HomeMy WebLinkAbout484 WALNUT PL - Building PermitsJobAddress: 484 WALNUTPL
Suite:
Viciniry:
Parcel Number: 42632311
Applicant: CLAYTON, MATT
Address: 976 N LEMON ST
ORANGE,CA
Owner: YOUNG, TARAS
Address 484 WALNUT PL
COSTA MESA, CA
Contractor. CLAYTON ROOFING
Address: 976 N LEMON ST
ORANGE,CA
Zip: 92867
Arch :
Address:
Zoning:
Phone: 714-639-7190
Zip: 92867
Phone:
Zip: 92627
Phone: 714-639-7190
License: 601226
Eng:
Address:
Phone:
ISSUED BY:
Status: ISSUED
Applied: 12/03/2003
Issued: 12/03/2003
Phone:
Zip: License: license:
SCOPE OF PERMIT
TEAR OFF EXISTING SHAKE ROOF. INSTALL OSB AND FLET. COVER WITH 50 YEAR COMP SHINGLES. INCLUDES DETACHED GARAGE.
Plan Check: $0.00
Permit: $153.25
SMIP Res: $0.80
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $154.05
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0- 0
PARKING Existinq: o
NOTES:
Rear 0- 0
Rear 0-0
Re uired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
$8,000.00
ss,000.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 1 BO 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 inspectlona and final approvel must be obtained. Failure to obtain inspactions and final approval will result in the axpiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2046-46 (6/00)
WORKERS' COMPENSATION DECLARATION:
I hereby aHirm under penalty of perjury one ot the following declarations:
❑ I heve end wlll mainiain e certificate ot consent to selldnsure br worker5' Compensetion, as provitled for by seqlon 3700 of iha Labor Code, tor Ihe pertormence of the
work tor which ihis permit Is Issued.
❑ I have end wlll melntaln workers' compensa�ion Insurance, es required by section 3700 of Ihe Lebor Code, for the performance of Ne work br which ihis pertnit is issued.
My workers' compensatl n In u ancc e cerde�.p�tl�policy number ere:
Cerder. C ���vv�/�'J-C Policy Number:
is section need not be mmp/efed!l fhe perm is veluetl ef one hundred dollers ($100) or less.)
I certiy thet in the padormance ol the work for which t�is permit is issuad, I shell not employ eny person Fi any menner so as to hecome sublect to the workers'
compensatlon lews of Celilorni agree thet II I shQ�ldbeeomeaub�ect to the workers' compensation provisions of Se ion 37 0 of t�e Labor Code, I shell forthwith
comply with these pr v' io s �J-,
ApplicantSignaWre: Date: � � � O�J
WARNING: FAILURE TO SECURE RK COM NSATI COVERAGE IS UNUWFUL M'D SHALL SUBIEGT rW EMPLOYER TO CRIMI PENALTIES AND GVIL FlNES UP TOIXJE HUNDRED
T110USrWDDOLURE�E100,000),INAODRIONTOTH COMPENSATION,DAMAGESASPRWIDEDFORINSEGTION3108OFTHEUBORODDE,INfEPEST,ANOATfORNEY'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm ihat I am licensed under pj�YI,�'Wns of Chap�er 9(Commoaeing-wilP Secti n 7000) ol �Ivision 3 of the Business antl Professions Code, antl my license is in full
force antl eHect. Lic. N . A A// / .�� qass a
Con�rador's Signawre: _ � �. �� ' � " Date:
CONSTRUC710N LENDING AGENCV:
❑ I �ereby ettirm that Ihere is a constmction lending egenry for the pertormance oi l e work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lenders Name: Lendafs Addres :
Signature: Date:
OWNER-BUILDER DEGLARA710N5:
I hereby aXirm thet under penelry ot perjury Ihet I am EXEMPT FROM TME CONTRAC ORS LICENSE LAW for tha tollowing reason (Sec. 7031.5, Business entl ProFessions
Code: Any city or counry which requires a permit to constmct, eller, improve, demolish, r repeir eny slructure, O�or to its issuance, elso requires the epplicant for such permit
to file e signed statement Ihet he or she Is Ilcensetl Dursuent to Ihe pravisions of the Co traclore LJcensa Lew (Chepter 9(commencing wil� Sec�ion 7000) of Dlvision 3 ot ihe
Business end Professlons Code) or that he or she is azempt therefrom end ihe basis 1 r the ellegetl azemption. Any violation of Section 7031.5 6y any applicant for e pertnit
suD�ecls the applicant to e civil penelry ot nat mare ihen live hunaretl tlollars (5500).):
❑ I, as owner ot the properry, or my employees with wages as their sole wmpensa�i n, WILL DO THE WORK, entl t�e siructura 15 nol In�ended or ofleretl for sala (Sec.
