HomeMy WebLinkAbout2453 MARSEILLES WAY - 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: 2453 MARSEILLES WY
Suite:
Viciniry:
Primary Occ: Type of Construction:
Parcel Number: 43914226 Zoning:
Applicant: HIRSCHMAN,ROBERT
Address: 9582 HAMILTON AVE
#281
HUNTINGTON BEACH, CA
Owner: SONDHU; BA�RAJ S
Address 22782 SEASCAPE DR - .
LAGUNA NIGUEL, CA
Contractor: . HIRSCHMAN, RP & SONS INC
Address: 9582 HAMILTON AVE
#281,
HUNTINGTON B&qCH, CA
Zip: 92646
Arch :
Address:
Slatus: ISSUED
Applietl: 03/14/2005
Issued: 03/14/2005
/
ISSUED BY:
Phone: 714-960-8329
Zip: 92646 � '
Phone:
Zip: 92677 ..
, : Phone: 714-960-8329
License: 781923
Eng:
Address:
� Phone: , Phone:
Zip: - � License: License: �
SCOPE OF PERMIT
REROOF: TEAR OFF EXISTING BUR & COMP ROOF 8 INSTALL 4 PLY BUILT UP AND �30 YR. COMP. SHINLGES. TOTAL ROOFING SQUARES
IS APPROX. 16.5. " � � ' "
Plan Check:
Permit
SMIP Res:
SMIP Com:
Other:
Inspection:
Total
$0.00
$125.25
$0.51
$0.00
$0.00
$0.00
$125.76
SETBACKS
MAIN STRUCTURE �Front 0- 0
ACCESSORY Frant 0- 0
PARKING Existin : .0
a
FEE SUMMARY
_ _ . Calc Valuation:
� - Claim Valuation: "
� ..
PLANNING & ZONING
Rear 0- 0 Left 0• 0 - Right 0- 0
Rear 0-0 Left 0-0 � Right 0-0
Required: 0 Proposed: 0 � : , -
$5,110.80
Ss,i�o.eo
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 9248, § 1, 1241-92)
EXPIRATION: This permit shall automatically expire and become void ii work is not commenced within 180 days, or it work is suspended or abandoned
tor a period of 180 days.
INSPEC710NS: fn order for the vrork authonzed unde� ihis permif fo be considered legal, such work must comply with all applicable codes, and all
requlred Inepeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 754562$
.»o-.o �a�,�
WORKERS'COMPENSAnONDECLARAnON:
I hereby eHi� untler penelty of perjury one ot the following dedaretlons:
❑ I heve end will meintein e certificate ol consent to self-Insure for workers' compensetion, es O��detl for by seciion 3700 of the Labor Cotle, for ihe pertortnance of ihe
�Iprk tor which this permit is issued.
���Y6eve erW will mainlein workers'rnmpensatlon insmence, es requiretl by sectlon 3700 0l lhe Lehar Code, �or the peRormence of the work For which Mi9 pertnit i9 issuad.
My woCrkers=coy�pensetl n Insurence cerder end pollcy numbe� ere:
Cerrier. L�� Q-�� M f% �Policy Number: �� ZZ- '�� 5
(Thls secHon need nof be complefetl il the permif is velued e( one hundred dollers ($ IOOJ or less.)
❑ � �¢�ity thet in the performence ot the work for which this permit is issued, I shall not employ eny person in any menner so es to become subject to tho worknrs'
crompensation I Celilomie, end egree that If I should become suh�ect to the workers' crompensatlon provislons o1 Section 3700 ot the Lebor Code, I shell forthwith
�•Lomp�ywfth esep �sions.
AppfipM 5ignatu � te: � � � � ^C �
WARNING: FAILURE TO SEWRE WORI(ERS' OOMPENSAiIIXJ COVEPApE IS IIMAWFULlWO SHALL SUBIEGT AN EMPLOYER TO CFIMINAL PENALTIES AND CML FlNES UP TOONE HUNDRED
T1i0U$AND �URE (510p,Op0), IN ADDITION TO TME COST OF COMPENSATION, pAMAGES AS PqOVIOED FOR IN SECTION 3/pg OF THE L4BOR CODE, IMERE5i, AND ATTORNEV'S FEES.
LICENSED CONTAACTORS DECLARATION:
I herebygHirm ihat I am licens d u eZr p vislons of Chapter 9(commencing with Secllon 7000) ol Division 3 ot Ihe Bu ness end Pr essions Cotle, end my Ilcense is in full
r1��a�a'enea. uc. s 7�/ � ,,�c�re��s�s�_C"— 3�
�CMtractor's Signature: 9i,ndja. �7=� (� � �7 �
� �_
CONSTAUCTION LENDING ACENCY: �
❑ I herB�y aRirm that Ihere is e cronstruction lending agency lor ihe OeAormanca ot Ihe work for which this permit is issued. (Sec. 3097, Civil Cotle�.
