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Home My WebLink About3102 BARBADOS PL - Building Permitse � ' r �'� �s' PERMIT TYPE. �� CITY OF COSTA MESA _ BUILD/NG D/YIS/ON 77 FAIR DRIVE, COSTA MESA, CA 92626 •(774) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca s - FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: M07-00517 JOB ADDRESS: Vicinity: SQ. FT: 0 MECH 3102 BARBADOS PC CM STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: ISSUED� 10I2512007 BJK SCOPE OF WORK: CHANGE-OUT OF A FAU IN AN EXISTING SFD. 1 INSTAL FAU < 100K BTU. NO OTHER WORK AUTHORIZED WITH THIS PERMIT. , , . . OWNER: BJELLAND, THOMAS , � PHONE: APPLICANT: 80CK, GAGE � PHONE: 714-7083664 � � � � Address: City/State: COAST AIRE 202 E STEVENSUnit: UNIT G SANTA ANA, CA �' � ZipCode: 92705 MECHANICAL PERMIT FEE SUMMARY MECH ITEM FEE: � ' $38.30 PLAN CHECK FEE: �� $0.00 INVESTIGATION FEE: $0.00 REINSPECTION FEE: � . ,� . $0.00 TOTAL FEES: $38.30 ' � Address: 3702 BARBADOS PL Unit: ' City/State2ip: COSTA MESA, CA Address: 202 E STEVENS Unit:UNIT G City/State/zZip: SANTA ANA, CA � License No. 355425 ' PHONE: 714-7083664 CELL: � NOTICE: The work authonzed 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: PERMIT EXPIRES 180 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 obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit: COUE t. INSPEG710N TYPE 1816 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Fina� Demolition OATE IN7ITIALS CODEp INSPELTIONTYPE �-�-� �/J DATE ixnnJ�� 206 Final Mechanical �-Q�Q/(iQ.l.Lq,L{(R � I � 208 Final Plumbing � 210 Final Electrica� 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Finat Builtling/Occupancy ,4..� ♦.. WORKERS' COMPENSATION DECLARATION: � I hereby affirm under penalty of perjury one of the following declaretions: ❑ I have and will maintain a certificate of consent to self-Insure for vrorkers' compensa[ion, as provided for by section 3700 0( [he Labor Code, for the �rformance of the work for which ihis permit is issued. I have antl will maintain workers' compensation insurance, as required by section 3700 0( the Labor Code, f the perfortnance of Ihe work for which this permit is iss � My�s' o pensaliop Insurance carrier and policy numberar �' � 1-i A `�� Cartier: � 1�-� (This secfion neetl irof be m(md�ete0 A(he peimrt u valu1e0 al one huntl.etl tlollan (Sf00) wless.) PolicyNumber: O—L� �OO�I�� / ❑ I certify tha[ in the peAormance of the vrork for which this permi[ is issuetl. I shall not employ any person in any manner so as to become subject to Ihe workers' compensation laws of Califomia, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Co II (orthwith comply with these provisio s. b ' A 6wn1's Signalure Dale WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNIAWFUL 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, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm Ihat 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. n Lic. # � � Class # l�� D v Con r cmr's Signalure Date CONSTRUCTION LENDING AGENCY: ❑ I hereby affirtn that there is a constmctbn lending agency for the peAortnance of the work (a wfiich ihis permit is issuetl. (Sec. 3097, Civil Code). Lentler's Name: Lender's Address: ,y�.�'�}4 ,:'',x Slgnalure °i�'Z,Oale �\ t., �; OWNER-BUILDER DECLARATIONS: �� '� L �': ",<'� ♦ I hereby affrm Ihat under penalry of pery'ury fhat�l; 2m��EXEMPT FROM THE CONTRACTORS LICENSE LAW for;the following reason (Sec. 7031.5, Business and Professions Code:Any city"or county;which requires a permit to construct, alter, improve, demoiish�or repair any strucWre, prior to its issuance, also requires the applicant.toC,such percnit to Poe a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chaple,r 9(commencing wilh Section 7000) of Division 3 of the Business and Pro(essions Code) or that he or she is exempt Iherefrom and the basis for tfig.atleged, exemption. Any violation of Section 7031.5 by any applicant for a pennit sutijects lhe applicanl to a civil penalry of not more than five hundred dollars�($500).): ❑ I, as owner of lhe property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the strucWre is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply lo an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are nol intended or offered for sale. If, however, the building or improvement is sold within