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HomeMy WebLinkAbout2070 NATIONAL AVE - Building Permits F CITY OF COSTA MESA 4 4a BUILDING DIVISION F ,_• ( DEVELOPMENT SERVICES DEPARTMENT P RMIT NUMBER PERMIT '�+ro , 03-00033 aarw (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.usNG PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDIJob Address: 2070 NATIONAL AV Status: ISSUED Suite: Applied: 01/07/2003 Vicinity: ROOF - Issued: 01/07/2003 Parcel Number: 42249217 Zoning: Q l)/y,/ Applicant: GREGERSON, JACK ALLEN ISSUED BY: C j�/--"' Address: 2070 NATIONAL AVE Phone: 949-631-2243 COSTA MESA,CA Zip: 92627-4120 " Owner: GREGERSON, JACK ALLEN Address 2070 NATIONAL AVE Phone: COSTA MESA,CA Zip: 92627-4120 Contractor: Address: Phone: Zip: - License: Arch : - - . Eng:• - Address: - - Address: Phone: Phone: ' • Zip: License: License: - SCOPE OF PERMIT- ' LEGALIZE WORK ALREADY COMPLETED. INSTALLED 20 YEAR,TIMBERLINE;COMPOSITION SHINGLES,REPLACED SHEATHING AND FELT. ' 1,034 S.F.FOR RESIDENCE AND CARPORT. FEE SUMMARY • • Plan Check: $0.00 - Calc Valuation: $2,500.00 Permit: $83.25 Claim Valuation: $2,500.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 . • Total: $83.75 , 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 Existing: 0 Required: 0 Proposed: 0 _ 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 2446-46(&00) WORKERS;COMPENSATION DECLARATION: I hereby affirm under penally 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: Carrier: Policy Number: (This section need not be completed if the permit Is valued at one hundred dollars($100)or less.) I I certify that in the pe ormance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws f Califo ia,and a. ee that it I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with thes ovlsio �9/� Applicant Signature: L Q i e yv [io+/�[7r1 Date: / 7 c2 WARNING:FAILURE T S URE WORKERS'CO PE A ION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($ ,0110),IN ADDITION TO THE +-T 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.Lic.tr Class# Contractors 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). Lenders 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 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 ontractors License Law does not apply to an owner of properly who builds or Improves thereon,and who contracts for such project with a contractor(s) license pu•uant to the Contractors License Laws.). ❑ I am ex pt und. sec. r .1 AIMS Business and Professions Code for this reason: Signature: a. , di rIL..,r/ . Expires: Verification•f 4.wnership by(type of d•,u ent,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 nes 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 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 end 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 0 N (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 wilt the applicant or present or future building occupant require for the work which is the subject of this application apermit tor such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? IYes LJ 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? ❑Yes 0 No B (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: CER FICATE 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 corr t. I agree to comp) with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the ab -descri d pro e for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. A.,-414.41-01---- / 7-v3 I ature Of Legal Owner(s) Date And/Or Authorized Applicant Date CODE E INSPECTIONCTION TY OATS INTrIALS CODE If INSPECTION TYPE PATE l)ImLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final z 208 Final Plumbing 200 Final Re-Roof ("-Op ©) 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 ea ?/teaaDucUc9Vwc4coe04e4 4. 1" OWNER-BUILDER VERIFICATION 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. personally plan to provide the major labor and materials for construction of the proposed property improvement. ❑ Yes o 2. I (have/have not) Armitt signed an application for a building permit for . the proposed work. have contr ted with t following person (firm)to provide the proposed construction: Name / ` 1 Address V// 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 1042-46 (REV.9/981 OWNER GREELEY/ BOB DATE 1/9/64 JOB ADDRESS 2070 National Ave. BUILDING PERMIT NO. 21307-.•-.. GENERAL CONTRACTOR Gene Bayum VALUE $ 850.00 AddToRes iAP No. 115-511-17 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Alum. Shade INSPECTIONS Signature DATE GROUP J TYPE IV ZONE R1 tt Soil PERMITS ISSUED Gas SUBCONTRACTOR DATE NUMBEF Water Rough Corn. Refrig. 0 Air Cond. 0 Rough Healing Rough Plumbing Miscellaneous Prop. Swr. Line 0 House Con. 0 St. Swr. 0 Sprinkling System Construction Pole Underground 0 Power 0 Rough Wiring Trenches 0 Forms 0 Steel Reinf. 