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Home My WebLink About2123 STERLING AVE - Building Permits en CITY OF COSTA MESA ;`y -6. BUILDING DIVISION iv' , -4. DEVELOPMENT SERVICES DEPARTMENT PERMIT pER 698-01855 NUMBER, (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2123 STERLING AV Status: ISSUED Suite: Applied: 10/13/1998 Vicinity: • Issued: 10/13/1998 Parcel Nunmber: 42246316 Zoning: Applicant: LEMBECK, JOHN Address: - ^Phone: - f Zip:. I Owner BEGIN,JAMES A ' Vim. Address BEGIN,MARILYN , — r COSTA"MESA,CA �. _ Phoney :- - ' r v N`VA � 2123 STERLING AVE . - - Zip 92627 -r'� J ,N /, ''''T:\'`-‘'• ' c,. / Contractor/'� - \' ::\<, ,,u / ',\ Address �,\V y f � Phone: �. \\ • 1 Zip: .\\ �. License - w At /Arch/Eng r l '- v 'Address , - - !. • ` . "Phone. . �N. I • N _Zi : , tom_. //I r License: - ', . ' -- '� SCOPE OF PERMIT /_ K • ;TEAR OFF&REROOF WITH 30MP SHINGLES �- .,e,-,';A , ‘" .,YR CO . , H _. r .� .. 1: i A_ . ` t \ FEE SUMMARY p! . I Plan Check: , - $0.00 -- .';�. /7. . -Calc Valuation: $5,795o0 ',-`•, Permit: ' 11112.25 ,- - -7 / __Claim Valuation , ,,/ $5,795.00 SMTP Res ,.$0.58 i ,.- ' y.' SMTP Coml $0.00 '- ,'.` Other $0.00 % I , Inspection $000� l j� Total: .$112.83; 'N . PLANNING &ZONING ' SETBACKS / . ( - ' -_ J - ✓;'</ / 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: • - - • 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 R WORKERS'COMPENSATION DECLARATION: I hereby affirm under panty of peM1yy 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. XI 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 workercompenration ge urancarrier and policy number are: Cartier: s�T tend' Policy Number: 4(9th//-- (This section need not be completed if life penn/f is valued et one hundred dollars($100)or less.) ❑ I certify that in the performance of the •. •,�-•' • the .ro•c e• all • employ-any person in any manner so as to become subject to the workers' compensation laws of Californ'. n�4!' *'.%rer� ff ..:—.•• : - orkers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these prod Applicant Signature// i///� Date: / `rel e WARNING:FAI TO --.-'�'�ERS'4, NS, ON COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI PEtJALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND•j "00,000),IN ADDITION 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 C•. -:—_-r•••'• ^"v.^"'• tion 7000)of Division 3 of the Business an Professions Code,and my license is in full force and effect.Lic.# Van"' / / Class# de"/ Contractor's Signature: ///fr'' os Date:___4.0.M6": CONSTRUCTION L •• ' NCY: ❑ I hereby affix- i at 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 penaltyof 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 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: Date: Owner ID verified by driver's license. 0 Yes ❑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: I 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 Califomia 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 appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑Yes 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 Califomia 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 occupancy of any building authorized by this permit until final inspection. _at' Date �/ - •y:,,<-u -"77:1"Thplicant i bate • INSPFCTION TYPF ME iE NLS CODE I INSPECTION TYPF BATE inALS 1618 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final / /ii �/f 2081Final Plumbing 200 Final Re-Roof O f31LI� .