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Home My WebLink About3474 SANTA CLARA CIR - Building Permitsi: f' . . (714) 754-5273 ' Faz (714) 754-4856 • www.Ci.COSIa-m058.Ce.US 77 FAIF DFiIVE, GOSiA MtSA, GA 9'L6'Lti BUILDING PERMIT Job Address: 3474 SANTA CLARA CI Suite: Vicinity: HOUSE 8 ATTACHED GARAGE Parcel Number: 41205131 npplicant: FERGUSON, LEW Address: 4091 E LA PALMA SUITE D ANAHEIM,CA . Owner: WILLIAMS, CHARLES L Address 3474 SANTA CLARA pR COSTA MESA, CA Contractor: MC CORMACK ROOFING Address: 4091 E LA PALMA SUITE D ANAHEIM,CA Zip: 92807 Arch : Address: Phone: Zoning: R1 R1 Phone: (714) 630-5543 Zip: 92807 Phone: Zip: 92626 Phone: (714)630-5543 License: 643700 Eng: Address: Status: ISSUED Applied: 09/06/2001 Issued: 09/06/2001 ISSUED BY: � Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE & ATTACHED GAR4GE (27 SQ). TEAR OFF EXISTING ROOFING & RESHEATH WITH 1/2" OSB. INSTALL 1 LAYER OF 30# FELT UNDERLAYMENT 8 REROOF WITH 30 YEAR GAF COMPOSITION SHINGLES. Plan Check: $0.00 Permit: $111.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: o NOTES: FEE SUMMARY Calc Valuation: sn,soo.00 Claim Valuation: Sa,5oo.00 PLANNING & ZONING Rear 0- 0 Lett 0- 0 Right Rear 0-0 Left 0-0 Right Requiretl: 0 Proposed: 0 0- 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes 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 tor 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 ell requlred inapectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expira�ion of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 zaeans �e�oo� WORKERS'COMPENSAnON DECLARAnON: I hereby atlirtn under penalry oi perjury one of the following CeGeretions: ❑ I have end will maintain a certifiwte ol cansent to selt-Insure tor workers' compensatlon, es provided br by section 3700 of the Lebor Cade, for Ne peAortnence of the work for which t�i5 pertnit Is Issuad. (�� I heve entl will maintain workers' compensatlon insurer�ce, az requiretl by section 3700 of Ne Lebor Cotle, for Ihe peAortnanca of the work for which this pgrtnl( I5 Issuetl. .My work compensatlon Insuran/ce� cerder entl polIicy number are: • �_ � � q/� /�^ /'/� CeRlef.' �yV1i .`Q 1C:lx ] l'� tI IY 1'YN � rpliCy Number: W l�.� l/�� • !(Thfs sectlo need not be camplefed i! (he perm/t Is valued one huntlred dollars ($100) or /essJ �— - - ❑ I certify Ihat in Ihe paAormence ol the work for which this permit is issued, I shell not employ any person in any manner so as to become subject to the warkerg' compensatlon laws ol Celiforyt entl egree that if I shoultl Cecome subJact to tha workers' compensation provislons of Sectlon 3700 of Ihe Labor Code, I shell torthwith complywii�these v' io € ApPliceN Slgneture: �_D�:_ �. - � � 9/O �a`b� WARNINO: PAILI/RE TO SECURE ORKERS' WMPENSAiION COV E IS UNLAWFUL AND SHALL SU6IECT AN EMPLOYER TO CRIMINN. PEWILTIES AND GVI� FlNES UP TOONE HUNDRED T}1WSAND Dq1ARE (5100,OOp), IN A�DITION TO THE COST OF NSATIIXJ, OAMAGES