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Home My WebLink About661 SURF ST - Building Permits(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRNE, GOSTA MESA, GA 92ti26 BUILDING PERMIT 0 JobAddress: 661 SURFST Suite: Vicinity: ROOF Parcel Number: 42224107 Applicant: MIKE BURKE Address: 1653 SUPERIOR AVE COSTA MESA, CA Owner: BONDS, RALPH TR Address 312 ST ANDREWS RD Zoning: Phone: (949)642-7222 Zip: 92627 Phone: NEWPORT BEACH, CA Zip: 92663 Contractor. LEE ROOFING OF COSTA MESA Address: 1653 SUPERIOR AVE Arch : Address: Phone: (949)642-7222 COSTA MESA, CA Zip: 92627 License: 349686 Phone: Eng: Address: Status: ISSUED Applied: O6/15/2004 Issued: O6/15/2004 ISSUED BY: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 2 LAYERS OF 15# FELT, 30 YEAR COMPOSITION SHINGLES AND REPAIR/REPLACE SHEATHING AS NEEDED. 16 SQUARES FOR S.F.D. Plan Check: $0.00 Permit: $125.25 SMIP Res: $0.51 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.76 SETBACKS MAlN STRtJCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: 0 Rear 0- 0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 LeR 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0. 0 Right 0- 0 $5,090.00 ss,oso.oa c NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and relatetl 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 abandonetl foi a period of 7 BO days. � INSPECTIONS: In order tor ihe work authorized under ihis permit to be consitlered legal, such work must comply with all applicable codes, antl all required Inspections and tinal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2d48d8 (fl�W � WORKERS' COMPENSA110N DECLARATION: I hereby effirm undar penalry of perjury one of the following declarations: �� ❑ I heve entl wlll mainta�n a certificate oi consent to self-Insure for workers' compensatlon, es providad for 6y seMion 3700 of Ihe Labor Code, tor ihe pertormance of the work for w�ich tfils permit is issuetl. L7\I have and will ma ' My workers' co F Ca er `� �is�sectiann etlnat! ❑ I cetlify tnat in the compensetlon lex comply with ihepg ---'"-- ApWicenYSigneture:.1 WARNUJG�F/ICURE TO51 THOUSANO DOLLAFE (51C vorkers' compensation insurence, as required by sectim 3700 of the LaEor Code, for Ne pertortnence ol Ihe work lor which this pertnit is Iswed. on surence/r�• ner e policy number are: y� � '[ GN�� Tt/!(/� PoliryNumber O�(� f�13—�1i7 ip/ered'� the permit is veluetl af one hundred dollars ($100J or less. J �_ mance ol ihey� � for w�lch this permit is issuetl, I shall �ot employ eny person in any manner so es to �ecome su�ject b the workers' ali� , e Qe e thet If I should become subject to the workers' compensetion provislons ol Sectlon 3700 of the Lebor Code, I s�alllotlhwith � �—Date•r.._.–, LQ�J�� WOfiK COMPENSqT10N CpVERAGE IS UNUWFUL AND SHALL SU91ECi AN EMP.tAYER�TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED IN F�DRION TO THE C0.ST OF COMPENSATION, DAMAGES AS PFOVIDED FOR IN SEGTION 310fi OF THE LABOR CODE, IMEPEST, AND FTTOflNE`fS FEES. LICENSED CONTRACTOqS DECLARATION: I hareby aHirm Ihat I em licensed under rovis'ons at Chapter 9(commencing with Section 7000) ol Division 3 ot,lhe_Bu4�^ess antl Professbns Code, enA my license is in full torce'an`d eNecL Lic. x � � � � �ciass a � G 3 }'J . , ConUadoY551gneWrar � �� r_,,,Date:= y /o / /J �,--^""'4 i CONSTRUCTION LENDING AGENCY: � ❑ I here6y eHirtn that there is e constmction lending egency for ihe pedormance of ihe work lor which ihis pertnit Is issued. (Sec. 3097, Civil Code). Lentlefs Nema: Signature: _ OWNER-BUILDER DECLPRA710N5: Lentler s Address: Date: I hereby eNirm Ihat untler penalty ot perjury lhat I em E%EMPT FROM T}tE CONTRACTORS LICENSE LAW for the tollrnving reeson (Sec. 7031.5, Business entl ProFessions Cotle: Any ciry or wunry wn�ch raQuires a permit to construc4 elter, improve, demolish, or repair any siructure, prior to its issuance, elso requires lhe applicant for such pertnit to lile e signed