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Home My WebLink About2083 MANDARIN DR - Building Permits 1 4 4�� CITY OF COSTA MESA s a=��'- -4,e! BUILDING DIVISION PE IT NUMBER , f;' """' I! DEVELOPMENT SERVICES DEPARTMENT. �• 6666 PERMIT B00-00660 • (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2083 MANDARIN DR Status: ISSUED Suite: Applied: 05/09/2000 Vicinity: HOUSE&GARAGE Issued: 05/09/2000 Parcel Number: 13953125 Zoning: R1 R1 ISSUED BY: Applicant: JOE SHULMAN Address: 7821 SEAGLEN DR Phone: (714)536-5116 HUNINGTON BEACH,CA Zip: 92648 Owner: FRENCH, LINDA R Address 2083 MANDARIN DR Phone: COSTA MESA,CA Zip: 92626 Contractor: SHULMAN ROOFING Address: 7821 SEAGLEN DR Phone: (714)536-5116 HUNINGTON BEACH,CA Zip: 92648 License: 690617 Arch : Eng: Address: Address: • Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF-T/O, INSTALL 1/2"CDX PLYWOOD,2 LAYERS OF 30#FELT AND ICBG#4660 EAGLELITE LIGHT WEIGHT ROOF. FEE SUMMARY Plan Check: $0.00 Calc Valuation: 58,340.00 Permit: $167.25 Claim Valuation: 58,340.00 SMIP Res: $0.83 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $168.08 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,workris notcommenced 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 DECLARATIONS M ,;WORKERS'COMPENSATION DECLARATION: 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 Welvork for which this permit is issued. 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 workers'compensation Insurance carrier and policy number are: . Carrier: • Policy Number: (This section need nor De completed if the permit s valued at one hundred dollars($100)or less.) O I certify that in the perform:-ce of the work for which this permit is Issued, 1 shall not employ'any person in any manner so as to become subject to the workers' compensation laws of Ca'• la,and agree t: If I sho.ld become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provi Applicant Signature: 41 .. /iii . Date: WARNING:FAILURE TO SEC "'WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE(Si••.•••),IN ADDMON 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 une/e/eeeer��r r,�1vl31ons of Chapter 9(commencing with Section 7000)of Division 3 of the Business and PP[ofesl n Code,and my license is in full forcet andteffect.tic.a !V(O(�/ Classat : s C_ J Contractor's Signature: �.{ � il �.vr+�� Date: S—TO-" 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 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).): O 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 drivels license. ❑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,California 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,ore 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 ❑No (Section 25533 of the Califomia 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? ❑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 a plication agermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? U Yes U 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 Cal fomia 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 end 