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Home My WebLink About3138 LIMERICK LN - Building Permits yL' ` CITY OF COSTA MESA 1 ��.� BUILDING DIVISION ft r. ' ' �• DEVELOPMENT SERVICES DEPARTMENT PE IT NUMBER 4 PERMIT B05-01189 (714)754-5273 • Fax(714)754-4856 • www.cl.costa-mesa..tLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 3138 LIMERICK LN Status: ISSUED Suite: Applied: 07/18/2005 Vicinity: Issued: 07/18/2005 Primary Occ: R3 - Type of Construction: V-N Parcel Number: 14163307 Zoning: R1 Applicant: TOM KOZITSKY Sk Address: 1511 S BAYLESS ST ISSUED BY: Phone: (888)525-5867 Tr C-6rzj ANAHEIM,CA Zip: 92802 Owner: RODRIQUEZ, SAMUEL LEE Address 3138 LIMERICK LN Phone: COSTA MESA,CA Zip: 92626 Contractor: ALLTOPS INC Address: 1511 S BAYLESS ST Phone: (888)525-5867 ANAHEIM,CA Zip: 92802 License: 722766 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT T/OFF EXUISTING WOOD SHAKE AND THE BUILT UP ROOF INSTALL 7/16 OSB 30 LB FELT WITH 30 YEAR COMP.AND MODIFIED BITUMIN. OVER THE FLAT SECTION. FEE SUMMARY • Plan Check: $0.00 Calc Valuation: $6,000.00 Permit: $153.25 Claim Valuation: $6,000.00 SMIP Res: $0.80 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $154.05 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 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 work Is not commenced 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 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)754-5626 244648(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O 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 work for which this permit is Issued. 1 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: ,54"P •-( F—UNO( Polity Number. 000 /9 8-0 r^ (This section need not be completed if the permit is valued at one hundred dollars($100 or less.) ,42' I certify that In the performance of the work for which this permit Is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of CallfamlB and agree th*t If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions( Applicant Signature: /777 / sfiu,_ Date: C) 7 — / S-vs" WARNING:FAILURE TO SECURE ORKERS'COMP ATON RAGE IS UNLAWFUL AND SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE($1 W,000).IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7 )of Division 3 of the Business and Professions Code,and my license Is In full force and effect.Lie.a 7 :2 7 G Class a C.3 9 Contractors Signature: r,�,-7 c .�.y f Date: U 7- /&- 5- t� 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: Lenders 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 end 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 fore permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ 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.). o I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Drivers 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 Me(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. r HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I 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,or a 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 in No (Section 25533 of the California 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 Flre Department may require the preparation,certification and filing with the Fire Department of en RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 Ii en RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No application 5 Does or willo the tcAir present or future building District o from at require for the work which the subject of this a estion aggermil for such construction or modification from the South Coast Air Quality Management or from any other air pollution control district or agency? �Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? in Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). .