HomeMy WebLinkAbout465 ANTON BLVD - Building PermitsIc,—;
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(714) 754-5273 • Fex (774) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 465 ANTON BL
Suite:
Vicinity: 465 ANTON BLVD
Parcel Nunmber: 41050108
Applicant: HARRIS, WILLIAM
Address: THREE HUGHES
IRVWE, CA
owner: SAKIOKA FAf2MS INC
Address °hCURCI - ENGLAND CO
TORRANCE,CA
2377 CRENSHAW BLVD #300
Contractor: ��N N C�-
Address:
GRADING PERMIT
Zoning: PDC
PDC
Phone: (949)583-1010
Zip: 92618-2021
Phone:
Zip: 90501
Phone:
i .
Zip: ' ' � License: '
Eng: HUNSAKER&ASSOCIATES
Atltlress: THREE HUGHES. � � � ,
Phone: (949)583-1010
'IRVINE, CA
Zip: 92618-2021 License:
CUBIC YARDS
26950
Plan Check:
Permit:
Other:
Inspection:
Total:
NOTES:
SCOPE OF PERMIT
STOCKPILE OF ON-SITE EXCAVATED MATERIALS.
REF:G99-00005 & G99-00013.
$88.00
$0.00
$407.50
$0.00
$0.00
$o.00
$0.00
$495.50
FEE SUMMARY
PLANNING & ZONING
Status: ISSUED
Applied: O6/22/1999
Issued: O6/22/1999
ISSUED BY: d—%!�
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Calc Valuation:
$40,425.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements unde� Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-27-92)
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.
INSPEC710NS: In order for the work authorizad under this pertnit to be considered legal, such work must comply with all applicable codes, and all
requlred Inepectlone and final approval must be obtained. failure ta obtain inspections and final approval will result in the ezpira�ion of �his permit.
FOR INSPECTIONS CALL: (714) 7545628
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WORKERS'COMPENSAnON DECIARAnON: �
I hereby aXlrm under penalty ol peYlury one of the lollowinq declarations:
❑ I heve entl will maintain a cetliticate o1 consent to seli-Insure for workers' compensatlon, as pmviaetl for by section 3700 ot the Lebor Cotle, for the peAormance ot Ihe
work far which Ihis permit is issuetl.
❑ I have en0 will malntaln workars' compensation insurance, as required by sec�ion 3700 ot tha Labor Code, for ihe pertortnence of ihe work for which ihis permit Is issued.
My workers' compensetlon Insurance cerder entl policy number are:
Carrier. Policy Number:
(rhis sectlon need not be complet6tl i/ the pelmit is veluetl af one huntlred ddlers (5/00) or /ess.)
❑ 1 cetlity that in ihe pedormance of Ihe work for whlch this permit is Issuetl, I shall not employ eny person In any manner so es to become subject b t�e workers'
compensetion laws of Califom�a, and egree that if I shoultl become subJeq to tha workers' compensation pmvislons of Section 3700 of ihe Labor Code, I shall Iorihwith
comply with ihese provisions.
Applicam Signature: Da�e:
WARNING: FAILURE TO SECURE WORKERS' OOMPENSATION COVEMGE IS UNLAWFUL AND SHFI.L SUBJECT AN EMPI.OVER TO CRIMINAL PENALTIES AN� CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLL4RE (5100,000�, IN ADORIIXJ TO THE COST OF COMPENSATION, DMA4GES AS PROVIDED FOR IN SEGTION 3]O60F THE LABOR CODE, INrEREST, AND ATTORNEYS FEES.
LICENSED CONTRAC70RS DECLARATION:
I hereby aflirm �hat I am licensed under provisions of Chapter 9(wmmancing with Section 7000) of Division 3 of the Business and Professions Code, antl my license Is in full
force and eflect. Lic. N Glass M
Con�rattOfs Signa�ure: Da�e:
CONSTRUCTION LENDING AGENCY:
❑ I he�eby ettirm ihat there I5 a consiructlon lentling egency for tha pertormance ol the work tor which Ihis permit is issued. (Sac. 3097, Civil Code).
