HomeMy WebLinkAbout829 CORTEZ ST - Building Permits��ia) �sa-sz�a • Fax (»a) �sa-aess
CITY OF COSTA MESA
BUILDIN6 DIYISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
Job Address: 829 CORTEZ ST
Suiie:
Vicinity: HOUSE 8 GARAGE
ParcelNunmber: 14131102
npp�icant: RAY, ROSS
Address:
BUILDING PERMIT
Zoning: R1 R1
Phone:
Zip:
Owner: WALTHERS, ERIC & DEBORAH
Address 829 CORTEZ ST
COSTA MESA, CA
Contractor: ALL WEATHER ROOFING
Address: 2192 AMERICAN AV
#A
COSTA MESA, CA
Zip: 92626
Arch :
Address:
Phone:
Phone:
Zip: 92626
Phone: 714 646-8694
License: 739271
Eng:
Address:
.
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: O6/14/1999
Issued: O6/t 4/1999
Phone: '
Zip License: Zip: License:
SCOPE OF PERMIT
REROOF - T/O, USING EXISTING SHEATING, INSTALL 2 LAYERS OF 15# FELT & NEW 25 YEAR COMPOSITION
SHINGLE ROOF.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
I n spection:
Total:
$0.00
$8725
$0.50
$0.00
$0.00
$0.00
$87.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0- 0
PARKING Existinq: o
NOTES:
Rear 0- 0
Rear 0- 0
Re uired: 0
FEE SUMMARY
PLANNING & ZONING
Lefl 0- 0
Left 0- 0
Pr000sed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
$3,500.00
$3,500.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 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 permit to be considered legal, such work must comply with all appliceble codes, and all
requlred Inspectlona and final epproval must be obtained. Failure to obtain inspections and (inal approvel will result in the expiration of this parmit.
FOR INSPECTIONS CALL: (714) 754-5626
�
WOyKERS' COMPENSATON DECLARATION: . •
I �eRaby eHirm under penelty ot per�ury one ot Ne following tlaclaretlons:
f� I heve end will mflintaln e ceniticate of consent to selt-Insure tor workers' compensatlon, es D�ovided tor by section 3700 of the Labor Cotle, lor the peAormance of Ihe
work for which this pertnit IS �ssued.
❑ I have entl will maintain wofkers' compensatlon insurence, as required by secMion 3700 of the tabor Code, for the pertormance of the work tor which lhis pertnit is issued.
My workers' tnmp8nseilon Insurence carner and policy number ere:
Cerrier. Palicy Number.
(This section need nof be comple�ed il Ihe permit is valuetl at one hundred Oollars ($100) or less.)
❑ 1 certity Ihat in Ihe peAormence ot the woAc tor which ihis permit is issuetl, I shell nol employ any person in eny manner so as to become sublec� �o t�e workere'
compensation laws ol Celifomia, and a rea ihat if I should become subJect to the warkers' crompensation provisions of Section 3700 oi ihe Lebor Cotle, I shell lorihwith
comply wi�h ihes��.er8p/s ions.
Appllcant Slgnamre: CX n�r� � oatet �y'9�
WARNINO: FAILURE TO SECURE WO�ERS' COMPENSA ^COVERAGE IS UNLAWFUL AND SMALL SU&IECT AN EMPLOVER TO CRIMINAL PENALilES AND CIVIL FlNES UP TO ONE HIINDRED
THOUSMID DOLLARE (3100,000�, IN pDDRION TO THE CUST OF COMPENSATION, DAMhGES AS PPOVIDED FOR IN SEGTION 3/060P THE LABOF CODE, INTEREST, AND ATTORNEV'S FEES.
