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Home My WebLink About247 SHERWOOD PL - Building Permits an* CITY OF COSTA MESA �`�'�� BUILDING DIVISION >:f,,,'1;-'. DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER F 1 p 4 PERMIT J ice„ B04-00928 (714)754-5273 • Fax(714)754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 247 SHERWOOD PL Status: ISSUED Suite: Applied: 05/20/2004 Vicinity: ROOF Issued: 05/20/2004 Parcel Number: 42620242 Zoning: Applicant: KIM MCCLAIN ISSUED BY: Address: 12812 VALLEY VIEW ST Phone: (714)897-1780 GARDEN GROVE CA Zip: 92845 Owner: JOYCE, JOHN T Address 247 SHERWOOD PL Phone: COSTA MESA,CA Zip: 92627 Contractor MCCLAIN ROOFING INC Address: 12812 VALLEY VIEW ST Phone: (714)897-1780 GARDEN GROVE CA Zip: 92845 License: 625013 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF.INSTALL 1/2"CDX PLYWOOD,30#FELT,30 YEAR COMPOSITION SHINGLES AND REPLACE/REPAIR SHEATHING AS NEEDED.2,600 S.F.INCLUDES ATTACHED GARAGE. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $7,000.00 Permit: $139.25 Claim Valuation: $7,000.00 SMIP Res: $0.70 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $139.95 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 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 2446-46(6/00) 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. -12/1-.1 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, _1My workers' Carriei: compensatn Insurance carrier and policy number ere: c1DTFtM/IoP/�--NumberT I 1 ) 3n G - ZOO L! ((Thissectidn need not be completed If the permit s 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 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 p o 'sin Applicant Signature:' / ')rt-l.� ' (Dee:- _ S/20/L7`C (WARNINGrFAILURE TO SECURE WORKERS'COMPENSATION COVEMGE 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 ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed�'e,�^ under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business an Professions Code,and my license Is in full fforce'arid"efect.Lic.'W IU .� Clasy,!! �,'3 ontractors Signature: 1e-1Y) GDS- c/2()/Ott 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: 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 end 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 drivers license. ❑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,wit 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 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 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 apgermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 1Yes u 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 ❑No (If yes",the facility must meet the requirement of Sections 25534 end 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 Cade Section 42303 been made? 0 Yes ❑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 compty 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. J�7 ctura Of Legal Owner(s) Date _2 '2.00 y !