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Home My WebLink About900 TANANA PL - Building Permits(714) 754•5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c��ILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 900 TANANA PL Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 41805213 Applicant: FERGUSON, LEW Address: 4091 E LA PALMA SUITE D ANAHEIM,CA Owner: LACKEY, EDWARD L Address 900 TANANA PL COSTA MESA, CA Contracror. MC CORMACK ROOFING Address: 4091 E LA PALMA SUITE D ANAHEIM,CA Zip: 92807 Arch : Address: Phone: Zoning: R1 R1 Phone: (714)630-5543 Zip: 92807 Phone: Zip: 92626 Phone: (714)630-5543 License: 643700 Eng: Address: ISSUED BY: Status: ISSUED Applied: 01/02/2004 Issued: 0'I/02/2004 Phone: Zip: License: License: SCOPE OF PERMIT REROOF RESIDENCE WITH ATTACHED GARAGE: T/O SHAKE AND WOOD�SHINGLES, FILL IN SPACED SHTG, 1 LAYER 30# FELT, APPLY "30-YEAR GAF COMP SHINGLES:' 2500 SQ FT � Plan Check: $0.00 Permit: $11125 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existinq: o Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0- 0 $5,000.00 Ss,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In ordar for ihe work authorized under ihis parmit to be considered lagal, such work must comply with all applicable codes, and all required Inapectlons end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2448d8 (N00) WORKERS' COMPENSATON DECLARATION: I hereby ettirm under penalty of perjury one oi the tollowing declarations: ❑ I have entl will maintain a certificele ot consent to self-Insure lor workers' compensetion, es providetl for by section 3700 of the Labor Code, for the pertormance oF the work tor which this permit is issued. ��eve end will mainWin workers' campensation insurance, es requiretl by section 3700 of the Lebor Cotle, for Ne peAormence of the work forwhich this pertnit Is Issued. My wo compen a ion Ins ance cerrier antl policy numbar ere: /_ Carrier. 2tQ12C� �LLS/rv�—'SS Scne.��ce5 PolicyNumber:_v�.��:`c (lhis section need nof be wmp/etetl i/ the permit is valued at one hundred dollars ($f00) or less.) ❑ I cetlify that in the pertortnanc oi the work for which Ihis pertnit is issuad, I shall not employ any pereon in any manner so es to become subject to the workers' compensatlon laws of Cell , end egree at if I s�ould become subiect to the workere' compensation provisions oi Section 3700 of ihe Lebor Code, I shall forihwith comply with thes rovis' � O�/O ,/ ApplicaniSigneNre: � Date: O�/ � WARNING FAILURE TO SECURE WORKERS' COMPENSATION C VERA .IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND pVIL FWES UP TOONE HUNDRED THOUSANOWLLARE($100,0OO�,INADDITIONTOTHECOSTOFCA SATION,DAMAGESASPROVIDEDFORINSEGTION3lO60FTHELABORCADE,INTEPEST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aMirm Ihat I am torce antl enect. Lic. # � CONrectors Signeture: CONSTRUCTION LENOING AGENCY: ot Chapter 9(commencing with Section 7000) of Division 3 of the Business end Professions Code, and my licensa is in full Class N �'— Date: � � �� O ❑ I here6y affirm that there is a constmction lending agency for the pedormance of the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lendefs Neme: Lenders Address: Signature: OWNER•BUILDER DECLARA710NS: Date: I hereby ettirtn ihat under penelry of perjury that I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for ihe following reason (Sec. 7031.5, Business entl Professions Cotle: Any ciry or county which repuires a partnit to construct, alter, improve, demolish, or repair eny structure, pnor to its issuance, also requires ihe epplicant far such pertnit to file e signetl statement that he or she is licensed pursuant to the provlslons of Ihe Conirectors License Law (ChaD�er 9(commencing with Section 7000) ot DlNsion 3 of the Business end Protessions Code) or thet he or she is exempt theretrom antl Ihe basis for Ihe elleged eaemption. Any violation of Section 7031.5 hy eny epplicent for e partni[ suhjecis ihe appllcant to a clvil panalty of not more ihan tive hundred dollars ($500).): � I, as owne� ot the property, or my employees with wagas es ihelr sole compensetion, WILL DO THE WORK, and the struclure Is not intentletl or offered for sele (Sec. 7044, Business and Protessions Code: The Contrac�ors License Law does not apply lo an owner of property who builds or improves thereon, and who tloes such work himself or herself or throuqh his or her own employees, provitlea that such impmvemenis ere not intentletl or otteretl for sale. If, however, the builtling or Improvement is sold within one year oi completioq the owner-builder will heve the burden oF proving that he or she did not build or improve tor purpose of sale.). � ❑ I, as owner of Ihe property, am EXCLUSIVELY CON7RACTING WITH LICENSED