The URL can be used to link to this page

Home My WebLink About2103 NATIONAL AVE - Building PermitsCITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us BUILDING PERMIT Job Address: 2103 NATIONAL AV Suite: Viciniry: Parcel Number: 42244250 Applicant: MICHAEL DURBIN Address: 2103 NATIONAL AV COSTA MESA, CA Owner: PETTNER, DAVID W TR Address 9832 LAPWORTH CIR HUNTINGTON BEACH, CA Contractor. MICHAEL'S ROOFING Address: 2103 NATIONAL AV COSTA MESA, CA Zip: 92627 Arch : Address: Zoning: Phone: (949) 642-0700 Zip: 92627 Phone: Zip: 92646-6541 Phone: (949)642-0700 License: 672016 Eng: Address: PERMIT NUMBER JB�4_��92 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 04/26/2004 Issued: 04/26/2004 ��v Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 30# FELT, 30 YEAR COMPOSITION SHINGLES AND WILL NOT REPLACE SHEATHING. 1,500 S.F. FOR S.F.D. ONLY. � 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 MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0-0 Right 0- 0 53,000.00 $3,000.00 NOTICE: 7he work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 780 days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepeetlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiralion o� this permit. FOR INSPECTIONS CALL: (714) 7545626 aas-ae �fvoo� WORKERS' COMPENSATION DECLARA710N: . I hereby effirm under penalty of perjury one ot the following declaratlons: ❑ I have end will maintaln a certificate of consent to sell�lnsure lor workers' compensation, es proWded for by section 3700 of tha Labor Code, tor the pertortnance of Ihe work for w�ich Ihls parmit Is issued. ❑ I have antl will maintain workars' compensation insurance, as required by section 3700 of Ne Lebor Code, for Ne peAortnance of Ne work for which this pertnit Is Issuetl. My workers' compenBation Insurance cartier and pollcy number ere: Cerrier: � Policy Number: (fhis sectlon need not be compleretl H the permif !s va/ued et one hundred dollars (5100) orless.) �—'1'certity that in ihe peAormance of ihe work lar which Ihis permit is issuetl, I shall not employ eny person in any menner so as to become sublect to t�e workers' ✓compensetlon laws ot Calibmia, and egree that if I ahould become sub�ect to i�e workers' compensatlon prodslons of Section 3700 of the Labor Code, I s�all forthwith comply with these provisions. /� Applicenl Signeture, �'��i�Li� rDa� O �— ��.(jC� WMNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAQE IS UNUWFUL AND SHALL SlIB1EC� rW EMPLOYER TO CRIMINAL PENPLTIES AND CIVIL FINES UP TOONE HUNDRED TFKKISAND DOLURE (5100.000), IN ADDITIIXJ TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIIXJ 3]OS OF THE LABOR CADE, IMEREST, AND ATiORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: under provisions oF Cheptar 9(cammencing with Section 7000) of Division 3 oi Ihe 8usiness end Professions Code, erA my license Is In tull CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm ihat there is a construction lentling agency for Ihe peAormance of the work br w�ich this permil is Issued. (Sec. 3097, Civil Cotle). Lendefs Name: Lenders Address: Signe�ure: Da�e: OWNER•BUILDER DECLARATIONS: I hereby aHlrm I�ai untler penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professions