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Home My WebLink About233 COSTA MESA ST - Building PermitsCITY OF COSTA MESA ' ,a _ BUILDING DIVIS/ON • � � � DEVELOPMENT SERVICES DEPARTMENT � °• • PERMIT PE� �.o do 898-0'I 548 (714) 754-5273 • Fax (714) 7544856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job nddress: 233 COSTA MESA ST Suite: Viciniry: ParcelNunmber: 42627111 Appliwnt: SHULMAN, JOE Address: Owner: KC Address 72f i, �CO /., . , �, j Contractor.-� JC Address: 78: � ��, • I; JAMES A , _D AV BUILDING PERMIT Status: ISSUED Applied: 08/26/7998 Issued: 08/26I1998 Zoning: Phone: Zip: Phone: 760-9W0 . � � � Zip: 92625 �. � � � . G � � ��` . , Phone: 536-5116 - 'i, /,�'.i . . _ .' �., _, i H.B. CA'j� Zipt 92648 - � I i�/ � �'�"i �, � ., �� Licensa:� 890617 , , . Arch�Eng: ,� :. �. � , � � Address: - � - ' _ �� - ... - �� .. . . . '� . y Phone: ,. � . . � . . . ' � � � i � Z�p: . . ` , � � ;;. , License: � " ' . � � � , , � � SCOPE OF PERMIT � , ,� j �� TEAR OFF INSTALL 2 LAYERS OF 15LB FEL'f &-REROOF..WITH-25YR YEAR COMP. SHINGLES. � ; . , , t' � .. FEESUMMARY .� ' � Plan Check � $0.00 _ -- . �' •' � : Calc Valuation: ga,aoo.00 �, . Permit � $99.75 - • -- ; / Claim Valuation: ga,aoo.00 'SMIP Res: $0.50 - � SMIP Com: , �$0.00 � `., Other.', , �$0.00 — � Inspection: > << `: $0,00 ,�" ' % � , �; .,� � Totali $100:25. , �. _ _ � �, SETBACKS � MAIN STRUCTURE � Front � 0- 0� ' ACCESSORY Front " 0- 0 �� . PARKING Existinq: o. NOTES: � PLANNING & ZONING Rear 0-0� � � �Left Rear 0- 0 Lek 0- 0 Right 0- 0 Right Re uired: 0 Proposed: 0 � EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period ot 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 Inepections and final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS' COMPENSATON DECLARA710N: � I ��reby etfirtn under penalry oi perjury one ot the tollowing declaretions: ❑ I �eve antl will melntain e certificate a� consent to setl-Insure tor workere' compensallon, es pmvitled for by section 3700 of the Lebor Code, for the pedormence of the Owy�k tor whic� t�is permit Is issued. ❑�I have entl will maintein workers' compensatim insu2nce, as required by section 3700 01 the Labor Code, tw the peAortnance of the work for which this pertnit is iswed. My warkers' compensation Insurence ceMer entl policy number are: Certier: Poliry Number. (fhfs secUon neetl not be comp/etetl il the permit /s valuetl et one hundred dollars ($100) or /eu.) ❑ I certity Ihat in Ihe peAortnence of the wprk tor which this pertnit is issued, I shall not employ son in any manner so es to become subject to tha workers' compe setlon lews of Cel pmia, antl 4e ih Ii I should become sub�ect ro t�e workers' c ensation provislons of Section 3700 oi the Lebor Code, I shell forthwlih y wlih des6�r6V fis. oP��, �a,��0�� ti„�� oe�� a��r WARNI URE S EWORKERS'COMPENSATIONCAVERA�EISUNLAWFULANOSHALLSU&IECTPNEMPLOYERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEMUNDRED USAND RE (St .000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PiiOVI0E0 FOR IN SECfION 3/0fi OF THE LABOR CODE, IMEREST, ANO ATTOPNEPS FEES. LICENSED CONTRACTORS OECLARATION: I here�y eflirm the� I e under provisions oi Chapter 9(commencing wlih Sectlon 7000) of Dlvision 3 e Business and Professions Code, end my licensa is in tull torce cL Lic, a Cless k ractoYs Signature: Date: � 7r �.