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HomeMy WebLinkAbout1741 Tustin Ave - Building Permits (64) V i ,W ir F CITY OF COSTA MESA ` ,,y' `, BUILDING DIVISION , i �"`.;!",�, ' DEVELOPMENT SERVICES DEPARTMENT PER NUMBER t,• PERMIT "u` B99-01477 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1741 TUSTIN AV Status: ISSUED Suite: 5 Applied: 09/15/1999 Vicinity: Issued: 09/1511999 Parcel Number: 93328004 Zoning: Ill , ,t Applicant: JOHN SMITH ISSUED BY: ( _YV' Address: I PhdneI " Zip: Owner: ORLEANS COMPLEX Address 1741 TUSTIN AV . " Phone: (949)631-2168 - , 'COSTA MESA,-CA - - Zip: 92627 - ` Contractor: JOHN,SMITH ROOFING Address: -3410 LA SIERRA - - F149' " - Phone: 909-657-5600 - • RIVERSIDE,CA Zip: 92503 , License: 443878 ' Arch Eng: . Address: - _ Address: Phone: - Phone: Zip: License: License: SCOPE OF PERMIT REROOF-PO, USING EXISTING SHTG, 1 LAYER OF 30#FELT&NEW 30 YEAR COMPOSITION SHINGLE ROOF. - FEE SUMMARY Plan Check:. $0.00 Caic Valuation: $5,350.00 Permit: $125.25 . - - Claim Valuation: $5,350.00 SMIP Res: ' $0.54 _ - - SMIP Corn: $0.00 • Other $0.00 - Inspection: $0.00 Total: $125.79 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 DEC mA TIONS 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. SF 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 workgsatl/cot/ and policy number are: 4W /4 687' Carrier: 3-7,-4-re: � ((� Policy Number: (This section need not be completed if the permit Is valued et one hundred dollars($100)or less.) O I certify that in the perform ice of t work for wh' this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of C o ia,an gre hat if ould become subject to the workers compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provi ons Applicant Signature: Date: 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 MOO. .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 und= ro�v'yslons of Cr:pter 9(commencing with Section 7000)of Division 3 of the Business and Pro essions Code,and my license is in full force and effect.Lic.N i? L'1 A Class a T Contractor's Signature: !�.S " 2 Date: 4 . (7 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 em 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.). ❑ I 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: ❑ 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). ❑ 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 application a gaermit for such construction or modification from the South Coast Air Ouality Management District or from any other air pollution control district or agency? U 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). .._-- _-r- _.. rio..___hool?----. Yes 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Ves ❑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 lawe 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. die/Ign e Of La al wner(s Date Authorized Appl nt Date COON I INSPECTION TYPE PATE IffrmAL5 CODE INSPECTION TYPE DATE INTMALE 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof p 210 Final Electrical p 201 Final Block/Retaining Wall cf�O - (q 6w41 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 wms BUILDING SAFE' DEPARTMENT O P. O. Boa No. 317 1632 Costa Mesa, California Date /c -? J CITY OF COSTA MESA CERTIFICATE OF OCCUPANCY Building Permit Nol electrical. Perm•t No � Plulpbing Permit No-5•67167 Use of Building -.-7) /fir' r�I %- d ,A41,4/tt //SIL-/ 0/J`/,4C1-71,//9 J vCC'��--.A4��JJ 5-62SC The building loeatet3 at / I ! �'}-'�•x Legal Deseription d`DL'71 ' ,�`14N..2tL ,1 2 A, /• 9-.21,/ -2 2 9. 