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Home My WebLink About2161 BISCAYNE SPRINGS - Building Permits� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Jobnddress: 2161 BISCAYNESPRINGS Suite: G001 Vicinity: Parcel Number: TPN98074 F npp�icant: ALBERTSON, NOEL Address: owner: BRIGHTON SPRINGS HOA Address 500 BRIGHTON SPRINGS COSTA MESA, CA contractor: DAVEY ROOFING INC Address: 17182 ARMSTRONG AV IRVINE, CA Zip: 92614 Arch : Address: Zoning: Phone: 714-822-6304 Zip: Phone: Zip: 92626 Phone: (949) 852-9955 License: 700710 Eng: Address: Phone: Status: ISSUED Applied: 10/30/2000 Issued: 70/30/2000 s � . ISSUED BY: Phone: Zip: � License: License: , SCOPE OF PERMIT REMOVE OLD ROOF, APPLY NEW METAL, INSTALL NEW SHEATHING AS REQUIRED, COVER WITH BUR. 4 CAR DETACHED ' ,RPORT. ` - ' ' � ' Plan Check: Permit: SMIP Res: SMIP Com; Other: Inspection: Total: $0.00 $8325 $0.50 $0.00 $0.00 $0.00 $83.75 SETBACKS MAINSTRUCTURE Front 0-0 \CCESSORY Front 0- 0 'ARKING Existinq: o �TES: 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 sz,sia.00 sz,s�e.00 he work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related Ord. No. 92-28, § 1, 12-21-92) : This permit shall automatically expire and become void it work is not commenced within. 180 days, or if work is suspended or abandoned 180 days. t: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all �etions and tinal approval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration ot this permit. ONS CALL: (714) 7545626 � WORKERS' COMPENSATON DECLARATION: � � I hereby atfirm untler penalry of perjury one ot the tollowing declaretions: t, .'�� ❑ I have end will maintain e certificate of consent to self-Insure tor workers' compensation, as provitletl for by section 3700 oi ihe LeDor Code, tor tha pertormance ot the work for which this permit is issued. - ❑ I have and wiil maintain workars' compensation insurance, as required by section 3700 oi Ne Labor Code, for Ihe pedormanca oi the work br which Ihis pertnit is issued. My workers' compensation Insurance cerrier and policy number are: Cerner. ' Policy Number: (This secfion need not be comp/eted il the permit is va/ueAat one hundred dallers ($100) ar less.) ❑ I certity ihat in the pertormance of tha work for which this partnit Is issued, I shall not employ any person in eny manner so as to become su6ject to the workers' compensatlon laws oi Calitom�d egree that it shoul become subject ro tha workers' compensation pmvislons ot Section 3700 of t�e Labor Code, I shall forthwith comply with thesa�nrovisions. ^ , /O � Applicent Signeture: `� j o M(M. Date: �� d � 3� WARNING FAILURE TO SECURE WORKERS' CAMPENSATIIXJ COVERAGE IS UNLAWFUL ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI S AND CIVIL FINES UP TOIXJE HUNDRED TFIOUSFND OOLL4RE (5100.000), IN AODRION TO THE COST OF COfdPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CODE, IMEREST, AND ATTOPNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hareby aHirm that I am licensetl under provisions of Chapter 9 force and eHact. Lic. N ComractoYsSignature: `9 f1' with Section 7000) of Division 3 of the Business antl Professions Code, and my license Is in tull Class N , Date: � � 3 � e CONSTRUC710N LENDING AGENCV: ❑ I hereby aHirm t�at there is a constmc�ion lentling a9ency for ihe performance ot Ihe work for which t�is permit is issued. (Sec. 3097, Civil Cotle). Lender's Nema: Lentler's Atldress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm ihat under penalry of perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe foilowing reason (Sec. 7031.5, Business end Professions Code: Any city or counry whic� requires a permit to construct, alter, improve, demolish, or repair any stmcture, pnor to its issuanca, also requires ihe applicant tor such permit m fila a signetl statemem that he or she is licensetl pursuam m the provisions ot Ihe Coniracrors License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business entl Pmlessions Code) or ihat he or sha is exempt Iherefrom and Ne 6asis for the alleged exemption. Any violation of Sedion 7031.5 by any applicant for e permit subjects the applicant to a civil penalty ot not more than five hundred dollars ($500).): ❑ I, as owner ot ihe properry, or my employees with wages es t�eir sole compensation, WILL DO THE WORK, antl the sirucWre is not intended or oHeretl for sale (Sec. 7044, 8usiness and Professions Cotle: The Coniractors License Law does not apply to an owner of property who builds or improves ihareon, and who tloes such work