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Home My WebLink About2110 NATIONAL AVE - Building Permitsr . ,. a � �- s �- CITY OF COSTA MESA . BUILDING DIVISION F77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • ww.v.ci.wsta-mesa.ca.0 �, FOR INSPECTIONS CALL: (774) 754-5626 �mro A�'. PERMIT NUMBER. B08-0021'5 PERMIT TYPE B_ROOF2 APN: 42245107 STATUS: ISSUED DATE ISSUED: 07121/2008 ISSUED BY: CAC JOB ADDRESS: 2110 NATIONAL AV CM . Suite/Unit: Vicinity: ,. � - � Squares: 0 . �� . - ' � Valuation: - $3,085.00 SCOPE OF WORK: TEAR OFF COMP. SHINGLES INSTALL 1-30 LB FELT AND 30 YR COMP SHINGLES . OWNER: HARRISON, KENNETH GENE TR Address: 2710 NATIONAL AVE PHONE: - Ciry/State/Zip: COSTA MESA, CA APPLICANT: FRANK GARCIA� . - �' Address: 21681 IMPALA LN PHONE: 714-966-8754 . _ .- � - - - City/Stale/Zip: HUNTINGTON BEACH, CA . CONTRACTOR: COAST ROOFING . � License No. � Address: 21681 IMPALA LNUnit: �' .. '� -� PHONE: � 714-968-8754 City/Slate/Zip: HUNTINGTON BEACH; CA . - 92646 CELL: ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: TOTALFEES � � License No. � License No. $0.00 $97.25 '$0.00 597.25 -�:. Unit: Unit: 450393 PHONE: PHONE: NOTICE: The work authorized by this pertnit shall comply with all applicable handicap access requirements under Califomia statutes and relatetl regulations. (Ord. No. 92•28, § 7, 72•21-92) EXPIRATION: PERMIT EXP�RES 780 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. , INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approvai will result in the expiration of this permit. COOE/. INSPELnONTYPE � IXlI11RL C0� INSPEC710NTYfE prg ' ixnn�� 1878 Fi:ed System Final Fire Prevenlion 206 Final Mechanical 1268 Pool Spe Final �� j/__�Q 208 Final PlumOing 200 Final Ra-Roof �� 210 Final Elecirical 207 Final glak/Retaining Wall 212 Final Fire Pre�ention 202 Final Fectory Fira Place 220 Final Planning Approval 203 Finaf Sign 222 Finat Site 204 Final bamoiilion 250 Final Builtl�ng�Occupancy � . ,. . WORKERS' COMPENSATION DECLARATION: ._ , I hereby aHirm under penalry of perjury one o( the (ollowing declarations: ❑ I have antl will maintain a certifcate of consent to self-Insure (or workers' compensation, as pmvitled for by section 3700 of ine Labor Cotle, for the pe mance o( the work for which [his permit is issued. I have and will maintain wvrkers' compensation insurence; as required by s tbn 3700 of the Labor Code, for the peAormance of the work for which this p i issued. My wqrkers' compensation Insurance carrier antl policy umber re: / �;1�,�. �o � (Tha ��pefe0 atne pemit aiqfued at me hundmCtlollars (Et00J a reu ) L�I eRify that i ihe peAormance of the work for which this permit is issued, I shall no m loy any person in any manner so as to become subject to the worke ' com nsation laws o( Califomia, and agree Iha[ i( I shoultl become sub� ct lo e vrorkers' compensation provisions f Section 3700 of the Labor e �all hwith comply vrith these pro � ions. APd�� Signalure a�e WARNING: FAILURE TO SECURE WORKERS' COMPENSP.TION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000�. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OP hIE LABOR CODE, INTEREST. AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that 1 am licensetl under provisions of Chapter 9(commencing vnth Section 7000) of Division 3 of the Business antl Professions Code. and m' nse is in lull lorce antl eKect. l Lic. # 2 Commclor' ignaWr ❑ CONSTRUCTION LENDING AGENCY: ❑ I hereby aKum lhat lhere is a wnstmctbn lending agency (or the peAortnance of the v.ork for wfiich ittis pertnil is issued. (Sec. 3097. Civil Code�. Lender's Name: Lender's Address: OWNER-BUILDER DECLARATIONS: 1 hereby a�rm Ihat under penalty o( perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 70J7.5, Business and Professions Cotle: Any ciry or wunry which requires a permit to constmcl, alter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires the applicant for such pertnit to file a signetl statemem that he or she is licensed pursuant to the provisions of Ihe Conlractors License Law (Chapler 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the allegetl exemption. Any violation of Section 7031.5 by any applicant for a permit subjects Ihe applicant to a civil penalry of not more than fve hundred dollars ($500�.