HomeMy WebLinkAbout2061 WALLACE AVE - Building Permits . t CITY OF COSTA MESA r
oq r BUILDING DIVISION
FAp 1I 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
- FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: BX10-00122
PERMIT TYPE B_MISC STATUS: ISSUED
APN: 42228123 DATE ISSUED: 08/25/2010
Zoning: , ISSUED BY.
JOB ADDRESS: 2061 WAL-L'°ACE AV-CMM' Suite/Unit:
Vicinity: Primary Occ: Const Type :??
SQ.FT: 0 Valuation: $15,000.00
SCOPE OF WORK:
REPAIR FIRE DAMAGED GARAGE STRUCTURE AT REAR OF COMPLEX. SCOPE OF WORK TO INCLUDE: RE-FRAME ROOF,
COVER
FLAT ROOF WITH CLASS A BUR ROOFING.
OWNER: WOODHAVEN TOWNHOMES Address:: 8 EXECUTIVE CIR Unit
City/State: IRVINE, CA Zip Code: 92614
Phone: 949-862-6251
APPLICANT: VELEZ,JOSE Address: 2509 S BROADWAY Unit:
City/State: SANTA ANA,CA Zip Code: 92707
Phone: 949-283-5603
CONTRACTOR: TOWER CONSTRUCTION License No. 885183
Address: 2509 S BROADWAY Unit:
City/State: SANTA ANA, CA
Zip Code: 92707 Phone 949-283-5603 Cell:
ARCHITECT: License No.
Phone
ENGINEER: HANSEN HOKAMA STRUCTURAL ENGINEERING License No. S4505
Phone 714-573-0073
FEE SUMMARY
Building Plan Check: $163.31
Building Permit: $251.25
Electrical Permit: $0.00
SMIP Residential $1.50
SMIP Commercial $0.00
Bldg Std Admin Fund $1.00
TOTAL FEES $417.06
HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010-PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Satrudays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal Holidays:
New Years Day,Memorial Day, Independence Day,Labor Day,Thanksgiving Day and Christmas Day
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
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.
CODEX. INSPECTION TYPE ORT INTTDALS CODEX INSPECTION IYPF, DATE IN1TALj
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing (�
200 Final Re-Root 210 Final Electrical X 10-I -t h MP
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
.X Ip• I ✓,o♦�
204 Final Demolition 250 Final Building/Occupancy P
WORKERS'COMPENSATION DECLARATION: II Owner ID verified by drivers license. ❑Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. ' Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
comp sation, as provided for by section 3700 of the Labor Code, for the
erf mance of the work for which this permit is issued.
I have and will maintain workers'compensation insurance, as required by
n 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: 7 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
airier..G l-1 N 1 Pc Lr Ci NStan.- e-te/� or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2.Grp
(This section need not becompleted d the pent is valued al one hundred dollars($100)or less.)
2,Arty Sec.341.Title 8,California Administrative Code).
lcy Number:1 V`fl ,ojv } Do--7 - O•
!
0 As owner-builder, I will not employ anyone to do work which would
O I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to workers' compensation laws of California, and agree that if I should
ben a subject to e orkers' compensation provisions of Section 3700 ofDale
W i
the !for Cr•e,I all f• hwith comply with these provisions.
t J ,�rC]-$0 Applicant's Signature of Industrial Solely Permit Number:
ica l's- nature O gore -,
.
WAR J' G: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the Califomia Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds.or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is ininfulllforce and effect. p a registration form for acutely hazardous materials? 0 Yes 0 No
cliGib - Kg `� 33 .Gases a (Section 25533 of the California Health and Safety Code, with some
(� _ exceptions, requires registration with the Costa Mesa Fire Department by
L\�� �-- ��.lu' - each business which al any one time has on hand a quantity of acutely
(//j Oon6acto s ignature �^ Dale v 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work fcr which this permit is issued.(Sec.3097,CMI Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Dale
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes ❑No
thereon,and who does such work himself or herself or through his or her own 8 (If yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions.
property,
❑ I, as owner of the
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code: The contractors License Law does not apply to an owner of signature Dale
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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 ntil final inspection.
V0ied'. eqs) Date
Signature nate 8—a6 i a-
3057-46(107) .i ed Apggon1}.' " Date. ,r
CITY OF COSTA MESA C�
DEPARTMENT OF REL"ISTERED DEPUTY BUILDING INSPECTOR'S
BUILDING AND SAFETY _it,
BUILDING INSPECTION CERTIFICATE OF COMPLIANCE
Address of 2061 WALLACE AVE.
