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Home My WebLink About2526 ALDER LN - Building Permits� F�+ W a Q h ti s F C1 W F Q C .] a > �' ..l � w a � � 0. 2 x 3 � Dr��3 �= COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING^�..�� __ �)��ry.� /�� ADDRESS o4JeGb.�.�rw�1.vF�U/2�Iv �.d�r� OWNER MAIL cirv Newport Beach No. CANSTRUCTION BRANCH ADDRESS ARCHITECT CONTRACTOR ADORESS L � TEI. CITV NO. STATE CITV LIC. NO. LIC. NO. St2E I NO. OF BLDGS. OF LOT NOW ON LOT VSE OF EXISTING BIDG. Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED I hereby acknowledge that I have �eed ihis application and state that tha above information is correct antl agree to comply with all laws regulatin8 building construction, and I shall not employ any oerson in violation ot the workman's compensation laws of the State of California. I he�ebY certify that I am proparly Iicensetl as a conttector under the Stata of Californi Businass and Professions Cotle, Division 3, Chapter 9, an th ch licenses are in full forca antl efiect, or I am exempt ro pro 'sions ot t�e Staie of California Business and Profess n e D" n 3, C er 9. Stgneture Permittee Authorized Agent � � CATION RECENED BV A.P. NO. BUILDING ADDflESS FI APPROVED aJ'�G.f2�'2� 7783 10/27/78 I2.1. T783 I0/27/78 �'21'. r / I� K • G'l� ZONE � NO.OF I USE OF NEW �� PLANS � BUILDING �.(� VARDSAPPROVED VARDSAPPROVED MAIN BUILOING ACCESSORV BUILDING DISTANCE BET MAIN BLDGS. VAR. # C.U.P. #7�� FiOLD FOR BET. MAIN & ACCE55. BLDGS. APPROVED � � 7 � DATF /o-a�-�, REOUIREMENT� THE AMOUNT SHOWN UNOER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: VALUATION ERMIT FEE $ �f PLAN CHECK $ $ f - 1 � TAX $ . II ( � TOTALPAID $ � n m m' m N 7 m e a h 0 LL � �U TL� CKTfF (714) 754-5273 • Fax (714) 754-4056 • www.ci.wsta-mesa.��LDING PERMIT n FAIR DRNE, WSTA MtSA, cA 9'L6'Lti Job Address: 2$2s ALDER LN Suite: Vicinity: BLDG 8 �39-/7Z-�/ ��,��Q Parcel Number: ��, npp�icant COOTER, LYLE Address: 23015 DEL LAGO LAGUNA HILLS, CA owner: GENUALDI, ANDREW J JR Address 3020 E CALAVEROS DR Zoning: Phone: (949)583-1858 Zip: 92653 Phone: PHOENIX, AZ Zip: 85028 Contractor: PRO-TECH WEATHERPROOFING Address: 23015 DEL LAGO LAGUNA HILLS, CA Zip: 92653 Arch : Address: Phone: (714) 583-1858 License: 620476 Eng: Address: ISSUED BY: Status: ISSUED Applied: 09/01/2000 Issued: 09/01/2000 Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF"BLDG 8" T/O EXISTING SHAKE, INSTALL 15# FELT, APPLY GAF 30-YR COMP SHINGLES. 24SQUARES. Plan Check: $0.00 Permit: $9725 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $3,400.00 $3,400.00 '�, 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, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned �, tor 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 Inapeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 2446d6 (W00) WORKERS' COMPENSATION DECLARATION: � I hereby eifirm under penalty of perjury one of the following tlecleretions: ❑ I have and will meimain a cenificate of consent to selt-Insure for workers' compensation, es pmvitletl for by section 3700 ot Ihe Lebor Cotle, for the pedormance of the work for which ihis permit is issuetl. � I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the pedortnance of Ihe work for which this permit is issued. My workers' compensation Ins`wenca carrier e tl policy number are: [� (p Carner. W�'" L �f ��- L� � tl� h Policy Number: W G—/V� 7� ! i 3� (lhis section need nof be cromp/eted i/ the permit is velue af one hundred dollars ($100) or Iess.J ❑ I certify ihat in ihe peAormance oi ihe work for which this permit is issuetl, I s�all not employ any person in any manner so as lo become subject to the workers' compensation lews oi Californie, end agree that if I should become subject to iha workers' compensation provislons of Section 3700 ot �he Labor Cotle, I shall forihwith comply with ihese pravisions. G Applicant Signature: �7i Date: _�/ —� % - 2�" WARNING: FAILURE TO SECURE WORKERS' WMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJEGT AN EMPLOVER TO CRIMINAL PENALTIES AND CINL FlNES UP TO IXJE HUNDRED TFqUSAND DOILARE ($100,000�, IN ADDITION TO THE COST OF CAMPENSATIIXJ, DAMAGES AS