HomeMy WebLinkAbout1146 PAULARINO AVE - Building Permits w
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111/ CITY OF COSTA MESA "� J
4 BUILDING DIVISION --
DEVELOPMENT SERVICES DEPARTMENT PERMIT NUM R
t
j j4 PERMIT
J r�h�
B04- 19
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 1146 PAULARINO AV Status: ISSUED
Suite: Applied: 08/27/2004
Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 08/27/2004
Parcel Number: 14160412 Zoning: R1 R1
Applicant LE, VINNY • ISSUED BY:
Address: 9612 SUTHERLAND WAY
Phone: (714)541-5351
GARDEN GROVE,'CA Zip: 92844
Owner: CHU, IVAN &VAN
Address 1146 PAULARINO AV
Phone:
COSTA MESA,CA Zip: 92626
•
Contractor: WESTMINSTER ROOFING CO
Address: 9612 SUTHERLAND WAY
Phone: (714)541-5351
GARDEN GROVE,CA
Zip: 92844 License: 694940
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF RESIDENCE AND ATTACHED GARAGE:T/O EXISTING COMP ROOF, REPAIR/REPLACE SHGT AS NEEDED, 1 LAYERS 30#FELT,
APPLY"30-YEAR COMP SHINGLES."25 SQUARES
• FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $5,000.00
Permit: $111.25 Claim Valuation: 55,000.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $111.75 .
PLANNING &ZONING
SETBACKS •
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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
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
2446.46(6/00)
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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,es required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(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 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,end 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 provisions.
Applicant Signature: _ Date: f �l
WARNING:FAILURE TO SECU- ORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO C MINAL P TIES AND cm_FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,003),IN ADDmON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF E LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business. d •rofessions Code,and my license is In full
force and effect. aa /� Class# C
Contractors Signature: Datate::
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).):
❑ 1,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 sac. 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,wit be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,Califomia 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 Califomia 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 Califomia 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? ❑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 ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes D No
(Section 65850.2 of the Califomia 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? 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 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
6 (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 COMPUANCE 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 reaction purpose .I agree no a'beeupy gr allow occupancy of any building authorized by this permit until final inspection.
Signet a Of Legal Own@r(s Dat
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And/Or Autf}Er tl Applicant 46ate
CODE# INSPECTION TYPE PALE INTJIAJS CODE T INSPECTION TYPE DAM INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final q208 Final Plumbing
.
200 Final Re-Roof I rd/, 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
• J '
OWNER Seaview Homes Inc. DATE 6-19-62 •
JOB ADDRESS 1146 Paularino Avenue BUILDING PERMIT NO. 17293
GENERAL CONTRACTOR S. V. Hunsaker & Sons VALUE $ 141471.00
AP No. LOT 2 TRACT 4565 FIRE ZONE DESCRIPTION OF WORK res watt gar
I 'ECTIONS Signature DATE GROUP I&J TYPE V ZONE R1
Soil/(.y .,12„ q.t:• ..4. JC fr-73-7%7-• rfjlJ % � PERMITS ISSUED
$1,61,Gas SUBCONTRACTOR DATE NUMBER
Waterg..4� 41,4),...l/��
Rough Corn. Refrig. ❑ Air Cond. 0 /
Rough Heating - e' 0 / r- — _Z-IL-4-2_.2 4 _7// ✓�
Rough Plumbing J'F& - • � _6• yt *t- mom g re
Miscellaneous 7 5
Prop.Swr.Line cL.3ouse Con. 1 -St.Swr. 0 n,_ L/L 6
Sprinkling System
� 5 � ql6
Construction Pole
Underground 0 Power ❑
Rough Wiring §:Qin/' 7-3V-LZ-22iei{✓... / 7-7-0-E✓ /,Qoo 71
Trenches U Forms U Steel Remf. U (tbrY(a (.) . 0 . 5 2o.
