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Home My WebLink About1770 SANTA ANA AVE - Building Permits • t 7/ .% CITY OF COSTA MESA F ,I BUILDING DIVISION PERMIT NUMBER DEVELOPMENT SERVICES DEPARTMENT PERMIT SbuRpro B99-00712 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1770 SANTA ANA AV Status: ISSUED Suite: Applied: 05/19/1999 Vicinity: HOUSE&GARGE Issued: 05/19/1999 Parcel Nunmber: 42501401 Zoning: Applicant: NUNN, LESLEY ISSUED BY: Address: 1770-B SANTA ANA AVE Phone: (714)273-9052 COSTA MESA,CA Zip: 92627 Owner: NUNN, LESLEY Address 1770-B SANTA ANA AVE Phone: (714)273-9052 COSTA MESA,CA Zip: 92627 Contractor: Address: Phone: • Zip: License: Arch : Eng: Address: Address: Phone: Phone: Zip License: Zip: License: SCOPE OF PERMIT REROOF-T/O, INSTALL 1/2"CDX PLYWOOD,2 LAYERS OF 15#FELT, NEW 25 YEAR COMPOSITION SHINGLE ROOF OVER PITCHED AREAS&NEW BUILT UP ROOF OVER FLAT AREA OF GARAGE. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $5,000.00 Permit: $99.75 Claim Valuation: $5,000.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $100.25 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 authorised 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 CA • DECLARATIONS WORKERS'COMPENSATION DECLARATION: b *thereby 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. ❑ 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 FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADDmON 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 3 of the Business and Professions Code,and my license is In full force and effect.LIc.# 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 Busin ss 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 cts the applicant to a civil penalty of not more then 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 property 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:r>24-0-ex-y � 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 1f 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 aggermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? IJYes LJ 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 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 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 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 representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupan of an bulk'. . ... :. . . ......' , ,: , . .n. 177 Signature Of Legal Owner(s) r /� Date And/Or Authorized Applicant Date CODE t INSPECTION TYPE PATE INIIDALS CODEC INSPECTION TYPE PATE INTJTIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof a/f' 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 2446-46 . .,,.. 1 u�• ��+�+� DATE JAN 8 1965 JOB ADDRESS LL 770 ,Santa Arra Ave. , A-& B BUILDING PERMIT NO. 23390 o GENERAL CONTRACTOR Charles M. Sutterfield VALUE g 30,820.00 _ AP No. 117-246-9 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Duplex 14/att.Gas INSPECTIONS Signature DATE GROUP 1&,T TYPE V ZONE R2 I Soil _ _/14-f S /- PERMITS ISSUED qIig , M-rs I-7-4-- _ - SUBCONTRACTOR DATE NUMBER Wate /L '_/=�G-45 Rough om. Refrig. ,p Air Cond. 0 Rough Heating �//j�_ y_�� "' t " ,. . /f/‘r s7ye3/7 i Rough Plumbing % �e,: . iyQ.4 - //2?t-At- .��.7_J_G_ 4 Miscellaneous Prop. Swr. Line Gg-House Con..Cd-St. Swr. 0 �' 4- ig /274 r y/6 e Sprinkling System - — - Construction Pole /'(/t' /_.ly,b y _7,‘J"k,r, c.y � ///,.1/4, ,_ _ s- I ,2, 3 a y Underground .0 Power 0 _ 4% Rou h Wiring 7 'GS-&S . •• --, - .24,4 A— _ 3 Trenches 1 Forms @� Steel Reinf. 0 i,; //4/0S A e lam. es a j//yh r ?'Ai- '" Floor System " "? /�,<Vis— / I Bond Beam 0 Steel Reinforce 0 f Sheathing ,92/' / ( /6 S Frame and Flashing Out 0 /f/ 2/.€ G�S _ Plaster, brown coat e" , ,/4076,1"-- Refrig. /-�o76.f Ref rig.fl Air Con. Cl Final 'Heating, Final .�y//�Plumbing Fixtures, Final 'i ��_ pts,Final Gas Test • Electric Fixtures. Final _l - _ . . _uundinu—Finul. _ - - .,l1..