HomeMy WebLinkAbout2030 FEDERAL AVE - Building Permits�
(714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job qddress: 2030 FEDERAL AV
Suite:
Viciniry:
Parcel Number: 42250114
Zoning:
Applicant: CLfNE, BRIAN WALTER & VALENTA, ANN TRACI
Address: 2030 FEDERAL AVE
Phone: 714-412-6400
COSTA MESA, CA Zip: 92627-4132
Owner: CLINE, BRIAN WALTER & VALENTA, ANN TRACI
Address 2030 FEbER.4L AVE
COSTA MESA, CA
Contractor: O W N E R-BU I LD ER
Address:
Zip:
Nch :
Address:
Phone:
Phone: 714-412-6400
Zip: 92627-4132
Phone:
License: 0
Eng:
Adtlress:
Status: ISSUED
Applied: 08123/2002
Issued: 08/23/2002
ISSUED BY: �
Phone:
Zip: License: License:
SCOPE OF PERMIT
INSTALL 25 YEAR 1 LAYER OF COMP. SHINGLESS MINIMUM CLASS C OVER EXIST. TWO LAYERS OF COMP. SHINGLES.
Plan Check: $0.00
Permit: $69.25
SMIP Res: $0.50
SMIp Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $69.75
SETBACKS
MAIN $TRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existino: o
NOTES:
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Righl 0- 0
s2,000.00
sz.000.00
NOTICE: The work aulhorized by this parmit shall comply with all applicable handicap access requirements under Calitornia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a penod of 180 days.
INSPECTIONS: In order for ihe vrork authorized undar this pertnit to be considered legal, such work must eompty with all appiicable codes, and all
requlred InBpeetlona anE final approval must be obtained. Failure to obtain inspections and tinal approval will 2sult in the expiretion of this pertnit.
FOR INSPECTIONS CALL: (714) 7545626
wwo �vw�
WORKERS'COMPENSAnON DECLARATON: -
I herehy affifm under penalry at perjury one of Ihe fouuwing tlecleretlons:
❑ 1 have and will maintain a ceNficate of conseni to self-Insure for workers' compensation, es proNtletl tor by sectlon 3700 0l the Lebor Code, for the pertortnence of Te
work tor w�iCh this pertnil is iuued.
❑ I have antl will maintain workers' compensation Insurence, as requiretl by sectlon 3700 of ihe Labar Cotle, lor ihe pertwmance of the work for wtilU this pertnil is issued.
My workers' compensatlon Insurance cerder end policy number are:
Cartier. Pdicy Number:
(This secfion need not be winple(e0 il Ne permiNs va/ued a( one huntlred tld/ars ($700) or /ess.J
❑ I certity Ihet in Iha partortnence ot �he work tor which this permll is issued, I shall not employ any Derson in eny manner so as to become subject to the warkera'
compensation laws of CelHomia, and agrae ihet II I shoultl �ecome sub�ecl to the warkers' campensatlon pmWsions oi Sectlon 3700 of the Labor Cotle, I shell torthwith
compty wiU �hese D�aNsions.
Applicant SignaNre: Date:
WMNINQ: FAILURE TO SEWRE WORKERS' WMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU61EQ AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED
TFIOUSAND DOLLARE (5100,000), IN FDOITION TO THE COST OF COMPENS�TION, OAMAGES AS PROVIDED WR IN SECTION 3]OB OF THE LABOR COOE. INTEREST, AND ATTORNENS FEES.
LICENSED CONTRACTORS DECLARA710N:
I hereby eXirtn that I em licensed under proNslons ot Ghepter 9(commencing with Section 7000) of Divislon 3 ot the Business end Profeulons Code, end my license is in tull
force entl efled. Lia x Class p
Contractors Signeture: Dete:
CONSTRUCTION LENDING AGENCY:
❑ I hereby atfirtn Ihat there is e construction lentling egency for ihe pertortnence of Ihe work tor w�ich t�is pertnit is issuad. (Sec. 3097, Civil Code).
