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Home My WebLink About582 WENDY LN - Building Permits(714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 582 WENDY LN Suite No Vicinity: Parcel Nunmber: 42214313 Applicant NOCK, TIM Address: 11612 KNOTT ST GARDEN GROVE, CA Owner: PRESTON, MICHAEL T Address 582 WENDY �N COSTA MESA, CA Contractor. NOCK PLUMBING Address: 11612 KNOTT ST Arch / Eng : Address: ISSUE FEE BackFlow irrigation BackFlow Preventer BathWb Clarifer System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve GARDEN GROVE, CA WATER HEATER CHANGE OUT. AMT 523.50 $0.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 PLUMBING PERMIT Phone: (714)895-1246 Zip: 92841 Phone: 949-646-1742 Zip: 92627 Phone: (714)895-1246 Zip: 92841 License: 707775 Phone: Zip: License: SCOPE OF PERMIT FEESUMMARY QTY AMT Laundry Tub / Washer $0.00 0 Landscape Irrigation $0.00 0 P-Trap $0.00 0 Pressure Regulator $0.00 0 Process Piping (per 10 ft) $0.00 0 Receptors $D.00 0 Septic Tank 30.00 0 Sewer Cap (or Demo y0.00 0 Sewer Connect $0.00 0 Sewer Private Line $0.00 0 Shower $0.00 0 Sink, bar $0.00 0 Sink, commercial $0.00 0 Sink, Floor $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Status: ISSUED Applied: 02/27/2003 �ssued: 02/28/2003 ISSUED BY: �, • � � �,►i �' SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkOow(1-0) Vacuum Brkr BkFlow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service AMT $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 50.00 $0.00 $12.30 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a pe�iod 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 Inapeetions and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration oi this permit. FOR INSPECTIONS CALL: (714) 7545626 zan&se(6ro0) WORKERS' COMPENSATON DECLARATION: ' I hereby ettirm under penalry oi perjury one of tha following tlecleretlons: , . ❑ I have and will maintein e certiticete of consent to self-InSure fOr worker5' compensetlon, e5 proNded for by seclion 3700 0� �ha Labor Code, tor lhe pertortnance of �he work far which this parmit is issued. � I have end will maintaln workors' compensation insurance, es required by sectlon 3700 of �he Lebor Cotle, tor tha perfortnance of ihe work for which this pertnit is issued. My workers' compensatlon Insurance carner an`tl(�o�lic�y_ numDer ere: �C /OO�I/ �! �✓v Carner. �� SV ✓ L^.6 i� � /WC..w �J��.!' Policy Number. (This section need nat be comp/et il the permit Is veluetl et one hundred dollers ($100J or less.) ❑ I certity that in the pertormance ol the work f hich Ihis pertnit is issue4 I s�all not employ any person in eny manner so as to become subject ro t�e workers' compensetian lews of Cellf nla, entl agree t It I should become sub�ect to Ihe workers' compensation provisions ot S ction 3700 0� �he Labor Cotle, I shall forthwiN comply with these provi 'o . � � _ p�� Applicant Signature: Date: �� WARNING: FAIWRE TO SECURE O ' COMPENSAii COVEMGE IS UMAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CML FlNES UP TOIXJE HUNDPED T/iW$FNDOOLLARE(5100,ODO�.IN RIONTOTMECOSTOFCOMPENSATIqJ,DMMGESASPROVIOEDWRINSECTION3]OBOFTHEUBORCODE,INTEHEST,ANOATiORNEVSFEES. LICENSED CON7RAC70RS DECLARATION: I hereby aHirm that I am licensatl under rovisions o Chapter 9(commencing with Sectlon 7000) af Dlvision 3 of Ihe Busingss3nc�.Professions Code, and my license is in full force ena eHect. Lic. H Class a�% J�U Contrectors Signature: Date: 7.