-�)� STRUCTION LENDING AGENCY: ❑ 1 hereby atfirtn ihat thera is e construction lending agency tor Ihe peAortnance of Ihe work for whlch Ihis pertnit is issued. (Sec. 3097, Civil Code). Lentlers Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aXirtn that under penalry ol perjury ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Buslness entl Professlons Code: Any ciry or counry which requires a permii to consirud, el�er, improve, Gemollsh, or repair any structure, pnor to its issuance, elso requires the eppllcant for such permlt to tile e signed stetement Ihet he or she is licensad pursuant to the proNsions of the Contrectors License Law (Chepter 9(commencing with Section 7000) of Dlvision 3 oi the Busineu end Professlons Code) or that he or she is ezemp� therefrom end the basis tor �he elleged exemption. Any violation of Sedlon 7031.5 by eny eOP��nt tor a pertnit sub�eds the eDPllcant ro e clvll panalry oF not more ihan tive hunared tlollars ($500)J: ❑ I, es owner of Iha properry, or my employees with wages as iheir sole wmpensation, WILL DO THE WORK, antl the siructure Is not intended or oMered far sale (Sac. 7044, eusiness entl Protessions CoOe: The Contrectors License Lew tloes not apply to an owner of Droperty who builds or impraves Ihereon, end who does such work hlmself or herselt or ihrough his or her own employees, provitletl Ihat such ImO�a�emenis ere not Intended or oHeretl for sale. If, however, Ihe bullCing or improvement Is sold wlihin one year oi completion, ihe owner-builder will heva the burtlen oi proving ihet he or she did not build ar improve for purpose ol sale.). ❑ I, es owner of the pmperty. am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Pmfessions Cotle: The contrectore License Lew does not epply to en ownar of properry who bulids or impmves thereon, antl who contrects for such project wiih a contractor(s) Ilcense pursuant to ihe CoNractors License Laws.). ❑ I am exempt untler sec. Business end Professians Cotle tor ihis reason: Signature: Date: Owner ID verified by drivefs license. ❑ Yes ❑ Na Driver's License No. Expires: Verlflwtion of Ownership by (rype o1 document, i.e. - properry tvc bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFICATON: ❑ I hareby certily thet no ezcavation iNa (5) or more feet in depih into which a person is requiretl to tlescend, wlll be made in connectlon with wark euthorizatl by thls partnit, end thet no building strucWre, scattolding, talsework, or demolition or dismantling thereof, will ba more than thirry-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Ttle 8, Celifomia Administrative Code). ❑ As owner-bullOer, I will not employ enyone to do work which would require a pertnit trom the Division of Industnal Satety, as notetl ebove, unless such person hes a pertnit to do such work hom the division. Signeture: Date: DMsion of Industrial Sefery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTMORRATON OF EMRV: I certity under penalry ol perjury ihat I have read this epplication and s�ate �hat the intortnetion given is corred. I egree to comply with all state laws end ciry ordinences relating �o building consWction, end euthonze representetives ot the Ciry ot Costa Mese to enter upon �he ebove-described property tor inspection purposes. I egree not to occupy or ellow occupency of any buildinq authonzed by ihis permit until tinal inspection. CODE � INSVECTIONTYPE 1616 Fi:ed System Flnel Fire Preventian 1268 200 201 Pool Spa Finel Finel Re-Rool Finel Block/Retelning Wall 202 Final Fectory Fire Plece 203 finel Sign 204 Flnel Demolltlon 2468d8 � I�� 1�— �"_ i' COOE t INSPECTION TYVE 206 Finel Mechenical 208 Final Plumbing 210 Finel Electncel 212 Final Fira Prevention 220 Finel Planning Approval 222 250 Final Site Final Bullding/Occupancy , _ OWNER BUT�rS� DOI181d g� �� DATE S�u�� JOBADDRE38 233� Coata Mesa St� ��' BUILDINGPERMITNO. 