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Home My WebLink About1030 DAMASCUS CIR - Building PermitsJob Address: 1030 DAMASCUS Cl Suite: Vicinity: THROUGH OUT HOUSE Primary Occ: T3 Parcel Number: 41237125 Applicant: BATIOFF, DAVID Address: Owner: DRIVER, TEX W Address 105 ASH CREEK COURT FOLSOM,CA Contractor: HOME DEPOT USA INC Address: 12774 E FLORENCE AV Arch : Address: SANTA FE SPRINGS, CA Zip: 90670 Phone: Type of Construction: V -N Zoning: R1 Phone: 626-695-1400 Zip: Phone: 916-616-5119 Zip: 95630 Phone: 562-981-1600 License: 602331 Eng: Address: ISSUED Status: ISSUED Applied: 04/16/2007 Issued: 04/16/2007 Phone: Zip: License: License: SCOPE OF PERMIT CHANGE OUT 15 EXISTING WINDOW AND 1 SLIDING GLASS DOOR THROUGH OUT HOUSE, LIKE FOR LIKE. NO CHANGE IN HEADER OR LOCATION. WINDOWS SHALL MEET 1997 UBC EGRESS. Pian Check: $0.00 Permit: $167.25 SMIP Res: $0.90 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $168.15 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existing: 0 FEE SUMMARY Calc Valuation: $9,000.00 Claim Valuation: $9,000.00 PLANNING & ZONING Rear 0-0 Left 0-0 Right 0-0 Rear 0-0 Left 0-0 Right 0-0 Required: 0 Proposed: 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 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 final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754.5626 2"a 6Israol DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the follotirig declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [:]_I have and will maintain workers' compensation Insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. IMy w _ars' compe�n1_sPI_tion Insurance canter and policy number are: �� -Cerrier.)lr+011_ " F �'�-e PGIiry NumNumtiei:� L `7 _(This section need not be compered /1 the permit is valued or one hundred dollars (5 100) or less.) ��-r ❑ I certify that in the performance of the work for which this permit Is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shell forthwith comply with these provisions. -- Applicant Signature: �^ �l Dal te:� I — WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($1DD000). IN ADDITION TO THE OOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3/06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed undier provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force.and.effect uic.-P � �'a � l LClass tl .rg Cori(ractor's Signal _d '�— Date — 1 —� 7 CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction landing agency for the performance of the work for which this Permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he Or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a chill penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ 1, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an Owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Cade for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ No Drivers License No, Expires: Verification of Ownership by (type of document, Le.. property tax bill or dead): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building Occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazarclous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during d reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, .or 200 cubic feet of compressed gas at standard temperature and pressure). .. .................................................................................................................................................................................................................................................................................................................................................................. 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Wary Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressedgas at standard temperature and pressure). ..__.............. ................ _....................................... _._............. _...... .......................... .... _._............................ _............................ _.............................. _............................................................... ........................... _........... ............... ............ ............ 3 Does or will theappplicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No Cction 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire artment of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ...................................................................................................................................................................................................................................................................................................................................................................................... 4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No ...._.................................................................................................................................................._....................................................................................................................................................................................................... ..................rese t 5 Does or will the applicant Air Or present or future building occupant require for the work which Is the subject c this a plication aPPermit for such construction or modification from the South Coast Air Oualiry Management District or from any other air pollution control district or agency? � Yes LJ No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constmcted finder this permit be within 1000 feat tram the outer boundaries of a school' ❑ Yes ❑ No (it 'yes". the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ..........................................................................................................:......................................................................................................................................