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Home My WebLink About452 ESTHER ST - Building Permits(714) 754-52i3 • Fax (714) 754-4856 • www.ci.costa-mesa.c��ILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 452 ESTHER ST Suite: Vicinity: RES, ATT. GARAGE AND 1 DET. GARAGE Parcel Number: 42632420 Applicant: BINNQUIST, BRUCE Address: 108 LAS FLORES ALISO VIEJO, CA Owner: STANFIELD, WAYNE TR Address 452 ESTHER ST Contrector. Address: Zip: Arch : Address: COSTA MESA, CA Phone: Zoning: Phone: 949-254-1973 Zip: 92656 Phone: Zip: 92627 Phone: License: Eng: Address: ISSUED BY: Status: ISSUED Applied: 10/01/2003 Issued: 10/01I2003 Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF, RE-SHEATH, FELT AND COVER WITH 20 YEAR COMP. SCOPE OF WORK INClUDES: RESIDENCE AND ATTACHED GARAGE AND 1 DETACHED GARAGE. Plan Check: $0.00 Permit: $153.25 SMIP Res: $0.77 SMIp Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $154.02 SETBACKS MAIN STRUCTURE Fiont 0- 0 ACCESSORY Front 0-0 PARKING Existinp: 0 Rear 0- 0 Rear 0-0 Re uired: 0 FEESUMMARY PLANNING & ZONING Lefi 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right Q- 0 Right 0- 0 s�,�oo.00 57.700.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) � EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or i� 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 required inepeetions 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 2maae (aroo) WORKERS'COMPENSAnON DECLARATON: � _ I hereby eflirm under penalty ol peryury one ot the following declaretions: ❑ I heve and will maintain a certificale ol consent to self-Insura tor workers' compensation, as proviAetl for by section 3700 ot the Lebor Cade, for t�e pertortnence oi the work for which t�is permil is issuetl. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of Ihe Lebor Code, for tha pertortnante of Ihe work for which this pertnit is issued. My workers' compensation Insurence carrier end policy number are: Carrier. ) Policy Number: (TAis section neetl nof be comp/eted i! the permit is velued at one hundrad dollers ($1 �O) or /ess./ ❑ I certify thet in Ihe pertormence oi Ihe work for which this permit is issuea, I shall not employ any person in eny manner so es to become subject to the workers' compensatlon laws oi Celitomia, and agree Ihat tl I shoultl become sublect to the workers' compensation provisions of Section 3700 of the Labor Cotle, I shall forthwl(h comply with these provisions. Applicanl SlgnaNre: Dete: WARNINO: FAILURE TO SEWRE WORKERS' COMPENSFTION CAVEMOE IS UNLAWFUL rWD SIIQL SUBIECT AN EMPLOVER TO CRIMIWIL PENALTIES ANO QVIL FlNES UP TO ONE HUNDRED TiIOUSAND DOl1AflE (5100.000), IN ADDITKKJ TO THE COST OF COMPENSATIIXJ, OAMAGES AS PROVIUED FOR IN SECiION 3]OB OF THE LABOR COOE, INiEREST, AND AiTORNEI"5 FEES. LICENSED CONTRACTORS OECLAHATION: I herehy eHirm �hat I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business entl Pwfessions Cotle, and my license Is in tull forca antl eflect. Lic. tt Class A ContractoYs Signe�ure: Dete: CONSTRUC710N LENDING AGENCY: ❑ I �ereby affirm that Ihere is a consWction lending agency far the peAormance of the work tor which Ihis pertnit is issued. (Sec. 3097, Civil Code). LendeYs Name: Lentlor's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eMirtn thet under penelty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Buslness end Professlons Cotle: Any ciry or counry which requires e permit to consWct, alter, improve, tlemolish, or repair any sWCWre, pdor to its issuance, also requires �he epplicant lor such permit ro file e signed sietement ihet he or she is Ilcensetl pursuant to the pwvislons ot the Contractors License Lew (Chepter 9(wmmencing wilh Section 7000) oi Division 3 ot t�e Business and Professions Cotle) or thet he or she is ezempt t�erefrom and Ihe basis tor the alleged exemption. Any violation of Section 7031.5 by any applicent for e pertnit subjacts Iha applicant m a civil penalty of not more than five hunared dollars ($500).): ❑ I, as owner of the property, or my employees with wages es Ihelr sole compensation, WILL DO THE WORK, entl the strudure is not intended or ofleretl far sale (Sec. 7044, Business antl