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Home My WebLink About1833 WALLACE AVE - Building Permits f 4 • a- ' Ate. CITY OF COSTA MESA BUILDING DIVISION F. �% ,,,,, ' �1 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER k Pita PERMIT B01-01725 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1833 WALLACE AV Status: ISSUED Suite: Applied: 10/26/2001 Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 10/26/2001 • Parcel Number: 42417110 " Zoning: • Applicant: PATOCKA, NICOLE ISSUED BY: A. _ Address: 1653 SUPERIOR AVE . .Phone: (949)642-7222 _ COSTA MESA;CA Zip: 92627 /" Owner: BARAJAS; JOANNE GAYLE TR . _ Address 4MA 2-901 LIHALL RD- . '' / - " - Phone: BERMUDA DUNES,CA Zip: 92201 - . Contractor: LEE ROOFING OF COSTA MESA 'y / i Address: 1653 SUPERIOR AVE ' . Phone: '(949)642-7222 '/ ' ' COSTA MESA,CA - ' - / Zip: 92627 " License:- 349686 - Arch : Eng: _ - Address: . Address: - Phone: - Phone: .- 'Zip: , License: License: SCOPE OF PERMIT REROOF:T/O COMP/ROCK ROOF, REPAIR'SHTG AS NEEDED EDGE M ETAL,13.0#FELT,INSTALL 20-YEAR 3-TAB. , 12-3/4 SQUARES ' . FEE SUMMARY , Plan Check: ' $0.00 -- - . Calc Valuation: $2,450.00 Permit: $83.25 Claim Valuation: $2,450.00 SMIP Res: $0.50 SMIP Corn:. $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 PLANNING &ZONING SETBACKS " . MAIN STRUCTURE Front 0-0 Rear '0-0 Left 0-0 Right 0-0 ACCESSORY Fronk, 0-0 ' • Rear 0-0 Left 0-0 Right 0-0 ' PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: 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(6/00) I, Y DECLARATIONS fl WORKERS'COMPENSATION DECLARATION: I 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 ork for which this permit is issued. J2KJImhave and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'cc ppen atlon In ranee carrier and policy number are: Carrier: e — Ira Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I 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 of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these prov' s. Applicant Signature: Date: ! ✓ r/- yr_/ WARNING:FAILURE TO SECURE WORKERS'COMP SATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADDmON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am li 5op)4n er pvisions of Chapter 9(commencing with Section 7000)of Division 3 of the Busine3�and ProJeesions Code,and my license is in full force and effect.Lic.p -1`� I5(D Class# C Contractor's Signature: Sty Date: /0 ' 0-.-at 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 I 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 and 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 parr+_ subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO 7HE 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 to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,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 8,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 0 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 time 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? ❑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)? ❑Yes ❑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 materials with the Fire Department. 