The URL can be used to link to this page

Home My WebLink About195 ALBERT PL - Building Permits ID1 �a•° "OV" ° HS0. D0 ... ..877.00 / 8081 ' CtSIX MESA BUILDING DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING7._, , / r �- BUILDING ADDRESS ` COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. pyERMI OWNER _— fell' Ft)]r✓A of) at• Li / J RECEIVED� BBY '7 DATE RECEIVED 0AT/E/�fSSU D MAIL ADDRESS nee ,4,/gear-WL / /`Il%G �7 /'Y l/ r.20 r2// S ��/ TEL. BUILDING AT CITY/S'9- ////,(gyp az,�. NO. ADDRESS /9_ I//J�/L,� ARCHITECT LIC. OR ENGINEER NO. COSTA MESA. CALIFORNIA FIRE ADDRESS/ // ZONE 3 /I-ey/i ia V A• ) / Y NO. ZONE PLANS ^NO.OF TYPE GROU v, CONTRACTOR �J-��~a\� (I� J �J �yx-I` < ADDRESS&�aO�/.]f)/6T e/1t[yO. J�NfIO BVPR ' �_QJI//l DATE /z S� LEGAL LOT ••6 CORRECTIONS DESCRIPTION ))NQ 14 BLOCK b TRACT 1/1 }`� ,{'q A.P.NO. i 1y_ 022. � A 3 4� I,\ k\•I . SIZE rvo.oP BLDGs. i A [.L .t A .\ - u ,,„ ..A OF LOT �.�R� 9( ISO*CP NOW ON LOT / T. ,fie. .� ! , i 4 nd USE OF , t \ `� ' { I./ 1'1 0 t� -\+ i l EXISTING BLDG._ T J yv:ern.ia/- j'j1 3 A Yy/ l,. �} SETBACKELINE FROM a 4 } (� /I 4)2 CENTER OF STREET .. / `y, REAR YARD .V/ Pete / �y.`/.1' /v SIDE YARD RIGHT / ! l LEFT / '� Ar I DAT F: DESCRIPTION OF WORK t. ''' .) • ' I ' 'UTt9 —/ MT NEW lel- ALTERATION ADDITION a 1pfy REPAIR MOVING I DEMOLISH As PPR k OV ED BUILDING NO.OF l S SIZE �� o' ROOMS a STORIES / CITY OF COSTA MESA EXTERIOR WALL ROOF PLANNING DEPT. COVERING COVERING Rt nn DEPT. REG. USy,+ v / �UCJ'CT - Q B UEL DFN GEW ! 1�i:1 /� fa,CO•171 �u/ h! / //�J . - . . BY // DATELyLE/? Arena; `' VY PLAN 1 cGH. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND / STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ,��p Cr'. /� CITY ORDINANCES AND STATE LAWS REGULATING BUILDING ONSTRUC- U �/ rlorv. ROMAR BUILDERS, INo. VALUATION fJ SIGNATURE OF 2430 NEWPORT BLVD. PERMIT FEE $ /�+ --' PERMITTEE CoraMESA.CALIF. PHONE LI.8.9388 // .27 PLAN CHECK $ ? l AUTHORIZED AGEN d.-� Z4/ TOTAL FEE $ oL 7 — I vaME 4101-41Paksta Mesa Building Department _ APPLICA','ION FOR PERMIT 111 EAST 20th TREET �J}` 490 B L D ,l N G1 COSTA MESA, PORN IA G FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY Receipt No. /�Pemit N A ,risg / G� � W / /AC25 7/Address Costa Mesa, California Received by Date Recd. �/S Date�teIssued Nearest �F /� "'r %�� Cross St. �jlAj,F„- GC.w4-- Building Address Owner � - �� Costa Mesa, California Mail Address /V a ar-e-- �/77:22— Nearest City �7 Tel. a 399,` Cross St. I Grou Cit (2_82.4. / No. //y- Zone No.of I Type , / Pte- Architector Lic. Plans �/ Grey Engineer No. Approv by Date Address CORRECTIONS City Lic. Contracto .Ohm No. ` /i��s, M, E. T // // Address 2 1 - ,/t,5, Description I No.Legal ot Q/a f , ock OF3traOct v64, d , (Attach Metes and Bounds) ,� No.of Bldgs. „.....,...„„j.._ _ .t 41.- / / i d Size of Lot I Now on Lot Usei ofiI No.mil I No.of 1 / ' �Y� ■ 700 Existing Bldg. Families Rooms 9} J, Setback Line from / Rear Yard yy t- Z Center of Street J 8 Side Yard 7/- yii r anA G. 1 8 1954 Z DESCRIPTION OF WORK „ q New I I Alteration I I Addition 1 CITY OF COSTA: MESA Repair I I Moving I rerDemolish I Building No.of G-- Size �7 jf wRooms </ Stlo/rriie/ss[n /� Exterior Wall I Roof 'dt�' r Covering !L Covering APPROVALS Use of New Foundation Location Inspector Date Buildin• -.