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Home My WebLink About921 AZALEA DR - Building Permits(714) 754•5273 • Fex (714) 754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 921 AZALEA DR Suite: Vianity: ROOF Parcel Number: 41221311 qpp�icant: STEVEN SCHNIERER Address' 2�57 MANDARIN DR COSTA MESA, CA Owner: STEVENS, JACK TR Address 1800 E GARRY AVE SANTA ANA, CA . � � UN17103 � . Contractor. FONTAINE AND ASSOCIATES Address: 23482 PERALTA SUITE F LAGUNA HILLS, CA Zip. 92653 Arch : , Address: � ._ Phone: Zoning: R1 R1 Phone: 714-719-1689- Zip: 92626 Phone: Zip: 927�5 Phone: (714)598-8360 License: 708917 Eng: Address: Status: ISSUED Applied: 10/29/2D04 Issued: 10/29l2004 Phone: Zip: License: License: SCOPE OF PERMIT TEP,R OFF EXISTING ROOF. INSTALL 30# FELT, 30 YEAR COMPOSITION�SHINGLES, AND REPAIR/REPLACE SHEATHING AS NEEDED. 2,500 S.F. FOR S.F.D. INCLUDES ATTACHED GARP,GE.,' ' ' . �� FEE SUMMARY .. � � Plan Check: ' Permit: SMIP Res: SMIP Com: pther: Inspection: 7otal: $0.00 _ _ $111.25 ' — $0.50 $0.00 $0.00 , $0.00 $111.75 SETBACKS � MAIN STRUCTURE Front 0- 0� ACCESSORY Front� 0-0 PARKING Existin :, o. Rear 0- 0 Rear 0- 0 ' Required: �0 PLANNING & ZONING LeN 0- 0 LeR 0- 0 Proposed: 0 Calc ValuaUon. Ss,000.00 ` Claim Valuation: Ss,000.00 , ' Right � 0-�0 Righl 0- 0 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: This perthit shall automatically expira and become void if wark is rwt commenced within 180 days, or it work is susperWetl or abantloned for a period of 180 days. INSPECTIONS� In order tor the work authorized under this permit to be considered legal, such work must comply wlth all applicable codes, and all required inspectlona and finel approval must be o6tained. Failure to obtain inspections and final approval will result in the expiratlon ol this permit. FOR INSPECTIONS CALL: (714) 7545628 2M6a81&001 WORKERS' COMPENSATION DECLARATION: — � � , � I I hereby ettirm under penelty ot perjury one of ihe following deClaration5: ❑ I have entl will mainteln e ceNticete of consent to self-Insure for workers' compensation, as provided for by sectlon 3700 of ihe Labor Code, foi the performence of the work for which Ihis permit is issued. . �_I'heve end will malntain wOrkers' compensetlon Insurance, as required hy section 3700 of ihe Lebor Cotle, tor ihe peAormance of the work for which ihis pertnit Is issuetl. My workers' compens�a-t+lon Insurance cartler and policy number are: I ^— �I G r. C'i'Q��'P r'�.�r�d ��F7ffi� ��olicyNumber•GYi�ZI�iI- ZU"]4- �(Th/s seilbn'need not be cromp/efed i! fhe permit is velued ef one hundred dollars ($100) or less.) ,. ""�""`9P "�' ��,�i I ❑�I certity Ihet in Iha pertormance of Ihe work for which ihis pertnit Is issued, I shall not employ eny person in eny manner so as lo become subject to ihe workers compensatlon lews t Celifornie, entl egree�at If I should become su0�ect Io ihe workers' compensetlon D�ovisions of Section 3700 0l ihe L ior Code, I shell lorihwlih comply with ihes r visinn� Ap cent Signeture� ".0 i 9 �� ete: lDlZ9'O� ��s�4� �/' � I WpWNING. FAILURE 70 SECURE WO�ERS' COMPENSATION COVEqAGE IS UNLAWFUL AN� SHALL SUBJECT AN EMPCOYER TO CRIMIlUL PENALTIES AND CIVI� FINES UP TO ONE MUNDFED THWSANO DOLLARE �8100,000�, iN AODITION TO 11iE COST OF COMPENSATION. DAMAGES AS PROVIDED f-0R IN SECTION 3706 OF THE LABOR CODE, IMEREST, PND ATTOFNEYS FEES. LICENSED CONTRACTORS OECLARATION: I hereby i [ at�l em Ilcensetl under provislons of Chepter 9(commencing with Section 