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Home My WebLink About1629 WHITE OAK ST - Building Permits • —Y:1 `641w MFSq CITY OF COSTA MESA 14 BUILDING DIVISION I- """"'""'" I .' PERMIT NUMBER .:; DEVELOPMENT SERVICES DEPARTMENT V. a, PERMIT BOO-00939 .4!e04;;;, 04;;;, I[O,9ba • (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1629 WHITE OAK ST Status: ISSUED Suite: Applied: 06/26/2000 Vicinity: HOUSE&ATTACHED GARAGE Issued: 06/26/2000 Parcel Number: 13921401 Zoning: Applicant: FARMER, FRED ISSUED BY: Address: 915 W COLLINS Phone: (714)997-4541 ORANGE,CA Zip: 92667 Owner: TARSEN, VICTOR G Address 1629 WHITE OAK ST Phone: - "VI COSTA MESA,CA Zip: 9262641 Contractor: CHRISTOPHER ROOFING CO. j Address: 915 W COLLINS DO' Phone: (714)997-4541 ORANGE,CA Zip: 92667 License: 624118 Arch : Eng: • Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE&ATTACHED GARAGE(26 SO).TEAR OFF EXISTING ROCK ROOFING, INSTALL 2 LAYERS OF 15#FELT UNDERLAYMENT.&REROOF WITH 25 YEAR COMPOSITION SHINGLES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,250.00 Permit: $97.25 Claim Valuation: $3,250.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 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: NOTICE: The wort< 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 t r 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. ge<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'compenspgl.i�on�Insurance carder and policy number are: Carrier: //YrF t f.JN l7 Policy Number: COO O 42 CA (This section need not be completed 11 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 Califomia,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 provis' r�/f Applicant Signature: Date: C--06-0 C WARNING:FAILURE TO SECURE WOgkERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOUARE($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 ficenseg 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. re Class tt C 3 S Contractor's • Signature: { 7elta—. _. Date: —,EL*-00 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 em 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 subjects the applicant to.a lvil penalty of not more than five hundred dollars($500).): O I,as owner of the propertror 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.). 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 Laws.). O 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? 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? 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 apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? .P 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? 0 Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California 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 properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final Inspection. ??. atlya6)Legal Ti — ) Date •77`f 24 -pa And/Or Aut prized Applicant Date CODE# INSPECTION TYPE gAIE INTIALS CODE It INSPECTION TYPE HATE INTRIAL$ 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 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 2446-46 10071 _ COSTA MESA BUILDING-SAFETY DEPARTMENT AUG 7 1959 P.O.BOX 317 COSTA MESA.CALIFORNIA 1 . I',r I T-7 i fOR APPLICANT TO fill IN COMPLETELY APPLICATION FOR PERMIT • • TYPE OR PRINT BUILDING . BUIL ADDRESS 1629 White Oak St. FOR• MESA, CALIFORNIA FOR Off/CE USE ONLY Land I RECEIPT NO. {-�ERMRI,np. L OWNER Rosslane and Co. V'll' MAIL RECEIVED/ BY DATE RECEIVED1,,,,-. 111/OwTE119�4 9 ADDRESS • }• S I C./ lO V ll/77�,11�VV// CITY Costa Mesa TEL CITY BUILDING ADDRESS /4 ca / " �"a Lam" 1 ARCHITECT Carlson & LIG. OR ENGINEER NO. COSTA MESA, CALIFORNIA I•ldalebroox ADDRESS GP rd Pn Grove ZONE TYPE .Je .— GROUP CONTRC DStR& Colegrove, The.LT.NTO. 167293 APPROVED DATE ADDRESS 419 E. 17th St., Costa Mesa ZONING LEGALI NOLOT I I 2822 ZONE a/ I N°.OUSOF NEW DESCRIPTION . 