HomeMy WebLinkAbout246 TULANE RD - Building Permits 1. z 5111 F 9 CITY OF COSTA MESA
4 BUILDING DIVISION
<, aii.. DEVELOPMENT SERVICES DEPARTMENT PER NUMBER
.1114 PERMIT
%• .nao446 B05-00384
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 246 TULANE RD Status: ISSUED
Suite: Applied: 03/09/2005
Vicinity: ROOF Issued: 03/09/2005
Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N
Parcel Number: 14145301 Zoning: - I
Applicant: BROOKS, MARGARET ISSUED BY:
Address: 246 TULANE RD
Phone: 714-979-6809
COSTA MESA,CA Zip: 92626
Owner: BROOKS, MARGARET M TR
Address 246 TULANE RD
Phone: 714-979-6809
COSTA MESA, CA Zip: 92626
Contractor: OWNER-BUILDER
Address:
Phone:
Zip: •License: 000000
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF, INSTALL 30#FELT UNDERLAYMENT,&REROOF WITH 30 YEAR ELK COMPOSITION SHINGLES(30 SQ).
FEE SUMMARY •
Plan Check: $0.00 Calc Valuation: $2,800.00
Permit: $83.25 - - - - - Claim Valuation: $2,800.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00 -
Inspection: $0.00
Total: , $83.75
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 0-6
PARKING Existing: 0 Required: 0 Proposed: 0' •
-
NOTES: _ -
2
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
2446.46(6/00)
DECLARATIONS j,..i f '
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:
Carrier: Policy Number:
(This section need not be completed it the permit Is valued at one hundred dollars($100)or less.)
(tI certify that in the performa ce of the work for which this permit is issued,I shall not employ any person in any ma ner so as to become subject to the workers'
compensation laws of Calif Ia,a d agree that if I should become subject to the workers'compensation provislo of Section 3700 of the Labor Code,I shall forthwith
comply with these provisi
tApplicantSignature:,r=' kot Dat--e:""-` . • q O�
WARNING:FAILURE TO SECURE WORKERS'°OMPENS COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE 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 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.tic.# 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($500).):
1„as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec.
1 - - —7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees.provided that such improvements are not intended or offered for sale.If,however,the building or Improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
A it.1-,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
'-'i'C'ode:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s)
license ursuan to the Contractors License Laws.).
❑ I am ex pt un er sec. _ Business and Professions Code for this reason:
y Signature: Date: �rQ1.ar� 1/CS
=-
'OwnerlD
'Owner-ID-al-ea by driver's Yes - 0 No Duvets Licen$e.No.
-- P�+^N....,,;r. ..
Verification of Ownership by(type of dabmenL 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:
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? ❑Yes 0 No
(Section 25533 of the Calitomia 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 apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 No
(Section 65850.2 of the Califomia Govemment 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 Califomia 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:
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 wit 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 i specti purpose I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
•t
Signa ra Of:Lega er(s) Date
And/Or Authorized Applicant Date +
LODE I INSPECTIONTYPF PAH DRUMS CODE? INSPECTION TYPE PATE INIIDe44
f 616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final ,.yam/ 208 Final Plumbing
200 Final Re-Roof N^i7T ✓J 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 _
•
. 1.
1635 WEST GAYLORD ST. BRANCH OFFICE:
P.O. BOX 9065 31815 N. 6TH ST. EAST
LONG BEACH ID. CALIFORNIA P.O. BOX 978
H EwLO CK 5-749344i0iik • .
PALMDALE. CALIFORNIA
NEVADA 6-5196 WIHGSOc 7-5911
Twining aboratories of cSoutfzEt,z earl'/Ouija
• Inspection and 1Testing Engineers ,Soil Foundation Analysis Chemical Analysis
June 30, 1959
GUNITE ,
REPORT OF lS?(XJft3M1K TEST CYLINDER
Examination No. C59-2867
Project JACK BROOKS - 214.6 Tulane Rd. Costa Mesa, Calif .
For - Executive Pools 14, O R- 1 9- i kir
Sample from The Gunite of Swimming Pool . J•_
Architect Lawrence H. Boyd '
Contractor Executive Pool
Mix - I - 14- 2,000 psi
Water, gal./sk. cement
XXJAX SIZE 54. x 6
Date cast 6-2-59
Date tested 6-9-59 6-30-59 ,f
Cylinder No. I 2
CONI PR ESS ION TEST 7 Days 28 Days -
i
Toad load to destruction, lbs 29,000 31,000 ,
Pounds per square inch %'- 1 ,342 I.,238 - f`�--
44000
Cylinder Made by
. Cribbs ' cite: Test cylinder defective and may
Cylinder delivered ln, be examined at Laboratory. 7-day
Cribbs break indicates that Gunite
should test near 26000 psi/28-day_ .
