HomeMy WebLinkAbout364 SEVILLE LN - Building Permits F - -'-i •
T CITY OF COSTA MESA
`' � BUILDING DIVISION
;' ""'•' ' DEVELOPMENT SERVICES DEPARTMENT, PERMIT NUMBER
. PERMIT _
4%-ongns? BOO-00686
•
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
•
•
Job Address: 364 SEVILLE IN Status: ISSUED
Suite: Applied: 05/15/2000
Vicinity: FLAT PORTION OF 2ND STORY Issued: 05/15/2000
Parcel Number 43914229. ' - ' Zoning: •
'
Applicant: HANSEN, DUKE ISSUED BY:
Address: 260 E.ALTON AV
Phone: (714)557-7440
SANTA ANA,CA Zip: 92707
Owner: BACK BAY GARDENS HOA
Address 960 CALLE AMANECEA
Phone: (949)498-1129
9267
SAN CLEMENTE,CA Zip: 92673 �3�O
Contractor: ROSS & BARROWS INC. ' I,
Address: 260 E.ALTON AV
Phone: (714)557-7440 Q)�
SANTA ANA,CA
Zip: 92707 License: 327802
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF SECOND STORY FLAT PORTION OF EXISTING 4-UNIT CONDOMINIUM BUILDING(30 SQ).TEAR OFF EXISTING
BUILT UP ROOFING&INSTALL NEW 4-PLY B.U.R.
4-UNIT CONDO INCLUDES UNITS 364, 366, 368, &370
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $8,445.00
Permit: $167.25 Claim Valuation: $8,445.00
SMIP Res: $0.85
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $168.10
•
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:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord.No.92-28,§1, 12-21-92)
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 I r~
WORKERS'COMPENSATION DECLARATION:
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.
FI 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'compens • n Insurance carrier and policy number are:
Carder: 0 T�T1 c,..)A)O Policy Number: 6 Y 6- 0 o 00o (s3
(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 of alitornia,and agree that it 1 should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these pr ions. ��[[
Applicant Signature: Date: !.7 — c
WARNING:FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST.AND ATTORNEYS 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.tic.# i 7 O L Class# C—1 9
Contractors Signature: ( 2 — Date: r— !.f- ofl
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).
Lenders Name: Lenders 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 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 properly, 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 sed. 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 B,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).
orp future
occupant oil. .t.ion.. acutely
hazardous
...
2 Does or will the applicant present or future building need to file a registration form for acutely hztlmatenals? ❑Yes ❑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 Califomia 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? ❑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 a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 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 pan 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 Duality 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
B (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.
•
ignature Of Legal Owner(s) Date
itt• tip
And/Or Authorized Applicant Date
CODE 1 INSPFCTION TYPE PATE IXfID915 CODEC INSPECT10N TYPE PAM INTITIAL8
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 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
OWNER DOYLE & SHIELDS Development Co. ,Inc. DATE 6-3-63
JOB ADDRESS 364 Seville BUILDING PERMIT NO. 19674
GENERAL CONTRACTOR Doyle & Shields Dev.Co. ,Inc. VALUE $ 19,540.00
AP No. LOT 90 TRACT 3433 FIRE ZONE DESCRIPTION OF WORK Res.W/att.gar.
INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE R-2
Soil A /'f- 3 SUBCONTRACTOR PERMITS ISSUED
�
Gas // '6--( DATE NUMBER
Water 4-1-/S 7/�s-43
Rough Corn. Refrig. 0 Air Cond. 0
Rough Heating /� //20-0. -..----)4.-s _ UL 2 2 1963
Rough Plumbing ..17--AS- /i-/s-a i_757_4‘338 - I
Miscellaneous / _, Q�n AI-
Prop. Swr. Line ® .use Con. R t. Swr. 0 //,a. 2 AK-CR (�-0� J / -a-G' /�C�a.
