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HomeMy WebLinkAbout490 COSTA MESA ST - Building Permits�� (714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT C Job Address: 490 COSTA MESA ST Suite: Vicinity: ROOF Parcel Number: 42632209 Zoning: Applicanr. JOE LANGDON Address: 16312ARLINGTONLN � " . ' � � ��� � � Phone: 714-536-1816 i, i,_ _ HUNTINGTON BEACH� CA � 2ip: 92649 / , owner. COTTEN'�MILTON C TR ��, � Address �490�COSTA MESA ST- � � . � �� A _ — - _ __ i , ' ` ' Phone: �i ,. j COSTA MESA, CA - Zip: 92627 ; , ��. : -% ,;'�� '. Contracror: ��JNLROOFING �� Ad`dress: 16312 ARLINGTON LN - ' � , , Phonei 714-536-1816 . � � , HUNTINGTON BEACH CA � � Zip:.� 92649 License: 648337. Arch : ; Address: Zip: .. � ` . - Phone: - ' License: StaWs: ISSUED Applied: 07/07/2003 Issued: 07I07I2003 ./� / .: �� Eng: - � _ . _ Address: ` " ' � � � Phone: , " �_ \ License: - - .- ;. � . SCOPE OF PERMIT- � TEAR OFF EXISTING ROOF. INSTALL 30 YEAR�COMPOSITION SHINGLES,�7/i6 O.S.B_SHEATHING, AND 30# FELT. 11 1/2 SQUARES OP . S.F.D. AND 4 1/2 S�UARES FOR DETACHED GARAGE. WILL REROOf S.F.D. AND DETACHED GARAGE CONCURRENTLY. ' - � - � " .. FEE SUMMARY , : \; Plan Check:' " $0.00 � ' " Calc Valuation: Permit $9725 " , Claim Valuation: :; . �, ���SMIP�Res �`',�� $0.50 � � � �SMIP Com: � ', � $0.00 � _ , ' � ;` Other:`�. � i.'$0.00 �� ; ���,Inspection:, ��$0.00 ; . -� - ' � � � , _ . _c:;!�:t�. . �i.%,' .. �'�`l �,, �,, cTotal: � $97:75 �. � `'" � , 0 � �� - i., , _ � —' . , , . ` " , _ _ _ _ . ��_ � �_�_ �. _ � PLANNING & ZONING � � _ SETBACKS � �� � � ��� MAIN STRUCTURE .Front 0- 0 � , , . Rear - � 0- 0 �� � Left � . � 0-�0 � - Right ' 0- 0 � � "' , .� � � �i ACCESSORY Front �� 0- 0�� -' Rear �0- 0-- , LeK , 0- 0 Right . 0- 0�,-' PARKING Existinq: �0 � Required: .0 � Pr000sed: o` - ' - � , ; �_.- $3,100.00 �$3,100.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 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 applicable codes, and all required Inspeetions and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2d66-4fi(N00� WORKERS'COMPENSATON DECLARAnON: ` I hereby attir,m untler p3nalry of perjury ona oi Ihe following daclarations: ❑ I have entl will malntain a certificate ot consent to seN-Insure far workers' compensation, as provitletl for by section 3700 of the Lebor Cotle, tor the pedormence of the work for which Ihis permit Is issued. ❑ I have end will malntain workers' compensation insurance, es requiretl by section 3700 of tha Lehor Cotle, tor the peAortnance of the work for whk� this permit is issuetl. My workers' compensation Insuranca ca�der end poliry number ere: Cerrier: one or less.) Policy Number: [�I'certity lhat in ihe eA a of the work for which ihis permit is issued, I shall not employ any person in eny menner so as to becoma subject ta the workers' , compansation law 1 lil ia, end egree that ii I shoulC become subject to Ihe workere' compensation provisions of Section 3700 of the Lebor Code, I shall forthwith comply with thesa p �� �J�� Applicant Signature: Date: � WARNING: FAILURE TO SEC R WORKERS' C COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AN� dVIL FINES UP