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Home My WebLink About1064 TULARE DR - Building Permits y � t. N CITY OF COSTA MESA k�`w � BUILDING DIVISION iOW* : DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER • �,• PERMIT 699-01576 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1064 TULARE DR Status: ISSUED Suite: Applied: 09/30/1999 Vicinity: HOUSE&ATTACHED GARAGE Issued: 09/30/1999 Parcel Number: 41212108 Zoning: R1 R1 Applicant: CORMANY, BOB ISSUED BY: Address: 2600 N CANAL CA Phone: (714)997-9669 ORANGE Zip: 92865 Owner: AGESON, MARTIN Address 1064 TULARE DR Phone: COSTA MESA, CA - Zip: 92626 Contractor: PREMIUM CONSTRUCTION Address: 2600 N CANAL CA Phone: (714)997-9669 ORANGE Zip: 92865 License: 492049 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE&ATTACHED GARAGE(30 SQ).TEAR OFF EXISTING SHAKE ROOF& RESHEATH WITH 1/2 CDX PLYWOOD. INSTALL 1-LAYER OF 15#FELT UNDERLAYMENT&REROOF WITH 40 YEAR COMPOSITION SHINGLES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $5,500.00 Permit: $125.25 Claim Valuation: $5,500.00 SMIP Res: $0.55 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.80 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 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 f ' h this permit is issued. 'F- ' ave 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 wo -rs' o,pe s. •• I. . :nce Carrie and policy number are: n� �y RCarriers 1 L � 4 - ollcyNumbet:: j L� This sectio cad not be • •eted if e permit Is valued at one hundred dollars($100)or less.) ❑ I certify that in e perform. e 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 I-ws of Ca"•mia,and agree that if I should become sub'ect to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with the-e prov'-ons. O4•rr . 1• F,plwnl Signature: • Date: 70 --T WARNING:FAILURE TO SECU—•-I ER&COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPffc,IR TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND 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. LICENSED CONTRACTORS DEC -ON: I hereby affirm that I,am.lice o.my -0 •hapter 9(commencin•with Section 7000)of Divisio 3,of.the Business atgfesFi?ndotle,and my license is in full (G fit C.J S force and effect. cJ:Et _i/ • ass-q- dr CoDtwr"aUOrsSIgna e: ate.- -- �r <(,—c aryls, •. \ fi 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 properly, 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 driver's license. ❑Yes 0 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 6,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 apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U 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 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: I CERTIFICATE I. • •-.• CE AND - .:- •-IZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree t• • ply with all s,: : aws and c' . •na ces relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described p •Part • 1-•action pu ••ses.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. I / Signature Of Legal Owner(s) Date AndlOr'Authorrized Applicant - - ; Date; , k CODE Y INSPECTION TYPE PPIE INTmALS CODE II INSPECTION TYPE, DATE INTUALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical _ 1266 Pool Spa Final 208 Final Plumbing - 200 Final Re-Roof /®-6—q9 !O4 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 ,OWNER HELTZER Enterprises Costa Mesa DATE 2-8-72 . JOB ADDRESS 1064 Tulare Drive BUILDING PERMIT NO. 34136 GENERAL CONTRACTOR George J. Heltzer DESCRIPTION of WORK Res.w/att.gar. AP No.., LOT 23 TRACT 6639 FIRE ZONE VALUE $26,600.90 . INSPECTIONS Signature Date GROUP I&J TYPE yl ZONE R-1 SOIL til//i/`� - � �" SUBCONTRACTOR I PERMITS ISSUED GAS Date I Number Signature WATER Plum, q ROUGH PLUMBING ' 7'/ � ./_a/ n t _1(; 1i(.. .. - L PROP. SWR. LINE �j HOUSE CON. Pi ;y/ • rl .. 