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Home My WebLink About2044 CONTINENTAL AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us � 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT �obAddress: 2044 CONTINENTALAV Suite: Vicinity: Parcel Number: 42250326 Zoning: Applicant: JEFF HUTCHINSON - , Address: 485MESA " `" - -�. � � �"�,,. Status: ISSUED Applied: 06/02/2003 Issued: 06/02/2003 ISSUED BY: �; �/;'� - -, - ' � Phone: 805-646-5487 . _ � OJAI, CAD � /- , � Zip: 93023 /�'� � , � . , � � � Owner. SWIF,T;;WILBUR L � ` � � � � � � �� Address ��2044 CONTINENTAL AV6-' � _ . - - - - " �'��'-�� ` `- � . �_ , - Phone: - ' � � - � �� fj. ., . - .. - � /�COSTA MESA; CA ' � � -� Zip: 92827 , , � � ` . A / , � � � � �� / j `�•_ . j �� , �. i � \ � , �'� Contracmr: �OWNER-BUIL-DER ' - � � � ��`�� .`'''V " i � Adtlress: '� '� j �'� ; �� -'� `� � �' � ��„ . , ,"/<,; Phane: . �: . � _ � . � � � ��, � , ZIp:�� . License: 000000 . ` � . � � � � Arch :. , _.-'-. Eng: ' ' � . . - . Addressr . . - � "i � � � � '_ _. Address: ' �- _ � ' � , � • Phone:� , -Zip: � • , � � - License: � /� �- ' � - , Phone: - ' � � � � License: , � \ � - . - . ,.. . . SCOPEOF PERMIT _ . - . _ � � CHANGE OUT 9 WINDOWS THROUGHOUT S.F.D�TO�COMPLY WITH:.199TU.B'.C. REQUIREMENTS. INSTALL SINGLE PANE, VINYL WINDOWS. FEESUMMARY ` � Plan Check: � $0.00 , ` - � -� � - ' � Calc Valuation: - Sa,soo.00 � � Permit: $97.25 � � ' : �Claim Valuation: . � Ss,soo.00 �, SMIP Res: , $0.50 � ;�� ',SMIPCom:� �,� $0.00 � ' � - � � � `. � Othe�: '_ ' � ,$0.00 . , �. lnspection `<, $0.00 � , � ,,�, � �,' ;y�, . .� ; � � � �,TotaL• $97�75 � =�" ' � � �� . -'�' ;` i_� ��: �i � � �� PCANNING & ZONING � SETBACKS�, � �� MAIN STRUCTURE Front 0- 0�� Rear� 0- 0 Left _ 0- 0 Rlght '�, 0- 0 j� �.\\ .._ - . . � � � . , ACCESSORY ` Fionh� 0. 0. � ' r Rear 0. 0 Left 0- 0 Right . 0- 0-_ ,-/� \ � PARKING Exisfinqi - 0' .�� Requl2d: ' 0 � Pr000sed: 0 � NOTES: - � -' 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 the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expira�ion of this permit. FOR INSPECTIONS CALL: (714) 7545626 :646-46�6/00) WORKERS' COMPFNOATION 9ECLARATON: . I hereby eFfirm untler penalry of perjury one oi ihe Following tleclara�ions: • • ❑ I heve end will malmein a certificate of consent to sel4lnsure for workers' compensetion, es provided for by section 3700 ot the Lebor Code, for the peAormance ot the work tor which ihis permit Is issued. ❑ I �ave entl will maintain workars' compensation insurance, es required by section 3700 of ihe Lebor Code, for the paAortnance ot the work tor which Nis pertnit is issued. My workers' Compensallon Insurence carrier antl policy number are: Cerner: '� PalicyNumber: (This section need not be complefed il the permii � valuetl a! one huntlred tlollars ($100) or less.) I� .I certity ihat in ihe peAortn c� ot he wor` tor which this permit is issued, I shall not employ any person in any manner so as lo become subject to the workers' compensation laws of Cali�r le, n ag 4e et if I should become 5ub�ecl to the wOrkers' compensaiion provisions of Seclion 700 0l ihe Lebor Cotle, I 5hall forihwith camply wi�h �he58 provisi n5 Applicant Signetura: Date: � � /%'7�C WARNING: FAILURE TO SECUR W E 5' CAMPENSATIIXJ COVERAGE IS UNLAWFUL AND SMALL SUflIECT AN EMPLOYER TO CRIMINAL ENA ES AN CIVII FlNES UP TOIXJE MUNDRED T}10USAND OOILARE (5100.OW , IN ADOITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3)O60F THE UBOF CODE, IMEREST, AND ATfORNEY'S FEES. LICENSED CONTRAC70RS OECLARATION: I hareby ettirtn Ihat I em Ilcensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Pmfessions Code, antl my license Is In full force entl eHect Lic. N Class q ConirectoYs SignaWre: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aXirm ihat Ihere Is a construc�ion lentling agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lender'S Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirm that under penelry ot perjury that I em El(EMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Business end Prolessions Code: Any ciry or counry which requires a pertnit to construct, alter, improve, demolish, or repair any stmcture, prior to its issuance, elso requires the epplicant for such pertnit ta tile a signed statement that he or sha is licensed pursuent to the provisions ot ihe Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business end Professions Code) or thet he or she is enempt theretrom entl the �asis for the alleged examption. Any violation of Section 7031.5 by any epplicant for a permit sub�ects the applicant to e civil penalry ot not mare ihan five hundred dollers ($500).): ❑ I, as owner of the properry, or my employees with weges as their sole compensetion, WILL DO THE WORK, and Ihe structure Is not intended or ottered tor sale (Sec. 7044, Business and Protessions Co�e: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who dces such work himsetl or hersalf or through his oyher own employees, provided ihat such improvements are not intended or oHered for sala. If, however, the building or improvement is sold within one year f completi , iha owner-builder will have.the burden of pmving ihat he or she did not build or improve for puryose of saleJ. � �il, as owner ot the oqe y, a EXCLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to consWc� the project (Sec. 7044, Business and Pwfessions Code: 70e contra to{6 �c�n�e Lew does not appl; to an owner ot property who builds or impmves thereon, antl who contracts for such project with a contractor(s) license pursuant o�fie qrSrectors License Laws. . ❑ I em ezempt u e s .� Siqnature: �� Ov.ner ID veritied v r icense. Veritication of Ow er ip by (type of Business and Professions Cade for this reason: i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Dnver's License No. Date: 6 Z ] �/� Ezpires: �� ❑ I hereby certify that no excavetion five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by Ihls pertnit, and that no building structure, scattolding, falsework, or demolition or dismantling thereof, will be more Ihen thirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Calitamla Administrative Code). ❑ As owner-builder, 1 will not employ anyone to do work which would require e permit irom ihe Division oi Industrial Safery, es noted ebove, unless such pereon has e pertnit to tlo such work from the divisian. SignaWre: Date: Division of Industrial Satety Pertnit Number: CERTIFlCATE OF COMPLIIWCE AND AUTM IIA710N OF ENTHV: I certity under penalry of peryury ihat I have read t�is application and state that ihe iniormation given is correcL I agree to wmply w�'th all stete laws' nd city ordlnances relating to builtling consWction, antl authonze representetives of Ihe Clry oi Costa Mesa to enter upon the ebove-descnbetl properry Iqf in;pec(ion pu ses. I egree not to occupy or allow occupancy of any building authorized by this permit unlil final inspaction. CODE I. 1616 12fi6 200 Fixed System Final Fire Prevention Pool Spa Final Final Ra-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 a� Finel Sign Final Demolition QbT�, INTITIALS COpE � INSPECTION TYPE 206 Final Mechanical 208 210 212 220 Date (7?�n3 ate Finel Plumbing Finel Electncal Final Fire Prevention Final Planning Approval 222 Final Site 250 Final Building/Occupancy P9IE U�Lfl _Z�j',p � DECLARATION OF AUTHORITY Bldg. Permit# � FOR AGENTS OF PROPERTY OWNER TO APP�Y FOR PERMITS This Permit # Street Address: 2�`rl �tiT�� L� AP Number: 1. I(we), �1F��» � I� 1 , declare that I am the Owner of Title of the above referenced real property, an t at I(we) hereby authorize: �'1'' v �i��i`z�i �Elui-A � _� • .. v ��-- — - o�_�`��_�, • � � ::�=.'