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Home My WebLink About1741 Tustin Ave - Building Permits (6)• CITY OF COSTA MESA y BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT 0J `" �; PERMIT (714)754-5273 • Fax(714)754-4856 BUILDING PERMIT PERMIT NUMBERV VB99-01374 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 1741 TUSTIN AV REROOF - T/0, USING EXISTING SHTG, i LAYER OF 30# FELT & NEW 30 YEAR COMPOSITION SHINGLE ROOF. Status: ISSUED Suite: 21 Plan Check:. $0.00 Calc Valuation: $6,450.00 Applied: 08/27/1999 Vicinity: SMIP Res: $0.65 SMIP Com: Issued: 08/27/1999 Parcel Number: 93328004 Zoning: . $0.00 Total: Applicant: JOHN SMITH ISSUED BY: Address: Phoned - - - - �:' -Zip: - - - Owner: ORLEANS COMPLEX Address "COSTA MESA, CA _ Phone: (949)631-2168 -,:1741 _ TUSTIN AVE'. - - 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: SETBACKS MAIN STRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existing: 0 NOTES: Rear 0-0 Rear 0-0 Required: 0 PLANNING & ZONING Left 0-0 Left 0-0 Proposed: 0 Right 0- 0 Right 0-0 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 SCOPE OF PERMIT REROOF - T/0, USING EXISTING SHTG, i LAYER OF 30# FELT & NEW 30 YEAR COMPOSITION SHINGLE ROOF. 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 SETBACKS MAIN STRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existing: 0 NOTES: Rear 0-0 Rear 0-0 Required: 0 PLANNING & ZONING Left 0-0 Left 0-0 Proposed: 0 Right 0- 0 Right 0-0 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: Irhereby affirm underr penalty of perjury one of the fallowing 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 Coda, for the performance of the work for which this permit is issued. yd I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' com ons—Ion In rancq gprpar and policy number are: a/Y-'CJ / D 7 Carder: S� Policy Number: �� //// (This section need not be completed /f the permit is valued at one hundred dollars ($100) or less.) ❑ I certify that in the performance f the work f hich this permit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws oalifomi and ee t If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these pr v ^io Applicant Signature: Date: WARNING: FAILURE TO SE E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANDDOLLARE(51 ,0001. 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 1 am tic sed under rovisi sol Cha r 9 (commencing with Section 7000) of Division 3 of the BusinesA antl�roj9zssions Code, and my license is in full force and effect. Lic. # Class # C `7 Contractors Signature: Date: CONSTRUCTION LENDI G AGENCY: ❑ 1 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 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 awn 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 contractors) 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 drivers license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - properly 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 forth 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 aermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 5 Yes 8 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 feat 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). 