-�� //,�_, �.� Forms,Materials, p [1- /,d••ucG,^,r,� Under-Pinning Frame: Fire Stops, . Bracing,Bolts I hereby acknowledge that I have read this Application Lath. Int. and state that the above is correct and agree to comply Lath. Ext. with all City Ordinances and State Laws regulating building construction. Signature of /r�� Plaster, Int. Permittee 1 _� Plaster, Ext. Authorized Agt. Masonry Reinforced ValuaY o 0 0 Permit Fee $ j O Plan Check $ ---- Bond Beam $ Total '/ Fee $ /'f d% FINAL FORM 204 G-H 2M 5-54 • r„. ".:1 • 1. a-. • 0 0. • • • • • • f;7 Strict ' • 1.1. PLOT PLAN . • Show location and distances.from • Airifyl 4f) I I. I p pertylline, nakbetween buildikgs. - . , . . • • -- • ,• • • • -1 MFsq CITY OF COSTA MESA BUILDING DIVISION >`J DEVELOPMENT SERVICES DEPARTMENT ERMIT NUMBER 4t /gg PERMIT BOO-01411 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ccaUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 BJob Address: 195 ALBERT PL Status: ISSUED Suite: Applied: 09/11/2000 Vicinity: HOUSE ONLY Issued: 09/11/2000 Parcel Number: 42606313 Zoning: Applicant: ROBERTS, WALT ISSUED BY: Address: 1653 SUPERIOR AV Phone: (949)642-7222 COSTA MESA,CA Zip: 92627 Owner: NEWMAN, JEFFREY Address 195 ALBERT PL Phone: COSTA MESA,CA Zip: 92627 Contractor: LEE ROOFING OF COSTA MESA Address: 1653 SUPERIOR AV Phone: (949)642-7222 COSTA MESA,CA Zip: 92627 License: 349686 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE(15 SQ).TEAR OFF EXISTING ROOFING&REPLACE SHEATHING AS NEEDED. INSTALL 2 LAYERS OF 15#FELT UNDERLAYMENT, &REROOF WITH 25 YEAR COMPOSITION SHINGLES (TIMBERLINE). FEE SUMMARY Plan Check: $0.00 Calc Valuation: $2,875.00 Permit: $83.25 Claim Valuation: $2,875.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 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 NOTES: 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 244646(6/00) 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 arrier and policy number are: Qom,, Carrier: S-�q�G{r r24,--14-4/ Policy Number: 190? ei -� (This section need not be completed if the permit is valued at one hundred dollars($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 subject to the workers' compensation laws of California,and a t if should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisio s.(^� Applicant Signature: /• Date: 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 DOLLARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 31060F 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 forneacdr'sfect. ,*0^�f/per( i Date:q C-'3� Contractor's Signature: /,(�'F/' A -L Date: lj� 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 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. 