HomeMy WebLinkAbout1922 WALLACE AVE - Building Permits PROJECT ADDRESS: 1922 WALLACE AV UNIT: GARAG CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 068954
OWNERS NAME.
BARAN, WANDA
ADDRESS:
w� 22182 WOOD ISLAND PERMIT NO: H 068954 PLAN CHECK NO: N GOVT; N SUPP: N
HUNTINGTON BEACH, CA
\ CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: OTH
` •, ARCH/ENGINEER: REG.NO.:
ADDRESS: UNIT: ; SQ
JOB DESCRIPTION T/OFF REPLACE FACIA, REROOF W/COMP SHING FT: 6, 950
PERMITTEE: CLAIM VALUE; 6, 950 . 00 CALC—VALUE: 6, 950 . 00 GROUP OCC; M-1 /
ADDRESS: LARS—ERIK LJUNCH BUILDER ( 714 ) 650-5333
3076 SAMOA PL COMMENTS: REROOF 2500SF GARAGE W/COMP SHINGLES
C.M. CA 92626 *********************s6+Ear*aEaEat;EaE+6�6r6**aP*****�6**aEara6*ar+e*+r***ar*** a6�E*a6N�6�r* *+6****�6***
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G R E U I R E M E N T S
7000)of Division 3 of the Business and Professions Code,and my license is in Lull force and effect. Q
SETBACKS
CITY LIC?5 96 STATE LIC.: 649144 CLASS: B EXP; 08/95
reltr Date'_ Signature: GI"_Q-i 5' MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I haeacertificate of consent to seu.insure or a certificate of Workers' FRNT: FT IN REAR: FT IN PANT: FT IN REAR: FT IN
Compensation Insurance,or a certified copy thereof(Section 3800.Lab.Q. LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ• PROV: PARCEL; 00000000 ZNE: REF NO:
7 Certified copy is hereby furnished. 0 Certified copy is tiled with the city Building Division. PLANNING NOTES>
Date: Applicant: **************'1E******************************************************aE****fE****
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred MOO)or less). D E V E 'L O P M E N T SERVICES R E Q U I R E M E N T S
I certify that in the p Forman e of the work for which this permit is issued.I shall not employ any person in any manner so as to become
subject Work ConsationLaversofCalifornia. ZONING APPROVED BY DATE;
Date l^ —ion,yslgnam u.
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NOTICE:B.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED H Y DATE; `
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY Ctirla
which this permit is issued(Section 3097.Civ.C). ******************************************** **************************44**
LENDER: *******************************************************************************
Roofless: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT :Y
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 90 . 00
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed7 0
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/ —RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation. will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7144,Business and Professional Code: The Contractors'State License Law TOTALS----> 90 . 70 0 . 00 0 , 00 90 . 7;/// 90 . 70 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her awn 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 wit have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 90 . 70- OVER/SHORT: . 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 90 . 00 • 70
❑ are Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware *,*,*,*,*,*,**,**,K.,**********,******,*,******,N,***,***,*************,*************************
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.S P.C. INDIVIDUAL FEE BREAKDOWN
for this eaton: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner:
I do hereby certify that lam aware of and understand the requirements of California Neagh and Safety Code Sections 25505.25533.and SFR 6950 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 6, 950 . 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES 1,
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and State that the above information is correct.I agree to comply with all city and county 01 00163057-00168058 T CE T 70.70
0
ordinances and state laws relatin to building construction and hereby authorize representatives of this city to enter upon the above-mentioned DATE: 09/20/94 TIRE: 11:21
• property inspects n purpo s. Y
Dale'. (� Signalize.
Driver's License or Social Security N:
164146 While—Bwlding:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
•
'&..ItstSTRUCTION AND PLANNING POO WA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole - - 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. _ 54. Forms
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4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings - 58. Electrical Conduit•Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe•Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
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18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace - APPROVALS Permit #
21. Ducts, in Structure ' - 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil
25. Roof Sheathing 1-26-qU (2&14r 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat l L 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing& Siding . - 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL
30. Drywall Nailing - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat ' 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy •
37. Final Factory Fireplace ,
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING /0_3-g 644_
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date •,
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N.
1116?
=
COSTA MESA BUILDING-SAFETY DEPARTMENT
6EE . RECEIVED
P.0.BOX 317 COSTA MESA. CALIFORNIA ' '(a - 43- 3 -s 1
FINuNeF nr T U La
TOR APPLICANT TO FILL IN COMPLETELY APPLICATION'lY �C';'F� ORPPERMIT
TYPEIOR PRINT e. Qj, �I BU LDINGMESA
BUILDING /Y;a �}/A4CF S-6/ L� C7 •
ADDREss COSTA MESA. CALIFORNIA /JI .••VVV,,,
FOR OF /CE USE ONLY
/� (/ateA /`/'� C RECEIPT NO. . MyT O. •
OWNER fie Cff4WAls Nei rne/P �� �//�/�
MAIL / S p R/F,/�I,.... �Y DAT PEC IVE . PATE §UEO
ADDRESS /If• /M�M. `CYCniteede� { /� f! - II ��ff��3�i //i Ua
CITY 34ArTg ,44.4 TND:/y/7_10.?` ADDREISS /702-2 74/
ARS -CT LIC.
