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Home My WebLink About1786 ORIOLE DR - Building Permits ,�, _ �\ CITY OF COSTA MESA .; BUILDING DIVISION e,f, A. j • F I 7.14 FM 1 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT JB03-01409 iF' (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.EWJtLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 • Job Address: 1786 ORIOLE DR Status: ISSUED • Suite: Applied: 08/19/2003 Vicinity: Issued: 08/19/2003 Parcel Number: 13962223 Zoning: R1 R1 • Applicant: MOREAU, JAY Address: 205 S BERKELEY CIR i' ,-„- , ISSUED BY: t. :- Phone: :(714)738-5848 - _ FULLERTON,CA:,, A%G' _ , Zip 92831 , Owner THIES LEE-11)/11., Address 1786 ORIOLE•DR - ' - - - I ' 1/ t v =Phone ` \�AV� /, 2COSTA MESA;CA Zip: 92626 ----:'.-i•:.":":•::.-.,::>_•)-,`••,' Ati`s A /7). �/N r,. ,, `. -\\ --. :N, r/) j t�`\ Contractor: -GREAT WESTERN ROOFING *,N/. ;\A Address: 205 S BERKELEY CIR ' / Phone: .(714)738-5848 :,`N. _. y\7 /7 ' ` FULLERTON,CA �`' / . v Zip: 92831;.' :License.'-'361389 , _ - • \ A�. ,,A • • .,Arch - -.� �. Eng: 1 Address`: _ . -: Address:- ' 'C • - 1 A'0 • .. . - .. .- -- ')• Phone: _ . ��' . Zip: , 7 - License:. _v License: ' - . - - SCOPE OF•PERMIT -- i TEAR-OFF EXISTING SHAKE. INSTALL SHEATHING(FELT AN'DVOER WITH 30 YEAR COMP SHINGLES.INCLUDES ATTACHED GARAGE: . ...1. _ /.. ._ �,. I1 _ ' • FEE SUMMARY r .' Plan Check: i$0.00 ' - -. / '' Calc Valuation: :,,'i, $8,000.00 ! \\:,' \Permit:, •i,' $153.25 ' • . _ _ _ . _ - " ..Claim Valuation: /7'r; '58,o00.00 x' .'SMTP Res: , $0.80 •- ' A'SMIP Com: ', $0.00 ; 7-- % - / ti\. 'Other:, ;'^ ';$0.00 . _ �� Inspectlori „ y'$0.00 • l://, � jTotaI: $154 05 a ` _ // �� i �v \ ./.5;,:/A....:•-„..,„ /,l/ . PLANNING &ZONING 9 ' / i SETBACKS;-. <i v iii /,o/ J MAIN STRUCTURE-Front' 0'0 __'Rear 0-0 ' _ . Left, 0-0 _ Right 0 0' • 1 // ACCESSORY \Front 00;/ > f Rear 00. -- - Left ' 0 0 ---- Rioht t'0 0 1 PARKING Existing: 7o-. Required: _' ,0 , Proposed:') "0, ,/ ,� s : , NOTES: 1L.,, ,_ „ • 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,§1, 12-21-92) . 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. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections 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)754-5626 . 2446.46(6/00) DECLARATIONS f f--; WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of The—Labor/bode,for the performance of the Owork for which this permit is issued.- / I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: . r Cartier: Policy Number: (This section need not be completed it the permit is valued of one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California,end agree that If I should bac a subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these Provisions. / I '/a �Q ' Applicant Signature: _ '/" �' Date: `" LJ� -WARNING:FAILURE TO SECURE W RS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ax I ARE($100,000).IN ADDMON 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 affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full force and effect.Lie.it Class# , 'Contractors Signature: ,4r �. Date: �� _ /(/ e CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: . I hereby affirm that under penalty of perjury that 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 permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors Ucense Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): O I,as owner of the Property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors Ucense Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or Improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors Ucense Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors Ucense Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Drivers Ucense No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth Into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). O As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I WIII the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes ❑No (Section 25533 of