Lentler's Name: Lentler'S Atltl�ess:
Signatura: Date:
OWNER•BUILDER DECLARATIONS:
1 hereby aNirtn thet under penelty of perjury thet I am EXEMPT FROM THE CONTRACTOFS LICENSE LAW for tha follawing reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or counry which requires a permit to wnsiruct, elter, Improve, demalish, or repeir any siructure, prior ta its issuance, also requires Ihe applicant for such Oermit
to file e signed statement that he or she is Ilcensetl pursuent lo the pmWsions oi Ihe Contrectors Lkense Lew (Chepter 9(commendng with Section 7000) of Didsion 3 ot t�e
Business end Proteulons Cotle) or that he or she is axempt therelrom end the �asis far the ellegetl exemption. Any violation o1 Section 7031.5 by eny applicant tor e pertnit
sublects the applicant to e civil penalry of not more than live hundretl dollars ($500).):
❑ I, es owner of the property, or my employees with wages es t�elr sole compensatlon, WILL DO TT1E WORK, entl ihe structure is not Intendad or oHered for sale (Sec.
7044, Busineu end Protessions Code: The Contreciors License Lew tloes no� apply to en owner o� propeny who builtls or Improves thereon, and who tloes such work
himself or hersell or ihrough his or her own employees, provitletl iha� such ImO�ovements are not intendad or oHeretl for sele. It, however, the building or improvement is
sold within one year of completion, lhe owner-builtler will have Ne burtlen ol proving that he or she did not 6uiltl or improve for Durpose ol sale.).
❑ 1, es owner of the propetly, am EXCLUSIVELV ONTRACTING WI7H LICENSED CONTRACTORS to consiruct the pro�ect (Sec. 7044, eusiness and Pmfessions
CoOe: TTe contrectors lJcensa.�aw tloes not e(�pTy �o en owner of propatly who builtls or Improves t�ereon, entl who conlrecis for such pmjec� wit� e contrector(s)
Business entl Prolessions Code for �his reason:
dnvefslicense. QVes ❑ No
Veritication of Ownership Dy (type ol Document, i.e. - property tez 6111 or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 heraby cenily Ihet no excavetian tive (5) or more laet in depth into which e person Is requiretl to tlescentl, wlll be mede In connection with work euthorized by ihis
pertnit, end ihat no building stmcture, scettolding, lelsework, or demolition ar dismantling thereol, will Ge more ihen ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Calitomle Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit irom the Divislon ol Intlusirial Safety, as notetl ebove, unless such person has e
pertnit to tlo such work irom ihe tlivision.
SignaWre: Date:
Division of Industrial Sefey Pertnit Number:
COOE 1. INSPECTIONTYPE
1616 Fixed System Finel Fira Prevention
1266 Pool Spa Finel
200 Final RB-Roof
201 Final8locWRetaining Well
202 Final Factory Fire Place
203 FinalSign
204 Final Demolition
PAIE 1t�E15
l0— �'� Z —�
COQE I INSPECTION TYPE
206 Final Mec�anical
208 Final Plumbing
210 Finel Electrical
212 Final Fire Preventlan
220 Final Planning Apprwal
222 Final Site
250 Final Building/Occupency
PAg IIiiID�LS
a
r
�� °� �� %�� b'u��i�us y ��c�idi4c�
OWNER-BUILDER
VERI�ICATION
A ciry or county, which is reyuired to give notice pursuant to Section 19830, shall attach to such notice, and,
as a condition precedent to issuing a building permit, require the completion and require the return of, an
owner-builder verification.
A[[en[ion Property Owner.
An bwner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and remm this infortnation in the envelope provided at your earliest opportunity [o avoid
unnecessary delay in processing and issuing your building permit. No buildingpertnit will be issued until this
verification is received.
I. I personally plan to provide the major labor and materials for construction of the proposed
proper 'mprovement� Yes ❑ No
noq _
work.
signed an application (or a building permit for
I have contracted with the following person (firm) to provide the proposed conswc[ion:
Name
Address
Phone (
Ciry —
Contractor's Lic. No.
4. 1 plan to provide portions of the work, but 1 have hired [he following person ro coordinate,
supervise and provide the major work:
Name
Address _
Phone ( )
City _
Contracror's Lic. No.
��1 will provide some of the work but I have coccraettd (hired) the following persons to
provide the work indicated:
Name
Address
t002-a6 (REV.898) ..
Phone
of Work
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Viciniry:
Parcel Nunmber.
