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Home My WebLink About338 WALNUT ST - Building PermitsCA AVV�icant to fill in all spaces eacept tnose within heavy bortler lines antl sign a11 appropriate aeclarations. CITY OF,COSTA ME NSTRUCTION PERMIT PERM N TRACT NO. LOT NO. UNIT NO. Project Address L 'Applicant's Maili .�qddress �- Owner's Name � � �£ Phon � Address Arch/Eng. � License No. Address I, q / Contractor's Nam �i I S_ 1 CVIn Phone/ ' Address (ma I'nnl �S3J �.l • l��ll�C�L/L� � L City LicensP No ✓ LICENSED CONTRACTOR DECLARATION I hereby affirm Mat I am litensetl untler provisions of Cna�te� 9(commencing with section ]000) ot Division 3 of the Business antl Protessions Cotle, ana my license is in full fo e etiect. LicenseClas �—� �{ce $� No��7�� Dafe ��Z�' cionar ra A /(.,�y11�� WORKERS'COMPENSATION DECLARATION ' �9reby affirm that I have a certificate of con5ent to self-insure or a certificate Workers' Compensation Insurance, or a cer tietl Copy thereof (Section ,.a00; Lab. C.) (�p�/'/� /��v / Policy No. �`1 i1 Y✓ Company �' �� Certifietl copy is hereoy fumishea. . Da�eertiJje z Qpy js (i�etl �'AP01 can'tY Buiyqipry Diyi�si�.^/,�`N�� 4 G .YX /� rS / Y EXEMPTIONFROM WORKERS'COMPENSATION DECLARATION (Thisse<tion neetl not be completetl i� the permit is for one huntlretl ($300) or Iess). 1 cer[ify that in the performance o( the work (or which this p¢rm�t is issuetl, 1 shall not employ any person in any manner so as to become sublect lo the workere' Comoensation Laws of California. Date Siqnature NOTICE: If, atter making Ihis tleclaration, you shoultl become subject to the Warkers' Gompensalion provizions of the Labo� Cotle, you must torthwith compry with such provisions o� this permit snall be Geeme� revoketl. CONSTRUCTION LENDING AGENCV � 1 herety aftirm Ihat Ihere is a conztru[tion lentling a9ency for the pEr(ormance of the work for which this permit i5 issuetl (Section 3097yCiv. C,) Lentler's Name Lentler's Atltlress OWNER BUILOER �ECLARATION I hereby affirm that I am exempt from the ConVa�tor's License Law for the followin9 reason (Section ]03L5 Business and Professional Cotle: Any ciry or munty which requires a Oe�mit to wnstruct, alter, improve, Gemolish o� repair any it�uctu�e, p�io� to it5 issuance. alw reqWres the applicant for such permi[ to file a signetl statement that he/sbe is IicenSed pursuant to tM1e provisions of the Contractor's License l.aw (Chapter 9(commencing with Section 7000) of '�vision 3 of the Business and Professions Cotle) o� that he/she is exempt :�ef�om antl the basis tor the allegetl exemption. Any violation ot Section 131.5 by any applicant for a permit subjects the applicaM to a civil penalty ot not more [han tive hund�etl tlollars ($500). ❑ I, as owner of the property or my employees with wage5 as their Sole compensation, will tlo the work, antl the structure is not intentletl or otferetl for sale (Section �044, Business and Professional Cotle: The Contractor's License Law tloes not appty to an owner oi a property who builds or improves thereon, and who tloes such wo�k himself/herself or through his or her own employees, provitlea that such improvements are not intentletl o� offeretl for sale. If, however, lhe builtling or improvemen[ is soltl within one year ol com- oletion, the owner will have the burtlen of proving he/she did not build or im- p�ove for [he purpose ot sale). ❑ 1, as owner of tne property, am exclusively contracting with licensetl con- tractors to constru<t the project (Section 7044, Business and Professions Cotle: The Contractor's License