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Home My WebLink About336 BORDEAUX LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT .labAddress: 336 BORDEAUXLN Suite: Vicinity: GARAGE ROOF ONLY Parcel Number: TPN00143 Applicant: HANSEN, DUKE Zoning: Address: N6646636 ., - � � ' � � Phone: . , � � � Zip: � , �:- ' Owner. BACK�BAYASSOC/WEBB PROP. MGMT Address .350 RIVIERA DR . " - - , . - � � ". Phone: ' �� COSTA MESA, CA � Zip: 92627 - i � Convactor. ROSS & BARROWS INC. � Address: 260 E ALTON AVE � - , , Phone:= Q14) 557-7440 " " SANTA ANA, CA - Zip:� 92707 � License:-�327802 Arch,': , . . � , . Eng: Address: , � � � � � . � �_ Address: , � . . �- - Phone: /� �, _ �. Zip: � ' � ,' license: Slatus: ISSUED Applied: 04/29/2002 Issued: 04/29/2002 _. SCOPE.OF PERMIT_. , ' REMOVE'OLD B.U.R. AND INSTALL A NEW FOUR PLY B.U.R. ON GARAGE ONLY. �� ' � , . . FEE SUMMARY ' � � Plan Check: $0.00 Calc Valuation: ;S2,�oo.00 � , � Permit: $8325 ` � -' -� � : � Ciaim Valuation: ; � � ,� $2;ioo,00' SMIP Res: $0.50 -%'' SMIP Com: , $0.00 , Other: $0.00 � ". Inspection: �, � �$0.00 �� °' r� � - ;, � � ��," - � � ��Total: 583:75 � �� " � _ � ," � � `� �.,�,, ��.� �:-.� , � _ ' % � �� PLANNING &"ZONING �' ' % ` � � SETBACKS � . ' �. . � ' ! �, � � MAW STRUCTURE �Front 0- 0 Rear 0- 0 lek 0- 0 Right ,� 0- 0� � . � , , � � , ACCESSORY �Front 0-0 . Rear 0-0 Lek 0-0 Right � 0-0 � PARKING Existin�:�, 0 Requlred: 0 Proposed: 0 , NOTES: ' ` � � „ � � � � . - . . �, . .. . „ �-i.. NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. ' INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this pertnit. FOR INSPECTIONS CALL: (774) 754-5626 eaaaas �eroo� WORKERS'COMPENSATION DECLARATON: � I hereby aflirm under penalry of perjury one of the tollowing declarations: � -� � ❑'I have entl will maintain a ceniticate of consent b seif-Insure for workers' compensation, as providetl tor by section 3700 of the Labor Code, for tha peAormance of the work for which Ihis permit is issuetl. ' � �I heve and will maintain workers' compensation insurance, as required by section 3700 of ihe labor Code, for the pertortnance of the work for which this pertnit is Issued. My worCkers' compensatlon Insuranc carrier aInd policy number are: c/ Cartier. L'��[�i �lJ/1/// PolicyNumber. b�6`c�2, ODIDp(S— (This section need nof be camp/eted il fhe permit is valued ef one hundred dollers ($f 00) or less.) ❑ I certity that in t�e pertormance of the work for which this permit is issuad, I shall not employ any person in any manner so as to become subject to Ihe workers' compensation laws of Calilornia, and agree that if I should become subject to Ihe workers' compensation provisions ol Section 3700 of tha Labor Code, I shall lorthwith Comply with ihese provisions. Applicent Signature: Date: WARNING: FAILURE TO SECURE WORKERS' OOMPENSATION CAVERAGE IS UNLAWFIIL AND SMALL SUBJECT AN EMPLOVER TO CRIMINNL PENALTIES AND CIVIL FlNES UP TOONE HUNORED iHOUSAND DOLLARE �5100,000), IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, IN�EREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm ihat I am licansetl under provisions oi Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Pmfessions Coda, and my licensa is in full torce and erced. Lia k� �3 Z�� D� Class x G—. 