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Home My WebLink About1961 SWAN DR - Building Permits pCITY OF COSTA MESA 441:=k) BUILDING DIVISION r� 4c DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 1. niriTh-,11 "4 � PERMIT B02-01073 (714)754-5273 • Fax(714)754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 1961 SWAN DR Status: ISSUED Suite: Applied: 07/15/2002 Vicinity: Issued: 07/15/2002 Parcel Number: 13947903 Zoning: R1 R1 Applicant: SELL, RON ISSUED BY: Address: Phone: 714-528-1758 Zip: Owner SORENSEN, ROBERT T Address - 1961 SWAN DR Phone: COSTA MESA,CA Zip: 92626 Contractor: SELL ROOFING COMPANY Address: 18032 LEMON Phone: (714)528-1758 YORBA LINDA,CA Zip: 92686 License: 323842 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REMOVE SHAKE ROOF,INSTALL NEW SHEAWTHING AND INSTALL EAGLE LITE TILE ON 15 SQ.ICBG NUMBER 4660. HOT MOP ON 9 50.(FLAT PORTION OF ROOF) FEE SUMMARY Plan Check: $0.00 Calc Valuation: $6,900.00 Permit: $139.25 Claim Valuation: $6,900.00 SMIP Res: $0.69 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $139.94 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 fora 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) 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. `� have end will maintain workers'compensation Insurance,a required 1,1 sectionQ700 of the Labor Code,for the performance of the work for which this permit is issued. NI y workers'compensatio Ip ns yfa_i r a d policy bar are: /6 G Cartier: Policy Number: (This section need not be completed ll the permit is valued f one hundred dollars($100)or less.) ❑ I certify that In the performance of the 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 a e that if I s Id bocci subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. �) ..i Applicant Signature: / /Date: / .0 `' 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 DOU.ARE($100,0110),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 hapter 9(commencing with Section 7000)of Division 3 of the Business and Profe Code,and my license Is in full force and effect.Lk.# �_`-(' Z— Class R — , Contractor's Signature: of r / Date: —I 57---(A._ 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 I 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 en 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 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 lime 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 0 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 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? Yes LI No (Section 65850.2 of the Califomia 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 Califomia 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 itypoorrddiinnances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the u above-described property for" pe ion pof to occupy or allow occupancy of any building authorized by this permit until final inspection. Sig) 0 O_ f!,eget O�ner1S]<// J/S�� ate And/Or Authorized Applicant/LiJntG/( Date 5,00E$ INSPECTION TYPE Pia INTmAL$ CODE. INSPECTION TYPE PAIS =as lALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final '�D 208 Final Plumbing 200 Final Re-Roof 2424Z5/49.2C 0 210 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 y.v TV"Lin fllUt 'PIRIN, Litt. Lela Lir. 1C 1Y o0 ?JOB ADDRESS 1961 Swan Drive BUILDING PERMIT NO. 261463 NGENERAL CONTRACTOR Gene S umate DESCRIPTION OF WORK omm •ek /AP No. LOT 24 TRACT 5493 FIRE ZONE VALUE $ 280.00 INSPECTIONS Signature Date GROUP J TYPE III ZONE R-1 Soil PERMITS ISSUED O 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 0 Forms 0 Steel Refill. a fliOvf 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 il'7 '' DEC 14-66 00 555 *****3.00 �j 26463 COSTA MESA BUILDING-SAFELY DEPARTMENT P.O. BOX 1218 COSTA MESA, CALIFORNIA 92029 - For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING For Office Use Only ADDRESS /7e ✓ RECEIPT NO. �� vdEfl*14g3 COSTA MESA. CALIFORNIA �/iyJ �,// R[ IIYED BY IJ E RSC[241:166.gA,TI IS UEp6 owrien /9/127777,00/2/ DD MAIL /92/ �J•-1 ADDRESS ADDRESS R[De Z TEL ONE C5 TYPE Yr GROUP CIIRE TY[?B $ Ss� NO. ARCHITECT TEL BYPROVED DATE OR ENGINEER NO. ZONING ADDRESS — NO.OF USK OF N 'UE /t-/ PLANS BUILDING CONTRACTOR /ENE 5-7Z.424 re ..