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HomeMy WebLinkAbout1697 MADAGASCAR ST - Building Permits t.i1'3\ WCITY OF COSTA MESA � BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT 11 PERMIT PERMIT NUMBER 698-01306 v (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1697 MADAGASCAR ST Status: ISSUED Suite: Applied: 07/21/1998 Vicinity: Issued: 07/21/1998 Parcel Nunmber: 13913301 Zoning: R1 R1 . Applicant: CRANK, JIM Address: "Phone: ' , Zip. J. /.,f% / , ` Owner: LANGDALE;MAURICE D TR "% Address 1697 MADAGASCAR ST\ ` - • - _ /7,1<1/477/ (\ V 'i/ Phone:- 1- — - �, COSTAMESA,CA - Zip: 92626 , - _ • - y / Contractor:/ ,CRANK,BROTHERS ROOFING CO - ' ' . Address: 00126 COMMERCIAL WY - -� , ,1� i �,' Phone: �' / ,.%(COST&MESA CA Zip. 92627 . //'/ "i,/ /% License 408677 - -ArchLEng : 7', j; :' ' Address: . , � I� - .y" ,'` ,'Phone:._ . . • �. _ Zip: ' License: -� ," ' - SCOPE OF PERMIT T/O ROCK ROOF AND INST 30 YR SHINGLES. -- ;_.' ' , - . v . �� � • �. . FEE SUMMARY Plan Check: ' ''$0.00 _ ' '' .' ' -. -- - , : '- , ' • ' , Calc Valuation: $4,060.00 Permit: $99.75 - .------- Claim Valuation: $4,060.00 SMIP Res: '. $0.50 SMIP Com: $0.00 - - ,/ Other: $0.00 — Inspection: ' 5$0.00 '' Total: .. $100.25 - - �" - ' 'N.. `.,� _ ' PLANNING &ZONING SETBACKS N ' ,, ' ,. ., " MAIN STRUCTURE Front 0,0 ' N 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: • • 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 WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 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 work for which this permit is issued. fl/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 Insurance carrier and policy number are: Carrier: 5 .t Policy Number: (This section need not be completed It the permit is valued at one hundred dollars($100)or less.) ❑ I certify that I e performance 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 11-%s of California,and :..:, th j t I should become subject to the workers'compensation provisions of Section 3700 of the LeboLL?Code,I shall forthwith / comply with ihes:rovisions. Applicant Signature: _ Date: WARNING:FAIL • CURE WORKE•L COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED , THOUSAND•• --($100,000),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 I am licensed under,pro�trlonAof.Chha_gter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full force end effect.Lic.# W JSf//VV__ Class# Contractor's Signature: Date: '7 c-?1 n ty CONSTRUCTION LENDING AGENCY: ❑ I here affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). /Lenders Na Lenders Address: `/ Signature: QCs, Date: /— 2 f-- 7 OW R- ILDER DECLARATIONS: I here y 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,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 contractor(s) license pursuant to the Contractors License Laws.). ❑ I em exempt under sec. Business and Professions Code for this reason: Signature: . Date: Owner ID verified by drivers license. ❑Yes 0 No Drivers 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.felsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Tltle 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 0 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 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 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? 