HomeMy WebLinkAbout1860 ORANGE AVE - Building Permits ' CITY OF COSTA MESA lib
yBUILDING DIVISION
77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
ZA- Irra FOR INSPECTIONS CALL:(714)754-56264"4bl:woo et
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PERMIT NUMBER.+' B08-00244
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 42540322 DATE ISSUED: 08/25/2008
ISSUED BY: RMD •
JOB ADDRESS: 1860 ORANGE AV CM Suite/Unit:
Vicinity: HOUSE ROOF
Squares: 14 Valuation: $6,000.00
•
SCOPE OF WORK: TEAR OFF(E)ROOF MATERIALS, INSTALL A MINIMUM OF 2 LAYERS OF 15#FELT ON A 2:12 TO LESS THAN
4:12 PITCHED ROOF, REROOF WITH 50 YEAR COMP SINGLES ON HOUSE ONLY AND REROOF WITH TORCH DOWN
ON APPROX 6 SQUARES OF FLAT AREA. REPAIR AND REPLACE SHEATHING AS NEEDED.
OWNER: ALBERS,WALTER Address: 1975 ORANGE AVE Unit:
PHONE: 949-548-8031 City/State/Zip: COSTA MESA,CA
APPLICANT: ALBERS,WALTER R Address: 1975 ORANGE AVE - Unit: :
PHONE: 949-548-8031 City/State/Zip: COSTA MESA,CA
CONTRACTOR: OWNER-BUILDER License No. 000000
Address: Unit: - PHONE:
City/State/Zip; CELL:
•
ARCHITECT; License No. PHONE:
ENGINEER: License No. PHONE:
FEE SUMMARY
Reroof Plan Check: $0.00
Reroof Permit Fee: $125.25
Reinspection Fee: $0.00 •
TOTAL FEES $125.25
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE S. INSPECTION TYPE MTh INTIMI$ CODES INSPECTION TYPE DATE INTIMAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical _
1266 Pool Spa Final f� 208 Final Plumbing _
200 Final Re-Roof y'/B re$ 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
WORKERS'COMPENSATION DECLARATION• Owner ID verified by drivnse. Yes ❑No i s
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-properly tax bill or deed):
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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
by this permit,and that no building structure,scaffdding,falsework.or demolition
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This section need not be completed dthe permd is valued at one hundred Odlars(b100)a less)
2,Art 2,Sec.341,Title 8,California Administrative Code).
Policy Number:
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
Applicant's Signature Dale
the Labor Code,I hall forthwi •comply with these provisions.
- )� A.
_ 2/
Z,-)o Division of Industrial Safety Permit Number:
A.:i.:nt'sgnature Date 1/ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes 0 No
Lic.# Class# (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
Contractors Signature Dale 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097.Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 10Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Dale
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑ No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property,or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No
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 8. (If'yes", attach certificate of compliance from the appropriate air pollution
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of'proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty.of perjury the
did not build or improve for purpose of sale.). information,given above is correct. I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
❑ 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 Signature Date -
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:-I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purpos s. I agree not to occupy or allow occupancy of any building
/9, /^ /A1! vas-)
,author' b thi ,it unUllhpa 7 clic on.
W!� 2 rn�e_ L[ a sj bs Signature o1 Legal Own✓`er(s)� Date
Tincture (fate
305]i6(3b)1 And/or Authonzed Applicant Date
eery oic G'da to weda Fades tectuias
` '; OWNER-BUILDER
VERIFICATION
;Address: Permit#:
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.
' 1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement. r Yes ❑ No
C 2. I (have/have not) 114 Q LS signed an application for a building permit for
the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
Name
Address City
Phone( ) 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
Phone( ) Contractor's Lic. No.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide the work indicated:
Name Address Phone Type of Work
1042<B (Rev.1i/04)
4 . .
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State of
California Health and Safety Code and have completed the above information to the best of my personal
knowledge, in compliance with this State law.
Signed: ' • /w/� � n' Date: ��z )t�
Name: L A � �—I � F ALrLL�S !!
(Printed or Typed)
C.D.L. #ORS.S. #
For more information call City of Costa Mesa Building Division at(714)754-5273.
1042-46 (Rev.11/04)
n,
OWNER � DATE - -
JOB ADDRESS 11360 Orange A-te. BUILDING PERMIT NO39724
GENERAL CONTRACTOR Ow, Bldr. DESCRIPTION of . .K Block Pilasters
AP No. 117-173-22 LOT TRACT FIRE ZONE VALUE $ 350.00
A INSPECTIONS Signature Date TYPE III GROUP S ZONE R1
SOIL PERMITS ISS ED
GAS SUBCONTRACTOR
Date [ Number ! Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON. ❑
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER 0
ROUGH WIRING Heating and Vent.
