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HomeMy WebLinkAbout1741 Tustin Ave - Building Permits (56) • M`� 4 CITY OF COSTA MESA J ►rn BUILDING DIVISION F i ,_,:,,� , PER NUMBER t#4 DEVELOPMENT SERVICES DEPARTMENT PERMIT ">ro•° ° B99-01471 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 . BUILDING PERMIT Job Address: 1741 TUSTIN AV Status: ISSUED Suite: 4 Applied: 09/14/1999 Vicinity: Issued: 09/14/1999 Parcel Number: 93328004 Zoning: rT� Applicant: JOHN SMITH ISSUED BY: C - 7112 Address: Phoned - - - - Zip Owner ORLEANS COMPLEX , Address 1741 TUSTIN AV , ' ' - Phone: (949)631-2168 - ' , -_ COSTA MESA,CA . ' - ' Zip: 92627 . - - _ - Contractor JOHN SMITHROOFING Address: .3410 LA SIERRA' . ' Phone: 909-657-5600 - - RIVERSIDE,CA - ' Zip: 92503 License: 443878 - • • Arch : ' - Eng: ' Address: ' Address: • ' Phone: - 1 Phone: Zip: I -, ' License: License: > SCOPE OF PERMIT ' . • REROOF-T/O, USING EXISTING SHTG, 1 LAYER OF 304 FELT&NEW 30 YEAR COMPOSITION SHINGLE ROOF. . - FEE SUMMARY • . . Plan Check: . $0.00 - Calc Valuation: • $6,450.00 s 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 , 0-0 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 1 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 sell-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. ReI 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'ri compensation Insurance carrier and policy number are: �" Carrier: rL- iov4U _69 T6© O Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of t work for whi this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of all rnia,an gree at if I uld become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pro sio . C/ !. Applicant Signature: - Date: ` - t- f? WARNING:FAILURE TO SECUR ORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100, N 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.r Qvisjrns.1 Chapter 9(cjmencing with Section 7000)of Division 3 of the Business -nd Professions Code,and my license is in full force and effect.Lic.# :A ) ee I / / Class# '...- Contractors /1I Contractors Signature: ��i� ��_/✓✓�— Date: 4# iP 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: 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 tile 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 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: O 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). O 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). -----..— -"--h n_ p ....future occupant o fit ton.. ..acutely ous..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). _____b-- — — —......__.._._._.._...._..—_____._.__—__—___.____...__er_..... 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management antl 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? 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 Eermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 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? 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? 