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Home My WebLink About1436 DEAUVILLE PL - Building PermitsCITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fax (714) 754-4856 • www.ci.cosla-mesa.ca.us BUILDING PERMIT Job Address: 3168 CHEMIN DE FER VVY Suite: Vicinity: 1430, 1432, 1434, 1436 DEAUVILLE PL Parcel Number: TPN98079 Applicant: PEARSON, VESS Address: P O BOX 3908 SEAL BEACH, CA Owner: FRENCH QUARTERS HOA Address 2020 E FIRST ST SMIP Res: SUITE 500 SMIP Com: SANTA ANA, CA Contractor: G M ROOFING COMPANY Address: P O BOX 3908 SEAL BEACH, CA Zip: 90740 Arch : Address: Zoning: Phone: 562-429-7663 Zip: 90740 Phone: 714-285-2626X211 Zip: 92705 Phone: 562-429-7663 License: 472566 Eng: Address: PERMIT NUMBER B04-01046 77 FAIR DRIVE, 1 STA MESA, CA 92626 us: ISSUED At ad: 06/08/2004 I: ad: 06/08/2004 C ISSUED BY: 7 Phone: Pt -. Zip: License: Lit se: SCOPE OF PERMIT REROOF CONDO BLDG WITH UNITS 1430, 1432, 1434, 1436 DEAUVILLE PL ONLY: T/O EXISTING ROOF, INSTALL 4YERS 15# FELT UNDERLAYMENT, APPLY "GAF 40 -YEAR COMP SHINGLES PER MFGR'S SPECS." 32 SQUARES Plan Check: $0.00 Permit: $167.25 SMIP Res: $0.85 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $168.10 SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 ACCESSORY Front 0-0 Rear 0-0 PARKING Existing: 0 Required: 0 FEE SUMMARY Calc Valuation: $8,450.00 Claim Valuation: $8,450.00 PLANNING & ZONING Left 0-0 Right 0-0 Left 0-0 Right 0-0 Proposed: 0 NOTICE: The work authorized by this permit *hall comply with all applicable handicap access requirements unuer Galifo t 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 pended 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 icable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the ex .tion of this permit. FOR INSPECTIONS CALL: (714) 754-5626 2x46.46 (6/W) WORKERS'COMPENE I hereby altirm under pe ❑ I have and will me work for which this [� 1 have and will mai My workers' comp Carrier: �•�i r'4';. (This section need not t ❑ 1 cenity That in the compensation law comply with these Applicant Signature _ WARNING: FAILURE TO SE THOUSAND DOLLARS (Sip LICENSED CONTRACI I Hereby affirm that I am force and effect. Lip. # Contractor's Signature: CONSTRUCTION LENT ❑ I hereby allirr, the Landdr's Name: _ Signature: OWNER -BUILDER DE( I hereby affirm that and( Code: Any city or count to tile a signed statomm Business and Prnfossio subjects fine applicant tc ❑ I, as owner of the 7044, Business ar himself or herself, sold within one ye, ❑ I, as owner of the Code: The contrac license pursuant b ❑ 1 am exempt undo Signature. Owner ID verified by on, Verification of Ownershi DIVISION OF INDUSTP ❑ I hereby cenity the permit, and that n, 341, Tllle 8, Califo ❑ As owner -builder, permit to do such' Signature: Division of Industrial Sal 1 Will the applicant o material? ❑ Yes (Section 25505 of I business such ha: or 200 cubic feel of 2 Dees or will the apt (Section 25533 of 11 one time ties on b compressed gas at 3 ..... ............ _...apt Does or w111 the apt ❑ Yes ❑ No (Section 25534 of t Department of an F• 4 If an flMPP i1s pins. L Gcas or will he aol from the South Ca.. (Sactlon 65850.' UI u Will any pan til Ilio fit "yeJ", the tocilay 7 II a Ddrmil hOn I, - application, have at 8 pf _ye`' attach cad CERTIFtCA.T'E OF re•)ardlnq Ha w0'r! Sipnalouv. __ CERTIFICATE OF COMI correct. I agree to cam( above-described pence" V CODE t_ IN FUTION TYPL 1616 Fixed System I 1266 Pool Spa Final 200 Final Re -Root 201 Final Block/Ret 202 Final Factory F 203 Final Sign 204 Final Oemolnlo ON DECLARATI i of perjury one of the following declarations n a cer!ihcete of ironaent to self Insure for workerscompensation. is provided for by section :1700 of the Labor Code, for the performance of the mil is Issued. I workers' compensation insurance, as required by section 3700 of the labor Code, for the performance of the work tot which this permit is issuod. 