The URL can be used to link to this page

Home My WebLink About1014 GROVE PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.gt'ALDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 1014 GROVE PL Suite: Vicinity: ROOF Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V -N Parcel Number: 42247327 Zoning: Applicant: DEBORAH ELIASON Address: 417 ASSOCIATED RD A-225 BREA, CA Owner: WOODWORTH, FRED L TR Address 1444 W BAY AVE Arch Address: Zip: Phone: License: Phone: 714-529-0440 Zip: 92821 Phone: Zip: 92661 Phone: 714-529-0440 License: 576276 Eng: Address: Status: ISSUED Applied: 01/30/2006 Issued: 01/30/2006 ISSUED BY: e��A Phone: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 1 LAYER 30# FELT, 30 YEAR ASPHALT SHINGLES AND REPAIR/REPLACE SHEETING AS NEEDED. 20 SQUARES. NEWPORT BEACH, CA Contractor: SANTIAGO ROOFING Address: 417 ASSOCIATED RD SMIP Res: A-225 SMIP Com: BREA, CA Zip: 92821 Arch Address: Zip: Phone: License: Phone: 714-529-0440 Zip: 92821 Phone: Zip: 92661 Phone: 714-529-0440 License: 576276 Eng: Address: Status: ISSUED Applied: 01/30/2006 Issued: 01/30/2006 ISSUED BY: e��A Phone: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 1 LAYER 30# FELT, 30 YEAR ASPHALT SHINGLES AND REPAIR/REPLACE SHEETING AS NEEDED. 20 SQUARES. Total: $125.80 SETBACKS FEE SUMMARY Plan Check: $0.00 Calc Valuation: $5,500.00 Permit: $125.25 Claim Valuation: $5,500.00 SMIP Res: $0.55 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.80 SETBACKS MAIN STRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existing: . o PLANNING & ZONING Rear 0-0 Left 0-0 Rear 0-0 Left 0-0 Required: 0 Proposed: 0 Right 0-0 Right 0-0 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 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 ?"e-ae puo) E 11 DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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. _14dave and will maintain workers compensation Insurance, as required by section 3700 of the Labor Code, for the perfordri of the work for which this permit Is Issued. Mwo rs,'-neo pensalion Ins�rance carder and policy number are: �( -CaMe7:'� -1 LU-�i i�,i/1 (r - Polity tJumber."—` d �� ' a M(o [�is.sercflon need not be conn ted if 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, 1 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 37DO of the Labor Code, I shall forthwith comply with these pr Ins. �, I .Applicant Slgnature:; 111 %t.( WARNING:. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EhktpYFA.TO CRIMINAL PENALTIES AND CIVIL MINES UP TO ONE HUNDRED USAND DOUARE ($100,000), 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 provis(o s of7Chapter 9 (commencing with Section 7000) of Division 3 of the Business an Professions Code, and my license is in full Jorce and-efriRWLic—k�ri_�Ck lass iy Conbn s;Signature: - _ - ...aOdte:`-_r_;' ^•3/J -NSA 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). Londer's Name: Lenders Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Cade: 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 (S500).): ❑ 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 contractors) license pursuant to the Contractors License Laws.). ❑ 1 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 of dead). 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, talsewoTk, 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? ❑ 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. .... a... 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 Mese 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 Safely 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 II en RMPP is Dresently requiretl, has Section 25534 of the California Health end Safety Code been fully complied with? ❑Ves ❑ No ..............................................a........................................_................................................................,...........10. r..............o-rk........ich......................................,.................................................................................................................................... 5 Does or will the applicant or present Or future builtling occupant require for the work which is the subject c this plication epertnit for such construction or modification from the South Coast Air Quality Management District .,from any other air pollution control district or agency? Ves LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ._........._...............r............................__...._......................___....._........._..____.._....................................................__.._._Y_.............................................._........................_.. -_._..................... _ ............. _............ _ i _._. 