HomeMy WebLinkAbout3244 DAKOTA AVE - Building Permits, •
CITY OF COSTA MESA
� pME BUILDING DIV/SION
Ft� � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-0856 • www.ci.wsta-mesa.ca.us
� FOR INSPECTIONS CALL: (714) 754•5626
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PERMIT NUMBER: 610-00102
PERMIT TYPE B_ROOF2
APN: 13906732
JOB ADDRESS
Vicinity:
Squares: 0
3244 DAKOTA AV CM
STATUS:
DATE ISSUED:
ISSUED BY:
Suite/Unit:
Valuation:
ISSUED
0 412 2 /2 01 0
BE
$3,990.00
SCOPE OF WORK: OVERLAY ONE LAYER OF COMP SHINGLES OVER AN EXISTING ONE LAYER OF COMP SHINGLES. APPROX 29
SQUARES OR 30 YR COMP SHINGLES. COOL ROOF NOT REQUIRED.
OWNER: ROSELI, HENRY H TR
PHONE:
APPLICANT: DANNY SODERBURG
PHONE: 310•612-2458
CONTRACTOR: PACIFIC HOMEWORKS INC
Address: 20725 SOU7H WESTERN AVENUEUnit:
City/State/Zip: TORRANCE, CA 90501
ARCHITECT:
ENGINEER:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
Bldg Std Admin Fund
TOTALFEES
$0.00
$9725
$0.00
$1.00
Address: 3244 DAKOTA AVE
City/State/Zip: COSTA MESA, CA
Address:
City/State/Zip:
License No. 784477
UNIT 150 PHONE: 310-781-3012
CELL:
License No.
License No.
PHONE:
PHONE:
Unit:
Unit:
HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3N8I2010 - PER CMMC Sec. 13-279
Monday thru Friday - 7:00 am thru 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibitied all hours - Sundays and the following Federal
New Years Dav. Memorial Dav. IndeoenAence Dav. Labor Dav. Thanksoivino Dav and Christmas Dav
NOTICE: The work authorized by this permit shall wmply with all applicable handicap access requirements under Calitornia staWtes and related
re9ulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply wilh all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will resWt in the ezpiration of this permit.
CODE R. INSPECTIONTYPE DRTE INTITIRLS CODER INSPFCTIONTYPE UATE IN➢TIALS
1fit6 Fiaetl System Final Fire Prevention 206 Final Mechanical
1286 Pool Spa Final 208 Final Plumbing
200 Final Re�Roo/ O 210 Final Elecincal
201 Final Block/Retainipg 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
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a cerlificate ot consen[ to self-Insure (or workers'
compensation, as provided for by section 3700 of the Labor Cotle. tor the
pe ormance o( the work for which this permit is issued.
I have and will maintain woAcers' compensation insurance, as requiretl by
se tbn 3700 0l the Labor Code, for the peAortnance ot the work for which this
permit is issued. My workers' compensation Insurance carrier antl policy
num6er arGe:,�, ,( ^
Carrier: �7VA'�i0. L1��1Ifll11C.L I.OY�0A4'll�
(IDk s ci neetl not �e mmplefed AMe pemrR is v�luetl a! o e �untlred tlollars (3100J a Ie55J
Policy Number: (���LL )}��(.Ya�i �D�
❑ I certify that in the peAormance of the vrork for which this permit is
iss �, I shall not e ploy any person in any manner so as to become subject
to h workefs' Com en tion laws o/ Califomia, and agree thal i( I 5hould
b V e subject b � orKers' pompensation pmvisions of Section 3700 of
th 1_a or Code, I I fortY�vith cbmply with these,provision� y��
Y\ hA/� .n�A/n %Nlnn n / H
WARNING: FAILURE U�BRIfER MPENSATION COVERAGE
IS UNLAWFUL AND SHA SUBJECT AN LOVER TO CRIMINAL
PENAITIES AND CIVIL FINES UP TO ONE HUNDR THOUSAND DOLLARS
(5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IrfTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I reby a(frm Ihal I am licensed untler provisions o! Chapter 9(commencing
Section 7000) of Division 3 of the Business and Professions Code, and
icense is in (ull force antl effect.
