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Home My WebLink About932 AZALEA DR - Building Permits(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us BUILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 932 AZALEA DR Status: �SSUED Suite: Applied: 09/17/2001 Vicinity: Issued: 09/17/2001 Parce� Number: 41221210 Zoning: R1 R1 qpp�icant: BIENEK, DAVE �SSue�BY: Addresst 22622 IAMBERT 5T � . _ - � � - ",� . .. _ Phone: 949-951-3798 - _ � ' LAKE FOREST,.CA'�' �- �' Zip: 92630 � � � - � , . � Owner. HUTTON,RIGKY AND CARON M , ' � � . � � Address 932 AZALEA DR �. � � - � � ' . - _ , ��` � � , . . � . � � Phone� � � - ,- .. ' . � . . ' ,� �`�� ,COSTA MESA, CA � . - Zip: 92626 „ . - Contractor. � BIENEK ROOFING � � � � Address: 23532_EL TORO RD #21 � ' - � . - � Phone: (800) 499-1340 � � � LAKE FOREST, CA � � � � � � Zip:. . 92630' License: 657509 � . � - . � � � � Arch : . � . . . . " Eng: ' . , . . , Address:- � . - . Address: - � � . -. ' � - ,- Phone: � , � Phone: Zip: � -License: , - �License: � � � SCOPE OF PERMIT �' TEAR OFF EXISITNG SHAKE, RE-SHEATH AND�APPCY 40 YEAR COMP SHINGLES.' � � • FEE SUMMARY � Plan Check: $0.00 Calc Valuation: $s,000.00 permit:, $111.25 �-- Claim Valuation: , , $5,000.00 SMIP Res:` $0.50 � � � SMIP Com: $0.00 Other: $0.00 ' Inspection: $0.00 7otal: $111.75 ' \ � PLANNING & ZONING ' SETBACKS- � � � �. � MAIN STRUCTURE Front 0- 0� ' Reai �0- 0 Left 0- 0 . ACCESSORY � Front 0-0 '� ',� Rear 0-0 Left 0-0 . PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: � Right- � �0- 0 ' Right . :0- 0 ' " NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Californla statutes and related regulations. (Ord. No. 92•2B, § 1, 12-21-92) EXPIRATION: This pertnit shall automatically expire and become void if work Is not commenced within 18� days, or if work is suspended or abando�ed 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 requlred inapectlons end tlnel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 wsds �eroo� WORKEFS'COMPENSAnON DECLARAnON: � � � - , I hereby afFlrtn under penelry of perjury one of the following declarations: � ❑ I have end will mainteln a certlflcate of consent to self-Insure for workers' compensation, es provided for by section 3700 of �he Labor Code, for the pertortnance of the �{, work tor which �his pertnit is luuetl. '�� eve end will maintain workere' campensatlon Insurance, es requiretl by Sectlon 3700 of the Labor Cotle, for ihe perfortnance of ihe work far which this pertnit is issued. � My workers' compensatlon Insurance ceMer end policy number ere: ,.�J � r Cartier: Policy Number: � (This sectlon need nof be completed i! the permlf Is valued af one huntlred dollan ($100) or less.) ❑ I certity Ihat In ihe performence if ork for whl his permit is �i Sued, I shall not employ eny person In eny manner so as to become subject to the workers' compensetion lews of Cellf e, and thet-if I sl ultl � su6ject to the workers' compensation provlsions of Sectio�3700 o�he Lebor Code, I shall forthwith comply with ihese provi ns. �//]/ ApplicanlSlgneture: _ Date: I �� ( WARNINQ: FAILURE TO SECURE WO � RS' COM ENT EPAOE IS UNLAW FUL AND SHALL SU9IELT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNORED TFKKISAND DOLLARE (5700,000), IN DITION TO THE OF COMPENSATION, DAMA�ES AS PFOVIDED FOR IN SEClION 37W OF THE LABOR CODE, IMEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECUIRATION: I hereby aKirtn that I em Ilcensed u isiona o hepter 9(commencing with Section 7000) ot Dlvlsion 3 of the Business end Professions Code, end my Ilcense Is In full force antl eHect. Lic. k Cless a Cantrador's Signeture: Date: � CONSTRUCTION LENDING ENCY: ❑ I hereby aHirtn that there is a construction lending agency for the performance ot the work for which this parmit Is issued. (Sec. 3097, Civil Code). Lenders Name: Lentler's Address: Signeture: OWNEH-BUILDER DECLARATIONS: Date: I hereby eflirm thet under penelry of per�ury thet I em EXEMP7 FROM TME CONTfiACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Buslness end Professions Code: Any ciry or counry which requires a pertnit to constmct, elter, improve, demolish, or repair eny struqure, pnor to IIs luuance, also requires the epplicant for such pertnit to flle e signed stetement that he or she is Ilcensad pureuent to the pravislons of the Contredors LJcense Lew (Chepter 9(commencing wlth Sedlon 7000) of Divlslon 3 of Ihe Business end Protessions Code) or lhat he or she is exempt therefrom end the besis far Ihe elleged exemption. Any violetion of Section 7031.5 6y any epplicent for e perm�� subJects the epplicent to a civll penalry of not morg then five hundred dollers ($500).): ❑ I, es owner of the property, or my employees with weges as their sole compensatlon, WILL DO THE WORK, entl the structure is not Intendetl or oflered tor sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves Ihereon, end who does such work himsel� a herself a th�ough his a her owrt ampbyees, provided that such improvements are not Intended or oNerad to� sale. 1�, however, ihe buildfng or improvement 7s sold within one year of completion, ihe owner-builder will heve the burden of proving thet he or she did not builtl or improve tor puryose oi sale.). ❑ I, as owner of lhe prOperry, em EXCLUSIVELY CONTRACTING WITH.LICENSED CONTRACTOPS to construct the pro�ect (Sec. 7044, Business and P�ofessions Code: The contracrors License Lew does not apply to en owner of property who builds or Improves thereon, and who conVaas tor such project with a contractor(s) license pursuant to the Contractors License Lews.). ❑ I em exempt under sec. Signature: Owner ID veniied by driver's license. ❑ Yes ❑ No Business and P�otessions Code for Ihis reeson: Verl9cetion of Ownership hy (rype of tlocument, I.q. - pmperry tax Dill or deed): Drivefs License No. Date: Expiies: DIVISION OF INDUSTRIAL SAFETY PEHMIT C�pTIFICATION: ❑ I hereby certity Ihet no excavation five (5) or more feet In depth Into which e person is requlred to descend, wlll be mede In connedlan with work euthorizetl by this permit, and ihat no building structure, sceHolding, falsework, o� demolition or dismantling thereof, will be more then thirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Titla 8, Celifomia Adminislretive Code). ❑ As owner-builder, I wlll not employ anyone to do work which would require e permit from the Division of Industriel Sefety, as noted above, unless such pereon hes e permit to do such work from ihe tlivision. � Signature: Date: Division of Industnal Sefery Permit Number: CER7IFlCATE OF COMPLIANCE AND AU7HORI)pnON OF EMAY: I certiy under penalry of perjury that I have read this epplicetion end state thet the informatlon given is wrrect. I eqree lo comply wlth ell stete laws end city ordinences relating to building constructlon, and authorize representatives of the Ciry ot Costa Mese to enter upon the ebove-descnbed property far inspection purposes. I egree not 10 occupy or allow occupency of eny building authorized by this permit until finel inspection. i CO�EI. INSPECTIONTYPE / 1616 Fixed System Final Fire Prevantion 1266 Pool Spa F(nal 200 Finel Re-Root 201 FInaI8locWReteining Well 202 Final Feclory Fire Plece 203 Final Sign 204 Finel Demolition p:tlill.lbj �j�2 -01 f� �I' I �J � poj�e �— Oate COUE• INSPECTIONTYPE 206 Flnal Mechanicel 208 