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Home My WebLink About632 TERMINAL WAY - Building Permits� • � - �� ,� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.caB.��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Jobnddress: 632 TERMINAL WY Suite: Vicinity: Parcel Number: 4242$106 App�icane MCCARL, TIM Address: 726 COMMERCIAL WAY COSTq MESA, CA Owner: VALLEJO, JOSEPN T TR Address 1610 W COAST HWY Zoning: Phone: 949-548-5569 2ip: 92627 Phone: NEWPORT BEACH, CA Zip: 92663 Contractor: GARY REES DBA CRANK BROTHERS ROOFING Address: 126 COMMERCIAL WAY COSTq MESA, CA Zip: 92627 Arch : Address: Phone: 949-548-5569 License: 736549 Eng: Address: Phone: ISSUED BY: Status: ISSUED Applied: 12/16/2003 Issued: 12/16/2003 Phone: Zip: License: License: SCOPE OF PERMIT REMOVE EXISTING ROOF. INSTALL 72# CAPSHEET, HOT MOPPED, W/ASPHALT ON COMMERCIAL B�DG. 6,000 S.F. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $23725 $0.00 $2.81 $0.00 $0.00 5240.06 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existino: 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING LeR 0- 0 LeR 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $13,393.00 513,393.00 NOTICE: The work authorizetl by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92Q8, § 1, 12-21-92) ' �� EXPIRATION: This permit shall automatically expire and become void il 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 ihis permit to be considered legal, such work must comply with all applicable codes, and all li required Inapeetlona and final approval mus� be obtained. Failure to obtain Inspections and final approval will result in the expiratlon of this permit. FOR INSPECTIONS CALL: (714) 7545626 tmaae (erool WORKERS' COMPENSATION DECLARATON: _ I hereDy ettirm under penalty of perjury one of the following tleclarations: ' ❑ I heve end will meintain e certitiwte ol consem to selt-Insure tor workers' compensation, es providetl for by section 3700 ot the Labor Cotle, tor the pertortnance of the work tor which ihls permit is issuetl. �`I have antl win malntaln workers' compensetion Insurance, es requirea by sectlon 3700 of the Le6or Code, for the perfortnance of lhe work for which ihis pertnit is issued. My worker ' co pensation Insurance Farriar end policy number are: Cerrier. �� i k�l V1 A Policy Number., 1 1� 6��{.2 ^�0 6� (This section need no�comp/ete0 i� the permit is veluetl et ane hundred dallars ($100) or IeuJ ❑ I cenify t�al in the edormance of tha work for which Ihis permit is Issued, I shall not employ any person in any manner so es to become subject to the workers' compensation law t g�if �a, an ee thet if hould becoma subject to Me workers' compensatlon provisions of Sectlon 3700 at the Lebor Code, I shall torthwith compty with thas r is�' Applicenl Signeture: Date: � Z / � b / 0.3 WARNING: FAILURE TO EC RE WORKERS' C�.IPENSATION COVEFiAGE IS UNLAWFUL AND SH/ LL SUBIECT AN EMPLOYER TO CRIMINAL PE TIES A � CML FlNES UP TO ONE HUNDRED T}fOUSMlDDOLLAFE(51 , �,INADtl�TIIXJTOTHECOSTOFCOMPENSNTION,�AMAGESASPROVIDEDFOFINSECTIIXJ31060FTMELABORWDE,IMEREST,ANDATfORNE`f5FEE5. LICENSED CON7RACTORS DEC4ARATION: 1 hereby eNirm Ihal I am Ilcensed untler provisic force end eMect. Lic. N G�. Contractofs SlgnaWre: of Chapter 9(cammencing with Sectian 7000) ot Divlsion 3 0l Ihe Business end Professions Code, entl my license is in full Cless N —� u �X oate: � 2 � 0 3 CONS7RUCTION LENDING AGENCY: ❑ I hereby eNirtn Ihal there is a Construction lentling agency for Ihe pertormance of ihe work br which this pertnit is issued. (Sec. 3097, Civil Coda). Lenders Nema: Lender's Adtlress: SignaWre: Date: OWNER-BUILDEfi DECLAFiATIONS: I hereby ettlrtn Ihat untler penalry of Perjury Ihet I am EXEMP7 FROM TME CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or counry which reqoires a pertnit to construct, alter, improve, demolis�, or repair any structure, pnor to its issuance, elso reQuires Ihe epplicant for such permit to file e signetl stetement ihat he or she is Ilcensed pursuam to t�e pmvisions of the Comrectors Llcense Lew (Chapter 9(commencing with Section 7000) of Division 3 ot Iha Business end Professlons Code) or that he or she Is exempt theretrom and the besis for the alleged e:amption. Any violation of Secllon 7031.5 by eny applicent for a parmit sublects Ihe epplicant lo a civil penalry of not more Ihen five huntlred dollars ($500).): ❑ I, as