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Home My WebLink About2473 FAIRWAY DR - Building PermitsCITY OF COSTA MESA . • ' � �, F` _ � BUILDING DIVISION � ._ DEVELOPMENT SERVICES DEPARTMENT ��. �� PERMIT PERMIT NUMBER 698-01322 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 2473 FAIRWAYDR Suite: Vicinity: Parcel Nunmber: 11910238 Applicant: SIMS, JEFF Address: BUILDING PERMIT Zoning: � i PAone: 714-54T-h339 , ,//�/:!�-� . � . Zip: � ' ' � i, i%i Owner: DAVIDSON; EL'IZABETH J , - ,� Address 2473 FAIRWAY DR _, -. � ' %•ii ' % ��(./ / . �. � � " . Phone: -- ��. � . . � /, �COSTA ME6A,CA " � Zip: 92627 �/� � \ , ` � � � 5, ` Contrector:� � � Address: ' � i %�' � , ii�. ,'.' � �� .//-/ � Phone: „i j.,� i..,�i i ,�i i , ;ii„ Zip: �' � , � �!// I;� =;1-� �� '% License: �� Y. f Aich /_Eng : `'�` „ � %_� ' • � Address: . �.�� . , ��- � � � � - " Phone: � �, . /.. . . ZiP - - � � " License: � Status: ISSUED Applied: 07/23/1998 Issued: 07/2311998 '� , j ' � ; " SCOPE OF PERMIT � \ f .� /� � T/O'EXIS AND REROOF W/ 50 YR PRESIDENTIAL SHINGLE/ 306B FELL , ` . � ,. . . � � ' . ,, ; .. . . . .. . � . ` FEE SUMMARY `� Plan Check: � $0.00 , � �-, , — — _- '" •. .�! , Calc Valuation: L Permit: " $112.25 - ' - -- r� / -Claim Valuation: �SMIR Re's: �,. $0.60 � � j SMIP..Gom: �.,$0.00 --__/ �.�� Other:'� ��t $0.00 — _ Inspection:� �� '�$0.00 ,� ;� �., To,tal:� , $112 85, � � . -,,�, SETBACKS MAIN STRUCTUI ACCESSORY PARKING NOTES: � ' �. � Front 0- 0 , Front .� 0- 0. Existinq: �0 ,. " : . ' " �t. � � . �� PLANNING & ZONING ' , Rear 0. 0 ' • Left �� 0- 0 Rear 0. 0 Reauired: 0 , Left 0- 0 Pr000sed: 0 Right Right ,� � ,� � ss,sezoo $5,987.00 EXPIRATION: This parmit shall automatically expire end 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 requlred Inepeetlona and finel approvel must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 754.5626 WORKERS' COMPENSATION DECLARATION: � I hereby eHirtn under penelry af per�ury one at iha fallowing declarations: \ ❑ I heve end will maintein a certlficete of consent to selFlnsure for workers' compensetlon, es provitletl for by section 3700 of the Lebor Code, for the pertormence of ihe� work for which this pertnl� is Issuetl. ❑ I heve end will maintain workers' compensetion insurance, es requiretl by section 3700 of ihe Lebor Cotle, for Ihe pertormance of Ihe work for which this pertnit Is issued. My workers' compensetlon Insurence certier entl po�lcy numher ere: Certler: Poliq Number: (Thls sed/on need nof be completetl i/ Me permit Is valued et one hundred dollars ($100) or less.) � I certity Ihet in the peAortnance of the work for which ihis permit is issued, I shall not employ eny person in eny manner so as to Decome sub�ect to the workers' wm nsetion laws of Gell�'��e Ihat if I shoultl becama subjed to ihe workers' compensation proNsions oi Sectlon 3700 ot the Labor Code. 1 shell forthwit� h ihese prohs �� 3-�� Applicent Signa e: � Date: WAAFII 0: FAILURE TO SEC RKERS' CAMPENSATION