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Home My WebLink About1014 OAK ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c&OILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 1014 OAK ST Suite: Vicinity: Parcel Number: 42247307 Zoning: Applicant: SIPPLE, RAFER JAY 09/23/2003 Address: 1014 OAK ST Other: $0.00 Inspection: Phone: 949-642-5573 COSTA MESA, CA Zip: 92627 Owner: SIPPLE, RAFER JAY Address 1014 OAK ST , - - Phone: COSTA MESA, CA Zip: 92627 Contractor: Address: Phone: Zip: License: Arch : Address: Eng: Address: ISSUED BY: Status: ISSUED Applied: 09/23/2003 Issued: 09/23/2003 .'Phone: - Phone: Zip: License: License: SCOPE OF PERMIT WINDOW CHANGE OUT TO VINYL WINDOWS.'BEDROOM WINDOWS MUST. MEET THE CODE FOR EGRESS. REPLACE STUCCO WHERE NECESSARY. -I �.'_ - : /..- ' Plan Check: $0.00 Permit: $153.25 SMIP Res: $0.80 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $154.05., SETBACKS . MAIN STRUCTURE Front 0-'0 ACCESSORY Front 0-0 PARKING Existing: 0 Rear 0-0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0-0 Left 0-0 Proposed: 0 Calc Valuation: Claim Valuation Right 0-0 Right 0- 0 $8,000.00 $8,000.00 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 DECLARATIONS 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 the work for which this I}ermit is issued. ❑ I have and will maintain workers' compensation nsumnca, as required by section 3700 of the Labor Code, for the performance of the wo c for which this permit is issued. My workers' compe�ypn rl�nca carder^e d number are: My workors'cormizCarder: Y /11% / Policy Number: . (This sectio need not be complete i the pe s valued atone hundred dollars ($100) or less.) 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'f I should become subject to the workers' compensation provisions of Segt�q , 3790 of the r Code, I shall forthwith comply with these pro n Q% , /✓,}[ 9 2 'l Applicant Signature: _ l ��iz'/��lP—rte�\ Date: //.J V WARNING: FAILURE TO SECURE ERS' COIAERSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNE51M<TO ONE HUNDRED THOUSAND DOLLARE ($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 provisions 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. Lia N Class M Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 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). Lenders Name: Lenders 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 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 lIdwithin 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.). as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Cade: 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 contractors) license pursuant to the Contractors License Laws.). ❑ 1 am exempt de sec. Business and Professions Cade for this reason: Signature: d "'he Date: Owner ID vedfietl bico y ve s n es ❑ No Drivers License No. Expires: Verification of Ownership by (type of docume , i.e. -property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 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, Califomia Administrative Cade). ❑ 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? ❑ Yes ❑ 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? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some excap(Ions, 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). ..................................................................................................................................................................................................I... .............................. ..............................s e n . 