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Home My WebLink About2758 LORETO AVE - Building Permits 0 CITY OF COSTA MESA - 4 BUILDING DIVISION ••#-,,,� i DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER •47 j/i . PERMIT R►'; Pad,•; B02-00245 i (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2758 LORETO AV Status: ISSUED Suite: Applied: 02/20/2002 Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 02/20/2002 Parcel Number: 14130315 Zoning: R1 R1 Applicant: LANGDON, JOE ISSUED BY: Address: 16312 ALINGTON LN " • Phone: 714-536-1816 HUNTINGTONBEACH CA ' Zip: 92649 Owner: DORE, THOMAS P. Address 2758 LORETO AVE - Phone: COSTA MESA,CA il " Zip: 92626-5837 - ' . Contractor: JNLROOFING- Address: 16312 ALINGTON LN " Phone: 714-536-1816 " HUNTINGTON BEACH CA " Zip: 92649 License:-" 648337 Arch, : - - Eng: - Address: _ Address: - • Phone: - - - . . , Phone: - ' Zip: - License: License: SCOPE OF PERMIT REROOF:T/O EXISTING WOOD SHINGLES(APPLY SOLID SHTG WITH 7/16"OSB, 1 LAYER 30#FELT,APPLY "25-YEAR COMP SHINGLES."2100 SO FT J ' FEE SUMMARY , Plan Check: $0.00 • - - - - - - Calc Valuation: $4;600.00 Permit: $111.25 Claim Valuation: $4,600.00 SMIP Res: $0.50 SMIP Com: $0.00 ' Other: $0.00 Inspection: $0.00 Total: - $111.75 - - ' - 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 2446-46(6/00) DECLARATIONS ' WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate o1 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'compal{sation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) I certify that in the perfo nce of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' Compensation laws o ornia,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pr ns. Applicant Signature: I ♦ 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($100,..•/IN ADDITION TO THE MST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES, LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed and rprovisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# 357 Class# C-39 Contractor's Signature: Date: 2—20—G CONSTRUCTION LENDIN ENCY: 0 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 fore 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 en 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 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,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 ❑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 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 end 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 0 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 California 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 apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? IYes ❑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? ❑Yes 0 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 •F Cs t •LIANCE 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 agr.e o co .ly 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-descrite-' prop:. for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Legal Owner(s) 1-6 And/Or Authorized Applicant ateZ CODE# JNSPECTION TYPE DATA INTITIALS CODE LI INSPECTIONTYPE DATE 1NRTIAL$ - 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing .. 