7000) of antl my license Is In full CONSTRUCTION LENDING AGENCV: I ❑ I hereby aflirm ihal lhere is a construction lending agency la ihe peAormance of the worN �or wNch ihis permit is issued. (Sec. 3097, Civil Cotle). Lentlers Name: Lentler's Atltlress: � SigneWre: Dete: � OWNER-BUILDER DECLARA710N5: I I hereby eHirm thet untler penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reeson (Sec. 7031.5, Business and Professions Cotle: Any city or county which requires e permit to conslruct, alter, improve, demolish, or repair any sirucWre, prior to Its Issuance, also requires ihe applicant for such pertnit lo file e slgnetl statement thet he or she is licensetl pursuent lo the provlsions of Ihe Contrectors License Law (Chepter 9(commencing with Section 7000) of Divlslon 3 oi Ihe Business and Protessions Code) or thal he or she Is exempl iherefrom and the besis for ihe allegetl exemption. Any violatlon of Sectlon 7037.5 tiy eny applicent for a pertnit sub�ecls ihe eppllcant to a civil penelly of no1 more Ihan five hundred dollars ($500).): I ❑ I, es owner of the property, or my employees wlth wages as their sole compensation, WILL DO THE WORK, antl the structure Is not Intendetl or oXered for sele (Sec. 7044, Business and Profassions Cotle: The Contractors Licensa Lew tloes not apply to an owner of propeny who builds or improves thereon; entl who tloes such work himsel� or herself or ihrou9h his or her own employees, providetl thet such improvemenis ere not Intended or offered tor sele. I�, howaver, the building or improvement is sold within one year of completion, ihe owner-bwlder will have the burtlen of proving t�at he or she tlid not build or improve tor purpose of sale.). ' i ❑ I, es owner of the property, em E%CLUSIVELV CONTRACTING WITX LICENSED CONTRACTORS to consirucl ihe project (Sec. 7044, Business entl Prolessions Code: The coNrac�ors Ucense Law tloes nol epply to en owner of propeny who bullds or Improves Ihereon, entl who conirecis for such proj ict with e conirector(s) license pursuant �o ihe Contractors License Laws.). ❑ I am esempl under sec. Business and Professions Cotle for c�is reason: Signature: Date: � Owner ID veniietl by tlnvers licgnse. ❑ Yes ❑ No Driver's License No. Expires: Venhcatlon ol Ownership 6y (type of document, i.e. � propeny tax 6ill or deed): � DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: I ❑ I hereby ceroty that no e:cavatlon five (5) or more feet in depth into which e person is requlred to tlescend, will be matle in connection with work authorizetl by this pertnit, and ihat no builCing siructure, sceflolding, felsework, or demoli�ion or dismantling ihereof, will be more ihan thirry-sia (36) feet high. (Chap. 32, Grp 2, An 2, SeC. 341, Tltle B, Celifomia Administrative Cotle). I ❑ As owner-6uilAer, I will no� employ anyona to tlo work which woultl require a permit from the Division of Indusinal Sefefy, as noled abo i, unless such person hes e permit to tlo such work trpm ihe drvision. Si9nature: Division of Industrial Satery Permit Num6er: Date: ARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I Will the epplicant or present or tuture bulltling occupant need lo file antl cehify a Businass Plen for emergency response to release or ihreatened releese of e hezartlous melerlal7 ❑ Yes [J No (Section 25505 of the Celifornia Health antl Safary Cotle requires, with some excep�ions, that a Business Plan be filed with the Coste Mesa Fire Department 6y every business w�ich has at any one time tluring a reported year a quanliry of hazardous ma�enals equal to or greeter than e weight of 500 pounds, or a volume of 55 gallons, d or 200 cu6ic feet of comP�Ossed ges et slandar... temperature,end, pressure) ............................................................................................................................... ................................................................................................. 