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Home My WebLink About1741 Tustin Ave - Building Permits (34) Oil -117 t CITY OF COSTA MESA 140 , BUILDING DIVISION 't:� PER NUMBER 1. 1 DEVELOPMENT SERVICES DEPARTMENT . .• PERMIT ""'0 99-01433 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1741 TUSTIN AV Status: ISSUED Suite: 18 Applied: 09/08/1999 Vicinity: Issued: 09/08/1999 Parcel Number: 93328004 Zoning: Applicant: JOHN SMITH ISSUED BY: &-70 Address: ,-Phone: i.. - Zip: Owner: ORLEANS COMPLEX ' - Address ,_ : . !' _ COSTA MESA,CA i - -Phone: (949)631-2168 ,, 7/1741 TUSTIN AVE - _ - ' Zip: 92627 :'NH,. H - - ' / 7i '// A - j Contractor:/JOHNSMITH,ROOFING ',,� i-. . Address:''„3410 LA-SIERRA';/ F149 / Phone: 909-657-5600 , RIVERSIDE,CA /' - Zip:_ 92503/ License 443878N, ' Arch .:/ • : : • Eng: �. . Address: H - -,�� • "-Address: • - •Phone:., _ `. Phone: / - , �/. -I - ' . ' Zip: I .. • License: -/' \C License: /r+/ SCOPE OF PERMIT REROOF-DO, USING EXISTING SHTG,2 LAYERS OF 15#FELT-&NEW 30 YEAR COMPOSITION SHINGLE ROOF. / - .. • , FEE SUMMARY Plan Check: $0.00 Cab Valuation: ' $4,700.00 Permit: $111.25 ,---7. , ' , Claim Valuation: $4,700.00 SMIP Res: $0.50 - — SMIP Com: $0.00 -- • Other: $0.00 , ' /� Inspection: $0.00 . Total: , $111.75 , 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 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 penally of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation.es provided for by section 3700 of the Labor Code,for the performance of the zwork 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: �/1 Carrier: "rir ftP-041,cPolicy Number: °CI('E667 (This section need not be completed if the permit Is valued at one hundred dollars($100)or less.) ❑ I certify that in the performanc of the w. •r which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws o 'alifo ,an/: :t If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code.I shall forthwith comply with these pr• sion �J Applicant Signature: ! , Date: 7 C �OY, WARNING:FAILURE TO SE•``t E WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE t$1• '').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 Ilcens:d under•rovis'-ns of apter 9(commencing with Section 7000)of Division 3 of the Buskins apgp pfessions Code,and my license is In full force and effect.Lie.n 3,r 7�= Class N ��•�lr Contractor's Signature: ;AIL - _ sue 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 Cade). 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.). ❑ 1, 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. ❑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 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? in Yes ❑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 Safely 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 255344of the California Health andndSafety 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 a plication aggermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? j Yes LJ No (Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits). .._.._-.__......_....__....__............._._._.___.._...._.-._..-..._......___._......._......._............_................................_....._..._.....................3333.-3333.._..--..-..._._.._._ __-..-3333.... 6 Will anyfacilityp -- ...----...._.. --...................3333..--............--..-...