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Home My WebLink About1200 DORSET LN - Building Permits CITY OF COSTA MESA BUILDING DIVISION }: ,,,,,' DEVELOPMENT SERVICES DEPARTMENT PER NUMBER t'1 j j� PERMIT I .yam 27Ldp B05-01101 (714)754-5273" • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1200 DORSET LN Status: ISSUED Suite: Applied: 07/05/2005 Vicinity: SIDE PROPERTY LINE Issued: 07/05/2005 Primary Occ: Type of Construction: Parcel Number: 14115304 Zoning: R1 Applicant: PARKIN, GARY WILLIAM ISSUED BY: Address: 1200 DORSET LN • Phone: COSTA MESA;CA- Zip: 92626-2725 Owner: PARKIN, GARY WILLIAM • Address 1200 DORSET LN ' - Phone: - COSTA MESA,CA Zip: 92626-2725 Contractor: OWNER-BUILDER • Address: Phone: Zip: , . Licenser 000000 - Arch : Eng: • Address: Address: .Phone: Phone: Zip: License: License: SCOPE-OFPERMIT; '" • 73 LN. FT.OF 8 FT.HIGH BLOCK WALL(ORCO-LAPAZ SLUMP STONE)ALONG'FAIRVIEW'RD,SIDE PROPERTY LINE, PER CITY STANDARDS. REF: MINOR MODIFICATION MM- FEE SUMMARY Plan Check: $35.10 . ' Calc Valuation: • $1,460.00 .Permit: $54.00 Claim Valuation: $1,500.00 SMIP Res: . $0.50 SMIP Com: $0.00 • ' Other: • $0.00 Inspection: $0.00. - Total: $89.60 PLANNING&ZONING • - - SETBACKS MAIN STRUCTURE Front '0-0 N , Rear 0-0 Left 0-0 , Right0-0-,; ACCESSORY Front 40-0 Rear 6:0 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) 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,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 end policy number are: Carrier: Policy Number: (TMs section need not be completed if the permit is valued at one hundred dollars($100)or less.) 4 ,.- i rtffy that in the performance of the work for w ' rmit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Cal • la,a • :gree that I shout e subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisi•ti gnaturem-=. �1/ D. Gi AIRF LURE TO SECURE`• 'COMPENSA ON PAVERAGE is UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI PE MLL TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS 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.Llc.# Class# 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 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 sub ects the applicant to a civil penalty of not more than five hundred dollars($500).): �• 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) li_Ose.purssuant to the Contra.+rtxr 'cense Laws.). -. Item ex:q � sec. Business and Professions Code for this reason: Signature:r��,_. WWI_ ' - • Date':�Fe' -- �� - V — •�a-�-... . / mer ID vedfl:. • drivers li ''-=. 0 Yes 0 No �-.Offfrels,Lc�enseO; _.• xplres.. 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,faisework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Orp 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 Safely,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safely 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-le-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 end Safety Code been fully complied with? ❑Yes 0 No or present n or -. 