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Home My WebLink About3360 ALABAMA CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesaEc�.�TRICAL PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Viciniry: Parcel Nunmber: Applican�: Address: Owner: 3360 ALABAMA CI SIDE YARD 13958115 RUBERT,JOEL 3360 ALABAMA CIR COSTA MESA, CA RUBERT,JOEL Address 3360 ALABAMA CIR COSTA MESA, CA Contractor: O W N ER-BU I LDE R Address: ISSUE FEE Temp senice test Res. a/c package New Res (1-2 units) New Res (3+units) Pool I Spa Lighting Fi�Rs Recept Oullets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1hp Motors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole ISSUED BV: Phone: 714-785-6840 Zip 92626 Phone: Zip: 92626 Phone: Zip: License: 000000 Status: ISSUED Applied: O5/19/2006 Issued: 05/19/2006 SCOPE OF PERMIT ELECTRICAL PERMIT FOR THE CONSTRUCTION OF A 196 SQ Ff FREE-STANDING DETACHED PATIO COVER AT THE RIGHT SIDE OF THE EXISTING SFD. REF#:BO6-00688 WORK TO INCLUDE: 4 LIGHT FIXTS, 2 SWITCHES, 1 FAN, 2 OUTLETS. $23.50 $0.00 $0.00 so.00 $0.00 $0.00 $5.50 $220 $2.20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 Quantity 0 0 0 5 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway/100ft Standing Sedion Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voliage Equipment Low Volt Wiring System / Ckt Misa Conduit Misa Condudor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Eledrical Fee - Investigation Fee Plan Check Fee Reinspeclion Fee Quantity $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 D $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 533.40 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 suspend�or abandoned for a period of 180 days. . INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlona and final approval must be obtalned. Failure to obtain Inspections and final approval will result in the expira(ion of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaeee(voo� WORKERS'COMPENSAnON DECLARATION: I hereby aHirtn under penalry ot perjury one oi the tollowing declarations: . ' , ❑- I �eve end will maintain a certificate of consent to self-Insure tor workers' compensetion, es provided for Dy section 3700 of Ihe Lebor Cotle, for the pedormance ot the work for which Ihis permit is issued. ' ❑ 1 have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for Ihe perfortnance of the work for wNch this pertnit is issue0. My w ers' compensatlon Insurance carner antl policy number are: Cerrier � Policy Number: (Th' section need not be comple i(he permi( is veluetl at one hund�ed dollars ($100) or less.) - _ I certity that in ihe peAo nce 1 the work for which this permit is issued, I shall not employ any person in eny manner so as to become su6ject to ihe workers' compensation laws oi i, and agrea thal if I shoultl become sublect to ihe workers' compensailon pmvisions ot Sedion 3700 of Ihe Labor Cotle, I shall torthwith oomply with ihese prov �y,PPlicanlSignature:'` �Date:_ � .�'T1�Q�� WARNING: PAILUR WO S' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINA�PENALTIES AND CIVIL FINES UP TOONE HUNDflED TY/OUSAN� §1 , ADD IONTOTHECOSTOFQOI�1PENSATION,OAhNGESASPROVIDEDFORINSECTIIXJ3lO60FTHELABORCODE,IMEREST,ANDATTORNEY'SFEES. LICENSEO CONTRACTORSDECLARATION: I hereby attirm that I am licensed under pmvisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Business antl Professions Code, and my license is in full force and eflecL Llc. # Class # Contractor's Signeture: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm that ihere is a consWdion lending agency tor the pedormance of ihe work for which this pertnit is issuetl. (Sec. 3097, Civil Code). Lentlers Name: � Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby attirm that under penalry of perjury Ihat I am E%EMPT PROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Protessions Code: Any ciry or counry which requires a permit to constmct, alter, improve, demolish, or repair any stmcWre, prior to its issuance, also requires the applicant tor such permit to file e signed statement ihat he or she is licensetl pursuant ro the provislons o� the Contradors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business end Professions Code) or ihat he or she is ezempt theretrom and the basis for the alleged exemption. Any violation ot Section 7031.5 by eny applicant for e pertnit subjecis ihe epplicent lo a civil penalry of not more ihan five hundred dollars ($500).): (Cl I, as owner of ihe propeny, or my employees with wages as their sole compensation, WILL DO TME WORK, antl the siructure Is not intended or ottered