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Home My WebLink About105 EUCALYPTUS LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.usING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 105 EUCALYPTUS LN Status: ISSUED Suite: Applied: 04/29/2002 Vicinity: 105 AND 107 EUCALYPTUS Issued: 04/29/2002 Parcel Number:' 43917201 .. Zoning: R3 R3 ' Applicant: MC COLLISTER, ELISE ISSUED BY: Address: 28816 CONEJO VIEW Arch ., .. Eng' Address: - - _ Address:; Phone: - Phone: Zip: %License: - License: SGUNh Ut- 1'tKM11 REROOF 105 AND 107 EUCALYPTUS (LAUREL,POI NT HOA): T/O EXISTING SHAKE; ROOF, SHTG PER MFGR SPECS, 1 LAYER 30# FELT. APPLY "GAF GRAND SEQUOIA” SHINGLES. 25 SQUARES FEE SUMMARY , Plan Check: Phone:, 818-735-7876 Calc Valuation: $5,300.00' Permit: AGOURA HILL, CA Zip: 91301 - Claim Valuation: $5,300.00 Owner: LAUREL POINT,TON/WHOME$ _ - - \, Address ASSN /- NEWPORT BEACH CA - . Phone` - - .'4631 TELLER AVE SUITE 130 Zip. 'PRO=TECO"WEATHERPROOFING 92660 Contractor: Address: 23261 DEL LAGO Total: STE 5 - Phone:„: (949) 583-1858 ' LAGUNA HILLS, CA -� Zip:. 92653-1330 License: 620476 Arch ., .. Eng' Address: - - _ Address:; Phone: - Phone: Zip: %License: - License: SGUNh Ut- 1'tKM11 REROOF 105 AND 107 EUCALYPTUS (LAUREL,POI NT HOA): T/O EXISTING SHAKE; ROOF, SHTG PER MFGR SPECS, 1 LAYER 30# FELT. APPLY "GAF GRAND SEQUOIA” SHINGLES. 25 SQUARES FEE SUMMARY , Plan Check: $0.00 - - - - Calc Valuation: $5,300.00' Permit: $125.25 Claim Valuation: $5,300.00 SMIP Res: $0.53 - - - SMIP Com: $0.00 Other: $0.00 Inspection:. =$0.00 Total: $125.78", PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 - -0 Right 0-0/ ACCESSORY Front 0=0 - Rear 0-0 Left 0'0 Right 0-01/ PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: NOTICE: 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 180 days, or if 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 inspections 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) 754-5626 2446-46 (6100) DEMRATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My wo rs' compensa�4'on Insurance carrier and policy numb r are: { 2 [C21�_ arrier: '�tA- L1%Y7'l k2P-!/1 �. f7 D✓1 1 /'(/✓Y:� Policy Number: (This section need not be completed if the permit is valued atone hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and 1gree that if I should b ub'act to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these proyy1n�s. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Proles 'ons C de and my license is in full force and effect. Lia a Z!l °/7 Class N pn, �3, Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code), Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: r._ I hereby affirm that ud`derpenalry. of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county,which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she'is:licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that hi or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalry'of not more than 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 structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. It, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ 1, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ..........................................ala............................................................................................................................................................................................................................................................................................................................................ 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ....................................................................................................................................................................................................................................................................................................................................... 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ..................................................................... ............................................................................................- ......................................................................................................................................................................................................................... 4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No ......................................... ........................................................................................................ ......................................................................................................I.................... .................................................................... 