�� '1 �_ CONSTRUCTON LENDING AG CV: ❑ I hereby eHirtn that �here is e construction lending egency lor Ihe peAortnance ot the work tor which Ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lentler's Atldress: Signawre: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm that untler penelry of perjury Ihei l em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requires a permit to construct, elter, improve, demolish, or reDelr eny siructure, pnor to Its issuance, elso requires t�e applicant for such permit to tile e signed statement that he or she is licensed pursuent to ihe proNsions oi the Contrectors Llcense Law (Chapier 9(commendng wilh Section 7000) ot Division 3 ot Ihe Business end Professions Coda) or ihat he or she is exempt therelrom entl the 6asis for the elleged eaemption. Any vialallon oi Section 7031.5 by any appliwnt tor a pertnit sublecls the applicant ro a civil penalry ol not more than tive hundred dollers (5500).): ❑ I, as owner oi the property, or my employees wl�h wages es thelr sole compensatlon, WILL DO THE WORK, and Iha structure is not intended or oXered for sale (Sec. 7044, Business and Professions Coae: The Contractors License Lew does not apply to en owner ot Oroperry who builtls or improves thereon, antl who tloes such work himself or hersetl or Ihrough hi5 or her own employees, provided ihat such improvements era not intended or oHered for sele. If, hawever, the huilding or improvement is soltl within one year ol completion, the owner-builder will have the 6urtlen of proving Ihat he or she tlitl not �uiltl or improve for purpose of sele.). ' ❑ I, as owner of the properry, em EXCLUSIVELV CON7RACTING WI7H LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to en owner of propeny who builds or Impmves thereon, end who comrects for such prqect with e contractor(s) license pursuant to the Contractors License Lews.). ❑ I am exempt under sec. Busineu end Professions Code for this reason: Signatura: Dete: Owner ID venfietl by drivafs license. ❑ Yes ❑ No Dnver's License No. VenFicetian of Ownership by (rype ot document, i.e. - property �ax 6i11 or deed): Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N: ❑ I hereby certify Ihat no excavatlon flve (5) or more taet In tlepih into which e person is reqWretl to descend, wlll be made In connection with work authorized by this permit, and tha� no building slmdure, scaHolding, talsework, or demolltion or tlismantling �hereof, will be more than thiny-six (36) feet high. (Ghep. 32, Grp 2, Art 2, Sec. 341, Title B, California Adminlstrative Code). , ❑ As owner-builder, I will not employ enyane to do work which would require e permit Iwm Ihe Division of Indusirial Salety, es noted above, unless such parson has e permit to tlo such work Irom the tlivision. SigneWre: Date: Division oi Industrial Safety Permit Numher: CER7IFlCATE OF COMPLIANCE AND AUTHORIZA710N OF Y: I cenify under penelry of perjury that I have read this epplication and state Ihat the intortnation 9iven is correc�. I agree to comply with ell siate laws and city ordina es rel �ing to building consWc�ion, and euthonze representetives ol the Ciry of Costa Mesa to enter upon the above-described properry for inspection purpop'�s. I agree n to py or allow occupency ol eny builtling authorized by this permi� until final inspection. CppE �. INSPECTIONTYPE I / QAff. UiI�4S I� 1616 Fi:etl System Final Firewrevention 1266 200 201 202 203 Pool Spa Final Final Re-Roof Final Block/Retaining Wall Final Factory Fire Place Finel Sign 204 Final Demolition � � ��are � Date COUE I INSPECTION TYPE 206 Final Mechanical 208 Finel Plumbing 210 Finel Electncal 212 Final Fire Prevention 220 �Final Planning Approval 222 Final Site 250 Final Building/Occupency Q.