HomeMy WebLinkAbout2520 LAUREL LN - Building Permits CITY OF COSTA MESA ' l
;`y BUILDING DIVISION
t:' "^- ,7lt' 'I DEVELOPMENT SERVICES DEPARTMENT PERMIT UMBER
. PERMIT
S"►.o.xm;$* 00-00403
•
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 2520 LAUREL LN Status: ISSUED
Suite: Applied: 03/29/2000
Vicinity: BUILDING 1 Issued: 03/29/2000
Parcel Number: 43917252 Zoning: I
ISSUED BY: `• M
Applicant: LYLE
Address: 23015 DEL LAGO
Phone: (714)583-1858
LAGUNA HILLS CA Zip: 92653
Owner: LAUREL POINTE HOA '
Address 100'EUCALYPTUS LN
Phone:
' ,COSTA MESA,CA Zip: 92627
Contractor: PRO-TECH WEATHERPROOFING
Address: 23015 DEL LAGO
•
Phone: (714)583-1858
LAGUNA HILLS CA
Zip: 92653 . License: 620476
Arch : - Eng:
Address: - Address:
Phone: Phone:
Zip: License: License: -
SCOPE OF PERMIT
• REROOF-T/O,USE EXISTING SHTG, INSTALL GAF(GRAND SEQUORA)COMPOSITION SHINGLE ROOF FOR BUILDING ,
#1.
2520&2522 LAUREL LN.
• ' FEE SUMMARY '
Plan Check: $0.00 • Calc Valuation: ' $3,400.00
Permit: $97.25 Claim Valuation: $3,400.00
SMIP Res: ' $0.50
SMIP Corn: ' $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
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 Califomia 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 witliin 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
ti9ECLARATIONS
17.
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.
nave 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.
workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
❑ I certi 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'
• pens. • aws 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
comp) wi se e provisions.
••• cant Signature: Date:
2—
ARNING' • TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMP -TO••-IMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
TH•'r AND DOLLARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES.
;Irina CONTRACTO• . •ECLARATION:
I hereb -r' •• •. = '1 .d under provisions of Chapter 9(commencing with Section 7000)of Di ' 3 of the Business :nd Profe ions Code,and my license is in full
• e and effect.Lic.# 61P U-i 6 Mass N ".c
Contractor's Signatur:• Date: Z -
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 Lew(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 contractors License Law does not apply to an owner of properly 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 ❑No Driver's License No. Expires:
Verification of Ownership 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 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 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 ❑No
5 Does or will the applicant or present or 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? Li Yes U No
(Section 85850.2 of the California Government Code requires that the requested information be fumished 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 ❑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 ❑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 properly for Inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Signature • Le.-I Owner(s) 00 Date
/� Z
And/• ..!il:,: :-- ;' . t Da
•
900E* INSPECTION TYPE •ATE INIRIAL$ CODES INSPECTION TYPE DATE INTmAtS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final /�� 208 Final Plumbing
200 Final Re-Roof rig
'y(/ &4 ') 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
2446-46
..!I.
4` 9 CITY OF COSTA MESA
• ail
BUILDING DIVISION
> dianarrima , DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
0. IMO 0 PERMIT
`fig / X00-01474
-
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa. 1LDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 2520 LAUREL LN Status: ISSUED
Suite: Applied: 09/20/2000
Vicinity: WALLS FOR 2520, 2522,2524,2526 LAUREL Issued: 09/20/2000
Parcel Number: 43917221 Zoning: 5/ j
Applicant: ODDO, FRANK ISSUED BY: � IC
Address: .
Phone: 714-991-7773
Zip: .
Owner LAUREL POINTE TOWNHOMES
Address 106 EUCALYPTUS .
Phone:
• COSTA MESA,CA Zip: 92627
Contractor: ORANGE COUNTY FENCE
Address: 534 S ATCHISON ST .
Phone: (714)991-7773
.ANAHEIM, CA .