/( ,�SjAAnd/Or Authortzed'Applicant_ Date, CODE! INSPECTION TYPE rail----A/Ma CODE 1. INSPECTION TYPE RATE RSL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final ) /�N 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 ... WW2 dIII�I Z�q� Twining Laboratories of sou�zuz eacifotnia, inc. 2,2 ''. 'F .L % . A A Ah. 3310 Airport Way/Mailing Address P.O. Box 47/ Long Beach, CA 90801 /(213)426-3355 /(213)636.2386/(114)828-6437 TESTING BRANCH OFFICE: 1514.0 Nonh harper Street/Santa Ana.CA 92703/1714)531.7045 August 18, 1978 EXAMINATION NO. 78-4429 COMPRESSION TESTS ON GUNITE CYLINDERS Jack Hubbard 3106 Ostrom Avenue Long Beach, California 90808 PROJECT THERAPY SPA - PAT CULKINS ADDRESS 247 Sherwood P1. , Costa Mesa, California ARCHITECT CONTRACTOR Royal Pools (Anaheim) ENGINEER SUBCONTRACTOR Farrell T. Miles Enterprise Gunite SAMPLE FROM Bond beam SPECIFIED MIX 4.2 to 1 STRENGTH 2,000 DATE CAST 8/11/78 SLUMP SPECIMEN SIZE 611 x 12" DATE TESTED 8/18/78 SPECIMEN NO. #1 COMPRESSION 7 days TOTAL LOAD LBS. 57,000 POUNDS PER SO. IN. 2,015 AREA. SO. IN. 28.27 COMPLIANCE 7 day test complies with specifications. MADE BY: DELIVERED BY: RECEIVED ON: SPECIMENS Otis J. Hubbard DISTRIBUTION Jack Hubbard - 3 REctivED Costa Mesa Bldg. Dept. AUG 1 9ia 4 / _L, i ./..!..- - ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AUTHORIZATION FOR PUBLICATION OF OUR REPORTS CONCLUSIONS OR Ex TRACT% FROM oh REGARDING THEM IS RESERVED PENDING OUR WRITTEN APPROVAL AS A MUTUAL PROTECTION TO CLIENTS.THE PUBLIC AND OURSELVES 1:111A INS, NQl v .moi-Iv OB ADDRESS 247 Sherwood Place BUILDING PERMIT NO. 46230_ ENERAL CONTRACTOR Royal Pools DESCRIPTION of WORK Spa :744P No. 118-103-20 LOT TRACT FIRE ZONE VALUE $ 1.000. _ECTIONS 1 Signature I Dote GROUP J TYPE V ZONE R-1 ck ool Location C. C '1-2.5-7, SUBCONTRACTOR PERMITS ISSUED Date_I_Number [Sicncturc orms Main Drain C Steel Reinforce \\/ i 1 Elec. Bond Electric (f �l Approval to Cover C.C- 7-1S7f Mtn 4:,--t`5 Y I ` 410a-St/ Underground Electric C._. 9•1'7ir ,P;23-7g 414,56-' Plumbing Gas Piping Test � n Filtering System Lines • J +Y6ftC>o I0-I s N 7y17ry�- Backwash Lines and Recep. td- 9' 1-76 da Electrical Final C •c. / . y77$ Heater and Vent Final 'r System Final —.Awash and Recep. Final Fencing Final , Approval for Finish f 22 • T42 57) COSTA MESA BUILDING-SAFETY DEPARTMENT 5)70• 6%15/78mz! t5-,436$0 TL., P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • • • - •• -- _ AP'I IIA ION FOR STRUCTURAL PERMIT For Applicant 'to'�Fill ^iin�Co�mpletely- Use Ink Only �{L1 ABUILDIN calk/a / � A A )('1Ca Pk . RECE V:%� DA/TE R�jECEIVED D/1-I I E! OWNER Ckatki /L� 1Q-P1/4--. A.P. NO.`I^V�-103 02D ,ll//YY,�..y��T[Ifi �,UU{{ MAIL ` 7\ ,�tip ADIDLRIESS.JU r \ Uhl ea ADORES Y �•s ..Lk /L�(�17-h-'t+ "` 777 ? C ITY1.( j.rad �J NOTEL TRACT337� LOT �1 BLOCK CONSTRUCTION N/•VEW/.ADD ALTFR REPAIR MOVING nFMOLISH LENDER BRANCH /_l (�'�_U OWNER -� ADDRESS ARCHITECT ��/.�( /] /-��,/ �,,,�^ L/.�� -y]t/r VALUE soar. OR ENGINEER �l l• ode,//lX TNO EveCLc % / S_ - S _ FIRE .-. ADDRESS 171 (ako et._ j. / ...1.41 ZONE TY-E - GROUP �/J �, APPROVED CONTRACTOR POL... y b61.g,� BY MN DATE ADOR(ESS��,y,/y-� .. 11/ a s • p USE OF CITY t)/ Nit ip_ TEL._3y3-.