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HomeMy WebLinkAbout1147 PAULARINO AVE - Building Permits •• CITY OF COSTA MESA • 9 BUILDING DIVISION > 2t , DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT ° eos-oosn �, (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.TWILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 1147 PAULARINO AV Status: ISSUED Suite: Applied: 06/19/2006 Vicinity: Issued: 06/19/2006 • Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N Parcel Number 14114207 Zoning: Applicant: DAVID GARCIA Address: Phone: 714-968-8754 ISSUED BY: Zip: Owner GULARTE, BARBARA V Address 1147 PAULARINO AVE Phone: - COSTA MESA,CA Zip: 92626 Contractor COAST ROOFING • Address: 21681 IMPALA LN• Phone: 714-968-8754_ HUNTINGTON BEACH,CA Zip: 92646 License: 450393 Arch : Eng: Address: Address: Phone: - Phone: Zip: License: License: SCOPE OF PERMIT - T/OFF AND REROOF 2400SF RESIDENCE W/COP SHINGLES. FEE SUMMARY Plan Check: $0.00 _ Calc Valuation: $5,485.00 Permit: $125.25 Claim Valuation: $5,485.00 SMIP Res: $0.55 - SMIP Corn: $0.00 Other: $0.00 • Inspection: $0.00 • Total: $125.80 PLANNING-84 ZONING SETBACKS . . MAIN STRUCTURE Front 0-0 Rear 0-Or Left .-0;0 Right 0-0 ACCESSORY Front 0-0 _ Rear' 0-0 Left 0-0 -- Right 0-0.' • PARKING Existing: 0 Required: 0 Proposed: 0 i NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21.92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 24443-48(8/%) DECLARATCONS ,• a • WORKERS'COMPENSATION DECLARATION: • I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My wodkcee$�'c77orppensattiio�n Insurance tf9r`er and policy number are: / ^� / Carrier: 7A S / U N �/ / Policy Number: /11 1 90 P1D4 (This section need not be c metered it the permit is valued at one hundred dollars($ 00)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,a agree that if I should become subject to the workers'compensation provisions of Section 3700of theLaborCode,I shall forthwith comply with these Date: 6 r 9r7 — C �' .3� WARNING FAILURE fl WARNING:FAILURE SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(VOODOO),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 Iiqc9�n/67 d U der rovisions of Chapter 9(commencing with Sectio 00)of Division 3 of the Business and Professions Code,and my license Is in full force and effect.Lic.# / C Q Class# C ''•S Contractor's Signature: C-c -"i " Date: F r/9-0 A 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 properly 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 properly 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,An 2,Sec. 341,Title 8,California Administrative Code). O 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 tiled 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 aril 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 a plication aermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U 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 California Health and Safety Code). 7 If a permit from the South Coast Air(Duality 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 Califomia 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. Signature Of Legal Owner(s) Date And/Or Authorized Applicant Date • CODE t IBSPECTION TYPt ' .. PAIL INTRIALS ODE* INSPECTION TYPt pmt INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical • 1266 Pool Spa Final ' a Z J�7 / 208 Final Plumbing 200 Final Re-Roof 6� 311& c✓A _ 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 GuT ARTS, J.P, DATE 5-30-78 JOB ADDRESS 1147 Paularino Avenue BUILDING PERMIT NO. 4612t3 GENERAL CONTRACTOR Capie B Norris DESCRIPTION of WORK Add Den to Residence _AP No. 141-142-07 LOT TRACT FIRE ZONE VALUE S 6,000. 1 ICTIONS Signature Date TYPE V GROUP I ZONE R-1 S`'•- PERMITS 1554ED GAS Number SUBCONTRACTOR II - DoteSignature WATER Plumbing ROUGH PLUMBING • PROP. SWR. LINE 0 HOUSE CON, u SPRINKLING SYSTEM . MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING 17-.72.---- -mo\ n n CN. r :7 1` 1 TEMPORARY SERVICE OR POLE -1 (/ V I ; \ " it u ,I - y1 UNDERGROUND 0 POWER ❑ I �, I II 1 , t ROUGH WIRING • 'I -lam H1eai4i. .gild rVenia :I \J \••••-"J 1__ - -D I TRENCHES ......----FORMS e STEEL REINF. F-+ Ilrr 77- AI FLOOR SYSTEM I \t�a'� /�/-.J- T 1 BOND BEAM F1 STEEL REINFORCE n I L ` 1 SHEATHING /1474 , DAIt ?R.I.