Zip: 92801 License: 506245 . .
Arch : Eng: .
Address: Address:
Phone: . . Phone: .
•
Zip: License: License:
SCOPE OF PERMIT - -
55'TOTAL OF 56"HIGH BLOCK WALL FOR 2520,2522,2524,.AND.2526 LAUREL LANE. • .
(LAUREL POINTE HOA) .
FEE SUMMARY
Plan Check: $0.00 - - Calc Valuation: - ' , $1,ioo.00,
, Permit: $41.80 Claim Valuation: - $0.00
SMIP Res: $0.00
SMIP Corn: $0.00
Other: $0.00 '
Inspection: $0.00 - .
Total: $41.80 _
PLANNING &ZONING
SETBACKS ' ,
MAIN STRUCTURE Front 0-0 Rear 0-0 Left -0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0.
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No.92-28,§ 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(6/00)
DECLARATIONS r.21.)"
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
,�$,I have and will maintain workers'compensation insurance,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:
Carder: 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 Califomia,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 theo(��isi�o�n/s1.�IA. ��--�� I/�i ci Y
Applicant Signature: " T I "," lJvl_l Date: / )
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED
THOUSAND DOLLARE($106000),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.kClass N
Contractors Signature: C>M 1/k WAIL-) 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).
Lenders Name: ___ _ Lenders 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(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 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 Drivers 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 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 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 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? 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? ❑Yes ❑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 penally 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-describedr� property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit
until�tifinalfi) inspection.
c/ y,x_n )
if r.Of,.:gal Owner(s) cj1 ^ ' r'\'ate
1 1 v{' jr �..� 'Ica \I •lO '/`y—�i.
And/Or Authorized Applicant Date
CODE$ INSPECTION TYPE PEE =Au CODE. JNSPECT1ONTYPE OAME UMW
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall it,•'9 67$9 4 4*Iii- 212 Final Fire Prevention
•
202 Final Factory Fire Place , 220 Final Planning Approval _
203 Final Sign _ 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
• er\ a& p i,�x-�- w,on_t, .
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CITY
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n ✓ —0�'C / i SUBJE T LANPJI:"JG A MESO
DIVISION OF BUILDING SAFETY By •% .Ail�C. DEPT• REG.
CITY OF COSTA MESA esr�.
APPROVEDa - a'TE za
By —_—_.,d Date 'Vila
This se;Ci plans and spe�dicabaa MI S'f be kept on this job a:ail lines and it is unlade!to r----------------
...„
make any changes or alIerat;on u!!:ame without written permission iron the Division oiBuilding j [ ��"""•
and Safest City of Costa Mesa. i
The stamping of this pian and secaficaeonsSHALL NOT be aidiopemi0;tobeanapproval "' tiS, DI: -r•
of thev f ion of a provisions of any City of C a C'di ancE dhr Slava law. 0,_ F •:,•,., c'''') u n
hesep . an:;C mit halle' ire by:imitationan tEf n n ila ,cdif"hebuidingor - UY r i'L.iI:
!E H ''r f t S 14LL
Wsrk s u.:sorrnanced rid sk: ed active per IB ra,.;.;t- .. ...lass of'losus cc 6 �,'l;ji�l�
I
•
TYPICAL 611 CONCRETE BLOCK FENCE
•
Cement Coping Optional , GENERAL- NOTES
Channel Block With 1.3/Bs �� Illi _ii
Horizontal Top of all
Fences II 'NMI I MORTAR: One Part Plastic Cement, and
Three Parts Sand
For Fences 5'or Less I s GROUT: One Part Cement Three and
Ven.Bars 3/e" at 4' 0" O.C. !d! ,� ' One Half Parts Stand .
