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Home My WebLink About3112 ROOSEVELT WAY - Building Permits --;,1112•74k, CITY OP CC A MESA _ • 4/4-a. pp BUILDING DIVISION • F 'p DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER 4. rill PERMIT B06-01321 4tbioransp°4: (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cetlILDING PERMIT • 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 3112 ROOSEVELT WY Status: ISSUED Suite: Applied: 08/03/2006 Vicinity: HOUSE AND GARAGE ROOF Issued: 08/03/2006 Primary 0cc: R3U Type of Construction:, V-N Parcel Number: 14169330 Zoning: .R1 Applicant: LOPEZ, MARGARITA L Address: 3112 ROOSEVELT WAY Phone: 714-546-3110 ISSUED BY: COSTA MESA,CA Zip: 92626 Owner: LOPEZ, MARGARITA L Address 3112 ROOSEVELT WAY - - Phone: - - COSTA MESA,CA Zip: 9262.6: //, ,zi Contractor: OWNER-BUILDER', Address: . - ' Phone: i Zip: - License: 000000 Arch : ' Eng: , Address: - Address: - . •Phone: Phone: Zip: License: •- License: SCOPE OF PERMIT_ . TEAR OFF(E)ROOF MATERIALS,INSTALL 1 LAYER OF 30#FELT AND REROOF W/ASPHALT SHINGLES ON ATTACHED HOUSE AND GARAGE, APPROX 2,600SF.REPAIR AND REPLACE SHEATHING AS NEEDED. •.. :v• . FEE SUMMARY Plan Check: $0.00 'Calc Valuation: $4,000.00 Permit: $97.25 •- _ Claim Valuation: $4,000;00, SMIP Res: $0.50 , SMIP Corn: $0.00 - , Other: $0.00 - . . Inspection: $0.00 . ' Total: '. • $97.75 - PLANNING &ZONING 7' , SETBACKS . MAIN STRUCTURE Front 0-0 Rear • 0-0 Left 0-0 _ Right 0-P ," , ACCESSORY Front- 0-0Right - Rear 0-0 Left 0-0 ,-0-0 PARKING , Existing: 0 - Required: 0 Proposed: 0 - - -. 4 • 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 2446-443(wool - DECLARATIONS j y\-, 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 i9 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 carrier and policy number are: Cartier: Policy Number: (This section need not be completed I1 the permit Is valued at one hundred dollars($100)or less.) pI certify that in + I e Hermance of(yy[1e 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 a of California,a 1 ogre that If I should become subject to the workers'compensation provisions of Se ion 00 of the Labor Code,I shall forthwith comply with th p • skins.. _ f Applicant Signature: yr Sr rate:_ Z WARNINGS FAILURE TO SECURE W RS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT Ni EMPLOYER TO CRIMINAL P11ES AND CML FINES UP TO ONE HUNDRED THOUSAND DOUARE($100,000),IN ,•• • TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37C6 OF THE LABOR CODE,INTEREST,MD 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 force and effect.Lic.it Class# Contractor's Signature: Date: 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). 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 su ects the applicant to a civil penalty of not more than five hundred dollars($500).): t - _ _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 A , 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*Th contractors Lice se Law does no apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) !icon p vent to the Co rectors Licens: :cos.). ❑ am a pt n er sec. ( Business and Professions Code for this reason: Signeture:� V! -- -- J Expires: / Verification of Ownersh b (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 0 No (Section 25505 of the California Health and Safely 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? 