�� � �-3°l
� �! -22'ID
SignaWre Date
❑ I hereby affvm Aat�here is a construclbn lending agency fa the
peAormance of the v.ork for which tlrs permit is issuetl. (Sec. 3097, Civil Code).
lender's Name:
Lender's Atldress:
SignaWre
OW NER•BUILDER DECLARATIONS:
I hereby aKrm that under penalty of perjury that I am EXEMPT FROM 7HE
CONTRACTORS UCENSE LAW for the following reason (Sec. 7031.5,
Business and Professions Code: Any city or counry which requires a permit to
construct. alter, improve, demolish, or repair any struclure, prior to iis
issuance, also requires the appliwnt lor such permit to file a signed statement
that he or she is licensed pureuant ro the provisions of the Conlractors
License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Professions Code) or Ihat he or she is exempt theretrom and
the basis (or lhe allege0 exemptioa Any violation of Section 7031.5 by any
applicant for a permit subjecls the applicant ro a civil penalry of nol more than
five hundred tlollars ($500).):
❑ I, as ovmer o( the property, or my employees with wages as their sole
compensation, WILL DO THE WORK, and the structure is not intendetl or
oHered for sale (Sec. 7044, Business antl 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 ovm
employees, provided that such improvements are nol 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 (or purpose of sale.�.
❑ I, as owner of the property, am EXCLUSIVELY CONTR4CTING WITH
LICENSED CONTRACTORS lo consWct the prqecl (Sec. 7044, Business and
Professions Cotle: The cont2ctws License Law dces not apply to an ovmer of
property who builds or improves thereon, and who cont2cts for such project vnth
a contractor(s) license pursuant to the Contractas License Laws.).
❑ I am exempt under sec.
Business antl Professions Code for this reason:
SignaWre
905"Aa6 (3/0])
Owner ID venfed by driver s license. ❑ Yes ❑ No
Driver's License No. Expires:
Verification of Ownership by (type ot documenl, i.e. - property lax bill or deed):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:
❑ I hereby certify ihat no excavation frve (5) or more feet in depih into v.fiich a
person is required to descen4 will be made in connection with work authonzetl
by �his permit, and Ihat no building sWcture, sca(foltling, (alsework, a demolilion
or dismantling thereof, will be more [han thiAy-six (36) feet high. (Chap. 32, Grp
2, M 2, Sea 341, Title 8, Califomia Administ2tive Code).
❑ As ovmer-builtler, I vnll not employ anyone to do work which vroultl
require a permit from Ihe Division of Industrial Safety, as noted above, unless
such person has a permit to tlo such work from the division.
AppliranCs SignaWre
Division of Industrral Sa(ety Permi[ Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or fuNre building occupant need to fde and
certify a Business Plan for emergency response to release or Ihreatened
release of a hazardous material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some
exceptions, lhat a Business Plan be filed wiN the Costa Mesa Fire
Department by every business which has at any one time tluring a reported
year a quantity of hazartlous materials equal to or greater than a weight of
500 pounds, or a volume of 55 gallons, or 200 cubic (eet of wmpressed gas
at standard IemperaWre and pressure).
2. Does or will Ihe applicant or present or fuNre building ocwpanl need [o fle
a registration form for acutely hazartlous materials? ❑ Yes � No
(Section 25533 of the Califomia Health and Safery Code, with some
exceptions, requires registration vri[h Ihe Costa Mesa Fire Department by
each business which at any one time has on hand a quantiry of acutely
hazardous materials equal to or greater than a weight of 500 pountls, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at stantlartl
IemperaNre and pressure).
3. Does or will the applicant or present or tuture building occupam need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous malenals)? ❑ Yes ❑ No
(Seclion 25534 of Ihe Califomia Health and Safery Code provides lhat the
Costa Mesa Fire Department may require Ihe preparation, certifica[ion antl
filing with lhe Fire Department of an RMPP by businesses which are requiretl
to register awtely hazardous materials with the Fire Department.
4. I( an RMPP is presenHy required, has Section 25534 0( the Cali(omia
Health antl Safery Code been fully complied with? ❑ Yes ❑ No
5. Does or will Ihe applican� or present or future building occupant require for
the work which is the suDject of Ihis application a permit for such constmclion
or modification from the South Coast Air Quality Mana9ement District or from
any olher air pollution coNrol disMct or agency? ❑ Yes ❑ No
(Sectbn 658502 of t�e Califomia Govemment Code requires Ihat Ihe requested
infortnalion be tumished on applications fa rwn-25itlential builtling permits).