__.......................................................................................................-.............................. 7 Ii a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No ........................._......................... _._................ ... __.................... _.................. _._........................... _..................................... __................... ..................................... ___................... .......................................................................... 8 (If yes", affach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. 1 agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the Information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of COsta Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ^— Signature f Of Legal Owner(s) / / Date 7 IAnd/OcAuthodzed Applicant LDa�e� CODE I, INSPECTION TYPE QS¢, ISL$ CODE INSPECTION TYPE 2LTE giiMALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Root 210 Final Electrical 201 Final Block/Retalning Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Suilding/Occupancy � 6 (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us BUILDING PERMIT Job Address: 1030 ' DAMASCUS CI Suite: Vicinity: ROOF Parcel Number: 41237125 Zoning: R1 R1 Applicant: LOU FERGUSON Address: 4091 E LA PALMA SUITE D Phone: (714) 630-5543 ANAHEIM, CA Zip: 92807 Owner: DRIVER, TEX W Address 105 ASH CREEK COURT Arch : Address: Phone: Eng: Address: 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 07/19/2002 Issued: 07/19/2002 Phone: Zip: License: License: SCOPE OF PERMIT REMOVE EXISTING SHAKE. INSTALL 1/2" OSB, 30# FELT ASTM, LIFETIME PRESIDENTIAL COMPOSITION SHINGLE. 2000 S.F. INCLUDES ATTACHED GARAGE. Phone: FOLSOM, CA Zip: 95630 Contractor: MC CORMACK ROOFING $0.00 Address: 4091 E LA PALMA Calc Valuation: 84,000.00 SUITE D Phone: (714)630-5543 ANAHEIM, CA Claim Valuation: 84,000.00 Zip: 92807 License: 643700 Arch : Address: Phone: Eng: Address: 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 07/19/2002 Issued: 07/19/2002 Phone: Zip: License: License: SCOPE OF PERMIT REMOVE EXISTING SHAKE. INSTALL 1/2" OSB, 30# FELT ASTM, LIFETIME PRESIDENTIAL COMPOSITION SHINGLE. 2000 S.F. INCLUDES ATTACHED GARAGE. 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 final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754.5626 2446.46(6/00) FEE SUMMARY Plan Check: $0.00 Calc Valuation: 84,000.00 Permit: $97.25 Claim Valuation: 84,000.00 SMTP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 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 Existing: 0 Required: 0 Proposed: 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 final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754.5626 2446.46(6/00) I WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjuryane of the following declarations: ' ❑ I have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the labor Code, for the performance of the W4 for which this permit is Issued. W -';4I ave and will malntgin workers' compensation insurance, as required by section 3700 of the Labor Code, tar the performance of the work for which this permit is issued. My work compapsation Insurenc ger and policy number are: ��r `' 9'9 /� Camel: ~ /B�19A-! ri;/ ;? Policy Number:_�/(,_al9 O 910a / (This section need not be completed it the permit is valued atone hundred dollars ($100) or less.) —__--_ ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensationlaws of Calif , and agree t at If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith �ompfy Ith Nese lir Ap`-'pl�itant'Slgnature rDat3: '1 %Z/ / Q f e �— WARNING: FAILURE TO SECURE ORKEPS' COMPENSATION COVE E IS UNLAWFUL AND SHALL SUMECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3m6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, LICENSED CONTRACTORS DECLARATION: 1-hereby.aHirm.that.l am licensed under prov' ions of Chapter 9 (commencing with Section 7000) of Division 3 ot.the.Business and Prof ions Code, and my license is in full force and.effec6,Llc. NQV (Clase.lL �C 3 Contraclots.SlgralUre: Date: O -2779-7c CONSTRUCTION LENDING AGENCY: --J ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions o1 the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ 1, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Cade: The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or dead): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in Connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ....................................................................................................................ildi....................anit..na............h1a...a r..-gi-...ratiio-n.............................ely............................................................................................................................................... 2 Does or will the applicant or present or future building occupant neetl to file a registration forth for acutely hazardous matarials7 ❑ Ves ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materiels aqua' to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ......._._.........................__......................................................._.____......................................... _.......................... _...................................... _.......................................................................................................... _.................. ....__................. 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ...................................................................................................................................................................................................................................................................................................................................................................................... 