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Home My WebLink About3206 WASHINGTON AVE - Building Permitsf � ��ia»sa-sz�a • Fa,c(�ia»sa-aess ROOF CITY OF COSTA MESA � _ BUILDIN6 pIVISION DEVELOPMENT SERVICES DEPARTMENT. PERMIT JobAddress: $2O6 WASHINGTONAV Suite: Vicinity: HOUSE & GARAGE Parcel Number: 13909511 BUILDING PERMIT Zoning: Applicant: RUSS MARTLARD Address: 12702 MAGNOLIA AVE #10 Phone: (909)280-0044 RIVERSIDE, CA Zip: 92503 Owner: HEALD, LARRY R Address 3206 WASHINGTON AVE Phone: � COSTA MESA, CA . Zip: 92626 Contrector: ARMSTRONG ROOFING LIMITED Address: 12702 MAGNOLIA AVE #10 !- RIVERSIDE, CA Zip: 92503 Arch : Address: Phone: (909)280-0044 License: 464901 Eng: Address: PERMIT NUMBER I ' I 800-00688 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 05/15/2000 Issued: OS/15/2000 ISSUED BY: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF - T/O, USE EXISTING SHTG, INSTALL 1 LAYER OF 30# FELT AND NEW 30 YEAR COMPOSITION SHINGLE Plan Check: $0.00 Permit: $125.25 SMIP Res: $0.52 SMIP Com: $0.00 Othec $0.00 Inspection: $0.00 Total: $125.77 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Requiretl: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0-0 Right 0-0 a $5,190.00 ss,iso.00 NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Califomia s�atutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is no4commenced,within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In ordar for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlone end finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS' COMPENSATION DECLARATION: � I hereby aHirm under penalty ol perjury one ol the tollowing tleclaretlons: - ❑ I heve and will maintein e certilicate ol consent �o sell-Insure for workers' compensetion, es provided for by section 3700 of the Labor Code, tor ihe pertormance of [he work for which thi5 Dermit I9 i5sued. [.� I heve end will mainteln workers' compensa�ion insurance, es requiretl by sec�ion 3700 of lhe Lebor Code, for Ihe peAortnence of the work for which Ihis pertnit is issuetl. My worke�s' compensatlon Insurenca carrier and policy number are: . Cerrier: Policy Num6er: (This secfion need nof be completed7! (ho peimit is velued ef one hundred dollars ($700) or less.) ❑ I certify Ihat in Ihe pedormance of Ihe work lor which this permlt is issued, I shell not employ any person in eny menner so as to become subject to ihe workers' compensation laws ol Califomle, end egree th if I shoultl hecome sublect lo ihe workers' compensalion pmvisions of Section 3700 of the Labor Code, I shall forihwith comply with �hese�ons. � „/� Applicem Signemre: coGlJ %�l Date: S/S -00 WARNING: FAILURE TO SECURE WOflKERS' CO!dPENSATION COVEMDE IS UNIAW FUL AND SHALL SUBIECT AN EMPLOVER TO CHIMINAL PENALiIES AND GVIL FINES UP TO ONE HUNDflED THOUSAND DOLLARE (5100,000), IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FO(i IN SECTION 3)O60F TME LABOR CO�E, IMEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirm that I am licensed under provislons of Chapter 9(commencing with Section 7000) of Division 3 of the Busine55�� Professions Code, and my license is in full lorce antl etteCt. Lic. k � O/ CIasS k �� Coniractors Signeture: - - Date: S/S UG CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirtn thet ihere Is e construction lending agency tor t�e peAormance of the work for which this permit Is Issuetl. (Sec. 3097, Civil Code). LenCers Neme: Lendefs Address: Signeture: Dete: I hereby Bttirtn that under penalry ol peQury ihat I am EXEMPT FROM 7ME CONTRACTORS LICENSE LAW tor lhe following reeson (Sec. 7031.5, Busine55 and Pmfessions Code: Any ciry or counry which requlres e permit to consiruct, elter, improve, demolish, or repair eny siructure, prior to Its issuence, also requires the applicant for such pertnit to lile e signed statemem thet ha or she is licensed Dursuem to t�e provislons of the Contractors License Law (Chapter 9(commencing with Sectlon 7000) of DiNsion 3 of the Busineu entl Professions Cotle) or ihal he or she is exempt Iherefrom entl the basis far the ellaged exemption. Any violation ot Section 7031.5 6y eny epplicant tor a