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Home My WebLink About1835 Tahiti Dr - Building Permits �� CITY OF COSTA MESA 4 BUILDING DIVISION C41ylI.$ DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER t' t WrilliisNI l PERMIT 111.41 • BOO-02065 (714)754-5273 • Fax(714)754-4856 • www.cl.costa-mesa.CUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1835 TAHITI DR Status: ISSUED Suite: Applied: 12/29/2000 Vicinity: HOUSE&ATTACHED GARAGE Issued: 12/29/2000 Parcel Number: 13925307 Zoning: R1 R1 Applicant: VAN BOERUM, ROSS ISSUED BY: Address: 5011 ARGOSY AV#12C Phone: (714)846-8625 HUNINGTON BEACH,CA Zip: 92640 Owner: FRANK, GLEN V Address 1835 TAHITI DR Phone: (714)434-0787 COSTA MESA,CA Zip: 92626 Contractor: TOP NOTCH ROOF CO Address: 5011 ARGOSY AV#12C Phone: (714)846-8625 HUNINGTON BEACH,CA Zip: 92640 License: 696973 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE&ATTACHED GARAGE(40 SQ).TEAR OFF EXISTING ROOFING& RESHEATH WITH 7/16"OSB. INSTALL 1 LAYER OF 30#FELT UNDERLAYMENT&REROOF WITH 40 YEAR GAF COMPOSITION SHINGLES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $7,670.00 Permit: $153.25 Claim Valuation: $7,670.00 SMIP Res: $0.77 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $154.02 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 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) WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: El 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. ❑_Plave 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 worlrrs•compensation Insurance car�nd policy number are: -center:.l//%-L4.71/(9/44 -Policy Number:GT/G 5/� V/2'S '(TATs section need not be completed if the permit is veiled at one hundred dollars($100)or less.) l�- - _. 0 I certify that in the perfornanc f the ork ••r wh.h this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of C • , n agreeph• '. should b: • e'subject to the workers'compensation provisions of Section 37 of the Labor Code,I shall forthwith Gomply.with.these pro ' _Applican4Signature: - Dale: �i`d �7 WARNING:FAILURE TO ECURE WO ERS'COM-J COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADDITION TO TH • T 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.fam.licensed under provisions of C pter 9 emmencing wi • .: Ibn7000)of Division 3 ohthe.Buslness and Profess ons C e,and my license Is in full force and effect.Lic..A- 7 ,?-W (Grassi& `Contractor's Signature: - /`C rDele: 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: Lenders 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(5500).): ❑ 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 drivels 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(38)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 quantify 01 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 tiling 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? ❑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? Ul Yes [J 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 C]No (If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). —If ___ __ ._ ..i._..r.__..___._ 7 a permit from the South Coast s Quality by gement Di al or Sr et pollution ooncontrol district3 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 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 ins•e. rposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. r. g. t >'O .eget Ow 4pte 7� — Z D7e �r'Auth• zed•Appllcant CODE I. INSPECTION TYPE PAIS minas CODE INSPECTION TYPE gelF PITTTIALE 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 01--07-1-7�,,/ 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 17946 EE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT OCT 1 1962 P. O. BOX SIT COSTA MESA. CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely APPLICATION FCall Pikp QSTA MESA G TYPE OR PRINT ADDREIN / p 3. .5 -1,--06- } /t, . BUILDING COSTA MESA. CALIFORNIA For Office Use Only'''''''',,,�....yyyy . /I(\\\JJ /�{__ // C 1 RECEIPT NO. PEF1? y 46 OWNER VU/l" 95 -/Ulyyl�l�p�_- l I I 11 '' 66..