HomeMy WebLinkAbout201 TULANE PL - Building Permits - t.
CITY OF COSTA MES
P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200
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FROM THE DEPARTMENT OF PUBLIC SERVICES/ENGINEERING DIVISION
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May 20, 2004
CI°
Roland T. Hall
201 Tulane PL
Costa Mesa, CA 92626
SUBJECT: Parkway Maintenance along Fairview Avenue
Dear Mr. Hall:
The City of Costa Mesa has now finished paving Fairview Road from Fair Drive to
Newport Boulevard. The next phase of construction will consist of parkway repairs
along the same segment of Fairview Road, and is tentatively scheduled to begin in late
June 2004.
- There are several private wall segments within these limits that are in disrepair, some to
the point of becoming a public hazard. If your wall is in need of replacement and/or
repair, the City is recommending that you make your repairs at this time. If you choose
to replace your wall, you may either hire the City's contractor for the work or you may
choose to locate your own contractor for the wall reconstruction.
Thank you in advance for your cooperation. If you have any questions, please feel free
to contact Larry Dreiman, Engineering Technician, at (714) 754-5014.
Si erely,
44.^...*S4-N C--/ .
Fariba Fazeli
Senior Engineer
LD/ch
c: William J. Morris, Director of Public Services .
Ernesto Munoz, City Engineer
Tom Banks, Senior Engineer
Burt Morgan, Chief Plans Examiner
Larry Dreiman, Engineering Technician III
PHONE: (714)754-5343 FAX: (714)754-5028 TDD: (714)754-5244
www.d.00sta-mesa.ca.us
•
a501114 CITY OF COSTA MESA - -
nt: ' ill BUILDING DIVISION
> %� r � • S DEVELOPMENT SERVICES DEPARTMENT - PB)1MIT NUMBER
t. t wn*ri'v 1
PERMIT
4%-tne:R rip e4' 1604-00932
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 201 TULANE PL Status: ISSUED
Suite: Applied: 05/20/2004
Vicinity: ROOF Issued: 05/20/2004
Parcel Number 14146501 Zoning:
Applicant: DOUGLAS SMITH MILLARD ISSUED BY:
Address: 2219 N FLOWER ST
' Phone: 714-542-0801 '
SANTA ANA,CA " - Zip: 92706
Owner: HALL; ROLAND T TR
Address ,201 TULANE pL . - - - -
- - - Phone: • _ " " _ ",v
//COSTA MESA,CA • Zip: 92626 "/
Contractor: DOUGLAS:SMITH MILLARD ROOFING INC /
,Address: 2219 N FLOWER ST ,
Phone: 714-542-0801
SANTA'ANA,CA - _ -
Zip: 92706 License: 433205
Arch : - ' " Eng:
Address: - Address:
Phone: . . Phone: -
Zip: License: License:
' a
SCOPE OF PERMIT
. TEAR OFF EXISTING ROOF.INSTALL METAL EDGING,30#FELT,30 YEAR,RAISED,PROFILE ELK CLASS A FIBERGLASS SHINGLE,AND
REPAIR/REPLACE SHEATHING AS NEEDED:2,700 S.F:INCLUDES ATTACHED GARAGE. "" - / .
- FEE SUMMARY
Plan Check: $0.00 --. __ -- '__::-.:_ ' - , - a.Clc Valuation: $6,932.00.
Permit: $139.25 - - Claim Valuation: $6,932.00
SMIP Res: , $0.69 % .
SMIP Com: • $0.00
Other:`, $0.00 -
Inspection: $0.00
Total: • $139.94' - .
, ,PLANNING-&ZONING
SETBACKS'_ = i/',
MAIN STRUCTURE'Front 0-0 Rear 0-0*. -- Left - - 0-0= - Right , 0 0, , , j'i
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
2446-46(6/00)
WORKERS'COMPENSATION DECLARATION: -
I hereby affirm under 4enalty of Gerjury one of the following declarations: `
pdr
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Codd,for the formance 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'compeation Insurance carder and policy number are:
Cartier: Policy Number:
(This se 'on 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 ernday any person in any manner so as to become subject to the workers'
compensation laws of California,and ag that if I should become subject to t e wo - compensation provisions of Section 3700 of the Labor Code,I shall forthwith
Imply with these provisions. /
Applicant Signature: • l�,5 2dO
WARNING:FAILURE TO SECUR WORKERS',A PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE LTIES A D CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITI. o 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 provisi s of Chapter 9(commencing with Section 7000)of Division 3 of.the Business and Professjns Code,and my license Is In full
forceand'effect.-Lica c/33 5 Class ft C ^ 7
Contractors Signature: • ,S' 1 ,Dater O
•
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: 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($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 em exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. ❑Yes 0 No Drivers License No. Expires:
Verification of Ownership by(type of document,I.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feel high.(Chap.3.2,Grp 2,Art 2,Sec. .
