HomeMy WebLinkAbout3401 SUMMERSET CIR - Building Permits(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.��DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 3401 SUMMERSETCI
Suite:
Viciniry:
Parcel Number: 41207322
Zoning: R1 R1
Status: ISSUED
Applied: 1 Z03/2002
Issued: 12/03/2002
Applirant SELL, RON � - ISSUED BV:
Address: 18032 LEMON , . � - " . - '
. - ,'"- Phone: (714) 528-1758 --, _
YORBA LINDA-, CA�. . , � Zip: 92686 � ,. ,
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owner. TRIEU;,THAI AND�APIRADEE�, . � , ��� \
Address 3401 �SUMMERSET CIR � � _ � - � � - 1 ' � �� �. �
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- � , , , ' . - Phone: 714-235-7555 �, \ \,�
COSTA MESA, CA . _ Zip: 82626 - " . �"� �-
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Contrscror ' SELL- ROOFING COMPANY � ��� � � �'��� ' �`'
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-Addres5: 18032 LEMON-� " � �� �
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� . , .. .�. Phone:,. �(714) 528-1758 ` . �: i.... ��.�; ��
� YORBANNDA,CA - -'`.- ����
, . Zip: ' 92686 ' License? 323842 ' - - - ' . •� � . . �� �',��. `�
Arch : ' - - ' . �' �-� Eng: , i '. �
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Address: . - � . . " " , Add�ess:' - .. - , � . �
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- . , Phone: " - - - � �� ' , � j \ Pho�ne: � �� \
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� � Zip: ' � - . . License: ' License: ,
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� � � � � . _ _ : . , SCOPE OF PERMIT - __..r- �', � ` ' � •
•- REMOVE SHAKE, INSTALL SHEATHING, FELT AND�EAGLE IITE TILE-1C80�4660� -� � �- . � - � . � �
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� FEE SUMMARY '' � �
' �� PIan.Check:" � � $0.00 � - �� /i,�`,�;� _CalcValuation: • '_.,S�,soo�oo-
� ` � Permit: � ' �$153.25 — - - - - �� � � � � � � `_- _=Claim Valuation: � , - �. � S�,soo.00'
. �.SMIP Res: ` $079 " - = �
SMIP Corii: � $0.00 ; ir ,, ,'�' ,� . . .� i � ,�
Other: � $0.00 _ '
`,lnspection: , ' $0.00 -' „ ,
� , : :;.', . -
� .Total: � $154.04 �"'' � �
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' � `� � PLANNING & ZONING � ; i � �'' �
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SETBACKS�� `%' � �" ' .� � ,, � � '��'
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MAIN STRUCTURE �Front 0- 0- �� � � _Rear_- 0- 0 Le(t � -0-0 ' � �Right - ,0- 0- � �
��`-�. - , , � . . _ _ ' -� . ., , � .
ACCESSORY �� Front;, 0- 0�' Rear 0- 0 Left 0- 0� . Righf �� '0� 0.�, �/
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PARKING Existina: ��0 �. �Reouired: 0 , Proposed: � 0
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NOTES:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremanis 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 1B0 days, or iF work is suspended or abandoned
for a period of 180 days. � �
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codas, end all
requlred Inspectlons and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (774) 754-5626
�eea.ea rcvnm
WORKERS'COMPENSAnON DECLARAnON: ' �'
I �ereby effirtn under penalry oi perjury one of the following tleclarations: ..
❑ I eve entl will maintain e certificete of consent to self-Insure for workers' compensation, es pwvided for by section 3700 of ihe Lebor Cotle, for the pertormanca of the
� oAc tor which IhiS pertnit is issueA.
have arW will m intain workers' compensatlo nsurance, fls requiretl by section 37E!`Uf theJKibor Cotle, tor the perfortnance ot the work for which this pennit is issuetl.
