HomeMy WebLinkAbout934 SENATE ST - Building Permits. 'e �
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(774) 754-5273 • Fa�c (714) 754-4856
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
Job Address: 934 SENATE ST
Suite:
Vicinity:
Parcel Nunmber: 42238415
Applicant: HEFLEY, LUTHER D
Address: HEFLEY,BETTYJ
COSTA MESA,CA
934 SENATE ST
Owner: HEFLEY, LUTHER D
Address HEFLEY, BETTY J
COSTA MESA,CA
934 SENATE ST
BUILDING PERMIT
Zoning:
Phone: 949-645-5712
Zip: 92627
Phone: 949-645-5712
Zip: 92627
J � �
PERMI��R
898-01601 �
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 09/04/1998
Issued: 09/04/1998
Contractor.
Address: � �
Phone:
Zip:
License �- �
Arch / Eng : . : - � '
Address: . - " �
Phone:
Lice��P
e:
SCOPE OF PERMIT
REMOVE EXIST AND INST NEW WINDOWS AND REPLACE WINDOW FRAMING 6 WINDOWS, BEDROOMS,
. BATHROOM AND KITCHEN, t WINDOW EACH ROOM.
Plan Check:
Permit
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$43.00
$0.50
$0.00
$0.00
$0.00
$43.50
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Fronl 0- 0
PARKING Ex�stinq: o
NOTES:
Rear 0- 0
Rear 0- 0
Reauired: 0
FEE SUMMARY
i
PLANNING 8 ZONING
Left 0- 0
LeR 0- 0
Proposed: 0
Calc Vaivation:
Claim Valuation:
Right 0-0
Right 0-0
$1,250.00
st,2so.00
0
EXPIRA710N: This permit shall automatirally expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days.
li INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inepections and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
V
WORKERS' COMPENSATION OECUIRATION: �
I hereby eftirm under penalry oi perjury one ot the tonowmg declarations: � :
❑ I heve end will maintain a certificate ot consent to setl-Insure for workers' compensation, es provided for by section 3700 of ihe Lebor Cotle, tor the pertormence oi Ihe
work for which Ihis permi� is iuuetl.
❑ I have entl will maintain woAcers' compensetion insurance, as requiretl by section 3700 ot the Lebor Cotle, for ihe perfortnance oi ihe work for which �his pertnit is issued.
My workers' compensatlon Insurence cartier and pollcy number are:
Cartiar. Policy Number:
(This secHon need not be crompleted i/ the permit is valued et one hundred dollars ($100) or less.)
❑ I certify ihat in ihe pertormance of tha work for which ihis permil is issued, I shall not omploy any person in eny manner so as to bacoma subject to the workers'
compensetion lews of Califomie, and egree that if I shoultl become subject to the workers' crompensation provisions of Sadion 3700 of Ihe Labor Code, I shall forthwith
comply with ihese provisions.
Applicant Signe�ure: De�a:
WARNIN6: FAIWRE TO SECORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL ANO SHALL SUBJEGT AN EMPLOYER TO CRIMINPL PENALTIES PND CIVIL FINES UP TO ONE MUNORE�
TFIOUSAND DOILARE (5100,000), IN ADDITION TO iHE COST OF COA9PENSATION, DAMAGES AS PROVIDED FOR W SECTION 3/O60F THE LABOR CODE, IPREREST, NND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I here6y eftirm that I em licensed under provisions of Chepter 9(commencing with Section 7000) ot Division 3 oi the Business and Professions Cotle, and my license is in full
force end eflect. Lic. N Class q
Coniractors Signature: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby affirtn Ihat there is a construction lentlinq agency for the pedormance ot the work for which Ihis permit is issued. (Sec. 3097, Civil Cotle).
Lenders Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARA710N5:
I hereby eHirm Ihat under penalty ot perlury thet I em E%EMPT FROM TME CON7RACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professions
Code: Any ciry or counry which requires a permit to consWcL alter, improva, demolish, or repalr any structure, pdor to its iuuance, also requires the applicent tor such permit
to File e signetl statement that he or she is Ilcensed pursuant to ihe provislons of the Coniractors License Lew (Chapter 9(commencinq with Section 7000) ot Division 3 of ihe
Business and Professions Code)�or �het he or she is exempt therefrom and Ihe basis for the elleged exemption. Any violation of Section 7031.5 by eny applicant for a permit
subjec �cant to a civil penalty of not more Ihen five huntlred dollars �$500).):
I, as owner ot the property, or my employaes with weges as their sole compensa�lon, WILL DO TME WORK, end the structure is not intentled or ottered tor sale (Sec.
