The URL can be used to link to this page

Home My WebLink About843 SAINT CLAIR ST - Building Permits(714) 754-5273 • Fan (714) 754-4856 • vnvw.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 843 SAINT CLAIR ST Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 14154123 Applicant: ADRIAN, LUCY Address: 843 5T CLAIR ST COSTA MESA, CA Owner: ADRIAN, MAX TR Address 843 5T CLAIR ST COSTA MESA, CA Contractor: O W N E R-B U I LD E R Address: Zip: Arch : Address: Phone: Zoning: Phone: 714-432-9437 Zip: 92626-5758 Phone: Zip: 9262G5758 Phone: License: 000000 Eng: Address: Status: ISSUED Applied: 06/02/2004 Issued: 06/02/2004 ISSUED BY: Phone: Zip: License: LiCense: SCOPE OF PERMIT REROOF RESIDENCE pND ATTACHED GARAGE: T/0 EXISTING WOOD SHAKE,REPLACE 20 PCS OF 2'X6" RAFTER TIES, 1/2" PLYWOOD SHTG, 15# FELT, APPL7Y "30-YEAR DIMENSIONAL SHINGLES" WITH NEW METAL FLASHINGS. 3000 S� FT Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $o.00 $181.25 $0.92 $0.00 $0.00 $0.00 5182.17 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0• 0 PARKING Exi_stinq: o Rear 0- 0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING 8 ZONING Left 0- 0 Left 0- 0 Proposed: 0- Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 ss,zoo.00 5s,2oo.00 , NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. , INSPEC710NS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and ell requlred inepeetions and final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of ihis permil. FOR INSPECTIONS CALL: (714) 7545626 :aao-ao I�rw� WORKERS'COMPENSAnON DECLAHAnON: I hereby affirm under penelty of perjury one of ihe following declarations: ❑ I heve entl will malntein e certificate ol wnsent to self-Insure for workers' compensetion, es proWdetl tor by section 3700 0l tha Lahor Code, tor the peAormance of the work for which t�is pertnit is issued. ❑ I have entl will maintaln workers' compensetion insurence, es required by section 3700 of Ihe Labor Code, for the peAortnance of the work for which this pertnit is issued. My warkers' compensellon Insuranca cartier and policy number are: Cartier: Policy Num�ec (lhis secflon need nat be cromp/efetll/ fhe pe�mit is velued et one hundred dollers ($100) or Ieu.J �I cenify ihat in Iha partortnance ot ihe work tor which Ihis pertnit is issueq I shall not employ eny person in eny manner so es to 6ecoma su6ject to Ihe workers' cnmpenSallon lews ol Celitomia, nd agree t�at If I should become subject to the workers' compensatlon pravisions oi Sectlon 3700 of Ihe Labor Cotla, 1 shall fonhwith comply with ihe5e provisions. � Applicem Signature: i�-%�— y �� 1i11 .�i Date: Z � WARNINO:FAIWRETOSECUREWOFKERS'COMPENSTIONCOVEMGEISUNL4WFULANDSHALLSUBIEGTANEMPLOVEFTOCRIMIN PENALTIESANDCIVILFlNESUPTOON HUNDRED THOUSAND DOLLARE (5100,000�, IN ADDITION TO THE COST OF COMPENSATIqJ, DAMAGES AS PROVIDEU FOR IN SECTION 3�O60F THE OR CODE, INiEREST, qND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: ' � I hereby aNirm that I em Ilcensetl under pmvisions of Chapter 9(commencing with Section 7000) of Division 3 0l the Business entl Professions Cotle, anC my license Is in full I force and eflect. Lic. A Cless N �� Gontractofs Signeture: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm ihat ihere is e consiruction lending agency for ihe pedormance of ihe work for which this permit is issuetl. (Sec. 3097, Civil Gode). Lender'S Neme: Lender'S Address: �I Signature: Dete: OWNER-BUILOER DECLARATIONS: I hereby affirm that under penelry of perjury thet I am EXEMPT FROM hfE