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Home My WebLink About1769 Tustin Ave - Building Permits I • ! - ` ;0i` CITY OF COSTA MESA • , • `:4, A,, BUILDING DIVISION J ^�-„ar' .` .;#* £' DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT '° BOO-00327 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1769 TUSTIN AV Status: ISSUED Suite: Applied: 03/15/2000 Vicinity: DUPLEX-UNITS 1769&1771 Issued: 03/15/2000 Parcel Number: 42502212 Zoning: ISSUED BY: Applicant: ALEY, HOWARD 0 TR Address: 1406 W OCEAN FRONT ' , I - - 1. ' - - . ' - - /Phone: (949)675-5449 - - NEWPORT BEACH, CA . 1 Zip: 92663 - Owner: ALEY, HOWARD O"TR Address 1406 W OCEAN FRONT- ' . - " 4.,.'27,,) . A - Phone: (949)675-5449• - , e/ ,NEWPORT BEACH C_A - Zip: 92663 \ 7') , Contractor: _OWNER-BUILDER Address: ' - �/ Phone: Zip: License:• 0 . Arch : , ' Eng: • Address: - e' ' r, _ Address:' ' . Phone: ' Phone: •Zip: License: License: . SCOPE OF PERMIT REROOF EXISTING DUPLEX(1769& 1771 TUSTIN AVE).TEAR OFF EXISTING 2-LAYERS OF ROCK ROOFING WITH , EXISTING SHEATHING TO REMAIN.INSTALL 2 LAYERS OF 15#FELT UNDERLAYMENT&REROOF WITH 25 YEAR FIBERGLASS COMPOSITION SHINGLES. FEE SUMMARY , Plan Check: $0.00 % / Calc Valuation: $3,000.00 Permit: $83.25 - ' Claim Valuation: $3,000.00 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 0-0 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 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 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 i/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 California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: 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 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.Lic.# Class N 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 toe civil penalty of not more then five hundred dollars($500).): W 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.). O 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 pur uant to the Contractors License Laws.). O I am axe t under sec. . Business and Professions Code for this reason: ) Signature: s( �/� ' '11 i D te: 3-x/5 -e2 I " Owner ID verified by drivers licen-:. 0 es ❑No Driver's License No.‘ //. Expires: 01—2 ' 15 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,end 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 ❑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? ❑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). the facility cili__-_._ the boundaries ----._-___ _...__.___--_...-_.__--..__.-..................... 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer buof a school? ID 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). aSouth..Coast_._, 7 a a patron from tae S theh Air ri Management is at or dother t pollution controlndistrict3 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? ❑Yes 0 No _..... s" . . ..f ._ officer). ............... - ----.-...... .......... ... ......--...... ................ ................ 8 (If yes',attach certificate of compliance from the appropriate air pollution control cer 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 C MPLIANCE 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 omply with all state law and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the I above-descri roperty for• spection p -.oses.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. -/3TO2iOC) Signally: • j-: •wner(s) Date And/Or Authorized Applicant Date CODE Y INSPECTION TYPE DATE INTRIALS CODE• INSPECTION TYPEIjAjg INTRIALS 1616. Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final •4121 208 Final Plumbing 200 Final Re-Roof 3,dt/oto ® 2210 Final Electrical 201 Final Block/Retaining Wall / V 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 C OWNER COSTA MESA UNION SCHOOL DISTRICT DATE 8-3_56 JOB ADDRESS 1758 Tustin Avenue BUILDING PERMIT NO. #3h15 GENERAL CONTRACTOR Nylin P. Hurd VALUES 116,565.00 AP -- /� LOT 117 & 127 BLOCK TRACT Newport Hots. Add, to sciool GROUP B TYPE V ZONE Rµ FIRE DISTRICT 3h51 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench _ Foundation Forms and Grade to Garage _ Rough Framing Plumbing,Rough to Slab _ Plumbing, Rough Complete Cf f'1-0–a. Ar� ' 7 r‘ to D e'S- Temporary Pole #7S / 7-,2Sia 021 a/1 — Wiring, Rough Heating,Rough j/yn,Q.4aWr J en A -.23-,f 72 0 / — Heating,Final Sewer, House Sewer, St. Septic Tank or Cesspool / ^ Lathing, In Out I OMS Plastering //. M_ Plumbing,Final,Fixtures Complete 0��W Plumbing, Final Gas Test - Wiring,Final _ Occupancy FORM 210 3M 10.55 1)11 losta Mesa Building Department APPLICATION FOR PERMIT J P. O. Sox 317 COSTA MESA, CALIFORNIA 3451 BUILDING 1 - FOR OFFICE USE ONLY FORMLICANT TO FILL IN Receipt No. Permit No. Building / Tustin Avenue Address .3 se /S' Costa Mesa, California Received by Date Reed. I Date Issued Nearest 18th Street l 3 - d`'- -, G Cross St. Building Owner Costa Mesa Union School District Address Mall Costa Mesa, California Address P. 0. Box 517 Nearest Tel. Li. a. Cross St. City Costa Mesa, Calif. No. 2293 Zone42(4 No.of Type ,/ Group Architect or gister. Wright Lie. I Plans I Y Engineer And Wright No. C-414 Approve by Date Address 1125 West 6th St., L. A. 17 CORRECTIONS City LIQ 7 B Contractor Nylin P. Kurd No. .� (c Address 1317 Santiago. Santa Ana , LeDescription l I Lot No. lE� Block j NTrraactoEats _ r---� - (Attach Metes and Bounds) . No.of Bldgs, Size of Lot 660.301 x 660 Now on Lot 6 l O Use offNo.of a Existing Bldg. I Families Rooms Setback Line from Rear Yard Z Center of Street Side Yard D DESCRIPTION OF WORK • ,/ o i} r ; : r New 11 I Alteration I I Addition 11 Repair I I Moving I I Demolish I Building No.of Size 8191 SO./it Rooms 6 Stories 1 Exterior WaliRoof — Covering Stucco I Covering COmpOSitiO APPROVALS Use of New Foundation Location Inspector . Date Building School Axa.�,� Forms,Materials, P Under-Pinning Frame: Fire Stops, — Bracing,Bolts , I hereby acknowledge that I have read this Application 1 40!and state that the above is correct and agree to comply Lath.Int. with all City Ordinances and State Laws regulating ��. building construction. Lath.Ext Signature of t 400 �f.r ' Permittee Plaster, it • Authorized Agt gµtmati PI ,Ext Valuation Permit Fee $ Masonry Reinforced $1161565.00 Plan Check` � Bond Beam tal / Fee FINAL FORM 204 10.55 O.P.6 5. 11 y G Y • J � 6J o a d COSTO ¢ •r.N. '•7 Street PLOT PLAN Show location and distances from property line and between buildings. •