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Home My WebLink About3033 CAPRI LN - Building Permits.IobAddress: 3033 CAPRI LN Staws: ISSUED Suite: . Applied: 10/19/2006 Vicinity: ROOF Issued: 10/79/2006 Primary Occ: R3 Dwellings/ Cong Res <10 on t V- � Parcel Number: 13946103 _ ning R� � npplicant: SHULMAN, JOE • Address: 7721 ETNA CI Phone: 714-536-5116 ISSUED BY: HUNTINGTON BEACH, CA Zip: 92647 Owner: MILLER, RUTH HADALLER Address 3033 CAPRILN . " � COSTA MESA, CA Comractor. SHULMAN.ROOFING ' Address: � 7721 ETNA CI � Arch : Address: Zip: HUNTINGTON BEACH, CA Zip: 92647 . Phone: License: Phone: Zip: 92626 Phone: 714-536-5116 License: 870331 Eng: Address: Phone: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTAIL 2 LAYERS OF 15# FELT, 4:12 PITCH, 30 YEAR COMPOSITION SHINGLES AND REPAIR/REPLACE SHEATHING AS NEEDED. 6700 S.F. INCLUDES ATTACHED GARAGE. FEE SUMMARY Plan Check: $0.00 , Calc Valuation: 52o,iso.00 Permit: $33525 Claim Valuation: 52o,iso.00 SMIP Res: $2.02 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $337.27 SETBACKS MAIN STRUCTUR� Fronl 0- 0 ACCESSORY Front 0-0� PARKING Existin : 0 PLANNING & ZONING Rear 0- 0 Le(t 0- 0 Rear 0- 0 Left 0- 0 Repuired: 0 Pr000sed: 0 Right 0- 0 Right 0-0 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 il work is not commenced within 180 days, or it work is suspended or abandoned for a penod 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 raquired Inspections end flnel approval must be obtalned. Failure to obtain inspections antl final approval will result in the expiretion ot this permit. FOR INSPEC710NS CALL: (714j 7545626 26a&48 (N00) WORKERS'COMPENSAnON DECLARArON: I hereby effirm under penalry ol perJury one tli the following declaretlons: ❑ I heve end wlll maintein e cenllicete of �nsent to self-Insure tor workers' compensetlon, as proNded for by seMion 3700 of the Lebor Coae, for the pertormence of the �,^wOrk for which thi5 parmit I9 Issuetl. �� I heve end will maintaln workers' compensation insurenca, as requiretl by section 3700 of I�e Labo� Catle, for the pedortnance oi Ihe work for which ihis pertnit is issuetl. m,cMy worls¢ry cqmpanselion Insurance carder entl policy num6er are: "PolicyNumber: �%l`1:�Qi'iQi� or/ess.J - ❑ I certify ihat in t�e pedormence ol the work for which Ihis permil is Issuetl. I shall not employ any person in any manner so as to become subject to tha workers' compensation laws of Celifomi nd egree Ih t i.�ecome suD�ect to the workers' compensation provisions of Section 3700 of Ihe Labor Code. I shall forthwith comply with Ihese provisians. �loent(Slpnature: � �" i..! �;,Date_,. = ��(�-D� WARNIPK3rFAILURE TO SECURE WQ NERS' COtdPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPL'OR'ER TO CRIMINAL PENALTIES AND pVIL FlNES UP TOONE HUNDRED THOUSAND OOLLARE ($100,OD0�, I!�/ADDITION TO'ME COuT OF COMPENSATION, DAAMGES AS PROVIDED FOR IN SECTIqJ 3]O6 OF TME LABOF CODE, IMEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: under provislons of Chapter 9(commencing with Sectlon 7000) ot Division otihe�Business and Professions Code, entl my license is in full �Class a C'. "S g v. ,i �a`te:;... �-Q�(4�06 �. � CONS7RUCTION LENDING AGENCY: ❑ I hereby aHirm ihat ihere is e consiruction lending egency lor ihe performance ot Ihe work for which ihis permi� is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Atldress: Signeiure: OWNER-BUILDER DECLARA710N5: Date: I hereby eNirm Ihat under penalry of per�ury Inet I em E7(EMP7 FROM THE CONTRACTOfiS LICENSE LAW for the tollowing reason (Sec. 70.31.5, Business antl Proteulons Cotla: Any ciry or county which requires a pe�it to construct, elter, improve, demolish, or repair any structure, pnor to its issuance, also requires the epplicent tor such permit to file e slgned statement that he or she is Iicensed pursuant to the proNsions oi Ihe Coniractors LJcense Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 of the Business and Professions