HomeMy WebLinkAbout813 CONGRESS ST - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.c��SILDING PERMIT » FAIR DRIVE, COSTA MESA, CA 92626
,lobnddress: 813 CONGRESSST
Suite:
Vicinity: RESIDENCE ANp ATTACHED GARAGE
Parcel Number: 42243217
Applicant: R.4Y, R�SS
Address: 2192 AMERICAN AV
SUITE A
COSTA MESA, Cq
Owner: GRANNEMAN, HELEN V
Address 813 CONGRESS ST
COSTA MESA. CA
Contractor: ALL WEATHER ROOFING
Address: 2192 AMERICAN qV
SWTEA
COSTA MESA, CA
Zip: 92626
Arch :
Address:
Phone:
Zoning:
Phone: (714)646-8694
Zip: 92626
Phone:
Zip: 92627
Phone: (949) 64&8694
License: 739271
Eng:
Address:
ISSUED BY:
Stalus: ISSUED
Applied: 11/26/2003
Issued: 11/26/2003
Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF RESIDENCE AND ATTACryED GARAGE: T/O EXISTING COMP ASPHALT SHINGLES, REPAIR/REPLACE SHTG AS NEEDED, 1 LAYER
30# FELT, APPLY "40-YEAR ASPHA�T SHINGLES." 17 SQUARES
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Ezistinq: o
Rear 0-0
Rear 0- 0
Reduired: 0
FEESUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Praposed: 0
Calc Valuation:
Claim Valuation;
Right 0- 0
Right 0-0
$3,700.00
$3,700.00
NOTICE: The work authorized by ihis pprmit shall comply with all applicable handicap access requirements under Calitornia statutes and related
regulations. (Ord. No. 9248, § 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 permlt to be considered legal, such work must compfy with all applicable codes, and all
required Inspectlona 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) 7545626
taae�se I�oo�
WORKERS'COMPENSAnON DECLARAnON:
I hereby aflirm under penelry of perjury one of Ihe �o�lowing tleclaretions:
❑ 1 heve entl will maintein e certificate of consent to self�lnsura tor workers' compansation, as provided for by section 3700 of the Labor Coda, for �he peAortnence of the
work far which Uys permit is issuetl.
❑ I have end will maintain workers' compensation insurence, as required by section 3700 of iha Lebor Coae, Por the pertortnance of the work br which this pertnit is issue0.
My workers' compersatlon Insurence carrier and poliry number are:
Cerner: �r Policy Number.
(This sectlon neetl not be complefed i! the permif �5 va/ued at one hundred dollars ($100) or /ess.)
� I cenity that in the pertortnance of lhe work lor which t�is permit is issued, I shall not employ any person in eny manner so es to become sublect to the workers'
compensatlon laws of Celifomia, antl agree that it I shoultl become sub�ect to Ihe workers' compensatlon provislons oi Sectlon 3700 ot the Labor Code, I shall fotlhwith
compy with these ns. /�_+/� � �/
ApplicantSigneWre:�Qyj \\.ld.te� Dete:'���GG'�%�
WARNING FAIIURE TO SECURE WORKERS' COMPENSATI GVVEMGE IS UNIAWFUL AND SHALL SU&IECi AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNE$ UP TOIXJE HUNORE�
TMOUSAND DOLIARE (5100,000), IN AODfTIIXJ TO THE �T ��ti1PEN$ATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CODE, INrEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirm ihat I am
force and eNect. Uc.�l _
Contrectors Signawre:
of Chapter 9(commencing wit� Section 7000) of Division 3 oi the Businessp-tl �fgssions Code, entl my licensa Is in full
Class M r 5
Date: 1 � ��
CONSTRUCTION LENDING AGENCY:
❑ I hereby ettirm Ihet there is e consiruction 19nding egency for the peAormance of the work for which Ihis permit is issuetl. (Sec. 3097, Civil Code).
Lentler's Name: Lentler's Atltlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHirtn thet untler penalry of perjury thet I em EXEMPT FROM TME CONTRAC70RS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business antl Professions
Code: Any city or counry which requires e permit fo construct, alter, Improva, demolish, or repair eny structure, prior to its issuence, also requires Ihe epplicaN for such pertnit
to file e signad statement that �e or she is licens9d pursuant ro the pmvisions of the Contractors License Law (Chapter 9(commencing with Section 7000) at Division 3 of Ihe
eusiness and Professions Code) or that �e or she is exempt therefrom end ihe basis br Ihe elleged exemption. Any violation oi Section 7037.5 by any applicant tor e pertnit
subjects tha applicent to a civil penalty of not morB then five hundred dollars ($500).):
❑ I, as owner of ihe property, or my employeeS with weges as iheir sole compensetion, WILL DO THE WORK, end the stmcNre Is not infentletl or oftere� for sale (Sec.
