HomeMy WebLinkAbout349 WALNUT ST - Building Permits(714) 754-5273 • Fa�c (714) 754<856 • www.ci.costa-mesa.��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite:
Vicinity:
Primary Occ:
Parcel Number:
349 WALNUT ST
HOUSE AND GARAGE
R3
42629210
Appliwnt: AVARD, RICH
Address: 2323 N TUSTIN AV
SUITE C-146
SANTA ANA, CA
owner. OC HSN E R,
Address TRUST#1 i'
NEWPORT;BE
1834 LEEWAF
%%/,� ..`
i
Oontracror � ROOF SAV
, -��.
Address j2323 N TUSTII
j� � �SUITE C-146��
�;,'� � SANTA'ANA'(�
�/��'%Zip` 92705����
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Address:, �
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Zip>
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�TEAR OFF (E) ROOF M�
APPROX 2300SF. REFF
; Plan Check:
Permit:
SMIP Res:
, SMIP Com:
;� , �, Other.
�` Inspection,
\
$u.r,o
$125.25
$0.59
$0.00
$0.00
$0.00
`� Total: $125.84
V V�\ �. , ��?.� ,
StaWs: ISSUED
Applied: 06/152006
Issued: 06/15/2006
Type of Construction: V-N
Zoning:
Phone: 714-835-7663 ISSUED BY: �
_ _ . _ .2ip:_ _ 92705
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License: 752128 � � A � / � ��V�.
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' Address: �� � `
Phone: � - � ' - - . �,�Phone: � ������\
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License " � � � � • Gcense: �� 1
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'' — � SCOPE OP PERMIT � %� � _-� �� � � _ , .,_
SALL MODIFIED BITUMAN MINERAL SURFACED CAP SHEET ON ATTACHED HOUSE AND GARAGE,
4CE SHEATHING AS NEEDED. � \. � � � ' �
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FEE SUMMARY
�
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� �, � �� �>> PLANNING & ZONING f�� i` _�- /�.' /
SETBACKS "� � ��� < �;sJ � �� '�n � � �i, � � � /
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MAIN�STRUCTURE Front�\0-0 Rear 0 0_ Lek. 0 0`�„ Right 0-O�j �
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ACCESSORY � Front 0'0��, uRear 0-0 �'. ` Lefl 0-0 " -Right � 0-0 � � � /
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PARKING .� Existm � o � �Reauired: � 0 � ' � �� Pr000sed: 0 - %� �>� �j �' %: '
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Californla 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 780 days.
INSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all
required Inapaetiona end finel epproval must be obtained. Failure to obtain inspectians and final approvat wili result in the expiration of this pertnit.
FOR INSPECTIONS CALL: (714) 7545626
2446de (8/00)
WORKERS'COMPENSAnON DECLARAnON:
I hereby eHirm untler Denelry oi perjury one ol the tollowing deGarations:
Q I heve entl will melntein e cartiTicate of consenl to self-Insure tor workers' compensallon, fls provided lor by seclion 3�00 oi Ihe Labor Code, tor Ihe pertortnence ot the
� work for which this permit is issuetl.
��- - I have endwill meintain workers' compensatian Insurance, es requiretl by sectlon 3700 0l the Lebor Code, for tha paAormance oi Ihe work for which this pertnil is issued.
My warkers' s n Ins�1Aa^n—c•e ce er antl policy number ere: /l �/�
`Ca r.f ��� lr��l>U� Po1lcyNumb9r: /�.� / �da
(This secNo�rtb �be co plet � i/ the ermit is veluetl et ane hundretl tlollare ($100) or less.) �
❑ I certity chet in the �
compensetlon laws
comply wlth these {
Applicant Signature:.�
WMNING: FAILURE TO SE(
THOVSANO �Ol1ARE (5100,
work tor which Ihi�s ermit is issued, I shall not employ eny person in eny manner so es to become suhjaq to the workers'
�ee Ihel II I�Itl become suDject to Ihe workers' cnmpensation provislons ot Setilon� 00 ot �t Labor Code, I shall lorihwith
