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HomeMy WebLinkAbout1970 MONROVIA AVE - Building Permits.r t CITY OF COSTA MESA F BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fax (714) 754-4856 BUILDING PERMIT .lob Address: 1970 MONROVIA AV Suite: Vicinity: HOUSE & ATTACHED GARAGE PERMIT 0-00454 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 04/10/2000 Issued: 04/10/2000 Parcel Number; 42251325 Zoning: Applicant; DAVIS, SAM ISSUED BY: Address; 984 N ELM ST Phone: (714)628-9525 ORANGE, CA Zip: 92867 Owner: MILLAR, WILLIAM DECKER TR Address 1970 MONROVIA AVE Phone: COSTA MESA,CA Zip: 92627 - Contractor: DAVIS ROOFING CO Address: 984 N ELM ST - Phone: (714) 628-9525 ORANGE,CA Zip; 92867 License: 509824 Arch Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE 8 ATTACHED GARAGE (17 SQ). TEAR OFF EXISTING COMPOSITION SHINGLES, INSTALL 1 LAYER OF 15# FELT UNDERLAYMENT, & REROOF WITH 20 YEAR COMPOSITION SHINGLES. Plan Check; $0.00 Permit: $83.25 SMIP Res: $0.50 SMTP Com: $0.00 Other: $0.00 Inspection: , $0.00 Total; $83.75 SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 ACCESSORY Front 0-0 Rear 0-0 PARKING Existing: 0 Required: 0 NOTES: FEE SUMMARY Calc Valuation: $2,450.00 Claim Valuation: $2,450.00 PLANNING & ZONING Left 0-0 Right 0-0 Left 0-0 Right 0-0 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 Inspectlona 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 K work for which this permit Is issued. I - v 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. Myworker ' ompe sation Insurance mer and policy number are:7r: �r/or i� Policy Number. -.0 -(This section need not be completed i/ the permit is valued at one hundred dollars ($100) or less.) �" ❑ 1 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 California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provlslo s. / (A In _less-c_.-t� Date: '7� (��-�-��C WARMNO:.FAILURE TO SECURE WO KERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EM OVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($1110,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION $706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affir9-that+am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 1of the Business and Professions Code, and my license is In full force and effeel. Lic_# -f S� �YA� �f Class Cbntmctors Signature: 'C�Th,-x �r Date: CONSTRUCTION LENDING AGENCY: ❑ 1 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 pernit 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 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 Cade for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ 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 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 certlty a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ 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? ❑ 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 It an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application aRPermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be fumished 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 ❑ 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 Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ 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. L�IL/cam tura Of Legal Owners) G/ _ / - 1 Alld/Or Authorized Applicant ia—te-11 CODE N, INSPECTIONTYPE 2AN INTITIAL CODE I INSPECTION TYPE OATS INmIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof�� %Y'Oy y4F'„il/�/ 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 2"646 ALLEN3, MRS. MAJORIE JOB ADDRESS 