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Home My WebLink About3134 GREEN ST - Building Permits(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 3134 GREEN ST GARAGE 41814203 Applicant: WRIGHT, CHERYL Address: 3134 GREEN ST � - � - ' „- , COSTA MESA,-CA : i-=�-� �-� � Phone: 774-435-1524 i: LAKE El51NORErCA � , Zip: 92627 Qwner: � � WRIGHT, FRED�& CHERYL � � � � � Address 3134 GREEN ST " � ' COSTA MESA, CA Phone: LAKE EL5INORE,�CA Zip: 92627 Contractor: OWNER-BUILDER Address: � ' �._-Phone: Zip' License: 0 Status: ISSUED Applied: 05/14/2001 Issued: OS/14/2001 ISSUED BY: � ��\ SCOPE OF PERMIT , _ , _ _ 3 ELEC OUTLETS FOR AN EXISTING GARAGE. -', - -- ! REF: 801-00533 ' ' - - - - . . . . _ . .. . _ . . . . - 07/31/02 REVISED: ADD 200 A SERVICE. � � FEE SUMMARY i � � Quantity . � Quantity ISSUE FEE $23.50 Temp.Dist System'/ lighting $0.00 0 Temp service test 30.00 Busway /100 ft � $0.00 0 Res. a/c package $0.00 ;: Standing Section $0.00 0 � New Res (1-2 units) . $0.00 0 � � . � Misc Electrical Equipment $0.00 " 0 , New Res (3+units) � , $0.00 0 . � � Transformers up4o 1 kva/kw $0.00 ��. � 0 , � � Pool / Spa � ��$0.00 . , 0 . � � ....:...........up to 10.kva/kw , .- $0.00 ' 0 - . _ Lighting Fizts $O.OD� � .' �" 0' .................up to 50 kva/k�v -�$0.00 � 0 � - � Recept Outlets ' $3.30 -�� 3 , .................up to 100 kva/kw 50.00 0 ' Switches � � " $0.00 � ;' . 0 � .......:..........over 700 kva/kw $0.00 - - 0� .' � Non Res Appl §0.00 �� 0� Low Voltage Equipment '�$0.00 , 0 ' Res Appl . $0.00 .� 0 � � Low Volt Wiring System / Ckt $0.00 � 0 ' Service to 200a - . $30.50 1 � Misa Conduit $0.00 0 ' Service to 1000a $0.00 0 Misc. Conductor $0.00 , 0 � Service over 1000a $0.00 0 Circus ( gen or nde) �§0.00 -,� 0 Motars to'Ihp �$0.00 � 0 � Circus (mech ride or IighGs) $0.00 0 Motors to �Ohp $0.00 0 Christmas Tfee Stand $0.00 0 Motofs [o SOhp $0.00 � � � 0 � �Fireworks Stantl $0.00 0 � . Motors to 100hp $0.00 � 0 Other ElecMcal Fee' " $0.00 Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Fwr Pole Intermed Pole $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $57.30 COMMENTS / SPECIAL CONDITIONS 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 ot 180 tlays. �� INSPECTIONS: In order tor ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all I , required Inepections and ffnal app�oval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. IFOR INSPECTIONS CALL: (714) 754-5626 eaac-ae ttiw� W4�RKERS' ,r.OMPENSATION DECLARATION: . ` . I hereDy aftirm under penalry ot perjury one of the following declarations: � ❑ I have antl will maintain a cetlificate of consent to self-Insure for workers' compensetion, es provided for by section 3700 of the Labor Code, lor the OeAormance of the work tor which Ihis pertnii is issued. ❑ I have antl will mainta(n workers' compansation insurance, as requiretl by section 3�00 0� Ihe Labor Code, for the pertortnance of the work for which this Dermit is issued. My workars' compen�ation Insurence carner and policy number ere: , Carrier: Policy Number: bcertify that in the p�nce of ihe Rc for which thy�s pertnit is issued, 1 shall not employ any person in any manner so es to become subject to the workers' compensation la of Ca fomia, en grea ihat if I 6ultl e sub�ect� to�rkers' compensation provisions of Section 3 00 oi ihe Labor Cotle, I shall torthwith comply with Ihe pr v ons. AppllcanLSignaturer . Date:� � �//� � �._� WARNING FAIWRE TO OfiKERS' COMPEI SATION COVERAGE IS IINIAWFUL AND SMRf.L SU&IECT AN EMPLOYER TO CRIMI �NALTIES AND CIVIL FINES UP TOIXJE HUNORED THOUSAND DOLLAFE (E1pp,OpO). IN ADDITION TO TME COST OF COMPENSATION, DAMAGES AS PROVIDEO FOR IN SECTION 3]W OF THE LABOR CADE, IMEREST, AND ATTORNE`fS FEES. LICENSED CONTRACTORS DECLAFiAT10N: I hereby attirm Ihat I am licensetl untler provisions of Chaptar 9(commencing wiN Section 7000) ot Division 3 of ihe Business and Professions Code, and my license is in tull force end eHecL Lic. N Cless # ContrectoYs SignaWre: Date: CONSTRUCTION LENDING AGENCY: ❑ I herehy aNirtn that Ihere is a construction lentling agency for the peAormance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signalure: � Date: OWNER•BUILDER DECLARATIONS: I hereby aMirtn that under penalry of perjury that I am EXEMPT FROM 7HE CONTRAC70R5 LICENSE LAW tor ihe following reeson (Sea 7031.5, Business and Pmfessions Code: Any city or counry which requires e permit to constmct, alter, improve, demolish, or repair any stmcture, prior to its issuance, also requires ihe applicant for such permit to file a signed statement ihat he or she is licensed pursuent to Ihe provislons of the Contrecmrs �icense Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business end Professions Code) or thet he or she is exempt therefrom antl t�e basis for the ellegetl exemption. Any violation ot Section 7031.5 Dy eny epplicent for e permit subjecis ihe epplicant to a civil penaliy oi not more than five hundred dollars ($500).): ❑ I, as owner of ihe property, or my employees with wages es their sole compensation, WILL DO THE WORK, and the structura is not intentletl or otfered for sele (Sec. 7044, eusiness and Professions Cotle: The Contractors License Law dces noi apply to an owner oi proDerty who builds or improves ihereon, and who does such work himself or herseli or ihrough his or her own employees, provitled that such improvemenis are not intended or oflered for sale. H, however, the building or impmvement is sold within one year of completion, the owner-6uilder will have the burden of proving that he or she did not build or imp�ove 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 contrectors License La tloes not epply to an owner of property who builtls or Improves thereon, and who contracts tor such project with a coniractor(5) �-license pursuant to the Contrac�License Laws.). by Venfication af OwTBfSfiip by (type of Busine5s 5 ❑ No i.e. - properry tax bill or Code tor ihis reason: ^ �Date:= � � i nsf_�No.- � Expires:�// DIVISION OF INDUSTRIAL SAFETY PE%1MIT CERTIFICATION: ❑ I hereby certify Ihat no excavetion frve (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by t�is permit, and ihat no building simcture, scaHolding, falsework, or demoli�ion or tlismantling Ihereof, will be more �han ihirty-six (36) feet high. (Ghap. 32, Grp 2, Art 2, Sec. 341, Title B, Celifomia Administrative Cotle). ❑ As owner-builder, 1 will not employ enyone to do work which would require a permit from the Division of Industrial Safety, as noted ehove, unless such person hes a permit to do such work from ihe division. Signature: Date: Division of Industrial Safery Permit Number: CERTIFICA OF COMPLyiiJCE AND AUTHORIZATION OF ENTRY: I cenify under penalry ot perlury �hat I have read this appiication and state that the information given is corred. egre to co�jpi�wRh ell state laws antl city ordinances relating ro building construclion, and authorize representatives ofthe City of Costa Mesa to enter upon ihe ebov d cn d pr ��erty for inspectio ryose . I agre no� to occupy Ilow acu0ancy of eny building authorized by this permit u til final i pection. � 7�3/�a � ' aNrflOf�LegelOwner(s)- ZDate � � � And/OrAuthodzed Applicent COpE t. INSPECTIONTYPE PAIE 1616 Fixed System Final Fire Prevention 7266 Pool Spa Finel �200 Final Re-Root 201 Finel BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition �NiRIALS �QQF�( INSPECTIONTYPE 20fi Final Mec�anical 208 Final Plum6ing 210 Finel Electrical 212 220 222 250 Final Fira Prevention Final Planning Approval Final Site Final Building/Occupency �:I .1111. 5 ��, (714) 754-5273 • Fax (714) 754-4856 • wv+w.ci.costa-mesa.ca.us 77 FAIF ORIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber. Applicant: Address: 3134 GREEN ST GARAGE 41814203 WRIGHT, CHERYL 3134 GREEN ST COSTA MESA,CA Owner: WRIGHT, FRED & CHERYL Address 3134 GREEN ST COSTA MESA, CA '!i!