��e�a: _-__/i/�i7/�jG
�-_� v�� �
MP ION ODVERA E IS UMAWFUL AND SNALL SUBIECf MI EMPLOYER TO CRIMINPLCENAL71E5 AND CML FlNES UP TO ONE HUNDRED
1 THE COST OF ('pMPENSATION, DAAi4GE5 AS PROVIDED FOR IN SECTION 3lOfi OF THE LABOR COOE, INiEREST, AND AiTORNEI"S FEES.
LICENSED CONTRACTORS� DECLARATION:
I hereby affirm that I em licensed
force and ettect. Lic. M �
(commencing with Section 7000) ol Division 3.of lhe Bu5ine5s d Projat5jS�5�Code, and my license is in full
� �Class N � �l��f
CONSTRULTION LENDING AGENCY: /
❑ I hereby aKrm Ihet there is a conswction lending egency for the peAormance ol the work for w�ich this permit is issued. (Sec. 3097, Civil CoOe).
Lendefs Neme:
Signe�ure: _
OWNER•BUILDER DECLARATIONS:
Lender's Atltlress:
Date:
I hereby ettirtn Ihet under Denalry of perjury Ihet I em EXEMPT FROM 7HE CON7RACTOHS LICENSE LAW far the tollawing reasan (Sec. 7031.5, Business entl Professions
Cotle: Any ciry or counry whic� requires e permit to construct, alter, improve, demolish, or repair eny structure, prior to its Issuence, also requires the epplicanl for such permit
to file e signetl stetement thet ha or she Is Iicensed pursuant to the provisions of the Contrectors Llcense Lew (Cheptar 9(commencing with Sectlon 7000) ol Dlvlslon 3 of the
Business end Professians Cade) or thet he or she Is exempl therefrom and the besls tor Ihe allegetl e:emption. Any vloletlon of Sectlon 7031.5 by eny epplicant for e pertnit
subjects the epplicent to a civll penalry of not more Ihen tive hundred dollers ($500).):
❑ I, es owner of Ihe property, or my employees with weges es their sole compensatlon, WILL DO THE WORK, end Ihe structure Is not intended or otteretl tor sele (Sec.
7044, Business end Protessions Code: The Contraciors License Law does not epply lo an owner of property who builds or Improves ihereon, and who does such work
himseN or herself or ihrough his or her own employees, provide0 ihat such improvements ere not Intended or oftered for sale. If, however, the building or improvement is
sold wilhin one yeer of completion, the owner-builder will have the burden of provinp ihat he or she did not build or improve lor purpose of sale.).
❑ I, as owner of the pmperty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRAC70RS to construct the project (Sac. 7044, Business antl Professions
Code: The contrectors LJcense Lew tloes not apply to an owner of property who builAs or Improves thereon, antl who wntrects lor such project wit� a contractor(5)
license pursuant to t�e Conirectors License Laws.).
❑ I am exempt under sec. Business end Prolessions Code for this reason:
SignaWre: Date:
Owner ID venfied by tlrivefs licensa. ❑ Yes ❑ No Dnvefs license No.
Venfication of Ownership by (rype of tlocument, i.e. - property tax blll or deetl):
Expires:
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION:
❑ I hereby certify ihet no ezcavation five (5) or more teet in depth imo which e person Is required to descend, will be matle in connection with work euihodzetl by ihis
pertnit, entl Ihat no building sirudure, scaHolding, telsework, or demolition or tlismantling Ihereot, will be more than thirty-si: (38) feet high. (Chap. 32, Grp 2, An 2, Sec.
341, Title B, Calitomla Atlministretiva Catle).
❑ As owner-6uiltler, I will not employ enyone to do work which would require e pertnit irom the Division ot Induslnel Sefery, es noted above, unleu such Darson has e
pertnit to do such work from the divislon.
Signature: Date:
Division oi Industrial Safety Permit Number:
CEHTIFlCATE OF COMPLIANCE AND AUTHORQATON OF EMAY: I certify under penalry of Derjury ihat I have reatl t�is eDPlication end slate tha� ihe infortnetlon given is
correct. I egree to compty with ell state laws end ciry oMlnences relating to building consiruction, and euthonze reD�esentatives of iha Ciry of Costa Mesa to emer upon ihe
ebave-descnbed property lo� inspetlion purposes. I agrea no! to occupy or allow octupancy ol any builtling authodzed by Ihis permit until finel inspection.