1 GENERAL CO o. 115 - II._ ,ECTIONS DATE 0/I.0/o, BUILDING PERMIT NO. VALUE $ 100.00 Signature I DATE I GROUP J TYPE ill ZONE Soil Gas SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Water Rough Com. Refrig. t] Air Cord. ❑ Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line ❑ House Con. ❑ St. Swr. ❑ Sprinkling System Construction Pole Underground ❑ Power p Rough Wiring Trenches ❑ Forms p Steel Reinf. ❑ - J Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing Frame and Flashing I --'vg — In p Out'p 1 r brown coat Ren1g. ❑ Air Con, ❑ Final Pleating, Final Plumbing Fixtures, Final Final Gas Test Electric Fixtures, Final Building, Final OCCUPANCY corm nix—>in—n-os—o-� y PnILPO P�y4 20429 S ,COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA rE[ FEE t t I[ D • For Applicant fo� Fill In Completely TTn �q bUAPA16AWSA FOR PERMIT TYPE OR PRINT P/TT-.•�' BUILDING /•�c1�FIRN^gtF�7ptM(WgY��1jO VI t omw *a nn ADDRESS L/V ' ylll y RECEIPT NO. PERMIT NO. COSTA MESA, CALIFORNIA KR 175 -e yuE `� OWNER /J' 6 6 MAIL 1 ��7 BUILDING ADDRESS / D v+vw �+� �u ADDRESS / rU Il / /l P TEL. FIRE �•-- ZONE rI GROUP CITY r NO. APPROV ARCHITECT TEL. - DATE f OR ENGINEER NO. ZONING ESE [ NO. OR ^ UYH OFNEW ' r PLANS V I t/rZ I BUILDING CONTRACTOR ' - LEGAL ADDRESS '� DESCRIPTION _ CITY NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATETEL. 30" TO SIDE 8 REAR P. L. LIG. NO. NO. 61ZE I No. OP BLDae. EAVES ALLOWED (U. B. C. REQUIREMENT) OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF T EXISTING BLDG. MAIN BUILDING ACCESSORY BUILDING SETBACK LINE FROM FROM C/L STREET) i77, CENTER OF STREET REAR YARD FRONT Ff. FT. R. SIDE Fr. SIDEYARD LEFT-' 'RIGHT DESCRIPTION OF WORK L. SIDE Fr. NFw _ X ALTERATION ADDITION REAR FT. - DISTANCE BET. BET. MAIN e R t MOVING' DEMdi OL 9N MAIN SLOGS. ACCESS. SLOGS. VAR.9 DATE BUILDING NO. OF SIZE ROOMS ST RIES C.U.P. APPROVED EXTERIOR WAL I ROOF APPROVED `1 COVERING COVERING BY DATE J USE OF BUILDING AND 2WORKTO BE PERFORMED I 0_1 11 01 b C�11eL r_' (p SG. FT. G 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F ANO STATE THAT THE ABOVe IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABL15HINO A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STAT[ LAWS REGULATING BmtOlrva coneipucTlorv. VALUATION n _ PERMIT FEE $ SIGNATURE OF PERMITTE $ /U D LAN CHECK o I ' �/ AUTHORIZED AGENT `�• �I LL TOTAL FEE /� OWNER ALLEN, IRWIN F. DATE 6-16-60 JOB ADDRESS ly (U l°l0Ilr0Vla Ave _ BUILDING PERMIT NO. 12360 - P^ No. LOT TRACT FIRE ZONE DESCRIPTION OF WORK -CTIONS DATE I GROUP TYPE V ZONE L- _,rground Soil U.G. Water —— SUBCONTRACTOR PERMITS ISSUED Underground Gas DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring Trenches Forms Steel 7 Y `3- / Floor System Steel Reinforce Chimney Re -Rod Bond Beam S' fling c - F and Flashing — La�.,ng,In Out y_C Plaster, brown coat C, Plumbing Fixtures, Final Electric Fixtures, Final Building, Final OCCUPANCY Form 210-5M-11.59 S -B P 12360 Aa •G0 123 OOSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA . For Applicant to Fill In Completely TYPE OR PRINT BUILDING ADDRESS O� COSTA MESA. CALIFORNIA EE RECEIV EQ 6'_1C-60 FINANCE �AEPT. RRI&(( MESA N FOR PERMIT BUILDING For Office Use Only • �J /� RECEIPT NO. PERMIT NO IL / Q 7J /� i �y RB EED /O E IB DRESS // V TY QQ � �}y-� yam,,, �,�� T. ' D NOADDRESS [CONTRACTOR BUILD( D("iO'�'04//Wl"'^' / CHITECTTEL.1 -:INEER�4• 4 J/Y COSTA MESA. CALIFORNIA No.V 1.87 FIRE iS ZONE TYPE GROUP,=Aj P. APPROVEDC�Lj _ BY DATE (,' / Za% �� 6S'di ONING ADDRESS ZO NO. OF USE OF NEW CITY LVIL"�E' l./ .i'/ .PLANS BUILDING t STATE TEL. - 1 q 7_SI1• LEawL r`✓ LIC. NO. ( to NO. V DEBORIPT O .