�: ❑ I, as owner of the pmperty, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, and ihe structure is not intentled or oHered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does no[ apply to an owner of propeny who builds or improves thereon, and who dces such vrork himself or herself or through his or her ovm employees, provided that such improvements are nol intended or oKered for sale. If, however, the builtling or improvement is sold within one year of completion, the ovmer-builder will have the burden of proving that he or she did not build or improve for.purpose of sale.). ❑ I, as ovmer of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmcl lhe project (Sec. 7044, Business and Professions Code: The contraclors License Law dces not apply to an owner oF property who builds or improves thereon, and who contracts tor such prqecl with a contrac�or(s) license pursuant to Ihe Contractars License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: 305)-G6�JI0]) Owner ID verifietl by Amc. _�cense. ❑ Yes ❑ N� ... , Driver's License No. Expires: Venfcation of Ovmerehip by (type of document, i.e. - property �ax bill or,tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: • . ❑ I hereby cetlify thal no excavation frve (5) or more feel in tlepth into which a person is required lo descend, will be made in conneclion with work authorized by ihis permit, and that no building s�rucWre, scaHdding, falsework, a demolition or dismanlling Ihereol, will be more Ihan thirty-six (36) teel high (Chap. 3.2, Grp 2, M 2, Sec. 341, Title 8, Califomia Atlministrative Code). ❑ As owner-builder, I will not employ anyone to do work which woula require a permil from the Division of Industnal Safety, as noted above, unless such person has a permit to tlo such vrork from [he division. Ap0lit�anl's SignaWre Division of Intlustrial Satery Permit Number _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICA710N: 1. Will Ihe applicant or present or future building occupant neetl lo file antl certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of Ihe California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time dunng a reponed year a quantiry of hazartlous malenals equal lo or grea[er lhan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at standard temperature and pressure). 2. Does or will Ihe applicant or present or fuwre building occupani need to file a registration form �or acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceplions, requires registration vnth the Costa Mesa Fire Dapartment by each business which at any one time has on hand a quantiry o( acutely hazardous materials equal to or grea[er than a weight o( 500 pountls, or a volume o( 55 gallons, or 200 cubic feet of compressetl gas at standard temperaNre and pressure). 3. DoeS or will the applicant or present or (ulure building occupanl neetl to prepare an RMPP (RiSk Management antl Prevention Program for acutely hazartlous materials)? ❑ Ves ❑ No (Section 25534 of the Cali(omia Health and Safery Cotle provides Ihat the Costa Mesa Fire Department may require Ihe preparation, certification and filing with the Fire Departmen� of an RMPP by businesses which are requiretl to register aculely hazardous materials with the Fire Department. 