7044, Business and Pmfessions Code: The Contractors License Law does not apply to an owner of properry who builds or improves thereon, antl who tloes such work
himself or herself or through hls or har own employees, provitled that such improvements ere not intentletl or oHeretl for sale. If, however, the bullding or improvement is
sold within one year of completion, Ihe owner-builder will have ihe burden ot proving ihat he or she ditl not builtl or improve for purpose ot sale.).
❑ I, es owner at Ihe property; em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Professions
Code: The contrectors License Law does not appty to an owner of pmperry who builds or improves ihereon, end who contrects for such projact with a contractor(s)
license pursuam ro the Contrectors License Laws.). �
eusiness and Pmfessions Code Por this reason:
Date:
❑ No Drivefs License No. Expires:
Venficatlon of Ov+nership by (rype oi document, i.e. - pmperry tac bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATION:
� I hereby certify that no excavation five (5) or mora feat in depih Into which e person is required to descend, wlll be mede in connection with work au[horizetl by this
permit, entl that no building structure, scaHoltling, falsework, or tlemolition or tlismantling thereof, will ba more ihan thirry-sia (36) leet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Title 8, Gelitornia Atlministrative Cotle).
❑ As owner-builtler, I will not employ enyona to do work which would require e pertnit irom ihe Division of Industriel Setery, as noted ebove, unless such person has a
permit to tlo such work from Ihe division.
Signature: Date:
Division of Industrial Safery Permit Num6er:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I certity under penalry of perjury thet I have read this application and stete thet the information given is
correct. I agree to comply wi�h all stete laws end ciry ordinances relating to building consiruction, and euthorize representatives of the City of Costa Mesa to enter upon the
a6ove-desc�ibeQpropeA ' sp cGo oses. I agree not to acupy or allow occupancy of any building authonzed by thi�.pqrmit unti_ I tj(�al� pion.
Gi�,f �i���i
s � oa�e
And/Or Authotlzed Applicant Data
GOOE � INSPECTIONTYVE �' � PAiE IIi�LS
1616 Fixed System Final Fire Prevention
1266 Pool Spa Finel .
200 Final Re-Roo�
201 Final BIocWRetaining Well
202 Pinel Pectory Fire Plece
203 Final Sign
204 Final Demalitlon
2446i8
COOEt INSPECTIONTVPE
206 Final Mec�anical
208 Final Plumbing
210 Final Electncal
212 Final Fire Prevenlion
220 Final Planning Approval
222 Final Site
250 Finel Building/Occupancy
QsiF
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CK .7j+u'jqj, L. AkiNOLD UA I C
J08 ADDRFSS 934 :
GENERAL CONTRACT01
A'.���:a°., u5— 3—�5
IN�-:�eCTIONS
SOIL
c.s
W �TER
ROUGH PLUMgiNG
PROP. SM'A. LINE r] HOUSE
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND RIR CO!
TEMPORRRY SERVICE OR POl
UNOERGROUNh � POWER
ROUGN WIRING
BON� BE�M n STE
SHEFTNING
FRRME AND FLASHING
LfTHING - IN n (
PLP�TER.BAOWN COAT
ST 'JRnL, FINAL
BWLOING, F�NNL
LOT TRACT FIRE ZONE VALUE
[K•P.11
SUBCONTRACTOR
P
' ��~ 39241 r�,s-,�:���`..°nn s��:> ����::��.5c
, COSTA MESA BUILDING-SAFETY DEPARTMENT
P,O, BOl( 120� COSTA MESA, CA�IFORNIA 92626
P I ATION FOR BUILDING PERMIT
For Applicant to Fill in Completely REc v o Y DATE RECEIVED
BU�LDING D E S E
ADDRESS 934 Senate St. �osta Mesa �
1 N
OWNER L. Arnold Smith A.P. NO. �
MA I L BUILDING
ApORESS 934 SEII$Ce St. Costa Mesa ADDRESS Cj'
� d U CITY pyp, 0 TRACI .` LOT BLOGK
CANSiRUCT10N W A
O �-a- LENDER N A
� J N BflANCH - N/ A /
OWNEF` . Q �
m J ADDRE55 2 UE Ov
m ARCHITECT TEI. S � (� $ O
J a Op ENGINE A N/A � /
� U a FIRE -�'
W a ADDRESS ZONE VPE GROUP
d w APPROVED
� W z CONTRACTOR Owner/Builder i BV DATE �
J
, d
m� ADDRESS 934 Senate Street �
uJ TE� ZON NO.OF /-� VSE OF NE //
ZFz„ CITY CoSta Mesa 6 5 No.0538 Pv+Ns / BUILDING c. Q,
W O STATE CITV YARDS APPpOVED VARDS APPROVED
y� LIC. NO. N(� LIC. NO. MAIN BU�LDING ACCESSOPV BUILDING
� O (FROM C/L STREET)
OF LOT 60 X LO3 NOW ON LO� 1
ROM T. T.