My workere' co sa on In3yrerice carri ntl policy number ere: � / / ( //'
Carrier. � Policy Number: / Y F� S � 7`
(This section need nd� be co t if fhe pertnit Is valued af one huntlred dal(ars ($100) oNe55.) ��—
❑ I certily that in tPe peAormance ot ih rk for wnich ihis p it is iuued, I shall not employ any person in any manner so a to become subject to the workers'
com ansetion laws of Califomia, a a ee that if I should com s ct to the workers' com ensetion rovislons of Se tl n 370 of ihe LaDor Code, I shall tonhwNh
P P P
comply with these provisions. � �
Applicant Signeture: ��– Date:
WARNINO: FAILURE TO SECURE WORKERS' CQNPENSATION COVERAGE IS UNIAWFUL AND SHP1L SUBIECT AN EMPLOVER TO CflIMINAL P NqLTIES AND pVIL FINES UP TOONE HUNDRED
TFIOUSAND OOLLAfiE (5��.�1. IN ADDfTIIXJ TO THE COST OF COMPENSAiION, DAMAGES AS PROVIDED FOR IN SECTION 310fi OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRAC70RS DECLARATION:
I hereby eHirm Ihat I am licensed unde pmvisi<
force and etfect Lic. # _--------��
Contrectofs SlgnaturB:
(commencing with Sectlon 7000) at Division 3 of Ihe Business end Pro ssion od�j, antl my license is in lull
� Cless# � ��:/
r
Date: i�
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirm ihat there is a consiruction lentling agency for the pedormance of Iha work tor which this pertnit is issuetl. (Sec. 3097, Civil Code).
Lendera Name: lender's Address:
Signeture:
OWNER•BUILDER DECLARATIONS:
Date:
I hereby eHirtn that untler penalry of perjury that I em EXEMPT PROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business anC Pmteulons
Code: Any ciry or counry which requires e permii to consiruci, atter, Improve, demollsh, or repair eny struaure, prior to its issuance, elso requires the appfcant for such permit
to Nle a signad statement that he or she Is licensed pursuent to the provisions of ihe Comrecmrs License Law (Chapter 9(commencing with Section 7000) oi Division 3 of the
Business and Professions Cotle) or that he or she is exempt thereirom end the basis tor the alleged exemption. Any violatlon of Section 7031.5 by eny applicent for e pertnit
sublects Ihe applicent to a civil penalry of not more than live hundreA dollers ($500).):
❑ I, as owner ol the property, or my employaes with wages as their sole compensa�lon, WILL DO THE WORK, antl the siructure Is not intentleC or oHeretl for sale (Sec.
7044, Business and Professions Cotle: The Contractors License Lew does not apply to an owner oi properry who builds or impwves thereon, antl who does such work
himsetl or herself or through his or her own employees, proNded that such improvements ara not intentletl or oHeretl for sale. Ii, however, iha building or improvement is
sold within one year ot wmpletioq the owneo-builtler wlll have the burtlen of proving that he or she ditl not build or improve tor purpose of sale.). �
❑ I, es owner of the property, em EXCLUSIVELV CONTRACTING WITH UCENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Prolessions
Cotle: The coniractors Llcense Law does not epply m an owner of propeny who builtls or improves thereon, and who contrects for such project with a comractoqs)
license pursuanl �o the Contractors License Lews.).
❑ lam exemptun0ersec.
Signature:
Owner ID veniled by d��ers license. ❑ Ves
Verllicetion of Ownership by (type oi tlocument, i.e.
Business and Professions Gode tor ihis reason:
❑ No Drivers License No.
property ta: bill or deed):
D91e:
Expires:
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICA710N:
❑ I hereby certity that no azcavation five (5) or more faet in tlepih into which a person Is required to tlescend, will be made in connaction with work eu�horizetl by this
pertnit, and �hat no building siructure, scaHoltling, falsawork, or demoli�ion or dismantling Ihereof, will be more �hen thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Ttle B, CalUomla Atlministrative Coda).
❑ As ownerbuilde4 I will nat employ anyone to tlo work which would require e permit trom the Division of Industnel Safety, as notetl ebove, unles5 such person hes e
pertnit to tlo such work from the division.
Signature: Date:
Division of Indu5M81 Sefey Pertnii Number.
CERTIFlCATE OF COMPLIANCE AND AllTHORIZATON OF ENTHY: I certify untler penelty of perjury tha� I have read Ihis application and state thei the infortnelion given is
correct. I agree Io comp�y wIN all siate laws and ciry ordinanceso �reclating to builtling construction, and au�honze representatives of �he Ciry of Coste Mese to enter upon ihe
above-descnbed prop�rty tor inspecti u ses. I agr noi t upy or allow occupancy of any building euthonzed by this permit until tinal inspection.
