HomeMy WebLinkAbout691 SENATE ST - Building Permits ,51.114 CITY OF COSTA MESA
4BUILDING DIVISION
f :j 1, I _ . ,i DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER
PERMIT
o B02-01140
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 691 SENATE ST Status: ISSUED
Suite: Applied: 07/24/2002
Vicinity: Issued: 07/24/2002
Parcel Number: 42217207 Zoning:
Applicant: CLAYTON, MATT ISSUED BY:
Address:
Phone: 949-631-1085
Zip:
Owner SANCHEZ, ANTONIO S
Address 691 SENATE ST
Phone:
COSTA MESA,CA Zip: 92627
Contractor: WATERPROOF ROOFING
Address: 262 WALNUT ST
Phone: (949)631-1085
COSTA MESA,CA
Zip: 92627 License: 738880
Arch : Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REMOVE EXISTING COMP.INSTALL NEW SHEATHING,COVER WITH 30 YEAR COMP SHINGLES.
FEE SUMMARY
Plan Check: $0.00 Calc Valuation: $3,000.00
Permit: $83.25 Claim Valuation: $3,000.00
SMIP Res: ' $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $83.75
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.92-26,§ 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)
DECLARATIONS ,
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
wo .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 California,a d agree that If I should become subject to the workers'compensation provisions of Sec on 3700 f t e Labor Code,I shall forthwith
comply with these pro is' n
Applicant Signature: (L Date: -1 ?j T/
WARNING:FAILURE TO SECURE WORKERS'COMPE ATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES ND CIVIL FINES UP TO ONE HUNDRED
• THOUSAND DOLLARE($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 am licensed under provi ions 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.p to _ . - Class R
Contractor's Signature: rantwe%t `sa. Date:
11111,
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 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 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? 0 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
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 Calif omia 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 wilt 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? DI Yes 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 0 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 Califomia Health and Safety Code Section 42303 been made? 0 Yes 0 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.
' ^n�e-
reLegal Owner(5) -7/7/4/„Qa�eVV►lJ./Srized Applicant U�aatteel
CODE I INSPECTION TYPE PATE 1NTITIALS COPE I IN$PFCTION TYPE PAIS IIIEDAL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 7 Z.-OZ _ 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 HUNK! INV. CO. DATE /1-27-55
JOB ADDRESS 691 Senate Street BUILDING PERMIT NO. 1201i
GENERAL CONTRACTOR S. V. Hunsaker VALUE $ 9,008.00
LOT 39 BLOCK TRACT 2387 Sinai P Family Thiel l ing
GROUP I TYPE V ZONE H4 FIRE DISTRICT 1213
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
CC DATE NUMBER
Footing Trench �3-s'6 6 —7,5S
Foundation Forms and Grade to Gj41I` e-- /7 ��
Rough Framing �Z_. a-.6�t
Plumbing,Rough to Slab �( t.t.//_ /7.,JS'"
Plumbing,Rough CompleI4 6 . ZLt/j )^17..;5t L.4t &L..,ja,:cG_13-SC / r9 St.
Temporary Pole o
Wiring, Rough ' e-#6 7-/7`c(fft1-L i.ic.cc . 0_//_rr l/3 7
Heating,Rough YY
Heating,Final It-e--15 /t-3-JJ
newer, House ,/ Sewer,St.e.X/i, k/1)/s-i- - 2 ... .,;._. (e -IA-.Tr 01 o9 n
Septic Tank or Cesspool 1 /
Lathing, In Out/ �/� 7/t
Plastering 4 ; e /o-J-..t--
Plumbing,Final,Fixtures Compl:-77 — ��J
` J
Plumbing,Final Gas Test / ..-ILZ�se..- _ / '. — 1/_/J, 3 -'r
Wiring,Final 6 jr r -�, _
Occupancy r A.,?J
>;nrn,9Wa_u1;nni_ss
Costa Mesa Building Department APPLICATION FOR PERMIT
111 EAST 20th STREET 1213 BUILDING rib
•
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN FOR-OFFICE USE ONLY
/ _ Receipt No. Permit N
Auilding dy/ YY f� /
AddressVIX
Received by Date Rec'd. Date I ued
Costa Mesa, California `/
Nearest ' Z, J
•
Cross St. ejay-,q AJirii�� ,....,!‘".•
• AddressBuilding
Own lit. Costa Mesa, California
Mail /�Aq / J�
Address £?4( - __ - .0(a • Nearest
/J / T,'el�./}/ Cross St. 1�
CitristyyAQ�f�P 7 ', ...14'S_/ Zone I No.or I Type` / I Group./
Architect or t/7T ' CIc. Plan
si/ V
Engineer / No. App oved
by Date
ess City Liu
CCoonn/tracto mac/ e. No. [/J
Legal Lot
Description No. � I Block I Tract K`
(Attach Metes and Bounds)
y No.of Bldgs.