himself or herself or ihmugh his or her own employees, provided Ihat such improvements are not intentled or ottered for sele. It, however, the Duilding or impmvemem is sold within one year of completion, ihe owner-builder will have the burden of proving that he or she did not build or impmve for purpose of saie.). ❑ I, as owner ol ihe property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTOBS to conSWct the project (Sec. 7044, Business and Professions Code: The contractors License Law tloes not apply to an owner of pmperty who builds or improves thareon, antl who contracts for such project with a contractor(s) license pursuant to ihe ConVactors License Laws.). ❑ I am exempt under sec. eusiness and Professions Code tor ihis reason: Signature: Date: Owner ID verified by tlnver's license. ❑ Yes ❑ No Dnver's License No. E:pires: Vedfication of Ownership hy (type of tlocument, i.e. - proparry tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feat in dapt� into which a person is required to descend, will be made in connection wi�h work authonzed by this permit, and tha� no building structure, scattoltling, falsework, or tlemolition or tlismantling Ihereot will be more ihan ihirty-sia (36) taet high. (Chap. 32, Gry 2, Atl 2, Sac. 341, Title 8, Califomia Atlministrative Cotle). ❑ As owner-builder, I will not employ anyone �o do work which would reQuire a permit from ihe Division of Industrial Safety, as notetl above, unless such person has a permit to tlo such work from ihe tlivision. Signature: Date: Division of Indusirial Safety Pertnit Number: ARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WIII Ihe applicant or present or tuture building occupant naea ro file antl cenity a Business Plan tor emergency response to release or ihrealened release ot a hazar0ou: material? ❑ Yes ❑ No (Section 25505 of the Califomia Healih antl Satery Code requires, with some ezceptions, that a Business Plan be tiled with the Costa Mesa Fire Depatlment by eve� business which has at any one time during a reporled year a quantity oi hazardous materials epual to or greater than a weight o1500 pountls, or a volume of 55 gallon or 200 cubic feet of compressed gas at stantlartl temperature and pressure). ........................................................................................................................................................................................................................................................................................................................................................................ Does or will the applicant or present or future building oCcupant need to file a regisiration form tor acutely hazardous materiels7 ❑ Yas ❑ No (Section 25533 of the Califomia Healih and Satety Code, with some exceptions, requires registretion with the Costa Mesa Fire Depariment by each �usiness which at i one time has on hand a quantiry of acutely hazartlous materials equal to or greater Ihan a weight ot 500 pounds, or e volume ot 55 qallons, or 200 cubic tee' ComDfessed 995 2� S�antl2ftl �empefe�ufe end pfe%ufe). m an fection 25534 ot ihe Calitomia Healih antl Safety Code provides that ihe Costa Mesa Fire Department may require the preparation, ceniticafion and tiling with th[ epartment of en RMPP by businesses which are requiretl to registei acutely hazartlous materials with ihe Fire Departmem. ............................................................................................................................................................................................................................................................................................................................................................. an RMPP is oreseniiv reouired, hes Section 25534 of tha Calitornia Heelth and Safery Code been fully complied with? ❑ Yes ❑ No 5 uoes or wm ma eppucent or present or tumre omimng occupam reqwre �or me work wmcn is me suo�ect m[rns a pucauon a germn ior sucn conswcuon or moc imm the South Coast Air �ualiry Management Distnct or from eny other air polWtion control tlisMct or agency? � Ves �,J No (Section 658502 0� ihe Califomia GovernmeN Goda requires that the requested informa�ion be Wmished on eppiications fa nomresidemial builaing permits). ...................................................................................................................................................................................................................................................................................................................................................................... 