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Home My WebLink About3069 CEYLON RD - Building Permits� i� (714) 754-5273 • Fax (714) 754•4856 • www.ci.costa-mesa.�yfiLDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 3069 CEYLON RD Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Primary Occ: R3 Dwellings/ Cong Res <10 Type of Constmction: V-N Parcel Number: 13916407 Zoning: R1 Applicant Adtlress: Owner: Address MC CARL, TIM _ ` . �'=-." ry:::- • _ ! � y Y ar'..1 . 126 COMMERCIAL N/Y � - - � - " ` - . —',�=i��'.;-': � -� � - �^,,,�� .. . � . � � Phone: 949-548-5569�-� . COSTAMESA,�CA"•';.-,":�'��" i , ', Zip: 92627 ' .,r,.'t �.. ' � - . - - c _ SULLIVAN; SHOMAS`M 3069 CEYLON RD �� ISSUED BY: . '. • , � .,:�c.:� - � ' Phone: � �- , ,. �COSTA MESA, CA � �. - Zip: 92626 - � . �%-�� , . , Contracror. G L R ENTERPRISES INC/DBA CRANK BROTHERS ROOFING ,Address: 126 COMMERCIAL WY . � � COSTA MESA, CA " .' Zip: ' � 92627 Arch : Address: � . Zip: � Phane: License: REROOF RESIDENCE AND ATTACHED`GARAGE: T/O EXI: APPLY "CLASS A COMP SHINGLES." 32 SQUARES � Plan Check: . $0.00 - - .Permit: $181.25 �SMIP Res: , $0.94 , SMIP Com: • � $0.00 . ; Other: , $0.00 Inspection: $0.00 _ Phone: 949-548-5569 License: - 828379 Eng: Address: Status: ISSUED Applied: OS/16/2005 Issued: 05/16/2005 '' � _ ;��' � •` , ,: i "_�, � i r �, t ` � Phone:' License:' ' . � �r� vr r�nm� i - � . COMP.ROOF, REPLACE/REPAIR SHTG AS NEEDED, 2 LAYERS 15# FELT, FEE SUMMARY Calc Valuation: Claim Valuation: ., � � �f ss,a2z.00 �s,azz.00 � � ;� �Total: $18219.::. , , � ;.'� � • � ,.� �_> .. � , ` � �?�. � ' � - � � PL"qNNING & ZONING -� - " SETBACKS ,,, / , • - - MAIN STRUCTURE �Fronb 0= 0- ; �, ,Rear � �0- 0- � - - , - Left - 0-0 . Riyht � 0-�0 � , �. . ,' ' . _ - • , . ACCESSORY Front .,0-,0_ :�,-Rear 0- 0" - -Left � 0- 0 � Right � 0- 0�� ... - - . , . . - PARKING Existinp: o `�;' � -Reouired: o � ' . - �. Pr000sed: o ' . - - - NOTICE: The work authonzed 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 1 BO 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 Inspectlona and flnal approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaeae (r�oo) WORKERS' COMPENSATION DECLARATION: ` I hereby aHirm untler penalry oi periury one of the following declarations" �, _� . . ' � � ❑ I have antl will malntain a certificate of consent to self-Insure tor workers' compensation, as provitled for�by section 3700 oi ihe Labor Cotla, for the peAormance of t�e work tor which this permit is issued. � � �j� 1 have end will maintain workers' crompensation insurance, as require� by section 3700 of the Lebor Code, for the pertortnance ot t�e work tor which Ihis pertnit is Issued. My worker ' com nsation Insurence car{�er and policy number are: • Gam�� S�'A� i �ln in �\ P,b)� j,cy Numb�: j�2-�. °l 1 2— �ZO 6�_ (This sectian need nof be completed d the permit is velued af one hundred dollare ($100J or /ess.J � ❑ I certity Ihat in the p ormence of ihe worlc tor w�ich this permit is issued, I sha�l no(employ any person in any manner so as to become sublect to Ihe workers' � compensation laws C lif e, and a ree ihat if I shoultl become subject to ihe workers' compensation provisions of Section 3700 ot ihe Lebor Cotle, I shall fotlhwith comply with these vi io . � � Applicant Signeture: Da1�� i I 6 �.� �,-.��--- WARNING FAILUFE TO 5 U E WOFKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHAL� SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES NJD CIVIL FINES UP TO IXJE MUNDRED TFKKISAND OOLLARE (51 , ), IN ADDITIqJ TO THE WST OF COMPENSATIIXJ, �AMAGES AS PROVIOEO FOR IN SECTIIXJ 31060F THE LABOF CODE, IIJrEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby aHirm that�am licensed under provisions of Chapter 9(commencing wilh Section 7000) of Division 3 of the Business and Pwfessions Code, antl my license Is in full torce and eRect. Lic: a� � Sc3% � � Class,iF L' — 3`� � _ CONSTRUCTION LENDING AGENCY: . ❑ I hereby aHirm ihat ihere is a construction lending agency for the peAormance of ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lendets Nama: Lenders Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirm that under penalry ot perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business end Protessions Code: Any city or county which requires a permit lo construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the epplicant br such pertnit to tile a signe0 statement t�at he or she is Ilcensed pursuent to t�e pmvisions ot the Contractors License Law (Chapter 9(commencing with Section 7000) oi Division 3 ot t�e Business and Professions Code) or that he or sha is exempt iherefrom