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Home My WebLink About220 TULANE RD - Building Permits 7 • • 1 t 4`p5 Ms 9 CITY OF COSTA MESA BUILDING DIVISION }t .' I DEVELOPMENT SERVICES DEPARTMENT P RMIT NUMBER F t y1. /.E ' PERMIT B00-01265 IteRPommit O- a I (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesaDING PERMIT CU 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 220 TULANE RD Status: ISSUED Suite: Applied: 08/18/2000 Vicinity: RESIDENCE&ATTAHCED GARAGE Issued: 08/18/2000 Parcel Number: 14145307 Zoning: _____4 iii.._. Applicant: WOODS, ANDREW C ISSUED BY: Address: 229 TULANE RD Phone: 714-708-2455 COSTA MESA,CA Zip: 92626 Owner WOODS, ANDREW&WINTER, HELENE Address 229 TULANE RD Phone: COSTA MESA, CA Zip: 92626 Contractor: OWNER-BUILDER Address: Phone: Zip: License: 0 • Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF:T/O, REPAIR SHTG AS NEEDED, 2 LAYERS 15#FELT,APPLY 25 YR ASPHALT COMP SHINGLES.25.5 SQUARES. • - FEE SUMMARY Plan,Check: $0.00 Calc Valuation: $4,600.00 . Permit: $111.25 Claim Valuation: $4,600.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 PLANNING &ZONING . SETBACKS , ' • . MAIN STRUCTURE. Front 0-0 Rear 0-0 Lek 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 2446-46(6/00) • • DECLARATIONS 1 1 ` ) -' 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 carrier and policy number are: Carrier: Policy Number: (This section need not be completed i1 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 Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 15 UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND OOLLARE($100,C00).IN ADDmON 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 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 Class k Contractor's Signature: Date: 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 subje a 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 properly 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.). O 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 La s.). ❑ I am exem n e sec. • Business and Professions Code for this reason: Signature: - L 'r" • e Date: 67( PS(CC) Owner ID verified by driver's license. a 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)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,Califomla Administrative Code). O 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). 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 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? ❑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 apeunit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No (Section 65850.2 of the California Govamment 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 Califomia 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 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 1 inction purpo s. a a not occupy or allow occupancy of any building authorized by this permituntil fjh�i�a�on.. • Signature Of Legal Owner(s) /Date O /y And/Or Authorized Applicant Date CODE r INSPECTIONTYP[ PATE INTRIALSCODEf INSPECTION TYPE PATE INIImALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof i 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 /NC/ 14/G016n i - Applicant to fill in all spaces within heavy border lines andsign all appropriate declarations. ,CITY OF COSTA MESA - PERMIT"NO. -TRACT NO.' LOT NO.1 -BLDG.NO.- ,- --- - • - - - - - - • - CONSTgiUCTION PERMIT PL-/r/3 ' r . �, ;Project Address �C _ L ` �\)-' U F}rl I� - TYPE OF CON UCTION • - - •Owner •D*kw'' N 6a is°`'C,SP�ne- '0 NEW - ADD -0 ALTERATION • ,Address' Z "7'uy- •INC- -- - -- -- -�-- - ' - - ❑ REPAIR 0 CONVERSION 0 DEMOLISH _ y` `Arch/Eng. ��I 1• `PT'+- • -License No'Y 7� • --D-OTHER .' ' • "'. I. /�� • ZONING REGULATIONS _ ej DESCRIPTION OF WORK •-( �Crl _A'P' I ' Address lT1.LI !f' s Lyra., 2 's-a-4 .•- - 1 /` v` _ ZONE PLNG. REF. - _ q'V Contractori" r P F �� -' BUILDING - - Tp L� p _ - //'' 1,d�nP/ p -TYPE OF P RMIT PROPEIRTV LINE �S � -I./3. rJ.? -- SETBACK C LST. Address �� r ,� GRADING- .i 0 FOUNDAT,hO/N//❑ STRUCTURAL SIDE YARD _ "O LICENSED-CONTRACTOR DECLARATION --- - --'- ' ' ."