- ��j FRAME AND FLASHING � i LATHING - IN G OUT t-I PLASTER. BROWN COAT S- -TUBAL, FINALla Gfti[ IJ/y �[ H JG. VENT.. REFRIG. AND A.C.. FINAL ��'/J� I71Q7odsv PLUMBING. FINAL AND GAS TEST [l p ELECTRIC. FINAL {-, ef ' 1.-"7 ‘ BUILDING. FINAL LoT. 51 TRACT 4395 F E RECEIVED • 16326 JAN 3 11962 COSTA VESALIUILDING-SAFETY DEPARTMENT FINANCE DEPT. P. 0. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT ///� TYPE ORJ PRINT BUILDING ES ADDRS /J% 7 Tu/G/!n U COSTA MESA. CALIFORNIA For Office Use Only I RECEIPT NO. PERMIT NO. OWNER K & K DEVELOPMENT Co., INC. 1 �P.(yI�(] MAIL RECEIVE BY DATE ED -rr DATE ISStT_ ADDRESS 1555 PLA CENT IA AVENUE ,. I 1/ 4. JAN 31 1962 TE CITY NEWPORT BEACH N I 632 27 BUILDINGADDRESS AR( INTER NON No. COSTA MESA. CALIFORNIA FIRE P`1.i y�/ pL y(/� ADDRESS ZONE TYPE 1� GROUI /f- l CONTRACTOR K. W. KOLL APPROVED (� BY DATE ADDRESS 1555 PLA CENT IA AVENUE ZONING ZONENO.OF .J USE OF NEW .1 -fa.A CITY ( NEWPORT BEACH / qqqq g-/-I I PLANS L I 5. BUILDING sharp"Ja STA TEL. E LIC.TNO. 01195 NO. M I . 6-322( AL DESCRIPTION tat .f'/ TR 9 3 7� SIZE 6 '!'y f/ / NO. OP BLOGB. LOT /)L3 NOW ON LOT p,p,NO. --_� USE OF YARDS EVES EXISTING BLDG. NONE _ APPROVED ALLOWED SETBACK LINE FROM (T r/' - ICENTER LINE ET.) CENTER OF STREET �J /..7 REAR YARD FRONT s z' FT. s- IN. SIDE YARD I LEFT 7 / / _RIGHT R.SIDE17 FT. IN. DESCRIPTION OF WORK L.SIDE 7 FT. IN. NEI,. X I ALTERATION I II ADDITION I REAR a-5— FT. — IN. REPAIR I D MOVING I II DEMOLISH I APBYPROVED Ql/7/(A® DATE I /30/(t BUILDING /303 C f>< NO. OF A SIZE „ _ FROOMS q STORIESt. ' • QJ EXTERIOR WALL CO!ROOF L'e!/6/` i - COVERING STUCCOVERING //- >/ ..,7 Q USE OF BUILDING AND WORK TO BE PERFORMED , r SINGLE FAMILY RESIDENCE WITH ..----- ,7I/I/ /+/ ATTACHED GARAGE. Oar, "7 PLAN # .S.r4 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 REGULATING BUILDING CONSTRUCTION. VALUATION SIGNATURE OF Adele---d PERMIT FEE $ 3*'— PERM ITTEF J�[J .� /�T $ / / /`� ! PLAN CHECK $ / J `� `S _ p B AUTHORIZED AGENT TOTAL FEE $ LL -- E 2 1870 6/30/78 64_.50 TLS COSTS\MESA BUILDING-SAFETY DEPARTMENT "- . " ' ' ' P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 AP'LI t TI q N FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RE / Vr C DATE RECEIVED DATE ISSU -BUILDING // e/` 7 !/ rte_c_eLsGGADDRESS I 54/ . OWNER �NtirIfoe�i2sv / -� A.P. NO. / / Sv MAIL // / BUILDIN CC.--1 ADDRESS ' -I /G ADDRESS//E77 ..e// 42.,-4„....44442.,-4„....444 ".Q TEL. CITY arA-z... jL<t.,e.-A NO. TRACT9.3 + LO67 BLOCK CONSTRUCTION NEW ADD_ALTERR REPAIR MOVING DEMOLISH LENDER •,�j[\/' / A /yt�� RANCH / ADDRES OWNER .7 6Tho L.A' G ADDRESS t!r VALUE •� ARCHITECT TEL. S OR ENGINEER NO. FIRE ADDRESSZONE YPE GROUP 6 of _ _ APPROVED 5--r34:7 CONTRACTOR ye/flocs l.Fj�4'� V DATE I- 1 ADDRESS J -V SR-...�/A^ /'r9 c`,�/; j NO.OFJ / CITY tiA 4C/n• NOL YT 8,60II 2ONJ PLANS...Z.BUILDING ERZ �� F STATE-2,42)14A,, r CITY YARDS APPROVED YARDS APPROVED LIC. NO. ( Th g 3,S LIC.NO. MAIN BUILD!, G JLCCES/+RV BUILDING W SIZE I NO.OF BLDGS. (FROM C/L T• - T) / / CI. OF LOT G, x . I I NOW ON LOT ;.NT / '. i / a FT. a USE OF / (/ 4EXISTING BLDG. (�u���.�� a _p R-SIDE -7 FTC _ FT. /( FSeparate permits are required for L.SIDE3S-FT. 0 FT. electric,plumbing and heating work. '7 / // REAR 7 FT© FT. - USEOF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& ti MAIN BLDGS. ACCESS. BLDGS. C [� VAR.sY+ DATE in d 4 lJ�P C.U.P.�'. APPROVED a / /� ^ / APPROV ` /� OATF O ,vQ" IX r- --‘2 -� C,/�P{' W 0 I hereby acknowledge that I have read this application and state C‘ that the above information Is correct and agree to comply with -- Cl. all laws regulating building construction, and I shall not employ Z any person In violation of the workman's compensation laws of WZ" the State of California. 21/ SO. FT. m 3 I hereby certify that I am properly licensed as a contractor under N the State of California Business and Professions Code, Division 3, TH AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the provisions of the State of California Business '9.(fa d e end Professions C ,Division 3,Chapter 9. VALUATION PERMIT FEE S u) / �� m PLAN CHECK E G Signature of ,(�T U. Permittee , S Gt, 4 ) TAX S �) u. .—./' • D Authorized Agent TOTAL PAID I. 6 /7y