Loading...
HomeMy WebLinkAbout2070 MARIAN WAY - Building Permits 4ot7'L„ , CITY OF COSTA MESA 4 BUILDING DIVISION > j ,.,,•1 sip.� DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER b '" �P, 4= . PERMIT #: P05-00954 (714)754-5273 • Fax(714)754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT N Job Address: 2070 MARIAN WY EXTENSIO ` Status: ISSUED Suite No 7� Applied: 12/19/2005 ALL T j ® 1J■ ■ Issued: 12/19/2005 Vicinity: GARAGE H�JjJ Parcel Nunmber: 42620218 PER _ ` Applicant: PELLETIER, VIRGINIA EXPIRES ISSUED BY: 4 Address: 2070 MARIAN WY - - . - ,r/ _ „°_.�- Phone: 949-650-3245 COSTA MESA,CA-, H - Zip: •92627-2131 Owner: .PELLETIER, VIRGINIA M TRS . Address 2070 MARIAN WY `• Phone: ^COSTA MESA;CA`' . Zip: 92627-2131 Contractor:, OWNER-BUILDER ' Address: ' Phone: • License: 1 000000 - - SCOPE OF PERMIT CHANGE-OUT OF A WATER HEATER IN THE GARAGE OF AN EXISTING SFD. • ,t I NO OTHER WORK AUTHORIZED WITH THIS PERMIT. ' FEE SUMMARY i AMT.,. , Q?Y • AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0• • Sump Pump ' $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0' Swimming Pool • $0.00 0 Backflow Preventer .. $0.00 0- - P-Trap _ $0.00 0 Trap Primer $0.00 0 Bathtub r,"-' $0.00 ..z0 - .- Pressure Regulator '.,$0.00 0 .Urinal _ $0.00 - 0 Clarifier System - $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum BrkrBkflow(1-4)..t. $0.00 0 Connect(Ice,Soda,etc) z, $0.00 0 1 Receptors $0.00 0 Vacuum Brkr Bkfow(5+)- =.-$0.00 0 Dental Units $0.00 . 0 Septic Tank .$0.00 0 Wash Basin $0.00 ' 0 Dishwasher, - -$0.00 1 0 Sewer Cap for Demo -^-$0.00 0 WashBasin Set $0.00 0 Drain, Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater - $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 Shower • $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain $0.00 01 Sink;bar - $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00, -0 Sink,commercial - $0.00 0 Water Re-pipe . $0.00 0 Gas Earthquake Valve $0.00 0 ` .' . Sink,Floor • --$0.00 -0 • - - Water Service - • $0.00 0 Gas(1-4 outlets) $0.00 0 - •• ' Sink,kitchen - $0.00 .:0 Water Softener $0.00 0 Gas(Over 4 outlets)` ,$0.00 . 0 - Sink,service/mop.,,"• $0.00 •.0 OTHER $0.00 Gas Repipe $0.00 ' 0 . Spa.(private) • , '40.00 0., VIOLATION' - • $0.00 Gas Service .. $0.00 0 . ;:;Spa(public) $0.00 .91 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00.-. 0 - -• - REINSPECTION $0.00 0 Interceptors(Sand Auto)- m,$0.00 " 0 , - • , _ - TOTAL CALCULATED FEES: $35.80 ' COMMENTS/SPECIAL CONDITIONS • 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 2446Je 16/001 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 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 permit Is issued. My workers'compensation Insurance carrier and policy number are: Cartier: Policy Number: (This action need not be completed it the permit is valued at one hundred dollars($100)or less.) 1-2 certify that in the perf rmance 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 alifomia,and ag ee that I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with th e p v ions. ApPecent'Slggature: s Date:.. I�— • WARNING:FAILURE TO S URE RKERS COMP SATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOl1ARE t$1CO,000),IN ADDITION TOTHE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: 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.Lie.It Class It Contractor's Signature: Date: 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 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 owp employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is Id 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.). Ij es owner of the property,em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions ✓Cada: 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 pu uant to the Contractors License Laws.). ❑ I ems e t under .sec. Business and Professions Code for this reason: Signatur' (Date:.. Owner ID verified y driver's license. ❑Yes 0 No Dr Ve s Ucense•No., . , -— .1piresi- Verification of Ownership by(type of document,I.