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Home My WebLink About2246 CONTINENTAL AVE - Building Permits_.TY OF COS�'A MES.. CALIFORNIA D2826 P.O. BOX 1200 FROM THE OFFICE OF THE DIRECTOR OF BUILDIN6 SAFETV Project Address 22L� �., �'��-Ej^{,��L AU� Project Name �aM� ��lpo�'� A��C�.IC��( O.mers Name �c��l \� �l � � �� o1U� Owners Address �,2/� (� Cpu-�l}.(,P I�Lt-�l %� l� P amers Telephone R��—�i21c'1 Permit # S/ 3D6 tlr/�'�" City Use Qily Z��>�� .(�, ��U� as owner, Gerttraetor. �(strike out all except one) do hereby attest that emplo}ment of any person, or persons, is not anticipated at the time of seeking the above-referenced permit. In the event that any person, or persons, are employed under the prwisions of this permit, I shall imrediately cause a valid Certificate of worlmiens Conq�ensation to be filed with the Costa Mesa Building Division. I agree to defend at my chm mst, and to indelnnify and hold harmless, the City, its officers, agents and/or e�cg>loyees, from and against, arry and all liability, damage, costs, l�ses, claims and expenses, howscever caused, resulting directly or indirectly fran, or connected with the improvement under this permit. I further state that I have read and fully imderstarr] the implications and re- sponsibilities of the above statements, and will canply with all provisions of the Contractors State License Iaw found under the Business and Professions Code, Division 3, Chapter 9, of the State of California. �� \C-��2_L G��.c1._.v� Print Na�re � � � ♦ .i• �� q � CMF 0777-46 � -�o-� I Ikite APPLICATION FOR A BUILDING P�'MIT BUILDING PERMIT NO. Eie`vi`a� c Tract Block Lot Permit No. � C Bul�ding Plumbing _ Atltlress /' Permil No. � Z2 Cross ' � �/�O`�' Mechaniwl � Area C Street �`�SQ� Pa�mit No. C Owner `\ � � Ype of Pro�ecL ❑ New ❑ A�ler ❑ Ntltlitlon � AdAress � � �� ,\ v ❑ epair ❑ Convert ❑ Demo ❑ OccupantY Pml. n CIIY CO � Lo_�", ZIP R�b2? Phon¢ �,3'$2 A.P. niD. Airea A�c�itect/ Ione SPI. Pmt. No. DMigne/ Q Licenu No. � SelDatkz P/L Front C/l 5�. St�COt WIEtn Atltltesz �2 � CItY K� 21p 2(� Phono Vartls �e t 9 ear � % �533 �2 ave o. e g . . En9inee� Q�y�� Litansa No. C Park ng SVaces equ ra ov e ov e p. AtldrPsS ^� � '�Q� ♦ �� m City � �� ZiP 2(�Z PhoneO SlruCt No. of No. of � Z p��j Halght Stories Family � LICENSED CONTRACTOR'S DECLARATION Park Fees ves Fee m I here0y affirm chat 1 em licansetl under provisiona of Chaptor 9 Requlretl No �T� Rate t t (commencing with Section 7000 of Divizion 3 of [�e Business antl Zoning ADGrovetl By: Da Professions Cotle, and my license Is in f�ll (orce and ¢ffaccl. �'j Licansa CI&s License Number ? Data Con2ractor Misc. � Addreu �opo5e0 Use of StruQure jy City anA 2ip Phone N CONSTRUCTION LENDING AGENCV � I hereby aftlrm that there Is a consttuttion lentling aBency (or the a performance of the work far which 2his permit is issued (Stt. 3097, Occ. Type Cotle ' Civ. C.1. Class Conzt. Year C Lentler's Name U$E/OCCUPANCV SIZE SQ. FT. Lender's Addrezs � OWNER-BUILDER DECLARATION y 1. I hereby a(firm thot I am exempt from the Coniroctor's License Law 1O to the following reeson: � I, as owner of the property, or my employaes with waBes as their 2. C sole compensation, will do t�e work, antl ihe sttutture is not �t„ intentletl or oHeretl for sale. 3 3 ❑ 1, as owner of the Oroperry, am exclvzivaly con[rac[ing wi[h Iicensatl connacrors to connruct Ihe project. d ❑ I am -�}em under 5 , BEP r t�isreamn 4� — Det � V ��• n � Owne. E RKERS' COMPENSATION DECLARATION To[ai Valuation � I hereby aHirm that I have a certificata of consant ro sell-insura, Entroathmen[ Perml[ Requlrca ❑�'es ❑ o « or e cortif7cato of Workeri Compancation Insurance, or a certified p r,Opy ther¢Oi. Grading Pmt. Gratling � Policy No.— Compeny Roqulretl ❑ Ve5 ❑ o Pmt. No. �d ❑ Carii}ietl copy is haraby furnishetl. Rough G�a�ing � Q❑ Certi(ied topy is tlled wit� Oranga County, EMA, qpprove0 by: Date R Oate Applitant � CERTIFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE � (This section naetl not bo campleteA if pe.mit is fo. 5100 0. Iass1. � I cortify Ihai in tho po�fo�manco ot the work tor which this parmit if 3 issved, 1 sholl no[ amploy nny poryon in any manner so as to become ry subjoct tc the Workers' Com ti n�\`i s,�p�.