Loading...
HomeMy WebLinkAbout1741 Tustin Ave - Building Permits (45)(714)754-5273 • Fax(714)754-4856 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT Job Address: 1741 TUSTIN AV Suite: 3 Vicinity: Parcel Number: 93328004 Zoning: Applicant: JOHN SMITH Address: Phone: Zip: Phone: (949)631-2168 Zip: 92627 Phone: 909-657-5600 License: 443878 PER NUMBER B99-01470 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 09/14/1999 Issued: 09/14/1999 Arch : Eng: Address: Address: Phone: - - - Phone: Zip: _ License: License: SCOPE OF PERMIT REROOF - TIO, USING EXISTING SHTG, 1 LAYER OF 301« FELT & NEW 30 YEAR COMPOSITION SHINGLE ROOF. Owner: ORLEANS COMPLEX Address 1741 TUSTIN AVE �. 'COSTA MESA, CA- - Contractor: "JOHN SMITH.ROOFING Address: 3410 LA SIERRA " SMIP Res: F149 ' RIVERSIDE, CA Zip: 92503 Phone: Zip: Phone: (949)631-2168 Zip: 92627 Phone: 909-657-5600 License: 443878 PER NUMBER B99-01470 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 09/14/1999 Issued: 09/14/1999 Arch : Eng: Address: Address: Phone: - - - Phone: Zip: _ License: License: SCOPE OF PERMIT REROOF - TIO, USING EXISTING SHTG, 1 LAYER OF 301« FELT & NEW 30 YEAR COMPOSITION SHINGLE ROOF. 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 FEE SUMMARY Plan Check: $0.00 Calc Valuation: $6,450.00 Permit: $139.25 Claim Valuation: $6,450.00 SMIP Res: $0.65 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total:. $139.90 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0- o 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 1111ORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ' ❑ 1 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. (Q" 1 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' com en tion I sur nce ,cj�roar and policy number are: /, / G,, Carrier: S i'�•✓ Policy Number: �ie)14(-40/ (This section need not be completed if the permit is valued alone hundred dollars ($100) or less.) ❑ I certify that in the performs a of the work j r hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws Califo a, an gree fi If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these r visio Applicant Signature: IXI- Date: WARNING: FAILURE TO URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANDDOLLARE( ,U00,000), IN ADDITION TO THE COST OFCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37MOF THE LABOR CODE, INTEREST, ANOATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed underrcvision of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a� Professions Code, and my license is in full force and effect. Lic. # Class k Contractors Signature: Date: CONSTRUCTION LENDIN 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), Lenders Name: Lenders 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.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ 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: ❑ 1 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? ❑ Yes ❑ 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? ❑ 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 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 ❑ No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of thisa plication a ffrmil for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? a 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). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (if "yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). __- .. .............. .. '--- cy is ..f_..-...... t.I.c-It-- -_... 7 If a permit from Iha South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject -o I f [his application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ 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. n Of Le al Owners) d/Or Authorized Applicant Date CODE 1. 1116PECTION TYPE DATENJ TMALs CODE ♦ INSPECTION TYPE DATA INTI 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final � 208 Final Plumbing 200 Final Re-Roof 9 2-92 210 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 _BUILDING SAFETY DEPA� 'ENT'T� '3O C P. O. Boa No. 317 lv Costa Mesa, California - �^ Date !A _ CITY OF COSTA MESA CERTIFICATE OF OCCUPANCY ����7/ Building Permit. No�C�Electrical Permit No/ a^ZO Plumbin Perglit No,3=2LC / Use of Building—.. elf�/37�/ �/Gf✓ OWNEV1TM���� The building locate,/dd,, a / Legal, Description✓w/��0� (See reverse side for Metes(and Bounds) has been inspected and found to comply with he provisions of all City of Costa Mesa Ordin- ances applicable thereto for a Group Occupancy. IS.SIJED TO -f. City Building Offic•al (Owner of Building) By / CC: ❑ Original—Owner ❑ 1st copy—Gas Co. F-12ndcopy—Edis` u �o. ❑ 3rd copy—File Form 208 S -B P IM 1-00 GtNtKAL CUNIKAU UK owner AP No. 25-021-7 LOT 10 II^� ,?GCTI ONS GAS WATER ROUGH PLUMBING �-T PROP: SWR. LINE D HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND POWER ROUGH WIRING TRENCHES FORMS STEEL REINF FRAME AND FLASHING LATHING — IN M OUT PLASTER. BROWN COAT STPIICTURAL. FINAL H G, VENT., REFRIG. AND A.C., FINAL PL..... dING. FINAL AND GAS TEST ELECTRIC, FINAL BUILDING. FINAL CPFFI01 PFOIIIRFMFNTS VA SUBCONTRACTOR 1 C3 " 45 !;JN 17-77P-!uOO?7051, c COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 AP LIC t FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RE I E DATE RECEIVED D I BUILDING �� ADDRESS -t OWNER A.P. NO. �l�J ©<1—, P RMIT NO. BUILDING ADDRE//SS��^ MAIL ADDRESS &5!