HomeMy WebLinkAbout2131 RALEIGH AVE - Building Permits(714)754-5273 • Fax(714)754-4856
CITY OF COSTA MESA
� evno�N� �nr►s�oN
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
Job Address: 2131 RALEIGH AV
Suite:
Vicinity: RESIDENCE & ATTACHED GARAGE.
Parcel Nunmber: 42246218
Applicant MCCLAIN, KIM
Address: 72872 VALLEY VIEW ST
GARDEN GROVE CA
owner: SANDOVAL, ROSENDO
Address 2131 R,4LEIGH ST
COSTA MESA, CA
Contrector: MCCLAIN ROOFING
Address: 12812 VALLEY VIEW ST
GARDEN GROVE CA
2ip: 92845
Arch :
Address:
Zoning:
Phone: 714-897-1780
Zip: 92845
Phone:
Zip: 92627
Phone: 714-897-1780
License: 625013
Eng:
Address:
Phone:
S
PERMIT NUMBER
✓
699-00547
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: 04/20/1999
Issued: 04/20/1999
Phone:
Zip License: Zip: License:
SCOPE OF PERMIT
REROOF: T/O EXISTING ROCK ROOF (2:12), INSTALL 2-PLY 15# ASTM FELT & 20 YR 3-TAB COMPOSITION.
AT
FLAT ROOF, TIO 8 INSTALL 28# BASE SHEET 8 ROCH DOWN MODIFIED BITUMEN. 26 SQUARES TOTAL.
FEE SUMMARY
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$74.75
$0.50
$0.00
$0.00
$0.00
$75.25
SETBACKS
MAIN STRUCTURE front 0. 0
ACCESSORY Front 0-0
PARKING Exlstinq: o
NOTES:
Rear 0-0
Rear 0. 0
Required: 0
PLANNING 8 20NING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Righl 0. 0
Right 0. 0
$3,000.00
$3,000.00
NOTICE: The work authorized by this pertnit shall comply with all applirable handicap access requirements under Califomia 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 o�der for the work aWhorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inepectiona end flnel approvel must be obtained. Failure to obtain inspections end final epproval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
,� ��
WORKERS' COMPENSATION OECLARATON: � �
I hereby attirm under penalry of per�ury one oi ihe following Ceclaratlons: � �
❑ I heve antl wlll meintain e certificate ot consent lo sell-Insure for workers' compensation, es providetl for by sectlon 3700 oi t�e Lebor Cotle, for the pertortnance of the
WOfk (Of w111Ch Ihi9 PBrt11i� I9155u0d.
� I have end will meintein workers' canpensation insurance, es required by section 3700 of the Labor Cotle, tor the pertortnance of Ihe work for which Ihis pertni� is issued.
My workers' compensetion Insurenca carrier and policy number are: p
Carrier: � f 1c {'U �U � Policy Number. _ 2 6� f�� 3 C��' �'� OD
(1h/s section need not be com0�etetl i! the permit is va/uetl ef one hundred dollars ($700) or less.)
❑ I certify thet In Ihe paAormance ol the work tor which Ihis permit is issue0, I shall not employ eny person in eny manner so es to �ecome subject to the workers'
compensatlon lews ot Californle, and agree that ii I should become subject to Ihe workere' compensation provislons oi Section 3700 of the Labor Code, I shall tonhwit�
comply wlth thesa pr isions. �// � /yO,
ApplicentSigneWre: �1�7>t �i7�LL'�M� Date: �'�� V/ (
WARNING: FAILURE TO SECURE WORKERS' COIAPENSATION COVERACaE IS UNIAW FUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENFLTIES AND GVIL FlNES UP TO IXJE HUNDRED
T/IOUSAND OOLLARE (E100,000), IN AODRION TO THE Q�ST OF COMPENSATION, DAMAGES AS PHOVIDED FOR IN SECr10N 3]OB OF THE LABOR COOE, INTEREST, AND ATTORNEVS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aNirm thet I am licensed unCer provisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Cotle, end my license is In full
torce end eHecL Lic. x Cless x
comractors Signemre: (ih� � CLv- Date: LJ • Z(%•
CONSTRUC710N LENDING AGENCY:
❑ I hereby aflirtn that there Is a construction lending agency for the peAormance of the work tor which t�is pertnit is luued. (Sec. 3097, Civil Code).
