HomeMy WebLinkAbout665 SEAL ST - Building Permits . . ... N
_4irp9 CITY OF COSTA MESA
BUILDING DIVISION
> 0vnti-71416-'71'� DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
1. r 11104
^�,,��11 t PERMIT
JStPoRraso� et / B05-00253
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 665 SEAL ST Status: ISSUED
Suite: Applied: 02/08/2005
Vicinity: PATIO ENCLOSURE Issued: 02/08/2005
Parcel Number: 42223208 Zoning: 2�/,� )
Applicant: PEREZ, MARIANO ISSUED BY: Y t '
Address: 665 SEAL ST.
Phone: 949-650-2753
COSTA MESA,CA Zip: 92627
Owner: PEREZ, MARIANO
Address 665 SEAL ST
Phone:
COSTA MESA,CA Zip: 92627-3413
949-350-2753
Contractor: OWNER-BUILDER
Address:
Phone:
Zip: License: 000000
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
ENCLOSE EXISTING PATIO
FEE SUMMARY
Plan Check: $126.91 Calc Valuation: $11,000.00
Permit: $195.25 Claim Valuation: So.00
SMIP Res: $1.10
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00
Total: $323.26 •
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 48-0 Left 14-0 Right 4-6
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)
1N
ice . •
DECLARATIONS •
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
El 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 carder and policy number are:
Carder: Policy Number:
(This section need not be completed i1 the permit is valued at one hundred dollars($100)or less.)
1 ❑, I certify that in the performance of he • which this permit is issued,I shall not employ any personIn any manner so as to become subject to the workers'
compensationlawsroI. become subject to the workers' Section compensation provisions of 0l the Labor Code.I shall forthwith
comply withth tn a- •of a California,Ceforor
nle
(Applicant Signature: � ' .. Date: -z -:4- -0 5
__WARNING:FAILURE TO SECURE WORKS' •MPEN "rw •• RAGE 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 COS •F 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 and effect.Lic.A Class a
Contractor's Signature: Date:
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 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 tho 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 purs .nt t• e Contractors License Laws.).
ik❑ I am exemp Arjl = Business and Professions Code for this reason:
Signature: 4icess Date: Z 17 - 0
Owner ID verifietl b:n•7�se. .Yes ❑No Driver's License No. Expires: 4- 3 - of
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,Gm 2,Art 2,Sec.
341,Title 8,Califomia 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? 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? ❑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 agermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LT 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? ❑Yes , ❑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 Duality 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 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 I: ,s :y city ordigpnces relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspec'on u•ose- .I to occupy or allow occupancy of any building authorized by this permit until final inspection.
Sign: :Of Legal Owner(s) r Date
And/Or Authorized Applicant Date
CODE I INSPECTION TYPE 2p1E 1NTRIALS • CODE INSPECTION TYPE PALE MI6S
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 �1
204 Final Demolition 250 Final Building/Occupancy ,-/7"W `v
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CITY OF COSTA MESA •�es .bTt. 3� ,
1.__a PLANNING DIVISION A LI o • Sa a
7JJ '' SUBJECT TO Bt139. DEPT. REQ. 3 �'
y C - , t 2 g NOTE: ADDITIONS, DELETIONS, �,
• OR CORRECTIONS SHALL BE I LI H . ,
Pe 9Gf e r dl oecnc),Ie R ru ]6 L7 be/off A - cS' APPROVED BY THE PLANNING DIV. I L\ , 7 5
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spat- �? `41 7 6 . G
•
OWNER BRIGHT, RUSSRI,F OCT 2 8 1958 DATE 8-13-58 _
JOB ADDRESS 665 Seal Street BUILDING PERMIT NO. 7286
GENERAL CONTRACTOR Owner-Builder VALUE $ 1,100.00
14457W-6LOT TRACT FIRE ZONE DESCRIPTION OF WORK Garage
GROUP J TYPE V ZONE R4 PLAN NO. • _
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
Trenches Worms CO--Steel r//$r�1�
Floor Systltn II!!
Steel Reinforce Chimney Re-Rod •
Bond Beam ��A ......///
Frame and Flashing0,04_
V�v9//,
Lathing, In Out /09//s
Plaster, brown coat nt.-9/
Underground soil _ W/G Pipe Test
Top Out
Furnace
Gas Vents
Rough Plumbing
Cesspool Septic Tank
Prop. Swr. Line House Con. St. Swr.
Sprinkling System
Heating Final • _ '
Plumbing Fixtures, Final
Final Gas Test
Construction Pole
Underground Power
Rough Wiring
Fixtures, Final A
OCCUPANCY 1.--en: tat--n- .4, S
Form 210.-5M-1-57 7286
• 728 EE•
RECEIVED
COSTA MESA BUILDING DEPARTMENT FINANCE DEPT.
P.O.BOX 317
COSTA MESA. CALIFORNIA CITY OF COSTA MESA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ADDRESS (‘5 Se Al- 81; BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY j`�, I
414 ÷40,441-77 ♦ / RE IPT • '� V6 ^I
OWNER sgeLL flit#Q 4t . l��
ADDRESS ` .5 E.Q'JL sr. af• W 071'S
WED BY / E P�rC{� yl y�
MAIL Jl)J( /iL �(//1
/C' SIA
/y� p TEL. BUILDING (
CITY 000 I A /EI SFT• NO. ADDRESS �Y , 4C
ARCHITECT LIC.
OR ENGINEER NO. COSTA MESA. CALIFORNIA 1
FIRE
ADDRESS ZONE " � //// '
ZONE 111 NO.OP Tryr,/ OR UP
,j.
/�-B���)^AyA CITY LIC. PUNK !!! VVV
CONTRACTOR0.44)141.4/0.44 r~`' (�} NO.