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: O 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). O 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 e 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 end 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). .._ pres_ _ — ___..ndPevent___ rogr —.._ — 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management antl 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 __.. _._.present'orfutuebui__ .such._ 5 Does hr willo the tcAir ou Quality Ma a emen busting occupant at y other for the work which isi the subject this application epermit for such construction or—modification from the South Coast Air Oueliry Management District or from any other air pollution control district or agency? Yes i5 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 8 WIII 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? ❑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 city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFIC TE 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 gree to comply with a state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the a e- e Bribed property for Ins ctio rp es.I Tee not to occupy or allow occupancy of any building authorized by thiiss)permit until final inspection.iA J OC Si ature Oflegalewner(s) (__Date_L And/Or Authorized Applicant Date CODE!, INSPECTION TYPE PATE . . INTIMLS MEI INSPECTION TYPE • - UNITE HMS• 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing /f©o6 • 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, . FInaPBuilding/Occupancy " ' ' • __:::�, eato f eza et ne.44 �'aiedut, Vivian _-N � �iii Ji I • �. OWNER-BUILDER VERIFICATION Address: _.07692) 0),41A1/150 zed hPermit#: QOS—(0C.J9ST 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. ❑ Yes g---No 2. 1 ave ave not) 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 %IS d' `D�r���9/,f/CAD 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: n Name ,4 9 ��/, D 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 To 24C-Ye-rci f 17i,d • 1042-46 (Rev.11/04) 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 ompliance with this State law. Signed: �, �_ LT�7 Date: /�//�QS C � � Name: A�y i A - b if .a (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) ion CITY OF COSTA MESA C/J ; P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 %( Fie It � DEVELOPMENT SERVICES DEPARTMENT a BUILDING DIVISION EXTENSION NOTIFICATION June 8, 2006 Virginia Pelletier 2070 Marian Way Costa Mesa CA 92627-2131 PERMIT NUMBERS: P05-00954 FOR: Water Heater PROJECT ADDRESS: 2070 Marian Wy., Costa Mesa This is to advise you that the request for an extension on the above permit has been approved by Ed Petros, Chief of Inspections. The extension is valid for 90 days. The new expiration date of the permit is September 6, 2006. You may call 714-754-5626 for inspection at any time prior to this date. The job must be completed, inspected and receive final approval before this date or your permits will expire. Additional fees will be required to finalize expired permits. If you have any questions, please contact the Building Division at 714-754-5273, between 8:00 a.m. and 4:30 p.m., and a staff member will assist you. We appreciate your working with us to resolve this matter. Sincerely, *Li/ 7.4 (ii Mary Jane Weidenkeller Office Specialist II Building Division(714)754-5273 • Code Enforcement(714)754-5623 • Planning Division(714)754-5245 FAX(714)754-4856 • TDD(714)754-5244 • M'.w.ci.costa-mesa.ca.us JUN-05-2006 05 :36 PM V PELLETIER, 949 S31 2214 P. 01_ June 5, 2006 FAX Ed Petros, Chief of Inspection FAX 714-754-4856 City of Costa Mesa 77 Fair