-OF NEER NO. COSTA MESA. CALIFORNIA
-
ADDRESS FIRE .I//�-
//� ZONE TYPE7GROUP / , �'�Y
411
AmPge�- � ... STATE gra&6 APPROVED n // • /k5 i AA 4
CONTRACT/OBRA 4'M/rA Li-Rua A6wf,GLC LIC.NO. /'1 �{,./ BY DATE � (��1✓
ADDRESS V2 143 M'L✓/Wwr 4C WO ` • // q"CA ZONING ra I/ /
LEGAL LOT rr -J ZON / NO.OF USE OF NE
DESCRIPTION I NO. /� IBLOC�KK I IITRACT ezz, ^lL PLANS/ n _ I BUILDING / ,
A.P.NO. IIr3' �3 y2 / APBYPROVED G„(-a �J DATE
(y 'j��l ..
SIZE c�.7 Jt)( a q0 (No.OF BLDGS. YARDS gryE `r
OF LOT' Now ory Loi G�DA'f REQUIRED LLOWED
USE OF (CENTER LINE ST.) J /
EXISTING BLDG. FRONT /6 FT. jIN.
SETBACK LINE FROM s.! / A F /' / '
CENTER OF STREET 5 REAR YARD J t R.SIDE F y- FT. IN.
(. / S ! l
SIDE YARD LEFT •J RIGHT L.SIDE IN.
DESCRIPTION OF WORK J
REAR
� f7 FT.�7'/-. JIN.
NE I VIALTERATIONII ADDITION �A,((.�(//n/,111'_�e+�J ^ //J //��i
REPAIR I MOVING I DEMOLISH I Y '7 / tit ?,/, / C Q
BUILDING t5,6, X y NO.OF -7 '/
SIZE ROOMS STORIES 2,
EXTERIOR WALL (ROOF 1
COVERING LDDW COVERING 7)) / <7
USE OF BUILDINGING AND WORK TO BE PERFORMED {f 7 -
•
y-!aR 4rant;ers, tatti.5 r,'Qc.7 /j f i-
ii a-47 etti✓ •
1 HEREBY ACKNOWLEDGE T AT I HAVE READ THIS APPLICATION 'SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CO CT AND AGREE TO COM.
PLY WITH ALL CITY ORDINANCES E 12 REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUE / VALUATION
SIGNATURE OF /R�•� PERMIT FEE $ gI JO
PERM ITTEE
/A. PLAN CHECK $ /9.
AUTHORIZED AGENT ����� iU 0
TO-TAL FEE $ �//y �
11,168 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT /2- -, 3- S7 A U
P.O.BOX 317 COSTA MESA. CALIFORNIA r FINANCE DEPT.
FOR APPLICANT TO FILL IN COMPLETELY L. ATIONSFOR ES PER
/'�
TYPE OR PRINT �,,ci _ , //� BUILDING
BUILDING /i-2 YY4144�,C- Ea Or��✓//i�t°
ADDRESS COSTA MESA, CALIFORNIA 'w FOR
�/n / /mob FOR OFFICE USE ONLY
OWNEF /e///` CM pits / /r/I re1CFA RECEIPT NO. I PE[iMIT NO./y
MAIL ',�� A/ de.. RECEIVED/ DAT RECENE/D.' OAT$ I SSSUUpED(Jy
ADDRESS
'�,� (c M' Sett//-/O'Pe ��'� I .�Z.z./':i/ I /./�//.S—�!/
CITY 58.TY} 4IV4
TEL.
7,aai(` BUILDI G //,- /i/ ./�/. .G e/
ADDRESS i i- +L// (�/�( 'et-
7
aR .,*INE uo... COSTA MESA, CALIFORNIA
OF,- ',.k4NEER
FIRE _��/(�- _"T
ADDRESS ZONE TYPE .: GROUP.). """"JJJ-�,rytF}'/
NE COSTATE APPROVED / '
CONTRACTORAR/OTHFE Ou/[ASPS /CC LIC.NO.I�7 C'G G BY DATE
ADDRESS 2SCIA/A141/30M,r /34i/a._ C/I.) CSI ZONING 00 4,�'(Ij '-�I
LEGAL I LOT /� /� k/.„7,_ ZQNE /Cil NO.OF_ ^ _I USE OF NEWal- ^�S
DESCRIPTION NO. BLOCK TRACT /U-CJ��.1 PLANS Y BUILDING /L4/
A.P.NO. IIs - 3y, ^ y APPROVED til 1 (1 DATE I/'� ill
f7
BY
SIZE S 90 L ,X"C
NO.OF BOGS .r F�,F- YARDS LV V'f ES
OF LOT ( /I aNOW ON LOT REQUIRED ALLOWED
USE OF (CENTER FRONT LINE Si.(( o I II N.
EXISTING BLDG. C : ,F
SETBACK LINE FROM M• bi n _V9
CENTER OF STREET " REAR YARD V U R.SIDE V FT.
SIDE YARD !LEFT / I RIGHT J / L.SIDE 5T. FT. • IN1
DESCRIPTION 'OF WORK REAR 4P FT. ' N.
NE 1 ALTERATION I 11 ADDITION I �� +� q q� /�`.lJ
REPAIR I I MOVING II DEMOLISH I /g�/� // QEF 7I 1.Sw a
SIZE
BUILDING��K Q� NO.OF ROOMS �. STORIES / U
EXTERIOR WALL I ROOF
COVERING COVERING
USE OF B ILDING AND WORK TO BE PERFORMED y
/' 6- xfo / 4 4//Aso Ar Roo it . &'G
A 0 1 2a x- lo ' ot+ac, GG— . -- /x1462' .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS ORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY O DINANC D STATE I, REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTR I VALUATION
SIGNATURE OF 1 /(4y^h PERMIT FEE $ /4 I /-
PERMITTEE Q
a � PLAN CHECK $ (/
AUTHORIZED AGENT $� ()Nei
" J I 'OG
N OTAL FEE $