statement ipet he or s�e Is licensed pursuent to the prodsions ol the Contraaors License Ww (Chapter 9(commencing with Sedion 7000) ot Divislon 3 of t�e Business entl Prolessions Code) or thet he or she is exempt tnerefrom and the besis for the alleged ezempiion. Any violation of Section 7031.5 by any epplicant for e pertnit su6�ects Ihe applicent to e G��I panalry of not more t�an tive hundred dollars (3500).): ❑ 1, es awner af Ihe property, or my employees with weges es their sole compensatlon, WILL DO 7HE WORK, entl the structura Is not intentletl or ottered for sale (Sec. 7044, Business end P�ofessions Cotle: The Coniractors lJcense Law does not apply to an owner of property who builds or Improves thereon, end who does such work himself or fiersell or th��gh �is or he� own employeas, provitletl that such improvements are not Intended or otteratl tor sele. If, however, the builtling or impmvemanl is sold within one year o� completion, the ownerbuilder will heve the burden ot proving �hat he or sha tlid not build or improve tor purpose of saie.). � ❑ I, as owner of ihe pro{�erty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTOHS to construct the pro�ect (Soc. 7044, Business and Professions Cotle: The contrector5 License Law tloes not epply to an owner of property who bullds or Improves thereon, and who conirects for such project with a coniractor(s) license pursuant to the Contractors Licensa Laws.). ❑ I am exempt untler sec. Business and Prolessions Code lor ihis reason: SlgneWre: Date: Owner ID verilied by drivar'9 license. � Yes ❑ No Drivers License No. Expires: Vedficatlon oi Ownarship by (ryPe of document, I.e. - property le: 6ill or deed): DIVISION OF INDUS7RIAL SAFETV PERMIT CER7IFICA710N: ❑ I hereby certify t�at no excavation tive (5) or more feet in tlepth into which e person is required to descend, will be mede in connection with work authorized by this permit, entl ihat no b��ltling stmcture, scettolding, felsework, or demolition or dismentlinp ihereof, will be more ihan ihirty-sic (36� feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Celitomia Administrative Coda). ❑ As ownarbuilder, I will not employ enyone to tlo work which would requlre e permit Irom Ihe Division of IndusMel Setery, es notetl ebove, unless such persan hes e pertnit to tlo such work from the tlivision. Signature: Dele: Division ol InduSirial Sefery Pertni� Number: CERTIFlCATE OF COMPLIANCE AND AUfHORVA710N OF ENTAY: I certify under penalry of Derjury Ihat I have read Ihls epplication end state that the information given is wrrect. I agree to compty with ell state laws entl city ordinances relating to building construction, end authodze representatives ot Ihe Ciry oi Costa Mesa to enter upon the ebove-described properry for ins0ection purposes. 1 egree not to occupy or ellow occupency ol eny building authorized by Ihis permit until linel inspection. [I7�I�1�ftF97{�itTPi�19� 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roof 201 FIneI Blak/Retainfng Well 202 Final Faciory Fire Place 203 Finel Sign 204 Final Demolition Applicent PA7F INLITIr1L5 �"�` � COUEA INSPECTIONTYPE 206 Final Mechanical 20B 210 2tt 220 Finel Plumbing Final Electrical Final Fire Prevention Final Planning Appraval 222 Final Site 250 Final Building/Occupancy PAiE lli7IDALfi OWNER HARROR F.STATRS � DATE 6-i6-K� � JOBADDRESS 661 Sur£ st. - BUILDINGPERMITNO. v-lO9 GENERALCONTRACTOR Dike & Cole�rove VAW E$ B�OOO.00 LOT 5g BLOCK TRACT ].9$(j ltesidence �5171P].E� GROUP I TVPE V ZONE RI-1 FIRE DISTRICT �.12G PERMITSISSUED INSPECTIONS DATE SUBCONTRACTOR DATE � NUMBER Foundation Forms and Grade to Plumbing, Rough fo� Plumbing, Rough Co Temporary Pole Wiring, Rough Heating, Rough Heating, Final Sewer, House� Septic Tank or Cessp Lathing, In Plastering Plumbing, Final, Fix' Plumbing, Fin,al Gas Wiring, Final OccupanCy r....«, �in r__u xn �� St. I ' L7'o� /. ln: 4o w/ I A-//- � 5'I � iJ.� S— ,.