HomeMy WebLinkAbout408 BERNARD ST - Building Permits� � �
� CITY OF COSTA MESA -•
° ' BUILDING DIVISION �
> _ �
� DEVELOPMENT SERVICES DEPARTMENT
� -_ 698-00945 .
4 � � PERMIT PERMIT NUMBER
`�
(714) 754-5273 • Fax pia»sa-aess . gUILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626
,lob nddress: 408 BERNARD ST
Suite:
Vicinity: .
Parcel Nunmber: 41920213
Applicant: CRANK, JIM
Address:
Zoning:
Phone:
Zip: "
Owner: MABERRY, WENDELL L TR
Address 442 BROADWAY ST - �
� � Phone:
COSTA MESA,CA i � Zip:
Contractor: ' .CRANK BROTHERS ROOFING CO
Address: 00126 COMMERCIAL WY
Status: ISSUED
Applied: 06/02/1998
Issued: O6/02/1998
i`�.
92627 . � . . � �
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. COSTA MESA CA Zip: 92627 ���- `�
, .. -' License:r�408677 � , ` , �
Arch / Eng : � � i� „ � �
Address:
Plan Check:
Permit:
Other:
inspection:
Total
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..Phone': �. � �� � , ` '
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. License:- .
- .,- �.� . . - . , , .
SCOPE OF PERMIT '
INSTALL 25 YEAR COMP. SHINGLE OVER EXISTING ROOF, 2ND LAYER: �� '
- FEESUMMARY ,
$0.00 - - • Calc Valuation: gs,sas.00
$112.25 ' ' Claimed Valuation: 85,eas.00 �
$o.00 � %� �
$0.00 _ _
� .
$172.84
SETBACKS
MAIN STRUCTURE Fronf 0-.0
ACCESSORY Front 0- 0
PARKING Exlstinq: 0
NOTES:
PLANNING & ZONING
Rear � 0-0, . � teR� 0-0
., - ,.'�-' � .
Rear 0-�0 � � . LeR � 0-0 �
Re uired: � 0 Proposed: � 0
Right ', 0-0
Right 0-0
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
tor a period of 180 days.
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspeetiona and tinal epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
I FOR INSPECTIONS CALL: (714) 7545626
� WORKERS' COMPENSATION DECLARA710N:
I hereby eHirm under penalty at perjury one of the tollowing declaretions: - �
❑ I heve entl wlll maintein e certifcate of consent to self-Insure for workers' compensetion, es provided for by section 3100 of the Lebor Code, tor ihe performance of Ihe
work tor whlch Ihis permit is issuetl.
❑ I �ave and will meintein workers' compensalion insurance, as required 6y section 3700 ot the Lebor Code, tor ihe perfortnanca o1 the work 1or which ihis permit is issueG.
My workars' compensatlon Inwrance caMer entl policy number ere:
Cerrier. Policy Number.
(!h/s section need not be comp/eted i/ Me peimit ls ve/ue0 at one huntlretl tlollars ($100) orless.)
❑ I certity Ihat In t e ertortnence of the 9rk tor which this permit is issued, I shall not employ any person in any manner so es to become subject to the workers'
compensetian la� s f Califomla, e O�e th ' I s�ould become sub�ect to the workers' crompansalion proNsions of Section 3700 of the Lebor Cade, 1 shall forthwith
comply with thes ovisions ^_ � �
Applicent SlBnature: Date: � — �
WARNINO: FAIW T ECURE WORKERS' COMPENSATIqJ COVERAGE I5 UNIAWFUL PND SNALL SUBJECf Ml EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED
TFKKISAND (5100,000). IN ADDITION TO TME COST OF COMPENSATION, DAA4IGES AS PROVIDED FOR IN SECf10N 31O60F THE LABOR CODE, IN7ERE5T, AND ATTORNE`fS FEES.
LICENSED CONTRACTORS OECLARATION:
I hereby eltirm thet I am lic ed under provisions of
force and etfect. Llc. x
Contrectors SignaNre:
(cnmmencing with Sedian 7000) ot Division 3 ot ihe Business end Professions Coda, and my Ilcense is In full
qass p
oa�e: 2 —
CONSTRUC710N LENDING AGENCV:
❑ I hereby affirtn Ihat there is e constmction lentling agancy for Ihe pedortnance of the work For which Ihis pertnil is issued. (Sec. 30W, Civil CoOe).
