HomeMy WebLinkAbout211 SAYBROOK CT - Building Permits ' M
4q CITY OF COSTA MESA
°y BUILDING DIVISION
r �te" ;' ! DEVELOPMENT SERVICES DEPARTMENT
:
PERMIT _ PERMIT NUMBER
omn" 699-00019
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT •
21I 6ybecoe C�
Job Address: - • Status: ISSUED
Suite: Applied: 01/04/1999
Vicinity: 211 &213 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 O 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"0"COVERING 211 &213 SAYBROOK CT. •
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $2,350.00
Permit: $74.75 Claim Valuation: $2,350.00
SMIP Res: $0.50
SMIP Corn: $0.00 •
Other: $0.00 •
Inspection: $0.00
Total: - $75.25
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
_. b—
DECLARATIONSrTht
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 the1ertormairle 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 end 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 of alifomi• 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 thes• •ro Isions.
Applicant Signature: . - Date: 1- S- 1
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 COLLARE(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 Ander provis///'q�is 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 I `/ Class# /
Contractor's Signature: � /-- ' Date: `-- 1 l n
q
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: 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. ❑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? ❑Yes 0 No
(Section 25533 of the Calitomla 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 Califomia 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 appermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Ul Yes LJ No
(Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any pad 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 II 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? ❑ es ❑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 et 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
And/Or Authorized Applicant Date
CULL INSPECTIONTYPE DATE R1TmALS coDFt INSPFCTInN TYPE DATE INM1ALSS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final208 Final Plumbing
/'
200 Final Re-Roof (Han 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
2446-46
Pfl03ECT ADDRESS: 211 SAYBROOK CT UNIT: - • CITY OF COSTA MESA — .BUILDING PERMIT . PERM NO:. B 050841
OWNER'S NAME: RAMBAUD LORRAINE M - -
ADDRESS: 211 SAYBROOK CTPERMIT NO: B 0.50841 - PLAN CHECK NO; 00278-91 A GOVT: N SUPP: N .
COSTA MESA,CA 92627• .
CONSTRUCTION TYPE: 5—N 'PERMIT TYPE: STR PURPOSE: OTH
ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : 'STAIR UNDERPINNING SQ FT: 2, 439
ADDRESS: UNIT: ,
PEflMITTEE: CLAIM VALUE: CALC-4VALUE: 2, 439 . 0,0 GROUP OCC: R-3 /M-1 '
SOIL ENGINEERING ( 619 ) 560-7645
ADDRESS: 1317 SIMPSON WAY J COMMENTS: SITE ACCESS PERMIT #10564
ESCONDIDO - CA 92027 ******************9E****** ************-K**********)E*7E***3E****************4E******
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS '
CITYLIC.: 050999 STATE LIC.:268082 CLASS: A -
Date: (— %0--9/ signature:— f a MAIN BUILDING • • ACCESSORY BUILDING
• `NORKERS'COMPENSATION DECLARATION: I hereby affirm that l have certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: ' FT IN REAR: FT IN
•t mpensalion Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
_ICY NO.: W0A008 3 3 EXP.DATE: 10/01 /91
COMPANY: C, E, HEATH PARKING REQ: PROV• PARCEL : 41901331 ZNE: R4 - REF NO: ,
❑ Centred copy is hereby furnished. [X Certified copy is filed with the city Building Division. PLANNING NOTES> FOUNDATION STABILIZATION FOR PATIO AND STAIRS OF EX. CONDO,
GC ///I /y > A•
Date'—i— ('r7( Applicant: U VI' /r` — ******************************4***********************************IE************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section ne#01not be completed if the permit is for one hundred($1001 or less). DEVELOPMENT SERVICES . R, E Q U I R E M E N •1 S •
I certify that in the performance of the work for which this permit is issued.I shalt not employ any person in any manner so as to become //� / r / '
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY !��— I C" J C-� DATE: 0 - ( 3 o / /
Date' Signature: - - .
NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : (.---1/ c-.c—0,1 • ' DATE: '
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. .i
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: � - —=
iI
CONSTRUCTION AND PLANNIN . ' ,L& SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
•
- 1. Temporary Electrical Service or Pole. i 52. Pool & Equipment Location ,
2. Soil Pipe-Undrgrnd. I 53. Steel Reinforcement
.33. Electrical Conduit Utility-Undrgrnd.c: ; 54. Forms !/
•4...Electrical Conduit-Undrgrnd. ' - 55. Electrical Bonding
• 5.-Steel Reinforcement; 56. Rough Plumbing & Pressure Test `'
61 .Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
' ;;7: Footings 58. Electrical Conduit-Undrgrnd.
