HomeMy WebLinkAbout2110 ELDEN AVE - Building Permits r CITY OF COSTA MESA
p BUILDING DIVISION
e q4DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER
f i :��w: i
PERMIT 606-01668
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.SSULDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626
Job Address: 2110 ELDEN AV Status: ISSUED
Suite: Applied: 10/04/2006
Vicinity: HOUSE AND GARAGE ROOF Issued: 10/042006
Primary Occ: R3 Type of Construction: V-N
Parcel Number: 42613102 Zoning:
Applicant: GOLDEN,JAMES TRUST
Address: 2207 WINDWARD LN
Phone: 949-642-3418 ISSUED BY:
COSTA MESA,CA Zip: 92627-1733
Owner GOLDEN,JAMES TRUST
Address 2207 WINDWARD LN
Phone: 949-642-3418
COSTA MESA,CA Zip: 92627-1733
Contractor: OWNER-BUILDER
Address: .w ^.tib it.r.,
Phone: r ;,l � ,�11.11
11-1 1 ,- , 2
Zip: License: '&0000� =-
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF(E)ROOF MATERIALS,INSTALL 1 LAYER OF 30#FELT ON A 4:12 PITCH ROOF,REROOF W/30 YEAR DIMESIONAL COMP SHINGLES
ON AN ATTACHED HOUSE AND GARAGE,APPROX 2,285SF.REPAIR AND REPLACE SHEATHING AS NEEDED.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: 56,000.00
Permit: $125.25 Claim Valuation: $6,000.00
SMIP Res: $0.60
SMIP Corn: $0.00
Other $0.00
Inspection: $0.00
Total: $125.85
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
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. •;. .• i,:.'..'"' •
•
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 end 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
2446-48(8/00)
DECLARATIONS 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 workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number.
(This section need not be completed If the pa •; s valued at one hundred dollars($700)or less.)
I•certify,thatin.t pa rmance of the • ,. which this permit is issued,I shall not employ any person in any manner so as o b come subject to the workers'
_ compensation I ws of .allfomla,and:• th:t if I should become subject to the workers'compensation provisions of Sect! n 3 0 of the Labor Code,I shall forthwith
comply with the e pro•11r` i isions.AiI //ff..!!nn /,
AppllcantSlgneWre: Il0I (Date: L ( 66
WARMNOTFAILURETOSECUF WORKERS... -ENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE TIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARS($100,000,IN ADDrfION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR DE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commenting with Section 7000)of Division 3 of the Business and Professions Code,and my license is In full
force and effect.Uc.ft Class a
Contractors 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).
Lenders Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that 1 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
r5}�U,bjects the applicant to a civil penalty of not more than five hundred dollars($500).):
( Dyl 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.).
❑ I,as owner of the property,a • XCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code: r'.contractors Lice -: -w does not apply to an owner of property who builds or Improves thereon,and who contracts for such pro'ect ith a contractor(s)
licen •pur uant to the C. : •r License as.).
❑ I am exemp under sec. /_ Business and Professions Code for this reason: 10 /,//D6
`Owner"lD v.:'• �•y drivers license. es 0 No Ogles License No. _\ � J t 'es;_ .1. (o
Verification of 0.nership by(type of document,i.e.-property tax bit 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,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:
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 end 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 standardtemperature and pressure).
2 Does Or will the applicant Or present Or future building occupant need IO file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health end 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).
.... Tv__.__ ou t need
ac hazard .
3 Does or will the applicant or present or future building occupant nto 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.
...._._If......._...._..— —_�__io__ __.._.. ._._ _... _
4 If en RMPP is presently required,has SactiOn 25534 of the Calilomia Health and Safety Code been fully complied with? ❑Yes 0 No
...8,.D_ hi........__i___.i___._.___..
5 Does or will the applicantiror present a future buildingt occupantm other
for the work which is the subject of this application a0g Nnit for such construction or modification
from the South Coast Air(Duality Management District or from any other air pollution control district or agency? Yes 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 Califomia Health end 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
mpanceom__._.rri .__....control
8 (If yes",attach certificate of compliance from the appropriate air pollution cofficer).
