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Home My WebLink About3268 NEBRASKA LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.�ldLDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 32BH NEBRASKALN Suite: Viciniry: Primary Occ: Parcel Number: 13906501 Applicane RICK SISCO Address: Type of Conslruction: Zoning: owner: KATHERINE I SANDERS TRUST Address 3268NEBRASKALN " ' ' . . � COSTA MESA, CA _ - Contractor. SISCO ROOFING � Address: 13135 LONE STALLION LN --.- � � CORONA,CA .. Zip:` 92883. � � - Arch : Address: � Phone: .Zip: - . , License: Phone: 951-674-5022 Zip: i Phone: Zip: 92626 Phone: 951=6� 2 License: 58 En9: Address: � I ' � _ -^ ' SCOPE OF PERMIT T/OFF SHEATH AND REROOF 2500SF RESIDENCE W/COMP SHINGLES. FEE SUMMARY Plan Check: $0.00 $ . Permit: $153.25 �� - " = � � SMIP Res: $0.80 SMIP Com: $0.00 Other: $0.00 � r .. ,.. Inspection: " $0.00 '"��"'�� Total: $154.05 Status: ISSUED Applied: 11/17I2005 Issued: 11/17/2005 ISSUED BY: � p.M.:� a, � �, �. .i r•�, � .� � , Phone: , ��License: �� Calc Valuation: , ` Claim Valuation: ' PLRNNING & ZONING SETBACKS ` MAW STRUCTURE �Front 0•0 � Rear- -.0-0 � � Left- 0-0"- _-. Right, 0-0� . ACCESSORY � Front 0-0 �-`�� Rear��-0-0 _ Lefl�,' 0-0 �, - Riglit'�` 0-,Q . PARKING Existina: 0 Reauired: 0 Pr000sed: 0 , . . � � � �:*>,. -- . .. _. . . " ' . . , $8,000.00 � $B4OOOi00 NOTICE: The work authorized by this permit shall comply with all applica6le handicap access requirements under Calitomla statutes and related regulations. (Ord. No. 92•28, § 7, 12•21-92) EXPIRATION: This permit shall automatically explre and become void if work is not commencetl within 180 days, or it work is suspanded or abandoned for a period ot 180 days. � INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all epplicable codea, and all required Inapectlons and (inal approval must be obtained. Failure to obtain inspectlons and final approval will resul� in the expiratlon of ihia permit. I FOR INSPECTIONS CALL: (714) 7545826 aacsu�eau7 WORKERS' COMPENSATION DECLARATION: I hereby effirtn under penelty of pe�ury one of the following tleclarations: ❑ I have entl will malNain e certificate of consent to self-Insure tor workers' compensation, es proWtletl for by sectlon 3700 of the Labor Catle, for ihe pertormence of the work tor which Ihis pertnit is issuetl. ❑ I have and will melntain workers' compensatlon insurance, as required by section 3700 oi Ne Lebor Code, for ihe peAortnance ot the work for which ihis pertnit Is Issued. My workers' compensation Insurence carrier antl policy number are: ,�/ Carrier. � � / Policy Number, l" � � � (This section need nat be crompletetl il (he permit Is valuer/ et one hundred dollers ($100) ar IessJ �I cenity ihat in tha peAortnance of the work for which this permit is issued, I shell not employ any person In eny manner so as to become subject lo the workers' compensallon lews of Gelifo , end egree Ihat If I shauld become subject lo ihe wark s'�compensalion proNslons ot Section 3700 oi the Labor Cade, I shall fonhwlth comply with these provision . /\_'� C � � AppllCan� $Igna�ure: �CT � Da�e: /� � � QJ WARNINO: FAILIIRE TO SECURE WOFKEHS' WMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED THWSAND DOLLARE (510p,000). IN ADDITION TO THE CQST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3]OB OF THE L4BOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirtn Ihet I em Ilcensed untler pravisia �orce end ettea. uc. a � ContrectoYs Signeture: � oi Chapter 9(commencing with Sectlon 00) of Divislon 3 of the Business end Protessions Cotle, end my license Is in full � c�assx c39 � Date: !