6 Will any pan of the faclity 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 Omer sir 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 ❑ No ............................................................. .............................. ............................................................................................................................................................................................................................. _................................................................. B (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 pennil until final Inspection. Signature O1 al Owner(s) [late l) o ICao1"r— _ � T ate 12gg1:-E. INSPECTION TYPE IiAIE INTRIALS CODE I INSPECTION TYPE PATE I;TRISLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 216 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 Final Block/Retaining Well ( 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 SHARMON, DICK DATE 8-30-55 JOBADDRESS GENERALCONTRACTOR Owner -builder L3111•li]ICIdaA:1 d l kis2171 424.00 v AP 115-373-16 BLOCK TRACT Enclose carport GROUP a TYPE V ZONE Rl FIRE DISTRICT 0171,50 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench S- n Foundation Forms and Grade to Garage /- -- Rough Framing Plumbing, Rough to Slab Plumbing, Rough Complete Temporary Pole Wiring, Rough Heating, Rough Heating, Final Sewer, House Sewer, St. Septic Tank or Cesspool La -'',g, In Out PI ring Plumbing, Final, Fixtures Complete Plumbing, Final Gas Test Wiring, Final Occuuan" _ Form 210 G -H 1500 1-55 2 1956 Costa Mesa Building Department , APPLICATION FOR PERMIT Ill EAST 20th STREET -'� COSTA MESA, CAL FORNIA �7 BUILDING FOR OFFICE USE ONLY � FOR APPLICANT TO FELL IN Receipt No. Permit No. / 7Z 54 Building Add, ess CIV Cr r Costa Mesa, California Reoeiv by Date Recd. 019 -� S� Dilate Issued o �3`� `� Nearest Cross St. -F JC Building Address Owner M Costa Mesa, California Mail e Address •. e D� 1 Nearest Cross St. / Tel. City 7c %Yi-C S ci. No. - S`S Zone No. of Plans Type 1/ Group I j' Architector Lie. Engineer Sc%-�. No. Approved b Date 'ems CORRECTIONS City Lie. Contractor � c ��_ No. Address Legal Description Lot No. //,$- I Block3%,3 I Tract % (Attach Metes and Bounds)//.P&.,/c- /c 3 73 -16 No. of Bldgs. Size of Lot .} CJS', N.won Lot Use ofNo. of No. of tr' Existing Bldg. �G , de,. e I Families / I Rooms J O M yj ( `0 17 Z Setback Line from Rear Yard oZ.� ./-*� Center of Street Side Yard y r i DESCRIPTION OF WORK New i I Alteration I Addition I Repair I I Moving I I Demolish i 'i/ Building No. of "'-e Rooms Stories erior Wall . uvering 5«f I Roof ' " - CoveringJo APPROVALS ndation Location Inspector Date Forms, Materials, p Under -Pinning UseNew / Building �.t�%e tt C 4+'-� ��d� adc) S't-ra a�,(� XZO $td It A -G 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 with all City Ordinances and State laws regulating building construction. Signature of Permittee Authorized Agt. Lath. Int Lath. Ext. Plaster, Int. Plaster, Ext Valuation 0 Permit Fee $ d % 7 -3 i Plan Check $ - S O Total $ / / ' C� Fee T•1 Masonry Reinforced Bond Beam FINAL ..•nnv mu c_nn oxr asa PLOT PLAN Show location and distances from property line and between buildings. I. uc sn-SsPD`21 2m MESA eu J � 0 J � c IL a Street PLOT PLAN Show location and distances from property line and between buildings. I. uc sn-SsPD`21 2m MESA ORANGE COUNTY BUILDING DEPARTMENT 636 North Broadway - SANTA ANA, CALIFORNIA APPLICATION FOR PERMIT BUILDING I FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY i RECEIPT NO. PERMIT NO. BUILDING ADDRESS 1014 Grove Place 0I' / V SCHOOL DIST. Costa Mesa OR TOWN RECEIVED BY �GT /r DATE OF APPL. v .q `!!!! •I' / 0-�/ Y �., DATE ISSUED OCT 2 1 195; NEAREST CROSS ST. State Ave. OWNER PAWNEE HOMES, INC._ADORE DDESS / �./ ¢ 'S MAIL ADDRESS 9363 WILSHIRE BLVD. / SCHOOL DIST. A OR TOWN &;;4' ••j NEAREST ,5= CROSS ST. ✓ VV(+'tr CITY BEVERLY HILLS T,aL'CR. 54361 y ARCHITECTCAIN & MCKERRACHER TEL.ST. 64891 ENGINEER 1. 1 NO. ZO(((JJJE /y]/ NO. OF TYP PLANS I GROUP I l �S c ' 'RESS 2110 E WALNUT S PASADENA TEL, CVNTRACTONrWF)ORT VISTA CO. NO. CR�1 6� SET/BACK LINE FRO CENTER OF ST. REAR YARD SIDE YARD Q=.1 APPROVED DATK BY ADDRESS 6 WILSHIRE BLVD., BEV.HILLS &y CORRECTIONS LEGAL DESCRIPTION LOT NO. t 34 BLOCK 1712 (ATTACH METES 8 BOUNDS) _ TRACT �O NO. OF BLDGB SIZE OF LOT 7200 So. FT. I NOW ON LOT 0 USE OF I NO. OFI NO. OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK O NEW x I ALTERATION I I ADDITION I I I REPAIR I MOVING I I DEMOLISH I Z s BUILDING NO. OF (- SIZE 1034 $O.FTROOMS 5 STORIES t WALL I ROOF COMPO COVERING STUCCO COVERING SHINGLES GEOF LDING NEW RESIDENCE .Att.Cazroort APPROVALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR FORMS. MATERIALS. UNDER -PINNING DATE FRAME: FIRE STOPS, BRACING. BOLTS r AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH. INT. Z2 a LATH. EXT. 71 E SIGNATUROF PERMITTEF HE PORT VISTA CO.. PLASTER, INT. AUTHORIZED AGT ,� IA PLASTER. EXT./.J� Q s 4830.00 P. C. S MASONRY REINFORCED BOND BEAM s r�y VALUATION FEE FINAL .J w Z w J Z_ ' d PLOT PLAN J .3'rn : zI a c _ .r'/.1 311: .. 11 �.T- TU-IJA' .0� ATZI" 7a 09V.•i ..J_1'.`/3-. .(V.'.. CUJS ' v� Y V m m STREET :i. X OSNOJ n' 3�'.IV T':0941s.i .�'.. _ 9V: _a.�. .3'rn : zI .r'/.1 311: .. 11 �.T- TU-IJA' .0� ATZI" 7a 09V.•i ..J_1'.`/3-. .(V.'.. CUJS ' C ^^ _ .1 ..::)a V�J� X OSNOJ n' 3�'.IV T':0941s.i