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HomeMy WebLinkAbout2093 WALLACE AVE - Building Permits a' STpMFs. . 1 9 CITY OF COSTA MESA 'Arra)Cr,H, BUILDING DIVISION PER IT NUMBER DEVELOPMENT SERVICES DEPARTMENT PERMIT 0-00968 tea:. POPtlTEtl 9SA (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2093 WALLACE AV Status: ISSUED Suite: Applied: 06(2812000 Vicinity: DUPLEX AND GARAGE Issued: 06/28/2000 Parcel Number: 42228101 Zoning: Applicant: BOB PRICE ISSUED BY: .8112 Address: 17501 NORWOOD PARK PL Phone: (714)573-0155 TUSTIN,CA Zip: 92780 Owner DAWSON, DEAN C Address %CFG INVESTMENTS INC FOUNTAIN VALLEY,CA Phone: 17220 NEWHOPE ST#224 Zip: 92708 • Contractor: PREMIER ROOFING • Address: 17501 NORWOOD PARK PL Phone: (714)573-0155 TUSTIN,CA Zip: 92780 License: 634404 - Arch : Eng: • Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF-T/O,USING EXISTING SHTG, INSTALL 1 LAYER OF 30#FELT AND 20 YEAR COMPOSITION SHINGLES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,200.00 Permit: $97.25 Claim Valuation: $3,200.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $97.25 Inspection: $0.00 Total: $195.00 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 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 w r)c rs'c(Q�mpensatjpn Insurance carrier end policy number are: c, Carrier: 0�z''f his u�L Policy Number: /44"2 - (This 2 -(This section need not be completed if the permit is valued et one hundred dollars($100)or less.) O I certify that in the •trio, a • .f the work fo which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation la , •f C, •rni- <nd agree tht'If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with the-e • • si••j. \ /1 Applicant Signature: V Date: 6 /-e-/oc., WARNING:FAILURE TO SECURE WORKERS'COMPENS• ION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDmON TO THE • T 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 farce and effect.Lic.x Class e L"3 Contractor's Signature: � Q Date: " 6—_79- ) 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500).): ❑ 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 end 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. ❑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: • O 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 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). _.___.__e waft-ha-ape-leant pae_..n...._..._ (Rsk Management el_-..__ 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management end 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 ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apPermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 101 Yes u 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). 