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Home My WebLink About959 AZALEA DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA BUILDIN6 DIYISION DEVELOPMENT SERVICES DEPARTMENT ' PERMIT Job Address: 959 AZALEA DR . Suite: Vicinity: HOUSE 8 ATTACHED GARAGE Parcel Number: 41217332 Applicant: SELL, RON Address: 17072 ROSEBUD YORBA LINDA . CA Owner: PAPILLON, JOHN : Address 959 AZALEA�DR � ` � COSTA MESA, CA contractor: SELL ROOFING COMPANY Address: 17072 ROSEBUD YORBA� LINDA , CA Zip: 92686 Arch : Address: � . � � BUILDING PERMIT Zoning: R1 R1 Phone: (774)993-3328 Zip: 92686 Phone: Zip: 92626 Phone:� (714)993-3328 License: 323842 ' " Eng: Addressr .� J �• PERMIT NUMBER �/B00-00627 77 FAIR DRIVE, CASTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 05/OB/2000 Issued: OS/OS/2000 , Phone: Phone: , Zip: ' , � License: �License: " SCOPE OF PERMIT " REROOF. EXISTING SINGLE FAMILY RESIDENCE 8 ATTACHED GAR4GE (25 SQ). TEAR OFF EXISTING SHAKE ROOFING & RESHEATH WITH 1/2" OSB. INSTALL 1 LAYER OF 30# FELT & REROOF WITH "ELK" 30 YR. COMP. � Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: $0.00 $111.25 $0.50 $0.00 $0.00 $0.00 Total: $111.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: , � , FEE SUMMARY. /. , . ' , - Rear 0= 0 Rear 0- 0 Required: 0 PLANNING'& ZONING . � Galc Valuation: ga,aoo.00 Claim Valuation: ga,eoo.00 Left 0- 0 - Right 0- 0 Left 0- 0 Right 0- 0 Proposed: 0 NOTICE: The work euthorized by this permit shall comply with all applicable handicep access requirements under California statWes 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 suspended or abandoned for e period of 180 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepectlon6 and ifnal approvel must be obtained. Failure to obtain inspections and final approvai will result In the expiration oi this permit. FOR INSPECTIONS CALL: (714) 7545628 WORKERS'COMPENSATION DECLARAnpT — I hereby affirm untler penelry ot perjury one oi the following declaretions: � ❑ �I heve entl will malntain e certificete of consent to self-Insure for workers' compensetion, as provided for by section 3700 of ihe Lebor Cotle, for the pertormance of the work for which this permif Is Issued. . ❑ I have antl wlll m intein workers' compBnsati nsurance, es requiretl by sedion 3700 of the Lebor Coda, for the peAortnenca oF [ha work for which this pemi�t is issuetl. �My workars' [ion In ce carrie d policy numbe� are: . /� / L J� (^�� Cerriec � Policy Number: �J ��l •� S (This sectlon need nof be c mpl ted!( fhe pertnit Is valued at one huntlretl tlollars ($700) or less.) , ❑ I certify ihat In the paAormance of the work for hich Ihls permit Is Issuetl, I shall not employ eny person in eny manner so as to become subject to ihe workers' compensation laws ot Celif i end agree th ' I sho Itl come subject to the workers' compensetion provisions of Section 3700 of the Lebor Cotle, I shell forthwith compiy with these provis' . , � !�' l- (� Applicant Signeture: �/L Date: / � � — " WARNING FAILURE TO SECURE WORKERS' COMpENSATION CAVEPAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORE� THOl15AN0 OOLLARE ($100,000�, IN ADDITION TO7HE COST OF COMPENSATIIXJ, DAMNGES AS PROVIDED FOR IN SEGTION 31060F THE LA60F CODE, INTEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hareby aHirm tha� I am licensed under provisit force entl eftect. Lic. u� ConireCtofs SlAnatufe: with Section 7000) of Division 3 of tha Business antl _ Class # Dete: . __ . . CONSTRUC710N LENDING AGENCY: ❑ I hereby eHirm ihat Ihere is a consiruction lending agency tor the performence ot ihe work tor w�ich ihis permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lender's Address: Signeture: OWNER-BUILDER DECLAFiATIONS: Date: and my license Is in full I hereby affirm that under penalry of perjury thet I am E%EMPT FROM THE CONTRACTORS LICENSE�LAW for ihe following reason (Sec. 7031.5, Business antl Professions Code: Any city or counry which requires e permit to construct, alter, improve, demolish, or repair any strudure, prior to its issuance, elso requires the applicant for such permit to file e signed statement thet he or she is Ilcensed pursuant to the provisions ot Ihe Contradors Llcense Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business end Professlons Code) or that he qr she is exempt therefrom and the basis for the elleged exemption. Any vfoletion of Section 7037.5 by eny epplicant far a permit subJects Ihe appllcant to a civil penaity of not more Ihan tive huntlretl tlotlars ($500).): ❑ I, es owner of the property, or my employeas with wages as Iheir sole compensation, WILL DO THE WORK, end the structure is not intentletl or oHeretl for sele (Sec. 7044, Business and Professlons Code: The Contractore License Law tloes not apply to en 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 ere not Intentled or oftered for sale. If, howaver, tha building or improvement is sold within one year ot completion, the vwner-6uilder will have the burden ot proving Ihat he or she did not build or Improve