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Home My WebLink About3124 VAN BUREN AVE - Building Permits CITY OF COSTA MESA $`;1 ) BUILDING DIVISION i-•" "' DEVELOPMENT SERVICES DEPARTMENT grr4R9R-01194 PERMIT PERMIT NUMBER (714)754-5273 • Fax(714)754-4856 BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 3124 VAN BUREN AV Status: ISSUED Suite: Applied: 07/06/1998 Vicinity: Issued: 07/06/1998 Parcel Nunmber: 14169305 Zoning: R1 R1 Applicant: JIMENEZ, RUDY Address: Phone: 174-734=0104 Zip: • Owner ROBERTSON, TODD J • Address ROBERTSON;ROBIN L COSTA MESA,CA Phone: , 3124 VAN BUREN Zip: 92626 ' Contractor: CLASSIC ROOFING - ' Address: 01795 SKY PARK CI • - Phone: - • IR CA Zip: 92614 License:,:-692490 Arch/Eng: - Address: Phone: Zip: License: , SCOPE OF PERMIT REMOVE OLD WOOD SHAKES,SHEET IN 1/2 CDX INST 30 YR COMP. • FEE SUMMARY Plan Check: $0.00 Calc Valuation: $4,000.00 Permit: $87.25 Claimed Valuation: $4,000.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 • Inspection: $0.00 Total: $87.75 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: 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 sell-Insure for workers'compensation,as provided for by section 3700 of the Labor Cale,for the performanc0 of the wo or which this permit is Issued. 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/p�omp_ee sation Insurance carrierrp/rid policy number are: �1�^ --�; Cartier: l��G(�ZL.r /i� ` '�'-)'I/l. Policy Number: An/6003/ (This section need not be completed If the perms s valued et one hundred dollars($100)or less.) ❑ I certify that in the 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 laws of California,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 t look— g Applicant Signature: \ Date: 6 - 6 WARNING:FAILURE TO SECURE WORKERS' PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDMON TO THE COST 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 under•rovisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Profession;,C�{,fa,and my license is In full force and effect.Lic.A Class It �- -S �•- `/Contractor's Signature: �� Date: 7— -Q S--- ... /0 CONSTRUCTION LENDING AGENCY: ❑ 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 1 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 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 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 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 ❑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 Flre 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 a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No (Section 65850.2 of the California Govemment 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 Uy ordinances regarding Hazardous Materials and Emla ons. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penally 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 above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. -- Si mat re Of Legal Owner(s) Date \ / And/or Authorized Applicant Dataattee / CODE I. INSPECTx1N TYPE DATE IHIMALS CODE t INSPECTION TYPF DAg 1NIMA1S 1616 Fixed System Final Fire Prevention J�/-6f�`/p-Q�- 206 Final Mechanical 1266 Pool Spa Final / ��//p 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 2448-i8 .