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 B (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. Signature Of Legal Owner(s) / Date ' G -7 et!Or •ut orized Applicant r .vg-/a) CODE• INSPECTION TYPE DATE 1NTITIALScQaE• INSPECTION TYPE 2911 INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final /I C� ,�N//�1 208 Final Plumbing 200 Final Re-Roof r7•! D- A^•I fl g 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 2446-46 OWNER ft/MO-Nei/MR,R, .t_ t! - DATI�,.-E,-58 — 1Cd3 ADDRESS 2093-5_7- tiro i I ACP Qvwnne Tlni t. T BUILDING PERMIT NO. 6861 GENERAL CONTRACTOR •T, n art i naton • VALUE $l9 365 AP, No1155-34312k 21-2-TRACT'/,12 FIRE ZONE 3 DESCRIPTION OF WORK TriPlex GDQUPH v, a TYPE V ZONE 'R1, PLAN NO. 6861 PERMITS ISSUED ,._aPECTIONS DATE SUBCONTRACTOR DATE NUMBER Trenches Forms Steel Q -/ b-.,/ -, Floor System ¢j¢� 6 - 2d ',ra. i Steel Reinforce Chimney Re-Rod I v Bond:Beam "Mar ft Frame and Flashing --JJJJ 7-.23 ^J, t"J Lathing, lel Ou9( .en `fl' -..§-i \ iPlaster, brown coat .14.--All- X/ `\ !![j[ Underground soil j.,vi, W/,G Pipe Teat I.NO r_/j S `- � Top Out _ - , , A--A--)Y, X $-Furnace -� 17 9214.-70 fes i 2• e,-zi - !4F/G 7 / Is" II\ Gas Vents `•� % Rough Plumbing brit 7-/7-5-gi g/, 2-2.' ! 0 tie„. e -/r?-..P 1�l t7 7 • I '14 Iir Cesspool / Tank / -V- Septic // 1._*Prop. Swr. Line '--House Con.n. e wr. toTj lv f it C t'Y(-"t-o Up-/.. (.i f(,i S-ie- 3 L i cl 1 Sprinkling System i Heating Final L 14 / -I. 6"G P ing Fixtures, Final /d j_6(/ •6-•d+ s 1 h`'�1fif Gas Test • t/j 11,. _ L Wei-93'.�3r(S . I�CoConstruction PoJc /Underground Power pp�. �/ - I/ Rough Wiring 4o -/p22 5Y /W./ • A/I/de e5bP 7-a,-ce _6 70 tL , s Fixtures, Final A '7 Yo ./L/, 9'9 A OCCUPANCY ,� .a7 7,;._e_-„,ce --/ 2- P- J-7 r / Form 21GifettnOlk SPECIAL REOUI CEMENTS 2091 Wall aec Ava_ . Unit. T — lL4s-2 / - 6861 { 6861_ C I•` � �4 5 Ss S ( , COSTA MESA BUILDING DEPARTMENT FINIMNCE. DEPT. P.O,BOX 317C A COSTA MESA, CALIFORNIA 1 ;uv nr cam MESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADDRESScgc _ 3 7 iii c� BUILDING ADDRESS COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY r RECEIPT NO. C. ?T j!% II OWNERS '7!-, i3 /)ex---E, L�_ �C / M <� / D lV O t(J_ ADDRESS/r / / J//,-�'��� `-c- - _L/,c.:-/ - [/ / • REc EP BY MAIL G� �r RECEI `o��/ ¢ATE a:7 , e, CITY �i!'2(J.C.f'L✓L.`w.. NO.j./ 7 JO "C ADD EISSOa ® / .3 _ Y�/.. (ly97/CJiliae ARCHITECTLIC.AR ENGINEER NC. COSTA MESA. CALIFORNIA FIRE ADDRESS ZONE /3 /rte n J ZONE ��I Ir. O.OF TYPE / GR/D9�_I 1 CONT //77 1 i/, ////C����,C��.f��4/�i ZY NO. � Y _���� ADDRESS/ J1. `-"-tl NO,TEL. ABPPRO 6� .:(-9,7IE DATE fi S 1� LEGAL 6 7 L /7 CORRECTIONS IA LOT DESCRIPTION NO.a //- /j_ Z BLOCK TRACT '. A.P.NO. fj/^ / (Y 3 —) C. I I. SIZE ' ` J I 2 Z- Now ON Lors (�' i.A A.( i� .1/4/ to I.. C I OF LOT V / EXISTING BLDG.USE OF cry 1;; r::. 