COOE I. INSPE[TON TYPE
1616 Fixed System Flnel Fira Preventlon
1266 Pool Spa Finel �.
200 Finel Re-Roof
207 Final BIocWReteining W ell
202 Final Fectory Fire Place
203 Final Sign
204 Final Demalition
' Q�jf INiIiIPLS
�tf.
� /O C � L
eooe� iNsvecnoxnve
206 Final Mechanical
208 Finel Plumbing
210 Final Elecirlcal
212 Final Fire Preveniion
220 Flnal Planning Approval
222 Final Site
250 Final Building/Occupancy
(��a) �s4-52�3 • Fax (714) 754-4856 • www.d.cos�a-mesa.��LDING PERMIT
,lob nddress: �49 WALNUT ST
Suite:
Viciniry: HOUSE AND GARAGE
Primary Occ: R3 Type of Consiruclion: V-N
Parcel Number: �`�+- Zoning:
npp�icant: AVARD, RICH
Address: 2323 N TUSTIN AV
SUITE C-146 Phone: 714-835-7663
SANTA ANA, CA Zip: 92705
owner. OCHSNER, VIRGINIA
Address 249 WALNUT ST ,
Phone:
COSTA MESA, CA . Zip: 92627-2215
Contractor: ROOF SAVERS INC
Address: 2323 N TUSTIN AV �
SUITE C-146 Phone: 714-835-7663
SANTA ANA, CA ,
Zip: 92705 . License: 752128
Arch :
Address:
Zip:
Phone:
License:
Eng:
Address:
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: 06/15/2006
Issued: O6/15/2006
Phone:
License:
SCOPE OF PERMIT
TEAR OFF (E) ROOF MATERIALS, INSTALL MODIFIED BITUMAN MINERAL SURFACED CAP SHEET-ON ATTACHED HOUSE AND GARAGE,
APPROX 2300SF. REPAIR AND REPL4CE SHEATHING AS NEEDED. - �
FEE SUMMARY
Plan Check: $0.00 � Calc Valuation: $5,soo.00
Permit: $125.25 " Claim Valuation: Ss,soo.00
SMIP Res: $0.59
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $125.84
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING Existina: o
0
PLANNING & ZONING
Rear ��0=0 Left 0-0
Rear 0- 0 Left 0- 0 -
Reauired: 0 Proposed: 0
Right 0- 0 . .
�� Righl 0- 0
NOTICE: The xrork authorized by this permit shall compty with all applicable handicap axess requirements under Califomia statutes arM related
regulations. (Ord. No. 92Q8, § 1, 12-27-92)
EXPIRATION: This permit stall automatirally expire and become void if work is not commenced within 180 days, or if xrork is suspended or abandoned
for a period oi 180 days.
INSPECTIONS: In order for the vrork authorized under this pertnit to be considared legal, such xrork must comply with all applicabie codes, and all
requlred Inspectiona and final approval must be obtained. Failure to obtain inspections arW final approval will resutt in Ihe expiration oi this pertnit.
FOR INSPECTIONS CALL: p74) 754-5628 _
�aaaea (r.�oo�
WORKERS'COMPENSAnON DEGLARp�ON: � ' � -
I hereby aHirtn under penalty of perjury ona of the tollowing declaretions: �
❑ I have and will maintain a certificate of consen� to self-Insure for workers' compensation, es provided tor by section 3700 of ihe Labor Code, for ihe pertormance of the
work tor which this permit is issuetl.
.�-..^-- ' .>'
Yhave and.will maintain workers' corppensation insurance, as required hy section 3700 ot the Lahor Code, tor the pedormance of the work tor which this pertnit is issued.
,.. .�Mv wo`rkers' comoensalfon Insu�ancar.xrriar anA oolicv number are�
❑ I certity ihat in the
compensetion law
comply with these
WAqNING:�FAILURE TO
THOUSPND OOLLARE ($
W the work for which this
, an� agrae Ihat it I shoW�
WORNERS' (�dPENSATI(
IN ADDITION TO THE COST
LICENSED CONTRACTORS DECLAHATION:
Policy Numtier.�- � � 3 �%� - .�
orless.) Y
issued, I shall not employ any person in any manner so as to become subject to the workers'
i sublect ro ihe workers' compensation provisions of Section 3700 ot ihe Lebor Cotle, I shall folihwith
Z_ Date:_ ---� /L� �i
�.T---- �� �
ILAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIh1fN4i PENAL �ES AND CIVIL FlNES UP TOONE HUNDRED
I, DAMAGES AS PROVIDED FOR IN SECTION 3lOG OF THE LABOfi CADE, IIJrEREST, AND ATTORNEV'S FEES.