Drive Costa Mesa, CA 92626 RE: Building Permit No,P05-00954,Request For Extension Dear Mr. Pettus, I am requesting an extension for my Building Permit for the change-out of the water heater at my residence. The Permit expires on 6/17/06, and I would like a three-month extension to 9117/06. The reason for this request is that my father passed away shortly atter I acquired the Permit, and it has been necessary for me to be out of state to settle matters pertinent to his estate. These obligations have made it difficult for me to establish a schedule for the project. With the estate matters now close to conclusion, the summer months should provide an opportunity for me to complete the work. I respectfully request your approval of my request. Thank you, Sin ly, Virginia Pelletier 2070 Marian Way Costa Mesa, CA 92627 Tel. 949-650-3245 4`51111 9 CITY OF COSTA MESA BUILDING DIVISION F „' „„„re, , DEVELOPMENT SERVICES DEPARTMENT P MIT NUMBER PERMIT V, B03-01384 a e1. • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cguILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2070 MARIAN WY Status: ISSUED Suite: Applied: 08/14/2003 Vicinity: RESIDENCE ONLY Issued: 08/14/2003 Parcel Number: 42620218 Zoning: Applicant: REES, GARY ISSUED BY: L,%% Address: 126 COMMERCIAL WAY r Phone: 949-548-5569 COSTA MESA,CA Zip: Owner: PELLETIER, VIRGINIA M TR Address 2070 MARIAN WY Phone: COSTA MESA,CA- Zip: 92627-2131 Contractor GARY REES DBA CRANK BROTHERS ROOFING Address: 126 COMMERCIAL WAY Phone: 949-548-5569 COSTA MESA,CA Zip: License: 736549 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT RE-ROOF RESIDENCE WITH COMP OVER ONE LAYER OF EXISTING COMP SHINGLES. RESIDENCE ONLY. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,741.00 Permit: $97.25 Claim Valuation: $3,741.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 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 xistinq: 0 Required: 0 Proposed: 0 • NOTES: 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 fora 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 244846(800) • • J 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 for which this permit Is issued. I have end 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 i«led. My workers'compensation Insurance carrier and policy number are: Carder: Policy Number: (This section need not be completed II No permit Is 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 beco subject to the workers' compensation laws of Califomi:,and agree that If I shoo a subject to the workers'compensation provisions of Section 3700 the Labor �otleforthwith comply with these provisions Applicant Signature: • "er `���/`/�%� Date: WARNIND:FNLURE TO SECURE Wolf RS CO4PEN;TATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML RNES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN AD•MON TO THE 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 lull force and.effect..Lic.M Class e I-' Contractor's Signature: ' Date: CONSTRUCTION LENDING A ENCY: ❑ 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 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(commenting 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 e permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I 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 al standard temperature and pressure). ...r�.__.� _._.._ _ ..._........__.... _____._.._ 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 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 application a ermit for such construction or modification from the South Coast Air Duality Management District or from any other air pollution control district or agency? L-1 Yes No (Section 65850.2 of the California Government 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). e..S.._..t.___ ._._ __._ _..._. 