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HomeMy WebLinkAbout3096 WARREN LN - Building Permits TY �r CITY OF COSTA MESA A ,`y' '�� BUILDING DIVISION 1. • •_••••-•/ ' DEVELOPMENT SERVICES DEPARTMENT 6 PERMIT PERMITMIT NUMBER ER (714)754-5273 • Fax(714)754-4856 BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 3096 WARREN LN Status: ISSUED r"'r/ Suite: Applied: 06/16/1998 Vicinity: Issued: 06/16/1998 Parcel Nunmber: 14104203 Zoning: R1 R1 Applicant: EVE, DARYL Address: Phone: Zip: Owner: LUNT, GEORGE L JR TR Address 3096 WARREN . Phone: COSTA MESA,CA Zip: 92626 Contractor: SUNDANCE ROOFING CO Address: 1752 MIRAMAR DR Phone: 673-6063 BALBOA,CA Zip: 92661 License: 718369 Arch/Eng: Address: Phone: Zip: License: SCOPE OF PERMIT T/O EXISTING AND REROOF THE HOUSE AND GARAGE WITH COMP.SHINGLE. FEE SUMMARY Plan Check: $0.00 Calc Valuation: 84,200.00 Permit: $99.75 Claimed Valuation: $4,200.00 SMIP Res: $0.50 SMIP Corn: $0.00 • Other $0.00 Inspection: $0.00 Total: $100.25 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 NOTES: 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 DECLARATIONS I f> 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 Icered. My workers'compensation Insurance carrier and policy number are: Garner: Policy Number. (This section need not be completed If the permit Is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued. I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE($l00300),IN ADDrI1ON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,MID ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I em 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.#_ Class# 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: Lenders 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 DMsion 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 am 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)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California 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 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 Callfomia 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 Califomia Health and Safety Code been fully complied with? 0 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 a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agoncy? ❑Yes ❑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? 0 Yes ❑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 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(s) Date And/Or Authorized Applicant Date CODE A INsPECTx1N TYPE IbiE 9{II➢ALS CODE! INSPFCTION TYPE OATH =ALB 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final / /�/L/ 208 Final Plumbing 7� _ 200 Final Re-Roof ('-2 9-11 Erol - 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 Anal Demolition 250 Final Building/Occupancy 2446-46 OWNER COLLEGE MESA COMPANY DATE. 11-20-58 _ JOB ADDRESS 3096 Warren Lane BUILDING PERMIT NO. 8035 GENERAL CONTRACTOR The Hale Company VALUE $ 12,890.00 AP. No. LOT 50 TRACT 2671 FIRE ZONE DESCRIPTION OF WORK Res. w/att. gar. GROUP I & J TYPE V ZONE Rl PLAN NO. INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Trenches Forms Steel [G C 0- .,..PJ -.5 b.