HomeMy WebLinkAbout3157 CORK LN - Building Permits.
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CITY OF COSTA MESA
BUILDIN6 DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
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PERMIT NUMBER
(714) 754-5273 • Fax (714) 754-4856 gUILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite:
Vicinity:
Parcel Nunmber:
3157 CORK LN
14163339
Applicant: JOHNSON, SCOTT
Address:
Owner: HARTL, J
Address 3157 CORK
Contractor.
Status: ISSUED
Applied: O6/24/1998 -
Issued: O6/24/1998
Zoning: R1 R1
Phone: 714-761-1550
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`I�an�,Eheck it��r,� $0.00
\� Permit +� �'`$1,12.25
SMI�P Res. `����'�$0.60
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�MiP,co� ��u$o.00
��� Other: �$0.00
Insp',ection: �� ��$�0.00
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�Total:r. $112:85
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" SCOPE OF PERMIT 'j' �
IEATH WITH 1/2 CDX & REROOF WITH COMP SHINGLES�& BUR ON THE
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� - -_ -----FEESUMMARY ; - �
, Calc Valuatio
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SETBACKS �i/ �� '� �-°�c��l �� ti ('�"*i",- %��-, �
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MAIN STRUCTURE Fiont �0-0 ,- V 'Rear�O` 0 � . Ceft� 0 .0� � % � Righti,\0-0� �
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ACCESSORY Front;b�0" �,� �(.'Rea�� 0-0� - Left 0 0 . _ Righy- �0 0,��.;i
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PARKING Existinq:�\0=�1•� Re uiretl:'-� 0 j� ' I ��-� ,�Proposetl: � r0 ���� 'fti%
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EXPIRATION: This pertnit shall eulomalically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a pariod of 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
requlred Inapeetiona end flnel approvel must be obtained. Failure to obtain inspeclions and finel approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 750-5828
W4RKERS' COMVENSATION DECLARATION: , . .
I hereDy eNirm under penelry of perjury one W the following aeclarations: .• , • '
❑ I �eve end will melntein e ceNficate of consent to seH-Insure for workers' compensetion, es provided tar �y secllon 3700 of ihe Lebor Code, tor ihe peAortnence ot the
/ work for whlC� Nis permit is issued. '
.[a� I have arW witl meintein workere' compensetion insurence, es required Dy section 3700 oi the Lebor Code, for the peAomiance of the work fa which Nis permit is issued.
�\ My workere' compensation Insurance cartier flnd polity number ere:
Certier. Policy Number.
(Thls sectlon need not be completetl il the permit is valued et undred dollers (5100) ar less.) � .
❑ I certify ihet In the OeAormance of ihe work for w ch � pertnit Is issued, I shall not amploy any person In eny menner so es to 6ecome subject to the workers'
wmpansetion laws of Califo e, ree ihet Id �ecame subject ta the workere' compensation provislons of Sedlon 3700 of the lebor Cotla, I s�alllorthwilh
,�ows�a .. P8
plicant Sipneture: ate: � y
IIJ(3: TO SEW R WORKERS' COMPEN54TION COVEMGE IS UNLAW FUL PND SHALL SU6IECT AN EM LOYER T RIMINAL PENALTIES ANO GVIL FlNES UP TO ONE MUNDRED
TFIOUSANDDOLLFHE(5100.0OO�.INADDfiIONTOTHECQSTOFCOMPEN5ATIIXJ,DAMAOESASPROVIDEOFORINSE OBOFTHEIABORODDE,INrEREST,ANDATiORNEY'SFEES.
IJCENSEDCONTRACTORSOECLARATON:
I hereby eHirm ihet I em licensed underprpvisians oF Chaptar 9
Signature:
with Sectlon 7000) ot Division 3 of ihe Business antl Professions Cotla, and my license is in tull
CONSTRUCTION LENOING AGENCV:
� I hereby attirtn Net there is a constnictlon lending agency tor the peAortnance of Ihe work for which this permit is iuued. (Sec. 3097, Civil Code).