Building
Off-Site DATE OF THIS CERTIFICATE
Fabricator
8/29/10
Permit BX10-00122
Number Year
TO THE SUPERINTENDENT OF BUILDING: CITY INSPECTOR:
I hereby certify that the following portions of the work at the above address which required continuous inspection,and
which I was employed to inspect, were inspected by me and comply with the provisions of the Building Code applicable
thereto:
Type of inspection:
❑ Masonry ❑ ReBar Placement ❑ Concrete or Mixer
❑ Welding ❑ Concrete Placement ❑ Gunite
❑ Hi-Ten Bolts ❑ Tendon Placement ® Other EPDXY
Description and location of work completed:
VERIFIED HOLE DIAMETER, DEPTH AND CLEANLINESS FOR 5 5/8"DIAMETER RODS INTO EXISTING SLAB
FOUNDATION FOR NEW ABU44 POST BASES. PROVIDED CONTINUOUS INSPECTION DURING EPDXY PLACEMENT,
USED SIMPSON EPDXT-TIE.
Size of Structure Time Arrived 7:00 AM
No. of Stories Time Left Job 8:00 AM
Conc. Mix Design No. Psi Swimming Pool
I had sufficient time to inspect all materials used and placed.
I was not employed by the contractor, subcontractor or material vendor.
P021125
Registration No.
Employed By:
Lab.
Signature-Register- Ileput ding Inspector
Independent 0
JUAN DE SANTOS
Print Full Name
IN.Form.07 (Rev. 6/1/2005) www.ladbs.org
li :1y, CITY OF COSTA MESA
4 ap BUILDING DIVISION
>:j ..+ DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
;
i, 1.2-..5-im PERMIT
4. �; 806-01227
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.c$30ILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 2061 WALLACE AV Status: ISSUED
Suite: Applied: 07/24/2006
Vicinity: UNITS A,B AND C Issued: 07/24/2006
Primary Occ: MR Type of Construction:
Parcel Number: 42228123 Zoning:
Applicant: SCHNIERER, STEVEN
Address: 3915 PIERCE
SUITE F Phone: 949-598-8360 ISSUED BY:
LAGUNA HILLS,CA Zip: 92653
Owner MC CARDLE, RANDALL R TR '
Address C/O TIP&WATKINS CORP ..
EL MONTE,CA Phone:
3380 FLAIR DR#230 Zip: 91731 _ ,
Contractor: FONTAINE AND ASSOCIATES
Address: 23482 PERALTA - ,
-, - SUITE F, . ��, Phone: 714-598-8360
" . I A
LAGUNA HILLS,C -
Zip: 92653 - , / License: 708917 - '
Arch Eng: - -
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF(E)ROOF MATERIALS,INSTALL NEW 3 PLY BUILT UP ROOF ON APT BLDG UNITS(2061-2069)APPROX 3,200SF.REPAIR AND
REPLACE SHEATHING AS NEEDED. -
-.FEE SUMMARY
Plan Check: , $0.00 1 Calc Valuation: $4,800.00
Permit: $111.25 - Claim Valuation: . $4,800.00
SMIP Res: $0.50
SMIP Corn: - $0.00
Other $0.00 _
Inspection: $0.00
Total: , $111.75
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
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
2449-4a(8/00)
DECLARATIONS
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 workers'compensation Insurance carder and policy number are:
Carder. ,C+o.i'tcuPolicy Number: 2141—ZOO(,
(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 Cade,I shall forthwith
comply with thes§duykla'ons.
Applicant Signature:)(l -. Date: ?'74 JO(o
WARNING:FAILURE TO SECURE WO RS'COMPENSATION COVERAGE IS UNLAWFUL MD SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDfRON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.N 7Claq 1'7 Class N C 3 S
Contractor's Signature: Date: 712.H/AL
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(commenting with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom end 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 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 driver's license. 0 Yes ❑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,faisework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,The 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
materiel? ❑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 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Flre 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).
___ ...._ .__ _.._ P....__._ _._ ardour__
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 materiels)?
❑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.