Sprinkling System.� a f ai +"7 , 7 _/7! ii ' .,(61. 46-/7-G� O _ VI
Construction Pole / /'
Underground lit Power i❑ _
Rough Wiring - Z' gitt� , r :Q? 1 _
Trenches sar" Forms Z- Steel Reinf. 0 r 7-,/.1-.G g ,; /
Floor System -/ Ott
Bond Beam 0 Steel Reinforce 0
, 9 G i /
Sheathing ir -..".A1 , i J
Frame and Flashing ' / -. V '
Lathing -In.lam Out �a - 7-/ 4cN q/ �N
.,/ t�'
Plaster, brown coat / , l
Refrig. 0 Air Con. 0 Final V i V
Heating, Final �Pij�,/ Y-3-(/j° .,, T 11 ✓ I
Plumbing Fixtures, Final JA ` V-y q Lk'
Final Gas Test/S /6 J /
Electric Fixtures, Final
GV/
Building, Final ear-y-/3
OCCUPANCY
Form 8U4-SM-3-63-S-B P HOED Hit( NL-C.IrtL Krywi(xnvsi;Ni3
19674 FEE . REcovED
•
•
_
•
COSTA MESA BUILDING-SAFETY DEPARTMENT on ;a VA
P.O.BO](317 COSTA MESA,CALIFORNIA YFINANCE DEPT '
1 For Applicant to Fill In CompletelyAPALICATTY OFION COSTA MESA
FOR PERMIT
TYPE OR PRINT BUILDING
For Office Use Only
,
ZaRD= SG(4- S_an I 4.1_0_ RECEIPT NO. PIRSI314
COSTA MESA, CALIFORNIA
R C lIVED DATE RECEIVIIID DATE ISSUED
OWNER Doyle & Shields Dev.Co.inc ir- „..G3 JUN :, 1963
BL/ DING ?‘ 4Z „/ • T cer....77
MAIL 831 so. Manchester Ave. AO REES c
ADDRESS
Fl E ,
CITY Anaheim, Calif IMPR 2802 ZONE...* TYPE V GROUP ty.
APPROVED ' 1
ARCHITECT TEL BY DATE
/
OR ENGINEER Hai C. Tan No.871-281 _.
ZONING
ADDRESS 4100 west Commonwealth USA OF N OW."
zQ1,-) I PLANSr° O I BUILD'S
CONTRACTOR Same
LEGAL
ADDRESS Same DESCRIPTION Tint gn Traci- 1411
CITY Same A.P.NO. n
NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
IS-Tr110.151'-'250 B•••]. li.g0T- PR 28020 _ 30*TO SIDE&REAR p.L.
EAVES
SIZENO.GT BLOW). ALLOWED (U.B.C.REQUIREMENT)
OF LOT 33 x 53. 50 I NOW ON Lot --
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(PROM C/L STREET)
SETBACK LINE PROM 20.50' FRONT 0 FT. FT.
CENTER OF STREET REAR YARD -.••••-
SIDE YARD1 LEFT n.".- I RIGHT .-).--.- R.SIDE n FT. FT.
DESCRIPTION OF WORK L.SIDE e5 FT.
NEW X ALTERATION ADDITION REAR 0 FT.
•
DISTANCE BET. BET.MAIN @
MAIN SLOGS. ACCESS.SLOGS.
REPAIR MOVING DEMOLISH _
VAR.# DATE
BUILDING 33x53. cri NO.OF 7 2
SIZE ••••-• ROOMS ' STORIES C.U.P. vli APPROVED
_
APPRIE 17
CEX0TVEERRII0NRGWALLStUCCCI ROOF Compo py Illi i .V..k.4./1 DATE dr-A-1 3
N 11,
USE OF BUILDING AND WORK TO BE PERFORMED
Residence with attached garage
Model 420
420
0* N
1833 St7.Fr. VW o
*.:
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOcII UNDER VALUATIONJR FOR THE
I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ZS BUSHING' A PERMIT FEE ONLY. 0
-
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION
BUILDING CONSTRUCTION. sitita
PERMIT FEE $
SIGNATURE 0Qtyt .
at'd•a,. asr- 67.)
PERMIll'EF• -COI 3/ sa :
,
0
AUTHORIZED AGENT 1-0,14. 0huvievvi
Jig— \ TOTAL FEE $ 2V