3110n Insurance carder and policy number are. I'1' v'7 Policy Number: L' r. i 1 I (. i - 1 Impleted it the p6rmit is valued at one hundred dollars (5 100) or toss.) ormance Of the work. for Which this permit is Issued. I snail not emp, oy any person in any manner so as t0 become subject to the workers California, and aurae the' if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall tonhwith Asions 7 Date' �� 14' Cr4 IE WORKERS' COMPENSATION COVERAGE 4 UNLAW Flll. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED l IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNE"'S FEES. S DECLARATION: nsed under provisions of Chapter 9 (commencing with Section 73CO) of Division 3 of the Business and Professions Code, and my license is in full .of (: Class # L'- � zi d -E Date: • I =i J -i ;AGENCY: its is a construction Iending agency for the performance of the work for which this oormit is issued. (Ser„ 3097. Civil Code), Lendm's Address: — — (late: RATIONS: malty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions ich requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit at he or she is licensed pursuant to the provisions of the Contracto's License Law (Crispier 9 (commencing with Section 7000) of Division 3 of the :oda) or that he cr she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit ivil penally of not more than five hundred dollars (S500).j: ,any, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. rofessions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work rough his or het own employees, provided Nat such improvements ate not intended or offered for sale. If, however, the building or improvement is completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). reny, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions License Law does not apply to an owner of pronerty who builds or improves thereon, and who contracts for such project with a contrectons) Contractors Llcensl Laws.), Business and Prolessinns Code for this reason: Dale'. license. ❑ Ye!: ❑ No Driver's License No. Expires: (type of document, i e. - property tax bill or deed): SAFETY PERMIT CERTIFICATION: excavation five (5) or mere feet in depth into which a person is required to descend, will be made in connection with work authorized Dy this tiding structure, scatroldirg, falsework, or demolition or dismantling thereof, will be more than Ihirly-six (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec. Administrative Code,. II not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless sucn person has a l from the cavisior:. Dale: Permit Number: AND EMISSIONS CERTIFICATION: ,sent or future building occupant need to file and cenity a Busmase Plan for emergency resoonso to release or threatened release of a hazardous ❑ No aldomia Health ane Safely Code requires. with some exceptions that a Business Plan be filed with the Costa Mesa Fire Department by every any one time during :3 rationed year a quantity of hazardous nlaten3ls equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, (pressed gas a1 standard lempctature and pressure) ....... .__._.... ..".."... ......_......... .. .......... ... .....__ ........ ... ............ at or present or future pwlding occuaant need to file. it registration ham for acutely hazarctcus materials? [3 yes ❑ No :alit rmia Health end dalely Code, wan Soren exceptions. requires rogistraron with the Costa Mosa Fire Department by each business which at any a quantity of arolely hazardous matoriais equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic loot of ,deed tomperaturo and pressure). ....... ...._........ ............_._ .................. ................. ........._...... ....._._........ ......... ... -... ..........._......... ................. ... ... - re or present or tutura Duilding occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ;ahtornia Haatlh and Safety Code provides that the Costa Mesa Fire Depanment may require Ilia preparation. certification and tiling with the Fire P Dy businesses'nhicn are required to register aculely Dazardous materials wnh the Fire Depanment .. ..... .......... ..