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HomeMy WebLinkAbout246 WALNUT ST - Building Permits `p5� 9 CITY OF COSTA MESA 4 BUILDING DIVISION > •%�,.;,• -' DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER ;•AL •- PERMIT B05-01 0 (714)754-5273 • Fax(714)754-4856 • www.d.costa-mesa.caLAILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 246 WALNUT ST Status: ISSUED Suite: Applied: 09/01/2005 Vicinity: Issued: 09/01/2005 Primary Occ: R3 Type of Construction: V-N Parcel Number: 42627315 Zoning: Applicant: STEVE JANOSIK Address: 1621 E ST ANDREW PL Phone: (714)259-5120 ISSUED BY: /i�— SANTA ANA,CA Zip: 92705 L Owner: BERMUDEZ, ANGEL Address 246 E WALNUT Phone: COSTA MESA,CA Zip: 92627 Contractor ALUMINUM ROOFING SPECIALISTS/DIAL ONE WIND O ' ' R, ' Address: 1621 E ST ANDREW PL Phone: (714)259-51.I SANTA ANA,CA - , Zip: 92705 License: 523043 Arch : - • Eng: - Address: Address: Phone: - - Phone: Zip: License: - License: SCOPE OF PERMIT- REPLACE 3 WINDOWS SAME LOCATION SMA E SIZE.NOT IN THE BEDROOMS. FEE SUMMARY Plan Check: $0.00 . -. . - , Calc Valuation: " $1,200:00 • Permit: 3 $44.85 . . Claim Valuation: $1,200.00 SMIP Res: $0.00 SMIP Com: $0.00 Other: $0.00 Inspection: • $0.00 Total: . $44.85 PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear ° 0-0 Left 0-0`--' Right 0-0 — ACCESSORY Front 0-0 Rear 0-0 Left '' 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0- - . —-, , - , 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(600) . DECLARATIONS WORKERS'COMPENSATION DECLARATION: - I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. b - -.d 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 work: s'compensation Insurance carrier and policy number are: Carrier: e. 1s'f ' 7C TV IJt3 a umber. Su/d,el'7 9-7-° - a - on need not be completed if the permit Is valued at one hundred dollars($700)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' com•:n -- - - California,and agree that If I sh• become subject to the workers'compen ' sten of Section 3700 of the Labor Code,I shall forthwith r•'."r with mese prose;ns, �0 t Signature: �'✓♦>t1 • -J`. • .u•.r_,. Da : 9' '0'C ..... . .. TO SECURE WORKS- -ENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN TO CRIMINAL PENALTIES AND CML RNES UP TO ONE HUNDRED Ti0l1SANO DOLLARE(SI00.000),IN AD• ���SCCCCC'"'"''''•THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I •,:.•a Inn tha :m licensed u der ro 1 Ions of Chapter 9(commencing with Section 7000)of D ' on 3 oft usines d Professions Code,and my license Is in lull o .' --. - : t.L1c.N .C- li Contractors -.-. . -• _p/ .S A' s_. —as. --Bess, S _ CONS • I•• • G 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 filete.signed statement that hear she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business-end Professions Code)ar Nat he or she Ls exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant fore permit subjects ttipplicati a cNil meltzginot moreithen Ove hundred dollars($500).): • a tt��. ❑ I,as owner of the grope r myployeee�ilthSL'Agss 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 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 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). ❑ 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: I Wit 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 Is 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 Califomla 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 pre;;;;;I or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materiels)? ❑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 an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No ._ plica Work __.