HomeMy WebLinkAbout755 OLYMPIC AVE - Building Permits�
CITY OF COSTA MESA
BDILDING DIVISION
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77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www ci wsta•mesa.ca.us
FOR INSPECTIONS CALL: (714) 754-5626 . - . - .
PERMIT NUMBER: B08-00333
PERMIT TYPE B ROOF2 STATUS: ISSUED
APN: 14153203 DATE ISSUED: 1 210 312 0 0 8
- - �` - ISSUED BY: BJK
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JOB ADDRESS: 755 OLYMPIC AV„CM ,',;,` Suite/Umt ` '
Vicinity: - _- .
Squares: 3476 f"�-�' ` `' Valuation ,� $3476.00
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SCOPE OF WORK: REROOF, RESIDENCE AND�ATTACHED GARAGE: T/O EXISTING COMP„ROOF� REPAIR/REPLACE SHTG AS NEEDED, ,
FELT PER MFGR'S SPECS, APPLY '30-YEAR COMP SHWGLES." PITCH 3:12 3476 SQ FT �-� �� ��
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OWNER: SALAS,LEOPOLDO�JANDGRACIELA Add�ess: -� 7550LYMPICAVE. � Unit ��
PHONE: ��;j ,?; � � =City/State/2ip: COSTAMESA, CA� -_ , ..-�. , _ __
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APPLICANT: SALAS, GRACIELA ' �`�� � ' " ' Address: 7550LYMPIC AVE<�„ , � .�� Unif: : �
PHONE: 714-557-9433 3� �i City/State/Zip: COSTAMESA,CAt _' `. �
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CONTRACTOR: OWNER BUILDER + �` � _�- � _ � .License No -` 000000 . '
Address: Umt , ,; _ � PHONE: -. -':: '
City/State/Zip: '-: r -... . ... ,.,CELL ,'.'� .
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ARCHITECT: �LicenseNo. -�. � � � � P.HONE'�.'�.� � �
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ENGINEER: � ' � -�•, � , ":��� License No. --'��- -. � " � PHONE� �' �
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FEE SUMMARY ;; �
Reroof Plan Check: - $0 00 `
Reroof Permit Fee: `$97 25 y '
ReinspectionFee: $000 ��`�:��� . , ..
' - - e' ,_�';
TOTAL FEES , 597.25 `I": . ' +.:, � �
,. � . '
NOTICE: The work authorized by lhis permit sball wmply vnlh all applicable handicap access requirements under California statutes and related
regulalions. (Ord. No. 92-28. § 1. 12-21-92) '.
EXPIRATION: PERMIT EXPIRES 780 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.
COOE �. INSPECTION TYYE
1678 Ficed System Final Fire Prevention
7288 Pool Spa Final
200 Final Re-Roo(
201 Final Block/Retaining Wall
202 Final Faclory Fire Place
203 Final Sign
204 Final Demolition
DRT IN7ITIRLS
l2 -6 �
40oEt INSPEC710NTYPE
206 Final Mechaniwl
208 Final Plumbing
210 Final Electrical
212
220
222
250
Final Fire Prevention
Final Planning Approval
Final Site
Final Building�Occupancy
D� INTIiIRLS \
WORKERS' COMPENSATION DECLARATION: �
I hereby aRrm under penalty of parjury one of Ne following declarations: ,
❑ I have and will maintain a certificate of consent to self-Insure for vrorkers'
compensation, as provided for by section 3700 of the Labor Code, for the
peAormance of the vrork for which tfiis permit is issued.
❑ I have antl will maintain v.orkers' compensation insurance, as required by
section 3700 0( ttre Labor Cotle, for the peAortnance of the work for which this
pertnit is issued. My workers' compensation Insurance carrier and policy
number are:
Carrier
/TNs sectqn neeC iro( �e mmpiHetl dt�e perm4 a valuetl at me �urqie0 doBars (5100) d lett)
Policy Number:
❑ I ceRify lhat in the pertormance of the work for which this permit is
issued, I shall not employ any person in any manner so as lo become subject
lo lhe workers' compensation laws o� Califomia, and agree that if I should
become subject to the worKers' compensation provisions o( Section 3700 of
the Labor Code, I 5hall (orthwi[h comply with ihese provisions.
Applicanl'S Sign9�ure Dale
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOILARS
($500,000), IN ADDITION TO TF1E COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm lhat I am licsnsed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 0( the Business and Pro(essions Code, and
my license is in full force and eHect.
