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Home My WebLink About2148 RURAL PL - Building Permits CITY OF COSTA MESA 4 BUILDING DIVISION :A•,,,r„ ' DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER rifuF1 ^ � t. PERMIT ych s 601-00316 RURO (714)754-5273 • Fax(714)754-• • • '.costa-mesa.ca.us PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job •ddress: 2148 RURAL PL BUILDING Status: ISSUED ite: Applied: 03/13/2001 Vicinity: HOUSE&ATTACHED GARAGE Issued: 03/13/2001 Parcel Number: 42612132 Zoning: Applicant: FURROW, ERNEST ISSUED BY: Address: 1668 LONE OAK RD Phone: (760)727-8495 VISTA,CA Zip: 92084 Owner: CLARK, RADEANE D TR Address 2148 RURAL PL Phone: COSTA MESA, CA Zip: 92627 Contractor FURROW CONSTRUCTION Address: 1668 LONE OAK RD Phone: (760)727-8495 VISTA,CA Zip: 92084 License: 750934 Arch : Eng: Address: Address: Phone: Phone: • Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE&ATTACHED GARAGE(24 SO).TEAR OFF EXISTING ROOFING& REPLACE SHEATHING AS NEEDED. INSTALL 2 LAYERS OF 1511 FELT UNDERLAYMENT, REPLACE&PAINT FASCIA BOARDS,&REROOF WITH 3-TAB 20 YEAR COMPOSITION SHINGLES. FEE SUMMARY •Plan Check: $0.00 Calc Valuation: $5,200.00 Permit: $125.25 Claim Valuation: $5,200.00 SMIP Res: $0.52 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.77 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: 0 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(6/00) • 1 DECLARATIONS 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 is issued. 0 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: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)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 Code,I shall forthwith comply with these provisions. -Applicant Signature: • ( Date: .WARNING'FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE(S100,000),IN ADDrrION 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 affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3of-the Business and Professions Code,and my license Is in full force and effect.Lie. Class•a- Contractors 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). Lenders 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 an owner of properly 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 drivers license. 0 Yes 0 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: ❑ 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). 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 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 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes ❑No (Section 65850.2 of the Califomia Govemment 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? 0 Yes 0 No B (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 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-htefind city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-de props y for.inspedon purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. / • ' ��1'��` g�a Signature Of LeO—rtBr(s)- Date / - AnNOrAuthodzed'Applicant (-sate- - , CODE It INSPECTION TYPE PATE . Rf19L9 CODES ERECTION TYPE DAM INIIDALB 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof f�-Y OI 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 . . COUNTY OF ORANGE BUILDING DEPT. . Permit No. -5 J02,4‘ - -72. 