LICENSED CON7RAC70RS DECLARATION:
I hereby a%irm that I em
force and eHect Lic. N
Contractor'S Signeture:
of Chapter 9(commendng with SecNon 7000) of Division 3 of ihe�usine sin{LPr�essions Cotle, end my licanse is In full
Cless # �
�� oate: / �i'
A'
CONSTRUC710N LENDING AGENCY:
❑ I hereby eflirtn that there is a consWction lending agency for �he OeAortnance oi the work br which this permit is issued. (Sec. 3097, Civil Code).
Lentlels Neme: Lendefs Atltlress:
Signeture:
OWNER-BUILDER DECLARA710NS:
Date:
I hereby atfirtn that untler penelry of perjury that I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires e pertnit to consirucL elter, improve, tlemolish, or repair any siructure, prior to its issuance, also requires the epplicant lor such permit
to tile e signed stetemeni ihet ha or she is licensetl Dursuant to the pmvisions of the Contrecmre LJcense Law (Chapter 9(commencing with Section 7000) of �ivision 3 ot t�e
Business end Protessions Cotle) or Ihet he or she is exempt iherefrom end the basis for I�e elleged eaemption. Any violation ot Section 7037.5 by eny epplicant tor e pertnit
sub�ects t�e applicant to e clvil penalty of not more than five huntlretl dollars ($500).):
❑ I, es owner at the property, or my employaes with weges es lheir sole compensetion, WILL DO 7HE WOqK, entl t�e structure is not intentletl ar otteretl for sale (Sec.
7044, Business and Protes5lons Code: The Contractors License Lew does not epply �o en owner ot property who builds or improves thereon, end who does such work
himself or herself or througn his or her own employees, provitlad thet 5uch improvements ere not iniendetl or oHered for sale. If, however, the bulltling or improvameni is
sold within one year of completion, iha owner-builder wiil heva the burtlen of proving Ihet he or sha Citl not build or improve for purpose of sela.).
❑ I, as ownar of the property, em E%CWSNELY CONTRACTING WITH LICENSED CONTRACTORS b construct the pwject (Sec. 7044, Business entl Profe55ions
Code: The contractors License Law does not epply to en ownar oi property who bullds or Improves ihereon, antl who contracis for such p�oJect wlih a contrecior(s)
licensa pursuant to ihe Con«actors License Laws.).
❑ I em exempt under sec. Business end Protessions Code for Ihis reason:
SignaWre: Date:
Owner ID venfied by ddvers license. ❑ Ves ❑ No Dnver's License No.
Venfication of Ownerehip by (rype of tlaument, i.e. - pmperty tax bill or tleed):
DIVISION OF INDUSTRIAL SAFEn' PERMIT CERTIFICATION:
Expires:
❑ I hereby certity Ihel no excd�alion five (5) or more feet In depth Into which a person Is requlretl Io tlescend, will be matle in connection with work authorized by this
permit, end tha� no builtling siructure, scaflolding, falsework, or Cemolitlon or dismantling Ihereof, will be more than thirty-six (36) feet high. (Chep. 32, Grp 2, An 2, Sec.
341, Titla B, Califomla AtlmN�slretive Code).
❑ As owner-builder, I will not 6mploy anyone to do work which would require a permli trom the Division oi Industrial Safery, as notetl above, unless such person ha5 a
permit to do such wark irom Ihe tlivision.
Signature: Date:
Division ot Intlustnal Sefery Pertni� Number:
CERTIFICATE OF COMPLIANCE 11ND AIJTHORVATION OF EN7AY: I certity under penelty of perjury that I have read this epplication and state that tha inlormation given is
correct. I agree to comply with all state laws and ciry ordinances reletlng [o building consiructlon, entl euthonze representatives ot the Ciry of Costa Mesa to enter upon ihe
above-tlescrlbetl property for Inspdction purposes. I agree not to occupy or allow occuDency of any building authorized by this permit until final Inspection.
