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Home My WebLink About694 CENTER ST - Building Permits.� �w N ' CITY OF COSTA MESA � o "' BUILDING DIV/SION >`� � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-0856 • www.ci.costa-mesa.ca.us F �. ` FOR INSPECTIONS CALL: (714) 754-5626 '4Oaem+m A"' PERMIT NUMBER: 609-00134 PERMIT TYPE B_ROOF2 APN: 42421245 JOB ADDRESS: 694 CENTER ST�CM . vicinity: - Squares: 2500 , �� STATUS: DATE ISSUED: - ISSUED BY: , � . �� _- . Suite/Unit: , � � - -� " Valuation: � ISSUED 0712312009 BJK $10,000.00 SCOPE OF WORK: REROOF TRIPLEX AND"ATTACHED GARAGE (1 & 2 STORY STRUCTURE): TIO EXISTING COMP ROOF, 7/16" O58 SHTG, 1 LAYER 30# FELT, APPLY 30-YEAR COMP SHINGLES. PITCH 4:12 25 SQUARES WORK INCLUDES INSULATE THE ATTIC AND REPLACE ALL FASCIA/PAINT OWNER: WINDLE, STERLING TR � � Address: PO BOX 693 Unit: PHONE: - City/State/Zip: NOBLE, OK � , J APPLICANT: STRICKLAND SHAWN � Address: 2828 E PURITAN PL Unit: : PHONE: 714-271-8570 City/SWte/Zip: ANAHEIM, CA CONTRACTOR: STRICKLAND ALL TRADES Address: 2828 E PURITAN PLUnit: Ciry/State/Zip: ANAHEIM, CA 92806 ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: Bldg Std Admin Fund TOTALFEES PHONE: License No. License No. $o.00 $181.25 $0.00 $1.00. .-. . ' $182.25 � .. -. License No. 859541 774-277-6570 CELL: PHONE: PHONE: � 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under lhis permit to be considered legal, such work must comply with all applicable wdes, 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. COOE /. INSPECTIONTYPE DRTE INTRIALS OOE/ INSGECTONTYPE DRTE INTI71pL 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final I �� q,.�� 208 Final Plumbing 200 Final Re-Rool �x �l� _n�f M�„_(kJy 210 Final Electncal J 201 Final BIotWRe�aining Wall 212 Final Fire Prevenlion 202 Final Factory Fire Place 220' Final Planning Approval 203 Final Sign � 222 Final Site 204 Final Demolition 250 Final Builtling/OcCupancy . . '� � WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalry o! perjury one of Ihe following declarations: ❑ I have and will mainlain a certificate of consent to selhlnsure for workers' compensation, as provitletl for by section 3700 0( me Labor Cotle, for the pedormance of the vrork for which Ihis permil is issued. �� I have and vnll maintain vrorkers' compensation insurance, as required by sec n 3700 0( �he Labor Code, for Ihe peAormance of Ihe work for which lhis permit is issued. My workers' compensation Insurance carrier and policy number are: Carrie'�� SQAQ-� Ya w� S�'iJ�..J C-L (This sedion neetl ipf Oe romqetetl Alhe peim4 is valued at are nundred �llars (5100) a less ) Policy�Number dd �l ��-. �%� � � ❑ I certify that in the peAormance of [he work for which this permit is issue shall nol employ person in any manner so as to become subject to the rkers' compens io laws of California, antl agree that if I should beco ubjecl to the vro er compensation provisions of Section 3700 of the L otle, I shall forth �ih comply vnth ihese provisions. � -2� -c�4 Applitanfs,SigaWre Date1 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm Ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in fu�ll]torce and effect. Lit� » �OS -I S Class�#,�_ 7�Z"�-OC omracloCs aWre Oale.J CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn that there is a constmctbn lentling agency for Ihe peAormance of the �+ork fa wfiich this permil is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: SignaWre Date OW NER-BUILDER DECLARATIONS: I hereby a(frm lhal un0er penalty of Derjury lhat I am EXEMPT FROM THE CON7RAC70RS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professions Cotle: Any city or county which requires a permit lo conslruct, alter, improve, demolish, or repair any sWCNre, prior lo its issuance, also requires the applicant tor such permit to file a signetl statement that he or she is licensetl pursuant to the provisions of Ihe Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Cotle) or that he or she is exempt therefrom antl the basis !or the alleged exemption. Any violalion o( Section 7031.5 by any applicant for a permit subjects the applicanl to a civil penally of no1 more than frve hundretl tlollars ($500).): ❑ I, as owner of the property, or my employees vnth wages as their sole compensalion, WILL DO THE WORK, and ihe structure is not intended or oflered 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 tloes such work himself or herself or through his or her own employees. provided that such improvements are not intended or oftered for sale. If, however, the building or improvement is sold within one year of complelion, Ihe ovmer-builder will have the burtlen of proving that he or she did not builtl or improve for purpose of sale.). ❑ I, as owner of ihe property, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS lo conslrucl the project (Sec. 7044, Business and Professbns Code: The cont2ctors License Law dces not apply ro an owner of property who builds or improves thereon, and wfio wntracts fa such project v+ith a contracta(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature ' Da�e 305]A6 (3/Ol� � s �- Owner ID veri(ed by driver's license. ❑ Yes ❑ No Driver's License No. Expires: Veri(ication of Ownership by (rype of tlocument, i.e. - property [ax bill or