Cotle: Any ciry or counry which reQuires a pertnit to consiruct, alter, improve, demolish, or repair any siructure, pnor to its issuance, also requires the epplicant for such pertnit m file e signetl statement ihat he or sha is Ilcensetl pursuent to the provislons of ihe Conirectors Llcense Lew (Chapter 9(commencing with Sectlon 7000) af Divislon 3 of ihe Business end Professions Code) or that he or she is exempt theretrom antl the basis tor the alleged eaemptlon. Any violetion of Sectlon 7031.5 by eny epplicant for e pertnit sublecis Ihe epplicent to e civil penatty of not more Ihen tive hundred dollers ($500).): ❑ I, es owner of the property, or my employees with weges as their sola compensation, WILL DO TME WORK, end Ihe structure Is not intentletl or oftered for sale (Sec. 7044, Busineu anC Professions Cotle: T1ie Contraciors License Lew dces not apply to an owner of property who builds or improves Ihereon, and who does such work himself or herself or ihrouqh his or her own employees, provided that such improvements are not Iniended or oHered tor sale. If, however, ihe bullding or improvement is sold within one year of completion, the owner�builtler will have ihe burden of proving Ihat he or she tlid not build or improve tor purpose of sale.). � ❑ I, es owner ol lhe properry, em EXCLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to conslruct the project (Sec. 7044, BuSiness entl Profe55ions Code: 7Te conirectors License Law tloes not epply to en owner ot properry w�o builtls or improves ihereon, and who contracts for such project wlih e contraaar(s) license pursuant to the Comractors License LewsJ. ❑ I em exempt under sac. Business end Professions Code for this reeson: Signature: Date: Owner ID verified by driver's licanse. ❑ Ves ❑ No Dnver's Licensa No. Verificailon ol Ownership by (type o1 documen�, I.e. � property tez blll or deod): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFILATION: Expires: ❑ I hereby certify thel no excavation five (5) or more leet in depth into which a person is required m descend, wlll be mede in connec�ion with work euthodzed by this permii, and ihat no building structure, scaHolding, lelsework, or demoli�ion or dismantling thereot, will be more then ihirty-six (36) feet hig�. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Administrative Gode). ❑ As ownar�buildar, I will not employ enyone to do work which would require e pertnit trom the Division of Industrial Safery, as noted ebove, unless such pereon has e pertnit to tlo such work from the tlivision. Signature: Date: Division of Intlustrial Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AIJTTIOFiIZA710N OF ENTRY: I cehily untler penelry of perjury Ihet I have read ihis epDliwtion anC siate ihat ihe informa�ion given is correct. I agree to comply wltyyyh sssapppll statpe lews end ciry ortllnances relating to building construdion, antl euthonze representatives ol Ihe Ciry of Costa Mesa to enter upon Ihe abo� -tl�bedDroperry f r� purpases. I agree not to occupy or allow occupancy of eny building euthanzed by this permit until final inspectlon. Signawre Of Legal Owner(s) Date _ 1J4.