Lentler's Neme: Lentler's Atldress:
SignaWre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirm that untler penalry of perlury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions
Code: Any ci�y or county which requires a pertnit �o construc�, alter, improve, demolish, or repair any sirucWre, prior to Its Issuance, elso requires the applicani for such permit
to tile e signed stetemem t�et he or she is licensed pursuanl to Ihe provislons of Ihe Coniractors License Lew (Chepter 9(commencing with Section 7000) ot Division 3 ot the
Business antl Protessions Coda) or Ihet he or she is exempt Iheralrom entl Ihe Uesis for the allegetl e:emption. Any vloletion of SecUon 7031.5 by any epplicent for e permit
su6�ects ihe applicant to a civil penelry ot not mora than tive nundred dollers ($500).):
❑ I, as owner oi ��e property, or my employees with wages es ihelr sole compensetion, WILL DO THE WORK, entl the siructure is not intended ar aNeretl for sale (Sec.
7044, Business end Protessions Cotle: The Contrectors Licensa Lew does not apply to an owner oi property who builds or improves thereon, and who does such work
himself or harsalf or Ihrough his or her awn employees, providad that such Improvements are nat intended or oHeretl tor sale. It, however, the builtling or improvement is
sold within one year oi completion, the owner-hulldar wlll heve the burden of proving that he or she did not build or improve tor purpose of sale.).
❑ I, as ownar of the propeM. am EXCLUSIVELV CONTRACTING WITH LICENSED CON7RACTORS to construct the pro�ect (Sec. 7044, Business end Professlons
Code: The coniraIXors License Lew does not epD�Y �a an owner of propeM �'ho builtls or improves t�ereon, and who contracts for such project with a wntractor(s)
license pursuant ro t�e Contrectors License Laws.).
❑ I am exempt under sec. Business entl Professions Code for this reason:
Signe�ure: Date:
Ownar ID venlied �y tlrivefs licen5e. ❑ Ves ❑ No Dnvefs License No.
Verification ot Ownership by (type of tlocument, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMR CERTFICATION:
Expires:
❑ I hereDy cenlly that no excavation five (5) or more leet In depth inta which a persan Is required to descend, wlll 6e made in connec�ion with wark authonzetl by ihis
permit, end t�et no buildinq simcNre, scatfoltling, lalsework, or demolltion or dismantling Ihereof, will be more Ihen Ihirty-six (36) feet �Igh. (Chap. 32, Grp 2, Art 2, Sec.
341, Title e, Celifornia AdministreNve Code).
❑ As owner�bullder, I will not amploy anyone to do work which would requlro e permit from ihe Division of Industrlel Safery, as noted ebove, unless such person has e
permit to do such work from ihe tlivision.
Signature: Date:
Division of InGustrial Safery Pertnit Number.
CERTIFICATE OF COMPLIANCE AND AUTHORIZA710N OF ENfTiV: I certity under penalry of perjury that I heve reed this epplication end state Ihat the intormation given is
correct. I egree to comply with all steta laws antl city ordlnances relatlng to bullding construction, antl euthorize representetives of t�e Ciry ol Costa Mesa to enter upon iha
aDove-tlescdbed propeny for inspeaion puryoses. I egree nm to occupy or allow occupancy of any bullding amhorized by this pertnit untll iinal inspection.
