Loading...
HomeMy WebLinkAbout649 SEAL ST - Building Permits • • 00 MF9 CITY OF COSTA MESA 4e ) BUILDING DIVISION h • 4-0,mmani•i ` DEVELOPMENT SERVICES DEPARTMENT PERM NUMBER O kik PERMIT Sok �'I"Po 01-00688 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ccaUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 649 SEAL ST Status: ISSUED Suite: Applied: 05/15/2001 Vicinity: HOUSE&ATTACHED GARAGE Issued: 05/15/2001 Parcel Number: 42223204 Zoning: Applicant: KAISER, MIKE ISSUED BY: Address: 928 CHEYENNE ST Phone: (714)979-5314 COSTA MESA, CA Zip: 92626 Owner: BURCH, ESTER L Address 649 SEAL ST Phone: COSTA MESA,CA Zip: 92627 Contractor: KAISER ROOFING Address: 928 CHEYENNE ST Phone: (714)979-5314 COSTA MESA,CA Zip: 92626 License: 682897 Arch : Eng: Address: Address: Phone: Phone: Zip: - License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE&ATTACHED GARAGE(18 SQ).TEAR OFF EXISTING ROOFING& RESHEATH WITH 1/2"CDX PLYWOOD. INSTALL 30#FELT UNDERLAYMENT&REROOF WITH 25 YEAR ELK COMPOSITION SHINGLES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $3,400.00 Permit: $97.25 Claim Valuation: $3,400.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 • • Total: $97.75 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 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 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 l work for which this permit is issued. ❑- 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. My workers'fcompensation Insurance carrier and policy number are: + Carder.- )keTA'�Q rU nd Policy Number:9 CY I t41r# O00/ 2r (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 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 pro�v�islyns. _ Applicant Signature: /UI �4r Date: j )S-O / 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 DOLLAR!($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I em licens d 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.'Lic.a'7 ha 397 .-Class e y &' 31 Contractor's Signature: 1/ ler .Date: - S-/I'0/ 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: 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 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 driver's license. 0 Yes ❑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? ❑Yes ❑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 ❑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 ane 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 end Safety Code been fully complied with? ❑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 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 LI 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? ❑Yes ❑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? ❑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 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. r1 /s-O / • H / / Signature Of Legal Owner(s) Date AndlOr,Authorized Applicant (Date. . CODE I INSPECTION TYPE DATE PrTITIALE CODEC INSPECTIONTYPE RAZE INTmAL$ 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 OWNER HARBOR E STATES DATE 7-12-55 JOB ADDRESS 649 Seal St. BUILDING PERMIT NO. 1513 GENERAL CONTRACTOR Dike & Colegrove VALUE $ 8,000.00 LOT 92 BLOCK TRACT �� 1986 Residence Plan 11A oo�� GROUP 1 TYPE V ZONE "4 FIRE DISTRICT 1533 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR 1 L DATE NUMBER Footing Trench V`�� S 3=Id' Foundation Forms and Grade to Garage Rough Framing �4 £61 9-.A a e. Plumbing,Rough to Siab,/yr ,/ r-3'S /), Plumbing, Rough Complete a..y Pe 8 _ah x'+ ,„„rotrO _ Ci.��-,t 2827 Temporary Pole -/�'�"" Wiring, Rough ate-AF. �/- y-s.1 __j______r_U __ 0-4 V4-6 4-3 77 Heating,Rough gg / rn`, /, ,/,/ �1 (� Heating,Final ,>a��G I1 /I-.0 hi_,Y3a4M,e' � r-t'J -•_ _ -/23-1.1 o2CG9 Sewer, House/ Sewer, St. to Zi.clie-t.2 W--//-55- „QiLc Septic Tank or Cesspool p Lathing, In Out)/ g-1---1 r/�-t 9/2-J 7 Plastering &1 4 /Q J3-.53 Plumbing,Final,Fixtures Com. et11 J / - /4 ti`.1,,r // )// _ Plumbing,Final Gas Test KIM,r / r Ag --S7 ‘-"."--re `(� 4^� I _/�'` Wiring,Final .i �/e/.S-,cr' Occupancy eel fb--I� - Costa Mesa Building Department / APPLICATION'' FOR PERMIT .�.. 111 EAST 20th STREET 1533 _. _BUILD U I. �.D IN G__ _ - _. 1.. COSTA MESA, CALIFORNIA 11P t FOR APPLICANT TO FILL IN / FOR OFFICE USE ONLY Receipt No. Permit.No. Building ' Address A49 Seal Street I s- /6—'473 ! Costa Mesa, California 7 Received by, /7-1-1- Recd. / Date Issued Nearest 3. 