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Home My WebLink About3137 CORK LN - Building Permits(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa: BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, GA 92626 Job Address: 3137 CORK LN Suite: Viciniry: Parcel Number: 14163344 Applicant: BILL CLAYTON Address: 23511 WHITE DOVE DR LAKE FOREST; CA Owner: BEARBOWER, NOLA E TR Address 2917 JACARANDA AVE � � .COSTA MESA, CA Contractor. SOUT.H COUNTY ROOFWG , Address: 23511 WHITE DOVE DR LAKE FOREST, CA Zip: 92630 Arch : Address: Status: ISSUED Applied: 06/04/2004 Issued: 06/04/2004 Zoning: R1 R1 � �� ISSUED BY: Phone: 949-597-0192 . Zip: 92630 Phone: 949-957-0990 Zip: 926263709 Phone: 949-597-0192 License: 737515 Eng: Address: Phone: Phone: Zip: License: License: , � SCOPE OF PERMIT T/P OFF WOODSHAKE AND THE FLAT ROOF OVER THE GARAGE. INSTALL 7/16" OSB AND 15 LB FELT UNDER 30 YEAR COMP. SHINGLES. HOT TORCH AND CAP OVER THE GARAGE . .� � - � Plan Check: Permit: SMIP Res: SMIP Com: Other: inspection: ICSF'1A $0.00 $15325 $0.75 $0.00 $0.00 $0.00 $154.00 SETBACKS MAIN STRUCTURE �Front 0- 0 ACCESSORY Front 0- 0 PARKING Existing: 0 Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Le(t �0-0 Left 0- 0 Propased: 0 Calc Valuation: Claim Valuation: RighC 0-0 Right 0- 0 i s�,soo.00 $7,500.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 180 days, or it 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 compty with all applicable codes, and all ,, requlred inspeetions 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 2666d6 (fi/00) WORKERS'COMPENSAnON DECLARAnONi I hereby atfirm untler Oenalry oi perjury ona ot the tollowing declarations: i • • � ❑ I heve and will mlinWin e cenifiwte of wnsent to self-Insure tor workers' compensation, as pmvided for by section 3700 of Ihe Lebor Code, for the peAortnanca of the work for w�ich thi; permit is iuuetl. have antl will rtain in workere' compensation insurance, as required by section 3700 of the Labor Code, for t�e pertortnance ot the work for which Ihis permit Is Issuetl. wo er '�f' m s tlon Insuran� carrier antl policy n�" Cer ere: �arti . ��`l �M.O /i/5 � %r.{��.o/ olicy u er: �y�r170� rs section need no( be canpl fed i/ tbe Oermlt is velued et one hundred dollars (5100) or less.) ❑ I cenity that in the pedormance ot ihe work for which t�is permit is issued, I shall not employ any person in any manner so es to become subject to the workers' compensatlon laws ai Celifomie, antl agree that if I should become subject to Ihe workers' compensation provisions of Saction 3700 of ihe Labor Code, I shall forthwith aSaP��S��.. C�� Ca� �/yL� rw i s�9� �e: LURE TO SECURE WORKERS' PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CNIL FMES UP TOONE HUNDPED hIOUSPN� OOLLAAE (5100.000). IN ADDITION TO TME COST OF COMPENSATION, OAM4GE5 AS PiiOVIDED FOR IN SECiION 3]O6 OF THE LABOR CODE, IMEREST, AND ARORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: of Chapter 9(commencing with Section 7000 msion 3 ot the Business antl Pmfessions Cotle, and my license Is in full Gass a G 3Y .C�O�NS�TRUC710N LENDING AGENCV: U I herehy aHirtn that ihere is a construction lending agency for the pedortnance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lenders Neme: Lenders Address: Signature: OWNEP-BUILDER DECLARATIONS: Date: I hereby aHirtn thel under penalry oF perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Business end Professlons Code: Any city or counry which reQuires a permit to construct, alter, improve, tlemolish, or repair eny siructure, pnor to its issuance, also requires the epplicant for such pertnit to fle e signed statement thai ha or she is licensetl pursuant to the provisions oi Ihe Contrectors License Law (Chapter 9(commencing with Sectlon 7000) ot Division 3 of the Business and Professions Code) or that he or she is exempt Iherelrom and Ihe besis tor the allegetl exemption. Any violation of Section 7031.5 Dy any epplicant tor e permit subjects �he flpplicant to e civil penalry of not more ihan tive hundred dollers ($500).): ❑ I, as owner oi ihe pmperty, or my employees with wages as iheir sole compensation, WILL DO 7HE WORK, and the swc�ure is not intentletl or oflered lor sale (Sec. 7044, Business antl Professions Code: Tha Coniractors License Law does nol apply Io an owner