AS PROVIDEO FOR IN SECTION 3/O60F THE LABOq CODE, IMERESi, AND PTTORNENS FEES. LICENSED CONTRACTORS DECLAflATION: I hereby eHirm that I,am licensetl untlar pmvisions of C�epter 9(commencing with Section 7000) ot Division 3 of the Business end Pmfe�s;ons Code, antl my Ilcense is In full force end eflecl�Lic. A � 7�G' „CIa59:p � n 3 i ._- ContractoYsSigneWre:, _ G v. �C-c' uo-�e'-- �ate:. � C� 9�p� O/ � CONSTRUCTION LENDING AGENCY: ❑ I hereby eRirtn Ihat ihere is e consiruciion lentling agency br ihe peAormance of t�e work for which this permit is issuetl. (Sec. 3097, Civil Code). Lentlefs Neme: Lentlefs AUdress: Signeture: OWNER-BUILDER DECLARATIONS: Oete: I hereby eMirtn that under penalry of pe�ury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Buslneu end Professions CoOe: Any Gry or counry which requires a permit to construct elter, imprwe, demolish, or repair any structure, D�or to its issuance, elsa requires the epplicant for such pertnit to Ole e slgnetl stetement ihet he or she Is Iicensed pursuent to the proWsions of ihe Contrectars llcense Lew (Chepter 8(commencing with Seclion 7000) of DMslon 3 of t�e Business end Professions Cade) or Ihet he or she Is exempt therefrom and the basis tor ihe elleged exemption. Any violation of Section 7031.5 by any applicflnt tor e perm�' subjects ihe applicant to a civil penelry of not more t�an flve hundred dollars ($500).): ❑ I, es owner of ihe properry, ar my employees wlih wages es their sole compensa�lon, WILL DO TME WORK, end the structure Is not inientled or oXered for sale (Sec. 7044, Business and Professions Code: The Coniractors License Ww does not apD�Y �o en owner of property who builds or Improves Ihareon, and who does such work himself or herself or Ihrough his or her own employees, provided thet such improvements ere not intendetl or ottered lor sale. If, however, ihe building or improvement is sold within one year of compietion, ihe owner-builder will heve ihe burden of proving Ihet he or she did not build or improva tor purpose of sale.). ❑ I, a9 ownar of ihe property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the prolecl (Sac. 7044, Business and Professions Cotle: The contractors License Lew tloes not eppty to an owner of propeny who bulltls or improves thereon, and who contrects lor such project with a contrecmqs) license pursuant to the Conirectors License Laws.). ❑ I em exempt under sec. Signature: Owner ID veritied by drivers license. ❑ Yes ❑ No Business and Pmfessions Code for this reason: Verllicetion ol Ownership by (rype ol document, i.e. - properry tex bill or daed): Drivefs License No. Date: Expires: DIVISION OF INDUS7RIAL SAFETY PERMIT CERTFICATION: ❑ I hereby certify that no excavetlon flve (5) or more leet in depth into which e person Is requlrad to descentl, wlll be mede in connectlon wilh work euthorized by this permil, antl ihat no building siructure, scaflolding, falsework, or demolition or dismantling