CONTRAC70RS LICENSE LAW tor t�e tollowing raason (Sec. 7037.5, Business and Professions Cotle: Any ciry or counry whiU requires e permit to consiruct, elter, improva, tlemolish, or repeir eny sWcture, pdor to its issuance, elso requires the applicant for such permit to file a signed stetement Ihet he or s�e Is Iicensed pursuant to the pmvisions ot the Comractors lJcense Lew (Chapter 9(commencing with Section 7000) ot DiNslon 3 of the Business end Prafessions Code) ar thet ha or she is exempt therefrom end Ihe basis lor the alleged e:emptian. Any violetlon ol Section 7031.5 by eny applicant for a permit subjects ihe epplicent to a civll penalty of not more Ihan five hundred dollars ($500).): I, as owner of Ihe properry, or my employees with wages as their sole compensation, W ILL DO THE WORK, and Ihe strucWre is not imendetl or ottered tor sale (Sec. 7044, Business and Profeuions Cotle: The Coniractors License Law does not apply to an owner of property who builds or improves thereon, and who dces such work himselt or herselt or through his or her own employees, pmvided ihat such improvemenis are not Intentletl or oflered tor sale. If, however, Iha builtling or improvement Is sold within one year of completion, ihe owner-builder will have the burden oF proving Ihat he or she di0 not build or improve for purpose of sale.). ' ❑ I, as owner at the praperty, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to canstruct the project (Sec. 7044, Business antl Protesslons . Code: The contrectors Llcense Lew does not epPly to en owner ot property w�o builds or improves Ihereon, end who contracts for such prolect wit� a wniractor(s) license pureuent to t�e Contractors License Laws.). ❑ I am exempt u er sec. _ Siqnature: ' Owner ID ventied by drivels lice e. Venfication of Ownership 6y (type ol - Business and Professions Cotle for ihis reason: ❑ No Dnvers License No. property ta< bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: Date: Expires: ❑ I hereby cenify ihat no excavetion five (5) or more feat in depth in�o which a person Is requirea to tlescend, will be mede in connection with work aut�odzed by this permi�, end that no building struc�ure, scattolding, falsawork, or demolition or dismentling thereot, will be more ihan ihirty-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Titla 8, Celilarnla Administrative Code). ❑ As owner-bulltler, I wlll not employ enyone to do work which would require e permit from the Division of Indusiriel Sefery, as noted ebove, unless such person hes e pertnit to do such work Irom the division. SignaNre: Dete: Division of Intlustrial Satery Pertnit Number: LERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I certity under penelry of perjury t�at I have rea0 �his applica�ion antl state ihat the information given is correct I egree lo comply with all state lews end city ordinances relating to bulltling constructlon, and euthodze representatives ot ihe Ciry ot Costa Mesa to enter upon ihe abova-described properry for inspection purposes. I agree noi m occupy or allow occupency ot eny building euthonzed by Ihis permit until final inspection. COOEI, INSPECTIONTYPE 1676 Fixed System Flnal Fire Prevention 1266 Pool Spa Final 200 Finel RB-RoOf 201 FIna1 81ocWRetaining Well 202 Finel Factory Fira Placa 203 Final Sign 204 Finel Demolition � n (s) Applicant �� KI-O D'+'r' LODE� INSPECTIONTYPY 206 Finel Mechanical 208 Finel Plumbing 210 Final Elet�rlWl 212 Flnel Fire Prevention 220 Finel Planninq Approval 222 Finel Site 250 FinelBuilding/Occupancy Date �g � PFOPOSAI. SUBMITTED TO: We hereby WQRK TO P,E PERFORMED AT: ris.n , PROPOSAL ArJD6 iurnleh the mnlodals end Dedorm the iebor necesanry lui thr, completicn ol _ 1 �nJ A{�KEtiM�N7 �3_�+�2E�n`,__ {1�e_"�'^NDO ��JcS N-r�eHc�'o.