HomeMy WebLinkAbout435 SWARTHMORE LN - Building PermitsMp
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(714) 754-5273 • Fax (714) 754-4856
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
JobAddress: 4Sb SWARTHMORELN
Suite:
Vicinity:
Parcel Nunmber: 14137218
Appliwnt: FURUYA,NORMAN
Address:
owner: WHITLEY, LAWSON A TR
Address 435 SWARTHMORE LN
COSTA MESA.CA
Contractor: ROY CHAFEY ROOFING
Address: 10462 TRASK
SUITE B
GARDEN GROVE CA
Arch / Eng :
Address:
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
BUILDING PERMIT
Zoning:
Phone:
Zip:
Phone: 641-1961
Zip: 92626
Phone: 714-636-1747
Zip: 92483
License: 556624
PERM NUMBER�
g98-02086
77 FAIR DRIVE, COSTA MESA, CA 92626
Phone:
Zip:
License:
SCOPE OF PERMIT
REROOF OVER EXIST 1 LAYER OF COMP. SHINGLES WITH 25 YEAR COMP. SHINGLES.
$0.00
$74.75
$0.50
$0.00
$0.00
$0.00
$75.25
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existina: o
NOTES:
Rear 0-0
Rear 0. 0
Reauired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0. 0
Proposed: 0
Calc Valuation:
Claim Valuation
Right 0. 0
Right 0. 0
Slatus: ISSUED
Applied: 11/79/1998
Issued: 11/19/1998
$3,000.00
$3,000.00
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspentletl or abandoned
for a period of 100 days. , �
INSPECTIONS: In order for the work authorized under ihis permit to be considered lagal, such work must comply with all applicable codes, and all
�. required inapeotlons end final approval must be obtained. Failure to obtain inspections and final approval will resWt in ihe expiration of ihis permit.
I FOR INSPECTIONS CAIL: (714) 7545626
WORKERS' COMPENSA710N DECLARATION: `„
I hereby aflirm under penalry ot perjury ona oi the following daclarations:
❑ I heve end will maintain a certiticale oi conSeN to self-Insure for workers' compensation, es provitled for by section 3700 ot the Lebor Cotle, for lhe pertormence oi lha
work tor w�ich Ihis pertnit is issued.
Qy I hava enC wlll maintain workers' compensetion insurence, as required by section 3700 oi Ihe LeOor Code, for �he peAortnence of the work br which Ihis pertnit is issued.
`�\ My workers' cnmpensation Insurance caMer end policy number are:
Certier: Policy Number:
(This section neetl nat be mmp/etetl i/ the permit is velued at one huntlretl tlallers ($100) or less.)
❑ I Certiy the rtormance of t ork for which Ihis permit is issueQ I shall not employ any pereon in eny me ner 90 es Io become subject to the workers'
cywper��flo�ia, antl e thet It I shoultl �ecome subject to ihe workers' compensation provislons ol S�ction 3#00 of the Labor Code, I shell fotlhwlth
SigneWre:
NADDITIIXJ�T fHEESAT FCAMPENSATIqJ DAMAG SASPROVDEDFORIN ECfION3lOfiOFRTNELA PFCODES ERE TiLANDAITOR ESFEESDRED
I h affirm �het I am licen tler pro 'sions of Chepter 9(commencing with Section 7001)�6t Division 3 e Bus e Pr essions Code, antl my Iicensa is In full
orce and eHecL Lic. p Class M
Contrectofs SlgneWre: Date:
CONST ENDING AGENCV:
❑ I hereby ettirm thet there is a conslmction lending egency for the peAortnance ot ihe work for which this permit is issuetl. (Sec. 3097, Civil Code).
