HomeMy WebLinkAbout2029 NATIONAL AVE - Building Permits " CITY OF COSTA MESA
4'a,)
, BUILDING DIVISION
� DEVELOPMENT SERVICES DEPARTMENT B98-00963
J•� 11
PERMIT PERMIT NUMBER
(714)754-52,79 • Fax(714)754-4856 BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 2029 NATIONAL AV Status: ISSUED seitk
Suite: Applied: 06/04/1998
Vicinity: Issued: 06/04/1998
Parcel Nunmber: 42249436 Zoning:
Applicant: WOODALL, TIM
Address: •
Phone:
Zip:
•
Owner: HAWKINS, DENNIS H
Address HAWKINS,JUDY 0
HUNTINGTON BEACH,CA Phone:
21182 BEACH BLVD Zip: 92648
Contractor: BALBOA ROOFING
Address: 00600 CLIFF DR
Phone:
N.B.CA Zip: 92663
License: 714729
Arch/Eng:
Address:
Phone:
- Zip:
License:
SCOPE OF PERMIT
T/O EXISTING AND REROOF WITH COMP.SHINGLE.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $2,720.00
Permit: $74.75 - ' Claimed Valuation: $2,720.00
SMIP Res: $0.50
SMIP Corn: $0.00 -
Other: $0.00
-Inspection: $0.00
•
Total: $75.25
PLANNING &ZONING
SETBACKS .
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0- Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
DECLARAtIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
O 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:
Carrier: Policy Number:
(This section need not be completed it the permit is valued at one hundred dollars($100)or less.)
❑ I certifyethatli the performance of the work for I ho dis ms issued,tto shall kemploy any person
ro in any manner so to thebecome Code,
to the workers'
compensation laws of California,and agree that if should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with t islons.
Applicantnt Signature: C ,Q 4Date." / !tq
WARNING:FAILURE TO SEC WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADOmON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under 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.Lic.N Class N
Contractor's Signature .-C T fl-c1 SS)o 0 GDate:" (-/( fC A
CONSTRUCTION LENDING AGENCY: f l
❑ 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).):
O I,as owner of the property,or my employees with wages as their solo 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 tor 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. ❑Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet In depth Into which a person is required to descend,will be made In connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Masa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa 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? ❑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 aermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 8 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? 0 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? 0 Yes 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPIJANCE 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 comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
•
Signature Of Lege • ner(s) ' . CC't !�Pe
_ �I
And/Or.'AuthonzedAApplicant Date=—
QODF S INSPFTQN TYPE OA7E =ALA QQREI INSPFOTInN TYPF DATE MALE
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 1C—9- 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Flre Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition • 250 Final Building/Occupancy
244a-4a
2029 NATIONAL AVENUE
The residence at the above noted address complies
with Building Code requirements with the following exceptions :
None
RICHARD HANHART
Building Safety Director
January 19 , 1976
OWNER LINDER, A. R. DATE 3-30-67
JOB ADDRESS 2029
National Avenue BUILDING PERMIT NO. 26842
GENERAL CONTRACTOR Imperial Metal Prods:Co.DESCRIPTION OF WORK Patio Cover
AP No.115-514-15 LOT TRACT FIRE ZONE VALUE $ 426.00
INSPECTIONS Signature Date GROUP J TYPE IV ZONE 8-1
Soil SUBCONTRACTOR I PERMITS ISSUED
Gas Date j Number I Signature
Water Plumbing
Rough Plumbing
Prop. Swr. Line 0 House Con.C
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power [1
Rough Wiring Heating and Vent.
Trenches 0 Forms 0 Steel Reinf. 0
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lathing —In 0 Out 0
Plaster, Brown Coat
Structural, Final Electric
Heating, Vent., Refrig. and A.C., Final
Plumbing, Final and Gas Test ❑
Electric, Final
Building. Final i•d3��- -iE-L�
26842 PAID
I1M 30-670sa001018 � ** s.co
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92920 .
