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Home My WebLink About590 TRAVERSE DR - Building Permits_ , c (714) 754-5273 • Fax (714) 754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, COS7A MESA, CA 92626 BUILDING PERMIT Job Address: 590 TRAVERSE DR Suite: Vicinity: Parcel Number: 41802103 Applicant: PATRICK GRAY Address: 1015 E CHESTNUT SANTA ANA, CA Owner: IKER, JAMES L Address 17200 NEWHOPE ST #335 FOUNTAIN VALLEY, CA Contracroc YOUNGS ROOFING CO, INC Address: 1015 E CHESTNUT SANTA ANA, CA Zip: � 92701 Arch : Address: Zoning: R1 R1 Phone: (714) 953-5444 Zip: 92701 Phone: Zip: 92708 Phone: (774)953-5444 License: 568560 Eng: Address: Status: ISSUED Applied: 04/13I2001 Issued: 04/13/2007 ISSUED BY: l �1" ` �� , g o3 pAS� Phone: Phone: � Zip: � License: License: - SCOPE OF PERMIT TEAR OFF EXIST. WOOD SHAKE INSTALL 1/2" OSB, 30LB FELT AND 25 YEAR COMP.�SHINGLES. Plan Check: $0.00 Permit: $125.25 SMIP Res: $0.57 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.82 SETBACKS �,�� " .' MAINSTRUCTURE Front 0-0 ACCESSORY Front, 0-0 PARKING Existinq: 0 NOTES: �� " . � Rear � 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY _ Calc Valuation: $a,iso.00 - Claim Valuation: . $s,�so.00 � i PLANNING-& ZONING ''� � � j' \�> � , Left 0- 0 �- Right 0- 0; �' Left 0. 0 � Right� -� 0- 0 � Pr000sed: 0 , , " ' NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiiements untler 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 �he work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiretiortof this permit. FOR INSPECTIONS CALL: (714) 7545626 2d46a8 (N00) � WORKERS' COMPENSATION OECLARATION: ` I hereby aXirtn under penalry ol perjury ana of the following declarations: ❑ I have end will mainteln e cenificate oi consent to sell-Insure br workers' compensetion, es provided lor by section 3�00 of Ne Labor Cotle, for iha pertormence of the work for which this partnil Is issued. ,� I have and will maintain worKers' compensation Insurance, as requiretl by section 3700 of the Lebor Code, for ihe peRortnance of the work for which ihis permit Is Issuetl. My workers' compensatlon I�surence carner antl policy number ere: Cerrior: Policy Number: (This section need nof be completed!l fhe permit is velued et one hundred dollars ($100) ar lass.) ❑ I Cprtily.tt7et in Ihe ped rra$pce ol ihe work for which ihis ermit is i�sue4 I shall not employ eny person in eny manner so es to become sublect to ihe workers' cohipensatlon laws o Celjl�l�nla end e ihat if I s Id become sub�ect to tha workers' compensation provislons ol S ct n 3700 of the Labor Cotle, I shell lorthwith .r—�—rnm vrith��h9sa r vis' S _ /� 1 / 2 ApPlicant S g�et�e: P � a��`D `T J WARNINO: FAILURE TO SECUPE WOAKERS' PENSAii COVERAGE IS UNLAWFUL AND SW1LL SU&IECi AN JAPLO RIMI ENALTIES AND GVII FlNES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000), IN APOfTION iHE COST OF COAIPENSATION, DAMAGES AS PROVIDED FOR IN SECiION 3)OB OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONT ORS DECLARATION: I hereby eM "Ihat�a(n lice e n r rovisio s of Ch r 9(co epcing wit� Seclion 7000) of Division 3 oYth�a u�si �nd Prp(g�� s Code, and my license is in full t e and tfaa. Lic. x 5 � c�ass x .� �— 'i' / ontredols Signature: Date: o l i C UCTON LENDING AGENCY: ❑ I hereby attirtn Ihat there is a wnsiruciion lending agency for the peAormance of lhe work lor which this pertnii is issued. (Sec. 3097, Civil Cotle). Lentlels Name: Len0er5 Atldress: Signeture: Date: OWNER-BUILDER DECLARA710NS: I hereby aHirtn Ihat untler penelty o� perjury t�at I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7037.5, Business and Pmfessions Code: Any ciry or counry which requires e pertnit ro construct, alter, impmve, demolish, or repeir eny slrucWre, pnor to its i5suance, also requires �he epplicani for such permit to file e sipnetl stetemenl Ihat he or she Is Ilcensed pursuant to the provisions ot ihe Contrectors Licensa Law (Chepter 9(commencing with Sectlon 7000) of Divislon 3 of the Business and'Prolessions Code) or Ihet �e or she is exempt t�erelrom an0 the basis for ihe ellegod ezemption. Any violation of Seciion 7031.5 by any applicent