-._. l required,
.. _... .__0....._....____........___._...__._._
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑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 a ernit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? U 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? 0 Yes 0 No
(If"yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
__....._..._ ___..._..th......._..__._.._— _her l_ _...which___ bj__..t___
7 If a permit athe South Coast res Quality cri ed Management District or Sr eir pollution control district03ben agency U required for the work which is the subject of this
application,have all of the disclosures prescribed by CaliforniaCallfoHealth and Safety Code Section 42303 been made? 0 Yes 0 No
_.._her _ _......._...__ _..___..._..........._..._.__._.......__�._ .�
B NI ayes",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 COMPUANCE 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.
Si nature Of Legal Owner(s) Date
'J'2sl/0
And/Or Authorized Applicant Date
•
CODE P INSPECTION TYPE PATE gtIm8L$ gffiLE INSPECTION TYPE PATE MALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1288 PoolSpa Final i 208 Final Plumbing
200 Final Re-Roos ��06 %�
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 ,
ADDRESS OF BUILDING: 2061 WALLACE AV UMT: A - D CITY OF COSTA MESA - BUILDING PERMIT
mlEr«uaEIFnam MC CARDLE, RANDALL R TR PERM NO: B 075222
ADDREss: %ATTN MARGARET L MARTIN
' %IPS MGNT CO PERMIT NO: B 075222 PLAN CHECK NO: N GOVT: N SUPP : N
P 0 BOX 6348 ORANGE,CA 9261 :_
Wel.RAMC ADOREss: CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: 0TH
ARCNRECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/O & REROOF W/COMP SHINGLES SQ FT: 2, 880
ARCH.OR ENG:S ADDRESS: SPIT:
CLAIM VALUE: 2, 880 . 00 CALC-VALUE: 2 , 880 . 00 GROUP OCC: R-1 /M-1
CONIRACTORSNAJIE: CELOSEAL ROOFING ( 714 ) 998-2990
camumnmam 2325 N. BATAVIA COMMENTS : SMOKE DETECTORS REQUIRED PER 91UBC, REROOF 2400SF 4—UNIT APARTMEN
c.N
ADDRESS: ORANGE CA uo.: 263519 *IFIF+Frt****+F****** *x********* **********+ ********rt****iE****>E*************+Esr*****
92665 ton Z ONI NG REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury Mat I am licensed under provisions of Chapter 9 SETBACK S
(commenting with Section 7000)of Division 3 of the Business and Professions Code,and my license is n lull force and effect.
CITY LIC.NO.: 045387 Llc.cuss: C-39 uc. 263519 EXP: 00/00 MAIN BUILDING ACCESSORY BUILDING
/k�fFRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Date: /� .� contrector: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER res nERD nlOsl IOu:Iessaand Professions
Code: of Any cit thatlymri mpr fromires athe permit
tooreLicanalt L.w for the
improve,
PARKING REQ: PROV: PARCEL: 42228123 ZNE: REF NO:
NER BUI D(Rection ARA 5 N:I essher herebyaffirm
Piofeusder Code:Any city h county a e pt Con re dorLice,atter,Improve,
tmoloh.or repair any structure,prior to its issuance,also requires the applicant for such pemrit to file a signed statement that he or she PLANNING NOTES>
licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Dhvlsion 3 of the
ausiness and Professions Code)or that he or she is exempt therehom end the basis for the alleged exemption.My violation of Section >
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than fee hundred dollars 1$500)). *******************************************************************************
❑ I.as owner of the proPeny or my employees with wages as then sole compensation,will do the work,and the structure is not intended D EVEL OP MENT SERVICES REQUIREMENTS
or offered for sale(Section 7004.Business and Professions Code:The Contractors License Law does not apply to an Owner of property
who holds or improves thereon.and who does such work hhnaee or herself or through he or her own employees.provided that such
improvements are not intended or offend for sale.6,however,the building or improvement is sold within one yearof completion,the ZONING APPROVED BY DATE:
ownerbuilder will have the burden of proving he or she did not build or improve tor the purpose of sale).
