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Home My WebLink About586 MARQUETTE CIR - Building Permitsp r� l � �]i4) 7S4-SZ�3 • Fa�c (714) 754-4856 • www.ci.costa-mesa.�.�LDING PERMIT 7� FAIH UHIVt, GU51A MtJA, l:A yLbZb JobAddress: 586 MARQUETTECI Suite: Vicinity: HOUSE & ATTACHED GARAGE Parcel Number: 41804104 Applicant: MILLER, DALE Address: 13781 NEWHOPE ST GARDEN GROVE, CA Owner CLUCK, JAKE LAVON Address 586 MARQUETTE CIR COSTA MESA, CA Contracroc DALE'S ROOFING Address: 13781 NEWHOPE ST GARDEN GROVE, CA Zip: 92703 Arch : Address: Zoning: Rl R1 Phone: (714)534-6398 Zip: 92703 Phone: Zip: 92626 Phone: (714)534-6398 License: 503508 Eng: Address: Phone: ISSUED BY: Status: ISSUED Applied: 03(O6/2001 Issued: 03/O6/2001 Phone: Zip: License: License: SCOPE OF PERMIT . REROOF EXISTING SINGLE FAMILY RESIDENCE & ATTACHED GAR4GE (23 SQ). TEAR OFF EXISTING, INSTALL 30# FELT UNDERLAYMENT, & REROOF WITH 25 YEAR GAF FIBERGLASS SHINGLES. �.. Plan Check: $0.00 Permit: $83.25 SMIP Res: $0.50 SMIP Com:' $0.00 Other: $0.00 Inspection: $0.00 Total: $83.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existina: o NOTES: FEE SUMMARY PLANNING & ZONING Rear 0- 0 Left 0- 0 Rear 0- 0 Left 0- 0 Required: 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0- 0 $2,900.00 sz,soo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related '�. regulations. (Ortl. No. 9248, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is nof commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. - ' ' ' INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all , requlred inspactions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 2446d8 (CJW) WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of ihe foliowing declarations: ❑ I have and will maintain a certificate of consent m seif-Insure tor workers' compensation, as provitletl For by saciion 3700 of the Labor Code, for the pertormance ot the or which Ihis permil is issued. � f heve antl will maintain workers' compensation insurance, as requiretl by section 3700 of t�e Labor Code, tor �he pertortnance of ihe work for which this pertnit is issued. --My workers' compensation I�rance car� and policy number are: Policy NuPnber: . rT � i'— � y/ 6 orless.) -- -�- . ❑ I cetlity that in ihe peAormance of ihe w k for which this it is issuetl, I shall not employ any Derson in any manner so as to bacome subject ro the workers' compensation laws of Calilo entl ee Ihat 1 I sho come subject to the workers' compensation provisions ot Section 3700 0l the Labor Code, 1 shall forthwith wmply with these provisio ApplicamSignaWre_ � / ,6 Date: - �--� -- � WARNINGrFAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHQL SUBIECT AN EMPCOYER TO CRIMINAL PENALTIES ANO CIVIL FWES UP TO ONE HUNDRED THOUSAND DOLLAPE (5100,OD0). IN ADDITION TO THE C0.5T OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN $ECT10N 31W OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DEGLARATION: I hereby aHirtn �ha� I amlicensed under provisi< torce and ettect Lic. p i .Ci�?S 6 �i�� CONSTRUCTION LENDING AGENCV: Chapter 9(commencing with Section 7000) of Division 3 oi ihe Business and Code, and my license is in tull ❑ I hereby aftirm ihat there is a conslruction lentling agency br ihe pedormance of Ihe work tor which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signawre: OWNER-BUILDER DECLARATIONS: Date: I hereby affirtn Ihat untler penalty of perjury Ihat I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, 8usiness entl Professions Code: Any ciry or counry which requires e permit to consiruct, alter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires the applicant tor such pertnit to file e signed statement that he or she Is licensed pursuant to the pmvisions of ��e Contredors License Law (Chaptar 9(commencing with Saction 7000) of Division 3 of ihe Businass and Professions Code) or that he or she is e:empt therelrom and the