USE OF
EXI5TINGBLDG. ReS1deT1C1S1 5 T
F' SIZE OF NO. OF
QNEWBLDG. ROOMS STOflIES �.SIDE FT. FT.
U EXTERIOR WALL ROOF y7 `
COVERING COVERING REAF FT. i�/FT.
J USE OF BUILDING AND WORK TO BE PERFORMED D4STANCE BET, BET. MAIN &
n' MAIN BLDGi. ACC�. BIOCS.
1
Q I �. VAR. qW pATE
O C.V.P.Mb APPHOVED
F _ -y � �� /� ^1 � APPROVED
(11 w O'
Z '
O
F 1 horabY acknowladpe thai 1 heve reatl this appllcaUon antl stnte �
� that tha abova Informaxion is corract and aprea to eomply with
� ell laws .ae�iaci�e buildinp consiruction, end I shall not employ � � 1
F any perwn in vlolaiio� of ihe workman'a compensetion laws of �
y Me Stata of Lalifornla. � ,r� �
? I heraby certify that I em properly Ilcansetl as a contracto� �ntlar SQ. FT. � o
pthe Stata of Californie Business antl Professions Cotla, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
m
Chaptar 9, and that sueh licenses ere In full force enE effect, or I THE PURPOSE OF ESTABlSNING A PERMIT FEE ONLY: ¢
am exempx trom ihe O�ovisions ot tha Stata ot Cafifornta Businau VALUATION
antl Professiona Cotla, mi 3, Chapter 9. ^ PERMR FEE $ i �
O / ]
$Ipnature Of �,/ m
Parminee '� ��L �� -L�iC g�� � PLAN CHECK 5 E
(��' / d-C `o
Au[hotizetl ABant . u
TOTAL FEE $ �� _—
�un wuuxna� yjLt �enate �t. �• v. �►�6nSa.Yea� �cw" suu.uuvv e�xnnri. rvu. -}�-�=/-S=ro
GENERALCONTRACTOR Sama S' 3(—J 1. VAL[IE $ 9�87F�_(l0
AP. No. LOT (+{ TRACT �1�K FII2E ZONE DESCRIPTION OF WORK RPC _ ij� af.+ ��aT
f �1P T R. .T •. TYPE V ZONE RI� PLAN NO. K109
INSPECTIONS I DATE I 3UBCONTRACTOR I DATE NUMBER
bcown coat
E inp Pixtures, Pinal W. c S
F�..... Gas Tes—_ t /� Wt G$
A . T' .�
",}' S192
C05�TA MESA BUILDING DEPARTMENT
P.O.BOX 31�
� COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
6UILDING �J
ADDRE55 % � t M.a �
COSTA MESA. CALIFORNIA
MAIL
ADDRE55
QTY �
ARCHITECT
OR ENGINEER
AO�RE55
CONTRACTOR
ADDRE55
LEWI
DESCRIPTION
A.P. NO.
LIC.
NO.
C- A�� CITV ��C.
J�� NO
NO; O^ BlOGS. O
SIDE YARD RIGHTy�� D�� LEFT /� � ���
DESCRIPTION OF WORK
NEW ALTERATION ADDIT�ON
REPAIR MOVING DEMOLISH �
SITELDING //�� /�/ FOOMS �S STORIES �
/
EXTERIOR WALL //D ROOF
COVERING . �nC/�n<?1 COVERING
USE OF NEW y'M� D ./. _. .
BUILDING il �
0
�EE RECEIVED
�r z � �e� � ,
FINANCE DEP�
CITY OF COSTA PAESA
APPLICATION FOR PERMIT
BUILDING .