7044, Business entl Professions Code: The Conirectors License Lew does not ap ly to an owner of properry who builds or improves thereon, antl who does such work
himsetl or herself or through his or her own employees, provided Ihel such improv ments ere not Intendetl or offered lor sale. If, howaver, the builtling or Improvement is
sold within one year of complation, t�e owner-builtler will heve the burden ot O�a� B�het he or she tlid not builtl or improve for purpose ol sale.). •
❑ I, as owner ol Ihe property, em E%CLUSIVELY CONTRACTING WITH LICENSE CONTRACTOpS to tonstrut� �he D�alec� (Sec. 70G4, Business antl Prolessions
Code: The coniractors License Lew does nat apply ro en ownar of property who G Iltls or Impraves Ihereon, and wha camracts tor such prolect with a cnmractor(s)
license pursuani to Ihe Coniractors License Lews.).
❑ I am axempt untler sec. eusiness entl Professio s Code for this reason:
Signeture: Date:
Owner ID venlied by dnvefs licensa. ❑ Ves ❑ No Dnvefs cense No. Eapire5:
Verificetian of Ownership by (type ot tlocument, i.e. � property tax blll or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON:
❑ I hereby cenity thac no excevetian five (5) or more leet in Oepth into which e perso is required to descentl, will be matle in connection with work authorizetl by this
pertniL antl �hat no builtling structure, scattolding, lalsework, or demolition or dis ntling ihereoi, will be more than thirty-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title 8, Celifomia Atlministretive Code).
❑ As owner-builtler, I will not employ anyone to do work which would require e�pe mit from Ihe Division ot Intlustrial Safety. as notetl above, unless such person hes e
pertnit to do such work from ihe division.
SiqnaWre: Data:
Division of Intlustrial Safery Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CER7IFICATON:
1 Will the eppllcent or present or lulure builtling occupent neea to file entl cenity a B siness Plen tor emergency response to release or threatenetl releese oi a hazertlous
metenell ❑ Yes ❑ No
(Section 25505 0l the Califomie Heelth end Sefery Code requires, with some ez ptions, that a Business Plan be filetl with ihe Costa Mesa Fire Depertment 6y every
business which has at any one time dunng a reported year a quamity ol �alartlou matenals aqual to or greeter t�en a weight oi 500 pountls, or a volume oi 55 gallons,
or 200 cubic feet of compressed ges at standard tempereture and pressure).
............................................................................................................................................................................................... ...........................................................................................................................................................................................
2 Does or will the epplicent or presem or futura building occupam need to tile e regist ation lorm for ecutely hezerdous metenals7 ❑ Yes ❑ No
(Section 25533 01 Ihe Calltomle Health antl Sefety Gotle, wl�h 5ome e:copllons, re uires reglstretlon wiih [he Costa M85e Flre Depertmeni by eech buslness which a� eny
one time has on hand a quentiry ol acutely hezertlous matenals equal to or gr ater Ihen e weight of 500 pounds, or e volume of 55 gellons, or 200 cubic feet of
compressed gas et stendard �empereWre enG pressure).
............................................................................................................................................................................................. ........................................................................._....._......................................_............................................................._..