7 application,If a permit from tae Sthe iscost s Quality Management District or other airtpollution coon 4l 3i 3 been agency is required for the work which is the subject of this have all of the disclosures prescribed by California Health and Safety Code Section 42303 made? ❑Ves 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 Ls correct.I agree to comply with all state laws and dry 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. -. /ignature ClLegal Ow/4- i 4 it b �/ And/Or Au wired •:•licant at CODE I INSPECTION TYPE EMU CODE I INSPECTION TYPE PETE IBTmAL4 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final �/�, 208 Final Plumbing 200 Final Re-Roof /rake l 7 vL 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 CITY OF COSTA MESA, CALIF NIA November 17, 1965 This office was contacted by Mr. Armsdorf (646-3311) who reported that the residence at 2070 Marion Way, within the city of Costa Mesa, was being occupied by more than one family. Contacted the owner of 2070 Marion Way, a Mr. Larry Adams, at 2070 Marion Way (642-2484) and made an inspection of the residence and found it to be occupied by six (6) persons not related by blood or marriage. The residence has five (5) bed- rooms. All rooms, with the exception of one, are, at the time of this report, oc- cupied by only one person. The only female living in the residence does the cooking and cleaning for the other five. Under Section 405 and 407 of the Uniform Building Code and Section 17200.24 and 17200.31 of Title 8, Article 8 of the California Administrative Code, this condi- tion may exist. Mr. Adams was advised of the code sections relating to the renting out of an I occupancy. Mr. Arnsdorf was called this date and advised of this department's findings. Francis J. Mahoney Deputy Building Official FJM:;dh CITY OF COSTA MESH, CALIFORNIA November 17, 1965 This office vas contacted by Mt. Arnsdorf (646-3311) who reported that the residence at 2070 Marion Way, within the city of Costa Mea, was being occupied by more than one family. Contacted the owner of 2070 Marion Way, a Mr. Larry Adams, at 2070 Marion Way (642-2484) sal made an inspection of the residence end found it to be occupied by d six (6) persons not relateby blood or marriage. The residence has five (5) bed- room. All rooms, with the exception of one, are, at the time of this report, oc- cupied by only one person. The only female living in the residence does the Cooking and cleaning for the other five. Under Section 405 and 407 of the Uniform Building Code end ion 17200.24 and 17200.31 of Title 8, Article 8 of the California ABminist Code, this condi- tion msy exist. Mr. Adams vas advised of the code • I :ting to the renting out of an I occupancy. Mr. Arnsdorf vas called this date and advised department . . Francis J. Mahoney Deputy p■iiatng Official FJM:;dh November 16, 1965 TO: Captain E. H. Glasgow FROM: J. Moquin and R. Broad SUBJECT: Inspection of 2070 Marian Way Sir: As per your request contact was made at 2070 Marian Way. The following was ascertained. Four persons rent from the owner, one room each for $40.00 or $50.00 a month, which includes restroom and kitchen privileges. One subject lived in a room in the garage. Subjects # 1 - 2 and 3 were contacted at the residence. Subjects 4 and 5 were not home, and one room was vacant. A total of five persons live in permanent, with one room vacant. Subject #3 had a female guest in his room at the time we checked. Subjects # 1 and 2 stated that all the roomers had friends over once in awhile including women who sometimes stayed overnight. Subjects in residence identified as: 1. Richard Wayne Cheetham, MW 8-15-32 (sleeps in garage) 2. Kenneth Gordon Hayes, MW 8-21-40 3. Per Emanul Lund, MW 10-1-26 4. David Gibbs, MW 25 years (not home) 5. Larry Adams (owner) 6. Vacant (subject #1 above moved out of the house to rent and sleep in the garage leaving one room