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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 Z . aU �- Z Za Om J � J N Q W f� J -m J Q U N Za w� aW WZ J Q m Z J � W w O= ZF w� N Q �O f' z Q U J a a ¢ O � � z 0 � U � � H N Z 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 {_. � � ��.�i'�� �_� � I ���� �1!,�i.���!_ n�rF�•�a� C �• '2 .� -- --./,. � y / � S_ � a c c � < i a ( ° ��= .., [ 1 . .. , w c RO)C°j�0 �5 .� . �� So � •. 30 � STREET - -53 PLOT PLAN Show location ond distances from 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 0 A � Z D r w � J a 0 r p a AUG ZO -53 STREET PLOT PLAN Show location and distances -from property line and between buildings. r - 0