COOE �. INSPECTIONTYVE
1616 Flaetl System Final Fire P�evention
1266 Pool Spa Final
200 Flnel Re-Roof
201 Flnal BIocWRelaining Wa�l
202 Final Fectory Fire Placa
203 Finel Sign
204 Finel Demolition
2a4&a8
P9IE It�A4S
�'- 9�99 ,���
� - I �/-�'j�'� --
Data
tooe� ixsaernoxTrve
208 Final Mechanical
20B Final Plumbing
210 Final Electrical
212 Finel Fire Prevention
220 Final Planning Appro�al
222 Final Site
250 Final Building/Occupancy
'L
g2303
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BO7L 917 COBTA MEBA. CALIFORNIA
For Applicanf io Fill In Completely
TYPE OR PRINT
BUILDING _ _ _
CASTA MESh CALIFORNIA
ADDRESS 3800 E, Coast Highs�ay �
cirv Corona del Mar ' No. �e 342,
ORCENGI EER R8 ond Levanae No: Ut' 370
.nno��� z4A9 Via (h�nrto. Newort Beach
E. Coast
B�cTrE,o. 98808 No`Or 34220
$nv �i nr GC v O7 I NO;.OP-B1D08. O
BHTBAGK LIH[ IROu� �fl
ceraiHR OP BTRH� SO REAR YARD �+
SIDE YARD I I.EFf S I RIGHT 5
D�SCRIPTION OF WORK
I x ll _ I II I
■ BUILDING
1
`FEE RECEiUED
�� JUN 1 i �sso .
FINANCE DEPT.
C{TY 6F COSTA MESA
APPLICATION FOR PERMIT
Loc # 68 gUILDING
Plan 2A
For Office Use Only
NEC81V8D !Y
CASTA MESA. CALIFORNIA
APPROVED
ZONING
ZOH[ NO. OP U88 OP NEW
'�/ I PUNB BO�LDINO
"o"` Lot 68 Tract � 3749
ozscni>riew
YARD6
APPROVED
ICHNTER LIN[ BT
FRONT
R. SIDE J
APPROVED
COVERING ICOVERING 1(OCIC ���_
USE OF BUILDING AND ORK TO BE PERFORMED �/ �
O
uct Sin le Famil Reaidence
with attached garage
I HHHCBY ACKNOWL8D08 THAT 1 HAVE RBAD TNi9 A LIGTION T{{g �MOUM BHOWN UNOBp VALURTION 18 FOR THH
AND 9TATB THAT 1ME AB E IB CORPECT ANO A6R M CON- pUiiP08E OP EBTABLI9M�N0 A vERMIT FEE ONLY.
PLY WITN ALL C�TY O N� AN� HTA UWB QULATINO
euiLolNo COHlntuCfl VALUATION 32.00
81GNATURE OF PERMIT FEE S
PERMITTE
S 1'3�515.0� pLAN CHECK $ 16.0�
AUTHORIZED AGENT �o ject Manegar
TOTAL FEE 4S.00
F
n
RDDFESSOiBVILpNG: 8Z9 CORTEZ' ST
OWNENSIUYEIFplDWN:SIMS MATTHEW B
"°o"Eu:g2g �ORTEZ ST
COSTA MESA,CA
�cri. wauNc,�no�ss:
�xcxrtect oe �+an�+:
1pCIl Oq FNG.'S AOONESS:
UNT:
92626
uc. xo.:
UNT:
mNmAcrarsxwE NOCK PLUMBZNG ( 714 ) 895-1246
CWINICTORSM/J11N01 S G 1 2 KNOTT ST
�uoxcss:GARDEN GROVE CA ��� 707775
92841 uNT: 17
LICENSED COMNACTOPS DECLAPATION: 1 hareby ertim urwer pmeey d perjury Nei 1 am licenaea uMr pwidona d Cheqx a
(mmmendrp wilh Section ]000) d Division 3 W �he Bueimsa end VMesaiona Coda, eM my license n in hll bice eiM ellecl.
