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Home My WebLink About2193 ORANGE AVE - Building Permitsri (714) 754•5273 • Fax (714) 754-4856 • www.c�.costa-mesa.c�.�LDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2193 ORANGE AV Suite: Vicinity: DUPLEX Parcel Number: 42613313 Applicant: LAINE, DANA TR Address: 3440 SANTA CLARA CIR COSTA MESA. CA Owner: LAINE, DANA TR Address 3440 SANTA CLARA CIR COSTA MESA, CA Contractor: O W N E R-B U I LD E R Address: Zip: Arch : Address: Zoning: ISSUED BY: Phone: (714) 55&7165 Zip: 9262Cr1617 Phone: (714) SSG7165 Zip: 92626-1617 Phone: License: 000000 Eng: Address: Sfatus: ISSUED Applied: 12I11/2003 Issued: 12I11/2003 Phone: Phone: Zip: License: License: SCOPE OF PERMIT LEGALIZE REMOVAL OF EXISTING WINDOW AND REPLACED WITH TEMPERED GLASS, SLIDING DOOR. Plan Check: $0.00 Permit: $23.50 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $24.00 SETBACKS MAIN STRUCTURE Front 0. 0 ACCESSORY Fronl 0. 0 PARKING Existlnq: o NOTES: Rear 0- 0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0. 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 5500.00 ssoo.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulatlons. (Ord. No. 92•28, § 1, 12-21•92) EXPIRATION: This permlt shall automatically expire and become vold if work is not commenced within 1 BO days, or if work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work euthorized under this parmit to be consideretl legal, such work must comply with all applicable codes, and all requlred Inapectlons end final epproval must be obtalned. Failure to obtein Inspections and final approval will result In ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 >.aae-ae �eroo� WORKERS' COMPENSATiON DECLARAnON: � •� � I hereby eHirtn under penalry of perjury one oi the tollowing dedaretions: ❑ I heve entl wlll malnteln a cenificate of consent to selt-Insure tor workers' compensatlon, es provided for Dy section 3700 0l the Lebor Code, br the pedormance ot the work tor which ihls permit Is issued. f ❑ 1 heve end wlll malntain workers' compansatiw� insurance, as requiretl Dy section 3700 0l the Lebor Cotle, for Ihe pertortnance ot the work for which this pertnit is issuetl. My workers' compensation Insurance carner and policy number are: Cerrier: �� Policy Number: (Thls secf/on need not De completatl i/ the perm/t !s valued et one hundred dWlars (S100) or less.) � I certity that in the peAormance of the wark for which t�JtpeQ� it is issueQ I s�all not employ any person in eny manner so es lo become suD�ect to Ihe workers' compensatlon lews ol Celllamla, and egree that It otfulC b bome sub�ect to the workers' compensetion provislons ot Sectlon 3700 0l the Lebor Coae, I ahall torthwith comply wlth these proWsians. I 9 ApPlicent SIB�� J�—�� Dete: [ A� –� �� WARNINCi: FAILURE TO SECURE WORKERS' CO ^M�'ENSAJ1BFl ODVEqAGE IS UNL4WFUL M1D SMALlSUBIECT AN EAIPLOYER TO CRIMINPL PENALTIES M!D CML FlNES UP TO ONE NUNDRED TTIOUSANO DOUARE (5100,000), IN ADDfTION TO itlbSbS'T OF WMPENSATIpl, DMMGES AS PROVIUED FOR IN SELTION 3108OF TNE UBOR CODE, IMEREST, M!D ATfORNEV'S FEES. LICENSED CONTRACTORS DECLARATON: I hereby eMirtn that I em Ilcensetl under provisions at Chapter 9(commenG�g wil� Section 7000) of Divislon 3 at the Business end Protessions Cotle, and my license Is in full brce entl ettem. Lic. a Clau A Contractor's Signeture: Dete: CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirm that there is e conswaion lending agency for ��e pedormence of t�e work lor which �his permit is issued. (Sec. 3097, Civil Catle). Lentlefs Neme: Lentlers Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirm ihat under penalry of perjury �hat I am EXEMPT FROM 7ME CONTRACTORS LICENSE LAW tor �he following