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Home My WebLink About630 CENTER ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job /+ddress: 630 CENTER ST Suite: Vicinity: Parcel Number: 42421231 Applicant: GRAMME, MICHAEL A III Address: 630 CENTER ST COSTA MESA, CA Owner: GRAMME, MICHAEL A III Address . 630 CENTER ST Contraclor. Address: Zip: Arch : Address: COSTA MESA, CA Zoning: Phone: Zip: 92627-2709 Phone: Zip: 92627-2709 Phone: License: Eng: Address: ISSUED BY: Status: ISSUED Applied: 04/12/2004 Issued: 04/12/2004 , Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF FRONT SECTION OF HOUSE ONLY: �T/O WOOD SHAKE, INSTALL 1/2"�OSB PLYWOOD & APPROX. 22 SQR'S OF US TILE ICBO#ER3523-5.9#. - - � Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $111.25 $0.50 $0.00 $0.00 $0.00 $111.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front �0-0 PARKING Existinq: o Rear 0-0 Rear 0- 0 Required: 0 FEESUMMARY Calc Valuation: $5,000.00 Claim Valuation: $s,000.00 PLANNING & ZONING Left 0- 0 Rigfit 0- 0 Left 0- 0 Right 0- 0 Pr000sed: 0� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 780 days. , , INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, antl all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 754-5626 ?dd6-06(N00) WORKERS'COMPENSAnON DECLAfiAnON: " I hereby eRirm untler penalry of pery'ury one ot the tollowing declarations: ❑ I heve antl will mainteln e cenificate of consent to self-Insure for workere' compensetion, as provitled for by section 3700 of the Lebor Code, tor the paAormence of the. work tor which ihis.oermit is issued. ❑ I have and will mainta' workers' compensation Insurance, as required by sectlon 3700 of Ne Lebor Cotle, tor tha perfortnance of the work for which [his permit is issued. My workers' cnmper�etion Insurence cartier entl policy number ere: Certier: �� I\\ umber. (This �i tion need not � anpleted il the permit i� luetl et one hun \\ daiars �sroo� or �ess.�/j/ ❑ I certity that in the peAortnence of the workTor which Ihis permit is issued, I shall not employ any person in any menner sa es to become subject to�t�e wo rs compensetion lews ofCelifomia, and agree ihat If I shoultl becoma sub�ect to the workere"crompensetion provisidns of Section 3700 of ihe�Lebo`r Cotle, I shall fanhwith �compty wiM these provieions. � � \\ ./�% ppi� I � ��=..../ llcantSignature: ,� D.�9t_e:. ! WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPL�OVE�P TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE MUNDRED TqUSAND DOLLARE ($100,000�, IN ADDITION TO THE COST OF COMPENSATIIXJ, �AMAGES AS PiiOVIDED fOR IN SECTION 31O60F THE IABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aftirtn that I am licensetl untler provisions ot Chapter 9(commencing with Section 7000) of Dlvision 3 oi t�e Business entl Professions Cotle, anA my license is in full force entl eHect. Lic. u Class # CoNrectoYs Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby attirtn that Ihere is a wnstruction lending egency for the pedormance ot Ihe work for which Mis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentlers Address: SignaWre: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirtn ihat under penalry of perjury thet I em EXEMPT FHOM THE CONiRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Professions Cotle: Any ciry or county which raquires a pertnit lo constmct, alter, improve, tlemolish, or repair eny structure, pnor to its iuuance, also requires ihe epplicent for such permit to file e signed statement that he or she is Ilcensed pursuant to the provislons af the Cantrectors License Lew (Chapter 9(commencing with Section 7000) ai Division 3 of the Business antl Professlons Code) or that ha or sha is a:empt therefrom and �he basis for tha allegad exemption. Any violatian of Section 7031.5 by any applicant tor a pertnit subje )s the applicant to e civil penalry ot