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Home My WebLink About893 PEACE PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT ,lob Address: 893 PEACE PL Suite: Vicinity: ROOF Parcel Number: 41805308 Applicant: ADAM THORIN Address: 317 AVENIDA GRANADA LONG BEACH, CA Owner. SIMMONS, MICHAEL R Address �893 PEACE PL - - COSTA MESA, CA Contractor: ADAMS ROOFING Address: 317 AVENIDA GRANADA LONG BEACH, CA Zip: 90814 Arch : Address: Zoning: R1 R1 Phone: 714-965-0245 Zip: 90814 Phone: Zip: 92626 Phone: 714-9650245 License: 524341 Eng: Address: SWtus: ISSUED Applied: O6/16/2003 Issued: O6l16/2003 �: ��' Phone: Phone: Zip: � License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL O.S.B. PLYWOOD, 30# FELT, EAGLELITE TILE, MALIBU, 5.7 LBS. ICBO #4660. 23 S�UARES INCLUDES ATTACHED GARAGE. Plan Check: $0.00 Permit: $153.25 SMIP Res: $0.78 SMIP Com: , $0.00 Other: $0.00 Inspection: $0.00 Total: $154.03 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existin : 0 Rear 0- 0 Rear 0. 0 Reauired: 0 FEE�SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Righl 0- 0 Right o- 0 s�,aoo.00 s�,aoo.00 NOTICE: The work authorized by this permit shall comply with all applicable hantlicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become vold if work is not commenced wlthin 180 days, or it work is suspended or abandoned tor a period of 180 days. � INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, end ell requlretl Inapeclions and flnal approval must be obtained. Failure to obtain Inspections and final approval will result in the expiratlon of this permit. FOR INSPECTIONS CALL: (714) 754-5626 244Bd8 (8�00) WORKERS'COMPENSATIONDECLARATON: ' � I herehy ettirm undBr penelty ot perjury one ot Ihe following declaretions: ❑ I have and will meintain e certltiw�e of consent to self-Insura for workers' compensetion, es provlded (or by section 3700 oi the Labor Code, for t�e pertortnance at the wark for which thi5 permit i5 issued. �I heve and wlll meintein workers' compensation insurance, as required 6y sectlon 3700 of ihe Lebor Code, for the peRormance of the work lor which this pertnit is issued. My workera' compensatlon ILn5urance/,carrier entl policy number are: ) /, Carrier. �%�4iP / 4�^'• PolityNumber. f S�� LYe (Ihls sectlon need not be oompleted i! the peimit 75 ve/ueC at one hundred dollers ($700) or Ieu.) ❑ I cenify that in the peAormance of iha work for which this pertnit is issued, I shall no� employ any person in eny manner so as to become subject to the workars' compensetlon laws of Calllomia nd egree tha I should become sublect to Ihe workers' campensetion provislons of Section,3$ 700 W� Labor Code, I shell forthwith compty with these ptovlsl 5. �/'�/ Applicant Signature: Date: �� WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES PND CIVIL FINES UP TOONE HUNDRED THOUSANO WLURE (5100.000), IN ADDITIIXJ TO THE WST OF WMPENSATION, DAMAGES AS PFlOVIDED FOR IN SECTION 3]Ofi OF TME L480R CODE, INTEREST, AND ATTORNEVS FEES. LICENSED CONTBACTOHS DECLARATION: , I hereby aNirm that I am licensed u der pryvisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business end�l�ssions Cotle, entl my license Is in tull larce end effac�. Lic. N �z�/ Z� Class q S�_� � CONrector's5lqneWre: Dece: O � CONSTRUCTION LENDING AGENCV: ❑ I hereby attirtn that there is a construction lentling agency tor the pertormance of the work br which this permit is issuetl. (Sec. 3097, Civil Code). Lentler's Name: Lendar'S Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirtn that under penalty ot parjury that I em EXEMPT FROM T11E CON7RAC70RS LICENSE LAW for Ihe follovnng raason (Sec. 7031.5, Buslness and Professlons Code: Any ciry or counry which requires a pertnit to consiruct, alter, Improve, tlemolish, or repair any siructure, prior to its iuuanca, also requires the ep0licant far such permit 10 file e signed statement that he or she is Iicensed pursuant to the provisians al the Cantrectore License Lew (Chapter 9(commencing wich Sectlon 7000) of DlNslon 3 0l the Business entl Profeuions Cotle) or that �e or she is exempt theretrom and Ihe besis for the alleged esemption. Any violation of Section 