Si ,ey/ re Ot Legal Owner(s) Date
�iMr, 'i�9��-C/1.ti:, �/• Z(�' 4i'
And/Or Authorized Applicant Date
CODE �. INSPECTIONttFE
1616 Fixetl System Final Fire Prevention
1266
200
201
202
203
204
zaae>e
Pool Spe Final
Final Re-Roof
Finel BIak/Retaining Wall
Final Fectory Fire Place
Final Sign
Finel Damalition
PAg II�d4S
-� G -�l R ��
COOE� INSVECTIONTYPE
206 Final Met�enitel
208 Final Plumbing
210 Final Electncal
212 Final Fire Preventlon
220 Final Planning Mprovel
222 Finel Slta .
250 FinalBuilding/Occupancy
QAiE 1[�LS
OWNER Pi�1,1,� �N'�H jST. DATE 3-9-56
JOBADDRESS ilil RalPiah AvP. BUILDINGPERMITNO\ Z�t�li
GENERALCONTRACTOR O�
LOT y 3„
GROUP T R. .T
INSPECTIONS
/—�aran�! BN�U �
Footing Trench � ' /w �p
Foundation Forms and Grade to ai
Rough Framing
Plumbing,Roughto ab U1,
Plumbing, Rough Complete
Temporary Pole
Wiring, Rough p
Heating, Rough
Heating, Final
�Sewer, House�,�`., Sewer, St.
Septic Tank or Cesspool
Lathing,ln Oui �
Plastering �
Plumbina. Final. Fixtures Complete
DATE � SUBCONTRACTOR
sidence & gar. �
c DISTRICT aL69
PERMITSISSUED
DATE I NUM91
-195
Piumbing, Fin,al GasTest(jD N.[� �( %�.G'S( ��
wiring, Finai �?/�S %'13'f'� �iC��Pli/ .-:'L.✓ % ��5�-.( _ --> r �x,�
Occupancy � 7,1 Z, S � `
FORM 210 3M IO�v3
__, _ (n:sta Mesa Bnilding Department
111 EAST 20th STREET
` -" COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
ndaresa 2131 Raleigh Averrue
Costa, Mesa, California
Cross SL
owner Kenneth W, Koll
Mail
Address 2826 Nermort Bl
or
:ion � No.
Metes and
No. Hi'
Lic.
No.
useof No.oT No.oT
Existing Bldg. Familles Room:
Setback Linefrom p RearYard
CP�I�PI`lISR1�M� "]�� .QidaVn�d �
No. of
Addition
Stories
APPLICATION FOR PERMIT
2��� BUILDiNG �
FOR OFFICE USE ONLY
� Receipt No. � Perrt
eceived Da1
3-
Costa 1Vlesa, California
� � �
Covering $tucco I cove�toy �ompo APPROVALS
Use oT New
Bullding Residence � �Foundation Location InspeCto
_ Forms, Materials,
Under-Plnning
Frame: Fire Stops,
Bracing, Bolts
I hereby aclmowledge that I have rcad Uus Application
and state that the above is mrrect end agree to mmply Lath. Int
wlth all City Ordinances and State Iaws regulating
bullding rnnsts'uCtlon. Lath. Ext
Signature of
Permittee Plaster, Int.
�7� f
Authorized Agt. P c , C� `L ,.c.r..... plaster, Ext.
Valuation f� Permlt Fee $ 26.�� Masonry Rei�torced
Plan Gheck $ 13.00 Bond Beam
$ 1o,3zo -rot�i 39,00
Fee FINAL
RM 204 S-BP 2M B-6S
J7
PLOT PLAN
Show locatlon and distances fram
property Iina and between 6uildings
0
��nA-9•S�f0005T^ Zli ' 9.��
11ESu �'^'?
•R1
A
uwntrc NII.SON, JAhIE..