TOIXJE HUNDRED THOUSANODOLIARE(5100 ,INADDRIONTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECTIqJ3lO60FTHEUBORCO�E,IMEREST,ANDATTOHNEI^SFEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm Ihat I am licensed brce antl eflect. Lia N_� Contractofs Signamre: _ CONSTRUCTION LENDING AG ❑ I hereby attirtn that there is Lentlafs Name: Signatura: OWNER-BUILDER DECLARATONS: 9(commencing with Section 7000) oi Division 3 of Ihe eusiness and ProlessionsC�ade, antl my license is in full Class k � —� 7 _ _ _ _. _ Date: .. _ . '�%i — � lending agency for ihe Dedormance of Ihe work tor which Ihis permit is issued. (Sec. 3097, Civil Code). Lentler's Atldress: Date: I hereby ettirm Ihat under penalty of perjury Ihat I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor ihe tollowing reason (Sec. 7031.5, Business end Protessions Code: Any city or counry which requires a permit to construct, alter, improve, demolish, or repair any siructure, pnor to its issuance, elso requires ihe epplicant tor such pertnit to file a signea statement thai ha or she is licensed pursuent to the pmvisions of the Conirectors License Lew (Ghapter 9(commencing with Section 7000) ot Division 3 of the Busineu antl Protessions Code) or ihat he or she is e:empt Iherefrom and the basis for the alle9ed exemption. Any violetion of Section 7031.5 by eny epPlicent for e parmit suDjecis the applicant to a civil penalty of not more ihan five huntlred tlollers ($500).): ❑ I, as owner ot Ne properry, or my amployaes with weges as their sole compensation, WILL DO THE WORK, and ihe simcture Is not imendad or ofleretl for sale (Sec. 7044, Business antl Professions Code: Tha Contractors License Law dces noi apply to an owner of properry who builds or improves theraon, and who does such work himsetl or herselt or through his or her awn employees, provided Ihet such improvements are not intended or ottered tor sele. If, however, the huiltling or improvement is sold within one year of completion, ihe ownerbuilder will have�ihe burden of proving that he or she did not build or improve for purposa ot sale.). � ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the projecl (Sec. 7044, Business antl Professions Code: The conirectors LJcense Law tloes not apply to an owner of pwpeny who bullas or improves thereon, antl who contracts for such project wit� a contractor(s) license Dursuant to the Contractors License Laws.). ❑ I am exempt under sec. Signature: Owner ID verilied by dnvefs license. ❑ Yes ❑ No Business and Professions Cotle for this reason: Vedficatian ot Ownership by (type ot documem, I.e. - pmperty tvc bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATION: DriverS LiCen58 No. Da�e: Expires: ❑ I hereby cenity that no excavatlon five (5) or more tee� in Oepth into which a person is requlred to descend, will be matle in connection with work authorized by this permit, and that no building sirudure, scallolding, talsework, or demoli�ion or tlismantling thereof, will be more than ihirty-six (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec. 341, Tile 8, Califomia Atlminisiretive Code). ❑ As owner-buil0er, I will not employ anyone to tlo work which woultl require e pertnit trom tha Division of Intlustnal Sefery, es notetl ebove, unless such person hes e permit to do such wark irom tha division. Signature: Date: Division Of InduS�riel Sefeiy Permi� Number: CERTIFICATE OF COMPLIANCE AND AUfHORIZATION OF ENTRY: I certity under penalry of perjury ihat 1 have read this epplicetion and state Ihat ihe intorme�ion given is correct I agree to compty with ell ate laws end ciry ordinances relating to building consWction, end authorize representatives ot ihe Ciry oi Coste Mesa Io en�er upon Ihe ebove-descnbed propq�Fy for insp�ion purpases. I agree not to occupy or allow occupency ot eny building authonzed by this permit until final inspection. COOE1, �HsvernoxTrPe 1618 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 FIna181ocWRetaining Well 202 203 204 Final Factory Fire Place Final Sign Final Demolition ' COUE� INSPECTIONTYPE 206 Final Mec�anical 20B Final Plumbing 210 Finel Elecirical 212 Finel Flre Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy Date �� � -�� Date PdIF li�l$ 1 2 3 4. COUNTY OF ORANGE BUILDING DEPT. 636 No. Brqadway Santa Ana� Cafifornia Phone: KI 2-6211 :: � '+ Application for Building Permit AND FOR A Certif�cate of Use and Occupancy Permit No.__.oGC--�1-�_._• Date__._____!_O.�! .f _ / / OWNER'S NAME------COAAT__QRA�iOE_A`%RFa------------------------------- HBAQOD B`�9T -- - -- - ---- PHOIVE:.---- - -- - -- -- -- 1� Fi. i�%S�1 $Y.�`89ri •_ CITY --- 000�`R M9AA------- --- - MAILING ADDRESS --------------- - ------------ ---- - - --- — --- --- ------- I`lame ... Address c«Y -- State Lic No. Geor�o ti. Fio].aLein �C 9one -------------�-----------'--------------- Name--------------'-----`-----__--------------`------------------------ (Archicect or Engineer) . xQei �i. �7th��a98�� -------------------------------------'---- Address_---------------__..__-.----------------------------------- Coe&a tieea ----- --�------ - - - - - ------ - c«,. State l��ir.�iQ�} Bl Ho4aon 8297 ---------- Phone ------ ---------------- Lic. No._-------------------- ------ Phone.------------`-------- PROPOSEp USE: ______RHBSaOi]d@ - -- - ------- - ----- -- ---- ---- --- - -- --- -------- --.. -- - -- ----- - JOB LOCATION---'i�90---�.---CpSTA_--�Ef.4--S7---------------QOB�'Q- Ii08II - - - ----`-------�--------`-� (House No.) (Name oE Street) (Town or School Dis¢i` �0� / 1�., LEGAL D�SCRIPTION: Lot -------�Q-Q----------'-----------Block _----. -------Tract -------------------- - ------------ (Me�es and Bounda Description—Use reserse side of form) CORNER L,OT ( ) INTERIOR LOT (�) THROUGH LOT ( ) SLOPE OF LOT ( ) 5. SIZE OF BLDG.:.'!��_�._ZG__..AREA:.___�{' G-L---------_--_-.SIZE OF LOT: _d._�__j -I��-AREA: _Z�L�__..._._.__ 0 9 6. HEIGHT qF BLDG.:__.__�'8_______.__..___._CEILING HEIGHT:..____ _______.____..__.._..._. NO. OF STORIES._____-l._____._.. 7. NO. FAIv1TLIE5__.___.__l.______.__.____._Size of SmallestBedroom:.._yGJ`_�P._..._SiieofKitchen:_.��._/.(j_LL__._ 8. EXTERIOR WALL CONSTRUCTION���._8����____.I[VTERIOR WALL COVERING ._.___�1(i0E8s ---- (Frame, Smcco, Etc.) r� - (Plasrer-Drywall, Etc.) 9. SETBACKS: Fron[ Yard from Center Liae of Street.