__.._.t..___ __.. __. 7 application, a permitfrom the South Coast res Descry ed Management Californiaal or other air pollution control district03 or agency is required for the work which Is the subject of this enhave all of the disclosures prescribed by Celifoia 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: CERRFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and 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. /nature Of O7- trl-USS Legal Owner(s) Date r /O/� C711-CA. 9 e/Or Author Applicant Date CODE 4 OISPECTION TYPE DATE =au ODOE.! INSPECTION TYPE 011Th 10:11EL9 1816 Fixed System Final Fire Prevention 208 Final Mechanical 1268 Pool Spa Final t �f 208 Final Plumbing -7 200 Final Re-Roof [~//-0 7 e 210 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 JOB ADDRESS 3S}° l4imeriUK Lane BUILDING PERMIT NO. w ,`-. GENERAL CONTRACTOR Lifetime Res.Bldg. Corp. VALUE $1-1055.00 AP No. LOT 62 TRACT 4.355 FIRE ZONE DESCRIPTION OF WORK Res.w/att.Gar. INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE R1 SOil - /� PERMITS ISSUED C SUBCONTRACTOR DATE NUMBER N ,r c-�- 4,1-11-4-4-63 G!/ /27 j` Rough Com. Refrig. 0 Air Cond. 0 �--�ty-��//--�� Rough Heating �^0� ` &-3 — it J— _ Anj _ Rough Plumbing /14-/S. s/-q-(3 Li522=/��2/ _/-,9-c 3 /-1. _ / Miscellaneous Prop.Swr.Line 0 House Con. St.Swr. ❑ C�D Sprinkling System`'�` -F-" _L. >7'�G=G.� 3�a7Sf Construction Pole 11/38. Underground 0 Power h b 9 .7�� Rough Wiring �,�� ' �- �C3 Z�'�?Y/C Age Or!� C d•,27-/y3 Trenches lr Forms [$Steel Reinf. 0 � �Or /- -G3 Floor System /✓%• a.29- 4i' Bond Beam 0 Steel Reinforce 0 Sheathing 3 a��535 Frame and Flashing _� y-//-6jLathing - In ( Out l� 3 3-6.3Plaster, brown coat For Ma. - -63 e rig. ❑ Air on.. 0 'ina lV�,�,{�' ting, Final �/76 I nine Fixtures, Final i 63 Final Gas Test /5 (>,3 Electric Fixtures, Final „Al /0-C 7 Rnildina Final /Jf G-/7^/.T ,f 18444 •C'GRECEIVED STA MESA BUILDING-SAFETY DEPARTMENT Lot 62, Tract 4 /EE Plan O7E1 1,482 P. O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT. Applicant to Fill In Completely QT4 &n POSTA MESA For P Y APPLICATION FO E I TYPE OR PRINT BUILDING • • - - G BUIL / ADDRESS 3j -3[Q /M evicK Zgypi COSTA MESA. CALIFORNIA • For Office Use Only ` RECEIPT rvo. I PA 1T - OWNER Harbor Hall of Fame Homes, Inc. I 191 !'ll'�' MAIL RECEIVED BY DATE RECEIVED I DATE ISSUED ADDRESS P.O. Box 2066 �1�,0 /d/,, A , DEC 1 1 1969 CITY Santa Ana No.KI 9-220 BUILDING ADDRESS ORAR` TECT EER Jamison No.544-0040 COSTA MESA. CALIFORNIA ADDRESS 225 "D" St., TUStlIIFIRE _ ZONE TYPE GROU � CONTRACTORL1 fe time Residential Bldg Corp APPROVED DATE ADDRESS 2131 So. Artesia ZONING CITY Santa Ana - ZONE�-( I NO.PLANS 2 JBUUI OP SELDINOP G a NEW✓/��'by -7.,,�9•i 4,_ LIC.NO. 208676 No.KI 9-2204 LEGAL '07- 6 a 7r4 3„c•r DESCRIPTIONSIZE L OF LOT 6000' NO. OF BLOGS0 .- _ NOW ON LOT ll A.P.NO. USE OF - None YARDS EVES EXISTING BLDG. C�(� APPROVED ALLOWED SETBACK OF NSE TREETM 531 REAR YARD 33.501 (CENTER LINE ST.) _— FRONT -C3 FT. IN. SIDE YARD (LEFT 51 ( RIGHT 51 R.SIDE 5.