0 Yes 0 No Drivers 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 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 ❑No (Section 25505 of the Califomia 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? ❑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 greeter 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 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 and Safety Code been fully complied with? 0 Yes 0 No ......................................reser.o.future u u e building 5 Does he will the applicant or present a emen o from at require for the work which Is the or age of this application 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? Yes �Na (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 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? ❑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 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. tainatur er s Date �I —/7-00. And/Or u orized Applicant Date CODE L INSPECTION TYPE DATE MALS CODE! INSPECTION TYPE DATE RIImAL9 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final /' 208 Final Plumbing 200 Final Re-Roof -(lh{ �� 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 OWNER HAUPT, EDWARD • DATE 12-1-58 • JOB ADDRESS 195 Albert- Place BUILDING PERMIT NO. #8081 GEM*C. TRACTOR Romar Builders, Inc. VALUE $ 6,982.00 - A No. LOT li6 TRACT 3111 FIRE ZONE DESCRIPTION OF WORK Res. w/att. carport GROUP I & J TYPE V ZONE RJ1 PLAN NO. PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Trenche Forms 4.e. Steel Wi.T/st Floor System Steel Reinforce , Chimney Re- od tem.<.J ,,t7e,,w1.., "7L us-7n Frame and Flashing ) A•j //3 Lathing, In y Out ///9/r2 Plaster, brown coat .A 24- /L ?/t5 / Underground soil///}fc W/G Pipe Test44y/1--,41 Top Out /1/G$t Furnace /V94c/-/',--,S1 Gas Vents Rough Plumbing >✓}/S /-/t.-57 .4 Q , -4',cl,.t.Ott- i.?-/5-sV /iV/4 '--/ ,/ • Cesspool Septic Tank v Prop. Swr. Line/m House Con.,....--St. S*3fJ fiyrj5 4 4 tra' .-. -2/!? S'"9 / S- 7/1 Sprinkling System - t5\ Heating Final ,4}/-S 3-/7--S, _ro Plumbing Fixtures, Final *WC'Z-'2-t4 Final Gas Test J S' M-/-S 3-/2"'s4 1 Construction Pole i• Underground Power .' Rough Wiring - - 021=r ... ars _ 30 . i \/ Fixtures, Final 1 Z...—/9-fy F OCCUPANCY, /i*C l,./2.-3-0 Form 210-5M-1-57 HOLD FOR SPECIAL REQUIREMENTS/ S ,il.2Fn I 8081 , OWNER TUNSTALL, MRS K E. V DATE 8-19-5h JOB ADDRESS 125 Albert Place BUILDING PERMIT NO. 679 GENERAL CONTRACTOR Dean Kephart VALUE $ 5,000.00 LOTAPP#118-083-10 BLOCK TRACT Relocation Work GROUP I TYPE V ZONE Rh FIRE DISTRICT #490 PERMITS ISSUED INSPECTIONS •ATE/ SUBCONTRACTOR ,rC , DATE NUMBER kooting Trench late...-- �O Foundation Forms and Grade�t�o/Garage Rough Framing g 0.gy p ;_. ,S �Q�1,-.� �.�� Plumbing, Rough to Slab / -r /Ca.� _ 7 - f 1'+.9 V Plumbing, Rough Complete g t i' y'�. 9'u a '_-/_ iso ,1i '. -- 4 f/ Temporary Pole I - �I�,/ _ Wiring, Rough 04114 ALM' �..R to. p� / —14/CV ‘,34), ! Heating, Rough Heating, Final . 7i-4 '-- -/ - 7UP,UrrrE — /v 0 - At ieHt/ae � • Sewer 4t, .Q-e_ S Septic Tank or Cesspool /�iG/4 7_/ - .u1_Cos/c/rf>t_0 ,;_1, ."_ - -7,5'1 in Lathing .bo N-Z. C / Plastering Al h 1/-e Plumbing,Final,Fixtures Com.lete,u/�� r..../7.-,) /- Plumbing,Final Gas Testis - �E e09/7e G / r(/ 7-/7--JV >16-14/ Wiring,Final X.e-, 7A!-) - - / " p —i,7-_(<1 7eG/- Occupancy 7G6I ..-- 7 /7- Form 210 C-H 161 12.69