HomeMy WebLinkAbout928 AZALEA DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.r�.�sILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
.lob Address: 928 AZALEA DR
Suite:
Vicinity: ROOF
Parcel Number: 41221212
Applicant: SELL, RON
Address: 18032 IEM�N
YORBA LINDA . CA
Owner: MAGGI, MARIO L
Address 3448 LUPINE CIR
C�STA MESA, CA
e
Contrector:' SELL ROOFING COMPANY
Address: � 18032 LEMON, � �
� YORBA,LINDA;CA
Zip: 92686 -'- ' ,
Arch :
Address:
Zoning: R1 R1
Phone: (714)52&�758
Zip: 92686 �
Phone: ',� . � .
Zip:- 92626- . -
Phone: (714) 528-1758
License: 323842
Eng:
� �Address: �
Phone: , • .- � '
Status: ISSUED
Applied: 1 111 8/2 002
Issued: 11/18/2002
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Zip: ,�� � ' . License: - - � �� License:
SCOPE OF PERMIT
REMOVE EXISTING F200F. INSTALL t/2" OSB, 1 LAYER OF 30# FELT, 30 YEAR, COMPOSITION ROOF. 2,600 S.F. INCLUDES Ai7ACHED
GARAGE.' . - � _ . � - - . . _ . . � .
FEESUMMARY _
Plan ChecK: :; $0.00 Calc Valuation: Sa,soo.00
Permit ',. $11L25 .ClaimValuation: Sa,soo.00
SMIP Res`. $0.50 = _
SMIP Com: $0:00 '
Other: $0.00
Inspection: $0.00 -
7otal: . $111.75
� \ � F rl
SETBACKS
MAW STRUCTURE Front ' 0- 0�\ '�: <� Rear - 0- 0
ACCESSORY ' Front � 0• 0� ��Rear � 0- 0
PARKING Existinfir 0 : - - �Reauired: 0
PLANNING & ZONING
Lek 0- 0
Left 0- 0
Pr000sed: 0
Right 0-0
Right 0- 0
NOTICE: The Work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expira and become void ii work is not commenced withln tBo days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order tor the work authorized under this permit to be considerad legal, such work must comply with all applicable codes, and all
raquired inspectlona and tinal epproval must be o6tained. Failure to obtain inspactions and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2446-a616/00)
WORKERS' COMPENSATION DECLARATION: —" � ', '^-.
I hereby aBirtnwnder penalty of perjury one of the tollowing tleclaretions: ,
❑ I have end �wlll melmain a certificate of consent to self-Insure for workers' compensetlon, es provitled Por by section 3700 of the Lebor Code, for the pertormence of the
work for which ihis permit is Issued.
�I have end will�' compe�rance, es requiretl by section 3700 of the Lebor Code, for the perfortnence of the work for which Mis peimit Is Issued.
My workers' co ati Insur arner e olicy number ere: rQ�
arner: . PolicyNumber: /G G � �> /
(This sectlon need not be complefed il the permit is valued at ane huntlred dollars ($f00) or less.) I
❑ I certify that in Iha peAormence of the work for which this permit Is Issued, I shell not employ eny person in eny manner so es to become subJect to ihe workera'
compensetion lews of Cellfornia, end e het If I sho�1 beco e sub�ecl to ihe workers' compensetion provisions of Sectlon 3700 of the Le6or Code, I shell forthwith
comply wi�h ihese provisions. �/�r- /f� �— n�
Appllcflnt SignaWre: �� ���'�� Dete: � V
WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAOE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAOES AS PROVIDED FOR IN SECTION 3]OB OF THE LABOR CODE, IMEREST, AND ATTOqNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm that I am licensetl untler provisi<
torce end eltect. Lic. #� z
CoNrector's SlgnaNre: i
with Section 7000) of Division 3 of the Business and Profession °� , end my license is In full
Cless # �- — � / i
oe�e: / —6
CONSTRUCTION LENDING AGENCY:
❑ I hereby affrm Iha� �here is e construction lending egency tor ihe pedormance of the work tor whlch this permit Is Iuuetl. (Sec. 3097, Civil
Lentlefs Name: LentleYs AOtlress:
Signeture:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby affirtn thet under penalry of per�ury that I em EXEMPT FHOM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Protesslons
Cade: Any city or county which requires a permit to construcl, alter, improve, demolish, or repeir eny structure, pnor to its Issuance, also requires t�e epplicant (or such permit
to file e signed statement thet he or she Is licensed pursuent to the pravisions of tha Cantrectors I:icense Lew (C�epter 9(commencing with Section 7000) oi Divislon 3 of the
Buslness end Professions Code) or tha� he or she is exempt Iherefrom and the besis tor the allegetl exemption. Any violetion of Section 7031.5 tiy eny epplicent for a pertnit
sub�ects the epplicant m e civil penalry of not more than tiva huntlred dollars ($500).): .
