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Home My WebLink About3228 NEBRASKA PL - Building Permitsr . � r' � (714) 754-5273 • Fan (714) 754-4856 � 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 3228 NEBRASKA PL Suits: Vicinity: HOUSE & ATTACHED GARAGE Parcet Number: 13908308 Appliwnt: BURKE, MIKE Address: 7653 SUPERIOR AV COSTA MESA, CA Owner: RHEA, KENNETH J Address 3228 NEBRASKA PL Zaning: Phone: (949)642-7222 Zip: 92627 Phone: COSTA MESA, CA Zip: 92626 Contractor: LEE ROOFING OF COSTA MESA Addres4: 1653 SUPERIOR AV COSTA MESA, CA Zip: 92627 Arch : Address: Phone: (949) 642-7222 License: 349686 Eng: Address: Phone: ISSUED BY: Status: ISSUED Applied: 06179/2000 Issued: O6179/2000 Phone: Zip: License: License: � SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE & ATfACHED GARAGE (28 SQ), TEAR OFF EXISTING ROCK ROOFING, INSTALL 2 LAYERS OF 15# FELT UNDERIAYMENT, & REROOF WITH 25 YEAR COMPOSITION SHINGLES. Plan Check: $0.00 Permit: $125.25 SMIP Res: $0.54 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.79 SETBACKS MAIN STRUC7URE Front 0. 0 ACCESSORY Front 0-0 PARKING Existina: o NOTES: Rear 0. 0 Rear 0. 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Lek 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0. 0 55,400.00 $5,400.00 NOTICE: The work authorized by ihis permit shall comply vnth 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 180 days, or if work is suspended or abandoned for a period ol 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 inepeetlone end finel approval must be obtained. Failure to obtain inspections and final approval vnll result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � -� WORKERS' COMPENSATION DECLARATON: � I horeby aHirm under penally ol pehury one oi the following tleclarations: ❑ I have antl will melntaln a certificate of consent to sell-Insure br workers' crompensetion, as provitled lor 6y section 3700 of Ihe Lebor Code, for the pertormance of the ork for whiCh Ihis permit is issuatl. I�heve antl will maintain workers' compensetlm insurance, as required by sec(ion 3700 ot the Lebor Coda, lor the peAortnance of Ne work for which this pertnit is issued. 1My warka ' campen�jtion Insura�g cam,/gr end pdicy num6er are: �/ Cerrler—��TqTr LaNM �7J6�C,_._,.."."'"""..._�_.._„__,...,,,,_.,_"' PolicyNumber? /.�'i00/r�}S .T., . '7— ..... ❑ I certih/ thal In lho peAormence ol tha work tor which ihi5 Dermit Is issuetl, I 5hall not employ eny person in any mannor so es to become sub�eCt to t�e workers' compensetion lews o�fornia, aII gree Ihat il I shoultl become sub�ect to Ihe workers' compensallon pr�s of Sectlon 3700 of the Lebor Cotla, I shall forthwilh comply with these is ris') / ' Applirant.Sipneture_ /L� � ��,� �— Date: . le /��% WARNING: FAILUFE TO SEWREy ORKE0.5' OOMPENSATqN COVERAGE IS UM.AWFUL AND SHALL SUBIEC� AN EMPLOVER TO GRINJNAL P NALTI AND CML FlNES UP TO ONE HUNDRED T110USAND DOLTARE �St00,W�y'IN ADDITION TO TME CQS� OF COMPENSATION, DPMAGES AS PROVIDED FOR IN SEGTION 31060F THE LI�BOR CODE, IMEREST, AND ATTOHNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aMirm that I am.licensed under pro�isions ot Chapter 9(commencing wlth Section 7000) of Divislon 3 0l Ihe Business end Professions Code, antl my Iicense is in tull torce end enea uc a � ,3�J�/(a {(�i _ ._ CI( ess 7 ! i�f CONSTRUCTION LENDING AGENCY: ❑ I �ereDy effirm that t�ere Is e construciion lending egenq for the peAormence of the work for which Ihis Dormil is issuetl. (Sec. 3097, Chril CodeJ. Lender's Name: Lendefs Atldress: Signature: OWNER-BUILDEp DECLARATIONS: Date: I hereby affirtn thet under penalry ol perjury ihat I em EXEMP7 FROM TfE CONTRAC70RS LICENSE LAW for Ihe following reeson (Sec. 7031.5, Business end Professions Code: Any ciry or counry which raquiras a pertnl� to consWct, alter, impmve, demolish, or repair any structure, prior to its issuenca, alw requires tha applicant for such pertnit to flle e signed stetamem thet he or she is licensetl pursuant to the pmvLslons ot Ihe Contracbrs License Law (C�apter 9(commencing wlth Section 7000) of Division 3 of Ihe Business end Professions Catle) or ihet he or s�e is ezempt Iherefrom end t�a basis for ihe allegetl exemptlon. Any violation