¢ 0 z COPING: One Part Cement, Three •
For Fences Higher Than 5' ! �` Ls I -, Ports Sand
Vert. Bars 3/8"0 at 32" O.C. > w - - — - - I CONCRETE: Well Mixed 1:2-1/2:3-1/2
II cr e „ . I Max of 7- 1/2 Gallons of
Fill Cells Solid With Grout > s Water Per Sack of Cement
Where Steel Occurs r{fie, ,. - - - -
Rclninr<ing Steel Shall �I rii
F I GROUT MAY BE POURED FROM THE TOP
Conform to$ec.A15-39 NI w o - OF THE FENCE IN CELLS WHERE STEEL
•
OCCURS.
A.S.T.M. IL Z ~ • CELLS AND AREAS OF HORIZONTAL REIN
All Steel to be Lapped LL M ' I FORE EMENT SHALL BE CLEAR,CLEAN 6
FREE OF ALL MORTAR DEBRIS.ETC.
24"or to CodeIN
IIIIII _I
NATURAL RADE ccG �„
TWO J/e"O BARS • O
CONTINUOUS TOP .
IS BOTTOM -1.-I 11 -WIDTH i 10 166 0 C MAX
SEE CHART
HOPIS-STEEL MUST BE TIED IN BELOW DEPTH CF EARTHTCOTH
PLACE Al'TIME OF TRENCH t I , In THE HEIGTH OF FENCE
INSPECTION. L
rLOW BOTTOM OF FOOTING
o" ..�` SCALE: 1/2 I'
FOOTING REQUIREMENTS CHART
WALL HEIGHT 6 ' Sr Zi' 3' 1
WIDTH - 14" . . 14" . . . . . 12". . 12"
THICKNESS . . 10" . . 10" 8 " 8 "
•DEPTH OF EARTHTOOTH 24" 20" 16" 12"
SPACING OF EARTHTOOTH 12' 14' . 16' 16'
BUILDING DIVISION _
(1
1
• r
•
•THE SKETCH IS FOR INFORMATIONAL PURPOSES •SOLID WALLS/FENCES BETWEEN 2'6'&6'N HEIGHT SHALL
ONLY. APPLICANT IS RESPONSIBLE FOR PROVIDING BE SETBACK AT LEAST 10' FROM FRONT PROPERTY LINE.
AN ACCURATE REPRESENTATION OF THEIR PROPERTY
IN CASE THE SHAPE AND SIZE DO NOT CORRESPOND •SOLID WALLS/FENCE SHALL NOT EXCEED 2'6'IN HEIGHT
WITH THE INFORMATION PROVIDED ON THIS SHEET. WITHIN 10'OF UIE FRONT PROPERTY LINE(NOT CURB LINE).
•VERIFY DISTANCE FROM CURB TO PROPERTY LINE
AND SHOW ON PLAN. VERIFICATION FROM THE CITY'S
ENGINEERING DIVISION IS REQUIRED. CALL(T14)754-5343
' PDR INFORMATION.
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BLOCK WALL LAYOUT FOR BUILDING PERMIT
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CITY OF COSTA MESA
D4y ,,, BUILDING DIVISION , -
fr PERMI NUMBER
�,.**. [ DEVELOPMENT SERVICES DEPARTMENT
�4; PERMIT `
4 ,°"m B99-01401 -
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 2520 LAUREL LN Status: ISSUED
Suite: Applied: 09/02/1999
Vicinity: PATIO AREA - Issued: 09/02/1999
Parcel Number: 43917252 Zoning: 77)Applicant: FRANK ODDO ISSUED BY:
Address:
Phone:' --:_".;- -- --
-
--i l:.l' - Zip: f .`-- `Y`,
•
/t --�C-_ \ I 1 t �I �``r\
Owner: ROCHA, IRENE'S- �7 ��
Address 2520 LAUREL-LN, \"� ' / 1 1
%� �\ ) 7 Phone -- - Ll ��-- / '-„\N��
COSTA MESA\CA' \-----_--:----,:""- ` Zip - -92627- --.\ ( �� AVN
contractor: ORANGE-COUNTY"FENCE
--,--",- --,,"--,,N, 'l � \
/ /i7 N / ) viJi AA\
Address: 41412 S CENTRALPARK AVE #A V��
/`Ul �- //�,� Phone: (714)991-7773 ��� \ ` ,�
�t-j` / Zip: 92802] License 506245 `i \ c` ''
/n-/ / ,. i //�/ 3. _ _ \ V
'1i Arch : :////:27',„ _ -' . Eng: t- `
Address_. -/_%• ,I F `'-Address I - \r-J . - ` ,\
/1;-"1/7 , . Phone.,i_ _ _ 4 Phone: \i
�� Zip: /,;,/; ( / - � "
' i License. -..�J f�/ \Lice_ nse: IY t
\2\\--,
I' ..r \ SCOPE OF PERMIT ''/,"'
' �' � CONSTRUCT 23 LF OF 5'6';HIGHBLOCK WALL--REPLACESr I, _ EXISTING WOOD FENCE- 4 I� 1 '�
-� i -i .1'. _ I'.< < � is �� li X�. , ,�i��' ,\