Cylinder received on 6-3-59
`i
Note: 28 day test does not comply with specifications. , .11)011 ,.-.\\,>;,...' rx' Jd
RECEIVED
cc; Executive Pools/3 'c5,4 JUL 14 1Ci
Costa Mesa Bldg. Dept.
TWINING LABORATORIES OF
OF SOUTHERN CALIFN I tudCart, M1t'
. IE i \2
Au REPORTS ARE,YwITTEO AS THE CONFIDENTIAL PROPERTY OF CLIENTS.AUTHORIZATION FOR PUBLICATION OF OUR REPORTS.CONCLUSIONS.OR u.
TRACTS FROM OR REOAROINO THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS.THE PUOLIC AND OURSELVES.
r
OWNER YALE PROEhatTIES / DATE 6-13-58 _
JOB ADDRESS 21+6 Tulane Road BUILDING PERMIT NO. 6930
• GENERAL CONTRACTOR Dike and Colegrove - VALUE $ 13,690.00
AP. No. LOT 130 TRACT 2955 FIRE ZONE 'DESCRIPTION OF WORK Res. & At. Garage
GROUP I & J TYPE V ZONE R1 PLAN NO. 6930
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches4'ft'r Forms 4,9C Steel Al y.{' 7--/7-`/,-fi _
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam , ,
Frame and Flashingc3-)fr- W// Y/SY
Lathing, In ( Out 1 'f/Zo/(Ct/
Plaster, brown'coat /4-"iii//S b
Underground soil,,/.71-S"WIG Pipe Tes //I 7'_/(,-lie' N
Top Out .7-/5-7�t�/
Furnace /lam//S 9-3-sr 7-”<"_11--tr-n•-,✓l.> 71.[:Y111N 2 6 195E ] tr..-,791 9
Gas Vents `1
Rough Plumbing /11,L$ 9J?S'Y /!-;(2fiz. -c-- 11IN 1 9 19S8 14''121,, ' V
Cesspool Septic Tank - \
Prop. Swr. LineJ-y3Iouse Con0/,'St. Swr. 2-2c`-sip-'%nv/j re,,i)I/s' - 2 ba 11:1834. 1
Sprinkling System \ \
Heating Final // //-/fft37 ,11 \
Plumbing Fixtures, Final /$/s //-/$"-St
Final Gas Test /g— 4 //_,g
Construction Pole
Underground Power - , MI
Rough Wiring j ye` O - Z-I'5.4A,ea $ /�1�/.urre..c2.AUU 1 3 1558 e-p a.3C{a
Fixtures, Final s�?„�j p4)
Fixtures,
OCCUPANCY 447/-c-/(--/t--41--
Form 410-5M—I-57 .
6c o
4
1` ' 6930 fLE hcuuVL®
COSTA MESA BUILDING 'DEPARTMENT C67/ -/s-"g C L�
COSTA MESA. CALIFORNIA 1 �15�.i�CE DEPT.
CITY OF (1971\ MESA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
SNSG
246 Tulane Road BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PNgy (!Q®
OwNERYale Properties, Inc. YlGI.\` L�{{SS
MAIL •
RECEIVED BY D TE RECEIVED DATE ISSUED
ADDRESS 9 E. 17th St. e.-----,-.----,e, /—// .4 JUN 1 3 1958
CITY Costa Mesa
TEL
81159 BUILDING
ADDRESS
ARCHITECT Garlson & Middlebroo4C
OR ENGINEER NO: COSTA MESA. CALIFORNIA .
Garden Grove FIRE
ADDRESS - ZONE
Dike & Colegrove, Inc. CITY LIC. 73PLA
'(C�` ) /
33 ZONE /_ OF TYPE 7 GROUP
CONTRACTOR NO. Jr 17th St.,Costa Mesa TEL 81159 APPROVED DATE ��/i`/"
LEGAL }
DESCRIPTION No? 130 BLOCK TRACT 2955 CORRECTIONS
A.P.NO.
SIZE
/Q8 ./�y. 7� A NO.OF SLOGS.
ONOW ON LOT none
USE OF l
EXISTING BLDG. none
SETBACK LINE FROM
CENTER OF STREET 5QI REAR YARD 271 —
SIDE YARD RIGHT 51 LEFT 101
DESCRIPTION OF WORK
•
NEW x II ALTERATION _ ADDITION
REPAIR MOVING DEMOLISH
SIZEBUIDING 1601 $L1 ft ROOMS 6 STORIES 1
EXTERIOR WALL ROOF .