- Floor System t- & 6 `/-,a, ' rrr Steel Reinforce Chimney Re-Rod Bond Beam ' l 1.7."98 -fl Frame and Flashing "tot 1 Cttf t v,A)`XV Lathing, In Out f/` pC Plaster, brown coat go- b .� ••• /r}•A Underground soil kat' W/G Pipe Test f-(g///-99-yt' ' Top Out ii1r)4 Furnace r[/Y1R-5)iW /NLQncie Aai:itat 4111/ 2 41259 . _ 4 • ' IN Gas Vents Rough Plumbing i V m-7.24-6111 /.r/ Cfi reP/a —INOV 2 0 1958 1 G520 r 1 Cesspool Septic Tank y Prop. Swr. Line HoM�on. St. Swr. \--t4-1t;S- I1 CSA-.✓t" L-/6-If /-5-/1 (5- -- Sprinkling System Heating Final /// 1.. W 2-24-0 Plumbing Fixtures, Final // J a' a_D-otr Final Gas Test /5' L If/fl 4-4. Construction Pole ‘ `/t Underground Power �I Rough Wiring l�-!i_r5( .J3- C. 0.04-4. l P.-/4- 5C 7 7.3 j Fixtures, Final 3 -,3- OCCUPANCY .y�' 7- ,; _ly I A Form 210-5M—t-57 - - I ' Ra • 803 I, L L Uc.C.L U V L P) rt CaTA'MESA BUILDING DEPARTMENT AINAWCE DEPT. P.O. BOX 317 CITY OF COSTA £ ES • COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING BUILDING ADDRESS 309&i4arren Lane COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PEgM ala OWNER COLLEGE MESA COMPANY ISSUED RECEIVED BY DATE RECEIVED DATE SSUED MAIL ANOV 2 0 195 ADDRESS P.O. Box 2277. Brookhurst station ��ya/ "7-77-47 CITY Anaheim Trio. KE 3-3161 ADDRESS ARCHITECT Bulot, Quigley LIC. COSTA MESA. CALIFORNIA OR ENGINEER and C ar NO. RE 7191 ADDRESS 1102 W. 17th St. , Santa Ana FIRE ZONE CITY LIC. ZONE NO.OF R ( PLANS TYPE ,/ GROUP CONTRACTOR The Hale Company NO. 7350 /Y/ �{ ADDRESS 1777 W.Lincoln,AnaheimT.E,i KE 3-3161 BYAPDATE DATE (/Vy LEGAL LOT CORRECTIONS DESCRIPTION NO. 50 BLOCK TRACT 2671 Plan #1-A A.P.NO. SIZE OF LOT 66 x 101 NO.OF SLOGNone NOW LOTT USE OF EXISTING BLDG. SETBACK LINE FROM 1 1 CENTER OF STREET 50 REAR YARD 31 SIDE YARD RIGHT 91 LEFT 91 DESCRIPTION OF WORK NEW x ALTERATION ADDITION REPAIR MOVING DEMOLISH BUILDING 1253' -L3Lv. NO.OF SIZE 4401 -Gar. ROOMS 5 STORIES 1 EXTERIOR WALL ROOF COVERING Stucco COVERING Compo. - USE OF NEW Single Single dWe1111$ w/att. garage I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. COLLEGE MESA COMPANY VALUATION SIGNATOR - PERMIT FEE $ 30.00 P RMITTE : THE HALE COMPA �:en.Partner �' ��y,(/�(�/�� / 512,890 PLAN CHECK $ 15.00 t'� € �/rd� _ / de TOTAL FEE 5 45.00 red, gOWNER MC CARTNE% GEORGE DATE 3_27_63 JOB ADDRESS 3096 Warren lane BUILDING PERMIT NO. 28363 &GENERAL CONTRACTOR L. C. Miller, Company DESCRIPTION of WORK Add. Bedroom and Rumpus Room AAP No.l41-012-03 LOT 50 TRACT 2671 FIRE ZONE VALUE $ 7,025.00 INSPECTIONS Signature Date GROUP I TYPE V ZONE R-1 SOIL SUBCONTRACTOR PERMITS ISSUED GAS Date Number I Signature WATER Plum6in o ROUGH PLUMBING rrette [���✓/�i.A• 4 /g•eig' dj2/SQL./ PROP. SWR. LINE HOUSE CON. Ei '� _ _0 "�" / SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING / .4/-/YG" TEMPORARY SERVICE OR POLE UNDERGROUND I`U POWER El /PIP 3.ii.GS/ ROUGH WIRING ,c Y-/S•C Heating and Vent. TRENCHES ® FORMS 0 STEEL REINE. ® l�4l-py-7Q-LZ �y'� // �,7. 