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Home My WebLink About3037 LOYSBURG BAY - Building Permits 4 PROJECT ADDRESS: 3037 LOYSBURG BAY UNIT' CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 061120 OWNER'S NAME: PENTRIDGE COVE I HOMEOWNE ADDRESS: PERMIT NO: B 061120 PLAN CHECK NO; 00600-93 S GOVT; N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: REP ARCHIENGINEER: SAA CONSULTING ENG REG.No.:C21997 JOB DESCRIPTION : DECKS COLUMN REPAIR DUE TO ROTTING SQ FT: 400 ADDRESS: 2.900 BRISTOL ST UNIT: C.M. CA 92626 CLAIM VALUE: 400 . 00 CALL—VALUE: 400. 00 GROUP OCC; R-1 / PERMITTEE: P M CONSTRUCTION ( 714 ) 859-4909 ADDRESS: 23553 LOS ADORNOS COMMENTS• REPAIR 4 DECKS INCLUDING UNITS 3053 & 3049 LOYSBURG BAY LAGUNA HILLS CA 92653 ************************#*4t*•***********************-**3e*************3t**$X******* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING - REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.:057818 ��STAsTE LIC.:5 3 6 4 7 6 CLASS:B Date: 2-- 7 ,59�— Signature:— _ . MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm t at l have a certificate of consent to selbinsure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN POLICY No.:0790941-93 EXP.DATE: 01 /01 /94 COMPANY:STATE PARKING REQ• PROV; PARCEL: 00000000 ZNE: R1 REF NO: ' ❑ Certified copy is hereby furnished. ® Certified copy is til the city=ing •ivision. _ PLANNING NOtES> A 2 y > Date- ` _ I f S Applicant: / �iV.— **************************************************1e****************leiF.**Ie*K*3t*** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hu-,ed WOO)or less). DEVELOPMENT SERVICES R E Q U I R E M E •N,T' S I certify that in the performance of the work for which this permit is issue. all not employ any pers.i o as to become subject to the Workers'Compen anon Laws of California. ��__ ZONING APPROVED BY ' DATE; ''''..2'r, %l Signature: r�% _ • 1 NOTICE:If.atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: . •" Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE: �— X23 t 3 which lois permit is issued(Section 3097.Civ.CI• *************************************** *********************** * *ie*n****** LENDER: *******************************************************************.***gest******* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAIa^'SEGMENT:Y 0; OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,Or PERMIT 15. 0050 50 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SNIP/1740N ON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 9 . 75 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation. will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 15. 50 0 . 00 9 . 75 25. 25 25 . 25 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If. however the building or REVENUE DIVISION TOTALS--> COLLECTED• 25 . 25 OVER/SHORT: 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve far the purpose ofsate). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property.aw exclusively contracting with licensed contractors to construct the project(Section 7044,Business 15 . 00 . 50 9 , 75 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).lam aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: owner: SFR 400 STRUCTURAL BY VALUE PER $1 . 00 1 . 00 400 .00 I do hereby certify mat f am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from these provisions, Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I ag..• • .. .y with all c and county ordinances and state laws relating to building construction and hereby; resei:ives of city • i er upon the abov'mentioned _ \ property for inspection purposes. / / Date: .2.- 9, • Driver's License or Social Security a: Cq E` . _ 1641.46 White—Building:Green—Code Entorcemem;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector • 1. Temporary Electrical Service of Pole 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd.-'r 55. Electrical Bonding 5. Steel Reinforcement '' 56. Rough Plumbing & Pressure Test - 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. 8. Foundation ' 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK , 11. Property Sewer Line & House Connection'`. ' 62. Backwash & Receptor-Final II 12. Sewer Cap d , 63. Heater & Vent-Final • I 13. Roof Drains • 64. Plumbing System - Final 14. Rough Plumbing I 65. Electrical-Final 15. Rough Electrical-Conduit ' 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval .1 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-I Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS, Permit# 21. Ducts, in Structure - 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑.Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding i 77. FIXED SYSTEM FINAL 29. Insulation • 78. FIRE PREY. FINAL 30. Drywall Nailing • ( HEALTH DEPT. REQUIREMENT • 31. Plaster Brown Coat I ' • 79. FINAL INSPECTION 32. Electrical Power Meter-Final ( 80. FOOD CERTIFICATE ISSUED I 33. Final Electric • Notes: 34. Final Heating& Air Conditioning t 35. Final Gas Pipe-Test' , 36. Hood or CanoPY 37. Final Factory Fireplace 38. Final Plumbing r I t t, 1 39. Water Service-Final 40. Gas Service-Final l I 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46.•Handicap Regulations 47. FINAL STRUCTURE & BUILDING 3 9:31 48. FINAL PLANNING 49. Electric Release to Edison I I - i 50. Gas Release to Southern California Gas Co r I 51. CERTIFICATE OF OCCUPANCY No. Date