eR,�uc.No.�S_OaBf/ �uc.cuss:C-36 uc.No��7775 �}SP: 02/99
ONIYjEN BUILDER DECLAflAiION: 1 Mreby elfirm uMer penelly d per'ryry ihet I em aaemq Irom �M ConVadaa Limnae lew 1« the
�fabwvi9 reeson Iseabn �wi.e Bueibsa eM Prdmsiom Cade: nm dr v caunry xnich naui� e v�u �o ouuwn. eAer. improve.
damaleh, or repas eny evucture, pnor lo na asuenca, eho reyuirea ihe epplirant br euch peimit to fib e sgned eletemant ihel M or eha
• c �icen.ed W�uem io ine wm'xiona d Me cmveaa. Lk»nu Lew Icheqqe. s(�mavno wnn seaon �000) a oi.ebn a a �na
Buainesa eM Rdeaiona COEe� «thet he ar Me is examp thereham enE ihe bem ta Iha dbped exemqion. My videton d Sedion
]0�1.5 by eny eppliceM lor e permil eubpps �M1e applcen� to e civil pmelry d nat more then live hundred dollue �SSOOj).
� I,eeaxnerd�hepapanyamyempbyeeev.ihwepeaeatheiedemmpemmion,xilldotMxwk,aMtMavuctureeratinteMaE
a oilered la sele (Seclion 101a, Butiness anE Proleasiona Cotle: The ConlreGas Limnse Lew Eoea nM epptytoen ownerol popeM
wM WiAe a inryovea the�ean. e�d xtw doee auM wak fimseX or MnN a Mraph he a haz own amployeee. qwNeE Ihe� s�r.h
impiwemeMa are rot imaMeE a dlered for eab. tl.lwwo-rer, iM Wikirq a impraamem b eoltl wilhin me yeer d mmpbtnn, tM
owrnr-0uider will have tM W Nen d povirq M a eha dk �al Wik a improva fa IM W�a d sale�.
� 1. m oxmr d �M YWaM. em udutiveN oonlradip wnh lirnved canvactwv b conaWa tM pul� (Sedion )000. Buni�wee eM
Profasaiau Code: Tha Cmtreaae Lomee Lew doaa ria epply io en owrcr d propany who buiNa or impovee tMreon arM who
conlrec�s kr axi� pqMS xilh e wNretlot(e) licenfea purs�anl lo �M Canlretlan Licema lew).
� I em etemq unJer Section: B. 8 P.C., br thie reeson:
Deb: ��
i ao nerenr cenM mei i em a.me a md ��easie�w ine �eawremeno a cm�omie Heenn end se�av coea sea�. zsws. usv..ne
25536, eM thet I or eny Mun Wiking ocapent vnll / wiA na (arcb a�e) naed to canply w[� eeid atete ootlee eM IM reQuiremente M
�. epe�millawnawaionamodifimtionhaniMAi a3�i7iy anepememDia�iq.ReaWsilWcvut�upionappG�etioroeraevampimmthese
wo�na.
ode: �cp�'em:
WONKER'S COMPENSATION DECL1N�110N: I Mreby dfirm uMer pendiy d perjury me ol iM lolbxi�q Aetluetbra:
� � neve ene wi� meimen. c.nificme a owreem �u..n-I�auee k, xake�a' wn�w�emion. m w�.e e« M s«iion a)oo d �ne lae«
coa., i« ma wno�d,o. a in. wo�x i«.�m�n m�. o�u m ���ad.
I"I inw.�ew�emdm,��a.�o�o�o����..ona�+�eMs«i�a�000rm.�e«coee.ro�mewnam�am.
