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Home My WebLink About3453 SUMMERSET CIR - Building PermitsF�p �� CITY OF COSTA MESA _ � ' � - � BUILDING DIYISION � . � DEVELOPMENT SERVICES DEPARTMENT � �•�� . PERMIT � P I NUMBER� / / . . � . . . , r - � , .^ - P98-00899 � (714) 754-5273 • Fax (714) 754-4856 77 FAIF DRIVE, COSTA MESA, CA 92626 ' _ _: ,\ ,lobAddress: 3453 SUMMERSETCI Suite No Vicinity: Parcel Nunmber: 47207309 Applicant: NOCK, RON Address: 11612 KNOTT ST Owner: Address GARDEN GROVE , CA BEITCER, BARRY. ;326 N DOHENY DR BEVERLY HILLS;CA Contrector: NOCK PLUMBING Address: 11612 KNOTT ST GARDEN GROVE , CA ArchlEng: , Address: �- DISH WASHER . ISSUE FEE Backflow irrigation � BackFlow Preventer Bathtub Clarifer System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (7-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service AMT $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $8.75 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 �� PLUMBING PERMIT , Status: ISSUED � Applied: 72/i6/1998 � Issued: 12/16/1998 Phone: 714 895-1246 Zip: 92841 - � � Phone: Zip: 90211 Phone: 714 895-1246 � Zip: 92841 License:- 707775 Phone: Zi{i: License: §GOPE OF PERMIT �" ' FEE SUMMARY ' �TY � AMT "-QTY Laundry Tub / Washer $0.00 0 0 Landscape Irrigation � $0.00 0 0 P-Trap . - �$0.00 0 0 Pressure Regulator - ' $0.00 � 0 0 Process Piping (per 10 ft) $0.00 0, 0 Receptors , $0.00 0 0 � Septiciank $0.00 0 - 1 Sewer Cap for Demo $0.00 0 0 Sewer Connect $0.00 0 0 Sewer Private Line � $0.00 0 0 Shower $0.00 0 0 Sink, bar $0.00 0 0. Sink, commercial $0.00 0 0 Sink, Floor $0.00 0 0 Sink, kitchen $0.00 � 0 0 Sink, service/mop � $0.00 0 0 Spa (private) $0.00 0 0 Spa (public) $0.00 0 SumpPump Swimming Pool Trap Primer � Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr BkFlow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK tr 1 AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 EXPIRATION: This pe�mit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetions and iinal approval must be obtained. Failure to obtain inspections and tinal approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATON DECLARATION: - I hereby eHirm unAer penalry of parjury one of the following tleclaretions: ❑ I heve and will melntain e cenificate oi consent to sett-Insure for workers' compensation, as pmvided tor by section 3700 01 the Labor Code, for ihe pertormence ot the w tor which this permit is issued. I heve and will maintain workers' mmpensatlon insurance, as requireC by section 3700 ot the Labor Cotle, for the pertortnence of ihe work tor which this pertnit is issued. My workers' compens.nation Insu�ancye �cerri�er end poli number are: ,� F �� r �� Q �- / rd Carrier: �FiCJi�� GY�� Policy Number. {V LC�-�f' � / � � � (7his section need not be completed il the pertnit is valued af one hundred tlollars ($ f 00J or /ess.) ❑ I certify �hat in the pertortnance of Ihe work tor which Ihis permit is issued, I shall not employ any person in eny manner so as to become subject to ihe workers' compensation laws oi Celitomia, and agree that if I should hecome subject to the workers' compensetlon provisions of Saction 3700 of the Lehor Cotle, I shall forthwith comply vnih thesa provis' _ —l� � C,/� ApplicantSigneWre: Dale: / �l , �d� WARNING: FAILURE TO SECURE ORKERS' CO�r1PEN5FTION COVER4GE IS UNLAWFUL AND SHALL SUBIEGT AN EMPLOYER TO CflIMIN PENAlTiES AND CIVIL FINES UP TOONE HUN�RED T7K)USPND DOILARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DPMAGES AS PROVIDED FOR IN SECiIIXJ 31060F THE LABOR CODE, II�frEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTOHS DECLARATION: I hereby ettirtn Ihet I em licensed under provisions af Chapter,9 (commencinq with Section 7000) of Division 3 ot ihe Business and Pr e ior,s Coda, entl my licensa is in full force and effect Lic. N '� rs�7 7% 5 Class u C- � ContractorsSignawre: CTc� - s Date: �t��y— i CONSTRUCTION LENDING AGENCY: , ❑ I hereby affrm Nat t�ere is a construction lending agency for Ihe pertortnance of tha work for which ihis pertnit is issued. (Sec. 3097, Civil Cotle). Lentlefs