/'l7-OS" CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirtn ihat there is a construction lending agency for the Dertormance of lhe work tor which this permit is issued. (Sec. 3097, CiNI Code). Lenders Neme: LBntlefS Atldre55: SignaNre: OWNER•BUILDER DECLARATIONS: Date: I hereby aHirm t�et under penelry of perjury that I am EXEMPT FROM TNE CONTRACTORS LICENSE LAW tor the lollowing reason (Sec. 7031.5, Business and Professlons Code: Any cly ar counry whic� requires e permit to construct, alter, Improve, tlemolis�, or repair any structure, prior to its issuance, also requires tne epplicant for suc� permil b tile a signed stetement Ihet he or she Is Iicensed pursuent to the provisions ot Ihe Contrectors Ucense Lew (Chapter 9(commencing with Sectlon 7000) at Divlslon 3 of Ihe Business end Profeuions Code) or ihat he or she is exempt theretrom end the 6asis lor I�e elleged exemption. Any violation of Section 7031.5 by eny appllcant lor e permit sublects the epplicanl to a civll penalry of not more than five hundred dollars ($500).): ❑ I, as owner ol Ihe property, or my employees wit� waqes as their sole compensetion, WILL DO TME WORK, and ihe structure is not intended or oMeretl for sale (Sec. 7044, Business antl Professions Cotle: The Coniractors License Law does not epply Io an owner ot properry who builds or improves thereon, and who does such work himselt or herself or Ih�ough his or her own employees, provided thet such improvemenis ere not intentled or oHered for sale. I(, howevar, tha building or improvement is sold within one yeer ol completion, ihe owner-builder will heva tha burden of proving thet he or sho tlid not build or improve for purpase ot sele.). ' ❑ 1, es owner oi Ihe property, am EXCLUSIVELY CONTRAC7ING WITH LICENSEU CONTRACTORS to consiruct the projact (Sac. 7044, Business antl Professlons Coae: The contrectors Llcense Lew tloes noi appty to en owner ol property w�o bulltls or improves Ihereon, end who coNracts lor such pro�ect with a contrettor(s) licen5e OurSuant to ihe Con(reclors LiCense LawS.). ❑ I am exempt under sec. Business and Professions Code for I�is reeson: Signatura: Date: .. Owner ID venfied by drivefs license. � Yes ❑ No Dnvefs License No. Ezpires: Venfication ol Ownership by (type oi document, i.e. - property tau hill or deed): __ DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hareby certily thet no excavation flve (5) or more leet in depih in�o which a person Is required to descend, will be matle in connection wilh work eulhorizad by this permit, end ihat no building simcture, scattolding, falsawork, or demWi�ion or dismemling thereot, will be more ihan thirty-six (36) feet higR (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle 8, Celifomia AOminiStrative Code). � As owner-builder, I will not employ anyone to do work which woultl require e pertnit trom the Divislon of Industrial Safery, es noted above, unless suc� person hes a permit to tlo such work irom t�e tlivision. SignaNre: Date: Division ol Indusirial Sefery Permit Number: CERTIFlCATE OF COMPLIANCE AN� Al7THORVA710N OF ENTTiV: I certity under penelty of perjury ihat I have read ihis