HomeMy WebLinkAbout285 MAGNOLIA ST - Building Permits Ar.'. I
CITY OF COSTA MESA •
-
4 BUILDING DIVISION;
$, �,ii , _: ,i DEVELOPMENTSERVICES'DEPARTMENT: , PERMIT+NUMBER
F t .11• ' I4. PERMIT
' i 05-00882
(714)75415273'•-Fax(714)754'4856.• www.ci.costa-mesa.lts UILDING PERMIT D
77 FAIR DR E;COSTA MESA,CA 92626
Job Address: 285 MAGNOLIA ST Status: ISSUED
Suite: Applied: 06/01/2005
•
Vicinity: Issued: 06/01/2005
Primary Occ: R3 Type of Construction: V-N .
Parcel Number: 11721112 Zoning: - .
•
Applicant: JOHNS, SCOTT -, // L
;[- "'� ISSUED BY:, lJ '-
Address: 1547 WHITE HOLLY DRi''„:i=-. �- "_ --. -� rte;' 4 -.`;
67-' !y'-( '- Phone: 1951-471-9334�Cr
CORONA., t / ri-' 1 l,,' , - Zip: [92801 ,/ ! '\ � �, _\,
tri', ` . t ✓f •
Owner: MC ADOO PAUL-TR1/� -
Address °285-MAGNOLIA ST ti/-- 'i-- - >� z -.,.�- \,, •��'� t v
7-P7/2 v ,\'.i/ Phone: �,. ,�, ' `
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r�COSTA MESA,CA. \' Zip: 92627 • � 1P ';��
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Contractor: RESIDENTIAL EXTERIOR DESIGNS '\ `
'Address:/ 1547 WHITE-HOLLY DR. Q• \,/
7,,, r p r/ , f. ����
� / -Ni C /;/4 ` Phone: 951-471-9334
CORONAI ! .t A` '�.\; • ? -
Zip: 92601? 'License: 849358
,Arch' _.1 J/.yr _,,,_-� x( I-' 1 1pc cw:'9 ; `Eng: 'i - ``•'_I'A
Address: ,.,,! � ' r / :'rr' ' '� -- - - Address: - -., 1 .;' _
,/_ ' -,--...#�.Phone. - �;� Phone: : '-
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! \Zip: 1 ), ` �._- ' License: N License:(
/,F ./ ' (i;- • - ' - - t III)
.`. 4i:, Cj/ / 7 ;?7}SCOPE'OF.'PERMIT rT( 'FE'_
�TEAR OFF INSTALL 1415LB FELT AND 30YEAR COMP.SHINGLES!! �� i'-1 : - a,�
, I) 7 s FEE SUMMARY t�
Plan-Check .' '$0.00 : - ,- � ? -`7a`j ,`�_; Calc Valuation ' ;''7!
$s;oas.00 •
`Permit ,1.$167.25 '`l;— - _c- ,a`- r"'"' '-- - Claim Valuation .2:7 $8,045.06,
\SMIP7Res $0.81 •
/�"r / I - /ill /_.r l , t ,
vSMIPCom: .',$0.00 .) �.;= _
t ,1 Other. , `;$0.00 `- .___e / ,
27 l ,
Inspection'' , x$0.00 a.....'„,.:- hj7/,r `C,;; ;F#'
/ ,
'Total: \ $168.66‘ - o9 ”' L.. ( f/ I/
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,
4 7/ ` �y ? ,PLANNING&ZONING t' y€ — (2\--, f;J�/
SETBACKS kl ,./77,:->,\ 1. ' a � �,- <1 /7;7
MAIN STRUCTURE,F-ront 0'0 1-1•Rear~0 0\_- Lefty 0A9 -- .. Right 0 022 r�2
ACCESSORY Front `0 •0 \J, Rear '',13-.0 _ Left 0 0 • '�` Right\t 0 0,,,-,'� •
-
‹ Z_ ,� v cm/ c . f . 1 ,,-' r� Icl , 1'� \,) ,, _____7,7_,,,,,..„.,
PARKING Existing `O,T Required 0/ _, y J;Proposed 1 �-0}\/ i.-- i
NOTES:
'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 expireand 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.considereddegal, 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.
;FOR9NSPECTIONS:CALL':-(714)7543626:
2446<e(6m0)
".1. ECC RAT/ONS j
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.
•ID-- . :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 w•deers'compensation Insure. rriY nd policy number are: a n _
ICarder: �Id NDitty Numbe: ZZ ! 30 q t Os
hl- -,ction need not be com.leted i/the pa .•.hundred dollars($100)or less.)