Lender's Neme: Lentler's Atldress:
SignaWre: � Dete:
OWNER-BUILDER DECLARATIONS:
I �ereby eHirtn that under penally ot perjury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the following reeson (Sec. 7031.5, Business end Prolessions
Code: Any ciry or counry which requires e pertnit to constmct, elter, improve, demolish, or repair eny structure, pnor to ils issuance, elso raquires the applicant for such permit
ro file e signed sletamenl thal he or she 1911cen5etl pureuent to lhe provisions ol t�e Contrectors License Law (Chepter 9(commencing with Section 7000) oi Division 3 0l ihe
Business antl Professions Code) or that he or she is ezem0� �heretrom and the basis lor tha ellaged exemption. Any violatlon ot Sedion 7031.5 by any applicant for e permit
subjects ihe epplicant to a civ�l penalty of not more then five hundred dollars (3500).):
❑ I, as owner ot Ihe property, or my employees with wages es their sole compensetion, WILL DO THE WORK, anO ihe siruaure is not intandetl or oNere0lor sale (Sec.
7044, Business and Profeuions Code: The Contractors License Ww does not apply to en owner of property who builds or improves t�ereon, and who tloes such work
himselt or herself or through his or har own employees, provided Ihat such Improvements are not intentletl or otteretl tor sale. It, howaver, Ihe building or Improvemenl Is
sold within one year of completion, the owner-builtler will have ihe burtlen ol proving t�et he or she ditl not bulld or Improve for purpose of sale.).
❑ I, es owner oi the Droperry, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Business end Professions
Code: The conirectors License Law does not apply to en owner of property who builds or Impraves thereon, and who con�rects for such project with e contractor(s)
license pursuent to Ihe Contrecbrs License Laws.).
❑ 1 em exempt under sec. Business antl Prolessions Code for this reason:
Signature: Data:
Owner 10 venfietl by drivels license. ❑ Ves ❑ No Orivels License No. Expires:
Veriticetion of Ownership by (rype ot document, I.e. - property �a: 6ill or tleetl):
DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATON:
❑ I hereby cartify thet no excavation five (5) or more feet in depth into which e person is reQuired to descend, will be mede in wnnection with work auihorizad by this
pertnit, and Ihet no building sirucWre, scafloltling, felsework, ar demolilion or dl5mentling Ihereof, will be more lhen �hirry-5ix (36) feet high. (Chap. 32, Grp 2, Art 2, Set.
341, Tltla 8, Celifomia Atlministretive Code).
❑ As owner-6uilder, I will not employ enyone to tlo work which would require a permlt from the Division of Industrial Safery, as noted ebove, unless such person has a
pertnit to do such wark from tha division.
Signeture: Date:
Division of Industnel Sefery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AU7HORIZATION OF ENTRV: I certity under penelty of perlury that I have read ihis application end stete ihat the informetion given is
correct. I egree lo comply with all stete laws end ciry ordinances relating to building cons�ruction, and authorize representatives ot ihe City ot Costa Mesa to enter upon the
above-describad property for inspection purposes. I egree not to occupy or ellow occupancy ot any building authorized Dy ihis pertnit until final inspection.
GOUE L INSGECT_ IONAIC
1618 Fixetl System I
1266 Pool Spa Final
200 Final Re-Root
Prevention
201 Finel BIaWFiataining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demalition
2098 06
IR111�1.1ti
C4➢El
206
208
270
INSPECTON TYVE
Finel Mechanical
Final Plumhing
Finel Elecincal
212 Final Fire Preven�ion
220 Final Planning Approvel
222 Final Site
250 Final Building/Occupanc
QAff It�lLS
APPLICATION FOR A BUILDING PERMIT
BUILDING PERMIT NO. Eiacviwi m
Tract Block Lot Permlt No. �
Bulltlin9 Plumbin9 n
AtlErezs ��� � � . � / Permil No. �
��Y D
^ Cross ��' Mecnaniwl a
Area Stroet Permlt No.
N
Owner
�� � TyOa ot Roject: ❑ New ❑ Alter ❑ AEGllion M
Atltlress � ❑ Repair ❑ Convert ❑ Demo ❑ Otcupanty Pmt.
A.P. Sup. OISt./
Clty � Z10 Phone Insp. Area
Architecc/ Zone Spl. Pmt. No.
Daiigner . c� - License No.
Setbdtks P/L Front C/L St 5[reet Witlth
AGtlress
Vartls Le t gh ear
CItY . Zip Phone �
ve ol. e 9 . .
En9lnaer IJCGnse No.