Lenders Name: Lende/s Address:
Signature: Data:
OWNER-BUILDER DECLARA710NS: �
I hereby effirtn that under penalry of perjury ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Buslness end Professions
Gode: Any ciry or counry w�ic� requires e permit to consirucL elter, improve, Oemolish, or repalr any structure, pnor ro its Issuance, elso requiras the epplicent Por such parmit
fo file e signetl statement ihet he or she is licensetl pursuent m the pmvislans ot the ContraMors Llcense Law (Chapter 9(commencing wlth Section 7000) of Division 3 of ihe
Business and Prolessions Gode) or Iha� he or she is ezempt Iheretrom and the basis for ihe alleged exemption. Any violetion ot Section 7031.5 by eny apD��cant for e pertnit
subjecls Ne epplicen[ to a clvil penelry ot not more than five hundred dollers ($500).):
❑ I, es owner of the property, or my employees with wages es Iheir sole compensatlon, WILL DO THE WORK, enA ihe struqure is not intentled or oflered for sale (Sec.
7044, Busineu entl Professlons Code: The Coniractors License Lew does not apply to an owner of properry who builds or improves Ihereon, end who tloes suc� work
hlmself or hereelf or ihrough his or her own employees, provided ihet such improvements ere not intentled or otteretl for sale. Ii, however, the building or improvement is
sold within one year of complation, the ownar-builtler wlll have tha Durtlen ot pmving thet he or she did not build or improve tor purpose of saleJ.
❑ I, es owner of Ihe praperry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTOHS to construct ihe project (Sec. 7044, 8usiness end Pmtessions
Code: The contreclors License Lew tloes not apply to an owner of property who builtls or Improves thereon, antl who contrects br such proJed with e coNredor(s)
license pursuant to the Coniractors License LawsJ. .
❑ I am exempt under sec. Business and Prafessions Code tor this reason:
SignaMe: Date:
Owner ID vanfied by dnvers license. ❑ Yes ❑ Na Drivefs License No. Expires: �
Venfication of Ownership by (rype ot document, I.e. - properry tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATON: � �
❑ I hereby certlh/ thet no exwvetion five (5) or more feet in Aepth into which e person is requlred to descend, will be mede In connectlon with work authorized by ihis
permit, entl that no bulldinq strudure, scettolding, falsework, or demolition or dismentling Ihereaf, will ba more than ihirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Title 8, Celifomla AtlmiNstrative Code). �
❑ As owner-builtler, I will not employ enyone to tlo work which would require a Dermit trom the Division of Indusirial Sefery, as noted ebove, unless such person hes�a
permit to do such work hom ihe division.
Signature: Date:
Division of Indusiriel Safery Pertnit Number:
1 WIII ihe epplicant or presen� or future bullding occupant neetl to tile end cenity e Business Plan tor emergency response to release or Ihreatenetl release ot a hezartlous
metenal7 ❑ Yes ❑ No �
(Section 25505 ot the Celifornie Health and Sefety�Cotle requires, with some exceptions, that a Buslness Plen be filed with the Costa Mesa Fire Department Dy every
business whic� has at any one time tluring a reported year a quantiry of hazardous materials equal lo or greatar Ihan a weight of 500 pounds, or a volume of 55 gallons,
or 200 cubic feet ot compressetl gas at stenderd fempereNre end pressure).
.......................................................................................................................................................................................................................................... .......................................
2 Does or will the applicant or present or future huilding occupant need to �le e registretion tortn for acutety hezartlaus materials7 ❑ Yes ❑ No
. (Sedlan 25533 of ihe Califamle Healih end Safery Cotle, with some exceptions, requlres registretion with ihe Costa Mesa Fire Depertment by eech business which et any
one time hes on hentl e quantiry of acutely hazardous metedals equal to or greater than e welght of 500 pountls, or e volume of 55 gallons, or 200 cubic feet of
compressetl ges at stendard tempereture end pressure).