Lendefs Neme: Lentlers AdOress:
Signature:
OWNER-BUILDER DECLARATIONS:
Deie:
I hereby aHirtn thet untler penalry of per�ury ihet I am El(EMPT FROM TME CONTRACTORS LICENSE LAW tor Ihe following reesan (Sec. 7031.5, Business entl Professions
Coda: Any city or counry which requires a pertnit to construM, elter, improve, demolish, or repair flny structure, prior to its issuflnce, elso requires the applicant for such permlt
to file a siBned stetement that he or she is licensed pursuaN to the D�aWsions ot Ihe Contraclors License Lew (Chapter 9(commencing with Section 7000) of Divislon 3 of 7he
Buslness end Professlons Code) or thet he or s�e is exempt �herefrom and the basis for ihe alleged exemption. My violatlon of Section 7031.5 by eny epplican� tor e permlt
subJecls ihe epplicant to e civil penalry of not more Nan five hundred dollars ($500).):
❑ I, es owner W Ihe property, or my employees with wages es thelr sde compensation, WILL DO T}iE WORK, antl ihe structure Is not intendetl or oNered tor sale (Sec.
7044, Business anG Prafessions Code: The Conirectors License Lew tloes not appy to an owner of properry who builtls or Improves thereon, antl who does such work
himsetl or herself or through his or �er own employees, proNdetl t�et such Improvements are not intentletl ar oHeretl for ule. If, however, ihe building or Improvemen� is
sold wlthin one year of completlon, �he owner-Duiltler will have t�e burtlen oi proving that he or she did not build or improve for puryose of sale.).
❑ 1, es owner o1 Ihe Droperty, am EllCLUSIVELY CONTRACTNG WfTH LICENSED CONTRACTORS to construcl the prqed (Sec. 7044, Business flntl Protessions
CoCe: The contrectors License Lew Goes not appy to an owner of pmperty wha builds or improves Ihereon, end who contrects for such pmjad with e conirector(s)
Ilcense pursuent to the Coniractors License Laws.).
❑ I am exempt under sec. Business enA ProFessions Code tor this reason:
Signature: Data:
Owner ID verified hy drivefs Iicense. ❑ Yes ❑ No Drivels License No.
Vedficatlon ot Ownership by (rype of document, I.e. - property tex bill or deed):
Expires:
DIVISION OF INDUSTRIAL SAFETV VERMR CERTIFICATION:
❑ I hereby certNy thet no excevation tive (5) ar more feet in depth into which e person is required to descend, will be metle In connectlon with work authorized by t�ls
pertnit, entl thet no bulltling strudure, scaHolding, talsewoAc, or tlemolltlon or tlismantling ihereof, will be more than thirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Tltle 8, Celifomie AdmlNSlretNe Cade).
❑ As owner-Duilder, I will not employ anyone ta da work which would require a Oertnit from ihe Division ot Indusirial Seiery, es notetl above, unleu such person �as e
pertnit to do such work irom the division.
Signature: Date:
Division of Industriel Sefery Permlt Number.
CERTIFlCATE OF COMPLUWCE AND AUTHORQATON OF EMAY: I certlty untler penalty of perjury that I have reatl this epplicetion end stete ihat the intortnation given is
conect. I egree to wmply with ell state laws and ciry ordinances relating to building construction, and authonze representatives ot Ihe Ciry ot Costa Mesa to enier upon the
ebove-dexribed property for inspection purposes. I agree not to occupy or allow occupancy ot any building auMorizetl by this permit until fnel inspeclion.
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1618
7268
200
201
202
203
iZ_^.�58
Fized System Finel Fire Prevention
It�EL4 Sppe1 iqsrernoxme
206 Final Mechanical
Pool Spe Flnal ��//J 20B Final Plumbing �
Finel Re-Roof � 6" �/y� 210 Final Electricel
Final BIacWRetelning Well 212 Final Fire Prevention
Finel Fadory Fire Place . � 220 Final Planning Approvel
Final Sign
Finel Demolition .
222 Final Site
250 Final Builtling/Occupancy
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;�COSTA MESA BUILDINGSAFEfY DEPARTMENT
� P.O: BOX Hl] C08TA MBSA, CALIFORNIA
For Applicanf to Fill In Completely ,
� TYPE OR PRINT
BUILDIN6 � .
ADDRE53
COSTA MESA: CALIFORNIA �
OWNER
MAIL �
ADDRE/S� )
// . 1' .l1 _ + TEL. ', � _�.
� c� sr� ��sw
� JUL 19 1965
LEOAL
R[C[I'T NO. I ���Afljlry
�} L 1
' ZONING
NO.OP^. I US80FNi
PUNB y- lYILG�NO
A. P. NO. � �S. � J
CITY
� NOTE: NO EAVE OVERNANG SHALL BE LE88 THAN
STATE )� o NO. . -�S•S�� ��� TO 61DE 8 REAR P. L.