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. CODE INSPEC)94Ar :hor :dicant PAIF INTITIALS GDDEA INSPECTION TYPE DATE INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 1-21-11• • ` 210 Final Electrical • 201 Final Block/Retaining Wall wP, 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 / RECORDING REQUESTED BY • - F., ' rsvp*. l<�A, ti«I, Kii. b-t ��'3 • 3UPJ 1 6 1 916 1 363 $3.00 AND WHEN RECORDED MAIL TO . C 8 r RuTu V flo Ihf'� N 1 "sm• U.S c 1 I s TJ Street IN OFFICIAL '!L_uR^S I 1 ' OF ORANGE COUNTY, CALIt ORNUA AcRImuJAN 131976 / c,r` 30.V N t 1' ... ':�) l y _f� - )q'7�/ "� Mln' �A '1- L dOS1T I>- NM tic.is ' go- 6 )L - • Fast 1.0 A d I" 'l ` I. WYLIE CAELYLE, County llecerdef MAIL TAX STAfWINSS rO '4 r- Hum• MAIL TAX STATEMENTS TO RETURN ADDRESS AQQ E .suns _- - Addrm - I _ . . - __ _ .. _ . _ _ ___ _ ll ,..1 —1 SPACE ABOVE THIS LINE FOR RECORDER'S USE To 402.1 `" 15.731 Quitclaim Deed THIS FORM FURNISHED BY TITLE INSURANCE AND TRUST COMPANY O ) :C` . ut, IV- )vc "� A.P. NO. 9.33-aJ'- 635 • 0' • tG The undersigned grantor(i) dccla`rvcfs Documentary transfer las is S—ei U' - . .. . " ( ) computed on full value of properly conveyed, or • ( ) computed on full value less 'value of liens and encumbrances remaining at lime of sale,. ; • ( ) Unincorporated area: ( ) city of and V) . Ne FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged. JOSEPH KENNETH LANE - • • hereby REMISEIS), RELEASE'S) AND FOREVER QUITCLAIM'S) to RUTH V. H. LANE, A MARRIED WOMAN,, AS HER SOLE AND SEPARATE PROPERTY the following described Teal property in the city of Costa Mesa county of Orange state of California: Parcel 1 : An undivided 1/69th interest in Lot 1 of Tract No. 3586, as per map recorded in Book 329 Pages 41 and 42 of Miscellaneous Maps, in the office of the County Recorder of said county. EXCEPT Units 1 to 69 inclusive as shown and defined in the Condominium Plan recorded September 11, 1973 in Book 10893 Page 312 of Official Records of said county. ALSO EXCEPT the right to use and occupy, at all times, the automobile parking spaces described and designated on the Condominium Plan referred ( to above. i, Parcel 2 : Unit 35 now defined as 11-B and defined in the Condominium Plan referred to in Parcel 1 above. parcel 3 : the right to use and occupy, at all times, the automobile parking spice described and designated on the Condominium Plan ' referred to in Parcel 1 above as Parking Space 513 which shall be Dated deemed to be a part of the "Restricted Common Area. " ' Dated: January 11 - 1976 STATE OF CALIFORNIA t.- /`. D COUNTY OF_ } x • _1(#72__---Q..12 L• On _January 11 1 976 before me. the under. j signed, a NotaryPublic in end for said State, personally appeared ' Joseph Kenneth Lane • . known to me • OFFICIAL SEAL' • • to be the person — whose name is subscribed to the within i %;@ fiEf`(EV;EVE S. i.OBEI •• h^-i'.°1' p:'O:.;C—C',LIFORNIA o inatrumnl and acknowledged that -he- executed the sane. e .s '.''' ' ''. t,!CE IN " e WITNESS my,lutnd and official seal. • 0^.:,I::C ';t:HTY • My Commission Expires Dec. 30, 1977 • • $ignetura Name (Typed o • ed) • if executed by a Corporation the Corporation Form i of Acknowledgment must be used. Inn. ...+ for 0111,00mn.ri:a seal) Title Order No. _Escrow or Loan No._ _ i , TAY CTATFAAONTC 'AC niprrTFr, ARr1VF ' siw.a BUILDING SAFETY DEPASTMENT P. 0. Box No. 311 N? 1631 c Costa Mesa, California Date "— — G2. CITY OF COSTA MESA CERTIFICATE OF OCCUPANCY Building Permit No/572Electr.�ic.al Permit No.J'Yi1X'-+/ lumbiingg/i Fermi No 33772 Use of Building_ � .Tif/pan ���`-�'`�•� triLerfer / 6 3/ ,,w, /i/ - iia/ 11 3164-:�AfB, 41-6, The building loeattee# A! /.41i4n09 . Legal Descriptioa /DWA)y/✓t-Se . / . 0719 02e1- ?. 2 (See reverse side for Metes and Bounds`) has been inspected and found to comply gibe provisions of all City of Costa Mesa Ordin- ances applicable thereto for a Group Occupancy. ISSUED TO:j � � �d!;'/IJIJ• .CJ,( �' City B/u�ild�in�g��O,tC�tei�al1 (Owner of Building) By i"rt�7.