HomeMy WebLinkAbout1955 FULLERTON AVE - Building Permits CITY OF COSTA MESA
BUILDING DIVISION
).,i-rea-%. 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.
". FOR INSPECTIONS CALL:(714)754-5626
PERMIT NUMBE B07-00870
PERMIT TYPE B_ROOF2 STATUS: ISSUED
DATE ISSUED: 07124/2007
- • ISSUED BY: RMD •
JOB ADDRESS: 1955 FULLERTON AV CM Suite/Unit:
Vicinity: HOUSE ROOF _ ' Const Type: ' ??
SQ. FT: 800 - : Valuation: $0.00
SCOPE OF WORK: TEAR OF(E)ROOF MATERIALS, INSTALL 2 LAYERS OF 15#FELT ON A LESS THAN 4:12 PITCHED ROOF AND "
REROOF WITH 30 YEAR OWENS CORNING COMP SHINGLES ON - '
HOUSE ONLY 800 SF. REPAIR AND REPLACE SHEATING AS NEEDED.
OWNER: SCHOLZ,CHRIS R , " r . . Address: ' 1955 FULLERTON ST Unit:
PHONE: 949-294-4911 City/State/Zip: , _ _ COSTA MESA,CA ._. •
APPLICANT: LANGDON,JOE Address: 16312 ARLINGTON LN Unit:
PHONE: 714-608-8226 , , •_ • City/State/zZip: HUNTINGTON BEACH CA
CONTRACTOR: J N L ROOFING INC ' License No. 648337
Address: 16312 ARLINGTON LNUnit: PHONE: 714-536-1816
City/State: HUNTINGTON BEACH CA - _ _ •_ZipCode: 92649 '
CELL:
ARCHITECT: . . - License No. _ PHONE:
•
ENGINEER: ' . , • -License No. PHONE:
FEE SUMMARY' .
Reroof Plan Check:. $0.00 - _ . . . .
•
Reroof Permit Fee: • $97.25 •
Reinspection Fee: $0.00
TOTAL FEES $97.25
NOTICE: The work authorized by this permit.shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. . '
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE t INSPECTION TYPE . DATA INTRIAL$ CODE{ INSPECTION TYPE, • 01T INTIMLs
1616 Fixed System Final Fire Prevention _ - 206 Final Mechanical'
1266 Pool Spa Final _ am/' 208 Final Plumbing
y
200 Final Re-Roof -2&-92 210 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
20.4 Final Demolition 250 Final Building/Occupancy
WORKER'S'COMPENSATION DECLARATION: . Owner ID verified by driv se. ❑Yes ❑No
I hereby affirm under penalty of perjury one of the tu..,...1ng declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' -'Verification of Ownership by(type of document.i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which.this permit is issued..
O 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: 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
—Carver—_ or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp
(This section need not be completed if the permit is valued at one hundred dollars($100)or less)
2,NI 2Sec.341,Title 8,California Administrative Code).
PolidpNumber:
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the worker.' compensation laws of California, and agree that if I should
bec• to the workers' compensation provisions of Section 3700 of Appli<anrs Signature Date
the La•.subj o•- I shall forthwith comply wi . -se provisions. / Division of Industrial Safety
-` ^l Z Permit Number:
— 'G7,priFanis-ggnarure• D_ate�
C T HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
W'-NING: ALLURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS . LA FUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENAL S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑ No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST.AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license. in full force an effect. a registration form for acutely hazardous materials? ❑Yes 0 No
gid.r 40,173 Grass# C (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
:7-0781-/ each business which at any one time has on hand a quantity of acutely
co nor• alure ` 'Ihazardous 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
O I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes ICINo
(Section 25534 of the Califomia Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the Califomia
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑ No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by Califomia
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
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 8. (If yes attach certificate of compliance from the appropriate air pollution
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he,or she .CERTIFICATE OF COMPLIANCE: I,certify that under penalty of perjury the
did not build or improve for purpose of sale.). infoimation given above is correct. f agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
O '.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 • Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
CI I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relatin• to building construction, and authorize representatives of
Business and Professions Code for this reason: the City o`Cost I Mesa to enter upon the above-described property for
inspection p rpos=.. I agree not to occupy or allow occupancy of any building
authorized b this'ermit until final inspection.
. k I
• 1py • Dale
Signature Date '- . 7--52-k
r
3057.46(3/07) W.1'!!•111. . - ,
' 't I L Date------�
/J�� _ oiy — 'ai l
COUNTY OF ORANGE J j / a
63BUILDING No. Permit No3 is _es.
7
Santa Ana,California Application for Building Permit
Phone:KI2-6211 AND FOR A
• Certificate of Use and Occupancy
14...r7"4/.
Date 1 ' Z ' J1. OWNER'S NAME. . �/ PHONE•
o —MAILING ADDRESS { s / j % �CITY
71/9.--4-42.
Name / Name �•�`'� /
(Architect or Engineer) (Contractor)
Address Address
•
City City •
State State
Lie. No /��_ PhonePhLic. No /�• Phone
PROPOSED USE. `� 's•cLr—G. Lauf e/CW 1- t fl "_///_c-`G" �-ej'
2. JOB LOCATION 49-5-r,r ''`"" ''!
(House No.) (Name of Street) . (Tow or School District) �
C) LEGAL DESCRIPTION: Lo —7./Z7.- Block TracviL� �Cd y""�
(Metes and Bounds D,essccriptio• se re - /
4. CORNER LOT ( x ) IN ' IOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( ) .
5. SIZE OF BLDG • V-V-V,/ 46 AREA- SIZE OF LOT:7z 3 AREA•
6. HEIGHT OF BLDG ' CEILING HEIGHT NO.NO. OF STORIES
7. NO. FAMILIES Size of Smallest Bedroom- Size of Kitchen
S. EXTERIOR WALL W.G..* OLS INTERIOR WALL COVERING
(Frame, Stucco, Etc.) �t (Plaster•Drywall, Etc.)