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 ❑ 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 1 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 properly for Inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. igne ��DAte7M.J— And/Or Authorized Applicant Date CODE r, INSPECTION TYPINITIAL s CODE r INSPECTION TYPE 2&N INTITIAL 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 24x6-46 G-ko lCONQO PLAN (LOTI)TRACT TRACT NO. 3586 CONI `LAN (LOTL) TRACT Np. SB6 1 /7"1 lu�n, [°(1? Yj " .... of SCOAI PLAN CLor/) NO .3-5-86f�„e f.C. y. t F g a a C R F R s c r a a='K R e f P f R C\ C P C C@ C C C C c 2 C f a .. .—C:. .. .. r „ .. .. .. NO[TN[elT[x l.T ^ ZINC a LOT. 1. �. 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"V—T--- Legal V-T——Legal Description %% J (See reverse side for Metes aPid Bounds) has been inspected and found to comply wity the provisions of all City of Costa Mesa Ordin- ances applicable thereto for a Group Occupancy. ISSUEO� j� /% city Building Official �� (Ownerof Building) � B7��—_ CC: p Original—Owner ❑ 1st copy—Gas Co. ❑ 2nd copy—Edison Cof ❑ 3rd copy—File l Form 206 S-8 P 1M 1-60 OWNER BRAEBURN CONSTRUCTION CORPORATION 2J,A, 219, 210 BUILDING PERMIT NO GENERAL CONTRACTOR Geo. D. Buceola VALUE $ 3011 8,00 AP No. 117-281-2.27.E 28 TRACT FIRE ZONE DESCRIPTION OF WORK Tlni+. do+. INSPECTIONS Signature DATE GROUP H & j TYPE 0 ZONE R-2 SUBCONTRACTOR 'P PERMITS ISSUED /./ DATE NUMBER Water Rough Com. Refrig. ❑ Air Cond. ❑ Rough Heating / ;S S %JL.e�sk -_/�-/a— s8 ✓ Rough Plumbing _ _ Miscellaneous � Prop. Swr. Line ❑ House Con. ❑ St. Swr. ❑ Sprinkling System Construction Pole Underground ❑ Power ❑ Rough Wiring VW Trenches es ❑ Forms ❑ Steel Heanf. ❑ I Floor System Bond Beam ❑ Steel einforce ❑ Sheathing Frame and Flashi �. - �ZL _ % L Lathing — In V Out Plaster, brown coat ng. ❑ Air Cond. ❑ Fina Ling, Final _ �nbing Fixtures, Final Final Gas Test 412 Electric Fixtures, Final Building, Final - OCCUPANCY VA -W FnRM Rlld . SM — 7 -Al 16589 EEE RECEIVED COSTA MESA BUILDING -SAFETY DEPARTMENT ��7Rft 6 11�E+2 P. O. BOX 817 COSTA MESA. CALIFORNIA IITTFIINAFFNCE DEPT. For Applicant to Fill In Completely APPLICATION FORCPERaCOSTA MESA TYPE OR PRINT A, ,(j BUILDING AD BUILDRESe NG 1 41 Tustin Bl COSTA MESA. CALIFORNIA For Office Use Only BraebIIrn Const. Corp, RECEIFT NO. J OWNER MAIL Tf• �� lO�� Q• 93 RECEIVED BY I OA � CEIVg I DATE ISSUED ADDRESS S' S 6dl"II li v p� I,w Newport Beach NO aB,31240 BUILDING CITY ADDRESS ARCHITECTlY TEL. L,. O 164'2 COSTA MESA. CALIFORNIA OR ENGINEER B. L. Omber eT NO, ADDRESS 3333 via Lido, Newport Beach FIRE )� ZONE TYPE ✓ GROUP y„_ CONTRACTORGeo. A Buccola APPROVED DATE `� yD VZNI DO Newport Blvd. NG ADDRESS ZON NO. OF _L- USE OF NEW y CITY New rt Beach /� .. �� n I PUNS I BUILDING STATETEL. LIC. NO. NO. OR3Z240 LEGAL DESCRIPTION SIZE OF LOT / 66 1 NO. OF BLDGB NOW ON LOT O A P NO.// 7- USE OF YARDS EVES EXISTING BLDG APPROVED ALLOWED SETBACK LINE FROM CENTER OF STREET - REAR YARD26 - Z (CENTER LINE ST.)$J FRONT C/ FT. / IN. DE YARD LEFT .3C 'U I RIGHT �/ - D' R. SIDE -3/ FT. �� IN. DESCRIPTION OF [NEW 3a L.SIDE FT. IN. IIIWORK XIII( ALTERATION I I REAR �v FT. L IN. �IpIIADDITION REPAIR II MOVING I NDEMOLISH I �tfL APPROVED. /� DATE BUILD(yNO. OF SIZE / O X _ ROOMS Z STORIES EXTERIOR WALLROOF (COVERING COVERING popk USE OF BUILD AND WORK TO BE PERFORMED n / aysA` a� I HEREBY ACKNOW DO TH 1 AV THIS GTION AND STATS THAT T E�ABOV IS coR AND R �TO COM- THE AMOUNT SHOWN UNDER ALUATION IS FOR THE PLY WITH ALL CI RAN STATe WS GEE TING PURPOSE OF 88TABL18HIN0 A PERMIT PEE ONLY. VALUATION BUILDING CON ON. SIGNATURE PERMIT FEE $ 5D— PERMITTE � $jo� PLAN CHECK S A - AUTHORIZED AGENT TOTAL FEE sJ �-