reason (Sec. 7031.5, Business antl Profassians Catle: Any ciry or counry w�lch requires e pertnii ta canstruct elter, Improve, demolis�, or repair eny strucWre, prior to its Issuance, elm requlres the applicant tor suc� pertnll to tile e signed stetemem t�at �e or she Is licensed pureuent to the proNsions ol ihe Cantrectors LJcense Lew (C�apter 9(wmmencing wtlh Sectlon 7000) ol DlNsion 3 of ihe Business end Prolessions Code) or t�ai he or she is exempt therefrom anA the besls tor the allepetl e:emption. Any violatian ot Sactlon 7031.5 by any epplicent for e pertnN suh�ects the applicant to e Gvil penalry of not more than five hundred dallers (5500).): ❑ I, es owner at the pmperty, or my employees with weges as lheir sola wmpansapon, WILL DO TNE WORK, and the struaure Is not imentletl or ofleretl tor sale (Sec. 7044, Business antl Prolessions Code: Tha Contractors License Lew does not apply to en owner of properry who builtls or imprwes thereon, entl who does such work himself or hersetl or ihmugh his or her or.n employees, provitled thel such imprwemenis era not intended or oHeretl lor sale. It, howaver, the builtling or improvement is soltl within one year ol completion, the owner-builtler will heve t�e burtlen oi proving that he or she tlitl not build or improve for puryose ot sele.). • ❑ I, es owner oi the propeRy, am E%CLUSIVELV CONTHACTING WITH LICENSED CONTRACTORS to construct [he projact (SecJ044, Business and Professiwu Code: The comractors License Lew tloes not apply to an owner of propeny who �ullds or improves ihereon, and who contracts for such pro�ect with a contrector(s) � license pureuant to the Comractors '_ e Laws.). exempt under c. Business end Prafessions Cotle lor this reason: SiB� � / � /� – �� Eapires: ,'� "� Verificatlon of Ownershlp Dy (type of documant, i.e. - properry tez bill or tleed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CER7IFICATION: ❑ I hereDy ceniy that no excavetion tive (5) or more feei in depih Into which e persan is required to descend, will be metla In connectlon with work euthorized by this permit, en0 �hat no bulltling sWdure, scaMolding, telsework, or tlemolltlon or dlsmantlinp thereof, will be more than �hirty-six (38) laet high. (Chep, 32, Grp 2, Atl 2, Sec. 341, TIIIe 8, Calilamie Atlministretive Co�e). ❑ As owner•builder, I will not employ enyone to tlo work which would require e permit Irom the Divlslon of Indusirial Selety, es notetl above, unless such person has e permit to do such work trom Ne tlivision. Signature: Date: Divisian oi Intlustrial Safery Permi� Number. CER7IFICATE OF COMPLIANCE AND AUTHORIZA71 Y: I certity under penalry of perjury thet I heve reed this application end stete Ihet the information given is correct. I agree �o cOmply with ell stete lews e ordinenc s rela�ing Io 6uliding construclion, end authoAze representatives ol the Clry ot Costa Mesa to enter upon �he ebove-described propetly f � cGon es. I agree no 0 occupy or allow occupency af eny building euthorized by this permit untll finel InsOecUon. � _ �� , /� ;�/ -a � � vSin nlu n Oi Lnn narlsl � � De�e And/Or AuthorizeA Appllcani Date ��f }, INSPECiIONTYPE QS¢ �$ 1616 Fixed System Final Fira Prevention 1288 200 201 202 203 Pool Spe Final Finel Re-Roof Flnal BIocWRetaining Well Flnal Fectory Fire Place Flnal Slgn 204 Final Demolition CODE I INSPECl10N 7YPE 206 Finel Mechanical 20B Final Plumbing 210 Finel ElecMcal 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Bullding/Occupenry �g � .s iz'a�i l -�� C� � G��ta- i��e�a �u�� D�o� OWNER-BUILDER VERIFICATION A city or county, which is reyuired to give notice pursuant to Section 19R30, shall attach [o such notice, and, as a condition precedent to issuing a building permit, require