4LuI/r _q6y,// '_ . FLOOR SYSTEM Are 9.39.-�SY - BOND BEAM n f�STEEL REINFORCE I I SHEATHING Yt 4F .2 FRAME AND FLASHING c �V/(o; LATHING - IN n OUT pi el 2{-4s, PLASTER, BROWN COAT 92D/F ;'9-G7 STRUCTURAL, FINAL /W�( ��/ ���//ljjj Flectrirct )/ p p,/ HEATING, VENT ., FINAL U 7i7 L y .... ,;.3/3q/Gv C7OTo•7 ,� PLUMB ING�INAL AND GAS TEST �� .,///JJ I / ELECTRIC, FINAL /T4,\((`� 1�.1f[-- BUILDING, FINAL el 7 /1.7 Y Pn° 28363 RAR 25-6> 00 683* ****40.50 *4 MESA BUILDING-SAFETY DEPARTMENT A P,O. BOX 1200 COSTA MESA. CALIFORNIA 92320 . For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING For Office Use Only DLIILDINO q/ c ,f ADORESD ,Yet‘(e �jf��`iV /rA/C1 RECEI'NO. RDIT ,10� COSTA MESA. CALIFORNIA .J't7/7 RECE it DA RCRrv[D DATE ISSUED °Wien GF-a.P a kr: /lam- x /lr sy (11- S 3-27-moll MRies J U 76 JAfwC/V /A'VE BUILDING a(9 4. , i/rye..„LADDRESS �J ,,{�// FIRE 'Z's CITY o.STA i/C'S/1 NO. ZONE ._JTYP `•V GROUP .' ARCHITECT TEL APPROVED -L/,Y ' _/ DATE S-27-A OR ENGINEER NO. ^\ ZONING ADDRESS ZONE I NO.OP /7 I USE OP NEW fje/y„+/' �A / M` 4 PUJ UU IUILDINQ CONTRACTORL , /(/ L v ......- LEGAL / --- S-© roe A(4 Z6 7/ ADDRESR .3pi� /1/4°a"amx r DESCRIPTION /✓U 7 /,1 CITY t5J Adar r5 ea A.P.NO. /41 - 042- - 03 �/ / p/ �j / ^� NOTE: NO EAVE OVERHANG SHALL BES Tf1ANN , LIC.TN0-7 4e 5-(P (r0 NqL J x/4 1 J.3d 30'TO SIDE B REAR P.L .(2-Lit. n''. ,H{ I((Rjy'J La _ •-./ OF LOY Al I MO.OF BLDG&MOW OM LOT c...--(21- EAVES LLOWED (U.B.C.REOU EMM&NTA)) USE OF p /� YARDS APPROVED Y d��0 EXISTING BLDG. 4 &�?CO M b /r QNtO' MAIN BUILDING A '=9���''O O (FROM C9131EET) _ �/�,pia,/ ETDACK LINE FROM FRONTO. 1T: ri/ way- CENTER OF STREET REAR YARD 11 SID: YAR. LEFT ' q arRIGHT t(i) Y, R. ID ' 6� I / DESCRIPTION OF WORK L SIDE FT. l\ PT. 6 / NEW ALTERATION ADDITION .ey. REAR I/ FT. a7 FT. 1) DISTANCE BET. BET.MAIN e REPAIR , 1 MOVING DEMOLISH 1 MAIN BLDGe. ACCESS.SLOGS. BUILDING /�/ NO.OF S VAR.# DATE SIZE ,9 ( 7 ROOMS �J STORIES / C.U.12.# f APPROVED CO ERINOWALL.SY�eG�COVERING Gr(f'/� (•,r� APPROVED �1. /� DATE •3- SC.145? USE OF BUILDING AND WORK TO Bt PERFORMED 3` p. .2740/rocHS DL' funkc R c.)0,11 w .J T 80.FT. i7- I HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE O AND STATE THAT THE ABOVE.IS CORRECT AND AGREE TO CON• PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. PLY WITH ALL CITY ORDI AND STATE LAWS REOULA}ING VALUATION BUILDING CORE OF U O- �7 7 ✓G/C-CFI_ � PERMIT FEE. $ / O PERMITTEE OF /y � )L ! / ? $/� C 2LC PLANSHECK $ / -/J,.ry5 c u°. AUTHORIZED AGENT . ' _• TOTAL PEE $ 7 �i 5 C