8:`Foundation59. Gas Pipe, 0 Undrgrnd., Test 4, r
93 Water Pipe-Undrgrnd. "i` 60. Backwash Lines, P-Trap, 0 Undrgrnd. p
10. Structural Floor System . - I../ 61. APPROVAL TO DECK V
11. Property Sewer Line'& House Connection �/ 62. Backwash & Receptor-Final -�
12. Sewer Cap f 63. Heater & Vent-Final
13. Roof Drains - •:; . 64. Plumbing System - Final •4
.•
14. Rough Plumbing ' I 1 65. Electrical-Final
15. Rough Electrical-Conduit { 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sigh 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace • : I < APPROVALS! Permit# '
21. bums, in Structure ; . .. , - ' ' 1 70. Underground.Hydro
22. Ducts,Ventilating l ' -; i''' t.' , :91. Product Piping 0Gas ❑'Oil •
23. Gas Pipe-Rough &Test ; 1 -, 1 ' , , : r . 72. Underground Flush,
24. Roof Framing: • ; f ' i h •: t?' - 4 73. Undergrnd'-StoragTank 0 Gas 0 Oil
25. Roof Sheathing - , .' • 742-Overhead (lydro ..
26. T-Bar Ceiling (Structural) & Monocoat • '' - 75.;Dry Chemical u - ' `-
27. Frame and Flashing' _ , . -,, , - 76: Dry Standpipe - ,
. 28. Lathing& Siding _ ' . - - ..1 ••I •-6 c_ 77.' FIXED SYSTEM)F-INAL` ,
29. Insulation •• ,. c k I I; . 78. FIRE PREV. FINAL i ;.
•30. Drywall Nailing I. V ; HEALTH DEPT_REQUIREMENT
, 31. Plaster Brown,Coat ; t _
i.. ; _79: FINAL INSPECTION ; '
32.' Electrical.Power Meter,-Final . 1 I I. :80nFOOD CERTIFICATE ISSUED
33. Final Electric '' "' ' 1 I i I `
. , Notes: ., .
-34., Final Heating'& Air:Conditioning • , -� I I j- • - . „
35. Final'Gas Pi a-Test i - '' - 1, ' ' '
36:Hood or Canopy ; . , - . . - I- - • 4 -
37. Final Factory Fireplace II Ir '
•
38. Final,Plumbing I I. }, - -
' 39. Water Service-Final' " ' I_ i
40. Gas Service-Final '
41. Solar Domestic-Final • I- '' q•
.
42. Backflow Preventer ' ' I I: : .
43. Backflow Irrigation - : '
44. Landscape Irrigation System : • . ^ - '
-
'45. Sound Attenuation. . - , - -
•
46. Handicap.Regulationst �
47. FINAL STRUCTURE & BUILDING 7.1 4 6 44J J
48. FINAL PLANNING. • - I I I'
1
49. Electric Release to Edison I I
50..Gas,Release to Southern California Gas Co . 1 I I.:: -
51. CERTIFICATE OF OCCUPANCY . , r .• :- / I
No. Date -
1
I
80,6 12/ 12/79 i2 o97 / T1_
COSTA MESA BUILD %FETY DEPARTMENT . APPLICA4OR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA _SA,CALIFORNIA 92626
rDBRMIk'9 ,
For Applicant to Fill in Completely — Use Ink OnlyBUILDING 47 /9 2 2
ADDRESSWAT ORSYhh , , Z`' SACBRook Cpu -. •�sMAILING Ojg ��., _ ,r(�y/ I ,.'•' O. /LJ�'/y
ADDRESS
///�/�D///q/1q,t (�(i/ G�(i(J�(/'J y� T/R.N //_ LOT BLK.
C I74/f!!IQ hf f //LUV NOL((/M3// 7c7 ' 4
NEW�.�ADD ALTER (REPAIR IMOVING IDEMOLISH
CONSTRUCTION ./..
LENDER
BRANCH ` 4.1 ' /'L _ _ �/.. '
owNClint/MSC/nitLI/QJ,(I,7J,�JL(
4,..4r..6-
ADDRESS �pin (�/1� ��/J��/��f'�t, ���y/�j�p' U f J///t2 g/�#,A.UEE /g nA
OR ENGINEER�v/J/W/,/A��p�'�gW�/.L(Lf'///ta/L NOL lY/O-/J'rY f II( �(/f] �T)r��otzTy
ADDRESS cf.. ,(Steal /OW/p///le` ZON? •• [TYPE 1Z GROUg 4 c
CONTRACTOR QP�JUN ,,,{{{��J��'��'ft �/! �J�f.C/�.{�K BVPROV D DATE • '
ADDRESS q4) .��qieta /.{LR/get.aZL LA.I�/yltl/
CITY /f x9a l -f^ / NOTEL 2 /" .. a i Al . . . .
h ���� - APPROVED SETBACKS
STATE JJJ%%%��i CIC.
il LIC. N LIC. NO.