Lic. # Class #
Gomraclor's 9gnawre
CONSTRUCTION LENDING AGENCY:
❑ I hereby affum that there is a consiructbn lending agency for the
peAortnance ot ihe Nork for vfiich [his pertnil is issuetl. (Sec. 3097, Civil Cotle).
Lender's Name:
Lentler's AOtlress:
Date
OWNER-BUILDER DECLARATIONS: � "
I hereby affirm lhal untler 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 permil to
wnsWct, alter, improve, tlemolish,'or repair any structure, pnor to i[s
issuance, also requires the applicant for such permit to fle a signetl statement
thal he or she is licensetl pursuant to the provisions of [he Contractors
License Law (Chapter 9(commencing wilh Sec[ion 7000) of Division 3 of the
Business and Professions Code) or tha[ he or she is exempt lherefrom and
lhe basis tor the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjeGts the applicant to a civil penalry of not more Ihan
five hundred dollars ($500).):
� I, as owner of Ihe property, or my employees with wages as their sole
mpensation, WILL DO THE WORK, and the swcture is not intended or
o ered for sale (Sec. 7044, Business and Professions Code: The Contractors
License Law dces not apply to an owner of property who builds or improves
[hereon, and who does such work himsel( or herself or through his or her ovm
employees, provided that sUch impmvements are not intentled or oftered tor
sale. If, however, the building or improvement is sold within one year of
completion, the owner-builder will have lhe burden of proving that he or she �
did not build or improve for,purpose of sale.). .
❑ I, as ovmer of [he proQerty; am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTOR5 to conswct lhe prqec[ (Sec. 7044, Business and
Protessbns Code: The contraclors License Law dces not apply to an owner of
property who builas or improves thereon, and who cont2cts fw such projecl vnth
a cmtractor(s) license pursuant to the Contractas License Laws.).
❑ I am exempt under sec�
Business and Professions Code for ihis reason:
/�-e3-o8'
SiqnaWre> � ��[e'���
305]<6�3I01) '
Owner ID veri(etl by drive� ,.rnse. Yes ❑ No
-briver's�License�No.. Expires:�/0�3— ��--
Verifcation of Ownership by (rype of document, i.e. - property tax 6ill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: '� �
❑ I hereby cetlrfy that no excavation frve (5) w more teel in depth into which a
person is requiretl to tlescend, will be made in conneclion with work authorizetl
by lhis pertnit, and that no builtling struclure, scaNdtling, false�+ork, a demolition
or dismantling thereof, vnll be more than thitly-six (36) feet high. (Chap. 32, Grp
2, Art 2, Sec. 341, Ttle 8, Cali(omia Administrative Code).
❑ As owner-builder, I will not employ anyone to tlo work which woultl
require a permit from the Division of Intlusirial Safety, as noted above, unless
such person has a permit to do such work from the division.
AOPlicanl's SignaWre Da�e
Division o( Industnal Safety Permit Number.
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future huilding occupant neetl to file and
certify a Business Plan (or emergency response to release or Ihreatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the Caliiornia Healih antl Sa(ery Cotle requires, with some
exceptions, tha[ a Business Plan be fled wilh the Costa Mesa Fire
Department by every business which has at any one time dunng a reportetl
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 compressetl gas
al standartl temperalure antl pressure).
2. Does or will the applicant or present or fuWre builtling occupan� neetl to file
a regislretion fortn (or awtely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the California Health and Safery Code, with some
exceptions, requires regis[ration with ihe Costa Mesa Fire Department by
each business which al any one time has on hand a quantity o( acu[ely
hazartlous matenals equal �o or greater than a weigh� of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet ot compressed gas at stantlard
�emperature antl pressure).
3. Does or will the applicant or present or future building ocwpant need to
prepare an RMPP (Risk Management antl Prevention Program for acutely
hazartlous ma[erials)? ❑ Yes ❑ No
(Sec[ion 25534 of the Calitornia Health antl Safery Cotle provides that the
Cosla Mesa Fire Department may require the preparation, certification antl
filing with the Fire Depa�ment of an RMPP by businesses wliich are required
to regis[er acutely hazardous materials with Ihe Fire Department.
4. If an RMPP is presently repuired, has Seclion 25534 of the Califomia
Health and Sa(ety Code been fully complied with? ❑ Ves ❑ No
5. Does or will Ihe applicant or presen[ or fuNre building occupanl require for
the work which is the subject of [his application a permit tor such construction
or motlification from Ihe South Coast Air Qualiry Management District or fmm
any other air polNtion control disirict or agency? ❑ Yes ❑ No
(Secibn 658502 of the Califomia Govemment Code requires that the requesletl
in(ortna�ion be fumished on appliwtions for non-residential building pertnits�.