COVERAOE IS UNLAWFUL AN� SNA11 SU6IECT AN EMPLOVER TO CflIMINAL PENALTIES AND CIVIL FMES UP TOONE MUNDRED TFKKISAND DOLLARE (5100,000), IN ADDITION TO THE �ST OF COAIPENSATION, DAMAGES AS PROVIDED FOR IN SECfION 31080F TNE UBOR WOE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirtn ihat I em license , n er pr i' force and eNect. Lic. # CONSTRUCTION LENDING AGENCY: 9(commencing with Sedion 7000) of Division 3 of the Business antl Protessions Cotle, end my license is in full Clau # Date: �Z ❑ I hereby affirtn that ihere Is e consiruction lending egency for ihe OeAortnance ol the work tor which this pertnit is issuetl. (Sec. 3097, Clvil Code). lender's Name: Lenders Address: SlgnaNre: OWNER-BUILDER DECLARATIONS: Dale: I hereby aHlrtn thet under penelry at perJury t�at I em El(EMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires e permit to construct, alter, Improve, demolish, or repair eny siructure, prior to its issuenca, alsa requires the epplicant for such pertnit to flle e signed stetement ihet he or she Is licensed pursuant ta tha provisions ot Ihe Gontrectore License Lew (Chepter 9(wmmencing with Sectlan 7000) at Divlslon 3 of Ihe Business end Professions Code) or that he or she is exempt theretrom and Ihe basis tor the elleged exemptlon. Any violation ot Seqlon 7037.5 by eny epplicant for e permit subJecL ihe eppllcant to a clvil penelry oi not more then five hundred dollars ($500).): ❑ I, es owner oi ihe propeny, or my employees wi�h wages as ihelr sole compensa[ion, WILL DO THE WORK, entl t�e siructure Is not intended or offeretl fo� sele (Sec. 7044, Business and Professions Code: The Conirectors Llcense Law does not epply to en owner ot praperty who builds or impraves thereon, and who tloes such work himself or herself or Ihrough his or her own employees, provltletl that such impmvemenis ere not Intendetl or oRered for sale. It however, the bullCing or Improvement is solO wlthin one year ot completlon, the owner-builder wlll heve the burden of proving ihat he or she did not build or Improve lor purpose of sale.). ❑ I, es owner ot iha properry, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construcl the project (Sec. 7044, Business antl Pmtessions Code: The contractors License Lew does not appty to an owner ot Oroparty who bullds or improves Ihereon, and who wntracls tor such pro�ect with e coniractor(s) Ilcense pursuant to the Cantractors License Laws.). - ❑ i am exempt untler sec. Signe�ure: Owner ID verifietl by dnvels license. ❑ Yes ❑ No Business and Prafessions CoGe tor Ihis reason: Veritication of Ownership by (rypa of document, i.e. - properry tex bill or deed): Driver's License No. Date: Expires: DIVISION OF INDUSTRIAI SAFETY PEHMR CERTIFICATION: ❑ I hereby certity ihet no e:cevatlon five (5) or more feet in depth into which e person Is requlred to descend, will be metle in connection wit� work euthorized by ihis pertnit, and thet no building structure, sceHolding, lalsework, or demolition or