7044, Business entl Professions Code: The Contractors License Law dces not apply to an owner ot property who 6uilds or impmves thereon, and who Ooes such work
himself or herself or through his or her own employees, providetl that such improvements are not intended or oNered lor sale. If, howaver, tha huiltling or improvement Is
sold within one year of completion, ihe owno�-6uiltler will have ihe burden of pmving that he or she did not builtl or improve for purpose of sale.). '
[} I, as owner ot the properly, am EACLUSIVB�Y CONTRACTNG WITH LICENSED CONTRACTOAS to construct ihe Drojact (Sec. 7044, Business end Professions
Cotle: The contractors License Law does ntl� apply to an owner ot pmpetly who builtls or Impmves thereon, entl who contracts for such project with a contraqor(s)
license pursuant to the Contractors License �ws.).
❑ I am exempt under sec. Business end Prolessions Code br this reason:
Signature: Date:
Owner ID venfied by dnvers license. ❑ Yes ❑ No Orivers License No.
Verification of Ownership by (type of document, Ld. - pwperry tax bill or deed):
Expires:
DIVISION OF INDUSTRIAL SAFETV PERMIT C�ATiFICATiON:
❑ I hereby cetlity that no eacavation five (5) or more teet in depih imo which e person is required to descend, will be mede In connection with work authodzed by Ihis
permit, antl t�a� no Duilding sWdure, scaflvlding, talsework, or tlemolition or dismantling �hereof, will be more then thirty-si: (36) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Ttle B, Califomle Atlmini5l2We Code).
� As owner-builder, I will not employ enyone to tlo work w�ich would require a pertnit irom ��e Divislon of Industrial Safery, as noted ebove, unless such person has a
permit ta do such work Irom ihe divlsion.
Signature: Dale:
Division of Intlustrial Safery Permit Number.
CERTIFlCATE OF COMPLJANCE AND AUT}iOR17A710N OF ENTAY: I cenify under penalry ot perjury that I have reed this application and state that the information given is
correcL I agree to comply with all state laws entl ciry ordinances relating to bullding constmctlon, and authodze representatives ot the Ciry oi Casta Mesa to enter upon the
above�descnbad property for inspaction purposes. � agree not to occupy or ellow occupancy of eny 6uilding euthorized by this parmit until final inspection.
neWre Of Legel O�'�ner(s) Date
J��� D��
. AnN Authonzed Applicent ' Date
COOE A. INSPECTIONTYPE
1616 Fixed System Final Fire Preventlon
1266 Pool Spe Finel
200 Final Re-Roof
201 FIneI8locWRetaining Well
202 Final Fectory Fire Place
203 Finel Sign
204 Final Demolilion
PAg II�Lfl
CODE I INSVECTION TYPE
206 Finel Mechenicel
20B Finel Plumbing
210 Flnel Eleciricel
212 Finel Fire Preventlon
220 Finel Planninq Approval
222 Finel Site
250 FinelBuilding/Occupancy
� 1�13
Costa Mesa Bailding Department' :�PPLICATION FOR PERMIT
P.O.Box3�� 3�.8� BUiLDING �
COSTA MESA, CALIFORNIA
I+OR OFFICE USE ONLY
FOR AP�LICANT TO F'II.L IN Receipt No. Permit No.
e�iici�9 ,'�Ca� C�s �-L`- ,3/ s3
nadre� g/9 Cc,vipaes� St
Costa Mesa, CilLllf01711a Receive y 9ate Re 'd. Date Issued
Nearest . `� — � � �� -S �'
CrossSt. c p ' Bwlding
/?Z Address
Owner F �tN K x W�KR �! .- � Costa Mesa, California
Mail oe , NI, ` oPni�
Address ,� Nearest .
^j 7e1. ' Cross St. �
City :� - �7�. f✓I fS �i No.�{�j y-/QQG Zone I No.of I Type Group
Arohitect or Lic. Plans
Engineer No. Approve
b Daie
Address CORRECTIONS
City LiC.
Contrector QWy� Q �_ No. � ✓�
Description I No. ��/,j I Block I Traet�
(Attach Metes and Bounds)'1 �/{ -/%,� -y��
! . No. of Bld s
Size of Lot ��%j X�Q � I Now on L t �
4seof I No.of �! I No.o1
ExistingBldg. Families/ Roorc
Setback Line from % L Rear Yard v
Center of Street ,j Q �/? Side Yard O
DESCRIPTION OF WORH
New I^ I Alteration I I Addition
Repair I I Moving I I Demolish
Building � 7' No. of
Size !� /� _ � Rooms Stories
Exterior Wall Roof
Covering I Coverin
Use of New�% //
Buildin9 /'lirJl/s� ( . /it�li�i
. APPROVALS
Foundation Location I Inspector
Farms, Materlals,
as- ��' � a�.rv
, o
Frame: Fire
� 8racing, B�
I hereby acknowledge that I have read tlils Application
and state that the above is correct and agree to comply Lath. Int.
with all City Ordinances and State Laws regulating
building rnnstruction. �ath. Ext.
Signature o{� p Q
Permittee �/iLr�o � ��u�.e..u.�� Plaster, Int
Authorized Aat. �� 7 � Plaster. Ext.
Valuatlon Permit Fee $ � � Masa
� / ` �� Plan Check $ '� Bond
$ J Total
Fee $ � FINI
rem zoa io.as o. P. e s.
