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Home My WebLink About955 LANSING LN - Building Permits� ; , CITY OF COSTA MESA BlIILD/NG DIVISION F� 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-0856 • www.ci.wsta-mesa.ca.us °. � FOR INSPECTIONS CALL: (714) 754-5626 �o� PERMIT NUMBER B07-00954 PERMIT TYPE B_ROOF2 JOB ADDRESS: 955 LANSING LN CM Vicinity: HOUE AND GARAGE ROOF STATUS: DATE ISSUED: - - ISSUED BY: Suite/Unit: ISSUED 10/05I2007 RMD Squares: 2800 Valuation: $7,900.00 � SCOPE OF WORK: TEAR OFF,(E) ROOF MATERIALS, INSTALL 1 LAYER OF 30# FELT ON�A 5:12 PITCHED ROOF AND REROOF WITH 30 YEAR GAF ASPHALT SHINGLES ON AN ATTACHED HOUSE AND GARAGE. REPAIR AND REPLACE � SHEATHING AS NEEDED. � � - ' - � - � ' OWNER: SCOTT, STEVEN R � PHONE: APPLICANT: KAISER, MIKE � - � � PHONE: 714-979-5314 CONTRACTOR: KAISER ROOFING � Address: 928 CHEYENNE STUnit: City/State/Zip: COSTA MESA, CA � �- 92626 ARCHITECT: ENGINEER: .��1�1�I�1�G�:7�� Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: TOTALFEES �0.0� $15325 $0.00 $153.25 � Address: 955 LANSING LN � - ' -' City/State/Zip: .COSTA MESA, CA � r ;,• � Address: 928 CHEYENNE�ST -- � City/State/Zip: COSTA MESA, CA � - License No. - PHONE: 714-979-5314 .. -. , _ _' .. CELL: . License No. License No. Unit: Unit: : 682897 .;:. PHONE:, PHONE: ,,`9' i,l ��j� � ',�k: ;";j�: '.;� '�:, <� ..�; �% NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such vrork must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of lhis permit. LOOEt. IN$PECTIONTYPE o� ixnnn�s 40oE� INSPECTIONTYPE DATE iNnnn� 1616 Fized System Final Fire Prevemion 208 Final Mechanical 12fi6 Pool Spa Final 208 Final Plumbing 200 Final Re-Rool �f /�� p10 Final Electncal 207 Final BIocWRetaining Wall ,_ �fi� //�'�— 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Damolition ' 250 Final Building/Occupancy . .= WORKERS'COMPENSATION DECLARATON: I �ereby affirm under penalry of perjury one of the following declarations: ❑ I have and will maintain a ceNifwte of consent to sel4lnwre (or workers' compensation, as provided for by section 3700 0( the Labor Code, for the peAormance of Ihe work (or which this permit is issued. , �� I have and will maintain v.vrkers' compensation insu2nce, as.required by sectbn 3700 of the Labor Code, (a the peAormance of the wnrk for which this permit is issued. My workers' wmpensation Insurance cartier and policy number are: Carrier:� S�Ai� �k� (This sectbn neetl nol �e mmplefed A(he perm! is valuetl at one �undretl cbllars (E100J oi lessJ Policy.Number: iJ6�62r' �7 1 ertify that in ihe peAortnance of the v+ork for wliich Ihis permit is d, I shall not employ any person in any manner so as to become suDject lo he vrorkers' compensation laws of California, and agree lhat if I should become subject to Ihe vrorkers' compensation provisions of Section 3700 of the Labor �CodAe, I shavll forth�with comply with [hese provisions. //W( /Y� �� ` S'67 AOd�mOlsSignaWm �Date �_ 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 DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affrtn that I am licensetl under pmvisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is /in nfull forcre and effecl. G L�#. _ `�b/"�-g7� Class# �-31 �_ �i /o • s-o7 �Cmvactor's Signawre Da�e ' C-' CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm tha[ Ihere is a consiruction lending agency (or the pedortnance of Ihe work fa which this pertnit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Address: SiB�aWre Date OW NER-BUILDER DECLARATIONS: I hereby affrm that under penalty of peryury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. Business antl Professions Code: Any city or county which requires a permit lo construct, alter, improve, demolish, or repair any stmcNre, prior to ils issuance, also requires the applicant