3 Does or will the epplicant or present or future Duiltling occupant neetl to prepere en RMPP (Risk Menagement antl PreveNion Program for acutely hazartlous materials)7
❑ Yes ❑ No
(Section 25534 ot the Califomia Healih end Safery Code provides ihat ihe Catte esa Flre Department may requlre the preparation, certification and tiling with the Fire
Department of en RMPP by Dusinesses whic� are requlretl to register ecutely �eze tlous meterlals with i�e Fire Department.
...........................................................................................................................................................................................................................................................................................................................................................................................
4 IF en RMPP is presemly required, hes Section 25534 of the Californie Health end S fery Code been fully complietl with? ❑ Ves ❑ No
...........................................................................................................................................................................................................................................................................................................................................................................................
5 Does or will the epplicent or presem or fmure building wcupent raquire br lhe wo k which Is the subjact ot ihis a pllceiion a permit br such consWction or mo0ification
from the South Coest Air Oualiry Menegemeni Distdcl or Irom any oiher aIr polluHo conirol tllsidct or egenry4 � Ves ❑ No
(Sec�ion 65850.2 0l lhe Celilarnie Governmeni Code requires lhet ihe requested in rmation be furni5hed on appllCetion5 for non-resldenliel building pertnits).
..................................................... _............................................................................................................................. _........ ....................... _...................................................................................................................................................................
6 Will any pan ol the taciliry to be constructed under Ihis permit be within 1000 teet fr m Ihe outer boundanes of a sc�ool9 ❑ Yes ❑ No
(If yes", Ihe faciliry must meet Iha requirement af Sections 25534 end 42303 of Ihe Celibmla Healih and Sefe�y Code).
............................... .................... _.................._......................................................................................................................................................................._..................._.. .................................................
7 Ii e permit �mm the South Coest Alr Quality Menagement DisMct or other elr p Ilution contml Olsirict or egency is required lor the work whlch Is the sub�ect of ihis
epplicatioq have all of the disclosures prescri6ed 6y CeOfornle Heallh end Sefety tle Sectlon 42303 been mede7 ❑ Ves ❑ No
.............................................................................................................................................................................................. ............................................................................................................................................................................................
B (If'yjes", attach certificete at camplience trom ihe appropriate eir pollution conirol o icer).
CERTIFICATE OF COMPLIANCE: I certity ihat untler penelry of per�ury the Infor etion given ebove is correct. I egree �o comply wlth ell state laws end city ordinances
regartling Hazartlous Matenals antl Emissions.
SignaWre: Da�e:
CER7IFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I cartity under p nalty of perjury ihat I have reed ihis eppiication antl state Ihat ihe intormation given Is
correct. I eqrae lo comply wi�h ell s�a�e lews and ciry ordinences releting to bullding c nstmctlon, antl emhorize representetives of the City of Costa Mese co enter upon Ihe
above-descnbed property for inspection purposes. I agree not to occupy or ellow acup ncy of eny building authorized by this permit until iinel inspection.
re LegalOwner(s) I ^/ � �>�Date
Or uthorize0 Applicant ��^T—� Date
GODE t. INSPECTIONTYPE Qajj �$ S9PF.! INSPEC710NTYPE Q� �S
1616 Fizetl System Final Fire Prevention 208 Final Mechanical
1266 Pool Spa Finel �� jj� 20B Final Plum�ing
200 Finel Re-Rooi �'�^-'�"� 210 Final Electrical
201 Finel BIocWRetaining Well 212 Final Fire Preventlon
202 Final Factory Fire Place 220 Finel Planning Approval
203 Final Sign 222 Final Site
204 Finel Demoliiion 250 Final Building/Occupancy
APR 28-7^cps�;001627 0 ***4�.00
CITY OF COSTA MESA PLANNING DEPARTMENT
A. P. No.11g_�q6_n�
Bldg. Permit No.
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipe
Project Address 484 WAffiNT PLACE, COSTA MESA
Owner's Name GEORGE W. HOWE. JR.
