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Home My WebLink About743 WEELO DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • wv+w.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDIMG PERMIT ,lob Address: 743 WEELO DR Suite: Vicinity: ROOF Parcel Number: 42417401 Applicant: SKIRZYNSKI, JOHN Address: 10782 S. MEADS AV ORANGE,CA -� Owner: MC KENZIE, STUART TR Address 1205 W. BAY AVE. NEWPORTBEACH,CA coritractor: SHARP ROOFING Address: 10782 S: MEADS AV ORANGE,CA Zip: 92869 Arch : Address: Zoning: Phane: (714) 771-0118 � Zip: 92869 Phone: Zip: 92661 Phane: (714) 771-0118 � License: 571575 - Eng: Address: Phone: Slatus: ISSUED Applied: 05/28l2002 Issued: 05/28/2002 �,i � ' ��L Phone: . 2ip: License: license: � _ SCOPE OF PERMIT _ ' TEAR OFF EXISTING ROOP AND INSTALL NEW GAFYR SHINGLES. 2300 S.F. FOR DUPLEX BLDG. DOES NOT INCLUDE � GARAGES. � � - � � -- - � - � Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Othe�: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Ezistina: o 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 Right 0- 0 $3,600.00 $3,600.00 IINOTICE: The work authonzed by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 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 period of 1 BO days. � INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codas, and all requlred Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 zaaws (r✓oo1 WORKERS' COMPENSA710N DECLARATION: �r I hereby aHirm under penelry ot perjury one of the following tleclarations: ❑� I �eve end will malntain e certificata of consent to setl-Insure br workers' compensetion, es pwvidetl for �y section 3700 of the Labor Code, for the peAortnence of the work tor which this permit is 155ued. �i I have entl will maintain workers' compensation insurance, as required by section 3700 ot the Lebor Code, for ihe pertortnance of ihe work for which this permit is Issuetl. My workers' co pensati sure-n�p carnar and policy number ere: �caTne� � -C �^Kl cpoficy.Number.� 2BS 000%%7•—p"Z (This section neetl nat be complefetl il the permif is velued ef one hundred dollers ($100) or less.) ❑ 1 certity that in tha pedorman oi the wo for ich ihis pertnit is issued, I s�all not employ any person in any manner so es to become wbjact ro the workers' compensatlon lews of Calilo , end g th if � should become subject to the workers' compensation provisions ol Seciion 3700 of the Labor Code, I shall fort�wllh comply with these prop,ts1�on . q Appliram�SignaNre� \/ cDele:� �Ar �CJ � ��Z (WARNING: FNWRE TO SECUR WORKERS' COMPENSATIIXJ COVERAGE IS UNL4WFUL AND SHALL SUflIEGT AN EMPLOVER TO CRIMINAL PENALTIES AND CIWI FlNES UP TOONE HUNDRED hKJUSAND OOLURE (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CODE, INTEPEST, AND ATTORNEV'S FEES. LICENSED CON7PAC70RS DECLARATION: I hereby aHirtn that I am licensetl untler provisioJr s of pter 9(commenung with Section 7000) ot Dlvision 3 0l the Business an rofe ns Code, and my license Is in full fOrce.eM�Bnetl-Lk: p .S%� `-7 �C1035'k� � ��' Cantractafs.Signeture:� cDeta:� c�S P C9 Z CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm that there is e consiruction lentling agency tor the peAormance ot the work tor whic� this pertnit is issued. (Sec. 3097, Civil Code). Lender's Neme: Lenders Address: Signeture: Da�e: OWNER•BUILDER DECLARATIONS: I hereby eHirtn Ihet under penalty ol perjury thet I em EXEMPT FROM TT1E CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professlons Code: Any city or county which requiras e permit to construct, aiter, improve, demolish, or repeir eny stmcture, prior to its issuance, also requires ihe applicaN tor such pertnit b file a signetl stetement thet he or she Is Ilcansed pursuant to the provisions of the Contrectors Ucense Lew (Chapler 9(commencing with Sectlon 7000) of Division 3 oi Ihe Business entl Professions Code) or that �e or she is exempt therefrom antl Ihe basis lor the ellegetl exemption. Any violation o� Saction 7031.5 by any applicant lor e permit subjects �he applicant to a civil panalry of not more Ihen tive hundred dollars ($500).): ❑ I, as owner of Ihe property, or my employees with wagas as iheir sole compensallon, WILL DO THE WORK, and the structure is not intended or otteretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not epply to an owner ol propeny who builds or improves thereon, antl who does such work himself or hersaif or th�ough his or har own employees, pmvided that such improvements are no� Intended or oflered lor sale. H, however, cha building or improvement is sold within one year ot completion, Ihe owner-builder will have ihe burden of provinq iha� he or she did not build or improve for purpose of sale.). ❑ I, as owner ol the property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business anC Profeuions Code: The contractors License Law tloes not appty to an owner ol propetly who bullds or Improves thereon, and who contrects for such prqed with e contrector(s) licensa pursuent to the Comroclors LicenSe LBwS.). ❑ I am ezempl untler sac. Bu5in855 and Profession5 Code lor IhiS reason: SignaNre: Date: Owner ID veniieC by tlriver's licensa. ❑ Ves ❑ No Drivefs License No. Veriticetlon of Owners�ip by (rype of tlwument, i.e. - property tas bill or deed): Ezpir85: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certily thai no e:cavation five (5) or more feet in depth into which e person is required to dascend, will be mede in connection with work authorized by Ihis pertnit, antl thai no building structura, scattolding, falsework, or demolition or dismantling Ihereol, will be more than thirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Ttle B, Celifomle AOministretive Code). ❑ As owner-bullder, I will not employ enyone to tlo work which woultl require a permit irom the Division of Intlusirial Safery, as notetl above, unless such person hes e permil to tl0 such work irom the division. SignaWre: Date: Division oi Intlustnal Sefery Permit Number. CER71flCATE OF COMPLIANCE AND AUTHORIZATION OF EMRV: I cenity untler penalry of perjury Ihat I have read ihis application antl state that ihe information given is correct. I egree to comply with ell state laws antl ciry ordinances relating to building construction, antl eWhoriza represematives of Ihe Ciry of Coste Mesa to emer upon the above-descnbed property tor inspection puryoses. I a9ree not to occupy or allow occupancy oi eny building authorized by ihis permit until final inspection. CODE t. INSPECTIONTYFE 1616 Fixetl Syslem Final Fire Prevention 1266 Pool Spa Final _ 200 Fin01 Re-Rooi 201 Flnel BIaWRe�aining Well 202 Final Factory Fiie Place 203 Final Sign 204 Finel Damolition BeIE 1t�L6 s :�-�sz � � COOE I INSPECTION TYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electncal 212 Final Fire PrevenNon 220 Final Planning Approval 222 Final Site 250. FinalBuilding/Occupancy v aeg ,�e�s