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Home My WebLink About3166 BARBADOS PL - Building PermitsCITY OF COSTA MESA BI/ILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Faz (714) 754-d856 • wvnv.ci.costa-mesa:ca.us FOR INSPECTIONS CALL: (714) 754-8626 PERMIT TYPE PLUM APN: 13913423 JOB AGDRESS: 3166 BARBADOS PL CM Vicinity: FRONT SFD PERMIT NUMBER: P08-00288 STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: ISSUED 12I11I2008 BJK SCOPE OF WORK: PLUMBING PERMIT FOR A CLEAN-OUT AT AN EXISTING SFD. 1 SEWER CONNECTION OWNER: PHONE: APPLICANT: PHONE: THOMAS, VELMA LOIS TR BRYANT,BOB 714-641-1545 Address: 3166 BARBADOS PL City/State/Zip: COSTA MESA, CA Address: 7525 MAC AR7HUR BL. : City/State/zZip: COSTA MESA, CA CONTRACTOR: C AND R DRAINS INC License No. 537746 Address: �525 MAC ARTHUR BL. PHONE: 714-641-1545 City/State: COSTA MESA, CA ZipCode: 92626 CELL: ARCHITEC7: License No. PHONE: ENGINEER: License No. PHONE: PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: PERMIT FEE: TOTAL FEES: $0.00 $48.15 ��- � -�', ,.. NOTICE: The work authorized by this permit shall comply with all applicable handirap access requirements under California statutes and related regulation5. (Ord. No. 92-28, § 1, 12-21-92) " EXPIRATION: PERMIT EXPIRES 780 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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 oblained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE�. INSVECl10NTYPE DRj� INiITIRLS CODEt INSPEG710NTYPE DAT , ' IN7I71AL5 ifii6 Fixed System Final Fire Prevention 206 Final Mechanical ..�� ,p 1266 Pool Spa Final 20B Final Plumbing �S[5r � Z00 � Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Facfory Fire Place 220 Final Planning Approval 203 Flnal Sign 222 Final Site , 204 Final Demolition 250 Final Building/Occupancy WORKERS' COMPENSATION DECIARATION: 1 hereby affirm under penalry of perjury one of the tollowing declarations: ❑ I have antl will maintain a certifiwte of consent to self-Insure for workers' wmpensation, as provided for by section 3700 of ihe Labor Code, for the peRormance of Ihe v.ork foi which this permit is issuad. I have and will maintain workers' compensation insurancei as required by s tion 3700 of the Labor Code, for the peAortnance ot Ihe woAc for which this pertnit is issued. My workers' compensation Insurance carner antl policy number are: Cartier. r).��_/LS (This se[fion neetl �p/f 76e mmpeletl Atne peimR is valuedat rne �untl2dWNars (Ef00) w less ) -PolityNumber (/l /�/�RMIZ�%�1�3�9 ❑ I certify that in the peAormance of the work for which this permil is issued, I shall not employ any person in any manner so as to become subject to the vrorkers' compensation laws of California, and agree that if I should become su6ject to ihe workers' compensalion provisions of Seccc��}ion 3700 of [he Labor C e, I sh 11 forthwith�p "t ese pmvision\ .' / / � l// l�/ PPli�anls5igna�ni D51e a� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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 affrm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. � Cic.-#� y- Class # �. � J� � /Y l7j � Gonu ignalure ' Oat CONSTRUCTION LENDING AGENCY: ❑ I hereby affirtn thal there is a construction lending agency for the peAortnance of the work fa which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: SlgnaWre Date OWNER-BUILDER DECLARATIONS: I hereby aKrm Ihat under penally of perjury that I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to cons�ruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires tha applicant tor such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Con[raclors License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Code) or thal he or she is eaempt lherefrom and the basis (or the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects ihe