2 Does or will the applicant or present or fulure builtling occupant neetl to file a registretion torm for ecutely hazerdous materiels7 ❑ Vi (Section 25533 of Ihe Celitornia Healih entl Sefery Cotla, with some eviceptions, requlres regislretlon with ihe Caste Mese Fire Depenn one �ime has on hentl e quentlty of acutely hazerdous matenels equal to or greeter Ihan e welght ol 500 pounds, or e volume � compressetl ges at stantlartl tempereture and pressure). .......................................................................................................................................................................................................................................................................................................... 3 Does or will the applicant or present or tuture building occupant need to prepare en RMPP (Risk Manaqement antl Prevention Program ❑ Yes ❑ No (Section 25534 of the Calilornia Health and Safery Code provides that the Coste Mesa Fire Department may require Ihe preparation, Deperiment of en RMPP by buslnesses which are requiretl lo register ecutely hezardous materlels wlih the Fire Deperiment. ..................................................................................................................................................................................................................................................................................... ................... 4 IF en RMPP Is presen�ly required, has Section 25534 of the Celifornie Heelih and Satery Cotle been lully complletl with7 ❑ Yes business which et any , or 200 cublc feel of end tiling with ihe Fire 5 Does or will the epplicant or present or luture building occupent require For ihe work w�ich Is ine sublect ot thls e plication a permit tor sucn constructlon or motlnicauon Imm tha South Coest Alr Qualiry Menagement Olsttict or Irom any other alr pollu�ion control tlisldct or egencyl � Yes u No I (Section 658502 of the Califomia Government Cotle requires that the requestetl informetion be furnishetl on applications for non�resitlenlial bwlding permits). ................................................................... _.............................................................................................................................. ........... ............................. ...................... �................................................................ 6 Will any part of ihe faciliry to be consiruc�ed under Ihis permit be within 7000 teet Irom (he ouler hounderies ol e schooll ❑ Ves ❑ No (If "yes", ihe facility musl meet the requirement of Sections 25534 and 42303 oi lhe Califomie Healih entl Safery Cotle) I ................................................................................................................................................................................................................................................................................................................................ ...................................................... 