Cade) or Ihat he 0� she Is exempt therefrom flntl Ihe besis far Ihe elleged exemption. Any violation af Section 7031.5 by eny app��cant for a pertnit subjects the appticam to s civil peneVry M frot �e lhan tive hufWred dollers ($500)J: ❑ 1, as owner ot Ihe property, or my empl0yees wl�h weges es Ihelr sole compensation, WILL DO TME WORK, and the structure Is not intended or otteretl tor sele (Sec. 7044, Business ana Professions Code: The Contrectors License Lew tloes not apply to an owner of property who builtls or improvas thereon, end who tloes such woM himsell or herself or through his or her own employees, providad tha� such improvements are not Intended or ottered for sale. If, however, ihe building or Improvement Is soltl within ona year of completion, Ihe ��er�builder will heve tha burtlen of proving that ha or she did not build or improve lor purposa oi sale.�. ❑ I, 85 owner of the property, em E%CLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS lo construct the proJect (Sec. 7044, Busine5s end Protessions Cotle: The coniractoro Ucense Lew Oobs not epply to an owner ol property who builtls or Impmves ihereon, antl who comracts for such project wiih e Gonirector(s) licen5e pur5uant to Ihe Conirectors Lic�nse Lews.). ❑ 1 em exempt untler sec. Signalure: Owner ID veritiad by drivefs license. ❑ Yes ❑ No Business and Professions Cotle for ihis reason: Vedfication at Ownerehip by (typo of tlaument. I.e. - proparty tax bill ar tleed): DIVISION OF INDUSTRIAL SAFETV VERMIT CER7IFICATION: Dmefs LitenSa No. Date: Explres: ❑ I hereby certity Ihel no excavation five (5) or more teet in Oepth Into which a persan is required to descentl, will be made in connection witA work euthonzetl by this permit, antl Ihat no Duiltling siructure, s�ettolding, talsework, or Cemoli�ion or dismantling ihereot, will be more �han thirry-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 347, Title B, Califomia Administrative COde). ❑ As owner-builder, I will not employ enyone to do work which would require a permit trom tha Division of Indusirial Safery, as noted above, unless such person has e pertnit to do such work from �he dvision. Signature: Date: Division ot IndusMal Safety Permit Number: CERTIFlCATE OF COMPLJANCE AND AUTHORIZATION OF EN7AY: I ceM1ify untler penelry oi perjury ihat I have read ihis epplication and stata that the information given is correct. I egree to comply with ell stete laws end ciry ortlinances relating to builtling construction, entl authonze representatives ot ihe Giry of Costa Mese m enter upon the ebove-descnbed property for inspection pury0ses. I egree not to occupy or allow occupancy of eny building authonzetl by ihis permit until final inspection. COQE 1. INSiECTIONTYPE 1616 Fiaed System Finel Fire Prevention 1266 Paol Spe Finel 200 Finel Re-Rooi 201 Flnal BIocWRetaining Woll 202 Final Factory Fire Place 203 FinalSign 204 Final Demolition ' •� p1113 CQOE� INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuilAing/Occupancy � PdIE 1[�4 (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COS7A MESA, CA 92626 BUILDING PERMIT Job Address: 3033 CAPRI LN Suite: Vicinity: Parcel Number: 13946103 Applicant: SHULMAN, JOE Address: 7721 ETNA CL HUNINGTON BEACH, CA _ Owner: MILLER, RUTH HADALLER Address 3033 CAPRI LN COSTA MESA, CA Contracror: SHULMAN ROOFING Address: 7721 ETNA CL Arch : Address: HUNINGTON BEACH, CA Zip: 92648 Phone: Zoning: R1 R1 Phone: (714) 536-5116 Zip: 92648 Phone: Zip: 92626 Phone: (714)536-5116 License: 690617 En9: Address: ISSUED BV: Status: ISSUED Applied: 11/02I2004 Issued: 11/02/2004 Phone: Zip: License: License: SCOPE OF PERMIT REROOF: T/O SHAKE ROOF, INSTALL 7/16 OSB, 30# FELT AND 65 SQR'S OF 40 YR. CERTAINTEED COMP. SHINGLES. i Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $181.25 $1.00 $0.00 $o.00 $0.00 5182.25 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0- 0 $io,000.00 sio,000.