__ __ 5 Does or will the applicant Air or present a emen building occupantm any other for the work which is the district or a el of this a estion apertnil for such construction or modification from the South Coast Air Quality Management District or from other air pollution control or agency? �Yes 2 No (Section 65850.2 of the California Government 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 0 No Of'yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 If a permit from the South Coast Air(Duality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by 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 COMPUANCE 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. Signature Of Legal Owner( l CAnd/Or Auth ed Appll nl C • -Da COOS r I1ISPECTION TYPE DATE EMU T,ODE• INSPECTIONTYPE MALE IM18.104 1616 Fixed System Final Fire Prevention 208 Final Mechanical _ 1268 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval -- ,L 203 Final Sign 222 Final Site //fT////'J„/�-- 204 Final Demolition 250 Final Building/Occupancy OWNER STERNS, DONALD DATE 8-9-54 , JOB ADDRESS 246 Walnut Street BUILDING PERMIT NO. 461 GENERAL CONTRACTOR W er era VALUE $ 7 832.00 V Port.ofLot 193N,HeightatocK TRACT Newport Heights Res. & Garage GROUP I TYPE V ZONE R4 FIRE DISTRICT #462 INSPECTIONS D TE/ SUBCONTRACTOR PERMITS ISSUED '� /� DATE NUMBER Footing Trench /Grim 0 bA/ -9, • Foundation Forms and Grade to Garage 8//I/1,(( 6-5e. T Rough Framing )2.44 ?a4-Se, Plumbing,Rough to Slab _ ry /��Y Plumbing,Rough Complete .11titt7 6 4j (-/0 .S'ti sera Temporary Pole / ,�/1 Wiring, Rough /1ivL� ii.24 y/7,/• i"-e-9-.i1/L/i-cG.✓ if icr--.5-S< 5S/- / Heating,Rough -2---<--4-•4-r Si 6-4-Nte (i Heating,Final Sewer , , 5.£... . Cor t) l55E1.-0/.y� , c _ _ 7/ Septic Tank or Cesspool f� t7 _ �1//ZfX. i d - ilig 7,, Plumbing,Final,Fixtures Complete'Jcve,6-/Z _ '/ Plumbing,Final Gas Test L6��`/41.1!/.8'/U-/�.1 D2-r c-.-�'l -z= /O^ 44,/ce- Wiring,FinalraAO-7.-C1, -4 .1 , C J-L.-L__ /t I J Occupancy 5_e-Liy /a / Form 210 0-H 1M 12.58 Costa Mesa Building Department TREET APPLICATION FOR PERMIT 111 EAST 20th• COSTA MESA, CAL FORNIA 462 BUILDING 1 FOR APPLICANT TO FILL IN , FOR OFFICE USE ONLY Receipt No. Permit No. Address Costa Mesa, California Received by Date Rec Date Issued Nearest / • I V Cross St. !j[� ij Building ^ Address pT V 4 ..222 ,�„4„ Owner 4/c,0-4, / ' , Costa Mesa, California Mail Address ` 95-7 vim Nearest City ( ,fcG Tel. Cross St. No. Zone No.ofI Type , Group f Architect or fr�/i� Lic. Plans Engineer il.V _ No.3 I- X31 O?Y Approved by Date Address .e= 1,7s- CORRECTIONS ,,-, /, �yJ����,,City Lic. tractor I�/[,<.t t, "'7� No. ��J.� T rr`..J , .....,,,------ Address/,3�Sc. s !/ .. p��-t.C,fCC�..., Legal Lot Description I No. Block Tract . / 9 n..g /f3AC r. _ sir — (Attach Metes and Bounds a 2/ N of Bldgs. Size of Lot 7O X ✓� Now on Lot Irl /\ >r. O Use i tf No.mil No.ot � " _ 37 3 Existing Bldg. I Families I Room —_.i• N, 37 Setback Line from �O I Rear Yard y ' Center of Street Side Yard 7„ T4 - - - y DESCRIPTION OF WORK r New I ' I Alteration I I Addition I ��� Repair I I Moving I I Demolish I OF 'COSTA MESA Building No.of Size 30K 3 0 Rooms Lf Stories / r ,dor ringWa� ,e,�m I Coveringgl��j a-nt9 APPROVALS -of New . f/Cf �1�Q. BuildingV Foundation Location Inspector Date Forms,Materials, Under-Pinning Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application Lath. Int. and state that the above is correct and agree to comply Lath.Ext. with all City Ordinances and State Laws regulating building construction. Plaster, Int. Signatureo - , / -, 4Permittee 4�- , to 0- / Plaster,Ext. A,.