HomeMy WebLinkAbout215 SAYBROOK CT - Building Permits •
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'0 tt.'� CITY OF COSTA MESA
,4w 1 BUILDING DIVISION
' DEVELOPMENT SERVICES DEPARTMENT re
•���ttt���'''...''�...��ro roaa PERMIT PERMIT NUMBER
ie
B99-00018
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
• BUILDING PERMIT
-215-
Job Address: ePQQ• SAYBROOK b& �T• Status: ISSUED
Suite: . Applied: 01/04/1999
Vicinity: 215 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-TABCOMP ROOF. ROOF CERT ATTACHED -
TO PERMIT.
GARDEN PARK VILLAGE HOA. • ' •
ROOF"N"COVERING 215 SAYBROOK CT.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $1,175.00
Permit: $40.25 Claim Valuation: $1,175.00
SMIP Res: $0.50
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $40.75 -
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 Existinq: 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
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.
❑ 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 and 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 Califomia,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shell forthwith
comply with these provisions.
Applicant Signature: Date:
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 ADDmON 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 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 end effect.Lic.# Class it
Contractor's Signature: a Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that tpere is a onstruction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: \/ Lenders Address:
Signature: A�� ^�--� Date: ` C.. S S
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 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 properly who builds or improves thereon, end 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. 0 Yes 0 No Drivers 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:
I 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? ❑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 Califomla 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? 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 apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes 0 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 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 Califomia 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 Califomia Health and Safety Code 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 comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPUANCE 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 at 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.
\I 39
nature Of Legal Owner(s) Date
And/Or Authorized Applicant Date
rnna L INSPFCTION TYPE DATE Iffi18ALS CODE it INSPECTION TYPE DATE It®AUA
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final arse- 208 Final Plumbing
�/
200 Final Re-Roof I"/-qq (Quit'- 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
8426 12/ 12/79 13D.48 3L
• COSTA MESA BUILD!, ,FETY DEPARTMENT APPLICAr FOR STRUCTURAL PERMIT
^•w P.O.BOX 1200 COSTA. iA,CALIFORNIA 92626 .a.
RECEIVED BY (PERMIT 449:
TL.LGA 4 /9:92,
For Applicant to Fill in Completely -Use Ink Only ^
-UsLDING e InA.P.NO. LII�_ 01a — i I Ota
BUILDING `'
OWNER O (,� ,A ....AM �J.� ADDRESS�I� SA rRc1c �' T
TENANT /�/ ''1 L,r/r' �M
.- /e
UNIT OR P�W'I /J
MAILING '^y/ �J/� SPACE NO. x /�
. ADDRESS r7/ i 4401- (`u'l
/fj/7y /�{}',/,/�� /,^/' Kis
/ TR..NNO..^ LOT .BLK.
CITY�a d // 1 aft. NO. 7'Se✓// Io]f'76 3
CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMOLISH
LENDER . y I .
BRANCH
OWNER/Nina
WNER/Ni J 114
/ tone
'
ADDRESS
^ USE" 70/0/ z0 a/ /' qE' 2j
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T
ARCHITECT/CY •R. IayvTryE0L,. yOR ENGINEER
ADDRESS OQR✓d re P4 //aill(./ %5 ZONE P 4 TVPrCROUP/ f
APPROVEDCONTRACTOR'', rt fta& .ikt DATE
ADDRESS 420.,6 &hi:tilt • J !N ,
CIT2/ d NOL54.27/51 Cando y
1
h CITY APPROVED SETBACKS
- g LIC.NO.' 31 3 / LIC. NO. S . eser a{pi...A
SIZE NO.OF SLOGS. /� (FROM C/L STREET,, r
CU OF LOT - I NOW ON LOT �/ FRONT FT.
a • USE OF
el EXISTING BLDG. E/) R SIDE FT.
H
F Separate permits are required for L.SIDE FT.
L1 electric,plumbing and heating work: REAR FT.