Applicant:
Address:
Owner:
Address
2030 FEDERAL AV
42250114
TODD, DANIEL C
775 W 17TH ST
SUITE B . Phone: 949-515•9677
COSTA MESA, CA Zip: 92627
CLINE, BRIAN AND VALENTA, ANN TRACI
2030 FEDERAL AVE
COSTA MESq, CP,
Phone:
Zip: 92627
Contractor: GUARDIAN POWER PROTECTION SERVICES
Address: 775 W 17TH ST
SUITE B -Phone: 949-515-9677
COSTA MESq, CA Zip: 92627
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+uniLs)
Pool / Spa
Lighting Fixis
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to t000a
Service over 1000a
Motors to 1hp
Motors to 10hp
Molors to 50hp
Motors to 100hp
Molors over 100hp
Communication tlrops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
License: 761703
SCOPE OF PERMIT
SERVICE UPGRADE�TO 200 AMP POR A SINGLE FAMILY RESIDENCE.
$23.50
$O.QO
$O.QO
50.00
50.00
so.00
$O.QO
so.00
$0.00
$o.00
$0.00
$30.50 �
50.00
$0.00
50.00
$0.00
$0.00
$0.00
$o.00
$O.UO
$O.QO
$O.QO
50.00
$O.QO
$O.qO
Quantity
i :,- '
FEE SUMMARY
Temp Disl System / Lighting
Busway /100 ft
Standing Section
Misc Electrical Equipment
Trans(ormers up to 1 kva/kw
................up to 10 kva/kw
.................up to 50 kva/kw
...............:.up to 100 kva/kw
..................over 100 kva/kw -
Low Voltage Equipment
Low Volt Winng System / Ckt
Misc. Conduil
Misa Conductor
Circus ( gen or ride)
Circus (mech ride or lights)
Christmas Tree SWnd
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Status: ISSUED
Applied: 05/08/2002
Issued: OS/08/2002
ISSUED BY:
Quantity
$0.00 0
$0.00 0
so.00 0
30.00 0
$0.00 0
so.00 0
$0.00 0
so.00 0
$0:00 0
so.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES 554.00
COMMENTS / SPECIAL CONDITIONS
NOTICE: The work authorized by ihis permit shall comply with all applicable 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 order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspectlona and final approval must be obtained. Failure to obtain inspeclions and final approval will result in the ezpiration of ihis permit.
FOR INSPECTIONS CALL: (714) 754-5626
Ifilll
WORKERS'COMPENSATON DECLARAnON: �
I hereby aXirtn under penelry ol perjury one ot Ihe following deGarations: �
❑ 1 heve entl will maintain a certilicate ol consent to setl-Insure br workers' compensation, es O�ovided for by section 3700 oi the Lebor Cotle, for ihe pertortnence of ihe
work for which IhiS permit is issuetl.
� I �ave antl will maintain workers' compensation insurance, as required by section 3700 oF Ihe Lebor Code, for the peRortnance ol tha work for which Ihis pertnit Is issued.
My warkers' compensatlon Insuranca carrier end policy number ere: %��� ��
Cartler:� srar� F�-,Nn �Po�� Numbec--
�._ �
(This secfion need not be complered il the pelmit is valuetl af one hundred dollars (5100) or less J
❑ I cenity that in the pertormance the work for which t's permit is issued, 1 shall not employ eny person in any manner so es to become subjact to the workers'
compensation laws of Ilfomi nd e ree t t if I h uld become subject to the workers' compensation provislons ol Section 3700 of the Labor Cotle, I shall forthwith
comply with these pro ions. (� .
�AppliceoPSignemre:� � Dat� S" X'Q�
WARNING FAILURE TO SECURE WORKERS' COMPENSATIqJ COVERAGE IS UNLAWFUL ANO SMALL SUBJECT AN EMMOVER TO CRIMINAL PENALTIES AND QVIL FINES UP TO IXJE HUNDRED
THOUSNND DOLLARE ($100,000), IN A�DITION TO THE COST OF CO!APENSATION, OAMFGES AS PROVIOED WR IN SECTION 3]Ofi OF THE LABOR CODE, IMEREST, AN� ATTORNEY'S FEES.
LICENSEU CONTRACTORS OECLARATION:
I hereby aHirm that I am
lorce antl eHecL Lia-M?
Conlrecior'& � Slgnature:
of Chepter 9(commencing with Section 7000) of Oivision 3 of �he Business antl Professions Code, entl my license is in full
Class q �. %`n�,
Date: _ y".�C7•V. �
u=—
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirtn that ihere is e construction lentling agency br ihe Derformance of Ihe work for which Ihis permi[ is issued. (Sec. 3097, Civil Code).
