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Home My WebLink About3005 GRANT AVE - Building PermitsO F � � 0 > f J � •�*'mmm A� PERMIT TYPE � CITY OF COSTA MESA � BIIILDING DIVIS/ON 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-0856 • w�vw.ci.costa-mesa.ca. FOR INSPECTIONS CALL: (714) 754•5626 � PERMIT NUMBER B07-01041 j� B ROOF2 � STATUS: ISSUED � O DATE ISSUED: 12I10I2007 , � ,,�� ISSUED BY: SOK �� JOB ADDRESS: 3005 GRANT AV CM Vicinity: ROOF Squares: 3000 Suite/Unit: Valuation: $10,850.00 SCOPE OF WORK: TEAR OFF EXISTING ROOF. INSTALL 1 LAYER OF 30# FELT, 4:12 PITCH, 30 YEAR ASPHALT SHINGLES, REPAIR/REPLACE SHEATHING AS NEEDED FOR S.F.D. 30 SQUARES INCLUDES ATTACHED GARAGE. OWNER: STEU6ER,MICHELE S Address: 3005 GRANT AVE Unit: PHONE: 714d04•9846 - City/State/2ip: COSTA MESA, CA APPLICANT: STEU6ER,MICHELE S P H O N E: 714-404 •9846 ... CONTRACTOR: OW NER-BUILDER Address: Unih � Ciry/State2ip: ARCHITECT: � ENGINEER: FEE SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: TOTAL FEES Address: 3005 GRANT AVE City/State/Zip: COSTA MESA, CA PHONE: � License No. ' � License No. - $o.00 $19525 $0.00 $195.25 � , , � License No. 000000 CELL: PHONE: PHONE: Unit: : NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAVS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In ortler 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. CO�Et. INSPECTIONME DnTE INTRIA� OOEJ INSPECIIONTYPE D�TF INiRIALS 1616 Fizetl System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final � �r 208 Final Plumbing 200 Final R8-Roof / i �—�-� p10 Final EleCtrical 201 Final BIotWRetaining 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 WORKERS' COMPENSATION DECLARATION: � I hereby aKrm under penalty of perjury one of the following tlecla2lions: ❑ I have and will maintain a certi(cate of consent to self-Insure lor workers' compensation, as pmviCetl for by sec�ion 3700 of Ihe Labor Code. for the pertormance of ihe vrork for which this permit is issued. ❑ I have and will maintain wnrkers' compensation insurance, as required by sectbn 3700 of the Labor Code, for the pertwmance of Ihe �+ork fa whic� Ihis pertnit is issued. My vrorkers' wmpensation Insurance carner and policy number are: Carrier. (This secfwr neetl rrot be completetl Athe perma is valuetl a1 one hundre00dlars (Et00) a less ) Policy Number: J- l-certify Ihal in the peRormance of the work for which Ihis permit is suetl, I shall not employ any person in any manner so as to become subject lo the workers' compensation laws of California, and agree that if I should become subject lo lhe vrorkers' compensalion provisions of Section 3700 of the Labor Code, I shall foAhwith comply with ihese provisions. C�d d.-�?-�-��-- =e�-� I a l I b � o"� 14:•^�_-:9 ' -�ppNmntY98�awre i� Dale �^ V'�' 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 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 eftect. Lic. # Class # Gont2cbr's SignaWre Date CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm thal there is a consWction lending agency for the performance of the work for which this pertnit is issued. (Sec. 3097. Civil Code). Lender s Name: Lender's Address: Oale OWNER-BUILDER DECLARATIONS: I hereby aKrm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor lhe tollowing reason (Sec. 7031.5, Business and Professions Code: Any city or counly which requires a permit to construct, alter, improve. demolish, or repair any structure, prior to ils issuance, also requires the applicant for such permit to file a signetl statement Nal he or she is licensed pursuant to Ihe provisions o( the Contractors License Law (Chapler 9(commencing wilh Section 7000) of Division 3 0( the Bu5ine55 an0 Profe55ion5 Code) or that he or 5he i5 exempl there(rom antl the basis (or the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects t�e applicant to a civil penalry of not more than five hundred dollars ($500).): ❑ I, as owner o( Ihe property, or my employees vnth �vages as their sole compensation, WILL DO THE WORK, and the structure is not intended or o(tered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builtls or improves thereon, and who does such work himself or hersel( or through his or her own employees, provided Ihat such improvements are not intended or offered for sale. If, however, the building or improvement is soltl within one year of completion, the ovmerbuilder will have the burden of proving that he or she d,id/ jnot build or improve for purpose of sale.). 