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Home My WebLink About913 20TH ST - Building Permits, ; p5Tp'MF � q o . • ' Oq@ J�o*,a�o� d CITY OF COSTA MESA BUILDING DIVISION r . 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • vnvw.ci.costa-mesa.ca.us , FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: 610-00015 PERMITTYPE B_ROOF2 APN: 42249448 JOB ADDRESS: 913 W 20TH ST CM Vicinity: HOUSE AND GARAGE ROOF Squares: 1300 STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: � Valuation: ISSUED 01/1412010 RMD $3,900.00 SCOPE OF WORK: TEAR OFF (E) ROOF MATERIALS, INSTALL 2 LAYERS OF 15 # FELT ON A 3:12 PITCHED ROOF AND REROOF WITH 30 YEAR COMP SHINGLES ON AN ATTACHED HOUSE AND GAR4GE, APPROX 1300 SF. REPAIR AND REPLACE SHEATHING AS NEEDED. OWNER: SMILEYFAMILYTRUST PHONE: APPLICANT: LEHMAN, JEFF PHONE: 949-646-3571 CONTRACTOR: J S L ROOFING INC Address: 2415 MARGARET DRUnit: City/State/Zip: NEWPORT BEACH, CA 92663 ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: Bldg Std Admin Fund TOTALFEES $0.00 $97.25 $0.00 $1.00 $96.25 Address: 2408 MARGARET DR City/State/Zip: NEWPORT BEACH, CA Address: 2415 MARGARET DR City/State/Zip: NEWPORT BEACH, CA License No. License No. PHONE: ` � License No. , . 949-646•3571 CELL: Unit: Unit: : 747706 • PHONE: PHONE: 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, § i, 12-21-92) EXPIRATION: PERMIT E%PIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authonzed under this permit to be wnsidered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Pailure to obtain inspections and final approval will result in the expiration of this pertnit. C0� �E t INSPEC110NTYPE D_A�1 INTI71AL5 COOE! INSPEC110NiYPE DRTE INTRIALS 1816 Pixed System Final Fire Prevention 206 Final Mechaniwl 1266 Pool Spa Final �� 208 Final Plumbing 200 Final Re-Roof 210 Final Electriwl 201 Final Block/Retaining Wail 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demoli�ion 250 Final Building/Octupancy WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of lhe (ollovnng declarations: ❑ I have and will maintain a certifcate o( consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the peAormance of the work for which this permil is issued. ❑ I have and will maintain workers' compensation insurance, as required by seclbn 3700 of the Labor Code. for the peAormance of the work for which this permit is issued. My yyorkers' com}p nsatiop.lqsurance carrier and policy nu�are:� / r �� mer, it �,� r (This secAon nee0 not be mmplefed A(�e peimR is valuetl a( one �undiee aollars (8t0p) oNessJ "a��y.N ee�: Z�S� DO4 l �5'�_ ❑ I certify that ' lhe pertormance o( ihe work for which this permit is issued, I shall not mploy any pers in any manner so as to become subject to �he workers' mpensation I of California, antl agree that if I should become subjec o the rke compensation pmvisions o( Section 3700 of the Labor I shall fo rth comply wiM these provisions .�-/ �F-ra i ��'s � � W N. AIL RE SECURE WORKERS' COMPENSATION COVERAGE IS NLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000). 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 aHirm that I am licensetl untler provisions of Chapter 9(commencing with Section 7000) o! Division 3 of ihe Business and Pmfessions Code, and my license � in f II or ap� e 2ct. � �.t'� % �� .� � 3 j "A�-- _ �!��— � mr aor's ' aWre (Da1e=^ CO R TION LEN NG AGENCY: ❑ I hereby a(frm Ihat there is a consWction lending agency for [he peAormance o! the wurk fa v.fiich this permit is issuetl. (Sea 3097, Civil Cotle). Lender's Name: Lender's Address: SignaWre Dale OWNER-BUILDER DECLARATIONS: I hereby aKrm thal under penally of perjury thal 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 permil to construcl, alter, improve, tlemolish, or repair any sWcture, pnor to its issuance, also requires the applicant for such permit to file a signetl statemenl ihat he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Code) or Ihat he or she is exempt therefrom and Ihe basis for the alleged exemption. Any violation of Section 7031.5 by any applicaM for a permi� subjec[s Ihe applican[ to a civil penalty of not more �han fve huntlretl dollars ($500�.