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Home My WebLink About1040 SEA BREEZE DR - Building Permits PROJECT ADDRESS: 1040 .SEA BREEZE DR . . 0NIT` CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 054088 ' OWNER'S NAME: PACIFIC TERRACE H.O.A. r.../aoDREss: 1500 ADAMS AV PERMIT NO: B 054088 PLAN CHECK NO; N GOVT: N SUPP; N . J• COSTA MESA,CA 92626 CONSTRUCTION TYPE; 5—N PERMIT TYPE: STR • PURPOSE: ALT ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; REROOF DUPLEX W/3—TAB ASPHALT SHINGLES SQ FT; 2, 156 I ADDRESS: UNIT: i ' CLAIM VALUE: 2, 156 . x ' CALC VALUE: 2 • , 156, 00 GROUP OCC.: R-3 / PERMITTEE: ELLIOTT ROOF MAINTENANCE ( 714 ) 997-4938 ADDRESS: 324 " x 04' SEA BREEZE"S EARLHAM COMMENTS: INCLUDES OF ALSO • . ORANGE CA 92669 ********************** ** . ******************************* t*** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z _ I N G REQUIREMENTS LJ Clj��• 70001 of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS • t CITY LIC.: 03 965 STATE LID':f�65344 CLASS: C-3,9 • �� s Date: �flSignature: 3 �r� 0•er.6� MAIN BUILDING ACCESSORY BUILDI �� WORKERS': MPENSA ION DECLARATION: I hereby affirm tIhave acertificate ofconsent toself-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 POLICYNO.: 571785 EXP.DATE: 07/01/92 . COMPANY: STATE FUND / PARKING REQ: PROV: PARCEL: 93529006 INE; REF NO; y'&] Certified copy is hereby furnished. la C Rifted copy is filed with the city Building Division. . PLANNING NOTES> /J / JJ • > ['bare: 11/2-5/7/ Applicant T'Yrn Sx'/^/9- falgrAenr ********************************************************************4ie*****'**** EXEMPTION FORKEMPENSATION DECLARAT (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT S E R V I C E SR E Q U I R E M 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 In the Workers' Compensation Laws of California. ZONING APPROVED BY • • - • DATE; `t`" • Date: Signature: ' NOTICE:If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor BUILDING APPROVED BY ; DATE: .'; Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. - 11 . f(5—.)41.1,.**/ / CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• r J DATE• q` L, / i 1 which this permit is issued(Section 3097,Civ.C). *********************4'****�****{E***********k1r333fff* ************3FfF*ih*** 777FFF*iiifff*** 1^*** LENDER: "DUPLEX" STRUCTURE ******************************************************************************* ADDRESS; "DUPLEX" STRUCTURE LEGALIZATION;N F' E E SUMMARY STRUCTURAL SEGMENT;Y • OWNER BUILDER DECLARATION: I hereby affirm that I 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 54 , 00 , 5 0 ' 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 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 P LAN' 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 orro herm owntemployees.provided year tfac mpl ion,the o me are not intended or offeredffor sales If, id not d rbuildingmr or REVENUE DIVISION TOTALS--> COLLECTED: 54 . 50 OVER/SHORT: .00 theemem is sold within one year of completion,the owner will have'the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for purpose of sale). • I,as owner of the property,am exclusivelyp contracting with licensed contractors to construct the project(Section 7044,Business • 5 4 . 0 0 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 a contractor(s)license pursuant to the Contractors'State License Law).l am aware **************************************************.*************************,**.** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E B R E A K D O W N ❑ I am exempt under Section: B. 8 P.C. for this reason: ' TYPE QTY D E S C R . I P T I O N UNIT COST TOTAL COST Date: owner. SFR 2156 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 156. 