^._-� to obtain permits in my behalf, as owner/builder, for at the above referenced property. Telephone Number. �� b ��/ e.n-- q�Z� State: � Zip: 2. Should any person become an employee engaged in the improvement of the property, I(we) shall immediately provide Workefs Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. 3. As ownedbuilder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporation. 4. 1 agree to indemnify and hold the Ciry of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. I declare under the penalty of perjury that the foregoing is true and correct . Executed this � day of _)VNF 2oQ�, at Print Name: F^ � v��%��/ � _� [�-% l�l Signature: �,GL/�/��2-� ��2/—�✓� Date: ;� m� o�Z DU 3 Note: This authorization does not grant autlwriza6on to perform the work as owner, it soley provides for limited power of attomey to secure this permit in any behalf. 0779-46 (rev.11/00) California. (714) 754-5273 • F�c (714) 754-4856 • www.ci.costa-mesa.ca.guUILDING PERMIT �� FAIF DRIVE, COSTA MESA, CA 92626 ,lob Address: 2044 CONTINENTAL AV Suite: Vicinity: ROOF Parcel Number. 42250326 Applicant: JEFF HUTCHINSON Address: 485 MESA . .i ..�, .. OJAI, CAD ' , " . Owner. SWIFT; WILBUR L Address ;2044 CONTINENTAL AVE COSTA MESA, CA. " - Contractor. OWNER-BUILDER Address: � � Zip: Arch : Address: Phone: Zoning: � Phane: 805-646-5487 Zip: 93023 Phone: Zip: 92627 Phone:. License: 000000 „ Eng: Address: Slatus: ISSUED Applied: O6/02/2003 Issued: 06/02/2003 ISSUED BY: �� Phone: Zip: . � _ ,.� License: , .License: . SCOPE OF PERMIT REVISED 7/14/03: INSTALL 15# FELT AND 25 YEAR COMPOSITION SHINGLES,OVER EXISTING 2 LAYERS OF ROOF. 1,600 S.F. INCLUDES ATTACHED GARAGE. � � �- Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 FEE SUMMARY _ . _ � -- "..- , _ � _ _ Calc Valuation: $3,200.00 ' - Claim Valuation: ga,zoo.00 Total: $97.75 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front ACCESSORY Front 0- 0 Rear 0- 0 0- 0 Rear 0- 0 PARKING Existinq: 0 Required: 0 Left 0- 0 Right Left 0- 0 Right Praoosed: 0 NO710E: The work authonzed by this permit shall comply with all applicable handicap access requiremenis 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 1 BO days, or if work is suspended or abandoned for a perfod o( 180 days. INSPECTIONS: In order for Ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inapeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2d46-46(fi/00) WORKERS' COMPENSATION DECLARA710N: _ _ I hereby attirm untler penalty oi perjury one of the following tleclarations: ❑ I have and will maintain a certificate of consent to self-Insura tor workers' compensation, as provitletl for hy section 3700 of �he La4or Code, fqr ihe pertormence of the woAc for which t�is permil is issued. ❑ I have antl will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the peAormance ot tha work fo� which this permit is issuetl. My workers' wmpensation Insurence carner and policy number ere: Carrier. (Thls sE that in the with these one or /e5s.) Polity Numbec eAorm nca f ie work/or w�ich this permit is issued, I shall not employ eny person in any menner so as to become sublect to the workers of Cal' orni , tl��6 t t if I shoul0 become sub�ect to Ihe workers' compensation provisions of Section 3700 of the Labor Coda, I shell forthwlth �ravisi ns. � �Date:'S � �L"1/�� :UR G S' fSMPENSATIdJ COVERAGE IS UNIAWFUL AND SHNLL SUBJECT AN EMPLOVER TO CRIMINAL ENALTIE AND CIVIL FINES UP TOONE HUNDRED 000) IN A q I TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3/060F THE LABOR CADE, IMEREST, AND FTTORNEY'S FEES. LICENSED CONTRAG70R5 DECLARATION: I hereby aHirm that I am licensed under provisions ot Chapter 9(commencing wi�h Sedion 7000) oF Division 3 of Ihe Business and Pmfessions Code, antl my license is in tull force and eHect Lic. # Class k ConlracbYs SigneNre: Date: CONS7RUC710N LENDING AGENCV: ❑ I hereby