//
Sig ur � gal Owner(s)�J� � �� // I � 1 Dab
/� L U
Antl/Or Authorizetl Applicam Date
GODE t. ' INSPECTION TYVE
1616 Fixed System Final Fire Prevention
1266
200
201
202
Pool Spa Fln&I
Final Re-Roo{
Finel BIacWRetaining Wall
Finel Fectory Fire Place
203 Finel Sign
204 Final Dem
PAIE INTRIALS
�: � eS
COpE I INSPELTION TYPE
206 Final Mechanical
20B Final Plumbing
210 Final Elecincal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
P�g 1H�L5
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COSTA MESA BUILDING-SAFETY DEPARTMENT 3824 2/2�/79 357.62 '
P.O.BOX1200 COSTAMESA,CALIFORNIA92626 3824 '�272f/7'9 - 357.62CK'
For A licant to Fill in Com letel APPLICATION FOR S�7'$�filLTli�R,yAU �E��' - � A' -'
pp p y- Uselnk Only RE I �ATE RECEIVED
BUIIDING DATE ISSUED
ADDRE55 Tract L02%%� I+Ot 14 /�/�
PERMIT NO.
OWNER MCLain Development Co. n.r.No. �//1-0�/-o�/Of2- /
MAI L BUILDING
ADDRESS 1470 Jamboree ROdCl ' .ADDRESS 3��� ��
CITV Newport Beach nTio�Fi40-6800 TRACT 102%% LOT 14 BLOCK
CONSiRUCTION W AOD AL R PA
LENDER
BRANCH /�
OWNER � C
ADDRESS �
V E
ARCHITECT TEL. S $
ORENGINEEF Corbin/Yamafu'i N %52-5567
FIRE
ADORESS 3661 S ruce $t.� NE: ort Beach Z�NE TVPE OUP �
APPROVED
CONTRACTOR McLain Development Co. sv DATE
ADDRESS 1470 Jamboree Road
TEL. ZONE NO.OF USE OF NEW
c�rv Newport Beach No, 640-6800 ppq,_ P�ar�s BUILDING ES
STATE CITV �'ARDSAPPROVED YARDSAPPROVEO
IIC. NO. Z7387S LIC. NO. MAIN BUILDING ACCESSORV BUILDING
S12E NO.OF BLDGS. (FROM C/LSTREET)
OF l0T �IS X IO6 NOW ON LOT RONT FT. C FT.
VSE OF
EXISTING BLDG. E O FT
Separate permits are required for L. SIDE F-r. � Fr.
electric, plumbing and heating work.
REAR � FT. FT.
VSE OF BUILDING AND WORK TO BE PEFFORMED DISTANCE BET. BET. MAIN &
MAIN BLOGS. ACCESS. BLOGS. `
VAR. # DATE
Single family residence, c.u.P.� Z¢'-78-3 APPROVED ��
New House �ROVEO �� �
HO D FOR S CIAL RE UIREMENT
I hereby acknowletlBe that I have �eatl this application anC state '^
n
that the above info�mation Is corract and aBrea to comply with y�
ell laws regulating building constructlon, end I shall not amploy �'�OUSe 235Z �
eny penon in violetion of Me workman's compensat(on laws of m
Me Siaie of Californio. •
I.hareby certify that I am properly IleenseC as a contracto� untlar SQ. FT. G�age 678 N
the State of Californie Business end Profassions Cotle, Dlvtsion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Cnaprer 9, and rnes such licansas era In full force antl effact, or I THE PUFPOSE OF ESTABLISHING A PERMIT FEE ONLV:
am exempt trom Me provisians of the State of California Businass ` y
VALUATION PERMIT FEE $
entl Professiona COrEe, Dlvision 3, Chapter 9 �J . �n
\ / PLAN CHECK y 4O o
Sipnatvre of 1 �Al [' /^ �, �„ / I V
Permittee A1`U (_.L J P�U�` $ A TAX y LL
l ' /i �� L
AuthorizadAge�t �� TOTALPAID § � /
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