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 LI a plication appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes L I No (Section 65850.2 of the California Government Code requires that the requested information be fumished 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 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 es 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 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 ve-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ZRre Of Legal Owner(s) /c271 2Pal And/Or Authorized Applicant -/ Date CODE 4 INSPECTION TYPF DATE MEALS ODE/ INSPECTION TYPE DATE MILS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final / � 208 Final Plumbing 200 Final Re-Roof 7 )0"p Su1 t4�' 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 244e4e OWNER MR, T.ANGTIAT,F • DATE 4-30-59 JOB ADDRESS 16-93-0 -Cggag4arr'4Keet BUILDING PERMIT NO. 9169 GENERAL CONTRACTOR Grover flonctr Cry, VALUE S 309, AP. No. LOT 4 TRACT 23 3 FIRE ZONE DESCRIPTION OF WORK Block wall INSPECTIONS DATE GROUP TYPE TTT ZONE R1_ Underground Soil U.G. Water SUBCONTRACTOR PERMITS ISSUED rground Gas DATE NUMBER 0....head Water and Gas Rough 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 '7' Forms v Steel /141-/;Q Floor System System Steel Reinforce Chimney Re-Rod Bond Beam Sheathing Frame and Flashing ;Z; ng, In Out W 2r, brown coat • Plumbing Fixtures, Final Electric Fixtures, E' 1 lit A. Building, Final V-4...6,101/ '9* „nit lam// //26, OCCUPANCY I/J/ Form 210-3M-4-59 Y.l-U9 •�t 1. � rcit R 'caKa, 91.69 pp�� �y ,��pp COSTA MESA BUILDING-SAFETY DEPARTMENT f�-IVNW{VCU�iU 1959 P.O.BOX 317 COSTA MESA. CALIFORNIA CIS✓ IOp D+ T�r /,�p FOR APPLICANT TO FILL IN COMPLETELY APPLICATION j{FOR�APERMIT TYPE OR PRINT BUILDING ( BUILDING//Q) t/A J, (A 9 A ^ 7' ADDRESS ��jj//COSTA M•/ErS�A`y1 ALIFO•RNIA,`Y' 1 FOR OFF/Cf USE ONLY J n I RECEIPT NO. I PERMIT NO. OWNER /11 / Q 7 i63 {.da B '1' MAIL a R EIVED BY I ATEJRbC�E,IV5E-OiI 2;.TE IBJU ADDRESS ED a 1 : CITY tag/ Les /7 TNO, AD ESS I ARCHITECT LIC. OR :INEER NO. OR MESA, CALIFORNIA Y ADDRESS . FIRE ZONE type //r group /(] STATE ) APPROVED Y- CONTRACTOR /��� �I LIC.NO��II/ BY DATE 1 1 '• ADDRESS /417,2 /r/9/ reJ# L p`. C' ZONING L LEGAL LOT ooj`` ZONE NO.OF USE OF NEW DESCRIPTION NO. , I BLOCK. ITRAO?3Ji I PLANS I BUILDING A.P.NO. LO / -?� % f 3 BYPROVE j� DATE In (' SIZE (,J/�f/ ©� INO. ON BLYARDS REQUIRED EVES OF LOT NOW LOT ALLOWED P USE OF (CENTER LINE ST.) '� EXISTING BLDG. G�✓`""�--� FRONT Zr D FT. IN. 1 SETBACK LINE FROM ' /y CENTER'OF Ns ET �� REAR YARD R.SIDE T! FT. IN. I. SIDE YARD I LEFT I RIGHT L.SIDE -Er FT. IN. DESCRIPTION OF WORK 1 � REAR _ FT. IN. I NE' I /\ II ALTERATION I II ADDITION I. 1' REPAIR I II MOVING I II DEMOLISH BUILDING NO.OF �S•� �/.1/ I SIZE ROOMS STORIES I�J p* Lu-,—p % 0 ), n •� EXTERIOR WALL I ROOF ' COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED sal' r� '^� A fir)1 le &CAI 4.t-'4. // rs, e € I HEREBY ACKNOWLEDGE HAVE/READ THI APPLICATION AND STATE THAT THE AS.V, S C ECT AND EE TO COM- THE AMOUNT SHOWN UNDER VALUATION IS FOR THE FLY WITH ALL CITY 01¢. C - A D STATE REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. • BUILDING CONSTRUCT(• • .,�, //��� VALUATION SIGNATURE OF J/ �(.[/ 1 A� PERMIT FEE $ �.�` PERMITTEE�o (/� ���_✓' 3 PLAN CHECK $ / $ 7_ ^`1 c\ �'ITHORIZED AGENT TOTAL FEE $ l �= \ OWNER LANGDALE, MAURICE D. DATE AUG 1 6 1963 JOB ADDRESS 1697 Madagascar St. BUILDING PERMIT NO. 20426 GENERAL CONTRACTOR Owner-Builder VALUE $ 281.00 AP No. 139-133-01 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Stone Fence INSPECTIONS Signature DATE GROUP J TYPE III ZONE R1 Sr" PERMITS ISSUED . ( SUBCONTRACTOR DATE NUMBER Water Rough Com. Refrig. Air Cond. ❑ Rough Heating Rough Plumbing jMiscellaneous Prop. Swr. Line ❑ House Con. 0 St. Swr. ❑ Sprinkling System Construction Pole Underground 0 Power .❑ Rough Wiring Trenches Forms 0 Steel Reinf. W_ R)34I 4 .-a [,,� Floor System -1 Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing— In,❑ Out❑ Plaster, brown coat Refrig. 