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Home My WebLink About1941 SWAN DR - Building Permits • 44 a ' CITY OF COSTA MESA 4111*- BUILDING DIVISION ' •� ,.. ,i DEVELOPMENT SERVICES DEPARTMENT PER T NUMBER 1. IF 1111,111.,‘ , PERMIT Opo rip B02-00439 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1941 SWAN DR Status: ISSUED Suite: Applied: 04/01/2002 Vicinity: ROOF Issued: 04/01/2002 Parcel Number: 13947901 Zoning: R1 R1 Applicant: SANTANA, JOSE ISSUED BY: Address: 26012 MARGUERITE PKWY STE 244 Phone: 949-454-9228 MISSION VIEJO,CA Zip: 92692 Owner: SCHUBECK, CAROL Address P 0 BOX 6107 Phone: ORANGE,CA Zip: 92863-6107 Contractor: FAIRWAY ROOFING INC. Address: 26012 MARGUERITE PKWY STE 244 Phone: 949-454-9228 MISSION VIEJO,CA Zip: 92692 License: 613697 Arch : - _ Eng: Address: - Address: Phone: Phone: , Zip: License: License: SCOPE OF PERMIT REMOVE EXISTING MED SHAKE,ROCK ROOF DOWN TO PLYWOOD DECK ON PITCH ROOF. INSTALL 1/2"OS BOARD AND 30 YR GAF COMP ON FLAT. INSTALL 1-28 LB BASE SHEET AND 105 LB MODIFIED TORCH DOWN.2400 SF WITH ATTACHED GARAGE. FEE SUMMARY: _ Plan Check: $0.00 Calc Valuation: $7,156.00 Permit: $153.25 Claim Valuation: $7,156.00 SMIP Res: $0.72 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $153.97 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.92-28,§ 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(600) DECLARATIONS j : V WORKE- ,'COMBE,NSATION 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 2.c.rork for which this permit is issued. kriM 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 workgrl5 mpensatio surance carrier and policy number are: ,�CC ar:_ I - (0�J�n�✓��cL P�Number: IS8 1113 " Z&J "fThis section need not be comp.ran it 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 Ca'fornia,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply witfilhasa- zAppEcon Sign21ufa. i _ - 81r Y" /"—O 2— RNNG:FAILURE T SECU ORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(S100,000),IN ADDITION 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 licgpsed u ideryrovisioncs of Chapter 9(commencing with Section 7000)of Division 3 of the Business an{1 Professions Code,and my license is in full t�orrteantl effect.Lea M �w 9emir C--39 Czonttectoi'r6ig Date: y / —O2_ 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 end 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,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? 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? ❑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 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 apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LI Yes LJ 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? 0 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? ❑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. Signature Of Legal Owner(s) y to — / -- 2 Anted UPTatherlted Applicant Gy Date:- CODE r INSPECTION TYPE ORE INTRIALS CODE( INSPECTION TYPE QATE MEM 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 'Hi-®Z `N✓IA--- 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 'yVwrvri[G IVIRIJU ', It. unaL is 1-r vv V JOB ADDRESS 1941 Swan Drive BUILDING PERMIT NO. 26461 GENERAL CONTRACTOR Gene Shumate DESCRIPTION OF WORK Comm.Blockwall AP No. LOT 26 TRACT 51493 FIRE ZONE VALUE $ 455.00 INSPECTIONS Signature Date GROUP J TYPE III ZONE R-1 Soil PERMITS ISSUED Z Gas SUBCONTRACTOR I Date I Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con.0 Sprinkling System Miscellaneous • Rough Heating and Air Conditioning Temporary Service or Pole Underground 0 Power 0 _ Rough Wiring Heating and Vent. Trenches p Forms 0 Steel Reinf. p whys- Lx_(G_ca Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing —In 0 Out 0 Plaster, Brown Coat Structural, Final Electric Heating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final Building, Final i' ]? -u-GC 26461 DEC 14-66 00 553 71,** *5.