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Home My WebLink About223 MESA DR - Building PermitsJobAddress: 223 MESADR Suite: Vicinity: ROOF Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construclion: V-N Parcel Number: 43921325 Zoning: App�icant: SANDOVAL, ISHMAEL Address: 106 W CANADA SAN CLEMENTE, CA Owner: TALLON REVOCABLE TRUST TR Address P O BOX 795 SPRINGVILLE, CA ' Contradoc IRC SERVICES INC Address: 106 W CANADA � SAN CLEMENTE, CA Zip: 92672 Arth : Address: Zip: Phone: License: Phone: 949-500-4370 Zip: 92672 Phone: Zip: 93265 Phone: 949-500-4370 License: 771813 Eng: Address: ISSUED BY: Status: ISSUED Applied: 10/04/2006 Issued: 10/04/2006 Phone: License: • SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 1 LAYER OF 30# FELT, 4:12 PITCH, 30 YEAR COMPOSITION SHINGLES, REPAIR/REPLACE SHEA7HING AS NEEbED. INSTALI FIBERGLASS BASE AND ROLLED ROOFING. 2,400 S.F. FEE SUMMARY Plan Check: $0.00 � Calc Valuation: $s,000.00 Permit: $167.25 Claim Valuation: $s,000.00 SMIP Res: $0.90 SMIP Com: $0.00 . Other: $0.00 Inspection: $0.00 " Total: $168.15 PLANNING 8 ZONING SETBACKS MAIN S7RUCTURE Fronf 0- 0 Rear - 0- 0 Left 0- 0 Right 0- 0� � ACCESSORY Front 0-0 Rear 0-0 LeN 0-0 Right 0-0 PARKING Existina: 0 Reauiretl: 0 Pr000sed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related ragulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void ii work is not commenced within 7 BO days, or if work is suspended or abandoned for a period of 180 days. � � , • INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � WORKERS' COMPENSATION DECLAAATION: I hereby aflirm under penalty oi perjury ane o� the following decleretions: � • . ❑ I have entl will melntein a certifiwle of consent to self�lnsure for workers' compensetlon, es provided for 6y section 3700 of the Labor Code, Por ihe peAormance of the �,( work for which ihis pertnit is issue0. ;�y I have and will maintain workers' compensation insurence, as required by section 3700 0l the Labor Code, for the pedormance of the work for which this permit is issuetl. My woAcers' compensation Insurance carrier antl policy number ere: �% L Cartier �T�AT,� DMP t�su� F�`� PolicyNumber: �(��YS^ —Z'Dn S (This section need not be canpleted il tne permit is valued et one hundred tlollers ($100) ar less.) ❑ I certify that in the pertortnance oi ihe work for which this ermit is issued, I shell not employ eny person in any manner so es to become suhject to the workers' compensation laws of Califomia, and egree that if I s ecome subject b t�e workers' compensatlon provislons of Section 3700 oi the Lebor Code, I shell forihwith complywiththese is' `� /` �.L 1 Applicant Signeture: �� Date: 1 O� '� C� WARNING: FAILLIRE TO SECURE WORKERS' �MPENSATION COVERAGE IS UNLAWFUL ANO SHA�L SUBJEGT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNORE� TFKKISAND DOLIARE (5100,000), IN ADDITION TO THE COST OF CAMPENSATIIXJ, DAMAGES AS PIiOVIOED WR IN SEGTIIXJ 3]W OF THE LABOR CODE, IIJrEREST, AND ATTONNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby e8irm,that I am licensetl untler provisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professions Code, antl my license is in full farce enA�eflact..Lic. # �� Class M G i`7 /i Conirectors Signatuie: _ Da�e: � � ti .C�/ CONSTAUCTION LENDING AGENCY: ❑ I hereby aflirtn ihat there is a constmction lending agency for the pertormance of �he work for which Ihis permit is issued. (Sec. 3097, Civil Cotle). Lenders Name: Signature: _ OWNER•BUILDER DECLARATIONS: Lender's Atltlress: Date: I hereby aflirm that untler penalry oi perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business antl Protessions Code: Any ciry or counry which requires a permit to wnstruct, alter, improve, tlemolish, or repair any structure, prior lo its issus�e, also requires the applicaM tor such partnit b tile a signed stetement ihet he or she is licensed pursuant to the provisions of the Contrectors License Lew (Chepter 9(commencing with Section 7000) oi Division 3 oi the Business entl Professions Code) or Ihat he or she is exempt iherefrom and the basis for the alleged axemption. Any violetion oi Sectlon 7031.5 by eny epplicent for a permit subjects the epplicant to a civil penalry e� not more than fiva hundred dollars ($500).): ❑ I, as owner of ihe properry, or my employees with wages as their sole compensation, WILL DO