HomeMy WebLinkAbout288 BAY ST - Building PermitsEAST BAY STREET 2�
7281 - 9-16-58 'dood Fencc $ 127.j
6150 - 3-1a-5$ Res.w/att.gar. 10,720•!
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(714) 754-5273 • Fax pia> �sa-aess • www.ci.cosca-mesa.y�.�LDING PERMIT
Job Address: 288 E BAY ST
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 42621311
Zoning:
npplicant: PELLICIO, JEFFREY
Address: 1653 SUPERIOR AVE . � � �
-'%�� Phone: (949)642-7222
COSTA MESA,�CA � ' Zip: 92627 =
Owner. COFFER, SANDRA LEE
Address ALEXANDER TR �
� NEWPORT BEACH, CA ' Phone:�
. -318 VIA LIDO NORD �, Zip: 92663-4610
Contractor. ' LEE ROOFING OF COSTA MESA
Adtlress: 1653 SUPERIOR AVE
COSTA MESA, CA
2ip: 92627
Arch :
Address:
Phone: � (949) 642-7222
License: 349686
- Eng:
Address:
77 FAIR DFiIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 10/27/2003
Issued: 10/27/2003
ISSUED BY:
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Zip: . , License: , License:
SCOPE OF PERMIT _
TEAR OFF EXISTING ROOF, INSTALL FELT AND COVER 30 YEAR CLASS A COMP SHINGLES. INCLUDES RESIDENCE AND ATTACHED
GARAGE. --- : ._ .. . - � � - - - . ,
Plan Check:
Permit:
SMIP Res:
SMIP Com:.
Other:
Inspection:
Total:
FEESUMMARY
$0.00 -� _"_._
$97.25
$0.50
$0.00 •
$0.00
$0.00 .
.,,:...
$97.75 .
SETBACKS
MAW STRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Ezistinq: o
Rear 0- 0
� Rear �: 0- 0
Required: 0
_ Cslc Valuation: Sa,000.00
Claim Valuation: Sa,000.00
PLANNING & ZONING
�' '
/
Left 0-0 Right - 0-0 . �
i
Left 0- 0 ' Right �� 0- 0 �
Proposed: 0
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia 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 ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspectlons and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2aas-ae �aroo�
WORKERS' COMPENSA710N DECLARATION:
I hereby eMirm under penalry of perjury one af the following Oedaratlons:
I have and will maintaln e cenificate of consent to selt-Insure for workers' compensetlan, as providetl for �y section 3700 of the LaDor Code, for Ihe pertormence of Ihe
wa or w�lc� t�is permit Is Issued.
have and will maintain workers' com0ensation Insurence, es requlred by sectlon 3700 of the Lehor CoOe, for t�e peRortnance of the work br which this pertnit Is Issued.
My wo co penseftl Insura ce cerder entl policy number ere: �/� p M,-.�7
Cartler: � � � K_�n�� Polity Number: (Y1l `7 (S ' CyVC.t�
(Thls section need nat be cromp/eted it (he permit is valuetl at one hundred dollers ($100J or Ie�s.J \
�
❑ I cenify that In the peAormence oi the work for whlch this pertnit is IssueU, I shall not employ any person in eny manner so as to become subject to ihe workars'
compensation lews o CelifornlB, nd e ree thel If I shoulA become sub�ect to Ihe workers' compensation provislons of Sec lon 3700 of t e Lebor Catle, I ahell forthwith
comply with these pr isio s. I ' -� /'
AppllcantSignaNre��f ��.�,�I�A.(.�-�7� Oete: ' V ��� �� �
WARNINQ: FAILURE T 5 RE WORKERS' COMPENSATION CAVEMOE IS UNIAWFUL AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES 0 CIVIL FINES UP TO ONE HUNDRED
TFK%ISANDDOLLARE 1 000),INADDITIONTOTMECOSTOFCOMPENSATION,DAM4GESASPROVI�EDFORINSECT10N3]O60FTHELABORCODE,INfEREST,ANDATTORNEY'SFEES.