- ' I --_-•� lil I
._ _` -- - FEE SUMMARY= - a - --=2
�i Plan Check ,' ' $15.28 v\ 7 Calc Valuation: I' , 2 's46o.o0
�I i —.Permit,',,,,... $23.50 /v , ; �,F, ,� .CIaim Valuation //'1,' t- `_.so'oof
SMTP Res w $0.00 / /
\ \ �,SMIPCom, h' $0.00 � — • � _-` `/�/
''A�v I-°trier'•�\�' $0.00 _. , (/' /)2 ,�:,7
inspection: \'',,V,„$0.00 = . '
(,/,./
-/r /—/-J 'j
\,v. v\ \\ 'r • . t ; A/'/ '�C /d/
', :�' Total '438.78 ' >a, - ' j�,/ (- '/ /,-I /
'.' ;PLANNING;&ZONING 2. `''> ","
z
SETBACKS.. // s -- , /,/j/ ) ///,/
/
MAIN STRUCTURE Front 0 0 `Rear 0-0-�, Lek � 0-0 - � Right (.0-"0-V l ,-�
\\-�� i,/,/,/,,>,_ :- ii, ,,� - c .5 �\�/� 7 1/
ACCESSORY -Front 0- 0 Rear 0-0 - -`Left 0 0'--- i Right - 0-0 / 7
PARKING Ezistinq;, 0 v- , . Required: • 0 - - Proposed: . 0 =n
.= . ' .moi
NOTES: - - ,_ ,7'
•
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
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.
'1 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 section need not be completed if the permit Is valued at one hundred dollars($100)or less.)
O 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 e. rovisions. q CA
Applicant Signature: Date: ` ,'
WARNING:FAILURE TO SECURE WORKERS'COMP SATION 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 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 an Prcofessions Code and my license is in full
force and effect.Lic.# t' c Class N C1 �y
Contractor's Signature: �7� 11 �. Date: CY 2 CA lq
CONSTRUCTION LENDING AGENCY:
O 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).
Lenders 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 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 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? ❑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 aermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? LI Yes L-I 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 pad of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑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
B (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.
g f ga-tOwner(s) /f-1 o1zteDate
nd/ u Ize Applicant (� Date
CODE I INSPECTION TYPE DATE INITIALS CODE r INSPECTION TYPE DATE INTMALS
1816 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing _
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 1-k-11 jl 212 Final Fire Prevention
202 Final Factory Flre Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
2446-46
r
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VIC,4-0 49714 6 td‘)
_ltt c r., as c.t✓
(.5mco,ig khc,w-)
NOTE
ADDITID!•IS,__DEI FTIOr•.S OR CORRN"TIONS SHALL
DIVISION OF BUILDING SAFETY BE APPROVED BY THE E PLi+.�:"S!ItiG DIVISION
CITY OF COSTA.MESA
APPROVED _ _ _ �_•
— Date 2.R
This set of plans and specifications MUST be kept on this job.at afl times andel is Strut to
make any chaSar alteration and COSI/MesamsamewihoulwnnanpemessonfmmtlrobrvsonofBSdnS „��—
The sramPingVIPs Plan atdspa:fala SMOLLTIOTbeheld topermit arobeanapproval APPROVED
D
of the violation of any previsions of any City of Costa Mese Ordinance andlor State law.