7 If a permlt from the Sauth Coest Air Ouelity Menegement District or olher alr pollution control disirict or agency is required for Ihe wark which is the sub�ect of Ihis epplicatlon, hava ell of the tlisclosures prescribad by California Health end Safery Code Sectlon 42303 been made7 ❑ Yes ❑ No � ................................................................................................................................................................................................................................................... ................................................................................................................................... B (1f'yes", etlach certificete ot compliance Irom the appropnate ei� pollution control oflicer). GERTIFICATE OF COMPLIANCE: I certity thal untlar penalty of perjury Ihe informallon given above is correq. I agree lo comply with ell slete lews antl ciry oldinances regartling Hezardous Materials end Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORI2ATON OF ENTRY: I certdy untler penalry of perjury that I have read this applicetion and state that the information qiven Is correct. I agree to comply with all ste�e laws entl ciry ortlinances ralating to hullding construction, antl euthonze representatives of ihe Ciry of Coste Mesa to enter upan the above-described propehy tor inspectlon purposes. I egree not to occupy or allow occupency of any builCing authorized by ihis permit until final inspeclion. caoe ", iNsrecnoxnve 1616 Fixetl System Final Fire Prevention 1266 Pool Spe Finel 200 Finei Re�Roof 201 , Final Block/Reteining Well 202 Final Fectory Fire PIaRe 203 Final Sign 204 � Finel Demoiilion ' P9IE I[�1965 if7'� �11/ if��[" . �! INSPEGTIONTYPE 206 Finel Mechenical " 208 Final Plumbing • 210 Finai Eleclrical 212 Finel Fire Preventlon � 220 Final Plenning Approval ' 222 Fina15ite `� 250� FinalBuiitling/Occupency P9iE V�9L8 JUtl AUUKtJS y'�1 Azalea Dr. GENERAL CONTRACTOR L i AR."+.412=213-11 LOT IIF`� .�.`CTIONS SOIL GAS WATER FOUGM PLUMBING PROP. SWR. LINE �-MOUSE CON. %�� SPRINNLING SYSTEM MISCELLANEOUS ROUGM NEATING AND nIR CONDIT�ONING TEMPOHAFV SERVICE OR POLE IIN�ERGROIIND � POWER � ROIIGH WIRING TRENCHES � FORMS � STEEL REINF. FLOOR SYSTEM ' BONO BEAM � STEEL REINFORCE � FRAME RNO FLASHING LATNING — IN ( PLASTER.BROWN C04T ST URAL, FINAL ME. .G. VEHT., REFtVI PLUMBING.FINP.L 4N� ELECTR�C, FINPL BUILDING, FINRL SPFf.�AI AFOII�AFMFNT ND A.C., F TEST N oF SUBCONTRACTOR RMIT N0. att.Gai Lot 68 .� 201 Z . wW a U �Z 2Q O c~ii am J � J V1 Q W 0] J J m Q UN Z � W w a W Z J � m Z J � W w 0 Z F ll.� � N � � � F z Q U J a a Q 0 � � z � � U � � � z :� 79G ! COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 for Applicant to Fill in Completely BUILDING � iJ i � � i� 1 owNeaLarwin Southern(,California, Inc. MAIL 16255 Ventura Boulevard ADOfiESS cirr Encino, California nTio�'986-8890 BRANCH 16255 Ventura Boulevard ADDRESS Encino, California ARCHITECT . __ __.._ TE ADDRESS 9100 Wilshire Blvd. Bev. Hills CONTRACTOR Larwin Southern California ADDRE55 16255 Ventura Boulevard TEL. ciTv Encino, California No. 986-8890 L?C No. 191311 LICVNO. B�1 OIF LOT (7 ], X LOO NOW ON LOT O USE OF EXISTING BLIX'i. SIZE OF 1436 NO� °F 1 NEWBLDG. ROOMS STORIES EXTERIOR WAL4 Stl1CC0 ROOF WOOd shingle COVERING COVERING VSE OF BUILDING AND WOFK TO BE PERFORMED Construction sinRle family residence I hereby acknowletlge that I have reatl this apPlication and