HomeMy WebLinkAbout2197 ORANGE AVE - Building Permits(714)754-5273 • Fax(714)754-4856
Job Address:
Suite:
Vicinity:
CITY OF COSTA MESA
BUILDING DIYISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
2197 ORANGE AV
DUPLEX - UNITS 2197 & 2199
Parcel Number: 42613313
Applicant: MULLIGAN, MARK
Address: PO BOX 291
CA
BUILDING PERMIT
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PER NUMBER
99-01411
77 FAIR DRIVE, COSTA MESA, CA 92626
Zoning:
' ISSUED BY:
r- . _,Phone:�(310).329-6108 , �
GARDENA ;-,�i -' . -. -, i' Zipi 90248 ' � � _. \
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Owner LAINE, DANA.B"NORMA � ,� � i ��� ;�_ _�.
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Address 3440 SQNTA CLARA CIR. � -- - ' - - � ' � ' �
� CA�� i � � � i - �Phone . �(714)'`556 7165 � �'' � � / � �\- : �
��jCOSTAMESA'� � "_ ` -� ��Zip 92626 - � \� ,� �� J ��_A�
/-1.;�/� A: / � ti � � �� �
Contracto� �� SKYCRAFT ROOFING INC \�, �� ��" � /�� `; _�A
Addr'ess:�'�POBOX�297';� ���,:`��.;' �
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,. �� �; CA_ � �� "' Phone: (310) 329�108 � „, �� �� � ..
- . , . GARDENA ,/' , � � . �` �
� !� Zip:, 90248; � License�; 400212 � , -
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Arch : - , , , . ; . : ' Eng: � � � � ' . ,
Address: � . -' " � " � �� � Address: � ' � �
. "�/- , . � ' -,Phone: " . ,� . � � � PHone: `
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Zip: % ' �. �a.�•� ' License: -�/" � `:; License: .
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� �� � . ` ' �' ' SCOPE OF PERMIT � ` ' , �
' %, REROOF EXISTING DUPLEX (24 S�.). TEAR OFF EXISTING BUILT-UP ROOF.ING WITH EXISTING SHEATHING TO �
, �: � REMAIN. INSTALL 1-LAYER OF 30# FELT UNDERLP,YMENT & REROOF WITH 25,YEAR CCASS'A' FIBERGLASS '
SHINGLES. .. .., . : � .. .. . . .: ::, � , ... .. , ... . .. . .
'UNITS 2197 & 2199 ORANGE AVE. � �
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� - FEE SUMMARY .
Plan Check: " $0.00 � — ' % � Calc Valuation: Ss,soo.00
Permit: $97.25 � Claim Valuation: $a,5oo.00
SMIP Res � ' . $0.50 - _ � ,
SMIP Com:� �•�•.$0.00 " -. � � _
� Other:; ��$0:00 �
Inspection: $0:00
Total: � $97.75� �
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SETBACKS �- _
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Ezistin : 0
Status: ISSUED
Applied: 09/03/1999
Issued: 09/03/1999
Rear 0- 0
Rear 0-0
Re uired: 0
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PLANNING"& ZONING
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LeR 0- 0
LeR 0- 0
Pr000sed: 0
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Right 0- 0
Right �0- 0
NOTICE: The work authonzed by ihis permit shall comply with all applicable handicap access requirements under Califomia statutas 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
tor a period of 1 BO 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
raquired Inapectiona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit.
FOR INSPECTIONS CALL: (714) 754•5626
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WORKERS' COMPENSATION DECLARATION:
I hereby attirtn under penalry ol perjury ona ot the following declaretions:
❑ I have antl will meinlain e certificate oi consent to self-Insure tor workers' COmpensellon, as provided for by saclion 3700 of the Labor Cotle, for ihe pertormance of Ihe
work tor which this permit is Issued.
� I have entl will maintain workers' compensation insurance, as require0 by section 3700 of Ihe Lsbor Cotle, for the pertortnanca of Ihe work tor which this pertnit is issuetl.
My workers' compansetlon Insurance cerner antl policy number are:
Cernec Policy Num6er.