COVERING S}IICmO COVERING C .r
USE OF NEW
BUILDING Single family residence
garage attached
Plan 750CR
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO
STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND ST• LAWS REGULATING BUILDING CONSTRUC-
TION. VALUATION PERMIT FEE $ 32.00
SIGNATURE OF _
PERMITTEE �l/•"{ // 11
16.QQ
$ 13,690.00 PLAN CHECK $
AUTHORIZED AGENT Dike & Colegrove, Inc. TOTAL FEE $ 48.00 NB'(F
OWNER BROOKS, JACK APR2 61960 DAT 5-15-59
JOB ADDRESS 246 Tulane Rd. BUILDING PERMIT NO. 9339
GENERAL CONTRACTOR Executive Pools VALUE $ 2,750.00
AP. No.?.1 LOT 130 TRACT 2955 FIRE ZONE DESCRIPTION OF WORK Sia m Pool
INSPECTIONS VW� rt,W --DATIE_ I GROUP TYPE ZONE R 1
Underground Soil U.G. it Jab ai I PERMITS ISSUED _
Underground Gas SUBCONTRACTOR DATE NUMBER
Overhead Water and Gas /
Rough Heating /�� -0�- /
Rough Plumbing pnee- -�% . ,-.,,-t,_.-e. 0.C. ,5m 'ItS5 19e7 y/
Miscellaneous /
Prop. Swr. Line House Con. St. Swr. / •
Sprinkling System /
Heating, Final . /
Plumbing Fixtures /
Final Gas Test
Construction Pole
Underground Power
Rough Wiring �/ I
Trenches Forms Steel !wig oh" .5
Floor System /1
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing
Frame and Flashing
Lathing, In Out
Plaster, brown coat
Plumbing Fixtures, Final Kr ✓t n _
Electric Fixtures, Final iyo rt Cr 7 R A h ,r ,'V 4 h te> — Lc s a re. ra,v'-R'9 r ti: 2 ."1.-}
Building, Final FJ"L1 e/ -7 —(opo Pi.--,_ -+ 441./.-1 A„ i.tin. PVIc.}re:-
OCCUPANCY 1 . I '
Form 210-3M-4-5? - -- _ - -- .. 9339
933
`SEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT hjA� 1�1959
P.O.BOX 317 COSTA MESA, CALIFORNIA
FINANCE^DEPT.
FOR APPLICANT TO FILL IN COMPLETELY ee
APPLIOAITI?NC3FO'R"PERMIT
TYPE OR PRINT BUILDING
BUILDING //// • /d
ADDRESS (:72,“
� / -77,
.X'li�T A
COSTA/ MESA,� CALIFORNIA FOR Off/CE USE ONLY
�/ /J /GY�' B ' RECEIPT NO. , g�L' 1'. ,g
OWNER -J�If� f0/if Iv- �l/.-//
MAIL EIVED BY DATE RECEIVED (;STE ISSUED O
ADDRESS .tel-l�--a-rj+ .L] _i S: ) 4.l 2S \
TEL.4( 6- BU DING
CITY .�(r/,( /� /r'e NO. /,(.f J AD RESS
ARCHITECT /J(�(/�/�/,/ Llc COSTA MESA, CALIFORNIA QAI
OR ENGINEER /- JCI• / -rf� NO. ,
G FIRE Type Group N
ADDRESS C en-n.4)-44- (� ZONE
`/'� / STATE to e. APPROVED
CONTRACTOR jpgn /{�) p(#J,LJC.NO./���(/i BY DATE o`
ADDRESS 2tq te+M1�j+/` )fact ZONING IN
/Y �n ZONE /`) NO.OF q USE OF NEW
' DESCRIPTION NO (� `O BLOCK ITKHt�I �� ^/B�/ PLANS j BUILDING
A.P.NO. -` BYPR- `/// . g 1/� DATE s_/LS S9
SIZE gs" NO.OF SLOGS. YARDS EVES
OF LOT /. q NOW ON LOT / REQUIRED ALLOWED
- USE OF / "// / /�) (CENTER LINE ST.) j�]�- /
. EXISTING BLDG. /-aJ. / ,.( /.. �•�__ . FRONT .7 FT. IN.' 4 •
SETBACK LINE FROM 1 ( , C/ a'/
CENTER OF STREET Ir (REAR YA-• rJ R.SIDE i 0 FT. IN.
SIDE YARD I LEFT i O ` RIGHT /o L.SIDE / 0 FT. IN.
DESCRIPTIONRIOF WORK - REAR SFr. IN.
NEW I /ALTERATION I II ADDITION I•
REPAIR I II MOVING I II DEMOLISH
BUILDING [ NO.OF
SIZE /ry 5(7 ROOMS STORIES
EXTERIOR W ROOF
' COVERING Ar -4J COVERING
USE OF BUIL LNG AND WORK TO BE PERFORMED
•
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
PLY WITH ALL CITY CROP F.'SCES A STA E LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONST T I'
1 VALUATION
SIGNATURE 0 ��I'Iy{..41." PERMIT FEE $ /�. �_
PERM ITTEF /� , r .
$c_,275—(9.—........,
2 / U D \PLAN CHECK $ ,`7. '�
AUTHORIZED AGENT / • TOTAL FEE $ /v f
----.