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HomeMy WebLinkAbout234 SHERWOOD PL - Building Permits 2 - CITY OF COSTA MESA BUILDING DIVISION Fy rrik DEVELOPMENT SERVICES DEPARTMENT PERMIT MBER PERMIT 4-00085 #* (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.ISILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 234 SHERWOOD PL CU Status: ISSUED Suite: Applied: 01/07/2004 Vicinity: ROOF Issued: 01/07/2004 Parcel Number: 42620234 Zoning: Applicant: TODD WALLACE ISSUED BY: Address: 2479 SANTA ANA AV Phone: 949-642-7812 COSTA MESA,CA Zip: 92627 Owner BEEKER, ANDREW E Address 234 SHERWOOD PL Phone: COSTA MESA,CA Zip: 92627-2136 Contractor MILES ABOVE ROOFING Address: 2479 SANTA ANA AV Phone: 949-642-7812 COSTA MESA,CA Zip: 92627 License: 763165 Arch : Eng: Address; Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF.INSTALL 7/16 O.S.B., 1 LAYER 30#FELT,AND 30 YEAR,TIMBERLINE COMPOSITION SHINGLES.28 SQUARES INCLUDES ATTACHED GARAGE. • FEE SUMMARY Plan Check: $0.00 Calc Valuation: $8,100.00 Permit: $167.25 Claim Valuation: $8,100.00 SMIP Res: $0.81 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $168.06 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 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 fora 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 2446-46(6/00) • DECLARATIONS 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 sell-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 Codo,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($700)or less.) 14 /�cenify 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 California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these -Applicant Signature_ r'Date:---. ///0 V -WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER-MAMMAL PENALTIES AND COAL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($106000),IN ADDITION TO THE MST 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 acathe-Buipess a Prof Ions Code,and my license is in full force'andiic..Y 763/GS LCaaa.Y /G _Contractor's Signature:"— � +��fC� — cOate:�! J o y CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a constriction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders 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,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 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(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,Califomla 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 feel 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 ono 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 end 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 ❑No — 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application Baermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? IJ Yes 0 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 end Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application end 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. • z/y eget Owner(s) //7/0 Date _ k And/OrAAuthorized Applicant__ _ PeteTh 1016 4 INSPEFixed System /I/L_o y 1 :44— 206 FinalthISPEec TanPEE ItIIl�t�4 1816 Fixed System Final Fire Prevention �L (Q 206 Final Mechanical 1266 Pool Spa Final /, 1 208 Final Plumbing 200 Final Re-Roof ? ••••• % ..--::� 210 Final Electrical Final Block/Retainirg Wall t�i• • 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 • 10860 FEE i©EINIED COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 317 COSTA MESA.CALIFORNIA �tJ //- 7-c_I-7 EOR APPLICANT TO ALL IN COMPLETELY APPLIC/ T •' 'J.4; I MIT y�v TYPE OR PRINT BUILDING in BUILDING% 3q Sherwood Street ADDRESS q `f I COSTA MESA. CALIFORNIAEOR OFFICE USE ONLY rash) r t� araticn I RECEIPT NO. I eER[AIT NO, OWNER 1�, QG 4 I�Y��® AMAIL DDRESS l�19 E. 17th Street, Costa Mesa RECEIVED BY_ DATI.RE/EIVED� Nu!S`SIEP9C( r OD'� DAT TT JJX (r " IJJ. CITY Costa Mesa, Calif. TEL. Li 81155 BUILDING Carlson & ADDRESS ARCHITECT LIC. __-/OR ENGINEER Middlebrook NO, COSTA MESA. CALIFORNIA ADDRESS Garden Grove, California FIRE ZONE TYPE �� V b- ' Dike & Cole Ove Inc. GROUP CONTRACTOR LCST NTO.E 167293 APPROVED DATE 1 ADDRESS 1419 EI• 17th Street, Costa Mesa ZONING LEGAL I LOT I I 5378 ZONEnn� NO.OF USE OF NEV: „....t_ DESCRIPTION NO. 3 BLOCK TRACT V ` II I PLANS BUILDINOI T ,y,�ip f A.P.NO. APPROVED lJs /'1 /!'YY//» ..11.A-61 al 1 CY/ ( GDATE I/— / SIZE 1 I NO.OF BLDGS.None YARDS .c EVES OF LOT 72' x 87 NOW ON LOT REQUIRED ALLOWED USE OFNone (CENTER LINE BT,) '/// EXISTING BLDG. FRONT A/4/FT. IN. SETBACK LINE FROM Mi 1 231 CENTER OF STREET T REAR YARD R.SIDE cFT. IN. I LEFT RIGHT 51 5, SIDE YARD `_ L.SIDE S`I 3 FT. IN. DESCRIPTION OF WORK -'\ REAR D.�.1/4S-FT. IN. } NEW I X II ALTERATION I II ADDITION I REPAIR I II MOVING I II DEMOLISH I SBIZIEDING 1601 ROOMS 6 STORIES 1 EXTERIOR WALLROOF COVERING StUCCO COVERING shake USE OF BUILDING AND WORISTO BE PERFORMED Single family residence witn attached garage Plan X 750 ' R I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. � ////////...���-� VALUATION SIGNATURE OF� N_!�/ PERMIT FEE $ 36.00 PERMITTEE Y - - - - $ 16,42!1 PLAN CHECK $ 18.00 AUTHORIZED AGENT Dike & Cole grove, Inc. 511.00 TOTAL FEES PROPERTY INFORMATION 1) Property: 234 SHERWOOD PL, COSTA MESA CA 92627-2136 C033 APN: 426-202-34 Use: SFR County: ORANGE, CA Tax Rate Area: 15007 Total Value: $275,400 Census: 632.02 Prop Tax: $3,000.64 Land Value: $211,059 Map Pg: 31-D2 Delinq Tax Yr Impry Value: $64,341 New Pg: 889-A3 Exemptions: HOMEOWNER Assd Yr: 1998 Phone: % Improved: 23% Owner: BECKER ANDREW E& SUNNY R Mail: 234 SHERWOOD PL; COSTA MESA CA 92627-2136 C033 SALES INFORMATION IMPROVEMENTS LAST SALE PRIOR SALE Bldg/Liv Area: 1,606 Transfer Date: 05/05/1998 06/06/1995 # Units: Sale Price/Type: $378,000 FULL $270,000 FULL # Bldgs: Document#: 274725 239973 #Stories: 1 Document Type: GRANT DEED GRANT DEED $/SF: $235.37 1st TD/Type: $340,200 $203,000 VARIABLE Yrblt/Eff: 1959 Finance: Total Rms: 6 Junior TD: Bedrms: 3 Lender: BROOKSAMERICA MTG Baths(F/H): 2 CORP Fireplace: Seller: SJOBERG PAUL& TERESA Pool: Title Company: NORTH AMERICAN TITLE Bsmt Area: Transfer Info: Construct: #Parcels/Last Sale: Flooring: SITE INFORMATION AirCond: Heat Type: HEATED Improve Type: Lot Size: 71 X 89 Quality: Zoning: Lot Area: 6,319 Condition: County Use: 1 Parking: ATTACHED Style: Bldg Class: Park Spaces: 2 Other Rooms: Flood Panel: 060216-0054E Site Influence: Phys Chars: Legal: N TR 3378 LOT 3 Comments: ©1996 Win2Data 2000 Page: 1 of 1