HomeMy WebLinkAbout3199 SICILY AVE - Building Permits�
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 3199 SICILY AV
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 13913407
npplicant: FORD, ROD
Address: 22622 LAMBERT ST
STE 303
LAKE FOREST,,C � `
owner: LANGLEY; FERNETTA M
Address 3199 SICILY AVE .
� COSTA MESA, CA
Contracror: BIENEK ROOFING
Address: 22622 LAMBERT ST
STE 303 . "
LAKE FOREST, C
Zip: 92630
Arch :
Address:
Zoning: R1 R1
Phone: (800) 499-1340
� 2ip: 92630
Phone: �
Zip: 92626
Phone: (800) 499-1340
License: , 651509
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 12/24I2001
Issued: 12/26/2001
., Phone: - � � , � Phone: ,
2ip: , License: License:
_ SCOPE OF PERMIT _
REROOF: T/O EXISTING COMP, REPAIR SFITG AS NEEDED, 2 LAYER 15# FEIT, APPLY 25-YEAR DIMENSIONAL
SHINGLES. 2200 SQ FT '
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$97.25
$0.50
$0.00
$0.00
$0.00
$9775,.
SETBACKS �
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Ezistin : o
NOTES:
FEE SUMMARY ,
Rear 0- 0
Rear 0- 0
Required: 0
Calc Valuation: ss,sazoo
Claim Valuation: s3,eazoo
PLANNING & ZONING
leR 0- 0
Lek 0- 0
Proposed: 0
Right 0- 0
Righh - 0- 0 .
i
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become voitl if work is not commenced within 1 BO days, or if work is suspended or abandoned
tor a period of 180 days. � �
INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspections and final approval must be obtained. Failure to obtain inspections and tinal approval will result in ihe expiration of this parmit.
FOR INSPECTIONS CALL: (714) 754-5626
taasre Ie�oo�
WORKERS' COMPENSATION DECLARATION: I
I hereby ettirm undar penalry of perjury one of the tollowing tleclarations:
❑ I have and will maintain a certificate of consent to selt-Insure for workers' compensation, as provlded tor by section 3700 of ihe Labor Code, for the peAortnance of the
work for which ihis permit is issuetl.
I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Cotle, for Ihe pedortnance ot Ne work for which this pertni� is issued.
My workers' compedsation Insuren^ce carrier antl policy numbar are: I�gS �'�
Carrier. ��� �IA,1JI J PolicyNumber:
(This secfion need not be com /eted i/ t permit is velued ef one hundred dollars ($100) or less.)
❑ I certity that in the pertormance of the work for which this permit is issued, I shall not employ eny person in any manner so as to become subject to the workers'
compensetion laws of ' orn' , an�if I shou become subject to the workers' compensatlon provisions oi Section 3700 of ihe Lebor Code, I shall fotlhwith
comply with these pro i� s. N
Applicant Signewre' , �'Date: � r �—:Llt� ^ ��
WARNINO: FAILURE TO SECURE WORKERS' CAMPENSATION CqVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPIOVER TO CRIMINAL PENALTIES AND pVl� FMES UP TOONE HUNDRED
THOUSANO OOLLAFE ($100,000), IN ADDITIIXJ TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOP IN SECTION 3]O6 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION: I
I hereby aflirm Ihet I am licen�er pr vislons of Chapter 9(commencing with Section 7000) of Divislon 3 ot Ihe Business an�P�pje;,sions Code, end my license is in full I
torce entl ettect. Lia p li C�ass # C:l` J
CamractoYsSignaWre: � Date:. �
r i
CONSTRUCTION LENDING AGENCY:
❑ I �ereby attirm that Ihere is a wnstruction lending egency for the peAormance oi ihe work for which this pertnit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lendefs Address:
Signature: � Date: �
i
OWNER-BUILDER OECLARATIONS:
I hereby ettirm Ihat under penalry of perjury that I am EXEMPT FROM THE CON7RAC70RS LICENSE LAW tor the following reason (Sec. 7031.5, Business end Pmfessionsl
Code: Any ciry or county which requires a permit to consimct, elter, improve, demolish, or repair any strucNre, pnor to its issuance, also requires Iha epplicent for such pertnit
to tile a signetl sletement that he or she Is Ilcensed pursuent to the provisions of the Conirectors License Law (Chepter 9(commencing wilh Section 7000) of DlviSion 3 ot ihe
Business and Professions Code) or that he or she is exempt tharefrom and the basis br the alleged eaemption. Any violation of Section 7031.5 6y any epplicent tor a pertnif
sublecis ihe epplicant to e civil penalry of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wa9e5 as �heir sole compensation, WILL DO TME WORK, and the stmcture is not intended or oHeretl for sele (Sec.