-' orized Ag Masonry Reinforced Valuation n Permit Fee $ ',CSh] 5 Plan Check $ -�• Bond Beam $ / � Total g I Fee $ ?iJ FINAL FORM 204 G-H 2M 5-54 L . you carry Workman' s Compensation li ❑-Insurance?4 Yes No 0 I am aware of'Provision 3700 of the State - ;,Dv Labor Code which requires every employer to be insured against liability for work¢an' s compensation. (/7_ �i ... y � .. --...n., ,.i.. Si ned: j H7 .2Y \ s6mppnq ua5iryempue dimAPedo.id L`wo .i;i. saout:pip pue uogeocq Mous - . . Ia J Y1J - - r;2a.J;9i '•w , f • ".:i ,] T • t ‘ - -4 % - - Y y ' N _ •� 9 • u -a -p 0 a . R - (ROWDIER URGES, Frederick R. DATE 11-4-66 N JOB ADDRESS 246 Walnut Street BUILDING PERMIT NO. 263149 GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION OF WORK Pvt. & COffin.B1k.Wa11 No. 118-093-08 LOT TRACT FIRE ZONE VALUE $ 200.00 1 ECTIONS Signature Date GROUP J TYPE III ZONE R-1 Soil PERMITS ISSUED Gas SUBCONTRACTOR I Date I Number I Signature Water Plumbing \.Rough Plumbing Prop. Swr. Line 0 House Con. 0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power C Rough Wiring Heating and Vent. Trenches f] Forms 0 Steel Reinf. C �.ype- aif C1(40 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing — In 0 Out C Plaster, Brown Coat 'ural, Final Electric Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final / Building, Final _ _ X47q-yy[ ei //Li/C L - NOV -4-66 00 219 !*****3.00 26349 r COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 • For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT !/ BUILDING BUILDING �/ '// ,1 �L/ For Office Use Only ADDRESS i..7{o tb,4 -Ax r ....���////��� RECEIPT NO. ^•.y C/C JJ�@[11y7.. COSTA MESA. CALIFORNIA • Q� (] /� K R1 ED R IVl kil-‘6 UEG OWNER/Prp(T�l. R rRac c j 7 D 7j' )tG i MAIL �1/ BUILDING .// �- /_ //vADDRESS 2% W flAIv , c0 ADDRESS Y COvl/«-!il FIRE I CITY COSTA ! /ESf NO.% ig"D'� ZONE TYPE/ GROUP / APPROVED • ARCHITECT TEL BY DATE • NGINEER A.KONL NO. ZONING /)/�J ADDRtSS ZON{�I NO.OP I USI OF NEW/fV „, '/V PUNS BUILDING /-/Ly�,�,• 'K/A�l CONTRACTOR p el/Ad a, n e..., p( 2 ; / A- LEGAL /�� /9 ADDRESS DESCRIPTION (/ zzy/ Q �J ///�3(j) CITY A.P.NO. //a D/ - J — V A NOTE: NO SAVE OVERHANG SHALL BE LESS THAN STATE TEL SO'TO SIDE 01 REAR P.LL LIC.NO. N_O,_ VES 812E / \// 7r I NO.ONSLOGS. / ALLOWED (U.B.C.REQUIREMENT) OP LOT (6(/ /A� -� Now ON WT YARDS APPROVED YARDS APPROVED USE OP MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. -n/ ,('�FROM CYL STREET/ SETBACK LINE PROM FRONT FT. FT CENTER OF STRAIT REAR YARD n SIDE YARD I LEFT I RIGHT R.SIDE FT. .`� o FT. 'LQ. DESCRIPTION OF WORK L.SIDE FT. 0 FT. 9/ -vZ' LU / _ T[RATI ADDITION REAR FT. FT. ^— DISTANCE BET. BET.MAIN A MAIN BLDQE, ACCESS.BLDOS. REPAIR OVINE ,,DEMOLISH BUILDING NO.OF ../ VAR.# DATE SIZE ROOMS STORIES C.U.P.# APPROVED - / EXTERIOR WALL I ROOF APPROVED 6 /�LL.6,6 COVERING COVERING BT �./���1.../// DATE 777 ff(GGG USE OP/BUILDING AND WORK 10 BE PERFORMED B' n -Ira-AR `/ /�i-aC,Q et/AI-L. -4' 07,4, Ai_ SO.FT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. IJ7i, PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION BUILDING CONSTRU IONN. . J/ ./�/)//•^/ 2 QJ SSIGNATURE ERMITTEE OF tat !( 1 /�/�Nl.G�• �1JJ it��` PERMIT FEE $ J P $J:4 J� PLAN CHECK 5 AUTHORIZED AGENT / -- TOTALFEE $ 2 '....