FOR OFFICE USE ONLY
BUILDING
ADDRE55
COSTA MESA. CALIFORNIA
FIRE
ZONE
APPROVED
BY
CORRECTIONS
STATE TMI�T TME ABOVE I$ CORRECT ANO AGREE TO COMPLT WITN PLL
CITV OROIN9NCE5 4ND STATE L5�N5 REGULPTING BVILDING CONSTRVC�
'�0�. VALUATION
SIGNATURE OF I PERMiT FEE S �. —
PERMITTEE /
� �7G � PLAN CHECK B � �
�
eiirNnwi>cn er.cur TOTAL FEE $ ,'3 �� veMi
�
OWNER SMZTx, L. Arnold DATE 11-15-76
JOB ADDRESS 934 Senate screec BUILDING PERMIT N0. 4't03R
Vo. 115-603-15 LOT
InSPECTIONS
sou
�c.s
W�TER
ROUGH PLUMBING
�PROP. SWR. LINE Q HOUSE CON. �
SPRINKLING SVSTEM
MISCELLANEOUS
POUGN ME�TING �ND �IR COMOITIONING
TEMPOHAHV SEAVICE ON POLE
NDERGROUND � POWER �
POU6N WIRING
THEHCHES R'ORMS STEEL RE
FLOOR SYSTEM
BOND BEAM � STEEL REINFORCE [
SME�TMING
FR�ME �NO FLASNING
LATXING - IH � OUT n
P' �TER, BNOWN CO�T
:TUA�L, FIH�L
ol
SUBCONTRACTOR
i . .. 43038 : ,�-�-�:.: on e^ , •. _ . �,�.SC
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
A L A ON FOR STRUCI'URAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
FE I E y DATE RECEIVED TE ISSUED
BUIIDING � �� J�l3-� � ST„ C. r1n. � -IS-
ADDPESS
PEFMIT NO.
OWNER � ^ (�IO(-, M �T }� A.P. NO. —
MAIL BUILDING
ADDPESS � S�N �t �T� p.DDRESS 3
CITV Try .�yy r NO.�� O g TRACT �� LOT J BLOC�
CpN$'TRUCTION W A A P
LENDER
BRANCH I �/G
OWNEFY AL.IO �/ /`
ADDPESS �r V UE
ARCHITECT TEL. S �L.G Q/ D L' ��
OR ENGINEER �
FIRE
ADOPESS 20NE TY E GR UP
y-n�1n�� �u� f APPROVED / ) ''7
CON7FIACTOR p.,� l. I F BV DATE !�( � /
A`�o�� va-IlL �' � �� P�� ► w SPGutv
TEL. ZONE NO.OF USE OF NEW �' S q
CITY � � – � NO. P�� BUIIDING �
= STATE CITV �ARDSAPPROVED VApDSAVPR vED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSOPV BVILDING
W SIZE NO.OF BLDGS. (FROM C/LSTREET)
�. OF LOT NOW ON LOT �.(T �F� FT.
a USE OF � //
� EXI5T�NG BLDG. FT FT
FSeparate permi[s are required for L. SIDE J�,FT� Q FT.
� electric, plumbing and heating work. REAR FT. FT.
w USE OF BUILDING AN� WORK TO BE PERFORMED
F D4STANCE BEf. BEf. MAIN &
Q MAIN BLDGS. ACCESS, BIOCS.
VAR.9W DATE
� C.U.P.� APPROVED
Q A
� /'� " I// � APPROVE�
} /v�.t/ I– � '
�
C
W
� I hereby acknowletlpe that I hava reatl thic epplieetion and state �
N
� thu[ the abOve informatlon is correct entl epree [o comply with
m
a ell lews regulatlnB builtllnB construction, and I shatl not amploy
i
Z any parwn In violetion of tha workmen'c componsation laws oi m
= the Stata of Celifornle. �� 0
3 I hvrePY cartlfy thai l em ptope�ly Iicanxtl es a connecior under SQ. FT. �v
iha Stnta of CalNornfa Busineaz entl Professions Code, Division 3, 7HE AMOVNT SHOWN R ALUATION iS FOR m
Chaptdr 9, antl ihat such licensas are In full forca end effect, or I THE PURPOSE OF ESTAB A PERMIT FEE O V: "'
am exampt from t�e provlSlons of the Smie ot Calltornia Busineu i0
VALUATION PERMIT FEE S a
antl Protessionc Cotle Oivision 3, Chapter 9. u�
� m
PLAN CIiECK § "�
Sie�etura of �` �
PermlStoe �� S� Q U TAX 5 � �
U
AuthorizedAOa�t ' TOTALPAID E O' S