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Home My WebLink About496 TRAVERSE DR - Building Permits(714) 754-5273 • Fax (714) 754-4056 • www.ci.costa-mes�aUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 496 TRAVERSE DR Suite: Vicinity: RESIDENCE & ATTACHED GARAGE Parcel Number: 41803110 Applicant: COLLINS, CARY Address: 1070 N BATAVIA #502 ORANGE,CA Owner: GENSLER, MARILYN Address 496 TRAVERSE DR COSTA MESA,CA Contractor: ACADEMY ROOFING CO Address: 1070 N BATAVIA #502 ORANGE,CA Zip: 92667 Arch : Address: Zoning: R1 R1 Phone: (714)997-0038 Zip: 92667 Phone: Zip: 92626 Phone: (714)997-0038 � License: 648959 Eng: Address: Phone: ISSUED BY: Status: ISSUED Applied: 07/10/2001 Issued: 07/112001 Phone: 2ip: • License: License: ' SCOPE OF PERMIT � REROOF: T/O EXISTING 2 LAYERS OF COMP, REPAIR SHTG AS NEEDED, 1 LAVER OF 303 FELT, APPLY 25-YEAR COMP SHINGLES. ' � 2600 SQ FT , ^ FEE SUMMARY Plan Check: $0.00 Permit: $125.25 SMIP Res: $0.56 SMIP Com: $0.00 Other. $0.00 Inspection: $0.00 , Total: $125.81 � � �� SETBACKS MAIN STRUCTURE Front 0- 0� , Rear 0- 0 ACCESSORY Front 0- 0 � Rear 0- 0 PARKING Existinq: 0 Re uired: o NOTES: Calc Valuatiorr $5,soo.00 Claim Valuation: $s,aoo.00 ; PLANNING & ZONING '''-�'� , ". Left 0- 0 � Right 0-0 Left 0- 0 � Right 0- 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 1 BO days. INSPECTIONS: In order tor ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlons and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 24461fi1N00) WORKERS' COMPENSATION DECLARATION: , I hereby atfirtn under penelry of perjury one of �he following declara�ions: - �❑ I hpp��'''aaa end wlll maintaln a cenificete of consenl to self-Insure for workers' compensation, es provided for by section 3700 0l lhe Lebor Cotle, tor ihe pertormance ot the or whlch iht5 permit is i5sued. I hava antl will mairi(ai workers' compensation insurence, as required by section 3700 of the Labor Cotle, for ihe peAortnanca oi the work for which this partnit is issued. My workers' compen�tion Insurance carner antl policy number are: Cerrier: � Policy Number: (This section need not 6e completed il Ne permit is va/uetl et one huntlred Uollars ($100) ar less.) ❑ I certify Ihat in the peAormance ol the work for which Ihis pertnit is issued, I shall not e�r�,loy any person in any manner so es to become subject ro the workers' compensetion laws of CalHomia, entl egree t�at N I shoultl becoma subject to Ihe workers' compai�;atlon provislons o1 Sectlon 3700 0l tha Labor Cotle, I shall torthwith comply with these pro�s s. �/ ^ AppliwnlSignature: �/Lr Date: �, � �' v� WARNING: FAILUFE TO SECURE Wiy KERS' COMPENSATION COVEMGE IS UNUWFUL AN� SHALL SU6IECT AN EMPLOVER TO CRIMINAL PENAL IES AND CIVIL FlNES UP TO ONE HUNORED TNOUSPND OOLLARE (5100,000), IN ADOITION TO THE COST OF COMPENSATION, DAMAGES AS PROVI�ED FOR IN SECTION 3]OB OF THE LABOR CODE, IFf�EREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm thet I em Ilcensed under Drovlslons ot Chapter 9(commencing with Section 7000) of Division 3 of the Business and Protessions Code, and my license is in full force antl eflect Lic. N Cless N Contractor'S Signeture: ��/��./ Dete: � � �� CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm that there is e conslruction lending agency tor the pedormance of the work tor which Ihis permit is issuetl. (Sec. 3097, Civil Code). Lendefs Name: Lender's Address: Siqnature: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirtn Ihat under penelry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Businass antl Professions Code: Any city or county which requires a pertnit to conslrucL alter, improve, demolish, or repair any siructure, pnor to its issuanca, also requires Ihe applicant for such pertnit to file a signed statement ihet he or she is licensed Oursuant to the provisions of the Coniractors License Lew (C�epter B(commencing with Section 7000) of Division 3 of Ihe Business antl Profeuions CoOe) or Ihet he or she is exempt therefrom and tha basis for the alleqed exemption. Any violation of Section 7031.5 by any applicant for a permit suhjects the epplicant to a civil penalry of not more then tive hundred dollars ($500).): ❑ I, as owner oi t�e propany, or my employees with wages as iheir sole compensation, WILL DO THE WORK, end the structure is not intended or otteretl for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law dces not apply to an owner