Law tloes not apply to an owner o( property who builtls or improves thereon, antl who mntracts tor such projects with a con- tractor(sl license pursuant to the Contractor's License Law). I am aware that prooi o( thei� Worker's Compensation insurance shoultl be provitletl to me. ❑ I am exempt untler Section B. & P. C. for this reason Date I hereby certify that iniormation �s correct antl state laws relatin 52pIdt1VC5 Of [I115 C11 inzpettion pur s Signature ._ �� Drivers' License or SS IF 0865-46,rev.10/84 owner M1ave reatl this application antl agree to comply with all [ity a o builtling con5truction, and ht to epter upon the above-mer � n n _ Ihe above �3 `7gb TVPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p # DESCRIPTION OF WORK/USE OF eLDG. S Main Building: E TVPE OF PERMIT GRADIrvG FOurvDATION STRUCTURAL T Front ❑ TENANT ❑ ELECTRIGAL ❑ PLUMBING ❑ MECHANICAL B Reaf ❑ OTHER %� C Right PROJECT-DESCRIPTION SQ.FT. OCCUPANCY K CONSTRUCTIONTYPE VALUATION$ g Left ZONE GPApINGCV.YDS. ACRES Ping.R¢f,# Remarks: Planning Notes: Bar Sink Backflow Preventer Backflow Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks ' Gas Service Outlets <itchen Sink Lavatories �—Trap Roof Drains Reinspection Fee $15 Duct- UnderGround Duct - Structural Duct - Ventilating ExhaustSystem ❑ MWtiple Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0.100,000 BTU �100,000 fieinspection Fee I S75 White - Buiitling; Canary - Appli<anh Pink - Accounting; Goltlenrotl - Assesso� PLUMBING SIIOW2(5 Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa . Urinal Water Closet Water Heater Water Service Auro-Wash Issue Fee Hoodor Typel ❑ Canopy Type I I ❑ Refrigeration Sys[em ❑0-100,0008TU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fae FEES Zone ' Accessory Building: Z O N I ' N G R Parkin9 Req./Provided E Q M T S ELECTRICAL Automatic Washer Transformer ❑ 75-50 KW ' Construction Pole Suh. �. 50 + K W Cooking Unit � D ishwasher Dryers �Gas ❑Electric . Fan F.A.U. Fixtures Device Boxes Outiets Switches Garbage Disposal Generator DO-5 KW �5-75 KW Meter LJup to 100 amps Me[er ❑over100amps Sub Panel Momrs DO-1 HP � 1%- 8 Inc.Solar �9-15 HP �16-15+ Microwave Pole Light Range Sign ' Standing Sections Trash Compactor $ 3 I — —L Reinspection Fee $15 Issue Fee FEES �DEVELOPMENT SERVICES NEQUIREMENTS: Zaning Approved 8y Building Approved By Application Issued By � � $ 3 FEES $ 3 SUMMARV OF FEES , BUILDING PERMIT S SMIP $ . PLAN CHECK $ �`T PERMIT - PWMBING $ OO ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL - � GRADING $ PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ „5'vv .- PLAN CHECK 25Yo $ CONSTRUCTION AND�PLANNING POOL & SPA APPROVALS Permit# Date Inspecior AppROVALS Permit# ' - Date Inspector 1. Temporary Electrical;Service or Pole 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. �y 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms �;� � 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ., � 5. S[eel Reinforcement 56. Rough Plumbing & PressGre Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrsrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd_, Test 9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap `f� Undrgrnd. 10. Structural Floor System' 61. APPROVAL TO DECK Jj' 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ' 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final . 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING � 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINA� 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# - 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Ory Chemical ' 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL � 30. Drywall Nailing HEALTH DEPT. REQUIREMENT ' 31. Plaster Brown Coat . 