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 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 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 Inspections and final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 2d48�46 (F✓00) WORKERS' COMPENSATION DELLARATIG. ' �' ' � ' I hereby efrirm under penaly of perjury one of the �ollowing tleclarations: � � ❑ I heve antl will maintaln e cartiticate of conSent ro self-Insure for workers' compensetion, es provided for by section 3700 of the Labor Code, for the pertormance oi Ihe work for which this permit is issued. � �❑ Iheve antl will maintain workere' compensation insurance, as required by section 3700 of Ihe Lebor Code, Por the performance of the work for which Ihis pertnit is issued. My workersycompensatlon In;wanye carripr end policy number are: _,,; ; Policy Num6er: /�� YIO��(J'� � l ar less.) ❑ I certity Ihat in the pertor ance of the work tor which Ihis pertnit is issued, I shall not employ eny person in eny menner so as to become subjact to ihe workers' compensation laws oi C fomia, and agrea that'� I shoultl become subject to the workers' compensation provisions of Saction 3700 of the Labor Code, I shall forthwith comply with thesa pro ions. _� / t� Appli nt SignaNre: �:' O�te: ! /� /Z �0 ! V✓ARNINO: FAILURE TO S RE WORKERS' CAMPEN ATION CAVEPAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CPIMINAL PENALTIES AND CIVIL FWES UP TOONE HUNDRED THOUSANOWLL4RE(51 ,000),INADDITIONTOTHE�TOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECTION3]O60FTHELABORCADE,IMEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS OECLARATION: I hereDy aNlrm thai I am Ilcensed under pr visic t ��na nect �ic. a G Cb�t[adofs SignaNre: of Chapiar 9(commencing wllh Sac�ion 7000) ot Division 3 of Ihe Business and Professions Cotle, and my license is In full CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm that there is a consimction lending agency for ihe performance of ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Signeture: _ OWNER-BUILDER DECLARATIONS: Lender's Address: Date: I hereby affirtn that under penalry oi perjury that I am E%EMPT 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 constmct, elter, improve, tlemolish, or repair any struc�ure, prior lo its issuance, also requires ihe applicant for such pertnit to file a signed statement that he or she is licensetl pursuent to the provisions of the Contracrors License Law (Chapter 9(commencing with Section 7000) oi Division 3 oi the Business and Protessions Cotle) or thet he or she is exempt ihe�efrom antl the basis for the allegetl exemption. Any violation oi Section 7031.5 by any applicant for a pertnit subjects Ihe applicant to a civil penelty of not more than five hundred dollars ($500).): ❑ I, as owner of Ihe pmperty, or my employees with wages as Iheir sole compensetion, WILL DO THE WORK, anC Ihe structure is not intentletl or oflered for sale (Sec. 7044, Business and Professions Code: The Coniractors License Law does noI apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own amployees, provided ihat such improvemenis are not intendetl or oflered tor sale. If, however, ihe building or improvement is sold wit�in ona year of completion, ihe owna�-builtler wiil have the burtlen of proving that he or she did not build or improve tor purpose ol sale.). � ❑ I, as owner of the properry, am EXCLUSIVE�Y CONTRACTING WI7H LICENSED CONTAAC70AS to conslruci ihe projact (Sec. 70Ad, Business and Professions Cotle: The conirectors License Lew tloes no� apply to en owner oi property who builds or improves thereon, and who contracts for such project with a contracmr(s) license pursuant to ihe Contractors License LawsJ. ❑ I am exempl under sec. Business and Professions Code tor ihis reason: Signa�ure: Date: Owner ID veritied by tlriver's license. ❑ Yes ❑ No Driver's License No. Ezpires: Veritication of Ownership by (rype of tlwument, i.e. - property tex bill or tleetl): _ DIVISION OF INDUSTRIAL SAFETY PERMIT