HomeMy WebLinkAbout2836 LA SALLE AVE - Building Permits •
�• CITY OF COSTA MESA
4 BUILDING DIVISION
F :. 1,., ) DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER
4 1104111
PERMIT 606-01568
Strevanst 44"
•
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cBJILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 2836 LA SALLE AV Status: ISSUED
Suite: Applied: 09/19/2006 i
Vicinity: ROOF Issued: 09/19/2006
Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N
Parcel Number: 14158102 Zoning:
Applicant: ,JAMES VOGELGESANG
Address: 103 W ESCALONESf.::: ...„
SUITE A - P n . 9-498-2274 ISSUED BY: •
SAN CLEMENTE,CA , , Zi 92672
- . -
Owner: MC QUAID JEWEL`D. .
r .
Address 2836 LA SALLE'AVE
�,
COSTA MRSA' ,CA \ . Zip 92626 - - - -
/ %V/ . A r - `.
Contractor gr1J.CRAY COMPANY t0 • _
Address: 103 W ESCALONESK-
/ . . SUITEA''' ,�,, Phone: 949-498-2274 -
/ --SAN CLEMENTE- ,
. "
Zip: 92672 / � License: 567238
/ .. / id: / - •
z Arch > -/ ' //1/ Eng:
/Address:'- - %-; • Address: ,
Phone: Phone:
- - �_ , • \
�r: - -
/Zips / '' - License - License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 1 LAYER OF 30#FELT,4:12 PITCH,50 YEAR COMPOSITION SHINGLES AND REPAIR/REPLACE
SHEATHING AS'NEEDED.28 SQUARES INCLUDES ATTACHED GARAGE.
,-- • - i--:; '1-, -p ,� .. --,FEESUMMARY:.. ,
, Plan Check:: _ $0.00 ' ,-.: _- .- �,; d y ;' Calc Valuation: $9,995.00
' Permit:' $181.25 - - - Claim Valuation:, ' I $9,995.00
I ,SMIP'Res:: i $1.00
SMIP Com: -
$0.00 .
• � Other„ , $0.00
Inspection: $0.00 '
�- Total: $182.25
,t,
` _ _ .
PLANNING & ZONING
SETBACKS .., 7� .
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:// .7 Required 0 Proposed: 0 % ;, ,j J,'
Vim '
•
•
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 ` ) - fl
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have end 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.
C('' I Rave and will maintain workers'tom nation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers' Tpen/satlon./Ipaurence cceme�ad policy number are: /,J
�vcarrion �" L Y ✓N^p -+ sl t...4,^"'« Policy Number. / "( V`
I j(Lhissecction 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 ecome subject to the workers'
compensation laws of Ca'omia,and ag that if should become subject to the workers'compensation provisions of Section 700 of a Labor Code,I shall forthwith
comply with these provis' .
,Sppllcera'Slgnat re: - •
! / /aj Date: / (9 e'�
WARNINO-PAXUREIO SE R WORKERS'COM SA EOVERAG UNLAWFUL AND SHALL SUBJECT AN EM R TO CRIMINAL ENALTIE AND CML FINES UP TO ONE HUNDRED
rn
THOUSAND DOLLARE(SID), ,IN ADOON TO THE CCW F COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE R CODE,INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
t-Fhereby-affirm-that.t.am.licensed under provisions o hapter 9(commencing with Section 7000)of Division 3 of the Business and Professi• s Code,and my license is in full
_foice.andeffec4Lic..9--�`rfl - i (�Class# 2
.GontradolsSignature: �JtV LDale:--.- MN
I i , I r /
r
CONSTRUCTION LENDIN r 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: <1'
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAWfor 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 allegediexemption;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 wh'o.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 oroffered 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. ❑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:
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 Califomia 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 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 apeermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? ID Yes LJ No
(Section 65850.2 of the Califomia 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 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 Califomia 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.
/1 ora urs e ire al Owners �ate-o
II1 And/./'u ho . Applicant- - Lo a
;ODE I INSPECTION TYPE PATE INMIALS CODE INSPECTION TYPE DATE IA45
1618 Fixed System Final Fire Prevention 206 Final Mechanical
1268 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 ' '
. .
July 23,:1
-
_ g ..
•
Mrs: Jewel:D. McQuaid � _ ,�, '
2836 I,n'Salle Avenue •
Costa Mesa California - R . .
Dear Mra. McQuaid .' r
'A building;permit-has beenissued.:toony Pools to construct
a private swimming pool on your property. • " '
In order:that your pool be a safe'one and for the purpose
of advising you of your respo bility regarding-the .requirements
. of the Costa Mesa;Municipal C verefer ion to Section 8107, a .
copy of_which is ached: - . • •
- This'letter is cted;to you .in; order .that you viii be aware
of our ordinances and 'make .a complete safety check of your
pool area. -
• -Sincerely yours, _
H RICBASD SANBARP i
` Building.Safety Director
•
R$adh. • •
•,
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H . I. L A W M A S T E R & CO INC • 69CM5-403AAAH-002
7940 MAIN STREET — STANTON, CALIFORNIA
828-8040
Field Data on Test Specimens Core Concrete Gunite� Grout/Mortar_
Project No.
