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HomeMy WebLinkAbout236 TULANE RD - Building Permits • CITY OF COSTA MESA - . - , FS BUILDING DIVISION F" .n. —_____.aI 77 FAIR DRIVE, COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 4., IPA FOR INSPECTIONS CALL: (714)754-5626 •°*.6:010 PERMIT NUMBER: BC09-00090 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: RES_ALT DATE ISSUED: 03/23/2009 ISSUED BY: RMD JOB ADDRESS: 236 TULANE RD CM. • ' ' • . .'Suite/Unit:• APN: 14145303 Zoning: ` Vicinity: THROUGH OUT HOUSE - - - Primary Occ: R-3 Const Type: V-B SQ:FT: 0 - Valuation: $4,000.00 SCOPE OF WORK: MINOR INTERIOR REMODEL OF SFD.WORK TO INCLUDE WATER REPIPE, GAS REPIPE, 5 GAS OUTLETS, REPLACE SEWER IN FOOTPRINT OF HOUSE ONLY, UPGRADE SERVICE PANEL UP TO 200A, ELECTRICAL REWIRE, 24 LIGHT FIXTS,45 OUTLETS, 8 SWITCHES, CHANGE OUT 1 FAU LOCATED IN HALLWAY CLOSET,-2 VENT FANS, 1 BATH TUB, 1 LAUNDRY TUB/WASHER, 1 SHOWER;1 KITCHEN SINK, 2 WATER CLOSETS, 1 WATER HEATER, 3 WASH BASINS AND DRY WALL REPLACEMENT THROUGH OUT HOUSE. - OWNER: METKOVICH, GEORGE; METKOVITCH, BETHANY: METKOVICH, MICHAEL - .Address: 236 TULANE RD Unit: Phone: 949-294-2744 , - City/State/Zip: COSTA MESA,CA • - - APPLICANT: METKOVICH, MICHAEL, .- Address: 236 TULANE RD Unit: Phone: 949-294-2744 • - • City/State/zZip: COSTA MESA, CA . - CONTRACTOR: OWNER-BUILDER License.No. 000000 Phone: Address: Unit: , Cell: City/State: , ZipCode • ARCHITECT: • License'No. • . PHONE: ENGINEER: - . . - License No. • - - PHONE: COMBINATION PERMIT FEE SUMMARY " Building Plan Check: - $0.00 - . Building Fees: - • $97.25 Electrical Fees: ' $146.17 H - . " Mechanical Fees: ' - $59.15 - " . Plumbing Fees: $148.35 SMIP Residential: $0.50 SMIP Commercial: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES: $452.42 "Refer to fee receipts for all fees paid for project 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. CODE S. INSPECTION TYPE DATE IN119ALS CODES INSPECTION TYPE DATE I r ALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical `u 117 6/�t ,j 1266 Pool Spa Final 208 Final Plumbing ' AI►] /il.Mitt ir 200 Final Re-Roof 210 Final Electrical 4 1 M U L I 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval ���—t� 203 Final Signm 222 Final Site �•HPF-`-'—t- 204 Final Demolition 250 Final Building/Occupancy r WORKERS'COMPENSATION DECLARATION: • Owner ID verified by drivers license. tp ires7 9( I'1/ /->.. p ❑ I have and will maintaineda certificate of consent0 totself-Insure fdr workers' Ven icaf tion of Ownership by(type of document,i.e.-property tax bill or deed): 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: 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 Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section neednol be completed ifthe penmt is valued al one hundred dollars($100)or less.) 2,Art 2,Sec.341,Title 8,California Administrative Code). Policy Number: ❑ As owner-builder, I will not employ anyone to do work which would "`h_certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued. I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of Califomia, and agree that if I should become subject to the workers' compensation provisions of Secti n 3700 of Applicant's Signature Date the Labor Code, I all f• • 'th • ply with these provisio s. 'r 77 p % Division of Industrial Safety Permit Number: •: —m' agnature t� HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑ No Lic.