one year of completion, lhe owner-builder will have the burden of proving tha[ he or she did not build or improve for purpose of sale.). ❑ I, as owner of ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the projecl (Sec. 7044, Business and Professions Cotle: The contractors License Law dces not apply to an ovmer of property who builds or improves Ihereon, and who contracts for such project with a conlrac[or(s) license pursuant to[he Contractors License Lavrs.). ❑ I am exempt under sec. Business and Professions Code for this reason: Owner ID verifed 6y driv�e. ❑ Yes � No ` Driver's License No. Expires: Verifcation of Ownership by (rype of document, i.e. - propeAy tax bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATION: ❑ I hereby cert'rfy that no excavation fve (5) or more feet in depth into which a person is required ro descend, will be made in connection vrith vrork authonzed by this pertnit, and that no building structure, scaFfdding, falsev.ork, or demolition or dismantling thereof, will be more than thirty-sa (36) feet high. (Chap. 3.2, Grp 2. Art 2, Sec. 341, Title 8, Califomia Adminis[2tive Code). ❑ As owner-builder, I will not employ anyone to do vrork which would require a permit from the Division of Intlustrial Safety, as noted above, unless such person has a pertnil �o do such work from the tlivision. Applicanl'S SignaWre Division of Intlustnal Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to fle and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Sec[ion 25505 oi Ihe Califomia Healih and Safety Cotle requires, with some exceptions, tha[ a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reportetl year a quantity of hazardous materials equal to or greater ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature antl pressure). 2. Does or will the applicant or present or tuture builtling occupant need to fle a registration form tor acutely hazartlous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, wilh some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hantl a quantity of acutely hazardous materials equal to or greater ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic fee[ of compressed gas at standard tempereture antl pressure). 3. Does or will [he applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutety hazardous materials�? ❑ Yes ❑ No (Section 25534 of ihe Califomia Healih and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certifcation and filing with the Fire Departmenl of an RMPP by businesses which are required to register acutely hazartlous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 0( Ihe Califomia Health antl Safety Code been fully complied wilh? ❑ Yes ❑ No 5. Does or will the applicant or present or tuture building occupant require for the work which is ihe subject of this application a permit for such constmction or modifcation from the South Coast Air Quality Management District or from any o�her air pollu[ion control district or agency? ❑ Ves ❑ No (Section 658502 of Ne Califomia Govemment Code requires that the requestetl intortnation be fumishetl on applicalions �a non-residential building pertnits�. 6. Will any part of the (acili[y [o be cons[ructetl under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No Qf'yes", lhe facility must meet the requirement of Sections 25534 and 42303 of [he Califomia Health and Safery Code). 7. If a permit from the South Coast Air Quality Management Distrid or other air pollution control district or agency is required for the work which is the subject of Ihis applicatioq have all of the disclosures prescribetl by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach certificate of compliance from the appropriate air pollution control offcer). ' CERTIFICATE.OF COMPLIANCE: I certify Ihat under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. SignaWre oa�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state Ihat the information given is correct. I agree to comply with all state laws and city ordinances relating to building consWction, and authorize representatives of the Ciry of Costa Mesa to enter upon the above-described propeAy for inspection purposes. I agree not to occupy or allow occupancy of any builtling authorized by this permit until fnal inspection. JSi1tytyr f L gal er(s) �ale $ignaWre . Dale / � � �� 305]-46�3I0]) �' � � An