Final Plumbing 210 Final ElecMcal 212 Finel Fire Prevention 220 Finel Plenning Approval 222 Final Sile 250 Final Building/Occupancy ' Z . a c.wj Za � N am J � J � Q W 0] J • p] J Q U N Z a W � aW W Z J Q m Z J Q wW O ZH W � 70 F 2 Q U J a a Q O H N Z O F U � � H N Z soia 3 ; . COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant ro Fill in Completely BUILDING ADDRESS 932 Azalea, Costa Mesa owNeRLarwin So. California, Inc. ADDRE55 16255 Ventura Boulevard CITV Encino. California nrio��986-8890 BRANCH 16255 Ventura Bouievarc ADDRESS Encino, California ARCHITECT _ , TE ADDRESS 9100 Wilshire B1., Bev. Hills CONTRACTOR Lanain Southern Califomia, aooaess 16255 Ventura Boulevard TEL. CITV Encino, California_ No.986-8890 STATE CITV' uc. No. 191311 LIC. NO. B�] SIZE i NO. OF BLDGS. OF LOT NOW ON LOT USE OF SIZE OF p p NO. OF q NFW [il M LLJ� F(lllMA AT(1RIFR L ..��.,��..,.�� ..�� Wood COVERING SCllCCO COVERING USE OF BUILDING AND WOFK TO BE PERFORM Single family residence with gaxage I heraby acknowletlge that I hsva reatl this application end state that the ebove intormetion Is corract end ap�ee to comply with ell laws ragulating builtling conztruction, and I shall �ot omploy ony person in violatian of t�e workmen's compensation lews o1 the Stete of Calitornia. I hareby certify thai l em Properly licansetl as a contractor untlar the State of California Business antl Professions Cotle, Divisicn 3, Chapter 9, entl that such licenses ara in full force antl effect, or I am axampt from the p yiatp ns of tha �ytata of California Business and Professions Cotl y 4i5'6n 3, C �ter 9. SIB�ature o ` Permittee � a�mo��:aa ce�t Lonnie Schield �I�� P�.:� �i:: � �7-7 �,;�-OQi5t7•: 203.gc APPLICATION FOR BUILDING PERMI7 RECEI�� %BT' DATE RECEIVE[Jq Dp�)TE ISSUI �/ ` 7�%-7/ /'�7 PERMIT NC A.P. NO. — � •� BUILDING � � AOORESS [`1 1/ TRACT LOT BLOC A P X OWNER /,�I�A O� �A.� �li� VALUE S $ FIRE p� ZONE TVPE GROUP. [r APPROVED BY DATE �I vLANS ' VARDSAPGROVED MAIN BUILDING ROM C/LSTREETI/s USE OF NEW BET. MAIN & ACCESS.BLd onre THE AMOUNT SHpWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: VALUATION ./ PEFMIT FEE S I�N'� /i D $ ¢2��(00, 00 � w 0 i ¢ N 7 m 0 LL JOB ADDR GENERAL AP No.T1L' I' °CTIf s. . GAS :_y W AY ER ROUGH PLUh PROP $WR. SPRINKl1NG MISCELLANI ROUGH HEA7 TEMPORPFY NG AND AIR CONDITIONING POWER ROUGH WIRING BOND BEAM � STE SHEATHING FRAME AND FLASMING LATHING — IN f PLASTER.BROWN GOAT STR�CTURAL.FINAL M IG, VENT., REFRIG. ANO A.C., F P�,,.nBING, FINAL ANO GAS TEST RI IM 4L FINAL FINAI F. VM 11 BUIL SUBCONTRACTOR CIT, ,F COSTA MESA REQUEST FOR OCCU1 �Y TRACT N0. / � � IAT N0. � DATE � The developer of the above entitled tract desirea to aell Ehe above set forth lot prior to tha time that the tract has been completed and its streeta accepted by the City of Costa Mesa. The und igned, by executing this agreement. acknowledges that �he–they (u� were)� advised that this tract has not been given na epection nor has it been accepted by the City of Costa Mesa ae having complied with the conditions of approval which were impoaed by the City at the time the final tract map was approved. The City aesumes no liability for the enforcement of the eondltions neceseary for approval other than those conditiotts protected by surety bond, The undersigned agreea to;indemnify and hold the City harmless from any claiai reaulting in damage or peraonal injury to the undersigned by zeason of the aforementioned uncompleted condition. BY I/L � i /�� Pure ser ,r� %� .�—/�—, /`'' , / BY / ��n,E�`�Jr:r�l= l�c� � -2 ��a� , ! Developer and or auchorized representa�ive . sx ��c.G/� �-F� .��i., Lender �., � � � , ,. , , a � 0 � a