HomeMy WebLinkAbout1780 POMONA AVE - Building PermitsJOB ADDAFSS
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DATE
SUBCONTItACTOR
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JOB ADDRESS 1�(tl0 A YOIDOIIB. AV2All0 BUILDING PEftMIT
GENERAL CONTRACTOR dWR@T-build2T VALUE 511. 90.0
SUBCONTRACTOR
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C��STA MESA BUILDINGSAFETY. DEPARTMENT
P.O. BOJ[ ]77 COHTA M88A. CALIFORNIA
For Applicant to Fill In Completefy
TYPE OR PRINT
JRE�S9 1780 B Pomona y�i
COSTA MESA, CALIFORNIA
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� STATH
NO. OP BLD09.
USE OF
E%ISTINO BLD6. IlOIlE
BETBACR LINH PROM L��
C8NT8P OF HTfl6[T 88 � RHAR YA D � V
61DEYARDI LEFf � I R16HT �
DESCRIPTION OF WORK
� EXTERIOR
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NAB. s i ie�a
FINANCE DEPT. �
CITY OF COSTA MESA �-d2
APPLICATION FOR PERMR �
BUILDINfi g/� G � �%q��
For ONica Usa Only ` q�___� �
ILDINO
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: NO fiAV E OVHRHAN6 BHALL BE LE89 THAN
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MAIN BUILDING
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ACGESSORV BUILDINO
�� REAR � FT. � FT.
DIBTANCfi BHT. BfiT. MAIN R
8H MAIN BLD 9. IO ACC6SS. BLD6S.
VAR. # DATE
RIEB 1 C.U.P. APPROVHD
APPROVHD /�
jj 1' L � DATE 3�3o/4J �
:: HOLD FOR SPEC REQUIREMEN'iS
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1 NEqHBY ACKNOWLCDOB TN�T 1 XAV6 RGG TH18 APPLIGTION
AND 8TAT6 TryAT 8 ABOVB IB COpqECT AND AOR88 TO COM.
PLY WITH �LL CITY RDINANCBB AND BTAT6 LAWY qiOULATINO
BUILOINOCONBTpUR N.
SIGNATUREOF ��^ �f�� �j�
PERMITTE /
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AUTHORIZQD AQHqT
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PURPOBB Op HBT
VALUATION
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VALl1AT10N 19 FOP TH8
A PHPMIT 168 ONLY.
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� 21�,� � FEE RECEIVE
-tOSTA, MESA BUILDING-SqFETY DEhARTMEtdT (NAfl 3 1 1964
P.O. BOX 917 C06TA MeBA, CALIFORNIA FINANCE DEPT.
For Appllcont to Fill In Complefely ` AY�lICAT10N FTORrPEWvA
TYPE OR PRINT BUILDING
BUILDING �- � _, �,,,�_ �__ FOI Offiee Use Only�s-
aooREss ` y � �
RHC[IIT NO. �. P6 T N I
COSTA. MESA,- CqGFORNIA�. � � 1 oZ � G'
R[C�IV/�/ CY OATl11[C61V! � ATt'I UHD
OWNER a • •,Vf��" � _,3.��.�- �
. - " -._ �. ""'� BUILDIfJO P /�--�/ '� �
MAIL ' - ADDRfi88 U �// /� �
ADDREYS 6 6� s -'a. _. _.,:, •� ��-. _- - _.
FIRE /�
TE . ZONE TYPE / ` GROUP
CITY '� .-N . - ' ' , �
"APPROV6D "
ARCHITECT „j:,..�: r "� .TEL.' BY �. f ... .J ATE
OR�"'GINEER_ OISe�� - "'NO.� �' ` . ��y�-
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wo...ess "' �� zoHs " ,no: or,. use ov Hew 5�;,G
,/� y,�- 'V��Z , �LANB z BUILDINO - / ��~ ��
CONTRACTOR . !p % 1 Uf'W �- r' o
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AD�RE88 -� . _ DEHCHIPf1oN .
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QTY - -
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE - T�`L, - 90• TO 81DE B REAR P. L.
LIC. NO. � -N ,
� .. ....-. ..... � " ...� . . _ . ... . . . ., �
SIZE I no. oPa�oae. ALLOWED � r '� � "��fU. B: C: REQUIREMHNTI
OF LOT Now ON LAT f. � -
� YARDSAPPROVEO " � ' YARD9APPROVEO
USE OF MAIN BUILDIN6 AGCESSORY BUILDIN6
EXISTING BLD6.
(FROM G/JLBTREET) F A`�.
BETBACKLIN6PROM ' Q' eewevwe� IIQ� PRONT ��/ FT.� •— ���� PI�•
/. �
I HEREBY ACK
AND BTATE TH
PLY WITH ALL
BW�OINO <ON'.