�: ❑ I, as owner ot the property, or my employees with vrages as their sole compensation, WILL DO THE WORK, and [he struclure is nol intended or oHered 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 himsel( or herself or through his or her ovm employees, provided thal such improvemems are not intendetl or oRered for sale. If, hovrever. the building or improvement is sold within one year of completion, the owner-builder will have Ihe burden of proving that he or she tlid not build or improve for purpose of sale.). ❑ I, as ovmer o( the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CON7RACTORS to construct the project (Sec. 7044, Business antl Protessions Cotle: The contractors License Law dces not apply to an ovmer of property who builds or improves thereon, and v+ho cont2cts for such project with a contracta(s) license pursuant to the Contractas License Laws.). ❑ I am exempt under sec. Business and Professions Code tor this reason: � . \� Ovmer ID verified by tlnve� � iicense. ❑ Yes ❑ No Driver's License No. Expires: Verifcation o! Ownership by (ype ot document, i.e. - properly tax bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation (rve (5) or more feet in depth into which a person is required to descend, will be made in connectbn vnth work authonzed by ihis permit, and thal no building slrucNre, scafTdding, falsework, or demolilion or dismantling thereof, will be more than thirty-six (36) (eet high. (Chap. 32, Gry 2. fvt 2, Sec. 341, THe 8, Califomia Adminis[2�ive Code). ❑ As owner-builder, I will not employ anyone to do work which vrould require a permil (rom the Division of Intlustrial Safety, as noted above, unless such person has a permit to tlo such work from the division. Applifanl's SignaWre Date Divi5i0n Of Induslrial Safety Permii Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuWre building occupant need to file and cenify a Business Plan for emergency response to release or Ihreatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Code requires, vrith some exceptions, that a Business Plan be filed with the Cosla Mesa Fire Department by every business which has at any one time during a reportetl year a quantiry of hazardous materials equal to or greater than a weighl of 500 pounds, or a volume of 55 gallons, or 200 cubic feel of wmpressetl gas al slandard lemperature and pressure). 2. Does or will the applicant or present or fuNre builtling occupant need to fle a registretion lortn for acutely hazardous matenals? ❑ Yes ❑ No (Section 25533 of the California Health antl Safety Code, with some exceptions, requires regisVation with Ihe Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazartlous materials equal to or greater Ihan a weight o( 500 pountls, or a volume o( 55 gallons, or 200 cubic feet ot compressed gas at standard temperature and pressure). 3. Does or will the applicanl or present or future building occupant neetl lo prepare an RMPP (Risk Management and Prevenlion Program for acWely Oazartlous materials)7 ❑ Yes ❑ No (Settion 25534 O( the Califomia Heal[h and Safety Code O�o�ides that t�e Costa Mesa Fire Department may require the preparalion, 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. If an RMPP is presently required, has Section 25534 of the Califomia Health and Safety Code been tully complied with7 ❑ Yes ❑ No 5. Does or will the aDPlicaM or preseN or future building occupant require (or the work which is the subjec[ of this applicalion a permit for such conSWction or modification from the South Coast Air Quality Managemenl Dislrict or from any other air pollution control distnct or agency? ❑ Ves ❑ No (Section 658502 of the Califomia Govemment Code requires that ma requested information Oe fumished on appliwtions fa non-residential building permits). 6. Will any part of �he faciliry to be constructed under Ihis pertnit be within 1000 feet (rom Ihe outer boundanes of a school? ❑ Ves ❑ No Qf'yes", ihe (aciliry must meel lhe requirement of Sections 25534 and 42303 of the Califomia Health and Safery Code). 7. If a permit from Ihe South Coast Air Quality Management DisMct or other air polNtion conhol distric[ or agency is required for the vrork which is ihe subject of this application, have all ot the disclosures prescribed by California Health antl Safely Code Section 42303 been made? ❑ Yes ❑ No 8. Qf'yes", attach certificate of compliance from the appropriate air pollution control oFficer�. CERTIFICATE OF COMPLIANCE: I certify Ihat untler penalty of perjury the information given above is correct I agree to comply vrith all state laws and city ortlinances regarding Hazardous Ma[erials and Emissions. SignaWre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury that I have read this applicalion and state that Ihe information given is correcL I e to comply vdth all state laws antl city ordinances relating t building n ruction, and authorize representalives o( the Cily of Costa esa lo� nt upon the above-described property for inspection purpos I agree o 0 occupy or allow occupancy of any building aulhorized by �hi rmit un I f al inspection. i e ol Legal r(s) Dat� /1 Si9naNrc Date _ _ l'� � � �U 3051.a6(3/0]) n a. am rrze AOPbcant �Oa2_