HomeMy WebLinkAbout916 CORONADO DR - Building PermitsCITY OF COSTA MESA � • a
; _ BUILDING DIVISION �j
t � � DEVELOPMENT SERVICES DEPARTMENT
�• PERMIT PERMIT NUMBER
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698-01550
(714) 754-5273 • Fex (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 916 CORONADODR
Suite:
Viciniry:
Parcel Nunmber: 14132313
Applicant: VAUGHT, MILTON
Address:
Owner. STEWART;'.WAYNE M ,
Address 474 E 17TH�ST #202,
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Contractor.. � '�' < �
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Address: , :;/ �
BUILDING PERMIT
Status: ISSUED
Applied: 08I27I1998
Issued: 0827/1998
Zoning: R1 R1
PFone: "714-964-0297 ,
Zip:
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Phone: --. . ' ' � - � . . ��
. � Zip: 92627 `� \. � ` , �, ;_ .
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SCOPE OF PERMIT
� .T/0 SHAKE ROOF 8 CDX SHEATHING, INST 30 YR FIBERGLASS SHINGLE. .
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FEE SUMMARY ,_ �
Flan Check: $0.00 _ , - `. ,�/;. Calc Valuation: S�,nsa.00
' Permit: $137.25 _ _ � ,' � Claim Valuation: S�A93.00
SMIP Res: � $0.75 � /
SMIP Com: $0.00
Other. $0.00 — -_ _
Inspection: $0.00
Total: $138.00
SETBACKS
MAIN STRUCTURE Front 0-�0
ACCESSORY Front �0-0.
PARKING Existinq: o
NOTES:
Rear 0.�0
Rear 0- 0
Re uired: 0
PLANNING & ZONING
' � Left 0- 0
Left 0. 0
Proposed: 0
Right 0. 0
Right 0-0
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EXPIRATION: This permit shall automatically axpire and become void it work is not commenced within 180 days, or if work is suspended or abandoned
for a perlod of 180 days.
INSPECTIONS: In order tor Ihe work authorized under Ihis permit to be considered legal, such work must comply with all applicable codes, antl all
requlred Inapeetlons and tinel approvel must be obtained. Failure to obtain inspedions and final approval will result in the explration of ihis permit.
POR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION: � �.
I hereby affirtn under penalry of perjury one of the tollowing tleclarations: ..
❑ I heve entl will meinteln a certificate ot consent to setl-Insure for workere' compensatlon, es provitled for by section 3700 of t�e Lebor Code, for Ihe peAortnance oi tha
work for whiCh this pertnit is issuetl.
❑ I have antl wlll meintein workers' compensation insutance, e5 required by section 3700 of the Lebor Cotle, for the pertortnance oi the work for which this pertnit Is issueC.
My workers' compensation Insurance wrtier end policy number are:
Cartier. Policy Number,
(Thls se�eed not be comp/eled il Me pertn/t ts velued e( one huntlred tlollars ($100) or less.)
� I certity ihat in t� peAormen d of the ork for hich this partnit is isSueQ I shell not employ any pereon in any manner so es to 6ecome subl�� to tha workers'
ensetion law a� o�9�jn.tl ree ' I shaula become sub�ed to the workers' compensetlon pradsions ot Sectlon 3700 of the Lebor Cotle, I shell fort�wlth
th thesa prov ( v° � � � _ ��
Applicent Slgnetu � �} �e�e;
�: FAILURE TO SECURE WORKERS' IPENSATION COVERAOE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINFL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
TMOUSAND DOLLARE (5100,000), IN ADDfTION TO iHE COST OF COMPENSATION, DAMFOES AS PROVIDED FOR IN SECTION 3�O60F THE UBOR fA�E, IMEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eNirm thatTey� licessea undel,prqylsli
force and ettecl. Lic. #
CONSTRUCTION LENDING AGENCY:
(commencing wlth Secilon 7000) ol Division 3 of ihe Buslness entl Protes,yens Coda, antl my Ilcense is in full
Cless a L�
Dele:
❑ I hereby ettirm thet Ihere is a construction lentling agenry for the partortnance oi the work for which this permit Is Issued. (Sec. 3097, Civil Coda).