0 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 i�r will th❑ are e applicant or present or future building occupant need to prepan RMPP(Risk Management and Prevention Program for acutey hazardous materials)? 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 -ti— _. _.._............_..._.i__ __i.._ _.._ ..__._. __� 5 Goes or So the ap stcAir or present or future bustling occupant at requirer for the work which is the subject This application aUeNnit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 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 California Health and Safety Code). 7 If a permit from the South Coast Air Duality Management District or other air pollution control district or agency Is jequired 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 OFO PUANCE 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 o ly 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 p pry for Inspectio�r ureases.I agree not to occupy or allow occupancy of any building authorized by this pe til fi el inspection. ,v , 3 p G I IS,amore Of,Leganar(s) I ate i Arld/Or Authorized Applicant Date • CODE I 11/SPECTION TYPE PAIS 1N�LS Oat INSPECTION TYPE PATE P(OIDM A 1616 Fixed System Final Fire Prevention �//qq//_�� 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Walt , 1 , 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 November 9, 1972 Mr. David Young , 3112 Roose�?lt Way L..... Costa Mesa, California 92626 `a`\ Dear Sir: V A building permit has been issued to Anthony Pools to construct a private swimming pool on your property. In order that your pool will be a sa one and for the purpose of advising you of your responsibility regardin the requirements of the Costa Mesa Municipal Code, we refer you to Section 8107, a copy of which is attached. �, This letter is directed t` y in order that you will be aware of our ordinances and can make a comp! safety check of your pool area. . Sincerely yours, RICHARD HANHART Building Safety Director RHtcb l94C Aog ` z� _ � lh a Twining Laboratories of Gout/ vz (1 L'i/o zia, PO. 50T 47 . 3310 AIRPOR' WAY . LOTIG REACH CAVA 90801 . 2133( 42&3355 . 12131 o3b238o . (714( 8286432 a5A'rC. OFFICES TESTING 15,4 D.:P-•,.,,oe.s:..., —�_ u,.D.I••.o..T.Iu,R S,,.Av Ce 'm+e C7753 , 25550.edo+do Ave.oO So:L' . qH 531-2545 -1:4-1 'p 1 (. = end, Cel.: 50501 11 1, ph 23So • December 19, 1972 Examination: SC72-7875 COMPRESSION TESTS ON• GUNITE CYLINDERS Mr. Jack Hubbard 3106 Ostrom Avenue Long Beach, California 90808 PROJECT Swimming Pool for D. YOUNG ADDRESS 3112 Roosevelt WAy, Costa Mesa SAMPLE FROM Shallow End, Deep End, Bond Beam ARCHITECT CONTRACTOR Anthony Pools ENGINEER SUBCONTRACTOR R. J. Kolodzlej - Same - SPECIFIED MIX 4-1/2 to 1 STRENGTH 2,000 psi DATE CAST 12-12-72 SLUMP DATE TESTED 12-19-72 12-19-72 12-19-72 CYLINDER NO. A B C D "HOLD" E ,"MOLD" ,'COMPRESSION 7-Day 7-Day 7-Day F "HOLD" TOTAL LOAD, LBS. 73,000 77,500 86,500 POUNDS PER SO. IN. 2,692 2,740 2,936 SIZE: 5-7/8'1x12-1/2" 6" x 12-1/2" 6-1/81'x1211 COMPLIANCE 7-Day test complies with specifications. MADE BY DELIVERED BY RECEIVED ON CYLINDERS D. Norton Dave 12-13-72 BUILDING SAFETY DEPT: DISTRIBUTION: City