CERnFICATION: ❑ I hereby certify ihat no ezcavation five (5) o! more feet in depth into which a person is required to tlescend, will be made in connection with work au�honzeG by Ihis permit, antl thai no building stmcWre, scaH0lding, falsework, or demolition or dismantling Ihereof, will be mora Ihan Ihirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Califomia Adminisirative Code). ❑ As owner-builder, I will not amploy anyone to do work which would require e permit irom ihe Division of Indusiriel Satety, as notetl ebove, unless such person hes e permit to do such work from ihe division. SignaNre: Date: Division of IntlusMal Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIYI�TON OF ENTRY: I cenify under penalry of perjury that I have read this application and state ihat the iniormation given is correcL I agree to comply with all state laws and city ordinances relating to building construction, and authonze representatives of the Ciry of Costa Mesa to enter upon ihe above-described property for inspec�ion puryoses. I agree not to occupy or allow occupancy of any building authorized by this permit until finel inspection. COOE �. INSPECTIONTYPE PA7E 1616 Fixed System Finel Fire Prevention 1266 200 Pool Spa Final Final Fie-Raof 201 Final BlocklRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Finel Demoli�ion ICtiil414j ^� COpE 1 INSPECTION TYPE 206 Final MeChanical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevenlion 220 Final Planning Approval 222 Final Site 250 Final BuiltlinryOccupancy P� II�dLfl � � VW1VL''x Mll,j�;j{�M M Lna� 11-GG oo _ JOB ADDRESS 30�� Capri Lane BUILDING PERMIT NO. 26i95 GENERAL CONTRACTOR M@ Clea� Co DESCRIPTION OF WORK pyt,Blk.Wa11 VALUE TYPE SUBCONTHACTOR or Final I I 1 Electric � i�, 2639� COSTA MESA BUILDINGSAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA. CALIFORNIA 92t20 � For AppllcaM to FIII In ComploMly TYPE OR PRINT m�,�,Na 3 033 C�a? r c�vE A�DRPF6 COSTA MESA, CALIFORNIA f1WN�l� / I ,/L � �� rv, � /i I I �K2r i$ ARCHITECT Yl •S C �Ct �i U C.t�. �rrs�r — cf z� NpL 6? �— J�"I -Z. I.�in'ur�n..'�LO.r.w. .' � 86TBACK LIN[ IROM DESCWPTION OF WORK I X[R6pY ACKNOWL[DO[ iNAT.i ANO BTATQ TMAT TX[ ASOV�,19 PLY WITH ALL CITY ORCiNANC6{ GU�LOIHO CONQiPYCTOM. HI6NATVRCOP PBRMITTB AUTHORIZ[D AO[t1T NOV 23-66 Q01046 ��*°�6.00 AIPLICATION FOR PERMR BUILDINf3 for Offln Uw Only RtC�ITNO. I f,+ w �� YARD�APPROVED MAIN BUILDIN� OI@TANCS BQT. MAIN BLD08. VAR• # ZONING u.a or p�w �_ em�uiHa f � '�� •-�lo� r�� 1AN08HALL�HL6HBTNAN YAND9APPROVBD ACC8880RY BUILDINO r �. BCT. MAIN Q ACCES9. BLI DATB TO B6 P[RrORM fD — c-�- 6 n � w �� /�U �. ' � MAV{ O iHl/ A��LIGTON TI[ AMOUM /XOWN UND6R VALUATIOH 1! /OR TH[ � CO CT ANO A0116� TO GOY• �uA�e[ OR �+rweuex�Ha A PCPMIi fE[ OH�Y. R YY� p[ouL11TINa yALUATION ] � ` �, PHRMIT F88 � � �� CJ w 0 TOTAI.PEE �V L/ C�L7 VALUE INSPECTIONS f Signature � Date _I GROUP I& J T�� S°il ��-�i a =�- SUBCONTRACTOR _; :- ^ COSTA MESA BUILDINCrSAFETI' DEPARTMENf P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620 For Applimm ro Flll In CompbNfy TYPE OR PRINT sui�niNa � � � ADDRHGD COSTA MESA, CALIF RNIA �1 4 LIG.TNO. ZJ N�pL �� GO I� 612H �l'l. ZS� n 13 .3�,/. no. or etna�. OF LOT O i T 3 Now ON LOT O USH OP E%IBTIN6 BLDO. 6Ci8ACK LIHt IROY �� 'iJq I car`n� a� emcsT 116AR YAR CID YAR LRFT `b ` RIQMT � 1 u�scwrnow oF wowc >3 ROO� crii �� C'�s�� 9 JUN 27 1966 R[C[IPT NO. ZONING � u.ao.n� OYILOINO ..No. /39_ �H: NOEAVlOVERHANf ' TO BIDB 0 REAR P. L 'E8 .OWHD YARD� MPROVlD MAIN BUILDIN� tOM GL /TRHtT) ' � VAR. SC 1 N6R[SY ACNNOWL[DO[ TIAT.� XAV6 114D TNIt 11��LIGTON •N� BT�T[ TNI�T TN[ AOOV[,10 CORR[GT ANO AOp6[ 70 COY• PLY WITN ALL CITY OpO1NAilCQ� AMD �TAi{ UN'� RlOYL11TIX0 oY1LDIX0 CONBTRYRION. HI6NATUN60r PHRMITT6 AUTNORIZ[D A6[Ni TNt AMOYNT tH01 ►UPWO[ 0I [tL VALUATION .��,s�y_ f �� i �— � �- 7ALL E8 LE88 THAN U.B,C.RHCIIIRBM[NTI YARD9 APPpOVHD ACCfi880RY BUILDIN6 a�. � AGCE. DAT6 Q•-w • ✓wWw Ion I6 roR iNs n �6pMIT I6C ONLY. a