�'�7, Contractor: Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a Motors to ihp Motors to tOhp Molois to SOhp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole OWNER-BUILDER Phone: 714-435-1524 Zip: 92627 Phone: Zip: 92627 Phone: Zip: License: 0 SCOPE OF PERMIT 3 ELEC OUTLETS FOR AN EXISTING GARAGE. REF:801-00533 $23.50 $0.00 50.00 $0.00 50.00 $0.00 50.00 $3.30 $0.00 50.00 ` $0.00 ' $0.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 50.00 50.00 50.00 Quantity FEE SUMMARY Temp Dist System / Lighting Busway I100 fl Standing Section Misc Electrical Equipmenl Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to SO�kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment . Low Volt Wiring System I Ckt. Misc. Conduit . � - - Misa Conductor Circus ( gen or ride) Circus (mech ride or lighls) Christmas Tree Stand Fireworks Stand Other Eledrical Fee � Investigation Fee Plan Check Fee Reinspection Fee Status: ISS U ED Applied: 05/14/2001 Issued: 05/14/2001 ISSUED BY: �uantity $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 so.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 $0.00 $0.00 50.00 $0.00 TOTAL CALCULATED FEES 526.80 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authonzed 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 780 days, or if work is suspended or abandoned for a period of 780 days. INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetions end (inal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 24463818'00) WURKERS'.COMPENSATION DECLARATION: � ' • I hereby afflrm under penelry o� perjury one of iha following tleclerations: ❑ I heve entl wlll maintein d certificate of consent to self-Insure for workers' compensallon, as provitled for by section 3700 0l the Lebor Code, for the pertormence of the work tor which Ihis permit is i5sue4. ❑ I have antl wlll meintain workers' compensation insurance, es require0 �y section 3700 of ihe Labor CoOe, tor iha pertormance of the work for which this pertnit is issuetl. My workers' compensailo� Insurance carrier and policy number ere: Carrier: Policy iJumber: (This sectlar need not be comp�efed i/ fhe permil is ve/ued et one huntlred dW/ers ($100) oNeu.J ❑ I certiy t�at in the peAormance ot t�e work for which this permit I5 issuetl, I shall no� employ any person in any manner so es to become subject to the workers' compensation laws ol COIlfomia, and agrae that II I should Decome su��ac� to the workers' compansation provisions ol Sectlon 3700 of the Labor Code. I shall forihwlth comply wlih these provis�s. Applicanl Signature: Daie: WARNINO: FAILURE TO SECURE W�ERS' COMPENSATIpJ COVEMGE IS UNLAWFUL AND SHALL SU6IECT AN EMPLOYEF TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED T}IOUSAND DOLLARE (5100,000). IN ��R1(NJ TO THE CQST OF COMPENSATION, DPMAGES A$ PROVIDED FOR IN SECTION 37080F iHE IABOR CODE, IMEREST, AND ATfORNEY'S PEES. LICENSED CONTRACTOHS PECLAHA710N: I hereby eHirm thet I em Ilcensad under provisions of Chapter 9(commencing with Saction 7000) of Division 3 of the Business antl Pmfessions Code, antl my license Is in full force and ettect LIc. M Class a Con�rectoYs Signatwe: Dete: CONS7RUC710N LENDING AGENCY: ❑ I hereby eNirm Ihat there is a constmction lentling agency for the peAormance of the work for which ihis permit is issuetl. (Sec. 3097, Civil Code). LBntlBrS NBme: Lentlers Address: Signeture: Date: OWNER•BUILDER DECLARAnONS: I hereby alfirm ihat untler pene�ry of perjury ihat I em EXEMPT FROM TFiE CON7RACTORS LICENSE LAW lor the tollowing reeson (Sec. 7031.5, Business an0 Professlons Cade: Any ciry or counry which requires e permit to construct, alter, Improve, demolish, or repair any strucWre, pnor to its issuance, also reduires the applicant tor such permit to file e signed stetement that Pe or she Is licensed pursuem ro t�e provislons of Ihe Contradors License Law (Chepter 8(commencing with Sectlon 7000) of Division 3 of Ihe �B siness and Prolessions Cada) or that �e or she is e:empt therefrom antl Ihe basis lor Ihe ellegetl exemption. Any