aHirtn Ihat ihere is a consiruction lentling aqency for Ihe performance of ihe work tor which ihis permit is issuetl. (Sec. 3097, Civil Code). ' Lendefs Name: Lendefs Adtlress: Signature: Da�e: OWNER-BUILDER DECLARATIONS: 1 hereby aHirm Ihat under penalry ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor �he following reason (Sec. 7031.5, Business end Professions Cotle: Any ciry or wunty which requires e permit to construct, alter, improve, tlemolish, or repair any structure, prior to its issuance, elso requires the epplicant lor such pertnil to tile a signed statement thet he or she Is Ilcensed pursuant to the provisions of ihe Contrectors License Lew (Chepter 9(commencing with Section 7000) of Division 3 of the Business and Profeuions Code) or that he or she Is ezempt tharefrom antl the �esis for the allegad ezemption. Any violation of Section 7037.5 by any applicent for e Dermit sublects the epplicant to a civil penalry oi not mora than five hundred dollars ($500).): ❑ I, es owner of the property, or my employees with wages as their sole compensation, WILL DO TT1E WORK, and ihe stmcture is not imentletl or oNeretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of properry who builtls or imDroves thereon, antl who tloes such work himself or herself or Ihrough his or har wn employees, provided that such improvements ere not intended or oflered for sale. If, however, ihe building or Improvament is soltl wilhin one year of complelion, t owner-builder will have the burden ol proving ihat he or she did not build or improve tor purpose of sale.). � �as owner oi the pr erty, em E LUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the projed (SecJ044, Business antl Professions Cotle: The contract s s L�ew doe5 no� eppty �0 an owner of propehy who bullds or Improves lhereon, end who coniracls for such pmjeci wiih e con�racbr(s) cense pursuaN to he Ir�ors License Laws.). ❑ I am exempt und s c. -. Business ` rofessions Code tor this reason: Slgnatur�— � � �rDate:�— �"� � � " . OwnerdDveniietl 6y ri er' li ense. ❑ Yes ❑ No ,Drivers License � � � � �� idiie6j' L� Vanficetion ot Own�rship by (rype ol doCument, i.e. � property lax bill or tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cetlify Ihat no excavation five (5) or more teet in depih into which a person is required to descend, will be made in connec�ion wiih work authonzed by �his permit, and that no building stmcture, scattolding, talsework, or demolition or dismantling thereot, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, California Administretive Code). ❑ As owner�builder, I will not employ enyone to tlo work which would require a permit from the Division of Industnal Safery, es notetl ebove, unless such person has a permii ta tlo such work from the division. Signature: Date: Division of Indusirial Safery Permit Number: CER7IFlGATE OF COMPLUWCE AND AU7HORIZATON OF EN7AV: I certify under penalry ot perjury that I heve read Ihis application and state that the information given is correcL I agree ro comply with all stete laws and ciry or nances relating to building consiruction, and authorize representatives ol ihe Gty of Costa Mesa to enter upon the above-described property for inspectiRn purposes. I ag�not to occupy or allow occupancy of any building authonzed by Ihis Dermi� un�il final inspection. CODE �. INSVECiIONTYPF / ' C 1616 Fised SVstem inal Fire Prevention 7266 Pool Spe Final 200 Final R8-Rooi 201 Finel8locWRetaining Well 202 Final Factory Fire Place 203 204 Final Sign Final Demolition T A �---K-�� .�!�, COpE 11 INSGECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Finel Fire Prevention 220 222 250 Final Planning Approvel Final Site Final Building/Occupanty I�I.tl�I;16�IdFj (714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job /+ddress: 2044 CONTINENTAL AV Suite: Vicinity: ROOF Parcel Number: 42250326 Appliwnt: JEFF HUTCHINSON Address: 485 MESA , � , �. , OJAI. CAD!