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HomeMy WebLinkAbout2107 STERLING AVE - Building Permits OWNER Kett, KFVNETH W. DATE 3-9-56 . JOB ADDRESS 2107 Sterling Ave. BUILDING PERMIT NO. 2469 GENERAL CONTRACTOR Owner VALUE $ 10,320.00 LOT 29 BLOCK TRACT 2348 Residence & Gar. GROUP I & J TYPE V ZONE +W FIRE DISTRICT 2495 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Footing Trench - Foundation Forms and Grade to G���ara,,ggge/e/ Rough Framing - �z3 Plumbing, Rough to Slab y! ,4 - f' -� .r� e Plumbing,Rough Complete — s - 2Y..( /�.cJ ( t-4_Se. .52—i—S7. HSI-I 2 ,...— Temporary Pole Wiring, Rough 4//t,5 p11-ic _// c&`m-a-22/ /7/.9 D-SL a - G O — Heating,Rough - Heating,Final A--.-7:—.4,-C-4//-1•1,-At PR 9 7 1955 44. 7/d ` y Sewer, House ,t0.f,,,P Sewer, St. `lam? fl �� 6%194-4 3-05y — Septic Tank or Cesspool ,I I /' Lathing, In Out X��k 4- 574Sp Plastering 6.2‘12Plumbing,Final,Fixtures Complete $-/..5^S -, Plumbing,Final Gas Test /5/6 &- cr. is•56 _ ;„.ya Ai - Wiring,Final .�/ r _ /✓�,�. - 0-- ii Occupancy 4. i ..7 8_ 0_. FORM 210 SM 10.55 •Cpsta .Mesa Building Department APPLICATION FOR PERMIT • 111 EAST 20th STREET 2495 BUILDING • COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN 1 Receipt No. Permit No. Building Address 2107 Sterling Avenue 4,...-2 .4e, Costa Mesa, California Received�' by Date Rec'd. iq q,�te�lss 56 Nearest J' `�— � �6 Cross St. Building Address owner Kenneth W. Koll Costa Mesa, California Mail __ Address 2826 Newport Blvd. Nearest Tel. Cross t. city Newport Blvd. No.Hr. 5201 Zon No.I No.of I Type, Group_ Architect or Lic. / Plans Engineer No. A proved by Date Address CORRECTIONS City Lic. Contractor No. Address Legal I Lot I Description No. 29 I Block I Tract 2348 (Attach Metes and Bounds) No.of Bldgs. Pask Size of Lot 60 X l00 I Now on Lot Use of I No.of I No.of M Existing Bldg. Families Rooms _ I) Setback Line from Rear Yard 27' Center of Street 50' Side Yard 51 MAR 9 1955 y DESCRIPTION OF WORK r New I X I Alteration I I Addition I CITY OF COSTA MESA Repair I I Moving I I Demolish I Building No.of Size 1,200 Rooms 6 Stories 1 Exterior Wall I Roof -- Covering Stucco Covering Coiapo APPROVALS Use of New Foundation Location Inspector Date Building Residence �-- ti Forms,Materials, Under-Pinning Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath. Int. with all City Ordinances and State Laws regulating building construction. Lath.Ext. Signature Of Permittee // 4 Plaster, Int. Authorized Agt. `\,Q t ,II172/ ,�z„v, Plaster,Ext. Valuation Permit Fee $ 26.00 Masonry Reinforced Plan Check$ 13.00 Bond Beam $ 10,320 Total 39.00 Fee $ FINAL FORM 204 5-BP 2M 6-55 .,t- '- CITY OF COSTA MESA r !'e'' ,, BUILDING DIVISION ' �I j ' DEVELOPMENT SERVICES DEPARTMENT B98-01222 • ormai PERMIT PERMIT NUMBER (714)754-5273 • Fax(714)754-4656 BUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2107 STERLING AV Status: ISSUED L17) Suite: Applied: 07/08/1998 Vicinity: Issued: 07/08/1998 Parcel Nunmber: 42246312 Zoning: • Applicant: HELGUERO, JERRY Address: 13602 MARSHALL LANE Phone: 714 838-5641 TUSTIN,CA 92680 ,/ ;Zip:,,92627 - Owner WILLIAMS, ALRICK� & 2627 * I 1 j~Address 2107 STERLING AVE--"'`,d/� J %COSTAr'M''ESA;CA Contractor - .