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HomeMy WebLinkAbout152 MONTE VISTA AVE - Building Permits .41 1� ? CITY OF COSTA MESA ' 74' _A• BUILDING DIVISION w•• ' DEVELOPMENT SERVICES DEPARTMENT 4• PERMIT PERMIT N BER . 1/E98-00954 (714)754-5273 • Fax(714)754-4856 -• • 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT • Job Address: 152 MONTE VISTA AV Status: ISSUED Suite No . ' Applied: 09/09/1998 Vicinity: Issued: 09/09/1998 Parcel Nunmber: 43941101 • Applicant: GEORGE KASER Address: Phone: Zip: Owner MONBELLUEZZI, JOSEPH Address P 0 BOX 7187 Phone: 631-6617 NEWPORT BEACH,CA Zip: 92658 • Contractor ALL PRO ELECTRIC & SECURITY • Address: 25381 ALICIA PKWY#0382 Phone: 714-448-9449 LAGUNA HILLS,CA - Zip: 92653 License: 585058 SCOPE OF PERMIT SERVICE UPGRADE,DEDICATED CIRCUIT TO KITCHEN,NO OTHER WORK AUTHORIZED BY THIS PERMIT. FEE SUMMARY . Quantity Quantity ISSUE FEE $22.00 Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft $0.00 0 Res.a/c package $0.00 Standing Section $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0 Lighting Fixts $0.00 0 up to 50 kva/kw $0.00 0 Recept Outlets $0.00 0 up to 100 kva/kw $0.00 0 Switches $0.00 0 over 100 kva/kw $0.00 0 Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0 Res Appl $4.25 1 Low Volt Wiring System/Ckt $0.00 0 Service to 200a $27.25 1 Misc..Conduit $0.00 0 Service to 1000a $0.00 0 Misc.Conductor - $0.00 0 Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0 Motors to 1 hp $0.00 0 .Circus(mech ride or lights) $0.00 0 Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $53.50 Intermed Pole $0.00 0 COMMENTS/SPECIAL CONDITIONS EXPIRED DATE 3/ 9101 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 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 worker ensatlo ranee rrier and policy number are: / ,/ o G !� n Cartier: e (//�� ( Policy Number: Q YY/7e2w o✓7f/ ,-- (This section need not be completed if the permit is valued at one hundred dollars($100)or loss.) ❑ 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 become subject to the workers' compensation laws of Califo - : d agree the if 1 should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,1 shall forthwith comply with these provision- ---.1 Applicant rovision- Applicant Signature: - i / //Date: 7 T 9� WARNING:FAILURE TO- 0- RS'COMPENSA ON COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI - NAL S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARE(S1 r x,000),IN ADDITION 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 revision o Chapter 9(commencing with Serif 7000)of Division 3 of the Business and Professions Code,and my license is In full .- force and effect.Lic.# , 0 aS ( Class N .0• //J17� ,�O Contractors Signature: Dale:----.!" ' Fie / T 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: 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 ere 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 contractors) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Coda for this reason: Signature: Date: Owner ID verified by drivers license. ❑Yes 0 No Drivers 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 6,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 rine 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 end 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 ❑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). 