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Home My WebLink About2124 RALEIGH AVE - Building Permits ;; ____ CITY OF COSTA MESA °t'r potai ^__,_ `� BUILDING DIVISION ��- I- ' DEVELOPMENT SERVICES DEPARTMENT • J PERMIT PERMIT NUMBER ` 698-01470 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2124 RALEIGH AV Status: ISSUED Suite: • Applied: 08/17/1998 Vicinity: Issued: 08/17/1998 Parcel Nunmber: 42246305 Zoning: Applicant: WOODARD, RUBY Address: Phone: 949-548-1060 - Zip: Owner: WOODARD;ALANW , Address 2124 RALEIGH AVE - ' /.;.,, ' COSTA MESA CA - Zip: 92627 `-, Contractor: - _ Address: i Phone: N , t , Zip: - License: • Arch/Eng: Address: - • •'.— - . .. �- • ; . ' "y "Phone: _ - Zip: License: - SCOPE OF PERMIT / -T/O EXIST GRAVEL AND INST COMP SHINGLES.•• ' -- / v • • FEE SUMMARY % ' Plan Check: $0.00 _ -7- - i '•'. %_ t - Calc Valuation: $1,200.00 Permit: ' $40.25 - y/' Claim Valuation: $1,200.00 SMIP Res: $0.50 / , SMIP Com: $0.00 , •• Other: . • $0.00 -- Inspection: $0.00 Total: $40.75 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: • f i UyJ ` -Ce % .. ':/ :1 lk,_,. ` ' N. �+ 4 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 f I 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 end 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 workers'compensation Insurance carrier and policy number are: Cartier: Policy Number: (This section need not be completed it the permit/s 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,and 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: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CAVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100.000).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 provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.UC.N Class x Contractor's Signature: Date: 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: Lenders 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 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 sub a 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.). • am•...nf•11T:'! s:: Business and Professions Code for this reason: p�'y�7 ' Signet Wiy / _ 1 / Expires: • mer ID edfie• � driver's license. � es 0 No Drivers License No. 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(38)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: 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 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 California Health and Safety Cale 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 apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? IYes LJ 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? 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: I 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 abb i/ props tori pection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final in/ on. es Legal Owner(s) Date And/Or Authorized Applicant Date CODE L INSPECTION TYPE DATE IIMALS COOS E DLSPFCTION TYPE DATE la* 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 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 KOLL, KENNETH W. DATE 3-9-56 . JOB ADDRESS 212y Raleigh Ave. BUILDING PERMIT NO. 2456 GENERAL CONTRACTOR OWner VALUE $ 10,320.00 LOT 16 BLOCK TRACT 23148 Residence & Gar. GROUP I & J TYPE V ZONE RL FIRE DISTRICT 2482 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR Q-9,4n D„, wr. IL-,(f-4L DATE NUMBER Footing Trench - -- /p!�sc. Foundation Forms and Grade to Garage _ Rough Framing F.0, ' 3 �-9.. g Plumbing,Rough to Sla _.. -4/1.1.112 ten _ Plumbing, Rough Complete .- • f /6- F6 4 - O.. ! es /j-Cg </VS p -- Temporary Pole // Wiring, Rough if/Ca 1-9-ic Oir_cr '.'nQ- e) . q4 -37, a 07 77 -- Heating, Rough /]/��.. _ Heating,Final (/K/p 3 A;eh„o„ , 3,,,t.- -0 PR • • /L/_ 9 7 /Sewer, House d.C,.rG Sewer,St. V 7-3' 51 l&y,o GOs.Qu e, . -.P9 -s4 Cr)7/ — Septic Tank or Cesspool J �,( Lathing, In Out p -M. /7-1 Plastering 0 94 May Plumbing,Final,Fixtures Comple Plumbing, Final Gas Test 4114,(/ C2G0_..Z/ 2I/ oO- /-S G is Wiring,Final / 7!I ��,e/&'/St 1) Occupancy /� ' 4 Jet v ' FORM 210 3M 10.55 Costa Mesa Building Department APPLICATION FOR PERMIT r, `- - 111 EAST 20th STREET • COSTA MESA, CALIFORNIA 2482 BUILD 1 N G 1 ,\E, ' FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY ?-�t Receipt No. I.2 4711 g Address 2124 Raleigh Avenue YY////Ih" Costa Mesa, California R� i `d by D e Re d. Date Issued Ind 38/ �G' dAR 9 1956 Nearest Cross St. Building Address Owner Kenneth W. Koll Costa Mesa, California Mail Address 2826 Newport Blvd. Nearest Tel. Cross St. i City Newport Beach No. Hr. 5201 Zone//-' i No.of Type a u c ick Architect ortic. �" r I Plans Engineer No. Approved by Date Address CORRECTIONS / City Lie. Contractor L(/-yt�QN No. Address Legal I Lot , I Description No. 1 1 Block I Tract2348 (Attach Metes and Bounds) No.of Bldgs. Size of Lot 60 x 100 Now on Lot Use of No.of No.of - A Existing Bldg. I Families I Rooms - 6 Setback om t Rear Yard 27t Z Center of Street 50 Side Yard 51 > DESCRIPTION OF WORK r MAR New I X I Alteration I I Addition I MAR 9 19b6 Repair II Moving I I Demolish I Building No.ofCITY OF COSTA MESA Size 1,200 Rooms 6 Stories Exterior Wall I Roof — Covering Stucco Covering CanpO APPROVALS Use of New Building Residence /4 Foundation Location Inspector Date Forms,Materials, 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 of Permittee Plaster, Int Authorized Agt i �D�� Plaster,Ext .e Valuation ' Permit Fee $ 26.00 Masonry Reinforced Plan Check $ 13.00 Bond Beam $ 10,320 Total 39.00 Fee $ FINAL -rnfM 905 S-RP SM 655 .. - _ d C W a J o a o a` • cosie He —�->sPD„ESA 342 u:-:3g,np • Street PLOT PLAN • Show location and distances from property line and between buildings.