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Home My WebLink About2010 WALLACE AVE - Building Permits -`501 MF loCITY OF COSTA MESA BUILDING DIVISION F• DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 4. PIM PERMIT • B00-01609 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.c.a.u�LDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 ll C Job Address: 2010 WALLACE AV - Status: ISSUED Suite: Applied: 10/06/2000 Vicinity: RESIDENCE&ATTACHED GARAGE • \ Issued: 10/06/2000 tc i` C. .. \ C\ 1' \ Parcel Number: 42225223 ) Zoning: - \ �A. \ \� ,CH Applicant: RYAN, CHRISTINE ISSUED BY: Address: Phone: 714-843-1950 Zip: • Owner: HANSEN, RICHARD Address 3200 PARK NEWPORT Phone: NEWPORT BEACH,CA Zip: 92660 Contractor: PARAGON ROOFING Address: 16542 POTTER CI Phone: 714-843-1950 HUNTINGTON BEACH,CA Zip: 92647 License: " 726753 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT- , REROOF OVER EXISTING 2 LAYERS OF COMP SHINGLES:APPLY 1 LAYER OF 30#FELT&REROOF WITH 25-YEAR , COMP SHINGLES. , 16 SQUARES • FEE SUMMARY - Plan Check: $0.00 Calc Valuation: • $1,800.00 Permit: $63.15 Claim Valuation: s1,ado.od SMIP Res: $0.50 SMIP'Com: $0.00 Other: $0.00 • Inspection: $0.00 Total: $63.65 PLANNING &ZONING - _ SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right, 0-0 " ACCESSORY Front 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) DECLARITIONS 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 work for which this permit is issued. ❑ I have 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 work o pen tion ranee cam and policy number are: 5-7 f13 Carder: ?//T0�/ P /(W'74 4 / Policy Number: „9-- (This section need not 6e comp/ t6 ed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the pe ante of t work for which t permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws C lifomia,a a roe that if I s become subject to the workers'compensation provisions of Section 3700 of the bor Code,I shell forthwith comply with the V ions.�' /^. ,� � /6 /, / Applicant Signature: N✓ � �Li Date: [/ WARNING:FAILURE TO S CURE WORKERS'COMPENSATION COV GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES D CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(S100.000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,I EREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed rider pro '-ions of Chapter 9 commencing wit action 7000)of Division 3 of the Business and rote ns Code,end my license is in full force and effect.Lic.R a _ Class Contractors Signature: hinrnannitat, - Date: 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). Lenders Name: Lenders 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 permit 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 THE 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 properly 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. 0 Yes 0 No Drivers 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: 1 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? 0 Yes ❑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? 0 yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application aggermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? IJ Yes L-I No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 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? 0 Yes 0 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 • 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 agre• I. 