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HomeMy WebLinkAbout210 SAYBROOK CT - Building Permits .�M .. ,ft �. CITY OF COSTA MESA - 0"it BUILDING DIVISION I- . en--- ' DEVELOPMENT SERVICES DEPARTMENT k PERMIT PERMIT NUMBER 4.`"+Pa t. B99-00017 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT tin err: Job Address: 2E22 SAYBROOK 910 Status: ISSUED Suite: Applied: 01/04/1999 Vicinity: 210 TO 216(EVEN)&217 SAYBROOK CT. Issued: 01/05/1999 Parcel Nunmber: 41901342 Zoning: • Applicant: PEARSON, VESS Address: 4872 CANDLEBERRY AV Phone: 714-761-8173 SEAL BEACH,CA Zip: 90740 Owner GARDEN PARK VILLAGE . Address HOMEOWNERS'ASSN • - - P 0 BOX' . Phone: %HOME FEDERAL S&L ASSN - Zip: 92112 Contractor: G M ROOFING - " Address: P.O. BOX 3908,. , Phone: 714-761-8173 - SEAL BEACH,CA ' " • Zip: 90740 License: ' 472566 Arch : - Eng: , Address: . . - Address: ' Phone: - Phone: Zip: License: License: SCOPE OF PERMIT • INSTALL 25-YR LAMINATED COMP SHINGLES 0/EXIST LAYER(SINGLE)3-TAB COMP ROOF.ROOF CERT ATTACHED • TO PERMIT. ' GARDEN PARK VILLAGE HOA. • ROOF"M"COVERING 210,212,214,216,C217 SAYBROOK CT. / • FEE SUMMARY Plan Check: $0.00 - Calc Valuation: $5,875.00 • Permit: $112.25 Claim Valuation: $5,875.00 SMIP Res: $0.59 SMIP Corn: $0.00 Other: • $0.00 Inspection: $0.00 ' Total: $112.84 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: 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 DECLARATIONS WORKERS'COMPENSATION DECLARATION: ti 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. ❑ 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 i Califomand agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with the p visions ^ Applicant Signature: A.,-. - Date: I ^ S d WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN OVIL FINES UP TO ONE HUNDRED THOUSAND DDLLARE($100,000),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 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.M / n Class x Contractor's Signature: ti eat _ Date: 1- 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 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 properly 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, end 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 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 with 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 end 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 eppermil for such construction or modification from the South Coast Air Duality Management District or from any other air pollution control district or agency? Yes ❑No (Section 65850.2 of the California 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 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 occupancy of any building authorized by this permit until final inspection. SI ture Of Legal Owner(s) Date A ...- i-C 'S ( And/Or Authorized Applicant Da e CODE L JBSPFCTION TYPF DAM DOIDAkS CODE INSPECTION TYPF DATE RIMS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final y 208 Final Plumbing 200 Final Re-Roof ! f es'/ 'j /y"F'/C� 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 244646 cr • COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FORSTRUQTURAL PERMI'1126.40 TL c - P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 -I,." RECEIVED BY 'PERMI1/90s,--4/8— BUILDING w 4/8— For Applicant to Fill in Completely —Use Ink Only �7 Oil]_ -'1 BUILDING /J� /I-� /�� .f//� A.P. NO. t4 lei — 01 a. — I tci d.a OWNER SRM4 u.