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Home My WebLink About2531 ALDER LN - Building Permits5 F C Lid G a h � S F G F a c 'a a > � � Lcl a O C a z {s7 S 3 Q 79.17 j0/30/78 233.OQ T � COSTA MESA BUILDI� G-SAFETY DEPARTMENT Tg]T 10/30/78 -233,OOCKY� P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 T9;17 ��OOOQ4ti69 50 � Q APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only qECEWEO BV DATE RECEIVED DATEISSUED BUILDING ADDRES PE OWNE ' N�' BGILDING MAIL ADDFESS ADDRESS , TEL. TRACT LOT BLOCK CITV NO. BRANCH ADDRESS TEL. ADDRESS / CONTRACTOR • ADDRESS TEL. CITV NO. STATE CITV LIC. NO. LIC. NO. SIZE I NO.OF BLOGS. OF LOT NOW ON LOT USE OF EXISTING BLOG. Separa[e permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED I hereby acknowledge thet I have reatl this application antl state ihat the above information is correct and agree to comply with ell laws regulating builtling conrtruction, and I shall not employ any person in violetion of the workman's compenution laws of the State of Califotnia. I hereby certify that I am properly licansetl as a contractor under the State of Californla Business antl Professions Code, Divislon 3, Chapter 9, and that such lieenses are in full farce anC affect, or I am exempt from the provisions ot the State of Califo�nia Business antl Professions Cotle, Divislon 3, Chapter 9. Slgnatura of Permittee Authorizetl ABent APPROVED ZONE VAflDS APPROVED DI57ANCE BET. APPROVED DATE USE OF NEW BUILDING VARDSAPPROVED ACCESSORY BUILDI & � � m i b 2 Q. FT. oi THE AMOUNTSHOWN UNDER VALUATION IS FOR m hIE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: � VALUATION PERMIT FEE $ a m P�AN CHECK y �^ 0 $� TAx b LL TOTALPAID $ % � (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2531 ALDER LN Suite: 10 Viciniry: BLDG 71 Parcel Number: 43917207 App�icant: MCPHILLIPS,EARL Address: 23261 DEL LAGO STE 5 LAGUNA HILLS, CA owner: LAUREL PT HOA Address 714-665-2900 Zoning: Phone: (949) 583-1858 Zip: 92653-1330 Phone: Zip: 92646 Contractor: PRO-TECH WEATHERPROOFING Address: 23261 DEL lAGO STE 5 Phone: (949) 583-1858 LAGUNA HILLS, CA Zip: 92653-1330 License: 620476 Arch : Address: Phone: Eng: Address: Status: ISSUED Applied: O6/08/2007 Issued: O6/OB/2001 ISSUED BY: l � t�_ Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF SHAKE INSTALL 1 LAYER 15 LBS FELT AND 30 YR COMP. SHINGLES. BUILDING 10, 2531-2529 ALDER. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $97.2$ $0.50 $0.00 $0.00 $0.00 $97.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0. 0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0-0 Re uired: 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 California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 7 BO days. INSPECTIONS: In order for the work authorized under this permi� to be considered legal, such work must comply with all applicable codes, and all requlred inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zas-as laoo� WORKERS'COMPENSAnON DECLARAnON: � - I hereby affirm untlar penalty of perjury one of tha tollowing tleclarations: ❑ I heve antl will malntain a certiticate of consent b self-Insure tor workers' compensation, as provided for by section 3700 ot Ihe Labor Cotle, tor ihe pertormanceof the / work tor which Ihis permit is issued. I have and will maintain workers' compensatlon insurence, as required by section 3700 of Ihe Labor Code, tor the pertortnance of the woM for which this pertnit is issuetl. My workers' compen ation Insurence cerrler and policy number are: I�` ,1� Carti �l�C.�i2l� �{�i01:� PolicyNumber�}..��J9'JQ��`l'y.