�V SIZE I ,l NO. OF BLDOS. OF LOT x/� rvoW ON LOT p, P, NO. L USE OF /,1/n �., YARDS EVES EXISTING BLDG. ALLOWED SETBACK LINE FROM (CENTER LINE ST.) CENTER OF STREET REAR YARD FRONT SIDE YARD ILEFT (RIGHT R. SIDE FT. IN. DESCRIPTION OF WORK L. SIDE FT. IN. V FEF ALTERATION ADDITIONREAR FT. IN. . I11 MOVING I DEMOLISH I APPROVED �(/ E DAT'i E BUILDING /+ NO. OF BUILDING SIZE 'II 1 ROOMS STORIES If EXTERIOR WALL (ROOF COVERING COVERING USE OF pUILPING^^AND WOPK TO §E PERFORME15 'T 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION 1E 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 VALUATION BUILDING DONSID. ^w SIGNATURE OF I'G A PERMIT FEE S PLAN CHECK S PERMITTE M' q AUTHORIZED AGENT BE TOTAL FEE 5L 3 OWNER DODGE, LOWELL ADDRESS 19TO Mom 'RAL CONTRACTOR Ow .1o.115-4$3-25 LOT GAS ROUGH PLUMBING PROP. SWR. LINE HOUSE CON. SPRINKLING SYST M MISCELLANEOUS AIR CONDITIONING DATE 7-16-70 BUILDING PERMIT DESCRIPTION of WORK Add to and i TRACT FIRE ZONE VALUE $1.000.( SUBCONTRACTOR UNDERGROUND [_1 POWER ❑ ROUGH WIRING LGl Heatingand Vent. TRENCHES FORMS Rel STEEL REINF. FLOOR SYSTEM ROND REAM n STEEL REINFORCE n FRAME AND FLASHI G — IN _R, BROWN C REFRIG. AND A.C.. FINAL BUILDING, FINAL .� 32059 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING ADDRESS 1970 Monrovia Avenue OWNER Lowell Dodge Costa Mesa TEL. NO. CITY UC. NO. 10" X 12210" NO. OF BLOTS. NOW ON LOT residence _. NO. OF .1111.16-7CP1-ASj0001564 d*�** tresr• 10.00 APPLICATION FOR BUILDING PERMIT MAIL Z ADDRESS W W a U CITY Z CONSTRUCTION OZ N LENDER ^a -S .6 am J � BRANCH J N ADDRESS APPROVED ARCHITECT � WZ Q OR ENGINEER ADDRESS 0.W W Z J 0 CONTRACTOF BLOCK mZ J m ADDRESS W J = ZF CITY STATE Jul 0 0 X LIC. NO. 0 SIZE OF LOT 6 USE OF EXISTING BLDG SIZE OF NEW BLDG.4O F Z U EXTERIOR DR WAL Costa Mesa TEL. NO. CITY UC. NO. 10" X 12210" NO. OF BLOTS. NOW ON LOT residence _. NO. OF .1111.16-7CP1-ASj0001564 d*�** tresr• 10.00 APPLICATION FOR BUILDING PERMIT 'FIRE ZONE TYPE GROUP APPROVED /f��-�j' _, /f I/ ---.A ZNO. DATE RECEIVED DATE ISSUED OET. MAIN & PLAN^S Y 1— YAR18SAPPROVED 'ACCESS. BLOCS. P M TNO ACCESSORY BUILDING ^a -S .6 DATE FRONT FT. �// FT. closet APPROVED I--" APPROVED PADDRESS LOT S BLOCK P O VALUE 'FIRE ZONE TYPE GROUP APPROVED /f��-�j' _, /f I/ ---.A ZNO. OF USE OF NEW A' OET. MAIN & PLAN^S Y BUILDING YAR18SAPPROVED 'ACCESS. BLOCS. YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) DATE FRONT FT. �// FT. closet i/ FT J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. OET. MAIN & arld to and remodel existing MAIN BLDGS. 'ACCESS. BLOCS. for bath VAR.# C.U.P.# DATE 0 closet APPROVED I--" APPROVED 0By Z' O U' I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of -/ N the State of California. z I hereby certify that I am properly licensed as a contractor under . SO. FT. o THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Division 3, Chapter 9, antl that such license re In full force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 2 am exempt from the vision o the State of Cel tornla Busine VALUATION antl Professions Code OI isio Chapter 9. PERMIT FEE $ �f �d �l Signature of i O O j m Permittee a ^ PIAN CHECK $ $ y101616 E Authorized Agent L /DrDD TOTAFEE $ u. ,<-1ANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT 636 North Broadway__ \ C• PLOT PLAN :1 Show location and distances from property line and between buildings. - - 1 . 2 J Z �t ' :o d ¢ o i V. STREET \ C• PLOT PLAN :1 Show location and distances from property line and between buildings. - - 1 .