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Home My WebLink About3456 PLUMERIA PL - Building Permits� (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT ,Iob Address: 3456 PLUMERIA PL Suite: Vicinity: ROOF Parcel Number: 41217806 Applicant: NEIL LINTON Address: 10657 STANFORD AV GARDEN GROVE, CA owner: STADEL, THOMAS R Address 3456 PLUMERIA PL � COSTA MESA, CA ' Contractor: MR ROOFING SERVICES Address: 10657 STANFORD AV GARDEN GROVE, CA Zip: 92840 Arch : Address: Zaning: R1 R1 Phone: 714-636-5679 Zip: 92840 Phone: Zip: 92626 Phone: 714-636-5679 License: 765080 � Eng: Address: Status: ISSUED Applied: OS/06/2003 Issued: OS/06/2003 (..� ISSUED BY: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 1/2" OSB, 1 LAYER OF 30ik FELT, AND 40 YEAR ELK COMPOSITION SHINGLES. 2,400 S.F. INCLUDES ATTACHED GARAGE. ' Plan Check: $0.00 Permit: $139.25 SMIP Res: $0.68 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $139.93 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existina: 0 Rear 0- 0 Rear 0- 0 Reouired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposetl: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0- 0 ss,aao.00 $s,eao.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work mus� comply with all applicable codes, and all required Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 taa6es (�voo� WORKERS'COMPENSAnON DECLARAnON: I hereby affirm under Penal�y o� perjury one of the following declara�ion5: � r ❑ I have antl will maintain a cetlilicate of consent to sel4lnsure for workars' compensation, es provided for by section 3700 of ihe Labor Code, Por the peAormance of the _ .work for which Ihis permit is issued. - I hava and will maintain workers' compensation insurance, as requiretl by section 3700 of Ihe Labor Code, for Ihe performance of Ihe work for which Ihis pertnit is issuetl. My workers' compensation Insurance carrier and policy number ere: � Carner: ' STA'�F✓�✓� PolicyNumber. /6G 37S$�-Z003 (This sec(ian need nat be completetl il the permit is veluetl af one huntlred do/(ars ($100) ar less.) ❑ I certify that in the pedormence oi the work for which this permit is issued, I shall not employ any person in any manner so as to 6ecome subject to the workers' compensation I of C omia, end agrea thet N I should become subject ro the workars' compensation provisions ot Section 3700 of Ihe Labor Coda, 1 shell forthwith comply with the 5' ns�. ApplicantSigneture: _ _Date: � �-�-03 WARNING FAILURE TO SE URE WORKERS' CAMPENSATION CAVERAGE IS UNUWFUL AND SHALL SOBIECT AN EMPLOVER TO CRIMINAL PENALTIES ANO CIVIL FWES UP TO ONE HUNDRED THOUSAND DOLLARE ($100.00OI. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR M SECTION 3106 OF TNE LABOR CADE, INiEREST, AND ATTOFNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) oi Division 3 of ihe Business and Professions Code, and my license is In full torce and ettect. Lic. d_ �6 0� � Class k C- 3°i Contractor's Signature: � ��,..,�iti Date: ,S 6-1i� CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirtn tdat there is a constmction lentling agency tor the pedormance of ihe work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Signature: _ OWNER-BUILDER DECLARATIONS: Lender's Atltlress: Date: I herehy aflirtn that untler penelry ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the foilowing reason (Sec. 7031.5, Business entl Protessions Cotle: Any ciry or counry which requires e permu to constmcL alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant tor such permit to file e signed statement Ihat he or she