3� ContracbrsSigneture: /( / i/ _ Date: l�_� t� CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm that there is a conswction lentling agency for Ihe performance of the work for which Ihis permit is issued. (Sec. 3097, Civil Code). Lendels Name: Lender's Address: SignaNre: � Date: OWNER-BUILDER DECLARATIONS: I hereby aflirm that under penalry of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (SecJ031.5, Business antl Protessions Code: Any ciry or counry which requires a permit to consirucL alter, improve, damolish, or repair any structure, pnor to its issuance, also requires the applicaN for such permi� to tile a signetl stetement that he or she is licensed pursuant to Ihe provisions ot the Coniractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Code) or that he or sha is exempt iheraFrom and the 6esi5 for the alleged e:emption. Any violation of Section 7031.5 by any applicent for a pertnit suhjects the applicant to e civil penelry of not more ihan tive hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wa9es as Iheir sole compensatlon, WILL DO THE WORK, and the stmcture is not intentlad or otfered tor sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner ot property who builds or improves thereon, and who doas such work himsalf or herself or ihrough his or her own employees, provided thet such improvements are not intendetl or oNeretl for sele. If, however, the building or improvement Is sold within one year of completion, the ownerbuilder will have ihe bmden ot proving that he or she did not build or improve for purpose of sala.). ❑ I, as owner of the propetly, am E%CLUSIVELY CONTRACTING WITH LICENSED CON7RAC70RS to consimct ihe project (SecJ044, Business and Professions Code: The comractors License Law does not apply to an owner of property who builtls or improves ihereon, and who con�racts for such prolect with a contrectoqs) license pur5uant to ihe Con�raCtors LiCense LawS.). ❑ I am exempt under sec. Business and Professions Cotle for this reason: Signatura: Date: Owner ID venfietl by dnver's license. ❑ Yes ❑ No Drivefs License No. Expires: Venfiwtion of Ownership by (type oi tlocument, i.e. - pmperry tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PEflM1T CERTIFIGATION: ❑ I hereby certity �hat no escevation tiva (5) or more feet in tlept� into which a person is required to descend, will be made in connection with work authorized by Ihis pertnit, and that no building sirucWre, scaHolding, talsework, or tlemotiiion or Cisman�ling ihereof, will be more ihan Ihirry-six (36) feet high. (Chap. 32, Gry 2, Ar12, Sec. 341, Ttle B, Celifornia Adminisirative Gode). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division ot Indusirial Sefety, as notetl a6ove, unless such person hes e permi� �o do such work trom the division. . Signature: Date: Division of Indusirial Sefely Permil Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF EN7AV: I certify under penalty of perjury ihat I have read this application and state that the information qiven is correct. I egree to comply with all 5ate laws end ciry ortlinances relating to builtling construction, and authorize representatives of lhe City oi Costa Mesa to enter upon the above-descnbed pmpeny for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Legal Owner(s) Date /' �-U�� -" <-j Z �l -C� � nd/Or Authonzed Applicant Date CO�E t. INSPECTIONTYPE 1616 FixeO System Final Fire Preven�ion 1266 200 201 202 203 Pool Spe Final Final Re-Root Final Block/Re�aining Well Final Fectory Fire Place Final Sign 204 Final Demolition �g �� s�y � COOE� INSPECTIONTYGE 20fi Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250, Final Buildin<yOccupancy PAIE 1I�EL9 OWNER INSPECTIONS DOYLE & SHIELDS DeveloFmment Co.,Inc. DATE DATE 6-3-63 BUILDING PERMIT N0. SUBCONTtiACTOR , . � ��R FEE "�CEIV�D COSTA MESA BUILDING-SAfETY DEPARTMENT [ ( P. O. BOX 91] "� C09TA M86A� CALIFORNIA - � r I��CEs Ot�� ' For Applicant fo Fill In Completely . ppp��CA:7I�NFF�IZ�Ef2/J�ff$A TYPE OR PRiN'r � BUILDING - /� , , fol' 0{flte USB OII�y � BUILDIN6 .• i' f (.J: --� -n /� r, e'� yl . AODRESS, � v � v Lr i C3�SLv--�, v� REC61�T NO. '��p� � , , COSTA MESA, CALIFORNIA s� '� <61ViD Y � OATE RECEIVEy DATE133UED :OWNER c c.` �/'�. f iC �.r :�r✓-. l . �G 3 JUN 3 1963 ADDRESS �� I � v�+ . QN Gl1�J' I�� ✓ L 6'SS �� ^ r // L Q FIRE � GITY N 4� Q� N-� `� �• 7 NO.I � Y� � ZONE 'TYPE- � GROU ARCHITECT � �� TEL.�'j 'BYPROVED . DATE OR ENGINEER I" �, 1 u+� NO. 7/� ��✓ �% ADDRE33 ��° ��r*• Yn � n w--�_�'f "V� � ONING ,. � NO. OP , UeE OP NE � I PLAN9 � lWLDIN6 CONTRACTOR Sa.VY� Q� - �� /, ' � � � LE�AL � / AODRESS �Vl/M"�� ' DEBCRIPTION l�O �� I^�r� �� CITY � �� ry`� � . . . A. P. NO. � . ' LIG. NO.IS -�� -��'/ ryp ��[h �� ii0 30"r TO SOIOE Q R pq pHLNG SHALL BE LESS THAN EAYES s'ze `;�3 S� 3-3. sD I na. oF e�naa..� ALLOWED (Il. B. C. REQUIREMENTJ OF LOT NOW ON LAT . - YARDSAPPROVED YARDSAPPROVBD USEOF ' �� MAINBUILDINCY� ACCESSORYBIIiLDIN6 EXISTING BLD�. ' ( FROM C/L STREET) 6ETBACK LINE FROM �O � � �—� FRONT FT. FT. CENTER OF BTREE! �� REAR YARD SIDE YARO I�LEFT � I RICSFiT �� - R. SID O FT. ' FT• DESCRIPTION OF WORK �.sioe d F-r. r-r. .NEW ALTE@ATION ADDITION ' REAR F�. FT• � - � ' � OISTANGE BET. BET. MAIN 8 REPAIR ' MOVIN6� DEMOLISH 'MAIN BLD S. ACCESS.BLD6S. VAR.# ' DATE . BUILDIN6�3 -� �'^�. ROOMS 8T RIfiB � C. U. P. APPROVEO . SIZE (` EXTERIOR WAL�/ ROOF A�'�'R � y (/� ' GOVERING ✓7��to I COVERIN6 �� .'�i. BY DATE / V U OF BUILyDIN6 AND Wp K T BE P6RFQ RM /� �� 0.a.i��-e.-� �L-..1 G.t.F.c. F�7rnY-� � -��f � �3v— % :r� so. �. . +�f�Fo a � m I HERE9Y ACKNOWLE006 THAy � HAV6 READ TMIB APPLIGTION THE AMOONT S pNDEP VALUATION 19 FOR THE F' ANO STAT6 THAT THE ABOYQ I8 CORRECT AND AOREfi TO COM- PURPOSB.OF 8 ABLISHINQ A PERMIT FEE ONLY. � ' PLY WITH ALL C1TY ORD(NANCfiQ ANO 6TAT6 LAWe F[6ULATINO ypLUAT10N —� ` . BUILDIN6CON9TRUQION.� . . ` -� � h PERMITTE E'� � � � C47 6 [ . (' . �y PERMIT FEE �$ ✓ / m 41�.��Q � � �///`/�� `^ K p AUTHORIZED A6ENT �` �, t�. (%�A.{.'l _ t(�� L.a �` � TOTAL FEE $ (L