Date
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PLOT PLAN
3how locatlon and tlisCances from
property lina and between buildinga.
ORANGE COUNTY BUILDING DEPARTMENT _ APPLICATION FOR PERMIT �
� - ^ 636 Noreh Broadwar ' ' � e � A � � , � �
SIREET
PLOT PLAN
Show location ond distances from
property line ond between buildings.
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Costa Mesa Building Department APPLICATION FOR PERMIT
" 111 EAST 20th STREET �8� g U I L D�,l N G '
. . COSTA MESA, CALIFORNIA
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property line and between buildings,
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Address
Nearest
Cross St.
Architector
Engineer
�Address
ContraCto
Address
�a Bailding Department
P. O. Box 3!7 .
A MESA, CALIFORNIA
PLICANT TO FILL IN
COSi3,
N o.
�c4Wi ��c � � 7a,
DescripUon No. �a Block �� rect
(Attach Metes and 8ounda) ��.S— ��D o%� �'
No. of Bldga
Size of Lot � �X ( O� Now on Lot
4seof No.oT No.ot
Existing Bldg. Familles Roo s,
Sethack line from r- / Rear Vard d'�
Center oT Street �� � Side Vard ��
DESCRIPTION OF �VORH
New � I . I Alteretion I!/� Addition Yj'�
Repair ' I� I Moving I I Demolish I
Building No. of
e:�e ���i✓ 2.� o......... ca__•__
APPI:IGATION FO�PI�}Ii�V _ �r
3 BUILDING
FOR OFFICE USE ONLY
Receipt No. � � it N �
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Re eive y Date Rec'd. Date Issued
/d -�/, J - /D %�/�1
Buildin
Address
Costa Mesa, California
Nearest
Cross St.
Zon ` I No.of I Type Group
/ Plans i .
Approved q Ay (J��/
SUBJ�Cf TO
Covering - � Covering APPROVALS
Use oT New '
Building ( Foundation Location Inspector
Forms, Materials,
Under-Pinning
Frame: Fire Stops,
Bracing, Bolts
I hereby acknowledge that I have read this Application
and state that the above is rnrrect and agree to comply Lath. Int.
with all City Ordinances and State Iaws regulating
bullding construction. �ath. Ext
Signatureof �i�l �Y n �� ��� �
Permittee �y�,-�o�_� w. Plaster,lnt
Authorized Agt. Plaster, Ext
Valuatlon Permit Fee $ �- Masonry ReinTorced
`' /� Pian Check $ � gond Beam
$ � �-/ �� Total �
Fea $ I FINAI
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PLOT PLAN
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�^ property Iine and between buildinga
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
A P C
For Applicant to Fill in Completely REc v
BUILDING C
ADDRE."iS
OWNER A.P. NO. �
MAIL BUILDING
ADDRESS ADDRESS
TEL. (p�a � TRACT
CITV /� ,ti c-Ln � YYI .. C n NO. �o z �
BRANCH
ADDRESS
AflCHITECT
OR ENGINEER E
ADDRE55 �1,;
CONTPACTOR
ADDRESS � �
cirv � r.
STATE
LIC. NO.� �
SIZE
OF LOT
USE OF
EXISTING BIOG:
SIZE OF
iElilOF WALL
VERING
E OF BUILDIN
, _ _il
TEL. tE S-
'KAi.�I1ON No .4n2'
1Hr�.l�..� S,i
� i �� �n �i in_ [\�
'N� VI(11<l IZ�NOa
re�. 3� I —
NO O�G 3
CITY
LIC. NO.
NO. OF BLDGS.
NOW ON LOT
n'vi� , 1
NO. OF
ROOMS STORIES
ROOF
COVERING �jE�
� TO BE PERF FMED
1 �
R
FIRE
ZONE
APPFOVED
PA1D 5.50
;I1L 30-73c��,u002843� *+�*�*
�.,,
FOR BUILDING PERMIT
ZONE NO.OF
PLANS
VARDSAPPROVED
MAIN BUILDING
DI5fANCE
MAIN BlD
VAR. �
USE OF NI
BUIL��NGf
VARDS
FT.
FT.
BET. MAIN &
ACCESS. BLDGS.
DATE
APPROVED
neT�' 3i9 _
I hereby acknowletlpe that I have reatl this applicetion and stnto
thet the abova intormation is correct antl agree to comply wi[h
all lows regulating builtling construction, and 1 shall not employ
any person in violation of Me workman's compensaHon laws of
the 5[ate of Celifornia. - W
I hereby cer[ify that I am proparly licensetl as a contractor untler
o�O SQ. FT. T� o
the Stata of California Business antl Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOF
Ghapter 9, and that suth licenses are in full force antl affect, or I TME PVRP06E OF ESTABLISHING A PERMIT FEE ONLV: m
am ezempt irom tFe provisions of �he State of Calitornia Businass ¢
and Protassions Cnoe, Division 3 Ch, apter 9. VALUATION �
n^.v 0 U (��t.`�� PERMIT FEE $ j
Signemre of � �'D m
Permittee $ yD0 PLAN CHECK $ E
`o
Authorizod Agen LL
TOTAI FEE $ �