5 Does or will the applicant present future building occupant at other for the work which is the subject of this a estion apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? �Yes ❑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 ❑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: CERTIFICATE OF COMP D • • RIZA11O- •F E -Y:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply wi l tat= - s and city•rdlnances elating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described properly for i +s •n pu •• es.I :gree not upy or allow occupancy of any building authorized by this permit until final inspection. / ci And/Or Authorized Applicant Date pew•, INSPECTION TYPE DAIS USW QQQH INSPECTION TYPE QA¢, =ALE 1818 Fixed System Final Fire Prevention 206 Final Mechanical 1288 Pool Spa Final 208 Final Plumbing -. 200 Final Re-Roof _ 210 Final Electrical 201 Final Block/Retaining Wall 7—Z/-05 212 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 a\\ 3 \DV rig (99.38, �� y ,eel )S✓ N1/4.009WW$s P_ sl.atwq.. ..4,_ a.�_....*_..._ --...;i \�?*N'N •Q 4 a -g d 0 rl 1 zoo tors-e+ Lave. 4i 00 - 5 rn 6 APPROVED CITY OF COSTA MESA PLANNINC DIVISION SUBJECT TO BLDG. DEPT. REG. NOTE: ADDITIO 4IS,DELETIONS, OR CORRECTI NS SHALL BE APPROVED BY E PLANNING DIV. BY: / DATE: V5/25 L ' MM- o5-aS T JJors&t ane_ 605-otloI r / • TYPICAL 8" CONCRETE BLOCK FENCE a • �iy�}'��'�i�J'ViJzi�i�i�'�si�y'�ai�iJ'4i�igigiT } G'i�iii'__i_�zigis pi \4�J:f 4,J\.�JJ.p�:.�JJ'GiJJJ.rJ.�J�JA.�4.E1 \4�JJ�V.�.�. \.�J3]■.� „ I 'Cement Coping Optional %I "- -, ■,. GENERAL - NOTES Channel block with one 5/8 �� Mortar: One Pori Plastic Cement. Horizontal lop of all FenCeS 'I III It II In Grout: One Port and Part Cement,Three Parts Sand For Fences 8'high and One Half Parts Sand Vert.Coat solid' ra ute O.C. II m t '1-_-, ■I All Cells Solid Graouted °' Coping: One Part Cement,and s LL Three Parts Sand Reinforcing Steel Shall II o �, " „-' Concrete: Maxlof 7 1/2 Gallons of Conform to Sec.A-1532 A.S.T.M, LL m a Water Per Sack of Cement All Steel to be Lapped IIe " , ■,. Iforiz24' r.lBaro s 5/8 0 at 32"O.C. I' -I,__'! II F • III II I �I Grout may be pouted from the top Of the fence. NATURAL GRADE ° • 1111 and areas of horizontal Ail % / 'II II II I, reinforcement shall be clear, clean and free of all mortar I / debris, etc. nN!c MI Two 5/8'0 Bars Continuous lop --►IIfe•ocMnx INOTE and Bottom WidthwHoriz. Steel must be tied In placeSee Chart 36' lanningall Inexcof 6 andleer Inarethnoteheightat time of trench InspectionBelow— II' require discretionary review and cthrough approvalvisi automaticallyPDiessproapproved.oness Please 14.1 1 ►I 14 3-►1 1 2"--1". 14— consult with the Planning DMslon. FOOTING REQUIREMENTS CHART. Wall Height 6'TO 8' Width 16' Thickness 12' en Depth of Earthlooth 36' I:=6 Spacing of EarthTooth 8' cr Diameter of Enrthtooth 12' E7 ) C :1 BUILDING DIVISION 2705_„ MINOR MODIFICATION Reference No.: Status: APPROVED Applied Date: 07-05-2005 Approved Date: 07/05/2005 Denied Date: MINOR MODIFICATION NO.: MM-05-25 Project Address: 1200 DORSET LN Suite: Parcel Number: 14115304 Project Applicant: PARKIN, GARY WILLIAM PROPOSED MINOR MODIFICATION: MINOR MODIFICATION FOR AN 8 FT HIGH SLUMP STONE-ORCO LAZ ALONG FAIRVIEW RD. 73 LINEAL FT. BEGINNING FROM THE REAR PROPERTY LINE. JUSTIFICATION: NOISE ATTENUATION ALONG MAJOR ARTERIAL STREET. REF: 605-01101 REQUIRED FINDINGS:Y The improvement will not be materially detrimental to the health, safety and general welfare of persons residing or working within the immediate vicinity of the project or to property and improvements within the neighborhood. Y The improvement is compatible and enhances the architecture and design of the existing and anticipated