# Class# (Section 25533 of the Califomia 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 Contractor's Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued. (Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑ No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If ryes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No thereon,and who does such work himself or herself or through his or her own 8 (If yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for control officer 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 CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and stale that the information given is correct. I agree to comply with all state laws and city ❑ I am exempt under sec. ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupa -y of.ny building autho perm' til U ton. _ BlJ r-- �i �S Ol re'oR- wnerls 't I .O. �. . / cte 3059-•6(3/07) And/or Authorized Applicant Date CITY OF COSTA MESA . ""'FQ BUILDING DIVISION las`I6 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us w FOR INSPECTIONS CALL: (714)754-5626 .00 PERMIT NUMBER: E09-00073 PERMIT TYPE ELEC STATUS: ISSUED APN: 14145303 DATE ISSUED: 03/23/2009 ISSUED BY: RMD JOB ADDRESS: 236 TULANE RD CM Suite/Unit:. _ Vicinity: • • SCOPE OF WORK: ELECTRICAL PERMIT FOR TEMP POWER FOR AN INTERIOR'REMODEL OF SFD.-REF#: BC09-00090 • OWNER: METKOVICH, GEORGE; METKOVITCH, BETHANY;METKOVICH,MICHAEL - ' • Address: 236 TULANE RD Unit. PHONE: 949-294-2744 - "City/State/Zip: COSTA MESA,CA .- APPLICANT: METKOVICH, MICHAEL : •• Address: - 236 TULANE RD Unit: - H PHONE: 949-294-2744' - - City/State/zZip: COSTA MESA,CA CONTRACTOR: OWNER-BUILDER .. .. License No. 000000 Address: Unit: ' PHONE:-^ - - ' • City/State: - ZipCode: CELL: ELECTRICAL PERMIT FEES •• Electrical Plan Check Fee: $0.00 - • Electrical Permit Fee: $47.00 • Reinspection Fee . $0.00 . . TOTAL FEES • $47.00 • • • 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. CODE O. INSPECTION TYPE DATE INTITIALS CODED INSPECTION TYPE DATE INTmALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical / 201 Final BIock/Retaining Wall 212 Final Fire Prevention ��VVV"���� 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition _ 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATIONOwner ID verified by driv ic.rear se 21,4s ❑No �J 7 I hereby affirm under penalty of perjury one of the following declarations: livyrs:L`Ic'erse-No. F�pirees.✓ /-I 3-1 ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building stmcture,scaffolding,falsework,or demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Gm (This section need not be completed(IThe pelma is valued at one hundred dollars(5100)of less) 2,Art 2,Sec.341.Title 8,Califomia Administrative Code). Policy Number: ❑ As owner-builder, I will not employ anyone to do work which would .. C[ortify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Date the La.. ...e,I sha rthwith comply with these provisions ! — 34 c t.4 Division of Industrial Safety Permit Number: ghawre Gtr HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑ No Lic.# Class# (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 Contractor's Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a Construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: - hazardous materials)? ❑Yes ❑No (Section 25534 of the Califomia Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑ No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑ No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications fa non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 ;v:71ndred dollars($500).): of the California Health and Safety Code). uas owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044. Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑ No thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and _ Professions Code:The contractors License Law does not apply to an owner of Signature Dale property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I ogre- of to occupy or allow occupancy of any building authorize. by thi :-.mit . til fi Ins e q/ay€ And/or Authorized Applicant Date ‘ o ADDRESS OF BUILDING: 236 TULANE RD urn CITY OF COSTA MESA — BUILDING PERMIT OWNERSNAMEIF IDNfAN: FROHOFF, PATRICK E PERM NO: B 085022 ADDRESS: 236 TULANE RD COSTA MESA,CA 92626 PERMIT NO: B 085022 PLAN CHECK NO: N GOVT: N SUPP: N til APPL.SWUNG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH 'AD., NL. ARCHITECT ORENGNEER: MC NO.: JOB DESCRIPTION : T/0 ROOF AND REROOF W/COMP SHINGLES SQ FT: 4 , 478 ARCH.OR ENO'S ADDRESS: WIT: CLAIM VALUE: 4 , 478 . 00 CALC—VALUE: 4, 478 . 00 GROUP OCC: R-3 /U-1 CONTRACTOR'S NAME: ORANGE COAST ROOFING ( 714 ) 631-19 4 CONTRACTORSMMLR$ 3027 ROYCE LN COMMENTS: SMOKE DETECTORS REQUIRED ADORES& COSTA MESA C. uc' r.: 434674 ***aE;Eif;fif.E*iFiEiFi(•r(•x******;h**ififx-a ***aEiEiEi(•at*iESESf;t]h;43t*;tiEit-N*it;E•iEit•*7F:E**JFit;4vh;tif;e3tdf;(•*;c--)Fx***3E;e 92627 / uiu: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjuryI am -need . . ..of .er g SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code,Jkf,�•my is. h full force . efl.. CITY uC.No.:035937 LIG.CLASS: C 39 C. 4 i,'/ 671 'EX? 0: 198 MAIN BUILDING ACCESSORY BUILDING r FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN (le: 072 �J Contractor A. 1 . • LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN � l:-- N GILDER DECLARATION:I hereby affirm under penalty of•_'ry than am exempt from the Contractors License Law for the :.1faviha reason(Section 7031.5 Business and Professions Code:Any city or county which requires a perms to construct alter.improve. PARKING REQ: PRO V: PARCEL: 14156235 Z NE: REF NO: p` `5oleh,or repair any structure,prior to is issuance.also requires the applicant for such permit to file a signed statement that he or she ,''licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Division 3 of the PLANNING NOTES> _ Business and Professions Code]or that he or she is exempt therefrom and the basis fa the alleged exemption.My violation of Section > 7031.5 by anyappticanl for apermil subeects the applicant to a Si penally of not may than free hundred dollen ES500D. ******************************************************************************* ❑ I.a owner d the propery a my employees wih wages as their ode compensation,will do the work,and the structure i not intended DEVELOPMENT V E L O P M E N T S E R V I C E S R E Q��1 U I R E M E N'.T S or offered for sale(Section 7040.Business and ProfessionsCods:The Contractors License Law does not apply to an owner of property `L who builds or improves thereon,and who does such work himself or herself or through he or her own employees,provided that such ov imprements are not intended or offered for sale.Il.however.the building or inproemem is sold within one year of completion,the ZONING APPROVED BY DATE: owner buiMer will have the burden d did imam,he or she l build or imoe forthe purpose of aide). ❑ 1,as owner of the property,am exclusively contracting with licensed contractors to construct the props(Section 7044.Business end Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: contracts b such projects with a contrector(s)licensed pursuant to the Contractors License Law). gir o I am exempt under Section: B.APc..krthis reason: APPLICATION ISSUED BY: •VW / DATE: r J *********************************iF sit ' ****,Fir.