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Home My WebLink About1033 SEA BREEZE DR - Building Permits PROJECT ADDRESS: UNIT: - OWNER'SNAME: 1033 SEA RL•EZF. DR CITY OF COSTA MESA -- BUILDING PERMIT PERM NO: B 05184` ADDRESS: PACIFIC TERRACE H.O.A. 1500 ADAMS AV PERMIT NO: B 051845 PLAN CHECK NO: NGOVT; N SUPP: N COSTA MESA,CA 92626 ' CONSTRUCTION TYPE: 5-N . PERMIT TYPE: STR PURPOSE: ALT IL ARCM/ENGINEER: ` REG.NO.: UNIT: JOB DESCRIPTION REROOF W/3rTAB ASPHALT SHINGLES SQ FT.: 3, 000 ADDRESS: V - CLAIM VALUE: 3, 000 . 00 CALC--VALUE: : -.3,0.00, 00 , GROUP OCC: ' R--3 /M-1 PERMITTEE: ELLIOTT ROOF MAINTENANCE ( 714 ) 997-4938 - • ADDRESS. 324 5 EARLHAM COMMENTS: INCLUDES OF " 1035 SEA BREEZE" ALSO ' - ORANGE CA 92669 . #+ #+ #Y.#>M##*%.**x—** ;r####x######% xa#*%*****#### %#%##r fr*SMOK -DE; TOR LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 2 ONING R E Q U I R E M N T S 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. REQUIRED CITYS E T B A C K S c.:039965 (STATE LIC.:465346 i39 izu Date: —�' ^� Signature: CL J MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION 0 CLARATION: I hereby a that I have a certificate of consent to self-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.: 571785 EXP.DATE: 07/01 /91 , •'COMPANY: STATE FUNDPARKING REQ• • PROV: PARCEL : 93529006 ZNE: REF NO: Certified copy is hereby furnished. i g Certified copy is filed with the city Building Division. � PLANNING NOTES> ' 1q9 �—�cr� > Date: /I� eL9•'9/ APPlican Zen- 7/ f #ii lr##>.9:.%#3f',f iE if#if fi####*3FA'-+:-#####ti##)4#####ii-je if## %##k?fk####9F###9f#«{<#x-rf#?!u -.!«-)(�.%-.3E#w#'T#?C• EXEMPTION FROM WORKERS'COMPENSATION DECLARATI . (This section need not be completed if the permit is for one hundred($100)or less). D E V E L O P M •E N T S ER VICES R S Q U I R E N E N. ';,T S • 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 Workers'Compensation Laws of California. ZONING APPROVED BY _ DATE: Dale Signature: - '- NOTICE:It.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BYTE Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. ----- DA.L' --/ CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y--__( r -- DATE: ?' ' which this permit is issued(Section 3097,Civ.Cl. WT%+' ADDRESS: on/JP-LEX,' STRUCTURE %'%x-x-***#*9c**#**ic*#***x.)e##ii #3!.##+:.**)(-1(If# 4e***k####1•:f(-+:##3i#K'%3f##-)h*t#####1E** 34-} "DUPLEX" STRUCTURE LEGALIZATION:N F E E S U' M N A R Y STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am 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 S 4 a�) °. repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5 0 •pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business I SM 1 P/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 properly or my empployees with wages as their sole compensation, will do the work, and the BUILDING--DItr-> 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----> 5'4 . 5 0 0 . 00 0 . 0 0 54 . 50 54 . 50 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through . 00 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 TOTALS--> COLLECTED: 5 4 . 5 0 OVER/SHORT: 0 0 for thepurposeolsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP'/TOT GRADING "ILAN-C3ECK I,as owner of the properly,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 projects with acontractor)s)license pursuant to the Contractors'State License Law).l am aware #'x-#x#*Y(#fix*************#?(ii##*##3i####*%**#*4**4***)43•'2% xr'*44****A:}+ %3(*U):-)e##x#;E+E-% that proof of their Worker's Compensation insurance should be provided to me. %"#*-%3i ❑ I am exempt under Section: B.&P.C. INDIVIDUAL F EE BR E A K D O W N for reason: TYPE QTY. DESCRIPTION UNIT COST TOTAL COST Date: Owner: I do hereby certify that lam aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and SFR 3000 REROOF BY VALUE RESIDENIAL NOZONE 1 . 00 3. 000 , 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a - END OF FEES, • permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from - these provisions. , • App ant' Date: nand stat • I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county 1/V// ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned ro ert for inspectionpurposes. P p Y P ///]]] ` 01 00086077-00086078 TOT :4.sa Date: —24--9/ Signature: i-44-//L0"7 �/ILX-4?- / DATE: 04/30/91 TIM; 15:41 • Drivers License or Social Security p: { • • • 164646 While—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor " -' POL. 1 SPA CONSTRUCTION AND PLANNING . APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service dr 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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation • - 59. Gas Pipe, 0 Undrgrnd., 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 0 Gas 0 Oil 23. Gas Pipe-Rough & Test • 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 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 PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final /1,.- 80. FOOD CERTIFICATE ISSUED 33. Final Electric - „ Notes: 34. Final Heating & Air Conditioning - 35. Final Gas Pipe-Test • 36. Hood or Canopy •�r' • 37. Final Factory Fireplace • 38. Final Plumbing '1 39. Water Service-Final J 40. Gas Service-Final 41. Solar Domestic-Final - 42. Backflow Preventer 41 Backflow Irrigation 44. Landscape Irrigation System - 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING i'4 f/N',i_ _ 48. FINAL PLANNING • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date _