3 Does or will the licant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materiels)? ❑ Yes 112.1 (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, codification 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? ❑ Yes ❑ No ........................ .... ........................ ............ ... .................... .......-.................................... ............. ............................................................................................................................ ... .................. ............................... ................... ................. I...................... 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication ap2ennit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ........................... ......... ................ .................................. ................... ........................................................................................................ ............................................I........ 6 Will any part of the facility to be constructed untler this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ 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? ❑ Yes ❑ 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 'Tpl with ell state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described p pe for ins ctign purpos ^agree not to occupy or allow occupancy of any building authorized by this�err In rlkI jnspe� ion. 7 Signatur O Legal r(s) (vJLI I rL/f D I18f�lYv And/Or Authorized Applicant Date CODE r. INSPECTION TYPE 'PATE INImELS CODE INSPECTION TYPE PATY _ ItRlBAIS 1616 Fixed System Final Fire Prevention 206 Final Mechanical - 1266 Pool Spa Final 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 ZJ M od eltda Ueda 64&4aq� Daft OWNER -BUILDER VERIFICkkTION_ A city or county, which is required to give notice pursuant to Section 19830, shall attach,to such notice, and, as a condition precedent to issuing a building permit, require the completion and require the return of, an owner -builder verification. Attention Property Owner: An `owner -builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I. I personally plan to provide the m 'o�or and materials for construction of the proposed property improveElYes No 2. 1 (have have not)ent. signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone ( ) Contractor's Lic. No. 4. 1 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 Phone ( ) Contractor's Lic. No. 5. 1 will provide some of the work but 1 have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work 1042 46 (REV. 9/98) OWNER ARC, Z TRROT)ORR A / DATE 3-1L-56 - JOBADDRESS 1011 Oak St. BUILDING PERMIT NO. 250.1 GENERAL CONTRACTOR Ownpr VALUE $1,000.00 _ Convert attached carport tc LOT 7C BLOCK TRACT 1712 mining room Per U BC GROUP I TYPE V ZONE R7. FIRE DISTRICT 226 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench Foundation Forms and Grade to Garage Rough Framing Plumbing, Rough to Slab Plumbing, Rough Complete Temporary Pole Wiring, Rough —� Heating, Rough Heating, Final Sewer, House Sewer, St. Septic Tank or Cesspool Lathing, Inx Out j( Plastering Plumbing, Final, Fixtures Complete _ Plumbing, Final Gas Test _ Wiring, Final Occuoanev I Uc -I- FORM 210 3M 10-•v9 250L ata Mesa Building Department : ' 111 EAST 20th STREET COSTA MESA, CALIFORNIA r' FOR APPLICANT TO FILL IN Building Address Costa Mesa, California Nearest Cross St. j t'd Owner Architect or Lie. EngineerNo. Address " ,, City Lie. Contractor (�`7Zei(/ No. Address ILeDe cripption I ot. "I V I Block I Tractt0IZ Size of Lot Use of Existing BI Setback Li Center of S New Repair Building Size Exterior I hereby aclmowledt and state that the at with all City Ordin