- . LOS ANGELES • CALIFORNIA PORTER, O'BRIEN & ARMSTRONG PARTNERS O. J. PORTER & COMPANY O. JAMES PORTER K. H. O'BRIEN NEWARK • NEW JERSEY CONSULTING ENGINEERS ELLIS L. ARMSTRONG JAMES R. PORTER 510-31ST STREET ASSOCIATES SACRAMENTO • CALIFORNIA JAKE C. YOUNG NEWPORT BEACH, CALIFORNIA C. F. GRIGG 673-085 C. H. DARBY OTTO M. VIKRE WASHINGTON • D.C. November 9, 1963 J. F. WHITE (A.I.A.) W. J. WAGNER V. J. SPOTTS (A.I.A.) RENO • NEVADA LEONARD C. UROUHART 1999.1960 Depat t.ment of Building & Safety City of Costa Mesa 695 West 19th Street Job. No. 6039 Costa Mesa, California 10 ATTENTION: Mr. F. M. Bingham h 4 f/ • Gentlemen: 11 RECEIVED NOV 11 1963 SUBJECT: Report at Completion - Timber Truss Inspections Kim-Truss Co. - Tract 5005, Fairview near Baker, City BuildinitoCosta Mesa —r Costa Mesa, California llr.1 g Dept We have finished inspecting the fabrication of timber roof trusses fors ,c. residential units under construction at the subject site. A total of 1,53 trusses were assembled at the job site using pre-cut stress-graded lumber. Construction plans bearing the stamp of a Registered Civil Engineer were furnished by Trussponents, Inc. in Anaheim. Connections were made with 20 ga. galvanized steel "Trusplates" and 1-1/2" fillet head T-Nails. Workmanship during fabrication appeared good. Twenty-four trusses were rejected as not according to plans due to faulty materials or wrong plate size. These trusses were dismantled and rebuilt using the disassembled materials if suitable. The 1,534 total trusses are identified by Trussponents, Inc. drawing numbers as: 612 W-40-35 271-0" Span (Wedge) 380 G-40-21 20'-0" Span 327 W-40-35 20'-8" Span (Wedge) � 160 G-40-21 25'-0" Span l 11 40-2027 20'-011 Span :2-) e 44 W-40-35 29'-0" Span \C"F / \ ra- t. 6\ AIRPORTS . HIGHWAYS - STRUCTURES - UTILITIES . DAMS . REPORTS . SURVEYS • SOIL AND GEOLOGICAL INVESTIGATIONS . FOUNDATIONS AND STABILIZATION =2= We certify that the 1,534 trusses approved and marked with our stamp were assembled according to the plans using lumber with a stress grade equal to or. greater than that specified. Joints were generally tight, and the trusses in good condition when loaded on the transporting trailer at the assembly area. Respectfully submitted, PORTER", O'BRIEN BONG • Herbert J. Dix RCE No. 13,635 HJD/ad cc: Kim-Truss, Inc. PORTER. O'BRIEN & ARMSTRONG • 20725 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT OCT 7 1983 P.O.BOX 317 COSTA MESA.CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely APPLICATIO CITY OF COSTAf TYPE OR PRINT BUILDING n I1 For Office Use Only AD REISS 3124 VanBuren Ave. RECEIPT NO. PERMIT NO. COSTA MESA. CALIFORNIA RECEI [D SY D7RBCe o D2E/I27 3 OWNER Northgate,a partnership U�BUILDING MAILADDRESS ADDRESS 15939 La sFlores St . FIRE V. CITY TEL Fountain Valley 11-679; ZONE TYPE / GROUP ARCHITECT TEL. APPROVED DATE OR ENGINEER C. H�-lJ.er NO. KF'S2Oi3' ZONING , AL. =&S Anaheim I zona NO.OF „ MISE Or NEW 7I' �' I Bonser Const. Inc. I rune v •UILDING,l a CONTRACTOR O / 15939 LEGAL -2 C r ADDRESS LasFl Ores DESCRIPTION CITY Fountain•Vllev APNO -F^-r r" r� NOTE: NO SAVE OVERHANG SHALL BE LESS THAN 16-Z710.16-Z710. 21 50)19 10'9 NO. 531-6/92 30"TO SIDE B REAR P.L. EAVES SIZE INO.OF BLOCS. ALLOWED (U.B.C.REQUIREMENT) QF LGT lOJX65 Now off LOTL1One YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. none (FROM C U,BEET) SETBACK LINE FROM FRONTFT. 2 FT. CENTER OF STREET 511 REAR YARD '1 1! SIDE YARD I LEFT 10 I RIGHT 5 R.SIDE SFT` FT. DESCRIPTION OF WORK L.SIDE 7t2 ilyv-v.. FT. NF X ALTERATION ADDITION REAR 3 g PT. FT. DISTANCE BET. BET.MAIN O REPAIR MOVING DEMOLISH MAIN BLOCS. ACCESS.SLOGS. BUILDING NO.OF VAR.* DATE SIZE 1881So •FtROOMS 6 STORIES 2 C.U.P.:4 ��11 APPROVED CO ERIOR WAkLL COOP APPROVC IL� , . . io._.3-( COVERING I'UCCO COVERING Sh ina].e SY 7CF1.AA/VI 1 DATE 3 USE OF BUILDING AND WORK TO BE PERFORMED / Single family res . Tw,/attach ` garage SQ.FT. c I HEREBY ACKNO EDGE I HAVENIB APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE TH THE ABjjjjAAAA''''III�,��aaaa�� ORRE D AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G PLY DIG ALL ORD iT ND We REGULATING VALUATION / 0 BUILDING CON-TRUCTIO PERMIT FEE 5 i(n _ j SIGNATURE .FS'k S PERMITTEE $ c)D 5-OO--- - C EC '� C AUTHORIZED AGENT 99__ L TOTAL FEE 5