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Home My WebLink About590 STURGEON DR - Building PermitsMF ! �'� o � > _ F yq�,• `�o�N � (714)754-5273 • Fax(774)754-4856 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 590 STURGEON DR Suite: Vicinity: Parcel Nunmber: 41802234 Applicant: GALITSKI, GUY Address: Owner: ROGERS, DEWAYNE Address ROGERS, BONNIE L COSTA MESA,CA 590 STURGEON DR Contrecror. G G ROOFING Address: � 19792 POTOMAC Arch / Eng : Address: Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: HUNTINGTON BEACH CA BUILDING PERMIT Zoning: R1 R1 Phone: Zip: Phone: 949-957-6026 Zip: 92626 Phone: 714-965-2387 Zip: 92646 � License: 364151 � � PE IT UMBER j - 698-02158 ✓ �77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 12/02/1998 Issued: 12/02/1998 Phone: 2ip: License: SCOPE OF PERMIT TEAR OFF RESHEATH WITH 1/2" OSB & INSTALL 1 LAYER 15LBS ASYM UNDER 25 YEAR ELK COMP. $0.00 $11225 $0.55 $0.00 $0.00 $0.00 $112.80 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existin : 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING LeR 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Righl 0- 0 $5,500.00 $s,soo.00 EXPIRATION: This permit shall automatically expire and become void if work is no� commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. . � INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapections and tinal approval must be obtained. FaiWre to obtain inspections and final approval will resWt in Ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: �� I hareby aNirtn under penalry ot perjury one ot che following declarations: ❑ I have end will melntain e certificate ot consent to setl-Insure tor workers' compensatlon, es provided tor by section 3700 oi t�e Labor Code, lor the pertortnence of the work lor which Ihis permil is issued. j9� I �ave entl will maintain workers' compensation insurance, es requiretl 6y seCtion 3700 of �he Lahor Code, tor Ne performance of Ne work for which ihis pertnit is issuetl. My warkers' compensatlon Incsure�nce cartier end pollty number ere: � `�� \� �$ Cartier: �i"C/.�'C� Tv lY� Poli Number: (7his secfion need nof be crompleted i! the permit is va/ued et one hundred dollers ($100) ar less.) ❑ I certity ihet in the pertortnance of ihe work tor which this permit is issuetl, I shell not employ any person in any menner so es to become suhject to ihe workers' compensation laws af Califomla, and egree thet' should become su�ject ro Ihe warkers' campensation provislons ol Section 3700 of the Labor Code, I shall fanhwith comply with ihese pr islons. �7 GQ Applicant Signature: Date: � L'� � \ O WARNING FAILURE TO SE E WO RS' COMPENSATIIXJ COVERAGE IS UNLAWFUL AND SHALL SUBJEGT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE MUNDRED THOUSANDDOLURE� ,000),IN DDITIONTOTHECOSTOFCqMPENSATIdJ,DAM4GE5ASPROVIDEDFORINSECTION3]O60FTHELABORCODE,IPIrEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS OECLARATION: I hereby attirm ihat I em licansed under proNsions af Chepter 9(commencing with Section 7000) ot Division 3 of Ihe Business entl Professiors Code, and my licanse is in tull force end eHect. Lic. a 3% \ Class M �� Conirectors SlgnaNre: �� il � Data: �Z—� CONSTRUCTION LENDING AGENCY: ❑ I hereby eRirtn Ihat Ihere is e consiruction