____�J.�__________ _______..____.___._.___.____ � p�/ i '/ . • Nearest Side Yard__..___g___._._Rear Yard____p._T--._-.Distance in Feet Between Bldgs. on Same Lot _.__?.0___________.__.._. __ 1U. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCl"URES AND USE OF EACH. A k 91 1 l. For (a) Footing: Widtli .........1'�-_--_---____--_. Depth in Ciround_----_- .__�..'.---.-_..----... Width of Wall __----_g- -----'- - Accessory � Bldgs. and 6 Size of Scuds: __"._ �_g 3'�M CONC , Similar ( � ----------Spating---_-__--'-__' "CC Material of Floor __------__--_-.-------- Strucmres: (c) Size o£ Floor ]oiscs: �"'__--___Spacing .-_'�.-.__-.------_`CC (d) Size of Rafters: ---_-2-x--�--._-----'---._.Spacing ----��p - ---- -- - - --�`CC 12. VALUATION OF PROPOSED WORK: Induding all laboq plumbing, electrical wiring, heating, fire sprinklers, paino � ing and sewage disposal �-_-�j-�.-��-------_------____-_'__---- • h li. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE COIVSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALTFORNIA APPLICABLE THERETO. ----Signed:-- --j(�J �'-.p"- -//� .-1�7�/--�-'- -_�-•- �� --`--- �O - d '.TA --- // Owner) Plans Filed:.---------------------------------------- !� By'..---'- -�'--"- -- - --- ------- - ---- ---- - ---- -- --- (Auchorized Agent) Bldg. Permic Pfan Chec.l Total - - Receipt No. Paid ro Date ----------- DATE. FOR DEPARTMENTAL USE ONLY GROUP--- "� -- --- TYPE.__--___- DIST. /�� /. MAP--- --- -L�n.__-- - ---- -- SHEET NO._ __,,I�______ C��ING BY APPLICATIO. �_/__�j_/_.j.� HEALTH__._.________________. ZONING ___.�" "._"_. FIRE MARSHAL PLANS AND SPEC'5---- -------- - - -- STATE - ---- --- -- - -- - -- CORRECTIONS ENGINEER PERMIT ISSUED BY: SM-9-50 C� COUNTY OF ORANGE BUILDING DEPT. 636 No. Broadway , Santa Ana� California Phone: KI 2-G211 Application for Building Permit P"""`No.__`�_/_�--�-�-____ � AND FOR A ' Certificate of Use and Occupancy Dace ---- ��- 3-��-- --- ---- I. OWNER'S NAME-----QOAi}T--�_.�----- --- -------- - PHONE:�BO� _ 6�- MAILI[VG ADDRESS------.��_S�._i�fitl-B�L-----------------------------_. CITY —OOBbO �+�OOit-- ---- � Name ... __._. Address City --------------.. State Lic No. -------�----'---.. (Archirect ot Engineer) Phone PROPOSED USE:---d�_------------------- 2. JOB LOCATION._____�YD__ �__�S'rii _, (House No.) (Name of Na me. ��_- ir�e--����Stco�-��--------------- Address _1.�--r9�--�.7�-+�ii�i��---------------------------� Ciry - Q04rA-:iOt13- -- ------- - - State Lic: Noii�isii.--__--�1--_-___. Phone (Town or School Districo) 3. LEGAL DESCRIPTION: Lo� __-_--((/Q--__-__-_-_-----_--.Block ____-.-_�� - . ._______' (Meres and Bounds Description—Use reserse side of Eorm) 4. CORI�'ER LpT ( ) INTERIOR LOT (�) THROUGH LOT ( _._Tract .__.�._. SLOPE OF LOT ( 5. SIZE OF BLDG.: _�._�. �...__AREA:__ S�_.BQ--� __.SIZE OF LOT:_��J_X__L,31 ._ AREA: .7�G.r_____._.__ 6. HEIGHT Ofi BLDG.:__��________.___...______CEILING HEIGHT: NO. OF STORIES__.],__.______._. 7. NO. FAMIL,IES ______.__. ..____Size of Smallest Bedroom:_.___._.._.._..__.._._... Size of Kitchen:. 8. EXTERIOR WALL CONSTRUCTION:.�O._.BLyQpp__.__INTERIOR WALL COVERING.