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 82820 For Applicant to Fill In Completely - APPLICATION FOR PERMIT TYPE OR PRINT BUILDING For Office Use Only AUORHDin v,l1v AQ, RECEIPT NO. 2,p[pMyZ 10 COSTA MESA, CALIFORNIA • j Flp�:i�/4/l1Lp[J:q/U�/p /J//�j n[q[IV[D pr a/D57 /[In /UT:fi [pt MAILOWN1/L i Q/UT ,\ NA,J, // // [I/ u .15- ---- ADDRESS MAIL BUILDING ADDRESS_ ' � CITC//`� FIREONLr : .. GROUP J� S� /fl.F,SA NO. ZONE TYPE ARCHITECT TEL APPROVED BY DATE OR ENGINEER NO. ZONING ADDRESS //�'� �j/ �1 ZO'I NO.OF US[OFN[W CONTRACTOR- P E .5721. co'i_#e _ _ FLANS �/' BUILDING ,y� �',7/(��4.�r{-T.t,1/ ADDRESS - 3// / ..0)'71-11/e9/O REGAL Mp/r-�� ) /V.iii/,5 /� .p N/ LEGARIFTION e`-1 CITY/J-A/'iefiE Oro//r/,' [� A.P.NO. �^3/O/�NO.S.24J-,JI! NOTE: NOEAVEEAR P. LNG SHALL SE WS THAN STATE T!I 80'TO SIDE&REAR P.L. LIC.NO. EAVES SIZE I NO.OF SLOGS. ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT USE OF YARDS APPROVED YARDS APPROVED EXISTING BLDG. MAIN BUILDING ACCESSORY BUILDING (FROM C/ jr,EET) SETBACK LIN[FROM r FRONT CaPi Li FT. FT. CENTER OP STREET REAR YARD - SIDS YARD I LEFT I RIGHT R.SIDE I/p11 Fr. Fr. DESCRIPTION OF WORK ' L.SIDE d FT. PT. NEW _ALTERATION ADDITION NEW D FT. RT. DISTANCE BET. BET.MAIN 8 REPAIR MOVING DEMOLISH ., MAIN SLOGS. ACCESS.BLDOB. BUILDING NO.OF VAR.$ DATE SIZE ROOMS STORIES `0 C.U.P.# APPROVED EXTERIOR WALL ROOF 8 APPROVED � �pdJ/j ) ,'/ / COVERING I COVERING °' FY o-Ilil.`� DATE /��/`Y�/Q� USE OF BUILDING AND WORK TO SI PERFORMED - B. N VAii �M ,I �" Fi ''.S/U"yaw >r OWNER RAY MDLP DATE 11/27/78 JOB ADDRESS 1941 Swan Drive BUILDING PERMIT NO. 46719 GENERAL CONTRACTOR Owner-builder DESCRIPTION of WORK Block Wall AP No. 139-479-01 LOT 26 TRACT 5493 FIRE ZONE VALUE E 1 200 00 INSPECTIONS Signature Dote TYPE III GROUP J ZONE SOIL PERMITS ISSUED GAS SUBCONTRACTOR Dote f Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE HOUSE CON. 0 SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND n POWER n c• ROUGH WIRING Heating and Vent. • TRENCHES O FORMS-0 STEEL REINF. U pH FLOOR SYSTEM 0-� BONO BEAM n STEEL REINFORCE n Z SHEATHING FRAME AND FLASHING LATHING - IN n OUT n PLASTER, BROWN COAT / STRUCTURAL. FINALCr `/ a Electric HEATING, VENT.. REFRIG. AND P,C.. FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL .� _.... _..... �..... � ?I /o_SCJ _ 467 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 95144-A1 /27/78 dB.50 TL APPLICATION FOR STRUCTURAL PERMITIn// For Applicant to Fill in Completely — Use Ink Only RECE E Y DATE RECEIVED D TE ISS ED BUILDING /) /�J/IJ '''//�///••///y/' ADDRESS / /?� r7� / /��(.a44Jy- ije 'Cr f"�{/� i, OWNER /* i/ /e�/ A.P.NO. l -L —' n -aI PPP / MAIL ^ BUILDING c, ADDRESS 05/I,I/C ADDRESS /9 /Tp� � �, • TEL. TRACT f7'.3 I LOT 140 BLOCK CITY NO. CONSTRUCTION i AD „,r NEW OD ALTER REPAIR (MOVING DEMOLISH LENDER 4l/ arc. BRANCH OWNER 15/ �/ ADDRESS VALUE �/�� Pi ' ARCHITECT iff TEL. USE t N/ .Li/'/ $�OLL/!/ �� OR ENGINEER L(J/V/tte NO. FIRE ADDRESS ZONE TYPE. GROUP y i APPROVED ///}//L. G / / CONTRACTOR W/ m/(rr 5 �/f I2G'/^�� BY ✓� DATET ADDRESS 2 'S 66 &ir L,/. 'coL.4/ TEL. /qp�� ZONE CI NO.OF Z BUILDING USE OF NEW 3L Y 4fl/LI�1��//j/J NO. 9 9�7 -[mein— IC �•/4-Li— CIT F STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC.NO. Nit MAIN BUILDING ACCESSORY BUILDING LR SIZE / / NO.OF LOGS. (FROM C/L STREET) L OF LOT 70 X l Q O I NOW ON LOT FRONT FT. /OO FT. G USE OF se) EXISTING BLDG. R.SIDE FT. 0 FT. — CA FSeparate permits are required for L.SIDE FT. a FT. electric,plumbing and heating work. C REAR FT. O FT. F. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& \I CMAIN BLDGS. ACCESS. BLDGS. A e 75 / /fit 6,L` ezpce 442L C.U.P.# APPROVED BAPPROVEC p I DATE / // / /7 V C.