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Home My WebLink About2039 FEDERAL AVE - Building Permits • 1 • r 9 CITY OF COSTA MESA 4 BUILDING DIVISION F • •.,,ty 0 it ,I DEVELOPMENT SERVICES DEPARTMENT PE MIT NUMBER 111041 PERMIT 603-01156 04* (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa. BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2039 FEDERAL AV Status: ISSUED Suite: Applied: 07/09/2003 Vicinity: RESIDENCE AND ATTACHED GARAGE Issued: 07/09/2003 Parcel Number: 42250310 Zoning: 'I Applicant: RAWSON, MARK ISSUED BY: .../PS A Address: 2039 FEDERAL ST yo, Phone: Phone: 949-650-6185 COSTA MESA,CA Zip: 92627 Owner: RAWSON, MARK Address 2039 FEDERAL ST Phone: COSTA MESA,CA Zip: 92627 Contractor: OWNER-BUILDER Address: Phone: Zip: License: 000000 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF RESIDENCE AND ATTACHED GARAGE:T/O EXISTING COMP ROOF,REPAIR/REPLACE SHTG AS NEEDED,FELT PER MFGR'S SPECS,APPLY-30-YEAR 4-TAB COMP SHINGLES."19 SQUARES • FEE SUMMARY Plan Check: $0.00 Calc Valuation: 51,900.00 Permit: $66.20 Claim Valuation: 51,900.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $66.70 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. 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(aloe) 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 r•-cued. My workers'compensation Insurance carrier and policy number are: Career: Policy Number: (This action need not be completed it the ermd I lued et one hundred dollars(POO)or less.) Y I certify that in the performance o e w r 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 Call mi and that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith Applicant Signature:ese provply with i s 1- Date: 6 -9 -0 .-2, WARNING:FAILURE TO SECURE WO RS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN A DmON 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 Cade,and my license is In full force and effect.LK.a 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: 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 Busine and Professions Code)or that he or she Ls exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant fora permit subj s 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 en 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.). • ❑ 1,as owner of the prope EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and ProfessionsCode:The contract .e Law does not apply to an owner of properly who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant t • • rectors License Laws.). ❑ I am examP r s=•. Business and Professions Code for this reason: Signature: . (SIG-^7 Expires: C r-q -O e Verification of Ownership by(type of document,i.e.-property tax bill or deed): 5 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 filo 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,ora 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 end 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 filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 II an RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application aggernit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes Ll No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ._ _ � _ —.._—...._...._ _.._ N_....__ ._ __ 8 Will any part 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 Califomia Health and Safety Code). ___._.._......._..t. _.i__ _ _...._— _ n ___.__ ._ ._sub __.._ 7 Ifa a permitn from the South Coast res Quality Management District or other airpollution control district3 or agency is required for the work which is the subjem of this application,have all of the disclosures prescribed by CaliforniaCelifoHealth and Safety Code Section 42303 been made? 0 Yes 0 No ecat_ of compliance l.._.__ ___—_._....._._ ___.____ 8 (if yes',attach certificate of comfrom 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 COMPD 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 ••;_: .1 state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-descri•-•pr•:e $• nspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until finalinspection. I. �,/ .iy . .m.. (/� 5- - 0 3 / I Signature Of Legal Owner(s) nate And/Or Authorized Applicant Date RODE I PISPECTWN TYPE PATE MAES ;ODE! INSPECTION TYPE RALE HEM 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final } 208 Final Plumbing 200 Final Re-Roof 7 /!/fDl � 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 I 204 Final Demolition 250 Final Building/Occupancy 'ring mpg ern/ egatt Nati, Eatidaff Deedatia two,. OWNER-BUILDER VERIFICATION A city or county, which is required 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. Attention Property Owner: An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I. I personally plan to provtd the major labor and materials for construction of the proposed property improvement. Yes ❑ No 2. I (have/have not) Raiff_ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm)to provide the proposed construction: Name Address City Phone( ) Contractor's Lic. No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address City Phone ( ) Contractor's Lic. No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work 1042-46 (REV.9(98) • ORANGE COUNTY BUILDING DEPARTMENT •- . APPLICATION FOR PERMIT 636 North Broadway BUILDING SANTA ANA, CALIFORNIA FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY RECEIPT ,N-O. P RM IT NCO. BUILDING (4r / gig:- 6 W ?/ ADDRESS 2039 Federal Ave. !}'�1\! LiY o JiO SCHOOL DIST. RECEIVED BY DATE OF APPL. DATE ISSUED OR TOWN NEAREST •V p y/ 23-0 ‘. 251. -9- CROSS ST. ] 9th•St. ,V V OWNER DINGt 9 / /re r BANNOCK HOMES, Inc. ADDRBUILESS Q .3 EC h P`, re/ MAIL 9363 WILSHIRE BLVD. SCHOOL DIST. co....d �� V✓ , . ADDRESS OR TOWN LN�/L� BEVERLY HILLS TEL. GR• 5436r CITY NO. NEAREST qi 71 `-- CROSS ST. L 7 • ARCHITECTp R TEL. ZONE NO. OF TYPE I GROUP ENGINEER LAIN & MCKE RRACHER NO. Sr. 64891 },Pt ( PLANS -22-- J ADDRESS 2110 E. WALNUT ST. . PASADENA SETBACK LINE�,,..�� 0M CENTER OF ST. nT TEL. REAR YARD"/,,0 . 1- SIDE YARD / uRILE�� ._w VTRACTOR NFVPTIRT VISTA CO ND. CR. 54361 APPROVED BY DATE ADDRESS9363 WILSHIRE BLVD., BEV•HILLS CORRECTIONS LEGAL I 12 DESCRIPTION LOT NO. 424 I BLOCK 17 (ATTACH METES & BOUNDS) _ TRACT NO.OF BLOGS. SIZE OF LOT 67 x 110 NOW ON LOT 0 USE OFNO. OF NO. OF EXISTING BLDG. I FAMILIES ROOMS DESCRIPTION OF WORK NEW I y I ALTERATION I I ADDITION I O 0 O REPAIR I I MOVING I I DEMOLISH I Z > BUILDING NO. OF r SIZE 1034 SQ1.FT ROOMS 5 STORIES ^ WALLROOF COMPO COVERING STUCCO I COVERING SHINGLES USE OF NEW ......K BUILDING RESIDENCE , ¶ 1 APPROVALS FOUNDATION: LOCATIONNS JPECTOR DATE /' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS, MATERIALS. /(/NS lll APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS, �,yy /a // ('., AND STATE LAWS REGULATING BUILDING CONSTRUCTION. BRACING. BOLTS //jj��//��JJJJ `T (/ 7 LATH. INT. /.471 9- / 2' J o SIGNATURE OF LATH. EXT. D�� -��- PERMITTEE N JORT VISI3Y/y� A `� re,�• PLASTER. INT. .,4.. 3 ?o/ )',4� AUTHORIZED AG . -�_ /Ai �'`�/)^ p PLASTER. EXT. f , $ 4830.00 P. C. S r)/ MASONRY REINFORCED FEE Imo/ BOND BEAM VALUATION s ,.. f14' FEE 11 FINAL ,,J0,43I-4451 y"� O\ Z d PLOT' PLAN _ "' - - . ' Jr( •,• . . r - 0 a a -. a (1 - ..-..., 1 _ i . : 33:15\ ` r V :"\ _..: - : :: .11 d. -- - ' r-, f u ;ff x t —t - r - W STREET - - .') __ . _ . _ f l i.P7 :I Th;f _. - .b,._ , _ 123.1 • r _--_ .Jc i.-', I'.? T;,;91/3 .,