79. FINAL INSPECTION ,- 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED �� 33. FinalElectric Notes:L�G $d' Le.freaQo. G•�•d 34. Final Heating & Air Conditioning � _ � ��' 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final faaory Fireplace 38. Final Plumbing B:�T�� `G�� ' 39. Water Service-Final - � � � . �� 40. Gas Service-Final 41. Solar pomestic-Final � 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System � 45. Sound Attenuation � 46. Handicap Regulations - 47. FINALSTRUCTURE & BUILDING ' . 48. Special Requirements Completed ' 49. Electric Release to Edison � � 50. Gas Release to Southem California Gas Co 51. CERTIFICATE OF OCCUPANCY _ . ' No. Date • � �. - - � . � . . - _; aC�� p fs9 o �, J't�9�o �,, (714)754-5273 • Fax(714)754-4856 . CITY OF COSTA MESA __ BUILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT ,lob nddress: 338 WALNUT ST Suite: Vicinity: Parcel Nunmber: 42629310 npp�icant: BRANDOW,PETER Address: 20301 S.W. BIRCH ST �qE7 owner: PIPER, ERIC C Address PIPER, RIKA P COSTA MESA,CA 338 WALNUT ST Contractor: Address: Arch / Eng : Address: Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total BUILDING PERMIT Zoning: Phone: 949-261-6066 Zip: 92660 Phone: Zip: 92627 Phone: Zip: , License: � . / PER IT UMBER V 698-02002 77 FAIR DRIVE, COSTA MESA, CA 92626 Phone: Zip: License: SCOPE OF PERMIT legalize 14.5 lF, 6' HIGH BLOCK WALL ON THE RIGHT SIDE OF AN EXISTING SFD. $13.65 $21.D0 $0.50 $0.00 $21.00 $0.00 $56.15 SETBACKS MAIN STRUCTURE Fronl 0- 0 ACCESSORY Front 14- 0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 PtoDosed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0-0 Status: ISSUED Applied: 11/03/1998 Issued: 11/03/1998 $300.00 so.00 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a period of 1 BO days. • . INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requiretl inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. IFOR INSPECTIONS CALL: (714) 7545626 N�ORKERS' COMPENSATION DECLARATION: f hor9Dy aHirm untler penalty of pery"ury one o1 tne /ollowing tlecfarations: ❑ I heve antl wlll melNain a certlficate ot consent to salf-Insure tor workers' compensatian, es provided tor Uy sectian 3700 ot the Lebor Code, for the pertortnence of Ihe work tor whiCh lhis pertnii i5 i55ued. ❑ I �ave end will maimein workers' compensation insurence, as required by seclion 3700 ol Ihe Labor Cotle, tor the peAortnanca of ihe woAc for which this permit is iuuetl. My workers' compensatian Insurence cartier end policy number ere: Camer: Policy Number: (Ihls secfion need not be canpleletl il the permit is valued et one hundied dollaro ($100) ar less.) ❑ I certity thet In the peAortnence of the work for which this pertnit is issuad, I shall not employ eny person in any manner so as to become sub�ect to the workers' compensation laws ol Celifornie, end egree t�et if I should become subject ro the workers' compensetion provisions of Section 3700 ot the Lebor Code, I shell forthwith comply with ihesB provisions. Applicant Signature: Date: WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVEMGE IS UNIAWFUL AND SMALL SUflIECT AN EM%.OVER TO CRIMINAL PENALTIES qND GVIL FlNE$ UP TO ONE HUNDRED iH04SAND DOLLAHE ($100,000�, IN P�DITION TO THE COST OF WMPENSAiION, OAMAGES AS GROVIDED F-0R IN SECTION 3]OS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. UCENSED CONTRAC70RS DECLARATION: I hareby eHirtn thet