7044, Business antl Professions Cotle: The Contractors License Law dces not apply to an owner of property who builtls or improves iheraon, end who tloes such work
himself or herselt or through his or her own employees, provitled that such improvemenis are not intendetl or otteretl for sale. If, however, Ihe building or improvement is
soltl within one year of completion, the owner-builder will have �he burden of provinq Ihat 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 antl Professions
Code: The conirettors License Law does not apply to an owner of property who builtls or impmves t�ereon, and who con�rects for such pmject wlih e coniraclor(s)
license pursuant to the Contrectore License Lews.).
❑ I em exempt under sec. Business and Professions Cotle for �his reason:
Signature: Date: �
Owner ID verified by drivers license. ❑ Ves ❑ No DriveYs License No. Expires: �
Venticetion oi Ownership by (type of document, i.e. - property tax bill or tlaetl): I
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
� I hereby cehify ihat no excavation five (5) or more faet in tlepth into which a person is required to descend, will be made in connection with work euthorized by �his
pertnit, and that no building struciure, scaftolding, telsework, or demolition or dismantling ihereof, will be more ihan thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Ttle 8, Califomia Adminis�ra�ive Code).
❑ As owner-buildar, I will not employ anyone to do work which would require a pertnit from tha Division of Indusirial Safety, es noted above, unless such person hes e
permit to do such work from the division. I
Signature: Date:
Division of Industnal Safery Pertnit Number: I
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file antl certify a Business Plan for emergency response to release or ihreatenetl releese of e he�rdousl
meterlall ❑ Yes ❑ No
(Section 25505 oi iha Calitomia Healih and Safery Code requires, with some exceptions, ihat a Business Plan be filed with Ihe Costa Mesa Fire Depanment by everyl
business which has at any one time tluring a reported year a quantiry ot hazardous materials equal to or greater than a weigM of 500 pountls, or e volume of 55 gallons,
or 200 cubic feet oi compressed gas at standard temperature antl pressure). I
............................................................................................................................................................................................................................................................................................................................................................................................
2 Does or will ihe epplicant or presam or tuture building occupant need to file a registretion torm for acutety hezardous materials7 ❑ Yes ❑ No
(Seclion 25533 of ihe Califomia Health and Setety Code, with some exceptions, requires registretlon with the Costa Mesa Fire Depatlment by each business which et anyl
one time hes on hand a quantity of acutety hezerdous matenals equel to or greater then e weight of 500 pounds, or a volume of 55 gellons, or 200 cubic feet at
compressetl ges at stantlartl tampereNre end pressure). I
....................................................................................................................................................................................................................................................................................................................._.....................................................................
3 Does or will the applicant or present or fuWre building occupam need to prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous matenals)? i
❑ ves ❑ No
(Section 25534 ot the Califomia Health and Setery Code pmvides that the Costa Mesa Fire Depariment may require ihe preparetion, cetlification and tiling with the Fire
Depenment of an RMPP by businesses which ere required to register acutely hazardous materials with the Fire Department. �
...................................................................................................................................................................... .................................................................... ........................ .....................................................................
4 If an RMPP is presently required, has Section 25534 of tha Calitomia Healt� and Safery Code baen fully complietl with4 ❑ Yes ❑ No �
................................................................................................................................................................................................................................................................................................................................................................................ _ ..........
5 Does or will ihe applicant or present or future huilding wcupant require for the work which is Ihe subject of Ihis a plication a ermit for such consWction or modiTication
from the South Coest Air Oualiry Managament Disitict or Irom any other air pollution conhol tlistnct or egencyl � �'es � No I
(Section 658502 oi tha California Government Code requires ihat the requestetl information �e furnishetl on applications for nomresidential builtling permits).
........................................................ ........................................................................................................................................................................................_.....__..................... ...................................................................