besis For the alleged e:emption. Any violation oi Section 7031.5 by any applicant tor e permit subjects the applicant to a civil penalty of not more ihan tive hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as thair sole compensation, WILL DO THE WORK, and Ihe simcture is not intended or oMered br sale (Sec. 7044, Business and Professions Cotla: The Contractors License Law does not apply to an owner of property who builds or improves t�ereon, and who does such work �imselt or herself or ihrough his or her own employees, provided that such improvemenis are not intentled or ottered tor sale. If, however, ihe building or improvement is sold within one year oi completion, the owner-builtler will have the burden oi proving ihat he or she did not build or improve for purpose ot sale.). ❑ I, as owner ol tha property, am E%CLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the prolect (Sec. 704d, Business and Pmfessions Coda: Tha contraaors License Law tloes not apply to an owner of pmperty who builds or improves Ihereon, and who contracts for such project with a contrecror(s) license pursuant to the Coniracbrs License Laws.). ❑ I am exempt under sec. Business and Professions Code tor Ihis reason: Signature: Date: Owner ID verified by dnvefs license. ❑ Yes ❑ No Oriver's License No. Verificetion of Ownership by (type of document, i.e. - properry tax �ill or deed): Expires: DIVISION OF INDUSTRIAL SAFETY VERMIT CERTIFICATION: ❑ 1 hareby cerlity ihat no excavation five (5) or more teet in depih into which a person is required to descend, will be matle in connection with work euthonzetl by �his permit, antl that no builtling strucwre, scaHolding, falsework, or tlemolition or dismantling ihereof, wili be more then thiny-six (36) faet high. (Chap. 32, Gry 2, An 2, Sec. 341, Ti�le B, Califomia Atlminisirative Code). ❑ As owner-builder, I will not employ enyone to tlo work which woultl require a permit from the Division of Intlustnal Sefety, as noted above. unless such person has e permit to tlo such wofk irom �he division. Signature: Date: Division ot Intlustrial Safery Permit Number. CERTIFICA7E OF COMPLIANCE AND A ORIZATION OF ENTAY: I certify under penalry of perjury ihat I have read ihis application and state that ihe information given is correct I agrep�Is�comply �Il,slst s and city ordinances relating to builtling consiruction, and authorize representatives of the City ot Costa Mesa to enter upon Ihe above-descriJSed prOpe i pecf yrposes. I a9ree not to wcupy or allow occupancy of any building amhorized by this permit until finel inspection. CODE I. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Final 61ock/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition PAff �� Date COOEI INSPECTIONTYPE � 206 Final MeChanical 208 Final Plumbing _ 210 Final Electrical _ 212 Final Fire Preven�ion 220 Final Planning Approval _ 222 Final Site _ 250 Finai euildindOccupancy ��7.11iIJlli1\b� i 27956 COSTA MESA BUILDING-SAFETY DEPARTMEPlT P.O. BO% 7P00 COSTA MESA, CALIFORNIA 9T628 Por Appllcant 90 Fill In Campferoly TYPE OR PRINT COSTA MESA, CALIFORNIA ,� No. oI �Lpo�. 7a�lo3�vY 6 BLDO. LIX[ lROY PiTR[R � R[AR� RDI L[FT � I RIQlTT DESCRIPTION OF WORK 1 HlRCBY ACKHOWL6� AND BTATB THAT TX6 PLY WITH ALL CITY O BUILO�NO CONBTROCT 81GNATUREOP � PERMITTfi� AUTHORIZ6D AO[M f 1 MAV[ 1/ CORPI � � N[OULATINO oEc 27-6ZPW,�—°,Q8' sts+► ***+�85,50 APPLICATION FOR PERM►T BUILDING for Offlce Use Only n�ca�rtxo. r ` L ZONINCi :ona Mo. o� u.a or H � �ux� 2 eu��o�no n�afw��nex �// 1 �-4 � � NOTQ: NO 6AV[ OV [RMAN6 SHALL BE LE88 THAN 80' TO SIDB 4 RHAR P. L awves ALLOWHD -�U.B.C.R6CUIRHMENTI YAROBAPPROVHO YARD9APPROVfiD MAIN BUILDINO ACGE880RY BUILDIN6 vwx. x owre � a HOLD FO SPE�:iAL RL•QUI?'.^ i`-T- �? � o ' `� 3��v �. �. 5`6/ � TN6 AMOUXT eMOWN I1ND8H VALUATON 19 POR TH6 j �URPoBi OP BHTABLI9HIN0 A P6PMIT P8B ONIY, i3 VALUATION /��y � cJ PERMITFEE V � a�,� 7/— o? � 5� w J