71 Y , n 415 .4 i/ .467/ ve SPRINKLING SYSTEM MISCELLANEOUS �I� ROUGH HEATING AND AIR CONDITIONING 4��„CZ ,./ TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER n ROUGH WIRING /(({,,,��•(((� '��Jty,%J/!�/ Heating and 7e/nntt. FTLOOR HES Pr SYSTERMS STEEL REINF. WM � • jr i ` i��"' :✓ w / ✓I��7n3_ �� / BOND BEAM n STEEL REINFORCE n J SHEATHING efr 3 7 FRAME AND FLASHING �5 _ LATHING - IN OUT ^,///�/^ � �••//l��j� PLASTER, BROWN COAT L„/ -i, r41�7/ STRUCTURAL, FINAL qI- _ 't q _ HEATING, VENT., REFRIG. AND A. FINAL aligi e /-id, C /ny„ G , /-Rt , , 0PLUMBING, FINAL AND GAS TEST //JELECTRIC, FINAL Z9 Pun niur. Huai l7.'JZ 34136 • PAID _9-72 cm,.00 330* ***10.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED DATE RECEIVED DATE ISSUED BUILDING /2 -3„ ' / 25,7_,-._ 2 7 ADDRESS 1064 Tulare Dr, Costa Mesa '�7 PERMIT NO. OWNER. Heltzer Enterprises-Costa Mesa A•P• --- MAIL BUILDING ADDRESS 740 N. La Brea Avenue ADDRESS 1064 Tulare Drive Z // CI- U_, CITY Los Angeles, CA 90038 NOL 937-2171 TR ACT/(p3' LOT BLOCK ZZ CONSTRUCTION _ NEW ADD ALTER REPAIR MOVING DEMOLISH O- LENDER United California Bank / IL%x� co BRANCH Main Office 600 S. Spring St. (/ J CO OWNER `y_ 1/i i aW ADDRESS Los Anteles Cal' . 'a ••11 �� / vAlu / /O _ m•CO ARCHITECT TEL. IL• 3- USE i /J Pi 0 J Q OR ENGINEERDaVid Freedman AIA NO. 3852 O Q - FIRE Z ZONE . TYPE GROUPI� Z ADDRESS N. San Vicente Blvd. Su't- at9 306, Beverly Hills, CA APPROVED 1.11Z CONTRACTOR Ge.r• - . - - BY DATE J O CO ¢ : ADDRESS 740 N. La Brea Avenue res/ U/ ctt WW TEL. ZONE NO.OF USE OF NEW Z i-- CITY Los Angeles CA 90038 NO. 937-2171 R1 PLANS 2 BUILDING garage W-0 STATE CITY YARDS APPROVED YARDS APPROVED NCC LIC. NO. - 3144 LIC. NO.1900 MAIN BUILDING ACCESSORY BUILDING 7 O I (FROM Cit STREr6-TP SIZE NO.OF BLDG`;. OF LOT I NOW ON LOT FRONT � �- • FT. USE OF EXISTING BLDG. R,SIDE 5 FT. FT. _--- (- F- SIZE OF NO.OF / /' Z NEW BLDG. ROOMS STORIES ` L.SIDE T. FT. U d EXTERIOR WALL ROOF r� � COVERING COVERING REAR JXFT. FT. -.1 USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& CI- - MAIN BLOC'S. ACCESS. BLOCS. O. Q - VAR.# DATE O Residence with attached garage C.U.P:# APPROVED N _ Plan 11409 AYPRoveo WLD SATE 12-20-71 z AM/r b o r VI hereby acknowledge that I have read this application and state HOLD FOR SPECIAL REQUIREMENT:,. that the above information is correct and agree to comply with IEElaws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of N the State of California. iirE) /416 a - b Zcertify properly licensed as a contractor under SO. FT. 0 I hereby that I am rhe State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER V. UATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPLE OF ESTABLISHING A PERMIT FEE ONLY; cs am exempt from the pr visions of the State of California Business VALUATION I and Professions Code, v ion 3,Cha er 9. 7i41 ) m_ PERMIT FEE $ N Signature of l4 ` d"Vm Permittee �' $ PLAN CHECK $ i i E // 6 0-” o Authorized Agent frk O�.f7� 4Yr $/'// LL ` TOTAL FEE f/}