� /./ 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 OWNER BARNETT. LAWRENCE DATE 1-12-70 „.--..10B ADDRESS 2123 •Sterling Avenue BUILDING PERMIT NO. 31230 GENERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Add Living Room to Res. AP No. 115-433-16 LOT 25 TRACT 2348 FIRE ZONE . VALUE $ 7.840.00 _ INSPECTIONS Signature Date GROUP I TYPE VI ZONE SOIL R-1 GAS ' SUBCONTRACTOR PERMITS ISSUED WATER Date I Number Signature Plumbing ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. n SPRINKLING SYSTEM MISCELLANEOUS r ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE _ UNDERGROUND fl POWER 0 `' % ROUGH WIRING .t-f7- /e Heating and Vent. TRENCHES 0, FORMS Q STEEL REINF. L /-7-3'It .r2 -7# FLOOR SYSTEM BOND BEAM n STEEL REINFORCE [7 SHEATHING W.- 2 'J'f'7o FRAME AND FLASHING yy .74/70�%y"J//O LATHING - IN n OUT,I_I// u C _x/74, D PLASTER. BROWN COAT ern a 3j 0STRUCTUElectAL { y HEATIING RVENT AL, IN REFRIG. AND A.C., FINAL taated �4'/ 4"/4:7"0 .�/c2 d/ _ PLUMBING, FINAL AND GAS TEST n pp��//////��♦99`J///--Yyy�� ELECTRIC, FINAL a J/ /'�U Rim niNn nNei AC) ,7313- Q / �J e -----------T-----"-------- 31230 JAN 12-70c#—pSF'BOO 220+ ****57.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 t - # APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely REC V D B DATE RECEIVED ' BUILDING / / DATE ISSUED ADDRESS al as3 SIS;Q,t,i1G Aoh.= /-_.c. / y-- t /- 'fa- 7v ,'• OWNER 'GGAC4 K' VAIc,VA rT • A.P. NO. 1/V _ CI PE: ' /o� ../a 4, MAIL +fi t S / ADDRIESS NG a /a 3 ADDRESS /�a �a 3 •+/�/T]ISQ/../{'U(a' / (/' r� n dU CITY eoc1A //I ks4 TNO` y8c%; .r. TRA 3-I , LOT oxo B K I- Z Z Q CONSTRUCTION '• NEW ADD ALTER REPAIR MOVING DFMOI ISH ON _ LENDER o ivt re JIuiJ.&c . am j ' BRANCH _J!n ADDRESS O� i �t!•-� lr`�—� m J •'- VALUE ' ' J m ARCHITECT �� TEL. �� USE $ Q • OR ENGINEER NO. N FIRE ) Z Q W < ADDRESS ...L , ZONE TYPE r GROUP • W SI ' ,+ APPROVED W x Z • CONTRACTOR ^ f BY - --- J DATE r1 // -IQ k , CO ` ______ o� _ J ,. ADDRESS ° '-teaO W W • { ZO NO.OF USE OF NEW , TEL. z } CITY NO. `: / ( PLANS BUILDING - W0 STATE .,•__- CITY YARDS APPROVED YARDS APPROVED to CC • LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING DCI SIZ (FROM CIL STREET) E NO.OF BLDGS. " - FT. OF LOT (� // INOW ON LOT / • FRONT vr�' EXE OF R miss-1 EXISTING BLDG. R.SIDE FT, 1 SIZE OF " q 0 _ NO.OF • Z ' NEW BLDG..( 0 K P a ROOMS 7 STORIES L.SIDE .5 FT. FT. ✓ EXTERIOR WALL-A-4 ROOF Nabi • COVERING y�(�CO PCOVERIf�")'I t/J$SI1/d IIJ y REAR ' FT. FT. -I 4' USE OF BUILDING/A JD WORK lT�O�BE PERFdR MED DISTANCE BET. BET.MAIN& a zl i vi 4 434OA ADJA17/B Kr- . MAIN BLDGS. ACCESS. BLDGS. a 4 VAR.# DATE O C.U.P.# APPROVED • z p APP'• �//�YL O•---Q _ir DATE /�(��C) O 0",e1# ` VI hereby acknowledge that I have read this application and state c - that the above information is correct and agree to comply with - all laws regulating building construction, and I shall not employ : 1- CC es" any person in violation of the workman's compensation laws of to the State of California. b Z +- I hereby certify that I am properly licensed as a contractor under SQ. FT. 6 the State of California Business and P • - 'ons Code, Division 3, • THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses . e in ful force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0 CC am exempt from the provision- .fthe St. ' • California Business VALUATION and Professions Code,Divis `'-•ap 9. A D co �/` �I c/�J PERMIT FEE $ ,.