Lenders Name: Lender's Address:
SigneWre: Date:
OWNER•BUILDER DECLARATONS:
I here6y ellitm Ihet under penalry oi perjury thet I em E%EMPT FROM 7HE CONTRACTORS LICENSE LAW for Ihe following reason (SecJ031.5, Business end Professions
Cotle: Any cly or counry which requlres e parmit lo consWct, elter, Improve, demolish, or re0eir eny stmciurn, prior to its issuanca, also requires �he applicant for such pertnit
to file e signed stetemem t�at he or she Is Ilcense0 pursuent to the pmvlsions oi Ihe Contrecrors License Lev� (ChaO�er 9(commencing with Sectlon 700p) ot Division 3 of the
BuSiness end Professions Code) or thet he ar she is eMempl therelmm and ihe �asl9 lor Ihe elleged exemption. Any vlolellon of Section 7031.5 by any applicant for a pertnit
sublects ihB epplicam ta e civil pe�alry ol not more Ihan flve hundreA tlollars ($500).):
❑ I, es owner of t�e pmperty, or my employees with weges as Iheir sole compensatlon, WILL DO THE WORK, antl Ihe structure is not intentletl or ottereG for sale (Sec.
7p46, Business af W Professons Code�. The Contractors licensa Law does not epply to an owne� of propany who builtls o� �mD+�es the�eon, and who tloes such wo1¢
himsBll or herself or through his or her own employees, provitletl that such Improvemenis ere not intentletl or oHered for sale. N, however, Ihe builtling or improvement is
sold wit�in one year oi completion, the owner-builtler will have the 6urdan of proving that he or she did riot build or improve lor purpose of sale.).
❑ I, es ow�er ot the property, em E%CLUSIVELY CONTRACTNG WITH LICENSED CONTRAC70RS to construct Ihe project (Sec. 704t, Business en0 Protessions
Cotle: The contractors License Lew tloes not epply to en owner of pmperty who bulltls ot Improves then3on, antl w�o coniracis for such project with a wn(racror(s)
license pursuani to the Coniractors License LewsJ.
� I em exempt under sec.
Signeture:
Owner ID verified by tlriveYs license. ❑ Yes ❑ No
Business antl Professions Code for Ihis reason:
Venficetion ol Ownership by (rype ol daumem, i.a. - proparty te: bill or aeed):
Drivar'a licensa No.
oate:
Expires:
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION:
❑ I hereby cartity that no ezcevetion five (5) or mora feet in depth into which e person is required to descend, will be matle in connection with work euthonzad by this
permi�. antl iha� no builtling sirucWre, scattoltling, falsework, or tlemolition or tlismanUing Ihereol, will ba more Ihen thirry•si: (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Yi�le B, Califomia Admini5lrelive Cotle).
❑ As ow�er-builder, I will not employ enyone to do work which would require e permit Irom the Divisior, ot Industrial Safey, as noted above, unless such person has a
pertni� �o do such work irom l�e division.
SignaNre: Date:
Division ol I�dustrial Safery Pertnit Number:
CERTIFlCAYE OF CAMPLIANCE IWD AUTHORVA710N OF EMRY: I cenify untler penelly of peQury that I �eve reetl Ihis epplication and slate Ihat the information given is
wrrect. I egree to comply with ell s�ete laws end ciry ordlnences relsiing m bullding conslruction, end aulhodze representa�ives of the Ci�y o� Casla Mesa to enter upon the
above-descnbed property tor inspection purposes. I egrea no� lo occupy or ellow occupency ol eny building euthorizetl by I�Is permit until final inspaction.
Signeture
&QOE �. IxSVECiIONTYPE
1616 Fized System Final Fire Prevemion
1286 Pool Spe Final
200 Final Re-Root
201 Flnel BIocWRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Finel Demolition
QejF INTRIILS
Date
3 /�f.0,-5: �
kbg�9��'
CODEI �y$p�]IONTYVE
20fi FinelAfechanical
20B Finel Plumhing
210 Fl�al E:lecUical
212 Flnal Fire Preventlon
220 Final Planning Approval
222 Final Site
250 FinelBuilAing/Occupenc
OWNER m7CLE & SHIELDS Development-Co.,Inc. DATE 6-3-63
JOB ADDRESS 2 53 Marseilles BUILDING PERMIT
_�� I SUBCONTIiACTOH
i n
� � ����s
COSTA MESA BUILDING-SAFETY DEPARTMEM
P. O. BOX 917 C08TA MGBA. CALIFORNIA
For Applicant to Fill In Complatafy
TYPE OR PRINT
BUILDINQ �1" ,
ADDRESS G� T
COSTA MESA, CALIFORNIA
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DESCRIPTION OF WORK
.DING �(� VS�
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:RIOR W
=RING !/C!-�
OF BU14DIfiG AND'
FEE RECEIVED
s 1963
FI(�{�CE DEPT.
Ci�PO�FG��P �RS�RMR
BUILDING
For Office Use Only
� 116C[IIf NO. I
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YS•7:IP.[�:
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O V ERHAN6 SHALL BE LE95 THAN
YAROBAPPROVED
MAIN BUILDING
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C. U. P,
O AB�PRO'
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1 HEqHBY ACKNOWLHDOB TNAT I HAVB RBAU THIB APPLICAT�ON
AN� 6TRTE TXAT THH M1BOV6 16 COHR2R ANO AOpHH TO COM�
PLY WITH nLL CITY OROINANCHY �ND BTAT[ LAWB RHOULATING
BUILOINO CON9THfICTION.
i� � _ / • � � a /'1
� AUTHORIZED AGHNT ,� � �
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TH6 AMOt1NT GI
PU0.P088 O� 1
VALUATION
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YAROSAPPROVEO
ACCESSORY BUILDIN6
DATB
APPROVEO
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VALUATION IB ROp TH8 F
A PHRMIT FHH ONLY. �
ITFEE $ YJ�� ' j
7 d
CHECK $ J�/ � ¢
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