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Home My WebLink About3229 NEW YORK AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.g�LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suile: . Vicinity: Primary Occ: Parcel Number: 3229 NEW YORK AV HOUSE AND GARAGE ROOF R3 13910218 npplicant: ABEJAR, EULALIA M TR Address: 3229 NEW YORK AVE COSTA MESA, CA Owner: ABEJAR, EULALIA M TR Address 3229 NEW YORK AVE Contractor. Address: Zip: Amh : Address: Zip: COSTA MESA,CA ,, OWNER-BUILDER Phone: License: Type of Constmction: V-N Zoning: Phone: 714-668-9790 Zip: 92626 Phone: 714-668-9790 __Zip: 92626. _ �r --,,,.� �r +ii � i r �,:._.a .• - ��.�� . °Phone License: 000000 Eng: Address: ISSUED BY: Staius: ISSUED Applied: 10/20/2006 Issued: 10/20/2006 Phone: License: � , - SCOPE OF PERMIT � TEAR OFF (E) ROpF MATERIALS, MUST INSTALL MIN OF 2 LAYERS OF 15# FELT ON A 2:12 - AND LESS THAN 4:12 PITCHED ROOF OR 1 LAYEF ^ OR 30# FELT ON'q 4:12 OR GREATER PITCHED ROOF AND REROOF W/30 YEAR COMP SHINGLES ON AN ATTACHED HOUSE AND GARAGE. R AND REPLACE SNEATHWGS AS NEEDED. - - � � � - - . - ' � FEE SUMMARY Plan Check: ,. $0.00 Permit: $97.25 SMIP Res`. ; , $0.50 ` SMIP Com: $0.00 Other. '• $0.00 Inspection; $0.00 � Calc Valuation: ga,000.00 Claim Valuation: . ga,000.00 �� Total: 597.75 � � - PLANNING & ZONING , �. SETBACKS ' �� , •'?; , . ' � ; �. j - ' y , . MAINSTRUCTURE Front 0�. � Rear 0�0� �- � Left � 0-0 Right 0 0'i � . , �.. , � � � �;,�A�' ' , � ' - � , , � "" % �A. � � '' % ` <, i , ,i �� ACCESSORY' Front 0-0 �� -� Rear�,.0=0 - '� . � Left .0-0 �Right -0-0 - � � PARKING ��Existin : �0� � ' Required: � 0 � - Pr000sed: 0 • � � � - . - � ��- , . . . NOTICE: The work aUthorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) � � EXPIRATION: 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 of 180 days. � INSPECTIONS: In ord�r for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectiona ahd finel approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 eaco-aa law� WORKERS'COMPENSAnON DECLARAnON: � � • r . I hereDy aflirm untler penalry ol perjury one of the following declarations: �' �� , ❑ I have antl will maintain a certificate of consent to self-Insure for workers' compensation, as provitletl tor by section 3700 of ihe lebor Cotle, for the pertormence of the work for which this permit is issuetl. ❑ I �ave antl will maintain workers' compensatlon insurance, as requiretl Dy seqion 3700 of the Lebor Code, br Ne pertortnance of the work for which this permit is luuetl: My workers' compensation Insuranw wrrier antl policy num6er are: ' ' Carrier. Policy NumDer. (This sec(ion need not be completetl i! (he permit Is valued a( one huntlred tlallars ($100) or less.) ❑�I certity t�at in'the DeAormance of the work for which this permit is issued, I shell not employ eny person in any manner so as to 6ecome subject to Ihe workers' [ compensatlon laws of CaliFomla, antl agrae that if I shoultl becoma sublect to the workers' compensation pmvisions of Section 3700 of Ihe Labor Code, I shall torthwith �omply with thes /h� o% � �Appliiem-Slpneture� �/i(hf�/ �Date:: ��/%?i�� WARNINO:'FAICURE FE WOfiKERS' COMPENSATION COVERAGE I$ UNLAWFUL AND SHRLL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THWSANO OdlARE (E100,000), IN ADDRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECiION 3%O6 OF THE IABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm that I am licensetl untler provisions of C�apter 9(commencing with Section 7000) ol Division 3 ot the Business and Professions Cotle, entl my license is In full torce antl eXea. Lic. a Cless N Contrectofs Signature: Date: CONSTRUC710N LENDING AGENCV: � I hereby aHirm ihat ihere is a consiruction lending agency lor Ihe peAormance of iha work for which this permit is issued. (Sec. 3097, Civil CoOe). Lendefs Nama: Lentler's Atltlress: Signe�ure: Da�e: OWNER-BUILDEP DECLARA710N5: I hereby aNirtn that untler penalry ot perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Professions Cotle: Any ciry or counry which requires a permit to consiruct, alter, improve, demolish, or repair any structure, prior to its issuance, elso requires the applicant for such permit to tile e signed statament that he or she is Iicensed pursuaN to Ihe provisions ot iha Coniractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of t�e Business end Protessions Cade) or thet he ar she is exempt therefrom antl the basis tor t�e ellaged ezemption. Any Wolation oi Section 7031.5 by eny epplicant for e pertnit sub' e,epplicant to e civil penalry of not more ihan tive hundred dollers ($500).): _�1-as�owner ot the properry, or my employees with wa9es es t�eir sole compensation, WILL DO TNE WORK, antl ihe strucmre Is not imantled or oXered tor sale (Sec. 7044, 8usiness and Professions Cotle: The Contracmrs License Law does not apply to an owner of property who Ouilds or improves theraon, antl who does such work himself or herselt or through