Yam licensed under pmvisions of Chapter 9(commencing with Sectlon 7000) ot Division 3 ot the Business entl Professions Code, end my license is in full torce and aNect Lic, M Class # COMractors Signeture: Date: CONSTRUC710N LENDING AGENCV: ❑ I hereby aNirm that there is a construction lentling agency for Ihe peAortnance of the work br which Ihis Oermit is issuetl. (Sec. 3097, Civil Gotle). Lenders Name: Lender's Address: Signg�ure: Date: OWNER•BUILDER DECLARA710NS: I hereby eHirm that untler penelty oi perjury Ihet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Buslneu entl Pratessions CodB: Any ciry or counry which raquires e permit to consiruct, elter, improve, tlemolish, or repair eny sirucWre, pnor to its issuance, also requires the applicent tor such parmit to fil� a signad statement Ihet ha or she is Ilcensed pursuam to the provislons ol the Contractors License Lew (Chepter 9(commencing with Settlon 7000) of Division 3 of IAe Business and Professions Code) or that he or she is exempt ihareirom and the basis lor the alleged exemption. Any violation of Section 7031.5 by any epplicant tor a pertnit subj@c�s Ihe epplicant to e ciwl penelry ot not more Ihan five huntlretl tlollars ($500).): ❑ I, es owner ol the properry, or my employees with wages as their sole compensatlon, WILL DO TME WORK, end Ihe siructure is not intended or oflered for sele (Sec. 7044, Business end Professions Code: The Contraclors License Lew does no� epply to an owner ot property who Duiltls or improves thereon, entl who does such work himself or heryeli or through his or her own employees, provided thai such improvements are not Intended or ottered for sale. It, however, Ihe building or improvement Is sold wilhin one year ol completion, the owner-builder wlll have t�e burden ot proving that he w she d!tl not bulltl or improve tw purpose of sale.). ❑ I, as owner oi the properry, em EXCWSIVELV CONTR4C71NG WITN LICENSED CONTRACTORS b wnstruct �he project (Sec. 7044, Business and Professions Code: The conirecmrs License Lew tloes not appy to en owner of property who builds or improves thereon, and who contracis for such project with e contractor(s) license pursuant to the Contrectors License Lews.). ❑ 1 am exempt under sec. Business and Pmfessions Code tor �his reason: Signature: Date: Owner ID veritied by tlnver's license. ❑ Yes ❑ No Driver's License No. Expires: Veniication at Ownarship by (rypa ot document, i.e. - properry taz bill or deetl): DIYISION OF INDUSTRlAL SAFE7Y PERMR CER7IFICATION: ❑ I here�y certify that no e:cavetion tive (5) or more feet in Gepth into w�lch e person is requireC to tlescend, will be made in cronnection with work euthorizetl by this permit, end ihat no building atructure, scaffoltling, falsework, or demalition or dismantling Ihereot, will be more then thirty-six (36) faet high (Chep. 32, Grp 2, Art 2, Sec. 341, Title B, Califamle ACminlstreMe Code). ❑ As owner6uildar, I will not employ enyone to tlo work which would require a pertnit Irom ihe Division of Industrial Satery, as noted above, unless sUch person has a permil lo do such work Irom (he division. Signature: Date: Divigion ol Indusinal Safary Permit Number: CEpi1FlCATE OF COMPLIANCE AND AUTHORVJ1710N OP EN7RV: I certity under penalty ot parjury tha� I heve reed Ihis application antl state thet the Infortnetion given is wrrect I egree to compl with all stele laws end ci�y ordinances relating to building cons�ruction, and auihorize representatives of Ihe Ciry ot Coste Mese to enter upon the ebove-described prope for inspection purposas. I agree