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:
CERTIF OF COMPU•I CE ' AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this appl tion nd state that the Information given is
Corte . I ag e to comply Ith al e laws and city ordinances relating to building construction,and authorize representativ of th City of Costa Mesa to enter upon the
abo -descri ed property f• Ins/'r Ion purposes.I agree not to occupy or allow occupancy of any building authorized by thi rmi-ty it inspection.
S':nate• egal Owmar(s)."-' q7 Y DaC/1/e'_
And/Or Authorised Applicant Date
;ODE 0 YISPECTIONTYPE MTh 1[LICW CODE INSPECTION TYPE PAIF• RfimALE
1816 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 Flre Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
PROJECT ADDRESS: 2110 ELDEN AV UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO; M 069924
OWNER'S NAME: CUNNINGHAM, EDITH
ADDRESS: FLORENCE TRAVE PERMIT NO: M 069924 PLAN CHECK NO: N GOVT: N SUPP: N
21COSTA MESA CA 92627 CONSTRUCTION TYPE: PERMIT TYPE; MEC PURPOSE: OTH
( 714 ) 546-1s53
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : REPLACE GAS FURNACE IN CLOSET SQ FT:
ADDRESS: UNIT:
CLAIM VALUE; CALL-VALUE: GROUP OCC: R-3 /
PERMITTEE: GRAHAM BRO HEATING AND AI ( 714 ) 546-1653
ADDRESS: 2952 CENTURY PL COMMENTS : REPLACEMENT OF GAS FURNACE UNDER 100, 000 BTU
COSTA MESA CA 92626 *it*********************ac+c+t+e-x-uof*-icn-ac-x+a*acie-***aE***N-*«-**?r*yFatyPac*yr-+tac*4-*+a1raFac*TFa ********
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. S E TB ACK S
CITY Lie.: 005963 STATE LIC.: 248 cuss: C 20 EXP ; 06/95
fllY�a��1-0^.r MAIN BUILDING ACCESSORY BUILDING
410 00_1V/0-1 Signatu FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
PORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent to self-insure or a certificate of Workers' LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
Compensation N rnrarjcol g ice-16(2p2 t�e5o'1(wction 3800.LabrJ
.
08 /01 /95
POLICY NO.: b EXP.DATE:
COMPANY: MUTUAL PARKING REQ: PROV: PARCEL : 42613102 ZNE: REF NO:
,,....))(( PLANNING NOTES>
0 Certified copy is hereby furnished. CJ CertifiedIs filed with the city Building Division. >
p SS.\_ ** * *
**************************************************** ********* **************
Dal • I r�4Y Applicant - �Y�C �l^r DEVELOPMENT SERVIC ES REQUIREMENTS
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($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 ZONING APPROVED H Y
subject to the Workers Compensation Laws of California. - DATE;
•
Date: Signature: BUILDING APPROVED BY ;
NOTICE:R.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor ���/ �j� DATE:
Code.you must DING G I th such provisions this pa construction
shall beridingdeemed revoked. APPLICATION ISSUED BY; .,(JGnaa r• f/!/,%/ / /
CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lentling agency for the performance of the work for 3r 4r DATE• 6i//�5" i
which this permit is issued(Section 3097.Civ, C). *. *.***. * iF* ***' * **** ****************, *' *"*"* TH* *** *
LENDER: ******************************************** **********************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031 5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT ..-1 9 00
repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 2 5. SMIP/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE •
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). 15 . 00
BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the TOTALS----> 9 , 00 15 , 00 0 . 00 24 . 00 24 , 00 . 00
structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees.provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED : 24 , 00 OVER/SHORT: 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
for the purpose of sale).
