HomeMy WebLinkAbout1392 GALWAY LN - Building Permits •
CITY OF COSTA MESA k
s fy __ BUILDING DIVISION
I
i DEVELOPMENT SERVICES DEPARTMENT 698-00982
�• PERMIT PERMIT NUMBER
4%"01IPTIO eft
(714)754-5273 • Fax(714)754-4856 BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 1392 GALWAY LN Status: ISSUED` II r
Suite: Applied: 06/08/1998 �f
Vicinity: Issued: 06/08/1998
Parcel Nunmber: 14116102 Zoning: R1 R1
Applicant: CRANK, JIM -
Address:
Phone: 548-5569
Zip:
Owner: WILLSON, RICHARD E TR
Address 46 TIDEWIND '
Phone: -
IRVINE,CA Zip: 92612
Contractor CRANK BROTHERS ROOFING CO
Address: 00126 COMMERCIAL WY
Phone:
COSTA MESA CA Zip: 92627
•
License: 408677
Arch/Eng:
Address:
Phone:
Zip:
License:
SCOPE OF PERMIT
y/o and reroof w/30 yr shingles and capsheet on flat portion.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $7,987.00
Permit: $137.25 - Claimed Valuation: $7,987.00
SMIP Res: $0.80
SMIP Corn: $0.00
Other $0.00
Inspection: $0.00
Total: $138.05
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: g
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.
,0' 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 keeled.
My workers'corn ion Insurance mer andel lacy number are: ^1
Canter. n �'[/VIC.0 Policy Number. 765--98--6060 y
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in t.. • of the work which this permit is Issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation I: f California,an r t t if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with the •T ovislons.
Applicant Signature: .."1 /�Date: \} "[C— !G)(,
v
i
WARNING:FAILUR ECURE WORKERS'COMPENSATIONCOVERAGE ISOUNLAWFUL AGANOSHALLSUBJECT IN EMPLOYERT TO RIMINALPENALTIES AND CIVIL FINESUPTO NEY'S HUNDRED
THOUSAND•• $tW,WO),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 em licensed un er provisions of Chapter 9(commencing with SectIon 7000)of Division 3 of the Business and Professio s Code,and my license is In full
force and effect,Llc.N \ Cre6 n, Z • Class a 5
Contractor's Signature: N._ Date: ' �o . 'ZS--- 1-6{
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.CMI 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.).
❑ 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.).
O I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 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,end 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: Data:
Division of Industrial Safety Permit Number: I
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 Califomia 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 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 85850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(if ryes",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 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.
V .gm E Legal Owner(s) 60 —/
A% _ •
drAnd/Or Authorized Applicant Date
COOE 1' QI6PECTION TYPE
DAB BUSS MEI IN6PECneN TYPE DATE 2113:11AL8
1616 Fixed System Final Fire Prevention 208 Final Mechanical
1286 Pool Spa Final ��1 208 Final Plumbing
t
200 Final Re-Roof -/?--off b tela 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
244646
PROJECT ADDRESS: 139'2. GALWAY LN UNIT: -" - CITY OF COSTA MESA - BUILDING PERMIT PERM NOi P `'045392
OWNER'S• AD NAME: 4I,.CFIARU LJITIrSON - PERMIT NO:. .P 045:192 •PLAN CHECK 'NO: 1 N GOVT: N SUPP : N
ADDRESS: 46 TIDEHINDi ••
• ' IRVINE
• CA9271.5 > • CONSTRUCTION: TYPE: 5-N PERMIT TYPE:: PLO PURPOSE: ALT
•
( 71.4 ) 054-X8'742. •
ARCH/ENGINEER: ' , _. - ' REG.NO.: JOB DESCRIPTION : BLDG. : SEWER MAIN (BLDG. TO . CURB ) •
SQ FTf - 1 -
ADDRESS: ` UNIT: . I - -• . - - r
CLAIM VALUE: CALL-VALUE: • GROUP OCC : Y-3• /
PERMITTEE: POWA--ROOTER ' ( 714 ).775 +4114 • -
ADDRESS: 11564 TRASK AV S COMMENTS: PLMB . .WORK ONLY. NO 'B ' WORK. .
• GARDEN GROVE CA92643 * ,•(-a:
r `,, ,,,./..
CONSTRUCTION AND PLANNING , . . POOL & ' • -
APPROVALS . Permit# Date Inspector APPROVALS Permit# _ Date Inspector
1. Temporary Electrical Service or Pole . - 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcemeni '
3. Electrical Conduit Utility-Undrgrnd. 54.. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5:-Steel Reinforcement 56: 'Rough Plumbing & Pressure Test
_6.:Electrical UF ER Grnd. - 57. APPROVAL TO COVER-GUNITE ;
-7. Footings •
58. Electrical Conduit-Undrgrnd. .
-8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. .
