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Home My WebLink About1131 CHARLESTON ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 1131 CHARLESTONST Suite: Vicinity: ROOF Parcel Number: 14169207 Zoning: R1 R1 Applicant: JOSE CAMBRAY Applied: 11/19/2003 Address: 405 S BENGAL ST SMIP Com: $0.00 Other: $0.00 Phone: (714) 571-0120 SANTA ANA, CA Zip: 92704 Owner: BURLEY, JOSHUA T Address 1131 CHARLESTON ST Phone: COSTA MESA, CA Zip: 92626-2706 Contractor: FIRST QUALITY ROOFING Address: 405 S BENGAL ST Phone: (714) 571-0120 SANTA ANA, CA Zip: 92704 License: 776969 Arch : Address: Eng: Address: Status: ISSUED Applied: 11/19/2003 Issued: 11/19/2003 ISSUED BY:/� Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL OSB 12" PLYWOOD, 30 YEAR COMPOSITION FIBERGLASS SHINGLES, AND 30# FELT. 2,416 S.F. INCLUDES ATTACHED GARAGE. Plan Check: $0.00 Permit: $139.25 SMIP Res: $0.66 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $139.91 SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 ACCESSORY Front 0-0 Rear 0-0 PARKING Existing: 0 Required: 0 FEE SUMMARY Calc Valuation: $6,572.00 Claim Valuation: $6,572.00 PLANNING & ZONING Left 0-0 Right 0-0 Left 0-0 Right 0-0 Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become vold it work is not commenced within 180 days, or If work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2448-68(6/00) DECLARATIONS WORKERS' COMPENSATION DECLARATION: f I hereby affirm under penaltyof perjury;one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. @C" I have and will maintain workerscompensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Maly workers' comp nsat n Insurfl/r�,e,.c�arde/r and policy number are: Carrier: -� 'i v ' ' 811 Policy Number: 3 (This section need not be completed if the permit Is valued at one hundred dollars ($ t00) 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 agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with these provisiQ{ns, Applicant Signature: c d �S ( � V_& tai Date: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE I NLAWFUI_ AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIE AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under pr visions f Chapter 9 commencing with Section 7000) of Division 3 of the Busines Ad Pro signs Code, and my license Is in full force and effect. Lia N Class N (i (_1 Contractors Signature: 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 Cade). 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 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 two 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.). ❑ 1, 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 contractors) license pursuant to the Contractors License Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ 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: ❑ 1 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? ❑ 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 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 ❑ 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 It an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes C-)No .................................................................................................................................................................................. .................................................................. ................................................................................................................................... .... 