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Home My WebLink About3005 HARDING WAY - Building PermitsR � CITY OF COSTA MESA � • � BUILD/NG DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.wsta-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER 607-01030 PERMIT TYPE 8 ROOF2 STATUS: ISSUED - DATE ISSUED: 11126/2007 ISSUED BY: JOB ADDRESS: 3005 HARDING WY CIN Suite/Unit: vicinity: , . Squares: 0 . _ . , Valuation: $7,500.00 SCOPE OF WORK: R�ROOF RESIDENCE. T/OFF 1000SF AND REROOF W/BUR. T/OFF AND REROOF 1900SF W/COMP SHINGLES. OWNER: EWING, LEWIS J JR PHONE: APPLICANT: JAY WETHERBEE - PHONE: 714�655�792 � CONTRACTOR: ABSOLUT ROOFING INC Address: 18903 SAN CARLOS STUnit: Ciry/State/Zip: FOUNTAIN VALLEY, CA� 9270f ARCHITECT: ENGINEER: � FEE SUMMARY Address: 3005 HARDING WAY Ciry/State/Zip: COSTA MESA, CA Address: , City/State2ip: PHONE: License No. License No. . Unit: Unit: : License No. 761718 714-655-2231 CELL: PHONE: PHONE: Reroof Plan Check: � $0.00 ' . � Reroof Permit Fee: , $153.25 Reinspection Fee: $0.00 � ',•"t`, � : �� TOTAL FEES $153.25 � . � � ,�,�.- � � � D. � � t �J NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California staWtes and related regulations. (Ord. No. 92-2g, § 1, 12-21-g2) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order For the work authorized under this permil to be considered legal, such work must comply with all applicable codes, and all required inspections and fnal approval must be obtained. Failure to obfain inspeclions and final approval will result in the expiration of this permit. COUE�. INSPECiIONME DATE INTRIRLS 0/ INSPEC710NTVPE ORTE INIIiLLL 1818 Fixed System Final Pire Prevention 208 Final Mechanical 1268 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof � ��—% 210 Final Electrical 201 Final BIocWRetaining Wall 212 Final Fire Prevention 202 Final Faclory Fire Pla� 220 Final Planning Approval 203 FinalSign 222 FinalSite 204 Final Demolition - 250 Final Building/Occupancy . , WORKERS' COMPENSATION DECLARATION. Owner ID venfied by driv .❑ Ves ❑ No I hereby aKrm under penalry o( perjury one o( the o owing declaralions: � Dnver's License No. Expires: ❑ I have and will maintain a certificate of consent to sel(-Insure for workers' Verifcalion of Ownership by (type of document, i.e..- property taz bill or tleed): compensa[ion, as provided (or by section 3700 0( the Labor Code, lor the \ peAormance o/ the work for which this permil is issued. ❑ I have and will main[ain workers' compensatbn insu2nce, as required by seclqn 3700 0( Ihe Labor Code, fa the peAormance of the �+ork for wfiich Ihis DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: pertnit is issuetl. My workers' compensation Insurance wrner and policy � � hereby certify Ihat no excavation frve (5) or more feet in depth into which a number are�: ;��T{� person is requiretl to descend, will be made in connection with work authorized Carrier: > 1 f'S 1 �L �� n�� his pertnit, and that no building strucNre, scaf(dding, falsework, a demolition � /ThisseclionneM�plbewmpleledAthepeimRisvaluedalonehuMietltldlars(5f00)alessJ ortlismantlingihereof,vrillbemorethanthirty-siz(36)feethigh.(Chap.32,Gry C � � ��M 2, Sec. 341, Title 8, Calilomia Administralive Cotle). � Policy Number. � S!J � �� V � ❑ I certify tha[ in the pedortnance o( the vrork for which lhis permit is issuetl, I shall not employ any person in any manner so as to become subject to Ihe workers' compensation lavrs ot California, and agree that if I should become subject to the workers' compensation provisions of Sec[ion 3700 of ihe Labor Code, I shall forthwith comply with these provisions. ' �'� 6 � �� pi�anYs SignaWre Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION 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 aKrtn Ihat