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Home My WebLink About3143 CANADIAN DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 ,lob Address: 3143 CANADIAN DR Suite: Vicinity: Primary0cc: R3 Parce� Numher: 14152116 Applicant: EDWARD COLSTON Address: R COSTA MESA, CA 3143 CANADIAN DR owner: NILL, JANET ANN COLSTON Addr@55 TR COSTA MESA, CA 3143 CANADIAN DR Contractor: OW N ER-B U I LD ER Address: 2ip: Arch : Address: Zip: IJLLT71 License: Type of Construction: V-N Zoning: R1 Phone: 714-546-7918 Zip: 92626 Phone: Zip: 92626 Phone: License: 000000 Eng: Address: ISSUED BY: SCOPE OF PERMIT TEAR OFF 2 LAYERS 1 WOOD AND 1 COMP. SHINGLES INSTALL 1-75 LB FELT AND INSTALL tl2" SHEATHING IF NEEDED WITH 30 YEAR COMP. SHINGLES. FEE SUMMARY Plan Check: $0.00 Permit: $8325 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: 583.75 PLANNING 8 ZONING SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 Rear 0-0 Rear 0-0 PARKING Existin : 0 Reauired: 0 Left 0- 0 Left 0- 0 Pr000sed: 0 Status: ISSUED Applied: 09/19/2005 Issued: 09/19I2005 Phone: License: Calc Valuation: ss,000.00 Claim Valuation: s3,000.00 Right Right 0- 0 0- 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or ii work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapectlona and finel approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2aae-ae �aroo� WORKERS'COMPENSAnONDECIqRATON: I �ereby flHirtn under penelry of per�ury ona ot the following declaretions: ❑ I have antl v$III melntain e cenificete oi consent to salf-Insure tor workers' compensatlon, as provitled for by section 3700 oi �he Lebor Code, for the patlormance af the work lor which this pertnli Is Issued. ❑ I have and will maintain workers' compensatlon Insu2nca, as require0 by section 3700 ot ihe Labor Code, lor t�e peAortnance of Ihe work for which this pertnit is Issued. My workers' compensatlon Insurance carder en0 policy number are: Cartier: Polity Number: (This section need nof be completed /l the pemut is valued et one hundretl tlollars (5100) or IessJ ❑ I certity thet in the pertartnenca of 1he work tor which this permit is Issued, I shall not employ eny person In eny manner so as to becoma subject to the workars' compensatlon laws at Celifomia, end egrea thet Ii I should become subject to �he workers' campensetlon pmvislons ot Section 3700 oi the Labor Cotle, I shall fort�wfl� compty with these provisions. Applicent Signeture: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSAT1qJ COVERAGE IS UNIAW FUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FlNES UP TO ONE HUNORED iFN%154ND DOIJ.ARE (5100.0OO�.IN ADDRION TO THE WST OF COMPENSATION, DAM4GES AS PROVIDED FOR IN SECiION 3]O60F TME LABOR CODE, IMEREST, AND ATTOHNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aXirtn that I am licensed untler proNslons ol Chapter 9(commencing with Section 7000) of Dlvlsion 3 0l Iha Buslness end Professions Code, end my license is in tull force antl eflect. Lic. q Cless N ConirecmYs SlgneWre: Date: ' CONS7RUC710N LENOING AGENCY: ❑ I hereby aNirtn ihat there is e consiruction lending agency tor Ihe pertormance ol ihe work for which this permit is issued. (Sec. 3097, Civil Cotle). Lenders Name: Lentler's Adtlress: SignaNre: Date: OWNER•BUILDER DECLARATIONS: I hereby attirtn that un0er penelty of per�ury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professions Cotle: Any ciry or counry which reQuires a pertnit to consiruct, alter, improve, demolish, or repair any aWCNre, prior to its issuance, also requires Ihe applicant for such pertnit to file e signed stetement ihat he or she is Iicensed pursuant to tha provisions of ihe Cantractors License Lew (Chapter 9(commendng with Section 7000) of Division 3 of the B�ness antl Professions Code) or thet he ar she is exempt therefrom and the besis tor tha ellegeA e:emption. Any violetlon ol Section 7031.5 by any applicent for a permll ects ihe eDDliwnt to a civll penelry of not mora than five hundrad tlollaro ($500).): I, as