Mc .rdida Pont
Q
Project
Location 2836 Le Salle Ave. , Costa Mese
Contractor ANTHONY Pools Architect •
Location in Structure Engineer
Date Moulded 8/25/69 No of Specimens 6
Slump Specimens Marked
Specified Strength at 2R days 21111(1 P.S.I. Mix Designation
Age to be tested_1 days. 28_days days days
READY MIX PLANT AGGREGATE SOURCE
Weather Condition Clear 8 cool I Yd. Yd. Batch
Cement Hulk Type I/I I Cement, lbs.
Admix Sand
Specimens made by Tony #4
Data by Carl Moseley #3
RECEIVED
Delivered by #2 BUILDING SAFETY DEPT.
Date Delivered #
�99 _ �} SEP 2� 19b9
REMARKS;O/t'(�t2.7 7 Cj Water, Gals. AM PM
7 8 9•W111Mik 2,Ti'1%'53b
A
FOR LABORATORY USE ONLY
Lab. No. 9273 9274 9275 9276 9278 9279
7 Day Test 7 _ 7 Day Test 28 28 Day Test 28 Day Test
Date of Test 9/1 9/1 9/22 9/22 9/22
6.37X 6.33X 6.41X 6.41X
Specimen Dimensions 12.625 12.625 12.5 12.5 6.23 X 12A 6_37X12. 75
Area 31 .87 31 .87 32.23 32.23 31 .47 31 .87
Ultimate Load 53,000 36,000 49,500 78,000 87,500 83,000
Lbs. per sq. in. 1 ,663 1 ,144 1 ,536 2,479 2,746 2,604
H/D Corrected
RCE#6207 r 0,-,___
OWNER MESA DEL MAR DEVEL OPMENT COMPANY DATE 3-12-62
JOB ADDRESS 2836 Lacni le Street BUILDING PERMIT NO. 16626
GF"ERAL CONTRACTOR MaCCo Corp. VALUE $ 18,960.00
AS ,.o. LOT 28 TRACT /1260 FIRE ZONE DESCRIPTION OF WORK res Watt gar
1 ECTIONS Signature DATE GROUP I&J TYPE V ZONE rl
SoilPERMITS ISSUED
Gas U� - SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. 0 �y� /
Rough Heating _ 9r�+� 1- g- Z'`_ l/
Rough Plumbing 7,`5 - vt�l s? _1=t-c 5/-d 6-.j •93,x_ = 1
Miscellaneous . Ily1 /�) SW t� //-v6y �/ - /e•-•-t&L GI' I ,
Prop.Swr.Line [}House Con. aSt:Swr. ❑ et _ JUN_7 1�•/ v ' 1-'42.,__,. 9(GIO 2_ K 3,/'j t i
Sprinkling System p/j ,,_, •: ��
Construction Pole /%' f Iia
Underground 0 Power ❑ 1I 99
Rough Wiring 1i ? l /Grit % /. - r-ai-la_t_ JSa7o2
i
Trenches Forms Steel Reinf. 0 7y,4 f7-jT/
Floor System 44..."- ,j--/P--(,;.
Bond Beam ❑ Steel Reinforce 0
Sheathing '=/4.4a
Frame and Flashing / 44T-1.4-67
Lt"iing — In El----Out IT k/3-o %-1-- x, brown coat NF1 S q-3-- /.2
.g. 0 Air Cond. 0 Final
Heating, Final r if
Plumbing Fixtures, Final y
Final Gas Test/3' `too"r"-,
Electric Fixtures, Final
Building, Finaleral 7/ /"off
OCCUPANCY
FORM BO4•5M — 7-61 ,eZnC
16626
• RECEIVED
MAR 7 1962 Lot 28 - Tract 14260
COSTA MESA BUILDING-SAFETY DEPARTMENT FrN:,N(CE DEN. Plan 450-CR
P. O. BOX 917 COSTA MESA. CALIFORNIA "II Of COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING
ADDRESS 2836 TaSalle Street
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. I iGB�t!=f11Q�
OWNER Mesa Del Mar Deve loorrent Co. ILYFJJ�LKhV/."'/!))IlIh.JJ�
MAIL. RECEIVED BYDATE RECEIVED DATE ISSUED
ADDRESS 3800 E. Coast Highway /f ; I /6,-6,7—MAR1 9 1962
CITY Corona Del Mar, Calif. NOJR3-4220 ADDRESS
ARCHITECT Cliff Olsten & TEL. COSTA MESA, CALIFORNIA
OR ENGINEER SSOC. NO.WA3-1221
/ i
ADDRESS 90213 E. Florence kve..,DOwneyi ZONE TYPE ii GROUP$
Calif. APPROVED
or
CONTRACTOR .MaCCo COroation BY DATE
ADDRESS 3800 E. Coast Highway ZONING
Corona Del Mar,Calif.