******************* I' ** Date: Owner: LEGALIZATION:N F E . SUMMARYY STRUCTURAL 'SEGMENT:Y I do hereby certify that I am aware of and understand the requirements of California Heath and Safely Code Sections 25505,25533,and .., / / • 25534,end that I or any future building occupant will l wit not(circle one)need to comply with said state codes and the requirements for r- apermhl«construction«onmodification from the Air ueWy ansyament District.Rsstdentkd constructimppim applications are emend from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES' GRADING provisions. PERMIT 99 . 75 . 50 " Date: Applicant: SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN .1 -, ISSUE FEE ❑ lbanandwfperrminceofrNmedarwhichhispennlawaker;eammpesti„a„pradadf«Iys«von379odtheLab& BUILDING—DIV—> PERMIT ISSUE PliAN—CHECK TOTAL PAID , DUE sae.f«tnepengmewadthewwkl«wbanthiapemueiesaa. TOTALS 100 , 25 0 . 00 ' 0 . 00 100 . 25 100 . 25 . 00 c] I have and wilt maintain workers'compensation insurance,as required by Section 3700 of the Lobar Code,ler the performance d the I work for which this permit is Sued.My waken compensation insurance comer and policy n leer are: •x/ • Carrier LB EXPIRE REVENUE DIVISION TOTALS--> COLLECTED: 100 . 25 OVER/SHORT: • . 00 Policy Number. —II : 1 . 147W_ 0- /O1 98 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This sectionneed not be completedamepanne rafor one hundred dollars R,00lai.-:.l 99 . 75 . 50 ❑ I teddy that in the performance d the wak Mr which this peon' is issued. -I":not em, mariner as to '' h f • become subject lo the workers'compensation lawn of Calif..M.and that Y I v . o tot workers' **********************************'.***'****************************************** f compensation provisions of Section 3700 of the Labor Code. I fah Py J . J J �/ IND I V I D U A L: FEE BREAKDOWN Den: lU—17-'-',I Applicant: .► Y :Faiure to'SCUM worker:comp«nafon coverage la unlawful,and shall rte/ectan employer to cdman pane/Iles and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil/Ines W to one hundred thousand dollars($f04000),M addltbn to the cost of compensation,damages es as prodded ler In Se000n37OsolnSLaborcoea,InMwtadaroMeflfen. SFR 4478 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 4 , 478 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that(hero is a construction landing agency kr the END OF FEES performance d the work for which this permit a issued(Section 3097,Cb.C). I j LENDER'S NAME: 1 s'' LENDER'S ADDR SS: 14 I certify that I have •ad this;•'lotion and state that the above information is••red.I agree lo comply with all city and county ordinances { and state laws ,', •to build' construction and hereby authorize represent:. ..:of this city to enter upon the above-mentioned properly for inspection put:•<., r" S TI M • • TIN 18-83-1997/81:32 P8/1188.25 Name y RCPT8:81.8813295 Nie......„.............._. / Date: 0— .-' PERP1IT:B85B22 Sig.,,•re d OwnerlAgenrlAppicant/Conlrector (5151'45,WP) White-Building 8 Safey:GrearrFle:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor r CONSTRUCTION AND PLANNING - PC A SPA APPROVALS Permit# Date Inspector APPROVALS Permit # • Date Inspector • ' 1. Temporary Electrical Service or Pole - - . 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. ' - ' - - 54, Forms . . - 4. Electrical Conduit.-Undrgrnd. - 55. Electrical Bonding . ' - 5. Steel Reinforcement:^ 56. Rough Plumbing & Pressure Test S. Electrical UFER-Grnd. - 57.. APPROVAL TO COVER-GUNITE 7. Footings ' _ 58. Electrical Conduit-Undrgrnd. - 8. Foundation • - - 59. Gas Pipe, ❑.Undrgrnd.,Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines;P•Trap, 0 Undrgrnd. 