�t-�\ ZONE ` NO. `, BUILDING NEW C}� F STATE CITY t!J -YJCJ YARDS YAPPROVED YARDS APPROVED LIC. NO. (-173i[ia(� LIC.NO. MAIN BUILDING ACCESSORY BUILDING La SIZE 1NO.OF BLOCS. L (FROM C/L STREET/ OF LOT NOW ON LOT FRONT V FT. 4' FT. Q USE OF EXISTING BLDG R.SIDE ' FT. coco F=- Separate permits are required for L.SIDE I 7 FT. FT. electric,plumbing and heating work. • I] REAR l FT. FT. (mo, USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN Si N. 'C MAIN BLOCS. ACCESS SLOGS. � � ¢ ) ,„^ J VAR... ATE ., APPR I .0 GI xt VARA- APPROVED 7 e/ 7 } APPROVEry-�/� ' DATE I��` /� CC W It Q I hereby acknowledge that I have read this application and state n N IX that the above information Is correct and agree to comply with , Ow m all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of E S the State of California. m I hereby certify that I am properly licensed as a contractor under SQ. FT. sv the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR o Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt(Om the provisions of the State of California Business v VALUATION PERMIT FEE $ a and Professions Cod vision 3,Chapter 9. //// O� vs PLAN CHECK $ / �— n Signature of e p /(��0/f�\/) c Permittee ^�L�/� oe ` 5 it, Authorized Agent 0 )' it -7 " �u� TOTAL PAID .S �rni V Y £•J V 1..0888 Ilti � iQgigtit � i=EE RECEi�E® COSTA MESA BUILDING-SAFETY DEPARTMENT G P.O.BOX 317 COSTA MESA.CALIFORNIA �/ )t/ _e' S7 IIN NCE DEPT. FOR APPLICANT TO FILL IN COMPLETELY APPLI kN,rE9 2 MIT bin jzy�) TYPE OR PRINT BUILDING BUILDING // o ADDRESS She:.wood Road ,r--rf COSTA MESA, CALIFO-NIA TOR Off/CE USE ONLY RECEIPT NO. I P9M,XJ NO. OWNER p E. ye_ 1.4 MAIL 419 17th Street RECEIVED BY _ DATE RECEIVED D 8/I tSUED C _ ADDRESS Mesa LTA 8 [ /L/.'r %/—/7 YY 0 /a Q CITY Costa T9g 1159 BUDRESS ILDING ARCHITECT Mi Ca On & LIC. COSTA MESA. CALIFORNIA OR ENGINEER '^'(�Qyebrook NO. ,,/ Garden Grove, California FIRE '1/ oo ADDRESS ZONE TYPE GROUP�YOL /J Dike & Colegrove, Inc. STATE. p APPROVED CONTRACTOR LIC.NO.LA. j 15 BY DATE ADDRESS 419 E. 17th Street, Costa Mesa ZONING I '/J LEGAL LOT I I 3378 ZONE I q I NO.OF I USE OF NEW'ng r v P` f 11 PLANS BUILDING /�r DESCRIPTION NO. BLOCK TRACT // / ' l�-�7• APPROVEDAI/'//-7 I P. DATE�P" / . 7�I SIZE [ ) No.OF BLDG�( YARDS /N CG// EVES OF LOT 59 x 90I NOW ON LOT•'One REQUIRED ALLOWED USE OF None (CENTER LINE ST.) /�/ EXIST!NG BLDG. r FRONT // �FT. IN. SETBACK LINE FROM 45' 191 L CENTER OF STREET REAR YARD R.SIDE J ILSFT. IN. SIDE YARD I LEFT 12' I RIGHT 5' L.SIDE I . FT. IN. DESCRIPTION OF WORK REAR 9j ' FT. IN. NEW I XII ALTERATION I II ADDITION I REPAIR I p II MOVING I II DEMOLISH I SIE BUILDING 14a0 ROOMS STORIES 1 EXTERIOR WALL I ROOF COVERING COVERING `etngle lkamily resicencE PERFORMED attached garage n-Pian-74= I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AMOUNT BHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON• PURTHE E OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCT'to. VALUATION r SIGNATURE OF / PERMIT FEE $ 35.00 PERMITTEE AlaiLi / [ $ 15i376 PLAN CHECK $ 17.50 AUTHORIZED AGENT Dike & 'olegrove, Inc. 52.50 TOTAL FEE $