I hereby aflirm ihat I am licensetl untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and
force,and,eflect, Lic_# - � Gla`ss q"��_� �� 3 ��
i,:. � ti`axai�.:-,
Conti2c�or's SigneNre: ��'� DAte:
�.,�" ' y_ �"___� �'
CONSTRUCTION LENDING GENCV:
❑ I �ereby aHirm Ihat there is a construction lending agency tor ihe performance oi ihe work tor which this permit is issuetl. (Sec. 3097, Civil Code).
Lender's Name: Lender's Address:
Signature:
Date:
license is in tull
OWNER-BUILOER DECLARATIONS:
I hereby aHirm that under penalty of perjury that I am E%EMPT FROM THE CONTFiACTORS LICENSE LAW for the foliowing reason (Sec. 7037.5, Business entl Professions
Code: Any ciry or county which requires a permit to conshuct, alter, improve, demolish, or repair any simcWre, prior to its issuance, also requires the applicant for such permit
to tile a signetl statement that he or she is licensed pursuant to ihe provisions oi the Conirectors License Lew (Chapter 9(commencing with Section 7000) of Division 3 oi the
Business and Professions Code) or that he or sha is exempt therefrom and the besis for Ihe alle9ed e:emption. Any violatlon of Section 7031.5 by any epplicant for a permit
subjecis iha applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of ihe property, or my eMployees with wages as their sole compensation, WILL DO THE WORK, antl the simcture is not intentle� or oNerad for sale (Sec.
7044, Business antl Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves Ihereon, and who does such work
himself or herseli or through his or her own employees, pmvitletl that such improvements ere not intended or oRered for sale. 1f, however, ihe building or improvement is
sold within one year ot completion, the owner-builder will have the burden of proving ihat he or she did not builtl or improve for puryosa oi sala.).
❑ I, as owner ot the pmparty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the prqect (Sec. 7044, Business antl Protessions
Code: The contractors License Law does not apply to an owner of property who huiltls or improves thereon, antl who contrects for such prolect with a coniractor(s)
iicense pursuant to ihe Contracmrs License Laws.).
❑ I am exempt under sec. Business antl Protassions Code for this reason:
Signature: Date:
Owner I� verified 6y driver's license. ❑ Ves ❑ No Orivels License No. Expires:
Verification of Ownership by (rype ot docUment, I.e. - pmpeny tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PEpM17 CEFTIFICATION:
❑ I hereby certi(y that no excavation flve (5) or more Feet in tlepth into which a parson is required to descend, will be made in connection with work euthonzetl by this
permit, and that no building stmcture, scaffolding, falsework, or demolition or tlismant(ing Ihereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Califomia Adminisirative Code).
❑ As owner-builtler, I wiil not employ anyone to tlo work which would require a permit from ihe Division of Indusirial Safery, as notetl above, unless such person has a
permit to do such work trom Ihe division.
Signature: Date:
Division ot Indusirial Safery Permit Numbec
CERTIFlCATE OF COMPLIANCE AND qU7HORIZATION OF ENTRV: I certiry under penalty of perjury that I have read this application antl state that iha intormation given is
wrrect. I agree to comply with all state laws and city ordinances relating to building constmction, and euthorize representatives of ihe Ciry of Costa Mesa to enter upon ihe
above-described property for inspedion puryoses. I egree not to occupy or allow occupancy of eny building authorized by Ihis permit until final inspection.