for purpose of sale.). � I, as owner of the properry, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Protessions Code: The contracbrs License Lew tlpes not apply to en owner of properry who builds or improves theraon, end who contrects for such prolect with a contrador(s) license pursuent to the Contrectors License Lews.). ❑ I am eaempt under sec. Signeture: Owner ID verified by driver's license. ❑ Yes ❑ No Business end Professions Code for this resson: Verification of Ownership by (type of document, i.e. - property tex bill or deed): Dnver's License No. Date: Ezpires: DIVISION OF INDUSTRIAL SAFETY VERMIT CERTIFICATION: ❑ I hereby certity that no excavatlon five (5) or more feet in depth Into which e person Is requiretl to descend, will be matle In connection with work authorized by this permit, and that no building structure, scallolding, talsework, or demolitlon or dismentling thereof, will be more than thirry-six (36) feet high. (Chep. 3.2, Grp 2, Art 2, Sec. 341, Title B, Celifarnie Administrative Code). ❑ As owner-builder, 7 will not employ anypne to do vrork which vrould require a permit trom the Division ot Industdat Satery, as rroted above, unless such person has a permit to do such work from the divisioq. . Signatuie: Date: Division of Indusirial Safery Permit Number: ICERTIFICATE OF COMPLIANCE AND AUTFIORIZATION OF ENTRV: I certity under penalry of per�ury that I have read ihis applicetion end stete that the intormation given is I correct. I agree to comply with all state lews and city ordinances relating lo building construction, end euthorize representatives of the Ciry of Coste Mesa to enter upon the above-described property for inspectlon purposes. I agrea not to occupy or ellow occupancy of eny building euthonzed Oy ihis permit until tinel Inspection. CODE �. INSPECTIONTYGE 1676 Fixed System Final Fire Preventlon 1266 Pool Spa Finel 200 Final Re-Roof 201 Final BIocWReteining Wall 202 Finel Fectory Fire Plece 203 Finel Sign 204 Final Demolition 244W6 P9I€ 1NIIDA64 C� �Y� fI/�VI Det �--� �'a � Date CODE• INSVECTIONflPE 206 Final Mechanicel 208 Final Plumbing 210 Finel Eleclrical 212 Finel Fire Prevention 220 Finel Plannlnq Appravel 222 Flnal Site 250 Final BuildingiOccupancy PAIE ItIIIDBL9 � 3b,�� COSTA MESA BUILDING-SAFETY DEPARTMENT /{Ql (',R P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626 Fo� APPlicant to Fill in Completely BUIIDING [� ADDRESS �/ ' PAIO IUI. -5-73crisa00 293� *�* 161.92 APPLICATION FOR BUILDING PERMIT RECEIVfDBV DATERECEIVE,D nnTcissui OWNER LARWIN SOUT CALIFORNIA, INC. ^•P•"o. MAIL BUILDING 16255 1 d ADDRESS nooRess Ventura B v . TEL. TRACT CITV Encino, Calif. No. 986-8890 CANSTRUCTION W />DD BRANCH f,bL.71 ventura 151Vti. ADDRESS Encino, Calif. 91316 ne�Hirece �RWIN S0. CALIF. ��' ADDFESS 9100 W;lchirP Rlvd_ R_H_ CONTRACTOR Larwin So. California, Inc. ADORESS 16255 Ventura Blvd. TEL. cirv Encino, Calif. No� 986-888 LIC No. 191311 LICVNO. B-1 OF LOT 6O X�.00 NOW ON LO � USE OF EXISTING BIDG. � SIZE OF NO. OF NEWBLDG. 1784' 3f ROOMS STORIES 1 EXTERIOR WALLStLLCCO COVOERING W�Od shingl COVERING USE OF BUILDING AND WOflK TO BE PERFORMED 6� I heraby acknoWletlBe that I have reatl this application antl state that the abova i�formation is cor�ect and ag�ee to comply with all lews regulatin8 builtling consttuction, antl 1 shall not amploy any person in �iolation ot the workman's co�nPensation laws of the Siate of Calitomia. I here6Y aercify ffiat 1 am properlY �icensetl as a conttacto� under the Sta[e of California Business entl Professions Cotle, Divisicn 3, Chapter 9, antl thax such licenses are in tull torce antl effeci, or I am ezempt trom the provisions of the State of Calitornia Business antl Professions ', Division 3, Chapter 9. Sipnature �_ D. Downs Permittee � Authorizad Aqent VARDSAPPROVED MAIN BUILDING FROM C/LSTREET) HOLD FOR TWE AMOUNT SH( THE PURP�E OF E VALUATION $ �j�/l—fl �v � — � VAWE / � $ � � GROUP i� E OF NE LDING�� VARDS APPROV ED BET. MAIN & ACCE.SS. BLD DATE � � 0 VALUATION IS FOR j A PERMIT FEE ONLY: Q �$ � y N sE "�O E � � `o $ LL � TRACT N0. �SS I IAT N0. „�(� ' CITY OF COSTA MESA REQUEST FOR OCCUP�...�Y 'J% ��-vr~ lC��c. : /�� y DATE. % The developer of the above entitled tract desires to sell the above aet forth lot prior to the time that the tzact has been completed and its streeta accepted by the City of Costa Mesa. The undersigned, by executing this agreemen:, acknowledges that h � (he-she-they) ,2 Q/ (was or were) �(/-��6 advised that this [ract has not been given final inapection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the City at the time the final tract map was approved. The City asstnnes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to'indemnify and hold the City harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. R E oFEo TV ESD {�I ^:R�,��?�f`. n oi DEC 21 1973 pM 7�8►9��ll��1i2�3�4�5�6 • ! 8 BY " Pur aser �_� . --^�/__ BY �� 'e°-�E n �/"� �.7 tS� � Developer and/or authorized representacive ``� l� � BY iiaut/�i.� � ��- �. L€nder '