200 Final Re-Roof ZT/Z" /�wlr 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 OWNER KUSSMAUL, TAYLORAUG 1 3 1961 DATE 12-21-60 JOB ADDRESS 2758 Loreto } - BUILDING PERMIT NO. 13517 GENERAL CONTRACTOR Owner-Bldr. VALUE $ 720.00 AP. No. LOT103 TRACT 3749 FIRE ZONE DESCRIPTION OF WORK Add Pat.Cov.toRe INSPECTIONS DATE I GROUP I TYPE V ZONE Rl Underground Soil U.G. Water _ _ PERMITS ISSUED SUBCONTRACTOR Un?^rground Gas DATE NUMBER 0-,44ad Water and Gas Roi:',"-,'L Heating Rough Plumbing Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring Trenches/1t'(10-Formsg69,l-Steel l}- 7.1--ret Floor System Steel Reinforce Chimney Re-Rod Bond Beam Sheathing Frame and Flashing Lathing, In Out P'- - -er, brown coat I aing Fixtures, Final Electric Fixtures, Final ff'�!!'''''� Building, Final P,rlur rit x'41 Bbl OCCUPANCY Form 210—SM-11-59 S-B P 13517 Il �``- 13517FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT �.J DEC>2412b0 - P. O. BOX SI7 COSTA MESA. CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely APPLISATNYdW R tTAEINSII TYPE OR PRINT BUILDING BUILDING ADDRESS ' 75 IY Lor E %O ./COSTA MESA. CALIFORNIA For Office Use Only OWNER 2i/&0/C. /C IJ 5-V /t14 V l4,---' I RECEIPT NO. I 11:3517/ MAIL // RECEI O BY D RECE V DATE ISSUED/ ADDRESS d <-C tr 0, /;:0 /A rI O d-�/Y/O ADDRESS RTEL. BUILDING I 7J.0 LO41c7-0 ARCHITECT TEL. COA MESA. CALIFORNIA OR ENGINEER NO. FIRE ' ADDRESS ZONE 11� f/ TYPE I// GROUP APPRO G BY(j/}1 P ZONING DATE Z I I NO.OF / I USEIOF NEW ( n_'VL-Y� 1(\ PLANE^ / BUILDING llyy W STATE TEL. LEGAL "' VVV--- DESCRIPTION DC7 /03 %t'ACr '�7Yy A.P.NO. N\.0N, R, USE YARDS EVS - • _ • APPROVED ALLOEWED SETBACK LINE PROM (CENTER LINE GT.1 CENTER OF STREET REAR YARD FRONT FTJ IN. SIDE YARD LEFT "I / IRIGHT /D I R.SIDE ' OFT. IN. DESCRIPTION OF WORK l• L.SIDE L 0 FT. T IN. NEW I r1 ALTERATION I V ADDIpeiTION I , L �L /! III MOVING II DEMOLISH I U j YJ IN. REPAIR APPROVED ( t��T DATE / "c�t-�jv BUILDING NO. OF 1rl�L t SIZE ROOMS STORIES EXTERIOR WALL 1 ROOF COVERING COVERING USE OF BUILDING AND WORK TO RE PERFORMED /4 ( I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION.1� VALUATION �_/� ‘.-- SIGNATURE OF 4p '" 1 ¢-nyl"�. „ ( r^�,.,�[I (j` PERMIT FEE $PERMIf0 N / - /,� $ !/ PLAN CHECK $ 11 AUTHORIZED AGENT.( .(/J2 Ala,- J / � , 0 ,E. TOTAL FEE $ .y COSTA MESA BUILDING 8 SAFETY DEPARTMENT APPLICATION FOR PERMIT P. 0. 317 PLUMBING 1 COSTA MESAESA,. CALIFORNIAI PERMIT NO. FOR APPLICANT TO FILL IN TRACT NO.77 1 RECD. By___ 28110 PLUMBER COAST MOIST O'MATIC COMPAI PDT NO. l6-3 DA,r DATE ISSUED Lnlru,,vn, .. :7::::::;L:-.2" � : 1�• BUILDING USE Address 330 BAY STREET, COSTA MESA,CALIF. 1;3d1 4 .JOU Liberty &'3533 BUILDI.JG 27S City Tel No. ADDRESS �'C7OSTA MESA. CALIFORNIA — State license No."37/7JJCGl Expires CROSS ST, /7Y) , // OWNER n fl,�jc &' '?2?�a.L AD ESS _. U G .Tact %"qk MAIL PERMIT FEES n A t�J/ CITY `Cn riff may TEL NO. Number Type of Fixture or Item Fee Water Closet (Toilet) I S I I hereby acknowledge that I have read his application and eft Tub state that the above is correct and agree to comply with all City Ordinances and State Laws regulating plumbing. Shower I cothat I the above valid � Qty Lavatory (Wash Basin) License. r I am thepossess lowaof the residentialproperty described above. Kitchen Sink ! Laundry Tub or Tray Signature of Water Heater . . . Vents Perm Mee l A Slop Sink Floor Sink -_ INSPECTION RECORD Floor Drain Dishwasher Drinking Fountain Urinal 0 _ Garbage Disposal J// A Refrlgaation Air Conditioning (j��'j Automatic Washing Machine / �y� s • Water Softeners Sand Traps J r Swim Pool Receptor Swim Pool Filter System APPROVALS ! Swim Pool Heater Oate Inspector's Name Miscellaneous U/G Soil � ,cj,_L Sprinkler System .