�;osta Mesa Building Department APPLICATION FOR PERMIT N1 EAST 20th STREET ✓'�(��p B__U_I.L.D_�I�.N_G�...._.._..� i� � � COSTA MESA, CALIFORNIA FOR APPLICANT TQ FILL IN ' �OR QF&'ICE USE ONL.Y CJ"'- L _ j Receipt No. PermiY,No. 1 Building o Address 661_Su�'f Street � '�� /�Q / ' Rece�v by; Date Rec'd. �ate Issued • Costa Mesa, California ; �' , � �� ; NearGst � /� `, � _/� —�� c�oss st. 9th Street 6u;�a;,,y , Adtl�ess � ow�e� Harbor Estates I Costa Mesa, California naa�ess 419 �st 17th Street Nearest Costa Mesa Te1.Ll. 8-1154 c�oss sc. i City No. Zone' No. of Type � I Group � Arohitector Carlson K. 11 e 1tDf1 P�a�$ I � ' Engineer No. App�ove , — by . � Date � ' Address G3I'C:6h GT'OV8 � i � � concracto� Dike & Colegrove NoY ��c. �301 � ,� Address 419 East l7th Street � Legal Lot ---� �'��'.' 1� �QJJ � � Desc�iDtion � No. 'ii I B�ock I Trect 19g6 , . `"' , Size of Lot 60 x 110 � uow o� �oi � none Use ef 9 9 nOne I No. of No. of Existi� BId Familiesl RoomsS� Setback Line from Rear Vard � center of street S�� side vard 5� DESCRIII'TION OF WORH New I X I Alteration I I Addition I Repair I I Moving I I Demolish I _-' Building No.of 1 Size 973 Sq•'�• Rooms 5� Stories Exterior Wall � Rooi `, . .. _. , , , Caveri�g $tUCCO _ Covering °mP• APPROVALS Usc of New Building $1Rg1.@ i271t11� residence Foundation Location Inspecto Forms, Materials, Under-Pinning � t C Frame: Fire Stops, � — Bracing, Bolts I hereby acknowledge that I have read this Application Lath. Int. and state that the above is correct and agree to comply Lath. Ext. with all City Ordinances and SI'ate Laws regulaYing bullding construction. SignaTure of Plaster, Int. Permittee Dike & Colegrove _ Valuation Permit Fee $ SO� t� 0 Plan Check $ Bond B S �O � Q Total Fee $ 7--3. u a FINAL �..._.., a n r..ir �xr �v.Fx 0 9 _ _ 4) Z n r 1 � r 1 Sy [` . ♦.. �. ` . �. -- - " � y cosin � . .1�1416.-,�(��iesn �1374 ;�:,:t,:�23.�0 i, I � ` ,� , � � . n. _. 1 LV 1 1 LAL\ ' �- � , •. . • - . _. . � Show location and distances from property line and between buildings. � : � . . . , � i � �1�.-. ... �_... _ ' _ . ' ' .: I .{': _ 1 .. ' ''"' ' .. . . , . ' ' . . . • • i: , . .. : Rq .. " ' .. � . . . � _ ' . ... ..! , . _ , . , - . . '1- . , . i .. " � . .t ' ' - - ! OWNER d DATE JOBADDRESS Ej(jl SllI'f - BUILDING PERMIT NO. ��,{']� GENERALCONTRACTOR Jack Cornair VALUE S 880�� or APll53�_07 e�ocK TRACT 1986 Ztao Car Gara�e AS PER U,B.C. ' INSPECTIONS Rough Framing Plumbina. Rouoh to Slab Heating, Final Sewer, House Sewe SepticTank or Cesspool Lathina. in Out Plumbing, Final, Fixtures Plum6ina. Fin.al Gas Test Occupancy FORM 210 3M 10-35 St. TVPE DATE I SUBCONTRACTOR � PERMITS ISSUED I NUM81 ' ' - 4800 '�OSTA MESA BUILDING DEPARTMENT P. O. BOX 31] COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN BUILOING i/% �� ADDRE55 E7 v , COSTA MESA. CALIFORNIA MAIL / ADDRE55 LG ��r� . ARCHITECT OR ENGINEEF AODRE55 NO. LIC. NO. CITV LIC. NO. oESCaivnON INO. ,�J j IBLOCK ITRACT� A.P. NO. � D SIZE NO.OF 9LOG5 OF LOT GD � rmw oH �or (j USE OF �% E%ISTiNGBLDG. /f,rS/O.P�/t SETBPCK �INE FROM CENTEa OF SiREEi 9.�'� � REAR VARD �� / / SIDE VARD 3� RIGHT � LEFT DESCRIPTION OF WORK NEW /� ALTERATION qDOIT10N REPAIR I MOVING DEMOLISH BUILOING /�w NO.OF SIZE �yx a2 ROOMS � STORIES E%TERIOR WALI ROOF � COVERING STJ//(O COVERING ��f'T USE OF NEW �� _ �. FEE RECEIVED ��, . a-'1, J�J l % -^ � , FINANCE DEPT, A18��f,�S�AhM�R PERMIT BUILDING FOR OFFICE USE ONLY FECEIPT NO. ('.�P/EPMIT/ NO. / �O � FECEIVEO� OATE RECENEO DSTE ISSUEO -S" 3-� - . ,oR� d�/- ��v,�� COSTA MESA. CALIFORNIA FIRE ZONE ZONE � PLO1N5 TYPE APPROVED �� BY � DPTE CORRECTION I� b CITY !- CaSTA ME5A ^� � SUBJECT BLOG. DEPT� RFI SThTE TX4T THE P60VE I$ CORRECT GND FGREE TO COMPLV WITH ALL CITV ORD�NRNCE$ I�NO 4TE L�W$ flEGUL4TING BIIILDING CONSTFVC- norv. VALUATION r SIGNATURE OF ��111 PERMITTEE �:% �/O �J Y �� /✓ .. it? � $ Q a e/ �� -1� �C'a t G. = �� . .�c G �� 0 � _ PERMIT FEE S PLAN CHECK 5 TOTAL FEE S / �eMr