for sala (Sec. �-�`7044, Business and Professions Code: The Coniractors License Law does not apD�Y �a en owner of propeny who builds or improves ihereon, and who dces such work himsetl or herseN or through his or her own employees, providetl Ihat such improvements are not intended or oHered for sele. If, however, Ihe 6uiltling or improvement is sold within one year of comple�ion, �he owner-builtler will have the burtlen oi proving ihat he or she did not build or improve for purpose ot sale.). es owner ot ihe prope ,a� CL� SB(ELY CONTRACTING WITH LICENSED CONTRACTORS to consimcl the project (Sec. 7044, Business antl Pmfessions '� Code: The contractors ensel.aw tloes noi apply to an owner of property who bulltls or Impmves Ihereon, and who conirac�s tor such pmject with a comractor(s) license pursuant to t o irac brs License Laws.). ❑ I am exempt untler Business antl Professions Cotle for this reason: Owner'ID'verif" y tlr s lica . � Ves ❑ No Verificetion 1 Owners p by (rype f dx ment, i.e. - property taz bill or tleetl): DIVISION OF INDUSTRIAL SAFETY f ERMIT CERTIFICATION: ❑ I hereby certify thei no e:cava�ion ilve (5) or more feet in tlepth in�o which a person is required to descend, wili be made in connection with work authorized by this pertnit, antl that no builtling siructure, scaHolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Atl 2, Sec. 341, Title 8, Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which woultl require a permit irom ihe Oivision of Industrial Safery, as notetl above, unless such person has e permit to do such work imm Ihe tlivision. SiqnaWre: Date: Division ot Industrial Safery Permit Number: CERTFICATE OF COMPLIANCE �Ib ORIZA110N OF ENTRV: I certiry under penalty of perjury ihat I have read ihis application and statg that the information given is correct I agree to comply with all� x antl ciry ordinances relating to building constmdion, antl euthonze representatives of the City of Costa Mese to enter upon Ihe above-described property for inspeC' n p k oses. I agree not to occupy or allow occupancy oi any building authorized by this permit until tinal inspection. •�� i_ _ gal Owner(s)��_ ata _ COOE t. INSPECTIONTYPE �— PA7E �p� 1616 Fixed System Final Fire Pravention 1266 200 201 202 203 204 Pool Spa Final Final Re-Rooi Final Blak/Retaininq Wall Final Factory Fire Place Final Sign Final Domolition COUEN INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy CITY OF COSTA MESA � F BUILDING DIVISION >` , .., � 77 FAIR DRIVE, COSTA MESA, CA 92626 • p14) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us ".�� FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER B07-00903 PERMIT TYPE B_ROOF2 JOB ADDRESS: 3360 ALABAMA CI CM Vicinity: FLAT AND B.U.R. REROOF �- SQ. FT: 2700 . � STATUS: ISSUED DATE ISSUED: 08/17/2007 ISSUED BY: BJK Suite/Unit: Const Type: ?? Valuation: � $0.00 SCOPE OF WORK: REROOF RESIDENCE WITii ATTACHED GARAGE: T10 COMPlSHAKE ROOFS ON PITCHED ROOF, 7116" OSB, 1 LAYER 30# FELT, APPLY 30-YEAR COMP SHINGLES ON 16 SQUARES. - 11 SQUARES B.U.R. , OWNER: RICHAF2DS, BARBARA PHONE: City/State/Zip: APPLICANT: SPINK, GARY PHONE: 877-631-7663 CONTRACTOR: A1 QUALITY ROOFING INC Address�. 750 S LINCOLN AVUnit UNIT 104 City/State: CORONA, CA ZipCode: 92882 ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: TOTALFEES $o.00 $181.25 � :: $0.00 $181.25 Address: 3360 ALABAMA CI Unit: - COSTA MESA, CA Address: 750 S LINCOLN AV Unit:UNIT 704 City/State/zZip: CORONA, CA License No. License No. License No. 605240 PHONE: 877-631-7663 CELL: PHONE: PHONE: NOT{CE: The work aufhorized by this permit shall comply with all applicable handicap access requiremeMs under California statutes and related regulations. (Ord. No. 92-28. § 1. 12-21-92) ' EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OP LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply wilh 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. C �ER. INSPECTIONTYGE OATE INIITIALS COOE� INSPEC710NTYPE ORTE IN11ML5 1616 Fized System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roo( � 210 Final Electriwl 201 Final BIocWRetaining Wall 212 Final Fire Prevention 202 Pinal Factory Fire Place 220 Final Planning Appmval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Builtlin<yOccupancy t -. WORKERS' COMPENSATION DECLARATION: - I hereby affrm under penalty of perjury one of Ihe following declarations: [] I have antl vrill maintain a certificate o( consent to self-Insure for workers' cbmpensation, as provitled for by section 3700 of Ihe Labor Code, for Ihe peAor ance ot the work for which this permit is issuetl. have