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Home My WebLink About3125 LINCOLN WAY - Building PermitsPROJECT ADDRESS: 3125 L INCOLN r UNIT: OWNER'S NAME: BACH, QUAN THAT ADDRESS: 3125 LINCOLN WAY COSTA MESA,CA 92626 545-4939 ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: ROGERS BUILDERS WEST TECH (714)545-4939 ADDRESS: 2961 W MC ARTHUR BLVD 128 SANTA ANA CA 92704 LICENSED CONTRACTOR DECLARATION: hereby affirm that am licensed under or ns of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in lull r an effect. CITY uc.:056777 STATE LIC.: 627452 CLAss: 7— '� 2 Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell -insure or a certificate of Workers' Compensation is l/ l § Yr 1161§ Ty thereat (section 3.1711, Lab.68/01/93 8 / O 1 / 9 3 POLICY NO,: STATE FUND EXP.DATE: U COMPANY: ,+� ❑ Certified Qcopy is hereby furnished. [N Certified copy is filed with the city Building Division. f vpprg T 3 r/7 — 2 _ Applicant: / r EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need nol b! pleted it permit is or ne hundred (S1 ) or less). I certify that in the performance of the work for which this permit is iss hall1 employ a person in manner so as 1 become subject to the Workers' Compensation Laws of California. �. Date: Signature: NOTICE: If, atter making this declaration, you should become subject to the WorkersCompensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 (Section 3097, Civ, C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of 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/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation or Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500). 1, 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 (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a properly who builds or improves thereon, and who does such work himself/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 will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business Eland Professions Code: The Contractors' Stale License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker 5 Compensation insurance should be provided to me. ❑ I am exempt under Section: 0. S P. C. for this reason: Dale: Owner: I do hereby cenify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that 1 or any future building occupant will/will not (circle one) need to comply with said stale codes and the requirements for a permit for construction or modification from the Air Ouality Management District. Residential construction applications are exempt from these provisions. Date: Applicant: hereby certify That I have read this application and state That ere above inlorma' ofs come I agr 1 amply with II cit and county ordinances and slate laws relating to building construction and hereby authorizer esenlative of this c enter upon a ve-mentioned property for inspection purposes. / l� n,r,. r' r / [ Signature: �d x Driver's License or Social Security x: 164146 White—Bu ldo% Green—Cotle Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assan¢m CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 058620 PLAN CHECK NO: N UOVI , CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : T/OFF RESHT. REROOF W/COMP SQ FT: 1,200 CLAIM VALUE: 1,200.00 CALC—VALUE: 1,200,00 GROUP OCC: R-3 / COMMENTS: SMOKE DETECTOR REQUIRED iFk iEiEiE iFiE iF 3F*iFiE iEiFiFiE iE iFiF iEiF iF iEiFiFTFiE iE itiFiEiFiE it iE iEiF iFiE iE lE iE iEit iEif iF iEBE iF iE iFiF it iEiFiF itiEiE iEiF iFiP iFiEif iEiFiFiF iFiE iEiFiF iEiE Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING RE8: PROV: PARCEL; 14165243 ZNE; REF NO: PLANNING N TES> iF iE if iF iF iQiE iE iE iF * k iE �f'iE it it iF it k iF iE iF iE iFif iF k iF * iF ik iF iFiF iF * it it it * * it iF it iF iF ie ie it it iF iE it iF iE ie iF ie iE iF iF iF iF iF iF ie !Frit iE iF iF it * * * iF iF it D E V ];'L O P M E N T S E R V I C E S R E Q U I R E M E N�,T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY: DATE: a- iF if iF iF iF iE M it iE iE ie iE iF iFiE iF iF iE M iE iE iE ** iE iF * k * iE iF iFit iE iF iF iE iF iE�Y(•�F.iEiti�ik * iEiE iF iE * iF iE iE iE iF.E it k iF iF iF iF iF iF iF * iF iF iE iF iE iE iE iFiE iE iE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL'SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 29,00 50 PLAN SMIP/NON—RES ISSUE FEE / BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 29.50 0.00 0.00 29,50 29,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED, 29.50 OVER/SHORT: 1.00 BLD29PMOT0 PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOOT GRADING PLAN—CHECK * iE iE ik * iE iQiE iF iF iE iF iE iF k iE iE iE iEiF iE iF iE * iF * * ♦t it it iF iF iE iF iF;E iF it iE iF iF iE if it iE k iQiFiE ie iF ie * it iE iF iF it iE iF iE it iF iE iE iFiF iF * it iF iF it iF iE * it iF iF I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N1 UNIT COST TOTALiCOST SFR 1200 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 11200,00 END OF FEES f' ') ` a f •f jr n, o4!