HomeMy WebLinkAbout229 SIERKS ST - Building Permits -• 44,0' MFSq CITY OF COSTA MESA
q4 BUILDING DIVISION
P MIT NUMBER
11 -y•• I DEVELOPMENT SERVICES DEPARTMENT
• • PERMIT B00-0037$
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 229 SIERKS ST Status: ISSUED
Suite: Applied: 03/27/2000
Vicinity: BEHIND THE GARAGE Issued: 03/27/2000
Parcel Number 42620111 Zoning:
Applicant: STOFFELS, BARRY J ISSUED BY:
Address: 229 SIERKS ((
Phone: (949)548-2476
COSTA MESA,CA Zip: 92627
Owner: STOFFELS, BARRY J
Address 229 SIERKS.
.
Phone: • -
' COSTA MESA,CA - Zip: 92627 L, 8
!I 11 r "
Contractor: ,OWNER-BUILDER L r •
Address: - • 2 �/
•
Phone: A
• Zip: License; 0 t...• 1 tett,
Arch : — Eng: •
Address: - Address:7. -
Phone: Phone:
Zip: - License: License:
SCOPE OF PERMIT
CONSTRUCT NEW 12'X 22'STORAGE SHED.
FEE SUMMARY
Plan Check: • $25.19 Calc Valuation: $1,000.00
Permit: ' $38.75 - Claim Valuation: $1,000.00
SMIP Res: $0.00
SMIP Corn: $0.00
Other: $0.00
Inspection: $0.00 •
Total: $63.94
•
PLANNING & ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0.0 Left r 020 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0.0
PARKING Existing: 0 Required: 0 Proposed: 0
•
NOTES: • • •
• I
•
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
DECLARATIONS J 5 • • C
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 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 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 OOLLARE(S100,000).IN ADDITION 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 and effect.Lic.a Class If
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 countyrwhich 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 steteinent 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)roylhet'he;oyshe 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 hi not mmore five hundred dollars(5500).):
PEC I,as owner of the property,or m'y employes 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:Tho 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 exe t under sec Business and Professions Code for this reason:
Signature: � S-� Date: 3 'Z 7 — Z °° '�
Owner ID verified by dr' rs licens . ❑Yes 0 No Driver's License No. , Expires:
Verification of Owne ip by(type of document,i.e.-properly 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 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? 0 Yes 0 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 permit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes D 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 California 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-de 7
e::,d property fo y-y y••!r s,s.I e not to occupy or allow occupancy of any building authorized by this permit until final inspection.
d � 3_ 27— zopsn
Signa'• Legal wner(s) Date
And/Or Authorized Applicant Date
ODE• INSPECTION TYPE PATE INTRIALS CODES INSPECTION TYPF pA�T INTITIALS
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 y
204 Final Demolition 250 Final Building/Occupancy /�j a -a Cf
2446-46 .
(0°A ' `)cGt&r c,-"-" .C,c 46-9.4Li""-'.-
OWNER BRULOTTE, MR. & MRS. W. DATE 7/19/63
JOB ADDRESS 229 Sierks Street BUILDING PERMIT NO. 201$2._ . .-
GENERAL CONTRACTOR Lieske & Lieske VALUE $ g6$,00 -"
AP No. 118-101-17 LOT TRACT FIRE ZONE 3 DESCRIPTION OF WORK Det. Garage .
. INSPECTIONS Signature DATE GROUP J TYPE V ZONE Ri _
C G s
DATE SUBCONTRACTOR PERMITS ISSUED
NUMBE1
Rough Com. Refrig. 0 Air Cond, 0
Rough Heating
Rough Plumbing
Miscellaneous .
Prop. Swr. Line 0 House Con. 0 St. Swr. 0
Sprinkling System
Construction Pole
Underground 0 Power 0
Rou h Wiring ire (a'2-?-by I¢ 'nt-.i /0/2-/1/4// -136x7
Trenches V Forms (4Steel Reinf. 0 o/4L 1.1(,.-15)
Floor System _
Bond Beam 0 Steel Reinforce 0
Sheathing 5t :J /3
Frame and Flashing _ /; f-1 "-Cr
Lathing— In 0 Out j)1 tj S /?