10. Structural Floor System . 61. APPROVAL TO DECK .
11. Property Sewer Line & -louse:Connection , I 62. Backwash & Receptor-Final
•
12. Sewffir Cap - 63. Heater & Vent-Final
13. Roof Drains . • 64. Plumbing System - Final
14. Rough Plumbing - 65. Electrical-Final
, 15. Rough Electrical-Conduit 66. Solar System-Final - -'
16. Rough Electric Wiring - - 67. Fencing & Access Approval
17. Rough Wiring Sign " 68: APPROVED FOR PLASTERING • - '
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '
19. Rough Heating & Air Conditioning - _ FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure - 70. Underground Hydro
22. Ducts, Ventilating - ,. 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test • 72. Underground Flush
•
24. Roof Framing 73. Undergrnd.Storage Tank•OGas 0Oil
25. Roof Sheathing • - 74. Overhead Hydro.
•
26. T-Bar Ceiling (Structural) & Monocoat • 75.- Dry Chemical
27. Frame and Flashing - 76. Dry Standpipe - -
28. Lathing& Siding ' - 77. FIXED SYSTEM FINAL
29. Insulation i-}{ 78. FIRE PREV. FINAL
• 30. Drywall'Nailing - - HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 4 i.-
79. FINAL INSPECTION
32. Electrical Power Meter-Final ; ,%�;, 80. FOOD CERTIFICATE ISSUED
- 33. Final Electric - Notes: •- .
34. Final Heating & Air Conditioning .
35. Final Gas Pipe-Test : ,,
36. Hood or Canopy -,/q'
37. Final Factory Fireplace • , ., / -
'38. Final Plumbing _ g-46"--154 (-49 . - -..
39. Water Service-Final -
40. Gas Service-Final .
41. Solar Domestic-Final ' -
42. Backflow Preventer -. - .. �,
43. Backflow Irrigation . -
44. Landscape Irrigation System
45,_Sound .Attenuation -
46. Handicap Regulations -
47. FINAL STRUCTURE & BUILDING fir
48. FINAL PLANNING 'i '
49. Electric Release to Edison • '
50. Gas Release to Southern California Gas Co • -
V
51. CERTIFICATE OF OCCUPANCY
No. Date
OWNER WOODARD.' `.arles DATE 5-29-62 /
JOB ADDRESS 1392 .alway Lane BUILDING PERMIT NO. 17180 ✓
GENERAL CONTRACTOR Owner-Bldr. VALUE $ 5840.00 r
AP No. 1(11-161-02 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Fam�,H d P.Ma
INSPECTIONS Signature DATE GROUP 1 TYPE V ZONE R-1
Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. 0 Air Cond. 0 / � ��� /
Rough Heating ,,/,. .4-C VY 7-17-6 - ya 6, y
Rough Plumbing /-, �°r- G� --/' At. !!p/>-i ' .16sf-`I7 ,
Miscellaneous
Prop.Swr.Line 0 House Con. ❑ St.Swr. 0
Sprinkling System
Construction Pole
Underground ❑ Power ❑
Rough Wiring Y' Y2 "- '(PL / iff _ - /
trenches LIt orms ❑ steel tteint. U — `'`� /-�_6�' 7ya a ✓
Floor System R 6-26-6t
Bond Beam ❑. Steel Reinforce 0
Sheathing F'(.* '2=3&-0.,
Frame.and Flashing / i"'n��.lf. '}„b,'
Lathing — In '0 Out r.' IXeyto- j.--> a-bg '
Plaster, brown coat IV 111:b- (0.10-62
Ref rig. ❑ Air Cond. ❑ Final
Heating, Final /eAt -7.5-';J/
Plumbing Fixtures, Final �f'-? f3 z—'
Final Gas Test r
Electric Fixtures, Final CJ p 1 7-
Building, Final , (/�jC�i \Q
OCCUPANCY -pit0
FORM 6U4.5M — 7-61 171.8
/ 1
17180 FEE RECEIVED
C NAY 2 9;g
COSTA MESAoxBUIL COSTA DEPARTMENT /FINANCE DEP1..
or
P. O. BOX S77 COSTA MESA. CALIFORNIA
CITY OF COSTA MESA
For Applicant fo Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT
BUILDING BUILDING
ADDRESS /L'7 07. cAo p y LA NP,
COSTA MESA. (_\J1ALIIFORNIA ForOfficeUse Only
OWNER / �( Y U) eR yd 1 RECEIPT NO, I PHp MLT NO e
L""II MIT I 1 /o/ V
MAIL z /I ,,,/// I� p „ii;,IV/ff��� BY DATE RECEIVED DE ISSUER
ADDRESS/1 )Inc G i h x /y L 0 IV 1_ 5"7-4211+—ISSUER C l/
/+ "�,�{{ �j�I /
TEL BUILDI G �,(�/ - I
CITY ` ('1ST!^/ /Y/ S NO /crcOq ADDRESS /S' 9aV( Le
ARCHITECT TEL COSTA MESA. CALIFORNI
OR ENGINEER NO. .---
ADDRESS FIRE
ZONE TYPE GROUP
/ �i V
CONTRACTOR L?Zt.rn.eA-"' APPROVED Y1� / DATE J/ "'Z9 2�_-^
ADDRESS l"r_ BY /, 2ONING .