233 GENERALCONTRACTOR B&q COI38t.TI1Ct.SOII VAWE S Z:J�OOO�OO � Ap# �-0�1-9 BLOCK TRACT �'iP� GROUP x TVPE � 20NE R'� FIRE DISTRICT A�3S PERMITS ISSUED INSPECTION$ D SUBCONTRACTOR L � / DATE NUMBER Footing Trench , ,� Foundation Forma and Grade to Garaae , Plumbing, Rough to SIa6 Plumbing, Rough Complet Temporary Pole Wiring, Rough Heating, Rough . Heating, Final � Sewer 3 t� t �.L Septic Tank or Ceaspool � La'._�,�g �. P, ring Plumbin8, Final, Fixtures � Plumbing, Final GasTest, Wiring, Final Occupancy Ronn Y10 G-H 1M 1Y•6S Costa biesa Building Department APPLIpCATION FOR PERMIT �'� 111 EAST 20th STREET _ p.U-I-L•D-.�.N� G----' �.� COSTA MESA, CALIFORNIA --'- -� In, ' �OR OFFICE USE ONLY_ FOR APPI.I�'ANT TO FYLL IN � Receipt No. Permit'No. ' B�;�d;�9 y � ". ;�a � 233 Address � J 3 LeSTfi M�S/'l S�%• � '- / Receiv y, ate Rec'd. Date iseued � CostaMesa,California �, � o �.7�� _�� ,y�, Nearest • '` ' croasst. O�PfyyG� euiiding � 3 3 G� Add�ess �( R Q � Owner%JoNg<Zj c, ' . , mai� Costa Mesa� California Address pZ�� , A/F�Po�Pr �FAGf/ CrossSt. , � ' Tel. CitY �j�iv�Op�-T �q�,r,! No./(R 397j 2one , I No. oi Type i Group �/; Arehiteetor Lie. � P�a^� �� y Engineer oS%/}/1< No. � Approved ! —' b Dale Address �fk ,3oA /��r�ilD � CORRECTIONS � City Lic. , .ontraotor�yCp4/STX.vcTie.✓ No. � N6w Pce,T � � . Address 2G �IEwfBC`T � C�% tf � Legal I Lot I I � Descriptfon No. Block Tract � . (Attach Metes and Bounds) �� %� � / � � �� No. of Bldgs. Size of Lot �3 X /yb I Now on Lot �� - ' � . � ... - " ' "'— � "— 0 UseoT No.of No.of ([7 �� ' 9 Existing Bldg. �"" I F.amilies I Rooms -�� 1 °`''�� pj Setback Llne trom � Rear Vard .2 �!> " J�1 -��/ Z Center of Street O Side Vard ' o'- , ; 4/ �� DESCRIPTION OF WORH '�t,� ,' ; — � ,,- New I Alteration I I Addition I � i:iij.' � Repalr I I Moving I I Demotish I '.�� Building � No. ot � U%n � _size_,7�(`�c.3J Rooms /7 stories I _ •' �V��.Cn �er�orwau I Root AppROVALSv� iering 3T4« o Covering <a�v/kj, � Use of New Foundation Lxation Inspector Date euiiding ,Pyr3 iD�NT/9�L �.�Gv/✓jE _ Forms, Materials, r Under-Pinning Frame: Fire Stops, FL— Bracing, Bolts Lath. Int. I hereby acknowledge ihat I have read this Application and state that [he above is correct and agree to compl�� Lath. Ext. tvith all City Ordinances and State Laws regulating ' building construMion. jj SignaWreof /�% ��/Ji/j7t� P�aster,lnt. Permittee /��'("f�( '��f/ b� Plaster, Ext. Authorized Agt. Masonry RefnToroed Valuation Permit Fee $ J O / Plan Check $ Q Bond Beam � $ j(,�� 6 m O � 7ota1 � O a Fee $ FINAL �:�..� 2na r:, i Iz-rA , , .. . . . .. . ... ... _ . ... _ . � � .'__ _ . � '. ,. _ , ' .. � . . :,. - - - - . - -- - , - ` , . . ., _. . . �., , o � � � � � � ` - . . C. J - . .. . . - . . . � , � .� .� _ . i'�. - G. . . ... . _ , a� . � ' . . -._ i- .. J- . . .. . „ . a�• � �- - -- -- -� - ,- - . - , .. . .' . �.r . _ '. _ , , ' i . - - • _ _., - --- — - .` -.�:� - . . : - . : � '_ � - . -- ��.4,:� -- : . --�. - - -- � _ _, . . . - >. .- - , r ' Street � : ' � � �... . "'' • PLOT PLAN -- - `-' ' ' . ' - , Show locatfon and distances trom � property line and between buildings, � � � ' , . -� � .,. '. ' � . �.' . . , ::. �- : .. - . '_ ' . , , . . . � . ., • i" : ' .. � __ _ .'- . , ��.i. . , . . ,,..- ^J ' .- . ., � .�. . .,., ,-� _'.. . � � . . ... . . . � .. _. .'� n,.. , ' . � � ,' _ � , .. Y I _ 1'. . " ." _. 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