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-descri'e• property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Sig lure gal Owner(s) fo/ pate Cirf-9V1 And/Or Iz d Appl� �j Date ;ODE I INSPEC110N TYPE DAff lNTulAL5 CODEC INSPECTIONTWE DAIS MALI 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof Ra 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 OWNERLUCAS, RICHARD DATE 5-8-62 .% JOB ADDRESS 2010 47allace$k,:`'<- BUILDING PERMIT NO. 16868 GENERAL CONTRACTORShoreline Constr. VALUE $ 10 3146.00 AP No. 115-3E5-25 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Res. Det. Gar I ECTIONS Signature DATE GROUP I &—J TYPE V ZONE R-2 Snit /14,-,±S r-21-02. SUBCONTRACTOR PERMITS ISSUED Gas /i/ 7-0.-6.7.--- DATE NUMBER Water N 0 /VI'1-5- 6-3./-Gt Rough Com. Ref rig. 0 Air Cond. 0 —/, Rough Heating -_� 7-�2r �v' Rough Plumbing /,. « /� � y `�y , 7 -II- Miscellaneous 7.-70„.&...L (� Prop.Swr.Line House Con. I�St.Swr. 0 eDK _'r//0_C g "7/O 3 4.5-3)-- Sprinkling Systemn _ r�111F 6v Constructioole Underground ❑ Power L _ T �. ,� \/ Rough Wiring _ _q?0-l7 2Z {.9-2-_ -1±._aae le-'72C Y L Trenches VLe/ L._8. Y___ L)° 1 orms Lf Steel Rent ❑ �/d>Y_ 1-...r,./ '''"d ant Floor System _ Bond Beam ❑ Steel Reinforce 0 //�� Sheathing ayz �� G 6 - Z$ - G �. Frame and Flashing lin/ -7 -I-7— 6 >"---- Lathing �Lathing — In 0 Out 0 f:,,.S 2.-3A -CI- I- T, brown coat 1-//t Si-/D-L �. i g. 9 Air Cond. ❑ Final Heating, Final Plumbing Fixtures, Final Final Gas Test �.S '3'62- Electric ZElectric Fixtures, Final 1' VC? Building, Final /q-02- , OCCUPANCY 16868 FORM 8114-5M — 741 i 16868 7E RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT APR 4 1962 • P. O. BOX 917 COSTA MESA. CALIFORNIA ® FINANCE DEPT. For Applicant to Fill In Completely • APPLICATION FOWERIAITCO STA MESA TYPE OR PRINT BUILDING BUILDING •) /+1/ /1 / LA.4 l�^ Cr ADDRESS • COSTA MESA. CALIFORNIA For Office Use Only /� /T / / , (' RECEIPT NO. /PERMITNO.� OWNER �i ft:.�✓.�'2D Lam.L// -.S I ( 6 //��i�{6///jj MAIL 7�J((_ a, 7-42 , 5 RE IVSD 0Y DATE RECEIVED DATEEIISSUED ADDRESS /J O V`� l� ,� �'- -6 �X. I4,o-7- CITY ->-+ �' CITYC_l3s7,( /"/ cf TEL NO." dI� NG a^ ADDRESS /.0 LL- -c-c.0{/ ARCHITECT .�/T�- TEL. COSTA MESA. CALIFORNIA OR ENGINEER ,f/laser 4./Ai NO. - • ADDRESS FIRE ZONE TYPE GROUP / APPROVED BY DATE ADDRESS . - a 0 itic-44- i•;. 7 .4, • ZONING / I ZON 5R I NO.OFa I USE OF NEW ST hy1�yL. CITY ar Jam/ PLANS BUILDI * ' T O ' STATE TEL. /:,5 C LEGAL ibk y �('TC )� A J A DESCRIPTION 1r^ Clb • 9 -OZS --U✓ -• I�1L0 SIZE �) NO. OF BLOCS. �/`. r--y- `.. KJI•{ OF LOT 7/� / _2_7 I NOW ON LOT p A.P.NO. i -- 3 i , -� .USE OF 5/ YARDS EVES EXISTING BLDG. • - APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE ST.) - CENTER OP STREET REAR YARD . FRONT 1,4FT. IN. SIDE YARD I LEFT I RIGHT R.SIDE 2 7 FT. IN. DESCRIPTION( OF WORK SIDE /S—FT. IN. � NEW /\I ALTERATION I II ADDITION REAR `_ 2 5 FT. IN. ' 11 APPROVED \ �/1 REPAIR /MOVING ( DEMOLISH BY G�7•(�V11.�/DATE -P Z BUILSIZE DING I✓ `,.8I ROOMSF J STORIES A /0 SI - EXTERIOR WALL (' l ROOF 'yy'/nn�, LL /� /�/]Es'�(( �. COVERING SLcCO I COVERING /C� 1€ (IS USE OF =//6 AND WtA-OEl PERFORMED Al AS� L it- Le--- j /p'N S/AUELk– I . Ache' N -it_ ' G. 472,46E .C . ' I HEREBY ACKNOWLEDGE THAI HAVE READ THIS APPLICATION • AND STATE THAT THE ABOVE TiS CORRECT ANO AGREE TO COM- THEPURPO A UNTOF OHOWNEBTAHLIBHINA UNHEG VALUATION 1F FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PERMIT FEe ONLY. BUILDING CONSTRUCT SON. VALUATION qq � SIGNATURE OF VO PERMIT FEE $ SS PERMITTEE �i�j�/( � ��/)4� ,� ' $ /0) 3 • PLAN CHECK S 4 AUTHORIZED AGENT - 3 y� G ' TOTAL FEE LL