__. (Frame, Soumo� Em.) (Plas�er-Drywall, Em.) R SETBACKS; Front Yard .from Center Liae of Street_.___.__.________________._______.___._.________._______________ / •/ i Nearest Side Yard_._�_---._._Rear Yard__.__._______.__.Distance in Feec Between Bldgs. on Same Lot _'7`�Q.__.._.___.____- 1G. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 11. For (a) Footing: Width -_�d�---___-__-'__-_-.. Depth in Ground__�M--:-_-.'____- Width of Wa�� _.8�.__._-_.-_-_ Actessory - Bldgs. and . / / � b Size of Studs: __..�. i�_"2`-_._.___..S atin �(p___--_____"CC Material of Floor .� Similar ( � . _ . ___ p g._._________ �Qire-_____ Structures: (c) Size of Floor ]oists:..--.._-------------------Spacing ----------------------' CC ' (d) Size of Rafters: -----�-�--g----------_-._.Spacino ------�R----------- CC I 12. VALUATION OF PROPOSED WORK: Including all laboq plumbing, electrical wiring, heating, fire sprinklers, paint- -- in and sewa e dis osal � -7_ Cto . _ _ _ � S 8 P �-'--/ �0---�-------------------------� - - — - 1>. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE ALVD BELIEF THE INFORMATION IN THIS APPLiCATION IS CORRECT AND THAT THE COLVSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AIVD THE STATE OF CALIFOR[VIA APPLICABLE THERETO. Sigr Plans Filed:.-- ---/�_—`� � J d-------------- Bldg. Permit Plan Check Total - - Receip[ No. Paid m Dace :___..__. DA FEES: � mo ' $-------------o-a------- - 8 -- r-�-�- FOR DEPARTME[VTAL USE ONLY GROUP.____�T _- TYPE.----- �---- ---- DIST. /v�� MAP -- ---("i- SHEET NO.__.�___.._._._ CHECK NG BY APPLICATION�_ HEALTH._._.____________. �FIRE ZONING---------------- MARSHAL_--------------- PLANS AND SPEC'S_-_-__-.------__..__. STATE___.. CORRECTIO[VS ENGINEER VERIFIED.---------------- CAL.------------ i' :7� 7ulY1f(.XY�1q�7:3E 5M-) 50 �� DATE )B ADDRFSS 1 � GENERAL CONTRACTOR Walter M. SW8iri CO. DESCRIPTION OF WORK waa �eo TeS. p ��$_2qp_pq IAT TRACT FIRE ZONE VALUE $ 3�7SO.0 n. .-Feminraa I Sienature I Dafe � GROIIP Z TYPE �% 'LC SUBCONTRACTOR or 26'7'52 COSTA MESA BUILDING-SAFEfY DEPARTMEPIr P.O. BOX 12M COSTA MFSA� CALIFORNIA 02E20 • Por App11rnM to Ptl! In Complsfely TYPE OR PRINT aoiNa ��G �'G.i'T/1 ,�"I�Sr/ d�%. oaeaa COSTA MESA, CALIFORNIA � - Fc s: r9 .�I L3P ECT �—" INHHR 1�3s � PAID � �,��„� MAR -3-67�M,A00 121 22.50 APPLICATION FOR PERMfT BUILDING For Offko Ur� Only eic��rt xo. ��i ZONING �/ (//L� 7^. � A. P. NO. � O( /� � C/ NMB: NOEAVHOVERNANOBNALLlBLl88THAN f/S'i 7S/� � 80' TO HID6 0 RBAR . L. EAVEB No.OletDo�. �j pLLOWED (U.B.C.RBQUIRBMHNTI NOW ON LOT YARDBAPPROVlD YARDHAPPROV6D e: i�� ._ .— MAIN BUILDINO ACC6DSORYBUILDIN6 96TBACK LIN[ �ROM � CBMEROPYTIi[ -�G R� ! cin r e �.eFr niaxr DESCRIPTION OF. WORK C 1 NCRlpY ACKNONM1��DG[ TMAT.I MAV6 RGD'1'XI� AP�LIGTION ANO BTAT6 TMAT Tii AlOY6,I9 CORp64Y AND A0116[ YO COY. PLY WITX ALL GIT1' OpDINANCY Ary0 �TAi[ WW� P[OYL11TN0 GOILDIHO CONBiRY�C/T10N. e......�.'����//��� � � � a � AUTXORIZ[D AO[N7 �� � ,(tca-.� � -. vwn. # DAT6 w w � �� ea. rr. � n�e �woue�r sxowe� uqoex v��uwnox �e ron n�s � ►URPOBI O! tHiApYlXINO A P[11MIT F6[ ONLY. � VAWATION � PERMIT FEE �. � s.� %��, ° ° " E ^ � 5a w TOTALPiE v'��VV