�� (This � ction need not be completed il the permif is value0 et one hundred dollers ($100) or less.) ❑ I certity ihat in ihe peAortnance oi the work For which ihis permit is issued, I shall not employ any person in any manner so es lo become subject to t�e workere' compensation laws of G la, and agree th " should become subject to the workere' compensation provislons oi Section 3700 of the Labor Code, I shall torthwith co ' se pr ' io� � � �� ' / ica t Signa re: � � '''� �— URETOSECUREWORKERS'CAMPENSATIO COVERAGEISUNLAWFUTANDSHALLSUBIEGTANEMPLOVERTOCRIMINlLLP ALTIEN ESANDCIVILFINESUPTOONEHUNDRED THOUSAND DOLLARE (5100,000�, IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37060F THE L480R CO�E, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLAHATION: I heraby " at a lice�tl untler provisions tw nd eflect. Lic. N� ��. �. with Section 7000) oi Division 3 of tha Business antl my license is In full ON ENDING AGENCY: ❑ I hereby aHirm that Ihere is e construction lentling agency tor ihe pedormance of ihe work for which ihis permi� is issued. (Sec. 3097, Civil Code). Lentler's Name: Signature: _ OWNER-BUILDER DECLARATIONS: Lender's Address: Date: I here6y aHirtn that under penelry of perjury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry w�ic� requires a permit to construci, alter, improve, demolish, or repair eny simcture, prior to its issuance, also requires 1he applicant for such permit to file e signed statement that ha or she is licensed pursuan� to the provisions of ihe Contrectors License Law (Chepter 9(commencing wlth Section 7000) oi Division 3 of t�e Business end Professions Code) or Ihal he or she is exempl therefrom antl the Dasis tor the elleged exemption. Any violation o� Section 7031.5 by any applicant for e pertnit subjects ihe aOP�icant to a civil penalty of not more then five hundred tlollars ($500).): ❑ I, as owner of Ihe property, or my employees with weges as their sole compensation, WILL DO 7HE WORK, end the structure is not in�ended or otteretl tor sale (Sec. 7044, Business and Protessions Code: The Contractore License Law tloes not apply to an owner of property who builtls or improves ihereon, and who doas such work himseN or herself or ihrough his or her own employees, provitled iha� such improvements are not intended or oHered for sale. If, however, ihe 6uiltling or improvement is sold within one year of completion, the ownerv6uilder will heve Ihe burden ot pmving ihat he or she did not build or improve for purpose of sale.). ❑ I, es owner ot the property, em E%CLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to construct the proiect (Sec. 7044, Business and Protes5ions Code: The contractors License Lew tloes not epply to an owner of property who bullds or Improves thereon, and who contracts for such prqea with a contractor(s) license pursuant to ihe Coniractors License Laws.). ❑ I em exempt under sec. Business and Pmfessions Code for this reason: Signature: Date: Owner ID venfietl by tlnvefs license. ❑ Yes ❑ No Driver's License No. Venfication ol Ownership by (rype of dwument, i.e. - propeny tas 6ill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Ezpires: ❑ I he�eby certify Iha� no excavetion tive (5) or more feet in depth into which a person is requireC to descend, will be made in connection wit� work authonzetl by ihis permii, and ihat no building sWcture, scalloltling, falsework, or tlemolition or dismantling thereof, will be more ihan thirty-six (36) teet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341, Ttle 8, Califomia Adminisirative Cotle). ❑ As owneabuiltler, I will not employ anyone to do work which would require a permit from iha Division of Indusirial Satery, as noted above, unless such person has a pertnit to do such work from the division. SignaNre: Date: Division ot Indusirial Safery Permit Number: CER7IFICATE OF COMPLIANCE AND AUTHORIZATON OF ENiTiY: I cetlity undar penalty of perjury ihat I have read this epplication and sta�e �hat ihe information given is correct. I egree to comply with all stete laws and city ordinances relating to building consimction, and euthonze representatives of ihe Ciry of Costa Mesa �o en�er upon ihe ebove-descnbed property for inspection puryoses. I agree not to occupy or allow occupency of any building authorized by this permit uNll final inspection. 40DE �. INSPECTIONTYPE � 1616 Fized System Final Fire Pr 1266 Pool Spa Final 200 Final Re-Root 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition PdI� INTRIpLS � � COpE 1 INSPECTION TYPE 206 Finel Mechanical 208 Final Plumbing 210 Final Eledncal 212 Final Fire Prevention 220 FinalPlanning Appro�al 222 Final Site 250 Final Building/Occupancy P�i€ LRLfS