the California Health and Safely Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,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 en RMPP is presently required,hes Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this a plication a�ppermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? DI Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If"yes",the facility must meet the requirement of Sections 25534 end 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the-work—which Is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the Information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection: dc" tura Of Legal er(s) /� And/Or Authorized Applicant / Daft CODE I INSPECTION TYPE ' PAIS IAU CODE I INSPECTION TYPE PATE jam$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 174-2—P7 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention • 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site • 204 Final Demolition 250 Final Building/Occupancy Cl • , . OF COSTA MESA REQUEST FOR OCCUL.,4CY TRACT NO. 6:279t DATE ✓ -43 - 70--- LOT NO. GoT ADDRESS__1 The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that E they) (ter were) advised that this tract has 1 not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. � q //�� BY / �LT �G(J .� �urchaser BY //;�aZa2 YA C 1:511 RECEIVED Developer and/or aut razed CITY OF COSTA MESA representative PI.MNING DEPT. p G✓ MAR 2 3 1972 BY /47 17 fes ' Lender (AMPM 718191iU1ii1211;213;4 5;6 3360.1 ruin SEP 14-71-1+5700 .355;` ***201 CC COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA.MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT ,tea For Applicant to Fill in Completely /14- RECEIVED BY DATE RECEIVED' ...DATE ISSUED BUILDING �J9 ll�� • /��• A 9-' 7/ SEP 14 .1971 OWNERADDRESSJ / �D IC,Lfr{P �4.P: . MAIL �7 I ( A.P.NO. / ///'/� /P/E RIOVDI•,D///n/�[1/ { Z ADDRESS fi 1n (p_y O LLD - a7 s I ADDRESS BUILDING //�/�(��/ CYj[.[-`LZL-(7IJJv1 1'./C/r W W r'--'o-a/ TEL. C.2 73 U/ / S � // n TRACT J LOT BLOCK ' HZ CITY PI.�LPD/l y00/ ! NO.GZC-T3�/ z Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING nFMOLISH Oy LENDER SA l'i -J D BRANCH J D 69. JO . OWNER / 'tel ,,9--n- /,P'0 A.Zhi ADDRESS ) /� ggq/yy//////�yy'.• �7yy ( �Y/•(' /�/ -03 ARCHITECT (1 /y�C4 �u`/ TEL.12,4”, r� USFO.Cv/LIi�G A'i(/ LU$ /�� OR ENGINEER N• 1 IV NQ. O /L)".—//..,2 U/ �� ON FIRE t/{ d w /' 1 ZONE TYPE GROUP.•L W cc ADDRESS.. 5 Y-5"'l6 ^- • APPROVED J O CONTRACTOR L • 1 _ / BY DATE DCC ADDRESS 4 s p I ti r L iJ t ��/ ! W W E NO.OF USE OF NE W O.= /� TEL. (, 12 PLANS•' BUILDING / Z1— CITV 41 I4..QCt�cl't— NO. c7TO'd R33 . J ( lw 0 STATE IUq CITY YARDS APPROVED YARDS APPROVEDi/ N cc LIC. NO. 1 4.� 4 2 3 LIC.NO. 0 ; MAIN BUILDING ACCESSORY BUILD! G DO (FROM C/LST EET) 512E /�` .-ry >C OO INOW ON LNO.OF OT O FRONT cFT. FT. OF LOT.c ,„5 /O rt- / USE OF EXISTING BLDG. R SIDE FT. _ FT. • I— SIZE OF 1p/ / 0' NO.OF / �1 (/ ZZ NEW BLDG. (Wb ROOMS / STORIES d- L.SIDE `� FT. FT. EXTERIOR WAL ROOF ( / o r� ./ t_.1 COVERING �A t(.. q COVERING J-/1. REAR ,}U FT. ,i FT. / J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& MAIN BLDGS. ACCESS.BLDGS. O (4 � � APPROVED ///� APPROVED (� //�J U) �Y L,...14 V` PAT ! //3/7 / o 1 kat ! / / U I hereby acknowledge that I have read this application and state r that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ HOLD FOR SPECIAL REQUIREMENTS I— any person in violation of the workman's compensation laws of _ m the State of California. /'�� /�� 1p zI hereby certify that I am properly licensed as a contractor under % .� SQ. FT. (7 6 the Stare of California Business and Professions Code, Division3, THE AMOUNT SHOWN UNDE ALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: cc am exempt from the prowls' nso the State of lifornia Business VALUATION N and Profess�Cotle, •.visi n 3, hapter 9. ✓ co PERMIT FEE S g� N / N Signature o ',r im Permittee y//.e �+ $ PLAN CHECK $ A / / �..."" E ('^��t/�7 '/ryo Authorized •gent ( _ /t m ) LL / TOTAL FEE $ r94'V J./ i