..................................................................................................................................................................................................................................................................................
3 Does or will the applicant or present or fuNre buil0ing occupant need to prepare an RMPP (Risk Management antl Prevention Program tor acutely hazardous matenals)?
❑ Ves ❑ No
l of the Celitomla Heelth end Safery Code.provitles that the Costa Meu Flre Department may require ihe preparation, certification and filing with the Fire
an RMPP by businesses which ere requiretl to register acutely hezerdous meterials with the Fire Depertment.
If an RMPP is presentry requiretl, �as Section 2553a oi tne Geirtomia neaim ana �aiery coae oeen miry compuea wim � L.I res L.I rvo
.......................................................................................................................................................................................................................................................
Does or wlll ihe epplicent or present or tuture Duilding occupant requira for tha work whic� is the sub�ect of ihis a pllcation a ertnit for such construction or
from Ihe South Coas[ Air Qualiry Management Disirict or irom eny other alr polWtion comrol tlisMcl or agencyt � Yes � No
(Sedion 65850.2 of the Califomia Government Cotle reqNras that tha requested into�matlon De fumishetl on applicatlons tor nomresitlential builtling Dermits).
... . .. ......... ... ...........................................................................................................................................................................................
Wiil �any part of the faciliry ro be constructed untler Ihis pertnit be within 1000 feet from the outer boundanes of e sc�ool?
❑ Yes ❑ No
Qt yes', the fadliry must meet tha requirement of Sections 25534 antl 423W ot tha Califomia Health end Safety Code).
.................................................................................................................................:.....................................................................................................................
If e Permit irom ihe South Coasl Alr �ualiry Menegemant Distnd or othar alr pollution conirol district or agency Is requlretl tor the work which is the su
aoolication. have ell of iha disclosures prescnbetl by Califomie Health and Safery Cotle Sectlon 42303 been mede? ❑ Yes ❑ No
pf yes", enach certifiw�e oi complience irom the appropriate air polNtian conirol otticer).
CERTIFICA7E OF COMPLIANCE: I certily Ihat unAer penalty of peryury Ihe intortnation given above is correct. I agrea ro wmpy wit� all state laws and ciry ortlinances
regertling Hazerdous Matenels and Emissions.
Signature: � Date:
CERTIFlCATE OF COMPLIANCE AND AIJTHORIZA110N OF ENTHY: I certiy under penelry of perjury that I have read ihis appliwtion antl state that ihe information given is
conect I agree to cbmply with all stete lews and ciry ordinances relating to building wnsiruction, end euthonze representatives of the Ciry ot Costa Mesa to enter upon the
above-desG[iped properly tor inspecGon purposes. I egree not to occupy or allow occupancy of eny building euthonzed by this pertnit until final Inspection.
1616
1286
200
201
202
203
2oa
2M6d8
Fixed System Finel Fire Preventian
Paol Spe Final
Finel Re-Roof
Finel Block/Reteining Wall
Finel Factory Fire Place
Final Sign
Finel Demolitlon
CeIE V{�dla'
i i
i
� _ �—a�n ^ � .
Date Y
�Qp� INSPEClIONTYPE
206 Finel Mechanical
208 Finel Plumbing
210 Finel ElecMricel
212- Finel Fire Prevention
220 Finel Plenning Approval
222 Final Site
250 Finel Bullding/OccuOency
GAg U�AIS
ow1vER MpygERY,, M. H. UAl'�: 1 14 bb
JOB ADDRESS ly(�j RPrnard StrPpt��Q�t Tl BUILDING PERMIT NO. 251(Xl
GENERAL CONTRACTOR gerRer CompallY DESCRIPTION OF WORK Interior Alteratian
AP No.115-283-72 LOT TRACT FIRE'LONE VALUE $900.00 _
1NSPECTIONS� � Signature � Date GROUP H TYPE V ZONE R-2
SoIl PERMITS ISSUED
Gas SUBCONTRACTOR I Date � Number � Signature
� ' —\11 ' . . .. . . . ... n
'NER p�pgg?�y, M. H. � � DATE �-
JOBADDRE38 �pg C& D Bernard St. / BUILDING PERMIT NO. Z5S1
GENERALCONTRACTOR �i. M, Sutterfield VALUE S �.���16,00
LOT AP 115-281-20-2l� BLOCK TRACT ]�DZeX W�81',L �. _
GROUP I& J TVPE V ZONE RI1 FIRE DISTRICT 2566
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench � �
Fuundatiu� Forma and G�ade to GaYaOe, .