C rk ng SPaces equ re rov e overe
a ACGf¢55
m Cit Zip Phone SlruCt No. of No. ot
Y Helght Storles Famlly
� LICENSED CONTRACTOR'S DECLARATION Park Foes ves Fee
p� I horeby efiirm that 1 am licensetl untler provisions of Cheptor 9 Requiretl No C.T. Receip[
(commenting with Saction 7000 of Division 3 of the Businass and
L 2oning ApprOVBC BY: Date
�. Profassions CQtl and y licensa is in fvll force antl� ec@. ,
S Liconse ' In �— Licans umber
cL.� -��(h�.�w.`i+..r_..�\ Misc.
> Oate � �Z CO t t CY>
E Atld�x (,�1 l_ K�� �� G"�-. ` i ProP05¢tl Us¢
LL
City ontl Zip C Phone ie���>� C'� of Structure G � ;�,
� CON5T�ENDING AGENCV �
` �' ' �
I hereby affirm that [here is a consh Ictian lending agancy for the Occ. Typa COAe
d perfor�nce of the work for hi fi t� fs permit is issuad (Sec. 3097, CIa55 Const1 Year
' Civ.C.) �,�---�'_".
y Lender's Name � USE/OCCUPANCV SI2E S�. FT.
� Lende�'s Address
J OWNER- U l ER ECLARATION
� I hareby attirm t�a[ I am exempt from tha Contractor's l.icanse �aw 1�
� fOr tha tollowin8 reason:
� ❑ I, as ownar of the property, or my amployees with wapes es their 2.
sole compenmtion, will tlo the work, antl the stru<ture is not
r Intentletl or offeretl for sale. 3
� ❑ I, 85 Owr18f Of th2 pfOpBfty, dm ¢zclu51v81y cOfltfactifl8 �^/�th
Iicensed conVactors to construct ffie project.
r ❑ I om oxempS undar Sec. , B&PC for this raason 4•
� Dat�
a Owner
E WORKERS' COMPENSATION DECLARATION Total Vaivatlon
� I haroby aliirm thoi I have a cartitiwte ot consent �o self-insura, Entroacnm<nt Po�mit Repuiretl ❑ Vas ❑ No
or a certiticato ot Workers' Compensation Insurance, or a carti(ied
C cOpy t�eraof. � Gratling Pmt Gratling
j3 Po6cy No. Company � ReqWretl ❑ Yes ❑ No Pmt. No.
�a artified co y is hareby furnishetl. Rouqh Gratlln9 �
Q6 ertif" c py is filotl wiih r our+ty, EM . \ APpmveU by: Date �
Datel' APPlicnnt �> 3
CERTIFICATE OF EXEMPTION� -�
F OM WORKERS COMPENSATION INS E Z
(T�Is eection neetl not bc completed it permit is for $100 or IeszL �
1 c¢rtity that in tha pertormance of the work for which this permit is Q
issuatl, 1 shall not empioy any Oerson in any manner so as to become ry
subject [o tha Workers' Compansation �aws of Calitornia. PERMIT FEES
Date APPlican[
NOTICE TO APPLICANT: �t, after making this Cerxificate of SVuctural 5 Plan C�eck 5
Ezemption, you should becOme zubjec[ to the Workeri Compensetion
provisions ot t�e LaOor Cotle, you must forthwith comply wixh such Eleclrital y S�VeS�� � §
provisior.s or this parmit shell be deemetl revoketl.