CON7RAC70RS to consiruct Ihe pmject (Sec. 7044, Busineu and Professions Coda: The coniractars License Lew tloes no� apply to en owner ot pmperty who builtls or Improves thereon, and who coniracts for such project with a contractor(s) license pursuant to ihe Contractors License Laws.). ❑ I em exempt untler sec. Business and Professions Code for Ihis reason: Signatura: Date: Owner ID ventied by drivers licanse. ❑ Yes ❑ No Driver's License No. Expires: Vedficetion ot Ownership by (type of tlocument, i.e. - property tax bill or daetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavation tive (5) or more feet in tlepth into which a person is requlretl to tlescend, will be mede In connection with work authorized by this permit, antl that no 6uilding sWdure, sca%oltling, falsework, or tlemolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Ttle B, Califomia Atlminisiretive Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit irom �he Division ot Intlustrial Setety, as noted ebove, unless suc� person hes a permit to do such work irom Ihe divisian. SignaWre: Dete: Division ot Induslnal Safety Permit Number: ICERTiFICA7E OF COMPLIANCE AND AUTHORIZATON OF ENTFiY: I certify under penairy of perjury ihat I have read this epplication and state ihat the information given is I correct. I agree to comply with ell stete laws entl city ordinances releting to 6uilding constmctlon, end euthonze representatives of the City of Coste Mesa to enter upon the ebove-described pmperly for inspection puryases. I agree not to occupy or allow occupancy ot any building authorized by this permit until final inspection. COOE t, INSPECTIONTYPE 1618 Fixetl System Final Fire Prevention 1268 Pool Spa Final 200 Final Re-Roof 201 Final BIocWReteining Well 202 Final Factory Fira Place 203 Final Sign 204 Final Demolition Owner(s) L•. y o ppli ant PAiE INiIiIpLS �"'�� !!� Date � �/0 �/� Dale CODE� INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbinq 210 Final ElecMcal 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Building/Occupan� PAg Il�EL9 OWNER gpRgjS, SKEET JOB ADDRESS q00 Tanana Plt GENERAL CONTRACTOR Kool Mf AP No. 418-052-1� LOT 3q INSPECTIONS $OIL GAS W ATER ROUGH PLUMBING PROP. SWA. LINE � HOUSE CON. � SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AN� AIR CON�ITIONING TEMPORARV SERVICE OR POLE UNOERGROUNO � POWER � ROUGH WIRING TRENCHES � FORMS � STEEL REINF. FLOOR SVSTEM BON� 6EAM � STEEL REINFORCE � SHEATNING FRAME AN� FLASHING LATHING - IN n OUT ❑ PLASTER. BROWN COAT HEATING, VENT., REFRIG. AND A.0 PLUMBING, FINAL AND GAS TEST I ELECTRIC, FINAL BUILOING. FINAL FINAL DATE 1-9-68 BUILDING PERMIT N0. 'RACT 4( 4 FIRE ZONE VALUE $ 0.00 � Signature Date GROUP ,7 TYPE 1V ZONE R-1 �'� _ SUBCONTRACTOR � — 27998 COSTA MESA BUILDINCrSAFEfY DEPARTMENT P.O. BO% 1200 COSTA MESA� CALIFORNIA i1l20 ' For Appltcan} Po F1Y In Completaly 'I TYPE OR PRINT BUII.�INO ADDRESG / , COSTA MESA, CALIFORNIA eae OF LOT USE OP E%ISfINO Bl 96TBACK LIX[ TEL �AM� DESCRIPTION OF WORK (a EXTERIOR WALL �1 HlqEBY AGKNOM'L6D06 TXI1T � MI1V6 PGD TXIB MPLICATION AND BTATB Tf1AY T116 ApOV6 1� CORR6CT ANC AOREB TO COY. PLY WITH ALL CITY OPO)lIANCQf AHD iTAT[ LAWY R[OULATINO �UILDINOCONBTRYGf10N. A � AUTHORIZHD AGQNT PAID JAt1-9-6s—�5�00 294 cJ+*** **3.00 APPLICATION FOR PERMR BUILDINti For Ofiica Use Onfy or � L[OAL N0T6: ZONIN(i NO. O� Ui[ OI NHW IUIII ��- OUILDINO YARDD MPROVHC MAIN BUILDINO o�arwne[ err. MAIN BLDOf. VM. # =�/�J -0S d- � /_ 1AN6 SHALL BH LE88 THAN YARD9 APPROV6D ACClGHORY BUILDINO OATE B7 DAT! / ' a m � � ec. rr. � 0 TN[ AYOUNi BXOWN UND6R VALU�TOH 1! IOR TXC ■YqPOlH OP 6BTABLI9NIM0 A PERMIT P88 ONLY. VALUATION � � � PERMIT FEE p a�j�� —y o \ � w TOTAL FEE ��./ '� �-/ � COSTA MESA BUILDING-SAFETY DEPARTMEPR P.O. BOX 7P00 - COSTA MESA. CALIFORNIA 91826 For Appl7mnf fo F711 In Completaly TYPE OR PRINT COSTA MESA, CALIFORNIA ADDRHBY 1355 Front St• cm San Die�o, Calif. No 23�+-7 OREN'GINE¢R �=�• S. Henryck No 546-5 wooaess 901 laard Place, Casta Mesa �.,,.Ro.�.,. Lewis R. Schnid' cirr Costa STATE USE OF Calif. arr 8.11' I wiorrr DESCRIPTION OF WORK oe 0 0 1 XHR68Y ACKNOWLQ006 TMAT 1 HAV[ RBAD TMIB APPLICATION AND BTATB TXAT TH6 ApOV6 It CORR6GT�AND AOReH TO COM• PLY WITH ALL CITY ORDIfUNC�/ AND {TATi LAWY p�OYLATINO BUILOINO CONeI'qYCT/101N. /) PE M�1TT6¢ OI' ��'�' "�"�' �lL=� �c,2dG� AUTNORIZGD AOQNT FEB 17-67Pa�o00 �os�� ***:�94.50 [HSA APPLICATION FOR PERMR BUILDING Fo� offr� u� o��y �r ZONIN(i „o. o. �.� a. x� •ueu � sui�niHo YARDD MPROV ED MAIN BUILDINO vwte. # e.u.P.# APPROV[D sr�wu. ee �¢sa TnwN YARDS MPROVED ACCECiORY BUILDIN6 owre a w � � eo. Rr. � � � 0 tr�e wrouxr sxoww ur�oen vw�uwnon te ron rHs � �UPPODB OP �BTABLIBHINO A PlRMIT P8B ONLY. VALUATION � �j PERMIT FE8 S �Jr � � s //i �� .�� w