'o'4 '/-f7'-Ss 7/Z ,S— Cross St. 19th Street Buildi g Address Owner Harbor Estates Mail Costa Mesa, California Address 419 East 17th Street Nearest Tel. Cross St. , City Costa Mesa No.LI 8-1159 Zone I I No.of I Type v I Group Architect or Lic. Plans 1 Engineer Carl son Pr MiMiebro4P- Approved , by Date • Address Garden Grove CORRECTIONS contractor Dike & Colegrove No. LIc1301 Address /119 Fast. 17th Street iCg , Legal Description I No. 92 I Block I Tract 1986 - I 1 > i;,) (Attach Metes and Bounds) i'„ 1 2 1955 Size of Lot 60 X 110 I No.Now of onBldgs.Lot none - -- - - - - Use of I No.of I No.of r II. a Existing Bldg. none Families Rooms CITY OF COSTA- PIflCSA Setback Line from Rear Yard 601 z Center of Street ' 501 Side Yard 551 _ y DESCRIPTION OF WORK ' ` r New 'y I Alteration I I Addition . .. . Repair I I Moving I I Demolish I Building No.of _Size 971 sq. ft. Rooms 5y Stories 1 - of New Exterior Wall I Roof Covering st41C�,0 Covering comp APPROVALS Build ng Foundation Location Inspector Date g Plan No. 17A Forms,Materials, Single family residence Under-Pinning Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application Lath. Int. and state that the above is correct and agree to comply Lath. Ext. with all City Ordinances and State Laws regulating building construction. Signature of Plaster, Int. Permittee Dike & Colegrove / JP' Plaster,Ext. Authorized Agt. ,C Masonry Reinforced Valuation Permit Fee $ 2Q, 0 0 � g 0�. Plan Check $ ,3. e o Bond Beam $ Total Fee $ ,,2.3. 0 0 FINAL rni 204 (; IM 1'2-68 Titgfiacl ao"i WOFL&tMJ9ISIA tusrn37,cgof guihiiuf czoM i stao0 - - • m J C - O. 0 qui tzsspp,osrn ." , �i::l . li 4361 23.110 • Street • J - i PLOT PLAN Show location and distances from property line and between buildings. ' • • • . . _3 . • • • • • vwly ran' f$URt;fl. tiURLVN - DArti ii-re-ci7 lJOB ADDRESS 649 Seal St. BUILDING PERMIT NO. 23873 GENERAL CONTRACTOR A-1 B1drs. DESCRIPTION OF WORK Add Fam.Rm. to Res. AP No. 115-452-04 LOT TRACT FIRE ZONE VALUE $ 3,600.00 INSPECTIONS Signature Date GROUP I TYPE V ZONE R1 SoiI PERMITS ISSUED Gas SUBCONTRACTOR Date I Number F Signature Water • Plumbing Rough Plumbing Prop. Swr. Line 0 House Con.0 Sprinkling System Miscellaneous Rough Healing and Air Conditioning Temporary Service or Pole Underground 0 Power 0 - Rough Wiring 47-65 I ting and Vent. Trenches a' Forms gr Steel Reinf. 0 hr���/�%�'� S".�ilam - Floor System �.`7�7/P -74-_,7 -T� Bond Beam ❑ Steel Rhinforce ❑ Sheathing ( 1.4��!' . y y7 Gf Frame and Fla l.:1; 5/r a•,.�/S fT,-,f'. Lathing -In fO Out!Q. `Sr - - '— Plaster, Brown Coat �s Structural, Final Elect}, J Heating, Vent., Refrig. and A.C., Final 71-72.4 Gg,�`Cc'C , .2b-65 . vii ,re Plumbing, Final and Gas Test 0 Electric, Final /OP S-zy-Gs Building, Final nif S2&'& cnnniol Raunirnrnnnf, 23873 L Y C:s" MESA COSTA MESA BUILDING-SAFETY DEPARTMENT APR 12 1965 P.O.BOX SIT COSTA MESA.CALIFORNIA For Applicant to Fill In Completely APPINDCr PR{j,MIU Y(L.g TYPE OR PRINT ILDING BUILDING {p//� J� 4��f n For Office Use Only ADDRESS A.,C /`/ ( r t RECEIPT NO. PERMIT NO. �,��ff�CCJ�/�,OSTA MESA, CALIFORNIA A��Ej la 23 ISSUED` ' 7 3 ��7W RECn BY �/ .2 f a sem'/(/D E7-/t 5� OWNER • BUILDING / `/p MAIL (Ln ADDRESS (p 7 / S �c s� ADDRESS �(7 {�J/j,./ TEL. ZONE (.ROUP �L CITY ,�•�/wC.(.i•� NO. :J��. /�� APPROVED (fr(JM/' ARCHITECT _ TEL. BY / OR ENGINEER .- -^-"'--� / ZONING rV ADDRESS R _/u IRE ( I NO.OF I USE OF NzW� I ((/ PLANS 1/11 BUILDING CONTRACTOR/� /�+ �I 1".."---at _ ^,�] ADDRESS / /�I" 4� LEGAL L�, t (/ a n 1 I� Q (Ler ✓J�j. DESCRIPTION 6r _/ \//' /� y^( o (' O. CITY ( yNnf�^ j� �/LL�q , /� NOTE: NO EAVE OVERHANG gra- ALL BE LESS AN LIC.NO.2 a2-G r} - NO. re-_9dl jt SO'TO SIDE @ REAR P.L. EAVES OF LOT�I6 L/ I NO.OF NOW ON LOTS / ALLOWED (U. REQUIREMENT) YARDS APPROVED YARDS APPROVED ' USE OF //,, MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG _.ectteeAcir FROM C/L STRE ) SETBACK LINE FROM 50 FRONT G� .�c� FT. CENTER OF STREET REAR YARD J / A f' 7 I �/ I ". R.SIDE FT. FT. SIDE YARD LEFT RIGHT y - DESCRIPTION OF WORK ` L.SIDE 5FT. FT. REAR SOFT. FT. NEW ALTERATION ADDITION - DISTANCE BET.MAIN It MAIN BLDGS. ACCESS.SLOGS. REPAIR MOVING DEMOLISH - VAR.* DATE BUILDING / r /J NO.OF APPROVED SIZE V . /.T ROOMS I STORIES COVERINGVOE EXTERIOR WALL'� w/ I CORING• aet / _LIatII� -, lag UI INa ANDW RK TO BE PERFORMED f/ / N 26 SQ.FT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE S AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G PLY WITH ALL CITY ORDINANCES AND STATE WS REGULATING VALUATION Oa /i+ H !!! BUILDING CONSTRRI /1' 1 SIGNATURE Oji[ �� AC / PERMIT FEE $ r,/ �� m PERMITTEE N $ 3 6©O PLAN CHECK $ C AUTHORIZED AG , n .T a / \ TOTAL FEE $ r1 "I