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Home My WebLink About120 EUCALYPTUS LN - Building Permits4Gy�M�4 o, J4y� • ""aomrtA dr (714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Job Address: 120 EUCALYPTUSLN Suite: Vicinity: BUILDING4 Parcel Number: 43917260 Applicant: LYLE Address: 23015 DEL LAGO LAGUNA HILLS CA BUILDING PERMIT Zoning: Phone: (714)583-1858 Zip: 92653 Owner: LAUREL POINTE HOA Applied: Address 100 EUCALYPTUS LN 03/28/2000 $0.50 .� Phone: SMIP Com: $0.00 COSTA MESA, CA Zip: 92627 Contractor: PRO -TECH WEATHERPROOFING Inspection: Address: 23015 DEL LAGO Phone: (714)583-1858 LAGUNA HILLS CA Zip: 92653 License: 620476 Arch .- Eng: Address: Address: Phone B00-00398 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 03/28/2000 Issued: 03/28/2000 Phone: Zip: License: License: SCOPE OF PERMIT REROOF - T/0, USE EXISTING SHTG, INSTALL GAF (GRAND SEQUORA) COMPOSITION SHINGLE ROOF FOR BUILDING #4. 120, & 122 EUCALYPTUS LN. Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAIN STRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existing: 0 FEE SUMMARY Calc Valuation: $3,400.00 Claim Valuation: $3,400.00 PLANNING & ZONING Rear 0-0 Left 0-0 Right 0-0 Rear 0-0 Left 0-0 Right 0-0 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 .1,130 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 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. ❑ 1 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 In1I.urance carrier and policy number are: W4-30047-3 Carrier: Policy Number: (This section need not be completed 11 the permit is valued atone hundred dollars ($100) or less.) ❑ 1 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. q Applicant Signature: Date: 7— WARNING: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARE (SIOD,ODD), 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. Lic. a /o7ZAlI6. Class 4 3d Contractors Signature: ,41✓ Date: CONSTRUCTION LENDING AGENCY: ❑ 1 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 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 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.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ 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, Art 2, Sec. 341, Title B, 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? ❑ Yes ❑ 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 then 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? ❑ Yes ❑ 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 Code provides that the Costa Mesa Fire Department may require the preparation, certification and tiling 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, hes Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑ No 5 Does or will the applicant or present or future building Occupant require for the work which Is the subject of thisa plication a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? S 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 pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ....... ---- ---------y must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ------------- ---- -------------------------- ..,_... ------------------------------------------------------------ .........--- .......... ............... ...... -_ 7 a pfrom the South Coast Air Quality Management District or other au 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? []Yes ❑ No 8 (If yes", allach 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 Le al O er(s) Date Jfl And/Or Authorized Applicant Date CODE r. INSPECTION TYPE DATE INTRIAL CODE r INSPECTION TYPE DATE I1,11TITA1.5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final % 208 Final Plumbing 200 Final Re -Roof ''f" -=r --z— 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 August 14, 1979 Examination: COMPRESSION TESTS ON GUNITE CYLINDERS Mr. Errol F. Heesch 12921 Aspenwood Lane Garden Grove, California 92640 PROJECT Pool for Laurel Point Townhouses ADDRESS 106 Eucalyptus, Lot G, Costa Mesa SAMPLE FROM Gunite Swimming Pool & Spa •1C.11EC: (11.11,"..1 Saylor Pools ENO Nkk1 Sib. O'•:14C� S & A Gunite SPECIFIED MIX 4j — 1 STRENGTH DATE CAST DATE TESTED CYLINDER NO COMPRESSION TOTAL LOAD, LBS. POUNDS PER SO IN, Average: 2,452 Size: - COMPLIANCE 8-3-79 8-13-79 1 10 -Day 38,000 1,463 5-3/411 x 1211 CYLINDER SIZE 8-13-79 2 10 -Day 75,000 2,890 5-3/411 x 12-3/41, SC79-4307 2,000 psi 8-13-79 3 10 -Day 78,000 3,003 5-3/411 x 131: "OE a, DEN•.E1ED B, 1K: .ED ON i CYLINDERS Skip Heesch 8-6-79 p c Darl nunoN E. F. Heesch - 2 Cha Mesa Bldg. Dept. Z 20 Z f4 � � Twining Laboratories J� JJU UlE L2 (�`l LtfU vtln, Ji2L. i W ' '3'D .. .