I CERTIFV THAT I NAVE READ THIS APPLICATION AN� STATE
THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO P�umbing S
COMP�Y WITH ALL COUNTV ORDINANCES AND STATE LAWS
RELATING TO BUILDING CONSTRUCTION, ANO HEREBY AUTH- Mechanlcal S
ORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON
TME ABOVE MENTION ROPERTY FOR INSPEC ION PUR- pre-Gratle
PO� L InSPection s
�
Pre-Gratle Pormit
Sipnatur of Applicant or ont t Rec. No. E Issue s
Print ApplicenYs/ABo���% Name
All speces within this box must be wmplated to procea Plan Issuance
Che<k By: App�ovetl:
CMY UJSS-9b �tlU-GtlJ IBV. b/tlU
OWNER College Park�Co. DATE 4-26-56
JOBADDRES3 �-L3rJ Swarthmore Lane BUI�DING PERMIT NO. Z933
GENERALCONTRACTOR Harbor COIISt,. C.O VALUE � 12s���•��
LOT 3� BLOCK
GROUP I Bc J TVPE V
INSPECTIONS DATE
Footing Trench �� —
Foundation Forms and Grade to G rage �,,, �
Rough Framtng �1
Plumbing, Rough to Sla �/�' • J
Plumbing, Rough Complete y
Temporary Pole
Wiring,Rough �/b—_7,/Sj•s_
Heating, Rough
Heating, Final 7'%f �L'S /�
fiSewer. Hause Sewer. St. 1 /
SepticTank or C'e"sspaol
Lathing,ln �
Plastering
Plum6ing, Final, Fixtures
Plumbing, Fin.al GasTest
Wiring, Final
Occupancy
FOftM 210 3M �O�ii
TRACT 2%2%
SUBCONTRACTOR
Res. w/ att
PERMITS ISSUED
I NUMBI
_. Costa Mesa Bnilding Department APPLICATION FOR PERMIT
� , 111 EAST 20th STREET 2964 B U I L D �l N G '
• . COSTA MBSA, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Receipt No. Permit No.
e�uat�9
Address 435 Swarthmore Lane o? .33
Costa Mesa, California R���a bY I,% �e Red�a. I��n;� �a
Cross 6t
Owner
Mail
Address
Engineer No.
Address
cie�
ContractorHBTbor COri3t. Cd0•
Address
Legal Lot
Description I No. 33 Bloek
(Attach Metes and Bounda)
rj� X 1 I No. of B�.
Size oT Lot ?•; �' �� Now on
Useof "" ' No.of
Existing Bldg. I Families
Sethack Line from _ Rear V
New
Rooms
I Roof
Use ot
t
Vard _
ORH
IAdtlition
Building ' ' ' �
Address
Costa Mesa, California
Nearest ,
Forms, Mate
Under-Pinni
•ame: Fire S1
I hereby acknowledge U�at I have read this Application
and statc that the above is correct and agree to comply Lath. Int
with all Clty Ordinances and State I.aws regulaling
bui]ding construction. Lath. Ext.
Signatureof
Permittee $I' r Const I1Ctl02l i�i0. plaster, Int.
Authorized Ag . plaster. Ext
Valuation Permft Fee $ 3 O `
Plan Check $ l S �
$12�400• Total !•��
Fee $ �
r•oarvi zoa s-sr us e-ss
FINAL
CORRECTIONS
EiPPILOVAT C
O
A
�
2
D
r
Show location and distances irom
property lina and between 6uildings
�
fe
_ . � . ' .. t,` - .
.. : ./
p cosrn A, { � �, r
�� z�! r�l DEIES.: �.ir� . -. 5.. �
. . � '
OWNER y,��
JOB ADDRESS
GENERAL CONTF
AP No. 141-3'
INSPECTIONS
sou
G�5
W �TER
ROUGM PIUMBING
PROP. SwR. LIHE
SPRINK�IHG SVSTEM
LOT 9'� TRACT ���� FIRE
CONOITIONING
UNDERGROUND �1 PON'ER LI
� ROUGH wIFING
�TRENCHES FORMS STEEL REINF.
�FLOOR SYSTEM
`�BOND BEAM � STEE� AEINFORCE rI
C SMEATHING
'IFRRME RNO FLASHING
CNpLATMING - IN n OUT n
�y PLASTER, BROWN COIT
a STRUCTUR4L, i1NAL
ME�TING, VENT., REFRIG� �NO A.C., FINAL
PLUMBIHG. FINAL �NO G�5 TEST n
EIECTRIC, FINAL
BUILOING. FIN�L
DATE
SUBCONTRACTOR
.�
� � COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMI'C
V P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 �
RECEIVED PERMIT - "
For Applicant to Fill in Completely — Use Ink Only N� 5110-4�- ��
BUIIDING A.P. NO. •�' 3 � �
ADDRESS
8��� N� 43$
OWNER OR ` . ,�� ADDRE55
TENANT �..�J
MAILING ' � �'. \" - . • 1 i � UNIT OR . . .— - -
_ . . SPACENO. �� � � ' � � � �
ADDRESS��
TR.N�y��� LOT ^�{ . , BLK.
