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Home My WebLink About3125 BARBADOS PL - Building Permits' f. ��`� . � �� COSTA MESA BUILDING DEPARTMENT P.O. BOX 31] COSTA MESA. CALIFORNIA Ftc RECEIVED %� ��2, t � �� "� FINANC DEPT. FOR APPLICANT TO FILL IN APPLI�ATIrON�FO� PERMIT ADDRE55 ?K �;��rbacios P a e BUILDING COSTA MESA. CA�.IFORNIA FOR OFFICE USE ONLY _�� RECEIPT NO. PE�Q OWNER Summerland Land C�• � MAIL RECEIVED BY / /O�ATE RECEIVE� DSTE ISSVEO AODRE55 Y v ' ' � � AY TEL. BUILDING CITV T. I T1C .R , ��{� NO. AOpRE55 ARcr+rtecT � �, ua COSTA MESA. CALIFORNIA OR ENGINEER � 3njG NO. FIRE AODRE55 ZONE Summerland Land CITY LIG. �ONE v0.'OS TYPE GROVP CONTRACTOR NO. j ��L� �% ADDRE55 T. !+Yl�%P Pc (� � NO. BPPROVED DATE �E�A� �or / � CORRECTIONS oESCAiPilorv NO. 1�J BLOCK TRACT 2 A.P. NO. SIZE / NO.OF BLOGS. OF LOT p00Q now orv �o• none USE OF E%ISTING BLDG. SET9ACK LINE FROM c[rvier+ or srwsEr �(� I REAR VARD '2 � SIDE VARD RIGHT 1 �EFT C � DESCRIPTION OF WORK NEW ALTERATION ADDITION REPAIR MOVING DEMOLISH BUILDING NO.OF SIZE j "2l ROOMS STORIES E%TERIOR WALL i. ROOF �iO�TI O$I.tS.OYl COVERING JbUCCO COVERING �}�jpp��PG USE OF NEW BUILDING �" c: i�'a �i 11*c l l i a , n � �eZ . �> I MEREBV ACHNOWLEDGE THAT I HAVE REAO THIS APPLICFTION 4NO STATE THAT THE >BOVE IS COFRECT wNO PGFlEE TO COMPLY WITH wLL CITY OR�INANCES /�Np $TATE � W$ GVLATIN I� CONSTRVC- T'�� VAWATION SIGNATURE OF �% � � PERMIT FEE $ � PEFMITTEE ,/ � // �% (�� PLAN CHECK $ � Ii �S T AUTHORIZED AGENT TOTAL FEE $ C�2 � OO ui! OWNER SUMf?ERI.AND LAND C0. DATE 5-3-5% JOBADDRESS 3125 Barbados Place BUILDINGPERMITNO. iJIi9IiS GENERALCONTRACTOR Owner BI.C1T• VALUE a u�L�ZI.I.00 LOT 1(� BLOCK TRACT 2353 RBS. W�Btt. �3I'. GROUP I Rc J TVPE O ZONE RZ FIRE DISTRICT 1�998 PERMITSISSUED INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER Foundation Forms and Grade Plumbing, Rough to Slab "�j�,,,,:�i1,G5 I��- »% •��I S(� - Plumbinq, Rough Complete }'�.� 5 9-s�-SZ_ Wi Pole 9, Final 2'S'S7 � House Sewer, St. �� •3 � Tank or Cesspool g, In Out� /� �� %� Plumbing,Fin�al,FixturesComplete/yJ/f-S �2-S-S'� Plumbing, Fin.al GasTest �,f /y f,LS' �i S-.S'7 - t._ /i . � Wiring,Final . � �' �T�,A� -�"' T J� Occupancy ��jj✓� .f�,��t� FORM 310 3M 10�•v5 '�Y / 4` � 0 � -- J •� � (714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA BI/ILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT BUILDING PERMIT .lob Address: 3125 BARBADOS PL Suite: Vicinity: HOUSE & GARAGE ParcelNumber: 13915114 Zoning: R1 R1 !, NUMBER I j�99-01425 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 09/08/1999 Issued: 09/08/1999 Applicant: A-1 ALL AMERICAN ROOFING INC ISSUED BY: �� Address: 22029 S FIGUEROA , , Phone: (310)320-0224. CARSON, CA . � � Zip: 90745 � ' . - . i � owner: PWCEK, ALBERT J TR . � Address 4809 HAZELNU7 AVE . � � , " , . � �- � � � Phone: - ��,;SEAL BEACH, CA� � , , � Zip: 90740 � �' ' y � , , � Contrector:�'� A-1 ALL AMERICAN ROOFWG INC Address: �.22029 S FIGUEROA ' �� . - ' � Phone: (310)320-0224 � . CARSON,CA , ' Zip: 90745' License: 642945 Arch : � : . " - : � Eng: Address: � �- . � / Address: � � Phone: , , � � � Phone: . / - , Zip: , �- License: , � �=�,�License: SCOPE OF PERMIT REROOF - T/0, USING EXISTING SHTG, INSTALL 2 LAYERS OF 15#�FELT AND NEW 30 YEAR COMPOSITION SHINGLE � ROOF. � � � � � FEE SUMMARY Plan Check: $0.00 i� Calc Valuation: Permit: $97.25 = � � Claim Valuation: SMIP Res: � $0.50 - - — % � SMIP Com: $0.00 % � Othec $0.00 -- Inspection:. $0.00 Total: $97.75 SETBACKS MAIN STRUCTURE Front ,0- 0 ACCESSORY �Front 0-0 PARKING Ezistinq: o NOTES: Rear ' 0- 0 Rear 0- 0 Re uired: 0 PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Y Right 0-0 Right 0-0 / $3,900.00 $3,900.00 , 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) � EXPIRATION: This parmit 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 the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred inepectlona and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS'COMPENSAnON DECLARAnON: I hereDy affirm under penalry oi perjury one of the following declarations: ❑ I heve entl will maintain e cetliticate ot consent to self-Insure for workers' compensation, as provitled for 6y sectlon 3700 of the Labor Code, �or ihe peAormance of ihe /�'ork for which ihis permit is issued. [3" I have and will maintain workers' wmpensation insurance, as required by section 3700 of ihe Lebor Code, for the peAortnenra of Ihe work for which this permit is issuetl. My workers' compensatlon Insurance carrier and policy number are: Carrier: Policy Numbec (This section need not be completed i! the permit is veluetl at one hundretl dollars ($100) or /essJ ❑ I certiy that in t�e peAormance of the work tor which this permit is issued, I shall not employ any person in eny manner so es to become subject to the workers' compensation lews of Califomia, end a ree that if I shoultl become subject to ihe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with Ihese pr sions. p C.. p Applicant Signature: Date: /— o — y/ WARNING: FAILIIRE TO S UPE WORKERS' CO ENSATION CAVERAGE IS UNLAWFUL PND SHALL SUBJECT AN EMPLOVER TO CRIMINA� PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANDDOLL4RE($ ,000),INAODRIONTOTHEWSTOFCOMPENSATIIXJ,DAMAGESASPROVIDEDFOFINSEGTION3]O60FTHELABORCADE,INTEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I herehy aftirm ihat I am force end etteci. Lic. N_ Contractor's Signawre: with Section 7000) of Division 3 of the Business a Procfessions Code, and my license is in full _ Class k �� ? / Date: �L� � �) �i CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn that there is a consimaion lending agency tor the pertormance oi ihe work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lentler's Nama: Lentler's Atltlress: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby aNirm that untler penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Protessions Code: Any ciry or counry which requires a permit b consWct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit Io file a signed sta[ement ihat he or she is licensed pureuant to the provisions of ihe Coniractors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professions Code) or ihat he or she is exempt iheretrom antl ihe basis for Ihe alleged exemption. Any violation of Section 7031.5 by eny epplicent for e permit subjects the epplicant to e civll penalty of not more than five huntlred tlollaro ($500).): ❑ I, as owner of ihe propeny, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and Ihe simcNra is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conirectors License Law does not apply to an owner of propeny who builds or improves Ihereon, and who does such work himself or herselF or ihrough his or her own employees, provided ihat such improvemenis are not intended or ottared for sale. If, however, the building or improvement is sold wi�hin one year of completion, tha owner-6uilder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of ihe property, am E%CLUSIVELY CON7RAC7MG WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Pmfessions Code: The contractors License Law tloes not apply to en owner of proparty who builds or improves thereon, and who contrects tor such project with a coniractor(s) license pursuant b �he Contrectors License Laws.). ❑ I am exempt untler sec. Business and Professions Cotle for this reason: Signature: Date: Owner ID venfied by drivers license. ❑ Ves ❑ No Driver's License No. Venfication of Ownership by (type of tlocument, i.e. - property tax bill or deed): Expiras: DIVISION OF INDUSTRIAL SAFETY VERMIT CER7IFICA710N: ❑ I hereby cetlity ihat no excavation five (5) or more feet in tlepih inm which a parson is requiretl to tlescenq will be matle in connedion with work authonzetl by ihis permit, antl that no building stmcture, scaHolding, talsework, or demolition or dismantling ihereot, will be more than ihirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, Califamia Adminisirative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division ot lntlusirial Safety, as notetl above, unless such person has a permit to do such work from the division. Signature: Date: Division of Intlustnal Safery Pertnit Number: CERTFICATE OF COMPLIANCE AND AUTHORVATION OF EN7RV: I certify under penalry of perjury ihat I have read this application and stata ihat the information given is correct. I agree to comply with all state laws and city ordinances relating fo building coretruction, and auihorize representatives of the Ciry of Costa Mesa b enter upon the above-descri6ed proparty for inspection purposes. I egree not to occupy or ailow occupancy of any building authorized by this permit until tinal inspection. � D � INSPELTIONTYPE 1616 Fixetl System Final Fire Prevention 1266 200 201 202 203 Pool Spa Final Final Re-Rooi Final Block/Retaining Wall Finel Fectory Fire Place Final Sign 204 Final Demolition 244&a8 p� IN � COUE� INSPECTIONTViE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 222 250 Final Planning Approvel Final Si�e Final Building/Occupancy Date �- �,�� QAL INTRIpL