1 .". i .1:::r", I 1 SETBACK LINE FROMer 1. ! CENTER Or STREET �[0 REAR YARD _P-1y" , �1,: .� i(I L; ..LI ,.. ,. !SIDE YARD .) ,�7RIG LEFT .5 ' •` DESCRIPTION OF WORK nr,r- -�I' • I I NEW /A ALTERATION ADDITION �Y 7( REPAIR MOVING I DEMOLISH BSIZE GING .3 IA •// C-7-3 NO.OF ROOMS I ,i- STORIES I EXTERIOR WALL jt,,,,.. L ROOF l.!t /'"L T COVERING Y • USE OF NEW //�, (/ 111 BUILDING 4l ,.J. C( ( - <-( 1 • i?/ p'-13: I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORD:I.'ANCES AND STATE LAWS REGULATING BUILDINSTRUC- ilov. \ALL AT,ON' /� SIGNATURE OF _ . / PERMIT FEE $ 3 '1 PERMITTEE_ � �Y!'2.-4..-1.7I/e•---1/4_ / �• ci PLAN CHECK $ i •— / 5 /9, 16 AUTHO- ZED AGENT TOTAL FEE $ 7S C vis:r OWNER BARRINGTON; J. E. DATE - • POR ADDRESS 2097 Qui 1 are Ave. . Unit ITI BUILDING PERMIT NO. 6861 GENERAL CONTRACTOR VALUE $ AR No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK GROUP TYPE ZONE . PLAN NO. INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED • DATE NUMBER 'a .ches Forms Steel . Floor System Steel Reinforce Chimney Re-Rod \{V\\1 Bond Beam Frame and Flashing "g • . 3-4 ' t Lathing, Id& Out)/ ...Co . //• l Q (\� Plaster, brown coat '�A-- )yy f \N Underground soil WIG Pipe esti__lc 7- i r 9 Top Out ' Furnace QI Gas Vents "0 Rough Plumbing I Cesspool Septic Tank il Prop. Swr. Line House Con. St. Swr. N Sprinkling System Heating Final _ Plumbing Fixtures, Final // �t �5G t Final Gas Test i it L W. -fl-fl a-e ��(7 7�..z-. .4 —/3---re /z/C; ✓ t 1 -uction Pole / . . I. .ground Power �` N Rough Wiring �jt , 22. 9? 41./ . ANSP,(so/.J 7—/6-Sg 6 vo `4 Cwt .v Fixtures, Final 1,4n /n-/h-c41( % d`l� OCCUPANCY --rd......?....- (..604 , J 174--.1.3- /a . ,r- I r/ For.Rem S CIAL REQUIREMENT&. 2097 Wallas Avo_ - lTni+. TTT — dC.t 1 ' / 6861 OWNER aARf2TN elliN .i_ E. '" DATE _. MB ADDRESS 2095 Wall ace Ave., Ifni t II BUILDING PERMIT NO. 6861 GENERAL CONTRACTOR VALUE $ AP. No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK GROUP TYPE ZONE PLAN NO. ,. .PECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Trenches Forms Steel Floor System Steel Reinforce Chimney Re-Rod Bond Beam - Frame and Flashing ' 7 -A3 :5� c Lathing, In Out )l !}/Is" Ri a-ii•"c27 1 Plaster, brown coat 'A--- MA In (P Underground soil '$/G Pipe Tbst4 ter 7.../1—s P Top Out __ 1 FurnaceINI Gas Vents Rough Plumbing _ta Cesspool Septic Tank \ Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating Final P krtsbing Fixtures, Final - . F r. Gas Test I idi. L W �-.1.7- -0' G "heee-X 0 742,. /-/3'�- /SL/G� � Cstruction Pole - /� Underground Power ry �f^ Rough Wiring /WV') 2-22,95/ 4/1,/ r //Sec srA) _17-16-Sig _670_1L�f fI/I Fixtures, Final / `j "d./�/�y�/ -OCCUPANCY v,� - ��00 �'—< q_- /2- ,,- S d' 1 "Form 21°— „, FORSPECIAL ?cOUIPL. Nts 2ncC 1,611.n. Aird 11„4+ TT 4".. T, I 6867 !C 6861..: � L3 a COSTA MESA BUILDING DEPARTMENT C� • FINANCE DEPT. P.O.BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ,- BUILDING„, ' / BUILDING ADDRESS 2yq5 � 5 - 7 / Ce__ COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. /P�FR(Iy/IT6•O OWNERS . Lk. >9 N Z/2 .2 / rD .0 l!