��N D Signature of • .i/� o �t m Permittee i $ /� O Y� PLAN CHECK $ /'r®� E • 0 Authorized Agent i5- ` O A LL • ., ..... .... ... - .,.,_ .. . *. TOTAL FEE $ V . ...... _. . . . OWNER KOLL, KI METH W. DATE 3-9-56 - . JOB ADDRESS 2123 Sterling Ave. BUILDING PERMIT NO. 2465 1 GENERAL CONTRACTOR Owner VALUE $ 10,320:00 t i LOT 25 BLOCK TRACT 2348 Residence & Gar, _ GROUP I & ,.T TYPE V ZONE Rh .FIRE DISTRICT 22191 PERMITS ISSUED INSPECTIONS •AT SUBCONTRACTOR l� DATE - NUMBER Footing Trench Cc—/7 m . Foundation Forms and Grade to Garage / . I/ r Rough Framing J G 4iyy*lett 1j-6_.. Plumbing, Rough to Slab7�'.-4w `/7 , .,p T Plumbing, Rough Complete 16-4.t r . j/-„1 ,1//,I/1 ,t jt/ V'--3_r& VS , 9 --- Temporary Temporary Pole a F • '-y/ Wiring, Rough €44 • I /7'cc /Ge—! (J-- -9---tn-.Ti, A ,('4 Heating,Rough Heating, Final •(7.�4�-vcii- a7rSP A'R 9 7 igcg 4i 2(f d - ,,Sewer, House 4,r,-j Sewer,St. 2-3-S'; T"° OS €o . 4_,-7-fr ret)g Q — Septic Tank or Cesspool Lathing, In Out }( �yAO,f, j r av Plastering 4(.)..ld.-- " fir Plumbing,Final,Fixtures Complete,62,e,l f-e0-At p/��a �/ -n Plumbing,Final Gas Test /n t.' /a-in flt - d_ 2-IRSI,:Silt Le Wiring,Final r� /2-ft Occupancyv7J cr/?'a FORM 210 3M 10-555 to Mesa Building Department 2491APPLICATION FOR PERMIT .J' 111 EAST 20th STREET BUILDING '1 COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN Receipt No. Permit N Building �{ 4 Adddresss 2123 Sterling Avenue 01� tos �S T Costa Mesa, California Received by Date Reed. Date Issued ---2.,20.0 .3 _ F_\--6 MR 9 1956 Nearest Cross.St. Building Address - Owner Kenneth W. Koll Costa Mesa, California Mail Address 2826 Newport Blvd, Nearest Tel. Cross St City Newport Beach No. Hr. 5201 zone ,t"//A�� No.of Type , / G Architect or Lic. / I Plans I v �,ro(�e}� Engineer No. Approved by Date Address CORRECTIONS City Lie. Contractor No. Address Legal I Lot I Description I No. 25 I Block I Tra.ct2348 (Attach Metes and Bounds) _ No.of Bldgs. •` Size of Lot 60 x 100 I Now on Lot is (7,Hl-,` I: , e -I e Use ofNo.of No.of c a A Existing Bldg. I Families I Rooms 1 /..1) Setback Line from Rear Yard 27' 6 1. - Z Center of Street 50Side Yard 51 MAR lBbb DESCRIPTION OF WORK New I X I Alteration I I Addition I CITY OF COSTA MESA Repair I I Moving I I Demolish I 'T MES, . Building No.of Size 1,200 Rooms . 6 Stories 1 Exterior Wall I Roof -- Covering Stuc CO I Covering Compo APPROVALS Use of New Building Residence Foundation Location Ins ector Date d. ,� P Forms,Materials, Under-Pinning _ Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath.Int with all City Ordinances and State Laws regulating building construction. Lath.Ext. Signature of Permittee I / Plaster, int Authorized Agt.� F l r - ' l �,.: Plaster,Ext. Valuation t Permit Fee $ 26,00 Masonry Reinforced Plan Check$ 13.00 Bond Beam $ 10,320 Total 39.00 Fee $ FINAL FORM 204 S-BP 2M 0-55