is licensed pursuani to the provisions of the Contrectors Llcense Law (Chapter 9(commencing wi�h Section 7000) of Division 3 0l the Business and Professions Code) or that he or she is exempt therefrom antl the basis tor tha allagetl e:emption. Any violation oi Section 7031.5 by any epplicant for a permit subjects the applicant to a civil panalry of not more than tive hundred dollars ($500).): ❑ I, as owner ot the property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the structure is not intended or oflered for sala (Sec. 7044, Business antl Professions Code: The Contractors License Law dces not applY to an owner of property who builtls or improves thereon, antl who does such work himseN or hereelf or through his or her own employees, providetl Ihat such improvements are not intendetl or offered for sale. If, however, ihe builtling or improvement is sold within one year of completion, the owner-builtler will have the burtlen of pmving that he or she did not build or improve for puryosa of sale.). � ❑ I, as owner ot the property, am E%CLUSIVELV CONTRAC7ING WITH LICENSEU CONTRAC70RS to construct the projaq (SecJ044, 6usiness and Professions Code: The contrectors License Law tl0e5 not appry to an owner of propeny who builds or improves Ihereon, antl who contracts tor 5uch project wilh a contractor(s) license pur5uant to the Conirectors License LewS.). ❑ I am exempt under sec. Business and Professions Code tor this reason: SlgnaNre: Date: Owner ID venfied by d��er's license. ❑ Yes � No Driver's License No. Venfication oi Ownership by (type ol daumem, i.e. - properry ta: bill or deetl): DIVISION OF INUUSYRIA� SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby cetlity iqat no excavation five (5) or more feat in depih into which a person is required to descend, will be matle in connection with work authonzed by Ihis permit, and that no building structure, scallolding, falsework, or demolition or dismantling ihereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sac. 341, Ttle B, Cali�omia Adminisiralive Code). ❑ As owner-builder, I wiil not employ enyone to tlo work which would require a pertnit from the Oivision of Industriel Safety, as noted ahove, unless such person has a permit to do sucn work from ihe division. Signature: �ate: Division of Industrial Safety Permit Numher: CER7IFlCATE OF COMPLIANCE AND AUTHORIZJRION OF ENTRY: I ceniy under penalry ot perjury Ihat I have read this applica�ion and state Ihat ihe intormation given is correct. I egree to comply with all state lews and ciry ordinances relating to building consWction, and authorize reD�esentatives ot the Ciry ot Costa Mesa to enter upon ihe above 0sc' e pro eny ior' �e5tion Quryoses. I agree not to xcupy or allow accupancy of any Guilding authorized hy this permit unUl (inal inspection. `lqpy re Of Legal Owner(s) Date f-6-O� ' Antl/Or Authorizetl Applicant D e ' COUE �. INSPECTONTYPE 7616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roof 201 Final BIocWRalaining Wall 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition Qgj� RIAL COpEt INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy p� INf1f1�L3 �?��, � �5��9 �� ? 3�� PAi� COSTAMESABUILDINGSAFETYDEPARTMENT '0' 11-7�'�.,-•O� 6C-^'�' ^��'� 1��.C�! 