/N•/3�- CITY /Af/1 / n_. NOS-f/j�': WQ' TRACT �,J d LOT /0 BLOCK BRANCH R �`�ADDRESS 1 hereby certify that I am properly licensed as a contractor under /n�VALUEARCHITECT `�v EOR TEL.%O ENGINEERNADDRESS the State of California Business and Professions Code, Division 3, m Chapter 9, and that such licenses are in full force and effect, or I TYPE ROUP VECONTRACT i� DATE / and Professions Code, Division 3, Chapter 9. TEL. NO. OF USE OF NEW CITY NO.IZ DREAR PLANS BUILDING CO,De STATE CITY RDS APPROVED YARDS APPROVED LIC. NO. LIC. NO.AIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLDGS. /L STR EET) Authorized Agent OF LOT NOW ON LOT FT. USE OFQ�EXISTING BLDG. ✓ FTSeparate / permits are required for FT. electric, plumbing and heating work. -FT. USE OF BUILDING AND WORK TO BE PERFORMEDNCE BET. BET. MAIN & SLOGS. ACCESS. SLOGS. / -O VAR.* DATE C. U.P. 966 APPROVED APPROV (J woe -,yy� �" J Sys !/ 1 hereby acknowledge that I have read this application and state 'n that the above Informgtlon is correct and spree to comply with ro all laws regulating building construction, and I shall not employ any person in violatloo of the workman's compensation laws of m' the State of California.Zd �/ 1 hereby certify that I am properly licensed as a contractor under a SQ. FT. r`Ov THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Division 3, m Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business < and Professions Code, Division 3, Chapter 9. VALUATION PERMIT FEE E v� PLAIN CHECK E m "I o Signature O Permittee std/J/I E `/'J`'t/J�J t/ LL f TAX S U TOTAL PAID E , Authorized Agent OWNER BRAEBURN CONSTRUCTION CORPORATION 3A i j� DATE 3-20-62 JOB ADDRESS 1741 Tustin Ave., Bldg, 3, Units 10 ,109,110 BUILDING PERMIT NO. 1 71 GENERAL CONTRACTOR Geo. D. Buccola VALUE $ 30,1 8.00 AP No.117-281-2.27.128 TRACT FIRE ZONE DESCRIPTION OF WORK 'I unit Ant._ 1"- 1ECTIONS DATE GROUPH & J TYPE p ZONE R-2 6 SUBCONTRACTOR PERMITS ISSUED Gas DATE NUMBER Water tSignature Rough Com. Refrig. ❑ Air Cond. ❑�--�T/�Rough Heating �%GX SvS— /`[_F !/�6 _3 -Rough Plumbing Miscellaneous Prop. Swr. Line ❑-Ylouse Con. a -St. Swr. ❑L L4-ko�(�'% G L 'Ytrc•I.Iw 3( `C 3 Z-�{ _ Sprinkling System Construction Poe i Underground ❑ Power ❑ u h Wirin z Trenches ❑ Forms ❑ Steel Reinf. ❑ a- .y_. Floor System _ Bond Beam ❑ Steel Reinforce ❑ Sheathing — y Frame and Flashing Lathing — In ❑ Out ❑ Prater, brown cAi oat c, I Y,J]ng, Final - Plumbing Fixtures, Final Final Gas Test Z Electric Fixtures, Final S-,6 Building, Final OCCUPANCY FORM 8114 . W - 7.91 1 16571 'COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 517 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT - g3 C/ FEE RECEIVED MAR 6 1962 FINANCE DEPT. CI(Y Of COSTA MESA APPLICATION FOR PERMIT BUILDING BUILDING ADDRESS 1 /41 T118tiE BLCI 3 ,vi7.s /0y -1057.11C COSTA MESA. CALIFORNIA For Office Use Only OWNER Brae bUril COIIet• COrP. RECEIPT NO. TF9y�V�••5 I V1 71 MAIL RECEI ED OY DATE RECEIVED DATE ISSUED ADDRESS 7: AC n ,. 1oC'J j.^ ZZYV BUILDING v CITY New rt Beach NO.D$ AUILDIN DDRESS ARCHITECT TEL. COSTA MESA, CALIFORNIA OR ENGINEER NO. ADORES& Vi, Ne FERE ZONE PE GROUP VL CONTRACTOR (ie APPROVED BY DATE BZ NING ADDRESS 1700 Newport Newport Beach ZONE NO. OF -T I // UEE OF NEW L ' /J I CITY -2 PLANS v BUILDING STATE /q,�;e4%EL. 12.lVO LEGAL ` �y- C LIC. NO. NO. OH DESCRIPTION BRE / i No. OP BtnaH OF LOT NOW ON LOT U / Z A. P. NO. / USE OF YARDS EVES EXISTING BLDG APPROVED ALLOWED SETBACK LINE FROM -- (CENTER LINE W.1 �� CENTER 00 STREET REAR YARD20'Z /YY/,,.. FRONT Z•'J �'/ FT. /bX711. IN. SIDE YARD I LEFT - I RIGHT 70-L7 R. SIDE 7C�j FT. DESCRIPTION OF L. SIDE / FT. S * IN. 1WORK NEW I x II ALTERATION I II ADDITION REAR Z FT. Z' IN. REPAIR I MOVING I I DEMOLISH I APPROVED, /� �!!R DATE BUILDING NO. OF SIZE -10 ROOM& STORIES EXTERIOR WALL ROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED 3 l � I HEREBY ACKNOW THA 1 AV HAD THIS AFFILICATION THE AMOUNT SHOWN UNDER VALUATION IE FOR THE AND WAY THAT T ASOV 1E CO Gr AND AGR TO CAM- PURPOBE OR ESTABLISHING q PERMIT FEE ONLY. PLY WITH ALL CITY RDI CM AN e'ATE a GULATIND VALUATION BUILDING CONS ION. r PERMIT FEE $ J �— SIGNATURE PLAN CHECK $ �S -- PERMITf6 $ 3 ���D AUTHORIZED AGENT TOTAL FEE x Y D