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 Califomla 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 appermit 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 ❑No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 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 aermit 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 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 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. �jL�l - y�gpeture Of Legal Owner(s) �' I ' v 9 to �� ...r An Authorized Applicant K ate /-- CODE I INSPECTION TYPE PATE MALS CODE I INSPECTONTYPE ME MALE 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 2446.46 L. .7 1 COUNTY OF ORANGE _ BUILDING DEPT. ' ' 3) 2:›-s- Permit No 636 No.Broadway . Santa Ana, California • Application for Building Permit . Phone:KI 2-6211 AND FOR A Certificate of Use and Occupancy Date D.e.c.. .g7., 1951 I. OWNER'S NAME Ralph..Thayer PHONE.L.B. 27915 . MAILING ADDRESS 457 44th Way CITY Long Beach Name Owner Name Robert H. Paulsen (Architect or Engineer) (Contractor) Address Address 8108 Towne Avenue City City Los Angeles 3, State State 103948 TW 4504 Lic. No Phone Lic. No Phone PROPOSED USE- Dwelling ) (co.. 2. JOB LOCATION 152 Montavista Avenue, sta Mesa (House No.). ' (Name of Street) (Town or School District) 3. LEGAL DESCRIPTION: Lot Ei2 Block afar Tract .3.0.0 (Metes and Bounds Descoptiont-Use rcoerntle ot torso) 4. CORNER LOT ( x ) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( ) 5. SIZE OF BLDG.:-.31a..6 AREA• 1065 . SIZE OF LOT-66X113 AREA. 7458 6. HEIGHT OF BLDG - 14' CEILING HEIGHT. 8 t 2" NO. OF STORIES 1 7: NO. FAMILIES 1 Size of Smallest Bedroom- 9x10 Size of Kitchen 9x16 8. EXTERIOR WALL CONSTRUCTION- Stucco INTERIOR WALL COVERING Plaster (Frame, Stucco, Etc.) (Plaster-Drywall, Etc.) 9. SETBACKS: Front Yard From Center Line of Street 5.0' Nearest Side Yard.51 Rear Yard 50 I Distance in Feet Between Bldgs. on Same Lot 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. - 11. For (a) Footing: Width / 4 Depth in Ground / 2---- Width of Wall ‘. Accessory Bldgs. and Similar (b) Size of Studs: le x. y Spacing. / 6 "CC Material of Floor 1.4.2 in:ry•C„_ Structures: (c) Size of Floor Joists- 1-X 6 Spacing / 6 "CC (d) Size of Rafters- 2,s V Spacing k ,/ "CC 12. VALUATION OF PROPOSED WORK: Including all labor, plumbing,electrical wiring, heating, fire sprinklers, painting and sewage disposal 541-04e'rne • a 6-0 0 et• 13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE•THERETO. V Signed Plans Filed- .,.. tott_C . e e. ' : 0...ilef 7---allirl By- Wa.11-9-• (Owner . (Authorized Agent) FOR DEPARTMENTAL USE ONLY , FEES: CHECKING BY Bldg. Permit - S..2e7J2) .0_0 GROUP...i- tr._ APPLICATIO/C,Mea HEALTH Plan Check - S......3..a..1) TYPE .6;00ese,-14--- ZONING // FIRE • Total - • 71 • $..2.4.0-0 DIST. c R y PLANS AND MARSHAL Receipt No. flew' ..?..i.p. // MAP SPEC'S -ir STATE Paid to # • ...denblea.... SHEET NO. _4-Ct."- CORRECTIONS ENGINEER Date ./../.. .ls4...r.5),.... VERIFIED _CAL. c-.0_..)