Nolation ot Section 7031.5 hy any applicant for e pertnit �jects ihe epplicant to e civil penalry of not more than five huntlred dollars ($500).): I, as owner ot the propeny. or my employees with wages as iheir sola compensation, WILL DO TME WORK, end the sWCWre is not intentletl or otterad for sale (Sec. 704d, Business and Profassions Cotle: The Contracbrs License Lew does not apply to an owner ot property who builds or improves Ihereon, and who does such work himsell or hersell or throUgh his or her own employees, proNded ihat such improvemenis ere not intended or oHereC for sele. If, however, the building or improvement is sold wilhin ona yeer ot cnmpletion, the owner-6uildor will hevo the burden oi prov'ing ihat he or she tlitl not 6uild or improve for purpose of sele.). ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 704d, Business and Pmfessions Code: The coovactore Lleense Law tloas not epply to an ownar ol property who bullds or Impmves thereon, a�d who conUacts br such project with a co�trector(s) license pursuant to Iha Contractors License Laws.). ❑ I am e:em der c. Business and Professions Code for Ihis reason: Signature: �� Date: �< U Owner ID venfied by tlrivefs liten5e. ❑ Y85 ❑ No Drivers License No. Expires: Venlication oi Ownership by (type oi tlocument, i.e. - property �ax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CER7IFICATION: ❑ I hereby certify that no ex�evation five (5) or more feet in tlepth into which e person is required to descend, will Oe made in connection with work authorizetl by this permit, end Ihet no building strucWre, scaHolding, lalsework, or tlemolition or dismantling thereot, will be more than thirry-six (36) leet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, Califomia Administrative Gode). � As owner-builtler, I will not employ anyone to do work which would require a permit from Ihe Division ol Indusirial Sefery, es noted ebove, unless such person hes a pertnit to do such woAc irom Ihe division. Signature: Dale: Division of Industrial Sefety Pelmit Number: CEBTIFlCATE OF COMPLIANCE AND AUiHORVA710N OF ENTRY: I certity under penalry of perjury t�at I have reatl this application antl state that the infortnation given is correc agree to mply with ell state laws and ciry ordinances relating to building consimction, and auNorize representatives of ihe Ciry of Costa Mesa to enter upon Ihe eb e escnb roperry fo in5pection purposes. I agree not to occupy or ellow occupancy of any building au�horizetl by this permil until final inspec�ion. �if�!- L�c.� .�O?� -5_/�/� / Signature Of Legal Owne�(s) D'ate A�d�Or Au�honzetl Applicent CODE �. INSVECTIONTYPE 7676 Fized Sysrem Final Fire Prevention 1266 Pool SOe Final 200 Finel Re-Roof 201 Final elock/Retaining Wall 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition P� INTRIALS LQOE♦ INSPECTIONTYPE 206 Finel MeChaniCal 20B Finel Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Sile 250 Final Building�Occupancy Q9I€ I[IIIIIeLS �-br=ri � (714) 754-5273 • Fex (714) 754-4856 • www.Ci.COSIe-me58.Cd.US 77 FAIR DRIVE, GOSTA MESA, C:A 92626 BUILDING PERMIT Job Address: 3134 GREEN ST Suite: Vicinity: Parcel Number: 41814203 Applicant: WRIGHT, CHERYL Address: Zaning: R1 R1 Phone: 714-435-1524 Zip: Owner: WRIGHT, FRED & CHERYL Address 3134 GREEN ST , COSTA MESA, CA Phone: 714-435-1524 LAKE ELSINORE, CA Zip: 92627 Contractor: Address: Arch : Address: Phone: Phone: License: Eng: Address: ' ISSUED BY: Status: ISSUED Applied: 04119/2001 Issued: 04/19/2007 Phone: 2ip: License: License: SCOPE OF PERMIT RELOCATE GARAGE DOOR OPENING FROM WATSON STREET TO COINCIDE WITH NEW DRIVEWAY APPROACH ON GREEN � STREET. ` Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $54.11 $83.25 $0.50 $0.00 $0.00 $0.00 $137.86 SETBACKS�'� � � MAIN STRUCTURE`Front� 0- 0 , � ACCESSORY Front � 0- 0 �-� PARKING e:�stinq: o � NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING 8 ZONING Left 0- 0 Left 0- 0 . � Proposed: 0 � , Calc Valuation: % sz,eoo.00 Claim Valuation: , . 