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
'-I For Office Use Only
y BUILDING ZAODRfiBG U Z 9 , 7:1.4091 near
RICEIPT NO. P �
y COSTA MESA. CALIFORNIA 2
'S, R[Cn/y�� Y DATE REC•iWED D}1:780 47
r OWNER A' if• f1 t ,v c/-t- / 3 CT n�(i ✓� U-
' ouaDING
.', MAIL ��// �_../,!• G ADDRESS
'. ADom[S, 202 91YRI'1/Ow,c./ E0,,
//(/� �/ FIRE
ti CITY VO SSR /-/e5? NO. ZONE TYPE GROUPrARCHITECT •T M CS X NQ. BYPROVBD c/T� DATB�/
OR ENGINEER �S f�
{ c Z$IING
i� ADDRESS (ZWA(Oma(/ O� e 7 ��,��
7 ZO/N��/ NO.OP uai OPN[W � e7/ 219
d �• �p A.I T ��� '" I/ PLANS BUILDING
4 CONTRACTOR{-M2-^P�/RI/'1€774[ 5 �D /
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LEGAL �✓ C/ -/7/2-
—
DESCRIPTION
ADDRESSESra/O SGn11'9}2 4ja�, D[acRlmon / / L
7i CITY J A-/tr//Q /9/o Y A.P.NO. //S 5-7' /c
., NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE 20/®re, 7t •/®m0 SO'TO SIDE D REAR P.L.
e LIG.NO. tf39 �`
SIZE 17DJ ,(//O r I NO.of SLBGS. Z ALLOWED (U.B.C.REQUIREMENT)
il OF LOT / 'I NOW ON LOT
YARDS APPROVED YARDS APPROVED
7� USE OP n MAIN BUILDING ACCESSORY BUILDING
EXIHTI 0 BLDG. 44A-re O ern;
(PRONG/ ""SET)
t SETBACK LINE PROM / .. PT.
CENTER OP STREET .7 y REAR YARD FRONT
SIDE MARDI LI _� 7 I_ RIGHT 3Y R.SID
ser
PT.
DESCRIPTION OF WORK L.SID ' PT. FT
NEW ALTERATION — ADDITION: REAR PT. FT.
:' DISTAN IC BET. BET.MAIN&
REPAIR MOVING DEMOLISH
. MAIN BLDOS. ACCESS.SLOGS.
BUILDING �J NO.OR +' VAR.# DATE
r; SIZE �,�tel
ROOMS I STORIES / -. C.V•P•# APPROVED
/ 67
EXTERIOR WALL ROOF APPROVED
�. COVERING I COVERING /T�ljMi.Yk/M '� FY DATE
USE OF BUILDING AND WORK TO BE PERFORMED G
vsT�.1- 9
A/GtAd enter/ 1 f-t7 /o l.`ad.e,e 1
1,i SQ.PT. /Z d/9/ g
:. 1 HEREBY ACKNOWLEDGE TEAT.' HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
. AND STATE THAT THE ABOVE.10 CORRECT AND AGREE TO CAM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BVALUATION
UILDING CONSTRUCTION. et::
�J�
, SIGNATURE I/v PERMIT FEE 5 ,5- CO
Ze
7 'MINIMS OF /
/r""`� a L/02 K PLAN CHECK S ---------- M
AUTHORIZED AGENT - - c
TOTAL 5 7 FEE '
VfI\Ln cuAu�.ay.at Aa.A LIMIL
JOB ADDRESS 2029 National Ave. BUILDING PERMIT NO. 43543
GENERAL CONTRACTOR Owner DESCRIPTION of WORK Enclose carport for Lv.Rm.
/AP No. 115-511-15 LOT TRACT FIRE ZONE VALUE $ 1:200.00
"Na INSPECTIONS Signature Date TYPE GROUP ZONE R-1
\`RI SOIL ' SUBCONTRACTOR PERMITS ISSUJD
NC-I GAS Date I Number Signature
`� WATER Plumbing .