Lendefs Neme: Lendefs Address:
Signawra: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHirm t�et untler penalry ot perjury that I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW tor ihe tollowing reason (Sec. 7031.5, Business and Professlons
Cotle: Any dry or wunry which requires e permit to wnsWct, alter, improve, tlemolish, or repalr eny swdure, pnor to its issuance, also requires Ihe applicam for such pertnit
to flla a slgnetl statement Ihat he or she is Ilcensed Dursuent to Ihe provisions of the Conirectors License Lew (Chepter 9(commencing with Sectlon 7000) ot Division 3 of Iha
Business end Professions Code) or that he or she is exempt iherefrom end iha basis for Ihe alleged exemptlon. Any violation of Section 7031.5 by eny apP�icant for a pertnit
subfeds the epplicant to a civil penelry of not mote ihan five hundred dollare ($500).):
❑ I, es owner of Ihe properry, or my employees with wages as their sole compensatlon, WILL DO THE WOHK, entl the siructure Is not intentletl or offered for sale (Sec.
7044, Business antl Professlons Cotle: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who tloes such work
himsetl or herself or through his or her own employees, provided thai such improvements are not intentled or offered for sale. If, however, t�e building or improvement is
sold within one year ot completion, the owner-builtler will have Iha burden of proving that he or she tlitl not bulitl or improve for purpose of sale.).
❑ I, as owner ot tha pmperty, am EXCWSIVELV CONTRACTING WfTH LICENSED CONTRACTORS to construd the project (Sec. 7044, Business and Pmtessions
Code: The contractors License Lew does not apply to an owner ot property who builtls or impmves ihereon, and who contracts for such project with e contrector(s)
licensa pursuant to the Contractors License Laws.).
❑ I am exempt untler sec.
SigneNra:
Owner ID venfied by drivers license. ❑ Yes ❑ No
eusiness and Professions Coda for this reason:
Vedtication of OwnarshlD by (rype of document, i.e. - pmperry ten bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMR CER7IFICATION:
Drivefs license No.
Date:
Expires:
❑ I hereby certliy that no eawvatlon five (5) or more ieet in depth into which a person is required to descend, will be made In connectlon wlth work euthorized by Ihis
pertnit, end that no building structure, scaltolding, felsework, or demolition or dismantling ihereof, will be more than thirty-siz (36) feet high. (Chflp. 32, Grp 2, An 2, Sec.
341, TIIIe 8, Celltomle Adminlstrative Cade).
❑ As owneo-builder, I wlll nat emplay enyane to do wark which woultl requlre a permil irom �he DlNsion of Indusidal Sefery, es natetl above, unlass such person has e
pertnit to do such work from the division.
Signature: Date:
Divislon of Induslrlal Satety Permil Number:
CERTIFlCATE OF COMPLIANCE AND AIffHOR¢ATON OF ENTHY: I certity under ponelry ol perjury that I have reatl Ihis application antl state that the information given is
conect. I egree to compy wi�h all slate lews and ci�y ordinances relating to building construction, end euthonze representetives of Ihe Ciry of Costa Mese to enter upon the
eboye-descnbed proparry tor inspection purposes. 1 egree not to occupy or allow occupancy ot any building euthonzed by ihis permit until final Inspection.
LOOE �. INSPECTIONTYPE
1616 Flaed System Finel Fire Preventlon
1288 Pool Spe Flnal
200 Flnal Re-Roof
201 Fina181ocWRetaining Well
202 Finel Fectory Fire Place
203 Finel Sign
204 Finel Demolition
2d<8 <8
CASE U1iIDlL4
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Date
�ppFl ixsveerioNTrve
206 Flnel Mechenical
208 Finel Plumbing
210 Finel Electricel
2tt Final Fire Preventlon
220 Flnel Plenning Approval
222 Flnel Site
250 Flnal euilding/OauDency
QAg U�AlS
AP No. lwl-}zo-u � LOT
INSPECTIONS
SOIL
Ga5
W ATER
ROUGH PLUMBiNG
PROP. $WR. LINE Q MOUSE CON. �
SPftINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONOITIONING
TEMPORARV SEFVICE OR POLE
UNDERGROUND [, POWER �
ROUGM WIRING
TRENCHES FORMS STEEL REI!
