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Home My WebLink About3133 CORK LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT ,lob Address: 3133 ' CORK LN Suite: Vicinily: RESIDENCE AND ATTACHED GARAGE Parcel Number: 14163345 Zoning: R1 Rl Stalus: ISSUED Applied: 03/04/2002 Issued: 03/04/2002 Applicant: GLAZER, STEVE ISSUED BY: Address: - ' _ , .��'!' �� Phone: 714-612-8260 � �� ` ��%' ' , �' - . , . ' Zlp: , �� i� �' , , �� /, Owner. SMITH;�DENNIS � -� %�� i�� ''�� , , � , , �. . � Address ; 3133 CORK LN - � � • �, A` �,A i �i � ' . `� �,\ , � �� , � ' _ Phone: , � � ' . . -..�. , � ��\ �"� �COSTAMESA.CA��- . �� Zip: 92826 �,��_:`- �� A . _ �� ', . A�.�. ,, —• —� �ti�;� - _ __• ti , i `. ; Coritracror: � �GLAZER�ROOFING �� ` �� Address: 1915WBALBOA ��: , � � �..�,A . . � , .� , Phone: p14) 612-8260 � �� -. �� , , � � � � NEWPORT BEACH, CA " ' '� � . �:_-, � Zip:-. 926§3' , License:• 739156 : _ _ ,` �'��-, � ,�i�'. � i � ,�� Arch : � � � � � Eng: -' � ` ,, - • . �� . Address: � , - �.-, .� - ' Add�ess; � , ��`� � �- � �,�� ., � „ � � Phone: " .. : -A : /� ��. Pfione: , _ _, , , � �, � � � _ . � ._,, _ t� �� . ;'" � _ - � '. `Zip: ' � - � � � = 'License: � � ��License: ' � � � � ' , ti -_ . . , `V • ' .;,.- , � ; r�y -T,-,. SCOP.E.OF.P_ERMIT �,,;,,.; '. � A , , % �� . TEAR OFF EXISTING ROOF, RE-SHEQTH AND COVER WITH 30 �YEAR COMP,� ,! 4�; A � )�, - ` 1 `� fi ' __ - A FEE SUMMARY ��- f ' ; � ; Plan Check:� � � $0.00 - , � � �' ; �� -Calc Valuation ' ��' ' �Ss,sso�oo �` � �_ � Permit $12525 � � �l � � �� Claim Valuahon j s ; ,� S5,s5o:o0 ` SMIP Res:� , $0.57 j � �';�� ' � , SMIP Com: $0.00 . , Other`. $0.00 , � Inspection:' ",$0.00 � �� , , � _,. �,' ` � . .� i�'r >� �',l � , `��Total: ' , $125.82 i�� ,, � .A�� '� ��va. ��_ � .. '% . ..�r�'�� l. �/,'�/ ./ . �.��. , j . �•��' - � ' BCANNING_& ZONING � %% / /. ' / � SETBACK$- ,, � � �� „ � . ' >� �i �� ,� ., �, � ' - _ ' � . -.' � : � MAIN STRUCTU E-Front � 0;�0 ��Rear � � 0-0 - Left ' 0;0 ' 'Right ��0. 0' �- � ;, �/ ', � � . / i � ACCE950RY �Front �0-0� .�i��,Rear _,0-0 Left 0-�0 Right 0 0�;.,1/�� `,,._ - •, , .�� :.r� ._� ,�� , , �� PARKING Ezistin � �' � � `t _g:�, � 0� � , Required: � 0 Proposed: 0 � : �' c� " NOTES: � - ' - - ,. ,.-�� i'r. -� . NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92•2B, § 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 Inapeetlons and final approval must be oblained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 2406i8 (HW) WORKERS'COMPENSAnON OECLARATON: � , �`� I hereby attirm under penalty of perjury one oi the following declarations: � ❑ 1 heve and will.meintein a certificate ot consent to self-Insure for workers' compensation, as provided for by section 3700 of ihe Lebor Code, fw the perfortnence of the work lor which Ais pertnit Is issuetl. . ❑ I have end will maintain workers' compensation insurance, as requiretl by section 3700 of �he Labor Code, for Ihe peAortnance ol the work for w�ich thispertnit is issuetl. My workers' competn�satioNn n,s,ur�'ce wrner a,n,d�Q I�'1�.,, n "ber are: ; � •� Cerrier. \�Y.