0 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing _ Lathing— In 0 Out p Plaster, brown coat Refrig. 0 Air Con. 0 Final Heating, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final Building, Final .e7(e OCCUPANCY Form BU4-5M-3-63-_S_13 P r2l 2(17 • 21307 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT an .1 o t964 P.O.BOX 917 COSTA MESA.CALIFORNIA FINANCE DEPT. ' CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PE IT TYPE OR PRINT BUILDING For Office Use Only BUILDING //�� /'� A/I /1- ry I ADORERS ;0 70 N pi."1 l (Jc RECEIPT NO. = Er31,Np,.y COSTA MESA, /CALIFORNIA v l,7 V / RECEIVED BY DATE RECHIVEp DATE ISSUER / OWNER 8O G e P 2 ay BUILDING MAIL .)O 7o NA •r^I.,d ell ADDRESS ADDRESS,,20 r ( TEL. FIRE rn ZONE TYPE GROUP 4 CITY»n /'/ @.3 GI NO�yL ,� V / ARCHITECT c / EL. / BY PROVHD �) I (ppTE �/ OR ENGINEER /��/ttylSel�d/eAIhi�IO,./ 7y.�z( ZONING �a ADDRESS/ SS / P/ •L /f in y E• Yb ZONE NO.OF USE OF NEW » \ I I PLANS ..)„...--BUILDING BUILDIN O 0 (-g &) CONTRACTOR 4.R_ an O 13,y GC /7-•`. LEGAL ��✓ O :?..-t1/ 1)7iY DESCRIPTION,ADDRESS/j y‘C/r. /'/ 4.1h CITY J c; j y. A.P.NO. I / 5 _ 5-//— i 7 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE LIC.NO.'O/ TEL. NO. if,-...S.'12.- y 1 90'TO SIDE a REAR P.L. EAVES SIZE Y / I / 0 I NO.OF SLOGS. ALLOWED (U.B.C.REQUIREMENT/ OF LOT (// `O`�l I NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF 1�O Gl S co MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET) / SETBACK LINE FROM A' ,,( FRONT Fi t iJ 1 (2 �1) FT. CENTER OF STREET 9'// /- REAR YARD /c 1.44-17i "—J` SIDE YARD I LEFT S`u4 I RIGHT f/4 4- R.SIDE . ----FT. I FT• DESCRIPTIONIOF WORK L.SIDE SEI'. 1 FT. NEW \X ALTERATION ADDITION REAR FT. DISTANCE BET. BET.MAIN a REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. BUILDING fir OF VAR.# DATE SIZE _3'7 ir0p. M9 STORIES C.U.P.# A /^' APPROVED G EXTERIOR WALLL / ROOF APPRQVX y N DATE /` / l(' c COVERING COVERING BY L�`L if USE OF BUILDING AND WORK TO BE PERFORMED /0 '4 fa-It/ q,n....7,. riot_n 34g,r/e N SQ.FT. O 1 HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE S AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY OR INANCES AND STATE LAWS REGULATING VALUATION / _— BUILDING CONSTRUCT! N. PERMIT FEE $ (/(/� SIGNATURE O �e�6 i✓ S PERMITTEF� S T_s2.41.--7/L' 1/7 O.� ////// $ ✓✓ E 1 0 AUTHORIZED AGENT 6� w Imo. TOTAL FEE $ ORANGE COUNTY BUILDING DEPARTMENT - APPLICATION FOR PERMIT 636 North FORT BUILDING SANTA ANA,, CALIFORNIALI I, FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY RECEIPT NO. PERMIT NO. BUILDING ADDRESS 2074 National Ave _ 73 3 9 C) 2 37 SCHOOL DIST. M RECEIVED BY DATE RECD. DATE ISSUED OR TOWN Costs Me as NEAREST /// -4- q,y - J 9-3-.r3 CROSS ST. Oak StBUILDING CYV� J OWNER Mohawk Home2 Inn, ADDRESS `_ I 0 / A iMra_aQ / MAIL ♦'� ADDRESS 936,3 yy i 1 shire R1 vd _ SCHOOL DIST, C , _7^_ l OR TOWN � Beverly Hills NO.CR 54361 (9g,� CITY T TEL NEAREST CROSS ST. ARCHITECT R LIC. ZONE NO. OF TYP GROUP ENGINEER yl R' Ma$P rrA!`N�+r �Jn / I PLANS I I /�S ADDRESS g s6V{ E.Walnut-Pasadena / PAPPROVED/V.73_ C. BYDATE 9-/- ---3- CONTRACTOR y CONTRACTOR t'1ewpnrt ViataNCL-I.. 5882 CORRECTIONS ADDRESS g3f3 Wil R 1re—RPVPr1 y Hi11s LEGALLOT n DESCRIPTION I NO. 220 BLOCK I TRACT 71 2 (ATTACH METES & BOUNDS) NO.OFSIZE OF LOT 66 I NOW ON LOS O x 110 T USE OF NO. OF NO. OF EXISTING BLDG. FAMILIES I ROOMS SETBACK LINE FROM: REAR VARA Gy�� CENTER OF STREET 50 ft_ SIDE YARD, n R-10 DESCRIPTION OF WORK 0 a NEW I ]( I ALTERATION I I ADDITION I 2 REPAIR �y I I MOVING I I DEMOLISH I ////////////��Y r , .S ZIE D NO. OF .Lu34 sq_ft_ROOMS 5 STORIES 1 /' i / EXTERIOR WALL • I ROOF Compo - CECOVERING USE OF NEW • • BUILDING Reeider ne-Att_CArpnrt .c..y • APPROVALS FOUNDATION: LOCATION INSPECTOR��J/ DA/TE` _. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS UNDER-PINNING TERIALS / '/7 ✓FJ• )/-JJ APPLICATION AND STATE THAT THE ABOVE IS CORRECT /Jy� ) AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME:BRACING.STOPS, �pn!,7 (�-{� -C3 AND STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH. INT. �'/�/i•� /4...,5...3".K SIGNATURE OF LATH. EXT. �vr 0 ii / PERMITTE L - ,i•• -ZZ -'111W j�112 PLASTER, INT. /, �"^dI �`J) AUTHORIZED AGT LAY ' e. PLASTER. EXT. ,&�..I /2 /s�:3 PERMIT FEE S/? MASONRY REINFORCED VALUATION $ 4830.00 PLAN CHECK S 1. I BOND BEAM .� ,/ a FEEAL s 1 �nj FINAL .lamC/ 3 -/kl ?! SM 9.30.39 • Z - W • .. . . , R O a 2 _ a • • STREET _ ! • PLOT PLAN Show location and distances from- - property line and between buildings. _ n • • • ` I C September 18, 1967 - To Whom It May Concern: ° - The Sun Shade attached to the :dweliin 2070. National Avenue was constructed under Building Permit o 21307 and • completed August 18, 1964, at which time it re ed final inspection by the, Department of Building Safety. - _ • - , • Broo Cavanaugh • . Associate Planner . , \ \ •. • y - 1 y 1