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Home My WebLink About1127 AVIEMORE TERR - Building Permits'CITY OF COSTA MESA % BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 lWrm.mm+r' PERMIT NUMBER: BX07-00061 PERMIT TYPE B_MISC STATUS: ISSUED 1616 DATE ISSUED: 08/06/2007 1266 ISSUED BY: 200 Final Re -Root JOB ADDRESS: 1127 AVIEMORE.TRCM "Suite/Unit: Vicinity: Prima'ryOcc:. `„Const Type :?? SQ. FT: 0 Valuation $0.00 204 Final Demolition SCOPE OF WORK: CONSULTATION PERMIT TO INSPECT FOR -COMPLIANCE OF SFD. OWNER: REEDER, ROBERT WAYNE` Address:: 1127 AVIEMORE`TERR,ACE Unit City/State: COSTA MESA, CA -' Zip Code: 92627 , Phone: 949-645-4164 APPLICANT: REEDER; ROBERT WAYNE ,. ” Address.', 1127 AVIEMORE TERRACE `, . Unit: City/State: COSTA' MESA, CA.,ZipCode::,- 92627 Phone: 949-645-4164 �-BUILDER CONTRACTOR: OWNER ` :. '" License, No. :000000•: Address: Unit: City/State: Zip Code: Phone Cell: ARCHITECT: ." _� , n' License No., Phone �- ENGINEER: License No Phone %FEE SUMMARY Building Plan Check $0:0,0 -,�O Building Permit: $0.00 Electrical Permit: $0:00 k SMIP Residential ;r -r _ $0`.00"` SMIP Commercial $0.00>l- $0.00TOTAL FEES $47.00 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 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. L DE 0. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re -Root 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition DATE INTITIALS CODE INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building)Occupancy DATE INPTIALS rf_�=C WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations:. ❑ I have and will maintain a certificate of consent to seff-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. My workers' compensation Insurance carrier and policy number are: Caner: (This section need not be wmp'eted ifthe peang is voluedat one hundred Dollars (8100) or less.) Policy Number: ❑ 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 shall forthwith comply with these provisions. Applicant's Signature Date 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 DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LA80R CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that 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 full force and effect. Lie. # Contractor's Signature Class # 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. (Sec. 3097, Civil Code). Lender's Name: Lender's Address:.g . SignatureDate OWNER -BUILDER DECLARATIONSi'zr 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 Alin 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 civil penally of not more than five hundred dollars ($500).): ❑ I, 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 ofproving that' he -or she did not build or improve for purpose of sale.).. - ❑ I, 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 Ucense Laws.). . ❑ lam exempt under sec. Business and Professions Code for this reason: Signature 3057-46(3/07) Date Owner ID verified by drive. ,nse. ❑ Yes ❑ No ..,,Driver's License No. Expires: Verification of�Ownership by (type of document, i.e. - property tax.bill or deed): 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. Applicant's Signature Division of Industrial Safety Permit Number: Date 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 Pian 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). 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 Califomia 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 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). 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 application a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6. Will 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). 7. If 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", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certifythatunder penalty of perjury the information given above is correct, l agree to comply with all state laws and city ordinances regarding Hazardous Materials and. Emissions. , 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 b perm' until nspe tion. - 2rD A (d-gnat5�ore-owl-L�ega�Ow Andlor Authorized Applicant Date CITY OF COSTA MESA G BUILDING DIVISION i 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us °. I. - R INSPES CALL: (714) 754.5626 3 ' ERMIT NUMBER: BX07-00106 PERMIT TYPE B_MISC STATUS: ISSUED APN: 42233122 DATE ISSUED: 09/1712007 Zoning: ISSUED BY: JOB ADDRESS: 1127 AVIEMORE TR CM ;Suite/Unit: Vicinity: Primary Oce Const Type :77 S0. FT: 0 Valuation __ $2;50 0;00' 4°j-, .. SCOPE OF WORK: STORAGE AREA IN`GARAGE'WILL INCLUDE ELECTRICAL , f ` 'i OWNER: REEDER, ROBERT WAYNE'- Address:: 1127AVIEMORETERRACE City/State: COSTA MESA CA"" Zip Code .92627 Phone: APPLICANT: REEDER, ROBERT WAYNE,,,- Address: 1127 AVIEMORE TERRACE , 'Unit. City/State: COSTA MESA,,CA - 9i -Zip Code: 926271, _ Phone: 949-645-41164 CONTRACTOR: OWNER -BUILDER License No.' 000000 000000 Address: Unit City/State: Zip Code: :. - �Phone. ` '- - - 'j Cell: ARCHITECT: - - License No = , phone I. ENGINEER: License NO"' e Phone ` FEE SUMMARY;, -.