I am licensed under provisions ot Chapter 9(commencing ❑ As owner-builder, I vnll not employ anyone to do wrork which wauld require a permil (rom the Division of Industrial Safely, as noted above, unless such person has a permit to tlo such work from the division. Applinnfs SignaWre oa�e /Division of IntlusMal Safery Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupam need to file and certily a Business Plan for emergency response to release or Ihreatened release of a hazardous material? ❑ Ves ❑ No (Sec�ion 25505 of the Cali(ornia Health and Sa(ely Code requires, with some exceptions, that a Business Plan be filed wilh lhe Costa Mesa Fire Department by every business which has at any one time during a reponed year a quantity of hazardous materials equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feel of compressed gas at slandard temperaNre and pressure). with Sec[ion 7000) of Division 3 of the Business and Pro(essions Cotle, antl 2 Does or will ihe applicant or present or future building occupant need to file my license is in full force and eHect. 2,4 /ar�egistration form (or acutely hazardous materials? � Yes ❑ No � Lic. #�� 1� Class # G- /( � (Section 25533 of the Califomia Health and Safety Code, wit� some �1�ceptions, requires regislration vrith the Costa Mesa Fire Department by �/ pt 6"�% each business which at any one time has on hand a quantity of acutely rac�or's �qoawre oaie hazardous materials equal to or greater than a weight of 500 pounds. or a volume of 55 gallons, or 200 cubic feel of compressed gas at standartl CONS CTION LENDING AGENCY: temperaWre antl pressure). ❑ I hereby affvm that there is a constructqn lending agency fw the peAormance of the v.ork fa which tltis pertnil is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Address: Signalure OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty o( 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 lo wnswct, alter, improve, demolish, or repair any stmcture, prior to its issuance, also requires t�e applicant for such pertnit to file a signed sta�ement Nat he or she is licensed pursuaN lo lhe provisions of ihe Coniractors License Law (Chapter 9(wmmencing with Section 7000) of Division 3 of the Business and Pmfessions Cotle) or lhat he or she is exempt there(rom and the basis tor the alleged exemption. Any violation of Section 7031.5 by any applicant for a permil suhjects [he applicanl to a civil penalry of not more than five hundred dollars ($500).): � ❑ I, as ovmer o( lhe property, or my employees vnth wages as their sole compensation, WILL DO THE WORK, and Ihe structure is not intendetl or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves lhereon, and who tloes such vrork himself or herself or through his or her ovm employees, provided that such improvements are not intended or oflered for sale. If, however, the building or improvemenl is sold vnthin one year of completion, the owneo-builder vrill have Ihe burden of proving that he or she did not builtl or improve for purpose ol sale.). ❑ I, as ovmer of lhe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRAC70RS to constmct the project (Sec. 7044, Business and Professbns Code: The contractors License Law dces not apply lo an ovmer of pmperty who builds or improves Ihereon, antl who contracls (or such projecl vnth a contracta(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: 3. Does or will the applicant or presen� or future building occupant neetl to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 0( the Calilomia Health and Salely Coae provitles that the Costa Mesa Fire Depanment may require the preparation, certification and fling with the Fire Department of an RMPP by businesses which are requiretl to register acutely hazardous materials with Ihe Fire Department. 