FLOOR SVSTEM
BON� BERM � STEEL REINFORCE �
SHEATHING
FRAME RNO FLASHING
LATHING — IN � OOT ❑
PLASTER, BROWN COAT
STRUCTURAL, FINAL
MEATING, VENT., HEFRIG. FNO A.C., FINI
PLUMBING. FINAL ANO GAS TEST �
ELECTRIC, FINA�
6UILOING, FINAL
COCf I GI OF/11II OGE.1 GYTC
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SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTM
P.O. BOX 1200 COSTA MESA, CALIFORNIA 926
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Far Applicant to Fi/l in Completely
BUILDING '
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7� SIZE I NO.OF BLOGS.
OF LOT NOW ON LOT
USE OF
EXISTING BLDG.
NEW BLDG. JZ X� V ROOMS ��� STORIE:
EXTERIOR WALL ROOF
COVERING COVERING !.� �m�.���
USE OF BU�LDING AND WO%�K TO BE PERFORMED
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APPLICATION FOR BUILDING PERMIT
RECEI . DAT.EfdECfiWSD ...t� �����.
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I NO.OF �
PLAP6
YARDS APPROVED
DtSfANCE BET
MAIN BLDGS.
VAR. ,Ye
C.U.P.qY+
PE
USE OF
BET. MAIN &
ACCFSS,BLd
DATE
I heraby eeknowlatlpa t�et I have rontl Mis epplicoNon antl smta `���i
t�at the abo�e Intorme�lon is correct and aprae to comply with
all lawf reBuleHnp builtlin0 ��^strucUon, entl I s�all not employ
any Oerson in violation of the workmon's compenaallon lewa oi
the Smm of Calitomla.
1 hereby cariify thet I am proParly Iicansetl es a conttactor unEer SQ. FT. r�
the Stata of Californie Business antl Profeasions Cotle, Olvlsicn 3, THE AMOUNT SHOWN UNDER VALUP
Chapter 9, and that such licenses ere in fuil torca antl efixt, or I THE PURPOSE OF ESTABLSHING A PERM
am exampt tram Me Prov(sions of Me Smte California Business VALUATION
antl Profe55ions Cotle, Dlvisio 3, C�epter 9
/'� Q � PERMIT FEE S
/ / I I
Sipnatura o( l � ' � � La / ' / _
Pe�mittae �'-�/" �( `�'�.��� 5 �O PL4N CHECK $
Au[horizatl AOe^t TOTAL FEE S
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f10N IS FOR ^
f FEE ONLY: Q
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Date
BUILDING PF1iMIT NO
SUBCONTRACTOR
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24947
CO$TA MESA BUILDING-SAFEfV DEPARTMEM'
P.O. 60X 9f] C09TA ME6A, CALIFORNIA
For Applicant fo Fill In Comple�ely
TYPE OR PRINT
�BUILDIN6 �/� �%p�U/✓/4lJC%
ADDRESS (;
COSTA MESA, CALIFORNIA
NOTE:
CITY OF COSTA MESA
NOV 3 0 1965
APPLICATION FOR PERM[
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k �r �z Ti4 �i' Z(�'?S'
/'// - 32 3 -- !.3
EAVE OVERHAN6 HHALL BE LE59 THAN
61ZE I NO.oPeLDas. ALLOWED (U.B.C.REOUIREMENTI
OF LOT MOw on Loi
VARDS MPROVE� VARD9APPROVED
USE OF r MAIN BUIL.DIN6 AGCESSORV BUILDING
EXI6TING BLDG. G J/�C/�% G
/ fFROMGL/$/T RE(E�('��1 ,� �cr,,'y
9ETawcK LIrvH PROM FR NT �/ �FT. • �• I, 'R�
CENTER OF BTHEBT REAR YARD2 7 /wy]�7/' y
I � J� I R. HIDB '•"� F.C� �"\ /S�FT.