- Building Plan Check ' ;, '$54-.11 Building Permit $83'25 Electrical Permit: $0.00 SMIP Residenfial $0,50 SMIP Commercial z $k $O.00TOTAL FEES 1137.86.,f,,-�� ,r Unit 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 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. CO E t. INSPECTION TYPE 1616 Fixed System Final Fire Prevention 1206 Pool Spa Final 200 Final Re -Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition DATE INTITIALS CODER INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy DATE INTITIALS WORKERS' COMPENSATION DECLARATION: `' Ownef>Iverified by drivk ,rise. Yes [:]No r _pues1 herebyaffirm under penaltyof perjury ryone of the followingdeclarations: 'Dovers License No: Ez-ZLITO - ❑ ]have and will maintain a certificate of consent to self -Insure for workers' Verification of Ownership by (type of document, i.e. -property tax bill or deed): 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: . permit is issued. My workers' compensation Insurance carrier and policy :❑' I hereby certify that no excavation five (5) or more feet in depth info which a number are: '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 Carrier:or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp (This section needrrof be completed AthepermAls valuedatone hundred ddlars(stmo)orless.) 2 Art 2, Sec.341, Title 8, Califomia Administrative Code). Policy Number: _certify that in the performance of the work for which this permit is sued, 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 e La r Code, I s all forthwith ply with these provisions. Applicant's Signature Date Date J 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 DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that 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 full force and effect. Lic. # Class # Contractors Signature Date 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. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature 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 civil penalty of not more than five hundred dollars ($500).): , as owner of the property, or my employees with wages as their sole ci�• Iompensation, 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 orrtierself or through his ocher 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.). . ❑ I, 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 Code for this reason. 1(�i4 G l�ep�eC2Ji Q s Signature Date 3057-4(3/07) ❑ 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. Applicant's Signature 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). 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 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 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). 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 fling 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 application a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6. Will 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). 7. If 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", 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. , - 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 rPrope�y for inspection purposes. 1 agree not to occupy or allow occupancy of any tl ild�g guthor�tl by this permit until "I insppption. .Signature or Legal Cohorts) ,Dale Andlor Authorized Applicant • CITY OF COSTA MESA 611 BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.cLoosta-mesa.ca.us FOR INSPECTIONS CALL: (714) 754.5626 PERMIT TYPE: B_COMBO,It. Sub Type: RES,RRIR PERMIT NUMBER: BC07-00272 STATUS: ISSUED DATE ISSUED: 09/27/2007 ISSUED BY: ?? I J013 ADDRESS: 1127 IEMORE TR CM +. Suite/Unit: `.. APN: 42233122 ,. - ° ." -""Zoning: ,.,. `; - ' .;— '.. Vicinity: Primary "0 cc. Const Type: V -N SQ. FT 0 Valuation: $1,000.00 SCOPE OF WORK: FRAME WALL IN KITCHEN AND NEW ENTRY DOOR, LEGALIZE P -TRAP FOR WASHER AND GAS LINE, TANKLESS WATER HEATER, RELOCATE CENTRAL AIR UNIT'`AND DRYWALL PATCHING. OWNER: REEDER, ROBERT WAYNE q Address_: -_l127 AVIEMORE TERRACE Unit: Phone: - ', •City/State/Zip ' COSTA MESA, CA , a ` APPLICANT: REEDER, ROBERT WAYNE.: - Address: 1127 AVIEMORE TERRACE , •-• Unit: Phone: 949.645-4164 - ';City/Slate/zZip: COSTA MESA, CA ° CONTRACTOR: OWNER -BUILDER License No. 000000 Phone: Address: Unit: - - - -- Cell: City/State: ', ZipCode AR HITECT: License No. •' PHONE: r� _ EN (NEER: License No. I PHONE:, COMBINTATION PERMIT FEE SUMMARY., Building Plan Check: $0.00 f 1 Building Fees: $305 Electrical Fees: $0.00, j L Mechanical Fees: $6565. Plumbing Fees: $68.85 SMIP Residential: $0,50 SMIP Commercial:- •- $0.00 TOTAL FEES: $173:75 "Refer to fee receipts for all fees paid for project NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia 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 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. CODE INSPECTION TYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re -Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolnon DATE INTMALS CDDEN INSPECTION TYPE 206 Final Mechanical 206 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval ,222 Final Site 250 Final Building/Occupancy DATE INTITIALS WORKERS COMPENSATION DECLARATION. . - Owner ID at ad by drl se. ❑Yes ❑ No 0 I hereby affirm under penalty of perjury one of the following declarations: - river,'s'Lidense`No. xpire,��'`Jo ❑ I have and will maintain a certificate of consent to self -Insure for workers U,er>ficatiomoPOwnership by (type of document, i.e. -property tax bill or deed): compensation, as provided for,by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 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. My workers' compensation Insurance carrier and policy number are: Carrier: (This section need not be completed d the perm@ is valued at one hundred dollars ($100) or less,) Policy Number: ❑ 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these provisions. Applicant's Signature Date 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 DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that 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 full force and effect. Lic. # Class # Contractor's Signature Date 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. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature Date " OWNER -BUILDER DECLARATIONS: 1n"l' I hereby affirm that under penalty of perjury that I am EXEMPT FROMTHE 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 civil penalty of not more than five hundred dollars ($500).): ❑ I, 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.).. . 0ICas owner of the property, am EXCLUSIVELY CONTRACTING WITH ENBED 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 Code for this reason: 9 -A,1 -106'r `iy_ Signature _ ie?;: Date 305 49-(9/ ) Y"' 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, falsew ork, a demolition or dismantlirig 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. Applicant's Signature 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). 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 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 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). 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 application a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6. Will 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). 7. If 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", 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 author b this ermit until fi pe ion. �j1$�jS�g`nature of Legal _Owner(s) .,i7 Data 773 -•y -- And/or Authorized Applicant BUILDING DIVISION COURTESY NOTICE OF PERMIT EXPIRATION October 3, 2008 Robert W Reeder 1131 Aviemore Tr Costa Mesa CA 92627-4026 PERMIT NUMBERS: FOR: PROJECT ADDRESS: BC07-00272, BX07-00061, BX07-00106 Framing, Door, Water Heater, etc., Storage Area, & Consultation 1127 Aviemore Tr., Costa Mesa Our records indicate the above listed permits were obtained for property improvements or alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4 Expiration, permits are valid for 180 days from the date of such permit, or the date of the last inspection for the project. Our records do not show an inspection for these permits within the last 180 days nor have they had an approved final inspection. If you have a signed inspection card showing that an inspection was made within 180 days, or that the final inspection was approved, please contact this office so we may correct our records. If you do not have an approved final inspection, your permits will expire on October 17, 2008. Additional fees will be required to finalize expired permits. Requesting an inspection—If you need to request an inspection, please call our Inspection Request Line at 714-754-5626. Requesting an extension—If you wish to request an extension, requests must be made in writing addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances and listing an estimated date of completion. If you have any questions, please contact the Building Division at 714-754-5273, between 8:00 a.m. and 4:30 p.m., and a staff member will assist you. The accuracy of records affecting your property is our goal and we appreciate your working with us to resolve this matter. Sincerely, Mary Jane Weidenkeller Office Specialist 11 u MF CITY OF COSTA MESA BUILDING DIVISION/— DEVELOPMENT SERVICES DEPARTMENT PERMIT "`'` ' PERMI UMBER" �"°"'"m B98-01949 (714) 754-5273 • Fax(714)754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 1127 AVIEMORETR Status: ISSUED Suite: Applied: 10/28/1998 