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Home My WebLink About2112 WALLACE AVE - Building Permits • 9 CITY OF COSTA MESA < BUILDING DIVISION o , 1. 1 ^^� I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER T .11411 PERMIT J% oft' /B01-01692 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2112 WALLACE AV Status: ISSUED Suite: Applied: 10/23/2001 Vicinity: HOUSE&ATTACHED GARAGE Issued: 10/23/2001 Parcel Number: 42246208 Zoning: Applicant: LARIMORE, JERRY ISSUED BY: Address: 14262 ALLMAN PL Phone: (714)832-0113 SANTA ANA,CA Zip: 92705 Owner: MORRISON, JACK M TR Address 275 PRINCETON DR Phone: COSTA MESA,CA Zip: 92626 Contractor: COVER RIGHT ROOFING Address: 14262 ALLMAN PL Phone: (714)832-0113 SANTA ANA,CA Zip: 92705 License: 615852 • Arch : Eng: Address: Address: Phone: Phone: Zip: - License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE&ATTACHED GARAGE(18 SO).TEAR OFF EXISTING ROCK ROOFING, INSTALL 2 LAYERS OF 30#ASTM FELT UNDERLAYMENT,&REROOF WITH 30 YEAR ELK COMPOSITION SHINGLES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,500.00 Permit: $97.25 Claim Valuation: 53,500.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 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 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 160 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(600) 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 Coda,for the performance of the 22iork 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'com 'nation Insurance carne nd policy number are: �7 ,, c7 ,� Carrier -�I A Policy Number I ( .-O4�p ! `6 (This section need not be com bated it the_bermit Is valued et one hundred dollars($100)or less.) 0 I certify that in the performance of the work which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws alifomia,a agr t at if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with thes rovi ions. (Applicant Signature: .� to 10 .... Date:__1 /04 3,p ( WARNING:FAILURE TO RE WORK S'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ,000),IN ADDITION 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 licen ed und'r• on of Cha ter 9(commencing with Section 7000)of Division 3 of the Business antJ,P es Ions Code,and my license is In full force and effect.Lic.# Class# � C `ontractors Signature: a-,. e•,.l Date: -r lr)/ S 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: 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 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 properly 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 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 B,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 greeter 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 Califomia 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 a ermit for such construction or modification from the South Coast Air(Duality Management District or from any other air pollution COntr)l district or agency? LJ Yes UNo (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility lobe 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 Califomia Health and Safety Code). 7 If a permit from the South Coast Air Duality 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 Califomia 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 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. dr /Sig Of Legal Owner(s) Date 6 t i 4..4 -.,. (043/0/0 r And./•r Authorized Applicant /Date CODE I INSPECTION TYPE 2MTE MEW cDQE1 INSPECTION TYPE PATE H MELS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final / 208 Final Plumbing 200 Final Re-Roof /'7/ZC(!O1 4 210 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 OWNER Tfl$IAS $• (INR v/ DATE 1-26-% JOB ADDRESS 2112 Wallace Avenue •BUILDING PERMIT NO. 8614 GENERAL CONTRACTOR Dike & Colezrove VALUE $ 8,5oo.Do Lf" 13 BLOCK TRACT 1881 Single Family Residence 'GROUP I TYPE V ZONE R11 FIRE DISTRICT 879 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR / DATE NUMBER ' Footing Trench L, 6-P .2 -2/'SC Foundation Forms and Grade to Garage�aagC Rough Framing 6- i-6 3-.L `si Plumbing,Rough to Slab �aa�� g Z '-sZ Plumbing, Rough Complete E-r�y 6 ,_? '5'...7:7,-0 bjoc-ci,,,-,.->-�. ,Z./b-j.( /ci1� Temporary Pole C /// 7 ff/ 9 Wiring, Rough Fig $'& -1M1IO[ -4-r ) r'Lf. . 