❑ I,asowneratheproperly,amexduwefcontrmkgwithlkansedcontractorstococitructthpmpct(Section7044,Businessand BUILDING APPROVED BY : DATE:
Professions Code:The Contractors License Law does not apply to an owner of property who builds er impwes thereon and who
contracts for such projects with a contractor(s)licensed praeuent to the Contractors License Law). 11 I ,rlL
❑ lam exempt under Section: B.B P.C..for the reason: APPLICATION ISSUED BY: DATE: l J
******************************************* ************************** *****
Dat Owns LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
I do hereby cents that I am aware of and understand the requirements of California heath and Safety Code Sections 25505,25533.and •
25534,end matt«arty future building occupant veil/wit not(circle one)need mcone*"with sail"°'°°°°°°°"d the requirements"« BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
r ennh for oonstructionor moddhcalicn horn the Ah Quaky Management District.Residential construction eppfuli«n am exempt from these PERMIT 54 . 00
provisions. . 50
Dale: Applicant; SMIP /NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penury of perjury one of the following declarations: ISSUE FEE
❑ Ihave and will mamtaiacertificate aconsent tosed:nsure for workers'comperaation,s,provided for bysedian370DdtheLabor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,for the performance wm « did TOTALS----> 54 . 50 0 . 00 0 , 00 54 . 50 54 , 50 . 00
o I have and wit maintain workers'compensation insurance.as required by Sedan 3700 of the Labor Code,for the performance of the
work for which this permit is issued.My workers'compensation insurancecenter and policy number me:
Canter: SLATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: . 00
Policy Number: 493582—y5 06 /08/96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed i the permit is for pee hundred dollars/Sine/or less) 54 .00 . 50
❑ I wily that in the performance of the work for which this permit'm issued.I shall not employ any person In any manner so as to
become subject to the workers'compensation laws of Caldomia.and agree Mid R I should become subject to the workers' *******************************************************************************
compena/gion p ions of Section 3700 a the Labor Code.I shall f with comply with thosepredaions. /, INDIVIDUAL F E E BREAKDOWN
Date: //// / gr-
7
� Applicant LS a fy��
warning:Fe Run y�Inlire wafter compensation mina le unit t and shall loot an omplaysf to ottani;sensitise and
TYPE QTY D E S C R Z P T I O N UNIT COST TOTAL COST
civil'Inn up to one hundred thousand dollars(sf04000),in eddltl n to the poetof comp°nntfom damages as provided let In
S«tlon3706ofm° a,LaborCodlntenatandatfomy'slew. SFR 2880 REROOF BY VALUE RESIDENTIAL NOZONE 1 .00 2, 880 . 00
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there e a construction lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097,CM,C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read the application and side that the above information is coned.I agree to comply with all city cid county ordinances
and state laws relating to building construction end hereby authorize representatives d the city 10 enter upon the above-mentioned property
for inspection Purposes.
JERRY BOLT 01 0319::::_- 11cv75i Yl
(Print y
R3La q/1/14/4Y(-
� I LATE: 11/tf/3� -1f:. r_.":,'..,
_ OF Dole: q///4�Y C
-7•nature of OwnedAgeaApprcant/Contrador
15151.46.WP) White-Building 5 Safety:Green-File:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING POO. _SPA
4: 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 •
4. Electrical Conduit:Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Condult-Undrgrnd.
8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 1 60. Backwash Lines, P-Trap, 0 Und+grnd.
10. Structural Floor System I 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
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 O Gas 0 Oil
25. Roof Sheathing 1 yA/f/er 74. Overhead Hydra
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Stabdpipe
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. • I '
40. Gas Service-Final _
41. Solar Domestic-Final
42.
'
Backflow Preventer
43. Backflow Irrigation -
44. Landscape Irrigation System ' I - . _
45. Sound Attenuation •
46. Handicap Regulations �) _
47. FINAL STRUCTURE & BUILDING 1L�Ld-Qr ��
48. FINAL PLANNING •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
OWNER SANTA MA RANCHOS- DATE 11-1-60
JOB ADDRESS 2061 Uallace Avenue - naraae BUILDING PERMIT NO. 13207
GENERAL CONTRACTOR Dike & Coleg�ovim, Tnc. VALUE $ 1 ,450.00
'? No. LOT 28 TRACT Al2_ FIRE ZONE DESCRIPTION OF WORK garaor R lanndrjr
1
1?c%� "'£CTIONS DATE I GROUP ,T TYPE p ZONE
R?