deed�: DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: ❑ I hereby certdy that no excavation frve (5) or more (eet in depth into wfiich a person is required lo descend, will be matle in connection with work authonzed by this permit, and that no building strucWre, scaffdding, falsework, or demolition or dismantling thereof, will be more Ihan Ihirty-six (36) feel high (Chap. 32, Gry 2, M 2, Sec. 341, Tille 8, Califomia Administrative Code). � As owner-builtler, I will not employ anyone [o tlo work which would require a permit from the Division of Industrial Sa(ety, as no�ed above, unless such person has a permit to do such work from the division. Applicam's SignaWre Division of Industrial Sa(ety Permit Number _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fucure builtling occupant need ro file and certify a Business Plan tor emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the Califomia Health and Salery Code requires, with some exceptions, iha[ a Business Plan be filed with the Costa Mesa Fire Departmen� 6y every business which has at any one time during a repohed year a quanlity of hazardous matenals equal to or grea[er than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at standard temperature and pressure). 2. Does or will the applicaM or present or fuNre building occupant need to fle a registration form for acutely hazardous ma[erials? ❑ Yes ❑ No (Section 25533 of the California Health and Safery Code, with some exceptions, requires registration wiM the Costa Mesa Fire Department by each Dusiness which at any one lime has on hantl a quantily of acutely hazardous materials equal to or greater Ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at s[andard temperature and pressure). 3. �oes or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous materials)? ❑ Ves ❑ No (Section 25534 of the Califomia Health and Safery Cotle provitles that the Costa Mesa Fire Departmen[ may require the preparation, certificalion and fling with the Fire Department o( an RMPP by businesses which are required to register acutely hazardous materials vrith the Fire Departmen[. 4. I( an RMPP is presently required, has Section 25534 of the California Health antl Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or vnll the applicant or present or (uWre builtling occupant require for the vrork which is ihe subject of this application a permit lor such construction or modifcation from Ihe South Coast Air Quality Managemenl District or from any other air pollution control dislrict or agency? ❑ Ves ❑ No (Sectbn 658502 of Ihe CalAomia Govemment Code requires Ihat Ihe requested in(ormation be fumis�etl on applications far non-resitlential building permits). 6. Will any part ot the tacility to be constructetl under this pertnit be within 1000 leet (rom the outer boundanes of a school? ❑ Yes ❑ No Qf'yes", the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safery Code). 7. If a permit from the South Coast Air Quality Management DisMcl or other air polWtion control tlistrict or agency is requiretl for the work v+hich is the subject ot this application, have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been matle? ❑ Yes ❑ No 8. Qf "yes", attach certificate of compliance from the appropriate air polWtion contml officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correcL I agree to comply with all state laws antl city ordinances regarding Hazardous Materials and Emissions. SignaWre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cenify under penalty of perjury that I have read this application and state Ihat the information given is correcL I agree lo comply vnth all state laws and ciry ordinances relating to building construction, and authorize representatives of the Cit of Costa Mesa o ter upon t�e above-descnbed property for insp tio puryoses. I agr e not to occupy or allow occupancy of any building autho ' ed� rjqic ncrmi(y�p' ' ins ection. y.q.�--�—,.� � t-7�v� SignaWre ol Le9al r(s) Date `1 `'��-64 AnNOrAuthviu pplimnl pale—i� ,, - �' � ' 6441 COSTA MESA BUILDING DEPARTMENT P.O. BOX 31� COSTA MESA. CALIFORNIA __.._._._._ FOR APPLICANT TO FILL IN BUILDING /��— nooRess 694 Center Street �� COSTA MESA. CALIFORNIA OWNER B�EBURN CONSTRUCTION COF 3404 Via Lido cirv Ne ARCHITECT OR ENGINEER t Beach �� u:ir� VK.• (�a61 �I' �� APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY No: OR 3-1240 qDDR `r��o: C747 FIRE rrport Beach ZONE CONTRACTOR Lido CiORSii. CfTv NIO1�J%91�J nooRess 3404 Via Lido NoOr 3-1240 "ev ' LEGI�I LOT oq a�p� � osSCairiwru ry0. L.J BLOCK TRACT � � A.P.NO. ��Af.� Til�I � 50 x 125 ' I"„o;,°oN �o;�� 0 USE OF E%ISTiNG BLDG. SETBACN LINE FFOM 45' /� CENTER OF SiAEEi 51 ` LEFT OI 311 DESCRIPTION OF WORK e NEW X ALTERATION � ADDITION REPAIR MOVING OEMOLISH SIZIE DING 3124 9. ft. ROOMS 13 STORIES Z EXTERIOR WALL va✓..O'Od ROOF COVERING $yµCCO COVERING wood-shin� BUELD�NGEW Multiple Dwellin� 703 sq.ft. attached �ara¢e & COSTA MESA. CALIFORNIA CORRECTIONS c � 8 " - FVE READ TNIS 1PPLIC�TIDN hNp ' // SLTE TH�T TME �BOVE IS CORRECT /�ND �GREE TO COMPLY WITN wLL (� CRV OROINwrvCES �rvO Si�TE L�WS REGUL�TING BOLLDING CONSTRUC� TiON. VALUATION PERMIT FEE S . a �'_� SIGNATURE OF ✓• PERMITTEE '% 2/�� PLAN CHECK 5 �/� 6 O . 5 ��i ..� / AUTHORIZED AGENT TOTAL FEE S (� � S �