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Home My WebLink About1920 FULLERTON AVE - Building Permits PF(%JECTAO ESS: 1920 FULLERTON AV UNIT: INCITY OF COSTA MESA - BUILDING PERMIT PERM NO: B W.-.1 /0 /. OWNER'S NAME: BODENHOEFER WILLIAM L ADDRESS: 165 COSTA MESA ST PERMIT NO: B ' 057073 PLAN CHECK NO; N GOVT; N SUPP; N COSTA MESA, CA 92627 CONSTRUCTION TAPE: V-N PERMIT TYPE: STR PURPOSE: ALT 6455165 ARCHIENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF RESHT REROOF W/ COMP SQ FT: 700 ADDRESS: UNIT: CLAIM VALUE: 700 , 00 CALC-VALUE: 700 . 00 GROUP OCC; R-3 / PERMITTEE: TOM'S CONSTRUCTION CO. ( 714 ) 894-9524 ADDRESS: 14722 JEFFERSON ST COMMENTS; GARAGE ONLY REF B57072 DWELLING PMT MIDWAY CITY CA 92655 ****x* *4************** **********> ****************x**********+e***S6**********T6* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 70001 of Division 3 of the Business and Professions Code.and my license is in fus force and effect / S E T B A C K S CITY LIC.: 0 398 STATE LW.: 576679 . B / MAIN BUILDING ACCESSORY BUILDING --•--- Date: Signature: ./..?_"..20.1-•••••- _ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKE'fCOMPE •ATION DECLARATION: I hereby affirm that I have a certificate of co en)to self-insure or acenificate of workers' LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN Compen alien Ins .nce.or a certified copy thereof(Section 3800.Lab.C). POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL: 00000000 ZNE; REF NO: 7 ❑ Certified copy is hereby furnished. 0 Cenified copy is filed with the city Building Division. - - PLANNING NOTES> Yy Date: Applicant: ******************************************************************************* EXEMPTION FROM WORKERS',iMPENSATION DECLARATION: (rids section need not be completed it the permit is for one hundred 15100)or less). D E V E%L O P M E N T SERVICES R E Q U I R E M E N• T S I certify that in th• •erform. e of the work for which this permit is issued,I shall not employ any person in any manner so as to become 1.-. subject , l ' •.rkers •..mnensation Laws of California. ZONING APPROVED BY DATE: _ �� Date: /' `�` you _ _...c...—.(Lir� -- BUILDING APPROVED BY DATE( ' N r• E:If. .ter making this declaration,you should become subject to the Wo • 'Compensation provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. . CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: -��" =_ — - DATE•',, g9 7iG°At, which this permit is issued(Section 3097.Cry.C). **************rF*******' -Tisi:i:s•s.+•-._.:.:- . • • . • ********i( ******3r***** LENDER: ************************* r - . . ******** . ***********************KS ********K ADDRESS: LEGALIZATION:N F E E S , MARYY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING EL ECTRI MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 19 . 00 ,50 repair any structure,prior to its issuance.also requires the apphcant for such permit to file a signed statement that he/she is licensed SM I P/NON-RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 el the Business PLAN and Professions Code)or that he/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). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 70x4.Business and Professional Code: The Contractors'Slate License Law TOTALS----> 19 . 50 0. 00 0. 00 19 . 50 19 . 50 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or altered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 19 . 50 OVER ISHORT• 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve Iorthepurposeofsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT/x GRADING PLAN-CHECK I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 19 . 00 . 5 V ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware *****'***************************************************Le********************** that prom of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN o I am exempt under Section: B.A P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: SFR 700 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 700 . 00 I do hereby certify that I am aware of and understand the requirements o1 California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and tnat I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit far construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. . 1 Date: Applicant 11\ I hereby artily that I have read this application and state that the above information is correct.I agree to comply with all city and county t _ _ ._ __ - - ordinances and state la •.relating tob .ing construction and hereby authorize represe : this city toe er upon the a rove-mentioned (,i. LU.:• - .1. , for ins esti• 1HT[, t)V+.-.. '+L'L; 1' • t property D purposes / ) �� Date: re.-CA �- ignature: i Driver's icense or Socia Security re: Aoolicant;Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL PA '�APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. • 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 4 i 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. • 60. Backwash Lines, P-Trap, ^ Undrgrnd. 10. Structural Floor System t , 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap r 1 i / 63. Heater & Vent-Final 13. Roof Drains64. Plumbing System - Final 14. Rough Plumbing ,i 65. Electrical-Final .7 15..Rough Electrical-Conduit 66. Solar System-Final h Electric Wiringr 16. Rough -� 67. Fencing & Access Approval 17. Rough Wiring Sign / M 68. APPROVED FOO PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20, Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe•Rough & Test 72. Underground Flush 24. Roof Framinghik 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 14.31.2_ Z7AZ �ww� 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 11 �� ll 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning I 35. Final Gas Pipe-Test • 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer , 43. Backf low Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations Sl 47. FINAL STRUCTURE & BUILDING ams' 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date r pro@ADDRESS: 1920 FULLERTON AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 0� /0 /< OWNER'S IThME: BODENHOEFER WILLIAM ADDRESs: 165 COSTA MESA ST PERMIT NO: B 057072 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA 92627 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT 6455165 ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : T/OFF RESHT REROOF W/ COMP SQ FT: 2, 300 ADDRESS: UNIT: CLAIM VALUE: 2, 300. 