(This section need nof be comp/eted i/ the permit is veluetl et one hundred dWlars ($100) or /ess.J
❑ I certify Ihat In Iha pertortnance oi t�e work tor which ihis permit is issuetl, I shell not employ eny person in any manner so as to become subject to the workers'
compensation laws of Ce' mia, and egree that � should become subject ro the warkers' compensation pmvisions oi Section 3700 ot the Lebor Cotla, I shall fonhwith
comply with ihe prav' s./ 'J �j
Applicam Signawre: �^-- � Date: �� J ( �
WARNING:FAILURETOSECUREWORKERS'COMPENSATIONCO PAGEISUNLAWFULANDSHALLSUBIECTANEMPLOVERTOCRiMINALPENALTIESANDCIVILFlNESUPTOONEHUNDRED
THOUSAND Dd1APE ($100.000), IN ADDITIIXJ TO THE COST OF fAMPENSATION, DAMAQES AS PROVIOEO FOR IN SECfION �OG OF THE LABOR CODE, INfERE$T, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm ihat I am
forCe end eflecl Lic. q_
Coniractofs Signeture:
m
Section 7000) of Division 3 of iha Business�^d P� ssjpns Code, and my license is in lull
_ Class # C� �
_ oe�a: �— �— 9
CONSTRUCTION LENDING AGENCY:
❑ I hareby aHirm thet Ihere Is a consimction lendinq agency for the pedormence ot the work for which ihis permit is Issued. (Sec. 3097, Clvll Code�.
LentleYs Name:
Signeture: _
OWNER-BUILDEH DECLARATIONS:
Lentler5 Address:
Da�e:
I hereby eNirm thet under penalry of perjury ihai I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions
Code: Any city or counry which requires a pertnit ro construq, alter, improve, demolish, or reDair any structure, pnor ro its issuance, also requires �ha applicam for such permit
to file e signetl stetement ihet he or she is licensetl pursuant to Ihe provlsions oi the Conirectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe
8usiness antl Professions Code) or Ihet he or she is exempt therefrom and the besis lor the elleged e:emption. Any violation of Sedion 7031.5 by any applicant for a permit
subjects the epplicant to a civll penaly of not more than five hundretl tlollere ($500).):
❑ I, es owner of Ihe propeny, or my employees with wages as their sole compensatlon, WILL DO THE WOiiK, antl the siructure is not Intentled or oXared lor sale (Sec.
7044, Business end Prolessions Code: The Contractors License Lew does not epply to en ownar of properry who builds or improves ihereon, end who does such work
himsalf ar herself or through his or her own employees, provided that such Improvements are not intentled or oHered for sale. If, hawever, the building or improvement is
sold within one year ot completion, the ownervhuilder will have the burtlen of proving Ihet he or she did not build or improve for purpose of sala.J.
❑ I, as owner ol Ihe property, em EXCLUSIVELY CONTRACTING WITH LILENSED CONTRACTORS to consiruct the project (Sec. 7044, Business antl Professions
Code: The contrectors License Law does not apply to en owner of property who builds or improves ihereon, and who contrecls for such projed with e contrector(s)
license pursuent to the Contraciors Licensa Laws.).
❑ I em exemp� under sec. Business and Professions Cotle for this reason:
SigneWre: Date:
Owner ID verilied by drivels license. ❑ Yes ❑ No Driver's License No. Expires:
Venfication of Ownership by (type of tlocument, i.e. - propetly tax blll or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMR CER7IFICA710N:
❑ I hereby cenify Ihet no excavation five (5) or mora feet in tlepth imo which e person is required to descend, will be matle in connection with work euihodzed by this
pertnit, end that no building structure, scaHolding, talsework, or tlemolitlon or dismentling ihereof, will be more than thirry-six (36) feet higR (Chap. 32, Grp 2, Art 2, Sec.
347, Title B, Celifomle Atlministretive Cade).
❑ As owner-builder, I wiil not employ anyone to tlo work w�ich would requira a permit Irom the Division of Industrial Safery, as noted ebove, unless such person has a
pertnit to do such work irom the division.
Signawre: Date:
Division of Industnal Satery Permit Number:
CERTIFICATE OF COMPLIANCE AND AU7HORIZA710N OF ENTRV: I cartity under penalty of perjury that I heve read this application and stete ihat the information given is
correcG I agree to comply with all state laws antl ciry ordinances relating to buliding consiruction, entl euthonze representatives oi the Ciry of Costa Mesa to enter upon the
ebove-tlescriDetl property tar inspection puryoses. I egree not to occupy or allow occupancy ot eny building authorized by ihis permit until linal inspection.
GODE �, INSGECTIONiYVE
1616 Fizetl System Finel Fira Prevention
1266 Pool Spa Final
200 Finel RB-Root
201 Final Block/Retaining Wall
202 Final Fectory Fire Place
203 Final Sign
204 Finel Demolition
2406�a8
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I[i�1A45
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� Date
CQDEI INSPECTONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Elec�ncal
212 Final fire Prevention
220 Final Planning Approval
222 Final Site
250 FinalBuilding/Occupancy
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ORAf1GE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT �
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