- FT. --. IN. DESCRIPTION OF WORK s- L.SIDE FT. // IN. "� NE I XII ALTERATION I 1ADDITION I REAR 33 FT. IN. REPAIR I II MOVING I II DEMOLISH I BYYPROVED 14 D DATE/%eVel /CiSIZE BUILDING 17901 ROOMS NO. OF l0 STORIES 1 �-�l /' EXTERIOR WAL ROOF COVERING Taster COVERING Shake USE OF BUILDING AND WORK TO BE PERFORMED Single family residence , - zv-/a; S -0 _ i79eit /moo °` I HEREBY ACKNOWLEDGE AT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UND VALUATION IS FOR THE AND STATE THAT THE AB IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. PLY WITH ALL CITY I NCES ANDGULATI G BUILDING CONSTRU ON VALUATION SIGNATURE OF .L' /�'�qq PERMIT FEE $ (4/3 i• PERMITTEE ` $/f(/✓,S PLAN CHECK $ 87sa AUTHORIZED AGENT G rc TOTAL FEE $ /Ys� 0 OWNER FITZPATRICK DATE 3/12/81 JOB ADDRESS 3138 Limerick Lane BUILDING PERMIT NO. 51403 GENERAL CONTRACTOR ,Tames E. MOMS (Ma DESCRIPTION of WORK cnlar park AP No. 141-632-07 LOTS TRACT 4355 FIRE ZONE VALUE $ 500 00 II' ' CTIONS Signature Date TYPE GROUP ZONE SUBCONTRACTOR PEftMIT5 ISSI�ED GAS Date l Number I Signature WATER Plumbing Thomas ROUGH PLUMBING Janes E. 79207 PROP. SWR. LINE ❑ HOUSE CON. [] SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ROUGH WIRING Heating and Vent. TRENCHES Li FORMS C STEEL REINF. U FLOOR SYSTEMB ` R C 0 SHEATHING NND EAG AM n STEEL REINFORCE f'] F `n(Pe IttSt•a.t�OnS FRAME AND FLASHING tilt°�`•�r nee' LATHING - IN n OUT n 51q PLASTER. BROWN COAT STRUCTURAL, FINAL Electruc°t0 ''NG, VENT., REFRIG. AND A,C.. FINAL 3ING. FINAL AND GAS TEST n ELECTRIC. FINAL BUILDING, FINAL .COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT ' P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 e RECEIVED PE DIS s7Ya 003 For Applicant to Fill in Completely —Use Ink/Only 1 � o V x+50 T4 neo ass 3/31� A //nee/cF• A n) A.P. NO. /4 /-- 3 Z —0 7 yr..� / BUILDING 3/3 j Lim FR /dkL,� MAIR J � r J t�?�,q--f-,efrG� UNIT OR TENANT MAIADLINGSS/S�� s y4' .Pc�-7�/� g' ��yy�� SPACE NO. CITY 74AcA- NOM%6.UTW7 414131 43 LOT i] _ BLK. NEW ADD ALTER REPAIR MOVING DEMOLISH CONSTRUCTION LENDER BRANCH cJ /t ,/J ,r 'J OWNER /� r7—S 4� /` r Cd< ADDRESS ARCHITECT TEL. USE So ALC RgC�VALUE$ S r70 OR ENGINEER NO. N ADDRESS IAMFS F THOMAS dba ZONE �,///JC TYPE GROUP CONTRACTOR 161) P/�-ncy_a"n�m/ r , ,e JJr BY P 6�J/�(� DATE ADDRESS P9O?2&Ai pv6✓S@UP ?glad / CITV6-� „ NOI. J` F STATE ` C, CITY p6(� APPROVED SETBACKS \ LIC.NO.3 sss 7 '� LIC.NO.A06 7 J \\\ 651 SIZE NO.OF BLDGS (FROM C/L STREET) 0OF LOT NOW ON LOT FRONT FT. ` a USE OF EXISTING BLDG. R.SIOF FT. N FSeparate permits are required for L,SIDE FT. G electric,plumbing and heating work. REAR FT. IR ^ USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTION a ` C.1‘..1%... ,` 0 DATE vim(-1, `W.� �� APPROVED 7 APPROVED } _BY DATE IX ILI 0 I hereby acknowledge that I have read this application and state m (Y that the above Information is correct and agree to comply with 0. all laws regulating building construction, and I shall not employ Z any person In violation of the workman's compensation laws of o S the State of California. b. SD. T. ; 3 I hereby certify that I am properly licensed as a contractor under n the State of California Business and Professions Code, Division 3, THE AMOUNTS OWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: ;- Chapter exempt from the provisions of the State of California Business VALUATION / e PERMIT FEE $ - J and Professic, s.Coder o 3,Chapter 9. n PLAN CHECK $ G%`1 o Signature of ` ,D. �\ L/ Permittee �' \i` -\I l $ TAX S f or u Authorized Agent Date TOTAL PAID 5 S-S0