applicant lo a civil penally of not more lhan five hundred dallars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, antl ihe struclure is not intended or offeretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law dces not apply lo an ovmer of property who builds or improves thereon, and who dces such work himself or herself or lhrough his or her ovm employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is soltl wilhin one year of completion, lhe ovmer-builder will have the burden of provinq that he�or she did not build or improve for purpose of sale.). , ❑ I, as owner of the property; am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRAC70R5 to construct Ihe project (Sec. 7044, Business antl Professbns Code: The cont2ctors License Law dces not apply lo an ovmer of property who builds or improves ihereon, and who contracts fw such project with a cont2ctor(s) license pursuant to Ihe Contraclors License laws.). ❑ I am exempt under sec. Business and Pmfessions Code for Ihis reason: 305'l-66 pl0]) Owner ID verified by drirv. .�cense. ❑ Ves ❑ No Dnver s License No. Expires: Verification of Ownership by (rype of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: � ❑ I hereby certrfy that no excavation frve (5) or more feet in depth inb which a person is requiretl to descend, will be matle in connection with xvrk authorized by this permit, and that no building strucWre, scaffdding, falsev,nrk, a demolition or dismantling Ihereo(, will be more than thiAy-six (36) tee[ hiqh. (Chap. 32, Gry 2, M 2, Sec. 341, Ttle 8, Califomia Administrative Code). ❑ As ovmer-builder, I vnll not employ anyone to do work which would require a permil fmm the Division of Intlustrial Sa(ery, as no[ed above, unless such person has a permit to do such work from [he division. Applicanfs SignaWre Division of Intlustrial Safety Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applicant or presen� or fu[ure builtling occupant neetl to file and certify a Business Plan for emergency response [o release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Cali(ornia Health and Safety Code requires, with some exceptions, Iha[ a Business Plan be filed wi[h the Cos[a Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at stantlartl temperature and pressure). 2. Does or will the applicant or present or fuNre building occupant need to fle a registration form �or acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Safety Code, with some exceptions, requires registration with Ihe Costa Mesa Fire Departmenl by each business which at any one time has on hantl a quantity of acutety hazartlous materials equal [o or greater than a weight of 500 pounds, or a volume o( 55 gallons, or 200 cuhic feet ot compressetl gas at stantlard temperature and pressure). 3. Does or will the applicant or present or fu[ure building occupant neetl to prepare an RMPP (Risk Managemen[ and Prevention Program (or acutely hazartlous materials)? � Yes ❑ No (Section 25534 of the California Health and Safety Code provitles that the Costa Mesa Fire Deparlment may require the preparation, certifcation and filing with Ihe Fire Department o( an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4. I� an RMPP is presently requiretl, has Section 25534 of lhe California Heal[h and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or tuture building occupaM require for the work which is the subject of this application a permit for such constmction or modificalion from the South Coast Air �uality Management Districl or (rom any other air polWtion control district or agency? ❑ Yes ❑ No (Seclion 658502 0( the Califomia Govemmen� Code requires that the reques[ed in(ortnation be fumished on applications for noo-residential building permits). 