00 CALL—VALUE: 2, 300 . 00 GROUP OCC: R-3 / PERMITTEE: TOM'S CONSTRUCTION CO. ( 714 ) 894-9524 ADDRESS: 14722 JEFFERSON ST COMMENTS: T/OFF RESHT REROOF W/ COMP MIDWAY CITY CA 92655 ******* >F***eL**********IEx********* *** -******************* x+E+E+EM*>F**rr*IE>E** **** LICENSED CONTRACTOR DECLARATION: I hereby affirm mat I am licensed under provisions of Chapter 9(commencing with Section Z ONING R EQUIREMENTS 7000)of Division 3 0l the Business and Professions Code,and my license Is in full force and effect. SETBACKS CITY LIC' n�98— STATE LIC.:57667 Ss: • 7 .Z�92 Signature:_/.0�" - — ' „-- Date: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPEN ATION DECLARATION: I hereby affirm that I have a cerificat . consent to sell-insure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a cenilied copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO: 0 Cenilied copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> Date: Applicant: *****************1f************************************************************ie EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred(5100)or less). DEVELOPMENT SERVICES REQUIREMENTS I certify that in the ped.mance of the work for which this permit is issued.I shall not mph .. .arson in any manner so as to become . subject to the • i 'Compe•..tion Laws of California. ZONING APPROVED BY DATE: - Date: ATE- Dale: 9 youSignatushou: « / BUILDING APPROVED BY : _ DATE: • Code. after 'ng this declaration, should become subject to the Wo • Compensation provisions of the Labor - Code. or must lonhvnm comply will such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I herebyaffirm that there is a construction lending agency for the performance 01 the work for �� g g cy APPLICATION ISSUED BY: ��"�— r DATE: 404'ZC/9Z.-- which this permit is issued(Section 3097.Civ.CI. ********************** • •“Car sr=—'== — ' • ' ********************** LENDER: ************************************* ***************************************** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELE' RIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 . 00 . 50 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/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 live hundred dollars($500). ISSUE FEE I. as owner of the property or my employees conn wagesBUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE y as their sole compensation, will do the work, and the TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 . 00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his of her own employees.provided that such improvements are not intended or tittered for sate.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED • 54 . 50 OVER/SHORT: 00 ill forptheemrpose ois f sae)thin one year of completion,the owner will have the burden of proving he/she did not build or improve BLD54 . 00 MPLUMBING ELECTRIC MECHANIC FIRE SMIP/TOTT GRADING PLAN—CHECK . 50 I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions ce Coojects rs' acecontraseLaw doessutoo hContractors'State whoeLicense Law). imp.oI as thereonr ***.****.*.*,*.**-*,*_**,*-***,**,**_*.*,***,***.**•**.*•*,*.*_*.**.***.**,*****.**********************_**** and who contracts Code: suchTe projects with a contractor(s)se Law awidoesenotpursuantaly to the erf y wbuilds impro em aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. lor this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: OwnerSFR 2300 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 300 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any lutute building occupant wilUwill not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air uallty Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ` .. �.. _ ordinances and state lav relating to• Wing construction and hereby aur ptesentatives of this city to enter the abo : :•entioned 01 0:1' :I'/'iI ..1.' . -. propertyate' for sp..I. purpose EATLi _, ._. S• k :' . _, Dale: - ial Signal re .„../- Driver's Driver's License or Social Security a: 1641-46 White—Buildmg:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL PA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service-or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4, Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater& Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing - ' 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval / 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING i 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 000 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat • 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation ' 78. FIRE PREY. FINAL 30. Drywall Nailing I HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat j 79. FINAL INSPECTION 32. Electrical Power Meter•Final I 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backf low Preventer 43. Backflow Irrigation 44, Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations • Agra _ 47. FINAL STRUCTURE & BUILDINGArrir 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date t II 405"-= ., CITY OF COSTA MESA t ;+' CALIFORNIA 92629.1200 P.0.BOX 1200 p4 DEVELOPMENT SERVICES DEPARTMENTw4A0POM14 44 January 1, 1990 TO COMPANIES & CONTRACTORS WHO RENOVATE OR DEMOLISH BUILDINGS THAT MAY CONTAIN ASBESTOS Rule 1403 - Asbestos Emissions from Demolition/Renovation Activities Recently the South Coast Air Quality Management District adopted Rule 1403 - Asbestos Emissions from Demolition/Renovation Activities. It became effective January 1, 1990. This rule specifies work practice requirements for demolition and renovation activities and the associated disturbance of asbestos-containing waste material. Demolition or renovation operators must meet the following requirements: O notification o removal techniques for asbestos-containing material o clean-up procedures, and • waste storage and disposal regpurement. Failure to comply with the provisions of this rule may result in a penalty of up to $25,000 per day. Enclosed art copies of a fact sheet,which describes the major features of Rule 1403, the Notification form, and the Notification form instruction sheet Should you have any questions,please call AQMD staff at (818) 572-6283. I hereby Ca knowledge I have read the above. TE SIGNA , d 'E