of property who builds or improves ihareon, antl who does such work himself or herself or t�rough �is or har own employees, provided ihat such improvements are not Intended or ofleretl for sale. If, however, the huilding or improvement is sold within one year of completion, Iha owner-builder will have ihe burden of proving that ha or she tlitl not Duild or improve for purpose of sale.). ❑ I, as ownar of the property, em EXCLUSIVELV CONTRACTNG WI7H LICENSED CONTRACTORS to consiruct the projacl (Sec. 7044, Business and Professions Cotle: The contrectors Llcense Lew tloes not epply to an owner of property who �uiltls or Impmves thereon, end who coniracts for such prolea wlih a contrador(s) license pursuant b tha Camractars License Laws.). ❑ I am exempt un0er sec. Signature: Owner ID venfied by dnvers license. ❑ Ves ❑ No Business and Professions Code for this reason: Veritication of Ownership by (type of documem, i.e. - propeny tav 6ill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICA710N: Drivefs License No. Date: Ezpires: ❑ I hereby certlfy ihat no excevetlon flve (5) or more feet in tlepih into which a pereon is required to descend, will be made In connection with work authonzed by this permit, and ihat no builtling sWcture, scaHolding, talsework, or demolition or dismanUing thereof, will be more than thirty-six (36) leet high. (Chap. 32, Grp 2, Art 2, Sec. 341, 71tle e, Celifornia Atlministretive Code). ❑ As ownea6uilder, I wlll not employ enyone to tlo work which woultl requira a parmit from tha Divislon of Indusirial Sefery, es noted above, unless such person has e permit lo da such work from the division. SignaNre: Date: Division of Intlusinal Safery Permit Number: CEHTfICATE OF COMPLIANCE AND AUTHORVA710N OF ENTHY: I certify under penalty of perlury that I have read this epD�ication and state that the iniormation given is correct. I egree to comply with ell state laws entl city ortlinances relating to building consimction, and euthorize representatives of ihe Ciry of Costa Mesa ro enter upon the ebove-descnbed property lor inspection Duryases. I agree not to occupy or allow occupancy of eny building authorized by this permit until tinal inspection. CQOE t. INSGECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool SOe Final 200 Final Re-Roo( 201 Finel BIaWRetaining Wall 202 Final Factory Fire Place 203 204 Final Sign Final Demolition Qej[ IMRIAL �� L� a/ �� / / � � �a�a Date LODE� INSPECTIONTYGE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 272 Final Fire Prevention 220 Final Planning Approval 222 FinalSi�e 250 Final Buildin<yOccupancy P�T& INTITIALS �rvrv�rc ROBERPS, RALPH JOB ADDRESS 496 Travere GENERAL GONTRA TOR I� AP No. lFlEi_031-10 LOT E INSPECTIONS 50I L GAS W ATER ROUGH PLUMBING PROP. SWR. LINE � HOUSE CON. � SPPINKLING S�STEM MISCELLANEOUS ROUGH HEATING ANO AIR CONOITIONING TEMPORARY SERVICE OR POLE UNOERGROUN� ❑ POWER � ROUGH WIRING TFEUGUEs FORMS I—I STEEL RE SNEATHING FRAME AND FLASHING LATHING — IN I—I PLASTER, Bft0'MN COA STqUCTURAL, FINAL HEATING, VENT., REFI PLUMBING, FINAL AN[ ELECTRIC, FIN/� BUILOING, FINAL DATE ]2-5-(�j BUILDING PERMIT NO E SUBCONTRACTOR • 29456 COSTA MESA BUILDINCrSAfETY DEPARTMEM P.O. BOX 12J0 COSTA ME9A, GALIiORNIA 92E2E OEC -5-66PA1°00 393 �**� **5 (�l CNS^ � 2797 COSTA MESA BUILDING-SAFET'! DEPARTMENT P.O. BOX 1TJ0 GOSTA MESA, CALIFORNIA Y26iE For Applfcant fo Fill In Completahr TYPE OR PRINT � ADDRE'89 ��I� � K1-FVCi�L�� COSTA ME3A, CALIFORNIA IROY o�cz7-�� 0 929+► ****90.00 APPLICATION FOR PERMR BUILDINO Io� Offlce Use On/y R[C61I! NO. ^'�IIMA/Ip G /� /U ri / n ni rv o wn �eeueo '(� /�_/� g7 f'�J_ '7i _t T!L ioNe "�7 TYPR V ORC NO. T!L APPROV[D � D7 DATB NO. S ZONIN(; ION[ NO.OI UY[O�N{W �LANt 'z CYILDIHO . L[OAL / L / . / �i" i� w. P. No. 141-031-10 . nOT[: NO[AV[OV[11HAN65NALLBBL688THAN DO' TO 810H 4 RBAR P. L BAVEB HO.oI�LDo�. ALLOWiD fU.B.C.REQUIRHMBNT'. ��w N YARDDMPROVHD YARDBAPPROVHD MAIN BUILDINO AGCE880RY BUILDINO Z DESCRIPTION OF WORK � HQR60Y pCFNO i AND BTAT@ TMAT Q PLY WITN ALL CI OP OUILDINO CONBTq f BIGNATURB Or PERMI7TH AUTHORIZiD AG[NT OP r� wwv� qr� nno �rnuunox 1� COPR �NO AORe[ TO COM• � AND �TArR uwa xcouunHo VAP. �i � DATE er�""�"' � o�re 11-27-67 �iOLD FOR 5 ('1AL RSQUI" "'' ? � m � � QG� so. vr. � / � TH6 AYOUHT OMOWH UNOep V�LYIITIOH 16 IOR TN6 j •YPPO![ 01 �HT�BLIBNINO A P6PMIT P86 ONLY. 3 VALUATION �O � ERMITPEE S � p s /�� •3 � ^ w � r TpTAlFEB S / O