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Home My WebLink About980 PRESIDIO DR - Building Permitsr � (7/4) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT f' Job Address: 980 PRESIDIO DR Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 141556'! 3 Applicant: SCHAULIS, DE ANN RENEE Address: 980 PRESIDIO DR COSTA MESA, CA Owner. SCHAULIS, DE ANN RENEE Address 980 PRESIDIO DR . COSTA MESA, CA Contractor: OW N ER-BU I LD ER Address: � ' � - Zip: Arch : Address: Zoning: R1 R1 Phone: 714-549-2074 Zip: 92626-5635 Phone: Zip: 92626-5635 Phone: License: 000000 , Eng: Address: ISSUED BY: Status: ISSUED Applied: 06/25/2004 � Issued: 06/25/2004" ' � Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF RESIDENCE AND AITACHED GARAGE: T/O EXISTING COMP ROOF,.REPAIR/REPIACE SHTG AS NEEDED, FELT PER MRGR'S SPECS, APPLY "40-YEAR COMP SHINGCES" 1500 SQ FT Plan Check: $0.00 Permit: $125.25 SMIP Res: $0.56 SMIP Com: $0.00 Other. $0.00 Inspection: . $0.00 Total: $125.81 6 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Ranl 0- 0 PARKING Existin : o FEE SUMMARY Calc Valuation: Claim Valuation: PLANNING 8 ZONING Rear 0- 0 �� Left 0- 0- Right 0- 0 � Rear 0- 0 Left 0- 0 �� RighL 0- 0 , Re uired: 0 Proposed: -0 ' Ss,soo.00 ss,soo.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under Calitornia statutes and related regulations. (Ord. No. 92-28, § t, 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 of 1 BO 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 Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 2d46�46(6/00) WORKERS'COMVENSAnON DECLARAnON: I hereby affirtn under penalty of peryury one oi Ihe following tleclarations: ❑ I have end will maintain e certificete of consent to self-Insure for workers' compensetion, as pmvided for by section 3700 of the Lebor Cotle, tor the pertortnence of Ihe work lor which Ihis pertnit is issuetl. t ❑ I �ave antl will maintain workers' compensation insurance, as requiretl by section 3700 of ihe Lebor Cotle, For tha pedortnance of the work for which this permit is Issuetl. My workers' comper�atlon Insurance carner and policy number are: Carner. Policy NumDer: (This secf/on need not be cromp/eted i! the permit is valuetl af one hundred tlollars ($100) or Iess.J ��.I certiy that in the peAormance of tha work for which this pertnit is issueQ I shall not employ any parson in any manner so es to become subject lo Ihe workers' compensatlon laws of Calilomia, end egree that ii I should become su6ject to the workers' compensation provisions ot Seciion 3700 of Ihe Labor Code, I shall lorthwith comply with these pro ns. . ApplicaniSigneture: /t ��Ta/LLyI-� �'.�/'�_e.�i� � �'7L«� Date: �� v25 �y WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERA6E IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALiIES AND CIVIL FlNES UP TOONE HUNDRED THOUSANO OOl1.ARE (5100,000). IN ADDRKKJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOq IN SEGTION �O60F THE IABOR CO�E, INiEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm t�at 1 am licensed under Drovisions ot Chapter 9(commencing with Section 7000) ot Division 3 of iha Business antl Professions Code, end my license Is in Full lorce and eflecl Lic. x Class a Contractofs Signamre: Date: CONSTRUCTION LENDING AGENCV: ❑ 1 hereby aHirtn that there is a construction lentling agency for the pedortnance of tha work for which ihis pertnit is issued. (Sec. 3097, Civil Code). Lenders Neme: Lentlers Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirm that under