/ •;: " - Owner. SWIFT�,�WILBUR L- � Address �2044CONTINENTALAVE-'" . ��.�� '. �- -: \ `- � , :� COSTA MESA; CA � � , �. ,. t. ,- / Coniractor: � OWNER BUILDER �� Address: � �'� �� Zoning: Status: ISSUED Applied: O6/02/2003 Issued: O6/02/2003 ISSUED BY: / Phone: 805-646-5487 . � � � � Zip: 93023 / . .- -- � . , � . � � � . . � ��,.�A Phone: : � � � ' j ��;�\ Zip: 92627 - ��... , � " / , �� . \ � �� , � �` � ,A � � ,�� \ . ; - � �� Phone: '��. �. . . �, . . " � ' . . ��. , Zip: ,� License:- 000000. � � � � . � Arch � i . .i . . , . . En9 . , �. , . -, _ , ' Address: ' '� � - ' �' ' � ' . Address: , ' . � ,. Phone: �' � j � i� Zip: � � � "�License: . \ Phone: License: , - ' . " - - - SGOPE OF PEftMI I - , � TEAR OFF EXISTING. INSTALL 25 YEAR COMPOSITION SHINGLES, REPCACESHEATHING AS NEEDED, AND 30# FELT. 1,600 S.F. INCLUDES � ATTACHED GARAGE. � - ' ' ' " - FEE-SUMMARY' - , Plan Check: $0.00 - -- - - - " Calc Valuation: � Permit: � $97.25 � � � � � s" " � � Claim Valuation: � ,SMIP Res:'_ ;, $0.50 % ��, cSMIP Com:'� � � . $0.00 �- � � ., ' � Other: \`_; $0.00 �.Inspection:- �$0.00 � � ��. , � . , .�r'��9:, ,.��` �i VATotal:. . $97.75� � ° � . / � - � •� C ` � ��- ,. ' , � " � PLANNING & ZONING SETBACKS�: � � � � � � "� " MAIN STRUCTURE � Front � 0-_0 %' Rear _0- 0 Left - 0- 0"_ -� Right ; 0- 0 ,. � �. ' ACCESSORY Front � 0- 0�� ', Rear '0- 0_ Left . 0- 0� Right 0- 0� � PARKING Existinq:� �o � � Reauired: �_ 0 Pioposed: o � . �.� � $3,200.00 �$3,200.00 NO710E: The work authorizetl by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 1 BO 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 Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 aas-as�doo� WORKERS'COMPENSATON OECLARAnON: � � I hereby ettirm untler penalry of perjury one oi ihe tollowing declarations: „ I ❑ I have end will maintain e certificate of �onsent to self-Insure for workers' compensatlon, as provitled for by section 3700 of the Labor �ode, for tTe peAormance of the • work tor which ihis permit is issued. � I heve end will maintain workers' compensation insurance, as reduiretl hy seclion 3700 of the Labor Cade, for the perfortnance of the work for which this pertnit is issuetl. My workers' compensation Insurance cgrder and policy number are: Carrier. �,fcertify that in ihe perfo � compensatlon lews of C comply with these D�ovi: Applicant Signeture: _ WARNING: FAILURE TO SECURE the pqrmit is ySlued et one or less.) PoliCy Number. hith Ihis pertnit is issued, 1 shall not employ eny person in any manner so as to become 5ublect to �he workers' it I should become sublecl to the workers' compensation provisions ot Section 3700 of iha Labor Code, I shall forthwlth oata: b/ � /G� NJ COVEMGE IS UNLAWFUL AND SHALL SUflIECT AN EMPLOVEF TO CRIMI PE TIES AND CIVIL FlNES UP TOONE HUNDRED OF COAIPENSATION, DPM4GE5 AS PROVIDED FOP IN SECTION 3]O6 OF TME LABOR CODE, INiEREST, AND ATTOFNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I here6y aHirm that I em licensed under provisions of Chapter 9(commencin9 wlth Section 7000) of Division 3 oi Ihe Business antl Professions Code, and my license Is In full force end eflect. Lla N Class N Coniractors Signawre: Date: CONSTRUCTION LENDING AGENCY: ❑ I �ereby attirtn that there is a construcdon lending agency tor the pertormance of ihe work for which Ihis pertnit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lender's Atltlress: Siqneture: Date: OWNER-BUILUER DECLARATIONS: I �ereby aHirtn Ihat under penelry of perjury thet I em EXEMPT FROM TME CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business and Protessions Cotle: Any ciry or counry which requires a pBrmit to consirucL alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires the applicant for such pertnit to file a signed