4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No ................................................................................................................................................................................................................................................................................................................_........................................................................ 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this a plication a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). .................................................................................... ....................................................................................................... ...................................................................................................................._........................................................................ 6 WIII any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (if "yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ........................................... ............................ ....... ..... ...................................................................................... ............................... ....................................... .................................................................... .......... _........................................ I................... 7 If a permlt from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No ............................................................................................................................................................................................................................................................................................................................................................................................ e (If yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. SpRe 0 ners) - - Date ,, nd/Or A lhorized #131cant Dallb —� CODE I. INSPECTION TYPE PdTi INTMBLS CODE INSPECTION TYPE BAI;• INITI i 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof ID-r/-oL L 210 Final Electrical 201 Final Block/Retaining Well 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PLHM1T NOS .� TRACT NO. LOT NO. UNIT NO. Project Address \02M -TQm Q4C t s J C �-• Applicant's Mailing Address NS��nGO Owner's Name `�s_+e�c�i '; f�l�TT Phone Address �0�� -�QmgS Pts p C V— Arch/Eng. License No. Address _ Contractor's Nam S hone SQ�-Slj13 Address(mailing)�Y�a O^^0 nM*r Fl City License No. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 3\ I Class _ Lice No. to it — —N SignatureOLU WORKERS' COMPENSATION DECLARATION 1 hereby affirm that I have a certificate Of consent to self -insure or a certificate of Workers' Compensation Insurance, Or e -certified copy thereof (Section 3800, Lab. C.) �t ` Policy Np.,shcP �p1Q413 ComPanyk)�NCO't Certified copy is hereby furnished. Certifietl�c�,P�J�s III d with the city Bpi Idirn�g Division., Date \O �b,{155 Applicant Y EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thissection need not be completed if the permlt is for one hundred ($100) or less). I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with. such provisions or this permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there IS a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address . OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or .ounty which requires a permit to construct, alter, improve, demolish or repair my structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that -he/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section . 7031.5 by any applicant for a Permit subjects the applicant lo.a civil Onenalty of not more than five hundred dollars ($500). I, as owner of the property or my employees with wages as their solo CO in tion, will do the work, ,and the structure is not intended or offered for Sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that Such improvements are not intended or offered for sale. If, however, the building ordo provement is sold Within one year of com- pletion, the owner will have the burden Of proving he/she did not build or im- rove for the purpose of Sale). I, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License law does not apply to an owner of property who builds or improves thereon, La and who contracts for such projects with a con- tractors en Ilcse pursuant to the Contractor's License w). I am aware that proof W their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section—'B. 8 P. C. for this reason Date Owner I hereby certify that I have read this application and state that the above information is correct. I agree to comply With all city and county ordinances and state laws relating to bj4dIng construction, and hereby authorize repre. Sentatives of this city to er u o the above-mentioned property for inOlOs .� Signature Q`L_ 0 �� I I Reinspection Fee I $15 CMF 0865-46, rev. 4/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Issue Fee Hood or Type 1 ❑ Canopy Type 11 ❑ Refrigeration System ❑D100,000BTU ❑100,000 System Repair/Alteration . Issue Fee $ 3 Reinspection Fee $15 Issue Fee $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By - Appliwion Issued By Date Date Da Its BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY OF FEES $ $ $ $ $ ()o $ $ $ SMIP $ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ TOTAL FEE $ _ Do S 3 CONSTRUCTION AND PLANNh/ APPROVALS Permit # -,%F' d�, - Date Inspector jOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE _ 7. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final . 