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Home My WebLink About885 SENATE ST - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • wv+w.ci.costa-mesa.��LDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 885 SENATE ST Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Primary Occ: R3 Dwellings/ Cong Res <70 Type of Construction: V-N Parcel Number: 42239302 Zoning: Applicant: FORD, ROD Address: 16 CAPSTONE IRVINE, CA Phone: 949-387-9428 Zip: 92606 Owner: PETERS, PAUL R TR FOR DONALD & KATHERINE PETERS Address %PETERS, DONALD L NEWPORT BEACH, CA . Phone: 1609 RUTH LN . 2ip: 92660-4825 Contractor: BLUE SHOE ROOFING CO Address: 16 CAPSTONE IRVINE, CA Zip: 92606 Arch : Address: Phone: Phone: 949-387-9428 License: 810900 Eng: Address: ISSUED BY: Status: ISSUED Applied: 03/28/2005 Issued: 03/28/2005 Phone: Zip: License: License: SCOPE OF PERMIT REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXISTING ROCK ROOF, REPAIR/REPLACE SHTG AS NEEDED W/BASE, 2 PLY & APPLY ROCK HOT ASPHALT. 2200 SQ FT Plan Check: $0.00 Permit: $125.25 SMIP Res: $0.59 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.84 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existinq: o Rear 0- 0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0-0 ss,e�o.00 ss,e�o.00 NO710E: 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, 7241•92) EXPIRA710N: This permit shall automatically expire and become void if work is not oommenced within 180 days, or if work is suspended or abandoned for a period ot 180 days. � INSPECTIONS: In order tor the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapectlona and final approval must be obtained. Failure to obtain Inspections antl final approval will result in the expiratlon of this permit. FOR INSPECTIONS CALL: (714) 7545626 .aro�ao �aw� WORKERS'COMPENSAnON DECLARATON: � I heraby eHirtn under penelly ot perjury one of the follawing dacleretlOnS: ❑ I heve end will meintein e certificate ot consenl to self�lnsure lor workers' compensetlon, es provided lo� by section 3700 of the Le6or Cotlo, Por ihe pertormenca ot the /°�ork for which this pertnit is issuetl. B( �I heve entl will meintain workers' compensetlon Insurance, es reqWred by section 3700 oi Ihe Labor Cotle, �or the pedormance ot the worK for which this permit is issued. My worken^' cypmp�ensetion Iry.�rence ceMa end pollcy number era: ( / Certier. �j,'��- � t +� - - Policy Number. / � % 3�7 � � , (TTIs secNon nead not be completed i! the permif is velued el one hundred dollere ($100J or less. J ❑ I certily that i� the peAortnance of the woM ior which Ihis pertnit is Issued, I shall not employ eny person in any manner so es to becnme sub�ed to the worknrs' compensation laws ol Califomie egre heI I d bec a sub�ect to 1he workers' crompensation provisions ot Section 3700 of the Lebor Code, I shall forthwlth cnmply with these provisions. (�� ^� [� Applicant Signature: , \ �� Daia: `, ` �� \ WARNING: FAILURE TO SECURE WORNER$' COMPENSATIpJ COVERAOE IS UNLAWFUL RND SHALL SU&IECT RN EMPLOVER TO CRIMINAL PENALTIES ANDCIVIL FlNES UP TOONE HUNDHED T}IOUSAND DOLL4RE (5100.0001. IN ADDIl10N TO THE COST OF COMPENSATION, DhMAGES FS PROVIOED FOR IN SECTION 3I06 OF THE LABOR CApE, IMEREST, AND ATiORNE1^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm tha� I am force antl eflect. Lic. k_ Contracmr's Signa�ure: Chapler 9(commencing wi�h Secllon 7000) ol Dlvision 3 oi t�e Business a d Pro si 5 Cotle, and my license is in full Cless # _ �" � � � Date: 7__ `�Q' _:1 nC— CONSTRUCTION LENDING AGENCY: ❑ I herehy afli� that Ihere is a construction lending agency lor Ihe Oenormance ot I�e work for which ihis permit is issuetl. (Sec. 3097, Gml Cptla�. Lender'S Name: Lender's Address: Signature: OWNER-BUILDEI: DECLARATIONS: Date: I hereby eHirm t�et under penalry of perjury thet I em E%EMPT FFOM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires e permit to construcl, alter, improve, demolish, or ropnir eny slmcNre, prior to its issuanca, aiso roquires the applicant for such pe�it to file a signed stelement that he or she is Ilcense0 pursuent to ihe provisions ol ihe Contractors Ucense Lew (ChaD�er 9(commencing with Sectlon 7000) of Divislon 3 of the BuSiness and Prolessions Code) or thet he or she Is exempl Iherelrom antl the besis lor the elleped eKemptlon. Any Wolation 01 Section 7031.5 6y any epplicant for a pertnit subjects the applic9�t to e civil penelry at not more Ihen flve hundretl dollers ($500).): ❑ I, es owner o� �ha properry, or my employees wl�h weges es t�elr sole compensetlon, WILL DO 7HE WORK, and ihe siructure is not intended or otteretl for sale (Sec. 7044. Business and Professions Cotle: The Coniraclors License Law does not epply Io en ownor ot Ompeny who builds or improves thereon, entl who tices such work himsetl or herselt or throug� his or her own employees, provitletl thet such improvemenis ere not intentletl or oflered for sale. Ii, however, t�e 6uilding or improvement is sold within one yeer ot completioq the ownervbuilder wlll heve the burden of proving that he or sho did not builtl or improve for purpose ot sale.). ❑ I, a5 owner o� �he property. am E%CLUSIVELV CONTRACTING WITH LICENSEO CONTRACTORS to wnstruct Ihe prqect (Sec. 7044, Business and Profeuions Cotle: 71�e cd��recrors LicenSe Lew tloes noI apply to en awner of property who builtls or ImprOves Ihereon, antl w�o conlrecls tor such prol�� 'ith a wntractor(s) license pursuent to t�e Contractors License Lews.). ❑ I em 8xempi untler sec. SigneWre: Ownar ID verifietl by tlrivei s licen5e. ❑ Ves ❑ No Business and Professions Gode lor this reason: Verification of Owners�ip Cy (rype oi documem, i.e. - properry tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Drivers License No. Date: Expires: ❑ I hereby certiiy that no e:cavetion five (5) or more foel in depih into which a person is requiretl to descenQ will ba made in connection with work authorize0 by Ihis pertnit, and tBat no building strucWre, scaflolding, talsework, or tlemolition or dismentling ihereof, will 6e more �han ihirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 3a1, Titla 8, Gelifomia Atlministretive Cotle). ❑ As owner-builder, I will not employ enyone to do work which would require e permit Irom ihe Division of IndusMal Safety, as noted above, unless such person has a pertnit t0 tlo Such work trom lhe divi5ion. Signature: Date: Division ol Indusiri9l Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE /WD AllfHORIZA710N OF EMRY: I cenity untler penelty ol perjury Ihet I heve reatl this applicalion and state ihat the information given is wrrecl. I agree to Wmply with all stete lews entl city orainences relating ro building constmctlon, end