penelry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Busineu antl Professions Code: Any city or wunry whic� requires a permit to construct, alter, improve, demolish, or repair any structure, pnor lo its issuance, elso raquires the epplicant for such pertnit to file e signeC statement Ihat he or she Is Ilcensed pursuent to the proNsions of �he Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Cotla) or t�at he or she is e:Bmpl therefrom end the besis for the alleged e:emption. Any violetion of Section 7031.5 Dy eny epplicant for e pertnit subjecis the epplicant to a civil penalty ot not more ihan five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the siructure is not intendetl or oHered tor sale (Sec. 7044, Busineu and Professions Code: Tha Coniraciors License Law does not apply ro an owner oi properry who builds or improves ihereon, antl who does such work himselt or herseit or Ihrough his or her own employees, provided that such improvements are not intended or oHered for sale. It, howavar, ihe builtling or improvement is sold within one year of completioq the owneo-builder will have ihe burden ot proving that he or she did not build or improve for purpose of sale.). � I, es owner ot Ihe property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the projact (Sec. 704a, Business and Professions Cotle: The contractors License Law tloes not apply to an owner of property w�o bullds or impmves Ihereon, antl who contracts for such pmjact with a contrector(s) license pursuant to the Contractors License Wws.). ❑ I am eae untler sec. Business and Pmfessions Code for this reason: Signature: �C[tiw�.. Czc--�/-7 K � Data: (O:�S'�� Owner ID verilied by driver's license. ❑ Yes ❑ No Driver's License No. Expires:s'�8'�%� Venfication oi Ownership by (type of documeni, i.e. - properry taz bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cartity Ihet no excavation tive (5) or more feet in depth in�o which a person is required to descend, will be mede in connection with work euthorizetl by this pertnit, antl ihat no builCing swcture, scaflolding, falsework, or demolition or dismanUing Ihereoi, will be more Ihen ihirty-si: (3fi) feet high. (Chap. 3.2, Grp 2, An 2, Sec. 341, lltle 8, Califomia AtlminislraWe Code). 0 As owner-�uiltler, I will not employ anyone to do work which would require a permit irom the Division of Intlusinal Safety, es notad above, unless such person has e permit to do such work trom ihe division. Signature: Date: Division oi IntlusMal Salety Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I certity under penalty ot perjury that I have read this epplication antl state ihet the informa�ion given is correct I agrea to comply with all state lews and ciry ordinances relating to builtling construction, and authonza representatives of ihe City of Coste Mesa to enter upon the abov e nbed property tor inspec6on purposes. I agreca n�t to occupy or allow occupency of any building authorized by this permit until finel inspection. i��%y� �ir�r ,.1�-�_ - �Y7[./'pn /a-�25"-05' Signature Ot Legal Owner( Date ' AnNOr Authorizetl Applicant CODE �. INSPECTIONTYVE 1676 Fiaed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Rooi 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition PdIE IMRIRLS c ie r � �� CODE 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecincal 212 Final Fire Prevention 220 Final Planning Approval 222 FinalSi�e 250 Final Building/Occupancy QdjE 1MLT�ls �.. . ,- _ . . 