Name: Lendels Address: SignaNre: Date: OWNER-BUILDER DECLARA710NS: I hereby aflirtn Ihat under penalry oi perjury that I am E%EMP7 FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Protassions Cotle: Any ciry or counry whic� requires a permit ro construcL alter, improve, tlemolish, or repair any siructure, prior ro its issuance, also raquires the applicant lor such pertnit to file e signed statement lhet he or she is licensed pursuent to ihe provisions of the Contractors License Law (Chepter 9(cnmmencing with Sectian 7000) of Division 3 oi ihe Business and Professions Cotle) or thet he or she is exempt therefrom and ihe basis tor the allegetl axemption. Any violation of Section 7031.5 Dy any applicant tor a pertnit subjecis Ne epplicant to a civ�l penalry of not more than five hundred doltars ($500).): ❑ I, as owner oi Ihe property, or my employees with wages es their sole crompensation, WILL DO TME WORK, antl ihe strucNre is not intentletl or ottered for sele (Sec. 7044, Business and Professions Gode: The Contractors License Law does not apply to en owner of properry who builds or improves Ihereon, antl who does such work himself or herselt or through his or her own employees, provided that such Improvements are not Intentletl or otteretl tor sale. If, however, the building or improvement Is sold within ona year oi completion, ihe owner-builtler will have tha burden of proving that he or she ditl not Cuiltl or improve for purpose oi sale.). ❑ I, es owner o1 the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRAC70RS to cronstruct the project (Sec. 7044, Business end Professions Cotle: The coniraciors License Lew does not apply to an owner of properry who builds or improves thereon, end who contracts tor such project with a conlractor(s) license pursuant to ihe Coniractors License Laws.). ❑ I am exempt under sec. Business and Protessions Code for Ihis reason: Signature: Dete: Owner ID veritietl by drivefs license. ❑ Ves ❑ No Dnvers Licensa Na. Verification oi Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAPE7Y PERMR CERTIFICATON: Expires: ❑ I hereby certity that no eacavation 8ve (5) or mora feet in depth into which a Derson is requlred to descend, wlll be made in connectlon with work authodzetl by this pertnit, and lhat no building structure, scattolding, lelsework, or demolition or dismantling thereoF, will be more ihen thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle 8, Celifomia Adminisirative Cotle). ❑ A5 owner-builder, I will nol employ anyone lo do work which woultl require a pertnit imm lhe Division of Intlustdal Satery, es notetl aDove, unless such person hes a pertnit to do such work from ihe tlivision. Signature: Date: Division of Intlustrial Safery Permit Num6er. CERTIFlCATE OF COMPLIANCE AND AUfHORIZATION OF ENTAV: I certify under penalty of perjury ihat I have read this application antl state thet the informetion given is correct. I agree to comply wilh all state laws and city ordinances relating to builtling conswction, and euthonze representatives of ihe Ciry of Coste Mesa to emer upon the above-descnbed property for inspaction purposes. I agree not to xcupy or allow occupancy of any building authorized by this permit until final inspection. R1Signa reOfLegalOwner ) /�� Date �� U i\ �� i Antl/Or Authonzed Applicant Data �ppEJ, INSPECTIONTYVE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Finel 200 Final Re-Roof 201 Final BIocWRelaining Wall 202 Final Factory Fire Place 203 Final Sign 206 Final Demolitlon 2446-46 P92E U1iID9lS COOEt INSPEMIONTVVE 206 Final Mec�anical 20B Finel Plumbing 210 Finel Electncal 212 Finel Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilaing/Occupency ORTE II�AlS (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job AddrEss: 3453 SUMMERSET CI Suite: Viciqi�y: ROOF Parcel Number: 41207309 Zoning: R1 R1 App�icane SELL, RON _ AddrEss: 18032 LEMON . . - ' � � - � . � �� ' _ Phone: (714) 528-1758 YORBA LINDA-, CA ,� ; � � ,, Zip: 92686 , �' j, Ownec BE1.TL'ER; BARRY�, � � � � Address /825,5BARRINGTON AVE � - � - �� j .. �, /i ., . , . . . Phone: � _ ,/L�OS ANGELES, CA'.