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Home My WebLink About1892 Whittier Ave - Building Permits A- n _ CITY OF COSTA MESA t"~ ' F�� BUILDING DIVISION •,.,,r4i DEVELOPMENT SERVICES DEPARTMENT PE T NUMBER : j 4 PERMIT B03-01815 44eoxareo`e (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.iatILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1892 WHITTIER AV Status: ISSUED Suite: Applied: 10/17/2003 Vicinity: ROOF Issued: 10/17/2003 Parcel Number: 42432118 Zoning: Applicant: KOGA, IOWA ISSUED BY: Address: 1892 WHITTIER AV Phone: 714-546-7643 COSTA MESA,CA Zip: 92627 • Owner: KOGA, IOWA AND FRANCES - • • - 4- •Address 1892 WHITTIER AV I'rl Ot t Phone: 714-546-7643 v COSTA MESA,CA Zip: 92627 O Contractor: OWNER-BUILDER Address: Phone: Zip: License: 000000 Arch : Eng: Address: • Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 30 YEAR COMPOSITION SHINGLES,30#FELT,AND REPLACE SHEATHING AS NEEDED.REROOF RESIDENCE ONLY. FEE SUMMARY Plan Check: $63.21 Calc Valuation: $4,000.00 Permit: $97.25 Claim Valuation: $4,000.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $160.96 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 18Q 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. 1 FOR INSPECTIONS CALL: (714)754-5626 2446-48(8ro0) DECLARATIONS • (- WORKERS'COMPENSATION DECLARATION: I 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 issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This(Tissection need not be completed it the permit/s valued at one hundred dollars($100)or less.) I L1--C1 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 damply withthes= • s•ns. _O� (Applicant Signature: • . arte" Date:� �b — WARNING:FAILURE TO SECURE WORKERS'COMPENSAMN COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 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 ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am 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.4 Class 4 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: (I 1/ J. 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 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 su acts 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. ----d 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 a pt under se _ Business and Professions Code for this reason: Signature:_ j TZT.A G� Data:= /6 y7-03 Owner ID verified by driver's licens2N Yes 0 No Driver's License No. ElWires:� Verification of Ownership by(type of docu ant,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 California Health and Safety Cale 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 agermit for such construction or modificationfrom the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LU No (Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits). _ _._. . _. ..l_ _ _...._...._......_. . 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries off aa school? ❑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? ❑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 aboAgai :•ed prope for i action purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final i action. - , . /0r/7-03 Sign re Of Legal Owner(s) L Date And/Or Authorized Applicant Date ODE t. DISPECRON TYPE PATE INImA4$ ;ODE E IKSPECT/ON TYPE PAh PALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing .. 200 Final Re-Roof ,,.� {..-. E�� / 210 Final Electrical 201 Final Block/Retaining Wall 1 ?h.)/�E.,11/E1 ��212 Final Fire Prevention 202 Final Factory Fire Place T 220 Final Planning Approval 203 Final Sign222 Final Be / 204 Final Demolition 250 Final Building/Occupancy OWNER FLORES, JESUS S. DATE 3-16-59 _ JOB ADDRESS 1892 B Whittier Ave. BUILDING PERMIT NO. 8819 GENERAL CONTRACTOR Bay Coast Bldrs. VALUE $ 12,186.00 A. &20-3 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Residence GROUP I TYPE V ZONE ML PLAN NO. 8819 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Trencher�� Forms J,IU211 .. y / - Floornem SteeellReinforce .'mncy Re-Rod Byttd-9m r eaA. i' ILra q Frame and Flashing .ar%wa�Urn Lathing, In • Out of IyS��r )S tf Plaster, brown coat - "Ir -7 �•�f/a Underground soil mi„ W/G Pipe Tes„ isar�nrti' Top Out 3--2.1q-5 Furnace h .Milin / S ` ! Gas Vents ,� s� Rough Plumbing 1L�1��a irelarYGL�/�ILI�'•�_f/ ri1- — t Cesspool Septic Tank —a Prop. Su/ix-Line H i Con. St. Swr. '1 f- ( Gtit•:.