of Costa Mesa DEC 2 1 1972 Jack Hubbard - 2 ALL REPORTS .RE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS •UTNORIt.TION EON ✓UOLICATION OF OUR REPORTS. CONCLUSIONS OR E. TRACTS FROM OR REGARDING THEM IS N.SERVED PENDING OUP WRITTEN APPROVAL AS A MUTUAL PROTFCT'ON TO CLIENTS THE PUBLIC AND OURSELVES 330-12 _) OWNER YOUNG, David DATE 11/8/72 v JOB ADDRESS 3112 Roosevelt Way BUILDING PERMIT NO. 35667 GENERAL CONTRACTOR Anthony Pools DESCRIPTION of WORK Pvt. Swim Pool d - No. 141-693-30 LOT TRACT FIRE ZONE VALUE $ 2800.00 ?ECTIONS Signature Date GROUP J TYPE III ZONE R-1 Pool Location /rr7Z SUBCONTRACTOR PERMITS ISSUED Date j Number I Signature Forms Main Drain • Steel Reinforce Elec. Bond np Electric -�-- Approval to Cover /L�t Z 7�- G,7�1 2PGls.�-ri /-//1 319/r-- Underground Electric .19./ic' /Z-12-7t - U / Gas Piping Test //2 /Z•Zd-7L Plumbing //�� Filtering System Lines Ae , 0441 */L "•oo.. y 1/- '-T2 1,i 999 '-' Backwash Lines and Recep. /glint �-a i - --z..e_. /a/02-- 6 -/0?_ Electrical Final P/LJ 2.2/- 73 Heater and Vent Final / / r System Final //� Backwash and Recep.p.FinalFial ,A-C4 72/. 73 Fencing Final .J.rJ�f�� // 2'26.4g 35667 • pv a 77�,;Pal6 *** ` ,:00 2ss 3 4.67 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 PP IC TION FOR BUILDING PERMIT For Applica4oee2 ill in Completely R I D D• Ea'; CE ED 0f—o-7 E I U E D _BUILDING Si, YADDRESSMkt / 'a - '� T--7� / / 693- a . T G7 OWNER ctiClff✓/j3 y0 UN6 A.P.NO. 3 MAIL BUILDING �.ts Q / Q 2 _ADDRESS ADDRESS �/ ie.. oG ooSEVes4 Z /7 Wa Ltf0 TEL. TRACTYS6 Z LOT 7/ BLOCK 2 CITY NO. z C CONSTRUCTION c2 - / 7 NEW ADD ALTER REPAIR (MOVING DFMOI ISH O N _LENDER L.J. P--'¢/�"'� • a CO J D BRANCH /ow-JO _J CA — OWNER 4 /Q /ov7JO ADDRESS ARCHITECT EL. SE / JN OR ENGINEER /\O/O 0 xi,1J 0. 3.2'77 aUFIRE Z w _ADDRESS [, F,cESrc .VF' ZONE TYPE / ROUP APPROVg ' • o Q - J O CONTRACTOR /451,4/ N "`00S BY la 03 2sI7/ c , J ¢ ADDRESS /.P.s-GS7Ci✓L_ Q= NO.OF USE OF NTEL. K ZON _/ PLANS BUILDING EW I%CZ"�"� 21 _CITY 50 en >L NO. - 0 STATECITY YARDS APPROVED YARDS APPROVED NCC LIC. NO. /70/77 LIC. NO. MAIN BUILDING ACCESS RY BUILDING U 0 SIZE ANO.OF BLDGS. (FROM Cil.STREET) OF LOT NOW ON LOT FRONT FT. FT06-7-- ^USE OFL� �� EXISTING BLDG. t� Q�L/ 19-61126 FL 3_0 FT, I— SIZE OF NO.OF Q —NEW BLDG. ROOMS STORI ES L.SIDE FT. S FT. t.1 EXTERIOR WALL ROOF // _COVERING COVERING REAR FT. fp FT. , USE OF G AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& C MAIN BLDGS. ACCESS.BLOCS. 4 i.� " DATE �� A�-/-- n,o C.U..P.# APPRO VEDO • zROVEL��'? DATE /1 C 72-----7 O F ✓ SP I hereby acknowledge that I have read this application and state S�7 r that the above information is correct and agree to comply with 0 CC all laws regulating building construction, and I shall not employ F any person in violation of the workman's compensation laws of / CA the State of California. m to ZI hereby certify that I am properly licensed as a contractor under SO. FT. 6 the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR s Chapter 9,and that such licenses are In full force end effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:ea a CC am exempt fr provisions of the State of C 'Sarnia Business • ns Code,Division 3, Chapter 9. VALUATION m and Profs Q PERMIT FEE $02 j tu of n � // / / E Permitte �-A �� //JJ $ �4I�O. PLAN CHECKS r./ �D �— Authorized Agent,( �fj�(/s'�XC!!