and vrill maintain wurkers' compensation insurance, as required by s ion 3700 of the Labor Code, for the pedortnance of the wvrk for which ihis pertnit is issuetl. My workers' compensation Insurance carrier antl policy number are: �I p,, rj� Garrier �T� �'l/ I" Y (T�asec(qnneetlirot0ecqmp�l7ele2tlAthepe�mrtrs IuMa�onehuntlredcbxars(St00)aless) PolicyNumber: Q�G J� C] I certify that in the performance of the vrork 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 Calitomia, and agree that if I should become subject to the wo :ers' c pensation provisions of Section 3700 of the Labor C e, 1 shal7 �o �,vitA c iply with these provisio s. � Appli $i aWre bale WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT 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 CO�E, IMEREST, AND ATTORNEY'S FEES. I.ICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of the Business an0 Professions Cotle, and my license is in full force and eHect. �L Lic. # � Class # ` J - �' � ontrac� s ure Da�e CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn that there is a conslmc[ion lentling agency for the pedortnance of the wurk fa which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, 9usiness and Professions Cotle: Any ci�y or coun�y which requires a permil to consiruct. alter, improve, demolish, or repair any strucwre, pnor to its i85uance, also requires the applicant for such permit to file a signed statement �hat he or she is licensed pursuant to the provisions of the Contractors license Law (Chapter 9(commencing with Section 7000) of Division 3 ot the 6usiness and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 703L5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundretl dollars ($500).): ❑ I, as ovmer of [he property, or my employees with wages as their sole compensation, WILL DO THE WORK, artd the structure is not intended or oRered for sale (Sec. 7044, Business and Professions Code: The Conlractors license Law does not apply lo an owner of property who builds or improves lhereon, and who does such vrork himself or herself or through his or her own employees, provided that such improvements are not intended or offered for Sale. If, however, the buiiding or improvement is soid within one year o( Completion, the owneo-builder will have lhe burden of proving that he or she tlid not builtl or improve for purpose of sale.). ❑ I, as ovmer of the�pmperty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prqecl (Sec, 7044, Business and Professions Code: The contractors License Law dces not apply lo an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractas License Laws.). �] I am exempt under sec. � 6usiness and Professions Code for this reason: J05]-46(3/0]) .• .__, Ovmer ID verified by driv. .ise. ❑ Yes ❑ No Driver's License No. Expires: Verifica[ion 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 tlescend, will be made in connection with v✓ork authonzed by this permit, and that no boilding s(ructure, scafldding, falsework, a demolition or dismantling thereof, will be more than thirtysix (36) feet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341, Ttle 8, Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit fmm the Division of Intlustrial Safety, as noted above, unless such person has a permit to do such work (rom lhe division. Applicanl's SgnaWre Division of Industnal Safety Pertnit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 7. Will the applicant or present or luNre builtling occupant need to �le aiW certify a 8usiness Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Safety Code requires, with some exceptions, Ihat a Business Plan be fled with Ihe 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 feel of wmpressed gas at standartl temperature and pressure). 2. Does or will Ihe applicant or present or fuWre builtling occupant need lo fle a registration (orm for acutely hazardous matenals? ❑ Ves ❑ No (Seclion 25533 of the Cali(omia Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department 6y each business which at any one 6me has on hand a quantity of acutely hazartlous materials equal lo or grealer than a weight of 500 pounds. or a volume of 55 gallons, or 200 cubic feet of compressetl gas at standard temperature and pressure�. 3. Dces w will 1he applicanl or present or luture building occupant need to prepare an RMPP (Risk Management and Prevention Pmgram for acutely hazardous ma[erials)? ❑ Yes ❑ No (Section 25534 of the California Health and Sa(ery Cotle provitles that the Cosla Mesa Fire Department may require the preparation, certification and fling with the Fire Deparlment of an RMPP by businesses which are required to register acutely hazardous malerials wi[h the Fire Department. 