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Home My WebLink About132 LISA LN - Building Permits CITY OF COSTA MESA 0y ��irwilt BUILDING DIVISION -i' " - DEVELOPMENT SERVICES DEPARTMENT AP PERMIT PERMIT NUMBER B98-01679 t/ (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT • • Job Address: 132 LISA LN Status: ISSUED Suite: Applied: 09/21/1998 Vicinity: Issued: 09/21/1998 Parcel Nunmber: 43908118 Zoning: Applicant: ORR, JOHN Address: Phone: 949-650-7668 Zip: Owner: ORR, JOHN Address 1115 HIGHLAND DR Phone: 949-650-7668 NEWPORT BEACH,CA Zip: 92660 Contractor: ()f itE DETECTOR Address: P/4j -►F� (� o Phone: ti EQUIRED Zip: License: Arch/Eng : Address: - Phone: • • Zip: License: SCOPE OF PERMIT -T/OFF SHEATH&REROOF W/COMP SHINGLES.SMOKE DETECTORS REQ PER 94UBC. FEE SUMMARY Plan Check: $0.00 Calc Valuation: 56,500.00 Permit: $124.75 Claim Valuation: $6,500.00 SMIP Res: $0.65 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.40 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: EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned fora 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 1 DECLARATIONS ' WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: 0 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 ❑ 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: Cartier: Policy Number: (This section 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 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 comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE 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 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.# 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 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 con actors 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 pursue to the Contractors License Laws.). ❑ I exempt se . Business and Professions Code for this rear- -..-.7 easo •y Sig Lure: Date: Ca / Ow er ID verified y driver's license. ❑Yes 0 No Driver's License No. Expires: ( Veri'cation of nership by(type of document,i.e.-properly 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 1rom.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 Califomia 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 appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LI 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: CERTIFICA F 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 a e to comp! ith all state laws and city ordinances relating to building construction,and authorize representatives ff the C' of Costa Mesa to enter upon the �above-des7 o.4 r inspection purposes.I agree not to occupy or allow occupancy of.any building authorized by this pe it until nal inspection. ? / et. I Z c 4 Signature Of Legal Owner(s) Date �---/ And/Or Authorized Applicant Date CORES INSPECTION TYPF • GATE ILLS =Ell INBPECTION WPF GATE MOMS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final (/ 208 Final Plumbing p 200 Final Re-Root -I 249- /', � 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 Bullding/Occupancy 2446-48 VttryCt< bkillf :lab, 1til:riRltW JJ'IU. UAIC "- a-I I.A JOB ADDRESS 132 Lisa Lane BUILDING PERMIT NO. 31623 GENERAL CONTRACTOR (Twnpr_Andr_ DESCRIPTION of WORK Triplex w/att.Gar. AP No.719-040-21 LOT A TRACT Et.‘77 FIRE ZONE VALUE E 58,450.00 IN45CTIONS S'gnoture Date TYPE V GROUP v,. & J ZONE R2 sL^t` -' S /-eZ-7yPERMITS ISSVEO GA/ .. SUBCONTRACTOR Dote I Number 1 Signature WATER 145'1 %/-1N Plumbing ROUGH PLUMBING } i 7).J-:3-27- JP' � e. , ;77-73 6`5171/1 PROP. SWR. LINE ❑ HOUSE CON.IR I/At-) 34,1gg j r. (r/ 4e-,' �a3-09/-71/: 05-.2Pa„--- SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING 11"777 7`71U . TEMPORARY SERVICE OR POLE UNDERGROUND [1 POWER ❑ ROUGH WIRING ' l . Hearin. and Vent. . TRENCHES U FORMS U STEEL REINF. L ,t Q i3r '?..L 1� 1.-0-1Stu" . der .- G /0 7 2 - -7/ 37, FLOOR SYSTEM 3'; BOND BEAM rl STEEL REINFORCE n 1 (['y/� SHEATHINGME r,,.. .? e �3-6`7 / FRAME AND FLASHING �/ i/r LATHING - IN 04 OUT ® f.70 PLASTER, BROWN COAT z .1A� [ L STRUCTURAL, FINAL / Electric HEATING. VENT., REFRIG. AND A.C., FINAL {4J/Yj�A; CuGyu�A/ (a pr, C� ..,,,-. .7_79. 