�jF INfiTIALS � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 5H2 WENDYLN Suite: Vicinity: ROOF Parcel Number: 42214313 Applicant: CHERIE HAYES Atltlress: 811 E. LINCOLN AV ORANGE,CA Owner: PRESTON, MICHAEL T Address 582 WENDY LN COSTA MESA, CA Contractor: BRONCO ROOFING, INC. Address: 811 E. LINCOLN AV ORANGE Zip: 92865 Arch : Address: Zoning: Phone: 714-632-1057 Zip: 92865 Phone: 949-646-1742 Zip: 92627 Phone: 714-632-1057 License: 344837 Eng: Address: ISSUED BY: Status: ISSUED Applied: 02/04/2005 Issued: 02/04/2005 Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 30# FELT, REPAIR/REPLACE SHEATHING AS NEEDED, AND 40 YEAR COMPOSITION SHINGLES. 49 SQUARES. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $167.25 $0.81 $0.00 $0.00 $0.00 $168.06 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existina: o Rear 0- 0 Rear 0- 0 Reouired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Riqht 0- 0 Right 0- 0 sa,ioo.00 sa,�oo.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia 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 1 BO days, or Ii work is suspended or abandoned for a period ot 180 days. - INSPECTIONS: In order tor ihe work authorized undar this permit to be considered legal, such work must comply with all applicable codes, end all requlred inapaetlone and final approval must be obtained. Failure to obtain inspections and tinal approval will result in Ihe expiration of Ihis permit. FOR INSPECTIONS CALL: (714) 7545626 . 2d48-46�6/00) WORKERS'COMPENSAnON DECLARATON: I �ereby attirm under penalry of perjury ona of Ihe following tleclarations: ❑ I have and will melntain e cenificete of consent to self-Insure for workers' compensetlon, es provided for by section 3700 ot the Labor Code, for the pertormence of ihe work tor which t�is permit is issued. � have antl will maintain workers' compensation insurance, as required by section 3700 oi the Lebor Cotle, for t�e pertortnance of the work for which this permit Is issued. m`��.. y workers' compensa ion Insurance carrier antl policy number ere: �e� �: � C� Pa�� .. 3�5'7� 8(D 7-7his'sectron need nof be comp/efed i/ fhe permi( is velued et one huntlred dollers ($100) or less.) ❑ I certity that in t�e pertortnance ol the work for which thls permit is issued, I shell not employ eny person in any menner so as to become subject to the workers' compensation lews of CalltorNa, entl egrea thet if I should bacome sub�ect to the workers' compensatlon pmvisions oi Section 3700 oi the Lebor Code, I shell f6rthwith comply with Ihase pravisians. ^ ,� , ^r, . ! ^ / I Applicant. gnei� *' 1 X�1A �Oata�� rX"'f�-S � FAICURE TO SECURE WOPKERS' COMPENSATI COVERAGE IS UNLAWFUL AND SHALL SUBJECi AN EMPLOYERYO'Gi;IMINAL PENALTIES AND GNL FINES UP TOIXJE HUNDRED T}10USAN� DOLLARE (5100,000). IN AODITIpJ TO THE COST OF COMPENSATION, DPhUGES AS PROVIDED FOR IN SELTION 3J06 OF THE LABOR COOE, INiEPEST, AND NTTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHl^rtn Ihe ,� I em lic`ensed untler ro�isions of Chepter 9(commencing with Section 7000) of Division 3 oi the 8uslness�nd�ofessions Code, and my license is in tull twce eriC eifea. Lic. x °9"'t Cla`s6'M-. � Gorif � -racfof g ature: - -"� OP/' '��a`.