ROUGH PLUMBING
\l'i PROP: SWR. LINE nHOUSE CON. 0
C SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER 0 ,�(�.
ROUGH WIRING ^ -/ k'- �J Heating and Vent.
TRENCHES 0 FORMS U STEEL REINF. 1 T
FLOOR SYSTEM n >-/r- 9 7
BOND BEAM If 'STEEL REINFORCE fl
SHEATHING
FRAME AND FLASHING RI., flc yt-Z-77 r
gsr
LATHING — IN OUT I^! S-.)jr-7J
PLASTER, BROWN COAT (� t -25-7/
STRUCTURAL, FINAL I El= n aa 4/90
HEATING, VENT., REFRIG. AND A.C., FINAL d/�n't t l .2-It?? 7
PLUMBING. FINAL AND GAS TEST ❑
ELECTRIC, FINAL / 1F.A-g v
BUILDING. FINAL [ .5 L .-7W
...r.A. mfliu ar.Aru.r
J
43543 PAWr._
D is 77�—:001os5
. * *rr18.5C
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely- Use Ink Only
RECES DATE RECEIVED ,TE I E
BUILDING ricrac) Na-ct Cv�loL 4Vt=. 77
ADDRESS �� I� �rts i
/kM le,C42
OWNER TIM . A.P.NO//J� 5'//^ /J /
PERMIT NO. /
n
MAILUI LDINGa&nq 47 0 / // ,,
ADDRESS 2o'L CJ N'•'TL�"I'A'` AVE"AADDRES rrLL N /� '//yy"/
L.-
CITY r-OOTA- (K t- .A. NOto QS-W ,�S TRACT WA. I IRS BLOCK
CONSTRUCTION tctr a NEW JADD1 ALTER REPAIR MOVING DFMO11SH
LENDER I X
BRANCH ' ,s
OWNER //'n PcM Jai en
ADDRESS ��,. ,a� /�� VA E /
ARCHITECT TEL. US( /__t[/OSC- {mar
OR ENGINEER NO.
FIRE
ADDRESS ZONE TYPE GROUP
APPROVEDal
.27,7
CONTRACTOR �WNEYYLBY DATE
ADDRESS i S/i'Nt - Ae ASE
ZO y NO.OF USE OF N .OF / /
CITY NO` A PLANS GUI • C/
...i
• . _ S
.— STATE CITY YARDS APPROVED Y•Rs• APPROVED
gLIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUIL[r�IQ' I/J
Da SIZE �r + NO.OF BLOCS 2 (FROM C/L /FJr)�J� 1 I�
O. OF LOT l9� ._ NOW ON LOT FRONT I, j I AJnj/7O kind ylnor
Q USE OF /�
4, EXISTING BLDG. ResI OC—NCE- R.SIDE W FT.
I-.
Separate permits are required for L.SIDE `tt_ ( "/0/f/b ea Q�
G electric,plumbing and heating work. REAR T. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN&
AMAIN BLDGS. ACCESS. BLDGS.
e COR//, C2, tett— Z�`o C.U.P.VAtW DATE
may ,, APPROVED
a Gi!/�I[!6 /¢2EA , _AP APPROVE R P TE a--- 17 77
06
w
pI hereby acknowledge that I have read this application and state n
yr that the above Information Is correct and agree to comply with
d all laws regulating building construction, and I shall not employ m
Z any person In violation of the workman's compensation laws of _ 2
the State of California. .
I hereby certify that I am properly licensed as a contractor under SO. FT. n
the State of California Business end Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Om
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Busin s 'a
VALUATION PERMIT FEE E
and Profession de,Division 3,Chapter 9. /CO in
n
PLAN CHECK S D
Signature of t / o
n
Permittee $ /90$9 TAX $ O 2
U
Authorized Agent
TOTAL PAID § /SpSQ