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Home My WebLink About917 POWELL CT - Building Permits(774) 754-5273 • Fa�c (7/4) 754-4856 CITY OF COSTA MESA i BI/ILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT. PERMIT BUILDING PERMIT JobAddress: 917 POWELLCT Suite: Vicinity: BATHROOM Parcel Number: 41808318 Zoning: npp�icant: JOHN FRANCIS Address: 824 A TAIT STREET Phone: (760)433-2714 OCEANSIDE, CA Zip: 92054 Owner: DINGEMAN, MARK J Address 917 POWELL CT . Phone: COSTA MESA, CA Zip: 92626 Contrador: JOHN FRANCIS CONTRACTING Address: 824 A TAIT STREET OCEANSIDE, CA Zip: 92054 Arch : Address: Phone: p60)433-2774 License: 776169 Eng: Address: PE IT NUMBER , B00-00730 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: OS/22/2000 Issued: OS/22/2000 Phone: Phone: ' Zip: License: License: SCOPE OF PERMIT � � REMODEL EXISTING BATHROOM, REPAIR DRYWALL, INSTALL 1 LIGHT, 1 GFI OUTLET, 1 TUB/SHOWER, 1 WASH � BASIN AND 1 WATER CLSOET. � Plan Check: . � $0.00 Permit:. $g3.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: ' $0.00 Inspection: $0.00 Totat: $83.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING 8 ZONING Left 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0- 0 $2,600.00 $2,600.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) . ' EXPIRATION: This permit shall automatically expire_ and become void if work is no4commenced within 180 days, or if work is suspended or abandoned for a penod 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 Inspectione and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSATON DECLARATION: � 7 I hereby attirm under penalry of peQury one of the tollowing daclaralions: � � i ❑ I �eve and will maintain e certiticate of consent to seH-Insura for workars' wmpensation, as provided fa by section 3700 of Ihe La6or Code, tor the pertormance of ihe work for which �his permi� is i55ued. . - ❑ I have and will meintain workers' compensation insurance, as requiretl by section 3700 of the Lebor Code, for the pertortnance of the work for which �his pertnit is issuetl. My workers' compensation Insurence cerner and polity number ara: . Carrier: Policy Number: (Thls sec ' n neetl nol be campletetl i! (he permit is va/ue0 et one hundred dollers ($100) or less.) I certiy thet In Ihe pertormance oi the work for which this permit is issued, I shall not employ any person in eny manner so es to become subjact to ihe workers' compensetion laws of Califomia, egree that if I shoy Itl become subject to the workers' compensation provisions of Section 3700 of the Labor Cotle, I shall fonhwith comply with ihesg.gpv' ions. � / � 1 � 22�v� ApplicaN Signawre: U 1/T W1 w � ' Date: WARNING: FAILURE TO 5 URE WORK ' COMPENSATION COVERAGE IS UNLAWFUL PND SHALL SUBJECi AN EMPIOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED TMOUSAND DOLURE ($100,000), IN ADDfTION TO THE CQST OF COMPENSATION, �AAMGES PS PFOVIDEO FOR M SEGTIIXJ 3]O60F iHE LABOR CODE, INiEREST, AND ATiOflNEY'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby attirm thal I am torce and eftect. Lic. k_ Contractor's Signamre: of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business�n�Profe�sions Code, end my license is In tull Class p �� 'U N..�� Date: �. 2 2 � C� Cl CONS7RUCTION LENDING AGENCV: ❑ I hereby affirm ihat there is a consWction lending agency for the peAormance ot Ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Signawre: _ OWNER•BUILDER DECLARATIONS: Lentler'S Address: Date: I hereby attirm �hai untler penalty of perjury Ihat I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business and Professions CoCe: Any ciry or counry which requires a permit to consiruct, alter, improve, demolish, or repair any structure, prior to its issuance, elso requires t�e epplicant for such permit to file a signetl stetement �hat he or she is licensetl pursuant to t�e provislons ot [he Comracrore Licensa Law (ChaD�er 9(commencing with Section 7000) ot Division 3 of the Business antl Professions Code) or that he or she is exempt t�erefrom anOlhe basis tor Ihe allegetl exemption. Any violation of Section 7031.5 by eny aDPlicant for e permit sub�ects the applicant to a civil penalry of not more than tive hundretl tlollars ($500).): ❑ I, es owner of the properry, or my employees with wages as their sole compensation, WILL DO TME WORK, and Ihe sWcture is not intended or ottered for sale (Sec. 7044, Business end Professions Cotla: The Coniractors License Lew does not apply to an owner of property who buiitls or improves Ihereon, antl w�o tloes such work himself or herself or through his or her own employees, provided that such improvements are not intended or oHered for sale. If, however, ihe building or improvement is sold within one yeer of completion, tha owner-builder will have the burden of proving that he or she tlitl no� build or improve tor purpose of sale.). � I, as owner ot the properry. am E%CLUSIVELY CONTRACTNG WITH UCENSED CONTRACTORS to construct [he project (Sec. 7044, Business and Professlons Cotle: The contrectore License Lew tloes not apply to an owner of property who builds or improves thereon, antl who conirecis for such project with a coniractor(s) license pursuant to the Coniractors License Laws.). � I am exampt untler sec. Business and Proteuions Code for this reason: Signawre: Date: Owner ID veritietl Dy tlriver'Slicense. ❑ Yes ❑ No Drivers LicenSe No. Expires: Venfication of Ownership by (typa of document, i.e. - property tan bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTFICATION: ❑ I hereby cenity that no excavetion five (5) or more feet in depth into which a person is required to descend, will ba made in connection with work authorizetl by ihis permii, antl ihat no builtling structure, scattolding, falsework, or tlemolitlon or dismantling thereoi, will be more than Ihirry-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Calilomia Adminisirative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a pertnit irom the Division of Intlusirial Safery, as noted ebove, unless such person has a permit ta do such work irom the division. Signature: Date: Didsion of Industnal Safery Permit Number. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application antl stata that the infortnation givan is correct. I agree to comply with all state laws and ciry ordinances relating to building constmction, and authorize representatives ol the Ciry of Costa Mesa ro enter upon the above-tlescnbe0 proDerty for inspection purposes. I agree not to occupy or ellow occupancy ol any builtling authorized by Ihis permit until final inspection. CQ�E �. INSPELTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Final BIocWRetaining Wall 202 Final Feciory Fire Place 203 Final Sign 204 Final Demoli�ion S" ZZ �'o b Date QOjf, INTITIRLS �Qg�t INSPECTIONTYVE 206 Final Mechenical 208 Final Plumbing 210 Final Elecincal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuiltlinq/Occupancy Q9iE INTRIRLS