lor a pertnit sublects the apPlicant to a civil penelty of not more than five hundred dollers ($500).): ❑ I, as owner of the property, Or my employees with wages as �helr sole compensa�ion, WILL DO THE WORK, end the struc�ure Is not intendetl or oMeretl lor sele (Sac. 7044, Business and PmtesslB`ns Cotle: The Contractors License Law does not apply to en owner of property who builds or impmves �hereon, antl who does such work himself or herseli or ihwugh his or her own employees, providetl iha� such improvements are not Intended or oNered for sale. If, however, ihe builtling or imp�ovement is sola wit�in one year of comp�etion, iha owner-builder will have the burden ot proving that ho or she ditl not buiid or improve for purpose oi sale.). ❑ I, es owner of the property, 0m E%CLUSIVELV CONTRAC7ING WI7H LICENSED CON7RACTORS to construct Ihe prolect (Sec. 7044, Business end Profassions Cotle: The contractors License Lew does not apply to an owner of property who huilds or ImO�oves thereon, and who contracts for such pmject with a contreaor(s) license Dursuant to iha Conirectors License Laws.�. ❑ I em exempt untler sec. Business and Professions Cotle for this reason: Slgnawre: Date: Owner ID veritiad by tlrivefs IicenSe. ❑ Y85 ❑ No DriverS License No. Expires: Venficetion ol Ownership by (type oi CaumenL i.e. - property tax bill or tleetl): DIVISION OF INDUSTRIAL SAFET' VERMIT CERTIFICATION: � I hereby certify thet no excavetion live (5) or more feat in depih into w�ich a person Is requiretl to tlescend, will be matle in connection with work euthodze0 by Ihis permit, and ihat no building S�Naure, scattoltling, falsework, or demolition or tlismantling thereol, will be more than thirty-sia (36) feet high. (Chap. 3.2, Grp 2, Art 2. Sec. 34 i, Title 8, Califomia Admin�siretive Code). ❑ As ownerbuilder, I will not employ enyone to tlo work whic� would require a permit trom Ihe Division ot Industrial Salery, as noted above, unless such person hes e permit to tlo such work Irom the division. Signature: Data: Divi9ion of InduS�rial Sefety Permil Number: :ARDOUS MATERIALS AND EMISSIONS CERTIFICATION: W ill tha epplicant or present o� fuNra bulltling occupent need to file end cenity a Business Plen for emergency response to release or threatened releese ot e hazardous materlel� ❑ Yes ❑ No (Section 25505 ot the Celifornie Haalth antl Satery Coae requires, with some exceptions, Ihet e Business Plen be tiletl with the Costa Mesa Fire Depatlment by every business which has al any one time tlunng a reported year a quantity of hazaraous ma�enals epuel to or greater than a weight o} 500 pounds, or e volume o155 gallons, or 200 cubic leet of compressed ges at standard tempereture antl pressure). .............................__..............................,....................................._...._........................_........................_......................._.....................__............................................................... .........._........... ....._..................................._.... Does or will the applicaN or present or future builtling occupant neetl to file a registretion fortn br eatety hazartlous materials? ❑ Yes ❑ No (Sectlon 25533 0l the Califom�a Heelih and Safey Code, with some exceptions, requires registretion with the Costa Mese Fire Depanment by each business which et eny one time has on hantl e qua��iry oi ecutety hazardous metedels equal to or greater Ihan e weiqht of 500 pountls, or e volume of 55 gellons, or 200 cubic feet ot compressetl gas et stantlera tempereture antl pressure). .......................................................................... ..................................................................................................................................................................................... ............................................................................................................. Does or will the applicant or present or fuWre 6uilding occupent need to prepare an RMPP (Risk Management and Prevention Progrem for acutely hazartlous metenals)? ❑ Ves ❑ No 25534 ot lhe CelitorP�a