.:""*.....#..........
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_Ad OR ESS (� (� (J I'� J 1 TN O. I Oq APPROVE/
, DATE g /Z
LEGAL LOT CORRECTIONS 1
DESCRIPTION ND. �(( BLOCK _^ TRACT
A.P.NO. //S` ^'1.l_ L
SIZE NO.OF SLOGS. y pLP 11 J {/� 4
nor LOT ` D /v /IO/ NOW ON LOT / Y 'i { 4 f Y ��
USE OFCITY C COSTA MESA
EXISTING BLDG.
a(J r M . vn G DEPT.
CENTER LINE FROM( 3 -•r �j�� _
CENTER OF STREET �. REAR YARD 'Ji 3UBJ EC J BLDG. PT P
SIDE YARD T.✓ RIGHf7. LEFT XJ ' t
DESCRI ION OF WORK BY P A T,t,H DATE
NEW X ALTERATION II ADDITION
IREPAIR MOVING II DEMOLISH
BUILDING n0/vi �1 / NO.OF
SIZE L �/ f/�' ROOMS STORIES
EXTERIOR WALL I ROOF ' I
.._COVERING 0' COVERING QV
i USE OFINEW. ^ --�' A
BUILDING /V !�/+/
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILD! CONSTRUC•
TION. 7 / / /I'' VALUATION Pj
SIGNATURE OF IJy/' ,. T./ . !A1 ^( PERMIT FEE $ (/X
PERMITTEE `I IIIF.,ff1L/WW EESS//�-I' I�► E>U 41$ ///00 PLAN CHECK $
AUTHORIZED AGENT TOTAL FEE S /2- - I
OWNER HARBOR ESTATES DATE 7-12-55
JOB ADDRESS 665 Seal St, BUILDING PERMIT NO. 1509
GENERAL CONTRACTOR Dike & Colegrove VALUE $ 8,000.00
LOT 88 BLOCK TRACT 1986 Residence Plan 13B
GROUP l TYPE V ZONE Rh FIRE DISTRICT 1529
PERMITS ISSUED
INSPECTIONS
DATE SUBCONTRACTOR DATE NUMBER
��
Footing Trench (y/G 6 7-3—se
Foundation Forms and Grade to Garage
Rough Framing Cs-e5 9 2,.%-
Plumbing,Rough o SC lab kr . Ito+ [C -"P t 73 ten Rough Complete o-et/ c * 8-ry tefn V �.rrt- -� �j_q_a3_ �gg�/
Temporary Pole ,
Wiring, Rough dpad d 9-/7 3r XI..r», s..ci /C
gitc/ rb4'/5 7 /3 gy
Heating,Rough d•_-6-:
Heating, Final 24 , ,i3 • , ern- 222
Sewer, House a Sewer,St. ,$_a ibli ww S(-//-$S ea÷i'70 _
Septic Tank or Cesspool p /(
Lathing, In Out$ W!/L f/i`fr
Plastering £-‘-g to-/7-6-,
Plumbing,Final,Fixtures Co tet � 01-4-5.0„,•
/� 7
Plumbing,Final Gas Test/SP Il1) /P�=,74 ✓ ISA/ aji
Wiring,Final C ,7. 0-1S--.5-5— G••� _( w -
—
Occupancy ii`f3 *14 -5
..__01 n r. v 1 cnn 1 cc
' Costa Mesa Building Department / APPLICATION FOR PERMIT
111 EAST 20th STREET V 1529 - _ _ B UIL.D_.IN_G._ _--_. 1
. f COSTA MESA, CALIFORNIA
/ FOR OFFICE USE ONLY '
' FOR APPLICANT TO FILL IN Receipt No. • Permit;No.
Building
Address 665 Seal Street /ce? l
Costa Mesa, California Rece d by; (Date Rec'd. Date Issued
Nearest ,/7.2 -Jr to�'• CC
Cross St. 19th Street Building�///y- 1
Address ! 4
Owner Harbor Fstates Costa Mesa, California
Mail 419 East 1 th Street Nearest
Address 7 ,
Tel. Cross St. • .
City Costa Mesa No. LI 8-1159 Zone / No.of Type I Group •
Architect or Lic. `f' I Plans I .rI G_
Engineer Car1SOn Rr Middlebrodiko• Approved
by Date
Address Carlen wove • CORRECTIONS
City Lic.
Contractor I);lee R, Cnl(trove NO. 1301 I •
Address 29 last 17th Street
Legal 1 Lot --
Description I No. 88 I Block I Tract 1986
(Attach Metes and Bounds) 1 •
No.of Bldgs. J J 1 °• ,255
Size of Lot 60 x 110 I Now on Lot none -- - - --- O
Use of No.of No.of A
Existing Bldg. none Families Rooms COSTA nn �7��L7
Setback Line from 1 Rear Yard 601 ' - OF IYI�J!"1 .Z
Center of Street 50 Side Yard -rat y
DESCRIPTION OF WORK r
I New I X I Alteration I I Addition I 1 _
Repair I I Moving I I Demolish I
€,, Building No.of -
Size 973 sq. ft. Rooms 52 Stories 1
Exterior Wall I Roof
Covering stucco Covering comp APPROVALS
Use of New
Building Plan 1`)n_ l $ Foundation Location Inspector Date
3 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
Plaster, Ext.
Authorized Agt. , t,
Masonry Reinforced
Valuation Permit Fee $ 0220• c o
8,000.00 Plan Check $ 3, 0 0 Bond Beam
$ Total
Fee $ ;t3. oo FINAL
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JUL 1?.-55PDWesr, gi2ti -***.A23.00
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PLOT PLAN -
Show location and distances from • ,
property line and between buildings.
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