___.: __•-- I (i 10 i'. . ' . . n PERMIT SUED•BY.Aeo DATE .loortiC in m.,_ _ -. _____ - • SM-2.51 >1 • METES AND BOUNDS DESCRII; N. S (o (o -G —60-'1--=. 72pt Q • It 3 0 ' eft-i, - 9 2 v co-€)�. zP- 3 - C/ _ ea • • • 110 2I0 3p 4,0 • 5I0 610 ■ _ ■ ■■-■ • • 0111 . ■ ■i -1-■ -- ■ n■■■ ■. --- ■■ ■■...;;C■■;■■■ 111111.1111111 :: ':■■in Min n I■■n■■:■■■n; - -:: n: IIII1 "II. ■nil II III 11111 u- 111 1l:1111I-C IIIIIIIIIIIM; '■•■■ -:■:.'iiIIIM '- - :9- : Till ----r HS ii- 1 ': ' . .• ILT 111# nun ��e' _i-i i _:.p ■■:■n - AOEM IN - i 1 1 ■ 1 ;4: •_` . . 1 1 1 , 1 „11 • Itl,j III 1 • 1 -I III 1 ut • 1 M ' '°nii ' I I:I III III ' 11111 111111111 = In: ' �; 1 , 11 1111111111111 o : i ;--L' I 11' 1'1 r Ti -- . '::sm:' COUNTY OF ORANGE BUILDING DEPT. Permit No 3 '1.2 SD 636 No.Broadway Santa Ana,California Application for Building Permit .. - Phone:KI 2-6211 AND FOR A Certificate of Use and Occupancy Date Deo.r 27.1....1951 I. OWNER'S NAME Ralph. Thayer PHONE:.,L,B....27915--- MAILING ADDRESS 457 44th VJay CITY Long Beaoh Name Qi-mer Name iloher-t..H...P.aulaen • (Architect or Engineer) (Contractor) Address Address 6AO$ Towne Avenue City City _Loa..Angeles...3, , State State 1039413 Lic. No Phone • Lic. No Phone TVL...4.5..04 PROPOSED USE' Garage 0... 2. JOB LOCATION 152 LRontaviati..A.venue, OHta..nese. (House No.) (Name of Street) (Town or School District) 3. LEGAL DESCRIPTION: Lot 82 Block Tract .3.0.0 (Metes and Bounds Description—Use reverse side of form) 4. CORNER LOT ( g ) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( ) 5. SIZE OF BLDG.:-.--_18520 AREA 3&0 SIZE OF LOT:.B&u113 AREA• - 7458 6. HEIGHT OF BLDG • • 14' CEILING HEIGHT. B!2" NO. OF STORIES 1 7. NO. FAMILIES 1 Size of Smallest Bedroom. 9X10 - Size of Kitchen. _91E16 8. EXTERIOR \VALL CONSTRUCTION- St110Co INTERIOR WALL COVERING Planter (Frame, Stucco, Etc.) (Plaster-Drywall, Etc.) 9. SETBACKS: Front Yard From Center Line of Street f.0 r /7/z--- y Nearest Side Yards I Rear Yard ee /c istance in Feet Between Bldgs. on Same Lot 151 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 11. For (a) Footing: Width 8" Depth in Ground 8" Width of Wall .12" Accessory Bldgs. and 6 2X4 Spacing Similar ( ) Size of Studs- 16 "CC Material of Floor QOIlCS0.t.0 Structures: (c) Size of Floor Joists• 122110 Spacing "CC (d) Size of Rafters• 2x4 Spacing 24 "CC 12. VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, painting and sewage disposal $ 300.00 L v� 1' 13. I HEREBY CERTIFY7THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. - Signed:-------- ---- - v� �' (Owner) Plans Filed:.......�-A!/__�r $ - //7�/-A-Q-_ -—,-- By:.--- V I (Authorizedzed Agcnt) FOR DEPARTMENTAL USE ONLY • FEES; Cr,,, KING BY Bldg. Permit • $,.,.4 -Q GROUP V+�- APPLICATIOD�"'-'.-/'" ✓ HEALTH Plan Check • $ /.-Q..0 TYPE 4- ZONING - if.-- FIRE Total j�/ $ _(x.p DIST. MARSHAL 1 �i �� PLANS AND Receipt No MAP "" "" SPEC'S - �i STATE Paid to • - ,. . . - .-.. SHEET NO 5- CORRECTIONS ENGINEER Date 1..L,..:A,..k.--s' VERIFIED GA1 '�/� r PERMIT !I B .1 I DATE �`I. . -�••�I ,............Ofid ' 5M-2-51 /"fp//n////�I/I, • METES AND�n �nBOUNDS DESCRIP'.. N: �j . . / 1, to , r� Q' 1 � • I0 2,0 3,0 410 51 1 0 610 ■ _ ■ •■ • ■■■ .; ■ - •-- ■ H -�— '-:7 •:n:::■•-. 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