6. Will any part of the (aciliry [o be consWcted under this permit be within
1000 feet from lhe outer bountlanes of a school? ❑ Yes ❑ No
(If "yes", the taciliry mus� mee[ [he requirement of Seclions 25534 and 42303
of the Cali(ornia Heal[h and Safery Cotle�.
7. If a permit (rom the South Coast Air Qualiry Management District or other
air polWtion contml disMct or agency is required for ihe vrork which is the
subject of this application, have all of the disclosures prescribed by California
Health and Sa(ety Code Section 42303 been matle? ❑ Yes ❑ No
8. Qf "yes", attach certifcate of compliance fmm the appmpriate air pollution
control offcer).
CERTIFICATE OF COMPLIANCE I cenify that under penalty of perjury the
information given above is corzecc I agree to comply with all slate laws and
city ordinances regarding Hazardous Matenals and Emissions.
FICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
under penalty o( perjury that I have read this application and state that
xmation given is correcL I agree to comply with all state laws and city
ices relating to bu Iding construction, and auihorize representatives o(
cy of Costa Mesa to enter upon ihe above-described property for
�.ion purposes. I agr e not oc py or allow occUpancy of any builtling
zed by this per t u lil M insp ction.
r —I
e ol Le I Owner(s� Dale
Antlb� AulHonxedY�onlicanl Od�e
\ '\
a
Mr. Hank Kelly
3244 Dakota Avenue
Costa Mesa�.California
Dear Sirs
92626
August 23,�1974
�
�
A building permit has been issued to Anthony Pools to conatruct a
private swimming pool on our property.
In order that your pool will e a safe one and for the purpose of
advlsing you of your responsib 11Cy regarding the requirements of
the Costa Mesa Municipal Code� ve refer you to Section 8107� a
copy of which is attached.
This le[ter is dir ed to you in order+that you will be aware of
our ordinances and ca make a complete safety check of your pool
area.
RH:cb
Sincerely yours�
RICHARD NANHART
Building Safety Direc[or'
- - -� H. , LAWMASTER & CO. INC.
� iY40 MAIN STREET — STANTON, CALIFOn..,A 74CMS-1254-002
828-8040
XXX
Field Data on Test Specimens Core Concrete Gunite Grout/Mortar
Project Paol - Permit No. 38859
Project
Location 3244 Dakota Ave., Costa Mesa
Contractor Anthony _Pools - Architect
Location in Strudure Engineer �
Date Moulded 9/6/74 No of Specimens
Slump Specimens Marked
Speciiied Sirength at z8 � days 249..0--P.S.I. Mix Designation
Age to be tested�_days�H—days days days
0
READY MIX PLANT AGGREGATE SOURCE
Weather Condition Good 1 Yd.
Cement C.P.C. 7y� II Cement, Ibs.
Admix Sand
Specimens made by C.B. C af #4 �
Data by „ � 3
Delivered by Sanderson #2
Date Delivered 9/1 �/74 #
f�7PiI_1�:�'A
Lab. No,
Data of Tesi
Specimen Dimensions
Area
Uliimata Load
Lbs. per sq, in,
H/D Corrected
roRM M-ois
Water. Gals.
FOR LABORATORY USE
74-112 74-113 74-114
7 Day Test � 7 Day Test
9/13 9/13
5.81X S.�SX
2b,52 26.88
49,OL0 50,000
7�48 1860
7 day avg. 1786
27.25
d5,00D
1651
OCr 1119i�
74-175
28 Day Test
10/4
S.BSX12,375
26.08
7i�000
2939
Yd. Batch
74-116 74-117
28 Day Test 2�
10/4
5.8�J�
12.5 12.5
26.E� 27.J9
�2,OOU E34,SU0
3051 3019
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OWNER I
JOB ADDRESS
GENERAL COP
AP No 13 -Of
.lNSPECT10N5
Pool Locaxion .
Forms
Main Drain _
Steel Reinforce
Elec. Bond _
Hank
Approval to Cover
Underground Electric �
Gas Piping Test
Filtering System Lines _
Backwash Lines and Recep,
Electrical Final
Heater and Vent Final
Filter System Final
8ackwash and Recep. Final
Fo..��.... F�nal
TE
Dakc Avenue BUILDING PEF
Antho..y Pools DESCRIPTION of WORK Pvt.