6. Will any part of the facility to be constructetl under this permit be within
1000 feet from the outer boundanes of a schooi? ❑ Yes ❑ No
Qf yes", Ihe (aciliry must meet ihe requirement of Sections 25534 and 42303
of [he Calitomia Health and Safety Cotle).
7. If a permi[ from the South Coast Air Quality Management Dis[rict or other
air polWtion contml disMct or agency is required for the work which is Ihe
subject of Ihis application, have all of the disclosures prescribed by California
Health and Safery Code Section 42303 been matle? ❑ Yes ❑ No
8. (If "yes", attach certificate of compliance'from the appropnate air polWtion
control oKcer).
CERTIFICATE OF COMPLIANCE: I�certify that under penally of perjury the
information given above.is correct I agree to, comply,with all state.laws and
dty ordinances regarding Hazardous Materials and Emissions. �
Da�e
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read Ihis application antl state that
ihe information given is correcL I agree to comply vrith all state laws and city
� ordinances relating to buildinq construction, and authorize representatives of
the Ciry of Costa Mesa to enter upon the above-descnbed property for
� inspe�t� n purposes. I agree not to occupy or allow occupancy of any building
au hbri �d by thi it �il fm spec[ion.
/�-D3 -D�
SignaWrapf, egaiOwneqs �Da�e�
Mtllw Authonx¢4 Appl��an1 Date
/
/ / • / ' I / � / / I l �
OWNER-BUILDER
VERIFICATION
/, %,�S ��.yYN IDIC I�I/ �o�� �eS� Permi[#:y ����(�� ��
Address:
A city or county, which is required ro give notice pursuant to Section 19830, shall attach to such notice, and, as
a condition precedent to issuing a building permi[, require the completion and require the return of, an owner-
builder verification.
Attention PropeRy Owner:
An `owner-builder' building permiY has been applied for in your name and bearing your signat¢re.
Please complete and rewm this information in the envelope provided at yo�r earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No buildingpermit will be issued until this
verification is received.
1. I personally plan to provi the major labor and materials for construction of the proposed
property improvement. Yes ❑ No
2. (have ve not) signed an application for a building pertnit for
t roposed work.
3. I have contracted with the following person (fimi) to provide the proposed construction:
Name
Address
Phone (
City _
Contractor's Lic. No.
4. I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address City
Pl�one ( ) Contractor's Lic. No.
5. I will provide some of the work but I have contracted (hired) the following persons [o
provide [he work indicated:
Name ' Address Phone Type of Work
1042-46 �Rev.11/o4)
755 Olympic Avenue
Costa Mesa, California
February 27, 1970
City of Costa Mesa
77 Fair Drive
Costa Mesa
Californla
Building Department
This is a. reply to the complalnt made yesterda,y,
Feb. 26, 1970 by Edward Horrocks concerning no
permite.
We bought the house with the existing lmg room
and enclosed porch. �
�,�,.�c_-c����e� ,�C�e�.c.�`-=� :
Lucille Seck
����������
�JUILDING SAFE?Y DEPL
[�IAR 2 f97D
�'` PM
.�;��i,10,i1��;1�2�3t�',� 1G
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owivrR BELLILE, H.
%��'.<-- : r. , r
r -, 4-15-63
b_ �DING PERMIT NO. Z8� —
GENERAL CONTRACTOR C& C Consttuction VALUE $ 3�230.00
AP No.l 1-532-03 LOT TRACT FIR� ZONE DESCRIPTION OF WORK pdd Fa,m.Rri.�i
INSPECTIONS �Signature� DATE GROUP I TYPS p 7.ONE R�� �
Gas
suBCON'rRACTOR I DATE NUMBER
OCCUPANCY
0
'�_.;, 19289
� COSTA MESA BUI�DING-SAFETY DEPARTMENT
P.O. BOX 917 GOSTA M66A� CALIFORNIA
For Applieant to,Fill ln Complefely
. NPE OR PRINT
BUILDINO
ADDRE53 7rs �•
� COSTA MESA, CALIFORNIA
OWNER Y% , �(-5 C � � � �
MAIL %s�.'�i�y "
ADDRE58
_ _„ � TEL. _. . .
FEE RECEIVED
APA 1 5 1963
APPLICATION ��! �pRA1i]"CE DEPT.