0 Air Con. ❑ Final V 'ng, Final F Ding Fixtures, Final . Final Gas Test Electric Fixtures, Final Building, Final Q p^,t ({_1M.-(g), \ -� OCCUPANCY Form 13U4—SM-3-63-S-$ P TWIT TI tvin evcnT A DcnTTTDcnscmmTO nn1,nC • : 20426 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BO%917 COSTA MESA.CALIFORNIA FEE • CEIVED \ `A jy 1 �' For Applicant to Fill In Completely �A POC6A •` FOR PERMIT TYPE OR PRINT rrI I BUILDING / n� FOr Pd„ ADDRESS/Y/q7/UI a4 aSC. T r CI 'I OF COSTA MASA RECEIPT NO. 120426 COSTA MESA. CALI ORNIA /. '• �/ T[/qqE EIV[ it IB ueD �y OWNER ///S 1^ I • / ♦ QJ • Clete •_/ O 60 J. I•—/ �l ADDRESS/(D /, /(J/'0 6 QJ 4 cc a N BUILDING ADDRESS /`p 97 ./ _ W1'C� /' .{/ M�// TEL. �. FIRE CITYGOS / O. ese L% /5o7� ZONE GROUP APPROV ARCHITECT �� TEL. - BY ( DATE ip ' OR ENGINEER NO. ZONING A. 23$ -, ZOR1 •/I ' r ( I NO.OF - LUSE OF NEW (A PLAN[ j/�I BUILDING • CONTRACTOR4 :a ] ADDRESS 4, ' DBmammonL�e//�J �� h1J'5� _ LEGAL CITY .-��^ A.P.NO. 13 I ITTT3 3 — 0 I NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE _ TEL. 30"TO SIDE&REAR P.L. LIC.NO. NO. EAVES SIZE `OO ,'I ‘ ✓ NO.W OOP N BLDLOTCS. ALLOWED (U.B.C.REQUIREMENT) OF LOT / NO YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET) SETBACK LINE FROM FRONT FT. tri tCETB[R OP STREET REAR YARD pwat/ SIDE YARD I LEFT I RIGHT R.SIDE • I I� DESCRIPTION OF WORK L.SIDE Fr. IO FT. ... /. i NE""- _ ALTERATION ADDITION REAR FT. atfFG( DISTANCE BET. BET.MAIN& REF.uR _MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUILDING NO.OF VAR'# DATE SIZE ROOMS STORIES C.U.P. I APPROVED EXTERIOR WALLROOF APPROVJ - r COVERING I COVERING BY ED ATE J, 16 IO/ USE OF BUILDING AND WO$K TO BE PERFORMED V 7C .- 6 Olt 00040 Jrcbl/6,, HULD F • SPECIfQUIEMENT �itJCE • • '�I.pEwen C N SQ.FT. R 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 COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION p BUILDING CONSTRUCTION. PERMIT FEE $ • n SIGNATURE OF ed ie x] 74 ‘ m PERMITTER t;�rT<-,c���/ / 2II S a PLAN CHECK S CSI" G AUTHORIZED AGENT `iV{ �� E • TOTAL FEE S R •: , 4986 FEE RECEIVED COSTA MESA BUILDING DEPARTMENT x i 16C--1:' -'6( P.O. BOX 317 COSTA MESA. CALIFORNIA FINANCE' DEPT. ..��pp�.. FOR APPLICANT7� TO FILL IN- APPLIC aigfrNFQF'i9FPm't'^�.RMIT BUILDINGADDRESS 1 (jOd''1'�iASi -.ansrpr Street BUILDING v COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. 4936 OWNER Surmnerland Land Co. MAIL RECEIVED BY [D-ATE RECEIVED DATE ISSUED ADDRESS /•Z".7' `> 'de- 4-7 `�°'+ &.7 �_1V O TEL. BUILDING CITY T105 Angeles . Calif. NO. ADDRESS ARCHITECT LIC. COSTA MESA. CALIFORNIA OR -INEER Williams NO. FIRE ADDnESS ZONE Summerland Land CITY LIC. ZONE OF TYPE GRODv• /1 CONTRACTOR Co. NO. 6185 t C TEL. APPROVED ADDRESS Los Anaeles� Cal. NO. 4 BY DATE LEGAL LOT 1 L L)NHELTIONS DESCRIPTION NO. /1 BLOCK TRACT 2353 A.P. NO. APP OV y• SIZE h000NO.OF SLOGS. noneCOSTA Y LJ NOW O" LO' CITY OF COSTA OF LOT n� MESA OF EXISTIING BLDG. PLANNINGQEPF. I SETBACK LINE FROM I� CENTER OF STREET 4 01 REAR YARD 8.4lt I .�>&•,r �y._((j • Date_ SIDE YARD RIGHT OQ 1 LEFT ,3 �91 =PLA N:T H./�/y]7 e DESCRIPTION OF WORK 7 . `�'/r� i�t� ���•u ;L ( < `el NEV' X ALTERATION ADDITION . • 14 A r4 L.J BUREPILDING 1 MOVING NO.OF DEMOLISH II / �' �Y ltC SIZE 122L ROOMS 5 STORIES I v/ '� b • // EXTERIOR WALL ROOF ` / X41 COVERING Stucco COVERING i ock �_R=, o BUILDINGUSE OF EW Singl e Family rIWC.1 i ng VAR. No. 3Aa ' APPROVEDfI_�S_�. tie, • 3B q- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP = ATION AND STATE THAT THE ABOVE IS COR CT AD GREE TO CO. -L WITH ALL • CITY ORDINANCES AND STAT WS E LATIN UIL�1 - CONSTRUG TION. y/a/yG /J�/,/7 VALUATION SIGNATURE PERMITTEE AWS /L.[// ., PERMIT FEE S t26 O� $ /& 6 e� PLAN CHECK 5 13.00 / AUTHORIZED AGENT TOTAL FEES 39.00 ‘BAiF