Lendefs Neme: Lentler's Atltlress:
Signawre:
OWNER-BUILDER DECLARATONS:
Date:
I hereDy aHirm that untler penalty of perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for ihe tollowing reeson (Sec. 7031.5, Busineu flntl Pmfessions
Cotle: My ciry or county which requires a pertnit to construct, alter, improve, demolish, or wpair any strucWre, pnor to Its issuence, elso requires the epplicant for such permit
ta file a signed statemem thet he or she is licensetl pursuant to the provisions of ihe Contraaors License Lew (Chepter 9(commenGng with Sectlon 7000) of Division 3 of Ne
Business end Profassions Code) or Ihat he or she is exempt therefrom and ihe basis for the alle9ed exemption. Any viWation of Section 7031.5 by eny applicant for e pertnit
sublecis the epplicant to e civil penalry of not more ihan five hundred dollars (5500).):
❑ I, as owner ot Ihe properry, or my employees with wages as their sole compensation, WILL DO 7ME WORK, antl Ihe structure Is not intentletl or ofterad lor sala (Sec.
7044, Business and Professions Code: The Contracbrs License Law dces not apply to an owner of properry who builds or improves thereon, and who does such work
himsell or herself or Ihraugh his or her own employees, pravidetl thai such improvements are noi Intended or offered lor sele. Ii, however, ihe building or improvement is
sold within one year of completion, the owner-builder will heve the burden of proving that he or she did not build or improve for purpose of sele.).
❑ I, es owner of the prapeny, em EXCLUSIVELV CONTRACTING WI7H LICENSED CON7RACTORS to constmct the pm�ect (SecJ046, Business end Professions
Code: The conirectors License Lew does not epply to an owner of property who builtls or Improves thereon, and who contracts for such pmject with e comracror(s)
licensa pursuant to the Conirectors License Lews.).
❑ I am ezempt under sec. Business antl Professions Code lor this reason:
Signature: Date:
Owner ID venfied by driver's license. ❑ Yes ❑ No Driver's License No.
Vedflcation of Ownership Dy (type of tlocument, i.e. - propeny tax hlll or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Expires:
❑ I hereby cetlity Ihat no eacavetion five (5) or more Feet In depth into which a person is required to descend, will be matle In connection with work euthonzeC by ihis
permit, and Ihat no building simcWre, scalloltling, falsework, or demolition or dismantling Ihereol, will he more then thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
347, lltle B, Calitomie Adminisiretive Cotle).
❑ As owner-builder, I will not employ anyone to do work which would require a pertnit irom ihe Division of Industnel Sefery, as noted ebove, unless such person has a
pertnit to tlo such work from the division.
Signature: Date:
Division oi Industrial Sefery Permit Number:
CERTFICATE OF COMPLIANCE AND AUTMORIZATION OF EMRY: I cenity under penalty of perjury that I have reatl this epplicalion and state the� ihe iniormation given is
correct. I egree Io comply with all slete lews and ciry ordinances retating to building cons�ruction, and authorize representalives of the Ciry of Coste Mesa to enter upon ihe
above-describetl property tor inspection puryoses. I egrea not to occupy or allow occupancy of eny building authonzed by Ihis permit until final inspection.
Date
� �'n �
r ^ CDate�
CODE �. INSVECTIONTYPE QdIE R4IDSL5
1616 Fixed System Final Fire Preveniion
1266 Pool Spa Final
200 Final Re-Rool
201 Fina181ocWRetaining Well
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
GOOE I INSGECTION TYPE
206 Final Mechanicel
208 Final Plumbinq
210 Final Electrical
212 Final Fire Preventlon
220 Final Planning Apprmal
222 Final Site
250 Final Builtling/Omipency
PAIF L�13
� '.
ORAN ,E CQUNTY BUILDING D'EPARTMENT
� f �� --63b Noreh Broodway ��
SANTA ANA, CALIFORNIA
FOR APPLICANT TO FILL IN
AODRE55 2030 Federal Ave
SGHOOL DIST.
OR TOWN
NEAREST
cRoss sr. -Victoria Ave.
OWNER ALEUT HOMES� INC.
MAIL �
ADDRE55 g�E)3 M/ILSHIRE BLVD.
TEL.