tlismantling t�ereot, will be more then thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomia Administrative Code). ❑ As owner-builder, I wlll not employ enyone to do work which would require e permit hom �he Dlvlsion of Industnal SafeN. es noted above, unless such person has a permil to tlo such work from t�e tlivision. Signeture: Date: Didslon oi Indusirial Safey Permit Numbac CERTIFICATE OF COMPLIANCE AND AIfTHORIZA710N OF ENTBY: I cetlify under penalry of perjury thet I have read Ihis epplication an0 s�ate that �he information given is conect. I agree to comply with all stete laws antl ciry ordinences relating �o building consWction, end authonze represenletives ot the Ciry ot Coste Mesa to enter upon the ebove-descnbed property for inspection purposes. I agree not Io occupy or allow occupancy of eny building authonzed by this permit until tinal inspection. COUE1. Qj$PEttIONTYVE 1616 Fixed System Finel Fire Prevention 1288 Pool Spa Final 200 Flnel Re-Roof 201 Final Block/Retalning Well 202 Finel Facrory Fire Plece 203 Final Sign 204 Final Demolition zaaaae GAiE UII�lLS • • : ' %lry `�%- ��'- l�" �� oate SQQ(� INSPECTIONTYPE 206 Final Mechanical 200 Finel Plumbing 210 Final Electdcal 212 Final Fire Prevention 220 Finel Planning Approvel 222 Finel Sita 250 final euiltling/Oaupency � MARANATHA DOUGLAS SMITH MILLARD ROOF CO., INC. 1331 North Custer Street • Santa Ana, California 92701 Telephone: {714) 547-4339 � Slete Contractor's License No 433205 � • i 7 o A[l. Cait/C�E�PNED . � . �; ; - �' • , �:�: � . - RE�_ 7NE D2!9c�1/NG OF Ciry pEkM�TS A/vD/oR ��cEN�Es: , .QE ir KN aivN 7x1AT" TEFF S/MS /�ND MARK NIi�44RD I�EiN� CoRP OFF/C'ERS ARE N�E�3y DES/GNRTED ,Qy /�IE — . . • , • � /c�oaF �Co. ZNC �y332o5 To ,peAc� �vy ANDA�. ��r� �.�e/PEiQr��T a AND �"o AcT �s�or�i°,q�vy. �6�� av 7T!is��ARO. .. _ .. STATE OF CALIFORNIA ) � � COUNTI OFORANGE ) �ovGl..flS S. /''I/L1A/c��0 Ti� _. �� . ; �.�.; f�Q,�S�.P/�'�o _ � DouGl�9s S /��D ��F�o .. . : �.---, c�/2��9� ' . � .7�ve � �y332oS � n On April 2B, 1998 before me, Beverly G. Olsen, personally appeared Douglas S., Millard, Jr., proved to me on the basis of satisfactory evidence to be the person whose name is subsc�ibed to the within instrument and acknowledged to me that he executed the same in.his authorized capacity, and that by his signature on the instrument the person or entity upon behelf of which the person acted, executed the instrument. t , ,' WIT�t y hand and official seal. '"""'"`�"""`' ,` �.-.' . BEVERLY G. OLSEN - � � � COMMISSION I�IOZB�Z e Nolery Publk - Cetlfomle S ORANOE COUNTV � � � My Commlaelon Eicpirse " • -' - " � - . . . . �JU�LY 25, 1B88 �o�� l t . . . _ _. _ . . ..: f R . . . . - . _ "� ..., _ _... - - � , � . . . . ., ._� .. _... ;. . . - �__ ___ __ V - _� ,,. COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSYA MESA, CALIFORNIA 92626 -� For Applicant to Fill in Completely — Use Ink Only BUILOING _/ ^� ADDRESS oLV� �j A/� LVNV OWNER �n�/,. " �- ' MAI l ADORE55 S/f GTV � O�/� CONSTRUCTION F C kd L Q .