CODE �. N TI N TY '
1616 xed System Final Fire Preven�ion
1266' Pool Spa Final -
200 Final R8-Roof
201 � Final BIocWRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 � Final Demolition
/ UATE I IpL
� E��p
�11 U
CODEN INSPECTIONTYPE /
206 Final Mechanical
208 Finai Plumbing
210 Final Elecincal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 � Final Building/Occupancy
UATE
INTITULS
Costa Mesa Building DeparLment
�i 111 EAST 20th STREET
, � COSTA MESA, CALIFORNIA
FOYZ APPLICANT TO FILL IN
.Building � 1����A // , /
�Address `� �, ��Y�rri. .!/J
Costa Mesa, California
PJ Nearest
No.
!1 Contractor
Deseription � No. � Q � Block � Traet (f„
(Attach Metes and Bounds)
. No. of Bidgs.
Size of Lot j� ,�' �,3% Now on Lot '
Useof No.of No.of
Existing Bldg. ��l�a� Families � Rooms
Setback Line from Rear Vard
.C3^J
Covering
Use of New
Alteretion
Moving
No. of
C Rooms
Demolish
APPLICATION FOR PERMIT
� BUILD,�NG '
FOR O1+FaCE USE NLY
_ __ _ �Recei�t�Vo _ Permit No•
Q� %� � 5 .
Received by Date Rec'd. Date Issued
7�/ - J`
Building
Add ress
Costa 1Vlesa, California
Approved
ArPx,ovAr.s
� Farms, Materials,
�� �7 � Under-Pinning
� Frame: Fire Stops,
Braeing, Bolts
I hereby acknowledge that I have read Uus Application Lath. Int.
and state that the above is correct and agree to rnmply Lath. Ext.
with all City Ordinances and State Laws regulating
building construction.
Signature of Plaster, InY.
Permittee
Plaster, Ext.
Authorized Agt.
Masonry Reinforced
Valu,ation ,� J Permit Fee $/ 7, �
Plan Cheek $ ,.r—�� Bond Beam
$ �_� Total
Fee $ � �— FINAL
��
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G)
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;
.
- ---+i.- Y.�.
Show locatlon and distances from
' property Iine and betweentbui�disngs.•; ;,-}
�, . n;: �,4.,��„ �:i, ? aiu
-,�..1i:�
'" 24�1 �
^ COSTA.J�AESA BUILDINCrSAFEfY DEPARTMENT
� P. O. BO% �17 COSTA M89A. CALIFORNIA
For Applican► to Fill In Complefely
TYPE OR PRINT
BUILDINO I / I (�
ADDRE69 IN �
COSTA MESA, CALIFORNIA
■ MAIL
�
Q �/ 9
n�o _ �c�.
LIG. NO. N,yO.
OF LOT �J J R I. l%•g�/ I Now
. SETBACR LINH PROM
DESCRIPTION OF WORK
BUILDINO NO.OF
SIZE ROOMB 8T RIH
EXTERIORWALL �6/� ROOF /�6�N
COVERING � COVERIN6 ��
USH OF BUILDING AND WORK TO BH PERFORMEO
DLuP_ LLiN9 — 7'.✓it i-c 7'a
.nr��� � '�y�s - �;� .�y
I HEREBY ACKNOWLE068 TX�T � HAVB RBAD TH18�P� LiGTION
ANO BTATH THAT TNE ABOVH 18 COHpECT�tl�� 1[EHEE TO COM.
PLY WITH �LL CITY D�NANC88 ANO$MTH L�W9 REOULATINO
BUILDING CONBTHU 10 . I / J n
SIGNATURE OF „
PERM ITTE �,��v��~ ��
AU HORIZEDAGE T .
t
CITY �F ���TA MESq
JUL 20 1965 �l
APPLICATION FOR PER
�Y
`U � 5� ZONI�IG
^I No.o� ueeovr+i
ruHe � euao�na
YARDSAPPROVED
MAIN BUILDINO
DISfANCE
MAIN BLDC
VAR. $C
C. U. P. JO
APPROViD
tT � �
SHALL BE LH88 TNAN
YARDSAPPROVED
ACGESSORYBUILDIN6
DATE
n
&Q. Ff. �
TXH AMOIINT 9HOWN YNOER VALUATION 19 POH TH8 F
PUflPOBE OP BBTM1BLIBHINO A PEPMIT PCE ONLY. �
VALUATION pd' m
� PERMIT FEE $ � j
5o m
� �y '
S �V � cM e
� �v 0