5 Does or wIII the applicant or present or future building occupant require for the work which is the subject of this a 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? LJ Yes S No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ....................................................................................................................................... _....................................... ......................................................................................................... ..............................................................._....................... 6 WIII any part of the facility, to be constructed under this permit be within 1000 feel from the outer boundaries of a school? ❑Yes ❑ No (11 "yes", the facili..... and ........ ..........................................._..................._—__..... ............ .__._... .............. __..... ._...... _................................................................... ............................................. ...___............... .__..... _....... __........... _......... 7 II 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 ❑ No .................................................................................. ...................... .................................................................................... ............................. ........................................ .................................................. ............... ........................... ............._................ 8 (If'yes', attach certificate of Compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I cartily 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 representetives 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. Signet raO1 eget ner(s) Is 'Aff,110 uthorized Applicant l Date CODE t. INSPECTION TYPE DAM INTRIALS CODE INSPECTION TYPE gATE Its 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 206 Final Plumbing 200 Final Re-Root 1 J-7s- 210 Final Electrical 201 Final Block/Retaining Well 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 Mr. Brad Clark 1131 Charleston Street Costa Mesa, California 92626 Dear Sir: April 11, 1974 v A building permit has been ssued to you as owner -builder to construct a private swimming pool ony N roperty. In order that your pool will be a safe one and for the purpose of advising you of your responsibility regarding the requirements of the Costa Mesa Mu ipal'Code, we refer you to Section 8107, a copy of which is ahe d. This letter is directed to you in order that you will be aware of our ordinances and can make a complete safety check of your pool area. RH:cb Sincerely yours, V RICHARD HANHART / Building Safety Director Mr. Errol F. Heesch 12921 Asoenwood Lane Garden Crove, California 92640 PROJECT Swimming Pool for B. CLARK ADDRESS 1131 Charleston, Costa Mesa SAMPLE FROM Gunite Swimming Pool 30,70 ARCHITECT CONTRACTOR �� 2s Owner/Builder ENGINEER Q �� "' Twininq Laboratories - _Z 4- L4 �.� O .i .,< . 1 C AI:GOt lVP' -C',�� BEA^r :A-.: a . 1 .c .p5 2 L D3>i. 4-1/2 to I STRENGTH DATE CAST 5-1-74 TESTING DATE TESTED 5-8-74 , 5-8-74 CYLINDER NO. 1 11 COMPRESSION 7 -Day 7 -Day TOTAL LOAD, LBS. 105,000 May 8, 1974 POUNDS PER SQ. IN. 3,715 Examination: SC74-2314 SIZE. COMPRESSION TESTS ON GUN ITE CYLINDERS Mr. Errol F. Heesch 12921 Asoenwood Lane Garden Crove, California 92640 PROJECT Swimming Pool for B. CLARK ADDRESS 1131 Charleston, Costa Mesa SAMPLE FROM Gunite Swimming Pool 30,70 ARCHITECT CONTRACTOR Owner/Builder ENGINEER SUBCONTRACTOR Grove Gunite Co. SPECIFIED MIX 4-1/2 to I STRENGTH DATE CAST 5-1-74 SLUMP DATE TESTED 5-8-74 , 5-8-74 CYLINDER NO. 1 11 COMPRESSION 7 -Day 7 -Day TOTAL LOAD, LBS. 105,000 88,000 POUNDS PER SQ. IN. 3,715 3,248 SIZE. 6" x 12-3/4" 5-7/8" x 13" COMPLIANCE 7 -day test complies with specifications. MADE BY DELIVERED BY CYLINDERS Malcome E. Heesch �••-U', 7 E]�i [i� b`: DISTRIBUTIONo Costa Mesa Bide. Dept. „ Grove Gunite CO. J. I„ 1 E. F. Heesch 2,000 psi Al KE 1, 5-8-74 IV "HOLD" III V "HOLD" VI "HOLD" 7 -Day 79,500 3,064 5-3/411 x 13,1 RECEIVED ON 5-2-74 ALL Rt PORTS ARE, 5U9MITTEO .5 TNL CONFIDENTIAL PROPERTY OP CLIENTS, AUTRORII.TION fOR PL%L.C.T,ON 01OUR RIPORCS COUCLU510N5 OR E. LP.c ES [RO L. OR REGARDIryc TR[M IS RCSE Rv[D PC NOINc OUR WRITTEN APPRO.AL .N A MUTUAL PROTECTION TO CLIENTS. TRL PJOLIC AND OURSELVES 33012 OWNER CLARK, B. JOB ADDRESS 1131 GENERAL CONTRACTORO AP No. 1 1- 92-07 LI INSPECTIONS Pool Location Forms Main Drain Steel Reinforce Elec. Bond Approval to Cover Underground Electric Gas Piping Test Filtering System Lines Backwash Lines and Recep. Electrical Final Heater and Vent Final _ Filter System Final Backwash and Recep. Final Fencing Final DATE 4-10-74 n St. BUILDING PERMIT NO. 3 270 DESCRIPTION of WORK Pvt.Swim Poo TRACT FIRE ZONE VALUE $ 3,500-00 _ I Date GROUP III TYPE :7 ZONE R1 _ lSSii nnaattu�re SUBCONTRACTOR PERMITS ISSUED Data Number Signature .� Electric Plumbing oe,, G �/ v 6536c �2� Y 38270 �R 10-71'7;;7`00 39 ****39.50 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 P I TION FOR BUILDING PERMIT I JPL / :.e l U. 0 For Applicant to Fill (n Completely RE E V I OA RECEIVED q/ BUILDING / L ADDRESS A.P. NO. _ P OWNER (�—V BUILDING MAIL ADDRESS ADDRESS L Z TE ,Q p CITY/ NOL p 3S-Iiy c^^� TRACT .Jf✓(J� LOT Lu W o- U I— Z Z Q CONSTRUCTION NEW LADOIALTER REPAIR O LENDER o- m J :D BRANCH JN (AVNER M J ADDRESS E VALUE ARCHITECT TEL // M J Q Q JI�9YOO OR ENGINEER Y/ Nn FIRE I U N WQ � ADDRESS S ZONE yPE GRC APPROVED o_ W W Z CONTRACTOR By DATE J O ED Z JK ADDRESS TEL. ZO NO. OF ^ PLANS USE OF NEN W W ZF CITY NO. e[� BUILDING STATE CITY YARDS APPROVED VAROS A W O N M LIC. NO. LIC. NO. MAIN BUILDING ACCESSOF (FROM C/L STREET) SIZE NO.OF BLOCS. OF LOT NOW ON LOT FRONT FT. USE OF EXISTING BLDG. SIDE F7, SIZE OF NO. OF Z NEW BLDG. ROOMS STORIES L. SIDE FT. UEXTERIOR WALL ROOF _ COVERING I COVERING REAR FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & IL a MAIN BLDGS. ACCESS. BLD Q I C VRP # APPROVED APPROVED(`t `T N WSJ z UI 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 1 shall not employ r any person in violation of the workman's compensation laws of y the State of California. z I hereby certify that I am properly licensed as a contractor under N THE AMOUNT SHOWN UNDER VALU the State of California Business and Professions Code, Divisicn 3, Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERI am exempt from t1 a provisions of the State of California Business and Professions Cnoe, Division 3, Chapter 9. VALUATION PERMIT FEE $ Signature o /`�� Permittee ✓ 5 —/ A ��Y"000�� PLAN CHECK 9 Authorized Agent TOTAL FEE $ I I JPL / :.e l U. 0 w."A..12133ESA BUILDING -SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT BUILDING ADDRESS 1131 Charleston COSTA MESA, CALIFORNIA FEE RECEIVED JAN .17 1964 FINANCE DEP1 � APPLIM110W "IliRGtI WA BUILDING For Office Use Only RECEIPT NO. T I RRESMIT ' RHCHIV " 7T'7e7_VE9,/l 'JHIV DATRI1B G DIOi. j ADDRESS 15939 Las Flores CITY Fountatn Vnllpy STALIC. TNo. 215049 NE TO. 1 IF OF LSIZE'ZEOT6I I NONo.Wd8�05.0 USE OF OO ' DESCRIPTION OF WORK ' 1 I_ II I II I INe 001 IOR WALL NO. OF ROOMS ROOF FIRE ZONE TYPE GROUP APPROVED BY DATE ZONING to EW I PUNS `(r BD LD LEGAL %/ L DESCRIPTION V� LS L A. P. NO. NOTE: NO SAVE OVERHANG SHALL BE LESS THAN YARDS APPROVED MAIN BUILDING IOM C/L STREET) I DISTANCE BET. MAIN SLOGS. VAR. lF 2 C. U. P. YARDS APPROVED ACCESSORY BUILDING DATE Z SO. FT. 1 -41-6-4" IT I HERBBY ACK T 1 HA READ THIS APPLICATION AMOUNT SHOWN UNDER VALUATION IB FOR THE AND STATE AT THE OVE COR ECT AND AGREE TO COM -POSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH L CITY BWLDINGC NSTRU 1 ANC A STATE LAWS REGULATING rVALUATION /z 00 PERMIT FEE $ Ie SIGNATOR PERMITTE Soo Oo PLAN CHECK OD AUTHORIZEDAGENT Q oD