-.. part of the to be constructed under this permit be within 1000 feat 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). ant District or air pollution _._-whi 2333-_.................this. 7 If a permit from the South Coast Air Quality Management District or other air pcontrol 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 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. L% at, e/y, /9And/Or Authorized Applicant Date ODE S INSPECTION TYPF PAIL 1tflTAL5 CODES INSPECTION TYPE PAH iNTRUL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final / //p 6611e- 206 Final Plumbing 200 Final Re-Roof /O�/7` 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 OWNER BRAEBURN CONSTRUCTION CORPORATION 114 1213 DATE 3-20-62 JOB ADDRESS 1741 Tustin Ave. 1B1dg 18,Units 160,161 BUILDING PERMIT NO. 16586 GENERAL CONTRACTOR Geo. D. Buccola VALUE $ 20,044.00 AP No.117-281-2,27aN 28 TRACT FIRE ZONE DESCRIPTION OF WORK 2 Unit Apt. INSPECTIONS Signature DATE GROUP H & J TYPE V ZONE R-2 soil A--u- j V-6IL PERMITS ISSUED r -,-` t Lre, -�CYfq C2 SUBCONTRACTOR DATE NUMBER l...ugh Corn. Refrig, 0 Air Cond. 0 4SC` / Rough Heating A. s. .. 4:2c...4721-3 cc S 5.4229° It to6-4,6 ry sec ✓7 Rough Plumbing A 40 r gC.44.72a f-cf-tbeid4- - (ti2_d21LLl zeix, Miscellaneous ��1' T' Prop.Swr.Line 0 House Con. 0 St.Swr. 0 Sprinkling System /� /'! Construction Pole -Z0_Le fkach/ �_�/(s. /7 x yt iti. Underground ❑ Power ❑ 'ii" _nom J Rough Wiring q.al 6.>0 G2 cXp�/ 4--In-( /77 jr- M) Trenches U Forms U Steel Hemi. U //Y'/ '-5-/f- C� r Floor System • J/ mo S- 9-- A "3--- Bond Bond Beam 0 Steel Reinforce 0 Sheathing 6 /Z---;"::-CFrame and Flashi me6 .2 C- 6 y Lathing — In W OutH no 7-3i C,-a/ Plaster, brown coat jy7C- 77--.25) - .6r Refrig. 0 Air Cond. ❑ Final Heating, Final _ e(/ 40-37-4-,Q mbing Fixtures, Final ,/r/ c i QIt-Ct al Gas Test /6,�./, - i.°-r. L_ Electric Fixtures, Final G sire I. Building, Final e ;:0 /or//r 't OCCUPANCY 165[ FORM BU4-5M — 7-61 36 16586 FEE RECD IVSD FfPR 6 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P. O. BOX 817 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely 17 APPLICATION FOR PERMIT ,1 TYPEpOR•PRINT 1 p TT , A/ i p BUILDING BUILDADDRESS IN1741 Tustin. Bldg. #18 ‘UN//S /l o -/6 COSTA MESA. CALIFORNIA For Office Use Only I RECEIPT NO, I PERMIT NO. OWNER Braebnrn Coast. Corp. (n��j((''��{/c� Ty RECEIVED BY DA ReC VED - O TT IBBVkV ADDRESS MAIL P.O. Box 1937 I ,--,5-G ..n0 v () 1-- l' CITY Newm • TILL.. ELBUILDING UDRESS rtBeach - No.. OB31240 ARCHITECT TEL. D' (', OR ENGINEER B.L. Bomberger NO. 0831642 COSTA MESA. CALIFORNIA ADDRESS 3855 Via'Lido. Newport Beach FIRE ZONE TYPE / GROUP CONTRACTOR Geo. D. Baccola' APPROVED /�. //yy (^ ' BY C.%r ATE/ /p !- ADDRESS 3700 Newport Blvd. ZONING cITYNewport Beach ZONE - _ I PLLANES PI USEBUILDING OP NEW Z, s.•,•/1 y� _L O IND STATE L' LEGAL -}' LIC.NO. � `� C NO. 0231240"•� DESCRIPTIONS X06/ ,..4.7 � 4 T SIZE [[ NO. OR BGS,„, p A OF LOT 30' Z WU, NOW ON LOT V/ A.P.NO. `J 7 --- 1-/// -r 7 I.? � ~'✓ USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE PROM ( (CENTER LINE ST.) CENTER OF STREET.-�O'�• REAR YARD24"/ - FRONT (,Z -a FT. 2 SIDE YARD I LEFT 'O-0 I RIGHT gd -7 R.SIDE (J ir FT. 7,-e- „, 14IN. DESCRIPTION OF WORK L.SIDE 3d 19.-"C"--41-...CL� IN. �/ II / NEW I X ALTERATION I II ADDITION I REAR Z. �f FT. J it- ,‘ /I N. REPAIR II MOVING I II DEMOLISH BPPROVED Y 40-49 coo_ DATE l/LSIC \ BUILD((' NO. OF /� SIZE /3 X 2f-G ROOMS (7y STORIES EXTERIOR WA ROOF COVERING N them I COVERING 10/1} USE OF BUILDING AND WORK TO BE PERFORMED ..."- K. .t, / 7 .cr:".T. 4 a —°Cq I AS p/ A� r. 7w Ui I HERESY ACKNOW E T I H V' READ THIS APPLICATION THE AMOUNT SHOWN UNDER �UwTION IS FOR THE AND STATS THAT T ABO a C-"ECT AND -•e TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CI ••RDI CES • STAT 8 REGULATING //,' BUILDING CONr+ '- CT10 VALUATION PERMIT FEE $ I D� SSIGNATURE •f / / .4.4, ,{`/'/ $ e)o d 7 7 /PLAN CHECK $ „ie.) F AUTHORIZED AGENT / E 0 TOTAL FEE $ (�' �- 0