/ O �7 ^ f/'� - t\V I �AT FECEI EOE../ QATE�SU �'/ MAIL ADDRESS //] / ,5-2-0 /Lr_wv(�` // �J Cj Y 3 !]Ing '7L[//'/�/_ (�(/}/A Or/' CITY amY NO.TEL.�� JO b� ADD EI554' e / `S �.� / / ////p�.GC✓ ARCHITECT LIC. I OR ENGINEER NO. COSTA MESA. CALIFORNIA J ADDRESS FIRE 13 FINE / . '' �ry� CITY LIC. ZONE NO.OF TYPE )" GROUP 1 _ CONTEF£ 6jl�I �d9419l�A' /i•O• NO. � . /` / /ie Cr AD DR ESS7/ _7 W NO. BYTEL. PRO tC DATE 67;7;11/ LEGAL LOT 6 7 0 6 /) CORRECTIONS DESCRIPTION NOp'j/- jt BLOCK '✓ TRACT P.-5-/� A.P.NO. ^3 V 3 ^.2/ c ••• SIZE NO.OF BLDGS. P� OF LOT 7 D )tI Z- Z' NOW ON LOT O A A R O V EJ USE OF CITY OF STA MESA EXISTINGBLDG. .11i SETBACK LINE FROM ��/�, PLANE V °Lel . CENTER OF STREET �[-f�� REAR YARD .2- SUBJECT TO DG. DEPT. REG. SIDE YARD SPRIG LEFT 07 7 DESCRIPTION OF WORK BY ..e. 41.05/ GATE k II I PI AN T -H I NEW ALTERATION p ADDITION REPAIR MOVE G HI DEMOLISH , BUILDING 38 $$ 71 G� NO.OF � / SIZE I / STORIES EXTERIOR WALLatdiec,D COVERING l!d M COVERING Y P BUI OF NEW /�2 - I / /fit --7,---- BUILDING ;///\� pi-et C1 I E 2 3 Er z (E \ I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL • CITY ORDINANCES AND STATE LAWS REGULATING BUILDING C• STRUC• TION. VALUATION SIGNATURE 0 ♦-� - I •/ PERMIT FEE S 57 .- PERMITTEE, �� �, r0 (/// $ /9, 5 / 5 PLAN CHECK $ 1? s AUTHO- ED AGENT 7 > IC TOTAL FEE s3 r `''"� Z • O ER N')?:?Tt'r'i r^;a .I DATA...6_S8 .— J0 JO ADDRESS 2093_5-/_ ,.,imIIaen tw-,non lln'it T BUILDING PERMIT NO. 6%1 GENERAL CONTRACTOR ,j- ill r,•Io .?1.:•11 VALUE $1 c 'i6S Al'. No115-343tipf1"21-2-TRACT (la? FIRE ZONE 3 DESCRIPTION OF WORK Triplex GROIIPif •• J TYPE V ZONE 'Rh PLAN NO. 6861 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED s DATE NUMBER Trenches Forms Steel • ant - ' 's • Fluor System }lam £.4, ,., :::4 ' ' -\^-^ Steel ReinforceChimney Re-Rod ! iii Bondr acttm r0.''\IAI,s- .�"-Rr Th Frame and Flashing _ �� I\,llPlaster, brown coat Underground soil L A W/G Pipe Test f.IA,7-4/ : ( (1's 'l up Out , Furnace _ ,i' ' .-%:.7 ,C e ');',-et. 1.6? _Ili Z---, 7 - \ .fes /Mfr//- ;7 '� ' �!\ Gas Vents l \ 1 (tough Plumbing _ :1r '1 . v ' •'-Y!,. • -i -'_ ,. _ • i 'r 1.0 Cesspool / Septic Tank / I�.BMW' t�� APc---I rnp. Swr. Line ouse Con. ' n L 1(L�S 1Y ��'R-e ? N.,L. GI (oft--f- 13 L 7 y q \ Sprinkling System s Healing Final i- (/1/ .ir.• • . '1 CI Plumbing Fixtures, Final • ' 1_ (,f/ - :'• "� Final Gas Test Construction Pole Underground Power •p/ Rough Wiring 47411.) ) is L, Fixtures, Final °- nrr;rlP]'1NCY rte(.. Zlo•ate- . 6-7 7,cu/,.,? / 2-- P- J Y