3J0�!F ELL..i RNC, FINAL G. FINAL AND GAS TEST ��f6j/�r �uT BUILDING. FINAL t2e-a. 7c. ) `' PAID 86.59 '011 78 ?3�tj u�1096v,t*,t _ 37623 C COSTA MESA BUILDING-SAFETY DEPARTMENT .4 7'S P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ' PLC ION FOR BUILDING PERMIT For Applicant to Fill in Completely 9 1 REC V V 7TE RECEIIYEEED DATE ISSUED BUILDINGADDRESS (3t- Ltsp .. LP.NC " 27/" . 1 Gi l I OWNER (C PJ S[�G(t'C� / Lf G A.P. NO. II i'��FO 21 P576213 MAIL .,[ BUILDING 1 ADDRESS Si, / . - eS Sri- S ADDRESS k3Z `1SQs L FO CITY r0- 7Lu ui1, fiilJ G NOL,C499Per �` RACT j 1 LOTSR BLOCK z f CONSTRUCTION / ADD ALTER REPAIR MOVING DEMOLISH ON LENDER 6-m'�'` ti a m J D BRANCH n /� �p�� I,/ m_IU OWNER Vit' tell- iieD.'Ak/�hlWe� /!"G m ADDRESS �i,E/I �'/' trAg & 6741 O4 ARCHITECT TEL. US $ � ' J Q OR ENGINEER 06(l b7 e NO. Uco FIRE Lu IY ADDRESS ZONE PE - GROUP /141/ a Ly APPROVED J O CONTRACTOR Q0/dytk BY DATY�'17 coz / W Lu ADDRESS ZO NO.OF USE OF NEW "mLG1.`_ IPLANS2 BUILDING�` T `Kp !1f —CICITY NO • YARDS YARDS LIC. O. Q AG/C�gN CL LIC. NO. MAIN BUILDING - ACCESSORY BUILDING D O (FROM C/L STREET) / SIZENOF BLOGS. [[�I �/ OF LOT IO.NOW ON LOT 6 FRONTTtma FT. FT. USE OF EXISTING BLDG. R,SIDE 5 FT. FT. I— SIZE OF NO.OF . Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. UEXTERIOR WALL 1 ROOF _ COVERING COVERING REAR /5 FT. FT. _I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& Ct. a MAIN BLDGS. ACCESS. BLDGS. �J^ /� �ZDATE 0 /�+/p�/CS C(//7 (�P✓ //Y'4• C.U.P.# —/J /7 APPROVE- �2? A[y sit1� y . . // _APPROVED, `t_N— DAT 'L IO 22 !!!/// HOLD FOR SPECIAL RE -'-yy oI hereby acknowledge that I have read this application and state Tyr. D that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of y the State of California. / m (' Q/�,,� �j / m z I herebycertifythat I am / SO. FT. �J �O U(/ // O properly licensed as a contractor under the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATIO IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: s CC am exempt from the provisions of the State of California Business VALUATION and Professions Code,Division 3,Chapter 9. m PERMIT FEE $ N O Signature of ///�, �7'� //n�� m Permittee 97.IL Ai l-/. ` to tev PLAN CHECK $ leY'�E /v `o Au thor iz Agent ` TOTAL FEE $ PAID • 37673 . COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APL A ION FOR BUILDING PERMIT For Applicant to Fill in Completely AWE B DATE RECEIVED D TE ISS ED BUILDING/4f Z L//ANC; C AY -73 ADDRESS t E MIT NO. OWNER A.P.NO. MAIL BUILDING /Q 2 i5 sy �! Z ADDRESS ADDRESS // f� W W TEL. 0-0 CITY NO. TRACT ( LOT BLOCK ZQ CONSTRUCTION {NEWADD ALTER(REPAIR (MOVING DFMOLISH 0-0 m LENDER X cat)EL/ / J BRANCH OWNER C., if/ IVG+W C/[� 437.0 J n Q W ADDRESS �'� n M m ARCHITECT TEL. USL� rr— C 444/` VALUE J Q OR ENGINEER NO V Q FIRE /L WCC ADDRESS ZONE YPE� /S GROUP T a LI? APPROVED W Z CONTRACTOR BY DAT E/i f�/7; Jp // mZ J cc ADDRESS W W TEL. ZONE NO.OF USE OF NEW 0 x CITY NO. PLANS BUILDING Z_ W0 STATE CITY YARDS APPROVED YARDS APPROVED N K LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D 0 (FROM C/L STREET) SIZE I NO.OF BLOCS. OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R.SIOF FT FT. I--- SIZE OF NO.OF Z NEW BLDG. ROOMS STORI ES L.SIDE FT. A FT. VEXTERIOR WALL ROOF _ COVERING COVERING REAR FT. _ FT. , J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1 a MAIN BLOCS. ACCESS. BLOCS. Q VAR.Ws DATE 0 C.U.P.# APPROVED I— APPROVED U) .—B_Y DATE Z 0 VI hereby acknowledge that I have read this application and state_, CC thatll the abovelaginformationbuildg is structi and agree to complyotawith / CC all laws regulating building construction, and I shall not employ -7(/'d!`�/—T//r I— any person in violation of the workman's compensation laws of Q, fn the State of California. to ia ZI 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 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m CC am exempt from ti a provisions of the State of California Business and Professions Cope, Division 3,Chapter 9. VALUATION �� m PERMIT FEE $ / N Signature of D D Permittee $ �- PLAN CHECK $ E / r x. 0 Authorized Agent //nJ LL TOTAL FEE $ ( (((!ll��