ZONE NO.OF USE OF NE (-1...-.CITY 1 I I PUNK BUILDINOI- / ,A(
STATE TEL. LEGAL I (J/� -F'-,!^-�! 2 GLV
LIC.NO, NO. DESCRIPTIONi.1 e7 {./J 1 . /t `r/
SIZE *2 X i„ x 6bawls NO. OF BLOCS. ��i!!!! J
OF LOT NOW ON LOT / A.P.NO. f ....41/--. / G `
USE OF YARDS EVES
EXISTING BLDG •S / APPROVED ALLOWED
SETBACK LINE FROM G^ ]� (CENTER LINE BT. _,20.__ �J
CENTER OF STREET `t/ REAR YARD ✓ FRONT r •
/CAT. //i IN.
SIDE YARD I LEFT /6 / I RIGHT t / R.SIDE 'FT. T IN.
DESCRIPTION OF WORK
L.SIDE /( FT. IN.NEW I ^�
II ALTERATION I II ADDITION I « J
REAR 3 FT.--
IN.
REPAIR I I MOVING it DEMOLISH I APPROVED /') /� , DATE S---?r 6)—
BUILDING 207`7•./` NO. OF �( pp (N to ^-^
SIZE 6 X /yp ROOMS /T 7DYe STORIES IEXTERIOR L� ^'/'
COVERING WALL] has• I ROOF
COVERING SA a kc Si
USE OF BUILDING AND WORK TO BE PERFORMED
family arid Rc1diCIdIV 4 Po L. + a S
Sadi-co&a addif,lry to_I °• 7841
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COM•
PLY WITH ALL CITY INANCES AND STATE LAWS REGULATING PURPOSE OP ESTABLISHING A PERMIT FEE ONLY.
BUILDING CONSTRU I N. 1 ( - VALUATION .�1
SIGNATURE OF I 1 ' ms,µ^ ,� 1% PERMIT FEE $ olTOO N
PERMITTED - Ld v�," """"' •••"'lll I r •
a
` $ �(g40 PLAN CHECK $ 1&.. o =
AUTHORIZED AGENT i p yE
TOTAL FEE $ J 1.50
Costa Mesa Building Department APPLICATION FOR PERMIT
f - 111 E "0
EASthSTREET 1714' BUILDING 1
•..- - COSTA ME CALIFORNIA
- FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Receipt No. Permit No.
Building - I 1 /(o 7 7
Address 1392 Galway Lane
Costa Mesa, California Received by Date Recd. Date Issued
Nearest I p
I D -77-sr
Cross St. College Street AddressA /39' 'et-6-V a--`2 e--'
Owner College Mesa Company Costa Mesa, Califorfua
Mall
Address 8002 Central Avenue Nearest .4Z1.-
Tel. Cross St
City Garden Grove No. IE 9-2158 Zone /I4 Io.of Type Group
Architect or tic. �GPlans
Engineer Davis & Quigley No. C-1790 Approved
by Date
Address 43 Malaga Cove Plaza,Palos Verdes CORRECTIONS
Contractor The Hale Company
City
Lia 3422
Address 8002 Central Avenue, Garden Grove
Legal LotI
Description I No. 180 I Block I Tract2341 j10-3
,fy�� a '� i.1 `t
(Attach Metes and Bounds) t tL+k�_ �40' }l� i{
No.of Bldgs. ,t'� '�
Size of Lot 7381 Sq. Ft. I Now on Lot 19 5nr
Use of No.of No.of AUG l� 5 O
A
Existing Bldg. I Families Rooms �,
Setback Line from , Rear Yard 55 t 2
Center of Street 0 t Side Yardt
DESCRIPTION OF WORK ' CITY OF COSTA 1Vf FSA ,12
New I y I Alteration I I Addition I
Repair I I Moving I I Demolish I - - -
Building No.of
Size 1181 Rooms 5 Stories 1
Exterior Wall I Roof --
Covering Stucco I Covering Shake APPROVALS
Use of New
Building Single family dwelling with Foundation Location Inspector Date
Forms,Materials,
attached garage. Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath. Int
with all City Ordinances and State Laws regulating
building construction. Lath. Ext
Signature oT .._/
Permittee / COMPANY ' i plaster, Int
Authorized • r ���/i// _ .../.% a4,4. Plaster,Ext.
Herman • . Hale
Valuation i Permit Fee $ 1 AO Masonry Reinforced
`
Ar-r-', #O . Plan Check $ / , / 3
Bond Beam
$ • i V O ; Total n z
0 Fee $ I Ir �� Z FINAL
^--
\ WHIM 204 S-BP 2M 6-55
•
u
a
0
Et.
d t . r
rrr r CO$Tp rc
uurl3v rrnt119J
i S.-n .1 3701;) rt9;:93.;
Derr-;' vol ., aEvrs
7orsr , nrsr, ov. 3,1313'1 S.
•)•f'."..' rr9.'il�,' l OtJftbv
Street
PLOT PLAN •
Show location and distances from k
property line and between buildings.
1 f
.:h . .,. r:, ., --4ir:ar,7 srsr=t,
.3' s'ir:, ;.9r:of,it,
ir.r
• -- HSS i . trrorr9