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Home My WebLink About999 TRABUCO CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 999 TRABUCO CI Suite: Vicinity: ROOF Parcel Number: 42205216 Zoning: Applicanr. ANDY WITHAM Address: 17671 METZLER lN - , ,-i. - ' . . _ STE B2 " � � Phone: 714-969=6053 - " ,-- �,7' HUNTINGTON BEACH, CA Zip: 92647 ' i �\ / Owner. TERRIGNO, JASON AND SHELLY � � ' � '� ��.� � Address .�999 TRABUCO CIR ' - , - " , A\ : / � ` ,� . . � : � - Phone: 94&631 2470 � . � - , �� •� � � � � , � COSTAMESA,CA'. ' � - Zip: 92627-3917 � ,�� \�� , , � : . _ �=,. \ / / � �`�\.', \_ ,� � � , �' ` ` >i_, .'- � �i �',� ,� Contractor: �COASTAC:ROOFING CO SOUTH ; ' -�` � . ;� , �Address: 17677'METZLER LN ��, �:�\C,,.%! � �� ' �, . ��1. � ; STE 82� , � Phone: �714-969-6053 ` , �� . , �, � . , �>�.' , ��_ �.. - , HUNTINGTON BEACH, CA : `� � �,;�.� � �' ��' '�� - � Zip: � 92647" . License:"� 767366 � - � _ ` - � '„ ` . , � . � ;Arch� : . - ; i . ��. ... , Eng: , ' , . � ', � �, Address: ' � � � - � � Address:- '- � � ,�, ; � � - � -� ` . . . . . , . � `� � ` . . � Phone: � � - . - `\ , Phone: . � �• l. , , � . � , , . . ' _ :: � � .,.,_ ti . ,� i _ - � „ �� `� , � , � � Zip: : � , � ' , '6icense: t - �License: '. _ . � � � �� 1 � � ' � � , ,�. SCOPE OF.P_ERMIT.r <--:,_, ', � '' � � ' �, � ''. TEAR OFF EXISTING ROOF. INSTALL 7/16 O.S.B. AND 40 YEAR PRE$IDENTIAL!(COMPOSITION) ROOFING SYSTEME 2,000 S.F. INCLUDES �' ATTACHED GARAGE. � - - . ' . _ ' _ _ .... _ . .._ . _ . . , , � \. � _ -, � �, t � � , .. FEE SUMMARY '` ��,' � � � u �: Plan Check: , . $0.00 �---- �_ - _ � �- � : = Calc Valuation �,, ,� ' `�$s,�so.00� � � ` Permit:,; �$139.25 �� ClaimValuation "'��; , Ss`�so.00 , � SMIP-Res: � _' $0.68 ,�i , '`, � � `�$MIP Com: � $0.00 � _ %� � �� Other:� � �� $0.00 � � i ��` , � " � �: � Inspection: ,�$0.00 � � ,: �, - „ �, ' � V\ rx'� ti . � _ i�.:�� % � � Total: 5139.93 " � '% , � � � , `.> � ', , ,, �i;� � / � , � PLANNING& ZONING ; <� �'�� ' � ' . \ i SETBACKS � � � ,�� ' �' � `�A ' .. � ; � %� MAIN STRUCTURE' Fiont � 0- 0 .�, , Rear ' 0- 0� � Left 0- 0 - Righl �'�0- 0-' � ,�'/ ;-�- � ACCESSORY Front�_ 0-0 �� -- Rear 0-0 . Left, 0-0 �� Right'�� 0-�0�� i� P/ifii��NCi Exisfinq: � �0 � Required: 0 , � ' Proposed:, 0 �'�- �� Status: ISSUED Applied: 11/25/2002 Issued: 11/25/2002 _ ISSUED BY: ' � 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, 12-27-92) 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 tor �he work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapeetiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiiation of this permit. FOH INSPECTIONS CALL: (714) 7545626 ?446d8 (N00) WORKERS' COMPENSATION DECLARATION: � �� . � I hereby ettirm under penalry oi perjury one of tha tollowing tleclaretions: ❑ I heve end will maintain e certificete of cronsent to selbinsure for workers' compensatlon, as provitled for by saction 3700 of the Lebor Code, for the pertormance of Ihe wark 1or which thi5 permit is is5uetl. ��'1 have end will maintain workers' compensetion Insurance, as required by sectlon 3700 of the Lebor Code, for Ihe peAortnance ot Ihe work for which thls pertnit is issued. My workers' compensatlon Insuranca cerrier end policy number are: �j� �Camer � �£TQ-7"f� �Yli� Policy,tJu�".