Bachelor or 1- Bedroom Units @$25.00 =
2 - Bedroom Units 1
3 - Bedroom Units
@ $40.00 = $40.00
@ $55.00 =
4 - Bedroom Units @ $70.00 =
5 - or more Units @ $75.00 =
Total Fee
Total niunber of Dwelling Units 1
• Planning Department Approval Date -Z$-70 Park Are No. 8
gy A. GLEASON Applican� Signature •� . � i
$40.00
1PP GR'7(C ISFOO� 6Z� 1��,=� =aa.co
CITY OF WSTA MESA PLANNING DEr.+RTMENT '--�
A. P. No.
Bldg. Peniii't No':-'' "
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address ,.ne ..•,n.�-m .�. e.. ,�n<•••. c� r.
Owner' s Name r. , , , • , �„
Bachelor or 1- Bedroom Units
2 - Bedroom Units
3 - Bedroom Units
4 - Bedroom Units
5 - or more Units
Total number of Dwelling Units
@ $25.00 =
@ $40.00 =
@ $55.00 =
@ $70.00 =
$4U.OU
S�s.00 = g�o.on
Total Fee
Planning Department Approval Date Park Area No.
: �:: : J,. ��%� ',
By n, r;. t,5nv Applicant's Signature��� !� �/% ,�`�;T-y�}-� l,� ,
. - . r �
' G
OWNER HOWE� GEORGE
JOBADDRESS 484 Walnut
GENERAL CONTRACTOR p�,��.
AP No. 118-294-04 LOT
INSPECTIONS
soi�
GAS
WATER
ROl1GH PLUM6ING
PROP. SWR. LINE HOUSE CON.
SPRINKLING SVSTEM
MISCELLANEOUS
ftOUGH HEATING ANO AIR CONOITIONING
TEMPORARV SERVICE OR POLE
UNOERGROUN� � POWER �
ROUGH WIRING
TRENCHES � fEE
FLOOft 5� �4�
BONO BEAM STE L _EINFORCE
SHEATHING
FRAME ANO FLASHING
LATHING — IN �J OUT �
PLASTER, 9ROWN COAT
STPUCTURAL, FINAL
HEATING, VENT., REFRIG. ANO A.C., FI
PLUMBING, FINAL ANO GAS TEST �
DATE 5-1-70
BUILDING PERMIT Ni
VALUE
SUBCONTRACTOR
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3I772
COSTA MESA BUILD�NG-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING i��! i/ I. 1 w /.�..T �i) _ _
OWNER
MAIL
ADORE:
cirv �
BflANCH
ADDRES:
CONTRACTOR
ADDRESS
CITV
STATE
LIQ NO.
S12E
OF LOT / D
USE OF
EXISTING BLDG.
SIZE OF %
OF BUI
TEL.
NO.
CITV
LIC. NO.
INO. OF lB�DC'�.5.
NOW ON LOT
K � ROOMS �
ROOF
COVERING S
AND WOPK TO BE PERFO
i`pl � p�� k��N
-J4rf�o� 2 S7Lor
��
7 PAILn71E`��'
nn n_ !•—.— ��}ir
� CLS'l�
APPLICATION FOR BUILDING PERMIT
RECEI VEO BY DATE RE�EIVED nnTF ISSw
BUILDING
ADDRESS
TRACT �(J. b
W A A
OWNER � i I
�:
�.
JVED
I 1 '� /
YAROS
DISTANCE BET
I hereby acknOwlatlBB [hat I heve reatl [his applica[ion antl stata
thet tha above informa[Ion is corract antl apree to eomply with
all laws ragulaxinp builtlinp conzttuctlon, entl I shall not employ
any person In viOletlOn of tha workman's compenmHon lawa ot
Ne Stete ot CalifO���e. �({'��+
I hereby certity tnat I am properly licansatl es e eontracior untler '�' '�+�5 . FT
Me State of CaIHPmIn Bualness antl Protessiona Code, �ivlsicn 3, THE AMOUNT S
Chepter 9, and thet such licenses are In full force ontl affeci, or I THE PURPOSE OF
am ezempt from t rovicions of the Stete of Callfornie Businacs VALUATION
ond Professions C Division 3, Chapter 9.