�—�_a(-�/-05� �, bb- :�.y CONS7RUCTION LENDING AGENCY: ❑ I hereby attirm fhat ihere is a construction lending egency lor ihe peAormence ot the work lor which this permil is issued. (Sec. 3097, Civil Code). Lendets Name: LenUe/s Atltlress: Siqnature: Date: OWNER-BUILDER DECLARATIONS: I hareby aHirtn ihet untler penalty ol perjury Ihet I em EXEMPT FROM TME CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business end Protessions Code: Any ciry or county which repuires e permit to consiruct. alter, improve, tlemolish, or repair eny structure, prior to its issuance, also requlres the applicani for such pertnit b tile a signed sletement ihat he or s�e is Ilcensetl pursuant ta tha provlsions oi the Contractors License Law (C�apter 9(commencing with Sectlon 7000) of Division 3 of Ihe Busineu and Prolessions Cotle) or Ihel he or she is eaempt Iheretrom entl lho Eesis for the eIIBB� Bxemption. Any violalion of Section 7031.5 by any applicant tor a pertnil su6jecis tha applicant to a civil penelry of not more then live hundred dollers (5500)J: ❑ I, as owner of the pro0erry, or my employees with weges es iheir sole compensation, WILL DO THE WORK, entl the structure is not intendetl or oHered for sale (Sec. 7044, Business and Protessions Code: The Contractors License Law does not apply to en owner of property who builtls or improves thereon, antl who does such work himself or herself or through his or her own employees, provided ihat such improvements ere not intended or oHeretl for sale. If, however, Ihe builtling or Improvement is sold within one year oi comple�ioq the owner-builder will have the burden of proving ihat he or she did not build or improve for purpose of sale.). � ❑ I, as owner of Me proDerty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sac. �044, 6usiness antl Protessions Coda: Tha contrectors Licensa Lew does not apply to en awner af property w�o builtls or Improves ihereon, entl who contracts for such project with a coniractor(s) license pursuan� �o Ne Contractors License Laws.). ❑ I em exempt untlet sec. Bu5in855 end Prolession5 Cotle tor this reason: Signa�ure: Date: Owner ID venfietl by tlrivers licanse. ❑ Yes ❑ No Driver's License No. Verification ot Ownership by (type of document, i.e. - property tax 6ill or deed): Expires: DIVISION OF INDUSTRIAL SAFEiV PERMIT CERTIFICATION: ❑ I hereby cenify Ihet no exwva�ion Ilve (5) or more leet In depih into which e person is raquired to descend, will be made in connectlon wi�h work authonzed by �his permit, end ihet no builtling structure, sceHolding, lelsework, or demolltlon or tlismantling thareoi, will be moro ihan thirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Tl�le B, Celifornle Administ�etive Code). � ❑ As owner-builtler, I will not employ enyone to tlo work which woultl require a permit Irom the Division of Indusirial Safery, as noted above, unless such person has e permit to do such work from Ihe division. Signature: Date: Division ot Indusinal Safety Permi� Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OF EMRY: I cenify under penalry of perjury that I have read Ihis application and state that �he information given is corred. I agree to comply with ell stete laws end dry ortllnences rela�ing to �uiltling consiruction, and authonze representatives oi the Ciry of Cwta Mesa to enter upon the ebove-described properry for inspection purposes. I agree not to occupy or ellow occupancy ol eny builtlinq authorized by ihis pertnit until final inspection. COOE 1. INSPELTIONTYiE 1616 Fixetl System Final Fire Prevemlon 1266 Pool Spa Final 200 Final Re-Roof 201 Final8lock/Retaining Well 202 Final Fectory Fire Place �g �� 2�i�'� LOOE� INSPEGTONTYPE 206 Final Mechanical 20B Final Plumbing 210 Finel Electncal 212 220 Final Fire Prevention Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupency o� �g .. -,_• .. 