6 W ill eny part of ihe tacility to be constructad under this permit be within 10001eet from I�e outer boundanes oi a school? ❑ Yes ❑ No I
Qf'yes", the faciliry must meet the requirement of Sections 25534 and 42303 of ihe Galifornia Health antl Safery Gode).
............................................................................................................................................................................................................................................................................................................................................................................................
7 Ii e permit from the South Coast Air Quality Management District or other air polWtion control disMct or agency is required tor the work which is the subject of this
epplicetloq have ell of the tlisclosures prescribed hy Calitomie Health antl Safery Cotle Section 42303 been made7 ❑ Ves ❑ No I
........._........._ ................................................_........_.........................................................................................._.. ................................_............._.............__..................................................................................................I .
e Qf'yes", attach ceniticate of comp�iance irom the appropriate air pollution control oHicer).
CERTIFICATE OF COMPLIANCE: I cetlity ihat under penalry of perjury the information given above is wrrect. I agree to comply with all state laws end city ordinences
regarding Hazardous Materials and Emissions.
Signeture: Date:
CERTIFlCATE OF COMPLIANCE AND AU7HORVATION OF EMRV: I certify under penalty of perjury that I have read this application and state Ihat the information given is
correct. I egree Io comply with ell Yate laws and ciry ordinances relating to �uilding construction, antl authonze representatives of the Ciry of Cwta Mesa to enter upon thei
above-descnbed property for inspection purposes. I agree not to occupy or allow xcupancy of eny building au�horized by Ihis permi� until tinal inspection.
Si atu Ot Legal O ner ) �� w�9ete _�n i
r Auth e Ap�can �Date 1 �
COOEI, INSPECTIONTYPE Q�IE )NNJ9LS �Qp[Y INSFECTIONTYPE Q� �$
� 1616 Fixed System Final Fire Prevention 206 Finel Mechanical
1266 Pool Spa Final �/_ 208 Final Plumbing ..
200 Final Re-Raot �' �Z � Z10 Final Electrical
201 Final BIocWRetaining Wall 212 Final Fire Preven�ion
202 Final Factory Fire Place 220 Final Planning Approval �
203 Final Sign 222 Final Site . �
204 Final Demolition 250 Final Building/Occupancy �
I
Bienek Roofing Co.
22622 Lambert St., #303
Lake Forest, CA 92630
(800)499-1340
(949) 951-3798
Fas:(949)951-9033
Building Department
Re: Pulling Permits
To Whom It May Concern:
�; bavelBienek, give Rod Ford permission to pull permits in my absence. If you
have ayy questions, please call me at 949/951-3798.
�B"ade Bienek
Owner
1)
APN:
County:
Census:
Map Pg:
New Pg:
Phone:
Owner:
: {JECT PROPERTY INFORMATIOA ,.
Property: 3199 SICILY AV, COSTA MESA CA 92626-2332 CO22
139-134-07
ORANGE, CA Tax Rate Area: 15045
638.06 Prop Tax: $653.10
27-C3 Delinq Tax Yr:
858-H4 Exemptions: HOMEOWNER
LANGLEY FERNETTA M
Mail: 3199 SICILY AVE; COSTA MESA CA 92626-2332
SALES INFORMATION
LAST SALE PRIOR SALE
Transfer Date: 07/31/87
Sale Price/Type:
Document #:
Document Type:
1st TD/Type:
Finance:
Junior TD's:
Lender:
Seller:
Title Company:
Transferinfo:
436778
SITE INFORMATION
Improve Type:
Zoning:
County Use: 1
Bldg Class:
Flood Panel: 060216-0046E
Phys Chars
Legal:
Comments:
RANGE OVEN;
L51 TR2353/N
Lot Size:
Lot Area:
Parking:
Park Spaces:
Site Influence:
66 X 98
6,468
ATTACHED
2
Use: SFR
Total Value: $46,601
Land Value: $18,464
Imprv Value: $28,137
Assd Yr: 1997
% Improved: 60%
Bldg/Liv Area:
# Units:
# Bldgs:
# Stories:
$/S F:
YrbIUEff:
Total Rms:
Bedrms:
Baths(F/H):
Fireplace:
Poof:
Bsmt Area:
Construct:
Flooring:
Air Cond:
Heat Type:
Quality:
Condition:
Sryle:
Other Rooms:
1,365
1
60
6
4
2
WALLFURNACE
AVERAGE
FAIR
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