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Home My WebLink About590 MARQUETTE CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR ORIVE, GOSTA MESA, CA 92626 BUILDING PERMIT ,lobAddress: 590 MARQUETTE CI Suite: Vicinity: ROOF Parcel Number: 41804103 Applicant: MILLER, DALE Address: 13781 NEWHOPE ST GARDEN GROVE, CA Owner: DANIOLCO, SANTIAGO Address 590 MARQUETTE CIR COSTA MESA, CA - Contracror: DALE'S ROOFING Address: 13781 NEWHOPE ST GARDEN GROVE,CA Zip: 92703 Arch : Address: ` Phone: Status: ISSUED Applied: 02/20/2003 Issued: 02/20I2003 Zoning: R1 R1 / � ISSUED BY: � Phone: (714)534-6398 Zip: 92703 Phone: Zip: 92626 ' Phone: (714)534-6398 License: 503508 - Eng: Address: Phone: Zip: License: License: SCOPE OF PERMIT. REMOVE EXISTWG ROOF. INSTALL 30 YEAR, GAF SHINGCES, 24 SQUARES INCLUDES ATTACHED GARAGE. Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: 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 53,800.00 $3,800.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California 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 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspections and flnal approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaa�ac (wool WORKERS' COMPENSAnON DECLAFiAnON: ' ' , I here6y eHirtn under penalry of perjury one oF the following declarations: ' ❑ I have end will maimain a ceniticate of consent to self-Insure for workers' compensation, as providad for by section 3700 ot Ihe Labor Cotle, tor the pertortnance of the __work tor which this permit is issued. � �I'have end will maintain workers' compensation insurance, es required by section 3700 ot ihe Lebor Code, for the peAortnance of the work for which this pertnit Is luued. �My wor�kers' -compansatlon Insy�nce car 7end policy number ere: C / Cerrier: i � / /f�� -P �"�<� PolicyNumber: _ �JS "�YS�(C' (This�secfion need nof be completed i/ the permif is valued et one hundred dollare ($100J or less.) , ❑ I certiTy that in tha peAormance of the wo y for which thi ��mlt is issued, I shall not empioy any person in any manner so as to become subject to tha workers' compen5etlon lews of Calii ia,�d e 6e t�l I��ecome subject to the workers' compensatlon provislons of Section 3700 ot ihe Labor Cotle, I shell forthwith comply with ihese provisio s. r--- —' • i Applicanl Signewre: _�!-�— / � �l _ Date: i�' �V '- �j ,WARNING FAILURE TO SECURE WO ERRR 5' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJEGT AN EMPLOVER TO CRIMINAL PENPLTIES AND CIVIL FINES UP TOONE MUNDRED THOUSAND DOLLARE ($t00,OW), IN ADDITION TO THE COST OF COMPENSATIqJ, pAMAGES AS PROVIDED FOR IN SECTION 31W OF THE LABOR CODE, INTEREST, AND AiTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I.hereby.aHirm�theDl em licensed under pryvisia CONSTRUCTION LENDING AGENCV: of Chepter 9(commencing with Section 7000) of Class M Date: Code, anG my license Is In tull ❑ I hereby attirm that ihere is a constmction lending agency for the pedormance of ihe work tor which this permit is issued. (Sec. 309�, Civil Code). Lentler's Name: Lender's Address: Signa�ure: OWNER•BUILDER DECLARATIONS: Date: I hareby ettirtn Ihat under penalry of perlury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for �he following reason (Sec. 7031.5, Business antl Protessions Code: Any ciry or counry which requires a permit to construct, alter, improve, tlemolish, or repair any structure, pnor to its issuance, elso requires the applicant for such permit to file a signed stetement that he or she is licensetl pureuent to the proNsions of tha Contractors License Lew (Chepter 9(commancing with Section 7000) of Dlvision 3 of the Business and Professions Code) or ihat he or she is e:empt iherelrom and the basis Por Ihe alleged azemption. Any violation of Section 7031.5 Dy any apPlicant for e pertnit subjects the ap0�icant to a civil penalry ot not more than five