Size of Lot 6;0 x //6 I Now on Lot Ci
O
Use of I No.ofINo.of xi
I)
Existing Bldg. Families Rooms
Setback Line from i . Rear Yard 3S
Center of Street .7 0 Side Yard (Th..' n
DESCRIPTION OF WORK -
New I Alteration I I Addition I
Repair I I Moving I I Demolish I '
Building No.of
/J 7i Rooms 7 Sto les
:rior Wall I Roof - .
Covering Covering� - _ , APPROVALS , -
Use of New
Building /I
,im , Foundation Location; Inspector Date
n te // Forms,Materials, a
y t _ Under-Pinning v
E.....71.--e—
// _ Frame: Fire Stops, �,;
j-',�' �"' /r� � p / Bracing,Bolts
o
I hereby acknowledge that I have read this Application Lath. Int.
and state that the above is correct and agree to comply n w
with all City Ordinances and State Laws regulating Lath. Ext. „
building construction.
Signature •f Plaster,Int. p
PR
PermitteAlrafwi. �. �� - as.ter... ,r/ Plaster,Ext.
Authorized Agt. -41, slur a ,
/ Masonry Reinforced*
Valuation -• mit Fee $ a o o r.
p Plan Check $ 3, 6 0 Bond Beam --4
$ Il ° 198' Total CO
• Fee $ .4d. FINAL o
enou v.flS n.M 2M 5-ca •
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Street
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PLOT PLAN
Show location and distances from +
propertyline and between buildings.
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OWNER MORN, RICHARD M. _a (/
.1/ DATE 2/2O/56 I�
JOBADDRESS 691 Senate St. �I BUILDING PERMIT NO. ZµOZ
GENERAL CONTRACTOR Owner—builder —, VALUE $ 3914.00
LOT 39 BLOCK TRACT 2387 105' block fence
GROUP J TYPE III ZONE R1} FIRE DISTRICT' 2424
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR
DATE NUMBER
Footing Trench &-s�G Z..2'7
'Foundation Forms and Grade to Garage _
Rough Framing
Plumbing, Rough to Slab _
Plumbing,Rough Complete
Temporary Pole _
Wiring, Rough
p eating,Rough
Heating, Final
Sewer, House Sewer,St. _
Septic Tank or Cesspool
.Lathing, In Out
Plastering
Plumbing,Final,Fixtures Complete
Plumbing, Final Gas Test
Wiring,Final
Occupancy / 3— -.SY
FORM 210 3M 10-55
Costa Mesa Building DepartmentAPPLICATION FOR /PERMIT
111 EAST 20th STREET 2� BUILDING 1
P COSTA MESA, CALIFORNIA
•
FOR.OFFICE USE ONLY-
FOR APPLICANT TO FILL IN L Recelpt`NbV permit No.
Building � "SI' p< G�O
Address l[7 y/ SF ATE S7
(ey� by TfgteeDat dCosta Mesa, California 2vna
Nearest
Cross St./Oft/et /A Building 4
,y/ Address 1
Owner�/C.'N.4/7"_/) / I• P4 /i " Costa Mesa, California
Mail C
Address(p 7/ .Snn'ATX .S T Nearest Pil
Tail 2 Ste p Cross St. C.
City Co Srap /yESA No. Zone ,/' I N.of
I Type I Group er
Architect or Lic.
Engineer(jcafEX tic:pelt No. Approved
by Date
ress CORRECTIONS
City Lic.
Contractor No.
AddressLegal L -}��-[-��7�/
Description I No. 3y I Block I Tracts '
(Attach Metes and Bounds)
No.of Bldgs
Size of Lot 6'a X/IO I Now on Lot / 'd n i O
Use of No.of / No.of / - 70
Existing Bldg"'"Pf L I Families/ I Roomst0 6
Setback Line from ....-4, i Rear Yard _ _ MUMW('A
Center of Street o (7— Side Yard /- " ' - Z
DESCRIPTION OF WORK �� uG wU •O i t�tyvt t r
r
New I X I Alteration 1 I Addition I ,
Repair I I Moving I I Demolish I •
Building No.of
e Rooms Stories
crier Wall I Roof
covering Covering APPROVALS
UBuuiildingof Foundation Location Inspector Date
g Forms,Materials,
S"/1/6/k ADS".Gd_ss.c Under-Pinning
o c5_114______k_2_4 C os"..„ Pw /�
Frame: g,Bolts 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 •LLath. Ext.
with all City Ordinances and State Laws regulating-
building co^nsstttn1eti/ep /f �j�,,
Permittee
�/ //�Le���� /r' Plaster. Int.
Permittee` / '//-
Plaster,Ext.
Authorized Agt.
Masonry Reinforced
Valuation Permit Fee $
Plan Cheek $ a— Bond Beam
$,3yY---- Total _
All Fee $ a FINAL
FORM 204 0-M 2M 5-54
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Je----6,o '—tel
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t�
: 7Fr run 2O. 5Ppirs-r^ o r- '7.x'1
t1 ltES'. �.(�4a
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•
Street •
St.v47F
PLOT PLAN •
Show location and distances from "'
property line and between buildings.
:f • - _ .