4. If an RMPP is Dresently required, has Seclion 25534 of Ihe Califomia Health and Safety Code been lully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or fulure building occupant require for the work which is lhe subjecl of this application a permit for such consWction or modifcation from Ihe SoWh Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Sectbn 658502 of the Califomia Govemment Code requires that the requested information be (umishetl on applications for rron-residential building pertnits). 6. Will any patl of the facility to be conslructetl under Nis permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No p/ yes", the faciliry must meet the requiremenl of Sections 25534 and 42303 of the Califomia Health and Safery Code). 7. If a permit (rom Ihe South Coast Air Qualiry Management Distnc� or other air polNtion control districl or agency is required (or Ihe v.ork which is the subject of this application, have all of the disclosures prescnbetl by Califomia Health and Sa(ety Code Section 42303 been made? ❑ Yes ❑ No 8. (If'yjes". altach certi(cate of compliance from the appropriate air pollution conUol o�cer). CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the information given above is cortect. I agree to wmply with all slate laws and cily ordinances regartling Hazardous Materials and Emissions. SignaWre Da�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certily under penalry of perjury that I have read this applicalion and state that the informalion given is correct. I agree to comply with all state laws and city ordinances relating to building conswclion, and authorize representatives of the Ciry of Costa Mesa to enter upon the above-descnbed property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this pertnit until final inspection. Sigwture of . I Ovmeqs) Date Signawre ' Date \ � J ��. 6-D�� J09d6 (3/0]) c--'1 / IM Aul�onxe0 Apd��n� dip KOLL� K. W. �ATE lt-16�2 JOB ADDRESS ; GENERAL CONTRACI'OR R& D Dtasonry Cont R, Inc. VALU� � 150�;00 AP No. LOT 2(� TRACT )i9�� FIRE ZON� DESCRIPTION OP WORK no� ra.,ii INSPECTIONS OCCUPANCY c DATE � GROUP ,T TYPE 7,ONE SUC3CONIRACTOR -.'. 1690! C0.S7A MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C06iA MEBA. CALIFORNIA For Applicanf io Fill In Complefely TYPE OR PRINT aui�o�N� 7 1� ADDRE68 .7 �O� aM ti ' COSTA MESA C LIFORNIA TEL. NO. TEL. TEL. T J � y,� / NO, Jcy /1 � I NO. OP 9LD08. USE OF EXIBTING BLOG 88TBACK ��NB iROM DESCRIPTION OF WORK WALL I ROOF COVERING IILOING AND WORK TO BE PERFORMBD � . ; � � �" %.t�_ /� �1. . 1 H¢HHBY ACKNOWLEDGe TH�T I HAVE PEAD TXIB APP4GTION ANO eTA�6 THAT TH6 ABOVe 18 CORAELT AND AGq88 TO COM- PLY WITH ALL GiY OPOINANGE9 �N� eTATe LAW9 R�SSQQQ ULATINO BOILDINO CONBTRUGTI , . � _ /% �///q/ BIGNATURE OF / / / ��L6 u �AUTHORRED AGENT � FEE RECEIVED , APR 1 6 198Q FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only q6CE�PT NO. Plfl�flT NO. � �= I L/-/E-G�- y /G-E�' BUILDING ADDRE55 COSTA MES . ALIFORNIA � FIRE ZONE TYPE GROUP APPROVED BY DATE � � ZONING iOty[� NO. OF U P NEW / � .i L I PLANB UILD�NO �o„� rd� U- 2 3v c o r �6 DHBCPiP'}tON A. P. NO. YARDS EVES APPROVED ALLO D ICBNTBP LINE 8TJ C/ r�J / j 1 FRONT 1 L" FT. � � R. SIDE /� FT. / IN. L. SIDE � C- [ FT. � � IN. REAR FT. IN. � APPR � �I%�G BY �(.�. DATE b I�1 . e � TX! AMOUM BHOWN UN�EH VALUATION I8 POR THE PURPOB¢ OF EeTABLIBHINO A PERMIT FE6 ONLY. VALUATION � PERMIT FEE $ ��- S /�D / PLAN CHECK $ ~� � � t OWNER ��G� L. J. JOB ADDRESS 3pp5 Hard .