ZONE _/ I PPLLA•NSa UF I BUSI II Nea La/a/7( AI-
CITY '-
E oe .,
la
uc NO. 98808-SB-1
No.GR 3-14220LEGAL
DESCRIPTION LO•i- 15 Ti' 4 a L a
SIZE NO. OP BLO .
OF LOT 65911 + S.F. I NOW ON LOT Nl1Y113
A.P.NO.
USE OF YARDS EVES
EXISTING BLDG. None - APPROVED ALLOWED
SETBACK LINE FROM ^� (CENTER LINE ST.)
CENTER OP STREET 601 REAR YARD+241 III' FRONT 6 0 FT. IN.
SIDE YARD I LEFT 51 I RIGHT S I R.SIDE S— FT. IN. "
DESCRIPTION OF WORK. L.SIDE s FT. —
IN.
NEW I X II ALTERATION I II ADDITION I REAR 2 T FT. 7 IN.
REPAIR I II MOVING I II DEMOLISH I APBYPROVE°G/t'.HDATE 1/2 I /6 V
SIZE oOtxSO11Gfl ROOMS 7? STORIES 1
EXTERIOR WALL StuccoROOF .
COVERING Wood COVERING Wood
USE OF BUILDING AND WORK TO BE PERFORMED
Sine Family DwA1li rE Jiving area 1739 S.F.
.W/attached Garage Garage 11 460 S.F.
Covered Porch 108 S.F.
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 COW PURPOSE OF ESTABLISHING A PERMIT FEE, ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. : VALUATION
SIGNATURE O' PERMIT FEE $
PERMITUR a Del Mar DevelonmentCDA o
B ;i1 v.- // $ 18,960,00 PLAN CHECK $ / / //(/ s
AUTHORIZE•` - TOTAL FEE 5 57.00 0
30540
JUL 22-69--8001616* ****34.50
- "COSTA MESA BUILDING-SAFETY DEPARTMENT DMA
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RECEy QD/8 D�7'E CEIV D DATE ED6
BUILDING I//{'='s�� / ;CE ; 7 Of
ADDRESS 2836 La Salle Avenue er
OWNER Jewel D. Mc Quaid A.P.NO. /2/Si7/ Dv?- .7 D 5(91'0
MAIL BUILDING 2836 La Salle Avenue
ADDRESS 2836 La Salle Avenue ADDRESS
Z 8Q�
0-U CITY Costa Mesa NOL 1+26v(�f'RACT 28LOT BLOCK
OI ISH
Z < CONSTRUCTION C' as h
- I-d m LENDER ��rr--�trr44
111�A
J 03 BRANCH - S
Jth OWNER Jewel D. Mc Quaid
< w ADDRESS
03 VALUE
J
ARCHITECT TEL. S Swim O '/ $ 2' 100
Q OR ENGINEER ft Adams NO
5 in FIRE
W <c ADDRESS 5871 Firestone Blvd . ' ZONE TYPE GROUP
0_ LyAPPROVED
Anthony Pools. BR
LU Z DATE
J O
m Z
J ¢ ADDRESS 5871 Firestone Blvd.
LU W ZONE NO.OF USE OF NEW t-
Z0
i CITY South Gate TTP-32210 -/ PLANS BUILDING
111- 0 STATE CITY YARDS APPROVED "/�YARDS DDS APPROVED
In[C LIC. NO. 190179 LIC. NO. MAIN BUILDING BU
O IN (FROM C/L STREET)
SIZE .1P/Vit nt INO.OF BLOTS.
OF LOT :j)'t?�'by NOW ON LOT FRONT FT. FT
USE OF residence & garage -
EXISTING BLDG. R.SIDE FT. - FT.
I- SIZE OF .1. I:NO. OF
Z NEW BLDG. l3 x 32 ROOMS STORIES L.SIDE FT. -St-FT.
Q EXTERIOR WALL ' ROOF /
t_.1 COVERING _ COVERING REAR FT. ,(J FT.
J USE OF BUILDING AND WORK TO BE PERFORMED `
DISTANCE BET. BET. MAIN&
a private swimming pool in rear MAIN BLOCS. ACCESS. BLDGS.
a of single family' dwellingVAR.# DATE
0 g C.U.P.# APPROVED
F
APPROVED/'/ 7_
to _BY t u_pATE as -69
Z
0
U I hereby acknowledge that I have read this application and state
r that the above information is correct and agree to comply with
EC all laws regulating building construction, and I shall not employ
F any person in violation of the workman's compensation laws of
Cr) the State of California. fo
Z I hereby certify that I am properly licensed as a contractor under SO. FT. o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
fC
am exempt from the provisions of the State of California Business VALUATION
and Professions Co e, Division 3,Cha ter 9.
PERMIT FEE $ 3 , c a '4j
Signature of / 2,100).00 D m
Permittee Jett} -20'71/ _N I $ PLAN CHECK $ /' S E
3 re,
Authorized Agent 6a
TOTAL FEE $