�[ali{o�rnia. PERMIT FEES Detn I —30'�f APPlitant��-�`�� w-`a� NOTICE TO APPLIGANT: If, ai[er making x�is Certificate of Slructural S Plan Check 5 Ezemption, yo� should become subject to the Workers' Campensa�ion provisionz ot the Labor Coda, you must fmthwith comply with such Electrical SPecial provisions or this pormit shell be tleemed revoked, s Invezt, f 1 CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE l'HAT THE ABOVE INFORMATION IS CORRECT. 1 AGREE TO P�umbing S COMPLV WITH ALL COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBV AUTH- Mechani al E ORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON T�BHSE� ABOVE MENT(�ION€D PF(\QPEj\i TY FOfi INSPECTION PUR- Pre-Gr tle � ��S.(�� l6lT�J InsP tiOn $ •--"�-^�Q�\' �_ 3o-R) Pre ratle Parmit Signatute of Applicant ar Agen[ Date R. No. S ITsue S >A�,o rt . c-�� Print Applicant's/AgenYz Name Plan Issuance All spaces within this bon must 6e completed to process Check By: ApProvetl: lMt U.1d�•4b (tlU-LC) ICV. b/tlU r o � ,,. ' . 4625 COSTA MESA BUILDING DEPARTMENT P.O. BOX 31] COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN ADDRE55 �/-�- y� �'onrt/NE/VtHI. COSTA MESA. CA�IFORNIA MAIL ADDRE55 cirr New ARCHITECT OR ENGINE A�DRE55 ADORESS 'ril4 V18 tccw� LOT ^ DESCRIPTION nl�� G A.P. NO. SIZE OF LOT TEL. NO.�' x' No. 74'7 /d. T� ��. 643 ! ��' TEL NUHa�. i� TRAC NO.OF BLOGS. SETB4CN LINE FPOM � CENTEN OF SiREEi T� D REAR YARD � NEW REPAIft BUIL�INGr�� SIZE 1 EXTERIOR W� COVERING USE OF NEW BUILDING G I 1/ /� V RIGHT � �� EFT �� DESCRIPTION OF WORK ALTERATION AOOITION MOVING DEMOLiSH 7 S.ft.. ROOM50 STORIES 1 �J,� ROOF .7LUCCO COVERING Rock Dwellina and Garaae (/1T1 % FEE RECEIVED �(�.,,.. � i � f `1 � FINANCE DEPT.� CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY .:/" I /f + i / I .,�nr BUILDING ` � � ADDRESS COSTA MESA. CALIFORNIA FIRE DATE CORRECTIONS I HEREBV RCKNOWLEOGE TN4T 1 NtVE RE1D THIS LPVLICNTION PND // STnTE TMAi TNE RBOVE IS CORFECT wND RGREE TO COMPLV WITH iLL // CITV ORDINANCES �N� $TATE L.�WS REGULITING 9UILOING CONSTflUC- iior+. VALUATION / SIGNATURE OF � . PERMIT FEE S �I� PERMITTEE • 1�O � 5 Lido�onstruction ��. $ /i/i 8J PLAN CHECK $ � J� ll� d �eMr niirwnai�cn nr.Fr�'r - TOTAL FEE 5 �j /• . , ' CO oTeoxEtzoo c�o��n rn snFcaii ORNAIA 9 626 T APPLICATION Fg$6S�TRys g PERMIT 85 TL' % _.. REC I DBV PERMIT N° � 51306 � For Applican[ to Fill in Comple[ely — Use Ink Only ADIDRESS 2 � t A.P. NO. tS � z'—L � ,. BUILDING �L�{p WN..'�% �L � OWNERO ` `�` � ADDRE55 � Q TENANT UNIT OR MAILING SPACE NO. A�DRE55 z.2�� v C TR.NO. LOT2 BLK. CITV � NOL $3��Z�q " NEW ADD ALTER REPAIR MOVING DEMOLISH CONSTFVCTION LENOER �/ BRANCH OWNER �C,\ , � ADDRESS ^ VALVE Q ApCHITECT TEL. USE r M\`. KO�7'� SI� /Q � OR ENGINEER NO. � 3 ADDRESS ZONE R TVPE V GROUP APPqOVED / ?a / CONTRACTO BV DATE [ U ADDRESS 22 t; �C'j ' \ C� � CITYC (� �`�` NOL �3 DZ� F STATE CITV F�PPROVED SETBACKS � LIQ NO. IIC. NO. fx) SI2E NO.OF BLOGS. (FROM C/L STREET) 6. OF LOT NOW ON LOT RONT `� FT. C1 a USE OF ` , . � EXISTING BLOG. � Q.�M — 51 � FT. .�.n FSeparate permi[s are required for L SIDE S FT. Q electric, plumbing and heating work�. REAq Fr. F USE OF eU1LDING AND WOflK TO BE PERFORMED PLAfVNING ACTION Q Q ' " • DATE ¢ — �y� �'L`b ' � - APPROVED 7 � APPROVED� 1 Qa 1 r � a .a a w 0 I hereby acknowledge that I have reatl this application and state � y� that the above information is correct and agree to comply with a all laws regulating builtling consttuction, antl I shall not amploy � ;L any person in violation ot the workman's compensation laws of d � ffie S[ate of California. � , � �� -� m SQ. FT. � 3 I hereQy certify that I am properly lice� 9s a contractor under � the State� ' ornia Business rofessions Code, Division 3, THE AMOUNTSHOWN UNDER VALUATION IS FOR m Chapter 9, and that s nses are in tull torce and effect, or I THE PURPpSE OF ESiA6LISHING A PERMIT FEE ONLY: � am exempt from' ie provisions e State ot California Business VALUATION PERMIT FEE $ QO q and Professions Code Division 3, Chapte �_ i m � y� PLAN CHECK $ Sie�atur t . �� /�O �Z • � O o LL Permittee $ / TAX E O, U or Authorizetl Agent Date � � TOTAL PAI� y ��