6. Will any patl of Ihe (acility to be construc[etl under this permit be within 1000 feet from the outer boundanes of a school? ❑ Yes ❑ No Qf yes", ihe facility must meet the requirement of Sections 25534 and 42303 o( the Califomia Health and Safety Cotle). 7. If a permi[ (rom the South Coas[ Air Qualiry.Management Dis[rict or other air pollution contml dislnc[ or agency is required for the work which is Ihe subject of this appliwtion, have all of [he disclosures prescribetl by California Health an0 Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If "yes", attach certifcate of compliance from the appropriate air pollution coMrol officer). � - � � CERTIFICATE OF COMPLIANCE: I certify� that under penalry of perjury tfie information given above is wvect I agree to_wmply with all state laws and city ordinances regarding Hazardous Materials and Emissions. '" � CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of peijury that I have read this application and sWte that the information given is correct 1 agree to comply with all state laws antl city ordinances rela[ing to building cons[ruction, and authonze representatives of the Ciry of Costa Mesa to enter upon the above-descnbed property tor inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until fnal inspection. _ 1 �gal� �D e � � AntllorA i. B. pliran� ' -Da l � . �'� � � .��s .- COSTA MESA BUILDING DEPARTMENT P. O. BOX 31] COSTA MESA. CALIFORNIA FEE RECEIVED � `�, �-,, �, �� gc� FINAN� DEPT. MTV nr nnnTn V�� VI VVJIf1 IIIWH FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT a��o�� BUILDING AooRE55 316� 3arbados l�venue COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY flECEIPT NO. P�R� OWNER Su*unerland Land Co. �. RECEIVEO BY D<TE FECEIVE� OATE ISSUEO MAIL � ,.5'—.� - j MAY 3 ADORE55 TEL. BUILDING CITY T. D, tT!?� P, Q (�. � '1' NO. ADDRE55 nRCNirecr ��c. COSTA MESA. CALIFORNIA OR ENGINEER "Jj � j �;�tp NO. FIRE ADDRE55 `� ZONE� Jl.��Pirli.�ild Land CITY LI�. ��E piaNs TTPE ,/ GROV CONTRACTOR (! NO. j � % / d�-� AODRE55 T�� 1{n[el S �'jllf?EL BPPROVED DATE "`"` / CORRECTIONS ocscr+iPnoN NO. (� BLOCK TRACT �� j A.P. NO. SIZE r ^^ NO.OF BLDGS. OF LOT [� �� now ov �or jj � LISE OF E%ISTING BLDG. SET84CK LINE FpOM ccNreA or srncci �(� 1 REAR YARD 'j � SIDE YARD RIGnT I LEFT ti 1 DESCRIPTION OF WORK NEW � ALTERATION ADDITION REPAIR MOVING DEMOLISH ' BUILDING ^1 NO.OF SIZE ],2G(L ROOMS j STORIES E%TERIOR WALL ROOFCO�TIpOSZt.LOSZ COVERING ,�'�1 (`,(� COVERING ,S} � pj C USE OF NEW v eui�oiN� Ri al F^;ni v Tl•-ral l i nc �i Av . I MEREBY iCNNOWLEOGE TMAT I H4VE FEAD TMIS APP�ICATION ANO STPTE TNAT TNE r�BOVE IS COFRECT NO AGREE TO CO LY WITH PLL CITY OflOINANCES ANp STAT LF�N � ULFTIN B iL NG CONSTRUC- iior+. VAWATION SIGNATURE O '� PERMIT FEE $ 26 OO PERMITTEE n /� / �� _ PLAN CHECK S 13 � �1O � (u AUTHORIZED AGENT TOTAL FEE $ 39 � OO �eMr OWNER SUP'II"ir'RI.AND BAND CO. DATE K_q_r�7 � )os aDDxEss 3166 Barbados Avenue BUILDING PERMIT NO. #(19(( GENERALCONTRACTOR nwnar RIAr_ VALiIE$ ��_F,A�_nn AP. No. LOT GROUY I & J INSPECTIONS bcown coat TRACT ��K� FIRE ZONE V DATE DESCRIPTION OF WORK PLAN NO. SUBCONTRACTOR I DATE I:T�:1ulY�9 NUMBER " 3 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 For Applicant Yo Fill in Completely ADIDRESS �fLp(y �1�.pAO(J.J U � OWNER � H U 1 f�� I L^I � .�_F�_ MAIL r ADDRE55 � Q /�/� 4 1 �/� TEL. CITY C /� I • NO. �"� BRANCH ADDRESS ARCHITECT � TEL. � CONTRACTOR ��O ��±5�• \ C� ADDRESS ��y `� S[�� '�JV /� /� TEL. CITV S/]NI 1'� _ AIJR NO.q� STATE '+ pTV L LIC. NO.��.�0 LIC. NO�� S I Z E � NO. OF BLD(3S. OF LOT (� ��n O I NOW ON LOT USE OF EXISTING BLDG. SIZE OF � NO. OF NEW BLOG. ROOMS STOFIE�. EMEfl10F WALL ROOF m� COVERING �VQP � COVEftING !