4 if an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? pi Yes No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 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 ❑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 comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. OfLegal Owner(s) _ Date / o �1 , -01 And/Or Authorized Applicant Date CODE I INSPECTION TYPE DAM )NTTTIALD CODE I INSPECTION TYPE Qsg IICEMALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final +� 208 Final Plumbing 200 Final Re-Roof ii"�! I feGI/ - 210 Final Electrical 201 Final Block/Retaining Wall 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 I OWNER HARRIS, MJF DATE 11-1-78 JOB ADDRESS 1833q „uare en"e BUILDING PERMIT N0. 46986 .$r ''AL CONTRACTOR W. n. St. Clair DESCRIPTION of WORK Sliding Glass Doors 116-101-12 LOTPor. .79LTRACT H t.MesEIRE ZONE VALUE $ 600.00 C14,4_ _.:TIONS Signature Date 4TYPE V GROUP ZONE p_p r‘SOIL SUBCONTRACTOR PERMITS ISSLED h�GAS Date Number Signature \WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS • ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE • UNDERGROUND 0 POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES FORMS STEEL 0.EINF. , FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING^ LATHING — IN IJ OUT n PL BROWN COAT SI RAL, FINAL • Electric HEA' NG. VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL , AA NI R"u N n1G GINAI LNLi_I 70/ Mosta Mesa Building Department APPLICATION FOR OR PERMIT ;l • . .. _111 EAST 20th STREET /2r23 BUILDING ' > . COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY _ _ -Receipt.No._ - --,pe—urilt 4100 l Building Zr !! • / Address �y\• !H 11 a(./a /a...or- Received by_ Date Recd. Date Issued Costa Mesa, California<7/: Nearest '// /7 -1..2'//n—SS //•-o• ?‘•--?‘•-- .}.J.• Cross St. /1rl` SrS Buildin I Address Owner A / , t45 , i>y Costa Mesa, California Mail Address 440, A/L/T /� Nearest Tel. Cross St •3 City /'/!/477) No. Zone, / I No.of Type _/ 1 Group__ Architect or Lic. `}- P ^s !� Engineer No. Approved by `� Alai 2 9 195 5 dlidress ORRECTIONS- City Lic. ontractor (2„1/7j$44-/10 No. ��J 44:4 �'gj '� ,-. Address //9 APC; .� >• � �- �:<e�>.//,a ynJ Description l I No. 7.413 I Block TTrrac044 YY"L2 f��r�� FaC4n.,,,97`- c� (Attach Metes and Bounds) 1 G31)/m No.of Bldgs. I r e 1 Y Size of Lot ,,,57,1",e1.1,-4- Now on Lot I'� � C� II 1 ii 0 Use of I No.of I No .of -- "'-- --- —"—''�_�1- 2) Existing Bldg. Families Rooms Ei Setback Line from / Rear Yard 7 _ _- _ NOV 28 1Qi,G Z Center of Street ism Side Yard .4 - " - - - - - y DESCRIPTION OF WORK r ('ITt/ nr New I� I Alteration I Addition I vii t, ,ryr, L uoI /lItRA -IV . . ,_ Repair I I Moving I I Demolish I 7 h'�lFi •"v Building No.of r Se .270 Rooms ;. Stories (-tor Wail" I Roof vering J`7-l1«p Covering �Qe"ty APPROVALS Use of New Building 412.F5//J_v j/cr `r ett, Foundation Location Inspector Date Forms,Materials, Under-Pinning Frame: Fire Stops, 0-4--- 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 State Laws regulating building construe � �� e Plaster, Int. / Signature of Permittee it-iC.,ti Plaster,Ext. Authorized gt. ,u‘ Masonry Reinforced Valuation Permit Fee $ j e,c U Plan Check $ .9. o O. Bond Beam $ ® Total G a c" 7 Fee $ - •/•• FINAL • • 45214 2114 G-H 2M 5-54 - c- 0 p . o 0. - o . - a - CO.T,c, 2 UJ 2R-55P0 668u *''r**21.00 • — _ _ -' —_ ab: .. t - C.C1 :C 'it Street . . _ .. ;,.,._ cr •01 PLOT PLAN . _ Show location and distances from h: • .:..a 1 . property line and between buildings. ��.. _•�.;r; . ._ ,•- y _ . .xi)fi - - - 1^. Stich , tt,' -- - -- — - — ��r •, • Is 1 .. t" r , t •.t ; _.