P
P
WI
a —
i �
neaung� r�na �p �_�,y�, � �7r�J �p � �
2Sew , use �1 � Sewer,St.
Septic Tank or Cesspool �
Lathing,ln � ut 7�T! � �
Plastering G/r/6 -/1-
Plumbing, Final, Fixtures Complete �•�•
Plumbing, Final Gas Test � J �j_� Gl,(�i.,C/ �� i/-/- S� �= •�-� --�
Wiring,Final �/l'/�i ��f/�� �,A��/��yb
Occupancy l�jf�'� '.��_ jZ
FORM 310 9M IO�i! %^}1
, � ,
: OWNER MABL'�RRY� M. H. - � DATE Ll-2—S6
JOB ADDRESS L�08 A& B Bernard St. BUIIDING PERMIT NO. 2SSO
GENERAL CONTRACTOR Charles M. Sutterfield VALUE $ 10��16,�0
LOT j,j, BLOCK TRACT Dup],gX W/att �ar, � _
GROUP I Sc J TVPE V ZONE RIJ FIRE OISTRICT 2565
INSPECTION$
Footing Trench
Foundation Forms and Grade to G
Rough Framing .t-- /
Plumbing, Rough to Sla�
Plumbing, Rough Complete �,
Temporary Pole
Wiring, Rough
Heating, Rough
�� �HeatjnLg, �F,in
� eY5 wer:7ittuse 1.1 Sewer, St.
Lathing, In z � Out
Plastering
Plumbing, Final, Fixtures Co
Plum6ing,Final,GasTest �/
Wiring, Final
Occupancy
FOflM 310 3M 10�'JS
DATE I SUBCONTRACTOR
PERMITSISSUED
DATE I NUMBER
•��O
� �i��
-.�
ltiosta Mesa Building Department
!� _ 111 T 20th STREET
r
COSTA . _SA� CALIFORNIA
',' FOR APPLICANT TO FILL IN
Building �/ p
Address D /T;� �
COBt& M08&. CaLi01711A.
Nearest
Cross St
Owner �
Mafl
Address
Lio.
APPLICATION FOR PERMIT
2565 BUILDiNG - �
7 FOR OFFICE USE ONLY
� Recelpt No. � Pertnit Na
�`�' .� 3-���d 6� `�-07-
Building
Address
Costa 1Vdesa, California
Nearest
Crou St. '
Zon� _� I No. oi. I TYPa� G L
Plans
Ap rov
by Date
CORRECTIONS
Description � No. I Block � Tract �
(Attach Metesand Bounds) j / 5 —� Q�`— �j- �(� � �
r�y q ` I No. of Bldga
SizeofLotJ /l d a rvowon�ot "� C�TY OF C(
uuor. ' I No.or I No.of PLAiVNiiV
Existing 81dg. � Famillea R � .
Setback Line from Rear Yard __i r�_39. �
Alteration � � Addition � ,
I I I � . �d:�,
/
Roof
' � � - � � Frame: Fire &tol
Bracing, Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to mmply Lath. I nS.
with all City Ordinances and State Laws regulating
building cunstruction. Lath. Ext
Signature of
Permittee Plaster, Int
Authorized Agt. plaster, Ext
ValuaLon Permit Fee $ .� 6. o O Masonry Reinioroed _
'/ / Plan Check $ � 3 • ° � gond Beam I � " �
$ /lr% / '�^`' ToWI
Fee � � FINAL
unm �nn C_qP 2M e-ss �
1
I �
. � 6how Iocation and dlsCances from
property Iine and between buildings
� • •.