4. If an RMPP is presently required, has Section 25534 of �he Califomia Health and Safety Code been fully complied wi[h? ❑ Yes ❑ No 5. Does or will the applicant or present or tuture building occupant require for the work which is the subject of this application a permit for such construction or modi(cation from the South Coasl Air Qualiry Management District or from any olher air pollution control tlistrict or agency? ❑ Yes ❑ No (Section 658502 of the Calitornia Govemment Code requires that the requested infortnation be fumished on applications for non-residential building pertnits). 6. Will any part of the facility to be constructed untler this permit be within 1000 feet from the outer bountlaries of a school? ❑ Yes ❑ No (If "yes", the facility mus� meet the requiremenl of Sections 25534 and 42303 of the Calitomia Health and Safe[y Code). 7. If a permit from ihe South Coast Air Quality Management District or other air pollution conlrol district or agency is required for the work whicb is the subject of this application, have all of the disclosures prescribetl by California Health antl Safety Code Seclion 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach certificate of compliance fmm the appropriate air polWtion control oKcer). CERTIFICATE OF COMPLIANCE: f certify that under penalry of perjury the info�mation given above is correct I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Sgnawre Daie CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalty of perjury that I have read this application antl state that the information given, is correcL I agree to comply with all state laws and ciry ordinances relating to building consWction, and authorize representatives of the City of Costa Mesa ro enter upon the above-described property tor inspection purposes. I agree not to occupy or allow occupancy of any building authorizetl by this permit until final inspection. Si ure of I.egal eqs) ale� ' A �orAuth nz pWi�ant Dale �� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3360 ALABAMA CI Suite: Vicinity: Parcel Number: 13958115 Applicant: COLLAZO, FERNANDO Address: 2220 E ORANGEWOOD ANAHEIM, CA Owner: RUBERT, JOEL Address 3360 ALABAMA CIR COSTA MESA, CA Convactor: WIN-DOR INC Address: 2220 E ORANGEWOOD ANAHEIM, CA Zip: 92806 Arch : Address: Zoning: ISSUED BY: Phone: 714-3851202 Zip: 92806 Phone: Zip: 92626 Phone: 714-3851202 License: 545553 Eng: Address: Phone: Status: ISSUED Applied: OB/10/2004 Issued: 08/10/2004 Phone: r� Zip: License: License: - SCOPE OF PERMIT CHANGE OUT 8 WINDOWS AND 2 PATIO SLIDERS THROUGHOUT S.F.D. TO MEET 1997 U.B.C. EGRESS REQUIREMENTS. HEADERS ARE TO REMAIN THE SAME. Plan Check: $0.00 Permit: $181.25 SMIP Res: $0.92 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $182.17 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0- 0 ' ss,2oo.00 $s,zoo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) 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 Inepectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permiL FOR INSPECTIONS CALL: (714) 7545626 � � zapaes (e�oo� WORKERS' COMPENSATION DECLARA710N: `� I hereDy aHirm under penelry of perjury one ot t�e following declarations: ❑ I have end will malntein e cenificete ot consent b self-Insure for workere' compensetion, es provitletl for by section 3700 ot the Labar Cotle, for Ihe pertortnence of the woAc fof whiCh lhis pertnil is issued. i ^'I have and will malntain workers' compensation insurance, es required by section 3700 of Ihe Lebor Code, for the pedortnance ot tha work Por which ihis pertnit is issued. Myw/o7�c mpensation urance/� rderantl.policynumberere: Cartier:' N�/'.–(� -��R� ��33,///1i37 (PolicyNumber. �Z�— �ODQri– S 77 �(fhis seclion need not be crompleted il the pemrlf !s velued at one hundred dollars ($100J or less.) �`�'�" �' ❑ I certify Ihat in the pedormence oi ihe work for which this pertnit is issued, I shall not employ any person in eny manner so as to become subjact to the workers' compensatlon laws of Celifomia, e • at if I should become subject to Ihe workers' compensation provisions ot Section 700 ot ihe Lebor Coda, I shell Forthwith comDly with ihese provisians. AppliceniSgnemre: �- �� Dete:"� � WARNING:�FAICURETOSEC MPEN6ATIONCAVERAGEISUNLAWFULANDSMALLSUBIECTANEMPLOVERTOCRIMINQPEN IESANDCIVILFWESUPTOONEHUN�RED TFiOU$AN� �OIJ.PRE (E100 ON TO THE pp$T OF COMPENSATION, DAMA�ES AS PROVIDED FOR IN SECTION 3]OB OF THE IABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CON7RACTORS DECLAHATION: eflect.