Vicinity: Issued: 10/28/1998 Parcel Nunmber: 42233122 Zoning: Applicant: MARION, BARBARA Address: - Phone: - Zip: Owner: REEDER, ROBERT WAYNE Address 1127 AVIEMORE TERRACE .Phone: - COSTA MESA,CA Zip: 92627 - Contractor: MESA ROOFING Address: 843 W 17TH " Phone: 949-546-3012 . .' COSTA MESA, CA Zip:, 92627. License:-' 564151 Arch / Eng Address: , Phone: Zip: ' License: SCOPE OF PERMIT TEAR OFF RESHEATH SLOPED SIDE WITH 1/2" COX & REROOF WITH 25 YEAR COMP. OVER 15LB ' FELT & THE FLAT SIDE WITH 4'PLY: CLASS A CAPSHEET. FEE SUMMARY ' Plan Check: $0.00 Calc Valuation: $7,310.00 Permit: $137.25 i - Claim Valuation: $7,310.00 SMIP Res: $0.73 SMIP Com: $0.00 Other: Inspection: $0.00 Total: $137.98 SETBACKS MAIN STRUCTURE Front 0-0 ACCESSORY Front - 0-0 PARKING Existing: 0 NOTES: PLANNING & ZONING Rear 0.0 Left 0-0 Right 0-0 Rear 0-0 Left 0-0 Right 0-6 Required: 0 Proposed: 0 EXPIRATIQW This permit shalt 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 DECLARATIOMS WORKERS' COMPENSATION DECLARATION: 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Cotle, 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. My wT°-r-ka,rs^' c mpensatlon Insu ante center and policy number are: Cartier: c D-�Q �L,� Policy Number: fYLS� I L 1L7 (This section need not be completed if the permit Is valued at one hundred dollars ($100) or less.) ❑ 1 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 shall forthwith comply with these�rovision . Applicant Signature Gn n Cf !1O `i I l ism J iii2) k Date: 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 ($700,00)), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that 1 am licensedunderProvision 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. Lic. #�]�)_t_ )_ _ Class # Contractors Signature: �(Eh�1 nnl Ill Date: 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. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perfury that 1 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 civil penalty of not more than five hundred dollars ($500).): ❑ I, 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-bullder will have the burden of proving that he or she did not build or Improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Lew 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 deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feel 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 then 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 WIII 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 et standard tempereture end pressure). ...ture.buil.........................ead.............registration.................utel........................ teri.............. ....................................................... 2 Doea or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes Q 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 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). .................................................................................................................................................................................................................................................................................... 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 en RMPP Is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? [I Yes [I No .................................................................................................................................................................................................................................................................................... 5 Does or will the applicant or present or future bullding occupant require for the work which is the subject of this application a pperMt for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? I7 Yes ❑ N0 (Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits). .................................................................................................................................................................................................................................................................................. 6 WIII any pert 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 raquirement of Sections 25534 and 42303 of the California Health and Safety Code). .................................................................................................................................................................................................................................................................................... 