T TRACT FIRE ZONE VALUE $ 29(
Si nat�re �ate GR�UP LII TYPE J
� niG SUBCONTRACTOR
Electric
.� � �7 � ,6! 9 -
,� • i 7y
�'") u•%� Plumbing
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I:US 1 A MtJH �UI LUING-SAYt 1 Y UtYA1S 1 MCIV 1
P.O. BOX 120p COSTA MESA, CALIFORNIA 92626
P C TION FOR BUILDING PERMIT
forApplicant to Fill in Completely REc i v obre RECEIV D D/pATE ISSUED/�A
ADDRESS 3244 DAKOTA AVE / ^O/- � ""^��' •
r*�,�,'�y��� A.P. NO. 1 3/-(�ry - 'j PERMIT N
OWNER {�ytyK RWIi'+++++
MAIL BUILDING 2q1y DAKOTA AVE
ADDRESS C ADDRESS 3
TEL. TRACT LOT '2 BLOCK
CITV NO.
CON57RUCTION ^$$L W
LENOER " 1�
X7E:
BPANCN
OWNER � � T
ADDRESS swimming pool VALUg 2900.00
ORENGINEEFl R. Kolodzioj NEvPJZ�U S
FIflE ,-,��{�/
ADORESS ZONE TYPE !J+— GFO/UyP �
CONTRACTOR Anthony Pools BVPROVE DATE l/ � �
ADDRESS 58�1 Firestone Y19d•
TE� p ZONE NO.OF ^ USE OF NEWS�f,UI/�J/�'jtNC—
cirv SOu�h G&te No.•�p�227.0: R vu,ras L sui�owc �oL
L C No. 190179 LICVNO. YMAIDN B ILDING ACCESSORYPBUILDING
SIZE NO.OF BLDGS. (FRQM C/L STREET)
OF LOT NOW ON l0T ROM FT. S FT.
USEOF residence and garage
E%ISTING BLDG. FT
SIZE OF p�, NO. OF �
Nenia�oc. 3�Y qpOMS STORIES �.SIDE FT. FT.
EXTERIOR WALL ROOF d '/
COVERING COVERING �✓ AEAR FT. O FT.
USE OF D NG AND WOFK O E P FF DISTANCE BET. BEf. MAIN &
pri�iaie $W7.m pboi �n °—�`�►—a4 MqINBLDGS. ACCFSS.BLDGS.
single family QWel11Ag CURP 3W q APPROVED
API'ROVED �./I 1 L G' +�' 7
VL o �
I hereby acknowletlge thet I have reatl ffiis epplication antl state M�P'
that ffie above infqrmation is correct antl aBrae to comply with
all laws reBulating 6uildinB construction, end I shall not ¢mploy �
e�Y Oerwn in violation of iho workman's compensatian laws of
the State of Califor�ia, t! e ��`�(.��
I hereby certity thdt I am prOperly litenzatl as a conttactor �nder
�JC/ SQ. FT. ��
the Siate of CaliTornia Businass antl Protessions Cotle, Divisicn 3, THE AMOVNTSHOWN UNDER VA�VATION IS FOR
Chapter 9, antl that,�uch licensas are in full entl effact, or I THE PURPO6E OF ESTABLISHING A PERMR FEE ONLV:
am exempt trom the qrovizions of the St of C ifornia Buciness VALUATION �� bTi
antl ProteszionsCotle, 6ivision 3, Chap r� GERMIT FEE ff �
s;o�a.�.a r � 2900.00 �' S�
Permlttee $ PLAN CHECK $
Authorizetl A �/ L�ri�<�� 3 �v
TOTAL FEE $
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g vnivcrt
�o'' JOB A[
F
� Ga5
� WATER
\ ROUGH PLUmBING
PROP. SWR. LINE �
SPRINKIING SVSTEM
HOUSE CON.
ROUGH NEATIHG ANO AIR CONOITIONING
UNOERGROUNO
—ROUGM WIRI�NC
TRENCHES I/1
BONO BEAM U STEEL REINFORCE
SHEATMING
FRAME AND FLASMING
LATNING — IN ❑ I
PlASTEF, BROWN CORT
STRUCTURAL FINAL
HEATING. VENT., REFFI
�N � b-21-74
QUILDING PERMIT N0. _-38891
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
PP I ATION FOR BUILDING PERMIT
For Applicant [o Fill in Completely
' / RE I E DATE RECEIVED D TE IS UED
BUILDING � p��01� AvE �2 �
ADDRESS
/L� 'I /7 /PERq4,1.T f�f
OWNER I/2 . H. KO�-✓E�-C� A.P.NO. � y� '� �
MAI L BUILDING
ADDRESS ADDRESS (� J
TEL. TRACT3' p� LOT > BLOCK
CITV NO.