4. I( an RMPP is presently require0, has Section 25534 of the Cali(omia Health and Safety Code been fully wmplied with? ❑ Yes ❑ No 5. �ces or will the applicanl or present or future building occupaN require for me vrork which is the su�ject o( this application a permit for such consWction or modifcalion from the South Coast Air Quality Management District or trom any other air polWtion wntrol district or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemmen[ Code requires that the requested information 6e fumished on applications fv non-residential building permits�. 6. Will any pan of Ihe faciliry to be consWcled untler this permit be vnthin 1000 feet from Ihe ouler boundanes of a school? ❑ Yes ❑ No (If "yes", the facilily must meel lhe requirement o( Sections 25534 antl 42303 o( the California Health and Sa(ety Code). 7. If a permit from the South Coast Air Qualiry Management DisMcl or other air pollu�ion tonirol distnct or agency is requiretl for ihe work which is the subject of this applicalion, have all of the disclosures prescribed by California Healih and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If yes', altach certificate of compliance from ttie appropriate air pollution conlrol officeq. � CERTIFICATE OF COMPLIANCE: I certify that untler penalty of perjury the information given above is.correcL I agree to comply with all sWte laws and city ordinances regarding Hazartlous Matenals and Emissions.�y � � SignaWre Date CERTIFICATE OF COMPIIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalry ol perjury that I have read this application and sWte that the informaiion given is covecL I agree [o comply with all sta�e laws antl city ortlinances relating to building construction, antl authorize representatives of Ihe Ciry of Costa Mesa to enter upon Ihe above-tlescribetl properry for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by Ihis e nit until f inspec[ion. . n e oi Le er(s) Dale ��-- 7 Zr G/or Aul�orize0 Ap01iwn1 ' Dat biANGE COUNTY BUfLDING DEPARTMENT 636 North B-' �dway - , SANTA ANA, ( ORNIA FOR APPLICANT TO FILL IN BUILDING nooRess ,'�,�ZQ j�jpt-innal scr+oo� oisr. OR TOWN �jOBYiH MP BH NEAREST CRO55'ST. (��L Q� mni� 93b3 w��sr+�Re BIVD. ADDRE55 EVER�Y ILlS TEL. R. CITY NO. ' ARCHITECT OR LIC. ENGINEERnCAINC$i MCKERRACHERNo. ADDRESSL��O " wALNUT Si.� PqSADENA corvraqcron NE4PORT VISTA co�,a� i35882 nooRess 9 6 WIlSHIRE B�VD.� BEV.HIlLS LEGAL LOT a )ESCRIPTION NO, �J BLOCK I TRACT �� (ATTACH METES $ BOUND51 NO. OF BLOGS. SIZE OF LOT O O NOW ON LOT USE OF � NO. OF I NO. OF E%ISTING BLDG. � FANILIeg SETBACK LINE FROM: REAR YAI CENTER OF STREE7 SIDE YAI DESCRIPTION OF WORK NFW I x I 41 TCfiATll'1N I I ef. SN EXTERIOR WALL YUCCO I CO�ERI COVERING � USE OF NEW BUILDING RESIDENCE—AY.1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANq STATE THAT TME ABOVE IS CORREGT AND AGREE TO GbMPLY WITH ALL GOUNTY OROINANGES AND STATE LAWS REGULATING BUIL�ING GONSTRUCTION. AUTHORIZED AGT, f�t • n ��"�'�"V PEFMfi FEE $/'� VALUATION s 4830.0o p�AN CHECK S%� TOTAL FEE Sr I 9�90-39 APPLICATION FOR PERMIT � �r ��1�� 1 FOR OFFICE USE ONLY RECEIPT NO. PERMIT NO. g�3 3�. Jo sza �' RECEIVED BY OATE REC'D. �ATE 1591iED � �I—a—r3l �1-3—�3 . BUILDING AOORESS SCHOOL �IST. OR TOWN NEAREST . ` CRO55 ST. /7 PLANS CORRECTIONS APPROVALS G 0 A � Z � r 1�� 'i q�/. �\ . ,: ' ,.., : r -- = - - .. . . � w . . ,�. " Z _ " _ ._ , . .� J.._ _.�_'W _ _ _ . _ _ _ _ !_. . _... _ . . J Z . -t _ J . . ,_ - �O � �. a . . . _ ',� ..�.�.w_. ..... . - ' . R _ ' ` � ._a , . . ...'. . . rc :.` . � -.o ., o+or; • + ` a, , . � r , _ _ - _ . .. "- __ . .`� . 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