not more than fiva hundred dollare ($500).): I, as owner ot the pmperty, or my employees wlth wages as iheir sole compensation, WILL DO THE WORK, antl the structure is not intendetl or otte�etl for sale (Sec. 7044, Business and Pmfessions Code: The Contractors License Law does not apply ro an owner of property who builOs or improves ihereon, and who does such work himselt or herself or ihrough his or her own employees, provided Ihat such improvements are not Intended or ottered for sele. If, howevar, ihe builtling or impravement is � sold within one year of completion, ihe owner-builder will have ihe burden of proving that he or she did not buiid or improve for purpose of sale.). � ��I! as owner of the properry, em E7(CIUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct ihe pro�ect (Sec. 7044, Business end Protessions Code: The coNrec�ors License Law tloes not ap01y to an owner ot DroPerty who builds or improves thereon, and who conirects for such project with e coniractor(s) license pursuant to Ihe Contractors License Lews.). __ � _ ' Owner ID verified by driver's license. ��Vas ❑ No �Drivers Licensa Venilcation ot Ownership by (type oi documen i.e. - property tax bill ar tleed):✓ DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cetlity that no excavation tive (5) or more feet in depth into which e pereon is raquiretl to tlescend, will be mede in connectlon with work eutharized by Ihis permit, and that no builtling strucwre, sceHolding, falsework, or demolition or tlismantlinq �hereof, will be more ihan thirty-six (36) teet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Title B, Califomie Adminisirative Cade). ❑ As owner-builder, I will nol employ anyone lo do work which would require e pertnit from ihe Division oi Intlustnal Setery, es noted abova, unless such pereon has e pertnit to do such work trom Ihe tlivision. Signeture: Date: Division o� Indusirial Sefety Permit Number: CEHi1FlCATE OF COMPLIANCE AND AU7HORVATON OF ENfAY: I certity under penalry of perjury that I have reatl this epplicetion antl state ihat the information given is correct. I agree to comply with all stat laws end ciry ortlinances relating to building construdion, end authorize representatives of the City of Cosfa Mesa to enter upon the ebove-described /pJ ope for in c purposes. I egree not to occupy or ellow occupancy of any buildirg authorized by this pertnit until fina 'nspection. ,-:i�� .M� � � � !/� �" / Sinnah a Ot Leaa�l O�wnerfsl � �� Da�e And/Or Authorized Applicant Date COOE t. INSPECTIONTYiE 1616 Fi:ed System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Finel Block/Retaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition o�re 1t�9LS 5 -� ( � �,H- COQE� INSPECTONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Elecincal 212 Finel Fire Pravention 220 Finel Planning Approval 222 250 Final Site Finel Building/OccupenCy p�g INfRIRLS OWNER BUCOLLA C0� GEORGE JOB ADDRESS 630 Center St GENERAL CONTRACTOR W. 'A'P No. ll -053-21 LOT INSPECTIONS SOIL GAS WATER ROUGH PLUMBING PROP. SWR. LINE � HOUSE CON. � SPRINNLING SVSTEM MISCELLANEOUS UNOERGROUND U POWER � ROUGH WIflING TRENCHES � FORMS � STEEL REINF FLOOR SYSTEM BONO BEPM � STEEL REINFORCE n $HEATNING FRAME ANO FLASHING LATHING - IN n OUT n PLASTER, BROWN COAT STftUCTURAL, FINAL MEATING, VENT., REFRIG. ANO A.C., FINFL PLUMBING. FINRL AND GAS TEST rI DATE 7�_21-71 BUILDING PERMIT N0. )UP H TYPE SUBCONTRACTOR C�1"I�IlCi $ianature I Date ROUGH PL MISCELLANEOUS ROUGX HEATING AND AIR CONOITIONING UNDERGROUNO U POWER U ROUGH WIRING TRENCHES � FORMS � STEEL REINF. FLOOR SYSTEM BONO BEAM (-j $TEEL REINFORCE I-I SNEATHING FqAME AND BUILDING, iINAL DATE 1-14-: BUILDING PERMIT RIPTION of WORK p��7 px W, ZONE VALUEE�3R�tOf DUP I S J TYPE V—N SUBCONTRACTOR _ / -__.._------ � . .� i� 3�?5? JAN 1 q-7 �Pa—°�7DF00 381++ *** 186.