52,500.00 ;' , � „ . ��- � �. , � - � 'i . Right� 0-0 - � Right 0-0 � � NO710E: The work authonzed by this permit shall comply wiih all applicable handicap access requirements under California stalutes antl ralated regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1B0 days, or il 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 requlred Inapectiona end finel approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration. of this permit. FOR INSPECTIONS CALL: (714) 7545626 !aaws la�oo� WORKERS' COMPENSATION DECIARATION: I heroby eRirm untler penelty of perjury one ol the following tlecleretions: ❑ I have and will r�aintein e certificate of consent to self•Insure tor workers' compensatlon, as Orovided for by section 3700 of tha Lebor Code, for ihe performence of Ihe work for which this permit is issued. ❑ I have antl wlll rt�aintain workere' compensation insurence, es requiretl by section 3700 of the Lebor Code, for the pedotmance of Ihe work for which Ihis permit is issuetl. My workers' compensatlon Insurance cerder antl policy number ere: Policy Number: hundred dallers ($100) or less.) �L� I cenity that in tne pertortnance of the work br which this permit is icsued, I shell not employ any person in any manner so as to become sublec� to the workers' /\ compenselion 19ws of Celifomia, end agree that 11 I shoultl Decome subject to the workers' compensetion provisions ol Section 37 0 ot Ne Labor CaAe, I shell forthwith wmply with �he5e ProWsions. / j.�/7 �+ / 9��/� � ApPliceNSignaNre: % �`�`� � // �. ��,% Date: %r WARNING FAILURE TO SEOFIRE'WORKERS' CQNPENSATION COVERApE IS UNLAWFUL AND SHFLL SUBIECT qN EMPLOVER TO CRIMINAL PENALTIES A D CIVIL FINES UP TOONE HUNDRED THOUSAND Dd1ARE (5100.00p�, IN ADDRION TO THE C0.ST OF COMPENSATION, DPMAGES AS PROVIDED fOR IN SECiION 31060F THE IABOR CODE, IMEREST, AND A770RNEY'S FEES. LICENSED CONTRACTORS �ECLAHATION: I hereby aMirm �hat I am licensed under provisions of Chapter 9(commencing with Seclion 7000) of Division 3 oi the Business and Pmfessions Code, end my license is in full lorce entl eHecl. Lla A Ciass # Contractors Signetur�: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn tpat ihere is a construction lending agency for the pedortnance ot the work for whlch ihis permi� is issued. (Sec. 3097, Civil Code). ' Lantler'S Name: Lentlers Address: �� SlgnaNre: Date: OWNER•BUILDER DECLARATIONS: I hereby aHirm ihat undar penalry of perjury thet I em EXEMPT FROM THE CONTRACTORS IICENSE LAW for ihe following reason (Sec. 7031.5, Business ana Professlans Code: Any ciry or counry whlch requires e parmit m construcl, elter, lmprova, demoiish, or repair any sirucWre, pnor to its issuance, also requires lhe appliwnt for such permil to file e signetl stetament that he or she Is Ilcensed pureuant to Ihe pmvisions of �he Contrectors License Law (Chapter 9(commencing with Sectlon 7000) of Division 3 of the Business end Profess�ons Code) or that he oi she is ezempt therefrom and ihe basis tor the alleged exemption. Any violation of Section 7031.5 by eny applicant for a permit subjects the epplicam m e civil penelty ot not more than five hundred dollars ($500).): ❑ I, as owner ot the pmpery, or my employees with wages as iheir sole compensetion, WILL DO iHE WORK, end the strucwre is not intendetl or offeretl tor sale (Sec. 7044, Businass and Protessions Code: The Contrac�ors License Law does no� eDPly to an owner of property who builds or improves ihereon, an0 who does such work himself or hersalf or through his or her own employees, provided that such improvements ere not intended or oNered for sale. If, however, the building or improvement is sold within one year oi comple�ion, the ownao-buildor will have the 6urden of proving Ihat he or she did not 6uild or improve for Ourpose of sele.). ❑ I, as owner ot the pmperty, am EXCLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to construct ihe projact (Sec. 7044, Business