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 egal• ner(s) Date And/• Authorized Applicant Date CODE 4 INSPECTION TYPE. PATE UII=ALI CODE( INSPECTION Me DAII ISL$ 1616 Fixed System Final Fire Prevention 208 Final Mechanical 1268 Pool Spa Final 208 Final Plumbing _ 200 Final Re-Roof 4 -623 Ov jY1 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 2446-46 ."kOwIttat DATE 3-1- JOB ADDRESS 20830N= darin Drive BUILDING PERMIT NO. 28267 GNERAL CONTRACTOR Orange Coast Landscape DESCRIPTION OF WORK Patio Cover �+4+q.;o. LOT 62 TRACT 6237 FIRE ZONE VALUE $ 700.00 INg{PECTIONs 1 Signature Date GROUP J TYPE V ZONE H-J, G s SUBCONTRACTOR I DatePERMITS ISSUED 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 {J Power (1 Rough Wiring Heating and Vent. Trenches 0 Forms 0 Steel Reinf. 0 I Floor System Bond Beam 0 Steel Reinforce 0 Shea thing Frame and Flashing Lathing — In 0 Out 0 C T, Brown Coat S ._Jural, Final Electric Heating, Vent., Refrig. and A.C., Final Plumbing, Final and Gas Test 0 Electric, Final Building, Final WI' J(-rR_bT, ipt 28267 COSTA MESA BUILDING-SAFETY DEPARTMENT BM-1-61C0O 011 Z.4****16.00 P.O. BOX 1298 COSTA MESA, CALIFORNIA 92828 - For Applicant to Fill In Com loftily APPLICATION FOR PERMIT TYPE OR PRINTS • t,,9K,N BUILDING :, BUILDING to Fr?, ye. For Offlco Use Only . ADDRESS RECEIPT NO. .�y� '. COSTAESA. CALIFORNIA . • or Rica^ED�SYI • TR RECEIVE• •. TI I�SUED P OWNER L.L� l .W _ - �b/• 1/%_ a' [Loma CS'V ` ADDI o/✓ /4/�CC /C L•Ni - ADDRESS wR - FIRE -ate TEL ZONE - •GROUP / CITY NO. ARCHITECT + TEL. - APPROVED /� �. BY' /♦ a� DATE OR ENGINEER /'�• "� NIG. ' ZONING • NO.OF n or NEW ADDRESS / / � �/. '-. ,�•� O _ I I1F�LANS Z I.eW1LLIP NNO �Rz�/Cw'L`� ADDRESS/F.&CTO I /t /�V .' i..c. y,N Sa DESCLIFTl1ON" c� a T,\ Cfi z ` 7 CITY i/ Lf• A.P.NO. rF • NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE CT N L s•� Q �0 (�� 30'TO SIDE&REAR -.L LIC.NO. - SIZE OF LOT / Z K /0 0 / I NOWOF BMOC r..7 EAVES ON LOT • ALLOWED (U.B.C.REQUIREMENT) YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. ' (FROM C/L STRQBT) A yyI4l4 . SETBACK LINE FROM FRONT FT. /mss' FT. CENTER OP STREET REAR YARD �Q .i SIDE YARD LEFT I RIGHT R.SIDE FT. / `9 FT. DESCRIPTION OF WORK - L SIDE PT. 8 FT. — NEW A, ALTERATION ADDITION �a REAR FT. /O PT DISTANCE BET. BET.MAIN& REPAIR MOVING DEMOLISH t[ MAIN BLOCS. ACCESS.BLEEPS. BUILDING NO.OF • VAR•# DATE SIZE ROOMS STORIES C.I).P.9F APPROVED `: CO ERINRWALL I 4CROOF 'OVERING APPROVEDu .1;PT 1,o DATE 3 ✓— �� U F BtaDINAND WORK TO BE PERFORMEDPh f �2.4.,'S�-B�7 n.rre= 7-4,5 pet a is //al- T ✓I Ate enl/anci 4- any -47...4 /n 7':4 �p7/N/t —±T if 57/r:rtfp G P47410• 1 80.PT. ✓ n� �.. I HERESY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR O AND STATE THAT THE BOVE.IS CO •-E • AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY)•I f BUILDING CONBTR •N. i/� S LAWS RISULATNSVALUATION ,¢//� • SIGNATURE OF PERMIT FEE * a , / 0, j,; PERMITTEQ 'y-/y Ae $ 7� `- PLAN CHECK S `-- W AUTHORIZED AGENT !