�r1 ,p/`L,.�A/(�/ ./' 7 q LEGAL 2. OV9� dot- v' ADDRES//>��JJ3oo3//// �/, ,'o�� /l it D DESCRIPTION etre(1.9ADE& Cora A.P.NO. NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE q 3// 9_ 06. .LL 7 / , SO`TO SIDE B REAR P.L LIC.NO, O�L� C �.J 7J fi EAVES SIZE I NO.OF SLOGS. ALLOWED (U.B.C.REQUIREMENT) OF LOT HOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/ STREET) SETBACK LINE PROM FRONT CYO PT. n. CENTER OF STREET REAR YARD - ,�I � SIDE YARD! LEFT I RIGHT R.e1DE'�FT. PT. DESCRIPTION OF WORK L.SIDE 0 FT. Fr. NEW v,fALTBRATION ADDITION REAR 7 IT. PT. �l DISTANCE BET. BET.MAIN S MAIN BLDGS. ACCESS.BLDGS. REPAIR MOVING DEMOLISH VAR.# DATE BNO.OF UILDING ROOMS STORIES C.V.P.* //gyp" ,1 APPROVEDDE / COVERINGRIOR I ROOF COVERING ITFROVED l /L-CJ" DATE / � l"(p(T USE OF BUILDING AND WORK TO BE PERFORMED 9, y ,�dcA C-into tits/ I o AS din/ .. I I kude weak qb,�,,,gl a/t I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATIONTHE AMOUNT SHOWN UNDER VALUATION IS FOR THE O AND STATE THAT THE ABOVIIS CORRECT AND MIRES TO COM. PURPOSE OF SSTABLISHINO A PERMIT PEE ONLY. a�1 PLY WITH ALL CITY DINANCIS AND STATE LAYS REGULATING VALUATION BUILDING COMM ON. PERMIT FEE $ I0 SIGNATURE OF �^� E PERMITTEE $ �o rre) PLAN CHECK S w AUTHORIZED AGENT (� I !r•r/ re TOTAL FEE $ • uwrER HARTMAN, KENNWPH DATE ti-22-bb JOB ADDRESS 1961 Swan Drive BUILDING PERMIT NO. 2¢O57 GENERAL CONTRACTOR Gene Shumate DESCRIPTION OF WORK Comm. Block Wall No. LOT 214. TRACT 5493 FIRE ZONE VALUE $ 150.00 ,iINSPECTIONS Signature Date GROUP J TYPE in ZONE R-1 SoilI PERMITS ISSUED Gas SUBCONTRACTOR Date I Number I Signature Water Plumbing Rough Plumbing t� Prop. Swr. Line 0 House Con.0 y Sprinkling System )"Miscellaneous Rough Heating and Air Conditioning • Temporary Service or Pole Underground 0 Power 0 Rough Wiring Heating and Vent. Trenches j] Forms 0 Steel Reinf.EJ My!)- Q7,---WIZ Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Frame and Flashing Lathing—In 0 Out [7 Plaster, Brown Coat Structural, Final Electric Heating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final Building, Final _ ,'4 tel &�i.G/4 __ f 26057 AUG 22-66 00 923 1*****3.00 P COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill In Completely J / APPLICATION FOR PERPEWITTYPE OR PRINT BUILDING BUILDING - For Office Use Only ADDRESS /96 / 1 L(//J� lfj4�/ RECEIPT NO. PERMIT NO. COSTA MESA, CALIFORNIA '�( OWNER if/E./1/1/Y:77; /4/6/i.Z.-0;1/21"/:// ( •j MAIL BUI LNG ADDRESS ADDRESS FIRE T +� TEL ZONE H GROUP CITYGC/CTA' /fn4 NO. APPROVED j ,� '/1 ARCHITECT TEL BY /DAT! G�/ G/ 1 OR ENGINEER NO. (-0ti MVwilr I C_ ZONING ADDRESS Tory, �� NO.OF '7 I u9[of NEw / y /� �l PUNS L BUILDING /�t'14�a[�/ CONTRACTOR (r EA.E S� 2/J./tyre; �] /J �1] � • LEGAL Let 2 y T/[ -5 V 73 ADDRESS/.?,7,/ /9/n////fe/ ° DESCRIPTION CIT7[/-'f1 li'DFAi !'/POMC A P.NO. STATE c TEL h J /� NOTE: NO T0 SIDE VE REAR OVERHANG SHALL BE LESS THAN LIC.N(9.. ../ e % . NQ. ✓ .� `/, 7/In L� EAVES SIZE I NO.OI SLOGS. ALLOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (PROM C/L STREET) SETBACK LIN[FROM FRONT PT. PT. CENTER OF STREET REAR YARD a SIDE YARD I LEFT I RIGHT R.SIDE FT. PT. yy DESCRIPTION OF WORK L.SIDE PT. PT. N89V/ ALTERATION ADDITION REAR PT. _ PT. DISTANCE BET. BET.MAIN B MAIN BLDQE, ACCESS.BLDOH. REPAIRI _MOVING - _pHMOLiBH BUILDING NO.O► VAR.SF DATE SIZE ROOMS STORIES C.U.P.