permii sublects the applicant to a civll penalry of not more Ihan live hundred dollers ($500).): ❑ I, as owner of the propeny, or my amployees with wages es their sole compensetion, WILL DO THE WORK, and Ihe structure is noi intentled or ottered lor sale (Sec. 7044, Business and Pmfessions Cotle� The Contrectors License Lew tloes not epply to en awnar at property w�o builtls ar improves iheraon, antl who tloes such work himself or herself or ihrough his or her own employees, providatl that such improvements are not intended ar oHered br sale. If, however, the building or improvemem is sold within one year of completioq Ihe owner-builder will heve Ihe burden of proving Ihet he or she did not build or improve for puryose of saleJ. ❑ I, es owner oi the proparly, em EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct tha projact (Sec. 7044, Business antl Professions Code: The contractors Llcense Lew tloes not apply m en owner of pmperty who builds or improves iheraon, and who contrects for such prolect with a contractor(s) license pursuant to Ihe Contrectors License Lews.). ❑ I am exempt under sec. Business end Pmfassions Code for this reason: Signature: Date: Owner ID verified by drivef5 IicenSB. ❑ Ves ❑ Na DnverS UCBnSe No. Expires: Venfication of Ownership by (type of document, i.e. - pmpetly tex blll or deed): DIVISION OF INDUS7RIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hereby cenity that no eacavation five (5) or more feel In depth Into which a person Is requlred to descend, will be mede in connection with work authorizetl by �his permit, entl that no builtling structure, scattolding, telsework, or tlemolition or dismantling �hereol, will be more than Ihirty-siz (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle B, Californla Adminisiretive Cotle). ❑ As owner-builtler, I will not employ anyone to do work which woultl require a permit from the Division of Intlusirial Setety, as noted above, unless such person has a permit to do such work irom the tlivision. Signeture: Date: Division of Inaustrial Safery Pertnit Number: CERTIFICATE OF COMPLIANCE AND AU7HORIZATION OF EN7RV: I certity under penelty of per�ury that I have read this epplication antl state Ihat the information 9iven is correct. I agree to comply with all stete laws end ciry ortlinences relatinq to builtling construction, antl euthorize representetives of ihe Ciry of Costa Mesa to emer upon ihe ebove-tlescribed property fOr Inspection purposes. I egree not to occupy or ellow occupency of eny building eulhonzed by this permil until final inspecti0n. al Owner(s) Date ,} iCs-Q7 ' nd/OrAuthorizedApplicant Date CODE �, INSVECTIONTYPE 1616 Fixed System Finel Fire Preventlon 1266 Pool Spa Finel 200 Final Re-Roaf 201 Final BIocWRetalning Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 2dd6d8 Qeu li�e4s CO�EI MSPECTIONTYVE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 FinalSite 250 Final BuiltlinglOccupancy Q�ff iNTRIA�S f � �_��sa COSTA MESA BUILDING•SAFETY DEPARTMENT P. O. BOX $17 C08TA MEBA. CALIRORNIA For Appli�an+ fo Fill In Complefely TYPE OR PRINT BUILOING 3206 Washington Avenue AD�RES3 COSTA MESA CALIFORNIA OWNER Tro'an Iand Co. :"^:.e«< 159'i Baker St. TEL. & Colegrove, Inc. �3�C�I� StI�P�P Y 167293 T,�o: KI 9-1151 6o x l00 � W�W��„a�� BETBACK LINE PROM f� eedi¢R oP eitaaef ��+ REAR YARD SIDE YARD LEPT S� IR�GHT �� DESCRIPTION OF WORK SIZE�'NG �. �- .4 .ftROOMS V STORIES1 EXTERIOR WAL,l. ROOF COVHRING SLll CO COVERING Rock USE OF BUILDING AND WORK TO BE PERFORMED Single family residence with attached arage. Plan L�lAR I H¢ReBY ACNNOW4EDOE THAT 1 HAVE READ THIB APPLIGTION AND BTAT¢ THAT THB ABOVE IS COPRECT AND AOR6E T COM- PLY WITH ALI. CI � Ij(ANCEB ANO 6 LAWB RH TINO 9UIlDINO CONBTRII �� 61GNATURE OF %I 7� __i. n APPROVED ZONE -� LEGAL FEE RECEIVED .�SEP 161960 �IfINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only � I r COSTA MESA. ZONING NO. OP U8E OF NEW PLANB n BOILDING�� EVES YN6 BT.> APPROVED 189U¢D THE AMOUNT BHOWN UNO¢R VALUATION IB POR TX8 PURFOBC OP EBTABLIBNING • PERMIT FEE ONLY. YCKMIIIC $ 16�07��.60 p�N CHECK S 18' AUTHORIZED AGENT Dike �C Ci01 rove, IT1C♦ �