185 BLOCK TRACT PLANSF I BUIE LOInc ' /'!. A P NO. • APPROVED ./' DATE P/� �I / SIZE 65 X 90 NO•°F BLDGS. none' YARDS /� EVES OF LOT I Now ON LOT REQUIRED ALLOWED USE OF . (CENTER LINE ST.) ' EXISTING BLDG. FRONT S'2) FT. IN. SETBACK LINE FROM ry • CENTER OF STREET 55! REAR YARD 271 R.SIDE /P • SIDE YARD I LEFT 101 I RIGHT 101 L.SIDE J FT. IN. DESCRIPTION OF WORK • REAR 'C 2&. 7i Fr. IN. NEW X II ALTERATION I II ADDITION I REPAIR I II MOVING I II DEMOLISH I SIZE DING 1560 ROOMS 7 STORIES 1 EXTERIOR WALL {'.UCCOI ROOF . COVERING SCOVERING rock USE OF BUILDING AND WORK TO BE PERFORMED Sinfle family r sidpnnp i•ri+.l, attached garage. Plan 12uA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON• PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. BUILDING CONSTRUCT ON. tie , W VALUATION ' SIGNATURE OF / . ,�(/ PERMIT FEE $ 35.00 PERM ITTEE _ ��,VVVSSS��LLrr vv..0 • • $ 15,571 PLAN CHECK $ 17.50 AUTHORIZED AGENT Dike & Colewrove TOTAL FEES 52.50" ti .,:."' ivttui.r>lttt. t;. 11. „" , ci o� JOB ADDRESS 1629 White Oak BUILDING PERMIT NO. 24716 GENERAL CONTRACTOR Better Bilt DESCRIPTION OF WORK Community Block Wall P" No. 13Q-214-1 LOT TRACT FIRE ZONE VALUE $ 340.00 ECTIONS Signature Date GROUP 3 TYPE III ZONE R-1 �1 Soil SUBCONTRACTOR I PERMITS ISSUED J Gas Date I Number I Signature i Water Plumbing Rough Plumbing Prop. Swr. Lined House Con.0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 Rough Wiring Heating and Vent. Trenches ® Forms 0 Steel Reinf. Q NML94%c- Floor System Bond Beam 0 Steel Reinforce 0 Shea thing Frame and Flashing Lathing— In 0 Out 0 P1* r, Brown Coat St4iral, Final Electric Heading, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 _ Electric, Final Building, Final _ ge.4{ lie 94716 P.O.AB OX MESA BU1200 ILDING-SSTA AFETY CALIFORNIASA, DPARTENT CITY OF COSTA MESA For Applicant to Fill In Completely APPLICSEPTFp9953Mrr TYPE OR PRINT BUILDING BUILDINo,d )C4 '� 11 i 7 E p A �/ FoLI[��OffiAce (pUSBse Only ADDRESS (( I .YP'i Rzear HD ED 1`'" * i 1 V COSTASTMESA.`, CALIFORNIA /t 1_� LM1LI ��t T7l�+ Q . V\ : W �LI Mi � y R[CEI D Y 77ei 6t Y ti ib.y OWNER J G / t I BUIL INej / g,c7L- 4,e AD RESP it a-_. int C�(�F O n` K ADDREBQ / Vv![`�F VV FIRE rS CITY e o YF (' I t S NO. ZONE TYP i/� Dir. GROUP APPROVED ARCHITECT TEL BY DATE ATE 9 air Ig. 2 OR ENGINEER NO. ZO ING (, IJ---4-4-1/ ADDRESS �/T}� err t \��\^✓� ZONE., NO.OF USE or NEW •� M 4 0 .• CONTRACTORR(�`/)t ' t Ok \-Z I . \ ' PLAN[Y�Bu1LDINq, (�U ��"�4',� J 3, a- V� 1 'al.-II /� LEGAL / 8s- r(/g�` a 8>--)-- ADDRESS ,[� (/_�'� h V Ll LEGAL t `CITY G_'p Y`) E'n \ tl7v a. A.P.NO. , 9_,T/1-0 NOTE: NO NAVE OVERHANG SHALL BE LESS THAN STATE TEL. 90'TO SID[&REAR P.L LIC.NO. NO, SIZE I NO.OF SLOGS. J VES ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON I,OT USE OF YMAIN APPROVED YARDS APPROVED EXISTING BLOC. MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) SETBACK LINE FROM FRONT •' FT. FT. CENTER OF STREET REAR YARD SIDE YARD I LEFT RIGHT R.SIDE ^-FT. n¢',RLE�-�J�''t/ DESCRIPTION OF WORK 4.SIDE 0 fFTY i 6' 20 NEW T[RATI N ADDITI N REAR b�P / DISTANCE SET. BET. IN e REPAIR MOVING DEMOLISH MAIN BLD(f8. ACCE B.BLDGB. VAR.# DATE BUILDING NO.OF SIZE ROOMS STORIES C.U.P. # n APPROVED -v.- EXTERIOR WALL I ROOF COVERING 1#417 )t,�/ t(�',../_ y,./, DATE -�"'lD EXVERINGLor--"."- I W USE OF BUILDING AND WORK TO BE PERFORMED IL Q CU Lti h 21( L-, et SQ.PT, 0 1 NlREBY ACKNO THAT 1 READ TNI[ APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j AND STATE THEA V[ IS AHD AIS TO COM• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. F15 PLY WITH CI O NANCBS • LA REGULATING VALUATION D BUILDING ONSTRU N. /// en (Q SIGNATURE !/ , 0_4_,......„) PERMIT FEE PERMITTE !" /I k S 3 C./O PLAN CHECK S AUTHORIZED AGENT ` 93 00 .. : .. ...— . ..6 _ TOTAL FEE 5