thereol, will be mora ihen ihirty-sIa (38) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifornia Adminlstrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require e permit Irom the Division of IndusMel Sefety, es noted above, unless such person hes e pertnit to do such work irom the division. Signeture: Date: DiWsion ot IndusMal Satery Permit Number: CER7IFlCATE OF COMPLIANCE AND AUTHORPA710N OF ENTRV: I certity under penelcy at perjury that I have read this epplication entl state that the infortnatlon given is wrtect. I egrae to comply with ell stete laws end ciry ordinances relating to 6uilding construction, end authorize representetives ot the Ciry ot Costa Mesa to enter upon Ihe above-describetl properry for inspection purposes. I egree not to acupy or allow occupenty of eny building authonzed by Ihis Dermit until finel inspection. GQOE 1. INSPECTIONTYPE 1816 Flxetl System Final Fire Prevention 1266 200 201 202 203 204 Pool Spe Finel Final Re-Root Final Block/Retaining Wall Final Factory Fire Place Final Sign Final Demolition p� INTITIALS � . / (��i� COOE I INSiECTION TYPE 206 Final Mec�anical 208 Finel Plumbing 210 Final Elec�riCel 212 Finel Fire Preventlon 220 Final Planning Approvel 222 Final Site 250 Final Building/Occupency PLIE It�Li May 25, 1976 ininq Laboratories �� «t�=�:,� !��t�,��=«<, �,_� . ap ap� el . 37i0 P_RPOPi WFv ..�';G':�CH C/•JF. ?CoOi . i7�3� e2�?355 .?']� 635�2??5 .!71+) B2B�6<72 pe�m:.. q::.CEt - ... �. g..�. .. - Der : S: �. -� Ca - .'. ;) .; �\, . .: m. ♦.., vD P ..� ��9JE3i1C.i jd . . ,=�+.`Ce� .. ,i3 c3e]lae �k.:�.-.;� ��.._ � Examinalion: COMPRESSION TESTS ON GUNITE CYLINDERS SC76-1609 P1r. E^roI F. Heesch 12921 Aspenwood Lane Garden Grove, California 92b40 PROIECT Swi�nming Pool for CHIIRLES WILLIAMS `Y'�� /� aDDReSs 3y74 Santa Clara Circle, Costa Mesa SAMPLE FROM Gunite S��imming Pool ♦wCNnEU iNGi�+EE� M�x DATE CAST DATE TESTED CYIINDER NO 4-1/2 t0 1 5-18-75 5-25-76 1 cor+ranaoa Blue Lagoon Pools SUBCON1Rq[iov . Crove Gunite Co. SPECIFIED STRENGTH CYLINDER SIZE 5-25-76 11 COMPRESSION 'j_pgy 7-Day TOTAI LOAD, LBS. (5�000 90�000 POUNDS FER SO. IN. z,UOS 3,OSS SIZE: 6" x 13" 6-i/8" x 13" CO MPLIANCE '/-day test complies mith specifications. CYLINDERS MSDE DY Skip oisrnieu*row E. F. Heesh - 2 Grove Gunite Co. = ta Mesa Bldg. Dept. DFIrvEREO BY E. Heesch 2,000 psi 5-25-76 111 7-Day 65,000 2>300 6" x 13" 4ECEIVFO ON 5-19-76 IV "HOLD" V "HOLD" VI "HOLD° / " /� J "� _ �� - - ✓/�.._, : o ._ - . .... . ..._ s ... . .. ..� . .�. . .,�..�� . . . �-..s .. ..o... ..,.. .n.� . o� o ., o ,.00-s . . _em.s no �. o. �� .. � _ .., ._.. . �.. . � .�.,.r- �i�u . a ..� ..�. .�._ ... .s . .. .. . � �...,.. io c�.�. c � P . ...o o�.�x��e OWNER WILLIAMS. Charles DATE 4-21-76 JOB ADDRESS 3474 Santa Clara Circle BUILDING PERMIT N0. 