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Home My WebLink About1939 Tustin Ave - Building Permits f .. ,s-Er y. CITY OF COSTA MESA ' . , - ' 1 BUILDING DIVISION ,,.. m.. 4+ DEVELOPMENT SERVICES DEPARTMENT - PERMIT NUMBER .I rer V OK. PERMIT . B02-00611 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 9262.6 BUILDING PERMIT . Job Address: 1939 TUSTIN AV Status: ISSUED Suite: Applied: 05/06/2002 • Vicinity: ROOF Issued: 05/06/2002 Parcel Number: 42630210 Zoning: Applicant: MAYFIELD, WILLIAM B ISSUED BY: Address: . 1939 TUSTIN AVE � r �odQ�0OZ, /, hone: 949-548-t 683 COSTA MEQSAv�A„/ � ' Zip: 92627 Owner: MAY.FFIIEELL"D;WI(((L/LIA B • bil/01( 2N-..... � . .—Address 193991TUSTIN AVE n c 0 7A �� Phone: c�� s`� • �� COSTA�/i�� Zip: 92627 ��Q� O , n `\� Contractor: OWNER-B LDER \\(;) \\ f Adtlress:+ 30/7(/& Phone: ` ;\c\ , t Zi : /!� License: 0 °0 \+ , � Arch_!: / ( ^•.. y -y\ Eng• ((( , Tr . `n�"rr---�'o ,q.'99"4 Addre70a. •1 ,9aPhone: cense: License:1\1 `1511 1 l / L J Q SCOP-E:OF"PERMIT j l;I •� TEARIOFF X STING 2 LAYER O SHAKES AND INSTALL CDX/AND FIBERG S INGLES.2800 S.F.INC U'DESIt ) ATTACHED GARAGE. �� , II! II 1\ n_ i . 1Q1I1c . 0 , 0 I 1 O�I j FEE°SUMMt �Ii / L v l1 1: a $0.00 y— - � -- DECLARATIONS , 1 I i L ;: WORKERS'COMPENSATION DECLARATION: - _ _ I hereby affirm under penalty of perjury one of the following declarations: ... O 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 the 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'completion Insurance carrier and policy number are: . Carrier: Policy Number: • (Thi section need not be completed if the permit is valued at one hundred dollars($100)or less.) 4 , 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 theseprov Bions. �ApplicanFSlgnatuie: i.a4-a-- og• /41411� tDate:r. '5 t 07 WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVEUNLAWFUL 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# 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).): O 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 pursuant to the Contractors License Laws.). 4j I am exelnpi under sec. Business and Professions Code for this reason: • Signatu� v.4-040 t 1caate:> Owner ID verified by driver's license. es No D'r'Iver`s'EIcenseNO7=> -.Expires:a-1/-H 2 Verification of Ownership by(type of doc t,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 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? 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 end 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 application a2ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes ❑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 pan 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 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? ❑Yes 0 No pi.t ai. ol to.control officer).. .................... 