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HomeMy WebLinkAbout435 SWARTHMORE LN - Building PermitsMp t � � o, r __ F Jqy� ° ""�o.c�m `� (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� � ;, �, � �,. � • �-/' S7'�elcT �I�'!�"G�� .of �'� z°�t'�rr'! � � 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