6 Will any part ot Ihe tacility to be constructed untler this pertnit be within 1000 teet from �he outer boundaries ot a school9 ❑ Yes ❑ No Qt'yes', ihe facility must meet the requirement ot Seclions 25534 antl 42303 oi ihe Califomia Health antl Safety Code). .................. ..........._.. ..............___............ .........................................................................................._............................................................................................ 7 If e permit fmm the South Coast Air Quality Menegement District or other air pollution control district or agency is required for the work which is tha subjer eppliwtion, have all ot iha tlisclosures prescnbetl by California Healih and Safery Cotle Section 42303 been matla7 ❑ Ves ❑ No .................................................................................................................................................................................................................................................................................................................................................................... 8 (If "yes", atlach certilicate of compliance irom Ihe appropriate air polWtion conirol otticer). CERTIFICATE OF COMPLIANCE: I certity that under penalry of perjury ihe infortnation qiven above is correct. I aqree to comply with all state laws and ciry o regarding Hazardous Materiais antl Emissions. Signawra: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF EMAY: 1 cenify under penalty of perjury that I have reaa this application ana state that Ihe informat correcL I agree to comply with all state laws and city ordinances ralating to building consiruction, end authonze represen�atives of the Ciry oi Costa Mesa to em ebove-descnbed property tor inspec�ion purposes. I egree no� to occupy or ellow ocwpancy of any building authorized by ihis permit until finel inspection. CODE I. 1676 1266 200 201 202 203 204 ign e 1 egal wner(s) �� D4� tl/ r Authorized Applicant G INSPECTONTYVE Fixetl System Final Fire Prevention Pool Spa Final Final Re-Roof Final BIocWRetaining Wall Finel Factory Fire Place Final Sign Finel Demolition fj�ij� I RF 40pE 11 INSPEGTION TYPE 20fi Final Mechanical 20B Final Plumbing 210 Final Eleciriwl 212 Final Fire Prevention 220 222 250 Final Plenning Approval Final Site Final Building/Occupency �� (714) 754-5273 • Fax (7/4) 754-4856 • www.ci.costa-mesa.�U�LDING PERMIT �� FAIH UHIVt, GUS I A MtSA, l:A 82ti26 JobAddress: 2161 BISCAYNESPRINGS Suite: G002 Vicinity: Parcel Number: TPN98074 Applicant: ALBERTSON, NOEL Address: Owner: BRIGHTON SPRINGS HOA Address � 500 BRIGHTON SPRINGS COSTA MESA,CA conGactor: DAVEY ROOFING INC Address: 17182 ARMSTRONG AV IRVINE, CA Zip: 92614 Arch : Address: Zoning: Phone: 714-822-6304 Zip: Phone: Zip: 92626 Phone: (949)852-9955 License: 700710 Eng: Address: r ISSUED BY: / Status: ISSUED Applied: 10I30/2000 Issued: 10/30/2000 , Phone: - Phone: Zip: License: License: � SCOPE OF PERMIT REMOVE OI:D ROOF, APPLY NEW METAL, INSTALL NEW SHEATHING AS REQUIRED, COVER WITH BUR. � 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 Re uired: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: - $2,eie.00 Claim Valuation: g2,sis.00 - __ . , - Right �0-0 � �, Right 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. 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 [he work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred 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) 7545626 244646 (N00) WORKERS' COMPENSATION DECLARATION: I hewby eftirtn untler pen�of pe�jury one of the following declaratioos: - � ❑ I heve entl will mai mn e ceAificate of consent to self-Insure for workers' compensetion, es provitletl for 6y section 3700 of the Labor Cotle, tor Ihe pertortnance ol ihe work for which this pertnit is issuetl. ❑ I have antl will maintain workers' compensetion insurance, as required by section 3700 of Ihe Labor Code, tor the pertortnanc�oi Ihe wc�1c for which this pertnit is Issuetl. My workers' compensation Insurance carner and policy number are: Carrier: Policy Number: (This secfion need naf be completetl i/ the permif is velued af one bundred dollers ($100) or less.) ❑ I certity ihat in the pertormance ol ihe work for which this permit is issued, I shall not employ any person in any manner so es to become subject to ihe workers' compansetion