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Home My WebLink About590 FAYETTE CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.cBl'NLDING PERMIT �� FAIR DRIVE, COSTA MESA, GA 92626 f JobAddress: 590 FAYETTECI Status: ISSUED Suite: Applied: 11/03l2003 Viciniry: , Issued: 11I03/2003 Parcel Number: 41804121 Zaning: Applicant: #1 BES7 ROOFING CONSTRUCTION Address: 939 SERRA WAY COSTA MESA, CA Owner: AGUILAR, DANIEL C Address 590 FAYETTE CIR Phone: (714)434-2525 Zip: 92626 Phone: COSTA MESA, CA Zip: 92626 Contractor: #1 BES7 ROOFING CONSTRUCTION Address: 939 SERRA WAY COSTA MESA, CA Zip: 92626 Arch : Address: Phone: (714)434-2525 License: 722805 Eng: Address: ISSUED BY: Phone: Phone: Zip: License: License: SCOPE OF PERMIT ROOF RESIDENCE WITH CQMP SHINGLES OVER EXISTING COMP ROOF. Plan Check: $0.00 Permit: $83.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existin : p NOTES: Rear 0-0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Pro osed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Righl 0= 0' $2,s2a.00 $z,s2e.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-g2) EXPIRATION: This permit shall automatically expire and become void if work Is not commencetl vnthin 180 days, or if work is suspended or abandoned tor a period of 180 days. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepectlona and final epproval must be obtained. Failure to obtain Inspectlons and final approval will result in the expiretlon of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446-4fi (fJW) WORKERS' COMPENSA710N DECLARA710N; I hereby aflirm under penalry of perjury one oi Ihe �ollowing declarations: , ❑ I heve end will meinteln e Cenificate ol conSent to sell�lnsure tor workers' compensation, es provided for by sectlon 3700 0l the Lebor CoUe, lor the peAormence ot f�B rk for which ihis pertni� is Issued. I have antl will malntain workers' compensation Insurance, es required by section 3700 of the Labor Code, Por Ne peAortnance ot Ihe work tor which this permit Is Issued. My workers' compensatlon Insurence carnpr end policy number are: Carrier: Policy Number: (This section nead nof be complefed 1I the permi! Is valued ef one hundred dollers ($100) or less.) ❑ I certity Ihat in Ihe pedor e e of the work br which this permit is issuad, I shall not employ any person in eny manner so es to become subject to the workere' wmpensatlon le s of II la, and egree thet if I shoultl become subject to iha workCrs' compensetion provislons o{{ Sectl n 3700 0l Ihe Labor Code, I shall lorihwith ` complywlthih pr a s. 1 �1 ��9 ., _ Applicant Signelure: Dete: ' ��1 j WARNINO: FAILURE TO E R WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECi AN EMPLOVER TO CFIMIIJ`AL PE�S AND CIVIL FINES UP TOONE HUN�REO THOUSANDDOLLARE( 100,0OO�,INADDITIONTOTHEGOSTOFCQMPENSATION,DAMAGESASPROVIDEDFORINSECTION37060FTHELABORCADE,IPIrEREST,ANDATTORNEV'SFEES. LICENSED I hereby aHirtn ihat I am lica e under provlsions of Chapter 9(commencing with Section 7000) of �ivision 3 ot the Business enA Prolessions CoCe, and my license Is in full force end eHecL Lic. a�' �. Class q Cantrector's Signature� Dete: %� h�, CONSTRUCTON LENDING AGENCV: ❑ I hereby eflirtn thet there is a consiruction 18ntling agency br Ihe pedormance of Ihe work for whic� ihis pertnit is i55ueC. (Sec. 3097, Civll Code). LendersName: __. LendersAdtlress: Siqnature: OWNER-BUILDER DECLARA710NS: Date: I hereby eflirtn that untler penelry ol perjury that I em EXEMVT FROM 7ME CONTRACTOHS LICENSE LAW lar the following reasan (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a permit to consWct, alter, improve, demolish, or repair any siructure, pnor to Its issuance, also reqWres the epplicant For such permit to file e signed stetement thet he or she Is Iicens9tl pursuant to Ihe provisions of the Comractars License Lew (Chepter 9(commencing with Sectlon 7000) oi Divlsion 3 of Ihe Business and Prolessions Code) or Ihel he or she is exempt iherelrom and the besis for Ihe allegetl