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing 11�!4'4) ?IA 0
Frame and Flashing id //-/-Cz
Lathing — In Q-- Out Cr" /9, e-a ^ Ci-
brown coat R -1"-7-61
•
Pg. ❑ Air Cond. 0 Final
Heating,luminFinal bc. /0•,Q_(,-
Plumbing Fixtures, Final u/ �p-,Q.��
' Final Gas Test /L� ��/�/ f0��.�7
Electric Fixtures, Final e- / Z !J Cr
. Building, Final
OCCUPANCY
cnpM nen.cu — v.ei 170(]0
17293 FEE RECEIVED
SrMESA BUILDING-SAFETY DEPARTMENT �� JUN 151964
P. 0. sox 517 COSTA MESA. CALIFORNIA crlITTFINAFFNCrrEn(���TTD��EPMMT..����
For Applicant fo Fill In Completely
L APPLIckfiiccP OR PERtttP
�/ TYPE OR PRINT/ ^ A/ • BUILDING
ADDRESS' BUILDING �// ��UGYT��L✓ O
COSTA MESA. CALIFORNIA For Office Use Only
IRECEIPT NO. "177291OWNER Seaview Homes Inc.
MAIL 1602 W. Almond • RECBI D Br DATA RECE1Ve9. I' DATE ISSUED ?
ADDRESS ��Ii�-V/� _UN1 9 lye{[
TEL. BUILDING
CITY Orange NO. ADDRESS
AROR` ,NEER�amtlelg & Lowrey No4,17-6731 COSTA MESA. CALIFORNIA
ADDRESS 2127 N. Main-St. Santa-Ana FIRE , ell
ZONE TYPE (//GROUP�/
CONTRACTOR S. V. HBnsakeI & Sons APPROVED
BY DATE
ADDRESS 15855 Edna Place ZONING
CITY Irwindale XON NO.OP I USE OF NEW S.
-7Jq Rea,
—` IPLANS 2, BUILDING 4/ .1_94,
STATE
T TrEio. 164929 TEL.OED8-7361 LEGAL / 74 Z L3-"‘i
/SIZEq Y DESCRIPTION /1 .�✓` �/
OF LOT V7 0 /( /0 D I NOW ON LOTS a ^!—
A.P.NO.
USE OF YARDS EVES
EXISTING BLDG. �✓ APPROVED .T ALLOWED
SETBACK LINE PROM REAR YAR ../ ` / FRONT LINE STI 9 7 FT. '�- IN.
CENTER nen( / L. ,t'''
SIDE YARD I LEFT I RIGHT `u / R.SIDE FT. IN.
DESCRIPTION OF WORK ,s —
L.SIDE FT. IN.
NEN • I XII ALTERATION I II ADDITION I REAR 2 7 FT. 6. IN.
REPAIR I II MOVING I IIDEMOLISH I A4Pf,CPPROVED //1�8� DATE O42, /‘-2--
SSIZIELDINGrn y s--- ROOMS STORIES 1 J`
EXTERIOR WALL. Stucco ROOF Cap. .
COVERING iding COVERINGShingleS
USE OF BUILDING AND WORK TO BE PERFORMED /4°(/-S -•
/I�^,L S ��
Single Family Dwelling with ' !X/ 3 0 0
Attached Garage . GA fit , // q2-0
- Plan S-.s^c iteG// /1 //C
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- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGUUTIHO
BUILDING CONSTRUCTION. VALUATION �/p'
SIGNATURE OBS PERMIT FEE $ /O
PERMITTEE ^' V• HUn88Y.eI & Sons /c`./ ,/P-,�— �/ e
///�/J�� /� $ /.. /H/ PLAN CHECK $ a 7
AUTHORIZED A Tj/ 1-1. p
TOTAL FEE $ 7_2 y
OWNER ZAVALA L. C. - - . DATE . , AUG 2 9 1963
tS JOB ADDRESS 1146 PauJ.a '1II0 Avenue BUILDING PERMIT NO. 20477
.V GENERAL CONTRACTOR Continental Constr.q
VALUE $ 563.00
"'iii A- -'o. LOT 2 TRACT 55 FIRE ZONE DESCRIPTION OF WORK pvt.blOCkWa11
7 Ii Ai CTIONS Signature DATE GROUP J TYPE III ZONE RI.
n Soil - - SUBCONTRACTOR PERMITS ISSUED
Gas DATE NUMBER
Water
Rough Com. Refrig. ❑ Air Cond. ❑
Rough Heating
Rough Plumbing
Miscellaneous
Prop. Swr. Line 0 House Con. 0 St. Swr. 0
SQrinkling System
Construction Pole
Underground 0 Power D
Rough Wiring
Trenches 10 Forms a - Steel Reinf. ❑ g•-•"g 1_3. rt?