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEI ED BV DATE RECE V O DA7E ISSUED eui�oiNc /._ L._ ^/ ADDRES$ �� I�` / D O PERh11 OWNER A.P. NO. J �— •r 3 MAIL BUILDING `�b �� AODRESS Q �j� ADORE S�p � w W TEL. ��'B'"'�-� R LU � a BIOCK a U clTv �%Q NC�� ZQ CONSTRUCiION - � a� LENDER V' J � BRANCH � J N OWNE � m � ADDRESS VALUE5�Q� � ARCHITECT TEL. S �� S✓u /0�' J F= OR ENGWEER Z q D�✓ � � FIFE /�' w a ADDRESS ZONE TVGE GROU�� d w APPROVED ��j J p CONTRACTOR � BV V�' TE� mz . � _ . JQ ADORE55 �� ww TEL. Zp�,p/� E NO.OF EOFNEW(�i � Zx GITY (,� NO� � • v P�� BUILDIN - r —p STATE CITV �jQ YARDSAPPFOVEO VAR APPROVED �(L LIC. NO.� � Z3 �IC. N. / O 9 MA{IJ BUILDING ACCESSORV BVILDING �p SIZE NO.OFBLOGS, (FROMC/LSTREET) OF LOT NOW ON LOT�Qy ROM OFT. FT. USE OF EXISTING BLOG. S FT F^ S12E OF y L NO. OF Q� � NEWBLDG /��^ ROOMS STOFIES L.SIDE v FT. FT. a EXTERIOfl WAL ROOF �j� ' U COVERING O COVERING .F� REAR �FT. �/ FT. • � r= USE OF ILDING AND WORK TO E PEFF(�MED DISTANCE BET. BET. MAIN& 0. � C / MAIN BLDGS. ACCFSS. BLDGS. 0. Q ,_/ i/ ' VAR. iW RQTE p �(/IJ C.U.P.qIt APPROVED uri "��E b� � / —%— �� x 0 F' � horeby acknowiadee tnat � nave reetl thls appllcallon and ctate HOLD FOR SP CIAL RE � rnet tne aoo�e �otormat�oo �s corre�t eod eerea ro wmaW w�tn Q�IRRMEn1':. � all lawf reBubHnp bulltl7ng concvucHon, end I shall not amploy r any permn in vlolatlon ot the workmen's compansallon lews of the Stete of Colifornlo, �j � w x1 hereby certity thet 1 em proparly Ilcenaetl ea a contrector untler n• FT. � a cha State of Celifornio Busineaa antl Prolasslone Cotle, Divl6lcn 3, THE AMOUNT SHOWN UNDER VALU ON IS FOR � Chaptor 9, entl that such licenaos nra in tull torco entl affett, or I THE PVRPOSE OF ESTABLISHING A PERMIY FEE ONLV: � am exampt (rom the provisiona o( the Sta( of alif nie Busin u V ALUATION � t`� antl Professiona Cotla, Divisi 3, CIyp ter °� // �j PERMR FEE 5 � � � Sip^etura of �� Z � m Parmlttee ��Cl L . _ M E �, S38 i o� P�N CHECK S o � LL Authorizatl ABant , TOTAL FEE $ � r—` �� 33983 COSTA MESA BUILDING•SAFETY DEPAR7ME P.O. BOX 1200 COSTA MESA, CALIFORNIA 9262i Far Applicant to Fill in Completely BUILDING / 3 O C�� % �� / ADDRESS �� OWNER C/�O, ��dC�O �-�fI �G , ADDRESS '%7 G / /✓�� i�e /"� TE L. cirv /Ui��/��T � 6�fcry- No.J�yc CONSTRUCTION �/� LENOEF /l/C 'v F BRANCH ADDRESS ARCMITECT /%/ l TEI. (lF FN(:INFFR � V � rt�� I!) CONTFiACTOR /j{%, /T . /��yNG>tlJ$ +L �U ADDRESS ��4� � , �jNLn �-�✓ TE L. CITV�(/FyN/f �j}�K �j}L� NO.J�7�I'. STATE GT V LIC. NO. LIC. NO. S I Z E NO. OF BLDGS. OF I.OT . NOW ON l0T USE OF E%ISTING BLDG. SIZE OF NO. OF NEW BLDG. ROOMS EXTERIOR WALL ROOF COVERING COVERING VSE OF BUIL�ING AND WOFK TO BE PERFC /ii.e-F ��r,��e � I / .e i ��.c= u 7 rn�c ny;r :r;.�<::.{�,,C OEC 21-7 i �r� 00 8. APPLICATION FOR BUILDING PERMIT RECEI V&D BV DATE RECEIVED nerc iccni wv i. - — A.P. NO� �� BUILDING / "1 O ��7 �. i ADDRESS (� —7 lX�'1/Le OWN FIRE ZONE APPROVED � NO.Of PLQN$ i VARDSAPPROVED DI5TANCE BET. MAIN BLDGS. VAR. 3Y+ C.U.P.de J I hereby acknowlatlpe that 1 have reatl this epplicetion anC stete ihat ihe above intOrmetio� is correct antl agrae to comply with all laws reBulatinp builtling consvuction, antl I shell not employ any person in vlaloHon of ihe workman's compansaUon laws of Me Smte ot Calitomia. I hareby certify thai 1 am properly licenaetl asa contractor untler SQ. FT. the State of California Bu=i�ess and Profassions Cotle, Divisicn 3, THE AMOUNT SH Chepmr 9, antl [hat sueh licenses era in full force entl effxt, or 1 7HE PURPO6E OF 1 am ax¢mpt from the provisions ot the Stata of Californie Businea antl Protession otl �Oivi27on 3, Chapter 9. VALUATION i� � f` ��-� � � $Ipnatura ot i � �� Permittee /l+- $ � Aut�orizetl Agent R J VALU$ � �(y i� ROUP �DATE %�� / � E OF NEW � LDIN VA SAPPROVED CCESSORV BUILDING & _ m b 0 VALUATION IS FOR � A PERMIT FEE ONLV: m ¢ e s r? •0-4 m � � K 8 . Lt-D E `o s o�J'0�� LL