701AR P.a• BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT ForApplicant to Fill in Completely pECEI V BY DATE RECEIVED DATE ISSUED BUI�DING r� laQs� � i� /G' qpR 10 1973 ADDRESS PERMI7�NA:1 A owNea Larwin Southern Cal�rnia �+.P. NO. eui�owc MAIL 16255 Ventura Blvd' aooRess ` Z ADDRESS a � cirv Encino. Calif. No��986-8890 TRACT Z2 Q CONSTRUCTION � N am 4 ¢� J J m Q U N Za W � aw wZ J � m Z J ¢ W w o= 2 f- w � �O F z Q � .t a a � H N z O H U 7 � H N z BRANCH 16255 Ventura Blvd. nooRess Encino, California ARCHITECT TEL. ORENGINEER I+flTWlil S. Calif. No. ADDRESS 9100 Wil�hire Blvd., Bev CONTRACTOR Iarwin Southern Calif ADDRESS CITY STATE LIC. NO. SIZE OF lOT USE OF E%ISTING E 16255 Ventura Encino, Calif 191311 FIR –$ LOT Llb BLOCK FMn ICH n1 SO C..�,p L VALUE i,; �A L 53s � .crr VPE GR'O/U � � "'Q.��A� i TEI. ZONE Np.OF VSE OF NEW>t r–�'–i No. 986�8890 /z'� Pwr,s� BVILDING �� CITV �'ARDSAPPROVED VARDSAPPROVED IIC. NO. B-1 MAIN BUILOING ACCE$$OPV BUILDI NO.OF BLDGS (FROM C//,LSTREET) NOW ON LOT O FROM 7�� FT. FT. SIZE OF NO. OF New e�o�. 2354 :�OOMS STOF EXTERIOR WALL ROOF COVERING S�UCCO COVEfiING WOOa f USE OF BUILDING AND WORK TO BE PEflFORMED Construction SinQle Familv Reside REAR �.l tF DLSTANCE BET. MAIN BLDGS. VAF. # C. V .P. �W APPROVED _ HOLD FOR I haroby ecknowlerype [het I have �eatl [his epplica[lon antl state Mat [he above intOrmation is correct antl apree to comply wlth all laws regulatin8 builtlinp conscruction, enE I shall not employ ony person in vtolg��on ai the workman's compensatlan laws of tha Stete of Celifor��a. N 1 �oreby cerHty [hat I am properly Iicensetl as e contrector unticr 'J Q. FT. the Stnro of Colitornie Businass end Profezsionz Cotle, Divlsion 3, THE AMOUNT S�� Chapmr 9, entl t�at cuc� Iicanses are in f�ll force antl atfoct, or I THE PURPOSE OF nm ezempt irom the Orovisions of Ne Stata of Calitornia Businass VALUATION ontl Pro�osslOnf Coqe, Division 3, Chapmr 9. $Ipnaturo pe�rie�"?—� Parmlttaej � �• Downs y 35,600 AUNoriz¢tl Apont BEf. MAIN & ACCESS.BLO DATE / m O d IN UND VALUATION IS FOR ' ABL5HII4G A PERMR FEE ONLY: Q PERMITFEE S LlE1.SO � ] PIAN CHECK § 5$ • 25 E `o TOTAI FEE S 174.75 LL CITY COSTA MESA REQJEST FOR OCCliPE. 77�'' �✓ /-�i��- x.�. �, y TnACT N0. �%,.S ,s� ! �? �0, / l � ADDR6'SS �SG� � �Q�Gt.ylu',/L.GC�. DATE {!%�� /% � The developer o£ the above entitled tract desires to sell the aSove se� forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing tnis agreemeat, acknowledges that (he-she^they)�(was or were} Gv R�v advised that this tract has not been given 4ina1 ir.spection nor has it been accepted by the City of CesLa M�s2 as eaving coe:plied with the conditior,s of agproval crhich were it.posed by tne Ciiy at the ti.^�e =he `inal tract map was zvproved. The City assumes no liability for the enforcement of the conditioas r.ecessary for approval other than those conditior.s protected by surety 'e�C�.. The undersigr.ed agrees to inder,inify and 'nold the City namless frem �ny claim resulti^:g in d2.r.:age or personal injury to the undersigned 'oy rezsor o€ _h� afore:ner.tioned uncom�leted cor.dttioa. REGEIVED CITY OF COSTA P�9ESA PIANNIMG DEPT. ocr 31J7:; Ah� �M 7�8�9��&. ��:�..�r• �� S � BY Yuzchaser BF /%-„= l �_ "'' ,�<-. �� l -:-,.�-C�� Developer ar.d/or authorized represer.tacive BY ; 7%r�<tr/�i„ l,�/,�r.��- Lender OWNER JOB ADDRE55 GENERAL CON AP "�. Ih C710N5 SOIL G AS WATER ROUGH PLUMBING PROP. SWR. LINE SPRINKLING SYST MISCELLANEOUS LO1 CON. ROUGM MEATING ANO AIR CONDITIONING TEMPORARV SERVICE OR POLE UN�ERGROUNO � POWER � ROUGH wIRING TRENCHES FORMS STEEL REINF FLOOR SVSTEM BONO BEAM � STEEL REINPORCE � . SHEATNING FRqME ANO FLASHING LATHING - IN OUT PlASTER, BROWN COAT ST 'URAL, FINAL ME. ,.G, VENT., REFRIG. ANO A.C., FINAL PLUMBING, FINAL AND GAS TEST �� ELECTRIC, FINAL BUILDING, FINAL DATE E ZONE VALUE ROUP TR,T TYPE SUBCONTRACTOR