��T� BEVERLY HILLS r+o. CR. S�{�G�
ARCHITECT R TEL. 1,
ENCINEEn AIN R� MCKERRACXER �o. SY. 64Sq�
nooRess 2��0 E. WAINUT $T.� PASADENA
v7Ancion NEMPORT V�STA CQao� �R, rj�1�6�
..00Ress 6 WIISHIRE B�VD. BEV.HIlL3
LEGAL �f/ BLOCK �1�2
DESGRIPTION LOT NO. GO
(ATTACH METES @ BOUND51
SIZE OF l0T O� X I I V I NOW ON lOT V
USE OF NO. OF NO. OF
EXISTING BL�G. I F�MiLiES ROOMS
DESCRIPTION OF WORK
NEW I%� I ALTERAT�ON I I AD�IT�ON
REPAIR I I MOVING I I DEmOL�Sii
BUILDIN NO, OF
SIZE ! � ROOi 5 � STORIES �
WALL ROOF COMPO
COVERING STUCCO COVERINGSNIIJ(]IF'
BUEL� NGEW RES IDENCE `r Q� �/L('�t,b
APPLICATION POR PERMIT �
� __ BUILDING -.
FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
l�y � 6 . .�f �'3 'z� ;.
PECEIVEO BY OATE OF APPL. OATE ISSUED
��?3'Sj G -�5�-5�
BUILDING �i ..��� b �I/�/„ - _ /)
ADDRE55 VCl � �v���-•C
SCHOOL �IST. /]� � �
OR TOWN �GC- /(�(/�-�
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SETBACK LIN��RO}p�C. NTSIDE VARD 1}, •-1 / � 6��
REAR,YARD 1
APPROVED
BY � DATE
CORRECTIONS
I HEREBY ACKNOWLE'JG� THAT I HAVE READ THIS
APPLICATION ANO STATE THqT THE ABOVE IS CORREGT
AND AGREE TO COMPLY WITH ALL COUNTV ORDINANCES FR
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. —
LA
SIGNATUREOF NEMPORT VISTA O. �A'
PERMITTE
PL
AUTHONIZED AG
s 4830.00
,M VAWATION
APPROVALS
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COSTA MESA BUILDING DEPARTMENT
P. o. BOX 3I�
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING /'�D�Q ' � '�`�
AODRE55 ��.(
COSTA MESA. CALIFORNIA
OWNER
MAIL
ADDRE55 �
CITV �(ti
ARCHITECT
OR ENC,INEER
ADDh �
LEGAL
OESCRIPiION
A.P. NO.
OF LOT �j �
��
USE OF
E%ISTING BLDG
TEL.
NO.
CITY LIC.
NO.
NO.OF BLDGS.
SETBTCK IINE FPOM��� � Q I
c[�vi[rt oF siA[ci � REAR VARD
SIDE YARD RIGHT J y, LEFT j�
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DESCRIPTION OF WORK
NEW ALTERATION x ADDITION
REPAIfi " I MOVING DEMOLISH
9UtLOING � � NO.OF
SIZE � D ROOMS STORIES
EXTERIOR WALL ROOF
COVERING ,Y� �rp/+M COVERING ��jfj,�
!
USE OF NEW �. . b % i
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NO n cosirt 56a +�**�re2:�0 �
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APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
RECEIPT NO. ^PEFM1�JT�[IO.
wta e� j
�J �'•il
ECEIVE� BY nATE RECEIVE� pATE ISSVEO
� _ � /1. / ��� /�li /i i/w �
BUILDING
ADDRE55
COSTA MESA, CALIFORNIA
APPROVEO
BY
E3Y
A
t :.
DATE �� �
TIONS
D'cPT.
_� .� ���i � 0 ',R' ".��-�� ;!'p?✓V�D.
I NEFEBY ACKNOWLEOGE TXAT I NAVE PEA� THIS APPLICATION ANO --�
STPTE TMAT THE FBOVE IS COPRECT nND l�GIiEE TO COMP�V WITH wLL
CITY OROINFNCE$ TNO STATE L/�W$ REGIIIPTING BIIILOING CONSTFUC�
iiON. /J �// /� �% �� VALUATION
SIGNATURE OF �j�J /./ Y�_ �l� /T. " 'g PERMiT FEE $
PERMITTEE / / / / {O 'yl�� rrr111 //�� / `�--
, ` ��S I PLAN CHECK rD
5 J
AUTHOR�ZED AGENT TOTAL FEE $
� e,dr