Plaster, brown coat al.. X / 4 — (3
Refrig. ❑ Air Con. 0 Final
Heating, Final
Plumbing Fixtures, Final ,✓o.a"y'
Final Gas Test .,✓D-✓F£
Electric Fixtures, Final dr 1 /0'it--(&/
Building, Finalic.29-&Y
OCCUPANCY 111Fe_ /029-(cy
Form BU4-5M-3-6:-5-B P 20182
•
20182 . •
t'OST4(MESA BUILDING-SAFETY DEPARTMENT FEE RECEIVED
P.O.BOX 917 COSTA MESA,CALIFORNIA
For Applicant to Fill In Completely d pp1i&il FOR PERMIT .
TYPE OR PRINT FINAN(�6n1ji i,
BUILDING •
�.2. (�_-Y/. _ �J
CITYF4!•F%(stA°IS�nly
ADDRESS 7 f/C.¢�1//L/ RECEIPT NO. PERMIT NO.
COSTA MESA, CALIFORNIA' t'';
///JJJyyy //� � mici:7 Y D -EECEI DLJ AT/.1_IU •
OWNER 4Q/// lato• BUILD'V/ ^1 /T 114
•/ hJMAIL /2 Z 9 0 ' Q ADDRE �(iC P. ACt
ADDRESS �/�t,(�}�/��
FIRE
CITY ,d.Qi NO. ZONE _ . _ E GROUP
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APPROVED e,�" • 9/ ; TE 7 LL,/
ARCHITECT TEL. BY �, �v/
OR ENGINEER NO.
ZONIN
ADDRESS
ZON NO.OF USE OF NEW /�
—/ I PLANS BUILDING pel, Yi p
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CONTRACTOR .../.44/.....y. , ! -t a i 3 X N?rl
Y/� LEGAL
ADDRESS // T 5•1 � /�p.0.y�p,V_ DEECRIrtION
CITY �j / A.P.NO. //8 /0/ — /7
ED. i G/ p cG NO. S�/G p/ > 9` NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STAT
90"TO SIDE BREAEAR P.L.
�/ EAVES
•
FLT /I
OOT c 0 � IA\I—
/ I NOW ON LOTS ALLOWED (U.B.G.REQUIREMENT)
YARDS
IN BUILDING CEYADS APBUILDDING USEOFMAIN BUILDING ACCESSORY BUILDING
'EXISTING BLDG.
(FROM C/L STREET)---k•
SETBACK LINE FROM FRONTl. 'I ✓ FT.
CENTER OF STREET REAR YARD
—� - _
SIDE YARD I LEFT. I RIGHT ' - R.SIDE
/14.
DESCRIPTION OF WORK L.SIDE Fr, ?2o Fr.
REAR aS-FT.
NEW ALTERATION ADDITION r
DISTANCE BET. �/ BET.MAIN& i3
MAIN SLOGS. ACCESS.SLOGS.
REPAIR MOVING - 'DEMOLISH
BUILDING 1/ 1/ei 2:,....-NO.OF VAR.# DATE
SIZE /CJ�C ROOMS STORIES C.U.P.# ,( APPROVED /
EXTERIOR WALL ROOF APPROVED //!� rJ/ /`�
COVERING COVERING • BY Q( AAAVVV p/1 DATE ///r
USE OF B INC AND WORK TO BE PERFORMED MP
3.5"--A.
BO.FT. . n
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND A,,''�:fit E TO COM. PURPOSE OF ESTABLISHING 'A PERMIT FEE ONLY. X
PLY WITH ALL CITY ORDINANCES AND ST)))T- LA , -EGULATI O
BUILDING CONSTR/U�pI�N�1 / VALUA ION / N
PSIGNATURE ERMITTEE O/ �� / / •I /�/ ///'f PERMIT FEE $ m
/ $v/ /. PLAN CHECK $ d
AUTHORIZED AGENT iii 040 2.
a TOTAL FEE $.-/
8676 rEE RECEIVED
C9S A MESA BUILDING DEPARTMENT e,n% FEB 13 1959 -'
P.O. BOX 317 FINANCE DEPT.
COSTA MESA, CALIFORNIA CITY OF COSTA MESA
FOR AN�P APPLICTO FALL IN APPLICATION
APPLICATION FOR PERMIT
BUILDING , (nJ� `'-�6/n:/J - fZ-t-y. t, BUILDING
ADDRESS > 4 G—• ...JYYY���
71:1-7 ./..47
��f��J COSTA
At MESA.
