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Home My WebLink About497 TRAVERSE DR - Building Permitsr� (714) 754-5273 • Fax (774) 754-4856 CITY OF COSTA MESA BUILDYNG DIVISION DEVELOPMENT SERVICES DEPARTMENT, PERMIT JobAddress: 497 TRAVERSE DR Suite: Vicinity: SHED ROOF BEHIND GARAGE Parcel Number: 41803209 App�icant: ROBERT WHITNEY Address: P015396 NEWPORTBEACH,CA owner: GREEN, ELIZABETH V Address 497 TRAVERSE DR COSTA MESA, CA Contrecror. WFiITNEY ROOFING Address: PO 75396 Arch : Atldress: NEWPORTBEACH,CA Zip: 92659 Phone: BUILDING PERMIT 2oning: R1 R1 Phone: (949)548-0769 Zip: 92659 Phone: Zip: 92626 Phone: (949)548-0769 License: 406022 Eng: Address: PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Slatus: ISSUED Applied: 03/22I2000 Issued: 03/22l2000 Phone: Zip: � License: License: SCOPE OF PERMIT , REROOF - T/O, USE EXISTING SHTG, INSTALL 1 BASE SHEET, AND 1 MODIFIED CAP BUILT UP ROOF. Plan Check: $0.00 Permit: $41.80 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $42.30 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existina: o NOTES: Rear 0-0 Rear 0- 0 Reauired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Lefl 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0- 0 $i,�oo.00 s�,ioo.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, § 7, 12-21-92) EXPIRATION: This permit shall automatirally expire and become void if work is not�commenced within 1B0 days, or if work is suspended or abandoned for a period ot 180 days. INSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such work must comply with all applicable codes, and all Irequlred Inapeetions and tinal epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. � FOR INSPECTIONS CALL: (714) 7545626 , WORKERS' COMPENSATION DECLARATON: t I hereby ettirm untler penelty ot perjury one of the tollowing tleclaratlons: ❑ I heve and will malntain a cetlificate oi consent to sell-Insure br workers' compensation, as pmvided for by sectlon 3700 ot Ihe Lebor Code, for the pertormance of t�e work far which this permit is issued. ❑ I have antl will mai taln work ' compensa�on insuran , as requlretl by section 3700 of Uie Labor Code, for �he peAormance of Ihe woAc lor which Ihis pertnit is issuetl. My worker5' comp e'on I rence Carner end policy umher ere: . 7�, � / 9 Carrier: � Policy Number: L�vJ � 8 (This secfion neeU n t be compl etl i! the perm' ' veluetl ef ne huntlred dollars ($100) ar less.) ❑ I certity that in ihe pertorman the �dc or �' this parmit Is issued, I shell not employ any person in any manner so es to 6ecome sub�ect to Ihe workers' wmpensation laws ol Califom a, and it 1 �ould become sub�ect to Ihe workers' compensation provisions of Section 3700 of the Labor Catla, I shell forthwith camply with these provisians. Applicam Signature: Dete: ��v WARNING: FAILURE TO SECURE WORKERS' OMPENSATION COVEMGE IS UNLAWFUL M1D SW1LL SUBIECT AN EMPLOVEF TO CRIMINAL PENAITIES AND CNI� FlNES UP TOONE HUNDRED T/10USAND OOLLARE (5100.OW). IN ADDITION TO THE 00.5T OF ODMPENSATION, DNAAGES PS PROVIDED iOR M SECiION 3IW OF THE LABOR CODE.IMEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm �hat I am licensed under provisii torCe and 8ff8cL Lic. k � Contraciors Signature: 9(c mencing with Section 7000) of Division 3 of the Business and Pl ofes 'ons Code, and my license is in full Class n G �� / Date: 3 Z CONSTRUCTION LENDING AGENCV: ( ❑ I hereby aflirm that there is a consiruction lending agency for �he pedormance ol the work tor which this permit is issued. (Sec. 3097, Civil CodA). Lendefs Name: Lentler's Atldress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirm ihat untler penalry ot perjury Nat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe tollowing reason (Sec. 7031.5, Business antl Protessions Code: Any city or county which requires a permit to constmct, elter, improve, demolish, or repair eny strucWre, pnor to its issuance, also reqWres the epplicant br such pertnit to tile a signetl s�atemem thai he or she is licensed pursuem to the pmvislons of Ihe Contrac�ors License Law (Chapter 9(commencing wlih Sec�ion 7000) ot Dlvlsion 3 of Ihe Business anU Professions Cotle) or thet �e or she is exempt therefrom entl the besis for tha allegea exemption. Any violation of Secllon 7031.5 by eny applicant lor e permil sub�ec�5lhe applicant t0 a civil panalty of nol more �han Ilve hundred doller5 ($500).): ❑ I, es owner of tha properry, or my employees with weges as t�elr sole compensetion, WILL DO THE WOfiK, end the siructure is not intended ar aHered tor sale (Sec. 7044, Business and Pmtessions Code: The Contrectors License Lew does not eppty to an owner of property who builtls or improves thereon, entl who tloes such work himself or hersetl or through his or her own employees, provitled that such improvements are not intended or oHered for sele. It, however, Ihe building or improvament is soltl within one year of completion, the owneo-builder will have the hurtlen of proving t�at he or she did not bui10 or improve for puryose of sala.). ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct t�e proJect (Sec. 7044, Business end Professions Cotle: The cromractore License Lew does not apply to en owner ol pmperty who builds or improves thereon, antl who contrects for such projeci wi�h a coniradoqs) license pursuant to ihe Contractors License Laws.). ❑ I am e:empt under sec. Business end Professlons Code for this reason: SignaNre: Date: Owner ID verilietl by anvefs license. ❑ Yes ❑ No Drivels License No. Expires: Verification of Ownership by (type of documeni, i.e. - property lax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation Nve (5) or more feet in tlepth into which e person is requiretl to tlescentl, will be made In connectlon with work authorizetl by this permit, end Ihat no huilding sGvcWre, scaflolding, falsework, or demolition or disman�ling Ihereof, will be more than thirry-six (36) feet high. (Chap. 32. Grp 2, Ah 2, Sec. 341, Title 8, Califomia Adminisirative Code). ❑ As owner6uilder, I will not employ anyone to do work which would require a permit from ihe Division of Indusirial Safery, as notetl above, unless such person has a permit to do such work from ihe tlivision. Signature: Date: Division of Industnal Safery Permit Number: Will tha applicant or present or future builtling occupant neetl to lile end cenity e Business Plan for emergency response to release or �hreatened release of e hazardous materiel7 ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safery Code requires, with some exceptions, thal e Business Plan be filed with the Costa Mesa Fire Department by every Dusiness which has at any one time Dunng a reponed year a quamiry of hazartlous matanals equal to or greater t�an a weight of 500 pountls, or a volume of 55 gallons, Uoes or wnl tne appucam or present or tuture Duntlmg occupant neea to tne a registrauon tortn wr aatery nazartlous matenals7 LJ ves LJ rvo (Section 25533 ot ihe Califomia Health and Satery CoOe, with some exceptions, requires ragistration with the Costa Mesa Fire Depanment by each business which at any one time has on hand a quantiry ol acutety harardous materlals epual to or greeter than a weight of 500 pounds, or a voluma of 55 gallons, or 200 cuDic feet of compre5sed gas at standard [emperature end pressure). Does or will Ihe applicani or preseni or future builtling occupani need to prepare an RMPP (Risk Managemen� and Preven�ion Program for ecutely hazerdous metenals)1 a u an Hrv 5 Does or irom �he (Section 6 Willany (II yes", 7 If a oerr 25534 of �he Celifomia Healih and Salery Cotle provides that Ne Coste Mesa Fire Depahman� may require lhe preparetion, tetlification and filing wi�h ihe Fira en1 of an RMPP by businesses which are required b register aatety hazardous materials wiN the Fire Department. PP is presen�ly required, hes Section 25534 of ihe Calitomia Health an0 Salery Code been fully complied with7 ❑ Yes ❑ No will Ihe applicani or present or fulure huilding occupent requlra br �he work which is ihe subjed of ihis a plication ep,armit for such consirudion ot motlitication South Coes� Air Oualiry Menegeman� Dlsidct or from any other elr pollutlon coNrol tlistdct or agency7 � Yes �I No 658502 ot the Califomia Govemment Code requires thet tha requested information be fumished on applications for non-residential builtling permits). part of lhe laciliry to be conSWcted under this permit 6e within 10001eet trom the outer bountlanes ol a school? ❑ Ves ❑ No the facility must meet Ihe requirement of Sectlons 25534 antl 42303 of the Califomie Heelth antl Safety Cotle). iil �rom Ihe Sou�h Coas� Air Queliry Managemen� Disidct or other eir pollutlon control tlisiric� or agency Is required for Ihe work which is �he sublect of lhis m, have all of ihe disclosures prescribetl by Califo(nia Heelth and Sefety Code Section 42303 been made9 ❑ Yes ❑ No I certify ihat Emissions. Signalure: CERTIFICATE OF COMPLIANCE AND correct. I aqree to compry with all st�N above-described propertytorinspeyfoi CO�E �. INSPECTIONTYPE 1676 Flxed System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roof 201 Final BIocWRetaining Wall 202 Finel Fectory Fire Place 203 FInalSign 204 Final Demoli�ion 2Gd6d6 ciry la of perJury the Informaiion given ebove is cortect. I egree �o wmply with all stale laws and ci�y ordinances Date: ENTAV: I certity under penalry of perjury that I have read Ihis application and state ihat the information given is ences relating to builtling construction, end authonze representatives ot ihe City of Cwsta Mesa to enter upon Ihe nol to acupy or allow acupancy of any 6ulltling euthonzetl by Ihis permit ur}UI final inspection. Q� ��i LOOE 1 INSPECTION flGE 206 Final Mechaniwl 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevenlion 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy Q� INTIfIRLS . 27974 o�c,2�-s�P� 0 933+ +�**8550 COSTA MESA BUILDING-SAFEiY DEPARTMENT P.O. BO% 7200 COSTA MESA, CALIFORNIA 99826