�I USE OF BUILDING AND WDAK TO BE PER ORMED I hereby acknowledge that I have reatl this application antl state that ffie above informa[ion is �orrect antl agree to comply wiffi all laws regulating builtling co�svuction, antl I shall not employ any perzon in violation ot the workman's compensation laws of ffie Stare of Califomia. I hereby certify that I am pr0 e y licensed as a contractor under the State of California Busi Ss nd Prafessia Cotle, Divisicn 3, Chapter 9, antl tha� uch cens s are in ful orce antl effect, or I am ezempt from U pr visi � of [he St of California Business and Professions Cr� . ivisi , Chapt Signature ot Permittee PFIC ,Ay 15-7�'ca�•00 674'r :�..::::�II! i'C APPLICATION FOR BUILDING PERMIT A.P. NO. l.J I�� T�Z.� AD'ORIE S �,�O�p �{�I%�G TRACT�� LOT OWNER FIRE ZONE APPROVED NO.OF � PLANS � VARDSAPPROVED MAIN HUILDING iOM GL STREET) 3� VAR.# C.U.P.� USE OF � BVILDING YARD BET. MAIN & ACCESS.BLD DATE APPflOVED ROVED BU1lDING O � �Qi�TAx � SQ. FT, o THE AMOUNT SHOWN UNDER VALUATION IS FOR � THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLY: Q VALUATION �— ry PERMIT FEE $ � � /'� m $ / J QO � PLAN CHECK $ �� E / �� u TOTAL FEE $ � OWNER STEIN, Martin H JOB ADDRESS 3166 Barbadc � GENERAL CONTRACTOR FarQo 4j,AP No.139-134-23 LOT �INSPECTIONS SOIL GAS � W ATER ROI/GH PLUMBING PROP. SWR. LINE � HOUSE CON. � SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AN� AIR CONDITIONING iEMPOAARY SERVICE OR POLE UNOERGROUN� � POWEF � ROUGH WIRING TftENCHES � FORMS � STEEL REINF FLOOR SVSTEM ' BONO BEAM � STEE� REINFORC� n SHEATHING FFAME ANO FLASHING � LATHING - IN OUT � PLASTER,BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AN� GAS TEST � ELECTRIC, FINAL BUILDING. FINAL Place ns[ruction Co. TRACT f 7U DATE 5-16-74 BUILDING PERMIT N0. RIPTION of WORK Add Bedrm. ZONE VALUE$ 4,500.00 PE V GROUP I i SUBCONTRACTOR PER F� � a a � � s F G W F Q � .� a > r � a w a � � 4 z{� CL" 3 � 4 COSTA MESA BUIIDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING TJ CflllpFSS _�Iln�.i �d.P I"l.Q-��is �. OWNER �J'f MAIL ADDRESS CITY CONSTRUCfION BRANCH ADDRESS ARCHITECT A�DRESS /(� CONTRACTOR A�DRESS i'j� CITY O/ STATE LIC. NO. S12E OF LOT TEL. NO. �' CITV LIC. NO. NO. OF BLDGS. NOW ON LOT Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WOfiK TO BE PERFORO R A.P. NO. �� " BUILDING� / / ADDRES (/ TRACT d� SEP 26-77cMsp001266# *** z36.50 FORSTRUCTURALPERMIT DATE RECEIVED nex �cci mo OWNER � • USE ✓� FIFE ZONE APPROVED BV ZONE NO.OF R PLA I�G VAflDS APPROVE MAIN BUILDINC (FROM GL STF�6T) DISTANCE BET T LOT BLOCK I � VALU$ —C i GROnUG� OATE /' /�. USE OF � BUILDING BET. MAIN & ACC6S. BLD DATE % �G - 1 hereby acknowladBe thet I have �ead thls eppl�cation antl state that ihe ebova Informatlon Is correct an� agrae to comply with ell laws reBulatlnp bulltlln0 conrtructlon, entl I shall not employ any person In vlolatlan af the workman's compensation laws of che Staie of Celifornla. I heraby certify that I em p�ope�ly Iicensetl as a coniractor untlar SQ. FT. ihe Stete of Calitornle Business antl Profassions Cotle, Division 3, THE AMOUNT SHOWN UNDER VAIU Chapter 9, antl that such Ilcenses ara In full force antl effect, or I THE PURPOSE OF ESTABLISHING A PERI am exempi from the provlslona ot theState of California Business VALUATION PERMIT FEE $ antl Professlons Cotle, Dlvlsion 3, Chapter 9. SlgneT eaf I� //�� (� � PLANCHECK E Pe�mltte� �_f4-l' V�/�iQl�.✓�• A.0 • G� $�y TAX � (/ Auffiorizad Agent TOTA� PAID ; N n w i m w N FOfl m J V: � � a N m m a � f U OWNER JOB AD GENER, AP No. INSPEC �S�OIL AG 5 WFTER PROP. SWR. LINE �J NOUSE CON. U SPRINKLING SVSTEM MISCELLApE0U5 ROUGN HEAiING �N� �IR CONDITIONING' TEMPORRRV SERVICE OR POLE UN�ERGROUNO � POWER � ROUGM WIRING TRENCHES FORMS STEEL RE FLOOR SVSTEM BONO BERM [] �STEEL NEINFORCE [ SME�THING FRAME AN4 FLASXINy/ � LATNING � IN OUT PLASTER, BROWN CONT STRUCTURqL, FINA� MERTING, VENT., REFRIG. pN0 A.C., F1��. PLUMBING, FINFI FNO GAS TEST (� ELECTRIC, FINAL BUILOING,fINAL DATE BUILDING PERMIT N0. SUBCONTRACTOR