--- 4‘..- :// \ Address: /� �� \ //(/ �'//f/ Phone: ��/,�t A� Zip: A 1��� \� \\\�; License: Al� :A�Arch)/Eng //J � �Addres /4� �`' ) ! --• V \nA �7§4/Jr /7/7:(7, ------ --1/ -Phone ,• t \. � HI . �I � ' i ` Ic 1 . a , 1n, . 1 ��5� /11/4 �� - SCOPE OF PERMIT v�``v t, ', , .` �1I f IIT/O'EXIST. ROOF.,REROOF SFD&DETACHED GAR.W/COMPO SHINE. }' �! ,, t f 1 ItI, � / , _� l IRI /' IV ,) nn .-, rirrorilli- G� r; nrrr�li\ . ', ', i II�f Pl / ¢, L J 'LP °`v FEE'SUMMARY. r LllStt'.. 1 1 I" t an Check i'k'(: $0.00 Calc Valuatlon- $2400.00\ f't � � `Permit I'1 $74.75 v Claimed Valuation:'; x$2400.00 11 $0.50 f�. ii " ice, l�l MIP ReS. ��� i �ti_�" r r �'� \SMIP•Corn: A\ $0.00 �c - �- - �— _ =;) �9, i ; �.1 /Iv1 \ \,4,\ Other: A\\$0.00 j I ��, /L ((� Inspection: „\\ \$0.00 �'� i (I/ Total: $75.25 I /�� 1 c \��� �j'3PLANNING'&ZONING '� , or}i IN„G � rj ✓ SETBACKS$ /�t \ ,- r .1- aCT eb S ' ) 4 � ��� �( MAIN STRUCTURE Front;;l�/ <Y _ Rea„��0) _ ;\�t�eft`'r0- �,._-_,?:Right (0:0 ACCESSORY Front 0-0c ' -A Rear 0 0-_�- >left 0 0_---- Right`� 0 0)//'(/ _�, v t 7J;� -- __ —_ v X717 `� A� r 3)rte, "-- ��t/ PARKING Existi, =,I:0_ �.Reauired:!� 0 Proposed:\r"•0, t �f�� NOTES: `--J !l`.\I ,--- -1 - i -----<1------ ------;5-7,i-----;--- ( ,. - :.:-�:cx1t�,PSw.gn!.taaenF?F3D yew,_ �1'.�• '^-e:-- 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 WORKERS'COMP,ENSATIO$I DECLARATION: I hereby affirm undger penalty of perjury one of the following declarations: .. • ❑ I have and will maintain a certificate of consent to self-Insure forworkers'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 end policy number are: Carrier: • Policy Number. (This section need not be completed U the penult Is valued at one hundred dollars($100)or less.) • - ❑ I certify that In the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($l00.000),IN ADDMON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEYS 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 11 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,CMI Code). Lender's Name: Lenders 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 Ls 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 drivers license. ❑Yes 0 No Driver's License No. Expires: Verification of Ownership 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 Califomia 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? 0 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 apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 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 pan 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 isrequlred for the work which Is the subject of this 0 application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 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. Arr r_dici . 1`.J , ,r s) 7/ / a I [fie„/ And/e 'j T.' ed App ican • I// UYI// !d/fate`O/ I COOL L INSPECTON TYPE DATE EMU MEI INSPECTION TYPE QATE I IBALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266-- Pool Spa Final - 208" Final Plumbing 200 Final Re-Roof ' l.�"x 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 r 204 Final Demolition _ _ - 250• Final Building/Occupancy _ 2446-46 •