lending aqency for t�e pertortnance of t�e work for which this permil is issueA. (Sec. 3097, Civll Cotle). Lentlefs Name: Lenders Address: Signature: OWNER•BUILDER DECLARA710NS: Date: 1 �ereby ettirtn thel unAer penalty of perjury Ihet I am EXEMPT FROM 7HE CONTpACTORS LICENSE LAW for �he tollawing reason (Sec. 7031.5, Business end Protessions Cotle: Any ciry or wunry which requires e permit ro constmct alter, improve, tlemolish, or repair eny siruaure, pnor to its issuence, also requires the applicant for such permit to flle e signetl stetement Ihet he or she is licensed pursuant to ihe provlslons of ihe Conirectors License Lew (Chep�ar 9(commencing with Section 7000) of Divisian 3 0l Ihe Business antl Protesslons Cotle) or Ihet he or she Is e:empt therefrom entl Ihe besis tor the alleged a:emption. Any violatlon of Sectlon 7031.5 by eny apPlicant tor e permit suDjacts the aOP�iceM to e civ�l penalry of not more than five hundred dollars ($500).): . ❑ I, es owner of ihe properiy, ar my employees wilh weges es their sole compensatlon, WILL DO THE WORK, and Ihe structure Is not Intended or ottered tor sale (Sec. 7044, Business end Professions Code: The Contractors License Lew does not apply to an owner of property who builds or improves thereon, end who does such work himself or herself or ihmugh his or her own employees, proNtled lhet such Improvemenis are not intenCed or ottered tor sele. It, however. Ihe bullding or improvement is soltl within one year oi completlon, ihe owner-builder wlll have ihe Durtlen af proving Ihat ha or she did not build or improve for purpase oi sala.). ❑ I, es owner ot the proDerty, am EXCLUSIVELY CONTRACTING WITF1 LICENSED CONTRACTORS to consiruct ihe prolect (Sec. 7044, Business an0 Professions Code: The coniractore License Lew does not eppty to an owner ot propeny who huilds or impmves thereon, and who conirecis tor such prqact with e contractor(s) Ilcense pursuant to the Coniractors License Laws.). ❑ I am exempt under sec. Business entl Professions Code for ihis reason: Signatura: Date: Owner ID venfied by drivefs license. ❑ Ves ❑ No Drivels License No. Expires: Veriticetion of Ownershlp Cy (rype ol document, i.e. - pmperty tau blll or tleed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: ❑ I hereby certiy thet no excavation tive (5) or more leet in tlept� Into whlch e parson is required to descend, wlll be mede in connectlon with work authorized by this permit, entl Ihet no bullding slmcNre, scaHolding, falsework, or demolltlon or dismantling t�ereof, wlll Oe more then thirry-six (36) teet �ig�. (Chap. 32, Grp 2, Art 2, Sec. 3a1, Tltle B, CelHornie Adminisiretive Cotle). ❑ As owneo-6uiltler, I will not employ anyone to tlo work which would require e permit irom the Division ot Industriel Setery, es noted ebove, unless such person has e permit �o tlo such work fram Ihe division. SignaNre: Dete: Division of IndusMal Safety Pertnit Number: ICERTIFICATE OF COMPLIANCE AND AUTHORVATION OF ENTRY: I ceniy under penalry of perjury that I heve read this epplicetion entl stete thet ihe inlormetion given is I correct. I agree to comply wi�h all state laws and ciry ordlnences relating ta builtling construction, antl euthonze representetives ot �he Ciry of Costa Mesa to enter upon �he