636 No. Broadway -Application for Building Permit . Santa Ana, California Phone: KI 2-6211 AND FOR- A • . Certificate of Use and Occupancy . . • Date / 2t4-'7— 5-75 1. OWNER'S NAME. --4...--"„ii/r)."2--c--e---.0 ., ,Z)->-,-(0 PHONE:4-e---z4-- MAILING ADDRESS tatii.-- 5 _5 — CITY et-i?!---c-raf....••,...? Lac.-P j_12 _ Nam• , Name 171A-P---e .0 ' gi (Architect or ngineer) (Contractor Address C----).--7,ciez_474,1e,,..L...)-e - I Address 3. Cityaeosa 70...e-a--e-4.---- City ,4 Ca..,cc,f,,,,,,,-,/ 2e- State State • Lic. No. Phone Lic. No. Phone scet•<- 1 k-''S' 3 4 PROPOSED USE: Qi.,,- {:",'" ' — - SS7 R 44 , G -v, ( ,.,_-_) 1 4 8 t.c____, —.,-,___,2,L_____ 2. JOB LOCATION -2 CRALL,.a-L erio,..0..L.. a_.- (House No.) (Name of Street) (Town or School District) , 3. LEGAL DESCRIPTION: Lot LU Block Tract... (Metes and Bounds Description—Use reserse side of form) j .. 4. CORNER LOT ( ) INTERIOR LOT ( / ) THROUGH LOT ( ) SLOPE OF LOT ( 49 ) R. it , 5. SIZE OF BLDG.- S... )L33 AREA:. C 3--S-I. SIZE OF LOT: _fair.8..54 AREA: , / , O3 6. HEIGHT OF BLDG • / CEILING HEIGHT- .2? '/ NO. OF STORIES / 7. NO. .FAMILIES / Size of Smallest Bedroom: .60 Size of Kitchen: 7,0 8. EXTERIOR WALL CONSTRUCTION: 7-)241---t-<-4-4,-- INTERIOR WALL COVERING (Frame, Stucco, Etc.) (Plaster-Drywall, Etc.) 9. SETBACKS: Front Yard from Center Line of Street ,=3" 0 ' i Nearest Side Yard_ Rear Yard. 02--, Distance in Feet Between Bldgs. on Same Lot 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 11. For (a) Footing: Width 1 4_ Depth in Ground it. Width of Wall 6 Accessory Bldgs. and (b) Size of Studs: c:;_, ">1 171 Spacing t 6 "CC Material of Floor. Similar Structures: (c) Size of Floor Joists:A---k to • Spacing /,...6 "CC (d) Size of Rafters: 2--A<--4' Spacing /4 "CC 12. VALUATION OF PROPOSED kORK: Including all labor, plumbing, electrical wiring, heating, fire sprinkler , paint- ing and sewage disposal $ --(7=Ser /5:019. °La 13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. • Signed:atea---/—c "7--c ‘2--Jd 7/ CL------- Plans Filed- y /St (Owner) By• CO-li-o---4-7 (*)-e-,,A - (Author( d Agent) FOR DEPARTMENTAL USE ONLY . FEES: CHECKING BY 7[MD Bldg. Permit - $ GROUP irCert,„eg R} ...../....V i APPLICATI•, .. HEALTH Plan Check - $ ........i_. -0-0 TYPE c,,e4C-- . ' ,./2 FIRE ZONING----- -- ------- MARSHAL .. _-___ Total - - - $_______Al e en, DIST. '-'7 MARSHAL Receipt No. ---- ,-17,egii;--- MAP 4"'"V PLANAktip • ,s--- SPEC'S._ 77"---":„yr STATE Paid to - - ___‘1-1-,4?/2e)__ ,_ SHEET NO CORRE TON '7„EtEf•IGINEER Date J c',A t z it VERIFIED ,....,. CAL ft PERMITISS-, . Pr . : DONO . COUNTY BU'LLt NO DATE ho 0/0# Et:1/1. 