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Home My WebLink About820 CONGRESS ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Job Address: 820 CONGRESS ST Suite: Vicinity: Parcel Number: 42243116 App�icant: ROSS RAY Address: Owner: ANGOVE, SHIRLEY C Address 820 CONGRESS $T COSTA MESA, CA Contractor: ALL WEATHER ROOFING Address: 2192 AMERICAN AV #A COSTA MESA, CA Zip: 92626 Arch : Address: Zip: Phone: License: BUILDING PERMIT Zoning: Phone: 949-646-8694 Zip: Phone: . Zip: 92627 Phone: 714 646-8694 License: 739271 Eng: Address: SCOPE OF PERMIT T/OFF AND REROOF 1600SF RESIDENCE W/30YAER COMP SHINGIES. FEE SUMMARY Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $83.25 $0.50 $0.00 $0.00 $0.00 $83.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existing: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 77 y. NUMBER V I B99-01675 DRIVE, COSTA MESA, CA 92626 Staius: ISSUED Applied: 10/15/1999 Issued: 10/15/1999 � ISSUED BY: � S�7—' Phone: License: Calc Valuation: Claim Valuation: Righl 0- 0 Right 0-0 �� 2� �bo sz,soo.00 $2,500.00 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, § t, 12-21-92) EXPIRA710N: 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 1 BO days. INSPECTIONS: In order for the work authorized under this permit fo be considered legal, such work musl comply wilh all appiicable codes, and afl I required inapectiona and tinal approvel must be obtained. FaiWre to obtain inspections and final approval will result in tha expiretion of this permit. li FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSATON DECLARAnON: I hereby attirm under penalry ol perjury ona of the iollowing decleretions: � ❑ I have antl will maintain e certificate of con5ent b setl-Insure for workers' compensetion, as providetl for by section 3700 of iha La6or Code, for ihe peAormance ot Ihe work tor which ihis permit Is issued. ❑ I have antl will maintain workers' canpensation insurence, as required by seclion 3700 0l Ne Labor Code, for the pertormance of ihe work for which this permit is issued. My workers' compensation Insurance carrier entl policy numbar ere: Carrier. / Policy Num6er. (This section need nat be comp/eted i! fhe permit Is veluetl et one hunared dW/ars ( 00) or /ess.) I certity that in tha pertormence ot the wo(k lor which this permil is issuad, I shall not employ eny person in any manner so as ro become subject b the workers' compensation laws oi Californla, antl a r that if I shoultl became subject to the workers' compensation provisions of Section 3700 of ihe Labor Code, I shall forthwith compywithihes vi ons. �Applicani5igneture: �,LYjO i �/ Date: `�j'�rQ� ' WARNING: FAILUPE TO SECURE WORKEftS' COMPENSATIO COVERAGE IS UNLAWFUL AND SHALL SUBJECi AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES VP TO IXJE HUNDRED TFiOUSPND DOILARE (5100,OW), IN A�OITIQV TO THE C�T OF �dPENSATION, OAMAGES AS PRONDEO FOR IN SECfIIXJ 31O60F THE LABOR CODE, IMEREST, AND AT70FiNEY'S FEES. I IICENSE� CONTRACT�RS DECLARATION: I hereby aNirtn Iha! I am licensed under pwvisic force and ettecL Lic. q�\��J � ComractorsSi9naWre: � ol Chapter 9(commencing with Sectiop�7000) of Division 3 of �he E � Class x / Date: Code, and my license is in full CONSTRUCTION LENDING AGENCY: ❑ I hereby attirtn that Ihare is a construction le�ding agency tor ihe pedortnance of the work for w�ich this pertnit is issuetl. (Sec. 3097, Civil Cotle). Lender's Name: Lenders Atldress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm that untler penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe tollowing reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to consWct alter, improva, demolish, or repair any siructure, pnor �o its issuance, also requires the applicant for such permit m fila a signed statement that he or s�e is Iicensetl pursuant to the pmvisions ot �he Conireaors License Lew (C�apter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Cotle) or that he or sh@ is exempt Iherefrom entl the Oesis for iha allegetl exemption. Any violetion of Section �031.5 by any applicant tor a pertnit sub�ects the apP�icant to a civil penalry of not more then fiva hundred dollers ($500).): ❑ I, as owner oi the property, or my employees with wages as their sole compensetion, WILL DO THE WORK, and the structure is not intentled or ottered for sale (Sec. 7044, Business antl Professions Cotla: The Contractors License Law tloes not apply to an owner of propeRy who builds or improves iheraon, antl who does such work himself or herself or through his or her own employees, provided �het such improvements are not Irnended or oNered for sale. If, however, the building or imprevemem is sold withi� one year ot completio�, the owne��builder will have the burden of proving ihat �e or she did not 6uiltl or impmve to� purpose of sale.). ❑ I, as owner ot the properry, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business an0 Professions Code: The contrectors License Law does not epply to an owner of propeny who builtls or impwves Ihereon, antl who conirecis for such pmjed with a contractor(s) license pursuam to ihe Coniractors License Lews.). ❑ I am ezempt untler sac. Business antl Protessions Code for this reeson: Signature: Date: Owner ID verifietl by tlriver's license. ❑ Ves ❑ No Driver's License No. Venfication of Ownership by (type of tlocument, i.e. - pmpeny tex bill or deed): Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenity ihet no excavetion tive (5) o� more feet in depth into which e person Is requlred to descentl, will be made in connection with work authonzed by this pertnit, antl ihat no building siructure, scaflolding, talsework, or demolition or tlismantling thereof, will be more than ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, California Atlminisirative Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require a pertnit trom ihe Division of Intlustnal Safery, as notad abova, unless such person has a permit to do such work irom the division. Siqnature: Date: Division ot Industrial SafeN Permit Num6er: CER7IFICATE OF COMPLIANCE AND AUTHORVArON OF ENTTiY: I cenity under penalty of perjury �ha� I have read Ihis application and stata ihat tha information given is correcL I agree ro comply with all state laws end Ciry ardinances relating to building construction, and euthorize representatives of the Ciry of Costa Mesa m enter upon the above-descnbetl propeny lor inspection purposes. I agree not to occupy or ellow occupancy ol any builtling authorized by this permit until final inspection. Signature Of Legal O'�ner(s) Date � _ � !� - /� 9y � d/OrAuthonzed Applicant Date CODE M, INSPECTIONTYPE 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Flnel Block/Retaining Well 202 Finel FectOry Fire PlaCe 203 Final Sign 204 Final Demoli�ion 2aa&as PAIE 1tiIID965 40DE♦ INSPECTIONTYPE 206 final Mec�anical 208 Final Plumbing 210 Final Electricel 212 Final Fire Prevention 220 Finel Planning Approval 222 Final Site 250 Final BuiltlingiOccupancy OAj� IIfilTlrl � OWNER CHIPPEWA�HOMESINC�.• onTe 6/4/54 JOBADDRE38 HZO CONGRESS ST. BUILDINGPERMITNO.• 293 GENERALCONTRACTOR BALBOA VISTA C0. VALUE9 S�OOO�OO INSPECTIONS Footing Trench Faundation Forms and Grade to Rough Framing Plumbing, Rough to Slab Plumbing. Rouph Complete � Temporary Pole Wiring, Rough Heating, Rough Heating, Final Sewer /,,/�yy r Septic Tank or Cesspool Lathing �{. i Plastering Plumbing, Final, Fixtures Camp� Plumbing, Final GasTest Wiring, Final Occupancy Form 210 G-H 1Df 1&68 BLOCK — TRACT �572 PERMITS ISSUED SUBCONTRACTOR DATE I NUMBER .r'�CQsta Mesa Building Department �� APPLICATION FOR PERMIT �� ` COSTA EMESA? CALI OERNIA � - � -. —� U I �_D �I, N. G _ ._ ._..9: g'OR AP�'LICANT TO FILL IN � Z' OR O&'&'ICE USE ONLY ' , I ReceiptNo. I Permlt,No. • Building '� � ; � � ' Address �in (:nngrPac St .