and ihe basis for Ihe elleged ezemption. Any viotation of Section 7031.5 hy any applicent tor e permit sublects the applicant ta a civil penalty of nat more than five hundretl dollars ($500).): ❑ I, as owner oi �he property, or my employees wi�h weges es their sole compensation, WILL DO THE WORK, and the simctura Is not Imentled or oHered for sele (Sec. 1044, Business and Professions Code: The Contreclors License Law does not apply to an owner of property who builds or improves Ihereon, and who does such work himseli or herself or through his or her own employees, provitled ihat such improvemenis are not intended or oflered tor sele. If, however, the builaing or impmvement is sold within one year of completion, the owner-builder will have the 6urden oF proving that he or she ditl not 6uild or improve for purpose of sale.). ' ❑ I, as owner of the property, am E%CLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Cotle: The wniraciors License Lew does nol apply to an owner of properiy who builds or improves thareon, and who coniracts for such project with a coniractor(s) license pursuant to the Contrectors License Laws.). ❑ I am azempt under sec. Signature: Owner ID verified by drivers license. ❑ Yes ❑ No Business antl Professions Code tor this reason: Verificetian of Ownership by (type ot daument, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Drivefs License No. Date: Expires: ❑ I hereDy certify ihat no ezcavetion tive (5) or more fee� in depth into which a person is required to descend, will be made in connection wiih work euthorized by this permit, and lhat no builtling s�ructure, scaHoltling, falsework, or tlemolition or tlismantling �hereof, will be more ihan thirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Calitomia Atlministrative Cotle). ❑ As owner-builder, I will no� employ anyone to do work which woultl require e pertnit Irom ihe Division ol Industrial Safery, es noted ebove, unless such person has e pertnit to do such work irom tha division. Signawre: Date: Division of Intlustnal Safety Permit Number: CEFiTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENfAY: 1 cenity under penalty of perjury ihat I have read this eppiication and state that the intormation given is correct. 1 agrae to wmply with all state laws end ciry ortlinances relating to builtling consiruction, and authonze representatives of the Ciry of Costa Mesa to enier upon Iha above-tlescribed property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by ihis permit until tinal inspection. COOEM' INSPECTIONTYPE -� '� � � � 1616 Fiaetl System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Rooi 201 Final Block/Retaininq W all 202 Final Factory Fire Place , 203 Final Sign 204 Final Demolition BSIE ' INTITIRLS �� '" Cyp� MSPECTIONTYPE "' 206 Final Mechanical 208 Final Plumbing 210 � Final Eledrical� 212 Final Fire Prevention 220 Final Planning Approval 222 Final�5ite 250 FinalBuilding/Occupancy , , Pdg ' U�dL$ � 9�2� , _ , -. _ i'.. `a, : a ; .:� �... i1 r_� ° COSTA MESA BUILDING-SAFETY DEPARTMENT �n P.O. BOX 31� GOSTA MESA. CALIFORNIA ��I1C�nF I IF�I FOR APPL/CANT TO f/L[ /N COMPLE7ELY APPLICATION'FOR PERMIT TYPE OR PRINT BUILDING BUILDING � ADDRE55 V COSTA MESA, CALIFORNIA FOR OFFICE USE ONC7 �WNER S camore Land Co. I AECEIPT NO. I PEqMIT N� /, MAIL RECEIVE BY � DATE RECEIVED DATE IBSUED AOORE55 35 Santa Monica B��%d.. �S �� c�rr Los Angeles 2$ N�r23287 BUILDING ADDRE55 ARGHITECT L. C. Ma OIE ��' COSTA MESA, CALIFORNIA OR ENGINEER � NO. 11OZS S. Paramount.Blvd.. ZONE TVPE // GROUP J�" ADDRESS CONTRACTOR Malgren C�ii$t L G�. NO, 153335 BVF'ROVED DATE an a Monica B v.. ADDftE55 ZONING LEGAL ILOT � I I3363 �ONE INO.OF IU6EOFNEW OESCRIPTION NO. BLOCK TRACT P�ANS BUILOING A.P. NO. APPROVED �� BY DATE OF LOT 101 . 3S X%O .% 2 I Hpw On �oTg O YARDS EVES REQUIRED ALLOWED USE OF � (CENTER LINE STJ EXISTING BLDG. FRONT ID FT. IN. SEi'BPCN LINE FROM C[rvi[a OF STFEET S% REAR YARD 7n R.SIDE Ff. IN. SIDE YARD �LEFT � IRIGHT 5 L.SIOE FT. IN. DESCRIPTION OF WORK REAR FT. IN. NEW I XIIALTERATION I IIADDITION I REPAIR I II MOVING I II DEMOLISH I BUILDING NO.OF SIZE ROOMS STORIES E%TERIOR WALL IROOF COVERING COVERING USE F�UILD WORK TO BE P D e�ling new construction 2BR Att. Ga r 1 HEREBY ACKNOWLEDGE TNAT I HAVE flEAD THIS APPLICATION THE AMOUNT 6HOWN UNOEP VALUATION 18 FOfl THE ANU STATE THAT THE PBOVE IS CORRELT ANO /GqEE TO COM� PLY WITH ALL CITY O DINANCES IIND ST/�TE LAW9 HEGIILATING PUflPOSE OF ESTR9LISHING A PEHMIT FEE ONLY. euuowc CON9rnu i VALUATION 7/ SIGNATURE OF PERMIT FEE $ �/ j� PERMI7TEE �% $ /C, 93� PLAN CHECK S �`� AUTHORIZED AGENT C TOTAL FEE $ �'T