21 (See reverse side for Metes and Rounds) has been inspected and found to comply withyttrovisions of all City of Costa Mesa Ordin- ances applicable thereto fora Group +'!� Occupancy. ISSUED SS City Building Official i/T/7L ?i`T/Jt/ it �!• �1 h e (Owner of Building) B,��/)..f/MC�.--�• CC: ❑ Original—Owner 0 1st copy—Gas Co. 0 2nd copy—Edison &. ❑ 3roCcopy—File Form 206 SB P 1M 1-60 OWNERBRAEBURN CONSTRUCTION CORPORATI , -, S$t• DATE 3-20-62 JOB ADDRESS 17111 Tustin Ave., Bldg. 5, Units 111-115-116 BUILDING PERMIT NO. 16573 GENERAL CONTRACTOR Geo. D. Buccola VALUE $ 391523.00 AP No.117-281-2,271t1U 28 TRACT FIRE ZONE DESCRIPTION OF WORK 3 Unit Apt. Il ECTIONS Signature" 7-- !eDATE GROUP H & J TYPE V ZONE R-2 Soil J.z i 17-Gif.- SUBCONTRACTOR PERMITS ISSUED Gas DATE NUMBER Water 4,4/ t tebai.2- Rough Com. Refrig. 0 Air Cond. ❑ y Rough Heating ?/ (� �7 �S9iL5 S-Cc2o -�7?R — ro -6-6r- 577,i��/ Rough Plumbing ./s.�(.(/ ge9-at 5t4,67do dent. x.Spxdl 57i//o2 357171 52j�v,G+- Miscellaneous `--v— �� p'y�y"��. Prop.Swr.Line ®rHouse Con.®-St.Swr. 0 , K 1C�t la L L )t/�w� 37?f/G 7- 5 ( !'// Sprinkling System fAfila Construction Pole .7,42l:311; Underground 0 Power r _ Rough Wiring y,�/- ,L, 7(- � ]i to-s)�'/O aT /7or'�e7.��a lel Trenches 0 Forms 0 Steel Rent U iS j'Y/d r .2-- • b ,-- Floor System Bond Beam _❑ Steel Reinforce 0 Sheathing /I7Y,rf 9--1,--C)- Frame s/--CYFrame and Flashing e , - - ,_ „� -(49 Lao- ng - In it 2ut Cr rCa Q — /*- A y P r, brown coat /e/y/o- /0 - A- 457/ fle..,g. 0 Air Cond. ❑ Final Heating, Final tE ' Plumbing Fixtures, Final Final Gas Test /474At, /�hS•CR. Electric Fixtures, Finalff Building, Final ft 30 S OCCUPANCY a43'0 FORM 6U4•5M — 7.61 1-61/3 3 F[E RECEIVED ` - , 16573 .,i/ MAR 6 1962 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P. O. BOX 917 COSTA MESA. CALIFORNIA CII'( OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT • TYPE OR PRINT i n U _ BUILDING BUILDING ADDRESS 1741 Tustin. Bldg. +5 !/N7S //L{ _i/5 //6 COSTA MESA. CALIFORNIA For Office Use Only OWNER Braeburn Const. Corp. I RECEIPT NO. 116573.. MAIL 13•0• Box 15M3 RECEI ED BY DATE RECEIVED UDALTIE/IS,SSUED ADDRESS 7J7 �� �b MRL 0 141.-.. CITY Newport Beach 1+00231240 ADDRHIBG ARCHITECT � rl.B31642 COSTA MESA. CALIFORNIA OR •L• B9mber r NOOMM+AJ / ,�/./ ADDRESS 3355 Via Lido. Newport Beach RE ZONE -T•yY�PE (/ GROUP /�J,f r� CONTRAGTOR�P D. Fl1CC018 APPROVED ( /) DATE ��/b ADDRESS 3700 Newport Blvd.. ZING CITY Newport Beach ZONE _ L I PO. F I BUUILDING OF NEW 3 L4-1-'R ���j[p, (�///.,2 I� �j /n' PLANS.OUSE LIC.TN0:1$296 / 723- NCUB.Jl240 LEGAL [ - (C god'-#7, ?� DESCRIPTION OF LOT330S x 660' I NO. OFsize TB.o LO Now ON LOT A.P.NO. O ii 7 - in - 2-- L 1 J 7.." USE OF YARDS EVES EXISTINCL BLDG APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE ST.) p���`� CENTER OF BTREETe4•/' . REAR YARD24-9 FRONT L 'V FT. /�4•^Z. IN. SIDE YARD I LEFT /2-S I RIGHT as-D R.SIDE 9© FT. O-•^•V/DK�7/. IN. DESCRIPTION1OF1 WORK L.SIDE / Z FT. S , IN. NEW 1/� II ALTERATION1 ((ADDITION I REAR ` FT. er6.4TL� IN. REPAIR I II MOVING I II DEMOLISH I APPROVED AA BY �V'f06 DATE n-/-ts:Pa Z BUILDING." NO. OF ..,./.SIZE / X 4J O ROOMS La STORIES 2_ - EXTERIOR WALLROOF pp COVERING St{y�I,t (COVERING BO USE OF BUILDING A'• WORK TO BE PERFORMED 03 ( /vi7 1472P /. 41 ' V..-7(ov/ 1 p3 a, I HEREBY ACKNOWLSD HAT H i R D THIS AP- CATION HE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE B VE I -R' • AND ACRE 0 COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CI 0 NAN AND • ATE ''S -'MATING BUILDING CON N. t / / VALUATION SIGNATURE 0 TAS V PERMIT FEE $ G � n PERMITTEE / $ 2 7-a3 PLAN CHECK $ 02/i 3--.0 � AUTHORIZED AGENT ✓ X etSdE TOTAL FEE $ y