341,Title 8,Califomia Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification end filing with the Fire
Department of en RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If en RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? ❑Yes El 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_EPermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes u No
(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 to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑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? ❑Yes ❑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.
$jgnature L gal Ow Date
dgio/ay
And/Or Authorized Applicant Date
;ODE 0 FICTION TYPE PAIS 1igatt, CODES INSPECTION TYPE PAIS INTmALE
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof (O Z"�r err 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 ROLAND T. AND ISABEIxrR HALL DA' 7-22-59
JOB ADDRESS 201 Tulame Plat BU1_ _NG PERMIT NO. 995S
GENERAL CONTRACTOR Better Bt . Construction VALUE $ 378.00
AP. No.Lot 20Tr.2955LOT TRACT FIRE ZONE DESCRIPTION OF WORK block wall
INSPECTIONS DATE_I GROUP TYPE ZONE I71
Underground Soil U.G. Water PERMITS ISSUED
Underground Gas — SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line House Con. St. Swr.
Sprinkling System _
Heating, Final
Plumbing Fixtures _
Final Gas Test •
Construction Pole
Underground Power
Rough Wiring add Trenches Forms Steeld
Floor System
Steel Reinforce Chimney Re-Rod _
Bond Beam i •
Sheathing
Frame and Flashing _
Lathing, In Out
Plaster, brown coat
Plumbing Fixtures, Final
Electric Fixtures, Final
Building, Final Ara/ � / L/ an
OCCUPANCY / �,
Form 210-3M-4.59 99.55
=LES �/[ i)
= 995 • • Gt. NLU
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COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT1959
P.O.BOX 317 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
•
FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING 4Ol VA A)E P%AC(
ADDRESS tF r I; 1.
COSTA MESA, CALIFORNIA FOR OFF/CE USE ONLY
OWNER leOLFjV T te-Traicae 14441 I RECEIPT NO. PERMIT NO
C/5-
ADDRESS
��
MAIL RECEIVED BY DATE RECEIVED DATEISSUED
ADDRESS .. • i/� '/i Z /-�.�-$, 7 _)- s
CITY O \ nn M j A NO.0i`,350
ADD ESS
ARCHITECT LIC.
OR ENGINEER • NO. .COSTA MESA, CALIFORNIA
FIRE
ADDRESS ZONE TYPE GROUP
(I fpP4//t4i_Sr/Nu E I•••••• APPROVED eCONTRACTOR LIC.NO.7�4 DATE 1
11-'s,
1/.-5of2 .Y1 ..? ',fit
ADDRESS ,.....:84-443/...._ ---e.,-We- ZONING
LEGAL LOT ,` '1)'/OO lams- ZONE NO.OF USE OF NEW
DESCRIPTION I NO. 26 I BLOCK / PL/gNb �I BUILDING 7 ,_ _ pr
A.P.NO.
,v1 J 7-7) 7:-HL, W C7 BYPROVED /jets
DATE //',L17�/'��5
SIZE 0101014- ere x/21?)119 s'4 DCII NO.OF SLOGS. / YARDS (/1 EVES
OF LOT NOW ON LOT REQUIRED ALLOWED
USE OF (CENTER LINE ST.)
EXISTING BLDG. ResideNce FRONT SO FT. IN.
SETBACK LINE FROM `�
CENTER OF STREET .c 7)) REAR YARD C R.SIDE 'i FT. IN.
SIDE YARD I LEFT -----4 I RIGHT L.SIDE & FT. IN.
DESCRIPTION OF- WORK
REAR FT. IN.
NEW Vel
I ALTERATION V ADDITION , p .
REPAIR I II MOVING I II DEMOLISH I G
BUILDING (&Vs 1 fr. NO.OF q
SIZE ROOMS / STORIES
/
EXTERIOR WALLSITUCO IROOFRINIS"
COVERING COVE `
USE OF BUILDING AND WORK TO BE PERFORMED
AppnoA(102 Fr f" ikekto4411Af,ytir
o-I (.s dr") s (Si rr net; healLPoF -
G / ) ,A: bNc 4r-" C le don/may/Vail
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRUCTION VALUATION
toy
SIGNATURE OF...• �� PERMIT FEE $ 02
PERMITTEE ......• /
$ e/-�d PLAN CHECK ;$
3 7 i L�
AUTHORIZED AGENT / TOTAL FEE 5 '
OWNER YALE PROPERTIES DK 10-17—S8
JOB ADDRESS 201 Tulane kr
BU. G PERMIT NO. 7817
GENERAL CONTRACTOR Dike & 1u..eProve VALUE $ 16,598.00 -
AP. No. LOT 20 TRACT 2955FIRE ZONE DESCRIPTION OF WORK Sin. Res. & Gar.