24 . 00
I,as owner of the property,am exclusively contracting with licensedt ac oto nconstruct the project u(Section 7044,Business
❑ and PrafessionsCode: The Contractors'h al seLawtlens pursuant
Contractors'
LicenselnsLaw).oveserere **,*****,***,**,****,k,***,*,*,K,****,****************************************************
and who contracts for such projects with a contractor(s)license pursuant to the Conlrxetors'Slate I am aware
that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL ., F E E BR EAKD OWN
❑ I am exempt under Section: B.8 P.C. ,
tor this reason: TYPE QTY DESCRIPTIO N ' UNIT COST TOTAL COST
Date: Owner. MEC 1 INST FORC-AIR/GRAV FURN <.= 100 K BTU 9 . 00 9 , 00 /
I do hereby certify that l am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END 1 OF FEES n✓//
25534 and that I or any mature building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and slate that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building constructio hereby authorize representatives of this oily to enter upon the above-mentioned v 01 00171.717-00171717 TO T 24.00
property for inspection purposes. !7A5 E, 11/15/94 j j)yr; 10:42
Date I(I Ll 9y Signamr la"
Driver's License or Social Security a:
1641'46 White—Building:Green—Code Enforcement;Canary—Applicant,Pink—Revenue;Goldenrod—Assessor
'
CONSTRUCTION AND PLANNING POOL . 'A
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service-Or Pole •
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undigrnd. - 54. Forms
4, Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56, Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd, 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, '-'
v Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
•
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit # •
21, Ducts, in Structure 170. Underground Hyclro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough& Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78, FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
•
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System ,
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE& BUILDING
48, FINAL PLANNING
49. Electric Release to Edison -
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
14803 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT 19T�pp
P. O. BOX 917 COSTA MESA. CALIFORNIA at 1`7D'
FINANCE DEPT.
For Applicant to Fill In Completely / „ 4 APPLOt�At1 P4cO3i+AP &*T
TYPE OR//��PRINT
c�// /� BUILDING
BUILDING
ADDRESS . / I 0 4/OC-Y! Apt'. 1
COSTA MESA. CALIFORNIA - For Office Use Only
`' /RECEIPT NO. I PE}[.(IIT 10
OWNER�((-•aj/QRo t /s'1af[' _ '7/yV
MAIL RECEIVE� Y D RC IV-/ DATE ISSUED
ADDRESS Kyg fAlfa rove A-. iI - 7-'2"4
/�yJJ TEL. BUILDING
CITY /d.�s� NO. ADDRESS
ARCHITECT TEL COSTA MESA. CALIFORNIA
OR ENGINEER NO. \
ADDRESS FIRE /I I Y'
+� /� /' f- ^ -�ZONE TYPE V GROUF� 1///
CONTRACTOR /� 74y lanefe' APPROVED DATE
kr'
ADDRESS 24JJJW A Uf aIZONING ..CITY �J'J� /(Pf'Q I N$$$$$$ PLANSO. IOP ��J '7 h �.i�, I PLRAN/S//'LI BUILDING �L /�J/�/(//''/�
// /A /� J// T J ✓O LEGAL Y `/I��s > ti�r"{i°/
LIC.NO.TATE /vl�v/T NO./� J�' DESCRIPTIONO0 ff /
SIZE �j NO. OF SLDGS. Q. / '}.�1 (//
OF LOT {/(/ ?C/O C NOW ON LOT A.P.NO.. i I 3 -0 9 'J a T
USE OF YARDS III EVES
EXISTING BLDG. APPROVED �I ALLOWED
CENTER OFSETBACK INSTRE TE M REAR YARDARa ` FRONT ' - BT.) L''(CENTER
IN.
SIDE YARD I LEFT 41.10 t ' O' I RIGHT Its A R.SIDE 1 FT. q IN.
DESCRIPTION OF WORK L.SIDE ‘ FT. N.
k+ALTERATION I / II ALTERATION I I ADDITION I REAR D 3 FT. /� (/ IN. /
II MOVING I VIDEMOLISH I APPROVEDYf A& DATE '/- J
REPAIR ciV4/{ '//
BUILDING24NO. OF 6+ !
(I��
SIZE /22 C ROOMS b STORIES 1/ -
EXTERIOR WALL, ROOF fj _ /
COVERING Cr-e, COVERING A7:76
UGG OF BUILDING AND WORK TO BE PERFORMED "
Ns /*Afar ActaztrezG eI .
/977-409reile40 .,2 ave &-,;fredias-
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 OP ESTABLISHING A PERMIT REE ONLY.
PLY WITHALL CITY ORDINANCES AND TATE LAWS REGULATING
BUILDING CONBTRD n VALUATION
SIGNATURE OF h
--
PERMITTEE ��II /%� V PERMIT FEE $ .�
/, y/ _ a
$ PLAN CHECK $ / 5
AUTHORIZED AGENT
TOTAL FEE $ 'yL - 2