7) F - -r-Sc DEPUTY. --- 5M-7-50 , U MATES AND BOUND 5 DESCRIPTI. o ±I,o no +gyp so to 011 1111111 Ill III 11111 111 I El I i IIIIIIIIIIIII1HIIH All....,, i 1 0 It I holholfal mpummill imik . p aging; ■ ■ rifins0 morium 1 pinglilierroffili1111111 : II 6161111.11"111111 MIN II I li rill 1 100111/ II ■ e lirgompip El, 1 il pumPiptil Hmelipplaliiil ill 1 ■ 11 dill % imps= 1 Imahmmimmismatt toomipm ii .a OWNER CLARK, A. L. DATE 11-17-58 JOB ADDRESS 2148 Rural P ,e BUILD. PERMIT NO. #7979 1t,G NERAL CONTRACTOR Alteration Cuts-tractors VALUE $ 2,333.00 -32-12 LOT 10 TRACT 1462 FIRE ZONE DESCRIPTION OF WORK Family Room Addition GROUP I . TYPE V ZONE R4 PLAN NO. AS PER J. A. C. INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Trenches rm teel //4 Floor Syst m Oi{1+ /// ,//CK Steel Reinforce Chimney Re-Rod Bond Beam Frame and Flashing i2/9,i'-k Lathing, In Ajyf}Out /�� Plaster, brown/coat Cl•l7t>" /ak /‘/,g Underground suil/M/c W/G Pipe TrestikL/$/Z-y-,S.( Top Out //-es-/-Se/ _ Furnace / .-L/-6- / 41, / �,L /-/7• s-:(5 -7-6-74sl Gas Vents Rough Plumbing //�Vr�t�,[ r J/1-cf--Sr (Luft-l.e. 7 hvl f.d-,-1 //-/7- sQ /6.9.5-6 — _ Cesspool - Septic Tank Prop. Swr. Line House Con.(.At/Swr. Sprinkling System Heating Final /14/C /-/S--[-Y Plumbing Fixtures, Final 4i)4c I-/Tcs9 Final Gas Test /y M-/C /-/c_fl e71 046—e-CC4a4, Construction Pole Underground Power Rough Wiring mf p 'rSt -.--?7ri- c.,,,,„j. //-17-S,P 7N 6 2 ,__-- Fixtures, Fixtures, Final -j" / N -OCCUPANCY /1` :r- J I \ Form 210-5M-1-57 • • - r 7979 vt U4lS�al�UrnV & � ,fill- 79790 os ? ¢* 415.0(:, MESA COSTA MESA BUILDING DEPARTMENT 0 E^'SQ P.0. BOX 317 COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING / �jC R/n{ BUILDING ADDRESS 2/ ( 1 " -k a COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY 41 / f 4_411 / , RECEIPT NO. PERM/T OWNER /% 7? MAIL .µ1 E',(/ /� / RECEDED/ BAY DATE RECEIVEEDD('/ DATE I5SUE�® ADDRESS ,zn s r`'i'R.4A Pk '.• � v. IJ � I�—.S[t_ I/..�7r)C CITY cos rN VMFsy BUILDINGADDRESS TEL.. ARCHITECT O. OR Logwg,4GNNO. J ENGINEER COSTA MESA. CALIFORNIA FIRE ADDRESS/SO/ 5 „ 405 Aw&ELF5 ZONE w` //, CITY�L(IC ZON I No ! if TYP Ggaltl; CONTRACT�77/0/ON GAMr,41 In 15O. `y?y'� L/ ADDRESS IIJ J. Mjy-i�/ TN O. 'l.1572.2,/ BY R E ; DATE 1I 117 LEGALLOT f CORRECTIONS DESCRIPTION NO. /a .BLOCK TRACT/KL L A.P.NO. J 18- _ t 75 -) — J.,7_, In SIZE �/� NO.OF ELOGS. �A j A ®�}yi IV OF LOT Mf—X/,2 K/22 NOW ON LOT / USE OF CITY Of- STA MESA EXISTING BLDG. PES p1 .I •.IN.• Ir17:r17:cl't• / SETBACK LINE FROM / //''// SUBJECT TO G. DEPT. REG. CENTER OF STREET 3`z *152. REARYAR /b QJ SIDE YARD RIGHT c2X/LEFT CS / ,� Ty/` A// Y V / DESCRIPTION OF WORK FfY /PLAN -NCH NEW ALTERATION I ADDITION // REPAIR MOVING DEMOLISH Ir SI / BUILDING// � 1p/ NO.OF ROOMS / STORIES / COVERING WALLEXTERIOR 5`T/UCCA .COVVERING Roth I N USE OF NEW r' --� �lM+'/ , BUILDING // Y K/- H t ,2 S G2 In / 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 ILDING CONSTRUC- TION. VALUATION jVib� SIGNATURE OF PERMIT FEE S PERMITTEE ( - (ta0 <�. 5� 3 33. PLAN CHECK 5 ) /5 C7 -----' -,8,,,AUTHORIZED AGENT TOTAL FEE 5 /L}