7 If 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", attach cart#Icate 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. (agree to crampy with off 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-descrbed property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final Inspection. Vn tn tura Of Legal ner(s) Date l nl�n� nn��n°� I()-��-q2 And/Or Authorized Applicant Date CDDE.t INSPECTION TYPE DATE INTMAl8 CODE# INSPECTION TYPE DA¢ D�AlS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaiming 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 Building/Occupancy 2446.46 .. "ems .. f.. �, , v••- r..:• CITY OF COSTA MESA BUILDING DIVISION ROOF COVERING CERTIFICATION r�e p Permit No. I �� Property (Address O PL I mn r `i Owner Rnh Peeree r' Contractor State Contractor License Number Classification C -,l.';q I hereby certify that I have installed, or caused to be installed, a minimum Class C roof covering at the above address in conformance with Chapter 32, and Section 1704 of the latest adopted edition of the Uniform Building Code, as amended in Section 5-17 Title 5 Costa Mesa Municipal Code, and the installation instructions of the manufacturer. ❑ I further certify that I am the owner of the property. (Owner -Builder permittee only). ❑ I further certify that I am: ❑ Owner of sole proprietorship company ❑ Full partner of the company ❑ Limited partner of the company `i/ Officer of the corporation I certify that as an authorized officer or agent of the company or corporation, I am empowered to make this certification, which shall be binding on all successors or assigns of the company or corporation. I shall deliver a copy of this Certification to the above listed owner, after submittal of form to the Building Division for acceptance. Received by Building Division By: 099046 MW 9M7 White -Building Div.;Canary -Contractor; Pink - Owner Name QTY OF COSTA NEA CALIFORNIA 82628-1200 P.O. BOX 1200 DEVELOPMENT SERVICES DEPARTMENT BUILDING DIVISION NOTICE OF PERMIT EXPIRATION DATE: October 15, 1999 TO: Robert Wayne Reeder 1127 Aviemore Terrace Costa Mesa, CA 92627 PERMIT NUMBER (S) B98-01949 FOR: Re -roof PROJECT ADDRESS: 1127 AVIEMORE TERRACE Our records indicate the above listed permit(s) were obtained for property improvements or alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4 Expiration, permits are valid for 180 days from the date of such permit, or the date of your last inspection for the project. According to our records, the permit(s) listed above have not had an inspection for a period exceeding 180 days. If you have a signed inspection card indicating an inspection was conducted within 180 days from the date of this letter, please contact this office so we may correct our records. In some instances an extension may be granted if you intend to commence work and complete the project. If the project is complete and you wish to request an inspection; please call and the staff will be happy to assist you. If you do not contact this office i within 10 days, your permits will expire on November 1, 1999. Per Section 106.4.4 of the Uniform Building Code, additional fees may be required to finalize expired permits. If you have any questions, please contact the Building Division at 714-754-4871, Aietween 8:00 a.m. and 4:30 p.m., Monday through Friday. The accuracy of records 1 affecting your property is our goal and we appreciate you working with us to resolve this matter. Sincerely, Karen Collins Office Coordinator T7 FAIR DRIVE Building Olvisim (714) 7545273 Code Enforcement (714) 754-5623 Planning Dvlsim (714) 754-5245 FAX (714) 754-4856 TDD (714) 754-5244 F 14734 FEE RECEIVED W JUN281961 COSTA MESA BUILDING -SAFETY DEPARTMENT FINANCE DEPT, P. O. BOX 817 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In. Complefely APPLICATION FOR PERMIT 1191g71;C2 COSTA MESA. CALIFORNIA I For Office Use Only N n i RECEIPT NO. PERMIT NO. OWNER Tartan Homes Inc. 1 1 14294 MAIL RECEI D SY D RECEIVED DATE jesdimiC ADDRESS 7844 Rosecrans Avenue 2 8 195 Calif NO:NE 6126 BUILDING CITY Paramount ADDRESS ARCHITECT Cliff Olsten 61TEL. COSTA MESA. CALIFORNIA OR ENGINEER NO. A 3-122 1 ADDRESS a ce Ave D wneFIRE ZONE V I J TYPE GROUP CONTRACTOR Macco Corporation APPROVED BY DATE ADDRESS 3800 E. Coast Highway ZONING Corona del Mar ZO ( NO. OP USE OP NE CITY _ PLANS BUILDING ST No. 98808 -SB -1 EL OR 3-4220 LEGAL DBSCRIPTIOn SIZE 1 NO. OF BLOBS. OF LOT Q NOW ON LOT p P. NO USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOW D SETBACK LINE PROM (CENTER LINE ST.) / ({ P �' CENTER OF STREET REAR YARD FRONT FT. IN. SIDE YARD ILEFT (RIGHT R. SIDE FT. IN. DESCRIPTION OF WORK L. SIDE FT. IN. NEW X I ALTERATION I I ADDITION I REAR FT. IN. REPAIR I II MOVING I II DEMOLISH APPROVEDBY U/w DATE BUILDING NO. OF SIZE ROOMS STORIES EXTERIOR WALL ROOF (COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED Res, Plan # 618B R - 1600 S Ft G - 436 sqFt 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IB FOR THE AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATS J.AWS REGULATING VALUATION BUILDING CONSTRUCTION. SIGNATURE OF 46 PERMIT FEE s 36.00 PLAN CHECK S 18.00 PERMITTE ww, 5 16,450.00 N n i