ot properry who builds or improves Ihereon, flnd who does such work himsefl or herself or t�rough his or her own employees, provided that such improvemenis are not Intended or oHeretl tor sale. It, however, the building or improvemenl is sold within one year oi completion, the ownerbuilder will have iha burden of proving Ihat �e or sha did not build or improve for purpose of sale.). - ❑ I, as owner oi the pmperry, am E%CLUSIVELV CONTRACTING WITH LICENSED CON7RACTORS to consima the project (SecJ044, Business antl Professions Code: The wntrectors License Ww does not apply to an owner oi propeny who builds or improves thereon, and who wntracts br such pmject with e contrector(s) ' .license pursuant to Ihe Contwdors License Laws.). ❑ I am enempi untler sec. Business and Pmfessions Code for this reason: SignaWre: Date: Owner ID veritietl hy drivefs licensa. ❑ Ve5 ❑ No Drivers License No. Ezpires: Verilicetlon ot Owners�ip 6y (type af tlocumem, i.e. - pwperty tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereby certity that no excavation five (5) or more feet in depth into which e person is required to descend, will be made In connection with work euthorized by Ihis permit, and Ihat no building simciure, sraHoltling, lalsework, or demolition or tlismantling ihereoi, will be more �han t�irty-six (38) feet high. (Chap. 3.2, Grp 2, Ar12, Sec. 341, Ttle B, Celifomia Administrative Code). ❑ As owner-6uilder, I will not employ anyone to do work which would require a permit from Ihe Division ot Industrial Safery, es notetl ebove, unless such person has e permit co do such work irom the division. Signature: Date: Division ot Industnal Safery Pertnit Number. CER7IFlCATE OF COMPLIANCE AND AIJiHORVATON OF EMAY: I cenify under penalty of perjury that I have read ihis application entl state that ihe intormation given is waect I agrea to comply with all siate laws and ciry ordinances releting to building construction, and authonze representaiives of the Ciry of Coste Mesa Io enter upon Ihe ebova-described properry tor' spection puryoses. I agree not m occupy or allow occupancy of any building authonzed by ihis pe �m�i�t t�l finel inspection. (',,� � ��- �u �%Y/dY W i �li a n�t Ga ��jy�re Ot Legal Owner(s) Dare GODEI, INSGECTIONTYPE 1616 Fiaed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition pag irrtmnis CO�E� INSPECTIONTYPE 206 Final Mechaniwl 200 Final Plumbing 270 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy PAIE 1�4$ oWNER HARBOR FIAT,L OF FAME JOB ADDRE5S � �i�A n,.,,.t. r.., AP No. LOT 87 TRACT INSPECTIONS � Signat OCCUPANCY �� h FIRr ZONE nnTE hou s o �esz BUILDING PERMIT NO. vALu� $ 19 0 .00 D�SCRIPTION OF ��ORK � DA1`E GROUP I&J TYPP y ZONE , .� SUBCONTRACTOR -t — . �. i R�� ar . .. - � FEE R�.CEiVED COSTA MESA BUILDING-SAFETY DEPARTMENT Lot �6, Tract 43 an��RO 196� P. O. BOX 9f7 COBTA MEBA. CALIFORNIA ANCE l�Ef�T• For Applicant fo Fill In Complefely APPLICATIaNYF6R PERMIT�ESA TYPE OR PRINT � BUILDING ? �j y BUILDING ADDRE6S � J/ � / � arn Lq.ry � , COSTA MESA. CALIFORNIA FOI' Office US@ DII��/ � ADDRE55 P.�. B07C 2066 Jamison Lifetime Residential cin � SBnta AII& �;�TNo. zo8676 L� SIZE OF LOT 6�� USE OF NOnQ EXISTING BLOG. HBTBAGK LINE PRON pn � No: KI 9-z204 • .I vOnwOnuBID08.o I LEFT - S� I RIGHT /� DESCRIPTIOId OF WORK I X II GI TFRGTII]N I II GlllIITC BUILDING SIZE ] EXTERIOR WALL NO. OF aece�vr Ho. re �.�� BY I �IyTP Nfi��9 � DATH IBSUEDr^ // L N011 n.. COSTA MESA. CALIFORNIA FIRE � ZONE TYPE � GROUP � APPROVED 9Y DATE ZONING l� ZONE/� NO.OF IU8E OP NeW - K J I PLANS �i X9UILDINN'i/�n1 LEOAL v - _ d� _ a2aQ. 1 HEPEBY ACKNOWLEDGE AT I HAVE PEAD TM19 APPLIGTION }HE AMOUNT BHOWN NDER VALl1AT10N �8 FOR TXE AND BTATE TXAT THE E IS CORRECT AND AGRE¢ TO COM- pUpp08E OF EBTABLI6HIN6 � P¢RMIT PEE ONLY. PLV WITX ALL CITY O N NCEB ATE LA REpULATING em�nixa COHeTRU O . VAWATION /f SIGNATURE OF PERMIT FEE $(/��— a PERMI7TE ! �( � p � / � D✓ �� PLAN CHECK $ �� 6 AUTHORIZED AGENT ¢ TOTAL FEE O O� � oWNER HARBOR IL9LL OF FAi"tE HOMES INC. DATE �OV 3 0 1962 JOB ADDRESS 3137 Cork Lane BUILDING PERMIT NO. GENERAL CONTRACTOR Lifetime Residenti3l Bldg. CoI'p. VALUE � 19�05�0 AP No. LOT 76 TRACT l�356 FIRE ZONE DESCRIPTION OF WORK 1 INSPECTIONS � Signature � DA'I'E GROUP I&J TYPE V 7,ONE SUBCON7'RACTOR OCCUPANCY I I I I I °ORM BU4 � SM - 7-61 � �