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Home My WebLink About1325 BELFAST AVE - Building Permits - j 4`p5'g MF - CITY OF COSTA MESA - " ahr BUILDING DIVISION > ' r:;_ ",1 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER �t i=ala ; PERMIT !s ossa-• 'B02-00732 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1325 BELFAST AV Status: ISSUED Suite: Applied: 05/28/2002 Vicinity: ROOF Issued: 05/28/2002 Parcel Number: 14103802 Zoning: R1 R1 -_ Applicant: POPE, STEVEN ISSUED BY: c C Address: C4076758 - - - 'Phone: • . Zip: Owner BIRCH;BENJAMIN R Address %BENJAMIN, R BIRCH- " - COSTA'MESA,CA ' - Phone: - 1325 BELFAST AVE Zip: 92626-2604 - \\''\' Contractor: IN LINE ROOFING Address:• 1271 N WILLIAMETTE DR = N Phone: 714-693-7555 "N • ANAHEIM,CA ' Zip: 92807 License:-;770535 _ Arch, : , / - Eng: Address: ' -, C Address:, • - Phone: 7 - 'Zip: • License: License: ' r n SCOPE OF PERMIT , TEAR OFF EXISTING ROOF: INSTALL 7/16. O.S.B_.,30#ASTM F _ELT;-_AND-4.0 YR ELK_ COMPOSITION SHINGLES. • 2200 S.F.WITH ATTACHED GARAGE. j FEE SUMMARY Plan Check: $0.00 - - - - - ' - -Calc Valuation: $5;390.00 Permit: $125.25 - Claim Valuation: $5,390.00 SMIP Res: ' $0.54 . SMIP Corn: $0.00 - Other: $0.00 r Inspection: ,$0:00 - A , . total: $125.79 ' 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: o 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 2446-46(600) . DECLARATIONS fl n WORKERS'COMPENSATION DECLARATION: - I hereby affirm under penalty of perjury one of the following declarations: - - O 1 have arid 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. - - '--,l,bave 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. N---My work s'tomppetation insurance carrier and policy number are: (.______—`2 i./` —O i 'Certieri� CGJti Policy Number: / 47(o��/ 7 tp / (This section need not be completed it the permit/s valued at one hundred dollars($100)or less.) ❑ I certify that in the perform: ce.1 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 Cal .mi-,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 pro ' i. s. �"�'j ApplicantSignature:_ DIC-7 5-1;bL-67- • ��. AFAILUREE( Loc, DI IO COMPENSATION COVERAGE IS UNLAWFUL AMAG AND SHALL ID SUBJECT I AN EEMPLOYER TO CRIMINALHE PENALTIES AND CIVIL FINES UP TO ONE HUNDRED. THOUSAND DOLLARE($100,000), .OITION 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 attirm.that.l.am.licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the.Business and Pro essions Code,and my license is in full force and effect.Llc.H -.• . _ f _ clans N t 3 Ti dnlrect5rO Signature: ,�./v Datr`_ S ,O-1 tCONSTRUCTION LENDING AGENCY: / O 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). Lender's 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 en 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 ❑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: O 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 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,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). occupant fie a registration for..for . c.. ly hazardous 2 Does or will the applicant or present or future building occupant need to file a registration form oacutely hazardous materials? CI 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 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 ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? TJ Yes U 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? 