GROUP I & J TYPE V ZONE R1 PLAN NO.
`7SPEC`71.42,—/V0 9✓+"611alw' PERMITS ISSUED
INSPECTIONS 1 IONS _ _ DATE SUBCONTRACTOR
A. Vri'eP'✓i^ DATE NUMBER
Trenches"/ Form -azsgreLWar2 y
Floor System t/
Steel Reinforce Chimney Re-Rod - -
Bond Beam ///
FrameFlashings Y /
Lathing, In n /"'"Out
��r��� /
Plaster, brown coat • i,8XC/
Underground soil//f/S W/G Pipe Test4$i(/0—)73—.1t
Top Out /L-2.2.-3ti
Furnace t/..2a'.. t SIC,it )M,Ctti C:,,-, A-U-5.5" /4" 711 sr--
Gas Vents ,
Rough Plumbing A/74-5 /¢—q Sf K 1 0 b&-? S--e. . UGI i 7 1953 l ti,a 3 iy�
Cesspool Septic. Tank _ / U
Prop. Stine HSii( Con. St. Swr. ISL( i/PC.Ce Phin..74 . .U�u. NUV 7 1958- 15z62 GI
Sprinkling System n \
Heating Final y/{T 3—/7--Si 1
Plumbing Fixtures, Final ) Pt-'44--.7—
Final Gas Test 1 I.fii 44--.7.-1-0: lip
Construction Pole
Underground Power r�gry
Rough Wiring 17/E, .1G,./ii•,^.! )R7 jitiOV /
1q5$ .}91
Fixtures, Final Z
OCCUPANCY
Form 210-5M-1-57
17
Iwo L .
' j. SEE RE('^'VED
10 -14 -a
COSTA MESA BUILDING DEPARTMENT FINANCE DEPT.
P.O. BOX 317
AL CITY OF COST MEM
COSTA MESA, CALIFORNIA COSTA M61�
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDINGBUILDING
ADDRESS 201 Tian 'Road / ' •
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
- y RECEIPT NO. Fallp�AS�(T LL+
OWNER Yale Properties .1 l-! t
RECEIVED BY DATE RECEIVED DATE ISSUED
MADD 419 E. 17th St. V - / /6-/X-1-01'DDRESS Calif. ' /`/"' OCT1i7 1956
CITY Costa, Mesa, Cf .NO.�. 8-1159 ILDING
ADDRESS
ARCH
ITECT Carla NI
OR TTERCa� n�. ddleUl-brook O. _ COSTA MESA. CALIFORNIA
ADDRESS Garden Clove FIRE
�( ZONE
Y1Ite m+ ]�zY LIC ZONE 1_ PLANS TYPE GROU
CONTRACTOR
I�'`��((�� Co b+n/�1 �+`�• NO.T�841
K /// ,. // (��l
ADDRESS 419 E. 17th St. NO.••r • 1159 APPROVED �!--3 \ DATE /
LEGAL LOT 2955 / CORRECTIONS
LESC RIPn ory NO. 20 BLOCK ' TRACT
SIZE
A.P.NO. n
OF LOT 83 x 102 INDW F B LOGS.
NOW FON LOT none
USE OFr
EXISTING BLDG. 1'L
LINE F
CENTERSETBACKOF STREET 45' REAR YARD 20'
SIDE YARD RIGHT 51 LEFT 11.47t
DESCRIPTION OF WORK •
NEW % ALTERATION ADDITION
REPAIR MOVING DEMOLISH
SIZE BUILDING 1647 'sq ft ROOMS 7 STORIES 1 .
EXTERIOR WALL ROOF !� •
COVERING Stucco COVERING -Comp .
BUILDINGUSE SingF leSingle family residence
with attached garage.
. Plan 760A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS C.'"ECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND ST' AWS :EGULATING BUILDING CONSTRUC-
TION. VALUATION PERMIT FEE $38.00
SIGNATURE OF I/'.� ' -1
PERMITTEE' 666/// l ( 19.00
v PLAN CHECK $
$ 16,598.00 57.00 B„,
AUTHORIZED AGENT Dike Rt Colegrove, Inc. TOTAL FEE $