Loading...
HomeMy WebLinkAbout1264 WATSON AVE - Building Permits tF 9 CITY OF o` COSTA MESA �@ BUILDING DIVISION - `y4 g DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT J,tbenorarria a° 1=00140 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,6COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1264 WATSON AV Status: ISSUED Suite: Applied: 01/31/2001 Vicinity: RESIDENCE&ATTACHED GARAGE Issued: 01/31/2001 • Parcel Number 14115520 Zoning: R1 R1 _a_ Applicant: BARR, WAYNE ISSUED BY: Address: 27722 BAHAMONDE Phone: (949)227-7864 MISSION VIEJO,CA Zip: 92692 Owner: MELDE, TODD MICHAEL Address -1264 WATSON AVE Phone: COSTA MESA,CA Zip: 92626 Contractor: WEB ROOFING Address: 27722 BAHAMONDE Phoney (949)227-7864 MISSION VIEJO,CA Zip: ^ 92692 •License: 746354 vv- Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: • SCOPE OF PERMIT - REROOF:,T/O EXISTING COMP&TEAR DOWN TO WOOD, PEPAIR-SHTG AS NEEDED, 1 LAYER 30#FELT,APPLY 40-YEAR"ELKPRESTIQUE II"COMP SHINGLES. 1700 SQ FT FEE SUMMARY Plan Check: $0.00 Calc Valuation: j , $3,300.00' • Permit: $97.25 Claim Valuation: , ' $3,300.00 `SMIP Res:, , $0.50 , SMIP Com; $0.00 Other: ' $0.00 / ,, / Inspection:• " $0.00 - • Total: $97.75= x - /' /-, ' .-...c,„•-,',-,,, PLANNING &ZONING ",. !' % ., ///2 / SETBACKS :N\-- /, / ' / i 7 MAIN STRUCTURE-Front 0-CF, - Rear 0-0 Left 0-0 Right 0-0� ACCESSORY Front . 0-0 " Rear 0-0 Left : 0-0 , Right 070 PARKING Existing: 0 Required: 0 Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration.of this permit. FOR INSPECTIONS CALL: (714)754-5626 • 2446-46(6/00) .` :' DECLARATIONS I 1 1 I 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 m ' tars'co r ensation Insure +,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My work co ati Ura an:r and poli number are: S / ` G Carrier: Policy Number:. _ L D (J 1 (This section d not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the p or ance of the work for w this permit is issued,I shall not employ any person in any mann so as to ecome subject to the workers' compensation laws f Cal ornla,and agree that 1 s ould become subject to the workers'compensation provisions o Section 3 00 of the Labor Code,I shall forthwith comply with these p isi ns/, q /tri I 1 0 Applicant Signature: l � t Date: 17 WARNING:FAILURE TO SECURE WORKER PX ENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRI INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION 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 license u er provisions of Cha 9(commencing with Section 7000)of Division 3 of the Business a d Pr• rssi•• Code,and my license is in full force and effect.Lic.8 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: 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 end 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 fore permit subjects the applicant toe 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 driver's license. 0 Yes 0 No Driver's 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: I 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? ❑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 ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 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 (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 B (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 at 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 at state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described pro rty or inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. le =lure Of LegaJ w r(s) 1 //3 ii a Date And/ r Authorized Applicant 1 Date CODE t 1N5PECTON TYPE D a' INTRIAL5 CODES INSPECTION TYPE gal INRTALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final - 208 Final Plumbing 200 Final Re-Roof 2-Y.ck--- 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy OWNER L College Mesa Co. DATE 9/21/55 JOB ADDRESS 1264 Watson BUILDING PERMIT NO. 1886 *GFNERAL CONTRACTOR Hale Co. VALUE $ 8,'1000.00 Lur 131 BLOCK TRACT 23111 GROUP T TYPE V ZONE $L FIRE DISTRICT #]9lll INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED iL _ DATE NUMBER Footing Trench g-6--g- /2 .- J Foundation Forms and Grade to Garagek 14-19 ,f. Rough Framing _ r. g-t- Plumbing,Rough to Slab /V"— M"' J ) A J Plumbing,Rough Complete )(Alk ;t -6_5 j, 1C -Li ,_„h,.,)� i f y. 0? S6 ye (o Lam' Temporary Pole t -M// }4dye/ U /l Wiring, Rough Z-3-S6 -.[,,,,-,----et-0-c/ v /_a, $e -S-6 /9i J Heating,Rough n Heating, Final/ i - .0 /o- '7-SS ,-3/`3 /, Lam' ' Sewer, Hous i N MVSewer,St. 4 ` i //_,7 3- c--C. 2_C o i--- Sr Tank or esspool , Li. .ig, In ,J'/0 ".SG Out ( .--“ 4 7 Plastering L-4 v 3 �' Plumbing,Final,Fixtures Complete ✓, ' 4--i 0-� Plumbing, Final Gas Test sae. c-/a•rr- *' Wiring,Final ole6 5 r/ `IK . Occupancy 4•(7/ 5A0.a 1:n,.m 91n r_u 1F11111_FR Costa Mesa Building Department APPLICATION FOR PERMIT 111 EAST 20th STREET 1910 BUILDING COSTA MESA, CALIFORNIA v �J FOR APPLICANT TO FILL IN sr FOR OFFICE USE ONLY Receipt No. Permit Building Address 1264 Watson abi Costa Mesa, California Re ..by Date Recd. Date Issu�g • Nearest fir` I SEP 1 9 19.5 at"-21,-II Cross St. College St. Buildin. Address owner College Mesa Company Costa Mesa, California Mail Address 8002 Central Avenue Nearest Garden Grove TeILe.9-2158 Cross St. City No. Zone P. / I No.of I Type // Group I Architect or Lit `�- Plans v Engineer Davis & Quigley No. C-1790 Approved Address 43 Malaga Cove Plaza,Palos Verde by Date City Lia CORRECTIONS tractor The Hale Company No. 3422 Address 8002 Central Ave.,Garden Grove YYY /\ Legal Not I , r,� - Description I No. 131 I Block I Tract�2341 ' `{ �� (Attach Metes and Bounds) ---'. 1 i' Size of Lot 6290 I No.of Bldgs. None _ Now on Lot SFP ry 1 0 Use of I No.of I No.of 1335 9 Existing Bldg. Families Rooms Setback Line from 1 Rear Yard JO' Cl-/1/ r Z Center of Street 50 Side Yard 71 Cull u y DESCRIPTION OF WORK — GCT 1 viL,)f r New I X I Alteration I I Addition • Repair I I Moving I I Demolish I Building No.of Size 1270 Rooms 6 Stories 1 F 'aringwall Stucco I — Covering Rock APPROVALS - l....,of New Foundation Location Inspector Date Building Single family dwelling with Forms,Materials, attached garage. Under-Pinning Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath.Int. with all City Ordinances and State Laws regulating building construction. Lath.Ext. Signature of Permittee THE HALE CO Plaster,Int Authorized Agt. 1,Q_� v�Lk.U' , Plaster,Ext. SILVIA LARDNB1t 61 Valuation Permit Fee $ £14 Masonry Reinforced $ 000Q Plan Check $ 3 -- Bond Beam $ �j ^ y Fee $ 0(3 — FINAL worn 204 S-BP 2M 6-55 i, 0 c y a d o a 2 ._ a • CEP 21 -9�5PFWg01.1T ,.-r:• ,.23.00 • Street PLOT PLAN Show location and distances from • property line and between buildings.