Underground Soil U.G. Water 414d PSA PERMITS ISSUED
Underground Gab /�'�1.i b 12.CO SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas I'
Rough Heating
Rough Plumbing
Miscellaneous
Prop. ,./...-Line HttikCon. St. Swr. /[/ye(rt..f ydoe.44 t-.. '— iI 1.4t(U4 4 N
Sprinkling System i 4'
Heating, Final ,f i
Plumbing Fixtures (f/-A5i
Final Gas TestConstru /--
Pole /
Underground Power //
Rough Wiring I20-a AOS./, lS /7/ e(`L/ Pe or* • ///G-6 a _/.7c7 i �i
Trenches/' Formsl? Stee1dCW n-I O ��Cr 0/
Floor System
Steel Reinforce Chimney Re-Rod /
Bond Beam r•�`D (/q,_ (tel/
Tfi,gw4hing / a- i Z i .- �'-6 O ! ,r
i*;R';Piie and Flashing �f'rI Q / i 7 —C-/ Al"
Lathing, In Out �j // e.- .
Plaster, brown coat /g c. — — -
Plumbing Fixtures, Final
Electric Fixtures, Final 4-rst A Ab C/ el
Building, Final 7 1t 3-' -6
OCCUPANCY 77r 3-<-ci I -
Form 210-5M-11.59 S-B P GARAGE HOLD FOR SPECIAL REQUI;,LM, NTS 13207
OWNER SANTA ANA RANCHOS DATE 11-11'60
JOB ADDRESS 2061 Wall POP Avenue - Talvd rY BUILDING PERMIT NO. 132077
GENERAL CONTRACTOR Hike A. CDl egrtnre, Tne. VALUE $
A .;„No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK
l-,:;,„ ,,,,ECTIONs i,,�_,/ DATE + GROUP TYPE ZONE
Underground Soil 4,4,1/4- U.G. WaterAyy PERMITS ISSUED L
/���J Q'�'f7- SUBCONTRACTOR f,
Underground Gas DATE NUMBER .A<,�.
Overhead Water and Gas /rd.te
Rough Heating k'/y
Rough Plumbing /1/1-S /Z-2n iwo ,!'� - --rr kat.--,-„- '/i-a-!po a !0 9 h 6 i
Miscellaneous } . 1
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating, Final
Plumbing Fixtures l MS /-C'/
Final Gas Test /S- ifl# 5 2 i -C.// •
Construction Pole
Underground Power
Rough Wiring
Trenchesf Forms'? Steel&O,& // -60
Floor System •
Steel Reinforce Chimney Re-Rod •
Bond Beam
P :tc4hing . fl °- / 2- ' —G, D
10ie and Flashing0, '
Lathing, In Out &' ,en Q. •
Plaster, brown coat /o e- / — 't2-/—C
Plumbing Fixtures, Final /1/1-ES 9 et-0 i
Electric Fixtures, Final /j L.Jo-C/
Building, Final =4"-!
OCCUPANCY 777 3 �/-4-'
Form 410-5M--11-59 5-8 P LAUNDRY HOLD FOR SPECIAL REQUJREMFNTC 13207
s '
13207 GARAGEFEE RECEIVED z
COSTA MESA BUILDING-SAFETY DEPARTMENT @)-
00ZS196B
2
P. O. BOX 317 COSTA MESA, CALIFORNIA ILIW
FINANCE DEPT,
For Applicant to Fill In Completely APPLICATIOIQIPDP9fP: tlTA MESA Q
w I
TYPE OR PRINT ' BUILDING x
BUILD
ADDRESSING ' —a. "2061 Wallace Ave.
COSTA MESA. CALIFORNIA For Office Use Only 5
MIT .]
OWNER Santa Ana ranchosRECEIPT NO.
I -�PR.i.` Nn O. .V)
RECE D y Dw REc IV DATE ISSUEDMDADLRESS 1533 Baker Street /c'_-�
/- to f1
L. BUILDING
2
CITY Costa Mesa TENO. K191151 ADDRESS •
ARCHITECT Carlson & TEL. COSTA MESA. CALIFORNIA v
OR ENGINEER Mi r]ril ebrcnk NO.
FIRE
ADDRESS Garden Grove ZONE TYPE GROUP ?"--
CONTRACTOR Dike & Colegrove, Inc. APPROVED
BY DATE .
ADDRESS 1;33 Baker St. ZONING
ZON ilNO.OF tlUSE OF NE
Gesta Mesa BUILDING 1
/I_
re.,‘
En).). 167293 NO. KI 9-1151 LEGAL 1
DESCRIPTION Lot 25, Blk. II Bit,Tr. 612
SIZE 63.51 X 2901 ! NO. OF BLOCS.