owner of the propeny, or my employees wlth weqas as iheir sole compensatlon, WILL DO THE WORK, and ihe stmcture Is not Intended or oHeretl for sele (Sec. 7044, Business end Professio�s Code: The Contractors License Law does no� apply to en owner of property who buiids or improves thoreon, and who tices such work himself or hareelf or ihrough his or her ov.n employees, provided thet such improvemenis are not In�entled or ottered tor sele. 11, however, the building or improvement is sold within one year of comple�ion, Ihe owner�builder will have ihe burden of proving that he or she ditl not build or improve for purposa of sale.). � ❑ I, es ownar of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the pmject (Sec. 7044, Business and Professions Cotle: The contractors LlcenSB Lew does not epply to an owner of property who bullEs or Improves thereon, and who contrects lor such project with a crontractor(s) license Dursuant to the Contrectors License Lews.). ❑ I em exempt under sec. Business and Professions Cotle lor lhis reason: SignaWra: Date: Owner ID veritietl by tlriver's license� ❑ Yes ❑ No Dnvefs License No. Expires: Vedflcation ol Ownership by (rype of dxumem, i.e. - property tax blll or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenily thet no excavedon five (5) or more fee� in depih into which a person Is requlred to descend, will be made in connection wIN work euthorizetl by Ihis permit, and that no building strucNra, sceHolding, falsework, or demolition or dismantling ihereol, will be more ihan thirty-six (36) feet higR (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Cellfornia Adminis��etive Cotle). ❑ As owner-builder, I will not employ enyone to do work which would require a permit from the Division of Intlus�nal Sefery, as nolad e6ove, unless such pereon has e permit to do such work irom the division. Signature: Date: Division of Industnal Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUiHORIZA710N OF ENfAY: I cetlify under penalry ol perjury that I �ave reaa ihis application end state ihet the informatlon given is correct. I egree to comply wiN all slBte laws end ciry ordinences relating Io builtling consWction, antl eut�otlze representa�ives ot the Clry of CaSte Mese to enter upon the ebova-descnbed propp[ry for inspection purposes. I egree not to occupy or ellow occupancy oi eny builtling au�horized by this permit un�il tinel inspection. COOE 1. INSPECTIONTYYE 1616 Fixetl Sysiem Final Fire Pre�enlion 1266 200 201 202 203 Pool Spa Finel Finel Re-Rooi Final Block/Retaining Wall Final Fectory Fire Place Final Sign 204 FinalOemolition Q97F IMRIALS CODE� INSPECTIONTYPE 208 Finel Mechanical 208 Flnal Plumbing 210 Final Elecirical 212 Final Fire Preventlon 220 Finel Planning Approval 222 Final Site 250 FinelBuilding/Occupancy QA7E I[�NL$ �-•� .. -� ,:1. .._ � . . . � �� OWNER GALAXti' CONSTRUCTZON C0. � DATE 8-10-55 JOBADDRESS 632 Terminal Wav BUILDINGPERMITNO. ZGZ9 GENERALCONTRACTOR OFIil p— VAWE $Q�i(�O OO u vision �oT 407 BLOCK TRACT Tndustrial $ldg. GROUP rii TVPE I.NSPECTIONS I DATE I SUBCONTRACTOR I DATE P IRMITS INUMBI Foundation Forms and Grade to Rough Framfng �, _ • Plumbing, Rough to Slab —� Plumbing, Rough Complete�Ai• Temporary Pole Wiring, Rough Heating, Rough Heating, Flnal Sewer, House ewer„ SCptic Tank or Cesspool Lathing, In Out Plumbing, Fin.al Gas Test % Wiring,Final � � Occupancy ��2 F'nrm 210 C_H 15f101 _55 - , osta Mesa Bnilding Departcqent161$ � 111 EAST 20th STREET � - � i COSTA MESA, CALIFORNIA L FOR APPLICANT TO FILL Bullding y � I � Address J v � Costa Mesa, California Owner Ma❑ Address rcect or neer Contractor 1 Lot [ion No. Metes and Iding I hereby acA end state th� with all Cli building con Slgnature oi Permittee _ Valuation� /O � S � �B ' [GGL�dL I . �y( , Tel. � g N o. �'SR i 0 No.aT � No.of Famillea Rooma Demolish ePLICATION FOR PERMIT BUILDiNG � FOR OFFICE USE ONLY Recelpt No. Permit No. //o?i9 Costa Mesa, California CORRECTLONS I Covering �p� � ;(� E1pPROVALS J S�G / A� • Foundation Lowtlon Inspecto Forms, Materials, Under-Pinning Frame: Fire Stops, Bracing, Bolts that I have read this ApplicaUon ; ✓c is correct and agree'to comply Lath. Int � �S te Iaws regulating Lath. Ext. Plaste�.lnt . Permlt Fea $ �,� Pian Check $ / S Total � Fee Bond Beam v � � 6 0 a` Street PLOT PLAN Show locatlon and distanceg from Property lina and between bufldings A '�. :