3-ty-SS ro Heating,Rough Heating, Final >eG/0-- b- /--1)- o #/, d ", _ Sewer µ22i CI JS-Ll-Sb •i'• { t - S' 7/ St %Tank or-Cespo � ocAte- ¢ �"4 4',/i ,li/ r'yp.f i )/2 L._ .ng Wwg. e- 3-ao n .4 Plastering /1'e fir.oo-- • F?:K ' /J‘f ; Plumbing,Final,Fixtures CompleteZ/'G,-' LL- /-fes Plumbing,Final Gas Test/q-,- „try_ c-- _e ,_ � J. , l- k- .f .) ec,,S Wiring,Final zj �J//**''Z3 Occupancy 9tIV/ G_i-Sr Form 210 G-H IM 12-59 Costa Mesa Building Department 879APPLICATION FOR PERMIT 111 EAST 20th STREET BUILDING 'I #, COSTA MESA, CALIFORNIA / FOR OFFICE USE ONLY ' FOR APPLICANT TO FILL IN I, Receipt No. Pe(r�mit No. Building I 6 X Address 2112 Wallace Ave. .399 J • - - eed. Date Issued Costa Mesa, California Nearest y—a t' —.S-.1 Cross St. Bnmi1tnn to Virtnria Building Address Owner Tobias & Orr Costa Mesa, California Mail Address 419 E. 17th. St., Nearest Tel. Cross St. City Costa Mesa No.Li.8-1159 Zone �! I No.of I Type J Group Architect or Lic. J� I Plans (/ i Engineer Hugh Gibbs No. Approved by Date Address Long Beach CORRECTIONS tractor Dike & Colegrove Nioty Lie. 1301 Address 419 E. 17th. St., Costa Mesa Legal I Lot Description No. 13 I Block I Tract 1881 (Attach Metes and Bounds) All:n No.of Bldgs- Size of Lot 6o x 130 Now on Lot None Use of I No.of I No.of pi, y Existing Bldg. Families Rooms 0 Setback Line fromRear Yard 601plus JAN 2 6 955 2 Center of Street 551 Side Yard 5Ipl„r D DESCRIPTION OF WORK New I X I Alteration I I Addition I CITY OF COSTA MESA Repair I I Moving I I Demolish I ' Building No.of Size 12001 Rooms 6 Stories ] r `erior Wall I Roof Bring gt ero Covering COlapo. APPROVALS ...se of New BuildingFoundation Location Inspector Date Single Family Res. Forms,Materials, Under-Pinning Frame: Fire Stops, 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 construction. Signature of Plaster, Int. Permittee i / ,Plaster,Ext. Authorized Agt 4,,,,_„„,„,,,„„"_... ' 'dam sonry Reinforced Valuation Permit Fee $ 22.•• ' Plan Check $ 3.00 am $ 8,500 Fee Total $ 25.00 III FINAL FORM 204 G-H 2M 5-e4 • • * ° L _ C Y J J o o d _. o a n. - • • c • _ _. . . - - - - N r • Fl . . • • Street - - - - U • PLOT.PLAN. - • Show locatlon•'add'distances from - - property line and between buildings. I._. . r . i. • i • • . ... ._ _ _ — .3 OWNER SWARBERG MARY E. DATE 1_11-7$ JOB ADDRESS 2112 Wallace Avenue BUILDING PERMIT NO. 45364 GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK r.egnti�P FF,tin Coirnr I 115-43a_a8 LOT TRACT FIRE ZONE VALUES 5� 00 IN�YECTIONS Signature Date TYPE V GROUP J ZONE R-1 SOIL PERMITS ISSt4ED AS SUBCONTRACTOR Date I Number I Signature WATER Plumbing ROUGH PLUMBING PROP, SWR. LINE ;J HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND �II POWER ❑ ROUGH WIRING Heating and Vent. • TRENCHES fl FORMS U STEEL REINF. 0 I FLOOR SYSTEM BONO BEAM EL STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN_Q OUT n PI -ER, BROWN COAT S_ (URAL, FINAL Electric HEATING. VENT., REFRIG. AND P.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL 4/�e /' BUILDING, FINAL _ _ _ . • • 4141 1/11/78 10050 TL 45364 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only gECEI•V Ep B V GATE ggqECE ED BUILDING n C n µ ,^/f DATE ISSUED ADDRESS/9/a� //�/n{. �/'+�1fie ,471CLM_ f n r (�/rd'I �( I•II (� OWNER f I t f"!K___ ly 111 L'- 12A)/3 Cl& c._ A.P.A.P.NO. /45 2 •P MAIL / !) /n/z,/� L /1 r i BUILDING //2 /- ,� • TEADDRESS 9 ! !/f.- G/` d- / �.y ADDRESS /y (N ///�� CITY ('��r 4- mf S41 NOL/a//6-JJTO/� TRACT/p�/ LOTA BLOCK CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMO'ISH LENDER BRANCH OWNE-/� i ADDRESS be....4,1 ((ARCHITECT TEL. LJ OR ENGINEER NO. FIR: ADDRESS ZON' TYPE GROUP APPROVED CONTRACTOR yz — 3(f/L) ETAY0.Jn/ P,Ji h DATE J Ilt ADDRESS TEL. ZONE/fj IP ANS .- USE ON NE � CITY NO. k Cr BUILDING .H. STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF SLOGS. C/L STREET) e. OF LOT I NOW ON LOT FRONT FT. a USE OF Ca EXISTING BLDG. R.SIDE /2 FT. s FT. us Separate permits are required for L.SIDE('2 ane... "'! FT. C electric,plumbing and heating work. • REAR / w - (ph. FT. FT. USE OF BUILDING AND WORK TO EE PERFORMED DISTANCE BET. BET.MAIN& MAIN BLOGS. ACCESS. BUMS. 5 ' LA It/ • VAR.C.U.P.Sk DATE APPROVED / APPROV P 0 ' /Are —ELY �•w K DATE / 7 a pI hereby acknowledge that I have read this application end state n a that the above information is correct and agree to comply with w p+ all laws regulating building construction, and I shall not employ i Z any person In violation of the workman's compensation laws of the State of California. •j.)� I hereby certify that I am properly licensed as a contractor under O i 0 SO. FT. Cl� / the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER V Q m_ Chapter 9, and that such licenses aro In full force and effect,or I THE PURPOSE OF ESTABLISHING A FFH�ut an' exempt from the provisions of the State of California Business and Professions Code, Division 3,Chapter 9. VALUATION PERMIT FEE S ,�s e.-v n en Signature of �/ �_' 1,0 PLAN CHECK S a LL Permittee �It/ / v / �.®$�t0 TAX S • f -� , D perms d ga. �/ TOTAL PAID a /Q,5