� \1 Lal 0 I hereby acknowledge that I have read this application and state N C, that the above Information is correct and agree to comply with m 6, all laws regulating building construction, and I shall not employ Z any person in violation of the workman's compensation laws of V m Wthe State of California. m I hereby certify)that I am properly licensed as a contractor under SQ. FT. ry the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR o Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: — am exempt from the provisions of the State of California Business < VALUATION PERMIT FEE $ and Professions Code, Division 3,Chapter 9. I fafG� un / PLAN CHECK $ ro n Signature of / ))y) �y �� l a or o Li. Permittee v •.L,.�� $ / 706( TAX $ J /'� Authorized Agent (!J` TOTAL PAID $ /d/, 1N U ••.. , ,LL`PY4 OW. LJ'Y ," Wl Sit • — G TVV JOB ADDRESS 1941 Swan Drive BUILDING PERMIT NO. 25196 ' GENERAL CONTRACTOR Same DESCRIPTION OF WORK Res. watt. garage AP No. LOT 26 TRACT 5493 FIRE ZONE VALUE $ 31,780.00 _ INSPECTIONS Sig .t, e Date GROUP MT TYPE V ZONE R-1 Soil ra �i�r 2 PERMITS ISSUED Gas SUBCONTRACTOR I Date I Number I Signature Water J ' NV- Plum' Rough Plumbing 4- /' /! r i P. :02-77%.‘ '. -•01/Swr. Line in--House Con.„A' 4X,Tie hf5d1 /� j_ i/- 7-.-, '/ Sprinkling System /�� lu - •=� Miscellaneous Rough Heating and Air Conditioning a"J ! 6gr., Temporary Service or Pole Underground ❑ Power 0 ,7 Rough Wiring 110' Heating and Vent. w ® Trenches Forms ' St-- 'einf. Q p-7y_ G Floor System. ',-, (Au N GG Bond Beam ❑ Steel Reinforce ❑ Sheathingy/iy/GL Frame and Flashing /,./G Lathing—In FOI Out 14 in 5-1/43 46- Plaster, Brown Coat Structural, Final Electri Heating, Vent., Refrig. and A.C., Final draat t gr frog a ,J . raFRI. e:MbX� Plumbing, Final and Gas Testi weirElectric, FinalBuilding, Final r Vaft�/J Tr. 549.3 25196 Lot. 26. .. .. -COSTA-MESA BUILDING-SAFETY DEPARTMENT , P.O.BO%317 COSTA MESA.CALIFORNIA �'�� OF � MESA \ $`i ; LJp For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT FpILDINd966 BUILDING For Ice Use Only ADDRESS 1941 Swan Drive COSTA MESA, CALIFORNIA RECEI� DXTHB$CHIVH9 DATE ISSUED Al /7216-617 FEB 4 1966 OWNER Pemba Subdividers, Inc. BUILD '/ lima) �I � 1 NG MAIL ADDRESS /911/ I[j(,( a) /IULL(-� ADDRESS 2850 Mesa Verde DriveFIRE '/ '" `(A T ZONE TYPE V GROUP Eh_ Y CITY Costa Mesa,Calif. N�iL49-0395 II ARCHITECT TSL BYPROVBD DATE OR ENGINEER Kaltenbach NO!47-8046 ZONING ADDRESS 1823 E. 17th St. Santa Ana . ' ZO NO.Op I USE OF N fG/'�alb PLANS 2 SUILDINO alb CONTRACTOR Pemba Subdividers, Inc. � " �' T... DESCR jit �G — s 2 V9.3 ADDRESS n 2850 Mesa Verde Drive DESCRIPTION -19 � �c CITY Costa Mesa, Calif. A.P.NO. �" NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC. STATNO. 187318 TEL.E O' 549-0395 30"TO SIDE&REAR P.L. EAVES SIZE OF LOT 70 X 100 I nOW DNIx LOTS 0 ALLOWED (U.B.C.REQUIREMENT) YARDS APPROVED YARDS APPROVED USE OF Single Family Residence MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. with attanhed garage (FROM C/QJ[,STREETOY,T�/, ( 'L FT. SETBACK LINE FROM CENTER STREET 46 REAR YARD 25.75 FRONT J ., FT. SIDE YARD I LEFT 7 I RIGHT 6 R.SIDE l^ FT. FT DESCRIPTION OF WORK L.SIDE 7 FT. Fr. NEW ALTERATION _ ADDITION REAR -2.1,7 FT. DISTANCE BET. BET.MAIN& REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. - BUILDING NO.OP VAR.# DATE SIZE 2404 ROOMS 11 STORIES 2 C.U.P.# APPROVED EXTERIOR WALLS.tucc ROOF shingles & APPROVE' /2-5--C 2-5 C COVERING OI COVERING shakes BY /A/ DATE l C� USE OF BUILDING AND WORK TO BE PERFORMED P.3140 SQ.Fr. 6,0647C1" 2t I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCE AND STATE LAW REGULATING VALUATION OD .3 m BUILDING CONSTRUCTION. �j N SIGNATURE OF /T PERMIT FEE $ /� 4 PERMITTEE ! I /S 7 B /// $� 7gV PLAN CHECK 8 7.s AUTHORIZED AGENY 113 2� 2 TOTAL FEE $ I v