HomeMy WebLinkAbout1732 MISSOURI ST - Building Permits 4 �-* CITY OF COSTA MESA'
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Y•%1 • ..4 DEVELOPMENTBUILDINSERVICEG:DISSDEPARTISIOMENTr PE T'NUMBER
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• PERMIT" 605-01072
(714)754-5273.0•Fax(714)754-4856•• www.ci.costa-mesa.gmLDING PERMIT 77 FAIR-DRIVE;.COSTA MESA;CA 92626
Job Address: 1732 MISSOURI ST Status: ISSUED
Suite: Applied: 06/29/2005
Vicinity: REROOF RESIDENCE AND ATTACHED GARAGE Issued: 06/29/2005
Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N
Parcel Number: 13906218 Zoning: •
•
Applicant: MIRANDA, FRANK
Address: 9169 EL VERDE DR - - ISSUED BY:
Phone: (714)557-6516
FOUNTAIN VALLEY,CA- Zip: 92708
Owner: MYHRE,DAVID W TR - .
Address 1955 BALEARIC DR -
Phone:
COSTA MESA,CA' - Zip: 92626-3545
Contractor: ISLAND PACIFIC ROOFING
Address: 9169 EL VERDE DR •
Phone: (714)557-6516
FOUNTAIN VALLEY,CA •
Zip: '92708i License: 631472 •
Arch : • _.— Eng:
Address: - • • Address:
' Phone: Phone:
• Zip: License: License:
•SCOPE-OF PERMIT
REROOF RESIDENCE AND ATTACHED GARAGE:I/O EXISTING COMP ROOF, REPAIR/REPLACE SHTG AS NEEDED,2 LAYERS 30#ASTM
FELT,APPLY"30-YEAR CLASS A COMP ROOF."21 SQUARES• -
FEE SUMMARY
Plan Check: . $0.00 , - - . : . Calc Valuation: $5,000.00
Permit: $111.25 Claim Valuation: • $5,000.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
•
Total: $111.75 - , .. , - _ - . ,
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 ,A-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.berconsideredlegal, such work must comply with'all applicable codes, and all
required.Inspectlons and.final.approvatmustbe obtained:.Failure to obtalrrinspectionsand final-approval-will resultin the expirationofthis permit.
FOR-INSPECTIONS.CALL:•:(714)754-5626;
2446-46(6/00)
DECLARATIONS k'• n
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.
1 3 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,
c p n�{�n Insur ce carrier and policy number are: S'7Jfr 5
Carder: (/(,vPiilicy- 'Num`be I / / 1
(This section need not be mplefed it The permit is valued et one hundred dollars($100)or less.)
41 I certify that in the performance of the work for ivhicfi this permit is issued,I shall not employ any person in any manrier so as to become subject to the workers'
compensation laws of -fomia,and a•ree that if I should become subject to the workers'compensation provisions of Section 370 of the Labor Code,I shall forthwith
comply with rhes= - s. I)
ApptidanYSignatare: � �// .77.../../A.,z a. / D+ ate:' (C2WARNING:FAILURE T• ECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT MI EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,030),IN ADDITION TO THE COST 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 und; p • 'o • r.pter 9(commencing with Section 7000)of Division 3 of-the Busin essions Code,and my license Is In full
force and effect.t / I -.co Class#
V nvactwss•Sigrtatmre:_, f% affirti7r +(Dater
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 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.).
O 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 ❑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:
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).
❑ 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 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 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 permit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? IJ 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? 0 Yes 0 No
(If yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or ether 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 MID 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.
p
gn Ot Le al OyTer(s) &'z� f 0 5 Date
A.�'7L6fiiCA.4� f
Awd/Or uthorize_WWApplicent _ Date
CODE r INSPECTION TYPE'" ' " ' ME" ' ' tNTRIALS gODE N •INSPECTION TYPE' DAIS - )NfRIAL$
1616 ' Fixed System Final Fire Prevention • 206 Final Mechanical ,
1266 Pool Spa Final /� 208 Final Plumbing
200 ' Final Re-Root • ' 7"/ .'1015--- l!lC% �y 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
OWNER TJISK, RTCHARTI DATE 5-17-61
JOB ADDRESS 1732 Mi cmiri St BUILDING PERMIT NO. 7)15j0
GENERAL CONTRACTOR Admiral-Bilt Construction VALUE $ 600.00
AP No. LOT 96 TRACT 1722 FIRE ZONE DESCRIPTION OF WORK Block walls
1 ECTIONS DATE j GROUP J TYPE III ZONE R-1
Uuaerground Soil U.G. Water PERMITS ISSUED
Underground Gas — — SUBCONTRACTOR 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 R j.10- 1�-'}re61
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
S±,1411.ing
);""- ie and Flashing
Lathing, In Out
Plaster, brown coat
Plumbing Fixtures, Final
Electric Fixtures, Final
Building, Final 14 S--16- lob
1 _ FFE RECEIVED
530 MAY 171981
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P.O. BOX 817 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING
BUILDINGADRi 7 j'1- 4M. S SOO a.% S I.