832 COSTA MESA BUILDING•SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 926Z6 9235 84065 TL 9235 4/14/7B 84e65CKT0 9235 OOq04458 32 IA APPLICATION FOR STRUCI'URAL PERMIT For Applicant to Fdl in Campletely — Usc Ink Only RECEIVE� BV D TE REC Vfcp DATE ISSUED BUILDING � � ADORESS G PE OWNER � n A.P. No.115-321-67 �� aooRess P. 0. Box 7558 AODRE S M[l �e IFVE�'L(,y�1 TEL. TFACT LOT I3 BLOCK CITV Santa Ana No. 751-9930 CONSTRUCTI�N LENDER X BRANCH OWNEF ADDR ESS VALU$ � %� ,ry�� ARCHITECT TEL. 1(1 le Famil Uf11t �CJ�OU OR ENGINEER FIRE ADDRESS 447 E. 7th St. - Costa Mesa ZONE TVPE GROUP APPROVED CONTRACTOR BV DATE ADDRESS TE� ZO � NO.OF USE OF NE CITY S n NO. P�� Z�ILDING STATE CITY YAROSAPPROVED VAROSAPPROVED LIC. NO. IIC. NO. MAIN BUILDING ACCESSORV BUILDING S12 E NO. OF BLOGS. ( F ROM C/L ST OFLOT 22x54 + 3x24 NOWON�OT OM FT. USE OF / EXISTiNG BI.DG. F Separate pennits are required for � si � T. FT. electric, plumbing and heating work. /[ REAR FT.'U FT. USE OF BUILDING AND WORK TO BE PERFORMED DbTANCE BET. BET. MAIN & B MAIN BLOGS. ACCFSS, BLDGS. Stn le Fam' cu.''v ��F•'78-5/ �qOVED �2712 ara e t� a � �ROVE 3_�� _ _ � I �ereby acknowietlpe that I hove read this apv�Ication antl ctnta that the abova In�ormation is etlrraet an� aprae to comply wlth ell laws rapulatinB bulltlinp con�4ructlon, end 1 thall not employ eny parwn In vlolnt(on of Me workman's compentatlon law� of the Steta of Celifornle. � = �j�/ I hereby eartify that I am propar�V Ileanutl aa a conbaetor untler � � SQ. FT. 7�10 the State o1 Callfornia B�sineaa e�d Profewiont Cotla, Dlviaion 3, THE AMOUNT SMOWN UNDER VALUATION IS FOR Chnpter 9, end t�at �uch Ilcenwa ere In tull forea nntl offoet, or I TME PURPOSE OF FSTABLISHING A PERMR FEE ONLV: am eKampt from Me provislons of the State ot Californla Bu�inop VALUATION PERMIT FEE E entl Proteaslone Cotla, Divlel hapter 9. � PLAN CNECK S 2 Sipnetura of �0 � • Pe�mitteo ^ _ S TAX E � r Authorizatl penf TOTALPAID S � n m � m� 7 m � �a N � m m o \ LL / V , .� Z ' COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fdl in Completely — Use Ink Only BUIIDING ��i ^A�� ADDRESS dC H OWNER MAIL AODRESS CITY CONSTflUCTION LENDER BFANCH ADDRE55 ARCHITECT OR ENGINEEF ADORESS CONTFACTOR ADDRESS GTV STATE LIC. NO. S12E OF LOT USE OF TEL. NO. TEL. TEL. NO. CITV LIC. NO. NO. OF BLDGS. NOW ON LOT Separate permits are required for electric, plumbing and hea[ing work. USE OF BUILDING AND WOFiK TO BE PERFOR� I hereby acknowlatlge that I ha�e reatl this application and rtata that the ahova i�formetion is corrett antl agree m comply with ell lews regulating builtling const�ucSion, entl I shall not employ any persan In violation of the workmen's compensation laws of ihe State ot California. I hareby certify that 1 am properly Iicansed as a contractar untler the Stata of California Business entl Professions Cotle, Divtslon 3, Chapter 9, antl that such licenses ere in full force anA effect, or I am exempt from the provisions of the Staie of California Business antl Profassions Cotle, Divislon 3, Chapter 9. S1BneTula ofi Permittee Authorl:etl Agent 71.06 6%27%�8 f87.�� TL APPLICATION FOR STRUCTURAL PERMIT FECEIVEDBV DATERECEIVED nn�rGiscucn A.P. NO. BUILDING � ADDRESS ` TRACT APPROVED BV ZONE NO.OF PlAP15 VARDS APPROVE MAIN BUILDING VAR. �W APPROVED LOT USE OF NEW BUILDING BET.1 ACC@ DATE BLOCK THE AMOUN7 SHOWN UNDER VALUATION IS FOR THE 7UflPp5E OF ESTABLISHING A PERMR FEE ONLV: VA�UATION PERM�T FEE E • PLAN CHECK E $ TAX E TOTAI_PAID E � � � � m MQ\ ��'J m m m N ] m e N m m