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Home My WebLink About694 SENATE ST - Building Permits `Ayto Mac 9 CITY OF COSTA MESA 4 a@ BUILDING DIVISION F• �, • ___ 1a. I T DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER E6PERMIT B04-01016 tie • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 694 SENATE ST Status: ISSUED Suite: Applied: 06/03/2004 Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 06/03/2004 Parcel Number: 42217128 Zoning: Applicant: MORA, RENATO T ISSUED BY: Address: 694 SENATE ST Phone: 949-548-5554 COSTA MESA,CA Zip: 92627 Owner: MORA, RENATO T Address 694 SENATE ST Phone: COSTA MESA,CA Zip: 92627 Contractor: Address: Phone: Zip: License: Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL NEW SHEATHING, FELT AND COVER WITH 30 YEAR COMP SHINGLES. INCLUDES RESIDENCE AND ATTACHED GARAGE. • FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,500.00 Permit: $97.25 Claim Valuation: $3,500.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTICE: The work authorized by this 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 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 Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(8100) DECLARATIONS WORKERS'COMPENSATION DECLARATION: 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. ❑ I have and will maintain workers'compensati r Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued. My workers'co ti ran r' wad-policy number are: Carrier: / -+ Policy Number: (This section need no a completed if the pa It Is valued et one hundred dollars($100)or less.) . okI certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws California, degree that If I should become subject to the workers'compensation provisions of Section7700 y the Code,I shall forthwith comply withhthese proro Cions. z00 0Applicant Signature: Date: WARNING:FAILURE T SEC RE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE( ,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect.Lie.# Class 11 Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business end Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit kec s the applicant to a civil penalty of not more than five hundred dollars($500).): .....3I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant tot e Contractors License Laws.). ❑ I am exempt under.e . Business and Professions Code for this reason: Signature: / C r : Owner ID verified + . ver's license. �i! es ❑No Driver's License No. • •Expir Verification of Ownership by(type of docum-nt,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title B,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes ❑No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one lime during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? Oyes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous matertals with the Fire Department. 4 If en RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this;Application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes L-I No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 WIII any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct.I agree to co ply with all stat laws and city ordinances relating to building construction,and authorize represen atives of the City of Costa Mesa to enter upon the above-described pr arty for ins ' purposes.I agree not to occupy or allow occupancy of any building authorized by is pe it until 'nal inspection. / 3�0 Signature Of Legal Owner(s) Date And/Or Authorized Applicant Date CODE I INSPECTION TYPF PETE 112(281.5 ;ODE. INSPECT10N TYPE PATE Bea181.$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final �� 208 Final Plumbing 200 Final Re-Roof i/�/ I G big 210 Final Electrical 201 Final Block/Retaining Wall _771*- 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy ) OWNER FUNNY ID1V, CO. DATE 4-27-55 4- JOB ADDRESS 6911 Senate St. BUILDING PERMIT NO. 7391 GENERAL CONTRACTOR S. V. HUnsaker VALUE $ 9044.00 LOT S 26 BLOCK TRACT 2387 Single Family Dwelling GROUP I TYPE V ZONE Rh. FIRE DISTRICT 1200 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR ,j'= �S. — DATE NUMBER Footing Trench "� Foundation Forms and Grade to Game 6- -,�re Rough Framing - ,sr • Plumbing,Rough to Slab ..)06LL 4--6'-.SZ--- � Plumbing,Rough Comp! 11 - 1-(j5 � S0-SS /��w�,U Q (—(i _s—t / 9y4 Temporary Pole Wiring, Rough 5 C-,e.-/3 1,—V.-ia � o}-L LJs.e-Vl Co Heating,Rough Heating,Final t_ /t-/,....5S' Sewer, House IV Sewer,St.(WW 0/kr r L. i3 .J0-&._ (..