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Home My WebLink About273 SHERWOOD ST - Building Permits J : UNIT ,171.07* oREss: 273 SHERWOOD ST CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06878E 6 floJW '5 NAME: CAMPEAU, LAWRENCE M . ADDRESS: %HERITAGE INVESTMENTS PERMIT NO: B 068786 PLAN CHECK NO: N GOVT: N SUPP : N 2845 MESA VERDE DR EAST SUITE 7 979-9991 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; ALT COSTA MESA, CA 92626 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF REROOF O/1 WITH COMP SQ FT: 3, 000 ADDRESS: UNIT: CLAIM VALUE: 3, 000 . 00 CALL—VALUE: 3, 000 . 00 GROUP OCC ; R-3 / PERMITTEE: TOP HAT ROOFING ( 714 ) 586-6978 ADDRESS: 27121 PUEBLONUEVO DR COMMENTS : SMOKE DETECTOR REQUIRED PRIOR TO FINAL MISSION VIEJO CA 92691 ***********+t-*+s*****+r+Ei ********ar*x****ar+r+r+t***kF**rr******* aE**ar****+t***** Ear*+r***** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Protessions Code,and my license is in lull force and ellect. SETBACKS CITY LIC.:9 58 18 STATE LIC.: 64863 CLASS: 9 EXP : 03/95 ate: Signature:_ _ MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION ECLARATION: thereby of um SI have a certificate of consent to sell-insure or a certificate of Workers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL ; 42621406 ZNE: REF NO; El Cenified copy is hereby furnished. El Certified copy is filed with the city Building Division. PLANNING NOTES> • > Date: Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). DEVELOPMENT SERVICES REQUIREMENTS I certify that in the performance of the work for which this permit is issued.I shall not em oy any person in any manner so as to become sublectt he War rSCompensation Laws oStgnasornia. / ZONING APPROVED BY DATE: �.271/ Signature: di NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APP ROVED BY Mr DATE Code.you 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 APPLICATION ISSUED BY ;` * DATE- which this permit is issued(Section 3097.civ.Cl. ************************ hF* **** *** ***********************fF** ******* ** LENDER: ************************************** ' ***********************************414E ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 . 00 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she Is licensed5 0 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 54 . 50 0 . 00 0 . 00 54 . 50 . 54 . 50 . 00 does not apply to an owner of a property who builds or improves thereon,and who does 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 of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTAL S--> COLLECTED ; 54 . 50 OVER/SHORT: 00 tor the purpose ol sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 54 . 00 . 50 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projectswith a contractor(s)license pursuant to the Contractors' tate License Law).l am aware *************************************************atatat*atatatatatatatatatatatatat a taE.)t*.at*.*..)t*.*.Y.ap.)l. that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: SFR 3000 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 3, 000 , 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant wilVwill 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: Applicant: I hereby certify that I have read this application and state that the above information is corm agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representative' this city to enter upon the above-mentioned L, property for inspection purposes. // �.�,a. 9_1, 11 : J 7✓ )1 ' DATE: 09/06/9416 TIME: 133:13 54.50 / Signature. Driver's License or Social Security a: 1641-46 White—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor F, • CONSTRUCTION AND PLANNING POOL & SPA tAPPROVALS Permit# Date Inspector APPROVALS Permit+ Date i Inspector it1. 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. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit•Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrna.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd, 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 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 FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure - 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24, Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing q 7_61y �146( 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding • - 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing r. / HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test I36. Hood or Canopy .- . 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backf low Preventer , 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 1_2plV ( -"k 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co I.1 51. CERTIFICATE OF OCCUPANCY No. Date • h\LN.J L4 J Ie.- .• . 7184 " 1, 9_, , -2 4 L._ COSTA MESA BUILDING DEPARTMENT FINMCE DEPT. P.O.BOX 317 COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BUILDING BUILDING ADDRESS 973 ShnT•T.Tnnrl cifTont COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PEYN O. OWNER Sherwood Forest Developers +3 I'a 4 RECEIVED BY DATE RECEIVED DATE ISSUEDMAIL ADDRESS 3700 Newport Blvd. )91_Y717 C2,J-34 AUG A 19.58 BUILDING CITY j1P1.] Dort Beach TEL.NOM 2-1240 ADDRESS ARCHITECT LIC. COSTA MESA. CALIFORNIA OR ENGINEER Rnvmond Levennes NO. C747 FIRE ADDRESS ZONE ZONE NO.OF TYPE GROUP � CITY LIC. / PLANS CONTRACTOR L.1 do Conctr. Corp. NO. 7520 � t T ADDRESS 37(1(1 tTnin nrt Blvd. NO- OST 3_194,0 BYPROVED DATE LEGAL LOTqOO[T;; CORRECTIONS DESCRIPTION NO. 20 BLOCK TRACT32SJ A.P. NO. • SIZENO.OF BLOBS. OF LOT 751 X $01 NOW ON LOT none USE OF EXISTING BLDG. 1 SETBACK LINE FROM CENTER OF STREET 451 REAR YARD 311 SIDE YARD RIGHT 91 LEFT 61 DESCRIPTION OF WORK NEW X ALTERATION ADDITION REPAIR �� MOVING DEMOLISH NO.OF SIZE BUILDING 1440 ROOMS. STORIES 1 EXTERIOR WALL ROOF COVERING StllCCC COVERING rock USE OF BUILDING Dwelling Att. arae 400 so. 'ft., I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC• TION. ��p/,^/�/ (/j� VALUATION SIGNATURE PERMITTEE O 1\� J Mit PERMIT FEE $T Sj� VV ..) i4 ." rcO. PLAN CHECK S / 7, v $ Sfrjk FEE 5 VIM('AGENT TOTALy.