HomeMy WebLinkAbout3397 SUMMERSET CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DFIVE, COSTA MESA, CA 92626
Job nddress: 3397 SUMMERSET CI
Suite:
Vicinity: ROOF
Parcel Number: 41207323
Applicant: SELL, RON
Address: 18032 LEMON
YORBA LINDA , CA
Owner: MC FEE, JOHN D •
Address 3397 SUMMERSET CIR
COSTA MESA, CA �
Contractor: SELL ROOFING COMPANY
Address: � 18032 LEMON � .
YORBA LINDA ; CA
Zip: 92686�'. �-
Arch :
Address:
Zoning: R1 R1
Phone: (714)528-1758
Zip: 92686
Phone:
Zip: - 92626--
Phone: (714)528-1758
License: . 323842
Eng:
� . � Address:
Status: ISSUED
Applied: 11/20/2002
Issued: 11/20/2002
ISSUED BY: �V �
�
� �- _, Phone: � " � ' �_Phone:
� Zip: . - • . License: ' � License:
SCOPE OF PERMIT
REMOVE EXISTING ROOF. INSTALC 1/2"OSB, 30# FELT, DURALITE, ICBO #2656, CEDARLITE. 2,700 S.F. INCLUDES ATTACHED GARAGE.
FEESUMMARY
Plan Check: '' �$0.00 - Calc Valuation: Sa;soo.00
Permit: - � $16725 . �
SMIP Res: �. $0.89
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $168.14
SETBACKS + ,� �'
MAIN STRUCTURE Front 0- 0�� "� '- Rear 0- 0
ACCESSORY Front 0- 0 ' Rear 0- 0
PARKING Exlsting: 0 �- Re uired: 0
NOTES:
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Claim Valuation: Sa,soo.00
Right 0- 0
Righl 0- 0
NOTICE: The work authorized by this permit shall comply with all applicabl� handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 72-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetions and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
244G4fi (N00)
WORKER�COMPEt!SA710N DECLAiiAT10N: �
I hereby ettirtn under penalry ot perjury one of the tollowing tleclarations:
❑ I heve end will maintain e certificate of consem ro self-Insure for workers' compensation, as provided for by section 3700 ot ihe Lebor Code, lor Ihe pertormence ol Ihe
work lor which t�is permil i5 issued.
�l heve entl wlll maintain workers' compensation i uranca, as required by sectlon 3700 ot the Labor Code, for the peAortnance of Ihe work tor which this pertnit is Issued.
My workere' com Uo Insura carner policy number are: _ �`
' e�tei:�i �Policy� �G� � rj�T
' section need not be comp/ered i! (he Oermit Is value0 af one hundred dollars ($100) or /ess.) �—
❑ I certiy that in t�e Oertormance of the worK for which Ihis pertnit is issue0, I shall not employ eny person in eny mannar so as to become su0ject to Ihe workers'
compensation laws ot California, end a that it I should become subject to the workers' compensation provisions of Section 3700 of Ihe Lebor Cotle, I shell forthwith
comply with these provisions. / ,( 7
�ApDlicantSlpnaWre:-- � j.Dere:-^� � / —V 7
WARNINp:,FAILURE.TO SECURE WORKERS' COMPENSATION COVERAGE I UNLAWFUL ANO SHALL SUBJECT AN EMPLOYER�TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
TMOUSAND DOLURE ($100,000�, IN ADDITION TOTHE COSTOF COMPENSATION, DAMAGES 0.S PROVI�EO FOR IN SECTION 3]O60FTHE LABOR CA�E, IPIrEFEST, AND Al"fORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eflirm thal.l am licensed undar p�vi;ic
with Section 7000) of Division 3 of ihe Business end
CONSTRUCTION LENDING AGENCV:
❑ I hereby attirm that t�ere is a construction lending agency tor ihe pertormance of the work for which ihis permit is issued. (Sec. 3097, Civil Cotle).
Lenders Neme:
Signature: _
OWNER-BUILDER DECLARATIONS:
Lender'S Address:
Date:
my license is in full
I hereby ettirm t�et untler penalry ot per�ury that � am E%EMPT FROM THE CON7RACTORS LICENSE LAW for Ihe Following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires a permit to consiruct alter, improve, demolish, or repair any siructura, prior to iis issuance, elso requires the epplicant for such pertnit
lo tile e sipnetl statement thei he or she is IicenSed pursuent to the provisions oi the Contractors License Law (Chapter B(commencing with Sectlon 7000) of Divislon 3 of Ihe
Business entl Protessions Cotle) or thet he or she is e:empt therefrom and the basis for the elleged exemption. Any violation of Saction 7031.5 by any epplicant for e permit
subjecis ihe applicant to a civil penalry of not more than five huntlretl tlollars ($500).):
❑ I, es owner oi the property, or my employeas with weqes es iheir sole compensation, WILL DO 7HE WORK, antl the siructure Is not intentled or ofleretl for sele (Sec.
7044, Business and Prolessions Code: Tha Coniractors License Law does not apply to an owner of property who builds or improves thereon, antl who does such work
himseH or herself or through his or her own employees, provitletl that such impmvements are not Intentletl or oHered tor sale. It, however, the builtling or improvement Is
soltl within one year of completion, the owner-builder will have the burden of proving ihat he or she ditl not 6uild or improva tor purpose ot sale.).
