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Home My WebLink About3254 WASHINGTON AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.�WILDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 3254 WASHINGTONAV Suite: Vicinity: Primary Occ: R-3 Dwellings/ Cong Res <10 Parcel Number: 13905415 App�icant: HARRIS, GP,RY Address: 28616 LANTER PARK MENIFEE, CA owner: BENHAM, PAUL Address 3254 WASHINGTON AVE COSTA MESA, CA Contrector. HARRIS ROOFING Address: 28616 LANTERN PARK TyQe of Conslruction: V-N � 1 Phone: Zip: 92584 Status: ISSUED Applied: 11/27/2006 ' Issued: 11/27/2006 � 'Mao�Ui � � Phone: Zip: 92626-2249 Phone: 949-306-9018 MENIFEE, CA . � � Zip: 92584 License: 617551 � Arch : Eng: � Address: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. COVER WITH 40 YEAR COMP AND INSTALL NEW SHEATHING. FEE SUMMARY Plan Check: $0.00 Permit: $167.25 SMIP Res: $0.90 SMIP Com: $0.00 Other: $0.00 . Inspection: $0.00 Total: $168.15 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0.0 PARKING Existina: o Rear 0. 0 Lek 0- 0�• Rear 0- 0 Left 0- 0� Reauired: 0 Pr000sed: 0 Caic Valuation: 3e,000.00 Claim Valuation: se,000.00 Right 0- 0 Right 0-0 ' NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 7, 1241-92) ."• �f 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 1 BO days. __ - INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with ell applicable codes, and all requlred Inapeetlona and tlnal approval must be obtained. Failure to obtain inspections and final approval will result in tha expiration of this permit. FOR INSPECTIONS CALL: (714) 7545828 � � ' ' 2648-481B100) WORKERS' COMVENSl�ON DECLARATION: I hereGy eHirm undar penlry af perjury one o1 the tollowing declarations: ave enA will maintein a cenifcate ol cansent to self-Insure tor workers' compensetion, es provltled lor by sanlon 3700 0l the Lebor Code, to� ihe perfortnance of the work for w�ic� Ihis permlt is fssuetl. I heve arW will maintain workers' compensatlon I urence, az requireO by sectim 3700 of ihe Lebw Cade, Iw Ihe peAormance of Ne work fw which Ws pertnil is issued. My workers' com ati I urence cartiefgla number ere: Cerrier: C �� Polity Number: (fhis sectlon neetl no e completed i! the pe nit is va/ued e( one hunUred Uollars ($100) or Ie55J . ❑ I certity thet in the peAortnence of the work for which this pertnit is issued, I shall not employ any person in any manner so as to become sub�ect to the workers' compensation laws of Calitomia, and agre ihetif I shoultl become sublect to Ihe workers' com0ensatlon provisions ot Secti n 3700 0l I e Lebor Cotle, I shell iorthwith comply with ihese p ons. /'� Appli�_nt�Signeture:� � \ Dete: I� �� l )Cr WARNINO: FNILURE TO SECURE WORKERS' PENSATION COVEMGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PBJALTIES�D GVI� FINES UP TOONE HUNDRED THOUSAND DOLURE (5100,000�, IN ADDITIqJ TO THE COST OF COMPENSATION, DAMFGES AS PROVIDE� FOR IN SECTION 3]O60F THE LABOR COOE, IMEREST, AND AT70RNEY'$ FEES. LICENSED CONTRACTORS DECLARA710N: I hereby eNirtn thal I em licensetl untler provisia force and eXecl. Lic. # oMrgCtvEs:Signeture:� of Chapter 9(commencing wilh Sectlon 7000) ol Divislon 3 of tha Bi Class x _ _.. _ Dale: Code, antl my license Is in lull CONSTRUCTON LENDING AGENCY: ❑ I hereby aMirtn ihat ihere is a constructian lending egency for Ihe peAormance of �he work for which Ihis permit is issued. (Sec. 3097, Civil Cotle). Lenders Name: Lenders Address: Signa�ure: Dete: OWNER-BUILDER DECLARATIONS: 1 hereby ettirm ihat untler penalry of perlury ihat I am EXEMPT FROM THE CON7RACTORS LICENSE LAW br �he following reason (SecJ031.5, Buslness end Protessions Cotle: Any city or county which requires a permit to consiruct, elter, improve, demolish, or repair eny siructure, prior to its issuance, also requires the epplicenl lor such permit to file a signed stetement that he or she Is licensed pursuant to the provisions of ihe Contractors Ucense Law (Chepter 9(commencing with Saction 7000) oi Division 3 of tha Business end Professions Code) or ihet he or she is exempt tharefrom anA the 6asis for ihe elleged ezemption. Any vlolation ot Sadion 7031.5 by eny epplicent for e permit subfects the epplicant to a civil penalty c� not mora then tive hundred dollars ($500).): ❑ I, es owner of ihe praperty, or my employees with weges es iheir sole compensation, WILL DO TME WORK, entl the structura is not intentletl or oHered lor sale (Sec. 7044, Business and Pmfessions Code: The Contractors License Law dces not apply to en owner ol properry who builds or impmves thereon, antl who tloes such work himselt or herselt or Ihrough his or her own employees, provitled lhat such improvements are not Intended or offered for sale. If, however, the builtling or improvemenl is soltl within one year ot complelion, the ownerDuiltler will have Ihe burden ol proving that �e ar she tlid not builtl or improve for purposa of sele.). ❑ I, es owner of the property, am EXCLUSIVELV CONTRAC7ING WITM LICENSED CONTRACTORS to construct the project (Sec. 7044, Business ena Protessions Cotle: The contractor5 License Lew tloes not apply to an owner of property who builds or improves Ihereon, end who contrects for such pmject wlth e cOntracbr(s) license pursuant to ihe Contractors Licensa Lews.). ❑ I am exemp� untler sec. Business and Professions Cotle for this reeson: SigneWre: Date: Owner ID venlied by tlrivefs license. ❑ Yes ❑ No Orivefs License No. Ezpires: Vedtication of Ownership by (rype of documeni. i.e. - praperry tex bill or deetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cenify that no excevation five (5) or more feat in depih into which e person is requireA to descend, wiil be mede in connection with wark euthodzed by t0is permit, end lhal no 6uiltling SWcture, scaHolding, telsework, or tlemolition or tlismantling Nereof, will be more than thirty-siz (36) feet hiqh. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomia Adminisiretive Code). ❑ As owner-builder, I will not employ enyone to do work which woultl require a permit from the Division ot Indusirial Safery, as noted above, unless such person hes e pertnit to do such work fmm the division. Signature: Date: Division of Indusirial Setery Pertnit Number: ICERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTHV: I certify under penalty of perjury that I have read this epplication and sta[e that the iniormatlon given is I correct. I agree to comply with all state laws entl ciry ordinances releting to bullding consWction, end authodze representatives ot the Ciry of Costa Mesa to enter upon tha above-descri6ed property tor inspection puryoses. I agree not to occupy or allow occupancy of any building authorized by Ihis permit until finel inspection. L�IOwner(s) I I �'� � ate im onlitaN_._ a�e CODE �. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Rooi 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolilion 7dg 1ti�L� �� i%� CODE I INSPFCTION TYPE 206 Final Mechanitel 208 Final Plumbing 210 Finel Electrical 212 Final Fire Preven�ion 220 Finel Planning Approval 222 Final Site 250 FinelBuilding/Occupancy 2,IE II�ELfl 1284'7 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. 60X 917 C06iA MEBA. CALIRORNIA For Applicani fo Fill In Compleiely TYPE OR PRINT BUILOING 3z5� Washi ton Avenue AOORE83 � COSTA MESA. CALIFORNIA OWNER Tro'an L2Tld CiO� M�:,e�� 1533 Baker St. TEL. Garden Grove aooaess 1533 Baker St. �,n. Costa i4esa, Calif. L;�TNo. 167293 No:KI• 9-1 61ZE [O X 100 I No. oF OF LOT V NOW OI USE OF none EXISTING BLOG e�BiseKnv1 nTeseOM "TY� 7 U I RFAR YL ' I LEFf i� I R�GHT S� DESCRIPTION OF WORK I x ll I II __ I g ZE DINGlµ67 SCl.f�'i� ROOMS V SiOR1E5 1 EXTERIOR WqL L ROOF COVERING SLIICCO COVERING WOOCL SYllil 1.6 USE OF BUILDING AND WORK TO 6E PERFORMED Single £amily residence with attached garage. P an 1 � 1 HEPCBY ACKNOWLECGB THAT I HAVH RHAD THIB APPLIGTION AND BTATE THAT YH6 ABOVE 18 GORNEGT AND AGREE TO COM- PLY WRH ALL CI� U�ANC88 ANjATB LAWB ULATIN� 9UILDINO CONBTRV � SIGNATURE OF 1 � _ ��p ��r�� ijY� SEP 1 6'".y /a,��(�/��r��/q��A��p�� qqyl Q7 lAfS9� WJ.a\ APPLICATION FOR PERMI7 BUILDING For Offiee Use Only neceirr No. . B4+MVL+P.�. R8Ce1VED BV O�TH R9 � q-. BUILDING • ADORESS COSTA MESA. FIRE ZONE TYPE APPROVEO ZONE R _. LEGAL APPROVED ZONING NO. OP I U8B OF ei.l THE AMOUNT BXOWN UNOER VALUATION 19 POR THH PUpP09E OP 88TABL18H�NG A PERMIT PEE ONLY. renmi� �r 17.5� $ ZS,139• PLAN CHECK $ AUTHORIZEO AGENT Dike & Ci EgTOVO� I11C• _ _ 2• �