eulhodze represematives ol t�e qly of Costa Mese to enter upon !Oe ebove�tlescribad prOperty lar inspeclion Purposes. � agree not to occupy or ellow occupancy ol eny builtling authorized by this permil until linal inspection. gnatur 1 Legal ner(s) -- �;� ODat� � c AnNOr Authorized Applicent Da�e COOE I. �iYPE 1616 Fized System Finel Fire Prevention 1266 200 201 202 203 204 Pool Spe F�nal Finel Re-R�1 Final BIocWAetaiNng Well Final Fac�O�Y Fire Place Finel Sign Finel Demolition QaIF NI TRIALS COOE 1 INSVECTION TYPE 206 Finel Mechenical 20B Flnel Plumbing 210 Flnel Eleclrical 212 Flnel Flre Preventian 220 Final Planning Approval 222 FinalSite 250 Final BuildinyOccupency PdIE INTRV�Lg OwNER LUCKEY G�ORGE R. JR: nATE S-1-S9 JOB ADDRESS 885 Senate Sb. BUILDING PE3i.MIT NO. 9 GENERAL CONTRACTOR �ner-Buil er VALUE § ' AP. No. LOT TRACT 20 9 FIRE ZUNE DESCRIPTION OF WORK B10Ck Wall INSPECTIONS I DATE I GROUP TYPE SUBCONTRACTOR � Frame Form . •_l1_~ �7 COS�`A MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 31] COSTA MESA. CAIIFORNIA fOR APPL/CANT TO f/ll /N COMPLETELY ARCHITECT OR ENGINE LEGAL Fyr�a COS7A MESA. CALIFORNIA � 1^ Ge �. L- LC G/c0 r AC�11 NO.OF BLDGB. SETBpCK LINE FFOM J'`� / �� CENTER OF STHEET � v REAR YARD SIOEYARD ILEFT C/ // IRIGH7 �— DESCRIPTION OF WORK REPAIft E%TERIOR WALL IROOF COVEftING COVERING US"OF B}yy��NGG AND WORK TO BE PERFORMED % .CJ �� '1' I /� Co rn �o ` /G " h.'�ih a � . �'D' 1 HEHEBY ACKNO LEOGE lNAT 1 NAVE PGD TH18 APPLICATION •ND STATE THAT TME ABOVE 19 COPFECT /�MD AGNEE TO COM� PLY WITH �LL CITY OWOIN6NC� ND TAT LqWB E ULATING OVILDING CONSTR TI 1, SIGNATURE OF PERMITTEE AUTHORIZED AGENT __ �rEE RECtIV�D E; - / -S `l �l l,� APPL�C�7A�'i�t�OAIqrt�i2• PERMIT CITY BUI�DINMG� FOR Off/CE USf ONIY I PBC411rt NO, pEqylT Y/ � (veo ar I owre wEcerveo I owrc is�. COSTA MESA, CALIFORNIA n9�Z 1I��: ZONING ZONE NO. OP U6E OF NI R � PLAN6 �I BUILOING BYPROVED � Y� D� DATE s— LINE ST.) 3 O ��.•. ua THE RMOIINT BHOWN tINOER VM1LUATION IB FOR TNE PURPOSE OF ESTABLIBMING A PEHMIT PEE ONLY. VALUATI ON �O PERMIT FEE $ �� $ 1/�� PLAN GHEGK S � CL%•: I� E TOTAL FEE $ l7�i , , ,� . ' ' � 6'761 i COSTA MESA BUILDING DEPARTMENT P. O. BOX 31] COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN BUILDING !`�� . �� c•r.�a LEGAL DESCPIPTION A.P. NO. COSTA MESA. CALIFORNIA C � � �e_ " �G9G4 i.�.,.�¢ ,�� L l.?/„�! � �p,f� ��a y��s TEL. NO. /'� � BLOCK TRAOR��N NO,OF BLDGS. r iao : z .,ow a� ��r USE OF EXISTiNG BLDG. SETBACN LINE FROM cEH1ea or sra[¢• Q REAR YARD p ' 6' SIDE VARD RIGHT LEFT DESCRIPTION OF WORK NEW /� ALTERATION ADOITION I EXTERIOR IrCOVERI �C �IUSE OF NEW � BUILDING � �Ai NO. OF ROOMS STORIES ROOF COVERING OL/f �' I / � -"1( J�� V6.�6..��1� S-�S-S'$ FINANCE DEPT. r�Tv nF cnSTA C�1ESA APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY nec[ivco er �/`�� I, U �/J Sc(I �L / �} S�C.[i�� r COSTA MESA, CALIFORNIA APPROVED� Y`�, ` BY Oi9'h �� DATE CORRECTIONS E3Y CiTY Of� \K� IIa.IFCT 10 {j U L A MLSA �-.�r IT� DL'FT. REG. ( - "3 a S� ` ' �-� , � a; I XENEBV �CI(NOWLEDGE TM�T I H/.VE NEwO THIS �PPLIC<iION 4NO STPTE TM�T THE �BOVE IS CORRECT �N� /.GREE TO COMPLY WITX qLL 4 i' CITY OROINRNCE$ RNO STATE LA�NS REGULATING BVIL�ING CONSTR��UtttC� T��' � � � VALUATION S�GNAT PERMiT FEE S 3�^� PERMITTEE [�J �S' 3 J Q PIAN CHECK S � . S < $ AUTHORIZED AGEN TOTAL FEE 3 �a SC