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Home My WebLink About1010 LINDEN PL - Building Permits 'F CITY OF COSTA MESA A @@ BUILDING DIVISION Foar �'$ DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER .11411 .!L� PERMIT - auncufi' J804-00570 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.caa..us UILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1010 LINDEN PL Status: ISSUED Suite: Applied: 03/19/2004 Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 03/19/2004 Parcel Number: 42247311 Zoning: Applicant: GRAY, THERESE ISSUED BY: Address: 1010 LINDEN PL Phone: 949-646-0660 COSTA MESA,CA Zip: 92627 Owner: GRAY, RICHARD Address 1010 LINDEN PL Phone: COSTA MESA,CA Zip: 92627 . Contractor: Address: Phone: Zip: License: Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF.REPAIR/REPLACE SHEATHING AS NECESSARY,COVER WITH WITH 30 YEAR COMP. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $1,800.00 Permit: $63.15 Claim Valuation: $1,800.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $63.65 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 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 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 2U&46(EV00) DECLARATIONS 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. ❑ I have and will maintain workers'compensation insurance :. required by section 3700 of the Leber Codq,4 the performance of the work for which this permit Is Issued. My workers'comperlfatlon Insurl , , far=nd poll i� . :re: Carrier: Policy Number: (This alion need not be complat-. /the permit is valued f one hundred dollars($100)or less.) I certify that In the performance of the work for which this permit is issued,I shell not employ any person In any manner so as to become subject to the workers' compensation laws of Iifornla,end agree that III should become subject to the workers'compensation provisions of Sect! n 3700 of the La Code,I shall forthwith comply with these pro ' s. pp �N/ � p&ncanLSlgdaWre:. FL Y7/ Date: � I. t WARNING:FNLURE TO SECURE WO RS'COMPENSATION COVERAG S UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML INES UP TO ONE HUNDRED THOUSAND DOLLARE(5103,000),IN ADDITION TO THE COST OF COMPEN TION,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 Hatt.Lk.N Class II antra J.Sig a '8' 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 bj 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 un r sec. Business and Professions Code for this reason: `_�t I c Bigrtature�. n Date: J 4 (`) - Owner ID verified driver's license. as o 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 B,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 en 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 —15.17;------ 5 No5 Does or will the applicant or presenter future building occupant require for the work which is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? j�Yes U No (Section 65850.2 01 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 Duality 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 cowl,/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 propbll for inspection purposes.lag not to�o✓cccupy or allow occupancy of any building authon�b1 this pem?II VnI l fin inspection. pr, „L``SiSiggnnaaw`ree 0f Legal Owf(e s�r' C11J( U ate t And/Or Authorized Applicant Date CODE 6 INSPECTIONTYPE PATE mama CODE I INSPECi10NTYPF. an tiny& 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1268 Pool Spa Final / "*t 208 Final Plumbing -. 200 Final Re-Roof 7 -25--ext ( 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 L204 Final Demolition - 250 Final Building/Occupancy JUL 9 1958 OWNER NICHOLS, John DATE 1-13-58 JOB ADDRESS 1010 Linden Place OCT 2 81958 BUILDING PERMIT NO. 6261 G I�JjALONTRACTOR P. B. Andrews VALUE $ 2,092.00 1 .S Sq 11 LOT 96 TRACT 1712 FIRE ZONE DESCRIPTION OF WORK Dining rm. Add. & Extensi _GnnUUuP I & J TYPE V ZONE Rl PLAN NO. living rm.& open porch. II._2ECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Trenches Forms Steel ...C.---6---E /-..,4--- W Floor System Steel Reinforce Chimney Re-Rod Bond Beam Frame and Plashing , .7T/-S YLathing, InX Outs( Ly -2 - Y Plaster, brown coat E .z-. rR Underground soil/H/9 W/G Pipe TestryiiS /-'-4'- e- Top Out !-29-tst' Furnace Gas Vents Rough Plumbing /WOS /-17-3'e .4.rnoJ7J P eo /-.27-5t /1 STLit- Cesspool Septic Tank V Prop. Swr. Line House Con 4'St. Swr/gq'/-2GJ-tSq- Sprinkling System Heating Final P' %ing Fixtures, Final /1/4-C 2-//-S I Gas Test Castruction Pole Underground Power �y� Rough Wiring n p�7 j-C 4jL . /1-sl. v( c s a,' I .- ;7^a9 �i 0 77✓ Fixtures, Final hr � yJ- •-OCCUPANCY , -y :Form 210-5M-1-57 6261 I • 1 , Costa Mesa Building Department APPLICATION FOR PERMIT V'erT' + STREET COSYA MESA,2CALIFORNIA 6261 _BUILDING 11 FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN I Receipt No. I Permit No. Building 6 1 Address lo( C ) Li Nt0E-1 Pi, • p� 4 / Costa Mesa, California Received by Date Recd. Date Issued Nearest - J/-,- cP / —/3 -1/43 Cross St. ICT'02..(Y-3 Building Address Owner 3o N1.1 ti CH 0 LS - Costa Mesa, California Mail Address )C0 (0 t lV o Z Nearest !� Tel. Cross St. City ea>jrA M & No. Zone i I No.of I Type v Group c Architect or Lic. / Engineer No. Approved by Date Address CORRECTIONS n City Lic. 9'3C ' tracto re:// 1 b _ - No. ---s }r t Address550 E,'La_hio sr, €. H ; I • h��1 . I, , % • , Legal Lot gr I {,,,, n I CM' Cl,� r'nc-, , , Description I No. Co I Block I Trach! lL (Attach Metes and Bounds). /Sr -,r,J L/ -// ttT TO SLOG. DEFT. REG. yy No.of Bldgs r Size of Lot 4q :TA( 1 1 O Now on Lot 1 A Use of No.of l I No.of c • W &W _.� �. DA '/AVAini ss Existing Bidg.t OAS I-1-1 IJ5o I Families Rooms .. Setback Line from i Rear Yard %11-&-I ---r1 Center of Street 7 4..Side Yard 7'1'_0°J \ D DESCRIPTION OF WORK r New I I Alteration I I Addition Ix Repair I I -Moving I I Demolish 13 7 S P Building No.ofC. • 4 - _ Size .4% -- Rooms l Stories {1 9 E for Wall Roof C . ng1v�- -Tt C.C.c0, Covering enMQ 501 1421-7 i APPROVALS —1 ,4.- iii ilng .ill At t2 Mef 4 Foundation Location Inspector� Date Forms,Materials, .Ek re4S(Oil t d.1%)tMG, a_i4 Under-Pinning z Frame: Fire Stops, Pe-04 �A� Bracing,Bolts Pp I I hereby acknowledge that I have read this Application Qj and state that the above is correct and agree to comply Lath. Int -is with all City Ordinances and State Laws regulating CO i building co ction. Lath.Ext m e Signature oudiQ3(�Y n Permittee Plaster, Int 17 Authorized Agt. C) Plaster,Ext. sPR s Valuation Permit Fee $ /O. '-'cs Masonry Reinforced I Plan Check $ 6 e-o O �,021,-- Bond Beam * $ OTof) /G Total ,,`v Fee $ AS_ FINAL :--, O FORM 204 S-BP 2M 6-55 G3 C o J n •� a a a. .a Street PLOT PLAN Show location and distances from property line and between buildings. Cr r C r ` c