buildingmns or Signatureo Permittee ` Authorized Alit Valuation O 'FORM 204 S -BP 2M 6-55 No.ofI No.of Families Rooms Rear Yard Side Yard / ON OF WORK ition I i Addition 9 I Demolish No. of Rooms. \ Stories APPLICATION FOR PERMIT BUILDING 1 FOR OFFICE USE ONLY + I Receipt No. Permit N tS o ' II - I Jai r v Y —i v10 Building /d/oc Address Costa Mesa, California I M Foundation Location Inspector Date Forms, Materials, Under -Pinning _ Frame: Fire Stops, Bracing, Bolts y{ that I have read this Application ve is correct and agree to comply Lath. Int. ,r' I and State rs regulating u Lath. Ext i Plaster, Int. Permit Fee $ o c, Pian Check $ Total / C5 p Fee $ (�. OWNER BR0'v1Ndj THEODORE A. DATE 5-25-55 JOB ADDRESS 10111 Oak St. BUILDING PERMIT NO. 1331 GENERAL CONTRACTOR Owner -Builder VALUE $ 800.00 LOT AW 115-371-5 BLOCK TRACT Garage CROUP i TYPEy ZONE R1 FIRE DISTRICT 1348 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench % Foundation Forms and Grade to Garage Rough Framing Plumbing, Rough to Slab Plumbing, Rough Complete Temporary Pole Wiring, Rough Heating, Rough F%ating, Final Sewer, House Sewer, St. Septic Tank or Cesspool Lathing, In Out y p Plastering �s Plumbing, Final, Fixtures Complete Plumbing, Final Gas Test Wiring, Final Occuoancv Form 210 G -H 1500 1-55 Cpsta'Mesa Building Department ✓ _, •� 111 EAST 20th STREET 1,1[8 J = COSTA MESA, CALIFORNIA APPLICATION FOR PERMIT BUILDING 1 kh.-'RM 204 G -X 2M 5-54 r FOR OFFICE USE ONLY FOR1InglAPPLICANT TO IN Receipt No. _ ". Permit No. `FILL SulAddress `- �� ! v J \ Costa Mesa, California Receiivv jd by Date Recd. Date Issued Nearest Cross St. Q Building 57 Address Owner Costa Mesa, California Mail Mail l Address \ Nearest Q .meq Cit C MLS No. Cross St. zone No.of Type Groupr� 3�`a e1. C1"S �-t� I Architector Lie. Plans J Engineer No. Approved 'iw � by /f/ DateJ�S� Address ` CORRECTIONS %/1 / Lie. _ - ` Contractor - 1 Vila II�I�V Noy Address Legal Lot ` ,� Description No. (� Block Traci _ (AttachM tes an No. of Bldgs. I Sizeo of Now on Lot O Use of No. of ` No. of _ - - X Existing Bldg. Q_g g ( Families ` Rooms Setback Line from/ / �, Rear Yard b Z Center of Street vQ,C/P7 Side Yard,6 _ - y DESCRIPTION OF WORK I Ks AM New Alteration Addition c rr - Repair I I Moving I I Demolish r� Building t \ No. of Size (] Rooms Stories Exterior Wal Roof r Covering Covering APPROVALS BBuildfnNew Foundation Location Inspector Date �'�\1-�--.eyt - Forms, Materials, - �= -� Under -Pinning Frame: Fire Stops,-�— Bracing, Bolts 61 I hereby acknowledge that I have read this Application Lath. Int. o umi�m `m' n and state that the above is correct and agree to comply with all City Ordinances and State Laws regulating Lath. Ext. aAti H building const on. vi la Signature of Plaster, int. J 's PR PR Permittee - Plaster, Ext � r? Authorized Agt. Masonry Reinforced s} Valuation p O • Permit Fee $ 6,00 Plan •} Check $ o O $ Bond Beam !1 ° FINAL v- is 7-4y Fee $ /, kh.-'RM 204 G -X 2M 5-54 r OWNER CROSS, James DATE R-1u-bj JOB ADDRESS 1014 Oak Street BUILDING PERMIT NO. 23547 GENERAL CONTRACTOR Robert Gurite DESCRLPTION OF WORREctend bdrm. & add bath AP No. 115-534-07"? LOT TRACT FIRE ZONE VALUE $ 1,350-00 _ INSPECTIONS Signature . Date GROUP I. TYPE V ZONE R-1 _ PERMITS ISSUED SUBCONTRACTOR I Date Number I Signature Plumbing Soil -1;z-/' Gas -Pl Water Rough Plumbing Prop. Swr. Line ❑ House Con. ❑ Sprinkling System _ Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power O Rou h Wir' Trenches Forms O Steel Reinf. ❑ Heating and Vent. Floor System _ Bond Beam ❑ Steel Reinforce 0 Sheathing -- Frame and Flashing ..,r Lathing — In pi Out ,o� �. _ Plaster, Brown Coat Structural, Final ectric /co _ Heating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test ❑ Electric, Final - Building, Final �E Special Requirements 2354?" COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 817 COSTA MESA, CALIFORNIA IIIIIII For Applicant to Fill In Completely TYPE OR PRINT BUILDING ADDRESS O COSTA MESA, CALIFORNIA TEL. 74 FEE RECEIVED FEB 10 1965 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. R6 Y +�DAT9 R[TTC8/�V%HD DA ISSUED .L / "F / 2 �/ COOi/ BUILDING kAPPROVED /,/1 7 D.