing with Section 7000) of Dlvision 3 of ihe Business and Prolessions Code, end my license Is In full torce entl eHect 41a x Class # Conirectofs SlgnaNre: � Date: CONSTRUC710N LENDING AGENCY: ❑ I hereby attirm thet there Is e construction lending agency for the pertormance of ihe work for which this pertnit Is issued. (Sec. 3097, Civil CodeJ. lentlera Name: Lendefs Address: Signature: Oate: OWNER•BUILDEA DECLARATONS: I hereby eXirtn ihat under penelry of perjury [hat I am El(EMPT FROM TXE CONTRACTORS LICENSE LAW tor Ihe tollowing reason (Sec. 7031.5, Buslness end Professions Code: My dry or �unry which requires e pertnit to construct, alter, improva, tlemolish, or repair eny slruMure, prior to its issuance, also requires t�e applicant tor such pertnit to file e Igned stetement Ihat he or she Is Iicensed pursuant to �he provlslons of the Contrectors License Lew (Chepter 9(commencln9 with Sectlon 7000) of Dldsion 3 of the Busin entl PrO�essions Code) or that he or she is exempt therefrom end the baals for Ue fllleged ezemptlon. Any vidatlon of Sectlon 7037.5 by eny epplicent for a pertnit ub' ts Ihe aDD�lcent to e civll penelry at not more Ihan frve hundred dallers (5500).): I, es owner of ihe property, or my employees wit� wages es their sole compensation, WILL DO THE WORK, and ihe structure Is not intentled or oHered tor sele (Sec. 7044, Business antl Professions Cade:'me Contractors License Lew does not appty lo an owner of properry who builds or improves thereon, and who tloes such work himsett or �ersetl w Nrough hts o� her awn employees, provided that such improvements are frol Intentletl or oftered br sale. tl, however, tha buliding or {mprovement is sold within O�e year of completion, the owner-builder will have the buMen ot proving ihat he or she did not builtl or improve for purpose of sale.). • ❑ I, es owner of the properry, em E%CLUSIVELV CONTiiACTING WITH LICENSED CONTRACTORS lo wnstnict the project (Sec. 7044, Business end Professlong Code: The Wntracrors LJcense Law Coes no[ eppty to an owner o1 property who builtls or Improves ihereon, and who contreds lor such proJact wl�h e cantractor(s) license puBuant to the Contractors License Laws.). ❑ I em evemp� und ec. Business and Professions Cotle for Ihig �eason: Signetura: �� [�� Date: Owner ID verifled by tldve s Iicense. es No Drivefs Licensa No. Expires: Vedticetion of Ownership by (type o1 tlocument, i.e. - properry tez bill or Ceed): DIVISION OF INDUS7RIAL SAFETY PERMR CERTIFICATION: ❑ 1 hereby ceAlly ihet no excavetlon five (5) or more feet in tlepth into which e person is requiretl to tlescend, wlll be made In connection with work euthoAzed by Ihis pertnit, end Iha� no builAing slruMure, sceHolding, falsework, or demdition or tlismantling �hereoi, will ba more Nan Ihirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Celifomia AtlmiNSireliva Code�. ❑ As ov+ner-bull0er, I will not employ enyone to tlo work which would reqWre a pertnit irom ihe Division of Intlusiriel Safery, es notad ehove, unless such person �as e pertnit to do such work trom Ihe tliNsion. Signature: Date: Division ot IndustfW� Sa�ery Pertnit Num6er. CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENTAY: I cenity under penelry of perjury that I have read this e plicatipn antl state thet the iniofmation given is wnect. I egree lo �mply wlih al te�9 I end d o� ances relating to building consWIXion, end authotlze representa es ol the Ciry of Coste Mese to enter upon �he ebove-desc' d roperry tor i e tion rposes. r not to accupy or ellow accupancy of eny building euthorized b pQpnit ur�lil al' spection: � ��! ! ignature OI Lege�_ .__(s)__� Dete And/Or Authorized Applicant Date yODE �. ItlSPFGD41iIYYE 1618 Fl:ed SyS�em Final Fire Prevention 1288 Pool SPe Finel 200 Flnel Re-Roo1 201 FIneI8lo�k/Reteining Well 202 Final Factory Flre Place 203 204 Final Sign Finel Der�olitlon PAg I�L� � � � CODE� INSVELTIONTYVE 206 Final Mechanical 20B Final Plumbing 210 Final Elecidcal 212 Finel Flre Prevenllon 220 Final Planning Approval 222 Final Site 250 Final Building/Occupanq ➢AIE It�l$ ` • �osta Mesa Building Department ' 111 EAST 20th STREET , ��..- . COSiA MESA� CALIFORNIA � FOR APPLICANT TO FILI: IN Cross tractor Costa Mesa, California ach Metes and of Lot 60 Tel. No. No. of Bldgs. Nowon Lot No.of I No.of F,amilies Room RearYard '�d APPLICATION FOR PERMIT � BUILD�NG '� FOR O�FICE USE ONLY Receipt No. Permit N � ,� 93S Building c�ou .� Costa Mesa, California r New No. of -lor Wall Build Addition Stories APPROVAT.0 Frame: F7re Stops, I hereby acknowledge that I have read this Application � �� and state that the above is correct and agree to comply Lath. Int with all City Ordinances and State Laws regulating building construction. Lath. Ext. Signatureof Permittee H 't Plaster, Int Authorized Ag plaster, Ext Valwatian Permit Fee $ f/ -� Masonry Reinforced Plan Check $ l i`" Bond Beam S 11�200, Total � Fee $ � FINAL RM 204 S-HP 2M 8-55 ` : '1 � .. � . � � . . . � . . . . � . . . _' . . . . . _ • - — � . � . . �' C _ _ • > ' . . � . ' . ' . . . • . f.iJi �C'l�. - T � � �'� �I �1 � _ . . •• _ r.. y. • . .r� , l ' _ ♦ .. .. _ _.. - -- -- -- -------=�,i*.S.��i� z - ' � . ' "" .'_ " '_ _ 'n.., . _ ' ' _ . • � - - wef,pCT? � �� . � • -7 � " ��l .. 1�• • Parti.a P� _ . _ _ . . . _ . Bhow Iocation and distances irom . . .. property Iine and between buildings � �: ' ' ' '.. - ! . _ . _ _ _ _.' _ _' :I� . � . _ . . - �... , . i , . : .' - ' - . . . . . • . ' , . .^ ._ � i . . . . . . � �.. . ., , " ' ' . . . , . . .. . . . ! c ' • ^ ' • . . . . . . - ' . . .. .. "' " � J > .. _' "" . '' . . . .. � _ . �' _. . . _ (', . . , . . _ � - � . . ' � i . .