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Home My WebLink About599 GRAND HAVEN CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • wv+w.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT .lob Address: 599 GRAND HAVEN CI Suite: Vicinity: Parcel Number: 41804118 Applicant: SAWYER,THOMAS Address: 19562 DITMAR LN HUNINGTON BEACH, CA Owner: SMITH, LAWRENCE G Address 599 GRANDE HAVEN CIR COSTA MESA, CA Contractor: UNDER COVER ROOFING Address: 19562 DITMAR LN Arch : Address: HUNINGTON BEACH, CA Zip: 92646 Phone: Zoning: R1 R1 Phone: (714)593-9840 Zip: 92646 Phone: Zip: 92626 Phone: (714)593-9840 License: 687961 Eng: Address: Status: APPLIED Applied: 08/O6/2001 Issued: ISSUED BY: ' Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF COMP. INSTALL 30 LB FELT AND NEW 25 YEAR COMP. SHINGLES. Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0- 0 Required: 0 FEESUMMARY PLANNING & ZONING Lek 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $3,240.00 $3,240.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void It work is not commenced within 180 days, or if work Is suspended or abandoned for a period ot 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable cotles, and all raquired inapeetlons and Ilnal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 2d4Bd8 (fl�W) WORKERS' COMPENSATION DECLARATION: � � . �i I hereby eflirm under penalry of perjury one of the tollowing declarations: j ❑ I have end will meintaln a certificate of consent to selt-Insure tor workers' compensation, as provitlatl for by section 3700 0l lhe Lebor Cotle, 1or the pertortnance oi the � work for which thi5 Oertnit Is issuetl. .— . � p' I have and wlll maintain workers' compensation insurance, as requiretl by section 3700 of NB Labor Code, for the peAortnance Of Ihe work far whkh thls pertnit is iswed. 7�\ My workers' compensation Insurence cerrier end policy number ere: Carner: Policy Number: (This sectlon need not be completed I! the permitls valuetl ef one hundred dollers ($700) or less.) ❑ I certity 1 ie ormance oi iha work for which this parmit is issued, I shell not"employ eny per any menner so es to become subiect to tha workers' compan ailon laws ot alifomla iand e ree Ihat II I shoultl become subject b t�e workere' compensatlon p isions of ecllon 700 of t�e Le6or Code, I shall torthwiih � g �G �/ Applicent Signeture: Dete� � WARNINO: FAILU EGU ORK ' OMPENSATION COVEMGE IS UNIAWFUL AND SMALL SIIBIECT TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO qJE HUNDRED THOUS RE�lOqO�),INADDI TOiHECOSTOFWMPENSATIIXJ,DAMAGESASPROVIDEDFORINSECTION3]O60FTHELABORCODE,INrEPEST,ANDATTORNE`I'SFEES. DECLARATION: ttirm Ihatl ana��. uo, of Chapter 9(commencing wi�h Section 7000) ot Division 3 c�ess a Date: antl my license Is In full C91f5TRUCTION LENDING AGEACV: �� ❑ I �ereDy aNirtn thet Ihere is a consiruciion lending agency tor lhe peAortnance ol the work lor which ihis pertnit is issuetl. (Sec. 3097, Civil Coae). Lendefs Name: Signature: _ OWNER-BUILDER DECLARATIONS: Lenders Adtlress: Dete: I hereby aHirtn thet under penalry ol perjury that I em EXEMPT FROM 7HE CONTRAC70RS LICENSE LAW for Ihe following reeson (Sec. 7031.5, Buslness end Professions Code: Any city or counry which requires a permit to consWct, alter, improve, tlemollsh, or repair any strucWre, pdor to Its issuance, elso requlres t�e ap0�icant lor such permit to fila a signed siatement thet he or she is licensetl pursuant to the prodslons ot the Contrectors License Law (C�epter 9(commencing with Sectlon 7000) of DNision 3 ot ihe Business end Profeuions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violatlon of Section 7031.5 by any applicant for e pem+' subjects the applicant to e civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner ot the property, or my employees vrith wages es their sole wmpensation, WILL DO 7HE WORK, end the strucwre Is not Imended or ofleretl for sale (Sec. 7044, Business end Professions Cotle: The Coniractors License Law tloes not apply �o an owner of property who builds or improves thereon, and who tloes such work himseN or herself or through his or her own employees, pmvided that such improvements ere not intendetl or oHeretl for sale. It, however, ihe building or improvement is soltl wit�in one year ot wmple�ion, the ownerbuiltler wiil �eve the burden ot pmving ihat he or she did nol build or improve for purpose of sale.). ❑ I, as owner ot the Oroperty, am EXCWSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo constmct ihe prqect (Sec. 7044, Business and Pmfessions Code: The coniractors License Law does not apply to an owner of property who Ouilds or Impmves thereon, and who contracis for such pmject with a contrector(s) license pursuant to ihe Contrectors License Laws.). ❑ I am exempt under sec. Signeture: Owner ID verilied by dnver's license. ❑ Yes ❑ No Business and Protessions Cotle lor this reason: Verification ot Ownership by (type oi tlocument, i.e. - propeny taz bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: Driver's License No. Date: Expires: ❑ I hereby certiy ihet no eacavation live (5) or more feet in tlepih into which e person is required to tlescend, will be made in connection with work euthodzed by this permi�, and ihat no building sirucNre, scaHoltling, talsework, or demolition or dismantling �heieot, will be more ihan thirty-sia (36) feet high. (ChaO� 3.2, Grp 2,�Art 2, Sec. 341, Title e, Califomie AdministratNe Cotle). ❑ As owner-Duiltler, 1 will not employ enyone to Oo work which woultl require e pertnit trom the Division ot Intlustrial Safery, es noted ebwe, unless such person has e permit to do such work irom Me division. SigneWre: Date: Division of Industrial Sefery Permit Number: CER7IFICATE OF COMPLIANCE AND AUTHORVATION OF ENTRV: I certity under penalry of perjury thet I heve read �his application and state ihat �he iniortnation givan is correct. I agree to comply with all stete laws end ciry ordinances releting to buil0ing construction, entl euthotlze representatives ot Ihe Ciry of Costa Mesa to enter upon the ebove-descnbed properry lor inspection purposes. I agree not to occupy or allow occupancy ot any building authorized by this permit until final inspection. COOE 1. INSVECTIONTYYE 1616 Fized System F 1266 Pool Spa Final 200 Final Re-Root PrevenNon 201 FIneI BIocWRetaining Well 202 Final Factory Fire Placa 203 Finel Sign 204 Final Demoli�ion UATE IMRIALS ��v � _ �---� � � COOE� INSVECTIONTYPE pa¢, �$ 206 Final Mechanical 208 Flnel Plumbing 210 Finel Electricel 212 Finel Fire Prevenllon 220 Final Plenning Approval 222 Final Site 250 Finel Building/Occupency 2�948 COSTA MESA BUILDING-SAFETY DEPARTMEMT P.O. BO% 1200 � C08TA MESA, CALIFORNIA VZEM For Appllcant to FIII ►n Complaroly TYPE OR PRINT ,�,Na 5qq G�a►�Jn (-�/�-�.. DREBY COSTA ME3A, CALIFORNIA ■ ARCHITECT �� 81ZE X6 � L Tll. DESCRIPTION OF WORK � �1 HEpCBx ANO BTAI � AUTHORIZ¢D AO[NT „ TXIB APPLIGTIOH IO AOPC[ TO COY. U1WI R[OUTATINO oEc 2�-6�P�Oo- 907• **•*g5.5o APPLICATION FOR PERMIT BUILDINC; for Offica Use Only 11iC[IMI'NO. I ^� L ZONIN(i mna no. o� u.a or H�w � �ux� Z euaoma �� cou. � . � � . .�—n 141-041-18 OV[RHANO BMALL BH L888 THAN YARDBAPPROVHD MAIN BUILDIN6 tOM C/L IITR6LT) �N' VM. Si YARD9APPROVHD ACCEC60RVBUILOIN6 BBT. MAIN Q 'ACGEBS. BLI DATE HOLll FOfi: 5PI CIAL REQUI�.�'•,i_; `„� � /30��.�. 6 b� � 0 THH AMOUlI� OXOW4 NDlR V�WATION 18 FOR THH � ■YPP09H OP iBTABLI8XIN6 A PERMIT PEB ONLY. VALUATION VO � p PERMITFEB ��sO p /��7� ` $ � _.� TOTALFEE S �_