-0 TENANT- 0-ELECTRICAL II PLUMBING OMECHANICAL SIDE YARD- • - r - -) - t0 I hereby affirm that I am licensed under provisions of Charter 9.(con.-. 1 • '+ _ • RIGHT lt mencing with-section 7000)- of .Division 3 -of -the Business-and- -- OTHER - -- _ _ Professions Code, and my license in lull force .nd eft- t.- 'REAR YARD(TO P/L) i License Class • ! - " ' 'r Lic1 s+,• r. ' SQOJECT'DESCRIPTION' - - - , - -- M' PKG.SPACE REQ. • PROVIDED Date - "APE/ Signature - -, - STREET WIDTH _ PAR KiFEE-$ WORKERS'COMPENSATION-DECLARAT ON - - - -- . OCCUPANCYCONSTRUCTION CONSTRUCTION TYPE _ I hereby affirm that I have a certificate of consent to elf Insure ora vALUATIO N'f- 70° '" ZONE -ZONING APPROVED BY - -I DATE ' certificate of Workers' Compensation. Insurance, or a ce titled-copy _ _ _ _ thereof(Se i n 800/� ). e e,7- / p SPECIAL CONDITIONS - - - i Policy N 1 QJ Company yT?/'F' Kp-- GRADING CU.YDS. ACRES _ •.r _ _ 'edified copy is hereby furnished._ - .. - -. ' REMARKS: ' . - _ '_ -_ . - _ • -. , _ irtlfietl copy is filed with the city Building Division. ii _MPTON FROMWWORKERS'-COMPENSATION DECLARATION -" ' _. - _ �'i- -- - -- --• - - - , (This section need.not be Completed if,.the.permit is for one hundred �..--- • ($100) or less). I �. '- - . . _ -.-rs . . _ .. '- . - - ..- I certify that In the performance of the work for,which this,permit Is �.� %i. � _ _ Issued, I shall not employ any person In any manner so as to become PLUMBING -� ? N t'-�- `Z ' - - - T'•C• /J -PLAN CHECK, - subject to the Workers'.Compensation Laws of California._' - .R -- J GARAGE T ' .., BATHT,UBS'� H WRS • • - s - Date -- Signature A $ t I seA3 _ e • NOTICE: If after making this declxratlon, you should become subjectTglLE.?SW' _I URINALS 4 '- - A e E 7'•'I OR to the Workers' Compensation provisions of the Labor Code,you must , P - 'NS-C,RMER '_)/ forthwith comply with such provisions or this permit shall be deemed L•. '.0 TORIES --., �DOt3: -E L•,.... , /� 'APPLIANCE _ 10-50 KW_ __50 + KW"' _ revoked. - ____ __ _ • CONSTRUCTION LENDING AGENCY "KI K •- 'b` - `- 4• --�(II -:$.S - - •MOTORS•-' -- '0-1 HP_1=30 HP' I hereby affirm that there is a construction lending agency for the per- SER, ICE SI S ,'S MPS" `-' '" -_ -- - •(INC.SOLAR) - 10-50 HP_50 +HP - formance of the work for which this,lapermit is issued (Section 3097 `' t r` - - - , Civ. CJ. - - _ -"' - - - - -�- 'FLO OR SIN �5 1IL- pgORt• �^�` ' "" "FIXTURES "'OVTL'ETS- SWITCHES • - '-- Lender's Name �G - DRl • W1f�}J ' • CI_ - '- GAS TUBE SIGNS - - -- Lender's Address 0- es t' - - OWNER BUILDER DECLARATION - --' INTE- ' 'CLARIFIERS - - - - POLE LIGHTS ' - . . . - - - I hereby affirm that I am exempt from.the Contractor's License Law for - ' the following reason (Section 7031.5 Business-and+Professions Code:- -SWIMMING POOL-- 'P TRAP' " - " - LOINS I NUL.I ILAN - - - . . Any city or county which requires a permit to construct, alter, POLES METERED SUB _ Improve,demolish or repair any structure, prior to Its issuance,also re- "WATER SERVICE ALTERATION" - - ' ' ' ,PANELS ' - 'MAIN- ' SUB -- quires the applicant for such permit to file a signed statement that he - - - - _ - Is licensed pursuant to the provisions of the Contractor's License LawGR - AS SEV ICE OUTLETS - --` SERVICE ' - ' • (Chapter 9 (commencing with Section 7000) of Division 3 of the , Business and Professions Code)'or that he Is exempttherefromand the WATER HEATERS - 'BTU OUTPUT"--' - ' - - - ' - - basis for the alleged exemption. Any violation of Section 7031.5 by - - _ - agp.applicant'for-a permit subjects the-applicant to'a civil penalty SEWER CONNECTIONS- . - - ' -- . . - - - - - - '. t more than five hundred dollars ($500). - ' • f ";.leas owner / L of the property, or my employees with wages as their SOAR TANK 'v COLLECTORS - - -. - :;icompensation, will do the work,and the structure is not intended ! - ' • or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING-SYS. ` - ' ISSUE FEE - , - - 3 Contractor's-License Law does not apply to anowner of a property _ who builds or improves thereon, and who does such work himself or ISSUE FEE _-3 - APPLICATION APPROVED BY DATE through his