❑. I certify tha a perfo .'•:of the r which this pe 'it is issued,I shall not employ any person in any manner so as to become Subject to the workers'
compe. .•. aws o •.ifornia,a d at.•-: at If I should b• ome subject to the workers'compensation prov' ns of Section 3700 of the Labor Code,I shall forthwith
/•.- .ywith =s• ••rovisions. '
••.Icant Signet - 'eras �� __� Date: 67 / e
/ •LU•/ •- • :••r' I LAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND•• SOF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS . '
I hereby'- Iflll th m tic ns... oder pr•visi•napter 9(comm:ncing with Section 7000)of Division 3 ttfe Business and Pr scions Code,and my license Is in lull
force Lia• a, • .. _•J p
LCI N
s S' )
t`
Co rnature/������'i
ean
CONSTRUCTIO�� ' -
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❑ I hereby affirm that there is a Ion lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that 1 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(commenting 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 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. 0 Yes ❑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:
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 ❑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? 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? 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 prescnbed 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 ••••_ '• au-..- _ .ws an. •• ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-desc'•.. . ... or inspecti.n purposes.I a.ree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
_i.n.1 •f Leg. •wner(s) oin.„ / //Dates]/or
.11.W. .- S.- PATE, Atriums • CODE. 18sPECT1ON TYPE . . - .. "' .•JMjE. MESA .
1616 Fixed System Final Fire Prevention • . ' - i 206 ' -Final Mechanical
1266 Pool Spa Final / 208 Final Plumbing
200 Final Re-Roof • G '.. 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 "2- • ' -
UWNLP( MCADOO, Paul WAIL . 3-21,77 _a
JOB ADDRESS 285 Magnolia Street BUILDING PERMIT NO. 43694
GENERAL CONTRACTOR younger & Sons House Mv5CRIPTION of WORK Garage Foundation
AP No. 117-211-12 LOT 22 TRACT 594 FIRE ZONE VALUES 400.00
INSPECTIONS Signature Date TYPE V GROUP J- ZONE R-1
SOIL SUBCONTRACTOR PEISMITS ISSLED
GAS Date I Number Signature
n,J WATER Plumbing
V ROUGH PLUMBING
V PROP: SWR. LINE [] HOUSE CON. 0
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING .
TEMPORARY SERVICE OR POLE
UNDERGROUND n POWER fl
ROUGH WIRING Heating and Vent.
• TRENCHES ❑ FORMS 0 STEELREINF. 4 3.1.3.2-i
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER. BROWN COAT _
STRUCTURAL, FINAL Electric _
HEATING. VENT., REFRIG. AND A,C., FINAL
PLUMBING. FINAL AND GAS TEST n
ELECTRIC, FINAL �(� •
BUILDING, FINAL i (J , i'.6'
APF[IAI.RFOIIIPFMFNTS
•
.
4369.4 . 2AR 7 7-----uul?OS* *****5.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
AP LI ATI N FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely— Use Ink Only
ADIDRESS �� Lc R/ l�/r / f'1 Se,
RE V D 6 DATE RECEIVED D E / ,7
' // 4(flf //7 [2/172_,_ PERMIT NO.
OWNER PfJ v F ��/ / (56 A.P. NO. [
BUILDING t4c4 ec / .
ADDRESSRj/F_ Dsr ADDRESS / r x\
CITY C,/) S 774 MeC Ai NO. ‘yl✓� VS-
-2s TRACT
� �'�/ / Bloc
CONSTRUCTION NEW ADD ALTER`- REPAIR MOVING DFMOI ISH
LENDER _
BRANCH / �J ///
OWNER /440t /�` - Oo-n •
ADDRESS .------ -P—"" ".._ �qry���
ARCHITECT TEL. USE NDR/NI4\ Or?)
OR ENGINEER NO. " �/�
FIRE
ZONE T PE ! GROUP
ADDRESS --'y
CONTRACTOR 1 fe /f-.SDN BYPROVED DATE 3`2cg/
.
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ADDRESS v� it, SenTry 4/ J-L. ZONE NO.OF USE OF NEW " (J)
CITY S NO. R / PLANS/ BUILDING nvt'nlli1- 07,7
•
r-.. STATE CITY YARDS APPROVED YARDS APPROVED
LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE NO.OF BLOCS. (FROM C/L STREET)
p., OF LOT NOW ON LOT .__F PONT FT,/ FT.
Q USE OF .+'��J t
La EXISTING BLDG. R. SDE FT. - 22/ FT.
con
F F Separate permits are required for L.SID FT. -13 r.
electric,plumbing and heating work. -
LC - - RE R FT. / G/ FT.
E. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
Qn //��A /� /-�-'�/ ,p j�// MAIN BL_yD/�G�S.. DATE
ACCESS.BLOCS. �J�
Q c-/ / / Y Gt.- �/ / D US lr move -. VAR.
�ygl /' 77_0
/ AP ROVED 7- -/
or
J ♦ //�7 '7 ,L/�N Do APPROVEED' //,J, e .