10. Structural Floor-System - - .61. APPROVAL.TO,OYECK . • 11. Property Sewer Line.& House:Connection - 62. Backwash & Receptor-Final 12. Sewer Cap - •' - 63. Heater & Vent-Final . 13. Roof Drains . - - - ' 64. Plumbing System- Final ,1 14. Rough Plumbing. :. - 65. ElectricalFinal - - ' 15. Rough Electrical-Conduit . I 66. Solar System-Final _ - - }_ • 16. Rough Electric Wiring - 67. Fencing.& Access Approval ' - . 17. Rough Wiring Sign ' X68. APPROVED FOA PLASTERING - 18, Rough Electrical-T Bar Ceiling . -• - •69. POOL/SPA SYSTEMS FINAL = 19.-Rough_Heating & Air Conditioning- _ - - - - _-FIRE.DEPT;1REQUInbC/IENT . . 20. Rough Factory Firedlace _ s APPROVALS-1;:, Permit . - • 21. Ducts,in Structure t .• .. t -5': - - - ., te 70. Undergrougd Hydro 22. Ducts; Ventilating= " -' _ ?• ,• r 71. ProduetlPiping O Gas 0 Oil 23. Gas Pipe-Rough & Test ••-•-'. !, 72. Underground Flush- } - 24. Roof-Framing ' - L. l .. 73, Undergrnd.Storatje tanl.0 Gas obi; 25. Roof-Sheathing , _ ` '•' 74; Overhead Hydro.-. ' i. 26. T-Bar Ceiling IStruCturall & Mondcoat ! .z„ - L 4 751 Dry Chemical ,_ : • J r i '. 27. Frame and Flashing ; . : ' . . : 76. Dry Standpipe•,: .- ,., 28. Lathing & Siding _ - { i;, 77. FIXED SYSTEM FINAL . 78: FIRE PREV. FINAL 29. Insulation i j :K ` - 30. Drywall Nailing . r _ °' - ,F. HEALTH.DEPT. FtEQUIR.EMENT 31. Plaster Brown Coat • ti I :r .- 79. FINAL INSPECTION 32. Electrical Power Metbr:Final i : ' 80:. FOOD CERTIFICATE ISSUED, , J/j 33. final Electric _ t �- 'i Notes!© 7r...Y:� gat 91�i�% GO ✓/''�' 34. Final Heating& Air Conditioning-= I - �/J y 7. -' - 35. Final Gas Pipe.-.Test _ - ~4? 36. Hood or Canopy _ _ �• 1 r - - t _ •:L r . . • 37. Final.Factbry Fireplace I :. 'i38. Final Plumbing - .- - 39. Water-Service-final - I. 2. ;, -• , 40, Gas Servide-Final r. r I: - •- - -- T, ra _ r _ 41. Solar Domestic-Final .' ' I , • 42. Backf low Preventer r • + - - . .. e - , i •.� . - • • 43. Backf low Irrigation • - - • 44. Landscape Irrigation System _ r - _ ' ` __ - 45. Sound Attenuation. - t - r; . - - - - z6 7 46. Handicap•Regulations ) ' ° 1 - • ;' :,Z { 47. FINAL STRUCTURE& BUILDING (Cie f7 • 7tic I `_ ` 48. FINAL PLANNING r ' - .:ay o WM R:4 tz 49'. Electric Release to Edison i "2;M • �J.... 50. Gas Release to Southern California Gas Co - . - n -2,9 . btu,_ 51. CERTIFICATE OF OCCUPANCY t• -' - • ._ . W3r .'. No. Date 1\ . JDORESSOFBUILNO: 236 TULANE RD DMT' CITY OF COSTA MESA — BUILDING PERMIT A a vxEBS«wElflwowN FROHOFF PATRICK E FLOOD: AHL38 PERM NO: P 078783 ADDRESS' 236 TULANE RD . COSTA MESA,CA 92626 PERMIT NO: P 078783 PLAN CHECK NO: N GOVT: N SUPP: N APPL.IWL9Ki AMINES& ( St CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH ARCHITECT 011 ENGINEER: UC.ND.: JOB DESCRIPTION : C/O DISHWASHER SQ FT: ARCH.OR ENG.'S ADDRESS: urn CLAIM VALUE: CALC—VALUE: GROUP OCC :• R-3 / CONTRACTOR'SNAME NOCK PLUMBING ( 714 ) 895-1246 cONTRACTEWSMMING 11610 SEABOARD CIR COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT Axons& STANTON CA uctio.: 511971 ********t***ttit*i*****i***iunit**i-**-*i********iE***+t********i***t(-t******t***tt* 90680 MT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby aff km under penalty of perjury that I em licensed under provisions of Chapter 9 SETBACKS (commendrq with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. CITY LIC.NO.:05386 LIC.CLASS: C-36 LC.NO.: 51 971 EXP: y�02/97 MAIN BUILDING ACCESSORY BUILDING ZL���/(p cnnaaa«: IOC PLI�N]Q FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN ( LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILD R DECLARATION:I hereby affirm under penally of perjury that I am exempt from the Contractors License Law for the following reason(Section 7931.5 Busies.and Professions Code:Any city«county*Nth requires a perms to conaoucn,alter.improve. PARKING REQ: P ROV: PARCEL : 41204316 Z NE: REF NO: • m licensed pum�antt to hes prrte to me Connectors licalso ense Lawuires [Chapter t 9(commencingsuch g twith ba signedSedm 700)offDiis'ionthat h3 of she PLANNING NOTES> Business end Professions Code]Cf that he«she S exempt therefrom and the bads for the alleged exemption.My violater'of Section > ..- 7031.5 by any applicant for aPermit eubjmsthe applicant toacivil penally of not more than Me hundred dollars(5.500B. ******************************************************************************* ❑ 1,es owsar dthe progeny o my empoyeas with wages as their vole compensation,will do the work,and the smxwre is not intended DEVELOPMENT SERVICES R E Q U I R E M E N T S or offered for sale(Section 7044.Business end Professions Code:The Contractors license Law does not appy to en Omer of property Q who bulds or improves thereon,end who does such work Nmseff or horsed or through he or her own employees,provided that such improvements are not intended or offered for sale,it,however,the building or mprovemerd is sold within one year of completion,the ZONING APPROVED BY • - DATE: owner-builder will have the burden of proving he or she did not build or improve forthe purposed sale). • ❑ I,es owner of the property,em exclusively contracting with licensed contractors to conatrtw the project(Section 7044.Business and Professions Code:The Contractors License Law does nal appy to an owner of properly who builds or improves thereon and who BUILDING APPROVED BY : DATE: connects for such projects with a contra/togs)licensed pursuant to the Contractors License Law). p ❑ I am exempt under Section: B.aP.C.,fothireason: APPLICATION ISSUED BY: DATE: �} 2 6-1c c Dae: Owner: ******************************************* ************************* dE******** I do herebythalamawaedand adaatadthe .quiemenredCaEommNean SafetyadLEGALIZATION:N F E E S U M M A- R Y STRUCTURAL SEGMENT:N certify Code Sections 25505,25533,end 25534.end that I or any future building occupant will/wit not(drole one)need to comply with said stale codes and the requhemene for a permit fix construction or modification from the A'v ue r�6Tty enagement District.Residential construction applications ars exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 8,75 • Date: Applicant: 25% �, SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm oda penally d perjury one of the following declarations: PLA00 N ❑ 1 have and di maintaina oxtXd consent ent to self-insure M nsuworkers compensation,as provided for by Section 3700 of the Labor ISSUE N G- 22, Code,fothe pdormancedmeworklawhichthispermitisissued. BUILDING DIV > PERMIT ISSUE PLAN CHECK TOTAL PAID DUE G7 I have and will maintain workers'compensation insurance. Labor d asreguired by Section of labCode. the performance the TOTALS----> 8 . 75 22 . 00 0 . 00 30 , 75 30 . 75 . 00 wok for which this permit is issued.MY workers compensation insurance ismer end policy number we: mi Carrier: GOLDEN EAGLF EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 30 . 75 OVER/SHORT: . 00 Policy Number: NWC 37113100 09/01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed if the pend is for one hundred dollen($100)or less.) 30 . 