��'�� __T�.__�—�T__—.___ —____! _ _ — __. _"__ N _-��-..- : - , oczo__ s-�� __-- All mntr.rlal is gueranteed to be es specitied, and �ha above wcrk to be pertormed in accordence wlth lhe drawings end apeclflcatlone submfttetl �or above wor4 end com �leied �n a suF,stant�ni wor mAnlike mnnner Icr the sum of: _L��-��san �o hunc�,-�ol `c� nd_ ao cj�o/ll'+�De�I}��-, ,�1 aao oo _ with peyn�ents to be es tollows �l.J �' �,�'y I�'�'�J h�� O�t�p�` �""'✓T� h�° �� -,k"L,te� � mGi�r��N�},S�O �. �,�C{�bOO bC, �,u;II Iv2 Pqi �`f0 eUr�rrc��o✓ W�E �p � CAMn� nny Ms�enc%'��f e�Ne'iw� Imm et.o�t .Im-Xtclmrr oq o.va m.V +A' be a.�:��N �My �pp� xAev. oNer mH M� :- a��n r�mror F MV �IYJv� I.ry p1!ITOM. M 18'l�+tl'Y! C''O'�'I IroC'r M1�iYp�. acMtlaNn, A GIOVB i�oyOn� nii� cc+��vl. � AesoeclfulW submltled ___ Per Note � TMs proP�sel mey ha n�itntl:nwn by us it notnCcepiad within__. _ Jay9 ACCEPTANCE OF PROPOSAL The ebove prices, specificeflons flnd tond4ions are satlFfectory �nd are hereby 2ccepted. You be mede ea outlined ebove, -� DAYE �. �! � euthorized to do the work es specllisd. PeymeMe wlll L� 4. G,� i�'%J/ a/� JOB ADDI2ESS�j¢3 St. C1E GENERAL CONTRACTOR N AD No. LOT I. ECTIONS E TRACT 4260 FIRE ZONE � Signature � DATE GROUP � nnTE 3-1z-bz BUILDING PERMIT NO. DESCRIPTION OF WORK P0S TYPE V 7.ONE —�i _ g�T � . � �� isss4 rEt R��IUED �COSTA MESA BUILDING-SAfETY DEPARTMENT MAR 7��? Lot 96 - Tract 1t260 P. o. aoX s,� C08TA M�A. CALIPORNIA F��yCE DEP�Pl�' 400-a For Applicanf to Fill In Compleiely � C((YAPPLIC�ATIOr7`FOR PERMIT TYPE OR PR�NT BUILDING ADDRE55 H� Sf'i C 81i' COSTA MESA. CALIFORNIA FOr Office USB o11��I aece�rr xo. �e�e+eZwMpA owNea Mesa Del S�Iar Develonment o UC�7�-F MAIL 3$00 T�L, Cp3S1'. H7.�1N8 ��"�o er I o�Ts neae�vec I.' owre IBBUEO ADDRESS „ �QQx TEL. 7 BUILD G "� ` � CITY +IA �� M �� NO. - qDDRESS ARGHITECT CliYf Olsten TES� COSTA MESA. CALIFORNIA OR ENGINEER NO. �� n � ADORESS Q ri? Nlnr � FIRE ZONE TYPE GROU Calif. APPROVED CONTRACTOR N[$CCO COTO St.lOII BY DATE . A�DRE55 8� E G st Hio� •av ZONING ZONE I NO. OF I USE OP NEW S nf %,y� � CIN T P: 7 � %� -� / PUNB z BUILoiN6 � STATE TEL LEGw� LIG NO. O R l N0. DEBCRIrTION �� 9E T/r � Z' �� SIZE No. oF a�,oGe. OF LOT 6 89 S F I Now oN LOT V0�1 q, p, NO. U6E OF YARDB EVES EXISTING e�o�. None qppROVED ALLOWED SCTOACK LINE FROM r p fGeNT6R YN6 eT.) CeMeR OP eTieET 7O � REAR YARD lU � ZO�� FRONT SD FT. IN. SIDE VARD I LEFf 6� 6�� I RIGHT �� T R. SIDE S— FT. -- IN. DESCRIPTION OF WORK C L. SIDE � FT. " IN. I X II ALTERATION I II ADDITION I p 'f NEW REAR I V FT. �Q IN. ' REPAIR I NMOVING I IIDEMOLISH I BYPROVED k��. DATE Z L/6 Z BUILDIdS'i�h�� ROOMS V STORIES 81ZE 7 E7CTERIOft WALI S{�UCCOI ROOF COVPJ2ING T.i,. COVHR�NG T.7 USE OP BUILDING AN� WORK TO �E PERFORMED in c F milv u lir�a �VlIlL1 21'@H ].%�2 .S.F• w/attached garage �� 1�6'3 S :' r 63 , F' I XHREBY ACI(NOWLEDGE TXAT 1 HAVe RGO TX19 APPIJCATION {HE �MOUNT BHOWN UNOER VALl1ATiON i9 FOP THE ANO BTATE TNAT THH ABOVE 18 COR�CT /�N� AGREE TO COM- pURP08E OP EBTABLI9HING h PHRM�T FEE ONLY. PLY WITH ALL CITY OqDINANCEe ANV 8TAT2 lAWB HEOULATINO eUltnlr+a eoNeixurnox. VALUATION , �. q� SIGNATURE OF ' PEFiMIT FEE $ r��J/ PERMITTE ta h'^�" P . (� - ��Cj.�^l'� � By' • S I.S��67�00 PLAN CHECK S/�. (/// n AUTHORIZED AG C'l�(�Q � TOTAL FEE y