not to occupy or allow occupency of any building authorized by this permit until tinal inspection. re Ot Legel Owner(s) ^�\ •^^ Date �% n�W y/ L r Authorized Appliwnt Date GGQEi, INSPELTIONTYPE 1616 Fixed SyStem Finel Fire Prevention 7266 200 2�, 202 203 Pool Spa Final Finel Re-Roof Final Block/Retaining Wall Finel Factory Fire Plece Final Sign 204 Final Demolition [an5dfi �II I�� 11� � LOOE� qSVECTIONTYPE 206 Final Mechanical 20B Final Plumbing 270 FlnalElectdwl 212 Final Fira Preventlon 220 Finel Plenning Approval 222 Flnal Site 250 Final Builtling/Occupancy QAiE It�lLS , •TH155K£!Q-IISFORINFORMATIONALPURP056 ONLY. APPllGNT 15 RFSPpNS1ELE FOR PROVIDING AN pCNRATE REPRESFNTp770N OF TF�t PROPERTY IN CASE THE S7-IAPE AND SIZE DO NOT OORRF�OND N7IH 7}� 1NFORMA770N PROVIDID ON 7HI5 SF�.+Ef. � I��Zi�o� 0 c�Tr oF cds� ru�sal l' - PLANNING DIV. (�� SUBJ�70 BLDG. DEP.T. REC�. 8�'�DATE Im °J`�� _ DITI BE i �� 1 i � I� , � _ � < � a . � �g ' � RE9DEMCf RE90EMCC � � � �'•. I 0 � •...._.._. � �_ • SOLID WAL15/FQJ�S B£f WEIN 2'fi' h 6' IN}ff]GHf SHALL BE SEIEAIX AT IFASC 30' FROM FRONf PROPFR7Y LWE • 9D[ID WA115(FFNffS S1iALL NOT ID(� 2' 6• IN iIDC}ff WfIi�I ld OF 7HE FROM PROPERIY 1INE �JO'f CURB la1E). • VFRQ�Y DSfAN� FROM CVRB TO PROPERN f1P]E AND SHOW ON PL►N. VFRh7G1ION FROId THE Q1Y5 IIJCQJFBtlNG DIVS[ON 6 REQUIRED. Gil (/14) 7S45311 POR INPDRMATION. �. n.' -�� ,.. P A��G INS �.,; �� (;�i,�:..; ,. pr'or t elea of u�� ie certific� ofi ccc�r;�cy R �� }v,��% ' .i" � � . .� ( RC90fl�Q J RE9DENCE I ILj 1:;:: i f C'r u�1,T i1MESl 33�� A F R V E D - - �,�.�,�.�...-�— - - and Sefety, CMy of Coste Masa. �`NQT ��d�o or to he an ePP val ThaetemP'�9 e ui a uf ihe violallon ot any provis ans ot any City oi Cosia esa rdinance anNo� 51ate w. _ �f�/a,,(,Vl,(,(�-,e,e��initshal�exp�ebytimytalianan�L�erc,menul+ar.dla9�avsnt'�s ulu�c.. — �;;�, - .. -,,, .. - - BLOCK WALL LAYOUT FOR BUILDING PERMIT PLANNING DIVISION R Cemenl Copirg Optional -� Channe{Bbck With 1�318� Horizontal Top ol all Fences For Fences 5' or Lefs Vert. Bari 3!B" ¢ ac 4' -0" �.C. For Fencas Higher Than 5' Ven. Ban 3!B"m at 32" O.C. — Fill Cells Solid With Grout W here Steel Occun Reminrcinq Sleel $INII Conform to SeaA�15�39 A.S. T.M. All Steel to be Lappad ZA" or to Code TYPICAL 6`° �ONCRE�� BLOC� FENCE a �; LL �- u Y W a = e > i e i � W O NATURAlGHAOE .�.� L =� � �,�n,. C'<.� � .`„" � O _ TW07/8"dBARS - e� CONi1NUOV5 TOP 6 BOTTOM � � �y �DTH y SEE CM1 HOQ�iSTEEI MUST BE TIED IN � BELOW VLACE AT 71ME OF TRENCN INSVECTION. p WIOTH . . . . . THICKNESS DEPiH OF EARTHTOOTH SPACING OF EARTHTOOTH 14" I 0'� 2 4" i2' FOOTING REQUIREMENTS CHART 14" . 10" 20' 14' BUILDING DIVISION 12` 9" Ifi' 16' GENERAL-- NOTES MORTAH: png purf Plasfic Camenf, and 7Aret Poris Sond GROUT; One Porl Cemenf TMee an0 One Half Pa�ts �and COPING: One Part Cemenl, Three Ports Sand C�vCRETE: Weu M7aed C2-V2:3-i/2 Moa of 7-1/2 Golicns ot Waler Per Sack of Cemenl GHOUT MAY BE VOUflEO FPOM THE TOY Of iHE FENCE IN CELlS WNEHE STEEL OCCURS. CG LLS AND AREAS OF MORIZONTAL PE�N FOHCEMENT SHALL BE CLEAR. CLEAN 6 FHEE OG ALL h10RTAR DEBNIS, ETC. 11 (.�V' [ARTNTCOTH V` -iHE NEiG7M Of FENCE �IOW BOTTOM,OF f�OGTiNG SCALE: I/2��= I' e" 12" 16� . R �►� - . - QN (n � O Q '" � N � (O Q ii •- cv QN «N� .Q 3a �vic� oc�QrL �py.�. c� Q� �m m � mQ y�m � °� c cn a � �03 a� M z W � a 3y�- ��g �e\ 01 � ��ei � �� 01 tha � . : ,,. �. e�,vw a�.�i. us � w��dvw �uvwa w v1M Lw PPn� Ro � w+p � , ��,�ure� �r� L 2't'6G.� �oOl� �ur�„� a,(lce�l5 . ��-� G�. � : , . :. . , . _ . . .. . ��,� / � . . �OJ �!�`f� • DETAIL�'��de`(a,Yd �o�e.