HBel�h ent of an RMPP bv businesses an ihe 25534 ot the Califomia Health and Fire Department may require �he matenels with the Fira Depanme ................................. _.................................... Code been fully complietl with7 5 Does or wlll the epplicent or present or mmre �unamg occupam reqwre tor me work wnicn Is Ine sub�aa ot Itns e F irom the South Coest Air Oualiry Management Distnct or fmm eny other air polWtion conirol tllsMct or egencyt � (Section 65850.2 0l the Gelilornla Govarnment Code requires that the requestetl inlormetion be turnishetl on applica .................................................................................................................................................................................................................................................................. 8 WIII eny part of the Iaciliry to 6e constructed under this permit 6e within 1000 feat Irom ihe outer boundaries oi a sch� (If'yes", the facility must meet the requirement of Sections 25534 end 42303 of the California Heallh and Safety Ca .................................................................................................................................................................................................................................................................... 7 If e permit irom the Sout� Coest Air duality Management District or other elr pollution control disirict or agency eoolicatlon. hava ell of the disclosures prescribetl by Celifornle Health and Safety Code Sectlon 42303 been made9 aparetioq cetlification antl liling with Ihe Fire ............................. _.................................................................. Yes ❑ No ............................._......................_...................._.................... 3 ertnit for such construction or moCification �J No for non-residen�ial � CERTIFICATE OF COMPLIANCE: I certity ihat under penalty oi Derjury Ihe inlormelion given above is correct. I agree to compty with all state lews antl ciry ortlinances regartling Hazartlous Materials and Emissions. Signature: Date: CERTIFlCATE OF COMPLIANCE AND AUiHORiZATON.OF ENTRY: I cenify under penalry ot perjury that I have read ihis application and state that the information given is correct I agree �o comply wilh ell stete laws and city ordinances relating to building conswction, end authonze representetives ol ihe Ciry of Costa Mesa to entar upon the above-descri6ed propetly for inspection purposes. I egree not to occupy or ellow occupancy of eny building euthonzed by ihis permit until final inspection. COOE �. INSPECTIONTYPE � 7616 Fixetl System Final Fire P�evention 1266 Pool Spa Finel 200 Finel Ra-Rooi 201 Flnal Block/Retaining Wel� 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition QdjE' INfiiIRlS COOEI INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention � 220 FinalPlanning Approval 222 Final Site 250 Final Building�Occupa�ty '-0� � It�fi INSPECTIONS or v�+� O CV-O� BUII.DING PERMIT NO. �CRIPTiON OF WORK Tes. Lk: ZONE VALUE $ 22,. GROUP I&J TYPE V SUBCONTRACTOR I Date k(1 • 245�3 GOSTA MESA BUILDING-SAFETY DEPARTMEPtT P. O. BOX 91] C09Yp M6HA. CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT ILDIN6 5� /� �i' n ^ ^. � JRESS t/ � J lttiA�•-V �_ COSTA MESA. CqL1FORNIA� A � E%ISTIN68LDG.�' BHTGACK LIN6 FROM TEL. n NO. OP BLOOB.T\ NOW ON LOT L� EFT � I R16HT DESCRIPTION OF WORK OP I HEREBY ACKNOWLEDOH TNAT 1 HAVB pBAO TI •NO 9TATE THAT HE ABOVE 19 CO qECT ANO PLY WITX ALL CI OROINANCEH A gTATB LI BUILOINO CON6T ION. � SIGNATURE OF PERMITTE AUTHORIZED AG T CITY OF COSTA MESA AUG 19 1965 NO. pCRMIT NO. ' r %G�_ AL`C'i'� ��i°� FIRE ZONING ZON6 NO.OI� U860pN8 � �4/1 PUNB� ILO LEOAL A DEBCRIPlION d A. P. NO. � Y� L/ 6��.�J NOTE: NO EAV E OV ERHANQ BFIALL BE LESS THAN 90' TO 81 DE 9 REAR P. L. EAVES ALLOWED <U.B.C.REpU1REMENT] YARD9APPROVED YARDSAPPROVED MAIN BUILDING ACCESSORY BUILDIN6 t FROM C/L BTREET ) VAR. �C DATE e r� TH8 AMOUNT 9HOWN IINOER VALUATION IB FOp TXe F PUHPOSH OP 88TABLIBXINO A PEHMIT FE8 ONLY. � VALUATION � � m PERMIT FEE j � m $��39q 6 = ¢ �O�d � TOTAL FEE S