- _ _ -. - - 1. 'Yu:br iu- ... -' 1 , - — OWNER ARRASMITH, P. / DATE 11-29-% 1 JOB ADDRESS 1833 Wallace BUILDING PERMIT NO. 2101 GF7RAL CONTRACTOR J. Cornair VALUE $ 6240,00 I_O .parcel #3- Sub, #60 BLOCK TRACT Residence & garage GROUP I & J TYPE V ZONE Rh FIRE DISTRICT 2123 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Footing Trench 5telr 4- )/--r Foundation Forms and Grade to Garage CCM Rough Framing G4t / /z. " Plumbing,Rough to ti,� ��2ui5.- /5—— 2J—J' Plumbing, Rough Complete hav"A / - /0 -.57.6",/, t ,T- _Zee-, /a./_, -S; 3 7 0202 `.— Temporary 5—— • � � Wiring, Rough -5 1-9 56. 91 Cl-Nim-d /— S.C6 /7�6 Heating, Rough (/! �77Heating, FinalI ,/W/�f� �a l `�....d6-7.1t,. /,j-/,?- c 37 o2 a wLSewer, HausgUZ Saussora /7 73,c /1 R-C -Q- e a .2 -/“/-S6 y/.1 c/ V_\g' ZanMer Cesspool 1M -X°-J 7-ii �)c9. - „�—/../—S6 a//.3 a La e, in Out fel-1 fro-s4 (j Plastering r�PS , . $ 0,...5"" //o2-a -.$ Plumbing,Final,Fixtures Co pletek!_4 .5-0' -- // Alr Plumbing, Final Gas TestMXP0.,(� ./ eOt—e- s-"( "sot )/Le Wiring,Final 1L.C.20 g-/- Occupancy te/✓ 3'"-/te:-f Form 210 G-H 1500 1-55 104.698.68111/01 /78 .ao TL COSTA MESA BUILDING-SAFETY DEPARTMENT • P.O.EIOX 1200 COSTA MESA,CALIFORNIA 92626 APPLIC• TION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only y._ BY DAT - CEI ID ISS BUILDINCs / / /f /n, ,y', '�. •, 'ADDRESS / '55 ✓N%L/ ^Vcr. 7 (�// lyd, . IAK/I (J // --/O/— ` PERMIT NO. OWNER � (./ A.P. NO. (/ (/ MAIL (' /'J BUILDING 2 ��/ �'l ADDRESS / it 3 7 I/14- etc 4 c p /�S/T,/�r ADDRESS //////�n�//�� COY''J/ tBLO��/ CITY [.USIA /V's NOL.64_1 /j� A"�"` /`' '. CONSTRUCTION NEW ADD ALTER I REPAIR MOVING OFMOI ISH LENDER V I' /p /' • BRANCH OWNER �/R� f/M*7 /) . ADDRESSCT E aga 6.6 V E: / C a OR ENGINEER A/0/UP. NO. US �'i''/ FIRE / ' ADDRESS •I ZONE TYPE GROUP CONTRACTOR i.� ) /J �J APPROVED /97c- ,J I- G`L /Y//( BY DATE A tic CITY £2I4 /ay/I�7 g/ 0011/ Y<0/ ZON N<PLA USE ON NE_//nn-ri5- TEL. NO.OF BUILDINGSEOL STATE �/ j CITY YARDS APPROVED YARDS APPROVED LIC.NO. /s/9 '1? LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE ll NO.OF BLDGS. (FROM C/L STREE ///777T� 4 OF LOT I NOW ON LOT FRONT e �` VI USE OF au' a F EXISTING BLDG. Ji _ R.SIDE) /Findto F rn FSeparate permits are required for L.SIDE CAW/....7 �y Cs" O electric,plumbing and heating work. REAR FT. `/'FT. USE OF BUILDING AND WORK TO BE PERFORMED• DISTANCE BET. BET.MAIN& /�V S7'A it Z Fi/�1 /C�'G� MAIN BLOCS. ACCESS,SLOGS. SL/Diy/6 I!Lyff 7 `PoOrE'S, c VRP# DATE APPROVED ^7 /J/�X h// N�aA/' /!/f j RYL%`�'�/7 DATE /—//C//C/S/ CL 7 CCC��J w O. 0 I hereby acknowledge that I have read this application and state O N Ig that the above Information is correct and agree to comply with -- Be all laws regulating building construction, and I shall not employ m Z any persoh in violation of the workman's compensation laws of 'a` Sthe State of California. -: I hereby certify that I am properly licensed as a contractor under SQ. FT. N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR fa a Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Bus nest a end Professions Code, Division 3,Chapter 9. VALUATION PERMIT FEE $ 6 � 0-0 L to Q 6 PLAN CHECK $ n Signature Of t/2//,�/'// / / /� o Permittee (/ ✓LnC��"7 / / $ /^.(/ TAX $ so ((ff//V Authorized Agent TOTAL PAID $ G• X(9 0