#Q'� APPROVED -2 EXTERIOR WALL I COVERING BYPROV[?n ecIv DATE 9-a 2. -.6(r COVERING USE OF BUILDING AND` WORK TO B/! INFORMED (� Lf it I-//Oa K"!.(41// 61 / .�/n( / I I 6o.FT. . I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE j AND STATE THAT THE ABOVE IS CORRECT'AHD AGREE TO COM. PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALLCI ORDISTAT[ NANCES AND LAWS REGULATING VALUATION t.y e, r{.�SL BUILDING CONSTN N. 1 PERMIT FEE 3 M PERMITrEU OF �(///LQ •CG.S?42 /J /T) $ / 5 (/ PLAN CHECK $ 6' AUTHORIZED AGENT 3 cc `e . . .. -.1. . . TOTAL FEE B OWNER REMR& SUBDIVIDERS, INC. DATE 2-4-66 JOB ADDRESS 1961 Swan Drive BUILDING PERMIT NO. 2594 GENERAL CONTRACTOR Sane DESCRIPTION OF WORK Res. watt. garage Al' No. LOT 21i. TRACT 51+91 FIRE ZONE VALUE $ 11,780.00 - INSPECTIONS I Signal Date��/ GROUP TM TYPE V ZONE R-1 Soil ' 3-9r SUBCONTRACTOR PERMITS ISSUED Gas Date I Number I Signature Water „ Plumb' g Rough Plumbing Fy _�� g1 - y Prop. Swr. Line ouse Con. :2 r �i!i ra �¢'r Sprinkling System Miscellaneous Rough Healing and Air Conditioning . - -• ri Temporary Service or Pole Underground 0 Power 0 Rough Wiring /14/0 4,flJ & Heating and Vent. Trenches $J rttls El Steel }t. El3/y/, e aA. 90-,a a/I-/66 A,39 q Floor System, 6 -av 3//y/C.c Bond Beam 0 Steel Reinforce 0 Sheathing n�¢ Li/frac Frame and Flashing 5 .9 y/ B /2 Lathing — In g1 Out a 4'231/ 9746 Plaster, Brown Coat I43*# 'f)/*74c2c Structural, Final Electric _ Heating, Vent., Refrig. and A.C., Final 7-J //J�' '/o{„ rf /. /- '_(; - - „a Plumbing, Final and Gas Test ' - Bulding Final _ Building, Final Cyd f �/ Tr, 5493 - I^ti#z4 25194 COSTA MESA BUILDING-SAFETY DEPARTMENT � �rCW CITY OF COSTA P.O.BOX 317 COSTA MESA.CALIFORNIA 1 GSA For Applicant to Fill In Completely API ICATIOt /VRM 166 TYPE OR PRINT1961 BUIL 4 BUILDING ADORES: Sn far Office Use Only COSTA MESA, ive CA FORMA RSC ® DA�rgi RECEI ED BY DATE RECEIVED DATE, ISSUED OWNER Pemba Subdividers, Inc. /o�Li- 6 FEB /4 1966 ILDING MAILo n ADDRESS /96/ &t O4 1 A/� .... ADDRESS 2850 Mesa Verde DriveFIRE ADDRESS (p (.v/V ,CX�1/LLU`-/A� TFy ZONE TYPE 2 GROUP HY V �f CITY Costa Mesa, Calif. NOl'49-0395 VVV ARCHITECT T APPROVED OR ENGINEER Kaltenbach N '47-8046BY DATE ADDRESS 1823 E. 17th St.Santa Ana ZONING '/dI��. ZONgg,, NO.OP USE OF NEV4En C)/12 C✓.../ CONTRACTOR Pemba Subdividers, Inc. 1C.—� FLANS" I E. `r71/22 ` OA/ LEGAL � . / .�1,/ /A,9, C. 7TH ADDRESS 2850 Mesa Verde' Drive DeacplFrloN ASC/ -.0•Y /. CITY Costa Mesa, Calif. A.P.NO. NOTE: NO SAVE OVERHANG SHALL BE LESS THAN STATNO. 187318 TEL 549-0395 90"TO SIDE 9 REAR P.L EAVES SIZENO.OF SLOGS. ALLOWED (U.B.C.REQUIREMENT) OF LOT 65 x 100 I NOW ON LOT 0 YARDS APPROVED YARDS APPROVED USE OF Single Family Residence MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. Wl til attached garage (FROM C/L STREET) SETBACK LINE FROM A/` REAR YARD L+S. 75 FRONT J6 FT. : 1(�'I.�y & FT. CENTER OF STREET `t CJ SIDE YARD I LEFT 8 I RIGHT 7 R.SIDE yV Ft FT. DESCRIPTION OF WORK L.SIDE E iS Fr. FT. NEW ALTERATION ADDITION REAR p�, /,�FT. DISTANCE BET. BET.MAIN B REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.SLOGS. BUILDING - NO.OF 2 VAR.# DATE SIZE 2404 ROOMS 11 STORIES C.U.P.# A APPROVED shingles EXTERIOR WALL,° ROOF APPROV / 6 COVERING IDtnCC COVERING shakes BY DATE ��(�JI/ l? USE OF BUILDING AND WORK TO BE PERFORMED ril"'".-- pC 3'"/'p SQ.Fr. 4(ill (o P w N I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION OD (3 -31.) 0 BUILDING CONSTRUCTION. PERMIT FEE $ 74J SIGNATURE OF PERMITTEE CONSTRUCTION. 4-as— / M g O /I 175 : $ 3 , ` PLAN CHECK $ +r//AA / AUTHORIZED A )i3 a� 4 TOTAL FEE $ / V