LI0. NO. [
EAVES
SIZE /9 U I No.oPBLoo6. ALLOWED (U.B.C.REQUIREMENTI
OF LOT. \! NOW ON LAT
. YARDSAPPROVED� YARDSAPpROVED
USE OF ' - � MAIN BUILDIN6 ACGESSORY BUILDINa
EXISTINp BLD�. .
_ (FROMC/LBTREE )..� - -�"
DESCRIPTION OF WORK `
O BTOR
IN6 �
PERFORMED
� I
R.81D PT. FT.
L.81D8 ��. FT• '
�
aeaR Rr.� F'r.
OISfANCH BET. � BET. MAIN Q'
MAIN BLDGS. ACCE55. BLDQB.
VAR. # DATE
C. U. P. # APPROV6�
avPROViD (�. (l� ATE y�� I / � � �
I HEREBY ACKNOWLEO6E TXAT 1 HAVE PEAD TH18 APPL�CATION ' TME AMOUNT BHOWN UNOER VALUATION I8 FOq THE
ANO 9TATE THAT TNE ABOVfi IB CORRECT AND AOpEB TO COM. PUHP08E OP EBTABLIBHIN6 A PEPMIT FBE ONLY.
PLY WITH ALL CITY ORDINANCEB • 9TAT6 W9 N80ULATINO ' VALUATION �q
BUILDINOCONSTRU ION. . ' , bv pERMfiFEE $ �
SIGNATURE
PERMITTE �' /9�)
AUTHORIZE GENT . $ I�v �
oWNER HAR50R HALL OF FAME HOMES INC.
DwTE �OV � p i962
GENERAL CONTRACTOR Lli"etime iteSifleritial �lcig. �Orp. VALUE $ ly�UyS,UU
AP No. LOT %1 TRACT 4356 FIRT' 7.ONB D�SCRIPTION OF WORK
IN5PECTIONS I Signature DATE GROUP I$uJ TYPF V 7.ONE
Soit /// /9_34-�9 T ^ PER�
n__ . .i C' � SUBCONTRACTOR
coat
— 7�s1 ,
;• . KECEIVED
�l ; w . 18321 F�� �uu�;�;aba
COSTA MESA BUILDING-SAFETY DEPARTMENT Lot %1, Tract 4356� �ilt� ��� �^EPr
P. O. BOX S77 C06iA ME9A. CALIFORNIA COSJry MfSA
Fo� Applicanf to Fill In Complefely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
6UILDING ���j � C /� L
ADDRESS O r n 9�j pi
COSTA MESA. CALIFORNIA ' FOI' Office US@ �I1�'/
RELEIPT NO. P�+ O
OWNER Harbor Hall of Fame Homes Inc /������
MAIL FiECEI BT DATE/+EGEIVj�D �. VY6 183UED
ADDRESS P��.' BOX 2066 �/— �S <'rii� 3 � �9�i�
ARCHITECf
OR ENGINEER J3I01$OII
.53Rt8
e�ze
OF LOT 6���
USE OF
EXI6TING BLOG NOiI
SHi6ACK LINB FROM �O�
G6NTEH OP 8TR66T
SIDE YARD I LEFf S�
DESCRIP
TEL.
� 9-2204
INO. OF BLD08.0
NOW ON LOT
OF
1��
EXTERIOR WA ROOF
COVERING iiaster COVERWG ucl'l31f@
USE OF BUILDING AND WORK TO BE PERFORME�
I HEPEBY ACKNOWLEI
ANO BTATE TXAT TXF�
PLY WITH ALL CIT'
BUILDINO CONBTR�I
SIGNATURE O
PERMIITE
AUTHORIZED AGENT
FIRE
ZONE
�
�ece�
COSTA MESA. CALIFORNIA
ZONING
NO. OF � I U9E OF
ruNe em�cin
, ICENT6R LINH BTJ
FRONT 5 C
w mnr ��
rJ
APPROVED
�/ ° .? - /79� o.
' I HAVE REAO THI9 APPLIGTION THE AMOUNT BXOWN�
�8 GORRELT AND A6RE¢ TO COM- pUPP09E OF. EeTABL
E9 TE LA REGtILATING
VALUA710N
� ` q r '
$/ /� �✓ �.�
EVES
ALLOWED
f. — IN.
f. �_ IN.
f. I N.
r 6 �.� '
� o2lf P•
VA{.UATION IB FOR TH¢
• PERMIT FEE ONLY.
f FEE $ � � �' '
n
/— n
]HECK $ ,���7 D
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rc
FEE 4