for such permit ro file a signetl slatement that he or she is licensetl pursuant lo the provisions of ihe Contractors License Law �Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or Ihat he or she is exempt therefrom anC the basis for I�e alleqed exemption. Any violation of Seclion 7031.5 Dy any applicant for a pertnil subjects the applicant to a civil penalry of not more than fve hundred dollars ($500).): ❑ I, as owner of the property, or my employees vrith wages as their sole wmpensation, WILL DO THE WORK, and the struclure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License law does not apply to an ovmer of property who builds or improves thereon, antl who tloes such work himself or herself or lhrough his or her own employees, provided that such improvements are not intended or oflered for sale. If, however, the building or improvement is soltl wilhin one year of completion, Ihe owneo-builder will have the burden of proving Ihat he or she did not build or improve tor purpose o( sale.). ' ❑ I, as ov+ner of Ihe property, am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professbns Code: T�e contractors License Law dces not appry to an ovmer of property who builds or improves thereon, and who contracts for such pmject with a cont2cta(s) license pursuant to the Cont2ctor5 License Laws.). ❑ I am exempt under sec. Business and Professions Code tor this reason: Signalure Date . 305]�46�3I0)) . 1►. Owner ID verified by driv .❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by pype of document, i.e. - property tax bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: - ❑ I hereby cetl'rfy ihat no exwvatbn five (5) or mwe feet in depth inro v.fiich a person is required to descend, will be made in connection with work auihorized by this permit, and Ihat no building strucWre, scaffdding, (alsework, a demolition or dismantling Ihereof, will be more ihan thiny-six (36) feet high. (Chap. 32, Grp 2. Art 2, Sec. 341, Ttle 8, Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone to tlo vrork which would require a permit trom the Division of Industrial Satery, as noted above, unless such person has a permit to do such work from the tlivision. Applit3nfs Sgnalure Dale Division of Industrial Sa(ety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or tuture builtling occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous ma[erial? ❑ Yes ❑ No (Section 25505 of the California Health antl Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Depanment by every business which has at any one time auring a reported year a quantiry ot hazardous matenals equal to or greater Ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic (eet of compressed gas at standard temperaWre and pressure). 2. Does or will the applicant or present or future building occupant need to fle a registration (ortn for aculely hazardous ma�erials? ❑ Yes ❑ No (Section 25533 of Ihe Califomia Health and Safery Code, with some exceptions, requires regislration with the Costa Mesa Fire Deparlment by each business which at any one time has on hand a quantity of acu[ely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic (ee[ of compressed gas at stantlard temperaWre and pressure�. 3. Does or will the applicant or present or future building occupan� need to prepare an RMPP (Risk Management and Prevention Program for acutely hazartlous materials)? ❑ Ves ❑ No (Section 25534 of Ihe Califomia Healih and Safety Cotle provides that the Costa Mesa Fire Department may require the preparation, certification and fling wit� ihe Fire Depatlment of an RMPP by businesses which are required to register aw[ely hazardous materials wilh the Fire Departmenl. 4. If an RMPP is presently requiretl, has Section 25534 of the Califomia Heallh and Safety Code been tully wmplieC wit�? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for the work which is Ne subject of this application a permit for such construction Of mOdificBliOn (rom the Soulh CoaSt Air Quality Management Dis[riCl Or fmm any olher air pollution control district or agency? ❑ Yes ❑ No (Section 658502 of the Calitomia Govemment Cotle requires that the requestetl infortnation be tumished on appliwtions (or non-residential building pertni[s). 6. Will any part of the facility to be constructed under this pertnit be vnthin 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If yes", the facility must meet lhe requirement of Sections 25534 antl 42303 of the Califomia Health and Safety Code). 7. If a pertnit from the South Coast Air Quality Management District or other air pollution contml district or agency is required for [he work which is the subject of this application, have all of the disclosures prescribed by Califomia Heallh and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If'yes", attach certificate of compliance trom the appropriate air polWtion control oKcer). � CERTIFICATE OF COMPLIANCE: I certify that under. penally of perjury the information qiven above is cortecL I agree to comply wiih all sWte lavrs and city ordinances regarding Hazardous Matenals and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and sta[e that the information given is correcL I agree to comply with all state laws and ciy ortlinances relating to building construction, and authonze representatives of the City of Costa Mesa to enter upon Ihe above-describetl pmperty for inspeclion purposes � I agree not to occupy or allow occupancy of any building authonzetl by Ihis pertnit until final inspection. {�5�'gn�ature oi al Owneqs) �ate - //�/(/� �� -s�� ' AnEIw.AulM1mxetlAOPOtan� �Da�e_ , u rrivc�n. JOB ADDRESS � or BUILDING PERMIT NO. ZONE Vr�iE Da[e GROUP J TYPE N SUBCONTRACTOR I Date Cover to res. � 263 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7P00 COSTA MESA� CALIFORNIA Y2640 For Appltcant to Flll In Complefaly TYPE OR PRINT COSTA MESA, CALIFORNIA n � �'11� OF TINO BLDO. ACR LIM[ IM1OY DESCRIPTION OF WORK X NO. O� �'Rj�OOMB WALL I ROOI� 1 NEPlsY ACRNOWL[OO6 TNAT 1 XAV[ IIHAD TXIB APPLIGTION ANO eTATB 7NAT TN6 AOOV6 1� CORR[R�ANP AOR6i TO COM. PLY WITH ALL CITY O I{�1 i0 AND YTAT[ U�WY R60YL11TIN0 BWLDINOCONBTR H' SIGNATURE OP PERMIYTb AUTHORIZiD AGINT L[OAL NOV 14-66 00 594 ��****5.00 APPLICATION FOR PERMR BUILDINfi For Off1ca Use Only ZONIPIa NO.O� YY[O� �LAN� � oO1L011 BHALL OE LE88 THAN YARDB MPROVHD YARD9 MPROVfiD MAIN BUILDINO AGCELSORY BUILOINO i vwn. f! DAT6 TH6 11MOUHT BXOWH UNOBR VALUATION 19 POR TH8 PUHP08H OP t8T/.BLIBXINO I� PHqMIT P86 ONLY. VALUATION �� PERMIT FEE a ��O �� 23599 COSTA MESA BUILDING-SAFEfY DEPARTMEM P.O. BO%H17 C06{p MHBA. CALIFORNIA For Applican! /o Fill In Complefely TYPE OR PRINT ILDINfd �j DRESS v� Lanaing Lsne COSTA MESA, CALIFORNIA 0 MAIL W OF LOT LO � X� � O USE OF EXISTIN6 BLDQ. 6ETBACK LINE FROM �� f�l� NO. OF BLDae. DESCRIPTIQN OF WORK WALL � OF 7 IMS / SfORiES 1 DVOERIN6 Shingle 'O BE PERFORMED 1 BC JJ'!V — LO�G J`J Plan 612E R-1 Residence G'q�. 1 HEpEBY ACKNOWLEDOE THAT � HAVB REAC THI APPLIC ANO STATE THAT THE ABOVE IB COPRBCT ANO OqEE TO PLY WITH /LL QTY ONOINANCp9 AND 8TAT6 LAWB 80UL BUILOINO CONBTRUCTION. SIGNATUREOF ��,� �`� PERMITTE ✓ � AUTHORI2EDAGENT. . „ CITY 0� C�STA MESA MAY 5 196 5�2� For Office Use Only I RHC8IPT NO. I ZONING NO.OR use PLANB �Ull VARD8APPROVEO MAIN BUILDING VAR. ${ owTEl9suEo aY 1 7 19E , '� SHALL BE LESS (U.6.C.REOUIREMENT: YARDSAPPROVED ACCESSORY BLIILDING BET. MAIN @ ACCESS.BLC OATE MPRO V EO onre �� (� <Zso. �. '� %i� T� . " TH! AMOUNT BHOWN UNOBR VALl1ATION 18 FOR TH8 F PURP056 OP EBTABLI9HIN0 A PBRMIT FH8 ONLY. p VALUATION � b p PERMITFEE $ � / � $z , � � E� 3� o .�rj LL TOTAL FEE $ � �/