75 • ❑ I candy that in the performance of the work for which this permit is issued,I shall not empoy any person in arty manner so es to become subpd to the works ' pensation laws of Caliomia roe Net i should bacons subject to the workers' **********************************oft******************************************** compensationoof nss iliof othe Labor Code. complyeon n npcomplyr provisions. E E BR EAKDOWN 77� lei/4/ /t7 Applicant: I N D I V I D U A -li 1 Wan/ny:Ft,to/aacxrwworkens'aonrPwweoncav.nga/aunlawful.and shell stepct an employee to eel .. . .. . ensTYPE QTY DESCRIPTIO N UNIT COST TOTAL COST /i civil fines tp to one hundred thousand dollars($104000),In addition to the cost of compensation,damages as pro • • • / C' '.J Section 3756 of the Labor Code,Interest,and attorney's lass. 4� PLU 1 DISHWASHER 8 . 75 8 . 75 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that then is a construction lending agency for the END OF FEES • pedormaox of the work for which the permit is issued(Section 3097,Cb.C). LENDER'S NAME: - / LENDER'S ADDRESS: �'V q w I certify that tt1 have read this application end comply withe that the above information is correct.I agree to comply all thy end county ordinances t" and state Laws Waling to building construction and hereby authorize representatives of this thy to enter upon the above-mentioned property ',/ for inspection purposes. a'0N N40 K AiriP Print n:..e J ���,TM, Del$0 7' r._ Signature of Dyne V Apploan L 1 - f iiip ,C/�, (5151 d6.WP) White-Buildup&Safety;Green-Rte:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor `\ CONSTRUCTION AND PLANNING , , _ - POOL & SPA •'- - APPROVALS Permit# Date Inspector' .APPROVALS Permit # C-7 • Date Inspector 1. Temporary Electrical Service or Pole • ' 52. Pool & Equipment Location • . t 2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement - '3:- Electrical Conduit Utility-Undrgrnd. 54. Forms 1 •• M4C Electrical Conduit•Undrgrnd.- _ 55. Electrical Bonding •- ✓ 5.•Steel Reinforcement:. - 56. Rough Plumbing & Pressure Test C•• '6'.':Electrical UF ER • 57. APPROVAL TO COVER•GUNITE 47- Footings ri '58. Electrical•Conduit1Undrgrnd. `'8:'Foundation59: Gas Pipe, 0 Undrgrnd., Test0 ! • • 9. Water Pipe-Undrgrnd. - -•1 60. Backwash Lines'PiTrap, Q Undrgrnd. J t" 10. Structural Floor STstem -I 61. APPROVAL TO"DECK% �. ' 11. Property Sewer Line & House Connection - 62. Backwash & Receptor-Final 1 12. Sewer Cap • 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final " ti 14. Rough Plumbing• • - 65. Electrical-Final . ' 15. Rough Electricaf-Conduit • 66. Solar System-Final 16. Rough Electric Wiring " 67. Fencing & Acc4s•Approval 1 17. Rough Wiring Sign `" 68. APPROVED FOR:PLASTERING ' • 98. Rough Electrical.: Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • •' , ' 19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT' •20. ,-Rough Factor-y Fireplace �, ' • -• :- APPROVri ALS: _ Pe mit# -- 21. {Jugs,in_Structure ' _ _ ; 70.aundtTr'ground Hydro t - 22. Ducts, Ventilating; '_ - z; .- •. 71, Product.R -ITT Gas Gas ID Oil 23. Gas Pipe-Rough&'Test Y t, t -. ¢ 7 72. Underground Flush r 24. Roof-FraIL ming. S a - . .. _ . .; _ 4- c 73: Undergrnd Storage Tank 0 Gas 0-Oil 25. Root-Sheathing - ; •c :" , r H- - _ ' 74. Overhead Hydro - 26.3-Bar-Ceiling (Striihiural) & Monocoat e - -• 75r Dry Chemical - i. - - 27. •Frame and Flashing:: _ ^` 76: Dry Standpipe_ _ `- -- Lr . 28. -Lathing& Siding a. ,; ^•s c. c• + g . .. • r 7Z. FIXED SYSTEM'EINAL - j • 29. Insulation ; - tr. - j 78: FIRE PREY. FINAL ", 7. 4 30. Drywall Nailing r-.t - Y k �_+- ..HEALTH DEP-,_REQUIREMENT 31. Plaster Brown Coe.