7031.5 by eny appllcant for a permit subfects the epplicant to a clvll penalry ot not more ihen fiva huntlred tlollers ($500).): ❑ I, es owner ol ihe properry, or my employees with wages es their sole compensetion, WILL DO THE WORK, entl the siructure is no� intended or oHered lor sale (Sec. 7044, Business en0 Professions Code: The Contractors License Law Ooes not ap01y to an owner of property who builds or improves l�ereon, en0 who does such work himself or herself or ihrough his or her own emDloyees, pmvlde0 t�at such Improvements ere not intended or oflered for sale. If, howaver, the building or improvemant is sold wit�in one year of completion, t�e owner-builder will have�ihe burden ol provinp thet he or she did not build or improve for purpose of saleJ. ' ❑ I, es owner ol the property, em E%CLUSIVELV CONTHACTING WRH LICENSED CONTRACTORS to construct tha project (Sec. 7044, Business end Professions Catle: The comrectors License Law tloes not apply to en ownar of praperry who bulltls or Improves Ihereon, end who contrads tor such project with a contrecmr(s) liCense pur5uen� to �he Contrec�ors LiCenSe LewS.). ❑ I em ezempt under sec. Business ana Professions Cotle for this reeson: Signature: Date: Owner ID vanfied by tlrivefs licanse. ❑ Ves ❑ No DnveYs License No. Expires: Vedflcation oi Ownership by (type ot Oocument, i.e. - properry taz �Itl or tloetl): OIVISION OF INDUSTRIAL SAFETV PERMIT CEHTFICATION: ❑ I hereby certity tha� no exwvation Ove (5) or more feet in depih into which e person Is required to descend, will be made in connection with work authodzed Dy this pertnii, end �hat no building s�ructure, sceHolding, falsework, or demolition or dismaniling Ihereof, will be more than Ihirry-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Celilomia Administrative Code). ❑ As owner-Dulltler, I wlll not employ enyone to tlo work which woultl require e permit Irom the Division of Intlustrial Sefery, as noted above, unless such person hes e pertnit to do such work from Ihe division. SignaNre: Date: Division of Intlusinal Safety Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AIJTHORVA710N OF ENTAY: I certih/ untler Denalry of perjury ihet I have read thiq epplication end state that the infortnetion given is correcl. I agree to comply wlth all state laws end city ortlinances releting to bullding constructlon, end eNhodze representetives of Ihe Clly of Cosla Mesa lo eniar upon �he ebove-descriDetl property for inspection purposes. I egree not to xcupy or ellow ocapancy of any building authorizetl by thls permii until finel inspection. Signe p Oi Legal Owner(s) � J� D` Date a.,� � 1 AnNOr Aut�arizad Applicant Date COOE1, INSPELTIONTYPE 1616 Fixed Sysiem Final Fire Preventlon 1266 Pool Spa Finel 200 Final Re-Root 201 Final BIocWRetalning Well 202 Final Factory Fire Place 203 204 Final Sign Final Demoliiion �� COOEt INSPECTIONTYPE 206 Final Mechanical 20B Finel Plumbing 210 Finel Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupenry QEg It�Li 0 � �� 1 ;,�� No. — WILLIAMS INSUL' ATION COMPANY OF..CAL'IFORNIA 1201 E. Hunter Ave., Santa Ana, California 92705 (714) 547-5148 � THERMAL INSULATION CERTIFICATION THIS IS TO CERTIFV THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITF CURRENT ENERGY REGULATIONS, CALIFORNIA'ADMINISTRATIVE CODE, TITLE 24 STATI OF CALIFORNIA, IN TH� BUILDING LOCATED AT: - r Tract Name: �o. ' � Tract No. ;�� ' Block No. _ Street ��— " City � � a EXTERIOR WALLS:' '' � � R— y;.�,-.Mfg•��*en+��P'..�s�.++ Thickness/TYPe� � .t.r� Value 7a� - . Ceilings: . .. � �- . j -. .... . , � f ,Batts: ' R— Mfg..+�+an.. E'..,...d...�� Thickness/Types� �N Value �� Blawn In: Y � R_ --� Mfg. Thickness/Type+F�� Vatue � . � � �� . -R— . .Sq. Ft. Covered No. of Bags Used Value ' Floors: ' . . � � 'p_ . 1 � . Thickness/Type' " Value - - _a:... , -.. . � ... .. .. ;*rt - - . • . � .. .- .., Other � Mfg, Thickness/Type Contractor Contractors License No. . R_ ; Value k ' Date �: � ' Title ams Insulation Co. of California ' ornia Contrectors License No. 267522 �` ✓J�. 