HomeMy WebLinkAbout1659 Tustin Ave - Building Permits •r -
CITY OF COSTA MESA
pC BUILDING DIVISION
V. •8 DEVELOPMENT SERVICES DEPARTMENT PER NUMBER
PERMIT 03-01576
(714)754-5273 • Fax(7114)754-4856 • www.ci.costa-mesa.cB.JILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1659 TUSTIN AV Status: ISSUED
Suite: Applied: 09/16/2003
Vicinity: DUPLEX AND ATTACHED GARAGE Issued: 09/16/2003
Parcel Number: 42519310 Zoning: -
Applicant: OWENS, CHARLES
Address: 9332 MOLOKAI DR ISSUED BY:
Phone: (714)963-5901
HUNTINGTON BEACH,CA Zip: 92646
•
Owner: BONNER, WELLINGTON F JR
Address TR • '
WHITE CITY,OR Phone: ? _
PO BOX 2395 Zip: 97503 .44rA
Contractor: CHARLES OWENS ROOFING, INC ♦ '
Address: 9332 MOLOKAI DR
HUNTINGTON BEACH,CA Phone: (714)963-5901
Zip: 92646 License: 789333
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF SHAKES,INSTALL SOLID SHEATHING, FELT AND COVER WITH 30 YEAR COMP SHINGLES. INCLUDES DUPLEX 1659 AND1661
TUSTIN AND ATTACHED GARAGE.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: 58,000.00
Permit: $153.25 Claim Valuation: 58,000.00
SMIP Res: $0.80
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $154.05
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 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(600)
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
iework for which this permit is issued.
cI 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 wo aLrs co pensa/tl�o^n Insuran carrierr and policy number are: •7 ? p
Carder: (�-r // (--4.-L Policy Number: ( 7 - two 9eg6
(This section neeb F of 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 Ifomlnd agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shell forthwith
comply with thes o ' o (/��� l
Applicant Signature: /'T Pt .. -- Date: 1 'i (p " U3
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION 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 ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am['tensed und:r• .visions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is In full
44
force and effect.Lic.# • Class N C-..157/
Contractor's Signature: i Date: !�(1" —ICO
-00 r
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 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 driver's license. 0 Yes ❑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? 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 0 N
(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? Ul Yes Li No
(Section 65850.2 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? 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 Ouality Management District or other air pollution control district or agencyis 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-describedpropertyfor Inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
/'/� Sig t Of Owner(s) o71 J/UD ate 'y},
/�/ And/Or Authorized Applicant `JI Date UJ/
CODE I INSPECTION TYPE PM Mak CODE T INSPECTION TYPE CAIS IIMAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof i 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 _
OWNER DELTA HOLDING CO. (W. F. Bonner) DATE 10-5-62
JOB ADDRESS 1659-1661 Tustin Ave. BUILDING PERMIT NO. 17871
GENERAL CONTRACTOR Owner-Bldr. VALUE $ 20.753.00
AP No. 111-272-01 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Dup,Watt.gar.
IrPECTIONS Signature DATE I GROUP I&J TYPE V ZONE R-2
S Jt'/N /7 ,' - SUBCONTRACTOR PERMITS ISSUED
Gas A_ tt/ /.g,F DATE NUMBER
Water ffer, //--,2.3--./f-/C4,
Rough Com. Refrig. 0 Air Cond. 0
Rough Heating �. �.Yo —La8 /
Rough Plumbing ; Ii1142K :C�c.s-41 - e. //-2_,to� 3767/
Miscellaneous ,( -3
n,�p,�,le
Prop.Swr.Line.�'House Con. 0 St.Swr. E ' L 3r �'�Y��"�A3
Sprinkling System Q �/l'"c%
Construction Pole
Underground 0 Power 0 y��, `
Dough Wiring i///.� //1./ 3 - ./1fi1ZP/ GL el J -4Z-7, :;---704 .7/ O
Trenches y}- Forms Q� Steel Reinf. [flf.- I f/_,7-4.1
Floor System `y1 t>- //r 2 7 . A >..�/
l3ond Beam 0 Steel Reinforce 0
Sheathing c /-/, - G 3
Frame and Flash -f n°- /- .2 - 4-3
Lathing - In [7 Out 117 7Yf°'i /— 3. - 6,3
Pl ter, brown coat /fl t- y- ye- .6 3
h. ,fig. 0 Air Cond. ❑ Final
H" ':2�`ting, Final
Plumbing Fixtures, Final /,1*s ci// -G3
Final Gas Test/>j/,Y /VH5 ire-' 3
Electric Fixtures, Final 2
Building, Final 1 -
OCCUPANCY
FORM 6114-5M — 7.61 l .n.-..