❑ I, es owner oi the property, am EXCLUSNELY CONTRACi1NG WITH LICENSED CONTRACTORS to construct the prolect (SecJ044, Business anC Prolessions
Code: The contractors Llcense Lew does not epply m an owner ol propeny who builds or impraves thereon, entl who contracts tor such project with e conirector(s)
litanse pur5uant to tha Con�ractors LicensB L.ews.).
❑ I am exempt under sec. Business ane Professions Code for this reason:
SignaWre: Date:
Owner ID veritietl by dnvers liCenSe. ❑ Y88 ❑ No Drivefs License No. Ezpires:
Venficatlon of Ownership by (ype of Cocument, i.e. � properry taz bill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT GERTIFICATION:
❑ I hereby certity Ihat no ezcavation five (5) or more teei in tleplh Into which e person is requiretl to descend, will ba metle in connection wit� work authorized by Ihis
permil, and that no building sWcture, scaHolding, talsework, or tlemolition or dismantling ihereol, will he more Ihan thirty-si: (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec.
341, Title B, Califomia Atlministrative Catle).
❑ As owner-builder, I will not employ anyone to da work w�ich would require e permil Irom t�e Division of Industnel Safery, es noted ebove, unless such parson �es e
permit to tlo such work trom the tlivision.
Signature: Date:
Division oi Industrial Safety Permit Number.
CERTIFlCATE OF COMPLIANCE AND AIfTHOR�1710N OF EMAV: I certity under penalry ot perjury that I have read ihis application and state ihat Ihe information given is
correct I agree to comply with all stete laws end city ordinances releting to builtling construc�ion, entl authodze representatives of ihe City of Casta Mesa to anter upon the
above-described property for inspection purpose5. I a9ree not to occupy or allow occupancy of any builtling authonzed by this pertnit until finel inspection.
CODE I. INSPELTIONTYPE
1676 FixeG System Final Fire Pravention
1266
200
201
202
203
204
Pool Spa Final
Final Re-Rooi
Final Block/Retaining Wall
Final Fectory Fire Place
Final Sign
Final Demolition
PAIE U�6S
12 �02 (��
COUEt INSPECTIONTYPE
206 Final Mechanical
208 Finel Plumbing
210 Final Electrical
212 Finel Fire Prevention
220 Final Planning Approval
222 Final Si�e
250 Final Building/Occupency
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For AppGcant to Fill in Completely - Use Ink Only
BUI�DING
ADORESS Tract 10277, Lot 15
OWNER MCLain Development Co.
MAIL
ADDRESS 1470 Jamboree Road
cirv Newport Beach No�'640-6800
CON5fRUCTION
BRANCH
ADDRESS
ARCMITECT Corbin/Yamafu 1 TEL.7Si-SSG%
OR ENGINEER � NO.
ADDPESS 3661 Spruce St., Newport Beach
CONTRACTOR MCLain Development Co.
ADDflESS 1470 Jamboree Road
TEL.
cirv Newport Beach No. 640-6800
LIC. NO. Z%3S%S LIC NO.
SIZE NO.OF BLOGS.
OFLOT �IS X ZOZ NOWONLOT
USE OF
EXISTING BLDG.
. Separate permits are required for
electric, plumbing and hea[ing work.
USE OF BUILDING AND WORK TO BE PERFOFiMED
Single family residence,
New House
I hereby acknowlatlBe that I have read this appli<ation and state
t�at the above information Is correct antl agrea to comply w(th
all laws regulatin8 buildin8 conrtruction, and 1 shall not employ
any pe�son (n violat(on oi Me workman's compensatlon laws of
the State of Californie.
I he�eby certity thet 1 em properly Ifcensatl as a contractor untlar
the Stata of Callfornie Business antl Professions Code, Dlvision 3,
Chapter 9, antl Mat sueh licenses are In full force and affect, or I
am exempt from the provis(ons of t�e State ot Californla Business
antl Professfons Cotle, Division 3, Chapter 9.
Signature of � r ^^ C �±,� ��y � _, „ /
Permittea 11 //�t. 1 l L1 ��•.`���
Authorizetl Agent // "
e: 3823 2/2;F%79
APPLICATION �O U������ � I'
RE I E Y DATE'RECEIVED DATE ISSUE
�,/ PERMIT NO.
A.P.NO. 7��—D ��0�
BUILDING
ADDRESS 3 3 4 �
TRACT �.O�L%% LOT ZS BLOCK
x
FIFiE
APPROVED
VARDSAPPROVED
MAIN BUILDING
FROM C/L STREET)
REAR I S FT. O
o�sraNce s�.
MAIN BLDGS.
C URP. vW 2 f- 78-3 �/
r10Lll FUK
DATE
USE OF NEW
BUILDING ���
VAR�SAPPROVED
342.31 TL'
942.31CKPD
... �A.._ .__
�.-
BET. MAIN &
ACCESS. BlOGS.
DATE
APPROVED 2% %
W /�
L'l.ii+�. K�12U11<tMGN'►
� House
sn. FT. �age
THE AMOUNTSHOWN UNDER VAIU
THE PURPOSE OF ESTABLISNING A PERI
VALUATION PERMIT FEE $
PLAN CHECK $
��� � TAX E
TOTALPAID 5
0
n
m
2190 g
585 �
N
JN IS FOR m
=EE ONLY: �
25. o� °
N
m
� � m
0
yLL
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