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Home My WebLink About987 AZALEA DR - Building Permits�7j4) 7$4-5273 • Faz (714) 754•4856 • www.ci.costa-mesa.ca.us 77 hAIM UMIVt, GUJ I A MtJA, l:A �JYti26 BUILDING PERMIT Job Address: 987 AZALEA DR Suite: Vicinity: RESIDENCE 8 ATTACHED GARAGE Parcel Numher: 41217338 ,4pp�icant: CROWLEY, KEVIN Address: 1016 E FIRST ST ,, ii . SANTAANA,-CA.-,� �'; � / �. �� . Owner: DAVIS,;CAROL�SUE Address 987�AZACEA"DR `� - � COSTA MESA, CA - Contracror: �GREATER PACIFIC ROOFING Address'. 1�i6 E�FIRST ST SANTA ANA, CA Zip:. 92701 j Arch : Address: , � ' , , '� � '- Phone: Zip: " " License: Zoning: R1 R1 Phone: (714)836=1966 Zip: 92701 Phone: Zip: 92626 Phone:�, (714)836-1966 License: � - 621368 - Status: ISSUED Applied: 09/24/2001 Issued: 09/24/2001 ISSUED BY: ' , -� � �� ' , � � .. � .�� , ' . ,, �� `�. _ � � �� Eng: . . � . . � Address:� - ' � � � � . - . Phone: - . . . - ' License: . SCOPE OF PERMIT _ REROOF: T/O EXISTING SHAKE, 1/2" OSB SHTG,,1 LAYER 30#�FELT, INSTACL CLASS�A 25-YEAR TIMBERLINE COMP SHINGLES. 27 SQUARES � � � � - ' FEE SUMMARY : � Plan Check: $0.00 - Calc Valuation: Permit: $125.25 Claim Valuation: � SMIP Res: $0.59 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 = Total: $125.84 , PLANNING & ZONING SETBACKS MAINSTRUCTURE Front 0-0 Rear , 0-0 Left 0-0 Right _ 0-0 � ACCESSORY Front 0- 0 .� Rear 0- 0 Left 0-�0 Right� � 0- 0 , PARKING Existinq: 0 Required: o Proposed: o . NOTES: $5,900.00 $5,900.00 NOTICE: The work authorized by thls permit shall comply with all applicable handicap access requiremenis under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIpATION: This perml� shall 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 ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspections end finel approval must,b1e obtained. Failure to obtain inspections and (inal approval will result In the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � 1 zaauas (�✓oo) \ WORKERS' COMP�NSATION DECLARATION: � � ` � I hereby eHirm under penalry of perjury one of the following decleratlons: � � � ❑ I h end will mai�tein e certificate of consent �o self-Insure tor workers' compensetlon, es provided for by sectlon 3700 0( ihe Lebor Code, for Ihe peAormence of the rk fot WhiCh (his'pertnit is iSSued. I heve end will maintaln workers' compensatlon insurence, es required by section 3700 of the Labor Code, for tha pertortnence of Ne work for which thls pertnit is issued. My workers' compensatlon Insurance cerrler flnd policy numbar are: Garrier. � Po7by Number. � (Thls secflar need not be campleted!( the �peimlt Is velued af one huntlretl dollers ($100) or less.) ❑ I certity ihet in the peAormence o tfe work for which this permit is Issuetl, 1 ehell not employ eny person in any manner so es ta become subject to ihe workers' compensa�lon lews of Cellfomi end agree Ihet it I should become sub�ect to �he workere' compensatlon proNslons of Saction 3700 of the Lebor Code, I shell forthwlth comply wlth th�e pmvisian Applicen� Signeture: �.L� Dete: 9 :l �-n / WARNIN�: FAILURE TO SECURE WORKERS' CIXAPENSATION COVERAGE IS UNLAWFUL AND SHALL SU6IECT AN EMPLOVER TO CRIMINAL PENALTIES D CIVIL FlNES UP TOONE NUNDRED iHOUSAND DOILAHE ($�pp,ppp), IN AODITION TO THE�,EOST OF COAAPENSATION, DAMAGES AS PROVIOED WR IN SECTION 31060F THE LA90R CODE, INTEREST, AND ATTORNEVS FEES. LICENSED CONTRqCTOHS DE I hereby eftirm that I em Ilcensed force entl