A17871 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT � ' SEP 2 5 1�Z
P. O. SOX 317 COSTA MESA. CALIFORNIAC
{� FINANCEE��DEPT.
For Applicant to Fill In Completely APPL C'TITY ON FORPERMIT
TYPE OR PRINT
BUILDING /659- 6/ nth, /9rcnue, BUILDING
ADDRESS
COSTA MESA. CALIFORNIA T� For Office Use Only
OWNER Delta Holding CoA ( A F. Boner) I RECEIPT NO. I Pe171T8N7.
MAIL RICE ED BY O'�T5 RE j�ED DA II ISSUED
ADDRESS 575 Victoria LT,�T I % - .7-// ;pT ; ;962
CITY C. M. NOF+A6-613' ADDRESS _
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEERGared Smith NO.
ADDRESS FIRE \/ V
7 ZONE TY-E GROUP\A 4
/
CONTRACTOR Owner yi APPROVED ' I' 195"BY I DATECT J
ADDRESS ZONING
ZON7
-` 1..OF a
I USE OP NEW pot
/
CITY PLANS BUILDING
STATE TEL- �6f y
LEGAL eV'Loy-76 Nerorp l/eiy ohti
LIC.NO. NO. DESCRIPTION
SIZE n NO. OP BLDG. �T
OF LOT 63 X 190 NOW ON LOT A.P.NO.//7 - a a — I
USE OF - YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK UNE PROM / (CENTER UNE ST.) / /�
CENTER OF STREET / 5nREAR YARD 5 FRONT '�/ FT.Y vif.T IN.
SIDE YARD I LEFT` 2-6r5 I RIGHT 5 R.SIDE /a r FT. C 6elwm.
DESCRIPTION OF WORK L.SIDE ZO FT. IN.
NEW I X II ALTERATION I NII ADDITION I REAR /4 / Ge e-at
IN.
REPAIR pI(� II MOVING I II DEMOLISH I BYPROVED�- /A/rte DATE /04-r-
BUILDIN?a183g0 RNO. OF OOMS 4 STORIES 1 ((/�SY
SIZE llTr LL J
EXTERIOR WAIL ROOF Cem C
COVERING b UCCO COVERING p .
USE OF BUILDING AND WORK TO/BE PERFOR ED
Rentals — 4/' X .J4/4- /4.
N.
c-,, - /Fc2V "
- SSU '1
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION V THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS COR AND AGREE TO COM-
PLY WITH ALL CITY NANCE AN T8 LAWS R80ULTINO PURPOSE OP ESTABLISHING A PERMIT Pee ONLY.
BUILDING CONSTRu I VALUATION /
SIGNATURE pF �/ PERMIT FEE $ !l
PERMITTEE U �O X53 — p o_
$ I /al PLAN CHECK S J 3 — 4
AUTHORIZED AGENT TOTAL FEE $ / — 2
UWNtK BONNER WELLINGTON UAIt lU-U9-19
JOB ADDRESS 1661 Tustin Avenue BUILDING PERMIT NO. 48931
GENERAL CONTRACTOR Oakshi re Corp DESCRIPTION of WORK Fire Damage Repair
AP No. 117-272-23 LOT TRACT FIRE ZONE VALUES 18,000.00
It CTIONS Signature Date TYPE V GROUP }I ZONE P-2
To._
I
SUBCONTRACTOR PERMITS ISSUED
GAS I
Dote I Number Signature
WATER. , 'AAL' Plumbing
ROUGH PLUMBING VatitiCI Leta,/ : /6,415 'J'7113
PROP. SWR. LINE ❑ HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0
ROUGH WIRING C.•.- IL-6e-'11 Heating and Vent.