-,4-- ®ni ling System �j p --*1W h. .ng Final roriti if ItC) —,va Plumbin Fixtures, Final ArojamaSMIlir Final Gas Test/f' ' 'S7/-•d17 -- S Construction Pole -- el Underground Power -- Rou h Wiring AZWEV��'j�=�(�/� i ps ._ Fixtures, Final �� s 1 9 OCCUPANCY id S 7 Form 210-3M-1-57 - RRl n • 8819 COSTA MESA BUILDING DEPARTMENT P.O. BOX 317 I V - (t u • COSTA MESA. CALIFORNIA FINANCE DEPT. FOR APPLICANT TO FILL IN o /� APPL Icvi ATIONyFjpREPERMIT ABILDI NG DDRESS /cc92 6 CA," 7- /e„ , g BUILDING C COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY OWNER# /� OIC 6 Je i/s s. RECEIPT O. PERMIT NO. / (/q /I�IJ I��pp$//�I)IVED BY /a/E E • TE ISSUED MAIL /O/ 2 too// � etc /9l./` `W- !/ 30 D ADDR//E^^//SS` �1 /L/n n p`,-'f .fi 5 �. 75 1I' CITY�O ..s.,7_it l '"/C�.S I� TEL ��O TL� ADDRESS /!J �V " _`" �,, ARCHITECT LIC. OR NEER . COSTA MESA. CALIFORNIA ADDRLaS Sj /7j2SG ZONE [/��/.)/yy�� d///J .p /JJJJ`/ 20NE-��//J NO.OF TYP GROUP (//� a`7;e9reon Sr /3' � TY NO. /OJI // / PLANS _ `Y. w ) / I rl =�I �e� 7 /F/I/// r ICO. /-00Y7 BYPROVED 5/.771 alt ' DATE LEGAL No. CR' �(/t�'r T a4 CORRECTIONS DESCRIPTION NO� �q ^/BFT �J 1. A.P.NO. •//La L/ 42-Y, — i SIZE -^///J�/ �( �j) 1/ NO. OF BLOCS. /09 OF LOT / •� /\ / ;AC/ NOW ON LOT USE OF S//Yp /`e � iw,/ _Fa „LOVEDI EXISTING BLD SETBACK LINE FROM (^�'� c /• CENTER OF STREET Cj '�' REAR YARD /// `ITY"o� P/Yr0-r' !,:-/4. ,, I •• p / FL 4Dt•Sh1dG L' cPhy SIDE YARD RIGHT /r ae. LEFT /2PI, f t DESCRIPTION� OF WORK BY 41 / -�LL.a. GtP,., �tEG1/ NEW - ALTERATION ADDITION Y■"`+`CL' .�C:J :Cl,1 q- //�� ` . bum,-.I „n. / REPAIR rf MOVING C�DEMOLISH j SIZIE DING/ <// Q' ROOMS ' /S STORIES / EXTERIOR WALLS T(,4,j{ROOF or - //�-� COVERING �`' II /�/��yy ��''IICOVERI146/ /9/ /'�)ec ///��'04ri�� BUILDINGEWJ`/(/ �/e / - � i /� pits. . • I HEREBY ACKNOWLEDGE THAT I HAVE RE•D THIS APPLICATION AND STATE THAT THE • E IS COR-ECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES ND "ATE WS REGUL . BUILDING CONSTRUE TION. VALUATION C MPERM IT FEE $ c7Q •_ SIGNATURE • / �� W_ /4.1 PERMITTEE qy / $ 21 PLAN CHECK $ AUTHORIZED AGENT / TOTAL FEE SA4 NB'"' OWNER FLORES, JESUS S. AUG 2 3 1961 DATE 3-3-61 JOB ADDRESS 1892 Whittier Ave. BUILDING PERMIT NO. 13941 GENERAL CONTRACTOROwner-Bldr. VALUE $ 101.00 A^ No.116-020-03 LOT TRACT _ FIRE ZONE DESCRIPTION OF WORK Demolish Res. L ECTIONS DATE I GROUP I TYPE V ZONE Fa Underground Soil U.G. Water _ _ SUBCONTRACTOR PERMITS ISSUED Underground Gas DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing _ Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test _ Construction Pole Underground Power -- Rough Rough Wiring Trenches Forms Steel Floor System Steel Reinforce Chimney Re-Rod Bond Beam T thing 1 4e and Flashing Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final Electric Fixtures, Final Building, Final 1--/l/r }7 -z4- G OCCUPANCY . I Form 210-5M-11.59 S-B P 13941 I 13941 _ FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT MAR 3 1961 00.4/- P. O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely Analf3A0F060ST8RIMAIT TYPE OR PRINT � BUILDING =all /6P702, ,7�// / Ge,✓C Ca(•LQ. COSTA MESA. CALIFORNIAJ// For Office Use Only OWNERMAIL C-¢J .,L� I RECEIPT NO. len �o. J 1lli`X ADDRESS ``/ RECEIVED BY 3DARECEIVED DATE ISSUED/ e/ �,-yr BY DA_ 3 V / 3 J] CITY 6 ✓ 2- NEL.0%4 a 412-51 BUILDING SDING A AARRCHITECTER - NO.CT �- COSTA MESA. CALIFORNIA FIRE � S ADDRESS / _. ZONE TYPE 1GROUP CONTRACTOR [S(--C(:TCL/I•/- APPROVED BY DATE 8,i`y/'/q[_/,AQ'/-/� ADDRESS ZONING , Zc{1E NO.OF USE OF NE CITY �I// I PLANS I BUILDING STATE TEL. LEGAL �q) I LIC.NO.SIZE �o11 NO. DESCRIPTION y 6 4 tot jl0 j -A,1.M /A./✓ OF LOT .= V A so , I NOW ON LOTNO. OF S — A.P.NO. (( . -0 0 —0 LL� USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LING FROM / (CENTER LINE ST.) CENTER OF STREET / REAR YARDS y' • FRONT FT. IN. SIDE YARD I LEFT C/ • I RIGHT L--,/. • R.SIDE _AnFT. IN. DESCRIPTION OF WORK L.SIDE C-/Y/, FT. IN. NEW I II ALTERATION I II ADDITION I REAR I FT. IINN. REPAIR I II MOVING I / 1I DEMOLI6H BYPROVED / I / DATE-' 3-(/�/BUILDING NO. OF l/Ll0,v`/ SIZE ROOMS STORIES EXTERIOR WALL I ROOF COVERING COVERING USE OF�BBUILDING AND WORK TO BE PERFORMED . 11 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 COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION y SIGNATURE OF," //n PERMIT FEE $ X • �� PERMITTEE Qj 7,/ PERMIT 1G •[ � / n_ $ /O PLAN CHECK $ �^ �' E AUTHORIZED AGEN TOTAL FEE 5 07' ‘C-0