❑ I, as owner ot the property, or my employees with wa9es as their sole compensatlon, WILL DO THE WORK, entl the strucmre Is not intentletl or offered tor sele (Sec.
7044, Businass end Professions Code: The Contrectors License Lew dces not apply to en owner of property who builds or improves thereon,�end who doas such work
himself or herseli or ihrough his or her own employees, provided that such improvements ere not intentled or oHerad for sale. If, however, ihe building or Improvement Is
sold within one yeer of completion, the owner-builder will have ihe 6urden of proving that he or She did no� build or improve for purpose ot sale.).
❑ I, as owner of ihe properry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTfiACTORS to wnsiruct the project (Sec. 7044, Business and Professlons
Code: The conirectors License Lew does not eppty to en owner of properry who builds or Improves thereon, end who contracts for such pro�ei with e coNrector(s)
license pursuant ta the Conirectors License Lews.).
❑ I am ezempt under sec. Business end Professions Code for this �eason:
Signature: ' Date: �
Owner ID ve�itied by dnver's licanse. ❑ Ves ❑ No Drivefs License No.
Verificetion of Ownership by (type at dacument, I.e. - proparty tex bill ar deedJ:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: �
❑ I hereby certify thet no excevation five (5) or more feet in tlepth into which e person is requiretl to descend, will be mede In connection with work euthorized by this
permit, and that no building structure, scaHoldinq, falsework, or demolition or dismantling ihereot, will be more then ihirry-six (38) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Title 8, Celifomia Atlminlslretive CoUe).
❑ As owner-builde�, I will not empioy enyone to do work whlch would requlre a pertnit from Ihe Division of Industnel Sefely, es noted above; unless suc� pereon hes e
permit to do such work from ihe division. i
Signature: Date:
�
Divislon of Industrial Sefery Permit Number: I ,
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicent or present or future building occupant need to file end certlty a Business Plan for emergency response to release or threate led release of e hezerdous
matadel? ❑ Yes ❑ No i
(Section 25505 of the Calitomia Health and SaFery Code requires, with some exceptlons, thet e Business Plan be filed with ihe Costa Mesa Fire Depertment by every
business which hes at any one time dunng a reported year e quentily of hazardous meterials equal to or greater than e weight of 500 pounds; or e volume of 55 gellons,
or 200 cubic feet of compressed ges at standard temperature entl pressure).
...............................................................................................................................................................................................................................................................................................................................:............................................................
2 Does or will the applicant or present or future building occupent need to file a registration form for ecutely hazerdous metenels7 ❑ Yes ❑ No
(Section 25533 of the Celifamla Health entl Setety Cotle, wAh some ezceptlons, reQulres registration with the Costa Mesa Fire Department by eech business which et eny
one time hes on hand e quentity of ecutely hezertlous meteriels equal to or greeter than e welght of 500 pounds, or e volume of 55 gellons, or 200 cubic feet of
compressed ges at standard tempereWre end pressure).
................................................................................................................................................................................................................................................................................................................................:...........................................................
3 Does or will the applicent or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hezertlous metenals)?
❑ Yes ❑ No
(Section 25534 of the California Health entl Sefery Code pmvides that the Coste Mesa Fire Depertment may requlre the preparetion, ceniticaUon end filing with the Fire
bepanment of en RMPP by businesses which ere required to register ecutely hazardous materials wlth the Fire Department. �
............................................................................................................................................................................................................................................................................................................................................................................................
4 If en RMPP is presently required, has Section 25534 of the Celifornle Health end Safery Code been fully complled with? ❑ Yes ❑ No �
............................................................................................................................................................................................................................................................................................................................................................................................