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. , ' �•.�
_ '
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.M . .-Costa Mesa Buildiug Department
111 ' i 20th BTREET
• ��� COSTA n.cSA, CALIFORNIA �
,-� FOR APPLICANT TO FII.L IN
Bullding/, o �
Addresn y0 De�
Costa Mesa, California
Nearest
Croas St
Owner �_ �j�
Mall �. . � . .�—
AI'CIIISCCL OP UC.
Engineer No.
Address
j� Jity Lic.
Contrec r� �"/% No.
Address � p7" ��y� � ,� ��
Legal Lot I
Descriptlon ( No. I 91ock � Tract
(AttachMetesantl8ounds)� S �/���?b-
Size ot Lo�V ���7j��1 Now onLot `�tGv�
Useof - No.of No.of
Existfng Bldg. Famllies Room
Setback Line from /L/� i Rear Vard
Center of &trcet �yd 3ida Vard "7 '
DESCRIPTION OF WORH
Naw I� /� I Alteratfon I I Additlon I
Repair I I�Moving I I Demolish I
Bulldin �fIo.Of
61ze �7��fooms Stories r
Exteri g al I Roof 9�
Covertn � Coverin
Use oi New ^(�I
Bullding '�"�C.� �1�� (�/�/��}
—�+�.r— fa .s
APPLICATION FOR PERMIT
BUILDiNG �
FOR OFFICE USE O1VLY I
fieceiveC by Date Reo'd. Date Issued
�^-yo 3 �..z� J"6 ��a-�-6
Building
Address
Costa Mesa, California
Nearest
Cross St.
ZoqG No. oi I Type � Grou
P
F( -�� Plans ��[.Z
CORRECTIONS
�
Under-Pinning
Frame: Fire Stops,
Bracina. Bolta
I hercby ac]mowledge that I have read this ApplicaUon
and state that the above is rnrrect and agree to comply Lath. Int
with all Clty Ordinances an State Iaws regulating
bullding cOnStrUCtion. /J Lath. Ext
Slgnatureof� � ��t // „ p
Permittee r6.�.L1�A' plaster, Int
Authorized A9t• Plaster, Ex1
Valuatian PeYmit Fee $ �-6 .�� Masonry Rf
(L �'� Pian Check $ / �� gand Beam
$ �0� � i Total ? o v
FeC $ J FINAL
RM 204 S-HP 2M 8-55
O
A
�
2
D
r
,
1
PLOT PLAN •
8how locatlon and dlstanees from
property Iine and between buildinga
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;, LJ I 09
COSTA MESA BUILDINCrSAFETY DEPARTMEIYT
� P.O. BO% 7200 COSTA MESA, CALIFORNIA 926RE
For Appllcant fo Flll In Complaroly.
TYPE OR PRINT
1LD1NO 5/�S?'R<RA�/1,QD S%
fIRP39
ARGMITEGT
COSTA ME3A, CALIFORNIA
7�
►J
�ROY
MO.
DESCRIPTION OF WORK
WALL
1 XHR6BY ACKNOWL6D06 i/1AT 1 MI1V[ RRAD TM�6 ApPLIGTON
I1ND BTATB TNAT TMR AGW6 1� COpR6GT�AND I�ORH[ TO COY.
PLY WITN ALL CITT OROIlUNCl/ NIO iTAT{ LAWt p[OYLIITINO
em�oino coxsneurnox.
SIGNATUR80P �������/
PERM17T6_T� �
AUTXORIZiD AQ[NT
CITY " �; �5 TA I��SA
� JAN 14 1966�
ro� orfrro ux
11[CRIIT NO.
MPROV[D Qb��
o�BY ti ` � DAT2
V � � ZONINCi
ZOy1S MO. O� UY[ OI N[W
/u �uru '1/ ew�o�na
� LQ � �� J�
RHAN6 BNALL E8 Ll88 THAN
YARDSMPROVHD I YAROSMPROV6D
MAIN BUILDIN6 ACCEL80RY BUILDINO
ecr. Mw�H a
wccEea.eu
owre
naa �rourrr eNoww uno¢a v�w�nox �e rox n�s
rURrot[ O! iBiAlLIBNINO A PeRMIT PH8 ONLY.
VALUATION
PERMIT FE8
s �DD-�
/ �