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Home My WebLink About234 FAIRWAY PL - Building Permitsnppiicant: STEVE BURR Address� � 771 WEElO DR COSTA MESA, CA Owner: WELBOURN, 7HOMAS J Address 234 FAIRWAY PL COSTA MESA, CA Comractor: BURR ROOFING Address: �711 WEELO DR COSTA MESA, CA Zip: 92626 Arch : Address: Phone: Zip: License: _ Phone: 949-548-2965 ISSUED BY: Zip: 92626 Phone: Zip: 92627 Phone: 949-548-2965 License: 635586 Eng: Address: Phone: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 1 LAYER OF 30# FELT, 4:12 PITCH, 30 YEAR GAF FIBERGLASS SHINGLES, FLAT ROOF ONE 25# BASE, 2- 11# FIBERGLASS, 1- 72# CAPSHEE7 AND REPAIR/REPLACE SHEATHING AS NEEDED. 2,500 S.F. FEE SUMMARY Plan Check: $0.00 Calc Valuation: ss,000.00 Permit: $16725 Claim Valuation: Se,000.00 SMIP Res: $0.90 SMIP Com: $0.00 Othec $0.00 , Inspection: $0.00 Total: $168.15 PLANNING & ZONING SETBACKS MAIN S7RUCTURE Front 0- 0 Rear 0- 0 Lett 0- 0 - Right 0- 0 ACCESSORY Front 0- 0 .Rear 0. 0 Lefl 0- 0 Right 0- 0 PARKING Existin : o . Reauired: 0 Pr000sed: o . _., � ' �, . � .. . NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulations. (Orcl, No. 92-28, § 1, 12-27•92) ♦ . EXPIRATION: This permit shall automatically expire and become void if work is not commencetl withln 180 days, or it work is suspended or abandoned for a penod of 180 days. i'.� � 1''. �� •,, =, . ... , INSPECTIONS: In ader for the work authorized under this permil to be considered legal, such work must comply wilh all applicable codes, arrd al! required Inapeetiona end finel approval must be obtained. Failure to obtain inspections and final approval vrill result in the expiration ot this pertnit. FOR INSPECTIONS CALL: (714) 754-5626 �ue-as �eroo� WORKERS'COMPENSAnON DECIARAnON: . I horeby eHirtn under penelry of perjury one of ihe tollowing tleclaratlons: . ❑ I heve end will meinteln e ceNr�ete at consent to sell�lnsure lor workers' compensetion, es provltled for by sectlon 3700 at the tabor Code, lar Ne pertortnence oi the �wOrk f r w�iC� t�i5 pertnit Is issueA. arW will maintain workers� canpensation insurance, as requiretl by seclion 3700 oi Ne Lahor Cotle, iw Ne pertormanca ot the work for whkh Nis pertnit is lssued. lMy.work�rs; compensation Insurgpce card�nd policy number ere: PoliryNumGer�O�{G SS"y j one huntlred dollars ($100) or less.) ❑ I cehity that in tha pertortnenca of the work for which ihis pertnit is issued, I shall noi employ any person in eny manner so as �o become sublect to the workars' compensation laws ol orn nd ewea�h et il I should become sublect to the workars' compensetion provislons of Section 3700 ot Ihe Lebor Code, I shall forthwith comply with Ihese p� '' n. �1�/\ // 7 Appflcant'Signa� �� i ' [ri� ! ��V � �V r✓ �Dste: � �Q ��G �� WAfUJINOrFAICURE TO SECURE WOPKERS' COMPENSATION RAGE IS UNUWFUL PND SHALL SU&IECT AN E�.1PLpYERTp'CRIMINPL PENALiIES AND CIVIL FlNES UP TOONE HUNDRED T}IOUSAND Ddl/ RE (E100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOP IN SECTIIXJ 3']OB OF THE LABOP fAOE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DEClAAA710N: of Chapter 9(commencing wilh Section 7000) of Olvision 3�d�the'Buslnes nd Pr s�s'�,ns Code, antl my Ilcense is in tull �Class M � '� —/ � Date. � i �_� � _O CONSTRUC710N LENDING AGENGV: ❑ I hereby ettirtn that there is a construction lending egency for Ihe pertormance oF the work for which this pertnit is issued. (Sec. 3097, Civil Coae). LentleYs Neme: Signature: _ OWNER-BUILDER DECLARATONS: Lenders Address: Date: I hereby eXirtn thet under penalry of perjury Ihat I em EXEMPT FROM 7HE CONTHAC70R5 LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Professions Codo: Any ciry or counry which reduires a pertnit to consWct, elter, improve, demolish, or repair any strucWre, pnor to its issuance, also requires the applicam tor such permit to tile a signatl statement ihat he or she Is licensetl pursuant to the provisions oi the Contractors License Lew (Chapter 9(commencing with Sectian 7000) of Division 3 at the Business end Pratessions Cotle) or ihat he or she Is exempt therelrom end