�-. �"� - Zip: 90049-4707 Con�rsotor: ��SELCROOFING COMPANY ' Address: 18032 LEMON" �� i � /=�-,'" ��0/t � � , YORBA LINDA , CA n \ Zip: � 92686' � ��J Arch� : � � � �� % � Address: ,- � - � .. � �� , � Phone C�� . , � � -'. _ � �� , 2ip: � - , � License: '�li , � Status: ISSUED Applied: 07/02/2003 Issued: 07/02/2003 �� _ ': �� Phone: License: � � � - -� SCOPE-0F�PERMII -. � - TEAR OFF �XISTING ROOF. INSTALL,EAGLELITE,-�ICBO,#4660, MALIBU 5.Z LBS. 2,700 S.F._:INCCUDES ATTACHED GARAGE. 2 STORIES. FEE SUMMARY ' Plan Check: '$0.00 Calc Valuation: " Sa,soo,00 Permik $16725 - � Claim Valuation: Sa;soo.00 :, SMIP Res: , - $0.89 � � � � �SMIP Com: �. . $0.00 ' � � :� Other:, � �„ $0.00 _ ` � , In`spection:�, ��'>$0.00 � �. � �, � �� .;�� "TotaL• $168�.14 ` _ ' � � ` ��' �` � � BLANNING & ZONING � � � �. SETBACKS' � „ � � � � � MAINSTRUCTURE Fronl 0-0 �' -- Rear 0-0 Left 0-0 - Right 0-0 " - � ��.�. � ' - � � . . ACCESSORY �Front� , 0. 0'� „,' , Rear , 0- 0 Left 0- 0 . Right . -0- 0 PARKINCi Existin : 0� ��Required: 0 Proposed: 0 �� NOTES: �,� . . � NOTICE: The work authorized by this permit shall comply with a71 applicable handicap access requirements under Calitomia statutes and retated � regulations. (Ord. No, g2-28, § 1, 12-21-92) '�� EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a pariod of 180 days. � INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetiona and final approval must be obtained. Failuie to obtain inspections and final approval will result in the expiratlon of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446i6 (N00) WORKERS'GOMPENSATION DECLARATON: � � I �ereby attirm untler penalry of perjury one of the following declarations: � ❑ I heve antl will meintein e cenificate of consent to self-Insure tor workers' compensation, as provided for by section 3700 of ihe Labor Code, for �he peAormance ol the work for which Ihis permit is issued. ❑ I have end will maintain orke compensation insuren s requireC hy section 3700 of ihe Lebor Cotle, tor the parfortnanca ol the work for which this pe�mit is issuetl. M warkere' com J �I rancac`em� and olic umber are: e / /— � Carrier:y �L�(X / ��%� PoliryNumbar. l�C��SJ (This secBon neeU not be completed i/ the permil is velued f one hundred dollers ($100) ar less.) ❑ I certify that in iha pertortnance of the work for which this permit is issue0, I shall not employ any person in any manner so es to Decome subjec� to lhe workers' compensation laws of Celifoml d agree that if ould b come su6ject to ihe workers' compensation provislons oi Sectlon 37 0 of the Lej�or CoOe, I shall forihwith comply with these provision . �J Applican�Signeture: . Date: '/�7 � �/� � WARNING FAILURE TO SECURE WORKEflS' COMPENSATION COVEMGE IS UNLAWFUL AND SMALL SUflIECT AN EMPLOYEfl TO CRIMINAL PENALTIES AN pVIL FlNES UP TOONE HUNDRED TFIOUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF WMPENSATION, OAMAGES AS PfiOVIOED FOP IN SECTIqJ 3]O60F THE LABOR CADE, INiEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensed under pmvi� torce and BNecL Lic. # � � Contractor's Signature: CONSTRUCTION LENDING AGENCY: (commencing with Section 7000) oi Division 3 of the Business and Profession C , entl my license is in full ,q� Classx ��/ — � Date: —� n -� n/ �{ ❑ I hereby attirm that there is a construction lending agency for ihe pertormance oi the work for which this pertnit is issued. (Sec. 3097, Civil Cotle). LentleYs Name: Lender's Address: Signatura: OWNER•BUILOER DECLAFiAT10NS: Date: I hereby affirtn Ihat under penalry ot perjury ihat I am E%EMP7 FROM THE CONTRACTORS LICENSE LAW for ihe tollawing reason (Sec. 7031.5, Busineu and Protessions Code: Any ciry or county which requires a pertnit to consirucL alcer, improve, tlemolish, or repair any simcture, pnor to its issuance, elso requires tha applicant for such pertnit lo file e signed statement ihat he or she is licensed pursuant to the provisions ot the Contrectors License Lew (Chepter 9(wmmencing with Section 7000) of Divislon 3 of ihe Business end Professions Code) or that he or she is exempt Iherefrom and the besis for the allegetl axempiion. Any violalion of Section 7031.5 by any epplicant for a permit subjects the aOG�ican� to a civil penalry of not more than five huntlred dollars (5500).): � I, as owner of the propeRy, or my employees with wages es iheir sole compensation, WILL DO THE WORK, end ihe structura Is not inten0ea or offeretl for sale (Sec. 7044, Business and Profassions Code: The Contractors License Law does not apply to an owner of properry who builds or improves thereon, antl who tloes such work himselt or herself or through his or her own employees, provided Ihet such improvements are not intendetl or oXered for sale. If, however, Ihe building or improvement is sold within one year ot completion, Ihe owner-builtler will have.the burdan ol proving that he or she did not builtl or improve for purpose oi sale.). ' ❑ I, as owner of the properry. am EXCLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to construct tha project (Sac. 7044, Business and Prolessions Code: The cantrectars License Law tloes not apply to en owner of property who builds or Improves thereon, end who comracis for such pmject with a comrector(s) license pursuant Io the Contractors Licensa LawsJ. ❑ I am exempt under sec. 8usiness antl Pmfessions Code for Ihis reason: Siqnature: Date: Owner ID veniietl by tlrivefs license. ❑ YBS ❑ No Onvefs License No. Verifiwtion oi Ownership by (rype of tlocument, i.e. - pwperry tau bill or deetl): EzDires: DIVISION OF INDUS7RIAL SAFE7Y PERMR CERTIFICATION: ❑ I hereby certify ihat no excava�ion tive (5) or more feet in depih into which e person is required to descend, will be mede In connection with work euthorized by ihis pertnit, and Ihat no building structure, scaHoldinq, falsework, or demolition or tlismantling �hereof, will be more ihan thirty-siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, 7lle 8, Califomia Atlministretive Code). ❑ As owner-builder, I will not employ enyone to do work which would require e permit from ihe Division of Industrial Safety, es noted abova, unless such pereon has e pertnit to do such work tram Ihe division. Signature: Date: DiviSion ol Indu5lrial Safeiy Permi� Numbar: CERTIFlCATE OF COMPUANCE AND AI7THORIZA710N OF ENTRV: I certiy under penalry of Derjury that I heve reatl ihia epplication antl state Ihat the information given is correct. I agree to comply with all state laws antl ciry ortlinances relating to building construction, end authorize representetives ot tha Ciry oi Coste Mese ro enter upon the above-descnbad properry tor inspection purposes. I egree not to occupy or allow acupancy ol eny building authorized by this permit until finel inspection. Si7gp ire Le al Owner j 1¢ � An OrAuthorized Applicant �� COOE t. INSPECTIONTYPE 7616 Fiaetl System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 207 FInaI BIocWReteining Wall 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition 1��¢, IMRIALS " `�� CO�Et INSPECTIONTYPE 206 Final Mechanical 208 210 212 220 222 250 Final Plumbing Finel Electricel Finel Fire Prevention final Planning Approval Final Site Final Building/Occupency �� TRACT N0. lD� � � I�C7I' NO. CITY OF C�'I'A REQUEST El7R OCQJPANCY L�HTE • � �,/' �/ �e developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been oo��leted and its streets accepted by the City of Costa Mesa. By exea�ting this agree��ent, the undersigned acknaaledges that he/she/they was/�,ere advised that this tract has not been given final inspection nor has it been accepted b� the City of.Costa Mesa as having conplied with the oonditions of approval which kere vmosed b,� the City at the time.the Final Tract Map was approved. ' The City assimies no liability for the enforcement of the oonditions necessary for approval other than those conditions protected b� surety bond. The undersigned agrees to inde�nnify and hold the City harmless fn�m any claim �s�.ltir.g i.^. dama.^,e er personal injuzy to :he c:r��migr�d b; _^:�.^n o£ *_he aforc�rentioned uncormleted condition(s). '' i^. � hL�,�1�v„�� ,.�v n- i;'? � . DEC o G 1979 �� 8�`�i1��l.l�L':i�.i�i3►4�5i6 � J� m HOh1E SAVI[JGS AND ve ASSOCIATION