�. � 5 F� C [+d 6. J ..1 Q � � a w n. O a o. z � 2 3 BRANCH ADDRESS ARCHITECT CONTRACTOR ADOFESS 3� CITV STATE �,�. No. 3 � 512E OF LOT � / TEL. NO. L. TEI.(�a/(� NO. SSIe CITV LIC. NO. NO. OF BLDGS. NOW ON LOT Separate permi[s are required� for electric, plumbi0g and heating work. USE OF BUILDING AND WORK TO BE PERFORA I hareby ecknawlatlpa that I have reetl ihis applicatton end state thot the ubovo tnformation Is correct antl agreo to comply with all laws regulatlnB buildinp conrtruction, antl I shall not employ any parson In vlobtion of the workmen's compensatian laws of the Stata of Californle. I hareby certify thai I am p�operly licensetl as a contractor untler the State of California Business and Protesslons Code, Division 3, Chapter 9, antl ihat such �ictl�ses are in full force and efiect, or 1 am exempt from the provisi0�5 of the State ot Californie Business and Professions Cotlo, Divisio� 3, Ch � te� 9 Sie�at�re o# � � Permlttee Autharized ABent BVILDING ADDRESS OWNER FIRE �:��7-�.:;::`.'-CIO��n'�». t::;::ll�'.S� FORSTRUCTURALPERMIT DATERECEIVED TEJI�i� / � ZONE� NO.OF� ai-a.Ns L VARDS APPROVED DISTANCE BET. MAIN BLDGS. VAR. #5 THE AMOUNT SI �}iE PURPOSE OF VALUATION /, � � S� � VALUE VSE OF N , 1 BUILDING �/� -��;� VAFDSAPPROVED ACCESSORY BUIlD1NG FT DATE APPROVED �� n m a' m VN UNOER VALUATION IS FOR m 'ABIISHING A PERMIT FEE ON e PERMIT FEE y a N m PLAN CHECK S "� 0 LL TAX S � U TOTALPAID E Be :Kn� CON7RAC70R R& R Const DE: �, 1�9-100-38 LOT TRACT FIR ROUGN PLUMBING PROP. SWR. LINE �] MOUSE CON. SPRINKLING SYSTEM �IR CONDITIONING' UNDERGROUND � POwER ROUGH WIRING �ND F p�eSTER •u fIN�L SUBCONTRACTOR OWNER gette Lhvidson JOB ADDRESS 2473 Fainaay LTx GENERAL CONTRACTOR {{�rt Cc t�',»'o. 719-102=38 LOT (� CTIONS soi� c�s ~ wFTER HOUGH PLUMBING PAOP. SK'A. LINE �__j HOUSE CON. � SPRINKLING SYSTEM MISCEL�/NEOUS ' AOUGM ME<iING aN0 �IR CONDITIONING TEMPOA<Fr SERVICE OR POIE UNpERGAOUN� r, POWER � AOUGH M'�AING TFENCPES IJ FOAMS STEEL RE�NF FLODF SvSTEM BONO BEnM [-1 STEEL REINFORCE I� SMEnTNING FRAME ANO FLqSHING LNTHING — IN i �UT PLPSiEp. BAO`uN COnT �URA�, FIN>l N� .NG. VENT., REFRIG. AN� �.C., FIN�L PLOM0ING. FIN4L 4N� GAS TEST n ELECTRIC,FINAL 9UIL�ING, P�rvnl. DATE BUIL[ SUBCONTR�CTOR ERMIT N0. F � S a .�.i y F C w F a � r .� a w a� � � a z w S 3 1904 8/27/79 42.50 COSTAMESABUILDINGSAFETYDEPARTMENT APPLICATIONFORSTRUCTURALPERMIT- P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 REC V PERMIT For Applicant to Fill in Completely — Use Ink Only �7b No � B""��"G � F!�/2<v D2 A.P.NO. / I 7—�O 'Z� 30 ADORESS 7�[�7 ? /� /� ,7�n OWNER OR �j h^ /� AD'DRE55 `/ ( J F/TI/EW J/G TENANT �.J�`� ///TV�/ISO� „/ UNIT OR AD R�E 5 Z�7 7j �/T/K��J �IZ SPACE NO. -� Ly7 /p q TRyNO�`. �� LOT BLK. CITV ��j( /'T ��//'� NO�. O�p I d'6Z $ NEW ADD ALTER REPAIR MOVING DEMOLISH CANSTRUCTION //O i /r LENOER /" NG BRANCH OWNER D I �� ADDRESS VALUE ? ARCHITECT TEL. ,! USE � �(�.