COSTA MESA. CALIFORNIA For Office Use Only
I� RECEIPT NO. fp1{RMI�-J j. Q
OWNER.(-HARD 1-03 g. / /,_J
MAIL AECEI BY DATE RECEIVED 'DATE ISSUED
ADDRESS S.Aryt I .----/7-.6(I --f7"(F/
C TEL-,/ I e 3ij BUILDING
CITY e s-f A MESA A NO. 1 ADDRESS
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
FIRE
ADDRESS JJ ,�1L �/'� ,•.-'T'1.' y-1--�- ZONE TYPE GROUP
ikCONTRACTOR.P�MMA.0- LAr+LA^�a"(rt.:: APPROVED DATE
ADDRESS / 3-I i Vth s - ZONING j
/� ION2 � I I NO.NO; 7,I USE OF NEVI' �`ll.L(��
L L PLANA { BUILDING ` )-el,I. /1^/
CITY c.'x- , J el,
STAE
LIC.N I9 s>N-- NEO. l=1 �-ooa6 LE �(.. .3� 2� .: (.•LIC.NO. DESCRIPTION //`/ �r 7-
SIZE (( `I ` NO. OF BLOCS.
OF LOT b O' 1-I O V NOW ON LOT A.P.NO. ...--- -
USE OP YARDS EVES
EXISTING BLDG __ _ ___ _ APPROVED ALLOWED
SETBACK LINE FROM (CENTER LINE ET.) / //� i
CENTER OF STREET REAR YARD FRONT S I FT. IN.
SIDE YARD I LEFT I RIGHT R.SIDE 6 FT. IN,
DESCRIPTION OF WORK L.BIDE FT. Q IN.
II
NEW I Y ALTERATION I II ADDITION I REAR 0,.( FT. [^ IN. '
REPAIR I II MOVING I II DEMOLISH I BYPROVED� \�,�y` DATE .) /(-6 I
BUILDING NO. OF cLi,_
SIZE ROOMS STORIES �� '"
EXTERIOR WALL I ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
REAR WALL— 8 I( 1( ]-' 1.. 4-7' SEMI - gt ,r\\S
O N TU
�ETAINEQ P L4 I 9-4 X 6 1. 47 P
Si os WALL - Y" X61 x 57 Nainin,lTy
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIOP5 THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY O !FIANCES AND ATE LAWS REGULATING
BUILDING CONSTRU N. VALUATION �./-�
SIGNATURE OF �� � ��//'' / PERMIT FEE S .
PERMITTEE V S E(ld� �_ e
PLAN CHECK S
F
AUTHORIZED AGENT 0
TOTAL FEE 4
OWNER LUSK, RICHARD E. • DATE Li-18-61
JOB ADDRESS 1732 Missouri St. • BUILDING PERMIT NO.14301
GENERAL CONTRACTOR Admiral-Bilt Const. VALUE $130.00
A° No. LOT 36 TRACT3722 FIRE ZONE DESCRIPTION OF WORKB1OCk Wall
I. ECTIONS DATE I GROUP TYPE ZONE R1
Underground Soil U.G. Water PERMITS ISSUED
Underground Gas — SUBCONTRACTOR 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
ynicia_q Forms Steele B72_
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
E hing
F. .e and Flashing
Lathing, In Out
Plaster, brown coat
Plumbing Fixtures, Final
Electric Fixtures, Final
Building, Final (ei
OCCUPANCY I _
Form 210-3M-4-59 14301
,
&gni FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT 1
P. 0. BOX 917 COSTA MESA. CALIFORNIA 1 APR 18 FINANCE DEPT. C'Cc^-
APPLL
For Applicant to Fill In Completely IITIOFI GMAPtalti
TYPE OR PRINT
BUILDING
BUILDING
ADDRESS 1 } 3 Y /L'l I S S O U le/ S T
COSTA MESA. CALIFORNIA For Office Use Only
r� RECEIPT NO. P R NO.
OWNER h\
CR A21) 6- LV SK. / IT()/
MAIL A. I SS.a J RECEIV D BY DATE
)gpECEIVED ,DGA/7�E IBgpOED
ADDRESS j 7 3 . M 2 1 S� Ct —fl-6 ) / 10 1j
TEL. p ADDRE '7 .21te I
CITY COST-A MF .tea f`} NO. �I 13Ij 1 ADDRESS �/ //Lcdin-y..44i -
ARCHITECT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER . NO. /,1, / (,/I '
FIRE
ZONE TYPE GROUP LU�L•�
ADDRESS //.�� eat
-�-r- /� - /I F
CONTRACTORec\I�:4 - eat Cttn-Vw[. " APPROVED ,, j / DATE /(l
ADDRESS I �I "I � ' S S I . L/(/ ��/N///ING n
A
ZON NO.OF USE OF NEW .itcf, �J
CITY Sp,n.1 TA IJA -- I I PLANS2 BUILDING
30pp l
L
CIy( )---- T (50 CLGL T ±& / -
SIZENO. OF BLDG'S.