__.......... ........... .......,__ .._............ . .. ...... .................. ............... .. ..re e y ' ........... ' ---used, has Securn 25534 DI the California Health and Safety Ccide been fully complied with? El Yes ❑ No n! or oro ant or enure bLllding occupant require for the work which i Ina sunjecl ahu this Lk I t seen a�ermn !or such censor coon ormnadicauon it Owl .y Managmm�nf D su ct or from any ether air pollution cot f'c I district or apancy? LJ +cs No California Coverem4m Corle, regales that the requested inform3tir o be furnished on appllcalond for non-residerrai Melding parmos). ...__ ....._.... .... .. ...._. ....... _...... .._.. .... ........... .1. ... Ira a ,._ ,..,r _Iruued und+.r this Herren be within IC00 teal from Ilio )wnr hounnanas of a school? ❑vas ❑ No :: elect the iegmn:munl of Sections 25534 and 42303 of rte Calr,00ne Healln end Safely Co(te). .._... .... _.._...... ........... ........._.. ......... ............... _ .. . ........_ ........ _. ............. Anh Coast Alt Oualny Managemenl District or other air pollution control district or agency is required for the work which Is the sublucl of this he disclosures tin;scribed by California Health and Safety Code Seaoon 42303 been made? [] Yes ❑ No ....... . --.... ............ ......... .......__...... .. ..,............ .. .. In. of compbanre (:Ora the appropriate air o011ulign cODV01 Officurl. 'APLIANCE I cenity plat undor penalty of perjury Inn information Given above is correcl. I agree to comply with all state laws and city urdinonees 11-0103 pod Fam,Fs,01,5. Data INCE AND AUTHORIZATION OF ENTRY: I amity under penally of perjury that I have read this application and slate that the information given is ,illi all state laws anal city ordinances relating to budding construction, and authorize representatives of the City of Costa Mesa to Poor upon the r inspection pure, nes. I agree not (o,ecaVy or allow occupancy of .rev buitoing aulhofi:ed by this permit until final inspection. Signature Of Lc!:al _Twnerls) Dale r ij� AntllOr Aulnou; ad Appl cant 'Data DATEa[IT�Ah =,oDE0 INSPEICTIDN TYPEATE INTITIAi Fire Prevention 206 Final Mechanical 218 Final Plumbing le �(� rL%�✓✓`_' 210 Final Electrical Tg Wall 212 Final Fire Prevention 'lace 220 Final Planning Approval 2:12 Final Site 2'M Final BuildinglOccupancy 2272_8 COSTA MESA BUILDINGSAFETY'DEPARTMENT P. O. BOX 917 COSTA MESA, CALIFORNIA For' Applicant to Fill In Completely TYPE OR PRINT BUILDING - ?/ / ADDRESS %{U COSTA MESA, CALIFORNIA ® MAIL BOX 'Levanas Via OUorto. Nu' [ADDRESS BOX 2066 - Santa Ana CITY STATE 208676 NO. • KI9-2204 SIZE I NO. OF BLD D'°"Pnone EXISTING BLDG. SETBACK LINE FROM CENTER OF STREET t REAR YARD a 10 4 SIDEYARDI LEFT 0'' I RIGHT 0 DESCRIPTION OF, WORK I I I II I BUILDING NO. OF 2 r SIZE lOOR - -' ROOMS PJ STORIES Y EXTERIOR WALL. ROOF Construction of RIn occu anc with IIJ,II construction garage 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THISAPPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF PERMITTE I . AUTHORIZEDAGE ,n0l L Lot # 40RL MUM Plan # 20. AG 3 'DEPT. DEPT. . CITY OF COSTA MESA . APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. P/��i,IIB(KJJ �jj11JJ��JR(�( RECEI D Y T RECEI� 6UED AUGO V 1 BUILDING ADDRESS FIRE 11 - ZONE TYPE YY GROUP if APPROVED BY DATE ZONING ZO 1 NO. of, PLANB USE OF N I BUILDIN LEGAL(,/� DESCRIPTION 1 0 F �� f A. P. NO.. — ' 0 NOTE: NO EAVE OVERHANG SHALL BE LESS THAN 90" TO SIDE @ REAR P. L EAVES ALLOWED (U. B. C. REQUIREMENT) YARDS APPROVED YARDS APPROVED - MAIN BUILDING ACCESSORY BUILDING (FROM C/LL STREET) FRONT FT. / FT. %V� R. SIDE `/(�"�/ FT. O FT. L. BIDE \/ P.T. REAR FT� FT. DISTANCE BET. MAIN BLOCS. SET. MAIN e ACCESS. BLDGS. VAR. l\ C. U. P. �"^J P. APPROVED -/9- - � APPROV'4 BY DATE THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.. VALUATION /rye/17 � C, PERMITFEE $ ❑t -/l LA CHECK TOTAL FEE $✓' `� 0