SIZE NO.OFBLDGS. y (FROM /L STgEE
MMI OF LOT NOW ON LOT FRONT FT. •
"C USE OF `
VI EXISTING BLDG. R.SIOF FL
rA
FSeparate,permits are required for L.SIDE FT.
d. electric,plumbing and heating work: _REAR FT.
W., USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION _
"C
0 7) /' .' /J DATE
de
/ J�f�jr /.. GG L // • , let �- 1i ' APPROVE. _,..-
.-I _
3., /.j1U h Oi�J' _EfY R Vg' ED,� DATE • 'etA
a U •s—_+:+11iuntinoau1 7W3dS taOd cflQ
lii
o. acknowledgeHOLD FOR SPECIAL REQIJIRFMENTS 1
o I hereby that I have read this application and state °i `
cg that the above Information is correct and agree to comply with
Or all laws regulating building construction, and I shall not employ
Z any person In violation of the workman's compensation laws of
Lai the State of California.
q� Cr
I hereby certify that I am properly licensed as a contractor under /�/ SO.FT. t & t 7�� a A
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m CNIS
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: m
am exempt from t a provisions of the State of California Business
VALUATION PERMIT FEE E
and Professions e, Division 3,Chapter 9. •"-h.:1)
/7�/ m
Signature of )/I ` O 0 PLAN CHECK S I ./ "�
Permit-tea / Pr� v�'�� $ O TAX S J.3
17 LL
itiZI
or -2-0-79 J_
Authorized Agent OateTOTAL PAID E r-�- - - U
t
---- /429.7 1-
- — 2741 11/13/80 184.00 TL'
COSTA MESA BUILD AFETY DEPARTMENT APPLICAn',j i FOR STRUCTURAL PERMIT
P.O.BOX 1200 COST. _SA,CALIFORNIA 92626 - .
RECEIVED V )PERMIT
For Applicant to Fill in Completely - Use Ink Only et 49288
BUILDING
211 Saybrook Court A.P.NO.
ADDRESS419-012-19.22
BUILDING
OWNER McKinnon–Bibb Properties,Inc. ADDRESS 211 Saybrook (-nen-t
UNIT OR
MAILING
ADDRESS 2737 E. Coast Highway SPACE NO. Plan A
TR.NO. LOT .BLK.
CITY Corona del Mar
TEL 10856 10856 1
NEW ADD ALTER (REPAIR MOVING DEMOLISH
CONSTRUCTION
LENDER Home Federal Savings & Loan
X
BRANCH 1702 N. Main St. ' .
OWNER McKinnon-Bibb Properties,Inc.
ADDRESS Santa Ana, Ca. VALUE
ARCHITECT TEL. USETOUnh0UBe w/att. garage $
OR ENGINEER Geo.R. Wiseman NO. 642-5544
ADDRESS 833 Dover Drive N : zoNE R4 YPE V–' GROUP H&J
APPROVED p
CONTRACTOR Bell Construction BY C / DATE // –�3–go
ADDRESS 105 E. 18th Street
TEL. Condo Unit
CITY Costa Mesa, Ca. NO. 642-4372
FSTATE CITY APPROVED SETBACKS
i–iLIc. No. 367816 LIC.NO. 7420 as per approved plan
SIZE NO.OF BLDG (FROM C/L STREET)
S.
6. OF LOT NOW ON LOT 0 FRONT FT.
•Q • USE OF
cr), EXISTING BLDG. 0 R.SIDE FT.
cm
F Separate permits are required for L.SIDE FT.
G electric,plumbing and heating work. REAR FT.
H USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
Q
DATE
Tounhouses with attached garages ZE 79-58 APPRovED 4-9-79
7 APPROVED
} —EtV DATE
..1
a
W
0 •
I hereby acknowledge that I have read this application and state I,
p+ that the above information is correct and agree to comply with
IIix all laws regulating building construction, and I shall not employ i•
Z any person in violation of the workman's compensation laws of m
Sthe State of California. .:
3 I hereby certify that I am rly licensed as a contractor under 1295 SO. FT. T 664 'F 78.5 D
the State of California siness nd Professions Co , 'vision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro
Chapter 9, and that ch lice s are in full for and ffect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: –
o
am exempt from t provi ' ns of the State o alit is Business a
and Professions' de i Ion 3,C ter 9. VALUATION PERMIT FEE $ 184.00 vi
in
PLAN CHECK $ —. c
Signature of
Permittee $ L
or 1 ®Q TAX $ U
Authorized Agent Date CN TOTAL PAID $ 184.00