TRENCHES ❑ FORMS 0 STEEL REINF. `� „ZX 75
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING
FRAME AND FLASHING
LATHING - IN n OUT n
PLASTER. BROWN COAT
STRUCTURAL. FINAL Electric
HEATING, VENT., REFRIG. AND P.C., FINAL
PLUMBING. FINAL AND GAS TEST n
ELECTRIC. FINAL ♦ t�
BUILDING. FINAL �tr7.21.77
t .
er
L 39724 n --PAlu ****
" Rt975PAz•00 617* �.SC
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
BUILDING Q! n,� / Q.�� R C�/.-DBV �D�-/Y-E 75
DATE ISSUED
E75-
ADDRESS I V(bf O���0(e4 V� r "'t- (//'J/ 1 J E� 'ajQ,
OWNER tA/A4-n?t. / ' LI en-5 • A.P.NO. in _P3-fl- P'"`JM•/'' /a L
MAILBUILDING
ADDRESS
.�cp,tn -S_ ^ 5-5 o703 ADDRESS 18(DO
���1�'FA% ,
- lli
O CITY CbS/h1 IM A NOL O ( TRACT +7 / LOT LTJ BLOCK
CONSTRUCTION , I NEW ADD ALTER REPAIR MOVING DFMOI ISH
ON LENDER Iv/�'
Il IYI
J D BRANCH
_I CR OWNER (/(44e,z1C/ I
Q W ADDRESS ��j//,�z./// ^/,'/(///
CO m ARCHITECT TEL. USE /Fi%0/` i)� VALUE$ 3 [_(N1
< OR ENGINEER NO. J
U N
FIRE
Q
W cc ADDRESS ZONE TYPE 711: G-ROUP
a. utl W Z CONTRACTOR [kat- /�_- /ALiEYZ5 BYPROV ED J DATE
03- 2
it,J r ADDRESS/'/76 C oIL/-ir`^+c 1y&�s/'�7{� + f('� 1 NO.OF 07 USE OF
Z CITY C /V\ TNO.' • �+ per?
1 ZO " \ PLAN BUILDING EI. .-..e.. ✓.,C
w- 0 STATE CITY YARDS APPROVED YARDS APPROVED ^r
c&Q LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING
_0 (FROM C/L STREET)
SIZE -------- �NO.OF BLDGS.
OF LOT NOW ON LOT FRONT FT. FT.
USE OF ------- Par
P 1 1 T
EXISTING BLDG. R.SIDE FT. FT.
1- SIZE OF NO.OF
2 NEW BLDG. ROOMS STORIES L.SIDE FT. -el- FT.
VEXTERIOR WALL ROOF '
_ COVERING COVERINGS- REAR FT. ATITT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
S
CL MAIN BLOCS. ACCESS.BLDGS.
�C� S/;OQ LU`7 �bE �&VAR.#
C.U.P.#
DATE
APPROVED VED
H iodai;;;y*• eitartd>
YROVEOP. i
J�,tT/ ,it DATE2 — 19
-1 S.-
0
UI hereby acknowledge that I have read this application and state
✓ that the above Information is correct and agree to comply with ,)
CC all laws regulating building construction, and I shall not employ f/
1- any person in violation of the workman's compensation laws of ,
y the State of California. W
I hereby certify that I am properly licensed as a contractor under SQ. FT, o
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR •
Chapter 9, end that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: g
cc
am exempt from the provisions of the State of California Business
end Profession. Code, Division 3,Chapter^ ' 9. VALUATION / m
�/' � PERMIT FEE $ 17 �- N
Signature of L�J �) co
Permittee $ 3v (/ PLAN CHECK $ E
`o
Authorized Agent 4--- -
- u
TOTAL FEE $ -/
•
OWNER ALBERS, ELLA DATE 11-4-59
JOB ADDRESS 1860 A Oran. kve. BUILDING PERMIT NO. 106814
GENERAL CONTRACTOR Bay Coast Bldrs. VALUE $ 9,531.00
AP. No.177-171_22 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Res.w/att. Gar.
INSPECTIONS 4_7_ys4 DATE GROUP I & J TYPE V ZONE R44
Underground Soil /-5 U.G. Water/141s 11-2,4/-.6a SUBCONTRACTOR PERMITS ISSUED
Underground Gas DATE NUMBER
Overhead Water and Gas
Rough Heating ,t--u/�5-6D '-?/wr ,nfls,_ t '/76/35 -201 4/97 cc?