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,'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 Co occupy or allow occupancy of any building authorized by this permit until final inspection. gielb-6-- 6 hex ? S- '6 - oz_ 01 nature Of Legal qs) \DateY-7 And/Or Authorized Applicant Date CODE E INSPECRON TYPE Mt INTMALS CODE! INSPFCTION TYPE PATE ItIM6L5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 6-744-d 5.., 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 . - , • , COUNTY OF ORANGE • ' _ ,pplication for Building Perini. . BUILDING DEPT. J-f 2 7 • .V 636 No.Broadway AND FOR A Permit No....... ..., Santa ,CaliforniaalCertificatf Use and Occupancy Phhone:one:KI 2-6211 e opanY R Date..., /- ,/ ` /9-'2- 4 1. OWNER'S NAME -_ ,I y--. //al*A-V6--e--/ rV"C'S-'l-, a x_c__ /P//g, ONE: /-3 / .P MAILING ADDRESS /IP llN.... CITY.4.1 .. zdt'� i - t `• Name � Name L"•�'�-� (Architect or Engineer) (Contractor) Address Address City - City • State State Lic. No Phone 1 Lic. No Phone C PROPOSED USE• J -e�tt �„Li:,__,_ �j. _zco sor-4w�(4 et j� 2. JOB LOCATION ..g..✓5- 7 ....f" i(lU� 1/ __`4-i-�- - "" ' (House No.) i (Name of Street) �(T n•or Sc o�istrict) NAME OF AND DIRECTION FROM NEAREST CROSS STREET dzJlO 3. LEGAL DESCRIPTION: Lot 11 Block Tract 'V 9 2 (Metes and Bounds Description-Use reverse side of form) 4. CORNER LOT ( ) INTERIOR LOT ( lic THROUGH LOT ( i ) SLOPE OF LOT ( ) 5. SIZE OF BLDG - 33 /X 3 q 1 AREA• /./...5 6 SIZE OF LOT4Y.'91 4. //"- AREA:..;g/w 6. HEIGHT OF BLDG • M- / CEILING HEIGHT t"2 ii NO. OF STORIES '7. NO. FAMILIES / Siie of Smallest Bedroom• 744'../P/77/Size of Kitchen /e) 8. EXTERIOR WALL CONSTRUCTION'•• -3. INTERIOR WALL COVERING ��^!t (Frame, Stucco, Etc.)" // ( n ,t \ (Plaster-Drywall, Etc.) ROOFING COVERING dSJ LI -- CeIy J7 9. STATE HOW MANY BUILDINGS NOW ON LOT AND GIVE USE OF EACH 94h-t-e___ ., 10. SETBACKS: Front Yard From Center Line of Street 61'0 Nearest Side Yard ! 4,' Rear Yard Yd( Distance in Feet Between Bldgs. on Same Lot 9' (Property Line) (Property Line) 11: A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.!� !. !! 12. (a) Footing: Width- A Depth in Ground..../.. -- Width of Wall (b) Size of Studs:..2 51 Spacing /.-lr7 "CC Material of Floor y1i /-- (c) Size of Floor Joists• yy .K 10 Spacing e/‘ - "CC (d) Size of Rafters:-..._!`7 ' Spacing 2 4 "CC ._.4 13. VALUATION OF P OY SEJB WORK: ,Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and sewage disposal $... °u '� 0t ,. e 14. I HEREBY CERTIFY THAT TO THE'BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION.IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF C - tt ' IA APPLICABLE�T/HEERRETO. �� Signed. -�o?-C!'ty"s-e c-�' 1 caner) Plans Filed i, By' i (Authorized Agent :FOR DEPARTMENTAL USE ONLY FEES: i; CHECKING BY p� O GROUP APPLICATI .-.. HEALTH Bldg. Permit $ a u �' Plan Check - $ 3 TYPE / ZONING.... --. ..... FIRE 3 eb U DIST. -. MARSHAL Totalc - No. $... _ p "f PLANS AND 98 Receipt 5 d MAP C`�--!'1 SPEC'S STATE Paid to - - Itr.th SHEET NO .6— CORRECTIONS ENGINEER Date i /-• t--c/ 5.72-- v VERIFIED CAL A j�(� J +• [ COUNTY•BU wG . i:' PI I .QI"!ryl$ u UC INSPECTOR DATE I_(— I '1 Q�-,fl soon--fl2 t' T -PAP1w!