1r i(�/ I, as�owner ol Ihe property, am EXCLUSIVELY CONTRACTING WITH ✓CICENSED CONTRACTORS to consWct lhe project (Sec. 7044, Business and Professbns Code: The contractors License Law dces not apply to an owner of property who builds or improves Ihereon, and who contracts for such project with a con[2ctor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Protessions Code for Ihis reason: ��,_1-A-o=w,-z.��Ce��—_._ �.2.�-I.b.��"l 1�f �--SBnaWra--�_. Date '�� aoS�meYalm� ._' Owner ID verified by dri/ve�� Yes ❑ No �Orivar'rCicen"se No. _ Expires: �� - Z � � Verilication"ofOvmershi b t e of document, i.e. - ro ert Wx bill or deed L P Y(YP P P Y )� DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify Ihat no excavation frve (5) w more (eet in depth into wfiich a person is required to descend, will be made in connection vrith work authorized �y this permil, antl lhat no Duiltling sWCNre, sc�idding, lalsev.ork, a demdition or dismantling tliereof, will be more than thirty-su (36) feel high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle 8, Califomia Administrative Cotle). ❑ As ownervbuiltler, I will not employ anyone to tlo 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. AO�liwm's SignaWre Date Division of Industrial Safery Permit Num6ec _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applicant or present or fuNre building occupant need to file and certify a Business Plan for emergency response to release or threa[enetl release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 of lhe California Health and Safety Code requires, with some exceptions, Ihat a Business Plan be Poetl wiM the Cos[a Mesa Fire Department by every 6usiness which has at any one time during a reported year a quantiry o/ hazardous matenals equal to or grea[er than a weight of 500 pounds, or a volume of 55 qallons, or 200 cubic feet of compressed gas at standard temperaWre and pressure). 2. Does or will the applicant or present or fWure building occupant need to fle a registration tortn (or acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of Ihe Cali/omia Health and Safery Code, with some exceptions, requires registration wilh the Costa Mesa Fire Departmen[ by each business which at any one time has on hand a quantity of acutely hazardous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standartl temperaNre and pressure). 3. Does or vnll the applicant or present or future building occupanl need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous matenals�l ❑ Yes ❑ No (Section 25534 of the Califomia Heallh antl Safety Code provides that the Cosla Mesa Fire Department may require the prepara[ion, certification and fling with the Fire Department of an RMPP by businesses which are requiretl to register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Califomia Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will Ihe applicant or present or future building occupant require (or the work which is the subjecl ol this appliwtion a pertnit for such consWclion or modification from the South Coast Air Quality Management District or from any other air pollution con[rol tlistrict or agency? ❑ Yes ❑ No (Section 65850.2 of the Califomia Govemment Cotle requires that Ihe requestetl information be fumishetl on applica[ions (or ran-resitlential building pertnits). 6. Will any part of lhe facility to be constructetl under this permit be within 1000 feet from the outer bounCaries of a school? ❑ Yes ❑ No Qf "yes", the facili[y musl meet the requiremenl o( Sections 25534 antl 42303 of the Califomia Health and Safety Code). 7. If a permit from the South Coast Air Quality Management District or other air pollulion control tlistrict or agency is requiretl for the work which is the subject of ihis application, have all of the disGosures prescnbed by Calitomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If yes", attach certificate of compliance trom the appropriate air pollution controloKcep. CERTIFICATE OF COMPLIANCE: I certify ihat untler penalry of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regartling Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certi(y under penalty o( perjury that I have rea0 this applicalion antl state that lhe infortnation given is correcL I agree to comply with all state lavrs and city ordinances relating to building cons[ruction, and authorize representatives of the City of Costa Mesa [o en[er upon the above-tlescribed properry for inspeclion purposes. I agree not to occupy or allow occupancy of any building c�'au onzed by thi mit until final inspection. t_a_e=a:�-�,a� l.a�_�_n_.