OF LOT NOW ON LOT A.P.NO.
USE OF none YARDS EVES
EXISTING BLDG, APPROVED ALLOWED
LINB FROM (CENTER LINE ST.)
SETBACK
CENTER OP STREET 1911 ' REAR YARD 401 FRONT (J) FT. . IN.
SIDE YARD I LEFT 143'51 I RIGHT - re
, 1 O R.SIDE 0 FT. IN. j
it
DESCRIPTION OF WORK cl z - nJ..
NEW I X AI ALTERATION I II ADDITION REAR E FT. `41� '!9 00'//LPp✓�
REPAIR MOVING ADEMOLISH BBYPROVED 1� �Ik,.I ti"" DATE q71.`2e- 4.%
SIZE BUILDING 1750 sq.ft.ROOMS - STORIES 1 1 -'
t.
EXTERIOR WALL ROOF
1 r
COVERING StLCCO COVERING rock -+J����;�`�
USE OF BUILDING AND WORK TO BE PERFORMED ^ ^Q J o n A,
8 car garage and laundry room withFxty
/J V/ n_M;/ IC)
common L
. .L wall
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION.
ION. VALUATION /�,
SIGNATURE OF / -- a PERMIT FEE $ //
PERMITTEE / '� �0 r( �� `W_n
$ / PLAN CHECK $
AUTHORIZED AGENT Dike 8c Colegrove, Inc, old— E
.. TOTAL FEE $ 0
q
13199
FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT I , e/) -4- 00 CT 28 960 LX
P. O. BOX 317 COSTA MESA. CALIFORNIA ` a
cI�FINnANC�+EnCDEP . a
For Applicant to Fill In Completely `J' APPLICATION PO PLFRMYP'TA MESA cc
TYPE OR PRINT �(., "'3
BUILDING a
;MLv
ADDRESSDING 2961 Wallace Avenue w
COSTA MESA. CALIFORNIA For Office Use Only in
IRECEIPT NO. kP fMIT.NO. O
* U.
OWNER Santa Ana Ranchos .y0 l_YpF'sY
MAIL RECEIVfO BY I DA RECEIV O � TE IUED
ADDRESS 1533 Baker Street jD/� V4iii (, d
Q
CITY Costa Mesa TEL. BUILDING No.K191151 ADDRESS x
ARCHITECT Carlson & TEL. COSTA MESA. CALIFORNIA
OR ENGINEER Mi Ci dl(=brook NO.
FIRE
ADDRESS Garden Grove ZONE TYPE GROUP
CONTRACTOR Dike & Colegrove, Inc. APPROVED
BY DATE
ADDRESS 1533 Baker St. ZONING
Costa Mesa ZON PLANEr USE OFGEW
CITY -2 ZLi,tYlr i'Pf%
LIC.NO. 167293 No. KI. 9-1151 DESCRIPTION Lot 28. Blk. "B",Tr. 612
of LOT 63.5 x 290 NO. OF SLOGS.
I I NOW ON LOT none A.P.NO. ,I t c
USE OF none YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ST.) ^�
CENTER OF STREET 501 REAR YARD 2101 FRONT (/FT. IN.
SIDE YARD I LEFT 10.51 I RIGHT 201 R.SIDE 0 FT. IN.
DESCRIPTION OF WORK
L.SIDE 7+ FT. �j IN.
NEW IX V ALTERATION V ADDITION I REAR 1 `3FT. 16%24-
IN.
REPAIR V MOVING I II DEMOLISH I ABYPROVE� 1 '1 DATE I a 6-0 I
SZEDING 3960 sq. fi.RO. OF y'��/n\,//{v( ^17
ODMS 20 STORIES 2 PS-a.. I .UF��VI�
EXTERIOR WALL , COVE
COVERING SIICCO (COVERING rock
USE OF BUILDING AND WORK TO BE PERFORMED
Multiple family dwelling (four
living units.) Plan & C T
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. Y
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. VALUATION
SIGNATURE OFy�ej �� PERMIT FEE 5 52•
PERMITTEE y� 26. _m
Cil
$ 32,947.00 PLAN CHECK $ .
AUTHORIZED AGENT Dike & olegrove, Inc. o ( �-
TOTAL FEE $ 78.