Lentler's Name: Lenders Atldress:
Signature: Date:
OWNER-BUILDER DECLARAT10N5:
I hereby afllrtn that under penalry ot perjury t�at I am E%EMPT FROM THE CON7HACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or wunty which requires a permit Io construct, alter, improve, demolish, or repair any strucWre, pnor to its issuance, elso requires the epplicant tor such pertnit
to file e signetl stetement ihet he ol she is licensetl pursuant lo t�e provisions of Ihe Contractors lJcense Lew (Chapter 9(commencing wi[h Section 7000) of Divlsion 3 oi the
Business antl Professions Code) or lhat he or she is exempt Ihereirom and the hasis for Ihe ellepetl exemptlon. Any vlalation oi Sectlon 7031.5 by eny epplicanUor a pertnit
subiects tha epPlicant to e civll penalry of not more Ihan five huntlretl tlollars ($500).):
❑ I, as owner oi ihepmpeny, or my employees with weges as their sole compensation, WILL DO THE WORK, entl the swdure Is not Intendetl or oFfaretl lor sale (Sac.
7044, eusiness end'Professi0ns Code: The Contractors License Lew tloes nm appty to en owner of property who builds or improves thereon, end who does such work
himself or �ersal[or�ih;ough Bis or her own employees, providetl that such Improvements ere not intended or otteretl for sale. If, however, the 6ulltling or improvement is
sold within one yearot complo���,-ihe owner-builder will have the 6urtlen ol proving that he or she ditl not bu110 or improve for purpase of sale.).
�. q 'r f�.+.�
� I, as owner of the properry, 8m E%CL'�1SIVECY CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe pro�ect (Sec. 7044, Business anA Prolessions
Code: The contrectors License Law�oeslno`I epply o en o ner m ert why b ild or I proves�jereo , an w� con ts fpr such project with a coniractor(s)
license pursuant to the ConV9ctors License`Cews.) ��j� ��` ((a CU �� C
❑ I am ea tj{nd�ef� s%� <<�>� Business ar}d Protessions Code lor this reason:
Signamre: � 1/J� V U A_mlLv�-� _ Date:
Ownar ID verified by drivefs license. ❑ Ves ❑ No Dnver's License Na.
Venfica�ion ot Ownership by (n/pe of tlocument, i.e. - propetly tex bill or deatl):
Expires:
DIVISION OF INDUSTRIAL SAFEYY PERMIT CERTIFICATION:
❑ I hereby certify that no exwve�ion tNa (5) or more feet In depth into which a person Is requiretl to tlescend, will be matla in connectlon with work authorized by this
pertnit, end that no Duilding stNcture, scaflolding, falsework, or tlemolition or dismantling thereot, will be more Ihan thirty-six (36) feet high. (Chap. 32, Gry 2, An 2, Sec.
341, Ttle B, Califomia Atlminl5«ative Code).
❑ As owner-builder, I will not emp�oy anyone to do work which would requlre e permit irom ihe Division of Industrial Safery, as noted above, unless such person has e
permit to do such work from tne tlivision.
Signature: Date: _ _ _.
Division of Intlustnal Sefery Permit Number:
CER7IFICA7E OF COMPLIANCE AND AUTHOR¢A710N OF ENTRY: I cenify unaer penalry of pe�ury that I have read this applicalion end state that iha infortnation given Is
correct. I egree to comply with ell stata lews and city ortlinancas relating to builtling construction, end authonza representatives of Ihe City ot Costa Mesa to enter upon the
above-descdbed property tor inspection purposes. I agree not to occupy or ellow occupancy oi eny bulltling authorized by this permit untll final Inspection.
S' nat � g � er(s � D te
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And/Or thonze Applicant te
LOOE I INSPECPON TYVE
7616 Fixetl System Final Fire PrB�ention
7266 Pool Spa Finel
200 Final Re-Roof
201 Finel BIocWRetalning Well
202
203
204
2446A6
Finel Fectory Fire Plete
Finel Sign
Final Demolition
PeIE 1ti�L$
COOE 1 INSPECTION TYPE
206 Final Mechanical
20B Final Plumbing
210 Final Elecirical
212 Final Flre Prevention
220 Final Planning Approval
222 Final Slie
250 Final BuildingiOccupancy
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