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit - - 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 1.22. Ducts, Ventilating 71. Product Piping 0 Gas 0Oil 23. Gas Pipe -Rough & Test - 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank 0 Gas 11 Oil 25. Roof Sheathing - 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION , 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric 2 $5� Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace - 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System - 45. Sound Attenuation 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed ' 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co '51. CERTIFICATE OF OCCUPANCY No. Date CITY OF COSTA MESA BUILDING SAFETY DEPARTMENT Registered Deputy Building Inspector - Certificate of Compliance Date of this Certificate //-/ - %Z Building Address 10-50UA✓Y�5��5 rill l'Li= Owner _��J�,' _(, /F).() a/ rl n Contractor r-toLr // Ls�� 7� �, 7JnO Z S Permit No. 1U)Z-A44'1_1q12L:' Date Issued itsiii - To the Director of Building Safety: I hereby certify that the following portions of work on the buildings at the above address which required continuous inspection and which I was employed to inspect, were inspected by me and comply with the provi- sions of the Building Code applicable thereto. [ ) Concrete ( ] Masonry [ ] Welding ( 1 Reinforced Gypsum � � [ ] Special Cases SPASwimming Pool Size [ VJ Gunite [ ] Hand Pack Sacks of Cement o2 Tons of Sand Approximate percent of water in aggregate This report covers work completed during week ending ii-i-7,� REMARKS: WA�L/ZQQ• Registered Deputy Building Inspector or Name 7� ddr."l��i� Laboratory TelephoneZ�- bio-G/OU CMF 0406-46 (BU 6) CITY OF COSTA MESA CALIFORNIA 92626 P.O. BOX 1200 FROM THE OFFICE OF THE DIRECTOR OF BUILDING SAFETY June 29, 1978 TO WHOM IT MAY CONCERN: RE: Chip in Bathtub at 1030 Damascus, Tract 9901 L p ? '3 I relinquish any responsibility or liability from the City of Costa Mesa regarding the chip in the aforementioned bathtub at 1030 Damascus, Tract 9901 (Foley Tract). JOB AC LOT 2R TRACT Pool Location Forms Main Drain Steel Reinforce Elec, Bond Approval to Cover Underground Electric Gas Piping Test Filtering System Lines _ Backwash Lines and Recep. Electrical Final Heater and Vent Final Filter System Final Backwash and Recep. Final Fencing Final I•A SURCOMTRACTOR IT NO.__46759-- .p_ -I TS ISSUED_ _ BRANCH ADDRESS TEL. FIR R au VALUE o� � / g 3�w ADDRESS 19 APPROVED m i m CONTRACTOR ✓7 r ((� /' 46759 THE AMOUNT SHOWN UNDER VALUATION IS FOR m COSTA MESA BUILDING -SAFETY DEPARTMENT m ADDRESS ZO P.O.BOX1200 COSTA MESA, CALIFORNIA 92626 VSE OF NECITY BUILDING 496526 9/a22/%6 YARDS APPROVED AP ICA ON}O U Y / nt to Fill in Completely — Use Ink Only ACCESSORV BUILDING SIZE NGS. (FROM C/L STREET) REC I DATE- RECEIVED I D TE FRONT FT. FTUSE OFEXISTING BLDG. JT FTSeparate permits are required foL. P R11 7 FTelectric, .4, -� r$ FCON,TF,U.T,ON A.P. N plumbing and heating wREAR FT.USE BUILDI G BUILDING AND WO T QBE PERFDISTANCE BET. BET. MAIN & MAIN SLOGS. ADDRESS VAR.+ C.U.P. * DATE APPROVED i //�+ -e, NOL �JJ TRACT /) LO A/ /: W ADD ATEREPAIR BRANCH ADDRESS TEL. FIR R au VALUE o� � / g 3�w ADDRESS 19 APPROVED m i m CONTRACTOR ✓7 r ((� /' BY DATE THE AMOUNT SHOWN UNDER VALUATION IS FOR m THE PURPOSE OF ESTABLISHING A PERMIT FEE O m ADDRESS ZO NO. OF PLANS VSE OF NECITY BUILDING ,.ey '(y STATECITyJ YARDS APPROVED YARDS APPROVED LIC.NO. "%�� j LICMAIN BUILDING ACCESSORV BUILDING SIZE NGS. (FROM C/L STREET) tOF LOT NT TC.U.P. FRONT FT. FTUSE OFEXISTING BLDG. JT FTSeparate permits are required foL. SIDE FT. 7 FTelectric, plumbing and heating wREAR FT.USE BUILDING AND WO T QBE PERFDISTANCE BET. BET. MAIN & MAIN SLOGS. ACCESS. SLOGS. VAR.+ C.U.P. * DATE APPROVED i I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensed as a contractor under the State of California Business and Professions Code, Division 3, Chapter 9, and that such licenses are in full force and effect, or I am exempt from the provisions of the State of California Business and Professions Code, Division 3, Chapter 9. d Signature of / //J"/� Permittee -7—.1Y Authored Agent N n TOTALPAID $ m i m SO. T. a THE AMOUNT SHOWN UNDER VALUATION IS FOR m THE PURPOSE OF ESTABLISHING A PERMIT FEE O m VALUATION PERMIT FEE $ v m PLAN CHECK $ 0 ,7 $C/"!/ TAX $ U TOTALPAID $ i� n For Applicant to Fill in Completely — Use Ink Only BUILDING OWNER FQT,F.Y FAMY TRUST 0 A.P. NO. lCtU - MAILy BUILDING ADDRESS 2101 E. Fourth St., #100 ADDRESS 10: CITY Santa Ana, CA 92705 No`'543-9471 TRACT 95 ....... U.C.B. BRANCH 1010 N. Main St. ADDRESS Santa Ana_ r'A g27n4 TEL. GI ** PAID QCT 21-77FMSAO01092-r 317.71 FOR STRUCTURAL PERMIT /P,.4/--/,7 PERMIT NO. 1 hereby acknowledge that I have read this application and state 1 �✓r R1'��FT. ADDRESS yP GROU di�1 7, C D' 27 CONTRACTOR Fi'XI- 1 DAT ADDRESS Same as above the State of California. I hereby certify that Iam properly licensed as a contractor under O. OF ANS VSE OF NEWTEL. BUILDING the State of California Business and Professions Cotle, Division 3,THE CITY NO.STATE THE PURPOSE OF ESTABLISHING A PERI am exempt from the provisions of the State of California Business and Professions Code, i 'cion 3, Chapter 9. VALUATION CITYOVED PLAN CHECK $ YARDS APPROVED LIC. NO. LIC. NO.DING 10FRONT TAX $ ACCESSORY BUILDING TOTAL PAID $ Authorize t EET) SIZE NO. OFBLDGS �/ OF LOT NOW ON LOTFT. FT. VSE OFISTING BLDG. N/A FT. FT. Separate permits are required forT. FT. FT. electric, plumbing and heating work.FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLOCS. VAR.+ DATE New construction, s' le famil C.U.P.#t�� APPROVED /� detached, Plan 3, 4 Bedrocirns. ROV �WK 1 hereby acknowledge that I have read this application and state that the above Information Is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. I hereby certify that Iam properly licensed as a contractor under SQ. FT. AMOUNT SHOWN UNDER VALU the State of California Business and Professions Cotle, Division 3,THE Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERI am exempt from the provisions of the State of California Business and Professions Code, i 'cion 3, Chapter 9. VALUATION PERMIT FEE $ PLAN CHECK $ Signature of Permtee it $� v V / TAX $ TOTAL PAID $ Authorize t N n i N ON IS FOR m FEE ONLY: Q v N m m 0 LL _ U