-)-'/_ ,j 'gyp ey Septic Tank or Cesspool 4 L/' �t p T Lathing, In OutX ''l ✓r Plastering /d 'f SS/ Plumbing,Final,Fixtures Com I to�L��/b_/%-f1 Plumbing,Final Gas Test/ S7t? El-an /d-/9_, 1 _ ` Wiring,Final , ' % A, /1-3- .„i Occupancy Re4 ,e 1 £7 Sl Form 210 G-H 1500 1-55 lerosta Mesa Building Department APPLICATION FOR PERMIT 111 EAST 20th STREET 1200 BUILDING COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY Receipt No. I Per�it o. Building � Address 9y /, _ /i / Received by Date Recd. Date Issue Costa Mesa, California / Nearest —Z7 S _ Cross St. /D�iy( Building Address Own / A/ an• Costa Mesa, California Mail Q/az [ CfCi'K iLlA..L rr.AAJ�f az Address l�i�� /n� Nearest �7^ City erect 7/ `'' Lic.NIC7.--/A5-1 Zons�� I Plans Type / I GrouP.h-- City Architect or I/ Lic. V Engineer No. Approved by Date gess CORRECTIONS City Lic. Contracto 24., a ... lefer Description I Not Legal Lo �G I Block I ractf3 4 (Attach Metes and Bounds) AA No.of Bldgs. s4 Size of Lot le )( 1 *.4 Now on Lot 13 0 Use ofNo.of I No.of XI Existing Bldg. I Families I Rooms G1 Setback Line fromr Rear Yard ,ISr' 2 Center of Street 5 0 Side Yard See y DESCRIPTION�� OF WORK . r New IL I Alteration I I Addition Repair I I Moving I I Demolish I Building No.of S'-, / Rooms Stories nor Wall /44, Roof ran L .ening ,f�'4+ Coverin, illir . /L ) APPROVALS Use of New • / / �� Foundation Location; Inspector Date Building ._ „_ „_. ,�/ -��, y�/ 0 Forms,Materials," • � .- N7 �� Under-Pinning r Frame: Fire Stops, 6.1 / — Bracing,Bolts in // V o I hereby acknowledge that I have read this Application Lath. Int. 0 al .and state that the above is correct and agree to comply Lath. Ext. n.5 a . with all City Ordinances and State Laws regulating _-.1 building constru Son. to Signature •f Plaster, Int. 1/4.n r IA Permitt '_ ,1 Plaster, Ext. Authorized Agt.„4 7, 1 44 r— Masonry Reinforced C- Valuation ermit Fee $ a yr e N Plan Check $ 3• e a Bond Beam --i $ ',1 Y/9 Total O o : Fee $ o{ '. FINAL 1 ' .. 1.11111114. O c 0 • J c ` - - J 6 0 a e o. Street PLOT PLAN Show location and distances frorn property line and between buildings. OWNER MILLER, Edrick DATE 4_9_58 JOB ADDRESS 69h Senate BUILDING PERMIT NO. 6595 G I�hERA[1ONTRACTOR Better Bilt Fence VALUE $ 6)x3.00 .`Joo3. 00 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Block Fence '_ GROUP TYPE ZONE PLAN NO. INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED J DATE NUMBER Trenchcs41'-Forms Steel `�//t/r,t'{( Floor Syst � V Steel Reinforce 6h�rprA.d Wi,/et Bond Beam Uva°' Frame and Flashing Lathing, In Out Plaster, brown coat Underground soil W/G Pipe Test Top Out _ Furnace Gas Vents Rough Plumbing Cesspool Septic Tank Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating Final _ Plumbing Fixtures, Final Final Gas Test Construction Pole Underground Power Rough Wiring Fixtures, Final " OCCUPANCY der Qt'SY Form 210-5M-1-57 v 6595 ill' COSTA MESA BUILDING DEPARTMENT I FEE RECEIVED P. O. BOX 317 �C J COSTA MESA CALIFORNIA I �J9� I IPJ Jrr FnT FOR APPLICANT TO FM. 04 C.L. OF STREET- /��/ GITY OF a 1n MESA BUILDING ADDRES 77 Q�rJ _r _ __ PROP LINE LINE I Owner6��.%i /92,ti0[nif II— �� {� 12 FT. NITRitR I 10 FT. FOR 60 FT. STREET J �50 FT STREET I Mail Address_a.Ge City C XrLG�I 1/_."/ Ph. Ur-75).•- 9e5"--g•-di Contracto a-! ' ' i • Ph. NJ ) 74?79 Address %<2 /2.ei4.-.9 �,1.4- -e c-g. ,s'.r/ • 50 F1I IF FRON / P. City Lic. No. 3��+ State Lic. No. IOF PRO ~ 150 FT w Size of Lot /90X / c' AP No. // S- 16.3-40 cc t- WI ` N Setbacks: C/L Street So i Rear ta JI , til iL Side Yard - Right �� + 3�Left [, �� '. .% / .��—�..._ deg" ai r d� v Type of Fence sC P u. `ALLEY QR PROP. LINE al 0 v/Yr7,0/ 1 ratfiu( % 1,- /'71- 11- 0. , �, J�_ F='-: 1 - c3 C\\ --1 ./ I hereby acknowledge that I have read this applic ion and state J m �Z C) 1 I /I that the above is correct and agree to comply with all City Ord- U Ncp c r r I inances and State Laws regulating building construction. \+ �� d O it u Fes- I Signature ../1" _ f�a' i O p 10 of Permittee -otiZ / ` �i2G/ (_eS-- tt AgentI sIN I , I 4oFOR OFFICE USE ONLY FT m _ Z FT PermitNo. . m ; I �s9 s K 60 FT ST. -I Received by Date Received %_Date -11- 0 a. 6 ' / ' r — 95R 7 — / `\SO 50 FT. ST. i i-' � �� PROP. LINE _ t" I VALUATION `� I - --e�— — i— --O - - - - - - - - -% '.'Permit Fee $ 1/ $ d44Plan Check $ C.L. OF STR EE T� / I TOTAL FEE $ ~Z MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES —— — --- MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES USE REVERSE SIDE FOR DETAILS