PPOVIOED FOR IN SECTIIXJ 3'1O60F THE LABOR CODE, INrEREST, AND ATTOHNEY'$ FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm ihat I am licensetl under provisions ot Chapter 9(commencing with Section 7000) ot Division 3 of Ihe Business and Professions Code, and my license is in full torce end eHecL Lic. N Class # Contraaor's Signature: 1. Date: q l Z�-� � CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm that thera is a construction lentling agency for the pedormance of ihe work for which Ihis pertni� is issued. (Sec. 3097, Civil Code). Landers Neme: Lentler's Address: Signature: Date: OWNER•BUILOER DECLARATIONS: I hareby aHirtn that under penalty of perjury thet I em EXEMPT FFiOM THE CON7RACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professions Code: Any tity or county which require5 a petmit to construct, aller, improve, tlemolish, or repair any structure, pnor to its issuance, also requires Ihe applicant for such pertnit to file e signed statement Ihat he or she is licensetl pursuant b the provisions ot the Conirectors License Lew (Chapter 9(commencing with Section 7000) ot Dlvision 3 of the eusiness entl Protessions Code) or Ihat �e or she is exempt t�eretrom antl t�e basis for the alleged exemption. Any violation of Section 7031.5 by eny apP�icant for a permit subjects the applicant to a civil penalty of not more ihan tive hundred doliars ($500).): ❑ I, es owner ot t�e propeny, or my employeas with wages as their sole compensation, WILL DO THE WORK, end the structure is not intended or oflered ior sale (Sec. 7044, Business and Protessions Code: The Coniractors License Law tloes not apply �o an owner of property who builds or improves thereon, and who does such work himself or hersalf or ihrough his or her own employaes, provitletl ihat such improvements are not Intended or oftered for sala. If, however, the building or improvement is soltl within one year oi completion, the ownar-builder will have the burden of proving tha� he or she tlid not build or improve br purpose of sale.). ❑ I, as owner of tha property, am EXCLUSIVELV CONTRACTING WITH LICENSED CON7RACTORS to constmct ihe project (Sec. 7044, Business ana Professions Cade: The coniractors License Lew does not appty to an owner oi propeny who builds or improves iheraon, and who contrects for such proJect wiih a contrector(s) license pursuant to ihe Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code tor this reason: SignaWre: Date: Owner ID verified by tlriver's license. ❑ Ves ❑ No Driver's License No. Venfication of Ownership by (type of tlocument, i.e. - properry tex bill or tleatl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATON: Expires: ❑ I hareby certity that no excavation five (5) or more teet in depih into which e person Is required to descend, will be made in connaction with work authonzetl by ihis pertnit, and that no building structure, scalloltling, falsework, or demolition or dismantling thereot, will be more then thirty-six (36) teet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle B, Califomia Atlministretive Coda). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of IndusMal Safery, es noted above, unless such pereon hes a permit to do such work from �he tlivision. Signature: Date: Division of Intlustrial Safery Permit Number: CERTIFICA7E OF COMPLJANCE AND AUTHORIZATION OF ENTiiY: I cenify under penelty oi perjury thal I have read ihis ap0lication and state that ihe information given is correcL I agree to comply with all stete laws end city ortlinances relating to building consWction, and authonze representatives ot ihe City ot Costa Mesa to enter upon the above-described property for inspection purposes. I egree not to occupy or allow occupancy of any building authorized by this pertnit until tinal inspection. CO�E 1, INSPECTIONTYPE 1616 Fiaetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Final Block/Retaining Wall 202 Final Factory Fire Placa 203 Final Sign 204 Final Demolition 7�i& IMRI�LS � -(�,1��-1- COOE� INSVECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Preven�lon 220 222 250 Final Planning Approval Final Site Final Building/Occupancy �� Date PAg LHIIDEL$