�1t . e CC: IDOriginal—Owner 0 1st copy—Gas Co. El2nd copy— ison'Co. 0 3rLc py—File Form 208 S-B P 1M 1-60 OWNERBRAEBURN CONSTRUCTION CORPORATION Ilk i14k C DATE 3-20-62 JOB ADDRESS 17111 Tustin Ave. , Bldg. 4, Units 111,112,113 BUILDING PERMIT NO. 16572 GENERAL CONTRACTOR Geo. D. Buccola VALUE $ 30,1118.00 AP No. 117-281-2,27,.IW 28 TRACT FIRE ZONE DESCRIPTION OF WORK 3 Unit Apt. INSPECTIONS Signature DATE GROUP H & J TYPE V ZONE R-2 SoilPERMITS ISSUED C e SUBCONTRACTOR DATE NUMBER Rough Corn. Refrig. 0 Air Cond. 0 Rough Heating k 44 7-/7-GR- S,L 7716. A 4-6-6 — 37/ Rough Plumbing t fr 7..04.2-4.2- __/Aq- 5./6-6>— .5i�7 7,a ( ).1,2, Miscellaneousrk ����`"`� ,�-�/��( Prop.Swr.Line ❑-FTouse Con. 0-St.Swr. 0 an/ 4r/vt(t,ti~ .,,ILtml Slit/CO `t- 3`l tet' \W/"' Sprinkling System r/' A"", Construction Pole .�// // .. Lt @E?2� 4f-'a�5-6a' -/ r tS/4-�• Underground 0 Power ❑ /4,yr;,e-t' �� j/� 1. Rough Wiring ��_�� � _�( -6-d -6?-- 77 th/KLsa/.e', /Trenches 0 Forms 0 Steel Remf. 0 GFL/2 5 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing am .: 6- ¶ - 6 A Frame d Flashing r !-__ _ I ..y. . . . ..2. ''4 rNt'z`' 1�,-, ares, LathingIn 0 Out 0lija ' trry p� Plaster, brown coat ��Q .� G ~ itefrtg. 0 Air Cond. 0 Final H??t,ing, Final r' PingFixtures, Final Final Gas Test c,-,3-6. Electric Fixtures, Final x /Q _2)-C, BuildOCCUPANCY NFiCal Y Mi//� i., OCCUPANCY 7v.N��!'� F(1RM 13114.SM - 141 - V 16572 2 - Ir FE RECEIVED 'COSTA MESA BUILDING-SAFETY DEPARTMENT FINAWr D -F. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING 'K 4A BG _ /:z //j BUILDING ADDRESS 1741 Tustin. I [� .�i7s 1/ �T�•COSST��pA'�T�MFEyS�VA. CALIFORNIA For Office Use Only OWNER BRAE$URN POST. CORP.1NI RECEIPT NO. I IP�RnFl 72 MAIL FO DOD% 1937 REC72 BY I DAA R CEIVED DATE ISSUED ADDRESS 1.�y� n',^ F/i/�'- -4-7..,�-/pg' MR 7 n 1961 CITY llevrpOrt Beach TNOLA$31240 BUDREIN ARCHITECT B TEL.�pq COSTA MESA. CALIFORNIA OR ENGINEER Bomberger jkoB31642 ��}JJC �J /��y" ADDRESS 3355 Via Lido, Newport Beach FIRE ZONE PE {�, GROUP Ail CONTRACTOR Geo. D. BncCO1a APPROVEDBY lb // DATE YA/p 7.---' ADDRESS 3700 Newport Blvd. NING aTY Newport Beach ZONE l L NO.OF USE OF NEW 3•L-A �.�.�/� ((��//��// ��{ N I PLANS 'L- I BUILDING LIC.TNO. +71LJ�'! /Y'I()'f'��'NO. oB3124o LEGALDESCR`IPTION Let- /de 4" N!J / f SIZELOT 330 x 6601 I NO. OF 51.005.n).n) NOW ON LOT A. P.NO. /17 Z2,5/ L Z i Cd/ OF USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE ST.) �'"' CENTER OF BTReeT.-n-2 REAR YARD24-/I FRONT ZO FT. L-�/y1}�•2'�u� IN. SIDE YARD I LEFT 1S--'J I RIGHT j,[1-oma R.SIDE 343 FT. '!r"eA"Ct•-•- IN. DESCRIPTION OF WORK L.SIDE /L'i FT. S , IN. NEW /• A ALTERATION I II ADDITION I REAR a - FT. ree- rEti IN. REPAIR I D MOVING I II DEMOLISH I APPROVED ',Kee DATE L'/ P4-1. BUILNO. OF SIZE DING/1C X ep. - /e ROOMS re STORIES / �dU' EXTERIOR ROOF COVERING�Y�'� COVERING Rook USE OF BUILDING AND WORK TO BE PERFORMED /CA, -/ T .U,. 7 _ AP3ay, , I HEREBY ACKNOWLE E HA I AAV. READ THIS A-LIGATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT TH A OYE IS OR-). AND AGR /TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY INA C AN• STATE S -GULATING BUILDING CONSTRU ON. VALUATION PERMIT FEE $ 5 c SIGNATURE O • �� 4. try — PERMITTEE ///f // �( $gQ�7 D '�(' PLAN CHECK $ �t ,�j F AUTHORIZED AGENT /' 7 E la TOTAL FEE $ /S -- LL