eHect. Lic. q Contrectors SlgnaNre:� CONSTRUCTION L�NDING AGEI ❑ I �ereby affrtn Ihat there is e Lentlers Neme: _ Signeture: oi Chapter 9(commencing with Sedion 7000) of Division 3 of the Business end Professions Code, and my license is In full Cless # Date: o Y� �/ lending agency for the peRormance ot ihe work for which ihis permit is Issuetl. (Sec. 3097, Civil Cotle). Lenders Address: Date: OWNER-BUILDEH DECLARA710NS: 1 hereby eHirm that under penelty of per�ury Ihat I em EXEMPT FPOM TNE CONTRACTORS IICENSE LAW for the following reason (Sec. 7031.5, Business end Professions Code: Any ciry or wunry which requires e permit to consiruc6 elter, Improve, demolish, or repeir eny swcWre, prlor to Its issuence, elso requires the epplicant tor such permit to file e signed statement that he or she�is Ilcensed pursuent to the pravisions of the ConVectors License Lew (Chepter 9(commencing with Sectlon 7000) of Dlvlsion 3 of the Business antl Profegsions Code) or thet he or she is ezempt therefrom and the basis for the elleged exemption. Any vialation of Seclion 7031.5 by eny eppllcent for e pert .W. subjects the epplicent to e civil penalty of not more Ihan five hundretl tlollars ($500).): ❑ I, es awner of the property, or my employees with weges es their sole compensetlon, WILL DO TNE WORK, and the structure Is not intentletl or oNereG for sele (Sec. 7044, Business end Professions Code: The Contraclors License Lew does not epply to en owner of property who builds or improves the�eon, antl who does such work himself or herself or through his or her own employees, provided thet such improvements ere not intended or ottered tor sele. If, however, ihe building or improvement Is sold within one year of completion, the owner-builder will have the buiden of proving that he or she did not build or improve for purpose of sale.). ❑ I, es owner of the properry, am E7(CLUSIVELY CONTHACTING WITH LICENSED CONTRACTORS to constNd tha praject (Sec. 7044, Business and Professions Cotle: The contredors License Lew does not apply to an ownar of property who bullds or Improves ihereon, and who contracis for such pro�ect with a coniracror(s) lirsnse pureuent to ihe Cantractors License Laws.). ❑ I am exempt untler sec. Signeture: Owner ID verified 6y driver's license. ❑ Ves ❑ No Business and Professions Code for this reason: Vedficetion of Ownelship by (type of document, i.e. - property tax blll or deed): DIVISION OF INDU$TRIAL SAFETV PERMIT CERTIFICATION: Driver's License No. Date: Expires: ❑ I hereby certify that no excevetion five (5) or mare feet in depth into which a pereon Is requireA to descend, will be mede in connecclon with work eutharized by this pertnit, anC that no building structure, sceffolding, falsawork, or demoliffon or dismantling thereof, wilf 6e mora then ihirry-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 347, 7tle 8, Califomla Administretive Code). ❑ As awner-builtler, I will not employ enyone to do work which woultl require e permlt from Ihe Dlvision of Intlusinfll Sefety, es notetl above, unless such person hes e permit to do such work irom ihe tlivision. Signature: Date: Division of Indusirial Sefety Pertnit Number: CER7IFlCATE OF COMPLIANCE AND AU7HORIZATION OF EMRY: I certify under penelty ot perjury that I have read this epplicetion and state thet the Information given Is wrrect. I egree to com ell state lews end ciry ordinances relatlng to building constmctlon, antl authorize representatives