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Home My WebLink About1021 SEA BREEZE DR - Building PermitsPROJECT ADDRESS: 1021 SEA BREEZE DR UNIT: GARAG OWNER'S NAME: PACIFIC TERRACE H.O.A. ADDRESS: 1500 ADAMS AV h COSTA MESA,CA 92626 AXCHIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: ELLIOTT ROOF MAINTENANCE (714)997-4938 ADDRESS: 324 S EARLHAM ORANGE CA 92669 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 0l the Business antl Pnunsi s Code . and my license is in full force and effect. CITY LI g fj 5 STATE LIC.: 6 5 3 4 4 DOSS: Date: Signature: WOR XERS' CO PENSATI N DECLARATION: I he affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance. or a certified copy thereof (Section 3800, Lab. C). POLICY NO.: 571785 EXP.0i 07/01/92 COMPANY: STATE FUND ❑ Certified copy is hereby furnished, [X ruffed copy is filed with the city Building Division. trate. Applicant: ��"' Vf'— /� EXEMPT N FflOM WO REBS' C MPENSATION DECLARA N: (This section need not be completed if the permit is for one hundred ($100) or less). 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 WorkersCompensation Laws of California. Date: Signature'. NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Codeyou must forthwith comply with such provisions or this permit shall be deemed revoked. 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 (Section 3097. Civ. Q. LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of 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/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that helshe 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 live hundred dollars (5500). 1, as owner of the pmpeny, or my emloyees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale (Election 7044. Business and Professional Code: The Contractors' Stale license Law does not apply to an owner of a property who builds or improves thereon, and who don such work himself/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 at completion. the owner will have the burden of proving he/she did not build or improve for the purpose of sale). 'as owner of the properlyy, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: TIIe Contractors' State License Law does not apply to an owner of procerly who builds or improves thereon and who contracts for such projects with a Contractor(s) license pursuant to the Contractors' $late License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Date: Owner I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505. 25533, and 25534 and that I or any future building occupant willlwill not (circle one) need to comply with Said state codes and the requirements for a permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. _ Date: I hereby certify that l have read this and ordinances and state laws relating to buildin construction property tori peChon purposes. Date: Signature: Driver's License or Social Security P: information is correct. 1 agree to comply with all city uite representatives of this city to enter upon the abom 1641-46 While—Building; Green—Code Enforcement: Canary—Applicant: P k—Revenue; Goldenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 05409 PERMIT NO: B 054092 PLAN CHECK NO; N GOVT: N SUPP: N CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION REROOF GARAGE W/3 -TAB ASPHALT SHINGLES SQ FT: 900 CLAIM VALUE: 900,00 CALC-VALUE: 900.00 GROUP OCC: M-1 / COMMENTS: INCLUDES 1023 1025 1027 SEA BREEZE Z 0 N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN /PARKING RE: PROV: PARCEL: 93529006 ZNE: REF NO: PLANNING N TES> > D E V E L 0 P M E N T S E R V I C E S R E Q U I R E M E N" -T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE - APPLICATION ISSUED BY: A- DATE: # ## ## ## # ## # # # # ## # # ## # # ####### ## # ## LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 23.00 .50 SMIP/NON-RES PLAN ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 23,50 0.00 0.00 23,50 23.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 23.50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 23,00 .50 I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 900 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 900,00 END OF FEES IN rJ7 DATE: 08/13/41 TIME: 13:1' 0INSTRUCTION AND PLANNING APPROVALS Permit z# Date - Inspector POOL ?A APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3: Electrical Conduit Utility-Undrgrnd: 54. Forms 4: Electrical Conduit•Undrgrnd. - 55. Electrical Bonding - 5. $reel Reinforcement - .. 56. Rough Plumbing & Pressure Test 6.' 6ectrical LIFER Grnd. t 57. APPROVAL TO COVER-GUNITE T. Fogtings � �. 58. Eiectrical Conduit-Undrgrnd. 8. Foundation 59.. Gas Pipe, 0 Undrgrnd., Test - 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0. Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11.. Property Sewer Line& House Connection i r 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical_T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning - -s FIRE DEPT. REQUIREMENT APPROVALS •'- :Permit # - 20. •Rough Factory Fireplace IK - si i 21.�Duc{s, in Structure ;70. Under gr0upd Hycjro 22. Ducts, Ventilating _ :° ' 1177- Product'Pljting OGas ❑Oil 23. Gas Pipe=Rough &Test' -72, Underground Fldsl?= ,• - , 24. Roof Framing -.- - - �73.'Undergrnd:S[orageTank OGas 0 O 25. Roof,Sheathing �• ;' `74,-Qverhead Hydro- - 26. -T -Bar Ceiling (Structural) & Monocoat r 75. Dry Chemical i 27. -Frame and Flashing: ' „ i_ yi,:a ' 76. Dry Stand`piee 28. Lathing & Siding r 77. -FIXED SYSTEM�FINAL• n '29. Insulatiop 78FIRE PREVIFINAL u i30. Drywall.Nailing .tea HEALTH,b EPT: REQUIREMENT 31. Plaster BYown.Coat` , I , , ¢ .79.'FINAL IN'SPECTI{!N ' 32., Electrical Power Meter -Final; 80. FOOD CERTIFICATE ISSUED 33. Final Electric , �. ` " I ^ ' '�Noies: 34. Final Heating`& Air,Conditioping,` '• ',; , r 35. final Gas Pipo-Test' 36. Hood or Canopy 37. - Final Factory Fireplace- 38. Final. Plumbing - _a. Water Service -Final - 40. Gas Service-Pihal 41. Solar Domestic -Final.-" 42. Backflovi Preventer' , 43. Backflow Irrigation- ` • -' ' - ,44. Landscape Irrigation System,, >45. -'Sound Attenuation` ' ' > -46.;Handicap'Regulatiobs - •-; ,; ', , 47. FINAL STRUCTURE & BUILDING 48., FINAL PLANNING. • -I :, :49. Eleciric Release to Edison J, -50. Gas Release to Southern California Gas Go '51. CERTIFICATE OF OCCUPANCY No. Date