owner of the properry, or my employees wl�h wages es iheir sole compensation, WILL DO THE WORK, an0 �he siruciure Is not intended or otteretl For sale (Sec. 7044, Business and Professions Code: The Contractors License Law does nol apply to en owner of properry w�o builds or improves thereon, and who tloes such work imsell or hersalf ar Ihrough his or her own employees, provided ihat such improvemenis are not Intended or ofleretl tor sale. If, however, ihe building or improvement Is sold wiihin one yaer oi completion, ihe owner-builder will have the burden of proving ihat he or she did not build or improve tor purposa ot sale.). • ❑ I, as owner ot the D�oOerty, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sac. 7044, Business and Proteuions Cotle: 7he conirectors Ucense Lew does not epply to an owner ol pmperty who builds or Improves Ihereon, and who coNrecis lor such project with e contrecror(s) license pursuent to t�e CoNrectors License Laws.). � / // ❑ � empt u/nder sec. Business antl Profeuions Code tor this reason: 1 �\ S G��I �-1 r� O� � ipneWre' �}� 7' i _C1. �._ Date: �7'�� Owner arllied by drivafs license. Ves ❑ No Venlication oi Owners�lp by (type of Caument, .e. - O�operry ta�c bill or deed): DIVISION OF INOUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity Ihat no ezcavation five (5) or more teet in depih into which e person is requiretl to descend, will he mede in wnnection with work authorizad by this permit, end �hat no builtling strucNre, scaHOlGing, talsework, or demolition or dismantling Ihereof, will be more ihan thirty-siz (36) feet high. (Chap. 32, Grp 2, Ari 2, Sec. 341, Title B, Calitornla Adminislretive Code). ❑ As owner-builder, I will not employ enyane to do work which would require e permil Irom ihe Division ol Intlusinel Sefery, es noted ebove, unless such person hes e permit to do such work Irom the division. Signeture: Defe: Division of Industnal Selery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OF ENTRV: I certily under penalry ot perjury lhat I have read Ihis applica�ion antl state tha� ihe information given is wnect I egree to cop�mply wiih all state laws and ciry ordinances relating to huilding consWclion, end authorize representatives ot the Ciry ot Costa Mesa m enter upon the ebove-de�betl pro �tor�tion pu os� gree not to occupy or allaw occupancy of eny building euthorized by this permit until final inspectian. ,{j� Signaiure Of Legal Owner � ` �� L^� Q,g3te I' AnNOr Authonzed AOPlicant Dare COOEI, INSPECTIONTYFE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roaf 201 Final BIacWRetalning Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition P� iHrrzu�s CODE� INSPECTIONTYPE 206 Flnal Methanical 20B Final Plumbing 210 Finel Electrical 212 Finel Fire Prevention 220 Finel Planning Approval 222 Final Site 250 Finel Bullding/Occupency PAIE 1�4fl Lot 3�' T 0 ' � �� .�3 COSTA MESA 9UILDING•SAFETY DEPARTMENT P. O. BOX 317 COBTA MEBA. CALIFORNIA Fo� Applicanf fo Fili in Complefely ' TYPE OR PRINT � ARCHITEGT COSTA MESA CALIFORNIA TEL. FIRE ZONE APPROVEO ZONE R-1 LEGAL FEE RECEIVf.D 1�, MAY 1719e1� � FINANCE DEPT. CITY Df COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only ftECE�PT NO, HPML Nt � ��u :�`� a� I °� R� =E� a °�=f�°, COSTA MESA. CALIFORNIA ZONING NO, OF USE OF NEW PLANB 2 BUILOING � 31ZE � c I � NO. OF BLOG9. OF LOT I �/ NOW oN Lor 0 q, p, NO. U5E OF YARDS EXISTING BLOG. APPROVED 86TBACK LINB FROM 1�O' REAR YAR `� �CGNTHR LINC BTJ CENTER OP eTRE¢T J J FRONT SIDE YARO I LEFT �� I RIGHT / R. SI�E DESCFiIPTION OF WORK wag�ucco �c IILOING AND WORK EVES 1 HERCBY AGKNOWLEPaE TH/T i HAVE READ TNI9 APPLIGTION TXE AMOUNT eHOWN IINDER VALUATION IB FOR TXE ANO 8TAT2 TMAT TXE ABOVH IS CORRECT AN� AGREE TO COM- PUIiPOBE OF EBTABLIBHING A PERMIT FEE ONLV. PLY WITX ALL C�TY O�INANCEB AND B(ATE LAWB RHODUTING Bu1lDING CONBTRu N. VALUATION 81GNATURE OF �} PERMIT FEE $ 3� PERMITfE �� J �' /�}/ $ � PLAN CHECK � �y — AUTHORIZED AGENY / 3 � �a - --- --- - �'�'-