�— ( SCs��71 (7hfs�secNon need no� be completed if the pertn7t Is valued af aae hundred tlallars ($100) or less.) �T ❑ I certity that in the paAortnance e work for ly�h this pertnit is issued, I shall not employ any person in any manner so es to become subject to ihe workers' compensation 19ws oi Celifo tl agri f'(I sh uld become subject to Ihe workers' compensation provisions of Saction 3700 ot the Labor Cotle, I shall forthwith �com�ly with.these provisio . � it`cant Signature:+� TDate: l � � /Z �/0 Z WARNING FP.ILUPE TO SECU (E 5' CO PE ION COVERAGE IS UNIAWFUL rWD SHALL SUBIECT AN EM LOYER TO CRIMINAL ENALTI AND CIVIL FlNES UP TOIXJE HUNDRED THOUSANDDOLLARE(5100,000),IN DDITONTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDF9RINSECTION31060FTHELABOHCODE,IMEREST,ANDATTOPNEV'SFEES. LICENSED CON7RAC70RS DECIARATON: I hereby aHirm that I gm licensed under rovisions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business an mfe sions Cotle, end my license Is in full fOrcB antlL e� ��7 �rea �% A/% , CIa55 p . Conlr�Y�SiBnatura; - � �� .� . ��y ��1 A L _— f � GONSTRUCTION LENDING AGENCV: ❑ I hereby aMirm ihat there is a construction lending egency tor ihe peAormance of �he work for which this permit is issued. (Sec. 3097, Civil Code). Lendefs Neme: Lentler's AdOreu: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby attirm Ihat under penalry ot perjury Ihet I am EXEMPT FROM 7ME CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business antl Professions Cotle: Any ciry or cou�ry whlch requires a permil to consWct, eher, improve, demolish, or repair any siructure, prior to its issuance, also requires the aOPlicant tor such pertnit to file a signed stalerrient Ihat he or she Is IicenseC pu�suant to ihe provisions of the Contractors Licanse Lew (Chapter 9(commencing with Sectlon 7000) of Divislon 3 oi the Business entl Protasslons Code) or thet he or s�e is exempt therefrom and ihe besls tor the alleged exemption. Any violation of Section 7031.5 6y eny applicant for e permit subjects ihe apPlicent to a civil penalry of not more ihan five huntlred dollars (3500).): � � I, as owner of tne property, or my employees with wages as their sole compensation, WILL DO 7ME WORK, antl ihe structure is not intended or ottered for sale (Sec. 7044, Business and Professions Code: The Contrectors License Law tloes noi apply to an owner of property who builtls or improves thareon, antl who does such work himseli or herself or through his or her own employees, provitled that such improvements are not Intended or oHeretl for sale. If, however, the building or improvemant Is sold within one year of wmpletian, the owner-Duiltler will heve ihe burden of proving that he or she did not build or improve for purpose of sele.). � ❑ I, as owner oi the proparry, am E%CWSIVELV CONTRACTING WITM LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Professions Cotle: The contlectors License Lew tloes not apply to an owner of property who builds or impmves thereon, and who coniracis for such project wilh a contractor(s) license pursuan� to the Contractors License Laws.). ❑ I am exampt under sec. Signatore�. Business and Professions Code for Ihis reason: Owner ID veritied by driver's license. ❑ Ves ❑ No Dnvers License No. Vedfication of Ov+nership by (type oi dwument, i.e. - property tax bill or Deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATON: Date: Expires: ❑ I hereby certity Ihat no excavation five (5) or more feet in depih into which e person is requiretl to descend, will be mede in connection with work authorized by this permit, and that no building slrucWre, swRolding, falsework, or demolition or tlismantling thereof, will be more ihen ihirty-six (36) fea� high. (Chap. 32, Gry 2, Atl 2, Sec. 341, Ttle B, Celi�omia Atlminisirative Cotle). ❑ As owner-builder, I will not employ anyone to tlo work which would require e permit irom the Division ot Intlustdal Setery, es noted ebove, unless such person has a pertnit to do such work tmm