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Home My WebLink About2469 FAIRWAY DR - Building Permits� (714) 754-5273 • Fax (714) 754-4856 Job Address: 2469 FAIRWAY DR Suite: Vicinity: Parcel Number: 11910239 npp�icant: RICHARD CARD Atldress: _ - - - - �--Phone � � ' � - _r � f��_ i t --,Zlp � , "� �. y ��,,, "/ ^ �` \'� =, �\ � WACS�R L TR � ` � � � � ,-��-�;�. /� � j '- ; - ' -, �. �� i � :� � i i '�`��= � ORNIA DR �. � � ,��' � � - - �-' - � '.`, \`'�\:- � � � ' YPhone _ -c _ _ '_ " . ; � � � _ : �� tT CAC � :i ,' _ _ � �- Zip �92260 � t �V= � - � � � '. �� ,�. - _�� . � �" � j� � . /i 'OTHERS ROOFWG CO �� ` � " ; / j�`� ��, �.� 2CIALWY �'��:� , � � � .��... i � Phone: (B49) 548-5569 ��_� � ` ' a,CA � _ : o� ' . . Licensea 408677 � � � � !i I � r-_ .. . . . �, � CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT Zoning: Owner: HOLLJ Address 76-708! i%i% / �"'PALM.0 Contr f�J/ C AN Addresst ��t 26 CO. 1 � � i ��.,�� ^ COSTA � ' � � Zip`.� 92627; - �:, / , , PERMITJJUMBER � vg99-01679 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 10/18/1999 Issued: 10/18/1999 ISSUEDBY: �I'"'� ,' Arch : '.' i � . . " - ':vi�, . J., Address: � ' � � � � ` y - � - � -. �, I' �r 7 i Phone; �, �. . a . � , � � � ' ,/,�.` � i 7 �• . - _ Zip: - ' I� / �_<-•,, ' -License: � � \ ,. j T/OFF AND REROOF W/COMP.SHINGLES_ i 4 " i PlanCheck:, $0.00 , Permit � -. $125.25 . SMIP ReS ` { , $0.52 `, SMIP Com:` ' � $0.00 Other: ' � $0.00 ��Inspection: �i� , $0.00 _ ��J. � , � �Total:�, �$125.77 `' ` � , , En9 � � "Address: � �,• s - '..: \;.� . . i, ,_ Phone: .� �. . �. �. ., / � j AA Cioense: SCOPE OF PERMIT ... ' . _' - FEE SUMMARY 9 � Calc Valuation: � �, _�,'„`-� . — ��'}.�,�!-�i�_ ClaimValuation: � _ ' — � � - � �� -' �� j Y ._:_ _ !' _ _ . :� �,_, _ . �. � _ • �� _ � \ SETBACKS �� r''''� i" ��,- -��+ MAIN STRUCTURE Front 0 0 �,' Rear, 0- 0 (, ' � ��"� ACCESSORY � �,Front �0-0 ; � �Rear ,0-0 -� ,�� `' ' i i , __ _ � PARKING �-Existina:�`�:o'�' � � Required: � o NOTES: � ' � ` �, � � -Left % � �0- 0 � �.`' Left "c0,0--' • t ; . - Pro osed: 0� .1``, . . � . . . � � . :�� - Righl�� 0--0��:% . , - Right- 0.0� � i " , . . . i: �. . �; � / ✓�' '- �� .. , ir �'". - -- $5,189.00 ss; i as.00 �, � �,` � �, 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 780 days, or if work is suspended or abandoned i 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 �, requlred Inspectlons and flnal approval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 I � �� WORKERS' COMPENSATION DECLARATION: I hereby eflirm under penalry at perjury one of the following decleretions: ❑ I heve antl wlll meintain a certificata ot consent to sel}-Insure for workere' compensatlon, es provided tor by section 3700 of Iha Lebor Cotle, for the perlormence of the wark tor w�ic� I�is pertnit 15 issuetl. ❑ I have end wlll maintain workers' compensetlon Insurance, as required by section 3700 of tha Lebor Cotle, for �he perfortnence of �he work for which ihis pertnit is issued. My workars' com�p�e7nsatlon Insurance certier and policy number are: Carrier. ��.1.l,['��32� � Policy Number. C P i 6. r St �.,i Q�F (This sec0on need not be crompleted i! fhe permlt is veluetl at one hundred dollers ( 100) or IeSsJ � ❑ I certify Ihat in the performance of the work lor which Ihis pertnit is luued, I shell not amploy any person in any menner so es to Cecome subject lo Ihe workere' compensation laws of Califomia, end agree that if I shoultl becrome subject to the workers' compansation provisions of Sedlon 3700 of the Lahor Code, I shall torthwith compry wlth these provisjnns�� / �Applicant Signature: �I� _ Dete: /D— f� �T 7� �[ WARNINC3: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL S061ECT AN EMPLOVER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (5100.000), IN ADDRION TO TME COST OF COMPENSATION, �AMAGES AS PROVIDED WR IN SECTION 3]O60F THE LABOR CODE, INiEREST, AND ATTORNEY'S FEES. LICENSEO CONTRACTORS DECLARATION: • I hereby affirtn that I em licensed under provisions of C�apter 9(commencing with Sectlory7000) of Division 3 of the Business end Profes5ions Cotle, and my Ilcense is In full torce end eflecL Llc. a �J � Class x G 3 9 � � Contractors Signature: / Date: / O —' / [j� — `� 9 i CONSTHUCTION LENDING AGENCY: ❑ I horeby ettirm ihat ihere is a constructlon lending egency tor ihe pedormance of the work tor which ihis pertnit Is issuetl. (Sec. 3097, Civil Code). Lender's Neme: Lender's Address: Signeturo: Dete: OWNER-BUILDER DECLARATIONS: I hereby aHirm t�et untler penalry ot perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7037.5, Business antl Protessions Code: Any ciry or caunry which requires a permit to consWct, alter, improve, tlemollsh, or repair any strucWre, pnor to its issuence, also requires the appliwnt lor such permit to file e signetl stelement Ihat he or she Is Ilcensed pursuant to Ihe provisions of ihe Comrectors Ucense Law (Chepter 9(commencing with Section 7000) of Dlvision 3 ot t�e Business entl Protessions Code) or thet he or she Is ezempt Ihereirom end the besis tor the allegetl exemption. Any violelion of Sectlan 7037.5 by eny epplicant tor e permit subJects the applicant ro a civil penalty o1 not more Ihen �ive huntlretl dollars ($500).): ❑ I, es owner of ihe property, or my employees with wages es their sole compensetlon, WILL DO TME WORK, and the structure Is not intended or oHeretl tor sale (Sec. 7044, Business and Professions Code: The Camrectors License Lew does not eppry to en owner of properry who builtls or improves theraon, antl who does such work himsetl or herself or �hmugh his or her own employees, pmvitled ihat such improvements are not intended or oXered for sele. IF, however, the builtling or Improvemem is soltl within one year oi completion, Ihe ownerbullder will have the burden of proving that he or she did no� builtl or improve tor purpose of sale.). ❑ I, as owner ol lhe properry, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRALTORS lo consiruct Ihe projeci (Sec. 7044, Business antl Pmfessions Cotle: The conirectors license Lew does not epply to an owner of property who builds or improves ihereon, and who crontracis for such project with e contractor(s) license pursuant to the Conirectors License Lews.). ❑ I am exempt untler sea Businass and Protessions Code for this reason: Signature: Date: Owner ID veritietl by drivers license. ❑ Ves ❑ No Drivels License No. Expires: Venflcatlon of Ownership by (type ot document, i.e. - property tas bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certiy that no excavatlon flve (5) or more feet in depth into which a person is requlretl to tlescend, will ba matle in connectlon with work authorized by this pertnit, end that no 6uilding strucWre, scaHOlGing, falsework, or demolition or dismantling Ihereot, will he more than Ihirty-sia (36) feet �igh. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Celifomia Administrative Code). ❑ As owner-6ulltler, I will not employ anyone to do work which would require a permit irom ihe Division of InCustnal Safety, as noteG ebove, unless such person has a permit to do such work irom the tlivision. Signeture: Date: Divisian of Industnel Safery Permif Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTHY: I certity under penalty of perjury �hat I have raad ihis epplication and state tha� the informetion given is correct. I egree to compty wi�h all state laws and ciry ordinances rela�ing to bullGing wnstruction, antl auihorize representa�ives of ihe Ciry of Costa Mesa to enter upon the ebove-descnbed property for inspeclion purpo5es. I egree not to occupy or allow occupancy ol any building authorized by th�s pertnil until linel inspection. LOOE �, INSGECTIONTVPE , 7616 Fixed Sysiem Final Fire Preventlon 1268 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Fectory Fire Plece 203 Final Sign 204 Final Demolition 2406 EB PAI€ inrmn�s �� iD-�s- 99 Date COpE 1 INSPECTION 7YPE 206 Final Mechenical 208 Final Plumbing 270 Final Electrlcel 212 Final Fire Prevention 220 Final Planning Approvel 222 Final Sita 250 Final Builtling/Occupancy B9TE INTRIALS LOT 7 TRACT 4O 1��4� COSTA MESA BUILDING-SAFETY DEPARTMENT � P.O. BOX 31] COSTA MESA. CALIFORNIA fOR APPL/CANT TO f/C[ /N COMPLETELY TYPE OR PRINT COSTA MESA, CAL4fORNlA IADORE55 ii� EAST �%TH STREET AARCH ITECT OR ':WE. � LEGRL NO, OF OL�GB. NOW ON LOT USE OF NONE EXISTING BLDG. SEfB/�CK LINE FROM (''' / nn � ♦ CENTER OG BTFEET `J REAR YARWCQ � / SIDE YARD LEFT �U ' I RIGHT DESCRIPTION OF WORK uc�' I i� II ei �rcwerinu I II ennminr.i I BUILDING SIZE USE OF BUILDING AND WORK TO BE PERFORMED S(N�LE FAMILY RESIDE9CE AND ATTACHED GARAGE �3�7 ,/ i PLAN NO. �D O I HEHEBY ACKNOWLE�GE THAT 1 H�VC READ THIB �PPLICPTION ANO 9TATE THAT THE ABOVE IS GORRECT AND AGREE TO COM- PLY WITH ALL CITY ORDINANCE6 ANO STATE LAWS REGULATINO 9UILOING CON6TRUCTION. SIGNATURE OF PERMITTEE AUTHORIZED AGENT�L� C�1��/�/J�I//� FEE RECEIVED �,��-- dl1L � 11961 FINANCE DEPT. CITY Of COSTA MESA APPLICATION FOR PERMIT BUILDING FOR OfF/CE USE ONIY I neceirr rvo. I. suuin xo. BUILDING ADDRESS COSTA MESA, CALIFORNIA FIRE ZONE ZONING 20NE NO.OF USE OF NE � � R�I PLANS Z BUILOING �' APPROVEO w�� /�� // BY DATE b RE�U RED ALLOWED Oro. 37� ICENTEH LINE ST.1 FRONT 3S FT C/L �N R. SIDE � FT. IN. V� � �� L.SIDE /O FT. -IN. REAR Z O FT. " IN. � . �3'7'e. THE /�MOUNT BHOWN UNDBR VqLUAT10N IB FOR THE PUFPOSE OF E6TABLIBHING A PERMIT FEE ONLY. VALUATION � � PERMIT FEE Sal/ S/� ��/ �� PLAN CHECK S�� a.I TOTAL FEE S S , � 7 � s2 a� f°�,�- �GOSTA MESA BUILDINGSAFETY DEPARTMENT p, O. BOX 917 COBTA MESA. GALIFOMIIA For Applicanf fo Fill In Complefely TYPE OR PRINT BUILDING / n ADDRESS f� I A l!� COSTA MESA CALIFORNIA TEL. ��^ crrr � A roo. ARCNITECT TEL. OR v�•:INEER I��II NEPI NO. ADD�._dS CONiRAGYOR IL. ADDRESS cin BTATE TEL. LIC. NO. NO. SIZE J/ (y/�t �/ �D �� I No, oP e�noc. OF I.OT /!1 C� 7 L n NOW ON LOT USE OF EXIBTING aLDG I� / BHTBALK 11N8 PROM / �_ / I cer+rea oP erneer d .0 �� REAR ARD SIDE YARp LEFT � , IRIGMT DESCRIPTION OF WORK � I IIACIERYF46N I nADDITION 'REP/t... �`�1 II'M8Vi1VG– I II DGMBNG}i-- BUILC11mc. NO OF—_ BIZB ROOMS ST6RiSS_ EJC2ERIOR WALL I R�OG__ COVERING COVERIRT� U�ErF�U�LDfNG AND WORK T0�9E PERFORMED [/ � .ie� .� e)i. A...�.c-..T FE RECE11lED raa•r z e ��sr� FINANCE DEPT. CITY Of C05TA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. P6PMIT NO. /%/6'�- BY ,I DATB RECEIVG2 I OATC IBBUED COSTA MESA, APPROVEP � BY DATE � ZONING ZONB _. I puN9 � I BUILDINO J �' 1 I LHWL �'7 �}-n OEBCHIPTION� /� / {� � � � A. P. NO. I I q� I D ��- YARDS EVES APPROVED ALLOWED ICHNTeq LIN¢ BTJ _.._.._ In __ �_ APPROVED � 1 HHRHBY ACKNOWLEDOL THAT 1 NAV6 R6AD THIB MPlJGT10N TH6 AMOUM BXOWN UNOEp VALUATION IB POR THH AND BTATB THAT TH8 IIBOVC IB COPAECT ANO AORBH TO COM- pURP09E OP E9T�9LI9HING A P6HMIT FHE ONLY. PLY WITM ALL CITY ORDINANCE9 AND 8TAT8 L.�W9 R80ULATNO eU�LDINo CONeTRurnoN. VALUATION �q 81GNATURE PERMIi FEE $ �• PEAMITTE A'� $ � O�. PLAN CHECK $ AUTHORIZED AGENT �' iOTAL FE@ a '