^Cr.1:-601'19 i T - CONSTRUCTION AND PLANNING .APPROVALS Permit # !Date Inspector POOL 'A APPROVALS Permit # Date Inspector 1. Temporary Electrical Servile or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. .- 53. Steel Reinforcement _,3,`,EtectSTcal Conduit-Utility-Uncirgrnd. - 54. Forms '., 4•. EWctrical Conduit-Ulydrgrnd. - 55. Electrical Bonding • - `�: Yeel Reinforcem2nl • - _ 56. Rough Plumbing & Pressure Test ,_• �• Electrical UFE'R.Grnd. 57. APPROVAL TO COVER-GUNITE _= 7. Footings - 4 58. Electrical Conduit-Undrgrnd. =- _M 1Foundation ;t'r 59. Gas Pipe, O Undrgrnd., Test - ••"9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural FIooF system o- 61. APPROVAL TO DECK 11- Property Sewet Line & Honse Con®coon r 62. Backwash & Receptor -Final 12. Sewer Cap ! 63. Heater & Vent -Final 13. Roof Drains _ 64. Plumbing System - Final , 14. Rough Plumbirfg 65. Electrical -Final 15. Rough Electriciil-Conduit 66. Solar System -Final 16. Rough Electric -Wiring 67. Fencing & Access Approval 17. Rough Wiring 4ign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ;APPROVAUS '-:Permit # • ?' r i. A _ 20i7Rou�h Factory EuePlace -^ _ _ S ♦ -e r.•X s �"< M 21: 'Ducts, in Structdr@' ... ,� f � -.S '> l z ; ' _ r _70. � derground Hydro 22. Duces, G2ntitatinq-< .' ^ _ •� -: < '71. Product.P(ping 0Gas gOil 23. ;Gas-Pip(F h &•.lest ,`. ti S -72. Undergroynd FlusF 24,�Roisf Flaming < - 1 - < _ x 173F Undergrnil. Storage Tank Gas ❑Oil 25. Roof Sheathing o'�� O'+� c - « '74' Oyerhead'Hydro- 26._T-Ber Ceiling (structural) & Monocoat z 4 - x 75+ -Dry Chemical - x 27'.�Frame and t1pshtKx _ t *� 76. DRry Stand p;pe x •- r, ,; ;28V-Lalbing &Siding -4x _ ^' x * ••� -� 77%, FIXED $1'STE(W FINAL• -29. Insulation - '-'• ', y; 78.- FIRE PREV. FINAL zr X30. Drywall:Naiting F-, • >R �y .HEALTH DEPTc WEQUIReMENT -31. Plaster Brown Coati r,r K ,79 FINAL INSPECTION :__32; -Electrical Pover Motel -Final ; ., ', k .'80,r,FOOD CERTIFI_CiTE ISSUED `33SFin l ElectricNj6s: 34; Final HEetin & Aii Ctonditio ting 1 -e 35Final Gat Pipe -Test' �= - 0 *" - _ - _ r n36. Hogd or Canopy - r '37 -Final Factory Fireplace. X38 • Final Plumbing - X39. Water Servicr Final- • - 1 - ' .40. Gas Service -Final ,- ,411. Solar Oomestic-Final ; •- �+ < - -42�Backflow Prevented; i < a - 43. Backflow Irrttgation r s ; IK ,� u r 44. Landscape l ligation SystertL ,' ,, r c U •-45. Sound Attenuation 46 ;Handicag Regulations = _ kk :1 �. 47.;FIN'ALSTRUCTURE &BUfLDING ^48 7-Gj2 %FINAL PLANNING _-49=Electric Release to -Edison -• t 50..Gas Reuse to Southern California Gas Co ; S t �� .• '. (yam Y 51; CERTIFICATE OF.'000UPANCY No. Date COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely TYPE [OR PRIN'TBUILDING /Irr AD13UDRESS 12 Likcoln Wa COSTA MESA. CALIFORNIA F,E,E RECEIVED FEB 1 9 AN3 !�:FINANCE DEPT. APPLICATIONLRORCPERUTTA MESA BUILDING For Office Use Only OC Loan RECEIPT NO. I P8 Mlj t� OWNER idea-fal Om an g MAIL HaAboe'BJvd. RECEIVED B DATE RECEIVED lj I DATE ISSUED ADDRESS 22AA77 FEB 1 H Infill Ae4a O Q TE BUILDING CITY o.d.fa. N YV ADDRESS ARCHITECT TEL. COSTA MESA, CALIFORNIA OR ENGINEER NO. ADDRESS FIRE ZONE APPROVED TYPE GROUP / ned delaohn -4 /1jj . CONTRACTOR� BY DATE I 1 2901 Benedict Daive ZONING ADDRESS ct a on CITY 6eve4 1ULd ZONE I �/ NO. OF (PIANS USE OF NEWS" ]TJsS I SUILpING � LICTNO. 141STAE NO. LEGAL DESCRIPTION Lara/T� y�aa SIZE NO. OR SLOGS. OF LOT NOW ON LOT p, p, NO. USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE FROM16 A 9 (CENTER LINE 6T.) CENTER OF STREET REAR YARD FRONT (/' FT. —� IN. SIDE YARD ILEFT ` (RIGHT J R.SIDE S FT. IN. DESCRIPTION OF WORK L. SIDE S FT. IN. I II I I I NEW X ALTERATION ADDITION REAR FT. IN. REPAIR I MOVING I I DEMOLISH ABYPROV yy DATE BUILDING NO. OF SIZE 2 X ROOMS STORIES EXTERIOR WALL ROOF ROOFI COVERING Rock U=E�OF BUIL ING ANI ORK TO BE PE FORMED ( CZlR (/� e,W14 IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATI IS FOR THE AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITYoINANCBS AND STATE LAWS RSGU ING VALUATION BUILo1No eoxe N. SIGNATURE ---' PERMIT FEE $ PLAN CHECK $ 77 PERMITTE 'J) $ -e Q "`�J / f AUTHORIZED AGE / / TOTAL FEE