�ENERAL CONTRACTOR Ha� AP No. i41-133-38 LOT 2 INSPECTIONS SOIL GAS W AT ER ROUGH PIUMBING PROP. SWR. LINE Q HOUSE CON. � SPRINNLING SVSTEM MISCELLANEOUS ROUGH HEATING AN� AIR CONOITIONING TEMPORARV SEqyICE OR POI.E UNOERGROUND � POWER � ROUGH WIRING TRENCHES � FORMS STEEI REINF. FLOOR SYSTEM BONO BEAM ❑ STEEL REINFORCE ❑ SHEATHING FRAME AND FLASHING� LATHING - IN � OUT � PLASTER, BROWN COAT STRUCTURAL, F�NAL HEATING, VENT., REFRIG. AN� A.C., FINAL PLUM9ING, FINqL ANO GAS TEST n DATE Q_25-6 'UILDING PERMIT RE ZONE VALUE b SUBCOMTRACTOR - ' 30788 COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BVILDI ADDRE OWNER MAIL CITY BRANCH ADDRESS ARCHITECT ADDFESS � CONTRACTOR ADDRE55 �� CITV O � STATE LIC. NO.ZSC SIZE h OF LOT [/ USE OF EX15TING BLDG. SIZE OF I� b NEW BL[%;. c� 4 Z � OF BUILDING AND WORK TEL.b 3 N� CITV LIC. NO. � Q INO.O BF L�DGS. NOW ON LOT OF )M$ � STORIES )F �j�, 'ERWG `w'G�L� )BEPERFORMED �'r�J.� v� `t � i J'Pf v �--- ��— I hereby ecknowletlBa chat I have reetl ffiis appllcation antl state ffiet the abova intormaiion is cor�act antl egree to comply wi[h all laws regulating building consvNction, antl I shell not employ any person in violetion of the warkman's compensation lews af the State ot Calitornia. I hereby certify chot I em properly litensetl es a contracmr untler ffie State of Califarnia Business antl Professions COtle, Divisicn 3, Chapter 9, and that uch licensas ere In full torce entl oHect, or I am exempt trom t provi 5 ot the a[e o( Calitornia Buslnecs entl Professions Co , Di=i on 3, Che t 9. i s�9oet�ra m Pormlttee Authorizatl Agent PA10 .p. *ir�@k SEP 25-69�AOO 805 3�. APPLICATION FOR BUILDING PERMIT RECEI ED BV TE RECEIVED DATE ISSUED 3� ^25=6 P M�f] A.P. NO. D BUIIDING �y ADDRESS �,i TRACT � LOT �j BIOCK W ADD A P OWNER LUE SE $ D -� FIRE �J Q 20NE�J TVPE / GROUP APPPOVED �� /,7 9V DATE 7 zy-69 )N NO.OF USE OF NE�dj-�. PLANS � BUIIDING VARDSAPPfiOVED YARDSAPPROVED MAIN BVILDING ACCESSORV BUILDING FOM C/L ST`�RE�,{'T) 10 /'PY FT. i S O T. FT. SIDE FT. FT. iAR /� FT. /� FT. � DI5TANCE BET MAIN BLDGS. VAR. # C.U.P.�y-` APPROVED /„ THE AMOUNT SH( THE PURPOSE OF E' VALUATION g� a 9v. °-° BET.I ACCE DATE m b 0 UNDER VALVATION IS FOR � LISHING A PERMIT FEE ONLV: Q a3. a � RMIT FEE $ � 7 m 4N CHECK $ / . � E `o '7 . � i- .1 u Lor 26 rRncT 4z 2 �� K�UL�v�� . " �� -�' SEP 271961 COSTA MESA BUILDING-SAPETY DEPARTMENT FINANCE DEPT. P. o. ao, g+� COBTA MHBA. CALIFORNIA CITY OF COSTA MESA FO� Applieanf �o FIII IB Complefely APPLICATION FOR PERMIT TYPE OR RIN • BUILDING � ` ✓ta�. �9oS BUILDING AODRESB COSTA MESA CALIFORNIA For Offite Use Only RECEIPT NO. Pl0.MiT NO. OWNER K& K DEVELOPMENT C0. INC. .Q Cr- , MAIL HEC ED OY I UA REGENED -'OM1TE�188UCE ADDRESS � S�P 9 '1 iOC+ ' �i.n, NEWPORT BEACH No: MI 6-3z UILDING ADDRESS ARCH1TECr NONE TE�� • COSTA MESA. CALIFORNIA OR ENGINEER NO. AD�RESS FIRE f/ / ZONE TYPE Y GROUP GONTRACTOR APPROVED BY DATE AODRE55 �555 PLACENTIA AvE. ZONING ZONH // I NO. OF �J I U6E OF NEW S�'tf �ti (�`�'�'Y /` �I PLAN9 L BII�LOING � ..,L l/VI ��TNo. 6� �g5 No M� 6-3zz7 LEOAL �y- 26 7'� 9z3 z.. DEBGRIPTION SIZE NO. OF BLDGB. • OF LOT � � HOw oH LOi q, p, NO. r�� USE OF NONE YARDS EVES EXIBTING BLDG APPROVED ALLOWED BiTBACK LINe PROM p ICENTER LIN! BTJ � ceNilR OP BlREET �V � REAR YARD 2 � FRONT s'S_FT. IN. SIDE YARD LEFT - � �� I R�GHT �� R. SIDE S FT. � iN. DESCRIPTION OF WORK � s— FT. / �N. L.SIDE NEW I X II ALTERATION I II ADDITION I r REAR � � — FT. IN. REPAIR I IIMOVING I IIDEMOLI6H I BYPROVED (N .O m DATE //Z �� h �V BUILDING NO. OF � SIZE ROOMS H STORIES EXTERIOR WALL ROOF ROCK COVERING COVERING �� USE OF BUILDING AND WORK TO BE PERFORMEO �1 D` ATTATCHED GARAGE 7 �U 1 HHpEBY ALKNOW��aB THAT � HAV6 RB�D TXIB APPLIGTION }HE AMOUNT BHOWN IINOEP VALUATION 18 FOR TH! AND eTATH TXAT TME ABOV¢ 18 COPNHR AND AGREH TO COM- pUNPOBE OF EBTABLIBHINO A PERMIT FEE ONLY. PLY WITX NLL CIT' OqDINANCE9 AND BTATB LAW6 qEOUI.�TINO Bu1tDINo coNBTrtUGTON. VALUATION 7 �^ SIGNATURE OF � PERMIT FEE $` J PERMITTE � m ) o s l �5 �� PLAN CHEGK $ / �rSD . , AUTFIORIZED AGENT j� O � TOTAL FEE J S a