These pfansa l Penn Shan expire-by imitaran and became null and void if the art e r • 4.
work is not commenced and maintained active per UBC§303(d)Si 180 days ofisuanceef PLANNING DIV.
sued' 6-BLDG:Da- ,
i-CP1----Airithr DATE-0/97•
The Site
•
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C
CITY OF COSTA MESA
REQUEST FOR OCCUPANCY
TRACT NO. 10097 DTE: November 7, 1979
LOT NO. 1
ADDRESS '2520 Laurel Lane, Costa Mesa, CA 92627
The developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been completed-and its streets
accepted by the City of Costa Mesa.
By executing this agreement, the undersigned acknowledges that he/she/they
was/sere advised that this tract has not been given final inspection nor has_
it been accepted by the City of C'nsta Mesa as having complied with the conditions
of approval which were inpcsed by the City at the time the Final Tract Map was
approved. .
The City assumes no liability for the enforcement of the conditions necessary
for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold the City harmless from any claim
resulting in damage or personal injury to the undersigned by reason of the
aforementioned uncompleted condition(s).
, � 'LSBY
q g� (Si••-ture of Purchas r)
APPROVED
CRY Of CCISTA AAera
1 BY ‘11�� �N '"Y/
#TANNING (Si. `Itu�'= .f Developer and/or
to
Ira representative
CALIFORN FEDERAL SAVINGS AND.-LOAN ASSOCIATION
sw�'v- 75
(Signature of Le ) . .�=____.
Richard A. Gaunt, Assistant Vice President �..
5ri'-,,pLAL
1/4. - . _ 1dAIIT I!
4/79
04690 7 ' f-. .ii qty., mi_zs22_. . .
7�iT5 JO/27/78 12.1..§5I ,11.
COSTA MESA BUILDING-SAFETY DEPARTMENT v -7805 .10727/78 121'.alCKin:
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 '
> #I805 ' 000641169 67 " "IV.- '"-
APPLICATION 4$TRUCTURAL-PERMIT
For Applicant to Fill in Completely- Use Ink Only .�•,_. -. . .,- -
_ RECEIVED BY . • • E • CEIVED.. DATE ISSUED G
BUILDING ^ I ^` �f��
ADDRESS' .22A4 sn..c '„ L .... ..: ..q � j .I • co
MAIL ADDRESS 4-r BUILDING �/LI• .W
ADDRESe01 Dove St . #225 //'�y�p1'-2'S J'T Zu
TEL. TRACTw( 7 OT BLOCK •
CITY Newport Beach NO.752-5071,
CONSTRUCTION • NEW ADD ALTER REPAIR MOVING OFMr71 ICH '
LENDER
BRANCH � ' , �:
OWNE
riel ADDRESS - 'i.
ARCHITECT TE,4_E 5-585 SE i / r.jy�LU$ /
OHENGINFEE6B7 arip]] 8 ]fin Nd6L Hoe. ��
JU4 1V . 1Ve W�O�L IS1Q. # VL FIRE
ADDRESilewpor}% Beach ZONE \TVP GROU�LT
r/.=%1_ �� / APPROVE (` DATE �'Z7-7(/
CONTRACTOR �/ri7it/ l//{/// BV
ADDRESS -
TEL. ZONE NO.OF USE OF NEW
CITY NO. �L PLANS Z„ BUILDING
F STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
W SIZE I NO.OF BLDGS. (FROM Cit.STREET)
4 OF LOT NOW ON LOT FRONT FT. FT. .
ct
USE OF .
� EXISTING BLDG. EL SIDEFT.
