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Home My WebLink About1741 Tustin Ave - Building Permits (22) L,Nil CITY OF COSTA MESA 1, J ). ,-ea- 4 BUILDING DIVISION I-i '- 1 DEVELOPMENT SERVICES DEPARTMENT PER NUMBER `" 1.° � PERMIT ' fr 699-01422 (714)754-5273 • Fax(714)754-4856 • 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1741 TUSTIN AV Status: ISSUED Suite: 20 Applied: 09/07/1999 Vicinity: Issued: 09/07/1999 Parcel Number: 93328004 Zoning: Applicant: JOHN SMITH ISSUED BY: -21)12 Address: Phone ,�:� , Zip: _ Owner ORLEANS.COMPLEX i/ , AddressV . - COSTA MESA,CA / _ Phone: _ - - - /// 1741.TUSTIN AVE - - Zip: 92627 -N-'‘, - Contractor: / JOHN SMITH.ROOFING ��'„• 7 Address: .3410 LA SIERRA= 7F149// "/ Phone: 909-657-5600 - � 77/ - RIVERSIDE,CA ' Zip( 92503 License: 443878 ' Arch .- ,,. Eng. Address: �/ �`' -�'� - •Address: 4• . ;Phone: ; ', , - - Phone: - Zip: / k: License: - - ,.`..License: - - SCOPE OF PERMIT - /, REROOF,-T/O,USING EXISTING SHTG, 1 LAYER OF 30N FELT&NEW 30 YEAR COMPOSITION SHINGLE ROOF. FEE SUMMARY _ ' Plan Check: . $0.00 Calc Valuation: 36,450.00 Permit: $139.25 -- , Claim Valuation: $6,450.00 SMIP Res: $0.65 -- -- - SMIP Com: $0.00 -- ' / , , Other: $0.00 / Inspection: $0.00 __ TotaC, $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 `Existinq: ' 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 WORKERS'COMPENSATION DECLARATION: -1 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 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 Insure c�elcarrier and policy number are: Carrier: ,Der/*rC Cu ✓ Policy Number: DD/C460 2 (This section need not be completed it the permit/s valued et one hundred dollars($100)or less.) ❑ I certify that in the performance of the work •r 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 Callfo J.an grain if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pr.;skins, � Applicant Signature: % ,mat , v / Date: 7 ' 2-19 WARNING:FAILURE TO SEC "E WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND Dot I ARE(51.i/fir),IN ADDTI1ON 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 licens'• under•rovisio1 of Chapter 9(commencing with Section 7000)of Division 3 of the Rusinee end jessions Code,and my license is in full force and effect.Lic.# e Class# .moi ll i Contractors Signature: ° ��r ot Date: 9= 7 97 CONSTRUCTION LENDING •GENCY: O 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).): ❑ 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, em 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 drivers 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: ❑ 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,lalsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,An 2,Sec, 341,Title 8,Califomia Administrative Code). i ❑ 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 Califomia 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 greeter 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 Califomia 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 Califomia 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 Califomia 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 ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LI 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 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 Califomia 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 B (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. 40,„0wner(s) .-Qat AOr Authorized Applicant 9`/Date CODE INS CTION TYPE GATE INTRUL$ CODE( INSPECTION TYPE PATE INTRIAL6 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 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 244646 • BUILDING SAFETY 'ARTMENT 1643 P. O. Boz No. 317 Costa Mesa, California Date/.2 _/3 —d .9-- CITY CITY OF COSTA MESA CERTIFICATE OF OCCUPANCY Building permit No�'StX ries cal Permit No797ny2plumbind,g Permit No, 59�a Use of Buil din f f-//s�'+�� / 4fn570r14 _24) ids - /%'t- /6�t7 Zo - 20C- The building located at 11W.1 ✓/; � 4) .,. {? #/t7-941 - Legal Description+'�n Tigg !