vacant. Respectfully submitted, Moquin and Broad by JM;mj J. Moquin #77 • • August 15, 1963 • Boar 11. Finucen, iSanager Trusseo, Inc. 14332 Hoover • tlestnInirter, California SUBJECT: your letter of Au„^uet 14, 1963, regarding th, specific items Dear Mr. Finucan: Pim* you for your letter conceaving the above sa:Aject in con- nection with the ho ling of trusses. I honestly feel that you, pc a ::ecn interest in the subject which we discussed . the office of the Building Safety Da- - partnent in this•city. I, as tht Building Official of this city, do not wish to impose additional hardship. . in your daily bwsiness activities; houevor, you must timber', I would be shirking my duties as Building Official if I did n take issue with certain practices unbecoming your industry. Granted, field fabricators are the most difficult to control. • It is also difficult i police the two water= of manufacturing (in plant fabrication and in fie ' fabrication). I may consider the following proposal from you; anww'ly, that at acnetimo during the fabrication of trusses which will ultimately be shipped into this jurisdiction; a general inspection be made on these trusses by a representative of an independent laboratory, recognized by this city. Specifically, he would examine certain features and so certify to the agency Uhich he represents. The agency, in turn, would certify the fol- 1. Specie and grade of material being used as being a type approved in the City of Costa Mesa, in accord- ance with the existing Uniform Building Code, as ascended, 1961 edition. • - 2 To: Mr. W. Finucan Trustee, Inc. • :Date: Auguuat 15, 1963 • 2. liardmare and its fastenings be eorrect1i installed as specified in the engineered bales as approved by this • • department as meeting the mithim„m requirements-specified on the card of approval for "Sarthnre" by the Building officials' Beceasth CcumItteo.. . 3. General workmanship aid quality of trusses being abricated attested to. ' 4. _• ithcss of handling and chipping of the finished trussesfrompoint of origin attested tO. . • • I believe the above, if proposed by you at a3 sentative of your firm and/assuming the. responsibility for other ixnti truss com- panies, would come nearer to guaranteeing every single . n reeting minimum specifications. youtzvly, • ?ECHAM 13311GHA I • Funding Official . . • • Nia:dh : cc Jrummco, inc. 14332 Hoover • Westminster, California TWinoaks 3-5130D9 10 AUGUST 14, 1963 e RECEIVED at AUG 15 1953 �{ City of Costa Mesa MR. MICHAEL BINGHAM Building Dept. CITY OF COSTA MESA BUILDING DEPARTMENT IL\ 695 WEST 19TH STREET COSTA MESA, CALIFORNIA /P l�\ DEAR MR. BINGHAM: AFTER CAREFUL CONSIDERATION OF ALL POINTS WHICH WE DISCUSSED IN OUR MEETING OF AUGUST 9, 1963, I WOULD LIKE TO PROPOSE A POSSIBLE SOLUTION PATTERNED AFTER THE SYSTEM USED BY THE CITY OF Los ANGELES BUILDING DEPARTMENT. AT SOME TIME DURING OR IMMEDIATELY AFTER FABRICATION OF TRUSSES FOR A COSTA MESA JOB, AN INDEPENDENT TESTING LABORATORY REPRESENTATIVE WOULD BE CALLED IN TO GIVE OUR YARD A GENERAL INSPECTION . SPECIFICALLY, HE WOULD CHECK THE FOLLOWING: (1 ) SPECIES AND GRADES OF MATERIAL BEING USED . (2) GENERAL WORKMANSHIP AND QUALITY OF THE TRUSSES BEING FABRICATED. (3) METHODS OF HANDLING AND SHIPPING OF THE FINISHED TRUSSES . A COPY OF THIS REPORT WOULD BE SENT DIRECTLY TO YOU AND A COPY WOULD BE GIVEN TO TRUS SCG. I REALIZE THAT THIS TYPE OF INSPECTION WOULD NOT GUARANTEE THAT EVERY SINGLE TRUSS WOULD MEET SPECIFICATIONS, BUT IT WOULD GIVE YOU A REASONABLE PICTURE OF THE QUALITY OF TRUSS THAT YOU COULD EXPECT TO BE DELIVERED TO A GIVEN JOB. ANY FUTURE CORRESPONDENCE OR INFORMATION REGARDING THIS PROPOSAL MAY BE DIRECTED TO ME AND I WILL ASSUME THE RESPONSIBILITY OF INFORMING THE OTHER MEMBERS OF THE LOCAL GROUP OF TRUSS MANUFACTURERS, NAMELY: JACKSON LUMBER & TRUSS COMPANY BOYD LUMBER & TRUSS COMPANY ROOF TRUSS COMPANY (MALCOM) TERRY TRUSS & LUMBER COMPANY YOU COOPERATION ON THIS MATTER WILL BE GREATLY APPRECIATED. VERY TRULY YOURS, TRUSSCCOO,,_FINC . 