� � � ��9�3 . Received by� Date Rec'd. Date Istiued � Costa Mesa, California , ; � , Nearest � Cross St pl&C 't i1 Building �^ • ; � Address i Owner �hi�ug Hn,�P�T. � � Costa Mesa, California . Mail Address 93f�'i 4lil shira RltrA Nearest , ' , TeIC,R �l�361 Cross St. Gty $8V8TZY Hi119 No. Zone , No.of Type I Group 'I Architect or Lie. ' I Plans I � ' Enainee�/�..t.. M..iI...�,.-.....L......No. Aooroved • Address 2�.1� E' (Attach Metes and Boun< Size of Lot 7(1 .r Use of Existing Bldg. Setback Lint trom GenteretSVeet �i%� No. of Bldgs. Now on Lot O No.ot No.of Families Rooma Rear Yard Side Vardl _l l � Demolish COIiILECTIONS Exterior Wall I Roaf Comp� coverin9 Stucnn cover�ny Shino P APPROV Use cf New Building ppq;,�p,��,�� FoundationLxation In �p-�6��—. Forms, Materials, Under-Pinning Frame: Fire Stops, Braeing, Bolts Lath.lnt. I hr.reby acknowledge that I have read this Application — and state thflt the above is correct and ugree to comply �ath. Ext. with all CitX O='dinances and State Laws regulating _ building construclton. Signatureof Plaster, Int. _ Permktee Ra l hnn V Plaster, Ext. � — Authorized Agt. Masonry Reiniorced Valuation h�483o,� PermkFee$ Plan Check $ Bond Beam $ Total Fee $ FINAL i....... •ine n. IM 1?-fil Date a I � Z D r m�- �r�rc.rn .+i..r+ . -��-, n .. x �t-�- _ Street PLOT PLAN . .....-_A'^_..-/i v�..F[.f: . .,.... ..�..�'l � ^.n ,. � � "�� / / ShOw location and distances from prop�rty line and 6etween buildings. j OWNER RFjni NrS. Ha7•el DATE $_lq_K� _ JOB ADDRESS 8ZO COII2T2SS � BUILDING PERMIT NO. SSS6 G E A ONT'RACTOR _R ' VAL[IE; �lOO,OO 1 1'. o. LOT 133 1'RACI' 1$72 PIRE ZONE DESCRIPTION OF WORK E11C1058 Carport for Garage GROIIP J "�'pE V ZONE RZ PLAN NO. 6 INSPECTIONS . I DATE I SUBCONTRACTOR ___^ PERMITSISSUED Beam coa[ Plumbinq Fistures Pinal Final Gas Test / 55e6 �►"�� 5614 r�iCO.STA MESA BUILDING DEPARTMENT P.O. BO% 31l � COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN BUILDING �i�O ,Y�/%d/' 1 s ADDRE55 j ��/ [//[Aw� / COSTA MESA. CALIFORN�A � � . MAIL ADDftE55 CITV • ARCHITECT OR EIVGINEER ADDRE55 �Oe LIC. NO. LIC. NO. ESCniviiON INp?/53. I9LOCK ITRAC A,P. NO. --. � O }/9 SIZE � >��/�r�� NOW ON LOTS• OF LOT Y F USE OF G� ../� SET94CK LINE FPOM / CENTEP OF 6TREET �� REAR YARD6 �� !� _l SIDE VAR� •� J RIGHT LEFT /� � D�EStRIPTION OF WORK NEW ALTERATION qDDIT10N REPAIR MOVING DEMOLISH BUILDING ,/ NO.OF SIZE C'it O ROOMS STORIES E%TERIOR WALL ROOF COVERING ��+ COVERING. �.�q`ti� USE OF NEW /( BUILDING ��/l•2G�Jf/_ / . c FEE RECEI �ED. ��.�J :� FI� DEPT. ��TY OF COSTA MESA A'PPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. PERMIT SS'" �.� RECEIVGD BV p1TE RECErvEO D�TE ISSUE� ,,,,..no� I>> /G_C cI _i0—S� COSTA MESA. CALIFORNIA APPROVED BY CORRECTIONS SUBJECT TO �IDG. DEI'T. REG. . . . +// /'ti G _ ! � ST�TE TH.�T TXE 1�OVE IS CORFECT 1NO �GREE TO COMPLV WITH �Ll ' CITV OROIN/.NCES �N� STwTE L�WS NEGULATING BUILOING CONSTRUC� iior+. VqLUATION �SIGNATURE OF � � . PERMiT FEE 5 PERMITTEE ' PLAN CHECK S .� _�„o,.�., .��.,r g �c�0 � , _ TOTAL FEE S n - � � ,_•a: . ,•�► • � ��.-.. .� . ... .. ♦ . � � , � , . _ �� . . � �..� �..�.. ..�� .'.�...' • , �� ' ♦ ' • _. . .�.. ; __. . ' ) ' . ' l � . � . . . . . . � ' . '�.. �! .. � 1 ' � �.� � . _ 'f .,. .. ..�. � ' . . . . . . . . . 1 . . ' . � . . .. ' . . '�. � ' � � � � . . • 1 :� .' " . � � � - - � � r,:a "' _ _� ._ . �. � ' - ' � . . ' ' ; t? ^� r^ , �_ . � � . ' � ' . . , . ` . •,.•„ , • .:� ' . . . .. � -- . . „ ' , : . ... , , � �--- -+' - . . .' --'-•,- , .�� . ��. - i . . . _ � . �. . .. � . � _ J_: - ` , , . ��, I --_-�._.�. J7 na _ _ y� ' . � S . • . : +7. f ��..,ti y . . . . . . . .. ...._._ ___ .�__ __ _�__'_) . '