� / �''P� `�'! ` TOTAL FEE S / OWNER YOUNG, DAVID DATE 1-17-69 JOB ADDRESS 31]2 Roosevelt Way BUILDING PERMIT NO. 29838 GENERAL CONTRACTOR Master Builders, Inc. DESCRIPTION of WORK 2nd Story Add. - Study A^ No. 141-693-30 LOT 11 TRACT 4502 FIRE ZONE VALUE $ 2,492.00 I. ECTIONS Signature Date GROUP Z TYPE ;V ZONE B-1 SOIL SUBCONTRACTOR PERMITS ISSUED GAS Date Number Signature WATER ._ Plumbing ROUGH PLUMBING PROP. SWR. LINE n HOUSE CON. 0 SPRINKLING SYSTEM _ MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING _ TEMPORARY SERVICE OR POLE _ UNDERGROUND fl POWER 0 ROUGH WIRING _, 4"Jv Y.//e. 67 Heating and Vent. TWETEF776 FORMS ❑ STEEL REINF. ✓j /jm 4-(3.. FLOOR SYSTEM 1 BOND BEAM ❑ STEEL REINFORCE ❑ _ y� SHEATHING _l{�I� C/-// FRAME AND FLASHING � ''/1_7,.liC/n 61.-34,--- O LATHING — IN n OUT &"r!(4 t-7--&7 �n l PLASTER, BROWN COAT // L� (6--(1 5' 'TUBAL, FINAL _ / f /�. ��l�ec iria eget). _ �/ H. NG, VENT., REFRIG. AND A.C., FINAL _ wera li R get . �ay �/f7/�i / PLUMBING. FINAL AND GAS TEST n _ ,p e u ELECTRIC, FINAL �pt /-Z-67 BUILDING, FINAL / 'j9 7.4. _67 i r.. ,• 29838 UAR 17-69PatBcnsnOO 394* ****34.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT ': For Applicant to Fill in Completely BUILDING ''..`` AECE�7 BY --g-/2-‘ D, 21342 FEL KLUEIVEU mfrd COSTA MESA BUILDING-SAFETY DEPARTMENT JN1 E 4 P.O.BOX SIT COSTA MESA.CALIFORNIA FINAA NCE DDEEPT. • CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING For Office Use Only BUILDING q ADDRESS 33)2 Roosevelt WAp RECEIPT NO. 2 IPERmJT110. COSTA MESA, CALIFORNIA 'JJ]]�^Y77 RECEIVIc7V OATH ISSUED 6 1964 OWNER • } • _ - ! • N' 15939 BUILDING MAIL Las Flores ADDRESS ADDRESS FIRE I,// GROUP jltg- CITY Fountain Valley_ TEL. ZONE TYPE 5316792 APPROVED ARCOR IIGINEER Ci. Hil]P.r NEokE52(!0'J BY DATE lc _ Anaheim ZONING C AD.._..S3 ZON.4��I I NO.OPRe......„.-. UEE OP i � \\VVd . PLANE EUILDI " CONTRACTOR Boser_Las Const. Inc. 61) / ,/� J _ 15939 Las Flores p{CgIrnON 7v ADDRESspuuuLalii Valley CITY A.P.NO. NOTE: NO HAVE OVERHANG SHALL BE LESS THAN STATE NO' 5316792 30"TO SIDEe REAR P.L. LIC.NO. 215049 EAVES SIZE 1 NO.OP SLOGS. " ALLOWED (U.B.C.REQUIREMENT) OF LOT 60x102 NOW ON LOT COYARDS APPROVED YARDS APPROVED USE OF CO MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET/ SETBACK LINE FROM CENTER OF STREET 50 REAR YARD 3 FRONT SFT. ` FT. R.SIDE FT. FT. SIDE YARD LEFT 5 I RIGHT 5 ��• DESCRIPTION OF WORK L.sl DE S FT. Fr. NEW X ALTERATION _ ADDITION REAR);•( /FT. FT. DISTANCE BET. BET.MAIN B MAIN BLDQH. ACCESS.SLOGS. REPAIR _MOVING DEMOLISH DING pp NO,OF //� VAR.# DATE BUIL SIZE 1881 ROOMS ( STORIES 2 C.U.P.7t APPROVEDI EXTERIOR WALL COOP APPROVL4\ �i J' I -/ Y 6 7 COVERING JtUCOO I COVERING shingle BY 1114 DATE USE OF BUILDING AND WORI(TO BE PERFORMED >✓ single fam. res. w. att. gar. ..9-/p6 - 'ien SG.FT. R 1 HEREBY LEDGE AV8 READ THIS APPLICATION THE AMOUNT SHOW NDER VALUATION IS FOR THE 31 AND STAT- THAT - •• - •RRECT AND AGREE TO COM- PURPOSE OF EBTAB SH A PERMIT FEE ONLY, 0 PLY WITH ALL CITYO BUILDING ONSTRU• I} D STATE LAWS REGULATING VALUATION B SIGNATU- ►iip PERMIT FEE $ (.!/ • `� j PERMITTE • co .r • - I $ J� - , . 0. 6 it ce AUTHORIZED AGENT . (/<D��// U I %%. `V E TOTAL FEE $ 9/