OF LOT I NOW ON LOT \ f A.P.NO. fl Er--- (�Jam/I1
USE OF YARDS EVES
EXISTING BLDG. APPROVED ALLOWED .
SETBACK LINE FROM (CENTER LINE ST.) '�y�r'
CENTER OF STREET REAR YARD FRONT .3' FT. IN.
�T,
SIDE YARD I LEFT I RIGHT R.SIDE FT. OIN.
DESCRIPTION OF WORK
L.SIDE : IN.
NEW I I ALTERATION I I ADDITION I REAR FT. O IN.
REPAIR I D MOVING I D DEMOLISH I APPROVED IL•I LL413 E 1 4 I
BUILDING NO. OF // Y
SIZE ROOMS STORIES
EXTERIOR WALL I ROOF
COVERING COVERING
USE qF BUILDING AND WORK TO BE PERFORMED
pt_uLK-GeQce: — DEAR WALL --C1Wil YSS1 X SIA te-- —i
$ Kro
' l .- PLuS IF" K 13 A I onl To "I - / X ^/ I i/ )
SIDES — V" )L01( Sy ALL comm . /I X 5/ $ S-7,211 ILO—
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CO CT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY O INANCES A STATE LAWS REGULATING
BUILDING CONSTRU ON. VALUATION .41-0'-,
SIGNATURE OF --CGAO
PERMIT FEE Sc'
PERMITTEE m_
$/ci(9 — PLAN CHECK $
AUTHORIZED AGENT Cie re
TOTAL FEE $, 2 O
n
LOT 36•,
TR 37221- -' 13140 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT
O OCT 241960
P. O. BOR 917 COSTA MESA. CALIFORNIA FINANCE DEPT.
For Applicant to Fill In Completely APPLICATN h RC9 IIOESA
TYPE OR PRINT
BUILDING
BUILDING ,.I
ADDRESS 1732 MISSOURI STREET
COSTA MESA. CALIFORNIA For Office Use Only
OWNER K &.,E DEVELOPMENT CO.., INC. I RECEIPT No. I /PERM 70
MAIL - RECE}VED BY DA}� RE EIVED DATE ISSUED
ADDRESS 1555 PLACENT IA AVE . /t /� /� OCT2 7 l.9nn
CITY ELM I 6-322 BUILDING
LWPOKI BEACH ADDRESS
ARCHIT CT TEL. COSTA MESA. CALIFORNIA
OR ENGINEER NO.
ADDRESS FIRE Q ff
ZONEIRTYPE GROUPp-.{
CONTRACTOR K- 14, Kn U-L BYPROVED DATE
ADDRESS 1555 PiACFNTIA AVEC ZONING
p.ngl fam.
ZONE NO.OR USE OF NE /
CITY NFWRORT RFA CH R-1 I PLANS 2 I BUILDING w/ att gar.
STATE TEL. 22 LEGAL T,�y. Tract
!��
LIC.NO. 61195 NO. MI 6-3227 DESCRIPTION Loy 36, 11ac1. 3722
SIZE 63.63xloo IRREG I NO. OP SLOGS.O
OF LOT NOW ON LOT A,P,NO. none
USE OF YARDS EVES
EXISTING BLDG MnM r APPROVED ALLOWED
SETBACK LINE FROM501 23 I (CENTER LINE BT.) /�
CENTER GP STREET REAR YARD FRONT ,�" FT. IN.
SIDE YARD I LEFT 5-/ I RIGHT J f R.SIDE .5—FT. IN.
DESCRIPTION OF WORK
L.SIDE FT. IN.
NEW 14 II ALTERATION I II ADDITION I REAR ?"_3 FT. IN. •
REPAIR I II MOVING I II DEMOLISH I APPROV
6o-VAR BY �. L. D. DATE 10-21-60
SIZE
BUILDING I 11 .75-HSE ROOMS NO. OF 6 STORIES I
EXTERIOR WALL.000 (ROOF ROCK
COVERING JJ 1 COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
S 1 N C FAMILY RESIDENCE
AND ATTACHED GARAGE
PLAN 1-H
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM-
PLY WITH ALL CITY ORDINANCES AN STATE LAWS REGULATING PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONETR ON ,. VALUATION S�.—
SIGNATURE OF �� PERMIT FEE $ R
PERMITTEF !� Q�
$ 41 /PLAN CHECK $ /�/
AUTHORIZED AGENT l L5 / 0
N TOTAL FEE $ r