� �/�/ Y/ T � � Policy Number: j�'0 -� his section neetl nol be comp/eted il the permit is alued et one hundred dollars (5100) or less.) I rtity that in Ihe peAorman f the work for whic rmit is issued, I shall not employ any person in any menner so as to become subject to ihe workers' compensation laws of Calif antl egree that if become subject to Ihe workars' compensation provisions ot Secti 3700 f the Labor Cotle, I shall forihwith comD�Y'^��h Ihese provis' s. Applicant SlgnaNre: � Date: � �7� 03 � WMNINO: FAILURE TO SECURE ERS PENSATI COVERAGE IS UNLAWFUL AN� SHALL SUBJEGT AN EMPLOYEq TO CRIMINAL PE TIES AND GVIL FINES UP TOONE HUNDRED TMOUSANDDOLIARE�3100,000) DDITIONTOiHE OFCAMPENSATIIXJ,DAMAGESASPROVIDEDFORINSECTION3)060iTHELABORCOOE,IMEREST,AN0AT70RNEV'SFEES. LICENSEDCONTRACTORS I hereby attirm that I am licen: force entl aHect. Lic. q Contractors Signawre: _ 9(commencing with Section 7000) of Division 3 of the Business antl " � Class a Date: CONS7RUC710N LENDING AGENCV: ❑ I hereby aHirm that there is a cons�ruc�ion lending agency for the peAormance of the work for which this pertnit is issuetl. (Sec. 3097, Civil Code). Lendefs Name: Lendefs Address: Signeture: Date: my license Is In full OWNER-BUILDER DECLARATIONS: I hereby aNirtn that under penalry ot perjury that I am EXEMP7 FROM THE CONTFACTORS LICENSE LAW for t�e following reason (Sec. 7031.5, Business antl Professlons Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires iha epplicant for such permit to file e signed statement that he or she Is licensed pursuent to the pmvisions of �he Contractors License Lew (Chepter 9(commencing with Section 7000) of Division 3 oi the Business end Protessions Code) or Ihat he or she is e:empt therefrom antl i�e basis tor the alleged e:emption. Any violation of Section 7031.5 by any epplicant for e pertnit su6jects the aOPliwnt to a civil penalry of not more than five hundred dollers ($500).): ❑ I, as owner of Ihe proparty, or my employees with wages as their sole compensatioq WILL DO THE WORK, antl ihe structure is not intended or ottered br sale (Sec. 7044, Business and Professions Cotle: The Coniraciors License Law dces not apply to an owner of property who bui105 or Improves thereon, and who does such work himself or herself or ihmugh his or her own employees, provided that such improvements are not intentletl or oflered for sala. If, however, tha building or improvement is sold within one year of wmpletion, the owner-builtler will have the 6urden of proving that he or she tlitl noi build or improve for purpose of sale.). ❑ I, as owner of tha property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business end Profeuions Code: The wntracrors License Law does noi apply to an owner of pmperty who builds or improves thereon, and who contrects for such pmject with e contractor(s) license pursuant to the CoNrectors License Laws.). ❑ I am exempt under sec. Siqnature: Owner ID veniietl by dnvefs license. ❑ Ves ❑ No Business and Professions Code br ihis reason: Veritiwtion of Ownership Dy (type oi tlocumen6 i.e. - pmperty tax