CONSTRUCTION W 'Q
LENDEF
BRANCH O W P/I
OWNER
ADDRESS /� /�
, o/O K �In''IVAW$ � �
ARCHITECT TEL. S
OR ENGINEER
FIRE
ADDFESS ZONE TV E GROUP
� APPROVED � rJ/
CONTRACTOR BV DATE ��-�
ADDRESS ZON NO.OF USE OF N W
TEL. p�qry� BUILDING
CITV NO.
STATE CITV �'AROSAPPFOVED VARDSAPPROVED
LIC. NO. IIC. NO. MAIN BUILDING ACCESSORY BUILDING
S12E NO.OF BLDGS. (FROM C/L STREET)
OF LOT NOW ON LOT FRONT FT. �� Da
USE OF
EXISTING BLDG. 7, �,
S12E OF NO. OF
NEWBLOG. RDOMS STOFIES L.SIDE FT. FT.
EXTEfiIOR WALL ROOF (' �
COVERING COVERING REAR FT. /\
USE OF BUILDING AND WOFK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLDCS. ACCESS. BLDGS.
V SC�N�/ I'� P �.J L-OG � FEh( C� E VAR� # DATE
C.U.P.qW APPROVED
//� _ r�` APPROVED ' _7
-�(/1'l.
I hereby atknowletlpa tha[ I hav6 �eetl Mis applicetiOn ontl tta[e
that tho ubove Intormetion is conact antl aB�ee to comply with
ell laws rogulaHn9 builtlinp conztYucNon, antl I sheli not amploy
ony person in vloletion of the workman's compensation lews of
the State of Califomie. �
I hareby car[ify t�a[ I am properlV ���ensetl as a contractor untler FT. T�
tha State of Californ(a Buzinoss entl Professions Cotle, Divisicn 3, THE AMOUNT SMOWN UNDER VALUA ON IS FOR
Chnpter 9, antl the[ such Iicenses ere in full force ontl effec[, or I THE PURPOSE OF ESTABLISNING A PERMIT FEE ONLV:
em eaempt trOm [ha provlsions ot Na Stere of Californle Businat3
entl Professions Cotla, Dlvislon 3, Chapter 9. VALUATION O{/
PERMIT FEE $ �
SlBnoture of �"d
Permlttee �� .�C.i�� $ � ' PLAN CHECK $
Authorizatl Apant � �
TOTAL FEE S
Lot 63 •. i�-
Tr 3722
, _ �`,��::
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 9�7 C08TA MBBA. CALIFORNIA
For Applitanf io Fill In Complefely
TYPE OR PRINT
AooRes"s 3244 Dakota Avenue
C09TA MESA CALIFORNIA
owwER K& E Development Co, Inc.
MAiI '__,., ,,, - '
� STATE i . . . _ TEL.
NO; OP BLOO6. O
serewcK uxe rwow SO T REAR YARD ?is i
CENTER OP 8Ti1EEi
SIDE YARD I LEFT S� ' I R�GHT S�
DESCRIPTION OF WORK -
BUILDING
20N¢
R-
LHGAL
FEE RECEI���
Cz.�- �3-�v_g�
APPLI��SVIO�t�! EFOR lPF�RM IT
CITIBUILDfNGMESA
For Office Use Only
DY
COSTA MESA.
une
ZONING
NO.OF U8E OF �
PV�N6 2 BUILD�NO
198UED
tt
5 ZEDING 56�1�%SSf ROOMS Ei STORIES
EXTERIOR WAL�TUCCO IROOF Rock �
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
and Attache arage
Plan 1-H '
1 HEREBY ACKNOWIaD08 TMAT 1 HAVE R�� 1T118 MPLIGTION T{{g AMOUM SXOWN UNDER VALUATION 18 POR THE
ANO BTATH THAT TNB ABOVE IB CORREGT AND AGIiCe TO CAN- pµpp08E OF £BTI.HLIHHING A wEpM1T PE¢ oNLv.
P{.Y WITM ALL QTY OfiO1NANCEe AND BTATE t'AW9 itHGUlATNO
Bu1lDIN6 CONBTRUL'TION. • VALUATION
SIGNATURE OF � PERMiT FEE $ ��,� �
PERMI7TE � I�G'��� �/`
S � PLAN CHECK S �!J �
�AUTHORIZED AGENT