ebove-described property for inspection purposes. I egree not to occupy or ellow occupancy oi any 6uilding authonzed by �his Oermit until tinel inspection. COOE I. INSVECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Finel Re-Roof 207 Pinal Block/Retaining Wall 202 Finel Fectory Flre Place 203 Final Sign 264 Finel Demoli�ion 24n6-d6 � I�� _, /�-„" G Dete 12� 2� C� Date yppEl ixsveenoNrrve 206 Finel Mec�enicel 208 Final Plumbing 210 Finel Electrical 212 Final Fire Prevention 220 Final Plenning ApDroval 222 Final Sita 250 Final Building/Occupency OAg U1iIDdLS .\ •�.�� imar� nanUc,n Yn•� t co ov JOB ADDRESS SQO Rtvr¢enri DriVe BUILDING PEliMIT NO. 25494 GENERAL DESCfi7�PTION OF Gas . iC_ -LCI SUBCONTRACTOR -;�= 25493 C9TY 0� C�ST�, h�� COSTA MESA BUILDING-SAFE(Y DEPARTMEM MAR 2 5 1966 V.O. 80X 72M COSTA ME6A� CALIFOHNIA 9ZE28 . ER RAMRAUGH� Morris DA7E �AP No.4125—(Y��—j4 LOT �INSPECTIONS I501 L G AS WATER ROUGH PI.UM6ING PROP. SWR. LINE Q HOUSE CON. � SPRINKLING SVSTEM MISCELLANEOUS 6 �fji��/ AOUGH HEAT�ING ANO AIR CONDITIONING � TEMPORARV SERV�CE OR POLE UNOERGROUNO � P�WER � ROUGH WIRING TRENCHES U FORMS Lf STEEL REI FLOOF SYSTEM ' BOND BEAM � STEEL REINFORCE r SHEATHING FRAME AND FLASH�NG LATHING - IN OUT n PLASTER,BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. ANO A.C., FIN PLUMBING, FINAL ANO GAS TEST n IIrive TRACT FIRE e��,.�.�� ...� I-.✓ L�J be e,. 3UILDING PERMIT N0. JUP 1 TYPE SUBCONTRACTOR " �' 33498 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOx 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING� /� C \ ADDRESS .S ry O / U N Q L� n[� vr - OWNER �lOhhl : MAIL ___ � TEL. CITV NO. OONSTRUCTION BRANCH ADDRESS ARCHITECT TEL. CONTRACTOR�IV�C�b�cC� �Jtd;Y-3� � ADOFESS �Z3 � i w l i`�� ) /7 TEL � crrv Sc ��,� �c�. q C�4 , No. SQ -7'G9' �Ic iao. �, � p Z. ��I LICYNO.Z 35�� 512E NO.OF BLDGS Of LOT � � X( O-O I NOW ON LOT I VSE OF � I EXISfING BLDG. `` ,p.� i U� v� G'� SIZE OF NO. OF NEWBLDG. ROOMS � STOfl1E5 Z E%TERIOR WALL JO_�J FOOF �Q„ ��` • COVERING "� COVEqING ��' USE OF BV�LDING AND WORK TO BE PERFORMED I hareby acknowletlpe that I have reatl this appllcation antl state Mat the ebova information is correct and apree to comply wifh oll laws .epule[Ing buildinq conittuction, entl 1 shall not employ nny pe�iOn In v101e[lon ot tha workman's compensation laws ot the State of Celilornle. 1 hereby <ar[iiy t�at 1 em properly Iicensetl as a contrecto� unOw Me State ot Cn�ifornia Businass entl Professions Cotle, Divisicn 3, Chaptar 9, antl that such licenms ara In tull for�e ontl atfact, or I am exempt irom Me provisions of [ha Sroto of Callfornie Bualness anG Protassions Cotla, Divislon 3, Chaptar 9. Sienatum o� }o� � /� ` . Perminee ��G��O /� Ty� � _� Authorizad Apent BUILDING ADDRESS FIRE PAiC JUL30-71�r�,003013'+ ****3��.5C ICATION FOR BUILDING PERMlT ) D TE R�iIVEp D4TE ISSUED � ij / PERMIT NO. � • �%/ J� s90 � �C (p LOT/ BLOCK I %u vV� / '"LZKG' VALUE $ � TVPE / GROUP D /y •^/ r' I. DATEX � �� / NE NO.OF � / PlANS � VARDS APPROVED OISfANCE BET MAIN BLOGS. VAR. $ C.U.P.qW THE AMOUNT SH( THE PURPO6E OF E VALVATION � 5 ,� `�J`^C� VSE OF YARDSAPPROVED CCESSORV BUILDING BET. MAIN & / v/� � � � � VALVATION IS FOR � A PERMIT FEE ONLV: m �1 ¢ �� 3� m E 5 ^ J K 5 �/rO m + `� E $.3y��° a LL