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Home My WebLink About320 22ND ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 320 22ND ST Suite: Vicinity: ROOF Parcel Number: 42604108 ApplicanC YOUNG, MICHAEL Address: 1075 E CHESTNUT SANTA ANA, CA Owner: OVERLEES, VIRGINIA S TR Address 320 E 22ND ST COSTA MESA, CA Contracror: YOUNGS ROOFING CO, INC Address: 1075 E CHESTNUT SANTA ANA, CA Zip: 92701 Arch : Address: Zoning: Phone: (714) 953-5444 Zip: 92701 Phone: Zip: 92627 Phone: (714)953-5444 License: 568560 Eng: Address: Phone: Status: ISSUED Applied: 02/23/2005 Issued: 02/23/2005 ISSUED BY: � Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING 1-STORY SINGLE FAMILY RESIDENCE. TEAR OFF EXISTING ROOFING, INSTALL 1-LAYER OF 30# FELT UNDERLAYMENT, 8 REROOF PITCHED AREA WITH 30 YR. COMP & FLAT AREA WITH B.U.R. (24 SQ). Plan Check: $0.00 Permit: $125.25 SMIP Res: $0.60 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.85 SETBACKS MAIN STRUCTURE Fmnt 0- 0 ACCESSORY Front 0-0 PARKING Existinq: o Rear 0. 0 Rear 0- 0 Required: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 L¢ft 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 Ss,000.00 ss,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements undar California statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) 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. �� INSPECTIONS: In ordar for the work authorized under this permit to be considered legal, such work must compry with all applicable codes, anE all � required Inapeetlone and final epproval must be obtained. Failure to obtain inspections antl final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 , taa�<a (sroa) WORKERS'COMPENSAnON DECLARAnON: � I hereby ettirtn unOer penalry ot perjury one ol the following tleclaretions: ❑ I have end will malntein a certificeta ol consent to sell-Insure for workers' compensation, as provitled for by section 3700 ot the Lebor Coda, for ihe peAormance of Ihe work for whic� lhis pertnil is issued. �I have and will maintain workers' cwnpensetlon insurance, as requirad by sectlon 3700 oi Ne La�or Code, for the padortnar�ce oi tha work for whic0 t�is pertnit is issued. My wa �rs' c�,mpensailon Insurence cartler entl pollcy number ere: �Kw„c��: _ � -7z-<o 07 O --�o 0 5' one hunered doners (S i00) or iess.) 0 I certify that in the peAortnence ol iha work lor which this permit is issued, I shell not employ any person in any manner so as to 6ecome subject to Ihe workere' compensallon laws ot Calitomla, a C egree that if I s�ou10 Decoma sub�ecl Io the workers' compensation provisions of Saction 3700 0l the Lebor Code, I shall forihwith complywitht �ese snions. �Ohant signeture: -- / ,� . �Dale:_-'ti. Z.' 2- 3 — O � WARNING: FNLURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNL4WFUL PND SMALL SUflIECT AN EMPLOYER TO CFUMINPL PENALTIES AND CIVIL FlNES UP TO IXJE HUNDRED iFi0U5AND DOLLARE (3100.000), IN A�OITION TO THE CQST OF COMPENSATION, DAMAGES AS PROVIDED f-0R IN SECiION 3/060F THE LABOR CODE, IMEREST, AND ATfORNE1^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aXirm that I am Ilcensed under provisions ol Chapter 9(commencing with Section 7000) of Division 3 o�j ih.e Business antl Professions Catle, end my license is in tull rome and eHect.�Y'�+ S�o 2 S C��' �Class�e-,' C^ 3�i C�acmts.Signature: Dt.atai"� Z"Z-3 - o � 1 �D� t CONSTRUC710N LENDING AGENCV: �, ❑ I hereby eHirtn ihat ihere is a constructlon lentling egency for the pertormance oi the work for which Ihis permit is issued. (Sec. 3097, Civil Cotle). �, Lender5 Neme: lendar'S Address: SigneNre: Date: OWNER-BUILOER DECLAFATONS: I hereby eHirtn thet under penelty ot per�ury Ihet I am EXEMPT FROM THE CON7RAC70RS LICENSE LAW tor ihe fotlowing reason (Sec. 7031.5, Business antl Protesslons Code: Any city or counry which requires e permit fo construct, alter, improve, demolish, or repair any strucwre, pnor to its issuance, also requires the applicant for such permit to file e signed statement that ha or she is Ilcensed pursuent to lha provlsions ol lhe Contrectors License Law (Chapter 9(commencing with Sectlon 7000) of Division 3 ot Ihe Business antl Protessions Code) or Ihat he or she is axempt Neretrom end Ihe basis tor tha allaged ezemption. Any violation of Section 7031.5 by eny epplicant for e permit subjects the apPlicant to e dvil penalty oi not more than live hundred dollars ($500).): ❑ I, as owner ol the property, or my employees with wages es iheir sole compensation, WILL DO 7HE WORK, and ihe structure is not intendad or otteretl for sale (Sec. 7044, Business antl Professions Code: The Coniractors License Lew does not epply to an owner of property who builds or improves thereon, and who tloes such work himsell or �erseli or through his or her own employees, provided thet such improvemams are not intendetl or oNered br sele. II, however, the building or Impmvemem is sold within one year of completion, the owner-builtler will heve ihe burden of proving that he or she did not build or improve tor purpose ot sale.). ' ❑ I, as owner of tha property, am E%CWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consWct the pmject (Sac. 7044, Business antl Pwlesslons Coae: The contractors License Lew tloas not epply to en owner ot propeny who builtls or impmves thereon, antl who comracts lor such project wich a contracbr(s) license Oursuant to the Contrectors License Lews.). ❑ I am e:empt untlet sec. Busin855 end Prof85sions Cade tor Ihis reason: SigneWre: Data: Owner ID venfied Dy drivers licen5e. ❑ Y85 ❑ No Dnver'S license No. Vedfication of Ownership �y (rype oi document, i.e. - pmperry tax DIII or Ceed): Expires: DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereby certity Ihet no excavation tive (5) or more feet in depih into which e person is required to descend, will 6e matle in connaction wit� work aulhonzed by Ihis pertnit, entl ihat no huilding siructure, sceHolding, falsework, or tlemolition or dismantling thereoi, will be more ihan ihirry-six (36) teet high. (Chap. 3.2, Grp 2, An 2, Sec. 341, 71Ue e, Celifomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division ol Industnal Sefery, es noted abova, unless such person hes a permit to do such work Irom Ihe diWsion. SignaWre: Date: DiviSion of Industnal Salery Pertnii Number: CERTIFlCA7E OF COMPLIANCE AND AUTHORVA710N OF ENfAY: I cenify under penalry of perjury that I have read this epplication end stata Ihat ihe Information given is correci. I agree to comply wiih sll stete laws and ciry orGinances relating ro building wnstruction, and authonze representatives ol the Clry ol Costa Mesa to enter upon the above-descnbed property far inspection purpases. I egree not to occupy or allow occupancy ot any building authorized by this permil until final inspection. CODE �. INSPECTIONTYPE 1616 Fised System Final Fire Prevention 1266 Pool Spe Final 200 Finel Re-Roo1 201 FIneI BIocWRetelning Well 202 203 204 Final Factory Fire Place Finel Sign Final Demolition Qejf, IMIiIpLS 'Z—'Z'3 ^ o S COOE� INSPECTIONTYPE 206 Final Mechaniwl 208 Finel Plumbinq 210 Pinel ElecMcal 212 Final Flre Prevention 220 Final Planning Approval 222 250 Final Sile Finel Bullding/Occupancy ceg u�ets