//Y f 7///V'7A/ ^ {/ k c2O _RV __(V./11 - 04-DA1T�F- "� �,
w ;QLD FOR SPECT L RastUI�'\LIIP NIS
0 I hereby acknowledge that I have read this application and state
n
r.
a that the above information is correct and agree to comply with
6, all laws regulating building construction, and I shall not employ m
• Z any person in violation of the workman's compensation laws of e
r7'W. the State of California. iirt
I hereby certify that I am properly licensed as a contractor under SQ. FT. N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ b,
end Profession e,Di •n 3,Chapter 9. SP'S— in
✓
o
Signature O _ / PLAN CHECK $ re
LL
Permittee I .� $ /(�r/�s�/] TAX $ L71
7U
Authorized Agent TOTAL PAID $
% OWNER flCAUUU, IAUL DATE 4-5-77
y JOB ADDRESS • in • • ' -- BUILDING PERMIT NO.
ck GENERAL CONTRACTOR UWner-iiidr• DESCRIPTION of WORK Relocate Residence
\ AP No. 1 - 1 - 2 LOT 22 TRACT 594 FIRE ZONE VALUE $2,000.00 _
Al INSPECTIONS Si nature Dote TYPE 5 GROUP I ZONE R-1
sou. 1 4`x-77 SUBCONTRACTOR • PERMITS ISSUED
GAS Dote I Number Signature
WATER - f21" 4-7-7) Plumbing �A� I' c
ROUGH PLUMBING iI a.{ �.CL fI'S 7✓6' i
PROP. SWR. LINE ❑ HOUSE CON. 0 12.-o s."{-il •t .i an i.-
SPRINKLING SYSTEM a✓ —..;917 7 r-
MISCELLANEOUS '
ROUGH HEATING AND AIR CONDITIONING •
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0
ROUGH WIRING� T-- Heating and Vent.
TRENCHES FORMS 0 STEEL REINF. 0 IA• D
U 4.•y^n
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING — IN n OUT n - __
PLASTER, BROWN COAT �'.,,,,,-`' (/ /��
STRUCTURAL. FINAL �!""�'*�Electr%t/I W- "• r'° ' /•'Yi 7J?A.
HEATING, VENT., REFRIG. AND A.C., FINAL Ci a/)K//!///
PLUMBING. FINAL AND GAS TEST KAJ 1[2� -2.77
ELECTRIC, FINAL C,A ry 'it•1
BUILDING, FINAL � hile
_4. 376,P
1 _. . PP 77F„'GOO 145-:', ****30.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APL A ION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only ,,
RE DATE RECEIVED DATE ISS ED
BUILDING •^T/ .0.7/1.....--, , ''1
ADDRESS 0! S�J/�/�/�-70 ../C/G/0 Si �r / /ggggLe.Ly//y-S�•A
OWNER /�FIGiG_ ✓ / ` / z2oz' A.P. NO.if9- 2//'-/ 7 4E3%/
MAIL 2/, r 2O !// 3 j ADDRESS ../._ MEER/oc /4- sr
ADDRESS /1 C /�!/
CITY Ca.s ,-q /27(..."5-41 J -NOTEL$y2-CI ( TRACT y LOT .29 BLOCKC
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER vr
BRANCH .-- /� /�// '
� , OWNER Peat '/�c ' ! ad-o•
ADDRESS UE �qy�.�
ARCHITECT ' _ TEL. USE /-/v&'SC ftlt/K(04-7: t)S
VALV'
OR ENGINEER • NO.• -'
FIRE
ADDRESS ZONE GROUP t
X3;,41J ///la BPPROVEDtl,,/ 1E
/• CONTRACTOR LY.� \/'t •i(/ s BV DATE 1 77 // L
ADDRESS
ZONED NO.OF USE OF NEW ocrSC
TECITY �- NO. /t"'I PLANS 2 BUILDINGjr g9l$ona
F-i STATE CITY YARDS APPROVED YARDS APPROVED •
g. LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
SIZE NO.OF BLDGS.
(FROM C/'L/S�TJ(�EET)
O, OF LOT INOW ON LOT FRONT 77 FT. FT.
im- 'et
USE OF
EXISTING BLDG. _ R,SIDE L5 FT. FT,
V J
FSeparate permits are required for L.SIDE /- / FT. FT.
CC
electric,plumbing and heating work. REAR t� G( FT. PI- FT.
[.. 'USE OF BUIg.DWG ANDJNORK TO B PERFORMED DISTANCE BET. j�f BET.MAIN&
< //�' DtfJ & /-/'-m C/��Y/J�i/���� MAIN BLDGS. 04/FC ,ry ACCESS. ALMS. .
a C 4r • IG`ceo' " d-7i • ) CURP.#/(! /�((// DATE
APPROVED 3-7/41.-77 _
> AP ROVEDGi /7 _ yy/ // DATE 4/-17— 72
..I IC ivy%
w Sr
—
0. I hereby acknowledge that I have read this application andstate
O e.
I;(, that the above information is correct and agree to comply with n
m
Ow all laws regulating building construction,,and I shall not employ
i
Z any person in violation of the workman's compensation laws of m
"'SSSS the State of California. • /o 2T
SOFT
I hereby certify that I am properly licensed as a contractor under (J . . N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR D
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: -
am exempt from the provisions of the State of Cali ornia Business
• and Professions Code, Division 3,Chapter 9. VALVATION PERMIT FEE $ �+ Jr
Signature of, �,. PLAN CHECK $ / Q 1:: -- o
Perm ittee �'G'L $ a TAX $ ! 5-1) U
Authorized Age TOTAL PAID • $ Qr S7)