—.... r:1,-. ^ '1' IV , OWNER CLARKE, JACK DATE 5-20-69 JOB ADDRESS 1939 Tustin Avenue BUILDING PERMIT NO. 30308 GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Add. Den, Bdrm, Bath & Garage AP No. 318-232-17 LOT 14 TRACT hog FIRE ZONE VALUE $ ]2,1}07,00 _ INSPECTIONS Sign a ate GROUP I & J TYPE V ZONE R-1 _ SOIL LI'4! /67' SUBCONTRACTOR PERMITS ISSUED GAS Date I Number Signature WATER /I�// Plumbing,' ROUGH PLUMBING I'f� 2--;2,57-70 Z/�Jj�j�(5//J�Aj. J//�jJJ/i/�/f/ J<51,041 '-J�[a�fj� PROP. SWR. LINE ❑ HOUSE CON. 0 CL '�_ -V 4/C/ dv L�-3-‘76-447;t' SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING, TEMPORARY SERVICE OR POLE [� UNDERGROUND .. POWER fl /.2 T„Z� t ROUGH WIRING �j/f_A� /'/C/ Heating and Vent. TRENCHES FORMS ❑ STEEL REINF. ❑ �'/lyse t• FLOOR SYSTEM , BOND BEAM n STEEL,REINFORCE n �/h� SHEATHING e ib rA FRAME AND FLASH! a�(/ r y/.-/ ]Y LATHING - IN OUT I_1 G q�` ' PLASTER, BROWN COAT TIC V /7o STRUCTURAL, FINAL /// EI Ctrl n p/� q f _ HEATING, VENT., REFRIG. AND A.C., FINAL ) s/. 5- zT ' PLUMBING, FINA • 'A4(TR .'• Si -7/ / / ELECTRIC, FINAL /Ov1'/7 BUILDING, FINAL toll;2/ - - 30308 ; MAYPx1JOO �0-6� 1165* ****79.50 COSTA MESA BUILDING-SAFETY DEPARTMENT cns P.O.BOX 1200 COSTA MRSA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT BUILDIADDRENG (0 39 TU T �� >F RE`EI`�'ED BY. DQ.TE EI/V/ND� DATE ISSUED�� OWNER J i4/ IL VL. ICK E. A.P..NO./r//I/D ��Q�I ' // 5041^,r 8' MAIL ` �t _ BUILDING i q3 9 ' � -5./44" A,,�c' ADDRESS l� 1 FUST IN Ault; ADDRESS 0- Z CITY C� :)c TA AA 7 er .41 NOL A4,4401/ TRACT V /7 LOT // BLOCK.. Z Q CONSTRUCTION 1 • NEW ADD ALTER {REPAIR]MOVING DFMOLISH --N LENDER a , .. J 7 BRANCH il •J to !l111J OWNER TircK GC/WE • m J ADDRESS" I ^ �^^ VALUE ' J m ' ARCHITECT TEL. USE t/.fiett /` 0\t' /`c'�/t. $ Q OR ENGINEER NO. - T',,/ _ z Q i. FIRE-4:03 -�(/�'_ / w CL ADDRESS _ ZONE TYPEt GROUP, r d IL I/ APPROVED r LU Z CONTRACTOR (9 w NE' BY 's E S-r-�-(P J Q m Z J CC ADDRESS • 4 in W - ZON NO.OF USE OF NEW Gee'sr`'o '�,�s'� ZH CITY NO. (PLANS Z 'r BUILDING Al c„,„le 4 . W STATE • CITY YARDS APPROVED YARDS APPROVED CA CC LIC. NO. 11 LIC. NO. MAIN BUILDINGE� - ACCESSORY BUILDING O (FROM C/L ST R 9 Ty ayf �s 'SIZE 7 1 NO.OF BLDGS. 41,114C /a • OF LOT / x 2 NOW ON LOT FRONT n FT. J FT. USE OF ! ' EXISTING BLDG. R e S P.. G R SIOE FT. FT Ir -SIZE OFr NO.OF - ft, 2 NEW BLDG. ('ZOO SCf ROOMSS STORIES 1 _L.SIDE 'S FT. FT. • Q EXTERIOR WAW__ ROOF C_7 COVERING 5Tt . .c COVERING W 00 0 _REAR aFT. FT. J USE OF BUILDING AND WORK TO'BE PERFORMED DISTANCE BET. BET.MAIN& d .1 a MAIN BLDGS. ACCESS. BLDGS. Q '1 � F VAR.# DATE Q A o p cm /1fJ -(9 e N Rag 4 C.U.P.# - APPROVED nf�� qS APPROVE ��((///^I__ ..5---/ 9-6. CI) ATMri- G A "� G ,$Y Gip IIATF / Z - 1� '�``�--�VV' O .. VI hereby acknowledge that I have read this application and state ✓ -that the above information is.correct and agree to comply with CC all laws regulating building construction, and I shall not employ F any'person in violation of the workman's compensation laws of 79 V) the State of California, ( y/�— /�y �^1t— to Z I hereby certify that I am properly.licensed as a contractor under O SQ. FT.-/- YJ L v O the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 9 am exempt from the provisions of the State'of California Business and Professions C , Division 3,Chapter 9. VALUATION 55,6-0 � � m I/,n n' PERMIT FEE $ O Signature of �/ ''7 / 0 ' Permittee ll 911 - S /�/ ' 20 / 0PLAN CHECK $ a (� . O E t / o �// 79. 5a LL Authorized Ag .474.1- /(n f \ TOTAL FEE $ 1 P