14
I-0 USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
Q •
G////t/LAVYk.eQJ Gucci(, e1° iot 7e - 7i-54% l APPROvEED 1Ly-9 o
- 'q
>. (4'/JAL, _5 In lam\ I DATE LS/80
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O, I hereby acknowledge that I have read this application and state m
g that the above information is correct and agree to comply with
N,
06 all laws regulating building construction, and I shall not employ HOLD FOR SPECIAL REOUIREMEN;I: S
Z any person In violation of the workman's compensation laws of
.x the State of California. r I / // /J 'J Q
3 I hereby certify that I am properly licensed as a contractor under /4/54'.760. FT. �/ (� (D // /y�N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: yr
am exempt from the provisions of the State of California Business VALUATION
and Professions Co Division 3,Chapter 9. PERMIT FEE S m ISIN
///� 1^- �f/ as
Signature of Ott y+/ /�"//✓�/�' y .A PLAN CHECK S /�G u. \
Permittee t%"J,t"� N/ ,7/`/�v'L Sig 3215 TAX TAX S [ 3 7�
or IF in H \s.+vi c./�'� U
Authorized Agent Date / TOTAL PAID trz
/.30.445
COSTA MESA BUILDII FETY DEPARTMENT APPLICATIrctFOR STRUCTURAL PERMIT
P.O.BOX 1200 COSTA. A,CALIFORNIA 92626 ' '
IMPRECEIV BY PERMIT'- "" "- - • •. , •00 Ti
• For Applicant to Fill in Completely - Use Ink Only 49290
ADDRESSBU215215 Saybrook Court A.P. NO. 419-012-19,22
BUILDING
OWNER OR ADDRESS
TENANT McKinnon-Bibb Properties, Inc. 215 Saybrook Court
UNIT OR
MAI LING SPACE NO. Plan t'-R
ADDRESS 2737 E. Coast Highway
TR.NO. LOT IBLK.
CITY ' Corona del Mar No' 675-231 10856 3
CONSTRUCTION NEW I ADD ALTER 'REPAIR IMOVINGIDEMOLISH
LENDER Home Federal Sav ings & Loan
X
BRANCH 1702 N. Main St.
OWNER McKinnon-Bibb Properties,Inc. •
' ADDRESS Santa Ana, Ca. VALUE
ARCHITECT - TEL. USE Townhouse w/aft-garage E
OR ENGINEER Geo.R. Wiseman NO 642-554•
(:(. ..a
ADDRESS 833 Dover Drive N.B. ZONE R4 YPE V GROUP H&J
APPROVED
CONTRACTOR Bell Construction BY ` ' I�' 3-go- DATE 7 C
•
ADDRESS 105 E. 18th Street
TEL. condo unit
CITY Costa Mesa, Ca. No. 642-4372 •
H STATE CITY APPROVED SETBACKS
. g LIC.NO. 367816 LIC.NO. 7420 as per approved plan
Od SIZE NO.OF BLDGS. (FROM C/L STREET)
Ov OF LOT NOW ON LOT 0 FRONT FT.
vE USE OF
co EXISTING BLDG. 0 R SIDE FT.
til
Pal
Separate permits are required for L.SIDE FT.
ci electric,plumbing and heating work: _ REAR FT. . •
IW.. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION
'C
A
a Townhouses with attached garages DATE
7.E-79-58 APPROVED 4-9-79
APPROVED
' >. _BY DATE
W
Ix
W
aI hereby acknowledge that I have read this application and state a,
Eg that the above information is correct and agree to comply with
a. all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of 2
•WS the State of California. <
3 I hereby certify that I am properly licensed as a contractor under 1456.5 So. FT. - J 664 +67.75 N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ro
Chapter 9, and that such ' are in full toeffect.or I THE PURPOSE OF ESTABLISHING A PERMIT FEE^ONLV: to
exemptam from the ovlsion f the State of i rola Business VALUATION PERMIT FEE 4
and Professions Co ,Divisi 3,Chap er 9. E 195.00 n
Signature of rn
PLAN CHECK $ c
Permittee � $ TAX $ �— a
Authorized Agent Date if `` ai/P0 ` TOTAL PAID $ 195.00 U