�'}��/�/�,I� �� 3� lxia�h uf S�. C��. M�a,� �ti�z� PETER D. BRAN�OW, AIA, ASLA & ASSOCIATES Landscape Architects 20301 S.W. Birch St., Ste. 102 Newport Beach, CA 92660 ��I�JE�T TU INSPECTORS' ' ��s'��,51 AI�D ApgROVAL :►�� SiTE t 'tL 5� MFs4 o �> J�� (714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA BU/LDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT Jobnddress: 338 WALNUTST Suite: Vicinity: Parcel Nunmber: 42629310 App�icant CROWLEY, KEVIN Address: 1016 E 1 ST ST SANTAANA Owner: PIPER, ERIC C Address PIPER, RIKA P COSTA MESA,CA 338 WALNUT ST Contrector: GREATER PACIFIC ROOFING Address: 01016 E. FIRST ST Arch / Eng : Address: Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total SANTA ANA CA Zoning: Phone: 714/836•1966 Zip: 92701 Phone: Zip: 92627 Phone: 714/836-1966 Zip: 92701 License: 621368 r _ . �C�� PERM�T NUMBER 898-01970 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 10/30/1998 Issued: 10/30/1998 Phone: Zip: License: SCOPE OF PERMIT . TEAR-OFF 2-HOT ROOFS AND RE-ROOF W/25-YR CLASS A COMP SHINGLE O/ 2-LAYERS OF ASTM 15LB FELT. $0.00 $74.75 $0.50 $0.00 $0.00 $0.00 $75.25 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING existinq o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING lefl 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0-0 $z,aoo.00 sz,aoo.00 EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 780 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapectlona end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 1\ � WORKERS' COMPENSATION DECLARATION: I herpby attirtn under penally of perjury one oi the tollowing declarations: ❑ I �ave end will melnleln e certllicete of consent to setl-Insure for workere' compensation, as proviCetl tor by section 3700 of the lebor Code, br the peAortnance of ihe work for whlc� this partnit is issueC. � I have entl will maintain workers' compensa�ion insurance, as requiretl by section 3700 ot the Lehor Code, for the pertortnance oi ihe work tor which this permit is Issued. My workers' compensetlon Insurance certler enL policy number ere: Cartiec cCTATP. /�(i. 1/7 Policy Number. eiAti —`1� (Thls section need na( be comp/efetl il the permif is valued at one hundred dollars ($ f00) or less.) ❑ I certily that in ihe peAorm e ot the work lor which this Dermi� is issuetl, I shell noi employ eny person in any manner so es to become subject to tha workers' wmpensation laws of Ce' mla, tl egree Ihet it I should become subject to ihe workers' compensation provisions of Section 3700 of ihe Lebor Cotle, I shall tonhwith comply with t�ese prov ons. / Appliwnt Signeture: Date: _ io /CSD /g�' WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION ER4GE IS UNLAWFUL ANO SHALL SUBJECT AN EMPLOVER TO CRIMIN PENALTI 5 ANO qVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE (E100,000). IN ADDITION TO TME COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3'lO60F THE LABOR CODE, IPREREST, M1D ATTORNEV'S FEES. LIC�NSED CONTRAC70P3 DECLARATION: I heraby affirm t�et I am Ilcensatl under provlslons of Chepter g(commencing with Sectlon 7000) of Olvlslon 3 of the Busineu and Professions Co�e, and my Ilcense is in full toma antl eNect Lia u %L/�Y6�i _ Class % ��C;g Contractors Signeture: Data: CONSTRUC710N LENDING AGENCV: ❑ I hereby affirm that there is a wnstruction lending aganry for the perfortnance ol the work for which this Oermil is issuad. (Sec. 3097, Civil Cotle). Lendefs Neme: _ . . _ .