�Llc.-#� ` 9(commencing with Section 7000) of Division 3 of the �Det _e: _ end my license is in full CONSTFiUC710N LENDIN�pGENCY: ❑ I hereby afFirm that thera is a consimction Ignding agency tor t�a peAormance of the work tor w�ich ihis permit is issued. (Sac. 3097, Civil Cotle). Lenders Neme: Signeture: _ Lenders Address: Date: OWNER-BUILDERDECLARATIONS: � • i_ I hereby aflirm thet untler penalry oi perjury that I am EXEMPT FROM 7ME CON7fiAC70RS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business end Professions Code: Any ciry or county whicfi�requires a permit b conswct, alter, impmve, demolish, or repair eny stmaure, prior to its issuance, elso requires Ihe epplicant for such permit to file e signetl stetement Ihet he'okshe is Ilcensad pursuant ta the provisions ol ihe Contrectors Llcense Lew (Chapter 9(cammencing with Seclion 7000) oi Divlsion 3 0} Ihe Business end Professions Code) or ihet he or�she�isiexempt therefrom antl the basis for the allaged examption. Any violation of Section 7031.5 by eny epplicanl for e permit subjects the epplicant to e civil penelty W not more Uien��ive huntlretl dollere ($500).): �y n 7Y ❑ I, as owner of the D�openy, or my employeas with�wages as iheir sole compensation, WILL DO THE WORK, antl the siructure Is not intended or oHeretl for sale (Sec. 7044, Business and Professions Code: The�Contractors License Law does not apply to an owner ot property who builds or improves ihereon, and who does such work himseH or herself or ihrough his or her own employees, Drovidetl t�at such improvements are not intentletl or ottered for sale. If, however, Ihe building or improvement is sdd within one yeer of completion, ihe owner-bulltler wlll have ihe burden of proving that he or she did not build or improve fot purpose of sale.). ' ❑ I, as owner ot tha properry, am EXCLUSIVgLY CON7RAC71NG WI7H LICENSED CONTRACTORS b construct ihe projea (Sec. 7044, Business end Professions Code: The contractors Llcense Law tloes npt epply to an owner of property who builds or improves thereon, and who conirects for such proiect with e contractor(s) license pursuant to ihe Contrectors License Laws.). ❑ I em exempt under sec. Business end Protessions Cotle for this reason: SignaNre: Date: Owner ID verifietl by dnver's license. ❑ Ves ❑ No Driver'S License No. Expires: Verification of Owners�ip by (rype ot daument, i.e. - property lax blll or deedJ: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavetion tive (5) or more feet in depih into which e person is required to tlescend, will be made in connection wilh work authorized by this permit, and ihat no huilding structure, scaHplding, talsework, or demolition or dismantling ihereof, will be more Ihan thirry-six (3fi) tee� �igh. (Chap. 32, Grp 2, An 2, Sec. 341, Ttle B, Calitomia Administrative Code), ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Sataty, as noted ebove, unless such person has e permit to do such work f rom the division. Signature: Date: Division ot Indusirial Sefaty Permit Number: ICERTIFICATE OF COMPLIANCE AND AUTHORIZATON OF EN7RV: I cetlify under penalty of perjury that I have read Ihis application and state ihat Ihe information given is I cortect. I agree to comply with all state laws entl ciry ordinences relating to building constmdion, and authorize represenia�ives ot ihe City ot Costa Mesa to enter upon the above-described property tor inspection puryoses. I egree noI �o occupy or allow occupancy of any building emhorized by �his permit until finel inspection. CODE N. 1616 1266 200 Fixed System Finel Fire Prevention Pool Spa Finel Final Re-Raof 201 Final BIocWRetaining Well 202 Final Factory Fire Placa 203 Final Sign 204 Final Demolition �NTRIALS �QQFA INSPECTIONTYPE 206 Final Mechanical 208 Flnal Plum6ing 210 Final Eledticel 272 220 Final Fire PrevenHon Final Plenning Approval PSIF ItIl�9EL5 222 Final Site �i ,� 1.-,, 250 FinalBuilding/Occupancy L�Zji�b �y • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.�WlLDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3360 ALABAMA CI Suite: Vicinity: PATIO COVER AT RIGHT SIDE OF SFD Primary Occ: R3 Dwellings/ Cong Res <10 Type of Construction: Parcel Number: 13958115 Zoning: npp�icant: RUBERT, JOEL Address: 3360 ALABAMA CI COSTA MESA, CA Owner: RUBERT, JOEL Address 3360 ALABAMA CIR COSTA MESA, CA Contractor: OW N ER-BU I LDER Address: Zip: Arch : Address: Phone: Zip: License: Phone: 714-785-6840 Zip: 92626 Phone: 714-785-6840 Zip: 92626 Phone: License: 000000 ISSUED BY: Eng: CHARLES . Address: P.O.BOX 6284 GARDEN GROVE,CA 92846 Status: ISSUED Applied: OS/09/2006 Issued: O5/19/2006 � Phone: License: 52537 SCOPE OF PERMIT CONSTRUCT 196 SQ FT FREE-STANDING DETACHED PATIO COVER AT THE RIGHT SIDE OF THE EXISTING SFD. Plan Check: $63.21 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $160.96 SETBACKS MAIN STRUCTURE Fron� 0- 0 ACCESSORY Fron� 0- 0 PARKING Existina: 0 Rear 10- 0 Rear 0- 0 Re`uired: 0 FEE SUMMARY Calc Valuation: $s,�es.sz Claim Valuation: $o.00 PLANNING & ZONING Left 0- 0 Right Left 0- 0 Right Proposed: 0 6-10 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 susperded or abantloned for a period of 180 days. � p9'" INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetions and tinal approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of �his permit. FOR INSPECTIONS CALL: (714) 7545626 , 2146-4fi(fJ00) WORKERS'COMPENSAnON DECLARAnON: _ _ ' •' � I hereby aNirm untlar penalry of perjury one of the following tlaclarations: _ (. � . ❑ I have entl will malntein a cenificate ot consent to selt-Insure tor workers' compensetlon, as providetl tor by section 3700 ot the Lebor Cotle, for the peAormance of the work for which this permit is issuetl. ❑ I hava antl will maintain workers' compensatlon insurance, as requiretl by section 3700 oi ihe Labor Catle, for ihe peAortnence of t�e work for whlch Nis pertnit is issued. My workers' compensation Insurance carrier and policy number ere: Carner: � Policy Number. (This ction neetl nof be complefed i! the permif i lued af one hundred dollars ($100) or less.) I certity that in Ihe perfortnance of Ihe w for hich this pertni� is issued, I shall not employ any Oerson in eny manner so as to become subject to the workere' ' compensation laws of Calitornia, and ag a if I should become sub�ect to the workers' compensation pmvisions ot Section 3700 ot the Lebor Cotle, I shall torihwith CotnplY�witMMese"D�ovisions. ApplicantSigneture: Dater"--_ 1T��n�-'� � i�7_ WARNING: FAIIURE TO SECURE W S' MP ON COVERAGE IS UNL4WFUL AND SHALL SU&IEGT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HIINDRED THOUSANDOOILARE($100,000),I E OFCAMPENSATION,DAMAGESASPROVIOEDFORINSECTIIXJ3]O60FTMELABOFCq�E,IFlrEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATON: I hereby aHirm that I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 ot the Business end Professions Cotle, and my license is In full force and ettect. Lic. q Class # Contractors Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aXirm ihat there is a construction lending agency tor the peAormance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: , Signature: Date: � OWNER-BUILDER DECLARATIONS: I hereby aflirm thet under penalry ot perjury Ihat I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Busineu and Professions Code: Any ciry or counry which requires a permit lo construc�, alter, impmve, demolish, or repair any structure, pnor m its issuance, also requires the epplicant tor such permit to file a signed statemem thet he ar she is licensetl pureuent to the provisions of Ihe Gontrectors License Lew (Chepter 9(wmmencinq with Section 7000) of Division 3 at Ihe Business and Professions Code) or ihat ha or she is axempt thereirom and the basis for the elleged exemption. Any violation of Saction 7031.5 by any applicent for e permit subjectsyhe applicant to e civil penalty oi not more ihan five hundred dollars ($500).): ,O�I; es owner of lhe property, or my employees wi[h wages as their sole compensation, WILL DO THE WORK, and the siructure is not intended or oHered tor sale (Sec. 7044, Business antl Professions Cotle: The Coniractors License Law does not apply to an owner of propeny who 6uilds or improves thereon, and who does such work himself oi heroelf or ihrough his or her own employees, provided that such improvaments are not intendetl or oNered for sale. Ii, however, ihe building or improvement is soltl within one year of completion, the owner-builder will have the burden of proving ihat he or she did not build or improve for purpose of sale.). � � I, as owner of the prope m E%CL IVELV CONTRACTING WITH LICENSED CONTRACTORS to wnstruct the project (Sac. 7044, Business and Profeuions Cotle: The contractors n Law tloas not apply to an owner of property who builds or Improves ihereon, and who contrecis for such project with a contractor(s) license pursuant to th o ra tors License Laws.). ❑ I em exampt under s. Business antl Protessions Cotla for this raason: SignaWre:. ' � = -� Ownei iD ver ' y dr' e licen . Yes ❑ No Drivefs�se.No. Expir s�/j� A Verification of Owners ip 6y (type tlocument, i.e. - property tax bill or deed): DIVISION OF INDUSTRIALSAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no eacavetion five (5) or more feet in depth into which a person is required to descend, will be made in connec�ion with work authorizetl by this permit, and Ihai no building simcNre, scaHolding, felsework, or demolition or dismantling thereot, will be mora than thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Calitomia Administrativa Code). ❑ As owner-builder, I will not employ anyone to do work which would require e permit irom the Division of Industriel Sefety, as noted above, unless such person has a permit to tlo such work irom the tlivision. Signature: Date: Division of Indusirial Safaty Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTiFICATION: 1 Wi�l ihe epplicant or present or tuNre building occupant need to tile antl ceniry a Business Plan for emergency response to release or ihreatened release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 oF ihe Calitomia Health antl Safery Code requires, with some exceptions, that a Business Plan be tiled with ihe Costa Mesa Fire Depanment by avery business which has at any one time dunng e reported year a Quanti�y of hazartlous materials equal to or greater ihan a weight ot 500 pounds, or a volume of 55 gellons, or 200 cubic teet of compressetl gas at stantlartl tempereture and pressure). .......'...... ... ......................................... ............................................................................................................................................................................................................................. . ............... ............. 2 Does or will the applicant or present or future building occupant need to tile a registration form tor acutely hazardous materials. ❑ Yes ❑ No (Saction 25533 0l the Califomia Heallh end Satery Cotle, with some axceptions, requires registretion with Ihe Costa Mese Fire Depertment by each business which et any one time has on hand a quantiry of acutely �azardous matenals equal to or greater than e weiqht oi 500 pounds, or a volume oi 55 gallons, or 200 cubic feet of 5 6 compressetl gas at stendartl temperature and pressure). ................................................................................................................................................................................................................................................ Does or will Ihe applican� or present or future building wcupant naed to prepere an RMPP (Risk Management 2 ❑ Yes ❑ No (Sadion 25534 of ihe Califomie Health antl Safery Code provides that iha Costa Mesa Fire Deperiment may i Depanment of an RMPP by businesses which are required to register acutely hazardous materials wit� the Fire ................................................................................................................................................................................................................................................ If an RMPP is presently reQuired, has Section 25534 ot the Califomia Health and Safery Code been Fully compli� .............................................................................................................................................................................................................................................. Does or will the applicant or presem or imure building acupant require tor tha work which is the subject of Ihi. imm iha South Coast Air �ueliry Management Distdct or Irom eny other air polWtion control district or agency? (Section 658502 of the Calitornia GovemmeN Code requires ihat ihe requested informetion be tumished on ap ........... ........................................... ..................................................................................................... Will any part ot ihe faciliry �o be wnsWctetl under ihis permit be wi�hin 1000 teet from the ou�er boundanes of e ihe preparation, cenification and filing with Ihe Fire ment. ............................................................................................................... 7 ❑ Yas ❑ No ............................................................................................................... ation a ermit tor such construction or motlification s � Na ns tor non-residential building permi�s). .............................................................................................................. . I? ❑ Yes ❑ No Qf yes", the facility must meet the requirement oi Sec�ions 25534 end 42303 oi the Calibmia Heal�h entl Safeiy Cotle). e ............................................................................................................................................................................................................................................................................. 