CALIFORNIA FOR OFFICE USE ONLY
OWN ER !�Y/ �/7 / l�c./T �'4 1 fO• RECEIPT NO. �RMIT NO.
(� J /J fes/ RECEIVED BY DATE RECEIVED DATE 7ISSUED
MAIL
ADDRESS/172 MPT. 23AdP 7 /'y/✓✓7� -/3-c7 ot -/3-ST
CITY 7� ii �J TBUILDING
NO�C-e or ADDRESS
ARCHITECT LIC.
OR TTER NO.
COSTA MESA, CALIFORNIA
FIRE
ADDRESS ZONE
/� �/� /, G� }J ZONE,ft / ' NO.OF TYPE GROUP A
CONTRA CTOI 2a'Ali/e_ V/.4(/( �0, /q •%IT/ PLANS % //
TEL. APPROVED I/1/ �/
ADDRESS //- l �. .NO. •� / BY DATE ,
`EGA` Lo//wry" (J/ -N d 00/J it' ., CORRECTIONS
DESCRIPTION NO.J,/ .{4'9 OCK �7�TRACE //j
A.P.NO. II 8 ( O O
OSIZE
OF LOT D a //bT NO.W ONBLLDOGTB VOv!/ APPROVED
E CITY OF C' ;ITA MESA
"r -
USE OF /Pt3i/e/
EXISTING BLDG. J ( ,
SETBACK LINE FRO /-" -� / L•'�1' IVI�� a [�L,� 1 .
CENTER OF STREETM ./(,i �// REAR YARD 6i SUBJECT TO B_LG. DEPT. REG.
/
SIDE YARD RIGHT ,c- LEFT ..; 5 BY Of /Q.DATE .9 �s-5
DESCRIPTION OF WORK- ECH. 179
NEW ALTERATION ' ADDITION
REPAIR MOVING DEMOLISH
BUILDING /AA f NO.OF /
SIZE [ OCO if ROOMS . �. STORIES /
EXTERIOR WALL/',„GL/' ROOF �0�, '/
COVERING S2 ` COVERING ,(
USEOF NEW �i/.�,G
BUILDING
4/c//c /4/ ,eS/)_A/C'F ,
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 BUILDING CONSTRUC-
TION. VALUATION
.SIGNATURE OFa,s0/f� ' 1�-/-Q>jL,�•„_� PERMIT FEE $ /Q..'
PERMITTEE ��/(((///��4"'���✓r!!/ �t
Z...#1012;?
�#(''{{}`�[ t/n(�,/_teata / /) �0 PLAN CHECK $
AUTHORIZED AGENT , _ ,. / TOTAL FEE $ /O^ ‘1,3A&
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CITYOF COSTA'T •
CITY OF COSTA MESA
APPROV '4 1
PLANNING DIV.
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This Eet of pJans and specifications MUSTbe kepi on this job at all times and it is unlawft o • (-44.-C-0 • Etid- ?i I •
By Wig ,........,. ...
any changes or altoration on same without Stenpermissionfrom:he DiVkiialot Build ing
!afely,City of Costa Mesa.
-.. _•_ _La at..47,paig at;it:pi.)aril pr;;;;!?:ttions SHALL NOTbe held to pedal ot to be an aoprevM
IJ ,J,e 1utation of an?afovfaNao*...0 2..frir‘f ivy of Cosa Mesa Ottiinancaridkitirsdalaty. ...
Mr j:::::.:Je rd 93Tftit Sr:W1 5ni.••1,T!,:y Arn,u:uao afta beezme nog and vcid it the building or
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DIV ISiGIN Of 13 Liii-Di NCI SAFEIY
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APPROVED •
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This set of pns and specifications MUST be kepi on this job at all limesand it is unlawful to • -
olatto any changes oralteration on same virlhoul written pennission from the Difrision of Building
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Di VISION OF BUILDING SAFETY
CITY OF COSTA MESA
APPROVED
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1111s set of plans and specifications MUSTbe kept on this job at all times and it is unlawful to
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ss-..!:e any changes or alteration an same wnhoulwritten permission from the Division of Building
ric d&defy,City of Costa Mesa.
tamping:,f!his plan and src L;rations 9PAU NCT he held to permit or to be an approval
of the l':'oleti.n of an?ooivisio 1,1,.,2 Coy p`Ae, Ot
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