LICENSED CONTRACTORS DECLARATION:
I here6y eHirm thet I em Ilcensetl untler provislons oj Chepter 9(commencing wit� Sectlon 7000) of Dlvlsion 3 ot ihe eusiness and Protesslons Code, end my license is In full
force end ettect LIc. a /I � R �I Gass x
Contractors SigneWre: � //� Date: � � �- % /i7
��i+ —I' I�TTT-1
0
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirm that there is e consiruction lentling egency lor ihe peAormence of lhe work for which Ihis permit is issuetl. (Sec. 3097, Civil Cotle).
Lender's Name: Lentler's Atldress:
Signeture:
OWNER-BUILDER DECLARATONS:
Date:
I herehy eftirtn that under penelty of perjury the� I em E%EMPT FROM THE CONTFiACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7037.5, 8uslness end Professions
Code: Any ciry or counry which requires a partnit to construc6 alter, improve, demolish, or repair eny strucWre, pnor lo its issuance, also requires the ep0�icaN for such pertnit
to tile e signeC statement �het he or she is Ilcensed pursuam to the provislons at t�e Contredors LJcensa Law (Chepter 9(commendng with Sectlon 7000) oi Divlslon 3 of iha
Business entl Professions Code) or thet �e ar she Is e:empt therefrom and Ihe basis br Ihe ellegetl exemption. Any violation oi Section 7031.5 by eny applicent tor e pertnit
subjects the epplicent to e civll penalry ot not more then five huntlretl tlollars ($500).):
❑ I, as owner of the property, or my employees wlih wages es thelr sale compensation, WILL DO THE WORK, antl the structure is not Iniended or ottereA for sele (Sec.
7044, Busineu antl Protessions Catle: The ConlraMors License Law does not apply Io an owner of property who builds or improves ihereon, and who does such work
hlmself or herself or through his or her own employees, provided that such improvements are not Intendetl or oflered for sale. If, however, the building or improvement is
sold within one year of com0letion, tha owner-builder will heve Ihe burdan of proving that he or she did not build or improve for purpose of sale.). '
❑ I, 85 owner of �hB property, em E%CLUSIVELY CONTRACTING WITH LICENSED CON7RACTORS to construct ihe pralect (Sec. 7044, BuSiness and Protession5
Catle: The comractors LJcense Lew tloes not epply to an owner of property who builds or Imprwes t�ereon, enC who contracis for such project with a conirector(s)
license pursuent to the Conirectors License Lews.).
❑ I am exemp� under SeC.
Signe�urB:
Owner ID verified by dnvefs Iicense. ❑ Ves ❑ No
Business antl Protessions Code tor this reason:
Vedflcatian of Ownership by (rype oi documant, i.e. - property �a�c blll or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMR CER7IFICATION:
Drlvefs License No.
Date:
Expires:
❑ I hereby ceNfy ihat no excevatlon flve (5) or more feet in depth inio which a person Is required to descend, will be matle in connection wi�h work euthorized by this
pertnit, antl that no building atrucNre, sceHolding, lalsework, or demolition or dismantling Ihereof, will be more than thirty-six (36) feet �igR (Chap. 32, Gry 2, Art 2, Sec.
341, Ttle B, Califomle Atlminislretive Cotle).
❑ As owner-builtler, 1 will not employ enyone to tlo work whlch would require e partnit trom the Division oi Intlustnal Safery, as noted ebove, unless such person has e
pertnit to tlo such work Irom the divislon.
Signature: Date:
Division ot IndusMel Satery Pertnit Num�er.
CERTIFlCATE OF COMPLIANCE AND AUfHORVJ1710N OF EMAY: I certity untler penalty of perjury that I have read this epplication and state Ihat ihe inlortnetion given is
coneCt. I eqree to comply wlth ell s�ete laws entl ciry oMinences relating to building conswction, and aulhodze representatives of ��e Ciry of Coste Mesa to enter upon �he
above-descnbeE properry for inspection purposes. I egree not to occupy or allow occupency of any building authonzetl by this permit until finel inspection.