1��i COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 9f7 COSTA M88A. CALIFORNIA For Applieant io Fill In Complefely TYPE OR PRINT wooRe�sa'980 Presidio Drive COSTA MESA CALIFORNIA 0 Tract 4285 Pian 500 B FE RECEIVED �SEP 6 1961 i FINANCE OEPT, APPLICATIOIQI��(J�p��fA MESA BUILDING For Office Use Onlv crrr' Corona del Mar No: 3-4220 """"'"" AD�RH86 ARCHITECT ie�.OT1.012 COSTA MESA. CALIFORNIA � OR ENGINEER M8CC0 COY . NO. ADDRE56 ' PIRE . � ZONE • TYPE / GROUP CONTRAC70R M8CC0 COt . APPROVED BY DATE ADDRESS 3800 E. Coast Hi hwa � ZONING ZON f NO. OF US8 OP NCW CITY orona del M$L � �"�r � PLANB I BUILDING ucNo. 98808-SB-1 No:Oriole 3-4220 oEscPIPT10N�" _�� %�e'T%D SIZE No. oP BtD69. oF �or 6975 S F I�ow oH �or none .y P NO. USE OF nOne YARDS EVES EXISTING BLOG. APPROVED ALLOWED SETBALK LINC FROM � � f�M�M LINC !TJ CENTER OR 6iAEET. 49 REAR YARD Z�i FRONT SD FT. IN. SIDE YARD I LEFT lO �3�� I RIGHT 5� R.61DE � FT. IN. DESCRIPTION OF WORK L. SIDE �Q FT. 3 IN. NEW IX IIALTERATION I IIADDITION I pEpp L✓ F7. IN. REPAIR I II MOVING I (I DEMOLI6H I BY�'ROVED � �. DATE �/�'�Il' $=1ELDING 59'9��XrJ�� ROOMS 6 STORIE6 1 . EXTERIOR WALI� WOOd I ROOF Com . and COVERING d o GOVERING ravel USE OF BUILDING AND WORK TO BH PHRFORMED- � - in le famil residence w attached Livin Area. 1652 S F ara e Gara e Area. 433 S F Covered Porc es 1 HEREBY ACKNOWL8D0B THAT 1 HAVE RGD THIB APPLIGi�ON ' AND 9TFTE THAT THE ABOVE 16 COMECT AND A6Rl8 TO CAM- THE AMOUNT BXOWN UNDER VALUATION IB FOR THC PURP08E OF .l9TA9LIeHIN6 A PaRM1T FEY.oNLv. PLY WITX ALL CITY ORUINANCEB AND BTATE LAWH R60ULATINC Bu1lA1N0 GONeTRUrnoN. VALUATION� '] 81GNATURE OF e58 D2L Mdi DEV210pID0T1C CO. PERMIT FHE $ �/ PERMITTB (/' $y; $ 1%, 769. 00 PL�'N CHECK $ lt7 / 5 U AUTHORI`LE� SS . SO 70TAL FHE �.. . _ . . �_�2�� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 3f7 COBTA MEBA. CALIPORNIA For Applicanf fo Fill In Complefely TYPE OR PRINT ADDRESB�JHO PTES].d10 Diive COSTA MESA. CALIFORNIA 0 Tract 4285 Plan S00 B FE REC�IVED �SEP 6 1969 � FINANCE DEPT. APPUCATIOIQ��IO�P��A MESA BUILDING Fo� OHIee Use Onlv cin Corona del Mar Ho`: 3-4220 """"'^" aooRess ARCHITECT re�. riole �� COSTA MESA. CALIFORNIA ' OR ENGINEER M8CC0 COY . NO. ADORE55 ' FIRE � 20NE , TYPE / GROUP CONTRACTOR M8CC0 COI . <.PPROVED BY DATE ADDRESS 3800 E. Coast Hi hwa - ZONING ZON _{ No, oP u68 OF NEW cin orona del Mar `�% ? I Purvs I euuo�Na � ucTrEio. 98808-SB-1 No:Oriole 3-4220 eBCR��ax � [f�,C(`� ;(.c:',ry[� SIZE No. oP B1D68. oF �or 6975 S F I NOW ON LOT none A. P. NO. use oF none YARDS eves EXISTING BLDG APPROVED ALLOWED BHT6ACK LINH PROM (CCNT[R LIN6 6TJ csrrters ov srnser 49 � REAR YARD Z�i � pRONT S� pT. IN. SIDEYARDILEFT 10�3�� IRIGHT 5' R.SIDE � FT. IN. DESCRIPTION OF WORK L. SIDE /a FT. � IN. NEW I X IIALTERATION I IIADDITION I REAR �� F7. IN. REPAIR I IIMOVING I IIDEMOLISH I BYPROVED � �, pATE b/�'3/'�� S ZE DING 59' 9��X5� � ROOMS 6 STORIE6 1 . EXTERIORWALI� WOOCI IROOF Com , and COVERING a s coveewc r vel � USE OP BUILDING AN� WORK TO BE PERPORMEC� � in le f mil residence w attathed Livin Area 1652 S F ara e Gara e Area 433 S F Covere Porc es 1 HEIiEBY ACKNOWLBDOE THAT 1 HAVE RGD TNIB APPIJGTION TXE AMOUNT 6HOWN UNDEH VALUAiION 19 POR TXC AND BTATE TXAT TH6 ABOV6 I6 CORHBCT AND A�H6! TO COM- pURP08[ OF..lBTA9L18XIN� A PERMIT FEE ONLY. PLY WITX ALL CITY OIiDiNANCEe ANO e'rATe LAWB RlOULATINO au�Lo�xO cON9TxUCT10N. VALUATION� �j SIGNATURE OF esa Del Mar DEV210(JID8T1C CO. - PERMIT FEE $ J�J N PERMITTE � l,i � U o $y ; $ 1%,769.00 PLAN CHECK $ h� AUTHORIYED TOTAL FEE SS.SO p