}� work lor wfiich Ihia pe�mM ie iaued. My wakers rompeneetion insurence certier erd poliry number are:
c.�.: �nr.nFU FAQT.F EXPIRES
Policy Numbec t,, ;_,wr d'7 U"1 d d!1 9 0 9/ O 1/ 9 8
�nrs xabn neoa mr m rn�d�ee r ms v�e u r�. m. nund�ee edws Isiaol n rw.�
� I cerlily Ihel in ihe perlortnenca W �M1e waM M whkh Ihu pertnM ia iaeueE. I ehell nd empby enY Va� in enY mennar eo ea to
n«o�b w4x+ � ma`^p���% oano«iwim b.m d cdnanie, .�e eaye�1w a �.na,a eecan. wd«� io me woMei.�
/\omoenaeti�uoe 0� Sad'wn 3]OO W �he lebor CoEe. I ehell lorlhwylfcry{�ply wyh ihm�eya. -
�Weml 0� FaNurs ro sxun walkeri rompewtlon rovorap� Is unNwNrantl �IWI W!/ect an employsr ro cNMml prWtlu �rW
c/H Ms up ro ons h�ntlrM HpuuM tlo/Mn (S1PO,OOVA M Mllfbn b M� cw! ol rompxuatbR Gmep� u pvHdetl br In
Hon 3]OB ol tlis LWor Cotle, lnrontt, aiW etrornsy'e Ma
CONSTFUCTON LENOINO RGENCY: I Mreby e/firm uMar penelry W perNrv �hm iMre a e wne��ion kMirp epency br the
p,�,� d ma wx ro, wnd� mm ro�� �s oa�aa �s«r� aos�, ca. c�.
LENDEN'S NMIE:
LENUEP'S �D�NE55:
I cenM �� � heve read thu epplkelian end etme ihm tha ebove inlormelion ia corted. I egrea lo compN �h ell rny enE mumy ortlineMee
eM slete lexa relalinp lo build'vg conmutlion aM hereW eiNw¢e repesentewea d thia wy �a mter upon ihe ebwe�mentioned proparry
la rspadion Wm�ee.
ON NOCK /
- me �� Q�
o�,. �
�..�e,...� _, e..� �� a ��., .
(515148.WP) WhNe-BuiM'up
Rnk-lievenue; OdEenrad-Avaesaw
CITY OF COSTA MESA — bUILDING PERMIT
F�ERMIT NO: P 087525 PLAN CHECK NO: N
CONSTRUCTION TYPE; V—N PERMIT TYPE: PLU
JOB DESCRIPTION ; INSTALL DISHWASHER
� 8 - ooZz7.
GOVT; N SUPP: N
PURPOSE: OTH
SQ FT:
CLAIM VALUE: CALC-VALUE; GROUP OCC: R-3 /
COMMENTS: NO OTHER WORK ASSOCIATED WITH THIS PERMIT
r*;��x-�t**�t**�r�t*�t�-x-�r*�t***�t*�-*****�r*�t*x�***�x�**�*�t*�-**�*f�*****�t*�*x�***x�***�t******�t*�-
Z O N I N G R E Q U I R E M E N T S
S E T B A C K 5
------------ MAI1� BOILDING ---------- --------- ACCESSORY BUILDING ---------
�R#�: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ: PROV: PARCEL: 14131102 ZNE: REF NO:
PLANNING NOTES>
i !