� 1ti—�Ci CQOE �. INSPECTIONTYPE 1616 Fixetl System Final Fire Prevention 7268 F� Poal Spe Finel Finel Re-Root 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demoliilon Q�jE INTIiIALS Y- v-BK � COOE 1 INSPECTION TYPE 206 Final Mechenical 208 Final Plumbing 270 Final Electrical 272 Final Fire Preventian 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency Q�, INTIfIRLS II OWNER INS Test coat :� ..�. . DATE - i 1.%13 PIRE ZONE DESCRIPTION OF WORK P1 SUBCONTRACTOR PLAN NO. NO. PERMITSISSUED NUMBER ORANGE COUNTY BUILDING DEPARTMENT APPLICATION POR PERMIT � � 636 North Broadwoy • � • • . • � � � p � � � � SANTA ANA, CALIFORNIA - ` W - _ - ---- - -- -w - - J Z \ a � J \o • � - ' d p � _ . o a . _ a _ t -. � _ . . . . i . �. . � . T - 1 . ' �� . � ' _ ' ' _ '_'l ` ' ' ' _ ' � " . •( ' ' � I : . . ', r r ;: : � , _� .. - PCOT 'PCAN I -, x Show locotion� and distances from property line and between.buildings. _ - - . j , . . f - — -.,_^ -- _ = .'tr'=. - _. ��:�,,;_ . _ . . . r . _ ' • .- • -- _. _ i _ . .. _ `. .. . • . , . . _ ..:_ �'�{�'. ,. .�:n_., . _ _.. _. . — -;�--• ----• , . � , � - _ -- . }� � . . , ✓ .. . i -� ssos FEE RECEIVE�D � � COSTA MESA BUILDING DEPARTMENT ��,,.�,,_� � 6� /��.-�' �, P.O. BOX 31� F�NAI�E 7DEPT. COSTA MESA. CALIFORNIA FOk2 APPLICAlV7' TO FILL IfV� APPLhC��FC7NSF0'RS'PERMIT BUILDING .. � b3 - '. � , . BUI�LDING � _.. ADDRE55 ' COSTA MESA. �CP.LIFORNIA' �� ' FOR OFFICE USE ONLY ' RECE�PT NO. PERMIT N�OJ. OWNER a O MAIL 'y� RECEIVlO BV O TE NECEIVEO 01TE ISSUED ADDRE55 - �O, /,� - � � �' �� - ^+� � �� --FEL. �� BUILfJING " CITV � NO. � q�ORE55 ARCHITECT �� '""-�-'��••��.-`-•LIC.'�" -'�- . oR ENGINEER uo. COSTA.MESA. CALIFORNIA FIRE II ADORE55 ZONE �ITY LIC. CONTRACTOR p(y/ NO. � ' TEL. AODRE55 NO. � IEGAL LOT ' % oescnivnon NO. BLOCK TRACT // � A.P. NO. — — �[� SIZE no.oF aLDGS. OF LOT ��U Now Orv �oi USE OF :i' ` • E%ISTING BLDG. �{iY /ry SETBaCK LINE FPOM �J 6J /��j �p /uJ��P �� CENTEF OF STREET (y\Q f/ C REAR VARD / p; ,, / I SI�E YARD RIGHT�O � IeFT DESCRIPTION OF WORK NEW ALTERATION ADDITION REPAIR htOVING OEMOLISH BUILDING T� NO.OF SIZE _� O X� V ROOMS STORIES EXTERIOR WALL ROOF COVERING � COVERING USE OF NEW �/'V� 6UILOING (.i ` � 1 ZONE NO.OF TYPE PL�NS II APPROVED BV DATE CORRECTIONS SUBJECT 10 t}L�JG. DEP7. STATE TX�T TNE ,�BOVE IS CORNER 1N� �GREE TO COMPLV WITM �LL CITV OPDINnNCES �ND STRTE LAWS flEGULiTIN UtL�ING CONSTRVC- iiorv. � VALUATION — SIGNATURE O / PERMIT FEE S , y � PERMITTEE � O — PLAN CHECK S $ U AUTHORIZED AGENT TOTAL FEE $ 6^ `9�� • ��_.__ . _.. , .._ ,, .. ' ��-�•.a- �� .,. �. � .,, ,.. �,.. A�P��;OV:�jp-t CITY.O�C�^5TA_MrSn . i �•' 7 ' PL� KRIPiG. DEPT.. '� , . - ... SUBJECT 10 bI.CG. DEFT. REG. �� . . � . �. .. . . , BYL�[=�/: ' r', DATE - � ; -_- � - - --^ <i''"PUiN TcCH.��%l� . . . ,--�_ 560g . ��`�`� � �.� �_ _. _� ; `�� ' . ; . - " �1 xe�1 � , :, , . ' ..,. ��. � ; ,,, ,, v'r.., � i � • . '� .��'.:,;il:�.,� �y , . . . ' „�f� ;> . ' . -- •� - -. ,i _..��.i. . ��r�: , . . , ,,. �` • �, _� i,'t F L! — '+Y W � i . . , � � , �: �t v�.. �� . . . . . -'.._.._.�_�._...... �.-"�-'..�..._..� ' . �, . /, � . ' . t . 1 ' b ' . _ _ _ •� • . ' � . . , .'.` 'v , - _ ' - . _ . '.. �: i � � ',: � � . ' a. . �' .. . � � .i. ' '� ' � . . ! �1j,� . 4 • . ♦,�. i� �.