41699 � GENERAL CONTRACTOR Blue Laeoon Pools DESCRIPTIONofWORK Pvt. Swim Pool w Spa � No.412-051-31 LOT TRACT FIRE ZONE VALUE 8 3,800.00 i�.iPECTIDNS Pool Location . Forms Main Drain — Steel Reinforce Elec. Bond — Approval to Cover Underground Electric _ Gas Piping Test Filtering SYstem Lines � Backwash Lines and Recep. Electrical Final �-�ter and Vent Final _ . ,er System Final Backwash and Recep. Final SUBCONTRACTOR Electric Plumbing 6 / F � � L Q ti y Z F G m F G ..1 Q 7 i^ .a x w a O a 0. � 3 '- � - -� 9 CO5TA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BVILOING ADDRE55 �I OWNER p MAIL �.._ . , r � � / /� CITV ADDRESS ADDR ADDR6= CITY STATE LIC. NO• SIZE OF LOT USE OF TEL. N O.. TEL. TEL. No/39-: CITV LIC. NO. NO. OF BLDGS. NOW ON LOT Separate permits are required for electric, plumbing and heating work. UILDING AND WORK TO 8� PERF�FJ� I harebV ncknowlatl8e thet I have reatl thia oppllcallon and smte that thp ebova informetion is correet ontl aprae to eomoly with ell lewz �oBulatinp bu(Idinp constructlon, enG I ahell not employ ony person In violetion of tha workman's componution lews of the State of Colifornia. I heraby cartify that I am properly Iicanmtl ea a contrector untler the Smta ot Callfornia Busineu enA Proteulons Cotle, Dlvision 3, Chnpror 9, entl 2hat suc� II<anzes are In full forca antl offoet, or I nm axomPt from the provisions of the State ot Califprnie Businass entl Professions Cotla, Divbion 3, C�apter 9. SlpnatuYa of 1 Permitt9e �"�.t,�--- J Aachorfzad Apanc � YAIL "Pr� 7_1-7F�,.,�•0�1Q61:> +�**-4?.5� TION FOR STRUC'fURAL PERMIT A.P. NO.� BUILDING ADDRES: FIR� ZONE T APPROV BV Z NO.OF�. PLAN$ VAflDS APPROVED MAIN BVILDING (FROM C/L STREET) BET. VAR. aW � Lu5 � Q O Y � GROUP DAT � USE OF NEW . BUILDING '4 . � __ . DATE APPROVED THEAMOUNTSHOWNUNDERVALU THE PURPp$E OF ESTABLISHING A PERI VALUATION � pERMIT FEE S 5� /�� . PLAN CHECK E e'O TAX S TOTALPAIO S � � m i m � m u a m 0 LL F U ,'. 29556 � ' COSTA MESA BUIIDINCrSAFEfY DEPARTMENT P.O. BOX 1200 � COSTA MESA� CALIFORNIA 92lM For Applicant fo Ftll In Completaly TYPE OR PRINT ADDRE'SS 3474 Santa Clara Circle COSTA MESA, CALIFORNIA � MAIL E. M Y6TGACK LIXI IROY 1aY -7-65,,..,�00 186s **� 128.1`_ APPLICATION FOR PERMR BUILDIN(i For OHlce Use Only _ R[C61IT HO. PI tY FIRB o� -LLO�F ZONQ ✓ TYPE � APPROV[D 1 87 D, ' %8 ZONIN(i ION[ HO. OR UY[ OI � �ueu 2 euitoi �° :�.ne„ Lot 31, Trac [T RGR YARO ) 1 - :rr 8 � _4" I a�orR 5 � - DESCRIPTION OF WORK X I w�r�ewrteu I II �eeinoe� nv. oF Z ROOMB DTORIp W� SiLLCCO I ROOppMQ WOOd shin t1Gll YV•hDll LVL .J1 1 HEpBBY ACKNOWL[O06 TNAT 1 XAV[ RQAO THIB APPLICATION AND BTAT@ TMAT Tf1[ ApOV6 It CORR6R ANO AOplB TO COM• PLY WITX ALL CITY OPDINANCO AND Yil1T[ LAWY R[4YLATINO OYILOINO CONOTRYRION. SIGNATURE OP ' P8RMITTB AUTMORISiD AG[ YAROB MPROVHD MAIN BUILDINO VAR• # SMALL B6 LE88 THAN -(U.B.C.R6QUIRBMENTI YAROBAPPROVED ACCEYSORY BIIILDIN6 BHT. MAIN ACCE59.8 DATB -��_ � �- �- a ro � d� ,l1 �a�a.�ys' � 0 TH6 AMOYNT 8X0 UND6R VALU�TION IB ROR TH8 j �URP086 OP iBTABLi8HIN6 A PfiPMIT F88 ONLY. �1 VALUATION ' [,� � � � PERMIT FE8 � p :� ,7�� %a .7 