5 Does or will the eppllcent or present or fuWre building occupant requira for ihe work which Is the subJed of this a plication a parmit tor such constructlon or motlificetlon
irom �he South Coast Alr �uality Menegement Distrit� or trom any oiher eir p0lNlion Wnlfol tlistfiC� of egency? � Yes �J No �
(Sectlon 65850.2 of ihe Celifomla Govemment Cotle requires that the requested informetion be tumished on applications for nornresidentiel building permits).
........................................................................................................................................................................................................................................................................................ ....................... ...................................................................
6 W III any pert of Ihe fecllity to be constructed under Ihis permit be within 1000 feet irom the outer boundanes of e school7 ❑ Ves ❑ No
(If yes", the faciliry must meet the requirement of Sections 25534 and 42303 of the CaliPornie Heelth and Satety Code). ;
............................................................................................................................................................................................................................................................................................................................................................................................
7 If e parmit from the South Coest Air Oualiry Manegement Distdct or other elr pollution cnntrol dlsidct or agency is requlred for ihe work which Is the subject of this
, eppllcatlon, heve ell of the disclosures prescrlbetl by Celifornla Health end Safety Code Section 42303 been mede7 ❑ Ves ❑ No
..................................................................................................................................................................................................................................................................................................................................._.......................................................
8 Qt'yes", ettech cenificele ot complianCe from the epproprlate air pollution control oHicer). ' �
CERTIFICATE OF COMPLIANCE: I certify ihat under penalty of perjury the information given above Is correct. I egree to comply with ell state lews and city ordinances
regartling Hazerdous Materials end Emissions.
SlgnaWre: Dete:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRV: I certify untler penelty of perjury that I have read ihis application and state that the information given is
corred. I agree to comply with elyete)e laws enC D y ortlinances relating to building constructlon, and euthodze representetives of Ihe Ciry of Casta Mese to enter upon ihe
ebove-descnbed property for' s�A PI'on puryose � eg e � to occupy or ellow occupancy of eny building authodzed by this pertnit until Finel inspection.
r ii" �
Signatura � a�Owner( � �� �< �
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AnNOr uthorized Applicant Dat
CppE �, INSPECTIONTYPE yejE � �a INSPECTIONTYPE f�7f. ��
1616 Fixed System Final Fire Prevention 208 Finel Mechenical
1286 Pool Spe Final 20B Final Plumbing
200 Final Re-Roof u�� � 210 Finel Eledncal
201 Flnal BIocWReteining Well 212 Flnel Fire Preventlon �
202 Final Factory Fira Plece 220 Finel Planning Approvel
203 Finel Sign 222 Finel Site �
204 Finel Demoll�ion 250 Finel Building/Occupency �
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APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
REC E V DATERECEIVED DATEISSUED
ADORESS ��'I�� D�� �'�I S �^,�
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UI heraby acknowletlge that I have reatl this aDPlication and stare ?� �i�.
� that the abova intormetion is eorrect antl agree to comply with _
� all laws regulacin9 builtlin8 �onsVucHon, antl I shall not employ
F any person in violation of the workman's compensation laws of
y tha Staie of California. v � W
z1 hereby certify ihat I em properly licensetl as a contractor under SQ. FT. o
the State of California 6usiness and Professions Code, Dlvislcn 3, THE AMOUNT SHOWN UNOER VA�UA� I R j
Chepter 9, and that sueh licenses are in full forca antl effeci, or I THE PURPOSE OF ESTABLISHING A PEFMIT FE ONLV: ¢
am exempt from the provisions ot the Stata of Californi�B iness VALUATION
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antl Professions Co e, Division 3; Chapt � PERMIT FEE $ / �
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Sie�ature ot [r (/ � m
Permlttee � �� $� l Ov PLAN CHECK $ T.// E
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Authorizatl Agant � LL
TOTAL FEE $ �
_ 349
^ COSTA MESA BUILDING•SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
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BV DATE RECEIVED ppTE ISSUEo
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UI nereby acknowledge that I have reatl this application antl state STA
� that the abova inforrnetion is cortect antl agree to comply wlth ,
� all laws regulatin8 building construcxion, and 1 shall nnt employ
F„ any person in violatiOn of the workman'S compensation laws of
y the State of California. * �
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zI hereby certity that I am properly Ilcensetl as a contractor undar SQ. FT. o
the State ot Californie Business antl Professions Cotla, Olvisicn 3, THE AMOUNT SHOWN UNDER VAL N IS FOR
Chapter 9, and that such licenses era In full force antl effect, or I THE PURPC6E OF ESTABLISHING A PERMIT FEE ONLV: ¢
em exempt from the p�ovisions ot the State ot Celifornia Business VALUATION `�.'
and Professions Code Division 3, Chapter 9. �/ W °�
VERMIT FEE $ �U �
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Permlttae . ( C/'/f%0,�/J�l% $� �DQ � pLAN CHECK $ � E
Authori:ed AOent / 3��� LL
TOTAL FEE $
OWNER LARWIN Co.