laws oi Calitornie, end agree tha I should bacome subject to the workers' compensation provisions ot Section 3700 of the Labor Code, I shall lort�with comply with Ihese mv^isia�n{�. /y, ApplicaniSignature: �/�O.X \lll 7� oate: �C' /� [7 �bU WARNING FAIWRE TO SECURE WORKERS' COMPENSATION COVEMGE IS UNL4WFUL PND SW1LL SUBJECT AN EMPLOVEP TO CRIMINAL PE LTIES AND GVIL FlNES UP TOONE HUNDRED TMOUSAN� OOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTIQY 3]O60F THE L4BOR CODE, IMEREST, AND ATTORNEPS FEES. LICENSED CONTRACTORS DECLARA710N: I hereby aMirm that I am ' ensed under provisions of hapter 9(commencing with Section 7000) of Division 3 of ihe Business antl Professions Code, antl my license is in tull force antl eHecL Lic. q__ /� l� � l� Class N Coniractor's Signature: ✓�)� Date: _ 0 ] O �[ _ 7 CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn that ihere is a constmction lending agency tor ihe pedormance of Ihe work for which this permit is issued. (Sec. 3097, Civil Cotle). Lenders Name: Lenders Address: Signature: OWNER-BUILDER DECLARAT10N5: Date: I hereby eHirtn ihat under penalty of perjury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Protessions Code: Any city or county which requires a permit to conswct, alter, improve, demolish, or repair any structure, prior to its issuanca, also requires the applicant for such pertnit to tile e signed statemant thet he or she is licensed pursuant to ihe provisions oi ihe Contredors License Lew (Chapter 9(wmmencing with Section 7000) of Divislon 3 of ihe Business and Professions Code) or that he or she is exempt iherefrom antl the Dasis for ihe alleged exemption. Any violation of Seclion 7037.5 by eny applicant for a pertnit subjeds ihe applicant to e civil penalry oi not more then (ive hundrad dollars (5500).�: ❑ I, as owner of Iha properry, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the structure is not intended or otteretl for sale (Sec. 7044, Business and Professions Coda: The Contractors License Law tloes not aODly to an owner of property who builds or improves ihereon, and who does such work himseH or herseli or ihrough his or her own employees, providetl t�at such impmvemenis are not intended or oNeretl tor sale. It, however, the building or improvement is sold within one year of completion, Ihe owner-builder will have ihe burtlen of proving ihat ha or she did not 6uild or improve for purpose of sale.). ❑ I, as owner of the propetly, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business and Protessions Cotle: Tha wntrectors License Lew does not apply to an ownar oi property who huilds or Improves ihereon, and who coniracts for such project with a comrector(s) license pursuant to the Contrectors license Laws.). ❑ I am exempt untler sec. Signature: Owner ID ventied by dnver'S license. ❑ Ves ❑ No Business and Professions Code for this reason: Verificetion ot Ownership by (type of document, i.e. - property taz bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Driver's License No. Date: Expires: ❑ I hereby certity ihat no excavation five (5) or more teet in depih into which a person is requiretl to descen4 will be made in connection with work euihonzed by this permit, and that no building siructure, scattolding, talsework, or demoli�ion or dismantling thereot, will be more than ihirty-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Californie Administrative Code). ❑ As ownerDuiltler, I will not employ anyone to tlo work which would require a Dermit imm ihe Division of Industrial Setery, es noted ahove, unless such parson has e pertnit ta do such work trom the divisian. Signature: Date: Division of IntlusMal Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AU7}10RIZATON OF ENTHV: I certify under penalry of perjury that I have read this application and state that the information given is correct. I egrae to comply with all slate laws and ciry ordinances relating to building consWction, and authorize represeniatives of Ihe Clry o� Costa Mesa to enter upon the ebove-descdbed property for inspection purposes. I agree not to occupy or allow occupancy of any building euthorized by this permit until finel inspection. i re Of egal Ov+ner(s) —T�— AntllOr Autho� Ap licant yOpE 1. INSPECTIONTYPE 1616 1266 Fixea System Final Fire Prevention Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition Q�¢ IMRIALS r �� COUE I INSPECTION TYPE 206 Final Mechanical 200 Final Plumbing 210 Final Elecirical 212 Final Flre Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy