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Home My WebLink About3449 SUMMERSET CIR - Building PermitsCITY OF COSTA MESA BUILD/NG DIVISION DEVELOPM�NT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us BUILDING PERMIT JobAddress: 3449 SUMMERSETCI Suite: Viciniry: Parcel Number: 41207310 npp�icant: RON SELL Address: 18032 LEMON YORBA LINDA , CA Owner: MOSHER, FREDERICK A Address -3449SUMMERSETCIR - COSTA MESA, CA - � Contractor: SELL ROOFING COMPANY Address: 18032 LEMON YORBA LINDA , CA Zip: 92686 Arch : Address: Phone: Zoning: Phone: (714)528-1758 Zip: 92686 Phone: Zip: 92626 Phone: (714)528-1758 License: 323842 Eng: Address: 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 06/24/2002 Issued: O6/24/2002 �SSUED 6Y: � Phone: Zip: License: . License: SCOPE OF PERMIT _ � REMOVE SHAKE ROOF, APPLY SHEATHING, COVER WITH EAGLELITE TILE. ICBO 4660. INCLUDES ATTACHED GARAGE. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $167.25 $0.89 $0.00 $0.00 $0.00 $168.14 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: o NOTES: FEE SUMMARY PLANNING 8 ZONING Rear 0- 0 Left 0- 0 Rear 0- 0 Left 0- 0 Required: 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0-0 Right 0- 0 sa,soo.00 sa;soo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulalions. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. '. ' INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicabie codas, antl au required Inepeetlona and flnal approval must be obtained. Failure to obtain inspections and final approval will result in fhe expiration of lhis pertnit. FOR INSPECTIONS CALL: (714) 7545fi26 . 244fi-48(8/00) WORKERS' COMPENSAnON UECLAFiArON: - , I here6y eHirm under penalry of perjury one ot the following declarations: ❑ I have end wlll malntain a certificate of conseni to selt-Insure tor workers' compensation, es provitletl tor by section 3700 ot tha Lebor Cotle, for the pe� work for which this permii Is luuetl. �e end will mainiain workers' compensation insu2nce, as required by section 3700 of tha Labor Cotle, for the pedortnance of Ihe work for which this pertnit is issue�..� --�d�My workers' compe/nsation Ins a�n/cp wrrier and policy number are: / Cerner. l� V�O .S�T r. Policy Numbec _ l Q�� SS� (Triis section need not be completed il t e permit is valuetl et one hundred dollers ($f 00J or less.) �-, ❑ I ceniry thet in Ihe pedormance of t�a work for which this permit is issued, I shall not employ any person in eny manner so as ro become suDject to the workers' compensation laws of Celito�yy and egree that , I shoultl become sub�ect to the workers' compensatlon provisions of Section 3700 of the Lebor Coda, I shell forthwlth comply with Ihese Drovi5ion6, / � I^�I O� � �� L Applicant Signetura: [� 4%/�- Date: _T� WARNING FAILURE TO SECURE WORKEFS' C/JMPENSATION COVERAGE IS UNIAwNL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED TFIOUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED WR IN SECTION 3]O60F THE LABOR CODE, INiEREST, AND ATTORNE`fS FEES. LICENSED CONTRAC70RS DECLARATION: I here6y ettirtn thet I am licensetl under provisis forca end e(fect. Llc. q 2 Contractofs Signature: (commencing with Section 7000) ot Division 3 of the Business antl Pro s Code, and my license Is In tull Class p-- �i — �� _ Date: LLI'/� �l CONS7RUCT10N LENDING AGENCV: � . ❑ I hereby aNirtn Ihat there is a construction lending agency for the perfortnanca of the work tor which this permit is issued. (Sec. 3097, Civil Code). LentleYs Name: Lender's Address: SignaNre: _ Date: OWNER-BUILDER DECLARATIONS: . I hereby eFfirtn Ihet under penalry oi perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW For t�e following reason (Sec. 7031.5, Business end Professions COCe: Any ciry or counry which requires a Oermit to construct, alter, improve, demolish, or repair eny structure, prior to its issuance, also requires ihe epDlicanl for such pertnit to tlle a slgned stetement ihat he ar she is Ilcensetl pursuant to the pmNsions of the Contrecrors License Lew (Chapter 9(commencing wii� Sectlon 7000) of Division 3 ot Ihe Business entl Professions Code) or ihat he or she is e:empt Ihereirom and the �asis tor the alleged axemption. Any violation of Section 7031.5 by any epplicant tor e pertnit subjecis ihe flpplicant to a civil penalry at not more than five hundred dollers ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and ihe structura is not