Rough Plumbing �-�/-/ .6D ,iA,M1 .4.- _-- _ ///4162 _9aA✓9
Miscellaneous _ r�i (I a
Prop. Swr. Lide--Ho on. St. Swr. }/y.� GO /°.c <.,-,..-.•Y a-4_4A-, R/L q/G n 'L.Ey 00 3 - , t�•- ,y v
Sprinkling System r'y
Heating, Final ��//-- `t
Final Gasng Te Fixtures Lli
Final Gas Test i � /wiif.-1-Ce _
Construction Pole
Underground Power
Rough Wiring f94 (7 /-9b-4.6 _ r, ii/io/atl /nn/i
Trenches Fig.Formsnl3-V- Steel /I-25--�
j
Floor System ./
Steel Reinforce Chimney Re-Rod
Bond Beam
Sheathing t/F/4 /--/Y -4 °
Frame and Flashing 3 , o., / ,2 r- 6 o
Lathing, In// • Out - nen- V a
c
Plaster, brown coat /E ra -3 -0
Plumbing Fixtures, Final �/ p •
Electric Fixtures, Final ,-/'a
Building, Final9 �_ �/ \.‘,.OCCUPANCY f� is 7 f C
Form 210-3M-4-59 10684
:t. 0`° ;10684 •
COSTA MESA BUILDING-SAFETY DEPARTMENT _„,,/ to- 3d-S`1
P.O.BOX 317 COSTA MESA. CALIFORNIA .i, :1JCE. OPT
FOR APPLICANT TO FILL IN COMPLETELY APPLICATION FOR PERMIT
{ TYPE} O//�)R�PRINT
` //{ g BUILDING
ADDRESS/re 0 r • LS L4I-1 p litA •
j///Y���,/lC�OSTA MESA, CAL RNIA fOR Off/CE USE ONLY
OWNER / /' I RECEIPT NO. I P,' T&J
AMAIL DDRESS '�S sod U. y S- RECF�IVF.O_BY /DoR-50-o fi-- 5 CU_ff
// TEL. BUILDIIII�N{(G� /%�f_ L0 . // ///�
CITY � �/„4/ •„• NO. ADDRESS (O �/ ✓`NY
ARCHITECT - LIC.
OR ENGINEER NO. COSTA MESA, CA LIFORN {�/-
FIRE .r.. -,1
GROUP /
ADDRESS /� ,/n ZONEIRTYPE '
�(7 O_ - _liff �/J ST.ANI / Q APPROVED /'y�y�/ ///
CONTRALTO B`( .F'Ap//""Fi�F`YlIC.NP 6�b/ 7 BY I fi�// 4—DATE ” Lit
ADDRESS ZONING _ 4—
v
LEGAL LOT ////•}}} �}��G1 ZONE t}1y / NO.OF USE OF N
DESCRIPTION I LO. ) BLOCK V 1 HA6T / ``r`�1 PLANSA �/ 'BUILOIN �-.�
A.P.NO. / 17 I / ^ o� BYPROV '`�,C1�YARDS ,`rO�y��D�'AATE 1 0 0,0 /7-�
OSIZEF LOT S 0,0- La • `WO NOW OOP N LOTS / REQUIRED ALLOWED
USE OF (CENTER LINE ST.)
EXISTING BLDG. , • i ,- . _ ,I 41 . FRONT t7FT. IN.
SETBACK LINE PROM /may/(`-�/�
CENTER OF STREET REAR YARD R.SIDE ( . 2 i V -91V. ��
SIDE YARD I LEFT I RIGHT L.SIDE �J FT. ` IN.
DESCRIPTION OF WORK
p �� REAR ( 0 FT. I IN.
NEW I ALTERATION I I ADDITION I
REPAIR I V MOVING NO.OF SII DEMOLISH I
OGTSBUIL4Hlay7d� ROOMS ✓ STORIES
EXTERIOR JE{ ROOF
COVERING
(( COTORING
US/F B iLDING AND WIC2K T-OER FOR D
,. � dJ�j r '
l
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.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRU TI TIS✓OH.. I VALUATION
PERMITTEE "L -../adliffelt
OFSIGNATURE / / !�_ //'7) -� PERMIT FEE $ C/
v $ 'o
(( V/so PLAN CHECK $ /a- ��
AUTHORIZED AGENT 4,3 /._TOTAL FEE $ (O