r u onzetl ApPbcant Dal � ' � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.r��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3102 BARBADOS PL Suite: Vicinity: RODF Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N Parcel Number: 13915213 Zoning: R1 Applicanc WILLIAMS, KELLY Address: 613 SHASTA LN � Phone: (714)444-1117 COSTA MESA, CA - Zip: 92626 Owner: BJELLAND, THOMAS Address 3102 BARBADOS PL COSTA MESA, CA Contractor. ALL COAST ROOFING Address: 613 SHASTA LN COBTA MESA, CA Zip: 92626 Arch : Address: Phone: Phone: 714-751-2558 Zip: 92626 Phone: (714)444-1111 License: 598440 Eng: Address: Status: ISSUED Applied: 04/19/2005 Issued: 04/19I2005 ISSUED BY: t �" `" Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF, INSTALL 7-LAYER OF 30# FELT UNDERLAYMENT, 8 REROOF WITH 30 YEAR COMP SHINGLES (27 SQ). Plan Check: $0.00 Permit: $125.25 SMIP Res: $0.52 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.77 SETBACKS MAIN STRUCTURE FrOnt 0- 0 ACCESSORY Front 0-0 PARKING Exi_stinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: C1aim Valuation: Right 0- 0 Right 0- 0 $5,225.00 55,225.00 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, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended 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 requiretl Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2dd6d6 (fYW) . �. ' WORKERS' COMPENSATION DECLARATON: I hereby eHirtn untler penelty of perjury one of the following decleretions: ❑ I have end will meintein e certificete of consent to self-Insure for workers' compensatlon, as pmvitled br by section 3700 of ihe La6or Coda, for the performance of ihe wark tor which this pertnit is issued. � 1 have and will maintain workers' compensetion insurance, es required by section 3700 0l the Lebor Code, for tha pertormance of the work for which ihis permit is issued. M workers' \compensetion Insurence\ carrier end pollcy number are: 6 Gertieiy,�"Sy�,�,A �✓� G Pd'rc.y'IdumDer.t(�]� a� \ 5( ^ aC]i S 7This secfion need nof be cromplete0 il the permit is valued ef one hundred tlollers ($100) or /essJ �gysG:-, �=� ❑ I certity ihat in the pertortnence of the work for which Ihis permil is issuetl, I shell not employ eny person in any manner so as to become sublect to the worknrs' compensation laws ot Celifomia, end egree Ihet if I should become sub�ect to the wakers' compensetlon pmvisions ot Section 3700 oi ihe Lebor Cotle, I shell forthwith comply with these provi ons. qppNean1S19md re: �� 4_ (�� Q Q�� 1 ' Lir.-^%�;:.. � �.��"�� `�� I � � WAPNNiB'fA1LURE TO SECUPE WORK ' Q�MPENSAiiON COVEfUGE IS UNLAWFUL AND SHALL SU&IECT PN EMPLOYEP TO CRIMINAL PENALTIES AND pVIL FlNES UP TOONE HUNDRED THOUSAND DOLLARE (5100.000), IN ADDIiION TO iME COST OF COMPENSATION, D/ MFGES AS PRW IDED FOR W SEGTIpJ 3")O6 OF THE LABOR CODE. IMEqEST, AND NTTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hareby aftirtn that I am licensed under provisi� forCe end CONSTRUCTION LENDING AGENCY: � Chapter 9(crommencing with Saclion 7000) ot Division 3 oi the Business antl Pr�essions Cotle, and my license is in full ❑ I hereby afrirm that ihere is a construction lending agency for Ihe pedormance ol ihe work for which Ihis permit is issuetl. (Sec. 3097, Civil Code). Lentler's Name: Lender's Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn ihet under penalry of perjury Ihet I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for tha following reason (Sec. 7031.5, Business antl Professions Cotle: Any ciry or counry which raquires a permit lo construct, elter, improve, demolish, or repair eny stmcture, prior b its issuance, also requires t�e applicant for such permit b tile a signed statament thet he ar she is licensetl pursuent to the pmvlslons ol the Contrectors Llcense Law (Chapter 9(wmmencing with Section 7000) of DlNsion 3 ot Ihe Business and Professions Code) or Ihet he or she is exempt therefrom antl the besis for ihe allaged eaamption. Any violation of Section 7031.5 by any applicant for a pertnit sublects the epplicent to e civil penalry oi not more than five hundred dollers ($500).): ❑ I, as owner of the pmperty, or my employees with weges es their soia compensatlon, WILL DO TME WORK, and the simcture is not imentletl or ottere0 for sale (Sec. 7044, Business and Professions Code: Tha Contractors License Law doas not apply