intended or oHeratl tor sale (Sec. 7044, Business and Professions Code: The Coniraciors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herseN or through his or her own employees, DroviOed t�et such improvements are nat Intended ar oHered for sale. If, hawever, the building or improvement is sold wiihin one year ot completion, the owner-builder will have tha burtlen of proving ihat he or she did not build or improve for purpose of sale.). ❑ I, as owner of Ihe pro0erry, am EXCLUSIVELV CON7RAC71NG WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business antl Protessions COCe: The contraciors License Law does not appty ro an owner oi propeny who builds or improves t�ereon, antl w�o contracts tor such pmjeci with a contractor(s) licensa pursuant to the Contractors License Lews.). ❑ I em exempt untler sec. Business antl Protessions Cotle for this reason: Signature: Date: Owner ID verified by tlriver's license. ❑ Yes ❑ No Drivefs License No. Verification at Ownership by (rype of document, i.e. - properry tex bill or deed): Expires: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cetlity that no excavation five (5) or more teet in depih into which a person is requiretl to descen4 will ba matle in connection with work euthorized by this permit, and tha� no building sWCNre, scallolding, talsawork, or demolition or tlisman�ling ihereof, will be more than thirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, 7itle 8, California Administrative Code). ❑ As owner-builder, I will not employ enyone to do work which would require a permi� trom ihe Division of Industrial Satety, as noted ebove, unless such pereon hes a pertnit to Co such work Irom Ihe tlivision. Signature: Date: Division of Intlustrial Safety Permit Number: CERTIFlCATE OF COMPLIANCE AND Al7THORVATION OF ENTRY: I certify under penalty of perjury that I have read Ihis application end stale that lhe intormation given is wrtect. I egree to wmply with alyl �.je laws antl cit rdinances relaiing to builCing consiruIXion, and authonze representatives oi Ihe City of Costa Mesa to enter upon �he above-described property for i��e i6n parposes. re occupyor ellow occupency ot any building authonzed by fhis permit until final ins echoa � �-Z�-o Sign OOt l�egal Owner � � I '�Z� ate �v AnrUOr Authorized Applicant � Date CODE �. INSPECTIONTVPE 7616 Fi:ed System Final Fire Prevenlion 1266 200 201 202 203 204 Pool Spa Finel Final Re-Roof Final BIocWReiaining Wall Final Fectory Fire Place Final Sign Final Demolition p�1jg INTffIALS CODE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fira Prevention 220 222 250 Final Planning Approval Final Siie final Building/Occupancy 4BSE 1tlI!➢EL$ F C Gcl L Q � � 2 F G F Q C ..1 ¢ > � a a CC a Z W m 3 �'� %=�� 2 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING _ ____ _ OWNER MAIL CITY CONSTRUCTION BRANCH ADDRESS ARCHITECT ADDRESS CONTRAC ADDRESS CITV STATE IIC. NO. SIZE OF LOT X Beach e St. , pp08 2(21/79 357.62 .TL` �636 2%2'I%79 357.b2GKTD s(838 0000447532 J,Q APPLICATION�QB�§TRUCTURAL PERMIT IIBUILDING ^ � 5 AD�RESS J No`.�640-6800 � TRACTIO27 EW ADD AL EF � OWNER McLain nrio.`752-5567 use Res. w at FIRE wport Beach zONE APPROVED TEL. Beach No. 640-6800 CITY LIC. NO. INO. OF BLDGS. NOW ON LOT Separate permits are required for electric, plumbing and heating work. USE OF BUIIDING AND WORK TO BE PERFOR� New I hereby acknowledge that I have read this application antl state that Sha above Information is correct antl agree to comply wiih all laws regulating builtling consttuction, antl I shall not employ any parson in vialation of the workman's compensation laws of the State of Californla. I hereby cartify that I am properly licensed as a conttactor under ihe State of Calffornia Business antl Professions Code, Division 3, Chapter 9, antl that such licenses are in full force antl effect, or I am ezempt from the provisions of the State of California Business entl Professions Coda, Divislon 3, Chap/ter, 9. Sipnaiura ot /' ^�� ry (' Permlttee V1 l ( Auffiorizetl A nt E �NO.OF VARDS APPROVEO DISTANCE BET. MAIN BIDGS. VAR. #` c.u.P. # zE— THE AMO THE PURPI VALUATION $73,200.00 PERMIT NO. ient Co. VALUE USE OF NEW BUILDING R�S VARDSAPPROVED ACCESSORV BUILDING BEf. MAIN & ACCESS.BID �ATE n m > m 2 N JN UNOER VALUATION IS FOR m 'ABLISHING A PERMIT FEE ONLV: � PERMIT FEE $ 2 .00 � PLAN CHECK 5 � O o TAX $ 5.12 � TOTALPAID g 357.62 �U