Profeuions Code: The Comractore License Law does not appy to an owner ol pmperty who builtls or improves thereon, antl who does such work himselt or herself or through �is or her own employees, prantled that such imprmements are not intended or oHeretl for sale. If, however, the building or impmvement Is sold within one year ot completion, ihe ownerbuilder will heve the burden of proving Ihat he or she did not Guild or improve tor purpose ol sale.). � ❑ I, es owner oi ihe property. am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sac. 7044, Business and Professions Gode: Tha contracbrs License Lew does not epply to an owner ol propeny who 6uilds or impmves thereon, end who comrects tor such pmject with a coniractor(s) license pursuant to the Contrectors License Laws.). ❑ I am exampt under sac. Business end Professions Code tor this reason: SignaWre: Date: Owner ID verifietl by drivers license. ❑ Yes ❑ No Drivers License No. Eapires: Veriticetlon oi Ownership by ([ype ol document, i.e. - properry ta: blll or daetl): DIVISION OF INDUSTRIAL SAFE7Y PERMR CEFTFICATON: ❑ I hereby cenify that no excavation tive (5) or more fae� in dapih inm which e person is requiretl to descentl, will be made in connection with work euthonzed by Ihis permit, and Ihat no building strucWre, scallolding, talsework, or demolition or dismantlinq ihereof, will be more ihan thirty-si: (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Ttle B, Californie Adminisirelive Code). ❑ As owner-builder, I will not employ enyone to do work which would require a permit from the Division al Indusirial Salery, as notetl ebove, unless such person hes e permit to do such work irom iha division. SignaWre: Division of Intlustrial Safery Permit Number: Date: WIII ihe applicant or present or fuNre building occupant need to lile entl cenify a Business Plan tor emergenry response to release ar threatened release ol a hazardous meteriel7 ❑ Ves ❑ No (Section 25505 oi ihe Galifornia Heel�h end Sefety Code requires, with some ezceptions, that a Business Plan be filed with Ihe Costa Mesa Fire Department by every business which has al any one time tluring a reponed year a quantiry of hazardous materials equal to or greater ihan a weight o1500 pountls, or a votume of 55 gallons, 2 Uoes or wlll Ihe appncam or presem or tuture bulltling occupam need to Ille a regisirallon form lor acutely hazartlous materials7 I,J Yes �J No (Section 25533 0l ihe Celifomia Healih entl Salery Cotle, with some exceptions, requires registretlon with Ihe Costa Mesa Fire Depenment by eech business which et any one lime has on hantl a quantiry of ecutely hazartlous meteriels equal to or greater then e welght of 500 pountls, or e volume ot 55 gellons, or 200 cubic feet ot compressed gas at stendard temperetura and pressure). ..._ ................................................._............................._....................................................._................................................................_................................._................................................................._........................_.................................__. 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Progrem for acutely hazardous materials)? 25534 of 3nt of an Ihat the Costa Mesa Fire Depanment may raquire the er acutely hazardous materials with Ihe Fire Departme a ir an nmrr is presenny reqmrea, nes �ecnon zessa m me ceuwrma neann ana satery coae oeen ruiry compuea wrtrcr .........._ .............................................._........................_................................................""'..........................__........................_...__...............................__.................. 5 Does or will the appliCant Or pre50nt or fuW ra building occupant require tor lhe work which is the su6jec� ot �his a plict from Ihe Sou1h Coast Air Quelity Manogement Disirict or fmm eny other eir polWtion comrol dis�rict or agancy9 � �e: (Section 658502 of the Califomia Government Code requlres ihat the requested intormation be furnished on applicatior ........................................................................................................................................................................................................................................................................... 