� AUTHORIZfiD
EFT ZZ� I RIOHT
DESCRIPTION OF WORK
PERFORMEO
38 TXAT 1 HAVp RBAD TX18 APPL�CATION
ABOVH 19 COHq¢� AND AOpEE TO COM.
',DItUNC88 AND BTATB LAWe RQODUTINO
R. HIDB IO PT.
L.81D8 / � PT.
REAR /� � iT, �LfWE �1
D18TANCE BET. � BET.I
MAIN BLDG9. �O �1//i AGGE
VAR. it DATE
C.U.P. APPR
NOLD FOR $hECIA REQUIREMENTS
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TXe AMOIINT BHOWN UNOBR VALII�TION 19 POH THH �
P�IRP098 Op 88TABLIBXINO A PEPMIT FH8 ONLY, p
VALUATION ,^� O.� m
PERMITFEE � � �
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SPECIAL REQUIREMEN'PS: ,- •'; � -:�• _ _ : _ ... _
1. Dedication o� the following'properties-to the Cith-of '
' Costa Mesa for' street purposes: • = "• �� •� � '
. a. The souther1y.30 feet,of �the westerly 96.67 feet�of Lot"�
.5p5 Nerrport Mesa Tract. - -._ .--- -. _-
• b. A.ZS foot radius spandreZ otr the_northwesterly coraer;of •�
Pa.rcel "A"•and the'southWesterly corner of Parcel..'�D".
j�� ` _ - . ' • .... . . - `.
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2,.r Installation of,.residential�sid`ewa]ks4aTong,the.frontage . .. . .
,<��of Parcels A� B�;C�_,aiid-D on.West 18th Street� Pomona;Avenue
and Park Drive by the owner�'�at his expense�.as:per'�standard;
�'�••-�specifications,-of�the City of Costa Mesa..;,�., _.._ '. ;
..� . , .._...:_ .... _ .
� 3� Improvemerit of,No'. 1-a atiove with base��pa"vement; curbs,-gutters�
and residential sidewalks�'by,the owner� at'.his expense�.per ,
standar'd speci3ications of the City of Costa.Mesa." '
. . -. -... -. t -. --: . _--__. .
4'. No-'£inal,occupancy,wilT be a3lowed until.all of,the,spec2al _
-requiremerits"above'have, lieeri completed.; _.. __ `,' �. . ._
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DEPARTMENT OF BUILDING SAFETY
City of Cosia Mesa, California
ATTENTION OWNER-BUILDERS
,, ✓f1+�nG-s z,��c.c •� ,
_ , a�so k�owq as qf
LorY� J�, Block , Tract
new tonstruction planned for this site.
owne� o�the prog,e�ty lo,c� ec� at
tt/rP /h' �,
am to be ihe owner-builder of the
As owner-builder, and as provided by $ection 7044 of the Business and Professions Code, $tate of California, I
agree ihat such new strucfure or s}ructures, with or without appurtenances; is nof intended or offered for sale
and contains no more than three dwellin9 units of which one sholl be my actuol domicile if designed for residential
occupancy.
. d}his structure be sold or offered for sale within one year of the date of completion, it vrould be presumptive
evidence that the structure was undertoken for purposes of sale.
We wish to call to your attention Federal and State laws (here-in noted for your convenience) which require you to
adhere to the following when you build a house (or other structure) yourself, and in the course of such construction
employ persons outside of your immediate family.
1. You must register with the Federal and State Governments as an employer.
2. You must withhold income taxes on every employee working on ihe project.
3. You must withhold and report to the proper' authorities social <ecurity and unemployment benefits on every
employee. '
4 You must carry Workmen's Compensotion Insurance on every employee.
5. A separate and additional city permit must be obtained for Electrical, Plumbing, Heating, Refrigeration, Venti-
lafing, lath and plasfer, chimney and masonry, roofing or other work as required by City Ordinance.
6. You must furnish a list of all sub-contractors to Building $afetyDepartment before final inspectionwill be made.
- You cannot legally sub-contract ony portion of ihe work to any person who is not licensed by the State of
California.
8. You cannot legally build homes or other siructures which are intended for sole, unless you have a contractor's
license.
9. You can build a home for your own occupancy.
10. Be sure to check with your local Building Department ond State Contractors License Board to avoid difficulty
during construction.
I have read and agree to fulfill and abide by all the above requirements, if permit i s 9ranted.
Permi . �/ �Ia — ✓` I �_ v Date �" O � /
"' / C (o/ 1� �z� m,,..c r. �; Gb !�J-�-
signature of owne ilder �� address
FORM BU-90•1M SETS 2-E<