BUtLDIN6'I�Y llh cosra M�s� �
For Ofiice Use Only � _
q6C61i NO, pERMIT NO.
y•• ✓ ••V• APPROVED ,S//�
ARC. ?j �;�T . . . � BY DATE " / .G
OR�i�e:�:,l,-,...EER NO. � , � ♦
, oNrNc
nooaess �
, _ NO.OP UBEOFNEW
" . PLANB BUILOINO
coNraacroR y
' ; �sow� � • '-� �
ADDRESB ✓ '/ j � ' OEecRIPT10N
Q LQ� � f- A. P. NO. � —
CITY F
STATE G!r�jy 1' �Sp�t TEL ' 90TT0 81D6 @ kEAR pHLNG BHALI_ BE LES3 THAN
LIC. NO. ' D d � f'.�o.� —537 -
EAVES
OFL07 �0 7Q—p- I No.oPeLooe. � ALLOWED <U.B.C.REQUIREMENT)
xowoNLOT YARDSAPPROVED YARDSAPPROVED
USE OF ' MAIN BUILDINp ACCESSORY BUILDING
EXiSTING BLD6. / �t • ' �
(FROM
S¢TBACK LINE FROM y �j ha /
CENTER OP BTPEHi �C �O '�r REAR YARD FRONT
SIDE YARD I LEFT S / ' I R16HT " �� R. BIDE
DESCRIPTION OF WORK �. aioe
NE\ ALTpRATION I AOOITION /\ REAR
REPAIR MOV�N6 � DEMOLISH MAINAB
BUILOIN6 NO.OP VAR.#
SIZE f� I r' ROOM9 a SfORIES � C. U. P.
GOVEFINGWALL�On^ SI COVERIN6+ ��^�•' S ING. BYPR�1
USE OF BUILDING AND WpRK TO BE PERFORMED �
DATE
/ �
' .� s4.Fr. .�i3O./�'�//�.
I HEREBT ACKNOWLEOO! THAT 1 XAVE HGD TX19 APPLICRTION iNE AMOUNT BXOWN UNOER VALUATION IB FOP THE �
AND 9TATE THwT TH£ ABOyg �e CORRECT AND AOPE! TO COM� PURPOB6 'OP ggTABL18HINa A PERMIT FEE ONLY. Q
PLY WITH PLL C�TV OPOINANC88 ANO 9TAT8 LAW6 R80ULATINO VALUATION
eUIL�ING CONBTpUCiION.
SIGNATURE OP � PERMIT FEE '� j
PERMI7TE ' u^� t $ 3 a3o C �
, p �
AUTHORI2ED AGENT . ^ �`
TOTAL FEE O�� i SO
Lot 4$ Tr
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CALIFORNIA
For Applieant fo Fill In Complefely
TYPE OR PRINT
MAIL
A�DRES:
r.irv N
■ SIZE
COSTA MESA. CALIFORNIA
Beach
�R K.W. KOil.
7555 Pl.�centi
Ne*,uport Beach
� BGIHACK LINE
✓
TEL. Ml
NO.
TEL.
� I u�nw�..vBLDTe. Q
DESCRIPTIOtd OF WORK
BUILDING NO. OF
g�ZE ROOMS
EXTERIOR WALL jtUCCO I ROOF
COVERING COVEF
USE OF BUILDING AND WORK TO E
am� � n c' c
Attatched Garage
shingle
F E RECEIVED
MAY 171951
INANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMI7
suaoiN�
For Offiee Use Only
RECEIPT NO. I ���.1IT�N�
L� �}
D_/
BY I pAT�.RELEIV60 � DATE 185UED
COSTA MESA. CALIFORNIA
FIRE
ZONE
APPROVED
ZONING
ZONE NO. OF ' USE OF !
R�L I PLANB 2 BUILDING
LEdAL T.�y �•�• 11SCY
DE8@IRION 1NY 4(l
/ � ICeNTEfl LINe BT.]
/'/•/.. ��
EVES
rlb
1 H6REBY ACI(NOWLEOae TXAT � HAVE RP.�O TH18 APPLIWTION TXE AMOUM BXOWN UNDER VALUATION IB FOR THH
ANO BTAT6 THAT iNg ABOVE 18 LORNECT AND AGREE TO COM• pURPOBE OP, EBTqB46HING A PERMIT FEE ONLY.
PLY WITH ALL CIiY tl�INANCEH AND BTATE IAWe GULhT�N�
euuotna CON9T1e cYlo . _ VALUATION ��
SIGNATURE OF PERMIT FEE $
PERMITTC �
$ / ' ^ PLAN CMECK $ �. �
AUTHOBIZED AGENT �7�_
TOTAL FEE