4 Si9naWre ' � JOBCOPY-WHITE ,� GENERAL CONTRAC70R-YELLOW , °�" � Date ��F9 Pie1d a�g... ' Title" BUILDING DEPARTMENT�PINK FILE COPY-GOLD F � a ¢ � � F � W F Q C ..7 a > r a x a � C G z W S 3 �-, � � ,:. , � , t .. �33�-�_ 2l,13/ 7� I i 7. TL 3337 2/I'3Y79__. 117.�/LKTo COSTA MESA BUILDING-SAFETY DEPARTMENT 333% 000044��4 24 �� .�._ �� ('� � P.O. eOX 7200 COSTA MESA. CALIFORNIA 92626 APPLICAi'ION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only ^ RECEIVED BV DATE RECEIVED DATE ISSUED BUILDING � " AD�RESS � OWNER Fole QOl] �1C't1011 CO. II1C. A•P� NO. �(JSI � PERMIT NO. MAIL BUILDING /1 AODRESS 2101 E. FOurth St. 100 ADDRE55 �� _P�j,�¢.. TEL. TRACT 10513 LOT ZS BLOCK ciTv ganta Ana No� 543-947 CONSTRUCTION W ADD ALTER P LENDER X BRANCH OWNER Fol Construction Co. Inc. ADDRESS VALUE ARCMITECT Hales—I�Il S.�An TEL. S�I%—OHE 5 $� OR ENGINEER g N FIRE N ADDRESS 777 S. �'�d�-1�1 'St. /�1�5; O�'ange ZONE TVPE GFOUP �— APPROVED CONTRACTOR �1PY�I�V�lOPeT BV DATE ADDRESS �� TEL. ZONE NO.OF USE OF NEW s_ 1 S'�� PLANS � BUILDING CITV NO. STATE � CITV �'AR�SAPPFOVE� VAROSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLDGS. O IFROM C/LSTfiEyE �T) I p�� fJ OF LOT NOW ON LOT OfYT � FT: �L � FT USE OF c/ EXISfING BLDG. N A E J FT O '� I FT. Separate permits are required for l.. SIDE �� Fr.�i K�O�Af� Ve electric, plumbing and heating work. ? / REAR J I FT.O FT. USE OF BUILDING ANO WORK TO BE PERFORMED DISTANCE BET. BEf. MAIN & MAIN BLDCS. ACCESS, qLDGS. �2V2�.OLif�TAt of 41 Slll le-famil CURP.�I`- APPRpVED detached residence units. �Rov _ � 6_� I hareby atknowledBa ihat I nave read this application antl rtete OLD FOR SPECIAL •QUiREMEN7'� ihat the above InfOrmaiion is corract antl eprea to comply with all lews reguletlnp builtlin8 co�sttuction, entl I shall not amploy eny person in violation of thB �+orkman's compensatlon laws of �Q ffie Stete of California. 2�`� � 5'6l I hereby certify chai I am properly licensetl es e conttecto� untler SQ. FT. i�e Smie ot Calitornie Business entl Professions Cotla, Dlvlsion 3, THE AMOUNT SHOWN UNDEF VALVATION IS FOR Chapter 9, antl t�at suc� licenses are in full torce and effect, or I THE PURP(SE OF ESTABLISHING A PERMR FEE ONLV: am exempt from the provisions ot theStata of Celi4ornia Business VALUATION PERMIT FEE antl Profassions Cotle, Oivision 3, Chapt r 9. ^ {�/� E SlBnetura ,/ �g� p�-W 7LAN CHECK S`/ Permltt a C.� $ �,� ' l TAX E � � AuthorizatlABant TOTALPAID § ! 7�27 � �Q n^ _ m ��V m� m� � a � N�/\ ��\J LL E u COSTA MESA BUILDING-SAFE Y DEPARTMENT P.O. BOX 1200 COSTA MESA_ CALIFORNIA 9262fi �'6739 . . 6I39 �, er39 3Z27,/, 29 3/27/79 -- 00004474Q4 225.OG Tl:� '225.00CKTq " IA APPLICATION�OR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only FECEIVED BV DATE RECEIVED DATE ISSUED BUILDING � `� ADORESS J PEflMIT NO. OWNER A.P. NO. S — MAIL BUILDING �� n A .n ADDRESS ADDRESS �-CAC.�� TEL. TFACTI� �OT BLOCK CITV NO. CANSTRUCTION N W A�D ALTER P LENDEF BRANCH OWNER ADDFESS VA�UE ARCHITECT TEL S $ OR ENGINEER N FIRE ADDRESS 20NE TYPE GROUP APPROVED CONTRACTOR BV DATE ADDflE55 ' TEL. ZONE NO.OF USE OF NEW CITV NO. P�� BUILDING STATE CITV �'ARDSAPPROVED YARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILOING ACCESSORV BUILDING SIZE NO.OF B�DGS. (FFOM C/LSTflEET) OF LOT NOW ON l0T qONT FT. FT. USE OF EXISfING BLOG. F7 Separate permi[s are required for L SIDE FT. FT. electric, plumbing and heating work. REAF FT. FT. VSE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLOGS. VAR. # DATE C.U.V.� APPROVED APPROVED I �ereby acknowledBe thei 1 have reetl this epplicaiion entl state that the ebove Informatlon Is corract antl apree to comply with all laws regulating bulltling construction, antl I shall not employ any perwn In vlolation of the workman's compensation lawa of the State of Celifornla. 1 haraby cartify Mat 1 em properly licensetl as a conttacior untlar SQ. FT. the Stete of California eusiness and Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, enG ihat sueh licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: em ezempt from the provisions ot the Steta of Californta Busineu VAIUATION PERMIT FEE S antl Professions Cotle, Divislon 3, Chap �/9. � PLAN CHECK § SlBneture ot Pe�mlttee $ TAX $ Authorizetl Agent TOTA� PAID m' � m e J� m n f U