his or har own employees, provitled that such improvements are not intended or oHeretl lor sale. If, however, tha builainq or improvement is sold wi�hin one year ot wmpletion, the owner-builder will have the burtlen of proving ihat he or she did not build or improve for purpose ot sale.). � ❑ I, as owner ot Ihe properry, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044. Business antl Protessions Cotle: The contractors License Law Coes not appty to an ownar oi propeny who builtls or improves ihereon, entl who contrects tor such pmject with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exe pt undar sec. Business end Professions Code for Ihis reason: Signature� �/J�� _ Owna� r'I _�ied by dnvers license. ❑ Ves ❑ No Drivers License.No. �� Verilication of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify thet no eacevetion five (5) or more feet in depth into which a person is required to descend, wiil be mede in connec�ion with work euthorized by ihis permit, end that no building structure, scallolding, falsework, or demolition or dismantling thereol, will 6e more ihan �hirty-six (36) laet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Califomia Administrative Code). ❑ A5 ownervbuilder, I wiil not employ anyone to tlo work which would require e permit fwm the Division ol IndusMal Safety, es noted above, unless such person hes a permii ta do such work irom t�e tlivision. Signature: Date: Division of Industrial Satety Permit Numbec CERTIFlCA7E OF COMPLIANCE AND AlITT10RIZATON OF ENTTiV: I cenify under penalry of perjury Ihat I have read t�is epplication antl state ihat ihe Infortnation given is correci. I agree to wmply with ell stete laws and ciy ordinances relating to building consiruction, antl authodze representatives ot Ihe City of Costa Mesa to enter upon the above-describetl proDerry for inspection purposes. I egree not to occupy or allow occupancy of eny builtling authorized by Ihis pertnit until fnel inspection. �'l /,t�- - /T,/� —��• S� at�ure Oi Legel Owner(s) � ' � "`�� - Da e � �^ — AnNOr Authorizetl Applicant Data COQE Y. INSPECTIONTVPE 1616 Fixetl System Final Fire Prevemion 7266 Pool Spa Final 200 Final Re-Root 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 204. Final Sign Finel Domolilion PAI€ U�A6@ /� �� /%7 206 Final Mechanical 20B Final Plumbing 210 Finel Electncal 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Sita 250 Finel Building/Occupency �$ � R D�� #:� ��-'l� (7�b A city or counry, which is required to give notice pursuant to Section 19830, shall attach to such notice, and, as a condition precedent to issuing a building permit, require the completion and reguire the retum o£, an owner- builder verification. Atren[ion Property Owner: An `owner-builder' building permit has been applied for in your name and bearing your signamre. Please complete and return this information in the envelope provided at your earliest oppoRunity to avoid unnecessary delay in processing and issuing your building perniit. No buildin¢ permit will be issued until this verification is received. �I �I�personally plan to provide the ajor labor and materials for wnstruction of the proposed property improvement �1=�n❑ No � [Z�'(have ve not) signed an application for a building permit for e osed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address Phone ( City _ Contractor's Lic. No. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work: Name Address _ Phone ( ) City _ Contractor's Lic. No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide Ihe work indicated: Name toa2-06 (Rev. t Vo4) Address Phone Type of Work 1238'� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIRORNIA For Applicanf fo Fill In Complefely -TYPE OR PRINT BUILDING ADORESS 3229 Nerr ork Avenue COSTA MESA. CALIFORNIA ■ SIZE Mesa Carlson & NO. OP BLDOB. LINB FROM Gn � � I LEFf S� I RIGHi S� DESCRIPTION OF WORK NO. OF ROOMS IROOF ■ USE OF BUILDING AND FEE RECEIVED �� JUN 211960 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only NECEIPT NO. I � PEI (� iC RECEI V� I��Te�EI' G d JUN � FIRE ZONE APPROVE� COSTA MESA, CALIFORNIA ZONING NO.OF ,� I use or rv PLAN9 ��BUILDINO �YAR�S EVES APPROVEO ALLC � fClNTER LINE 9T.1 /�' ai Sin le fanil residence �;uith attached ara e. Plan 20AR I HEREBY ACKNOWIPDOE n1AT 1 HAVE READ THI6 A]PLIWTION ANO BTAiE TXAT TNE A60VE 18 COAPECT ANO AGRE6 TO COM- T�e AMOUNT BNOWN UNDER VALUATION IB FOq TH! PURPOSE OF. EBTRBLIBNING I. PEPMIT FEE ONLY. PLV WITH ALL GITY OPOINANCEe AND BTATE LAW9 REOULATINO aU11diN6 CONeTRUCnO • VALUATION SIGNATURB OF PERMIT FEE $ 36• PERMITfE �$ 16�].OI,• PLAN CHECK $ I.S• AUTHORIZED AGENT �-ke & legrove, IT1C• 54• Tl1Tl� CFC 4 � ,CS�iI�� GENERAL C0: AP. No. INSPECTIONS OCCUPANCY Form 270-5M-11�59 S-B P Vermont Ave. Land 3229 New York Ave Dike & Cole�rove, r.oT 123 T�cT 3648 � DATE I DATE PERMIT FIRE ZONE DESCRIPTION OF WORK Res :i OUP I 8c J TYPE V ZONE SUBCONTRACTOR � _ __ PERMITSISSU U � (�J