- _ _..a///Hlzc _ - _ - -_. - RCttIVtV P 23390 JAN 8 1965 FINANCE DEPT, COSTA MESA BUILDING-SAFETY DEPARTMENT CITY P.O.BO%217 COSTA MESA,CALIFORNIA OF COSTA MESA. A For Applicant to Fill In Completely APPLICATION FOR PERMIT • TYPE OR PRINT BUILDING /'� For Office Use Only BUILDING / 770 / -1 / /J AC. -J ApDREB$ / -JCl�Aijy/.6�4/!n_��.n��_ RECEIPT NO, PERMIT NOl COSTA MESA. CALIFORNIA _ C 0 R Erve B I D + I . �r l , S OWNER Mr. R Mrs John Vagaay r ('ID , MAIL ADD E 8c f ` 7 O cAAL'JA 4L,� ADDRESS 2832 Francis T.n. FIRE Q� G/T TEL. ZONE �"- `TYPE GROUFO� CITY Cngt.P MPePl lnlif- NO. AP ARCHITECT TEL. BY E � C:"4 I DATE /it OR ENGINEER NO. ING V/ ADDRESS / K O.OF ^ UG OF NEWy// I A FLANS " LigU yY OO Yf,JJ CONTRACTOR (Th Fri Aq IF 311tteri9elA L_ ESC I DESCRIPTION 991: yQ-^ iiil , ADDRESS 3136 F. T9 th ST- A.P.NO. ! / 7 < 1/-1,-- C CITY Costa Mesa, Cal . NOTE: NO HAVE OVERHANG SHALL BE LESS THAN STATE TEL. SO'TO SIDE O REAR P.L. LIC.NO.T35T58 Nc•LI_8)-Ln27 EAVES SIZENo.OF 01.008. ALLOWED (U.S.C.REQUIREMENT) OF LOT 67.5 1 by 90 I I NOW ON LOT L..3YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/L STREET) SETBACK LINE FROM FRONT L/fFT. Fr. CENTER OF STREET REAR YARD 18 SIDE YARD I LEFT 51 1 RIGHT IO I R.SIDE '7 SFr. FT. DESCRIPTION OF WORK L.SIDE (SJ FT. FT. NEW ALTERATION ADDITION REAR /O FT. FT. DISTANCE BET. BET. MAIN S; REPAIR MOVING pEMOLISH MAIN BLDGS. ACCESS.BLDGS. VAR.* DATE BUILDING„,., NO OF SIZE 28SO. 1 ROOMS STORIES 2 C.U.P.# APPROVED EXTERIOR WALL wuod ROOF APPI;OV �j_ COVERING I COVERING BY I DATE —O 'S USE OF BUILDING AND WORK TO BE PERFORMED Thigtex wi th Att. Garages i9o g‘a n s0 .0'/- `FT. -c I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER V ION IS FOR THE i AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A 'ERM IT FEEL ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION .—m BUILDING CONSTRUCTL N. N SIGNATURE OFC V /e PERMIT FEE $ '/3' j PERMITTEE + iTiwin�ST..I(.-2fri e J 03 C sap S/a PLAN CHECK S f E �a AUTHORIZED AGENT l A TOTAL FEE $ /39th” UYYIN lilt •""vi•iD 10"M' • DATE ..T-c..)-w2 ,JOB ADDRESS 1770 Santa Ana Ave. BUILDING PERMIT NO. 23762 GENERAL-CONTRACTOR Master Masonary DESCRIPTION OF WORK Pvt.Block Wall AP No'i 7_211A-09_ LOT TRACT FIRE ZONE VALUE $ 400.00 INSPECTIONS Signature Date GROUP J TYPE III ZONE R2 Soil PERMITS ISSUED SUBCONTRACTOR Gas Date I Number Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con.0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power Rough Wiring Heating and Vent. Trenches Ll Forms 0 Steel Reinf. fre i,25-(• Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing—In❑ Out 0 Plaster, Brown Coat Structural, Final Electric Heating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric,uildig Final A 74.474- Special Building, Finals Requirements . tai r Ur bu)31,9 rtaa ' It 23762 'COSTA MESA BUILDING-SAFETY DEPARTMENT MAR 23 1965 P.O.BOX 917 COSTA MESA.CALIFORNIA i0 For Applicant to Fill In Completely AP LICATI2•�F tt TYPE OR PRINT BUILDING BUILFor Office Use Only ADDRDIESSNG /7 70 ��-6�-)vi�j\ ant, #,l_ RECEIPT NO. 5..71} O. //T COSTA MESA. CALIFORNIA ! / 11 DAT- RE •D r�DA IBS 0 OWNER �/-01LI 1744/1.-en- MiliFJ�J '7 Z. - /� J/a�-/�. AMAIL DDRESS 9" C 3 e 14 AD RHSS / r 70 SgZ7A- J//y A ' FIRE 3 C. ZONE P nDUP �r ARCHITECT BYerre NO. PROV ED ,// DATE 3(//27,. OR ENGINEER ZONINGADDRESS / Z•' NO.OF UBE OPNEWI{ ,_ L 1 PLANS Y I BUILDING ADDRESS I/o USS/✓"S'1V � - /�''/` ' DESCRIPTION Uri cot/ Q I �uI/I CITY 6z-v,-4:- an 1-A. A.P.NO. I 3.(1fJ - / NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LITNC. O.0/.�ff,I. 71��// }-3 v NQ L_5 /,. L/9?3 90"TO SIDE @REAR P.L. EAVES SIZE (D_, r D I NO.OF BLDGS. / ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. - — (FROM C/IL/8TREET) REAR -SETBACK LINE 'IIIOM "Pm FRONT 4CJ FT. FT. cENTER op STREETR.SIDE FT. DESCRIPTION OP WORKFT. it REAR FT. FT. NEW ALTERATION ADDITION DISTANCE BET. BET.MAIN 4 IL&ra _ MAIN tr- ACCESS.BLDGS. MOVING DEMOLISHr DATE ''STORIES J APPROVED USE OF BUILDING AND WORK TO BE PERTRMED J 4 - " y>��%(///7L t=,. _ l2 7 4.4r 6 ( \C N SD.FT. 4 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. 0 PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION CO BUILDING CONSTRUCTION.j�) / PERMIT FEE § '7 SIGNATURE OP•L/(�I vc(lr 7-4.4. (,�� p PERMJTTEF - dA-) C� ctite,.Z 02;%I ._-u .c I, / $ �� o AUTHORIZED AGENT —n TOTAL FEE $