/ TOTAL FEE S .5.1.0---a VYYINMall "r"AL. JOB ADDRESS 2003 Mandarin Dr. BUILDING PERMIT Na6939 GENERAL CONTRACTOR Mesa Verde Bldrs. , Inc.DESCRIPTION OF WORK Res.w/atc.Gar. -o. LOT 62 TRACT 6237 FIRE ZONE VALUE $ 35,330.00 Ih.,:ECTIONS Signature Date GROUP I & J TYPE V ZONE Rl Soil 4, PM - PERMITS ISSUED Gas -g y. SUBCONTRACTOR I Date I Number I Signature Water . .4_ - 'yc c ----6 4{.- 'lumbing, Roush Plumbing e1 A2 .S` rarari nirV WAr�>�i�' .�i2 Prop. Swr. Line p-House Con. J - 's22V 21Pre i�� I�Ia1WArin S.rinklin: S stem Min Miscellaneousa1QA�-'.��. Ur - ' 04 _. eo�— Rough Heating and Conditioning Eirta 40Ar Temporary Service or Pole Underground 0 Power 0 Roush Wirin_ r, . , Heating a�ndd Vent. Trenches a Forms a Steel Reinf. 0 MI' S-Ir-67 �it/if/rtl�lw/��/A.//tl�.�./- 47./0917 Floor System 4�f1A }-—7--67 - Q Bond Beam 0 Steel Reinforce 0 Sheathing 4&I 7-t-6x Frame and Flashing ,tf'd 7-,7-c> Lathing—In go Out p 'MO fr)/-67 P' w, Brown Coat itne.I S ural, Final lectric �, 7 / Healing, Vent., Refrig. and A.C., Final �(C_ 1J/L, /Mn}•i•�i, //-rel 173�7 S Plumbing, Final and Gas Test 0 27 Electric, Final �J •z9L7 Building, Final C2 % 5,-5-1/ IT L 2c39. „9 i c ' ` APR 25-67PAIBOO1268c- ***158.25 COSTA MESA BUILDING-SAFETY DEPARTMENT ERSA P.O.BOX 317 COSTA MESA.CALIFORNIA For Applicant to Fill In Completely APPLICATION FOR PERMIT Lot 62 TYPE OR PRINT Tract 6237 BUILDING For Office Use Only BUILDIADDRESS-�lJR 3 /27G'ir:da2ti✓ .ref ' RECEIPT NO. /�yV�{T�y COSTA MESA, CALIFORNIA 2TT.`,^.e5t4 Mesa V rge Builders= Inc. ""`ra ° l�-17 7-E67 OWNER X 1'RX 9C]Ru•CPCntar C BUILDING MAIL ADDRESS 2850 Mesa Verde Drive ADDRESS / 549- FIREV CITY Costa Mesa NO' 0395 Zone TYPE cRouP ARCHITECT Kaltenbach TEL. 547- BYPROVED DATE OR ENGINEER No. 8046 ZONING //�� Ammum123 R 17/b St. panta Ana 2 NO.OP USE OF NEW/L.Lps Mesa Verde Bu 'oilers nc I /l-/ I PLANE I BWLDINO . _.1L CONTRACTOR ATA.X�.T(i71 X} `• P ,,,JJJ G✓/CLIA �Y LEGAL �. 'Y�" / T� -�. 7 ADDRESS 2850 Mesa Verde Drive DEEDRInIon 4�( CP.1 !// �, CITY Costa Mesa A.P.NO. NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATENo. 187318 TEL 549-0395 SO'TO SIDES REAR P.L. / 1 EAVES SIZE / x / 0 I I NO.OF BLDGS. 0 ALLOWED (U.B.C.REQUIREMENT) OF LOT Io NOW ON LAT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. ' - (FROM C/LSTR ET/)y� SETBACK LINE FROM FRONT ,'5O Th.:17144 o-,. FT• CENTER OF STREET REAR YARD SIDE YARDL ILEFT I RIGHT R.SIDE /0 DESCRIPTION OF WORK L.SIDE 5 Fr.VVVFr. NEW A I ALTERATION ADDITION REAR . FT. II DISTANCE BET. BET.MAIN& REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDGS. VAR.# DATE BUILDING NO.OF SIZE ROOMS STORIES C.U.P.# APPROVED EXTERIOR WA& ROOF 1 Qp,'1 APPROVE li �- COVERING 17 GllCC0 I COVERING ++ake BY (-N DATE )//e 6,7 USE OF BUILDING AND WORK TO BE PERFORMED New Residence/ 6* /� mye g 7/o EQ.Fr) / 7„". N ,L/ I HEREBY ACKNOWLED THAT I HAVE D THIS APPLICATION THE AMOUNT SHUNDER 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 ORDINANCES AND STATE LAWS REGULATING VALUATION m BUILDING CONSTR�un-ION.A W /J PERMIT FEE $ ��SS-O 11 SIGNATURE OF /�' n. - .�C�% ♦ /�A �y co PERMITTEP III • `�yVA/, A�^•G/(I/I $ 36 33d 2.75-o C E `[ y/� AUTHORIZED AGENT TOTAL FEE $ /151:62.C1-.‘:62