�JOB ADDRESS Q]31 Ral.e
GENERAL CONTRACTOR �
,j� AP No. ]15-1F32-19 LOT
�' INSPECTIONS
`�-501 L
s�.5
, WnTER
�ROUGH PLOM6ING
PROP. SWR. LINE ❑ HOUSE CON. �
SPRINKLING SVSTEM
MISCELI.nNE0U5
ROUGH HEATING ANO AIR CONDITIONING
TEMPOR4RV SERVICE OR POLE
UNDERGROUND � POWER �
ROUGH WIFING
TRENCHES FORMS � STEEL NEINF.
FLOOR SYSTEM
BOND BEAM � STEEL REINFORCE �
SHEATHING
FRAME PND FLASHING
LFTHING — IN ❑ OUT ❑
P�ASTER,BROWN COAT
STRUCTURpL, FINAL
HEnTING, VENT.,
PLIIMBING, FINAI
ELECiRIC, FINAI
BUIL�ING. FINAL
REFRIG. RND A.C., FIN�L
ANO WS TEST I—I
UAIt
SUBCONTRACTOR
PERMIT N0.
. 4�84 I
COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applican[ to Fill in Completely — Use Ink Only
BUILDING n
ADORESS ( �''�.
OwNER o,,,/
MAI�
ADDRE55 -`� a A✓ G
�J �f TEL.
CITY (_nG/A17"/P_S�. NO..tiUR�:
BRPNCH
ADORESS
CONTRACTOR
CIT�
F STATE
i LIC. NO.
W♦
SIZE
0. OF 40T
a USE OF
.�. EXISTING
y
.i.'
E
C]
[.W., us OF I
0
�
a
>
�
�
a
w
a
TEL.
TEL.
NO. .�QD_
CITV
LIC. NO.
NO.OF BLDGS.
NOW ON LOT
Separate permits are required for
electric, plumbing and heating work.
- �,�� x � O
,,, ,z_;�.F=..�� ���:� ::::-��:1F5C
r�,
FOR
A.P. NO. I I � �
BUILDING ^,'i + .'z
ADORESS L �
TRACT
fRUCiU AL PERMIT
'F�� TE ISSU
L 9�-.�.3,
PER O .
I
7 ` � �)
_ V
LOT BLOCK
ow a �A ES �' �EL
� bEG—t1c��E 2eud�ikYcAt�s .� o�—
FIRE
20NE TVPE GROUP
BYPROVED ��_ DATE I�'I�� I�J^
`j7� � A.15` �
E NO.OF , USE OF N
PLANS � BUILDING
VAfl�SAPPROVED VARDSAP OVED
MAIN BVILDING ACCESSORV BUILDI
(FROM C/L STREET)
ROM '�FT. FT.
� 1 t FT
L. SIDE ��FT. FT.
REAR FT. FT.
OISTANCE BET. BEY. MAIN &
MAIN BLDGS. ACC65. BLDCv^.
VAR.� DATE
G.U.P. qPPROVEO
nraa � �Irl ... r� ll — � `I - 7�
0 I heYaby acknowlatlpe thet 1 have reetl thi� application entl rtata '^
a that the ebove Information Is eorraet nntl aBrea to comply wlih m
� all laws reguletinp bullGinq co�structlo�, entl 1 shell noc employ
z any person In vlolaUon of ihe workman'a compenaailon laws of m
= Me S�ata o( Celifornla. Cj � m
3 1 hareby cartlfy thet I am properly Iicencatl es e contractor untlar �7 SQ. FT. w
the Siete of Celifornla Busineca antl Profasslona CoCa, Divielon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chap<ar 9, and that such Iicanws era In full force entl aftact, or I THE PURPOSE OF EST �$HI RMIT FEE ONLV: �
em ezempt from Me prO�lalona ot the State of Callfornia Businesz V ALUATION P RMI E E� �
end Profacslons Cotla, Divislon 3, Chnpie� 9. u+
pp m
SIB�eiure of / ^��� � � P�N CHECK E p
Pormittee «1Y14LiJ 7/ S W TAX S � LL
f
Authoriz d ABent U
TOTAL.PAID E �