9. SETBACKS: Front Yard From Center Line of Street...SD '
Nearest Side Yard.-ti.Q Rear Yard Z St9Distance in Feet Between Bldgs. on Same Lot
10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH.
11. For (a) Footing: Width epth in Ground Width of Wall
Accessory
Bldgs. and
Similar• (b) Size of Studs Spa ing-/.r' -CC Material of Floor
Structures:
(e) Size of Floor Joists- .....5 -CC
(d) Size of Rafter Spacin "CC
12. VALUATION OF PROPOSEp4VORK: Including all labor, plumbing, lectrical wiring, heating, fire sprinklers, painting and
sewage disposal $ /Se..0 ��
•
13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS
APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF
THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIAc
r /A CABLE THERETO.
" Signed v�Of//f
•
,\ (O r)
' Plans Filed
I' By-
e N_______ (Authorized Agent)
FOR DEPARTMENTAL USE ONLY
FEES: HECKING BY
Bldg. Permit - $ /� 0 LIB GROUP APPCATIO HEALTH
... --
Plan Check - $ - 5-70 TYPED ZONING I' MARSHAL
Total - $-..-/'S'0
MAPa . ./t' V PLANS AND
Receipt No. P/C. -- L.k:.�C./ S SPEC'S /f STATE
Paid to - SHEET NO CORRECTIONS ENGINEER
Date ,!' �-•Sle VERIFIED CAL
PERMI ' a J /.ONIHU
A COUNTY BUILDING
DATE 5/ �/, `L�' Ii _ /•1 - I PEc
5 M-8-51 _ DEPUTY L_ •,e/
METES AND BOUNDS DESCRIPT'l
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OWNER MOODY, N.S. I/7 }"� DATE 6-16-511
JOB ADDRESS 1955 Fullerton AIY BUILDING PERMIT NO. 336
GENERAL CONTRACTOR Crank Bros. ,)/((/�� VALUE $ 175'00
L' BLOCK T1L$►1AWTJ1" Re-roof
GROUP J TYPE V c•-fl
R-4 FIRE DISTRICT #31114
PERMITS ISSUED
INSPECTIONS DATE 1 SUBCO TRACTOR
DATE NUMBER
Footing Trench - ,�/ �-
Foundation Forms and Grade to Garage _ •
Rough Framing _ �it/� r
Plumbing,Rough to Slab ,r `r 1 /
Plumbing, Rough Complete _I Nf IV AMP
Temporary Pole
/AK ,I V' 1 M _ /
Wiring, Rough ��
Heating,Rough _ `w 6 I /J /�
Heating,Final I U /1
Sewer `9\'
Septic Tank or Cesspool 1 91
lid
P, ,ring
Plumbing,Final,Fixtures Complete
Plumbing,Final Gas Test
Wiring,Final
Occupancy
Form 210 GH 1M 12-68
Costa Mesa Building Department APPLICATION FOR PERMIT
344
111 EAST 20th STREET BUILDING 1
COSTA MESA, CALIFORNIA
FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Recei No. Permit No.
Building /f s-s_ .�. -�- I /.5c.1 1316
Costa Mesa, California, Received by Date Recd. Date Issued
Nearest l n /i J / // ��� ` }/42 — .
Cross St. , ,A.1 YJI� A ,rin, qL q�/Q1�w�._A.l� Building /Q�. lgiWGGt�1�T.Q�v
�/ Address 7 J
Owner ��J ��—'w're,.^ Costa Mesa, California r
Mail ,L5-...5-34,./ / /
Address � _Iur/.mow Nearest I
Tel. Cross St.
City(.7 en /_ A 24—!�t&� No. Zone No.of Type I Group._
Architect or Lic. �r I Plans I J
Engineer .---.-- No. ApprovedbDate
Address CORRECTIONS
An A /AA`
// City LIC.
Contractor n if AriaNo./
Address / .54 e,¢7/�,///fJ//NUJ ¢1I # ,•-•
LeLot
Description /r
Il -1 No. I Block I Tract l l
(Attach Metes and Bounds)
No.of Bldgs.
Size of Lot I Now on Lot
Use -
No.of RNoof p
Q alit z
Existing Bldg. I Families I Rooms -Setback Line from Rear Yard
Z
Center of Street Side Yard y
DESCRIPTION OF WORK r
New I I Alteration I I Addition I JUN 16195
4
Repair I I Moving I I Demolish I
Building No.of
Size Rooms Stories
Exterior Wall I Roof /
Covering Covering !X` APPROVALS
Use of New Foundation Location Inspector Date
Building P
Forms,Materials,
•
/�fi
� Under-Pinning
�� Frame: Fire Stops,
1 Bracing,Bolts
I hereby acknowledge that I have read this Application Lath. Int.
and state that the above is correct and agree to comply Lath. Ext
with all City Ordinances and State Laws regulating
building constru • n.
Signature of /� Plaster, Int.
Permittee /f/�-C.I05�6.fLJst4 1
Plaster,Ext.
Authorized Agt.
Masonry Reinforced
Valuation Permit Fee $ in v
$ /7� Plan Check $ ;....-----'"._ Bond Beam
Total ':
Fee $ FINAL
enfM 2n4 6-14 2M 5-54
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Street.,
PLOT PLAN
Show location and distances from
property line and between buildings.
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