antl Pmfessions Coda: The conlrectors License Lew does noI epply to an owner ol property who bullds or Impmves thereon, antl who contracis lor such pmlect with e conlraclor(s) license Dursuant to the Copiracbrs License Laws.). ❑ I em exempt d� sec. Busi�ss and Professions Cotle for Ihis reeson: Siqnature: � 7, !i Owner ID venlied Envefs liceiisa es ❑ No Driver's License No. _ar Verilicetion oi Ownership by (rype of document, i.e. - properry �a: bill or deed): DIVISION OF INDUSYRIAL SAFETV PERMI7 CER7IFICATION: Expires: ❑ I hereby certify tpa� no ezwve�ion five (5) or more feet in depth into which a person Is requiretl to tlescend will ba made in connection with work eutho�zed by Ihis permil, and that no builtling strucWre, scaHolding, lelsework, or demolition or dismantling ihereof, will be more Ihan thirty-si: (36) leet high. (Chap. 32. Grp 2, Art 2, Sec. 345, Title 8, Celifomia Atlminislrative Code). ❑ As owner-6uiltler, I will not empioy anyona to do work which would require a permi� trom the Division ot Industrial Salery, es noted ebove, unless such person has a permit to do sucn work from tha division. Signature: Date: Division ot Intlustnal Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AIJIHORVA710N.OF ENTHY: I cenity under penalry of perjury that I have read Ihis epplication en0 state ihat the infortnation given is wrrect. I egrea to comply with all state laws en0 ciry ortlinances relating to building construction, end euthonze reD�esentatives oi the City of Costa Mesa to enter upon the a6ove-descnhed pmpehY �or inspedion purposes. I agree not to occupy or ellow occupancy of eny building authorized by this pertnit until finel inspection. Sign Wre Ot Legal Owner(s) �_ 1 / �%�% � / c d/Or Au�hodzed Applitan� � yQOE 1. INSVECTIONTYP€ QSIE' M AL 1816 FIseO Sys�em Flnal Fire Pfeven(ion 1268 Pool SDe FIn9� 200 Final Re-Roof 201 Final BIxWRalaining Wall 202 Final Fectory Fire Place ' 203 Final Sign 204 Final Demolition COOE� INSPECTIONTYPE 206 Final Mechanical 208 Finel Plumbing 210 Final Electncal 212 Finel Fire Prevention 220 Finel Planning Approval 222 Final Sita 250 Final BuildinryOccupancy � �.: �� INTIilALS (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.B�gLDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 I Job Address: 3098 GINGER AV Suite: Vicinity: Parcel Number: 13956403 Applicant: DEBRA TODD Address: Owner: HUNT, JEANANN Address 734 CAMEO HIGHLANDS DR CORONA DEL MAR, CA Contractor: BONDED ROOFING Address: 200 NIETO AVE SUITE 200 LONG BEACH, CA Zip: 90803 Arch : Address: Zoning: R3 R3 Phone: 562-423-4706 Zip: Phone: Zip: 92625 Phone: (562)427-1604 License: 758776 Eng: Address: ISSUED BY; Status: ISSUED Applied: O6/OBR001 Issuetl: 06/082007 Phone: Phone: Zip: License: License: SCOPE OF PERMIT T/OFF AND REROOF 2000SF RESIDENCE W/BUILT-UP. Plan Check: $0.00 Permit: $9725 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: �0.00 Total: $97.75 SETBACKS .� � � - �� '�� MAIN STRUCTURE �Front 0. 0 � Rear 0. 0 ACCESSORY Front 0- 0 � Rear 0- 0 PARKING Existinq: o Required: o NOTES: FEE SUMMARY Calc Valuation: Claim Valuation: PLANNING & ZONING ' .� ' � �%� , Lek �0-0 ' � Right' �0-�0 � � Left 0-0 � Right 0-0 Proposed: 0 , � r � sa,000.00 sa,000.00 NO710E: 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, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days, or it work is suspended or abandoned for a perlod ol 180 days. INSPEC710NS: In ortler for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectlons end final approvel must be obtained. Failure to obtain inspections and final approval will result In the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 2aasre �eroo� WORKERS'COMPENSAnON DECLARAnON: ' � I hareby aXirtn untler pend�ry ol perjury one ol Iha tollowing tlederelions: ❑ I have end wlll main�ain a certificare ot consent to selt-Insure for workers' compensation, es provided tor by section 3700 0l ihe Labor Code, br the peAormence ot the work for which thls pertnit is issuetl. � 1 have ena will maintain workers' compensation insurance, es requlred 6y section 3700 ot Ne Lebor Cotle, lor Ihe peAortnance ot ihe work tw whkh thig pgrtrAt Is Lssued My workers' compe�sai�on nsura7ce cartier and polcy number ere: Cartier. , S� �'i�e ��.