lo an owner of property who builds or improves ihereon, and who does such work himself or herself or ihrough his or her own employaes, provitletl that such improvemems are not Inlended or oHeretl for sale. If, however, the builaing or improvement is soltl within one year ol completion, ihe owner-huilder will have the burden of proving that he or sha did not build or improve lor Durpose of sale.). ❑ I, es owner ol �he properry, em EXCWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct ihe pmject (Sec. 7044, Business and Profeuions Cotle: The contreciors License Lew does not apply to en owner ol properly who bullds or improves thereon, antl who contrects for suc� project with a contrector(s) license pursuant to the Contractors License Laws.). ❑ I am exempt untler sac. Signature: Owner ID venfiad by tlnvers license. ❑ Yes ❑ No Busina55 end Professions Cotle tor this reason: Veritication of Ownership by (type of tlocument, i.e. - propeny tez bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Drivers License No. Date: Expires: ❑ I hereby certify ihat no ezwvation five (5) or more feet in depth into which a person is required to descend, will be made in connedion with work authonzed by this permit, and that no building sWdure, scettolding, falsework, or demolition or dismantling ihereol, will 6e more ihan ihirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, T�le B, Calitomia Atlmini5�rative Code). ❑ As owner-builder, I will not employ anyone to do work which woultl require a permit from ihe Division of Industnal Safery, as noted abova, unless such person has a pertnit to tlo such work irom Ihe tlivision. Signature: Date: Division ot Industnal Satery Permii Number: CERTIFlCATE OF COMPLIANCE AND AIIT}fOR1ZA710N OF ENfTiV: I catlity under penelty ot perjury t�at I have reatl Ihis applicalion and state Ihat the inbrmation given is correct. I agree to comply with all state laws antl ciry ordinances relating �o building conslmction, end authorize representalivas ot I�e Ciry of Costa Mesa to enter upon ihe above-descnbed property for inspection purposes. I agree not to occupy or ellow xcupancy of any building euthorized by Ihis permit until final inspection. Ot Legal Owneqs) COOE �. INSVECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 200 207 202 203 Pool SOe Final Pinal Re�Rool Final BIwWRetaining Well Final Fectory Fire Place Final Sign 204 Final Demolition o�re INTITIpLS � � CODE 1 INSPECTION TYPE 206 Final Mechanical 208 Finel Plumbing 210 Final Electricel 212 Final Fire Prevenlion 220 Finel Planning Approval 222 Final Site 250 FinelBuilding/Occupancy p�TE ir�rnu�s 8�80 COSTA MESA BUILDING DEPARTMENT P.O. BOX 31"/ COSTA MESA, CALIFORNIA � \ ..=,,�f` 9'.�, �.SAy�„r ✓ . ; Fl1��1P10E DEPT. ClTY 0` CO�Tn P.1ESA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADDREI55 31�72 Barbados BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY PECEIPTNO. pE�j1{B�� OWNER Mesa Verde Estates 1�� PECENEO BV ORTE RECEWED D4TE ISSIIEO AODRE55 �7�� Gister St• � � ) _rQ ��. `\�'/�� VO CITV COStB Mesa TNO.KI 5-�751 ADDRE55 ARCHITECT ��c. COSTA MESA. CALIFORNIA oReNciNEER J. R, $helley No.C-2170 ADDRE55 L"png BeaCh Ge 9-0908 ZONE ZONE NO.OF TYPE GROUP CITY LIC. PLANS '] �� CONTRACTOR l� R NO. - �J.- ¢ ♦ A�DRE55 �7�� Gisler NO.KI 5� %rJ� BYPROVEO OATE "`"` �oT CORRECTIONS oescaiPnorv NO. BLOCK TRACT 31 15 A.P. NO. SIZE 70 X'�O rvo. oF a�ocs OF LOT riow ov �oi n�ne USE OF EXISTING BLOG. $ETBnCN LINE FROM � � CENTER OF STREET SO + REAF YARO 2O + SIDEYARD RIGHT S�'F LEFT S��' DESCRIPTION OF WORK NEW ALTERATION ADDITION � REPAIR OVING DEMOLISH SU�IEDING 1433 S.F}. ROOMS ( STORIES � COVERINGWALLSYl1CC0 COV�ERING Asphalt & Rock USE OF NEW BUILOING 1 MERE9Y nCHNOWLEOGE THAT I XnVE PEwD iH15 4PPLIC TION AND STATE TNAT THE ABOVE IS COPPE�TANO iGflEE TO�COMP WITH AlL CITV OROINANCES AN �TE/SNS REGUI/�TIN� UILO G CONSTRUC- � rioh. VALUATION � SIGNATURE OF� � � u/� �'`��, PEftMIT FEE $ ��. PERMITTEE ✓ u"�"-�� `� ��_ $�y3�� PLAN CHECK $ � /� y. � AUTHORIZED AGENT TOTAL FEE $ � �� err owNEH NIESA VERDE ESTATES DA� JOB ADDRESS 3102 Baz'b3d05 BUILDING PERMIT NO. $lsfi GENERAL CONTRACTQR L. G_ RObiriSOR VALUE $ 1I�,319.00 AP. No. LOT SZ TRACT j1�.5PIRE ZONE DESCRIPTION OF WORK RBS. W�Bt.t., �3T', GROUP T&.i � TYPE V ZONE Al PLAN NO. INSPECTIONS I DATE I SUBCONTRACTOR I DATE NUMBER !/ coat �