hundretl dollars ($500).): ❑ I, as owner of Ihe property, or my employees with wages es t�eir sole compensation. WILL DO THE WORK, end t�e structure is not intendad or ottere0 for sale (Sac. 7044, Business and Protessions Cotle: Tha Contractors License Law dces not apply to an owner oi property who builtls or improves Ihereon, and who tloes such work himself or herself or Ihrough his or her own employees, providetl that such improvements are not intendetl or ottered lor sale. If, however, Ihe building or improvement is sold within one year oi completion, the owner-builder will heve Ihe burden oi proving that he or she did not build or improve for purpose of sale.). ' ❑ I, as owner of t�e properly, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construc� the project (Sec. 7044, eusiness and Professions Code: The contrectors License Law tloes noi apply to an owner of pmpeny who builtls or improves t�ereon, and who contracis for such project with e contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business end Professions Code tor ihis reason: Siqnature: Date: Ownar ID verified by dnver's license. ❑ Ves ❑ No Driver's License No. Expires: Verification of Ownership by (type ot document, I.e. - properry tex blll or deed): DIVISION OF INOUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cartity ihat no excavation fiva (5) or more feet in depth into which a person is required to descend, will be made in connection with work eu�honzed by this permit, and ihat no building strucWre, scatfolding, falsework, or tlemolition or tlismantling thereol, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 347, Ttle B, Califomia Administrative Cotle). ❑ As owner-builder, I will not employ anyona to do work which would require a permit irom the Division ol Intlustrial Safery, as noted above, unless such person has a permit m da such work from ihe division. _ Signature: � Date: Division ot Indusirial Safery Pertnit Number: CER7IFlCATE OF COMPLIANCE AND AUTHORVATON OF EMAY: I certiy under penalry ot perjury that I have read this application and state Ihet the information given is correa. I agree to comply with all state Iaws and ciry ordinences relating to huilding conswction, and authonze represematives of the Ciry ot Costa Mesa ro enter upon the above-descnbed property for inspection purposes. I agrea not to occupy or allow occupancy of any building euthorized by this permit until final inspection. CO�E N. INSPECTIONTYPE 1616 Fixetl System Final Fire Preven�ion 1266 Pool Spa Final 200 Finel Ra-Roof 201 Finel Block/Retaining Wall � 202 Final Fectory Fire Place 203 Finel Sign 204 Final Demolition ' o nppucen� - QAjE IAL _Z -0� �� "v< :fL� '_. 7�— -, + Date� COpE� INSPECTIONTYPE - Q�j$ INTRIpLg 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Fira Prevention 220 Final Planning Approval 222 Final Site � 250 Finel Building/Occupancy 2795� COSTA MESA BUILDING-SAFEfY DEPARTMENT P.O. BOX 1200 - COSTA ME8A, CALIFORNU Y26i6 Fcr Applicartt to FIII In Compleroly TYPE OR PRINT R�� 59n MA{z��Z-c� COSTA ME3A. CALIFORNIA T!L \\�12 L�Mi arr S I a�orrr DESCRIPTION OR WORK � � � EXTERIOR B6 1 HlPHBY ACRMO AN� BT�TB TXAT TN6 . PLY WITN ALL CITY Op BUIL�INO CONBTRYC}F !�I SIGNATUR80P � PERMITT6�' � AUTHORIZBG AG[NT TMIB APPLICATION ID AOq¢6 TO COM• LAWY R[DYUTINO r � tsaw� DEC'27-67�a00 416} ****90.00 APPLICATION FOR PERMR BUILDING For Offlce Use Only nacnrt no. � ZONING MO.OI UY[O�MM' �un. Z sui�cino det ftar. 141-041-03 /[RNANO SHALL D8 LE88 TMAN � YARDB MPROVHD MAIN BUILDINO lOMGI R[�f) � lNT .. QT.�D VM• �R a.. ne�aaucmcn � s - YARDSAPPROVH ACGBD80RV BUI INO PT. n .�P'f. �rr. "�' 'J vr. BR. MAIN Q AGCE88. BLD08. DATE HOLD FOR �PEC'AL R�p�;-�;,- m _ � /J � � / �O 8G. P7. % ,� 0 TX8 AMOUNT 6XOWN UNO6P VALUATON IB POq TX6 j PURY098 OP [9TABLIBNINO A PLPMIT P88 ONLY. Z3 VA��AT�ON a i �W � PERMITFEB E s%��: 3d — w TOTAL FEE $ ! U