-.I2.5-C„) Rgh. Water U Gas Pipe Test Gas System . . . Outlets Top Out I Furnace (Pill oat spedRratlom Furnace. I on reverse aide) I I Gas Vents Trailer Hook Up. Rough Plumbing Prop Sewer ft' Cesspool Septic Tank House Sewer Connection Prop. Sewer Street Sewer I House Sewer Connection CSSPOOL Septic Tank I Sprinkler System 1,246:;441 1 /.t/ val. I Heating Final 0 1 Plumbing Fixtures TOTAL PEE I jg j • ` I Pint Gas Test ! Utility Co. NotifiedI /� Form 20.5 BLDG.PERMIT l G NO. • FURNACES REFRIGERATION & AIR CONDITIONING TYPE H.P. & Make of each Unit - Wall NO. H.P. MAK,E Floor Basement Attic STATE IF GRAVITY or • FORCED-AIR B.T.U. RATING LINE SIZE AS PER MFG. 2.48 REFRIGERATION SYSTEM (CHECK ONE) MANUFACTURER'S RATING GIVE APPROVAL CLEARANCES 2.48.1 Absorption System 0 2.48.2 Sealed Absorption System 0 Sides 2.48.3 Self-Contained Absorption System 0 • 2.48.4 Unit System 0 Bottom Ends 5.1 Type REFRIGERANTS USED (CHECK ONE) 5.1.1 Group I 0 5.1.2 Group II 0 5.1.3 Group III 0 BUILDING OCCUPANCY CLASSIFICATION MISCELLANEOUS (CHECK ONE) U.B.C. STD. 49.1 3.2 Institutional Occupancy 0 3.3 Public Assembly Occupancy 0 3.4 Residential Occupancy 0 3.5 Commercial Occupancy ❑ REMARKS 3.6 Industrial Occupancy 0 3.7 Mixed Occupancy ❑ 112338 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT �FIJUN 1 DEPT. P. 0. BOX 917 COSTA MESA. CALIFORNIA 01 CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT Lot a 103 BUILDING BUILDING Plan R 1D ADDRESS 2758 Loreto Avenue COSTA MESA. CALIFORNIA For Office Use Only OWNER MP RA Del Mar Development Co. I RECEIPT NO. 1123138 MAILADDRESS Suite 1, 3800 E. Coast Highway RECEIVED B �DATE RECEIVEDISSUED ,,,--71_,71.„, .—/SI(O 16-ATeIleeu /_5-60 CITY Corona del Mar Tao:Or 34220 BUILDING ADDRESS 2758 Loreto Avenue ARCHITECT ayTEL.0a 37010 COSTA MESA. CALIFORNIA OR ENGINEER Rmond Levanas No. ADDRESS 343Z Via Newport Beach I Oporto. ZONE FIRE TYPE GROUP � 4Qr CONTRACTOR 2 rn Corporation APBYPROVED DATE ADDRESS 3800 E. Coast Highway ZONING CITY Corona del Mar ZONE I NO.OF I USEOP NEW PLANS BUILDING LICTE NO. 98808 ia0L0r 34220 DLEGAL ESCRIPTION Lot 103 Tract # 3749 SIZE I NO. OF BLDGB. 0 OF LOT 70 X 93 NOW ON LOT A.P.NO. ' USE OF YARDS EVES EXISTING BLDG, APPROVED ALLOWED SCENTER OPUS11 E OF 45v REAR YARD 28 (CENTER LINE ST.) FRONT 4 3 FT. IN. SIDE YARD I LEFT 5 I RIGHT 5 R.SIDE /0 FT. IN. DESCRIPTION OF WORK L.SIDE c FT. IN.NEW I X II ALTERATION I II ADDITION I a q �[ REAR (/ FT. IN. REPAIR I II MOVING I II DEMOLISH I APPROVEDBY DATE BUISIZE LDING NO. OF 54 x 49 ROOMS 6 STORIES( EXTERIOR StUCROOF L7 COVERING WALL& Ri dip*COVERINGWOod Shingles /a9 / / USE OP BUILDING AND WORK TO BE PERFORMED k yoo - -- Construct Single Family Residence with attached garage I HEREBY ACKNOWLEDGE :Ti I HAVE READ THIS LIGTION TME AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THB AB H 8 CORRCR AND AO E TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORD AN AND STA LA REGULATING BUILDING CONBTRUCYIO • VALUATION SIGNATURE OP $04, PERMIT FEE $ 32.00 PERMITTEP / e Project Manager $ 13,395.00 PLAN CHECK $ 16.00 AUTHORIZED AGE 48.00 0 TOTAL PEE $ IL