The URL can be used to link to this page

Home My WebLink About354 LOURDES LN - Building Permitsf (�ta) 754-5273 • Fex (714) 754-4856 • www.cl.costa-mesa.gUi �LDING PERMIT Jobaddress: 354 LOURDES LN Suite: Vicinity: Primary Occ: R-3 Dwellings/ Cong Res <70 Type of Construction: V-N Parcel Number: 43914117 Zoning: Applicant: DEBORAH SIMMONS Address: Owner: BACK BAY GARDENS HOA Address 17731 IRV7NE BL TUS71N, CA Contracror: HIRSCHMAN, RP 8 SONS INC Address: 9582 HAMILTON AVE SUITE 281 HUNTINGTON BEACH, CA Zip: 92646 Arch : Address: Zip: Phone: License: Phone: 714-317-9705 Zip: Phone: Zip: 92780 Phone: 714-960-8329 License: 781923 Eng: Address: 77 FAIR ORIVE, COSTA MESA, CA 92626 ISSUED BY: SCOPE OF PERMIT T/OFF EXISITNG AND REROOF 4 CONDOS W/COMP SHINGLES. ADDRESS INCLUDES 354-360 LOURDES FEE SUMMARY Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: 50.00 5401.85 $2.58 $0.00 $0.00 $0.00 5404.43 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0. 0 PARKING Exi tin : o PLANNING & ZONING Rear 0-0 Lefl 0-0 Rear 0-0 Lefl 0-0 Reauired: 0 Pr000sed: 0 Status: ISSUED Applied: 09/192005 Issued: 09/192005 Phone: License: Calc Valuation: Szs,na.00 Claim Valuation: 52s,��a.00 Right Right ,�= , ..;�:� �ty �- a� 0- 0 0- 0 NOTICE: The work author(zed by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related ragulations. (OM. No. 92-28, § 1, 1241•g2) EXPIRA710N: 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 tor the work euthorized under this permil to be considered legal, such work must comply with all applicable codes, and all Irequlred Inapeclions end final epproval must be obtained. Failure to obtain inspections and tinal approval will result In the expiration of this pertnit. FOA INSPECTIONS CALL: (714) 7545628 !aeae lerool / WORKERS'COMPENSAnON DECLAqAnON: � ' I hereby aHirtn untler penalry of perjury one ot the Iallovring tledaratlons: ❑ I have end will meintein e certificate of consent to sell-Insure tor workers' compensatlon, es pmvidetl for 6y section 3700 0l the LeDor Cotle, for the pertortnance of the work far which t�is po��t is issuetl. u Cerrier. noroe n 4iwrance, a5 requiretl by sectlon 3700 0l Ne Lebor Code, for Ne pertortnance of Iha work fw whidi this pertnit is IsweA, and pdiry number are: 0�� n—^� Policy Number. r�( Cl � ve/uetl e( one �undred dollars (S 100 or less.) ❑ I cenity Ihat in the pedormance oi the work fo� w�ich Ihis pertnit is issuetl, I shell not employ eny person in eoy manner so as to hecome wbject to t�e workers' compensetion lews a� Calllomia, and egree t� il I shoultl Decome sub�ecl to the workers' compensetion provisions oi Sectlon 3700 of Ihe Lebor Code, I shall forihwith comply with those Or sion . // /// /� AppllcentSlgnewre:�e V �%�� ti Date: �//Y/(i✓ WFRNINO: FAILURE TO $ECURE WORKE(iS' COM ENSATIdJ COVERAGE IS UNLAW FUL AND SHnLL SUBIECT AN EMPLOVER TO CFIMINAL PENALTIES AND GVIL FlNES UP TO ONE H RE TFIOUSAND OOILARE (f100.0001. �N ADIXTIIXJ TO THE COST OF COMPENS4TION, DAMAQES AS PROVIDED FOR IN SECTION 3]OB OF THE LABOF CODE, IMEFEST, AND ATTORNEI"S FEES. LICENSED CONTRACTOflS DECLARATION: I hereby aflirtn t�at I am force entl eNect. Uc. M Contractofs Slgnatura: of Chepter 9(commencing with Section 7000) of DlWsion 3 oi the Business e PRr fe�5�lons Cotle, entl my Ilcense is In full ��y`r��r- �/YYI/%N�"1 � Daee9 M �f // H T� CONSTRUCTIQN LENDING AGENCY: ❑ I hereby eHirm ihat there is a construction lentling agency for ihe Dedormence of 1�e work tor whic� this permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lentler's Address: Signeture: Da�a: OWNER•BUILDER DECLPRATIONS: I hereby aHirm that under penelry of per�ury Ihat I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW tor tha tollowing reason (Sec. 7031.5, Business entl Professions Code: Any ciry or counry wq�ch reduires e permit to construct, elteL improve, demdish, or repair eny strucNre, pnor to its issuenca, also requires the appiicant tor such permit to lile e signed stetement inet he or sha is IlcensaE pursuent to the provisions of ihe Comrecbrs Ucense Law (Chapter 9(commendng with Section 7000) ol Division 3 of Ihe Business end Professions Gede) or that he or she