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Home My WebLink About182 THE MASTERS CIR - Building Permits CITY OF COSTA MESA BUILDING DIVISION >:1,,,,• � f DEVELOPMENT SERVICES DEPARTMENT PE MIT NUMBER �• % RMIT m*1• PEy02-01499 (714)754-5273 • Fax(714)7544856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 182 THE MASTERS CI Status: ISSUED Suite: Applied: 09/17/2002 Vicinity: Issued: 09/17/2002 • Parcel Number: 11939121 Zoning: Applicant: ROBERTS, CHRIS ISSUED BY: Address: Phone: 714-579-7663 Zip: Owner: GUMAER, HARVEY E Address 182 THE MASTERS CIR Phone: COSTA MESA,CA Zip: 92627-4640 Contractor: ISLAND PACIFIC ROOFING Address: 18193 MUIRWOOD CT Phone: (714)557-6516 FOUNTAIN VALLEY,CA Zip: 92708 License: 631472 Arch : Eng: Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REMOVE WOOD SHAKE, INSTALL PLYWOOD, COVER WITH 30 YEAR COMP SHINGLES. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $4,400.00 Permit: $111.25 Claim Valuation: $4,400.00 SMIP Res: $0.50 SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 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 NOTES: 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 and 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 244646(6N0) DECLARATIONS - - WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: 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. ave and will main in.vorke lion Insurance, required by section 3700 of the Lab%Code,for the performance of the work for which this permit is issued. — My workers'corn aio I ce cern r and policy tier are: 1 ' / ��e1 Carrier: Policy Number: `7 (This section need not be completed if t permit is valued et one hundred dollars($100)or less.) ❑ I certify that in the performanc of 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 Calif ia, d agree that If I should become subject to the workers'compensation provisions action 37.00 the Labor�shall forthwith comply with these provisi s. (—'J I l`� Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOL ARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed u •r provisio -of hap(gr p(cc march ith Section 7000)of Division 3 of the Business andrPrdf� e,end my license is In full force and effect.LIc.x / _ > �-�' / U Class a Contractors Signature: . Date: t —1 —0 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). Lenders Name: Lender's 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 and 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 for a permit subjects the applicant to a civil penalty of hot 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.). ❑ I em exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Driver's 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 five(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,Gm 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: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 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 0 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 D es ❑ or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 II an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a lt for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? al emeU Yes No (Section 65850.2 of the California Gevemment 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? 0 Yes 0No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this application,have all of the disclosures prescnbed by California 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: CERTIFICATE 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. Signature al 0 ar(s) q — 1 Date i And/Or zed plicant Date ;ODES INSPECTION TYPE PATE )NRDIALS ;ODFf INSPECTION TYPE PAM MALI 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final / �,.� 208 Final Plumbing 200 Final Re-Roof 9-70-6'2- &t.4 '' 210 Final Electrical • 201 Final Bl cWRetaining 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 I- G 1 r VY- CITY OF COSTA MESA RLQUESg' FOR OCCUPANCY • TRACT NO, & O& DATE f2/4/7/ _ LOT NO. 29 1 ADDRESS \R Z 1r,,,N &t ' Q 51t s The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its str.ects accepted by the City of Costa Mesa . • The undersigned, by executing this agreement, acknowledges that (he-she--they) (was or were) - advised • that this tract has not been given final inspection nor has it been accepted by the city of Costa Mesa as having complied • with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the. aforementioned uncompleted condition . P aser • 'evelg,er and or aut.o 1 representative • BY Lender 31407 FEB 20-70PA7t,00 599* *** 159.75 COSTA MESA BUILDING-SAFETY DEPARTMENT cwsA P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT REC VED DATE RECEIVED DATE ISSUED BUILDING ADDRESS 182 The Masters Circle' �y_�JD ''=��'7� PE RMITirg OWNER United Savings 8 Loan Assoc. A.P. NO. � I r.. MAIL BUILDING ADDRESS 9800 S. Sepulveda Blvd. ADDRESS Z p 4. 0 CITY Los Angeles, Calif. NOL 670-7550 TRACT (,s7)8 I LOT2_9 BLOCK ZC '0. ct CONST LENDER Owner NES✓ ADD ALTER REPAIR 1MOVINf9 DEMOI LSH J 7 BRANCH �/ r J N OWNEii- ✓/ C w ADDRESS �f 03 J I .lyA VALUE �/ , J cz OR ENGINEER R.J . Ma ry i ck No.03 ARCHITECTL'839-3840 USE Y -/ '+s" -- $3�) Lli U CA FIRE y WCC ADDRESS 1538 N. Centugy, Santa Ana ZONE TYPE cnour /t o_ LyAPPROVED �.Q .yJ _ nom/� 0 J O CONTRACTOR Ryness-Smith CO. BY /'� /d'DATF.'c } , :I03 z ADDRESS 140 E. Industry Ave. �. Ww TEL ZONE NO.OF USE OF NEVVi ZF CITY La Habra, Cal 1f. NO. 879-3111 Ca. 4-A1 PLANS1...---- u/1 STATE CITY YARDS APPROVED YARDS APPROVE N¢ LIC.NO. 167538 LIC.NO. 1964 MAIN BUILDING ACCESSORY BUILDING 7 O (FROM CR_STREET/ SIZE NO.OF BLOCS. OF LOT 46 x 94 NOW ON LOT 0 RONT // FT. 92 / ...--- FT. USE OF 0 EXISTING BLDG. R.$IDE 3 FT. FT. I— SIZE OF NO. OF it— QNEW BLDG. 2100 ROOMS 7 STORIES 2 _ L.SIDE 1 FT. FT._ COVERING — V EXTERIOR WALL ROOF StUCCO COVERING Wood Shakes _REAR ( T. FT. • J USE OF BUILDING AND WORK TO BE PERFORMED 1 DISTANCE BET. BET.MAIN& MAIN BLOCS. ACCESS.BL a -6 L f Q VAC.0 P. L 1- DATE Cy Single family dwelling 8 two car _ c.u.P. x 7l (� APPROVED — ( r/—6/y yattached garage. i APPROVED L(��(1.4„1/2DATE ! 769/' D 2 Lot 29 Plan 6-A /J' VI hereby acknowledge that I have read this application and state n that the above information is correct and agree to comply with cc all laws regulating building construction, and I shall not employ f" any person in violation of the workman's compensation laws of (n the State of California. J co Z I hereby certify that I am properly licensed es a contractor under NS--SQ. FT. S� o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UND ALUATION IS FOR S Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHIN.a PERMIT FEE ONLY: e am exempt from the provisions of the State of California Business et VALUATION //s / 0 and Professions Co Division 3,Chapter 9. PERMIT FEE $ Rl 4 �• tv 7 Signature of4S6 /\` ( 'O; E Permittee �9 _ /�/J 5� 'J b PLAN CHECK $ J J /Ji. Authorized Agen 0142,, q{,t ✓/ S i /� u. ✓!� TOTAL FEE S