ezamption. Any violation oi Sectlon 7037.5 by eny applicant tor e pertnit su6jects the applicant to e civil penelty of not more than five huntlretl tlollare (5500).): ❑ I, es owner oi Ihe property, or my employees wl�h wages as t�eir sole wmpensation, WILL DO THE WORK, entl t�e stmctura 19 not intentled or ottered for sale (Sec. 7044, Business and Professions Code: The Contractors License Ww does not apply to an owner of property who builds or improves ihereon, and who tices such wotk himself or herself or through his or her awn employees, provided Ihat such improvements ere not intendetl or ottered lor sele. If, �owever, Ihe building ar improvement is sold within one yeer of completion, ihe own6r-builder will have ihe burden of pmving Ihat he ot she did not build or improve for purpose of sale.). ' ❑ 1, as owner of the property, em E%CLUSiVBLV CONTRACTING WITH IICENSED CONTAACTORS lo consiruct l�e project {Sec. 7044, Business and Professions Cotle: 7he con�rectors Llcense Law Ooes no� eppty to en owner of property who builtls or improves thereon, end who comracts lor such pmject with e contractor(s) license pursuant to ihe Controctors License Lews.). ❑ I em e:empt under sec. Business and Professions Code for this reason: Signe�ure: Date: Owner ID venfied by tlrivefs licenso. ❑ Ves ❑ No Orivers License No. E:pires: Verificetion of Ownership by (typa ot document, i.a. - proporry tax bill or tlaetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CffRTIFICATION: ❑ I �ereby certiy that no excavetion five (5) or more teel In depth imo which a parson Is required to descenq will be metle in connaction wlth work euthodzed by Ihis pertni�, and ihat no builtling structura, sceMolding, falsework, or demolition or dismantiing thereol, will be more Ihen Ihirry�six (38) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, 71t1e 8, Celllornia Atlministretive Cotle). ❑ As owner-builtler, I will not employ enyone �o do work whic� wou10 require a permit from the Division of Intlustriel Sefety, as notetl above, unless such person hes a permil to tlo such work from the tlivision. Signature: Date: Division ot Industrial Sefery Permit Number: CER7IFlCATE OF COMPLIANCE AND AUTTIORIZA710N OF ENfAV: I cetlify under penalry ol perjury thet I heve reed this epplication and state that the information given is correci. I agree b comply wlih all stete laws end ciry ordinanws rela�ing to builtling consWction, entl au�horize representatives of Ihe City of Cos�a Mesa to enier upon Ihe ebove-descn6ed property,�or �spection purposes. I egree not to occupy or ellow occupancy of any builtling euthonzed by this permi� until finel inspection. 400E �, INSPEL'TIONTYPE \ PAIE 7676 Fixetl System Final Fire Prevention 1 1266 200 201 202 203 Pool Spe Finel Final Re-Ro01 l `�� Final BIocWRetaining Well Finel Factory Fire Place Final Sign 204 Final Demolition �AkS r d� CODE� INSPECTIONTYVE 206 Final Mechenicel 200 Final PlumDing 210 Finel Electncal 212 Finel Fire Prevention 220 Finel Planning Approval 222 Final Site 250 Final Building/Occupancy Date PSB It�El�4 27945 COSTA MESA BUILDING-SAfETY DEPARTMENT P.O. BOX 1200 � GOSTA MESA, CALIFORNIA 92616 For Appllcant to Fill In Camplefely TYPE OR PRINT � a�,�,Na sqa ��Y�:-�T� ADDREBS COSTA MESA, CALIFORNIA w� CM \ � � � � Y!TlACK L�X[ t�OM DESCRIPTION OF WORK BUIL�INO I HEp6BY ACRNOWL O� AND BTATB TXAT TN PLY WITH �LL CITY p eU1LO1NO CONeTRU C SIGNATURE OP PERM17T6 AUTHORIZiD A3iNT r� IY ' T1119 APPLICAT�ON D wORBi TO COq. IAWD R[OULATINi DEC 27-67°�00 903* ****90.00 APPLICATION FOR PERMR BUILDIN�i For Office Use Only nacn! _Ho. �1Fl / � ZONINf3 NO.O� Ui�OI� �uns z ew�o�nu det SHM-L BE LE88 THAN YARDB MPROVHD I YARCS AP MAIN BUILDIN6 ACCEGSORY :OM C/y^CTR6LT� .. / .,. !/ VAR.�C I OATE l7r••••• •• F1LD DAT! I.1—�LJ—GJ HOLD FO St E(AL RL-QUIiL:,i" .` m _ � o� ea. �. y�° � 0 TX6 AMOYNT 9HOWN UNO6R VALUATION 18 FOR TH[ j •UHPOBB OP 6BiABL�8XIN0 A PBRMIT P66 ONLY. 5 VALUATION � �� PERMIT FEE 'd .� p a �d'� .�� .30 � w TOTAL FEE $ � O �