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Home My WebLink About2183 BOSQUE SPRINGS - Building Permits(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.Cd,4�LDING PERMIT � �� FAIR DRNE, COSTA MESA, CA 92626 tSU , JobAddress: 2'I$$ BOSQUESPRINGS Suite: G3-B Vicinity: Parcel Number: TPN98074 ,. . Applicant: ALBERTSON, NOEL Address: owner: BRIGHTON SPRINGS HOA Address 500 BRIGHTON SPRINGS � , COSTA MESA, CA Contracror: DAVEY ROOFING INC Address: 17182 ARMSTRONG AV I RV W E, CA Zip: 92614 Zoning: Phone: 774-822-6304 Zip: Phone: Zip: 92626 Phone: (949)852-9955 license: 700710 ISSUED BY: Status: ISSUED Applied: 10/30/2000 Issued: 10/30/2000 Arch : Eng� . Address: Address: . Phone: Phone: , � � Zip: License: License: � SCOPE OF PERMIT REMOVE OLD ROOF, APPLY NEW METAL, INSTALL NEW SHEATHING AS REQUIRED, COVER WITH BUR. 3 CAR DETACHED ' CARPORT. ' � � � , Plan Check: $0.00 Permit: $83.25 SMIP Res: . $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: o 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 . , $2,053.00 $2,053.00� NO710E: The work authorized by this permit shall comply with all applicable handicap access requiremeMs under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced�within 780 days, or if work is suspended or abandoned for a period of 180 days. - INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inspectiona and final approval must be obtained. Failure to obtain inspections antl final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 244fi-46 (Cil00) WORKERS' COMPENSATION DECLARA710N: I hereby aftirm under penalry of periury one oF the tollowing tleclarations: . ' � � � ❑ I have end will maintein a certificate of wnsent to self-Insure for workers' compensation, es provitled for by section 3700 ot iha Labor Cotle, tor ihe performanca ot 1he work for which Ihis pertnit is issued. ❑ I have and wiil maintain workers' compensalion insurenca, as required by section 3700 of the Labor Code, for ihe peAormance of the work for which this permit is issued. My workers' wmpensation Insuranca carrier antl policy number are: Carner: Policy Number: (This section need nat be comp/eted il (he permit is valued af one Auntlretl dollars ($ f 00) or less.) ❑; I ceniy thet in the pertormance oi the work for hich this permit is issuetl, I shall not employ any person in any manner so as to become subject lo the workers' compensation la ot Celifo ia nd g e Iha if I should �ecome sublect lo Ihe workers' compensation provisions of Section 3700 ot ihe Lebor Code, I shall torthwith comply with these r ision /� � % Applicant5ignaNre: �� /.Y�' � Dale: /��SL� / G v WARNING: FAILURE TO SECURE WORKERS' CAMPENSATIIXJ COVERAGE IS UNtAWFUL ANO SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES D CIVIL FINES UP TOONE HUNDRED TMOUSAND DOLLARE (5100,000�, IN ADDITION TO THE CQST OF COMPENSATION, DAMAGES AS PROVIDED FOR M SECTION 3106 OF THE LABOR COOE, INTEFEST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm that I am Il�nsed under provisions Che�{er 9(commencing with Section 7000) of Division 3 ot che Business and Professions Code, antl my license is in tull force end eflect. Lia k n n 1 Class N ComractorsSigneture: Date: �� ']� CONSTRUCTION LENDING AGENCV: ❑ I hereby aMirm ihal there is a construction lentling agency to� the pertorcnance of Ihe work br which this permit is issued. (Sec. 3097, Civil Code). Lender'S Neme: Signatura: _ OWNER-BUILDER DECLARATIONS: Lentler's Adtlress: Date: I hereby aNirtn that under penalry oi Derjury that I am EXEMPT PROM THE CONTRACTORS LICENSE LAW tor ihe tollowing reason (Sec. 703L5, Business antl Pmfesslons Cotle: Any ciry or counry which requires a permit to consimcL alter, improve, tlemolish, or repair any siructure, pnor to its issuance, also requires the applicant for such pertnit to file a signed statement that he or she Is licansetl pursuant b the pmvisions of the Contrectors License Law (Chapter 9(commencing with Seaion 7000) of Division 3 of Ihe Business and Professions Code) or Ihat he or she is exempt thereirom antl the basis lor the alleged ezamption. Any violation of Section 7031.5 by eny epplicant for a permit suhjecis the epplicent to a civil penalty of not more ihan five hundred dollars ($500).): ❑ I, as owner ol the property, or my employees with wages as their sole compensation, WILL DO iNE WORK, and �he structure is not intendetl or oftered 1or sele (Sec. 7044, Business and Pmfessions Code: The Coniractors License Law dces not apply to an owner of property who buitds or improves thereon, and who does such work himseN or herselt or ihrough his or har own employees, provitletl ihat such improvemenis ere not in�entletl or offered for sale. If, however, Ihe building or improvement is sold within one year of completion, the owner-builtler will have the 6urden of proving that he or she ditl not build or improve lor purpose of sale.). ❑ I, as owner of the property, am E%CLUSIVELY CON7RAC71NG WITH LICENSED CONTRACTORS to consiruct the prqect (Sec. 7044, Business antl Professions � Cotle: The comractors License Lew tloes not apply to an owner of property who builds or Improves Ihereon, antl who contracts tor such project with a contrector(s) licen5e pursuani to iha Coniractors Licensa Wws.). � ❑ I am exempt under sec. Business antl Protessions Code for this reason: SignaWre: Date: Owner ID verified by dnvers license. ❑ Ve5 ❑ No Driver's License No. Veritication of Ownership by (typa of tlocumem, i.e. - property ta: Cill or tleedj: DIVISION OF INDUSTFiIAL SAFETY PERMR CERTIFICATION: Expires: ❑ I hereby certi}y �hat no excavation five (5) or more feet in depih into which a person is requirea to descend, will be made in connection with work authonzed by this permil, antl that no building structure, scaffoltling, falsework, or demolition or dismantling thereot, will De more then thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tllle 8, Cali�omia Atlministretive Cotle). ❑ As owner-builder; I will not employ anyona to do work which would require e permit irom the Division of Indusirial Safery, as notetl above, unless such person hes a permit ta tlo such work irom the division. Signawra: Date: Division oi Industrial Safery Permit Number: CERTFICATE OF COMPLIANCE AND AllT}10BIZATON OF ENTTiV: I certify untler penalry of perjury Ihat I have reatl this ep011cation and state Ihat the information given is correcL I agree to comply with all state laws and city ordinances relating to building consiruction, and autho�ize representatives ot ihe Ciry of Costa Mesa to enter upon the above-describetl property for inspection purposes. I agree not to occupy or allow occupency of any building authonzed by ihis pertnit until final inspection. COOE�• INSPECTONTYPE 7fi16 Fizetl System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Rooi 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition P�jf �MITIRLS (2 $� Y� Date �0�2 p �o C� ��'Da COOE 1 INSPEGTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Pravention 220 Final Planning Approval 222 Final Site 250 final Builtling/Occupancy PAIF 1[�ALS