'rom the South Coast Air Quality Menagement District or other eir pollution control tlistrid or egency is required for the r have all of Ihe disdwures Drescribed by Californie Health and Safety Code Section 42303 been made? ❑ Yes ❑ No B pf'yes", attach certiticate of compliance irom the appmpriate air pollu�ion control officer). CERTIFICATE OF COMPLIANCE: I certify that untler penaliy of perlury the information given above is correct. I agree �o comply with all slete laws antl ciry ordinences regartling Hazardous Materials entl Emissions. Signatura: Date: � CERTIPICATE OF COMPLIANCE AM' y+THO IZATON OF EMAY: I certity under penalty of peryury ihat I have read this application and state ihat Ihe information given is corred. I agree to comply with all Ip'� la}vs a d ciry ordinances relating to builtling consimction, and authonze representalives ot the Ciry ot Cos�a Mesa lo enter upon Ihe above-tlescribed properry for inspe �io esriagree riot m occupy or allow occupancy of any building authodzed by Ihis Dermit uMil final inspection. �s �A /t�C� (�S' nature. Legal Owner(s)—.--w' '"' Date - � -- nd/Or Aut onzed Aoolicanl Da�e COUE �. INSPECTIONTYPE 1616 Fixetl System Final Fire Prevention 1266 Paal Spa Final 200 Final Re-Roof 201 Final BIocWReteining Well 202 Final Factory Fire Place 203 Final Sign 204 Finel Domolition �NTRULs $�QQF�� INSPECTIONTYPE ' 206 Final Mechanical 208 Final Plumbing � 210 Final Electrical 212 220 222 Final Fire Prevemion Final Planning Approval Final Site 250 FinalBuilding/Occupency � . 111Y�14'. � Z . a U Z Z Q O c~i7 am J � J N Q W Q] J . 0] J Q U N Z a W � aw W2 J Q m Z J � W w � _ Z � w � � � � Z Q U J a a Q 0 F y Z � F U � � H � z °-3 �" �� f 2G COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 For Applicant to FiII in Completely ao�oaEss J�(O �/a J�w�fK-i�J'[.( L.L/t,C. OWNER Hermes llBV• li0• MAIL ADDFESS 1104 E. 17th Street CITV Santa Ana NO�.J*7'10`�`�' LENDEq�ION United States National Bank BRANCH 1J0 Broadwey AveHua ADDRE55 San Diego, California ARCHITECT .. .. . TEL i-,� , , i ADORE55 Z( CONTRACTOR ADDRESS CITY STATE LIC. NO. 2� SIZE OF LOT lO USE OF EXI5TING BLDG. SIZE OF NEW B�DG. 17 EXTERIOR WALL COVERING USE OF BUIIDI 2 E. Coast Hwv. Corona D M TEL. NO. CITV LIC. NO. INO.O LF B�O(3 . NOW ON LOT NO. OF flOOMS 9 STOF FOOF �OIlIP t.ttrtnn CovERING AND WORK TO BE PERFORMED 1 I hereby acknOwletlge that I have reatl this application antl state xhat the above intormation is correct antl agree to comply with all laws regulating building construction, antl I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certity that I am properly licenutl as a contrector under the State of California Business antl Professions Code, Divisicn 3, Chapter 9, and that such licenses ara in tull torce and effect, or I am exempt trom the provisions of the Stace o( Calitornia Business antl Protessions Code, ivision 3, Ch r 9. Signature of + Permittee Authorizetl Agent PAID A?R 24-69cn;F001314# *-�^ 137.25 APPLICATION FOR BUILDING PERMIT A.P. NO. `' BUILDING `�_"' /� ADORE55_,..) � (� a TRACT�/07 � FIRE �; ZONE � APPROVED 6 � � 4 PERMIT NO. VALUE (�IE ' NO.OF USE OF NEW/`�l" � 1 PLAN$ Y BUILDING VARDS APPFOVED VARDS APPROVED MAIN BVILDING ACCESSORV BUILDING FEAR U FT. FT. DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLDGS. VAR.� y DATE C.U.P.#V'dS—`Io APPROVED S APPROVED � � � / q .� , � m =�7 J � S4. FT. o THE AMOUNT SHOWN UNDER VALUATION IS FOR � THE PUFPOSE OF ESTABLISHING A PERMIT FEE ONLV: m 2 VALUATION �}` �h � PERMIT FEE $ ��• V � m "$��/L�� .� PLAN CHECK $ �• �� o (%1� i7ti � /� LL CI`PY ,OF COST�1 MESF1 RE;QUEST FOR OCCUPANCY TRACT N0, �� DATE 4 Z— _ LOT NO. � / ADDRESS ' � �"'`u-!� ��- �� The developer of the above entitled tract desires to sell the above set forth 1ot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa •The undersic�ned, Uy executing ihis agreemenc, acknowledges that (�-they) (� were) advised that this tract has not been given final inspection nor has it been accepted by the City of- Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by s urety bondo The undersigned agrees to indemnify and hold the city haxmless from any claim YESUL't1.`1G3 iii C�ai��c"1�2 OL 1"7c^YSOi�dl injury +O }IlA undersigned by reason of the aforementioned uncompleted coqdition. E'3� f�! chase Developer an�or�au'thorized representati e Y