&bb (atit ). N17U SPADC EErg NO.0fila,,,,,�I� A COO TENANT CJ I� J 1/01 ika y ////0 i� `UNIT OR es / CITY K �(Mn L �eJ I/ Tb LOT :te, BLK. NEW ADD JLTER REPAIR MOVING DEMOLISH CONSTRUCTION LENDER x /{/J �, �r //J /},�� �//y7JJ BRANCH. ' `Ee�� /,/t`/1 //(//I�YL+/// � .t22o OW NEIR,("u', �7{1/�,/it t /� 9 G{/�� /6 ADDRESS j��) / ) US ` 9/21— ti �VvZi-E�J0fw/c/ . OR ARCHITECT ENGINEER If's/f�/ /I/I//)�lJl/�Qn/,/,v�,Q widow) NOL//W�//Y//�,✓�rY ADDRESS EL ✓J [I alas- t//�t- /l T /J /J� � , ZONE �� TYPE GROUP �V CONTRACTOR/�'A//q//1W-4w°° (��[/QJ���n[{• dtt BVPROVED DATE ADDRESS 9 . gift,- i ktf. li.I/`,,t CITY .0?((A /C// / //�j� / (r// NO` �a7/17 Condo u 111(— STATE <�`u('/,/%V�/l/�L- CITY APPROVED SETBACKS LIC.NO. 1 5 LIC.NO. S rc {ft 4,1SIZE NO. BLDGS.� (FROM LSTREET) L OF LOT NOW ON LOT FRONT FT. a USE OF En EXISTING BLDG. R-SIDE FT. CA (-1 Separate permits are required for L.SIDE FT. electric,plumbing and heating work: REAR FT. USE /�OO/F�BUILDING �AND WORK TO BE PERFORMED A PLANNING T ACTION p j Q Q C/1//�U�//,-Mtn/u lueR. -lit-diet/ 7E - -7. - 5g APPROVED //�( -7 1 >. qW/•gi"_(Ls _3 2 35 s1• DATE /�� .7 / 111 W I� 1 GI hereby acknowledge that I have read this application and state or gd that the above Information is correct and agree to comply with D G all laws regulating building construction, and I shall not employ Z any person In violation of the workman's compensation laws of 7H/am FOR SPECIAL_Cl/ REQUIREMENT:• m the State of Celiforn la. �! / 750. FT. �./ e4� t ��DS 'v 3 I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR o 4 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: to am exempt from the provisions of the State of California Business VALUATION PERMIT FEE $ T and Professions Cod Division 3,Chapter 9. Let Signature of / / ' J( �r, s PLAN CHECK E/1a..t 2 M4 Permittee /! ` �" ff G - $sQ� � TAX $ �.`u 2Or �[ Authorised Agent /ta I/ TOTAL PAID E j�b 0 COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 RECEIVEDX PEakota I,I/' 3/80 I6i0o Tt! For Applicant to Fill in Completely - Use Ink Only //A ' - - 49295 - ' ,BUILDING A-P-NO- 419-012-19,22 ADDRESS 210 Saybrook Court BUILDING OWNER OR ADDRESS 210 Saybrook Court TENANT McKinnon-Bibb Properties, Inc. UNIT OR MAILING SPACE NO. ADDRESS 2737 E. Coast Highway Plan B—R TR.NO. LOT BLK. CITY Corona del Mar TEL.. 675-2311 10856 8 NEW ADD ALTER REPAIR MOVING DEMOLISH CONSTRUCTION LENDER Home Federal Savings & Loan X BRANCH 1702 N. Main St. OWNER McKinnon-Bibb Properties, I ADDRESS Santa Ana. Ca. VALUE ARCHITECT TEL. USE Townhouse w/att. garage OR ENGINEER non R TAN geman NO. 642-554 ' ADDRESS 833 Dover Drive, N.B. ZONE R4 T/111E V GROUP H&J APPROVED CONTRACTORBell Construction BY DATE W� cam/\J /,_ ig_a_1 (�J ADDRESS 105 E. 18th Street CITY TEL. Costa Mesa, Ca. NO. 642-4372 Condo Unit F. R STATE NO. CITY APPROVED SETBACKS 367816 LM.NO. 7420 �S per approved plan W SIZE NO.OF BLDGS. (FROM C/L STREET) R. OF LOT NOW ON LOT 0 FRONT FT. a USE OF N,. EXISTING BLDG. 0 R.SInF FT. V) FSeparate permits are required for L.SIDE FT. C electric,plumbing and heating work: REAR FT. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION rDATE� Townhouses with attached garages ZE-79-58 APPROVED 4-9-79 APPROVED .rd �Y DATE C$ W 0 I hereby acknowledge that I have read this application and state n B4 that the above information is correct and agree to comply with 04 all laws regulating building construction, and I shall not employ i Z any person In violation of the workman's compensation laws of F, S the State of California. 03 3 I hereby certify that I am properly licensed as a contractor under 1377 SO. FT. J 664 + 60.5 O N the State of California Bu d Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that sue license re In full force an• ' t,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e am exempt from the ovisio f the State of Cal •rnl- : s* PERMIT PERMIT FEE $ and Professions Cod , Divi 3,Chap 9. 189.00 0„ Signature of / PLAN CHECK E o Permittee or �8° S TAX E 0,---.-_ V Authorized Agent Date TOTAL PAID $ 189.00