TRENCHES ED FORMS Li STEEL REINF. Li
FLOOR SYSTEM
BOND BEAM fl STEEL REINFORCE n
SHEATHING Alt 10 3�ry
FRAME AND FLASHING —9 _ _
LATHING — IN WI OUT K� 1f 7f
PLASTER, BROWN COAT f, /
STr"'TUBAL. F INAL %et/.
I�JI /}
NI G. VENT.. REFRIG. AND A.C., FINAL �j••• '/tf,C}irle LAI / itl9 fic-i3 r
PLLmdING, FINAL AND GAS TEST it. CI�y� ttlN "'7 1J/
ELECTRIC. FINAL IZ
BUILDING, FINAL r ' •
GAF,'IAI RFOIIIREMENTS ttt//f�����`'���
4544 10/09/79 127.26 TL
CQSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
RECEIVE BY 'PERMIT -1�r0 4 893 1
For Applicant to Fill in Completely— Use Ink Only z N
Z — Z3
BUILDING 166
ADDRESS �. 'ir' e/2..0 kl. aut. A.P. NO. /./7— 2r/ yn`
OWNER OR ADDRESS /f 71,./ 1
TENANT JQ` l�ppL�,� f
/ ti UNIT OR
MAILING � � /J SPACE NO.
ADDRESS PZ 9 a/ To.K-iv SA)
TR.NO. LOT BLK.
/ ^ \^- TEL. N/7 it 7.r Peg_ 76
CITY £b 2. n /IMJ N°•..5-44-3571 NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION
LENDER
BRANCH A 6212_21.71:--
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O n1, t �'
OWNER / �(/
ADDRESS I ^ V E
ARCHITECT TEL. USE //� „tr, ::i �w le--At
1� m
OR ENGINEER Nr1_ {}/ {1�'
ADDRESS ZONE g—7-- TYPE GROUP /J
A'tl / J I �, APPROVED
CONTRACTOR (/,S//1tk jh��..p QF /'T BY DATE
ADDRESS 9,,a -F o)(y/n cot [//per ,//y�(}
Rant-tet. r,,( ➢/}HAF/J ///''' I/r
CITY !/Pt.. L n 4l NO. 74.4/% 7 �f��A.tT"""/J'1�
F STATE Q CITY APPROVED SETBACKS 1 '
LIC. NO. DIED / 9 // - 21 LIC.NO. 1 '
SIZE i NO.OF BLOGS. (FROM C/L STREET) /� �/
L OF LOT NOW ON LOT FRONT FT. C
Q USE OFn �///
Ii EXISTING BLDG. a .S _II SIDE 11t_/FT1
col I
I-.
Separate permits are required for L.SIDE FT.
G electric,plumbing and heating work. REAR FT.
I.W. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
Q
CI
-1 A:6„, ,..., ci ears She DATE
APPROVED
Q
>. ! l �/� O� 2,0•72OX. —AY ROVE Y `�sJr DATE l Gr/� r 7 7
z • eJ J!T.
W , •
OI hereby acknowledge that I have read this application and state• N
pt that the above Information is correct and agree to comply with
O. all laws regulating building construction, and I shall not employ i
Z any person in violation of the workman's compensation laws of 42
_, co
the State of California. _
I hereby certify that I am properly licensed as a contractor under SO. FT. s`+3
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR B
Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: n
am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ O6 Y
and ProfessionsCotla,Divisioter 9. 2
O PLAN CHECK S [L2s o
QQ ^
J
Signature of a
Per oo(rtes S /D DDaTAX $ /, a�j U
Authorized Agent Date lO — 9— 7 / TOTAL PAID . z7 - _-