epplication and state thet lhe infortnelion given is correct. I egree to comply wit� all state laws end ciry ordinances relating to buiiaing consiruction, antl authonze representatives of ihe Ciry of Coste Mesa to enter upon ihe ebove-descnbed property for inspection purposes. I agree not to occupy or allow occupency of eny building authorized by ihis permit until final inspection. I Si re Of Legal Owner(s) — / �� Antl/Or Authorized AOOliwnt COOE t. INSPECTONTYPE 1676 Fixed System Final Fira Prevention 1266 200 201 202 203 204 Pool Spa Finel Finel Re-Rool Final Block/Retaining Wall Final Factory Fire Place Finel Sign Final Demoliiion Pdg 1tIIIDALS �Y�`t'�'S —V— !' / GODE� INSVECTIONTYPE 206 Final Mechanical 208 Final Plumbing 270 Final ElectriCel 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy PAIE II�EIfl OWNER SANDERS� JOHN H. DATE 9_P7_61 + JOB ADDRESS 3268 Nebraska Lane BUILDING PERMIT N0.15575 GENERAL CONTRACTOR Admiral-Bilt Construction VALUE $ 5p'],00 AP No. 11 -80 -01 LOT TRACT RIR� ZONE DESCRIPTION OF WORK B1oCk fence TNSPECTIONS �Signaturel DAT� GROUP j TYPE IIj 70NE R-1 _ SUBCON7'RACl'OA �--- I / �J � 2 � � .. � . . �5�'75 G�OSTA ME5A BUILDING-SAFETY DEPARTMENT P. O. BO% 917 C08TA MEHA. CALIFORNIA For Applicanf fo Fill In Complefely TYPE OR PRINT BUILDING ADORE6S , 1E� IL�E �i{i S�GA �-AKf COSTA MESA. CALIFORNIA OWNER �UL� N I� • SAhiD EiL S ��y �J. S S � 81ZE 5�1 �� 1�� . . I NO. OP BLDOB. ■ S6TBACK YN8 DESCRIPTION OF WORK BUILOING NO. OF 81ZE ROOMS EXTERIOR WALI ROOF COVERING COVER USE OF BUILDING AND WORK TO 6 S.L LLrtJ /� v iI 1'� FEE R�C�iV�� .StrL/( o� � INA[NCE O��fi: C�TY �! CO�A M€�A APPLICATION FOR PERMIT BUILDING For Office Use Only HECE�PT NO. PHBNIiNO. er BUILDING ADDRE65 COSTA MESA. CALIFORNIA APPROVED ZONING Z� ' I NO. OP �U9E OP N!W / PLANB BUILDINO LBOAL ) __/ . l !. 1 /1 (C6MHR LINC BTJ // � l�i � U 1 HEPHBY ALKNOW�BDGH TXAT 1 M�VB PBAD THIB APPLIGTION q�{g AMOUNT BXOWN UNO¢a vALUATION 19 FOH THH AND BTATE THAT TX¢ ABOVB 19 CORPER A A6RE8 TO COM- PUHPOBE OP HBTABLIBM�NG A vEFMIT FH6 ONLY. PLV WITH ALL LIN O ANC88 M1D HTAT WB pBppLATINO eu1LOINo CONBTPurn N.� VALUATION �,//� SIGNATURE OF � �.F. ^� �� PERMiT FEE $ / PERMITfE J S PLAN CHECK $ �— AUTHORIZED AGENT � TOTAL FEE t LoT 19 rR.372:. . �- 2 C%STA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 W6TA MEBA. GLIFORNIA For Applieanf fo Fill In Complefely TYPE OR PRINT BUIIDING ao�REss 26 NEBRASKA LANE COSTA MESA CALIFORNIA oWNEa K S� E DEVELOPMENT CO.� INC. MAIL woopess Ir1SS PLACENTIA AVE TEL. PIRE ZONE APPROVED FEE RECEIVED � OCT 241960 FINANCE DEPT. CITY'OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only er IOOUCD COSTA MESA. CALIFORNIA ZONING NO.OF U9E OF NEW PLANB /J BU�LDINO y 6TATE / TEL. �eaw� LIC. NO. O NO. - oescaipiioN oF�oi 6�.�FZX�OO IRREG INO.OPBID08. O NOW ON LOT p, p, NO. USE OF YARDS EXISTING BLDG APPROVED 98TBACK LINE PPOM �0 � ZO� 1c6NTew uwe BLI cermn ov arneer REAR VARD �e....� ILEFT /D / I RIGHT � DESCRIPTION OF WORK 1 HePBBY �CKHOWI AHU BT�TB THAT TI PLY WITN ALL CITY BUILDINO CON9TlU� SIGNATURH OR� �AUTHOflIZEO AOENT SHINGLES WORK TXAT 1 NAV6 qHAD T119 MPLIGTION iV8 IB COMEGT AND A6R88 TO COM• VAHC86 ANG 8TAT8 L.]WB H80ULATINO 1 � l 1 // EVES TH! AMOUM BHOWN UNDER VALUATION 10 PDX TH8 PUFPOB¢ OP ¢BTABLIBHIN6 A PEHMIT PHe ONLY. VALUATION 8 /�/n ( � PERMIT FEE $ ' � � � /�/" X PLAN CHECK $ /O � F rc TOTAL FEE � a