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing
Frame and Flashing
Lp"-ing — In Out 0
1 r, brown coat
Re.ag. 0 Air Con. 0 Final
Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final _
Building, Final r
OCCUPANCY 'ill I •
Form BU4-6M--3-63—$-B P 7f11.77
9?� 20477 FEE RECEIVED
)TA
'MESA BUILDING-SAFETY DEPARTMENT AUG 2 9 1963 l
.O.BOX 317 COSTA MESA.CALIFORNIA FINANCEn DppEPMMT.CCpp cd For Applicant to Fill In Completely GMOPLIeFAiigt5IFOREPERMR
TYPE OR PRINT / BUILDING
For Office Use Only
BUILD
ADDRESSING
V��t...t .i..-w2'-.1. d
"� RECEIPT NO. PEgMITNO.
COSTA MESA. CALIFORNIA .�3 D /Y/'-7
P RECEI�V�E�Dp T DATE RECEIVED DATE ISSUE
OWNER t- - C • .'--2._it...�at.0J Y C�1 l'-z7.- 3 79.9 /
[}'�J p BUILDING ,/� Q� /�
ADDRESS `\� "QTS V2 ADDRESS 1 /`i(�) ��!-zzr -GC{.f -
`^V(�` TEL.LIQ �O FIRE
CITY �'L i A `\\6Ln_ NO. SVD
-`ou ZONE TYPE_ / GROUP ir
APPROVED
AR TECTTfyy,� BY DATE
OF INEER ITO,
ZONING
ADDRESS '/
toe NO,OP a BUYSE OF NEW t ,19
r•�� � A-/ I PLANS I
ILOINO r /Q G��q
CONTRACTOR Cala -\� �Ca'ranZ 4 l �`:\ ^y.�1�
LEGAL
ADDRESS -7-'I'7--.-Z C• „\A a DESCRIPTION
Ir�� `Q- V�V�
CITY 'TP^�3iC� A.A.P.NO. -. .
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL<,q TEL. c1-3.Z4 C, SO-TO SIDE @ REAR P.L.
LIC.NO. \ NO.
EAVES
SIZE \ \ I NO.OF SLOGS.\ ALLOWED (U.B.C.REQUIREMENT)
OF LOT 'IQ X'1/40CS NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET)
SETBACK LINK PROM FT. �^
CENTER OF STR@ET REAR YARD I I ±1
SIDE YARDI LEFT l I RIGHT R.SIDE FT. FT.
(
DESCRIPTION OF WORK L.SIDE FT. FT. / f
NE - J ALTERATION _ ADDITION REAR FT. FT.
.
DISTANCE BET. BET.MAIN a
MAIN BLDGS. ACCESS.BLDQS.
REPAIR MOVING DEMOLISH _
VAR.# DATE
BUILDING NO.OF
SIZE ROOMS STORIES C.U.P.# `/^/ APPROVEDR9//}�
COVERING EXTERIOR WALL COVERING ROOF in /,/ /I/I DATE `� �/ /1�3
USE OF BUILDING AND WORK TO BEP FORMED I ///"'��` R
`OC f.. 'ajo. ..-._ .A )(♦\�p rI
N
SQ.FT. T
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE Z
AND STATE THAT TH ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY 0 DIN N TT LAWS REGULATING VALUATIONm
BUILDING CON RU O • h
PERMIT FEE $ v ' J� ON
SIGNATURE OF �
S
PERM)TTEF AeS- $ 5.,--- C C
c �) u
AUTHORIZED AGENT TOTAL FEE $ 5 r