ihe basis for ihe ellegetl exemption. Any Woletlon of Sectlan 7031.5 by any epplicenl tor e permit subJeas the epplicam to a civil penalry cf no� more than 1'rve huntlreA tlollars (5500).): ❑ 1, as owner oi Ihe properry, or iny employees with wages as Ihelr sole compensation, WILL DO THE WORK, and the structure is not intentled or offeretl for sale (Sec. 7044, Business and Professions Code: The Conirectors License Law dces not appty Io an owner of property who builds or improves thereon, flnd who does such work himself or hersetl or through his or her own employees, provitleC Ihat such improvemenis are not intended or oHeretl br sale. It, however, the building or improvement is sold within one year oi complelion, the owner-builder will have the burden ol proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct tha prolect (Sec. 7044, Business end Protessions Code: 7�e contracmrs License Law does nol epply to en owner ot pmpeny who builtls or improves Ihereon, and who contracts lor suc� project with a contractor(s) license pursuant to the ContraCtors License Laws.). ❑ I em exempt under sec. Business end Professions Coda tor this reeson: Signe�ure: Date: Owner ID verified by dnver's license. ❑ Ves ❑ No Driver's License No. Expires: Vedflcatlon ot Ownership by (type of tlwument, i.e. � property tax 6ill or tlaetl): DIVISION OF INDUSTRIAL SAFET' PERMIT CERTIFICATION: ❑ I hereby certity that no axcavation five (5) or more leet in depih into which e person is required to descentl, will be made in connection wi�h work authorized by this permit, entl Iha� no builtling s�N��ure, scaflolding, falsework, or tlemolltion or dismantling t�ereoC wlll be more Ihan thirry-sia (36) fee� Nqh. (Chap. 32, Gry 2, Art 2, Sec. 341, 7tle B, Califomia Atlministra�ive Cotle). ❑ As owner-DuilAer, I will not emp�oy anyone to do work which woultl require a permit irom the Division of Industrial Safery, as notad ebova, unless such person has a permit lo tlo such work irom Ih0 division. Signature: Date: Division of Industrial Sefery Pertnit Number: CERTIFlCATE OF COMPLUWCE AND AUTHORVA710N OF ENfRY: I cenity under penalry of perjury that I heve read this application and state ihat Ihe intormation given is correct. I egree to comply with all sta�e laws end ciry ordlnances relating to building construc�ion, end authorize represeniatives of lhe Ciry of Costa Mesa to enter upon the ebove-describetl properry for inspectlon purposes. I egree not to occupy or allow occupancy of eny building euthonzed by this pertnit until fnel ins0ection. COOE I, 1616 7266 Legel Fizetl System Finel Fire Pre�ention Pool Spe Final 200 Final Re-Roof 201 Finel Block/Retaining Well 202 203 � Final Factory Fire Place Final Sign Flnal Demolition f7.ii�l:li11/.15j i / ��,�� //�� COUE� INSPECTIONTVPE 206 Final Mec�enical 208 Finel Plumbing 210 Final Electriwl 212 Finel Fire Pravention 220 Final Planning Approval 222 Final Site 250 Plnal Bulitling/Occupancy ' � G D�TE li�fl � i ' r.y. . � s�s4 COSTA MESA BUILDING DEPARTMENT P. O. BO% 31'/ COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN BUILDING /� ADDRE55 .Z3�I__A�/-(aJ � /-�(aL �. COSTA MESA. CALIFORNIA OWNER��YOIJh�T9 M. tlYV lY0/�� L. /J F' e W Lr` ADDRE55 a�y �a�r..,ayP/. ��T� (��sta Meso.. TNO.`� 8-9�ia.� ARCHITECT LIC. ORFN[,INEER /l/.IL�Y- NO. ADD. CONTRACTOF OGI �M Q h LEGnL fLOT �ESCRIPTION NO. A.P.NO. /f9� OF LOT 90;90�� USE OF E%ISTING BLOG. SETB�GK LINE FROM CENTCR OF STREET SIOE YARD RIGHT �X_ LEFT u DESCRIPTION OF WORK ALTE4ATION ADDITION MOVING DEMOLISH / � NO.OF rJ ROOMS 3 STORIES ROOF L`STL4LCU COVERING ,F�(p�� r ,. � i„ k_ .._ _ ,e.. +i. _;.__► rQ CITV LIC. NO. TEL. / INo, ov e�ocs. I NOW ON LOT REAR VARD NEW REPA BUILI 512E FEE RECEIV�D�, �� Flfdqf�C� DEPT. APP �ICA"TI��NT FORAPERMIT BUILDING FOR OFFICE USE ONLY FIRE COSTA MESA. CALIFORNIA '�i OATE � RECTIONS � � � ST�TE TMAT TNE /.BOVE IS CORRECT AND �GREE TO COMPLV WITM 1LL CITY ON�INLNCES /�NO $T�TC L�WS REGULATING BUILOING CONSTRUC- TiON. ' VALUATION SIGNATURE OF �l �/� � PERMiT FEE S PERMITTEE T � P�AN CHECK $ AUTHORIZED AGENT $,� TOTAL FEE S 9"`