JOB ADDRE599� �.S-Aaalea Drive
ENERAL CO TRACTOR Aloha Pools DE:
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HOUSE
SPRINKLING SY:
MISCELLANEOUS
ROUGN HEATING AN� AIR CONOITIONING
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0.0UGH WIRING
TRENCHES F00.MS � STEEL REINF.
FLOOR SVSTEM
BON� BEAM ❑ STEEL REINFORCE n
SHEATHING
FRAME ANO FLASHING
LATHING — IN ❑ OUT n
P' "'TER, BROWN COAT
;TURAL, FINAL
HEATING, VENT., REFRIG. ANO
PLUMBING, FINAL AND GAS TE
ELECTRIC, FINAL
wuii niur, ciuni
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DATE �_lZ_�Z
BUILDING PERMIT N0.
SUBCONTRACTOR
_ - 349
COSTA MESA BUILDING-SAFETY DEPARTMENT
� P.O. BOX 1200 WSTA MESA, CALIFORNIA 92626
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I haraby acknowletlga thet I have read this application antl state '�
that the atlova intormation is eorrect and agree to comply with
ell laws regulating builtlin9 construction, and I shdll not amploy ' � �,
any p¢rson in v�olation of the workman's compensation laws of I
the Stata of California. �
1 hereby certify that I am properly licensad as a contrac<or untler SQ. FT. o
the State of Californie Business end Profassions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
m
Chaptar 9, and that such licenses ara In full force and effec<, or I THE PURP06E OF ESTABLISHING A PERMIT�FEE ONLV: ¢
am exampt trom the provisions ot the State of California Business VAIUATI ON �✓lf�
end Profess�ons otle, Divislon 3, Chapter 9. $ Y�� m
� PERMR FEE �
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Sipnature of °t
Permlttee ��� $ � � PLAN CHECK $ E
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Authorized ABe^T �� � LL
— TOTAL FEE $
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ROIIGH HEATING AN� AIR CONDITIONING
TEMPORAftV SERVICE OR POLE
UNOERGROUNO � POWER �
ROUGH WIRING
TRENCHES ��FORMS [� STEEL REINF.
FLOOR SVSTEM
BONO BEAM � STEEL REINFORCE �
SHEATHING
I� FL
- IN
PI
DATE �_yp_72
tSUILUIN(i NtKMI I NU. 34yt53
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SUBCONTRACTOR
35195.
COSTA MESA BUILDING-SAFETY DEPARTMENT
LI O 1 P.O. BOX 1200 COSTA MESA, CALIFOFNIA 92626
For Applicant to fill in Completely
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CITV LdS ANC>�CG=S LiOf� NO. (f7Z
STATE CITY
LIC. NO. LIC. NO.
SIZE NO.OF BLDGS.
OF LOT I NOW ON LOT
USE OF
EXISTING BLDG. `S .
SIZE OF � �� � NO. OF
NEW BLDG. ROOMS STORIE:
EMERIOR WALL ROOF
COVEFING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
o l o�- � ac � ['��e2
I hereby acknowletlga that I have reatl this application end state
ffiat ffie above intormation is cOrfect and agree ro comply wIffi
all laws regulating buildinp construction, and I shall not employ
any peroon in violatton of the workman's campensation laws of
the State ot Celifornia.
I hereby certify that I am p�aperly Iicensed as a conttactor under
the State of California Business antl Professions Code, Divisicn 3,
Chapter 9, antl that such licenses are in full force and effect, or I
am exempi fram the p Isions of t�PjState ot Celitornia Business
antl Protessions Cotle ision 3, ( bter 9.
SiB^atura �
Permlttea
Aut�orizetl A nt
SEP ��'�ZPAIDOO ZB�it **�*�5.Q4
CNSA
FOR BUILDING PERMIT
A.P. NO.