6 WIII eny part ot Ne faciliry to be constructetl untler Ihis permil be within t0001eet irom Ihe outer boundanes ol e schooP (II'Yes", t�e feciliry must meet Ihe requirement of Sections 25534 and 42303 of Ihe Cali�omia NeeIN and Sefety Code). ..............................................................................................................................................................................................................._..........................................__..."'_ 7 If e permit fmm the Sauth Coast Air Ouality Menegemen� Disirit� Or o�her air pollution control Ais�rit� or egency is eoolication. have all oi the disclosures orescnbed bv Californie Healih and SafeN Code Sec�ion 42303 been made? C B QI yes', attach certiticate of compliance tmm tni CERTIFICATE OF COMPLIANCE: I certity ihat regarding Hazardous Materials and Emissions,i Signatura: J CERTIFICATE OF COMPIJANCE AN�ORIZATI correc�. I egree to comply with ell stet lews and city ebove-described propeAyforinspecti purposes.l� COOE 1, INSPECTDNTYVE 1616 Fixetl Sys�em Final Fire Pi 7266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 final Demolition 3paration, certification and tiling with the Fire ................................_...................._................_..............__ Yes ❑ No ..... __ ....................._...................._..............._............._ � pertni� lor such construction or motliflcatlon u ND non�residential building permits). ........................ ..................................................................... I Yes ❑ No ...................................................... _.......................................... retl lor the work which is the subjoct of Ihis ❑ No perjury Ihe informa�ion given ebove is correct. I agree to wmply with all siate laws and ciy ordinances Date: 7F ENfAV: I certity under penalry of perjury that I have reatl ihis application ena state that t�e information given is nences releting to building consimction, end authorize representatives ot the City of Costa Mesa to emer upon Ihe not to occupy or allow wcupancy of any building authorized by this permit until linal inspection. � 1 .111 . �L7 • `"� I /r' ° � � ' �' . QOUE� INSPECTIONTVPE 206 Final Mechanical 208 Final Plumbing 210 Finel Electrical 212 Flnal Fire Prevention 220 Final Planning Approval 222 250 Final Site Final Builtling/Occupency PS _E I�L$ DECLARATION OF AUTHORITY FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS Streel Address: Bldg. Permit # � � �✓ V � This Permit k AP Number: 1. I(we), /� UV �iA%� �✓�"�/�/�L�lJ , declare thal I am the Owner of Title of the above referenced real property, and that I(we) hereby aulhorize: Name: �w� w• y`�'��5� Telephone N6mber: ` Il� J�J`I - I�� J StreetAddress: ��Tl L(�Y.� ��'ONfi� t, . ^ � Ciry: Il� V��O State: �YY Zip: Z to obtain pertnits in my behalf, as owner/builder, for �`,� �ii)C ✓�i�%�%�.� at the above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I(we) shall immediately provide Workefs Compensation Insurance coverage and cause a certificate of that coverage to be filed with the 8uilding Division of the City of Costa Mesa, as required by State of California laws. 3. As owner/builder in facl, I understand and accept that my responsibilities do not transfer to any other person, company or wrporalion. 4. I agree to indemnify and hold the Ciry of Costa Mesa and its employees or offcers harmless from any Gaim resulting in damage or personal injury lo myself or any other parties as a result of work aulhorized by the permits from the City of Cosla Mesa. 5. I declare under the penal� of perjury that the foreg ng is true and correct. ( Executed this �Sday of I s� 2o O� , at (,rf�irt �Q , Califomia. PrintName: /� I/`� 19"Yl(�� %/g'J�.�-�C t..-� Signature: Dale: �_I 1�" �� J Note: This authorization cbes not grent authorizatan to perform the work as owner, it soley provides for limited power of attnmey fn secure this pertnil in any behalf. 0]7316 (rev.nNO)