development in the vicinity. This includes the site planning, land coverage, landscaping, appearance, scale of structures, open space and any other applicable features relative to a compatible and attractive development. PROJECT PLANNER: TRAN_H NOTES: OWNER COLLEGE-MESA COMPANY DATE 10-11-56 JOB ADDRESS 1200 Dorset Lane BUILDING PERMIT NO. #384l GENERAL CONTRACTOR The Hale Co;- VALUE $ 10.248.00 I 185 BLOCK TRACT 2671Single dwelling w/att ear GROUP I & J TYPE V ZONE R1, FIRE DISTRICT 3871 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Footing Trench ��e , y- /(�� -A671 3 Foundation Forms and Grade to GaragegC /1 — 8 Rough Framing . 9—z 5 4 -sr - plumbing,Rough to Slab q" � ,I-]� S"6 -pil�1-4..6-71-,-v� iw+'rNe, ' /0-30-n, 23 0 D Plumbing, Rough Complete )'n_ es ia-13-S'6 (I Temporary Pole o Wiring,Rough /2-to/G- •/i" eat., . //-02 6--CZ 3 G 9-3 i----- Heating, Heating,Rough lOI t S /2/4?-36 H ating,Final MItS ,2H-5 .y . /1t,,,,/ ��/ILz!" a-/o- Z `7 rttO Sewer, House O/t Sewer,St.%'f 5 ' A _,u JI.�JZ „ /h2 t 'S to ( O a— , Septic Tank or Cesspool �� ng, In Out7s. 2,--4.4 1 40•-e - _ .ering. < Fe' 2 -9+—G 7 Plumbing,Final,Fixtures Complete MIS -24/37 / -./ / 1 it Plumbing, Fin.alGas Test/sMf/'S 2q-J7 \ �'_ t . .. 'i. r [/..1/1.\--; /f/� Wiring, Final . mAY 1 1951 VGH /.----- ' ` `L ~—B 1 ' Occupancy £-- 4 6 151-5,% FORM 210 3M 10-55 _Costa Mesa Building Department APPLICATION FOR PERMIT ;, = P. O. Box3!7 1/41.3871 BUILDING 1 • - COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN Receipt No. Permit No. Building . ;p/// Address 17 Dorset Lane _Jo 7 Costa Mesa, California Received by I / Date Recd// Date Issued Nearest Y0- /,!7-d6 /b -// -- --6:' Cross St. Fairview Road Building Address Owner College Mesa Company Mail Costa Mesa, California . Address 1777 W. Lincoln Avenue Nearest Cross St. City Anaheim Tel Cross 3-3161 ZoneNo-of Type crow Architect or Lic. - I Plans � lC� Engineer Davis & Quigley No. C-1790 Approved Address43 Malaga Cove Plaza,Palos Verdes by Date CORRECTIONS City Lic. ' tractor The Hale Company No. 3422 Address 1777 W. Lincoln Ave. , Anaheim Legal I Lot Description I No. 185 I Block I Tract2671 (Attach Metes and Bounds) No.of Bldgs. Size of Lot 69 x 113 I Now on Lot None o Use of I No.of I No.of 9 Existing Bldg. Families Rooms W C) Setback Line from Rear Yard 47.4 Center of Street 50 Side Yard S/14 D DESCRIPTION OF WORK r New I X I Alteration I I Addition I Repair I I Moving I I Demolish I _ Building No.of I"' Size 1181 Rooms 5 Stories 1 C aterior Wall Roof �— ering Stucco I Covering Rock APPROVALS i - Use of New Building Single family dwelling with Foundation Location Inspector Date Forms,Materials, attached garage. Under-Pinning tq Frame: Fire Stops, .o Bracing,Bolts h , I hereby acknowledge that I have read this Application O and state that the above is correct and agree to comply Lath.Int. _ with all City Ordinances and State Laws regulating Al building construction. Lath.Ext. Signature of Permittee HALE Eliti i Plaster, Int. Authorized Agt. � - ,: Plaster,Ext. 11u• Valuation Permit Fee $ 26.00 Masonry Reinforced .O Plan Check $ 13.00 Bond Beam o $ 10,248.00 Total Fee $ 39.00 I FINAL 0 FORM 209 10.55• 0.P.&5. • • 0 Ci. a a �.,. ..., . . o n . Street a PLOT PLAN Show location and distances from ft) property line and between buildings. H • r r C IA •O N U ,.I .f U i . . et: u:,