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Home My WebLink About1340 GARLINGFORD ST - Building Permits O 6 CITY OF COSTA MESA - ' 4ta BUILDING DIVISION 1.' DEVELOPMENT SERVICES DEPARTMENT C \A-\\A-\ Te. fi' y PERMIT PERMIT NUMBER 'm's B98-02211 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1340 GARLINGFORD ST Status: ISSUED Suite: Applied: 12/11/1998 Vicinity: Issued: 12/11/1998 Parcel Nunmber: 14102214 • Zoning: R1 R1 Applicant: BRIAN WOLSKY Address: Phone: 847-9332 Zip: Owner: BIEL, ROBERT PAUL TR Address 1340 GARLINGFORD ST . Phone: COSTA MESA,CA Zip: 92626 Contractor: TOM BYER ROOFING Address: 17662 METZLER LN Phone: 714 847-9332 HUNTINGTON BEACH CA zip: 92647 License: 575002 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT • T/OFF SHEAHT AND REROOF 2200SF RESIDENCE W/COMP SHINGLES.SMOKE DETECTORS REQUIRED PER 94UBC. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $5,985.00 Permit: $112.25 Claim Valuation: $5,985.00 SMIP Res: $0.60 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $112.85 • 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: 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 work co ansa a ce carder and policy number are: Cartier: • Policy Number: O d-S c (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for whi • s permit is issued, I shall not employ any person in any manner so as to bec a subject to the workers' compensation laws of California,and agree the should become subject to the workers'compensation provisions of Section 3709 of th bor Code, I shall forthwith comply with the ' • 1 9 V Applicant Signature: a - Date: / L / r a - WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN CIVIL FINES UP TO ONE HUNDRED THOUSAND DOI I ARE($100,0006 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 under provisions of Cha. - • •mmencin0 With Sec' n 7000)of Division 3 of the Business and Professions Code,and my license is in Lull /' force and effect.Lic.4- 3 . S �-'1� L Class N c -t`1 ; .� Contractor's Signature. —' Date: /'Z-1/( 4 / Y 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.). ❑ I,as owner of the property, em 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. 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,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 B,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: I 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 tile 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 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 appermit for such construction or modification from the South Coast Air(Duality Management District or from any other air pollution control district or agency? 0 Yes 0 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? ❑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 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 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 : ' -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 ordina• : eating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property forins.: ' es.I a• -• of to occupy or allow occupancy of any building authorized by this permit until final inspection. Siellr naner(s) J/ I ( ( n rAuthorized ••dicant ) Date CODE I INSPECTION TYPE OATS RIDDAIS CODE E I65Pn-110N TYPE PATE ICALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final �5 7 ,/ 208 Final Plumbing 200 Final Re-Roof /! '3 •98 V/ 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 • OWNER HARBOR HALL OF FAME. HOMES, INC. DATE DEC 1 1 1962 JOB ADDRESS ijlFO-GerZingi'ora St. BUILDING PERMIT NO. I , Lifetime Hes.Bld Corp. 1 GENERAL CONTRACTORE3- VALUE $ 77415.00 AP No. LOT 27 TRACT 4355 FIRE ZONE DESCRIPTION OF WORK Res.w/att.Gar I' 'ECTIONS Signature DATE .GROUP TYPE ZONE -u - to GIar PERMITS ISSUED Gas �� SUBCONTRACTOR DATE NUMBER Water L!/ /f-'3 Rough Corn. Refrig. 0 Air Cond. ❑ _ /� Rough Heating —A-it, _ 4A /fa w- 0r-o7lc.? ns:,, Rough Plumbing ?el� 3-21•_9 % _r . c cU. .�-iAL /�4Y' �' Miscellaneous / Prop.Swr.Line 0 House Con.ifkl St.Swr. 0 _1/-/6-_3 i ,�� _ '_ /••i,cy/ /• c?�.2/-/ 3 ,?,So74-3 t Sprinkling System l :77-701, ! -//Foci), i!�-eU/ ;�)) //AZ/-(oa' SfeC4 � 7;? Construction Pole ` /--� � ../J, e —e /- 7,43__,L easy 7tn 1L . "— — — Underground 0 Power ❑ Rough Wiring fk7);.S 3'/4..3 "/J t9/fl /.`-v1/P1yc,bnPi-3-/.S- i /Y/O/ Trenches lEr Forms Er Steel Rend". 0 St r y-1E+-6y Floor System P. /-/t 6 13ond Beam 0 Steel Reinforce 0 Sheathing fi 3-ta—(q Frame and Flashing /9/f-411-y 6 Lathing — In Ere Out kr Be�j- PI^-ter, brown coat /1t'/ / -r-16-64 r ;. 0 Air Cond. 0 Final Heating, Final 1, ' x.63 Plumbing Fixtures, Final -gc.41 18409 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT Lot 27, Trac* 435BCCPWgft20-BR P. O. BOX 517 COSTA MESA. CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely APPLICkSIFF6RSRRM1Y.S A TYPE OR PRINT BUILDING BUILDINGpe ADDRESS BUILDING /3 Irq�.�jh� 1".J -S7`. COSTA MESA. CALIFORNIA For Office Use Only RECEIPT NO. i x409 OWNER Harbor Hall of Fame Homes, Inc. MAIL RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESSP.O• BOX 2066 p ,�,.,�rI7 /„-1/�/e 7i DEC 1 1 1962 CITY Santa Ana, NEOIKI 9'2NG 204 ADDRESS ARCHITECT Jamison TEL. 44-0040 COSTA MESA. CALIFORNIA OR ENGINEER NO. 5 ADDRESS 225'l)D 11 St., Tustin IRE - ZONE TYPE jr... � GROUPJ Yor CONTRACTOR Lifetime Residential Bldg Carteg7ROVED Y DATE ADDRESS 2131 So. Artesia ZONING CITY Santa Ana ZONE—, I PLANS NO.OF Z I BUILDING USE OF Lie/W A9 `�J+-�N LIGTNO. -208676 Ho.KI 9-2204 LEGAL i z Z 7>f' Y 3r.r _ _ DESCRIPTION d SIZE 6000, _ _ NO. OF BLDGS.n OF LOT U NOW ON LOT A.P.NO. USE OFNoneYARDS EVES EXISTING BLDG, APPROVED ALLOWED SETBACK LINE FROM lig 1 , 01 (CENTER LINE ST.) p CENTER OF STREET 9V REAR YARD 33 • FRONT -,C> FT. - IN. SIDE YARD I LEFT !e�1 I RIGHT 11' R.SIDE 1// FT. -- IN. DESCRIPTION OF WORK- L.SIDE 7 FT. N. NEW I X II ALTERATION I II ADDITION I REAR 3 3 FT. IN. II MOVING I I DEMOLISH APPROVED DATE REPAIR F' SIZE BUILDING NO. OF i614,4 ROOMS 9 STORIES 2 EXTERIOR CO ERINGW blaster INUmNo Shake USE OF BUILDING AND WORK TO BE PERFORMED Single family residence _ i I HEREBY ACKNOWLEDGE AT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN DER VALUATION IS FOR THE AND STATE THAT THE S/E IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY NCES AN A LAWS REGULATING PURPOSE A PERMIT FEE ONLY. BUILDING CONSTRU I• VALUATION SIGNATURE OF //^/7, [/J PERMIT FEE 93,5-7 Jy�/^-/� CI PERMITTEE •1 S/ '/ /�J PLAN CHECK $ '^ll•L67-" AUTHORIZED AGENT .. .. 1,,n $��s0 z - TOTAL FEE O u