�nf ��Q� $ �� ORENGINEER D�:: �N .S`�3Z e—�— ADDFESS ��z �I2E�jvt�N S/'7n// ZONE '` TVPE V GROUP y CONTRACTOR ��,`t O %�e'f�O � ByPROVED DATE (J' ` � ADDRESS �Z Z / /�/✓`/�J� TEL. CITV s NO.��L7 LIC. NO. J ("�� O LICVNO. APPROVED SETBACKS SIZE /_G/3'/ (�/f7" NOWONLOTS (RONTC/�`�FTT,O OF LOT(p EXISfING BIDG. ��VI�G'7' � FT. O Separate permits are required for L. SIDE electric, plumbing and heating work. REAR 3/ FT. lp USE OF BVILDING AND WORK TO BE PERFORMED PLANNING ACTION S/•t/ -C� L T' 0 7-o re s�� AF ROVED / APPROVED lj/� /a•7!7/ /C [ I hereby acknowledge thet I have reatl this epplication entl state thet the above information is correct antl a8rea So comply with all laws regulating building construetion, end I shall noi employ any person in violation of the workman's compen5ation laws of the State of California. /� 2 I hereby cartify that I m pro0erly licensetl as ontrector untler SQ. FT. the State of Celiforn' Business and Professio Cotle, Div ion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapier 9, antl tha such licensas are in full rce and e act, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: am exempt from e provisions of the St f Califor Business VALUATION PERMIT FEE ' � Q[% antl Professions tle, Division 3, Chapier $ L PLAN CHECK $ � Signature o /r /`�,�1 �--/� Pe�mltiee � $ 3`� (C/' V(J TAX $ � Of Authorizetl geni Oate � TOTALPAID $ Z, � 7 m e Y n m f U TL LOT F) � ACT �IO : � ' 1��v0 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA FOR RPPUCANT TO F/LL /N COMP[ETELY TYPE /OR PRINT BUILDING /� .. � n �/ ,. . —. . /�i COSTA MESA. ADDRE55 tAST I TH STREET CITY COSTA MESA N0.I H' AR("'�TECT LIC. OF fNEER NnNF NO. FEE RECEIVED �J/JUL 131961 � FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING fOR OFF/CE USE ON[Y I RECEIPT NO. I/�� p�ZOD �r- 7' IV U 9Y DTTE PECE VED DATE IBSUEO �a`a� 7�/�-tv / 7-! � -/o COSTA MESA. CALIFORNIA rvar � r.anuc � ADDRESS ZONING LEGAL LOT 39 Q ZONE 1 I NO. OF �J I USE OF NEW yV �ESCpIPT10N I NO. � I BLOCK I TRACT �( P�-ANS [� BUILOING A.P.NO. BYPROVED_�/��, DATE �/II (] �r�+ OF LOT (p/�� d • J(/' � rvow oN tots Q YARDS EVES ord 3 7 REpUIRED ALLOWED Y USE OF NONE ICENTER LINE ST.) .7 /1� C EXISTING BLDG. FRONT -!c9 �, /�' IN. SETBACK LINE FHOM / / n/�/ Y CENTEF OF STREET REAR YARD/ Ii (! R SIDE � FT —� IN / H / // ILEFT IRIGHT S�� L.SIDE � FT. � IN. DESCRIPTION OF WORK I / REAR � • FT. (7 IN. I X II .. __�._,�.. I il .....,_,�.. I BUIlO1NG J' / � NO.OF SIZE ��J OC.� ROOMS � STOR�ES � ILDING AND WORK TO BE PERFORMED SINGLE FAMILY RESIDENCE A PLAN NO. oc � U �� 1 HEFEBY qCKNOWLEOGE THAT I HAVE FEAO THIS APPLICATION NND STATE TXAT THE ABOVE IS COFREQ AND AGREE TO COM- PLT WITH TLL QTY OpDINANCES AND STAIE LAWS REGU�ATING BUILOING CONSTFUCTION.'1 � � / � ./I�A I:/ / 6 // SIGNATURE OF�-/r��; ��_�� ;� AUTHORIZED � r i/� . O. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PUHPOBE OF ESTABLISHING R PEFMIT FEE ONLY. VALUATION �_� PERMIT FEE $�� $ 'l fp PLAN CHECK $ /� �l / ' ��D TOTAL FEE $ S� �