TEL. l 1 L, t/ .• ..
CITY � . \ . - NO. ' • •
NEW A�D ALTER REPAIq MOVING OEMOLISH
CONSTP • ', � '
CENDEf± ' ' � � •
.� , `
BRANCH i �: `�` � . . � . ' �� '; \,,+ , 1 . . . � •
OWNER.� w \
ADDRESS VA UE- �O
ARCHITECT TEL. USE E � �
OR ENGINEEF C �� �
ADDRESS 20NE VP GROUP
�� ' t . . "� 1 APPROVED �. ' � �� �
CONTRACTO' � BV DATE
. . - . \ � ' � � - � . . . \ . � , ' . • ,
,• ,
ADDRESS �Q `)`'
.� �� . >. TEL.� � , v ''�
CITV `• y n NO. � ' ' �
F STATE CITV. APPROVEDSETBACKS _
��i .IIC. NO., \ r ' LIC. NO. . ,� �. \ ♦ � � � �• ' . • � ,
a
SIZE NO.OF BLOGS (FFOM C/L TqE T)
�� �. Q `OF LOT.'!. � `` ' } �NOW ON LOT : ` � ONT \ '
= USE OF I� .
EXISTING BLDG.• „ `� � O'. � � . -.�\
� � /�
F .. Separa[e permits are required�.for � • �. si e 2 FL�D J
� '� elecVic, plumbing and heating woik. REAR ' Fr. �/
F USE OF BUILDING AND WORK TO BE PERFORMED '` i" PLANNtNG,IiCTION - '
Q . . . . .
C 1
� DATE
Q APPROVED
� C" p l � APPROVED � 1�YJ)
�„ J._aCi OC/
.� .
�
Lii
� m
� 1 heraby acknowled8e thet I hnva reatl this epplicallon entl stata \ �
y� that the above informetion is corract end aB�eo to camply with „
4 0ll laws .ee��e�i�a buildin8 �onstruetion, antl I shall not omploy �
,� any parson In violatlon of Me workmen's componsation lewf of °
W [he State of CalitOrnla. '
3 I heraby cartify that 1 am proparly Ikenmtl es a eontrecror under S�' � � �
Sha 5[ate of California Busineas entl Profassionf Cotle, Olvi3ion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m \
Chapter 9, antl t�a[ sueh litenses ere in tull foree entl et}oct, or I TNE PURPOSE OF ESTABLISMING A PERMR FEE ONLV: ` Q�
am exempt irom the provizlons of t�a Smta of Ca rnie Businezs i0 �"
VALUATION PERMIT FEE E aO.00 �
end Protnssiona Cotle, Divtsion 3, Chapter 9. (�
Signeturo ot \
� /�� �� PLAN CHECK S/O OQ LL ` j
Permittee g TAx S �^
or • � u ^�1
Authorizatl Agant Date TOTAL PA1 D 3 sO
.
� o� � ;, �, � �,.
� •
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� � 7;y-�S /�"�I ft�/�Id� t�z/� /`r°r ,�s
��s'� �tntct�- 7'�-l� w�E�7� � ?316 ���tV
�� D � �-/�s (/1/`lf�f d1�' %'�f
���s �3%3% �
LL�'T; . � -z�,�K., 6,S ,��xGC�
�(pvl f�� i �'�T"�T-� �Y�
..��T� ��r�/LVJT' ir�C�(lfiL� � .�l- l/fLe!litiY��
!t�/�4 ��'
E�i�.l �3l�' l��5lS 77-�1�-' TN�S' � 2��
�ju� tY-k-�:/-Ir �.�4 � �b �tl�'` . ���.✓!'�
� `7�0 f�"s� �COT" .�Cc� ��- <F-3c�«-�t'^�ctl
�{e�A �,q-r- . uao��r� T� /�v"�� -rd i��
/�! 7� i��" ��` `1�� 'e�.� �'i+� ���
, p ��D� �t/�n � � 3 l�
� .� ,��?�c�x� - .. c�-5 �
11� �� l'��i��' �' '�t� LG