0 Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia 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 ANCE 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 comp with all state laws and cityordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-descri ope for inspe purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Legal Owners) 4 SI_ Date And/Or Authorized Applicem ,Date CODE I INSPECTION TYPE DAIL INT!AL$ CODE! INSPECTION TYPE mit =ALS 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final208 Final Plumbing _. 200 Final Re-Roof , �— L z{— O44L- 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 • rEE RECEIVED 8045 1nCap Is-R.- COSTA MESA BUILDING DEPARTMENT FINANCE DEPT. P.O. BOX 317 CITY OF COSTA MESA • COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING BUILDING ADDRESS 1325 Belfast Avenue COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. OWNER COLLEGE MESA COMPANY • SIM MAIL RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESS P. 0. Box 2277, Brookhurst Station /.r-sr/ //-/7-47- .A' 2, 0 Ina TEL. BUILDING t CITY Anaheim NO. KE 3-3161 ADDRESS ORARanCl CHIITECTER Buld t gley NIo. RE 7191 COSTA MESA. CALIFORNIA drl ADDRESS 1102 W. 17th St. , Santa Ana ZONE ZONE NO.OF TYPE GROyyyP CITY LIC. PLArvs / CONTRACTOR The Hale Company. No. 7350A U// L ADDRESS 1777 W.Lincoln,Anaheitrz;: KE 3-3161 BYY PROVED DATE DLEEGAR`IPn oN LNOOT. 402671 CORRECTIONS BLOCK TRACT Plan #3-AR A.P.NO. 68 - OF x 126 NO. OF BLOT . OF LOTNOW ON LOT None . USE OF C EXISTING BLDG. SETBACK LINE FROM q p CENTER OF STREET 50' REAR YARD 40' - , SIDE YARD RIGHT 91 LEFT lO' DESCRIPTION OF WORK NEW X ALTERATION ADDITION REPAIR MOVING DEMOLISH BUILDING 1222' -Liv. NO.OF SIZE 440' -Gar. ROOMS 5 STORIES 1 EXTERIOR WALL R COVERING StUCCO COOVEOF RING Compo USE OF NEW BUILDING Single dwelling watt, garage I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND'AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC• TION. COLLEGE MESA COMPANY VALUATION PERMIT FEE $ 30.00 SP RMAITURE it Ar HE HALE COMPANY,Ge///,trtner (, // / 5 12,599 PLAN CHECK 5 15.00 A UTH.- � TOTAL FEES 45.00 „Ile OWNER COLLEGE MESA COMPANY DATE 11-20-58 JOB ADDRESS 1325 Belfast- Avenue BUILDING PERMIT NO. 8025 GENERAL CONTRACTOR The Hale Company VALUE $ 12 599.00 ' AP. No. LOT/1O TRACT 2671 FIRE ZONE DESCRIPTION OF WORK Res. w/att. gar. GROUP I & J TYPE V ZONE in PLAN NO. INSPECTIONS DATE PERMITS ISSUED !, SUBCONTRACTOR DATE NUMBER . Trenches Forms Steel g..4.4 �$..g ,'g 1 Floor System &- * ,J.i o f.-,ed' Steel Reinforce Chimney Re-Rod Bond Beam g./(4: ,2- 6 4e r9 Frame and Flashing y/E Z '4 C-.i, Lathing, In Out 5- 2- /4E- , / l Plaster, brown coat �g.,�y , -q-. Underground soil$. Il/ W/G Pipe Test/_py/q./0.-4-e t Top Out /R•/J•S'y Furnace L tv sa.te el (4n (Prr-P'4 -vv2_0,.. L _7_13 3-q /6 7'X 2.-- Gas Vents Rough Plumbing A-IV tZ-3-47 Ki ct9&e fe 'WV 2 0 "3.7-sy1 “510736) Cesspool Septic Tank / "� `� y Prop. Swr. sj Hous¢114n. St. Swr. ^)/..'ty1 f c\- OiLr.y,..`— iz-z9 i - s� J s/ 7/ _ ys Sprinkling System 7\ Heating Final 2... WPlumbing Fixtures, Final z 7/-47V o \t Final Gas Test J' y/ 3l / 9-7/-6! Construction Pole // Underground Power // �__ -- ////� ,o �,t \� Rough Wiring 2-Fj• Al (b). 1.o- i !i� LP -3°--- T7 7 7 /.� ti Fixtures, Final 3-elp Pyr Ut OCCUPANCY 4, 7-7/•-.47 �1 Form 210-5M-1-59