own employees, provided that such improvements are not _ -- _ intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK - SUMMARY OF FEES is sold within one year of completion,the owner will have the burden of proving he did not build or improve for the purpose of sale). BUILDING - HEATING SYSTEM 0-100,000 BTU PERMIT $ - SMTP . $ 0 I, as owner of the property, am exclusively contracting with AND DUCTING - -- -- licensed contractors to construct the project (Section 7044, Business 100,000+BTU PLAN CHECK $ PERMIT • and Professions Code: The'Contractor's License Law does not apply to- J/ ISSUANCE $ - an owner of property who builds or improves thereon,and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from such projects with a contractor(sp licesned pursuant to SYSTEM - - -- GRADING $ the Contractor's License Law). - 100,000 +BTU PLAN CHECK $ ��[[ $ 0 I am exempt under Section B.& P.C.forELETRICAL $ -J 'this BOILERS BTU _ S� •—• MICROFILM S reasonte - • - - PLAN CHECK '$ SYSTEM REPAIR,ALTERATION Date Owner • - MECHANICAL $ - _ TOTAL FEE$ I.hereby certify that I have read this application and state that the above- EXHAUST SYSTEM MULTIPLE LESS AD- information is correct. I agree"to comply with all city and county PLAN CHECK $ - VANCE PC $_ - - • ordinances and statetatelaws relati to construction,and hereby authorize representatives f thi city enter on the above mentioned ' Sa property for pec ' n pu ses lO_23 (fa Signature Date` 4/ FINAL FEE $ �•S Drivers'License or SS* ISSUE FEE - - CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor X OWNER YALE PROPERTIES DATE 6-13-58 _ JOB ADDRESS - 220 Tulane-Road BUILDING PERMIT NO. 6936 - GENERAL CONTRACTOR Dike & Colegrove VALUE $ 12,810.00 • To. LOT 136 TRACT 2955 FIRE ZONE DESCRIPTION OF WORK -Res. & At. Garage l._...UP I & J TYPE V ZONE R1 PLAN NO. 6936 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Trenches "Forms/ /.4-Steel I #5" Mai - Floor System Steel Reinforce Chimney Re-Rod Bond Beam - Frame and Flashing ' /Dad Lathing, In " Out agir Q4 Plaster, brown coat A 1MIMI Underground soilM S WIG Pipe Te t%yS 7•/S=SXR Top Out 7-//- . nwI Furnace ASS Mr.._ :i D1�a1 atimis rs, Gas Ventsa 11t Rough Plumbing /ice t 1At �:j�}�yI , a I I Cesspool Septic TankIIMMEIMPIMEMEINI _ 1 Prop. Swr. Lin- *-House Con pa.St. Swr. Elf o-t rin ,E, .A ' riefas 1 :IaW M'tS I S• - '•ling System I I g Final renikai - S, i 1 ' Plumbint Fixtures Final -�!,��Final Gas Test _ Elf r . Construction Pole Underground Power • - MMMIMMIM . Rough Wiring �� I� �� rld�1.11f 3 3 145•Ilat i - s Fixtures, Final /7'' 1 'OCCUPANCY ,20-1 /./(. 'Form 2]0–.iM-1-57 `_ • 462� Al r 6936 ..l_a U!L.U`Y V y . �/i-/.s 8 V LX,. COSTA MESA BUILDING DEPARTMENT FINANCE DEPT, P.O.A. CALIFORNIA 317 CITY C� !'nc.;4 P, rt COSTA MESA. CAL ,'IFC FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ABUILDI DDRESS 220 Tulane Road BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PERMIT NO. OWNER Yale Properties, Inc. 69l:� RECEIVED BY DATE RECEIVED .DATE ISSUED MAI` 419 E. 17th St. J JUN 1 3 1958 ADDRESS �Z`�� 6 -//-J Q CITY Costa Mesa TELNO.. BUILDING Li 81159 ADDRESS • ARCH'--cTCarlsOn & Middlebrookuc. OR t EER NO. COSTA MESA. CALIFORNIA Garden Grove FIRE ADDRESS ZONE Dike & Colegrove, Inc. CITY LIC. ZONE/y(� PLANS OF TYPE // GROUP///�� CONTRACTOR NO. 7333 ( \ ✓ G: , ADDRESS4 9 E. 17th St. , Costa MesaTE Li 81159 APPROVE • DATE LEGAL CORRECTIONS DESCRIPTION NO 136 BLOCK TRACT2955 A.P.NO. SIZE 71 x 95 NO.OF BLOCS. none OF LOT NOW ON LOT USE OF none { EXISTING BLDG. L SETBACK LINE FROM CENTER OF STREET 47' REAR YARD 251 SIDE YARD RIGHT 51 LEFT 61 • DESCRIPTION OF WORK ' NEW' x ALTERATION I ADDITION REPAIR MOVING 1 DEMOLISH BUILDING SIZE �L'1 /80 sq ft ROOMS 6 STORIES 1 EXTERIOR WALL Stucco ROOF Comp COVERING COVERING USE OF NEW.Single family residence BUILDING • garage attached Plan 730AR I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES ANO S Jr LAWS REGULATING BUILDING CONSTRUC- TION. / VALUATION SIGNATURE OF ii / / PERMIT FEE S 30.00 PERMITTEE ///adir i • 12,810.00 PLAN CHECK 5 15.00 Dike & Colegrove, In . $ I AUTHORIZED AGENT TOTAL FEE $ 45.00 V„,