/A/� ;12L%-1,2- k 2,fn1-• A. U .'.� . 2 7 it (See reverse side for Metes and/Bounds) 1 has been inspected and found to comply wie provisions of all City of Costa Mesa Ordin- ances applicable thereto for a Group � �[`! Occupancy. ISSUED T,// City BuildingTal/, (Owner of Building) ByCthi CC: ❑ Original—Owner ❑ 1st copy—Gas Co. 0 2nd copy Edison Co. 0(3rd copy—File Form 208 S-Il P 1M 1-60 • 20 A, 206,100 OWNER BRAEBURN CONSTRUCTION CORPORATION DATE 3-20-62 JOB ADDRESS 17141 Tustin Ave.,B1dg.20,Unit 1611,165,16E BUILDING PERMIT NO. 16588 GENERAL CONTRACTOR Geo. D. Bucca VALUE S 30,148.00 •" No.117-281-2,27,iar 28 TRACT FIRE ZONE DESCRIPTION OF WORK 3 Unit Apt. JPECTIONS Signature DATE GROUP H $t J TYPE V ZONE R-2 Soil /.-Z// 5 ,C/ PERMITS ISSUED Gas SUBCONTRACTOR Z /. �_ DATE NUMBER Water -SC-42. / Rough Com. Refrig. ❑ Air Cond. 0 tY Rough Heating I,,- -fsi.QQa _ S S .t t, 7.j4-&-(ov Rough Plumbing 6 f•/ frig„Pe>- ! i- : $ �� _�d2� aist. ) Miscellaneous / - Prop.Swr.Line 0 House Con. 0 St.Swr. 0 n Sprinkling System n10 Construction Pole 'fn, _/� �/ at t_l_ ti.(L Underground ❑ Power 01 'C61-� y Rough Wiring 'e-ZOSi.-_.��.k..,e_ 6-20-e-�i72R'(374 7/renches U Forms U Steel Remt. U ria- J —4 - , L Floor System Bond Beam 0 Steel Reinforce 0 Sheathing / O. 6 - /_2 - 6 .— Frame and Flash' / I / O” Ci— ,�— G n� I.-thing — In Out _` m. f'i ter, brown coat - 6j/ I; ._.rig. 0 Air Cond. ❑ Final Heating, Final � Plumbing Fixtures, Final _ Final Gas Test / - (-d ��.- Electric Fixtures, Final d (U•//r'cir Building, Final v /•v/,-.6'L OCCUPANCY Qy4 - 11•9?-4 7- p CARL/ MIA.SM - ].Fl 16530 ( 5588 COSTA MESA BUILDING-SAFETY DEPARTMENT FE RECEIVED 2MAR 6 1962 / P. O. BOX 917 COSTA MESA. CALIFORNIA //////```"`7��77I FINANCE DEPT. For Applicant to Fill In CompletelyQQ APPLICATION FOI}ITAtianCOSTA MESA TYPE OR PRINT Ar 9, C BUILDING BUILDING 1741 Tustin. Bldg. $20 j //61-/65"--24-GADDRESS .., COSTA MESA. CALIFORNIA For Office Use Only I RECEIPT NO. I P Braeburn Court, Corp. RnfjNO. I OWNER MAILRECE7Ley DA ECHIVED DATE ISSUED ADDRESS P.O. Box 1937 I ;q`4 TEL. D Wt. :: i lyb2 city Newport-Beach - NO. 0231240 ABUILDIN _ ARCHITECT !L B.L. TEL. • OR ENGINEER omterg'er No. 0$31642COSTA MESA. CALIFORNIA /(��/ ADDRESS 3 35 Via Lido. Newport Beach FIRE ZONE TYPE GROUP / ' 748:- CONTRACTOR Geo D. Buccola APPROVED ('''� I �f / 2i BY v4/"� DATE3�� ADDRESS 3700 Newport Blvd. NTNG ZONE WOOF UBE OP N8WT �V`-�-�/ CITY Newport �Peach 2 ��n IQ-L_ I PLANE Z� emLDlNc ✓ "-•drl LIC.N0. 23c ( 7(Uc23 NO. OB.3'12Yv LEGAL ecc /e, /317/ T/l' DESCRIPTION SIZE NO. OF BLOCS. / y�j OF LOT 330' x 6601 NOW ON LOT a A.P.NO. I / 7 ` Z-yi / Z`/ I- USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK UNEFROM... (CENTER LINE ST.I +� CENTER OP STREE'L/FROM..._ REAR YARDP4/-/ FRONT Z-0 FT. tcI IN. SIDE YARD I LEFT(/ I RIGHT....?/....?/�/o R.SIDE .9 / FT. LiIN. IN. / II DESCRIPTION OF II L.SIDE 3o FT. �. IN. NEW I /� ALTERATION I II ADDITION I REAR Z Y FT. / / IN./ ` REPAIR I I MOVING I II DEMOLISH I APPROVED 4jv DATE Z! I-.1 Cim.- BUILDING�. i /' NO. OF 7HL SIZE //r!X29-G ROOMS /G.RockSTORIES / COTERIOR UCCO (ROOF COVERING COVERING LL USE OF BUILDING AND WORK TO BE PERFORMED / a .6/-3J ys ° _ 4,1AD, I HEREBY ACKNOW IN AV EAD THIS APPLICATION0 AND STAIR THAT T'• BOY: IS O" CT AND AG'-- TO COM- ;Fr ON- THE AMOUNT SHOWN UNDER VAL ATioN IS FOR THE i1 PURPOSE OP ESTABLISHING A PERMIT PEE ONLY. PLY WITH ALL CI ROI C. A • STATE 'OULATING BUILDING CON• •' ON. , VALUATION SIGNATURE O. /, / PERMIT FEE $ -.6-7,--- PERMITTED - • l.'1.-c (� _ B $ jJI/v�/ X PLAN CHECK $ 02`5 .— _ AUTHORIZED AGENT I N r�TOTAL FEE $ /-5--- o