stata that the above ��+ormation is correct antl ag�ee to comply with all laws reg�leting builtling consiruction, antl I shall not employ any person in viola[ion of the workman's compensation laws oi xhe Sxate of Cal��ornia. I hereby cer[ify [hat I am properly licensetl a5 e conttactor untler the State of Cal�fornie Business antl Professions Cotle, Divisicn 3, Chapter 9, antl [het such licenses are In full force antl etfect, or I am exempt from the pr isions ot the Stete of California Business entl Professions de, vii 3, ChaPter 9. SiB�ature Permittee Au[horizetl Aga�t � N s, � u q r„r �: � 'EJ-7-71r:i�•CO �.9"� 1�6.U5 APPLICATION FOR BUILDING PERMIT RE�IVy,DBV D[aT,/REC�IVED �T�SSMI // //L /1 �'l / A.P. NO. � BUILDING ADDRESS TRACT FIRE ZONE Y APPROVED / BV ZON NO.OF PLAN$ VARDS APPflOVED MAIN BUILDING (FROM C/L STREET) BET # %X/ �Ci '- yy��VALUE '[/T/• $ GROVP _ DAT � USE OF NEW BUILDING � ) / �a�C< V AROS APPFi FT BET. MAIN & ACCESS. BL S. DATE APPRpVED !`]`�D SQ.FT. � ��"� THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPp$E OF ESTABLISHING A PEFMIT FEE ONLY: VALUATION PERMIT FEE $ 83.00 $ ZZ�LOO.00 P�+NCHECK$ 41.SO TOTALFEE $ 1Z�F.SO � m O ov ¢� W \ 7 m E 0 LL 9 TRACT N0. s'r � � � IAT N0. a a , �� • DATE � . � ��, �: e' ' � " • • . . .. .'i ,: �i ..l � ,�r. . �� ` , : � . , ; -; j ;;; , � . j � ' '.'i , ; i• The developer of the above entitled tract desirea td eell;[he above set forth lot prior to the time that the tract hae bean completed and ite etreete( I. � i � accepted by the City of Costa Mesa. ;;,. I I , i ;,'� , i . , I The unde signed, by executing this agreement., acknowladges 'that� � (he��qy)�_�Wae��)��. adviaed that�thie tract hae ;i not been given final inapect�on nor has it been accepted by�,the City 'of Coeta Mesa ae having complied with the conditiona of approval which were impoaed by the City �,.. � t at the time the final tract map wae approved. ;' + . • � The City aseumea no liability for the enforcement�of the conditione neceaeary for apptoval other than thoae conditione protected by.surety bond. ., . . The undereigned agreea to indemnify and hold the City.ha�tmleee from any claim resulting in damage or personal injury to the undarsigned by�reaeon � , ,. of the aforeanentioned uncomplated condition. �I`�•. ' , •�, �• . � , : ,.. ...; .. . • , � ,.... .:. . _ . : . ( � Y . • I BY _,,,....,.,_: �.: _......____ x;, :� ., , �;ii'`. .... ,;�,.. urchasar � �. , '.;.• ` .,;.:�.�•:`: • ,':''ll=,.;' �. ',' . i �`��,t:..•i./ill.'.ii`��•r..:.; J,...�.t .:� . . . ,; '� :' �•�dli`�{� ;:r'.�.:.,1�,.•:�,.��r .;�iu�`: ., ' I �/ • � ' i . I'?�.. i,�� {iF ,�"':jTi�i�.�::rq' ,�''' . �� ,i � �,::,',"'v;: ;� . , , > rF;' .�: BY . � .. .i � ... . ';''.,'�ii';}:,'r�-.;,�v,.�•,.. . ' ��i''� '• `` ?. Developer and or�authorized �;:�.:�,;1� ,:: • ..� : `,, ,� �:°"*, ::, ;;(..:. :.� ;r;:. .: r ,,�• , � . , ;?� ; '�, representa�ive �,,�,.,,.. r`,�. ;.i, . . . �� ,:r,;:.a�;.. y.,;.',, ,i,.. ,.�.�•q;l"r..c:'.:.: . � ,� � `//� . ',, r, ,,:,��I:�. ,�, r:(�; � ,.r `SY /S.L�cCCa/� �.G u1N , • . :. . •..� �>��'�.'!�1.:1:�,.:';!� ;.., . . . .�1 ai��;'�r.�.i, .. ,• — � . ,. . �;�':',,:�''.`��:;I; ;.^;;;.�• ��`. i: l , Lender �; r•, : ..��.; ` f � � iJ' � � �I i i � i . + ' i � I � �� . ' I i . ,' i 'r , . �1��i1�'.I ` ; 'i� . r r' i i ' 'ii . 'f��I. � ile�l� �.�. � � �. 'l� '. .,' � 'i V�'�.5� �! . ' ;�.' .i: ��. n �. t..� : � a' . . . J l,n,, v�.i� �:1.. 4 �i . . �. , y ' .' 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