SlBnet�re of /�[ ,/ /�
Pormlttee � $ /� �V !, �
Au[hortzed ABent
�
LOT � �
�USE OF NEVL/�/�"jeGL
BVILDIN � ��V
D VARDSAPPROVED
BET. MAIN
ncc�. ai
DATE
TOTAL FEE
m
�
0
VALUATION IS FOR '
A PERMIT FEE ONLV: ¢
5 .00 m
7
m
K 5 � E
�n ,c iv LL
ORA^IyE COUNTY BUILDING DEPARTAAENT
� 636 Narth Broadwoy
" SANTA ANA, CALIFORNIA
�' ....
f FOR APPLICANT TO FILL IN
J�LDING
JDRE55 1+R4 l•lalLrn�t P1arP
�HOOL DIST. COS l.a MeSCZ
R T(1WN
NEAREST
CRO55 ST
�,n. Balboa lsland
ARCHITECT OR
ENGINEER
�RE55
�oN���rction S
ADORE55
LEGAL I �OT �.�
T.E�. Ha
1�^ NO. OF BLpCj$
SIZE OF LOT��j X �411 NOW ON LOTJi1T1P.
USE OF NO. OF NO. OF
E%ISTING BLDG. I F�N,ILIES I ftOOM�
SEfBACK LINE FROM: r REAR YARD C
CENTER OF STREET 7n SIDE YARD 7
DESCRIPTION OF WORK
W��iuCCO
n
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPIY WITH ALL GOUNTY ORDINANCES
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
SIGNATURE OF
PERMITTE
AUTHORIZE
PERMIT FCE S '
VALUATION S
Ov
�
APPLICATION FOR PERMIT �
� 6J�'��'��Y
� ,• ' FOR.OFFICE USE ONLY
RECEIPT NO. PERMIT N0,1' '
��? � �i'y7�7
RECE�VED BY DATE REC'D. DATE ISSI�ED
�3 - �-a�-� �-� �; �
BUILDING � C!� ��
ADDRE55 O (
SCHOOL DIST.
OR TOWN
NEAREST
CRO55 ST.
20N NO.OF TVPE GROUP
� , / I PLANS I � .e��
U � �'l 1/
�
APPROVED / ��.0 �
BY DATE i
CORRECTIONS
FINAL
REI
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-53
PLOT PLAN
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property line and between buildings.
ORANGE COUNTY BUILDING DEPARTMENT
636 North Broadway
� . •j� SANTA ANA, CALIFORNIA
� FOR APPLICANT TO FILL IN
SCHOOL o�ST.Costa Mesa
OR TOWN
NEAREST
�aoss 5T. Irvine
�w�Fa Rex A. F'laher
CITY —`---
ARCHITEGT OR
ENGINEER
1RE55
CONT�'/al� }
ADDRE55
LEGAL I
)ESCRIPTION
(ATTACH METE!
LIC.
NO. OF I NO. OF
SETBACK LINE FROM: REAR VAI
CENTER OF STREET SIDE YAI
DESCRIPTION OF WORK
NEW I X I ALTERATt�N I I A�
'ERIOR WALL
iERING
u5E OF NEW
BUILDING
APPLICATION FOR PERMIT . �
1.:. � � �W � `�� � ! a V . . .
FOR OFFICE.USE ONLY
RECEIPT NO. PERMIT NO.
��� �}�/ / �D
✓yE �Y DATE REC'D. DATE ISSIiED
%� � �d� -� 3 8' -9 � �3 /
SCHOOL DIST.
DR TOWN
NEAREST
CORRECTIONS
ALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THI6 FORMS.
APPLICATION AND STATE TNAT THE ABOVE IS CORREGT UNDER-P
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE
BRACING
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
LATH. INT.
SIGNATURE OF � LATH. E%T.
PERMITTE
fO PLASTER,INl
AUTMOHIZED AGj.^ pLASTER, EX7
��
PERMIT Ffi6 S I MASONRY RE
VALUATION $ �y('j pl�n CHecK S
r "" ..'"..
� FINAL
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STREET
PLOT PLAN
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property line and between buildings.
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