stetement that �e or she Is IiCensed pursuant to Ihe Omvisions of the Contractors License Law (Chapter 9(commencing with Section 7000) oi Division 3 ot Ihe eusiness and Profeulons Code) or thet he or she is ezempt thereFrom and t�e basis for Ihe elleged exemption. Any violation ot Section 7031.5 by any epplicent for e pertnil subjects the epplicant to a civil penalry of not mora than five hundred dollars ($500).): ❑ I, es owner ot Ihe property, or my employees with wages es iheir sole compensation, WILL DO THE WORK, antl the siructure is nat intended or oHered for sale (Sec. 7044, Business and Professions Cotle; The Contractors License Law does not apply to an owner oF propeAy who builds or improves ihereon, and who does such work himsell or herseN or ihrough his or he own employees, provided �hat such improvements are not intended or oNered for sale. If, however, the building or improvemeni is sold within one year of completion, e owner-builder will have�the burden of proving tha� he or she ditl not Duild or improve for purpose of sale.). � ❑' I, as owner oi ihe roperty. am E LUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business antl Protessions ' Cotle: TTe conire tors Li ense w does not eppry to an owner of pmpeny who builtls or improves thereon, and who conirects tor such projact with e contractor(s) license pursuant o tj(e f�oor�ra or3,Ncense Lews.). ❑ I am exempt SiqnaNre: ` Owner ID venfietl I Venfication of Owr :ec�7s�� Business antl Professions Code tor ihis reason: / � �_ Date: 6 t'�"� K' license. ❑ Ves ❑ No DriveYs License No. �['� / ��xpires: � by Qype ot daum�nt, i.e. - praperty tex 6ill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity ihat no excevetion five (5) or more feet in depth in�o which a person is required to descend, will ba made in connection wit� work au�horized by Ihis pertni�, end that no building stmcture, Scalloltling, falsework, or tlemolition or dismantling thereol, will ba more Ihen thirty-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Ttle B, Celitomia Atlministrative Cotle). ❑ As owner-Duilder, I will not employ anyone to tlo work which woultl require e permit from ihe Division of Indusirial Sateiy, as notetl above, unless such person hes e pertnit ta do such work from Ihe division. Signature: Date: Division ot Intlusirial Safery Pertnit Number: CERTFlCATE OF COMPLIANCE AND AUTHORVJ1T10N OF EMRV: I certity under penalty of perjury �ha� I have read Ihis epplicalion end state Ihet ihe infortnation given is correct. I agree to comply with all tete laws and�' ortlinances releting to building construction, flntl authonze represeN2tives ot Ihe Ciry of Costa Mesa to enter upon Ihe above-descnbed propeny tor ins�tion purposes.'j�egree not lo xapy or allow occupency ot any building authorized by ihis pertnit until tinal inspedion. COUE t• INSPECTIONTYVE / V 1616 PixeG System Final Fire Preventioq 1266 200 Pool SDe Final Finel Re-Raot 201 Final Blwk/Retaining Well 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition PAIE I[�BLfi �—as—o3 �wsa� Date �� Date COOE� INSPECTIONTVPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecinwl 212 Final Flre Prevention 220 222 250 Final Planninq Approval Final Site Final Building/Occupancy PA1E II�lS ORANGE COUNTY BUl�DING DEPARTMENT APPLICATION POR PERMIT . , 63d Nort6 Broadway - ' � � � � � � p SANTA ANA, CALIFORNIA ' " --� � �' , • W - -- - � 2 . . . W _ . . . . � � Z . _ _ _. . . . _ ' � o � ``*! ., v ` LL -• -..�..�. _..,..��.�. ._ .` : . a, �. . � . . � a ` � ¢ .. . . _` _ . . -ti a ; ; � . . . . V • . - - ' . . . .. . �i= :,i� ... . . , � • , r, ,� . �� t= _ �; _ . _ .i [, _. :. : �.. _ . ,\t . • - .�= .. _ . 1. ;� . .. �:' _ ,_ . _.: � _ = . . . _ . ♦ ` ♦ � ♦ . . ) � • \ .. . . � ' . . i � . . �1 . . \ �. � _ . . ' ♦ ' . : _ � _ � . 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