__ Lenders Adtlress: _- _ Signature: _ OWNER-BUILDEp DECLARA710NS: Date: I hereby aHirtn Ihat under penalry of perjury that I am E%EMPT FROM 7HE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7037.5, 8usiness anA Professions Gode: Any ciry o� counry which �equ'ires a peimit to construct, elter, improve, demUlsh, or repalr any structure, pnor to its issuance, also requires the applicant for such percnit to filq e signatl stetement t�et he or she Is Iicensed pursuam to Ihe provisions of the Contractors License Lew (Chepter 9(commencing with Section 7000) of Division 3 at the Business and Professions Code) or that he or she is exempt Ihereirom and the basis tor the alleged exemption. Any violation ot Section 7031.5 by eny applicant for e pertnit subjgcis the applicant to a civ�l penelty of not more than five hUntlretl dollars ($500).): ❑ I, as owner Of Ihe property, or my employees wlih wages as ihelr sole compensatlon, WILL DO TIiE WORK, antl the stmcWre is not intentletl or oNered for sale (Sec. 704d, Business end Professions Code: The Contrectors LJcense Lew does not apply ta an owner of propany who builds or improves thereon, end who does such wark himself or herself or through Ms or her own employees, provided ihet such Improvemenis ere not imanded or ofleretl for sale. If, however, the huilding or Improvemenl Is sola within one year of completlon, the owner-builder wlll have the burtlen of proving thet he or she ditl nm Duild or Improve for puryose of sale.). ❑ I, as owner of Ihe property, em EXCWSIVELY CONTRACTiNG WITH LICENSED CONTRAC70RS to construct the pmject (Sac. 7044, Business and Professlons Cotle: The contrectors License Lew does not apply to en owner of property who bullds or improves thereon, end who con(racts for such project wlth e contrector(s) license pursueM ro the Conirectors License Lews.). ❑ I am exempt under sec. 8usineu antl Professtons Code for Ihis reason: SignaNre: Date: avner ID verified by driver's license. ❑ Ves ❑ No Driver's License No. Eapires: Veritication of Ownarship by (rype ot daument, i.e. - properry tex bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON: ❑ I hereby certHy that no e:cavetlan ilve (5) or more feat in depth into which a person is requiretl to descend, wlll be metle in connection with work aut�orizetl by Ihis pertnit, end thet no building structure, acalloltling, lelsework, or tlemolition or tlismantling Ihereot, will be more Ihen thirty-six (36) feel high. (Chep. 32, Grp 2, Art 2, Sec. 341, Ttle B, Celifamle Administrelive Cotle). ❑ As owner-builder, 1 wlll not employ enyone to tlo work which woultl require a permit from the Divlslon of Intlustrial Satery, as notetl above, unlass�such person hes e pertnit to do such work from the division. Signature: Date: Division of Indusirial Safery Permit Number: CEqTIFlCATE OF COMPLIANCE AND AURfOROJ1TON OF EMAY: I ceqity untler penelry o� perjury tbet I have reetl this appGcation and state that t�e informetion given is correcL I aqree to comply with all slate lews and ciry ordinences retating to builtling consWction, end euthorize representatives of the Ciry ot Costa Mesa to enter upon Ihe above-descnbed property for inspectlon purposes. I egree not to occupy or allow occupancy of any bulltling authonzetl by this pertnit until tinal inspection. fOUF � INSiECTIONTYVE 1616 Fixed System Finel Fire Pravention 1266 Pool Spa Final 200 201 202 203 204 Final Re-Roof Final BIOCWRetaining Well Final Faaory Fire Plece Final Sign Final Demolition GA7E ItRIDE65 i/� /ijD��1(l�. Date CO�E I INSpEC110N TYPE 206 Finel Mechanical 208 Finel Plumbing 210 Flnel ElectAcel 272 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Bullding/Occupancy ��