oi the Ciry of Casta Mesa to enter upon the ebove-described pr rty tor inspection purposes. I agree not to occupy ar aliow occupancy of eny building authorizetl by this permit until finel inspection. COUE 1. INSPECTIONivVE 1616 Fixed Systpm Final Fire Preventlon 1268 Pool Spa Final 200 Final Re-Rpof 201 � Flnel 81ock/Retelning Wall 202 Final Fectory Fire Place 203 Finel Sign 204 Finel Demolition PdIE 1t�L8 Date 9 -d�/-o� ate FODE� INSPECTIONTYPE 208 Finel MBCheniCel 208 Final Plumbing 210 Finel Electricel 212 Final Fire Prevention 220 Final Plenning Approval 222 ,final Site Final Bulltling/Occupency QAg ItlIID�L9 309{� 401 A COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. 80X 1200 COSTA MESA, CALIFORNIA 92626 Fo� Applicant to�ill in Completely BUILDING G� �% �. ., n i /�� Z . ww aV ZQ o v~i am J7 J N Q W 07 J J m Q U N Z� W W a WZ J Q m Z J � W W 0 ZH w� �O �". Z Q U J a a Q � i- y Z O F- U � � F'- N z OWNER I,p,RWIN SOUTHERN CAL ADDRESS 16255 Ventura Blv cirv Encino I�ENDER�� j,ARWIN SOUTHERN C BRANCH 16255 Ventura Blvd. ADDflESS 7 {n�' (;a�{f_ (] ARCHITECT_.______ __ _.___ lilL -5-73PAjoOQ 287'� ��* 161.92 cr�sa APPLICATION FOR BUILDING PERMIT @IVE,p BY DATE RECEIVED nnrF iscui )RNIA INC. A.P. NO. BUILDING ADDRESS ,Tvo�986-8890 TRACT ADDRESS 9100 Wilshire Blvd., B.H. CONTflACTOR LARWIN SOUTHERN CALIF,INC. ADDRESS 16255 Ventura Blvd. No�986-8890 cirv Encino L C n,o. 191311 LICVNO. B'�- 512E NO.OF BLOGS. OF LOT b�L X I.O�. NOW ON LOT � USE OF EXISTING BLDG. NEW BLDG. 1784 SE qOOMS STORIES �. EMERIOR WALL ROOF WOOd sfiin .l COVERING SYUCCO COVERING g USE OF BUIIDING AND WORK TO BE PERFORMED I hereby acknowled8e ihat I have reatl this apPlication antl stata that tha ebove information is correct antl agree to comply with all laws regulating builtling conttruction, entl I shall not employ any person in violation of the workman's compensatlan laws of the State of California. I hereby certify ffiat 1 am properly licensetl as a conttactot untler tha State of California Business antl Professions Code, Divisicn 3, Chapter 9, antl thai such licenses ere In full force anE etfect, or I am axempt from Hie provfsions of Me State of Califor�ia Business antl Professions Cnc�e, Oivision 3, Chaptar 9. ste�am.a ot Permlttee ��,��D. Downs Authorizatl Age�t OWNER FIRE ' ZONE APPROVED VARDS APPROVED MAIN BUILDING ROM GLSTREET) � 'yi✓ l.� � � VALUE � $ GROUP C DATE `S�� USE OF NEW BUILDING �' VAROS APPROVED BET. MAIN & ACCESS. BLD DATE 3 � � / SQ. FT. WO p THE AMOUNTSHOWN UNDER VALUATION IS FOR � THE PURPOSE OF ES7ABLISHING A PERMIT FEE ONLV: m ¢ VALUATION /Q � Q m (rD PERMI FEE $ � ��ip/p�p�-- �--� , m $ -r.er vv PIAN�CHEC/�K S �+ E ��r %D u TOTAL F�EE $ � Cl2_- �F COSTA MESA REQUEST FOR OCCU. .CY %% �c� �-4-� /�� a �� TRACT N0. �%,�S / " DATE i . IAT N0. �I . ADDRESS The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that ,�/` 1 (he-she-they) fLP� (was or were) �i/�LO�advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which weze imposed by the City at the time the final tract map was appzoved. e The City assumes 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 hazmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. � < RECEIVED arr oF cosrn MEsa � � . , � ., , DEC 4 1973 AM PM 7i8i9i10i11�12i1i2i3i4i5i6 � l BY �,/i ��':v!/LA-iil� � � Purchaser , �� .�- BY /��' '� __r. . C��t-��^, llir-��l� Developer and/or authorized representative HY �`�� '/f ,r .0 F�i Ci /lc'�i-� L nder :.