the divisian. Signatura: Date: Division oi Indusirial 5afery Pertnif Numbar: CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I certity under penelty of perjury Ihat I have read this application antl state ihat tha information given is correct. I agree to comply with all state laws entl city ortlinances relating to building construction, end authonze representatives of the Ciry of Costa MeSa to entar upon the ebove-described propU�y tor inspection puryoses. I agree not lo occupy or allow occupancy of any building authonzed by this permit until final inspection. cooe r. insvecnodslve PdL 1[�864 1816 Fi:ed System Final Fire Prevention 1266 200 201 202 203 204 Pool Spe FinB� Final Re-Roof FlnaI�BIocWRe[aining Wall Final Fectory Fire Place Final Sign Final Demolition Z CODE1 INSPECTIONTYPE Qeg � 206 Final Mechanical 20B Final Plumbing 210 212 220 Final Electncal . Flnal Flre Preventlon Final Planning Approval 222 Final Si�e 250 Final Builtling/Occupancy cosGa mcsa CMF 0569-26 City of Costa Mesa Plani �epartment Post Office Box 7200 77 Fair Drive Costa Mesa, California 92626 (714) 556-5245 � Tract No. Lot _.. REQUESTFOR OCCUPANCY �s- 9 � (Single Family Residential or Condominium Units) � .. . ii/. ' . The developer of the above entitled tract desires to sell the above set forth �ot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. i. , The undersigned, by executing this agreement,'acknowledges that (he, she, they)�(w8s or were) lN-�-� advised'that this tract has i not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. i / .� �l BY��z � �j� �� l ��'�� Purchaser / B�I W � � /l�'^i '_ " /�� Dey2�oper and/or Authorize U�A/++ry�/ Y�� // Repreuntative � I/ , �� i' �- - 436.1.6 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALI FORNIA 92626 For Applicant [o Fill in Completely — Use Ink Only A BUILDING � .�I , _-5:��re��ij'y 4 � OWNER �f . f'1. Ure�ory ADDRESS3187 "G" Airway Ave. ��TY Costa Mesa. N�51-3850 CANSTRUC! N IENDER reat Western Sv�s & Loan BRANCH $484 Wilshire Blvd ADORESSBeV@Y�ly H1�.ZS� �i'a.• ARCHITEC �- TEL. OR ENGINE �ck Hes �er N 7 9— iTp��irc, r.�, ui`Ce�3 aooaess Nnt Rrh � Ca . CONTRACTOR J.H. Gregory Constructi ADDflESS 3187 "G" Airway Ave. c�T� Costa Mesa No�51-3840 � c No. 285-981 LICVNO.00Hl79 SIZE �COO $•q.Ft. (Aver�O�NLO S � OF LOT J USE OF EXISTING BLDG. Separa[e permits are required for elec[ric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PEPFORMED Famil,y Res. I hereby acknowledge thet I have read this epplication and state Shat the above information is corract an� agree to comply with all lews reeulatlnB builtling consttucNon, antl I shall not employ any pe�son In violation of the workman's compensatton laws of Me State of California. 1 hereby certify ihet I am properly Ilcensetl as a contractor under the Stete ot Callfornia Business and Profe j ns Cotle, Division 3, Chapter 9,'and thei such licen�9'� ara in yl� force and etfect, or I am exempS.tiaqi the provision�of the tyte of Californla Business and ProfPdsions �ode. Divisior✓3. CM6 ef 9. Permittee P:� 1 un /� �/ .JM1�i_.�-��f:IIe,�I,J�'j ,r)�.jit ':i::t7�11.i14� APPLICATION FOR STRUCTURAL PERMIT RECEIVEDBV OATEFiECEIVED nnrcissucr XX VALUE usE Sin�le Fam Res $ FIRE ZONE TVPE V GR( APPROVED BV DATE �— NO.OF USE OF NEW ,f�' /� PLANS BUILDING RDS APPROVED VAFDS API AIN BUILDING ACCESSORV DISTANCE BET. BEf. MAIN & MAIN BLDGS. ACCESS, BLDGS. " CURP.#YTJ�IO�I1� APPROVED1I�I /� n m i : SQ. FT. — . ft • a THE AMOUNTSHOWN UNDER VAIUATION IS FOF m THE PURPOSE OF E5TABLISHING A PERMIT FEE ONLY: � VALUATION PERMIT FEE $ / `� n m PLAN CHECK $ "'� "� 0 $ �J 1 70�. �� TAX $ ,� UY TOTALPAID $- �