COOE I,
1616
12fi8
200
zoi
202
203
204
Fixetl System Finel Fire Preventlon
Pool Spe Finel
Final Re-Rao1
Final BIocWRelaining Well
Final Fectory Fire Place
Final Sign
Final Demolition
QAg Uii�EELB
CQDEt INSVECTIONTYPE
206 Finel Mechanical
208 Final Plumbing
210 Finel EIBCMteI
212 Final Flre Prevention
220 Final Planning Approval
222 Finel Site
250 Final Building/Occupancy
n
OWNER SUTTON� J.W. �� DATE 5-12—SB � �
JOB ADDRESS p88 Bav StT'eet � � BL[ILDING PERMIT NO. ']2$1
GENERAL CONTRACTOR pymer—BUilder _ VALUE $� 127.00
AP. No. LOT 18 TRACT 'jp7p FIRE ZONE DESCRIPTION OF WORK Wood Fence
INSPECTIONS , I DATE I SUBCONTRACTOR ( DATE PIRMITSNUMBEF
coat
Pinal Gas Test
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COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31]
COSTA MESA, CALIFORNIA -
FOR APPLICANT TO FILL IN
COSTA MESA, CALIFORNIA
MAIL E S
AOORE55
TEL.
CITV Costa Mesa NO.
ARCHITECT Carlson & LIC.
OR ENGINEER NO
AOORE55 Garden Grove
_ _ _ _ CITY LLC.
LEGTL LQT ,A ^^�
OESCRIPTION NO. 1� BLOCK TRACT }4
A.P. NO.
SIZE r� NO.OF 0LOG5. '
OF LOT ( Jr X� �iow or+ LOT IlOi10
USE OF
EXISTING BLDG. IIOI'1B
SETBACK LINE FPOM 1�
ccN1Ea or srrx[[r r{6� REAR VARD 17�
SIDEYAR� RIGHT �O� LEFT � �
DESCRIPTION� OF WORK •�
NEW A ALTERATION ADOITION
REPAIR MOViNG DEMOLISH
5 IIE DING l��� S♦ Pt� ROOMS STORIES �
1
EXTERIOR WALL ROOF
COVERING StuCCO COVERING COIR �
USE OF NEW ... � .� . � _ . _
,�;�� �,��,�VED
ii-29-•S7 i'��
�+ �•
C1TY OF COS[A 1�►
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
PECEIPT NO. PER O
\ �
IECEIVEO BV �nTE RECEIVEO OnTE �SSUE
COSTA MESA, CALIFORNIA
APPROVEO
BY DATE
CORRECTIONS
ri
STATE TNAT THE FBOVE IS CORRECT RNO AGREE TO COMPLV WITH ALL
CITV ORDINPNCES AND 5 ATE LA�NS REGVLATING BIIILUING CONSTRII � '
iiorv. (/�� 'n�J' �� //��% VALUATION Z�.M
SIGNATURE OF ��, _ J /`( r (y.i_ __ PERMIT FEE $ W
I AUTHORIZED AGENT D•^r• AND
PLAN CHEGK E 13�W
$ 10�7�2�00
ITJC. TOTAL FEE 8 39�� "�M�
�, ' , OSTA MESA �UiLDiIVF �EPARTMENT
P.O. BOX 31�
COSTA MESA CALIFORNIA � �.; f
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C•L. OF STREET
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MAXRIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES
I i28� I ,
FOR AP'PLICANT,TO FILL IN
BUILDING ADDRESS � -S
Owner �� ���f�/✓
Mail Address s�/� �-'
City �Sf/J ly%G' SC! Ph. No.�%� �-�✓�9�
- - - - - - - - - - - - - - - - - - -
Contractor D vr n/e �' Ph. No.
Address
City Lic. No. State Lic. No.
Size of Lo ?S�X ---AP No. LD f� a �-- �-
�� 6„
Setbacks: C/L Street 0 � Rear_ -��_
/ / /f
Side Yard - Righ ` _/� L�Lelft__�_�—
Type of Fence L�/ o o O' I/✓ /FYf J� L C
I hereby acknowledge that I have read this application and state
that the above is correct and agree to comply with all City Ord-
inances and St Laws reg ting building construction.
Signature /
of Permittee r� _
a,.o..,
FOR OFFICE USE ONLY
VALUATION
Permit Fee $ �'
� �,� 7� �CZ Plan C, heck $_
\
TOTAL EE $�
U,SE REVERSE SIDE FOR DETAILS