6W. riNUCAN MANAGER RWF/PM CC: G. SMITH - TRUSWAL r .Jatoico, inc. 14332 Hoover • Westminster, California TWinoaks 3-5130 09 AUGUST 12, 1963 RECEIVED 14 I. AUG I3 1963 N City of Costa Mesa %Building Dept CITY OF COSTA MESA BUILDING DEPARTMENT 41:41it\ % 695 WEST 19TH STREET COSTA MESA, CALIFORNIA REFERENCE: DUMORD JOB TRACT #4525 GENTLEMEN: THIS IS TO CERTIFY THAT ALL ROOF TRUSSES AND RELATED COMPONENT PARTS WHICH WE ARE SUPPLYING TO THE ABOVE JOB WERE FABRICATED ACCORDING TO THE ENGINEERING DETAILS AND SPECIFICATIONS FOR ROOF TRUSSES THAT WERE SUBMITTED TO AND APPROVED BY YOUR DEPARTMENT. VERY TRULY YOURS, TRUSSCO, INC. RAY W.0.u�/ MANAGER RWF/PM /I..I a /d,41 . �lud �-9, /3- L 3 moi' CfLr� /1G+. t u c a.,, le -. 71776.-14' A: ( Ale"' 4r/tea�C£�`G—���� OWNER RUMOR!) Corp. DATE 7-31-63 JOB ADDRESS 2070 Marian Way BUILDING PERMIT NO. 20107 GENERAL CONTRACTOR J. R. Metcalf VALUE $ 15,818.00 AP No. LOT 9 TRACT 4524 FIRE ZONE DESCRIPTION OF WORK Res-N/Rtt.gnr. I' SCTIONS Signature DATE GROUP Tg„J TYPE V ZONE B-1 S. .6..�/. fr•a-G ? PERMITS ISSUED Gas 7 SUBCONTRACTOR DATE NUMBER Water_ Jj' df 9'-.2-4 7 Rough Corn. Retrig. 0 Air Cond. 0 . ' Rough Heating :Ci :1-1 --63-63 i -v---;, /z- . • - -- 3 _7 3 i Y 1.2 Rough Plumbing u /// Y'- fr-/, , ,$. 7-Di-63 . - _,.1/p Miscellaneous � • V➢' Prop. Swr. Line Cl House Con. Swr. °A #S /D'2.3Tiz a/c/z243 Ye z-7 11165 Sprinkling System 'VV Construction Pole I Underground 0 Power 0 _ Rough Wiring �R or 1/4",:e14-44- ,&c . /-2d'- 63 -2O 7c'2 - Trenches Forms 13 Steel Reinf. 0 A' At; i -C, Floor System Bond Beam 0 Steel Reinforce 0 4 Sheathing /r 9-6- G. .3 Frame and Flashing iq-app Lathing — In Et' Out El- lo-3-67 Pla9tc;,r. brown coat 10---- __0.— s z/c S Re!-4,'An Air Con. ❑ Final HeaLA'g, Final ,,.,J ll- i-C) •Plumbing Fixtures, Final .ez JO-4. Final Gas Test f,�_7� Electric Fixtures, Final N Building, Final 7r-d/ /2./jy-4.3 OCCUPANCY Form BU4-5M-3-63—S-B P ___ __ 20107 • COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA c F((�� I For Applicant to Fill In Completely FELLIPAV�iggt�f-F14FP�RMIT TYPE OR PRINT IJUL 3 dill ING BUILDING �p7 0NARIAu LOA1 FINANCE DEPT. ADDRESS COSTA MESA. CALIFORNIA CF9rO0W2ia1 EPseAOnly � � ��2 ..-2 0/to I RECEIPT NO. I PyF0%IoO7 OWNER AMAILDDRESS t F� FF "aR I RECEIVED ei Y •I D �DEIVED3 I� TE 1� o I.G,4q' u0c Cu t— _Jl L/L2J fm CITY WY9 K�/�' 1.Cbf 1 NO. OTEL T• 6B BUILDINGADDRESS . ARCHITECT }•LoR-e IS A4JD TELL '� OR ENGINEER t,..011R,31,1461/4 NO. 0Sa3 COSTA MESA. CALIFORNIA //rr��((�� ' K1l FIRE '/ ADDRESS VF.AIL)( E,. ZONE TYPE ✓ GROUP ", R K r..--r- G APPROVE /l/ Z CONTRACTOR ee �-pA' ^-I•Y BY .�y j( �(p� DATE 7 3/ (�5 ADDRESS • (Q l >• �'FgPIMO ZONING C �p �, l^ ZON NO.OF''"T USE OF Il L.�_ CITY (fir'' oar /� ( -r// I PLANS 4'. I BUILDIN/G (,{./U�� LI C.TNO. 41 ��tiY TNEO. ��.V' �G•LL$ LEGAR •/ Al g / E�- CIC)-V (y DESCRIPTIO SIZE //'' �.r�.N NO. OP BLDGO. OF LOT (o ]l A-/ Now ON LOT "��"� A.P.NO. � -_ USE OFYARDS EVES EXISTING BLDG,_ -,.0 - APPROVED ALLOWEDWE CENTER OP SETBACK I STREET M `4D I+ REAR YARD 20 1 (CENTER FRONT LINE ST 1 5 n- . . FT. %; -.. IN. SIDE YARD I LEFT / I RIGHT 5 I` R.SIDE r 5 FT. IN. DESCRIPTION OF WORK � L.SIDE _ 5 FT. IN. NEW I XII ALTERATION I II ADDITION I REAR `` ,, 1jj1��,, FT. IN. REPAIR I II MOVING I II DEMOLISH I APPROVEyL BY - �"' `` I'DATE 6-/Z-6 5 BUILDING NO. OF V SIZE1453 ROOMS STORIES I �' EXTERIOR WAL '� ROOF COVERING .�CC.C)I COVERING • USE OF BUILDING AND WORK TO BE PER RMED StOA.L ' au1L `� StOEL�C.F /� tal- /VY9 U I ej_,. ye, Cri I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION `// SIGNATURE OF • PERMIT FEE $ S/• CC 0/5 PERMITTEP /AnLj1��/ a 5 •J (% w $ PLAN CHECK $ AUTHORIZED AGENT / /� TOTAL FEE $ /7 fG'•`S V y