V1
9 Separate permits are required for FT.
F.
G1 electric,plumbing and heating work. _EAR C:20FT.
LIZ
USE BUILDING AND WORK TO BE PERFORMED
DISTANCE BET. BET.MAIN&
O 1Newy7�{U�py/o'�y/wJ/yn��homes Project BLOCS. ACCESS.
A ACCESS.SLOGS. 7•�
Q ``���� V / DATE
C UVARP. `LZ•,�7J!/�?7 J.fJ APPROVED/L 2 2 -�/j/
} '1 _AYROVED' • /f/:� SATE/OoZJ- ^I TJ
wHOLD FOR-SPECIAL RFOI RRF[IgcNT
40 I hereby acknowledge that I have read this application and state - N
N
C4 that the above information is correct and agree to comply with -
co
L all laws regulating building construction, and I shall not employ I
Z any person in violation of the workman's compensation laws of (lag_
_
the State of California.
1-812'/y� �1-812' SQ. FT. 6W � . 7
I hereby certify that I am properly licensed ase contractor under
the State of Califor '. Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m M
Chapter 9, an• 1 ch licenses are In force and effect,or I ,THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: -
am exempt ro 'sions o , tate of California Business p
VALUATION PERMIT FEE $
and Profess'• •) •d• ✓I apter 9. ..•G ,l m 1
I,/'s4„/nu/ - $ ^
PLAN CHECK $ tit: 2 !/YSignature �I I '// �1�.�t / LLPermittee ! e o (f TAX $ fAuthorized Agent . TOTAL PAID $ I (Pt
COSTA MESA BUILDING-SAFETY DEPARTMENT 7934 10/30/78 233./xa10 7�
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 7934 1D/30/78 233,000KTu
APPLICATION FOAM RUCTURAIEPARMIT - I A - '-
Fo[pr Applicantpl✓ntto Fill in Comple ely —Use Ink Only RECEIVED BY DATE RECEIVED DATE ISSUED
ABUDIDL
.. _1fr `_J PERMIT NO.
OWNER /�'/^t�!_t/sJ ///VVV/// (hind kdoll A.P.NO.
MAIL BUILDINtasI/ 'J zz`ADDRE
ADDRESS
TEL. TRACT I LOT BLOCK
CITY NO.
CONSTRUCTION NEW I ADD ALTER I REPAIR I MOVING DEMOLISH
LENDER If
BRANCH Vedic
OWNER
ADDRESS E/
ARCHITECT TEL. USE f �!
OR ENGINEER NO.
FIRE
ADDRESS ZONE TYPE GROUP
APPROVED
CONTRACTOR BY DATE
ADDRESS
TEL. ZONE INO.OF USE OF NEW '
CITY NO.
PLANS BUILDING
F STATE CITY YARDS APPROVED YARDS APPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING
W SI2E • Na OF BLDGS. (FROM C/L STREET)
4 OF LOT . NOW ON LOT FRONT FT. FT.
2 USE OF
EXISTING BLDG. , R.SIDE FT. FT.
r4
FSeparate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work.
D REAR FT. FT.
W USE OF BUILDING AND WORK TO BE PERFORMED
F DISTANCEBET. AEC.MAIN&
0 MAIN
BLDGS. ACCESS,SLOGS.
VAR. ` DATE
QfC.V.P.alt • APPROVED
APPROVED
>.1 —BY DATE
Z
Lcl
0 I hereby acknowledge that I have read this application and state I
g that the above Information is correct and agree to comply with m
L all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of
itithe State of California. .-:
I SQ. FT. n
I hereby certify that I am properly licensed as a contractor under D
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses dre in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY
am exempt from the provisions of the State of California Business a
VALUATION PERMIT FEE $ vi
and Professions Code,Division 3,Chapter 9. n
PLAN CHECK $ m
Signature of //`I/ o LL
Permittee $ TAX $
� U
/� r_
Authorized Agent TOTAL PAID Sin.