�_o--� SignaWreW.legalOwnwls,_....-.-!�.` � Date' ._. � . n�ai« mm�o��zea npw��ani �� L''ao,f� ��%a.� S''uiE'dur y �irsidio4i OWNER-BUILDER VERIFIC�1'ION � Permit #: ��— � �� u I A city or county, which is req�ired to give notice pursuant to Section 19830, shall attach ro such notice, and, as a condition precedent to issuing a building permit, require the completion and require the remrn of, an owner- builder verification. Attention Property Owner: An `owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and retum this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No buildin¢ oetmit will be issued until this verification is received. 1. I personally plan to provide [he major labor and materials for conswction of the proposed — property improvement. ,�J Yes ❑ No 2.,.,:s (have ave not) �� 6,��1�SL signed an application for a building permit for the proposed work. 3; i'I have contracted with the following person (firtn) to provide the proposed construction: Name `��\L 1Vi C�,�� t 5�� ,��C L'Ol�ici'��C� �1� Address F'i�l 1� ��-�"K€ �� City � L�/ Phone �i�) �� ^ i-Z Conhactor's Lia No. ��CJ� �—� 7 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address Phone ( City _ Contractor's Lic. No. I will provide some of the work but 1 have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work 1oa2A6 (Rev. 11104) V AP No.141-133-44 LOT TRACT FIRE 'LONE � DESCRIPTION OF INSPECTIONS � Sianature � DATE � GROUP -.T TYPE V SUBCONTRACTOR Forms ❑ MAY 2 8 1966 - ' �a_3�� COSTA MESA BUILDING-SAFFiY DEPARTMENT P.O. BOX im0 � COSTA MESA. CALIFORNIA B26t0 Fo� Appllcant to Ftll In Complefaly TYPE OR PRINT ADDRE'S8 � V � S %L T �� COSTA ME3A, CALIFORNIA OWNEN�TG</�i�i S_ �DA�%A7ML MAIL STAT6 THL. LIC. NO. / NO. BIZE /�O ` I �� OP LOT (I/ J I USEOR � EXI3TINO BLpO. "i Y6TpACK LIN[ II10N NO. OI �LDo�. DESCRIPTION OP WORK )R WALL NQ eui��no FEE RECEIVED �sr a e iesq fINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMR BUILDINa for OHIce Use Only �r ZON[ � tso�t NO.O� U/[O�NM %f . . •uxs O� euumxa ��5.� �bT ��T t2•[{�` /�/- /3�-�i� IQ OV iRHANO BHALL �8 LE88 THAN YARDD MPROVHD MAIN BUILDINO oiorwncs eir MAIN BLDOY. vwn. tC YARD9APPROVED ACCEiSORY BUILOIN6 en. i wcca owre er � G/ . DAT! ' O- —b a m � �3 eo. �. � 0 1 HCR�Y IICNNOWL6p0[ TNAi � MAV[ 116AD T111P MPLIGTION TMS AMOUtlT eMOWN UNDep V��UATON 1! ROR TiC j AND BTATB Tf1AT TH6 AlOV� IY CORR[CT�AHO AORB[ TO COM• �UHPoBH OP �8'lAGLIBXINO 11 PlRMIT F88 ONIY. 5 PLY WITM AI.L QTY OROINANCO M1D pATi L11WD R[OUTATINY BUILOINOCON ION. VALUATION �y � 7 � � PERMIT F8H $ 7 � SIGNATUREO PERMITTB /� l /� /)�^ � , a 7� AUTMORIZi QNT .)'� TOTALFEE Lor �H .TRACT 42 2 �'. . ,..r. ` �.rJ�_��i' COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX ]17 COBTA MHBA. GLIFORNIA For Applicanf fo Fill In Compleiely � TYPE OR PRI� ADDREI88 � O O y/J � /'� �A COSTA MESA CALIFORNIA owNeR_ K& K DEVELOPMENT CO.. INC aooRess 1555 PLACENTIA AVENUE TEL. CITY NO. ARC�"reG7 TEL. OR NEER NONE NO.J------ AD�RE88 _""_'_"""_'_"'______ CONTRAGTOR K W KOLL ADDRE88 �rj55rj PLACENTIA AVENUE CITY NEWPORT BEACH uc".No. (11�5 i+o: MI 6-3z�7 81ZE __ � �� i �� i I Ho. ov e�ooe. � �, eereACK uHa rteor �6 � �CBNTEq OP BTR88T �' SIOE YARO I LEFT �. � 9�� F�E RE�.�lUED � A��,UG 231°.,61 FINANCE DEPT. APPLIEATTION FORLP,ER1v"UTi o�. pA•— BUILDING rza� . �-9v,f� For Office Use Only RHC81R NO. �� Ii6C61vqu BY I DATIj�(i8C8�{y6D �I. D/�J81B1 COSTA MESA. CALIFORNIA APPROVED BY DATF ZONING ZONe NO. OP U8H OP ! R-1 � P�a z a�,��a �:�,�,_� �t y� � YARDS APPROVED / 1' �urrtca u�a ss.� REAR YARD ZO � 4�� FRONT �� IRIGHT � �� R. SIDE 'S OF WORK L.61DE S I I u ADDI710N I REAR z� I HDEMOLISH I �PR�VHD �JB ( I BUILDING . �. __ NO. OF z3t EXTERIORy�qLL ROOF COMPO SHINGLE a COVERING JTUCQO COVERING U86 OF BUILDING AND WORK TO BE PBRFORMED / SHINGLE FAMILY RESIDENCE AND BETACHED A GARAGE PLAN �IB i H8R60Y ACI(NOWLEDOB TX�T I XAVB R6AD TMIB APPIJGTION THE AMOUNT BXOWN tINDHR VALUATION IB POP TXH •ND 9TAT8 TXAT THH ABOVE 19 COPR6CT AND AOR88 TO COM• pURP068 OF H8TA9LIBHINO A PBPMIT IEE ONLY. �LY WITX ALL'CITY ORDINANC68 ANO BTATH IAWs R60ULATINO au�LOINo coNBTR rnON. VALUATION 81GNANRE OP � PERMIT FEE $ �S'� PERMITTB /��/a /y � $ /` PLAN CHECK $ / � S� AUTHORIZED AGENT TOTAL FEE •