bill or tleetl): DIVISION OF INDUSTRIAL SAFE7Y PEHMIT CERTIFICATION: Dnvefs License No. Date: Expires: ❑ I heraby certity ihat no ezcavetion five (5) or more feet in tlepth into which a person is required to tlescentl, will be made in connection with work authonzetl by Ihis pertnit, and ihat no Duilding strucWre, scaHolding, talsework, or demolition or dismantling thereof, will 6e more than thirty-six (36) feet high. (Chep. 32, Gry 2, Atl 2, Sec. 341, Ttle B, Califomia Adminisirative Code). ❑ As owner-buil0er, I will not employ anyona to do work which would require a permit from Ihe Division of Industrial Safery, as notatl abova, unleu such person has e pertnit to da such work irom ihe division. Signawre: Date: Division ot Indusinal Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVJITON OF EMRY: I cenify under penalty of perjury ihat I have read Ihis epplication end 5tate that ihe infortna�ion given is correcL I agree to comply with all sate laws and dry ordinances relating to building wnstruction, anC authonze representatives of the Ciry of Costa Mesa to enter upon the above-descnbed property for inspection purposes.ypgree not to occupy or allow occupancy oi any building authorized by ihis permit until finel inspection. GOOE I, INSGECTIONTYPE V 1618 FixeO System Final Fire Prevention 1268 Pool Spa Final 200 Final Re-Rool 201 Final Block/Reiaining Well 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition Q� IMRI��S _ 2_0� � COUE I INSGECTION TYPE 206 Final Mechanical 20B Finel Plumbing 210 Final Electncel 212 Final Fira Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy p� � � . ' . . . , ' . . . .. . 1 . 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' + .. � 4 � (A r. � � �. h r i .. � i - - 0-1 c ♦ � � " � � � i i , l� ' f ; � . � M R '� ', •. . ` i r . � }.g � m . b f a A' , 'l { 5 0 -r k� t� � r v- Vl t- r-1� . L� � tl�y,Jp�7y �2 � tk ; � cr e,� . `: � ' 4M�.n1 .. . i. '" Y .. F� � � ��'�` p { 4u � �� 4.'..� � t .° ii�� ,�.�. �1M �� i� 1 P. Pb.�{� r`ti . � �� (4� � a.. �,�n ° � T. � { 1 y �� '� .W � �� ,.41 ' � ' i i ) r . � � : � •. x Ay O b1� y : .. �, -'� ` " . ' .r . 'rrC--1�� y�m 1� y �+��0 q �� , � , . � ` r, ` 'e . �. � � h � R' O 7 � L ,, ' . • r , , � . v �' « � � v � � Ftr „I � , , � . �. � „ ., m o ,y x � . N , � i � 1� � 1 � N r e�, , , � � .. r ., r ' ,H ry�' W ' �q� i qm,l , 1 d �Q y � t' � . ,� F �j � � � � � i �. . � y •. � ,' t . ' . i t r. � . � . �� .t' ' 4, ,.i: F . '<,S'��.�,U Gi :L ,'U W . �W . tl� ' �i' . . �. . . . n .,�� _' t ` ^t ° . � . - . �y � ' �",: � . . ' . . . . . . � .. . .. .. . " � - . . p �se.- � .i.. . , � 'y. ... � _ • ' , ' a �. y { -. � . . , _ . .. a . . � �, `� � � t �� . : � � .. .� .� 'i � . •,4 .. ,t . . ,,p ' �'r,:.i.' i ;� .i'. . �, . � . ,t �. � -.4 �v'� _ ' ��y . �� 1 � �� r � .r�r� " - . F. . . � .. � � � .. �"" . S . . _ . . �� . i ' . . . . � . ' . . � r n . . � �. � .. . . . d OWNER gpVAGE� DONAi.n � JOB ADDRESS 313� Cork I GENERAL CONTRACTOR p�E P N�• 141-6��-45 LOT � � INSPECTIONS , SOIL � GAS W ATER � ROUGH PLUMBING �PROP. SWR. LINE Q HOUSE CON. � SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING ANO AIR CON�ITIONING UNOERGROUNO [] POWER ROUGH WIRING TRENCHES � FORMS � FLOOft SVSTEM BONO BEAM ❑ STEEL RE SHEATMING FRAME ANO FLASMING LATHING - IN ❑ OUT [ PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG.�AN PLUMBING, FINAL AN� GAS T ELECTRIC, FINAI BUILOING, FINAL DATE BUILDING PERMIT N0. 286 SUBCONTRACTOR ' 28656 'COSTA MESA BUILDINGSAFETY DEPARTMENi P.O. BOX 7200 COSTA MESA. CALIFORNIA 82628 For Appl(canf ro F1U In Complotely TYPE OR PRINT DDREtYD .3/_J..] CF7.Q.rC L.�J'it:�� COSTA MESA. CALIFORNIA MAIL Mo. or e�ooe. , LIN6 PPDX DESCRIPTIOP! OF WORK 1 X8R6DY ACKNOWL6DO[ TfAT.i H�V6 RfAD YXIY APPLIGTION AND 9TAT8 TXAT TX[ 11lOY[,18 COAR6CY AND 110q68 M COM. PLY WITH ALL CITY ORDINANC[6 �1O RAi[ IAW� 9[OYLATIN6 � BYILOINO CON9�Q�1�0lIn� � SIGNATUREOR �� PBRMITTBe � AUTHORIZ[D A6QNT - NA -5-68Pato00 715 ''*****5.00 �� g�/6 �L �/ � !� ArPLICATION FOR PERMfi BUILDINa POr OffkO U» Only R�CtIV�D �Y LlOAL ZONING MO,OP UB[OI�NN/ ■IAIU 7� OUILDINO ..,,� � ''/ U BHALL BE LE88 THAN YARDSMPROVED I YARD9APPROVHD MAIN BUILDIN6 ACCEBSORY BUILDINO tOMCy/`L�RHtF)/ � / �7 VAR. # eer. rnwiH e nccess.eu DAT6 1 �ATY - �7 � a ro � e sc. m. � TN8 ANOUNT BXOWN UNOlIi VALUATION IB POp TX8 � PI1PP08[ OP 80iABL18MIN0 A PCqMIT FE8 ONLY. VALUATION ^ p � Om PERMIT FEB v/ Ob � s .�OD'� „ �w TOTALPEE ��OO OWNE�z HARH�R HALL OF FAME HOMES INC. JOB ADDRESS "�133 Cork Lane � � GENERAL CONTRACTOR AP No. LOT INSPI3CTIONS Gas TRACT DATE N04 3 0 7962 13UILDING PERMIT NO. ial Bldg. Corp. VALUE S 17,0�5.00 E� FIR� 7.ONE DIiSCRIPTION OR WORK DATli GROUP I&J TYP� V 7,ONE SUBCONTRACTOR .G NUMBPR OCCUPANCY � I I I I ORM Bll4 - 5M - 7�61 l , -� - . is�2� M- COSTA.MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIFORNIA For Applieanf to Fill In Complefiely TYPE OR PRINT ADDRESS 3� 33 C's��' �a�o � COSTA MESA. CALIFORNIA OWNER �'bor Ha.11 of Fame Homes Inc. MAIL ADDRESS P•�• BOX 2066 CITY Santa %iII3 NEp{11 9-�Ze ARGHITECT TEL. '.1. ^^1. OR ENGINEER 5�160II NO. S�T-�T ADDRESS '2z5 '�D�' St.� TustiA coNTRacTORLifetime-Residential Bldg Cor ADDRE55 21j1 So. Artesia an Santa.AIIa �;�TNo. zo8676 . Na: xI 9-2204 SIZE �OM� ... NO. OF BLDG9.o OF LOT �� NOW ON LOf USE OF None EXI6TING BL�G C¢NTER OFNSTRZETM �O' REAR YARO ��0 SIDE YARD I LEFi 5' I RIGHi l' DESCRIPTIOId OF WORK- NFW I nII GLTFRATION I II GOOITI[fN I Z6OV IR�OOMS 9 STORIE51 WAL� ��__�,_LJ�OOF nL_i__ 1 HEPEBY ACKNOWIEDGE TXAT I HAVE READ THI9 APPLIGTION AND BTATE TXAT THE A9 ¢ 16 CORPEGT AND AGREE TO COM- PLY WITX ALL CIN N NGE6 �BTATE LAWg� R20ULATING BUILDING CONBTRO 1� '�// SIGNATURE OF , _ �C.. 1'/� � AUTHORIZED AGENT FE� RECEiVED Lot 77� Tract 4356�� an �t� �gg�r � �' FINANCE DEPT. APPLICATION F�TPERMi'FOSTA MESA BUILDIMG For Office Use Only AECEIPT NO. P8 DATE IBBU6D COSTA MESA. CAIIFORNIA APPROVED ZONING ZONE NO. OF U8H OF {Q / rurus eurtnl9 �EpAL tcermn une s'r.� FRONT S D FT. R.SIDE -�� FT. ^ s — APPROVED 04 , /,l �„� a i TXE AMOUNT BHOWN PURP08¢ OF EBTqBLI VALUATION I $/,7o7s_� �8�� / VALUATION 18 FOR THH ♦ PERMIT F6E ONLY. f 0 LL � �