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 will/will not(circle one)need to comply with said state codes and the requirements for a . permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from ' these provisions. Dale: Applicant: I I hereby certify that I have read this application .nd state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building a struction and hereby authorize representatives of this city to enter upon the above-mentanetl 01 00098070-00098070 T1f property for i speclion purposes. 1 DATE: 09/25/91 TIME: 13:11 .;i.; I\ • f i Date: Signature: r Driver's icense or Social Security q: - 01n0009206c9 00098069 TOT 5,.. 01.3i • 1641-46 White—Burlding':Green—Code Enforcement:Canary—Applicant; Pink—Revenue:Goldenrod—Assessor DATE: 09/25/91 TIKE: 13:I3 / • COMSTRUCIION AND PLANNING POOL PA Date Inspector ` Date Inspector . ' AIiVFrOVALS Permit# APPROVALS Permit # 1. Temporary Electrical Service or-Pole 52. Pool & Equipment Location• . 2. Soil Pipe-Undrgrnd. •,.i 53. Steel Reinforcement : • :,3:.Electrical Conduit Utility-Undrgrndr ' . • -.54. Forms - - -.4: 'Electrical Conduit-Undrgrnd. 55. Electrical Bonding - , ::;5..S421 Reinforcement • ; ',, ' '56. Rough Plumbing & Pressure Test ' 6.'Electrical UFER Grnd. re ' -57. APPROVAL TO COVER-GUNITE ' 7; Footings ' • - -«r58. Eiectrical Conduit-Undrgrnd. - •• j;8: Foundation �'- .• 59. Gas Pipe, 0 Undrgrnd.,Test ..9. Water Pipe-Undigrnd. -'60. Backwash Lines, P-Trap, 0 Undrgrnd. 10' Structural Floor;System 61. APPROVAL TO DECK - 11'. Property Sewer Line & House Connection • 62. Backwash & Receptor-Final . . LI - - 12. Sewer Capa 63. Heater & Vent-Final 13. Roof Drains -e . 64. Plumbing System - Final 14. Rough Plumbing - 65. Electrical-Final - ' . • 15. Rough Electric:I-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 ' -'.L.• t 20. Rough Factory Fireplace ),.' ct - • * vAPPROVALS'•- _Permit# 21.'Ducts,in5tructur'e . . � '. • .� . Y. -I: 70. Undergiound:Hydro - 22. Ducts, Ventilating. « - _ .r <%: ` ,71, Product-Piping 0 Gas ❑'Oil •23.;Gas Pipe=Rough & Test a l n _ " -', 72. Underground Flu"sh',. ' 24. Root Framing - • '• > ' • • -73.'Undergrnd?StorageiTank O Gas O 011 25. Roof Sheathing ' p, � _ ._ 74.Overhead Elydro, 26. T-Bar Ceiling (Structural) &.talonocoat r. I'n : 75iDry Chemical _ 27.-Frameacid Flashing' `L, ' ' 76.-Dr Standij e .l. 28. Lathing.& Siding : Pp cc ;, s •• • - : 77,=FIXED SYSTEM FINAL' .7 29. Insulation `• 7.1 " I i r' ', 7B: FIRE PREV. FINAL ;< 2, a j. 130. Drywall-Nailing _ I I : HEALTH_DEPTeREQUIREMENT '31. Plaster Brown Coat.; 5 I ,.,r. .. I x ,;. r79. FINAL INSPECTION - 32. Electrical Power Neter,-Final, ' ` '• I .w : 't80.._FOOD CERTIFICATE ISSUED ic 33.9Final Elegtric, r i • l t- ; ''Noyes: ' y `: ,. . 34. Final Heating'& Air.Conditioning, c .i - b :- r y _c. . .. . -. • ,r . .35. !Final Gas Pipe-Test' > :; ' J _ ,36. Hood or,CanopY•{. .."1- r h 37..Final Factory Fireplace,_ 4 .1211 , .. . , .i. . - '38. Final:Mu'robing 2 l'-^0,1 p, « + . . _ "39. Water Service.Final_s >.! - ';a 's' I- J 21. ,40. Gas Service-Final ' . = -41. Solar Domestic-Final 1- � '?� Y Il 42.'Backflova Preventer" - 'L I �• a; , - 43. Backflow Irrigation' 1 ' ' w ''L-L . "+ -• _ t; .f s n. 4. Landscape Irrigatidh2$Systemrt;' - - r , r. CO - ;4 '' ',� ,... 5 - .. - 245.CSound Attenuation. ( , = F - - _ •I-, •l n• re: . .. . IL • S. -••• �. r - -46. Handicap,Regulatiops., -, ,: _ - ., . 1, .1: 47.-iFINAL STRUCTURE-& BUILDING i� i #‘951-...41 .t .: .1.2..,,<,, ,. 48/FINAL PLANNING 't ' , t ( i. r .. i i - _49.‘.-Electric Release to Edisori. t. :i; - r - 50.,Gas Release to Southern California Gas Co j, '_ .J - C.', . '•; 51. CERTIFICATE OF OCCUPANCY t _ ., No. Date