the completion and require [he rewm of, an owner-builder verification, Attention Property Owner: An 'owner-builder' building permit has been appiied for in yuur name and bearing your signature. Please complete and re[um Ihis informa�ion in the envelupc pmvided a[ your earliest opportunity to avoid unnecessary dclay in processing and issuing your building permit. No buildinC permit will be issued until this verification is received. I. I personally plxn to provi the major Iabor and materials for construction of [he proposed propertyimprovemenL [t�Yes ❑ No 2. I(ha /have not) signed an application for a building permit fur the proposed work. 3. I h;ive contracted with thc (ollowing person (linn) to provide Ihe proposed consiruction: Name Addresc Phone ( Ciry — Contractur's Lic. No. 4. 1 plan to provide portions of the work, bul I havc hired the followin� person to coordina�e, supervisc an�1 provide the major wurk: Name Addrecs Phone ( City _ Contractor's Lic No. 5. I will provide some of the work but I have contracted (hired) Ihe following persons to provide the work indica[ed: Name ,naz�as IaEv.sreel Address Phonc Typc of Work � �ii:1 • � q��' � •.:�::� � ' �. (714) 754-5273 • Fe�c (714) 754-4856 Job Address: Suite: Vicinity: CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 2193 ORANGE AV UNITS 2193 & 2195 Parce�Number: 42613313 BUILDING PERMIT Zoning: PERMI�.NUMBER � vgs9-01412 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 09/03/1999 Issuetl: 09103/1999 Applicant: MULLIGAN, MARK �SSUED BY: Address: PO BOX 291 CA , - . Phone:` (310) 329-6708. -, , GARDENA - , / - � i Zip: 90248 ' � - � -��- _ - , . . � . �. ., � owner: LAINE,�DANA & NORMA � � � . j _ - _ Address 3440 SANTA CLARA�CIR. �� - �, ; CA �� `� � - Phone;, (7_14) 556 7165 _ - �' ' � � - � �'�COSTAMESA� � ` , - � Zip: 92626 � ��=� � -� �� -' ; ; : � \ _•-. A ' ;�� , Contracfor: ' SKYCRAFT ROOFING INC `��;c-,., � , :, .�� Address:`.POB X291;j/'� '':�,�.:�.` , �'. � CA = � �, • GARDEN ' � Zip:� 90248 � � 5 Arch : Address: � - ; � � � �� ' ' Zlp: I:. , ,_ /_. Phone. (370)329-6108 i' License�� 400212 . ':.' ..- :"' En9: � `� � � -�� ' Address: �. �� r � , L � Phone:. � - r<<��.. _ � _ � � , - "License: Plione: ,i �. : ' � \ , � � �: � ��Llcense: ` � � `' SCOPE OF PERMIT � ` ' . �� , REROOF� EXISTING DUPLEX�(24 S�.). TEAR OFF EXISTING BUILT-UP ROOF,ING WITH EXISTING SHEATHING TO , � REMAIN. INSTALL 1-LAYER OF 30p FELT UNDERIAYMENT & REROOF WITH 25 YEAR ChASS'A' FIBERGLASS SHINGLES. . - ' � � � � �' "� � � ' � '�� ` � � , + 'UNITS 2193 & 2195 ORANGE AVE. ' � � . , --- -�':'�, ,�,�� . , � FEESUMMARY; , Plan Check:, ,$0.00 - �� Calc Valuation: S3,soo.00 Perrriit: � $9725 - Claim Valuation;i� Es,soo.00 � SMIP Res: ' ' �. $0.50 _ _ -- _ r. SMIP Com: � � .$0.00 "` � � Other - � $0:00 • - _ � _, � Inspection: $0.00 _ �� . � � Total: ' $97J5`,�� ,. ,� .. � . � ', � , : _ _ . , � `�� , , � � �� , � PLANNING'&ZONING �- � , � �- � � SETBACKS � , � � � � � � �� MAINSTRUCTURE Front- 0-0 '� Rear 0-0 Left 0-0 Right 0-0, ACCESSORY PARKING Front 0- 0 - Existina: 0 Rear 0. 0 LeN 0- 0 Right 0- 0 Required: 0, Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-27-92) , EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned ��, for a period of 180 days. � � � �� INSPECTIONS: In order for [he work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapeetiona end linal approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARA710N: I hereby aNirtn untler penalry o� per�ury one ot Ihe lollowing deGeretions: ❑ I have entl wlll maintein e ceniticate oi consent ro selFlnsure tor workers' compensetion, es providetl for by section 3700 ot the Labor Cotle, for the peAortnanca of the work for which Ihis perm�l is issued. � I have