�t MAIL ADDRESS / p 3 5 -1--a`W—& RecEry;D eY I qAg'PJ:EIye� I Dw -6- , T. BUILDINL/G��/, `/S//J ! /W fart'O CITY NO._ ADDRESS ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER NQ _ ADDRESS _ FIRE , ZONE TYPE GROUP CONTRACTOR iinL"c-�moi APPROVED ADDRESS //4/)_� ` T RI-Lp> ' BY ZONING DATE 4 I .',1'')`f. I NO.OF .'L. I UBE OP NEW 1111 p I/. CITY 1 // "La./75722 ��/p / �J l 'I- /' PPLANS BUILDING STA -/(�� ] ) , /I E LIC.NO. /72 V o 0 I�''11 0NO. / La. 7 Q `'� LEEG`ARIPTIO l�a t- L{ I /\ 7 l 1 O SIZE OF LOT `7,o /� �f I NOW ON LOTNO. OF S .� l A.P.NO. _ — U USE OF YARDS EVES EXISTING BLDG S SF APPROVED ALLOWED SETBACK LINE FROM . / " f (CENTER LINE ST.1 CENTER OP STREET REAR YARD FRONT 5-0 FT. IN. SIDE YARD I LEFT /l/ I RIGHT --- R.SIDE -FSF IN. DESCRIPTION OF WORK IN. L.SIDE FT. NEW x I II ALTERATION I II ADDITION I REAR FT. (�. / IN. q1� REPAIR I I MOVING I DEMOLISH ( APPROVED /'/L p � DATE/f—V —6O BUILDING N0.�1G _. LV SIZE IW OMS STORIES EXTERIOR WAL ' - COVERING COVERING USE OF,SUI OIryC11GND WORK TO BE PERFORMED 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 COM- PURPOSE OP ESTABLISHING A PERMIT PEE ONLY. PLY WITH ALL CITY O'•INANCES AND STATE LAWS REGULATING BUILDINGcONBTRU•• ' VALUATION SIGNATURE OF • f f PERMIT FEE $ N PERM ITTE / /q/ B F' $,VL[,Ri PLAN CHECK $ • Z AUTHORIZED AGENT C TOTAL FEE i OWNER DOMES, Dr. - DATE 10-1-62 JOB ADDRESS 1835 Tahiti Dr. BUILDING PERMIT NO. 179116 GENERAL CONTRACTOR Blacki an Fences VALUE $ 560.00 AP No.139-253-07 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Pvt.Blk.Wall INSPECTIONS Signature DATE GROUP j TYPE I ZONE 1.-1 Soil PERMITS ISSUED SUBCONTRACTOR DATE NUMBER Rough Com. Refrig. 0 Air Cond. 0 M Rough Heating Rough Plumbing Miscellaneous Prop.Swr.Line ❑ House Con. 0 St.Swr. 0 Sprinkling System Construction 'o e Underground 0 Power ❑ Rough Wiring renches ❑ Forms ❑ Steel Reinf. 0 aka a4" , Floor System Bond Beam 0 Steel Reinforce ❑ IL Sheathing Frameand Flashing Lathing — In ❑ Out 0 Plaster, brown coat i Reng. 0 Air ond. ❑ Final — a= Being. Final — F "' ting Fixtures, Final Fl t Gas Test r�i Electric Fixtures, Final Building, Final Mil , OCCUPANCY FORM RIR.5M - 7.R1 .'...1./ q 90 EEE RECEIVED COSTA MESA BUILDINGS FETY DEPARTMENT FINANCE DEPT. P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING 1835 Tahiti Drive BUILDING ADDRESS . COSTA MESA. CALIFORNIA For Office Use Only RECEIPT NO. 146P NO. OWNER Carriage Ranches Inc. MAIL PO Box 783 REC81V/��D.BY D6Xc RECEIVED _DATE ISSUED ADDRESS {�� ./ 04 h --a„e_G•/ CITY Costa Mesa NG, LI 8778: BUILDING OR ADDRESS ARCHITECT R. Levanas TEL. 37010 COSTA MESA. CALIFORNIA OR ENGINEER NO. ADDRESS 3432 Via Oporto, Npt. Beach FIRE .„...P 1- 7 ZONE TYPE GROUP UX' CONTRACTOR Carriage Construction Co. APPROVED BY DATE ADDRESS 119 Cabrillo Street _ ZONING Costa Mesa, California ZONE NO.OF USE OF NEW Si1161. Lam, CITY R-1 I PUN° 2 I BUILDING w/ att gar. STATE 185126tl TEL. LI 87783 LEGAL p� LIC.NO. 80. 00 wid... NO. DESCRIPTION Tat I}'7, Tract. U1 SIZE 0100. longI NO. OF BLDD4,0_ OF LOTNOW ON LOT A.P.NO. none USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK UNE FROM 3W I 27 1 (CENTER UNE ST.) _ CENTER OF STREET REAR YARD FRONT S /FT. IN. I51111 I 51111 SIDE YARD LEFT RIGHT R.SIDE SFT. / IN. DESCRIPTION OF WORK SFT. / IN. pL L.SIDE NEW x II ALTERATION I II ADDITION I REAR a 17 FT. IN. REPAIR I II MOVING I II DEMOLISH I APPROVED L BY W. L. D�.�1 ✓ATE 3-20-61 BUILDING 2503 s. ft. NO. 10 1 DW SIZE ROOMS STORIES EXTERIOR WALL StllCCol ROOF cedar shing_ COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED residence - 2503 sq, ft. an,-3 garage - 483 sq. ft. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POP THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION SIGNATURE OF Carriage onstruction Co. PERMIT FEE $ 9-57°o 0. PERMITTED Vii ` h 4$ 25, 235. 00 PLAN CHECK S L-2.2,Co l i AUTHORIZED AGENT `� o TOTAL FEE $ 7 (J d