✓v / Policy Number. I �a (•1 �n �3 � (This secNon need nof be �pletetl i! fhe permif Is valued et one hunOreO tlallers (S f00) or IessJ ❑ l cert0y that In the peRormance ot the work lor whtch this permit Is issued, l shall (wt emp7oy eny person In sny mannar so as to beGome sub�aq to the workers' compensation laws o1 Celilornie, entl egree Ihel II I s�ould Eecome subjecl Io t�e worker9',compensatlon provislons of Sectlon 3700 of Ihe Lebor Code, I shell lorthwith comply with Ihese p� � �s. ' nppncen�sianewre: �� j � oaie: �r�� —U � / a WMNIN(3: FAILURE TO SECURE WORKERS' COMPENSATpN COVEfiAQE IS UNUW FUL AND SHALL SU6IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FlNES UP TOONE HUNDRED TYIOUSAND Oq1ARE (E100,000), IN ADDfiION TO THE WST OF COMPENSATION, DAMnGES AS PHOVIOEO FOR IN SECTION 3]OB OF TME UBOR CODE. IMEREST, AND ATTOqNEV'S FEES. LICENSED CONTRACTtlAS DECLARATON: I hereby eHirm Ihat I am IiGensatl untler prwislons of Chapter 8(commencing with Sectio�) of DlNsion 3 0l ihe B force and etlect. Lic. p �o / Class � � Contrectofs Signeture: — � � ✓ Date: _ � COCe, end my license is in full CONSTRUCTION LENDING AGENCV: ❑ I heraby efllrm lhet there is e consiruction lending agency for tho pedormance of Ihe work for which Ihis permit is Issuetl. (Sec. 3097. Civll Gode). Lender's Neme: Lender's Adtlress: Signeture: Date: OWNER•BUILDER DECLAAA710NS: I here�y attlrtn that untler penelry ot perjury thel I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe lollowing reason (Sec. 7031,5, Business end Professions Cotle: Any ciry or counry which requires e pertnit to construct, elter, improva, demalish, or repflir eny structure, ptlor to its Issuance, also raquires t�e appliwnt for such permit ro lile e signetl stetement t�a� he or she is licensed pursuant to the D�ovislons of the Contractors License Lew (Chepter 9(commencing wlih Sealon 7000) ot Division 3 ot tha Business end Prolessions Code) or ihat he or she is exempt thereirom and ihe basis lor the elleged exemptlon. Any violation oi Section 7037.5 by eny applicent for e pertnit sublecu Ihe epplicam to e civil penalry ot not more then five hundred dWlars (5500).): ❑ I, es owner oi tTe prapeM• or my employees with weges es theU sole compensation, WILL DO 7HE WORK, entl iha strocture is no1 imenCetl or otteretl tar sale �Sec. 7044, Business entl P�ofesslons Code: The Contractors License Law tloes not appy to an owner of property who builds or improves Ihareon, and who Ooes such work himsetl or herselt or through his or her own employees, providetl that such impmvements are not Intended or oHered for sale. If, however, the building or improvement is sold wit�in one year ot completion, ihe owner-builder will have �he burden of proving that he or she did not �uild or improve tor purpose oi sale.). ❑ I, es owner ol the prPperty, em EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS lo construct Ihe project (Sac. 7044, Business anC Prolesslons Code: The contrecb�s License Law tloes not epply �o an Owner ol property who builds or Improves t�eraon, entl who wntracts lor such pml� M'��h a cantractor(s) licen5e pur5uent to the Comractors Licensa Lewa�. ❑ I am exempt unde� sec. Business end Protessions Cotle for ihis reeson: Signature: Date: Owner ID verified by tlrivefs license. ❑ Ves ❑ No DriveYs LicenSe No. Expires: Vedfication ot Owners�ip by (rype of tlocument, i.e. � property tax blll or deed): DIYISION OF INDUSTRIA� SAFE7Y VERMIT CERTFICATION: ❑ I �ereDy certlly thet oo evwvatlon tive (5) or more feet in depth inm which a person is required Io descen0, wlll be made In connaction wit� work euthodzed by Nis pertnit, and that no builtling sirucWre, scaNOlEinp, falsework, or