* _ 79 FINAC I.NSPECTI.ON •- - • 32. :pectricali.Povaer Kllleter.Final • ,� a c.• 80a FOOD CERTIFICATE }%SUED 33. Finat'Electriq r_ la , rrle ;* t Notes: I�_l _c'jQ_ 5 .1 34. FinahHeating_& Air;conditioning_ �� ,. ks t 35. -Final Gas Pipe•Test - - r '' r i t - - -. 36.Mood or Canopy r'Y _ �-, r -4 - , n - 37. FinarFactory Fireplace' '.r..- -t:m mss' - - �r .. m Via- •e x 1l I- 38. Finai.Plumbing 5 r .. .. - it01_ �� ,�1. i _. _ ___ ,; 39. Water.Service-Final . - i T , 4 is '. { 40. Gas Service-Final T, _ `" 41. Solar Domestic-Final = r v. -t- V - 42. Backflow Preventer - V' -_ s 43. Backflow Irrigation • - _ - - ' - - , . 44. Landscape IrrigatioriSystem. 2. r<• _ _ •45. Sound Attenuation - 7 - - •- • - .. 46. Handica1Regulatioris .__ r - ' c - 47. •FINAL STRUCTURE & BUILDING - : ' ._ - 48. .FINAL PLANNING' - - -49. 'Electric Release to Edison . . ZS> 50. Gas Release to Southern California Gas CO - -. c 51. CERTIFICATE OF OCCUPANCY _ No. Date o OWNER YALE PROPERTIES DATE 6-13-58 JOB ADDRESS 236 Tulane Road BUILDING PERMIT NO. 6932 GENERAL CONTRACTOR Dike & Cole grove VALUE $ 12,810.00 AP. No. LOT 132 TRACT 2955FIRE ZONE DESCRIPTION OF WORK Res. & At. Garage GROUP I & 3 TYPE V ZONE El PLAN NO. 6932 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER orches Forms41,91 Steel MI/-S 7 /1-571 _loor System Steel Reinforce Chimney Re-Rod Bond Beam Frame and Flashing cJJf'9 %//+'/S i Lathing, In c 'tOut ciR7-1'- r'//ypf fY • Plaster, brown coat v Underground soil,0744s- W/G Pipe TestQ/fc 7-//,-.5? l Top Out i.-frit - - 1 Furnace Pic 2.-2.91-ter , it- - S / / LIN 2 b • • . rZ..r• Gas Vents n A Rough Plumbing 44711 4 "g-S-7 / .,:i-,00_.,..-rD -s/. JUN 1 9 1958 R 1')t--4tg.❑� • l 19 Cesspool Septic Tank - 1 Prop. Swr. Line @4--louse Con .St. Swr. ) -?O'h '({ , i 671/f c r Q • ';, r. r es. "N. Sprinkling System _ �• Heating Final /31/C //-/8'-4t — C Plumbing Fixtures, Final /l.G{C V- r—s-e _ t Final Gas Test /.5 ,4 /5 il-{8',61' Cn^struction Pole ground Power • K ,a Wiring tZl \ i/.///'f\f)/geekui/✓e7fc,c��Si 7 3 1952_ f '-. ,I Fixtures, Final '�� 't'j//Y A OCCUPANCY: - A41- 19-yg�-7 R Form 210-5M-1-57 /„ CKf G930 r LL n.LUCI'U LU COSTA MESA BUILDING DEPARTMENT ., P.O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT. • FOR APPLICANT TO FILL IN APPLICATI ONnFORI:PERMIT ABUILDING DDRESS 236 Tulare Road BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY Yale Propertied, Inc. RECEIPT NO. PCTffNz�D�.j OWNER Lf1,(r MAIL 419 E. 17th St. RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESS Costa 1 -/i-J if JUN 1 ;1 1958 CITY Costa Mesa TNO.ELLi 811BUILDING 59 ADDRESS ARCHITECT Carlson & Middlebrookc. OR ENGINEER NO. COSTA MESA. CALIFORNIA FIRE ADDRESS_1Garden Grove ZONE Dike & Colegrove, Inc. ZONE PO.OF TYPE ROUP CONTRACTOR�'1CITY NO. 7333 PLANS ./ ® . • ADDRESS 17th St.., Costa MesaT,M,:Li 81159 APPROVED DATE / LEGAL LO3 DESCRIPTION NG.r 132 CORRECTIONS BLOCK TRACT 2955 • A.P. NO. SIZE71NO OF BLOBS OF LOT x 95NOW ON LOT none USE OF S1168TI#XX none ` EXISTING BLDG. SETBACK LINE FROM 50' 24' CENTER OF STREET f REAR YARD ' SIDE YARD RIGHT 6' LEFT 5' • • DESCRIPTION OF WORK NEW X ALTERATION ADDITION • REPAIR MOVING DEMOLISH BUIE ROLDING 1480 sq ft OMS 6 STORIES 1 SIZStucco WALL Stucco ROOF Comp COVERING COVERING . USE OF NEW BUILDING Single family residence garage attached Plan 730B I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCESAND STA . LAWS REGULATING BUILDING CONSTRUC- TION. � VALUATION SIGNATURE PERMITTEE OF iy Q.�Ct� 12,S10.OG PERMIT FEE 5 30.00 • PLAN CHECK $ 15.00 $ AUTHORIZED AGENTD1ke & 45.00 Colegrove, Inc. TOTAL FEE $ ,rit