� W 6ZONING NO. OP _ USE OF NEW .T.DN % 7 VAR. # DATE OVILUIIYV SIZE �/ 1 ROOMS STORIES C. U. P. APPROVED EXTERIOR WALL ROOF APPROVEp/ ,��%1 �, ,// COVERING COVERING By 11) _Ly'. DATE /�[/_✓J�j� USE OF BUILDING AND WORK TO BE PERFORMED N SQ. FT. 1 HEREBY ACKNOWLEDGE THAT I ArvG STATE THAT THE ABOVE IB PLY WITH ALL CITY ORDINANCES CONSTRUCTION. SIGNATURE OFPERMITFEEPERMI TTE AUTHORIZED AGENT A. P. NO. J - - CITY - t {? TOTAL FEE $ / - NOTE: NO EAV E OVERHANG SHALL BE E88 THAN STATE TEL SO' TO SIDE 8 REA P. L LIC. NO. NO. �. D EAVES SIZE _ ND. OF BLDDB. ALLOWED (U. B. C. REQUIREMENT OF LOT ' NOW ON LOT YARDSAPPROVED YARDS APPROVED USEOF MAIN BUILDING ACCESSORY BUILDING ' EXISTING BLDG. S - " (FROM C/L STREET) SETBACK LINE FROM CENTER OF STREET - / REAR YARD FR T FT. SIDEYARDI LEFT RIGHT R. HIDE FT. d. FT. DESCRIPTION OF WORK L SIDS 1 O FT. FT. VAR. # DATE OVILUIIYV SIZE �/ 1 ROOMS STORIES C. U. P. APPROVED EXTERIOR WALL ROOF APPROVEp/ ,��%1 �, ,// COVERING COVERING By 11) _Ly'. DATE /�[/_✓J�j� USE OF BUILDING AND WORK TO BE PERFORMED N SQ. FT. 1 HEREBY ACKNOWLEDGE THAT I ArvG STATE THAT THE ABOVE IB PLY WITH ALL CITY ORDINANCES CONSTRUCTION. SIGNATURE OFPERMITFEEPERMI TTE AUTHORIZED AGENT CORRECT AND AGREE TO COMRP08E HAVE READ THIS APPLICATIONfVAL AND STATE LAWS REGULATINGATIONBUILDING ^ E AMOUNT SHOWN UNDER VALUATION OF 88TABL18HING A PERMIT PLAN HECK 5 3� 18 FOR THE FEE ONLY. G TOTAL FEE $ / ORANGE COUNTY BUILDING DEPARTMENT �`_ 636 North Broadway - SANTA ANA, CALIFORNIA APPLICATION FOR PERMIT FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN - i 1 RECEIPTT/y NO:., / Z V � PERMIT NO. , SI7 /Y/ 1 _l- BUILDISS 1014 Oak St ♦ ADDRESS SCHOOL DIST. Costa Mesa OR TOWN RECEIVED ggg Y' /�u DATE OF APPL. DAT ISSU D I O NEAREST CROSS ST tate De / ti • SHAWNEESHONESt INC, BUILI ESS OWNER ADD 936i WILSHIREWIISHI RE BLVD. DISTI AD DRE55CHOOL OR TOWN CITY BEVERLY HILLS NOL CR. 54361 CRossss7. ARCHITECT pR TEL. c 648 489t ZOryryry��1 NO. IPLANS T� � GRO�PI/ t ENGINEER LAIN & MCKERRACHER NO. SY. S M -I IL.jT V/ I ADORESS2I10 E. WALNUT 3T. PASADENA —'/`/ SETBACK LINE F�$ CENTER OF ST. REARIYARD ISL �'��'-i51DEYARD 1� QC e VISTA CO. NEL. CR. - cGNTRAc7GrNEMPORT 5430 APPROVED BY . ) ADDRESS g16l WILSHIRE BLVD. BEV.HILLS CORRECTIONS LEGAL I 171 DESCRIPTION LOT NO. 70 BLOCK 2 (ATTACH METES & BOUNDS) — - -"- TRACT FLUP NO. OFSLOGS. SIZE OF LOT 7200 SD. FT.I NOW ON LOT 0 USE OF NO. OF I NO. OF EXISTING BLDG. FAMILIES ROOMS t DESCRIPTION OF WORK NEW X I ALTERATION I ADDITION p C REPAIR I I MOVING I DEMOLISH 10 Z D BUILD'` C D"f034 SO.FT. 5 —' r ROOMS STORIES WALL I ROOF COMPO COVERING STUCCO OOV ER ING SHINRLFS USOF N BUILDING EW RESIDENCE.Att,Carport APPROVALS FOUNDATION: LOCATION INSPECTOR .DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS. MATERIALS. .9] APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNOERPINNING FRAME: FIRE STOPS, BRACING. BOLTS A AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH. INT, SIGNATURE OF NEWPORT VISTA O' PERMITTEr LATH. EXT. PLASTER. INT. i AUTHORIZED AG .. PLASTER.EXT. $ . C. S z MASONRY REINFORCED EE / Ll S VALUATION =BOND BEAM EE / (O