SIDEYARD LBFT RIGHT
DESCRIPTION OF WORK L. BID -S Fr. �- Fr.
U �
NEW ALTERATION ADDITION REAR � Ff. FT.
REPAIR � D18TANCE BET. BBT. MAIN @
MOVINp -DHMOLISH MAIN BLDGB. ACCE55. BLDOB.
BUILDINO NO.OP VAR.SC DATE
SIZE Z, .Z - ROOMS / 6fORIHB / C.U.P. APPROV6D
EXTERIOR 1CfA411 M�.�.� ��$OOF_"'"_ ^�� � APPROVfi[�/ /On. _ ....�� I/`�O " 4-'
0 U960F
I HEREBY ACKNOWL6DO8 TNAT I HAV6 HE�D TH18 �PPLICATION TH8 AMOUNT 9NOWN UNDEfl VALIIATION IH POH THE
•ND 8Tr1T8 TXwT TH8 ABOVB 19 COqRECT AND A Ee TO C � PUPP083 OP HBTABLI8HIN0 A PeflMIT FEE ONLY.
PLY WITH ALL CITY ORDINANC 1N BTAT[ ! P[OO IHG ypLUAT10N �V\
BUILOINO CON6TpO / ✓�/
31GNATURE OP PERMIT FEE
PERMITTE
s pU
AUTHORIZED AGENT ' �
� FEE RECEIVEU-
,•.�C": ��, �.;:j� Lot 82� Tract Lt285, F7.an �0 A SEP 6 1969
C05TA MESA BUILDINGSAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 917 COSTA M68A. CALIPOE721IA CITY OF COSTA MESA
For Applieanf io Fill In Complefely APPLICATION FOR PERMIT
� TYPE OR PRINT gUILDING
9UILDING
nooeess 91fi Coronado lTrive
COSTA MESA CALIFORNIA For Offite Use �nly
�BSS� 3T � aece�pr NO. . nP.FJtpfIT, NO.
3800 E. Coast
■ ARCHITECT
E. Coast
del
� STATE
' 86TB�CK LIN¢ PWOM I�QI
R¢C61VE_D BY I � RECEIVED DATe IBSUED
��'C �,- / �/- �/-/
BUILDING
ADDRE55
COSTA MESA. CALIFORNIA
ZONING
' C811f . ����� �� I PLAN9 '� BUILD�N6 eW
t ^
TEL. no Z_1�7'J!1 L6GAL /4'--if"l �.�.1 `�A �
NO, oP eLp68.
I LEFT J� I RIGHT S�
DESCRIPTION OF WORK
B$UZIe ING Ll�p��x 3� ROOMS STOF
V J
EXTERIOR WALL ROOF
COVERING S'tllCCO COVERING S}71}f
USE OP BUILDING AND WORK TO BE PERFORMED
fClNT6R LIN6 BTJ � �
� FRON7
R. SIDE '-S
L. SIDE •
REAR Z O
APPROVED
— RV �'���/1 _
�'HEPEBY ACKN�WLEDOE TXAT 1 HAVE R6AO TX19 APPLIGTION
AND eT�ITE THMT THE AlOVE I6 COPNECi AND AGpEE TO COM-
PLY WITH ALL CIT' ORDINANGEB ANO BTATE I.�WB NEOULATN6
BUILDING CONB'�U4TON.
SIGNATURE OF�iesa De�..�hSar, Development +
IAUTFIORI EC
/ 1'/( /
THE AMOUNT SHOWN UNDER VALUATION 19 FOR THE
PIIRPOBE OF EBTABLI9HING A PEpMIT FEE ONLY.
VALUATION
PERMIT FEE $ ._) � � �
S lU�Z1����0 PLAN CHECK $ � / — £
TOTAL FE6 S��OO p
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