demolition or tlismantlinp ihereof, will ba more than Ihirry-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Celifomia Administrative Cade). ❑ As owner-buildar, I v�� not employ enyone ta tlo work which would require e pertnit from the Divlslon al Industrial Salery, es notetl above, unless such person hes e permit to do such wa� �rom the tlivision. Signature: Oate: Dlvision ot Indusirial Sefery Permit NumDer: CEHTIFlCATE OF COMPUNdCE AND AIJTHORVATON OF EHTAY: I cenify under penalry of perjury that I heve read this application and stata that the information given is correcL I egree to wmpty with ell state laws and dry oMinences relaiing to builtling wnstructlon, entl authorize represematives ol t�e d�y ol Cos�a Mesa Io enter upon the ebove-descnbed properry tor inspection puryoses. I agree not to occupy or ellow occupancy of eny builtling euthodzed by this permit until final inspection. tur elOwner(s) � � L� � U AnA/Or Authodzed Applicant COOE 1. INSPECTIONTYPE 18te Fixetl System Final Fire Prevention 1286 Pool Spe Final 200 Finel Re-Rool 201 Finel Blak/Retaining Well ��Yi 203 Final Fectory Fire Place Final Sign 204 Final Demolition PdIE It�LB COQE� INSPECTIONTYPE 206 Finel Mechanicel 208 Final Plumbing 210 Final Elecidcal 212 Finol Fire Prevention 220 Finel Planning Appraval 222 FineI511e 250 Flnal Bullding/Occupency eeiF �s �._ �� .I /� . " �. ' -,� ,i.�r'� �- .`,� y��~tt� 1.,�;� �. �� • . ♦. '� •� rs' � ' " �� ',i.• .�� , . . I}'- : '.i- f - �� '�y rp '- `.� ' y'�' .0 �' l�l'rjn'1F �`� �.r±.-. [�1� ! J' �, -. � _ . _ ... �(+N� - i. e: r�,-r . . •'.1,,..ip '� l ..j. � . • . c �.. *1 � . ��: i • ti':. �._'_.f . ,, �-.-�„��,---•'� � �i�_7 � � - _s�- �+..� M� 7 Y { . � Y �a '+• ' yL •J�� } �, . i _' -'�� _ �+ � � �i.� q ��C� -.- . � � � � � G _ � /� ;. 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BUILDING PERMIT NO. 2782 GENERALCONTHACTOR The Hale �i0 VALUE m lO�9C�O.00 LOT 23 BLOCK TRACT 2(y32 Sin�le Res. w/att gar G....UP T Rr J TVPE V ZONE RLl FIRE DISTRICT 2E;u INSPECTION$ ��/ �-DATE SUBCONTRACTOR PERMITSISSUED �� •Jf' ��'Y�� DATE NUMBER Footing ench b �d '� / Foundation Forms and Grade to Garage RouahFramina — �� ! .� � Plumbing, Rough Complete (j'j(/}f� /� Temporery Pole 7� Wiring, Rough t�_ 7 _e Heating, Rough Heating, Final Sewer, Housep{�/, �, Sewer, St. f'-: � � ��rti�� Lathing, In � Out� �. �c g- P" �ring p�.�� P. .ning, Final, Fixtures Complete �tL Plumbing, Fin.al GasTest /,� » � Wiring, Final /U' Occupancy .. n �L FOflM 210 3M 10�'J \�osta Mcsa Bailding Department APPLICATION FOR PERMIT ' • - , 177 EAST 20th $TREET 281� 6 U I L D� N G 7 COSTA MESA� CALIFORNIA FOYL OFFICE USE ONLY FOR APPLICANT TO FILL IN Recetpt No. Permplt No. sai�a�og I � �D .Z Address 3134 Green Street - Costa Mesa, �'ie,11fOPII13 :tece v hy '/Date Redd�. 7 DaLe Inssued Nearest / �/� `� "' �//v �`�� crossst Natson Avenue s�uai�9 Address owner Colle e Mesa Com a v Costa Mesa, CalifoTTlia Mail nddress gp0"l Central Avenue Nearest Tel. Cross St � Clty Garden Grove No.I,F.. 9-21.5$ Zona � I No.of � Type �/ Group\ 43 (Attach Metes Size ot Lot Use of Existing Bldg. Setback Linef 1270 COVB ll9 I rvo. No� No. Far 52 � Ri Si TION OF teratlon I win9 I No. of Rooms ( Roof O Coveri LiC. No. C-17 a,Palos V Cfty LIc. No. . 34 Vard 6� O$H IAddition s Stories 1 ,y Rock W8111RQ 41.7.t�] J APPROVALS iundation Locatfon I Inspector Forms, Materlals, Under-Pinning � �ame: Fire Stoos, I hereby aclmowledge That I have read ihis ApplicaUon and state that the abwe is mrrect end agree to comply Lath. InL with all C7ty (hdinances and State Laws regulating building ConstrUCtion. Lath. Ext S�gnatureot .THE HAI.G COMY Pe�mittee Plaster,lnt Authorized AgL ` Plaster. Ext � Valuatlon Permit Fee $ Y . Masonry Rei $� � � 6�' TotaCheck $ � 3. Bond Beam � Fee FINAL RM 204 S-8P '1M 8-55 Date Data 2 � ) PLOT PT.AN Show Iocation and distances irom property Iina and between builtlinga _ . . � "31P�.;Q�cosrn_1Q� .. ees:. r �.:... �� n r_..•r : .