is azempt thera�rom antl the Easis lor Iha elleped exemption. Any violation oi Section 7031.5 by eny applicant for e pertnit sub�ecis the applicant to a GNII penalry oi not more Ihan Me �undred dollars (5500).): ❑ I, es owner of the praperry, or my employeaz with weges as their sole campenseNon, WILL DO 7HE WORK, end the slrucNre Is not InteMed or oflere0 for sale (Sec. 7044, Business and P�ofessions Cotle: The Contractors License Law does not eppty to an owner of property who builds or Improves t�ereon, end who tloes such work himseft or herse{t or th�wigh his o� her own empbyees, pro�ritleA ihat wch improvements are not imendetl or otte�ed for sale. tl, howaver, ihe building or Imp�wament Is sold within one yeer oi completion, the ownerDuilder will have the burden af Oroving thet he or she did not builtl or improve for purpose of sale.). ' ❑ I, es owner oi the property, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to constmc( the project (Sec. 7044, Business antl Professions Cotle: The comractors Llcense Law does not epply ta en owner of propeny w�o builds or improves thereon, antl w�o contrects for such projact wit� a contrector(s) license pursuent to the Conirectors License lawsJ. ❑ I em e:empt under sec. Busineu end Prolesslons Cotle tor this reason: Signe�ure: Date: Owner ID veritietl by tlrivers license. ❑ Yes ❑ No DriveYs lJcense No. Veritication ot Ownership by (ryPe o( doament, i.e. - properry tac bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CER7IFICATION: Expire5: ❑ I �ereby certity that ntl excevetion five (5) or more lee� In depih into which e person Is require0 to descend, will 6e mede in connection with work euthoAzetl Dy Ihis permit, en0 ihat no building structure, sceNoltlinp, falsework, or demolition or tlismantling thereof, will be more then thirty-six (38j leet hiqh. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Califomia Adminislrative Code). ❑ Aa owner-bullder, I wlll not employ anyone lo do work whic� would require e permll irom ihe Divislon of Industrial Sefety, es noted ebove, unless such person hes e permit to do such work �wm ihe division. Signeture: Date: DlWsion of Industrial Selery Pertnit Number: CQOE 1. INSPECTIONTVPE 1618 Fixed System Final Fire Prevention 1268 Pool Spa Final 200 Finfll R�Rool 201 Flnel BIocWRetelninp Wall 202 Final Fectory Fire Place 203 Finel Sign 204 Final Demolition �. 1 .1111: inii. �� i^� I COOEA INSPECTIONTYPE 206 Finel Mechanicel 208 Flnal Plumbing 210 Flnal Electdcal 212 Finel Fire Prevenilon 220 Final Planning Approval 222 Final Site 250 Final Building�Occupenry PAffi I[�L$ OWNER DOYLE & SHIELAS DEVEIApMII�iT Co.,Inc. � DATE 6-3-63 JOB ADDRFSS 35 �1�'deS -• BUILDING PERMIT N0. [:� V SUBCONTIWCTOR w � � - J �COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. Bpx 9f] C09TA MEHA. CALIFORNIA For qpp�konf fo Fill In Completely TYPE OR pRINT ILDING �r� �i . _ DRESS 7 (x.S�.�) GOSTA MESA, CALIFORNIA �NER �Dy lf (� '�L/ �.J� �C✓ lA�v�C. IL !y�. 7 �% /l,/..� DRE89 p j� �+D• /��aH� ver�tr �✓[ �r �n..h )e.'�,�,. ( �/,'� eio`i�.�ado�., FN'CEN HR PYA/' C�%� N�M/�� D � Li N'� !.� � aL%H P _ LIC.TNO. �J � ,"N O'B� NO. �/� �(J O �O oF�oT 33 xr3.�t—o � � ro;°o��r''— USE OF EXISTING BLOp, BETBACK LINH FROM cervTert op arnzyT O• SO REAR VARD –�' HIDE YARDI LEFT RIOHT DESCRIPTION OF WORK �. OP JOMS ROOR �7ol�t ��— I HBREBY ACKryOWLlDGB THAT 1 HAVB pBAD TNIB App�ICATION ANO 9TATE TH.��' TH6 A60V6 Ii COPHHCT AND AOq6t TO COM. PLY W�TM AL1. CITY OHO�NANC[B AND YTAT[ IAWY R40UlATINO BUILDIN6 CONfiT/p^p�C}ION. [ T SIGNATUREOp�l. A �(1�`�p0./, /`,'.�n`i� PERMITTE�= '�`1.C1 n NGM 6.K P AU7HORIZEDAQ6�C� � �� FEE RFCEIVED ��Tf1�d1VC�E��rDEPT. APPLICATIEIVYF�R PCRINR ME� BUILDINf3 For Office Use Only iI�TH HHCfiIV D O�TE IBSUeD %.19- 7 Jl1N 3 1963 ZONING � NO.OP UBeOpNg •una am�ou �� u7� / % �r,c � � . 'E OVBRHANG SHAL'L BE LE83 THAN YARD8APPROVED MAIN BUILDINO VAR. # ��33 so.� TN8 �MOUNT /HC PURP09[ 01 Hi' VALUATION s �9 S� =° YARDSAPPROVED ACCESSORY BUILDING BET. MAIN Q ACCE58. BLOG9. DATE APPROVED OATE i1 �� —� � �f �f0 ° , IINOCH VALUATION IB POR TXH 18HIN0 A PHqMIT PE8 ONLY. PERMITFEfl S (��/� e. ..� .-., «., a �/ r S