�, ", ,v :. '.ta r, nlrnrs PO du, 41 ,; R. Ca 9080' ,21 31 d76 37% 7' 7 n3E• . fdn a. 82R 6e32 ' TESTING_..r, ... ,.. . ...14 n•,....... I., .. s..., ., _... 1.: ,1•. ,,;' August 14, 1979 Examination: COMPRESSION TESTS ON GUNITE CYLINDERS Mr. Errol F. Heesch 12921 Aspenwood Lane Garden Grove, California 92640 PROJECT Pool for Laurel Point Townhouses ADDRESS 106 Eucalyptus, Lot G, Costa Mesa SAMPLE FROM Gunite Swimming Pool & Spa •1C.11EC: (11.11,"..1 Saylor Pools ENO Nkk1 Sib. O'•:14C� S & A Gunite SPECIFIED MIX 4j — 1 STRENGTH DATE CAST DATE TESTED CYLINDER NO COMPRESSION TOTAL LOAD, LBS. POUNDS PER SO IN, Average: 2,452 Size: - COMPLIANCE 8-3-79 8-13-79 1 10 -Day 38,000 1,463 5-3/411 x 1211 CYLINDER SIZE 8-13-79 2 10 -Day 75,000 2,890 5-3/411 x 12-3/41, SC79-4307 2,000 psi 8-13-79 3 10 -Day 78,000 3,003 5-3/411 x 131: "OE a, DEN•.E1ED B, 1K: .ED ON i CYLINDERS Skip Heesch 8-6-79 p c Darl nunoN E. F. Heesch - 2 Cha Mesa Bldg. Dept. Z 046056 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink OWNER Innte Vizt.a._Tnwnhnm MAIL AODRES9a()j nnup Rt #225 TEL. CITY NTonn,n,+ Ro.nh NO7r7_c;n7 BRANCH ADDRESS ARCHITECT TE .6 5-585 OR ENGINEER C SOc . 504_N.'_NQwL3Qxt Blvd #202 CONTRACTOR CITY TEL. NO. STATE CITY LIC. NO. LIC. IN SIZEI NO. OF BLDGS. OF LOT NOW ON LOT USE OF Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED I hereby acknowledge that I have read this application and state that the above information Is correct and agree to comply with all laws regulating building construction, and I shall not employ any person In violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under the State of Celifor in Business and Profession, Code, Division 3, Chapter 9, antl ch licenses are in full force and effect, or I em exempt it th ovlsio ns of tate of California Business and Profession3 Signature of Permlttea Authorized Agent T1,200�D�/2-4 i9iz.i.1'.67 T� 7794 10/27/78 12 61 2 7794 '00004469 56 APPLICATION FOR STRUCTURAL PERMIT RECEIVED BY I DGYE RECEIVED BUILDING ADORES: B 1 Byrnuv Yu/�/�%Il DATE td•27'?Z ZONE a7 NO. OF USE OF PLANS •s I BUILDING NEW � YARDS YARAPPROVED YARDS APPROVEDAPPROVED[� YARDS APPROVED MAIN BUILDING ACCFSSn RY BILLDINr. DISTANCE BET. BET. MAIN & MAIN BLOCS. ACCESS. SLOGS. - VAR.3i'+ C.U. P**Zi-_ 7 DATE APPROVED Z-2 --/ APPROVED � /d19, /p -27_ -7e CJ �LV N n m i 1 "SQ. FT. W ry THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: VALUATION PERMIT FEE $ ,�.e `�. $ 3 PLAN CHECK $ c LL TAX $ u TOTAL PAID $ Z F4 77 COSTA MESA BUILDINGSAFETY DEPARTMENT PO _ ROX 1200 COSTA MESA. CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING ADDRESS ti.II OWNER MAIL ADDRESS TEL. CITY NO. CONSTRUCTION LENDER BRANCH ADDRESS ARCHITECT TEL. OR ENGINEER N ADDRESS CONTRACTOR ADDRESS TEL. CITY NO. STATE CITY LIC. NO. LIC. NO. SIZE NO. OF SLOGS. OF LOT NOW ON LOT USE OF EXISTING BLDG. Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or I am exempt from the provisions of the State of California Business and Professions Code, Division 3, Chapter 9. Signature of Permittee Authorized Agent 7923 '10%30%78 233.00o TTL• 7923 '.' - ` -233.00 F6 7923 '10/30%78 '23340CM APPLICATION F0WfiktjW0T&Uf 9IT FA RECEIVED BY I DATE RECEIVED naT�Ilcn PERMIT NO. F.P. NO. BUILDNG f Aff /J ADDRIESS thfig /�OI T APPROVED DATE ZONE INO. OF I USE OF NEW PLANS BUILDING YARDS APPROVED YARDS APPROVED DISTANCE BET. I BET. MAIN & MAIN SLOGS. ACCESS. SLID VAR. .$ DATE APPROVED n m i e SQ. FT. r THE AMOUNT SHOWN UNDER VALUATION IS FOR m THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: VALUATION PERMIT FEE $ v PLAN CHECK E c LL $ TAX $ 2 U TOTALPAID $ •