entl wlll maintain workers' compensailon insurence, as required by section 3700 of the Lebor Code, for the peAortnance ot Ne work tor which this pertnit is issued. �My workere' compensation Insurance carrier end policy number ere: Carner: policy Numher: (This secfion need not be completed il the permit is velue0 ef one hundretl tlollers ($f 00) oi /ess.) ❑ I certiry that in the paAo�mance of the work for which ihis permit is issued, I shall not employ eny person in any mannar so es to become sublect lo the workers' compensaQon lews ol Califomia, and agree that IJJ.�� shauld hecome suhject to the woAcers' compensatian provislons of Section 37UU ot the lebor Cotle, 1 shail torthwith comply wit� Ihe e prov' s. -` �� ! '_ � — � � Applicant Signature: �• �y''� Dete: WARNING: FAILURE TO SECUPE WORKERS' COMPENSATION WVEqRiE IS UNLAWFUL AND SHALL SUfiIECT AN EMPLOVEfl TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TOONE HUNDRED THOUSAN� DOLLARE (StOD,000), IN AODITION TO THE COST OF COMPENSATION, DNMAGES AS PROVIDED FOR IN SECiION 37060F THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSEO CONTRACTORS PECLARATION: I hereby etlirm ihat I em force antl eNecL Lic. N_ Contracrors Signature: of Chapter 9(wmmencing wi�h Section 7000) of Divlslon 3 ot �he Busine�s-ndpr�sslons Code, entl my licanse is In full Class x G� ..J n Date: g�-1— �� CONS7RUC710N LENDING AGENCV: ❑ I hareby attirtn ihat there �s a construction lentling agency lor the pertortnance oi t�e work for which this permit is issuetl. (Sec. 3097, Civil Cotle). Lendefs Neme: lendets Address: Signature: Date: OWNER-BUILDER DECLARAnONS: I hereby aNlrm ihat under penalry of perjury that I em EXEMPT FROM THE CONTiiAC70RS LICENSE LAW for t�e following reason (Sac. 7031.5, Business and Professions Cotle: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any swcture, prior to its issuance, also raquires Ihe epplicent for such permit to fila e slgned statement thai he or sha is licansed pursuant to iha provisions of the Contractors Licensa Law (Chapter 9(wmmancing with Sectlon 7000) of Oivision 3 of the Business end Protessions Code) or that he or she is exempl Iherefrom and ihe basis for the allegetl exemptlon. Any violation ot SecNon 7031.5 by eny epplicant for a pertnit sub�ecis ihe applicant to e civil penelry of not more than five hundred tlollars (5500).): ❑ I, es owner of Ihe propeRY. or my employees with wages es thelr sole compensetion, WILL DO 7HE WORK, end the strudure is not intantlad or oHeretl tor sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, end w�o tloes such work himself or herself or ihroU9h his or her own employees, provided that such improvemenis are not intended or ottered for sale. It howaver, the builtling or impmvement is sold within one year of cumpletion, ihe owner-bullCer will have the burden ot proving that ha or she tlitl not builtl or improve for purpose ot sale.). ❑ I, es owner of the property. am EXCLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to conswa the pmject (Sec. 7044, Business flntl Professions Code: The contracrore U�ense Law does not apply to an owner ol pmperry w�o builds or Improves t�ereon, antl who contracts for such prqect with e contrector(s) license pursuant to the Contracbrs License Laws.). ❑ I am exempt under sec. Business and Professions Code for ihis reason: Signe�ure: Date: Owner ID verifietl by tlriveYs license. ❑ Ves ❑ No Dnver's License No. Verification of Ownership by (type of tlocumen�, i.a. - pmperty taz bill or tleetl): DIVISION OF INDUSTRIAL SAFE7Y PERMITCERTFICATON: Expires: ❑ I hereby cetlity ihat no ex��ation five (5) or more feet in tlepih into which a person is requlretl to tlescentl, will be matle in connectlon with work authorizetl by this pertni6 entl that no builtling siruqure, scaflolding, falsework, or tlemotition or dismantling �hereof, wlll be more ihan Ihirty-six (36) leet hlgh. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle B, Celitomia Administrative COAe). � As owner�builder, I will noi employ enyone �o tlo work which would require a permit irom ihe Division of Intlustnal Safety, as notetl above, unless such person has a pennit lo do such work trom the tlivision. Signature: Date: DlviSion ol Industriel Sate�y PeR��i Num�er: CERTFICATE OF COMPLIANCE AND AUTHORVJITON OF EMAV: I certity under penalty ol perjury ihat I have read this application end state that tha infortnation given is correct I agree Io comply with all stale laws end ciry ortlinances relating to building construction, end amhonze representatives ot the Ciry of Coste Masa to enter upon the ebove-tlescribetl propeny tor inspection purposes. I agree not to occupy or ellow occupancy of any building authodzed by this permit until final inspec�ion. COOE1, INSPECTIONTYPE 1816 Flxed Sysiem Final Pire Prevention 1266 zoo 201 202 203 Pool Spa Finel Finel Re-Roof Final Block/Retaining Wall Final Fectory Fire Placa Final Sign 204 Final Demolition 246668 Q�¢, I AL B-l( 7-l9 6u-/� Date 9-_I - 9 9 Date CO�EI'� INSPECTIONTYYE 206 Final Mechanical 200 Final Plumbing 210 Final Electriwl 212 220 Final Fire Prevention Final Plenning Approval 222 Final Site 250 FinalBuiltling�Occupancy y� INfRIALS O�VNBR SOW$RS, 4fILLIS ' nnT� (�-2],=(1 JOB ADDRESS �93 Orange AV2. BIDLDING PERAtIT NO. So. ��-' INSPECTIONS Form 210-3M-4-59 DATE _I G[jQljp 1 (Y J �—' SUBCONTRACTOR TYPE r ��li�� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 WBTA MHBA. CALIFO(SNIA For Appliccnf +o Fill In Completely TYPE OR PRINT BUILDING �/� � ADDRE58 COSTA MESA CALIFORNIA OWNER I�G� /LJ aooRESG 4� � � /J�Q.�/ r /.( U�� TEL. LIC.TNO. � NO 6�� OF LOT //0 ��7J � d.Z I NO. OP BLD68. NOW ON LAT � EJCI6TING BLDG �— /� GE�E 6HS9AGK LINH PROM � � �NiER oF eTeeei ,� D REAR YARD SIDE YARD I LEFT L I RIGNT �v DESCRIPTION OF WORK BWLDING / �/� NO. OF 81ZE Z4 ROOMS EXTERIOR WALL ROOF COVERING �T✓G�+� COVERII USE OP BUILOING AND WORlS TO BE �EE RECEIVED v�APR201961 FINANCE DEPT. APPLICATION F(SRCREKMIf1ESA BUILDING For Office Use Only ReC81PT NO. PE 13 NO. � '�� RHC81 D BV DA RECEI 8D DATE I88UEL �/� �i ��( ! `�-.�/- ADD E'SS /G. /�� DI1 �/�� COSTA MESA. CALIFORNIA ZONH TYPE �/ GROUP�� APPROVEO BY DATE ZONING �'�e ZON6 �/ A NO. OF � I U88 OF N�� __ yivUNB BUIlDINO�� (�', L �ao.� _ '9 1 -� �v �, a_ , / I i _ �Lr�i33� urva er.� -+- i � i��--- � REAR FT. I , BYPROVED � , � � DATE a'I �+ I ' / _// � I �s-ss', �S_33', _a. , �� -�A' . 1 HEPEBY ACKNOWLEDOE iXAT 1 H�VE RCAD THIB MPLIGTION ��HE AMOUNT BHOWN UNDER VALIIATION 18 FOR TH¢ ANO BTAT[ TNAT THE ABOVE 18 CORR¢GT AND AONEH TO COM• pURP09E OP 6HTABLIBHINa A PERMIT FEE ONLY. PLV WITN AlL CITY OflDiNANCE9 A ATH UWB HBGULATIN6 Bu1LDIN0 CONBTIiUGT10N. VALUATION 9� _ 81GNATURE OF � PERMIT FEE $ �� PERMITTE � ,Ic, $ � �� / " PLAN CHECK $ //J AUTHORIZED AGENT ✓ iOTAL FEE ORANGE CO��NTY BUILDING DEPARTMENT APPLICATION FOR PERMIT � .. ' 636 North Broadwar • � � � � � � � � SANTA ANA, CALIFORNIA STREET a � ...�.�'L 'c��•�_ ✓•C4•\\ ..l� � . � . 1'L ' ^; ' n'� ^\li1{\�V i� ��.`r.i� ��\l � ��:��a�,)� �'', "•-!�' �t� FG":M '-' :o": .._ „ ` �L\ CL�.. �: `-�`� ,` r f•� G C: PLOT PLAN Show location and distances from / , property line and between buildings. •' � � �Q� �,�G�S E' / 4�s o 2 �f � .s S�`S � - � � � . _~ . V c� : ,.. � / ?� ! � : .J I � .�. L : nif �� a.Y ,�s-�v, �no�; -5 8�� Q;�, 00'� �-. � , �� . . � � r >i `3�� t` 18�5�- Jn�c573 , '.,.,', r . � i •� ., , ' 1 � � --- -- ..•: 4-1:Jr. ,.� j' rt _ � .- . . �l r � `� e � _. � � .... ��v