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication ayPermit for such construction or modification from the South Coast Air quality Management District or from any other air pollution control district or agency? Ll Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ...................................................................................... 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If "yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ...............................................................................................................I........................................................................................................................................-...................................... 7 It a permit from the South Coast Air duality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No ..............................................c-e.rtifi...........of-c...........................................ap...trol................................................................................................................................................................................................... e (If'yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Sigal Owner(s) Date �t�% 2��a2 And/Or Authorized Applicant Date CODE t. INSPECTION TYPE (LATE INTMALSi CODE INSPECTIONTYPE 2AM IWI IAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Root 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy f) 469764 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING I_ . /�,,. wA _J. — I w _ OWNER MAIL TEL CITY Newport Beach No.752-507 CONSTRUCTION BRANCH ADDRESS ARCHITECT CONTRACTOR ADDRESS TEL. CITY NO. STATE CITY LIC. NO. LIC. NO. SIZE NO. OF BLOGS, OF LOT NOW ON LOT USE OF EXISTING BLDG. U Separate permits are required for electric, plumbing and heating work. s Proiect I hereby acknowledge that I have read this application and state that the above Information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certIf y the 1 em properly licensed as a contractor under the State of Califor ie Business and Professions Code, Division 3, Chapter 9, a uch licenses are in full force and effect, or I am exempt f ro Bions of th tete of California Business and Professio a, C r 9. Signature of Permittee Authorizedgent T�(�79200 54 1�21LK1 ATION FOR STRUCTURAL PERMIT RECEIVEDBYD TE ECEIVED DATE IIrS�S�UED -& A.P. NO //&&. BUILDING a ADDRESS ' 2` aSC NQS /sIt/ ' TRIAaBLOCK IADIALTERIREPAI OWNER- I 644, VALUE USw s #d giiiiiiiii FIRE �L ZONE YPE .J - GROUP � J 4 APPROVED BY '10 DATE r ZONE NO. OF PLANS USE OF NEW BUILDING YARDS APPROVED MAIN BUILDING YARDS APPROVED ACCESSORY BUILDING (FROM C/L REET) RONT FT. FT. R. SIDE FT. FT. L SIDE FT. FT. REAR FT. FT. DISTANCE BET. MAIN BLDGS. BET. MAIN & ACCESS. SLOGS. VAR.#''jjam� C.V.P.#L•L!.-%".?� DATE - APPROVED - APPROVED n DATE HOLD FOR SPECIAL - REOUIREMFNTs SQ. FT. w THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: VALUATION 0114 $ 73 { PERMIT FEE $ PLAN CHECK $ I TAX $ TOTAL PAID $ r 7� COSTA MESA BUILDI G -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 7921 :10/30%78 233:00 TL, 7921 1'0/30/78-233:00P.TO APPLICATION FOR STRUCTQRA';&IT A For Applicant to Fill in Completely — Use Ink Only RECEIVED BY DATE RECEIVED DATE ISSUED BUILDING /il �O ADDRESS �y PERMIT NO. OWNE . NO. MAIL BUILDING ADDRESS ADDRESS ADDRESS (,6/ 40 TEL. TRACT LOT BL K CITY NO. CONSTRUCTION W A D A P LENDER 1 / BRANCH s / OV ADDRESS VALUE S $ ARCHITECT TEL. OR ENGINEER N FIRE ADDRESS % ZONE TYPE GROUP APPROVED CONTRACTOR BY DATE ADDRESS ZONE NO. OF USE OF NEW TEL. CITY NO. PLANS BUILDING STATE CITY YARDS APPROVED YARDS APPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) SIZE NO .OF BLDGS. OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R. SIDE FT— FT. Separate permits are required for L. SIDE FT. FT. electric, plumbing and heating work. REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BL GS. ACCESS, BLDGS. VAR.* DATE C.U.P.$ APPROVED APPROVED I hereby acknowledge that I have read this application and state '^ n that the above information is correct and agree to comply with m all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of m the State of California. I hereby certify that I am properly licensed as a contractor under THE AMOUNT SHOWN UNDER VALUATION IS FOR the State of California Business and Professions Code, Division 3, D Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: — am exempt from the provisions of the State of California Business y VALUATION PERMIT FEE $ and Professions Code, Division 3, Chapter 9. �+ PLAN CHECK $ Signature of / 0 c Permittee $ LL F TAX $ U TOTAL PAID $ Authorized Agent