1E it ik it �E 1E iF 1E iE 1E fE �E 1F iE 3E if if 3E jE 1F it iE fE iE �E dE fE iE iE 1f iE iE 9E iE if it if iE iE iE iF iE iE if iF iF jF iE iF 1E if iE iE if if iE 1f jE if 1E iE iE if iklf iE jE iE iE iE iE iE iF iE iE it if iE 1F
D E V E L O P M E N T S E R V I C E S'��R E Q U I R E M E N T 5
20NING APPROVED BY s'-. DATE:
HUZLDING APPROVED BY : - DATE:
APPLICATION ISSUED BY: " DATE:
**�**�**�,�,�**�**�****,���������������������������������***��*�* 2 *qg
LEGALIZATIUN:N F E E S U M M A R Y STRUCTURAL SEGM NT:N
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRAI�ING
PERMIT 8.75
25� SMIP/NON-RES
PLAN
ISSUE FEE 22,00
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL YAID DUE
TOTALS----> 8,75 22.00 0,00 30,75 30.75 .00
REVENUE DIVZSION TOTALS--> COLLECTED: — 30.75 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
30.75
if ik if it 1E it �)E!E 3E �F iE iE Ik if ik iE iE iE ik �F �F iE if iE iE jE �E iE �f if �1E iE iE iE iF iE iE iE * if dE jE iE �)E �F jE if iE iE iE iE iE iF iE aF iE if ik if ik 3E dE * �E 3's 1F 3f iE IF �E iE iF iF �F �f iE if
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 DISHWASHER 8.75 8.75
END OF FEES
E11� LL
DAT£ �v I IOC7
ea-ez-i�9ani:se a��sao.��
scaT�:�i-�atiaia
PEki'1IT: Ei87525
CONSTRUCTION AND PLANNING� � PdOI & SPA'� �
APPROVAIS Permit # �- ' Date inspector APPROVALS Permit #' - Date Inspector
1. 7emporary Electrical Service or Pole - 52. Pooi & Equipment Location
2. Soil Pipe-Undrgmd. 53. Steel Reinforcement
�3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgmd. 55. Electrical Bonding ,
5. Steel Reintorcement 56. Rough Plumbing & Pressure Test
6. �lectrical UFER Grnd. � 57. APPROVAL TO COVER�GUNITE �
7. Footings 58. Eloctrical Conduit•Undrgmd.
8. Foundaxion � 59. Gas Pipe, O Undrgmd., Test ,
9. Water Pipe•Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor Svstem 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal
12. Sewer Cap 63. Heater & Vent�Finai
73. Roof Drains 64. Piumbing System - Final
74. Rough Plumbing . 65. Electrirai-Final .
75. Rough Electrica�-Conduit ' 66. Solar SYstem•Final
16. Rough Electric Wiring 67. Fencing & Access APProval �
17. Rough Wiring Sign �. 68. APPROVED FOR PLASTERIIVG
7$, pouqh Electriwl-T Bar Ceiling 69. POOLJSPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. flough Faciory Fireplace � APPROVALS Permit #
21. Ducts; in Structure� 70. Underground Hydro
. 22. Ducts, Ventilating � �7. Product Piping O Gas ❑ Oil .
23. Gas Pipe•Rouqh & Test � • 72. Underground Flush '
24. Roof Framing ', � 73. Undergrnd. Siorage Tank O Gas ❑ Oil
25. Roof Sheathing ' 7q. Overhead Hydro
26. T-Bar Ceiling (St.ucturall & Monocoat 75. Ory Chemical
27. Frame and Flashing 76. Dry Scandpipe _.
28. Wthing &Siding 77. FIXED SYSTEM FINAL
29. Insulation 7B. FIRE PREV. FINAL
30. Drywall Nailing - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL IIVSPECTION
32. Electrical Power Meter�Final S0. FOOD CERTIFICATE ISSUEO
33. Final Electric � ' Notes:
� 34. Final Heating & Air Conditioning
35. Final Gas Pipe•Test ' �
36. Hood or Canopy . �
37. Final Factory Fireplace _ .�
38. Final Plumbing l�•js-� � .
39. Water Service-Final ' ."
4Q, Gas Service•Final `� �
41. Solar pomesticPinal
42. Beckflow Preventer
43. 8ackflow Irrigation .
44. Landscape IrriAation System '
45. Sound Attenuation ' '
46. Handiwp Regulations
47. FINALSTRUCTURE&BUILDWG �` � -
48. FINAL PLANNING �'
49. Electric Release to Edison ----
50. Gas Release to Southem Caiifomia Gas Co _.. _. �
51. CERTIFICATE Of OCCUPANCY -�
� No. Date -