ot Section 7031.5 by any epplicant for a permit sub�ects the applicant to e clvil penfllry of noi more than live hundred dollars (5500).j: ❑ I, es owner oi the pmperty, or my employees with wages as thair sole compensation, WILL DO THE WORK, and the slrucWra is not intended or ottered for sala (Sec. 7044, Business and Protessions Cotle: The Conirectore License Law tloes no� apply to an owner ol property who builds or improves thereon, antl who does such work himself or hersatf or t�rough his or her own employees, pmvided that such improvements are not imentletl or oflered for sale. If, however, the building or improvement is soltl within one year of wmpletioq the owneo-builder will have tha burAen of pmving Ihat he or she did not 6uiltl or improve for purpose of sale.). ❑ I, as owner oi the property, em E%GLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS lo construci the projact (Sec. 7044, Business antl Professions Gode: The wniwctors License Law does not epply to en owner ot pmperry who huilds or improves thereon, and who conirecis for such prolec� with a contractoqs) license pursuant to the Contractors Li�ense Lews.). ❑ I em exempt under sec. Business enA Professions Cotle for this reason: SignaWra: Date: Owner ID venfiad by tlnver's license. ❑ Ves ❑ No Dnvefs License No. E:pires: Venfication of Ownership by (type of document, i.a. - property tax bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ' � I hereby certity that no excavation five (5) or more leet in depth inta which a person is repuiretl to tlescend, will be metle In connection with work euthonzed by ihis pertnit, entl Ihat no Dullding struc[ure, scaflolding, lalsework, or demolition or tlismantling thereol, wlll be more ihan thirty-sis (3fi) leet high. (Chap. 32, Gry 2, Art 2, Sac. 347, Title 8, Calitomia Administrative C.ode). ❑ As awner-builtler, I wlll not employ anyone to tlo work w�lch woultl raquire a pertnit from the Division of InCusinal Salery, as no�ed above, unleu such person �as a parmit ta tlo such waAc tram lhe division. Signature: Date: Division ol Intlustrial Salery Permit Number. CERTIFlCATE OF COMPIJANCE AND AUT110RIZATION OF ENTAV: I cenity under penalty of perjury ihat I have reatl this application and state that �he informetion givan is correcL I egree to comply with all state laws and ciy ordinances relatlng to bulltling consiruction, antl authorize representatives ol t�e Ciry ot Costa Mesa to enter upon the ehove-descnhed propeny tor inspection purposes. I agree not to acupy ar allaw occupancy of any bullding authorized by thls permit until linal inspection. cooe �. 1616 1266 Fizod System Final Fire Prevention Paol Spa Final 200 Flnal Re-Fioof 201 FInaI Block/Rotaining Wall 202 Finel Factory Fire Plece 203 Final Sign 204 Final Demolition 244&a8 �� COpE� INSPECTIONTYVE 206 Final Mechanical 20B Final Plumbing 210 Flnol Elecirical 212 Finel Fire Prevention 220 Final Planning Approval 222 Finel Sile 250 Finel Builtling/Occupency QdjF �L �oT 3� - TRACT 3625 � �� . COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 �OBTA MHBA. CALIFORNIA For Applicanf fo Fill In Complefely TYPE OR PRINT euiLolNc 32ZH �NEBRASKA PLACE ADDRESS COSTA MESA. CALIFORNIA '�U�e«< j555 PIACENTIA AVENUE K.W. Ko�� NEWPORT BEACH ' BIZE �Jp x� QQ I NO. OF BLDG9. I LERT �� I RIGHT J� DESCRIPTION OF WORK BUILDING i6� �.7 SF NO. OF 6 � 8RE I ROOM6 STORIES EXTERIOR WALL RooF ROCK COVERING STUCCO COVERING USE OF BUILDING AND WORK TO BE PERFORMED SINGLE-FAMILY RESIDENCE AND ATTACHED GARAGE PLAN �-H 1 HERBBY ACKNOWL8DG8 �NAT 1 HAV6 RHAD TXIB �PP4GTION AND BTATE THAT TXE A9�H I6 CORPHCT ANO A6RHH TO CAM- PLY WITH ALL CITY ORC�NANCEe ANO 8TAT2 LAW9 P80UlATINO BVILOINO CONBTRURION� HIGNATURE OF �1 . _ � AUTHORIZED �� ...4:,. .....� .. EEE RECEIUED �� -�s-�:� FINANCE DEP�T�.e� APPL IC$,I1T�IO FF��S�R�►T" ?� BUILDING -- �, For Office Use Only FECEIPT NO. 11 P,6R)1ITf �rHf COSTA MESA, CALIFORNIA APPROVED ZONING ZONE /) � I �AN9 � 1 BII LDIN �� I LEOAL �/ � oea�_ w�':�,n 3 �� A. P. NO. YARD6 EVES APPROVED ALLOWE <unren �wa sr.> fl THC AMOUNT BHOWN UNOER VALUATION I6 POP THH PUPPOBH OP EBTABLI6HING A PEqMIT FEH ONLY. VALUATION 3 � ' PERMIT F6E $ S /�S/6� /d'— I PLAN CHECK $ "/ TOTAL FEE 3 S / �