THE WORK, antl ihe siructure is not intended or oHered for sele (Sec. 7044, Business antl Profassions Code: The Coniractors License Law Aoes noi apply to en owner ot propetly who 6uiltls or improves thereon, end who tloes such work himself or hersetl or through his or her own employees, provided that such improvemenis are not intended or oHeretl tor sale. H, however, Ihe building or improvement is soltl within one year oi completioq the owner-builder wiil heve iha burtlen of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner oi ihe property, am E%CLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to consimct the pmject (SecJ044, Business entl Professlons Code: The comractors License LaW does not appry m an owner ot propeny who builtls or improves thereon, and who contrects br such project wl�h a contrector(s) license pursuant to Ihe Contractors License Laws.). ❑ I am exempt under sac. Signawre: Owner ID venfied by dnvers licen58. ❑ �es ❑ No Business end Professions Cotle for ihis reason: Verification of Ownership by (type ot document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PHRMIT CERTIFICATION: Drivels License No. Date: Expires: ❑ 1 hareby certiy that ao excavatioa tive (5) or mora teet in tlepth inro which a person is requiretl to tlescend, will he maae in wnnaction with vrork autharizetl by this permit, and ihat no builtling siructure, scaflolding, talsework, or demolition or tlismantling thereof, will be more then thirty-six (36) feet high. (Chap. 32, Grp 2, A� 2, Sec. 341, Titla 8, Calitomia Administrative Cotle). ❑ As owner-builder, I will no� employ anyone to do work which would require a permit irom the Division oi Intlustrial Sefety, as notetl abo�e, unless such person has e pertnit to do such work tram the division. Signature: Date: Divisian of Indusirial Satery Pertnit Number. CERTIFlCATE OF COMPLIANCE AND A�ITMORIZATION OF ENTAY: I certify under Denalry of perjury that I have read this appliwtion entl state thet the information given is wrrect. I egree to wmply with ell state laws end ciry ordinances relating to building construction, end authorize representatives ot Ihe Ciry of Costa Mesa to enter upon the ebove-tlescnbed properry tor inspection purpases. I agree not to occupy or allow xcupancy of eny building authodzed by Ihis pertnit until finel inspection. �yn I Owner(s) � ^ � ' O ate, l / �i AnNOr Autdonzad Applicant Date COOE t. INSiEtTONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Ra-Foof 201 FIna181ocWRetaining Well 202 Ffnal Fadory Fire Placa 203 Finel Sign 204 Final Demolition o�re I[�1d15 � � CO�E 1 INSPECTION TYFE 206 Final Mec�anical 208 Final Plumbing 210 Finel EleciriCal 212 � Finel Fire Pravention 220 FInalPlanninq Approvel 222 Final Site • 250 FinalBulldingiOccupency �g � DE ROULHAC, GEORGS & BEATRICE AP. xo. 119- INSPECTIONS OCCUPANCY Form 210—SM-11-59 SB P LOT L Ti�ncT 3'� A � DATE DATE FIRE ZONE D�SCRIPTION OF WORK Vt, ar.store Tm. GROUP J TYPE V ZONE R & ShOp SUBCONTRACTOR I _ PERMITSISSUED dd / • ' 1��rG ( COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA FOR AAPUCANT TO f/LL /N COMPLETECY TYPE OR PRINT BUILDING �� nBGfn /7 ADDRESS //��L �rJ •!l COSTA MESA, CALIFORNIA �si_��• 9 LEGAL I LOT �EE RECEiVED Ii -.�-5-s-� �� ffNANCE DEPT. APPLI�*��I�NC�� MIT BUILDING fOR OFf/Cf USf ONLY � // � f d✓ TNO/ jp-,3i/a� BUILDING � � �// �* J pDDRE55 /�i a N��' COSTA MESA„CALIFORNIA STATE LIC. NO. A.P.NO. '— �— �7 OF LOT � C v.. ,7 �U I I hoN' ON LOTg� USE OF �sr/ � � yG � EXISTWG BLOG. LlN/G��//I�r S" �/flfAlES SETBACK LINE FROM �%! / CENTER OG 6TpEEf �LJaI / REAR YARD �/O SIDE VARD I LEFT O/(/ �//�� I RIGHT � / DESCRIPTION OF WORK NEW �/ I II ALTERATION I II ADDITION I� REPAIR I IIMOVING I IIOEMOLISH I SIZ'EOINGp�/`�� ROOMS � STORIES � ii .r �y, CO ERINGWALLST��ICOVERING/�Q([//-p��C USE OF 6UILDING AND WORK TO BE PERFORMED �i.4�l.n r'c -,� :4i-i�/1'E %[�oonn T Sh� b , APPROVED BY DATE ZONING ZONE NO.OF lI6E OF 1 � PL�NS -BUILDINi I I�L\Y� L`e 1 HEFEBY AGKNOWLE�GE TNAT 1 HAVE NEAD THIS APPLICATION THE AMOUNT BHOWN UNDEN VALUATION IB FOR THE RND STATE THAT THE /�BOVE IS COFAECT ANO AGHEE TO COM� pURPO6E OF EBTqBLIBXING A PERMIT FEC ONLY. PLY WITH ALL CITY OROINANCES AND ST1TE LAWS HEGOLATING euaoiHo Corvsinu oN. VALUATION SIGNATURE OF _—� PERMIT FEE $ �� PERMITTEE �� /� '~� /n�O/ I, S /V PLAN CHEGK $ 7 � AUTHORIZEO AGENT TOTAL FEE $