BUILDING �y�
ADDfiE55 ZAL'-h'
TRACT /.5�� L07�sG
FIRE
ZONE
�
NEy� I IP�� / I BUILDING E�
0, \
VARDSAPPROVED VARDSAPPROVED
MAIN BUILDING ACCESSORV BVILDING
DISTANCE BET.
MAIN BLDCaS.
VAR. $
C.U.P. #
�
��� SQ. FT. �T�aF o
THE AMOUNTSHOWN UNDER VALUATION IS FOR �
THE PURPpSE OF E5TABLISHING A PERMIT FEE ONLY: m
¢
VALUATION �,"'Y �
PERMIT FEE $ �
7
`` m
$ l�� PLAN CHECK $ E
vJ � � o
LL
TOTAL FEE $ ��
,...,�1=
Larwin Company
16255 Ventura Boulevard
Encino; Ce.lifornia
Gent7.emen :
July 13, 1972
�
9
Building permita have been isaued to Aloha Pools
to conetruct two_priva swiuming pools in connection with
the models on Tract 75�5�.ocated at 908 and 911 Azalea
Drive, Costa Meea. �,
In order that tkieae poole will be safe ones, we
wiah to make y aware of the requirements of the Coata
Mesa Municipal���by rePerrin� you to Section 8107, a
copy of which is tached.
RHsdh
Sincerely youre,
RICHARD HANHART
Building 3afety Director
�
� �
,,,2�'2��2 �A�f�Z
�
TESTIN6
July 26, 1972
0
Laboratories �f ��t�t�z�,Z �a��f�z,Z�, ��u.
P.O. BO% 4� . 33i0 AIRPORT WAv . LONG BEACH, CALIP. 9080I . Itl3� 416d755 . �113� 636-2386 . �714� 818�64➢2
BRANCN OFFICFS:
i 5 u.0 Nonn He�nar Sr�m� Non Des�m<uve iec�ing
Seroe Ana. Cal;!o.nla 9i]OJ E055 Aadocdo A.�, G.O. Bo. N
�]I�� 9P)0�5 �o�n Pmch. Cef[ 90P01 �}i31 e�e�nse
Ex�minalion: 5 C]2-4�I i 0
COMPRESSION TESTS ON GUN I TE CYLINDERS
John R. Chambers
3443 Del Monte Dr., p3
Maheim, California 92804
PRO�ECT Swimming Pool for LARWIN COMPANY
ADDRESS 911 Azalea Drive, Costa Mesa
SAMPIE FROM #1-IA Deep End: //2-2A Bond Beam: 113-3A Shal low End
ARCNITECT
Aloha Pools
ENOINEE�
John D. Rose
MIX
DATE CAST
DATE TESTED
CYLINDER NO.
COMPRESSION
TOTAL LOAD, LBS.
Gunite
7-19-72
7-2G-72
1
7-Day
72,000
COMRApOR
Aloha Pools
fU�CONTRACT011
So. Counties Gunite
SPECIFIED
STRENGTH
SLUMP
7-z6-7z
2
7-Day
72,000
VOUNDS PER SC.IN, Z�$4S Z�JIZ '
SIZE: 6" x12-1/8" x 5-3/4" x 12-1/2"
GOMPLIANCE 7-day test complies with specifications.
IMDf �Y
CYLINDERS J, Cha�ers
DISilIWiION:
Costa Mesa Bldg. Dept.
Lanvin Company
A�i�ha Pools
So. Counties Gunite Co.
DEIIVEiED �Y
JC
2 ,000 ps i
� 1�%� � .$,�
7-26-72
IA "H�LD"
3 2A "HOLD"
3p "NOLD"
7-Day
67 ,500
2:390
6" x 12-t/4"
RECFIVED ON
7-20-72
B����6i4�; c[t�!-TY Q�PT
JUL 2 g i372
J. Chartbe�s - 2 `f
�iaCr'�'7 1 ��
•ll RCPORTS �AE SVlw�TTED �5 TNE CONFIOFNtI�I YROPFHTY OF CLIEMTS. �UTMORR�tION FON YUpIIC�TIOM Of Ol1P REPoNTS. CONCWSIOMS, Oq [F�
TR1CT5 [qOM OF REG�RD�NG TMEM IS MESERVEO PEXOING qUR WRITTEN �IVNOV�L �5 � MUTWI FROTEC�IOM TO CLIEMtl. TME tUlLIC hN0 OUMfElVES.
330��2 .. " .