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Home My WebLink About3264 MINNESOTA AVE - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT %� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3264 MINNESOTA AV Suite: Vicinity: Primary Occ: R3 Type of Construction: V-N Parcel Number: 13906403 � Zoning: Applicant: RISK,DOUG Address: 2781 W MACARTHUR BLVD # B373 ,..k'�n(i; i'' " jt. � SANTAAN�:.;��''.'`� " - t . r isr,� �' �_ , � � Owner PRICE,DAVID ��t�-' _ � Address `3264 MINNESOTA ST G-�'. �- �, �_ ) . r�,� ., E , % : �rCOSTA MESA,-CA � ; , .. , j, f.f ,, Contracror � COASTAL�BUILDERS -'Address:�. 2781 W�MACARTHURBLVD#8373 Phone: �714-547-8092� .- � Zip: � 92704 t� ' - Status: ISSUED Applied: 05/16/2005 Issued: 05/16/2005 ISSUED BY: �Z Mt . , Phone 714 856-2805 " � � Zip: 92626-2244 ` .. � �/ � � i`�i .�� `-� �.. � � ; 4� ;' Phone: 714-547-8092 , . ' ��'�' .�. � ' � - ' ,�SANTA�AN ,�., . i � -�.Zip: � 92704� ,,, .Cicense: 623480 , ;y;- � � .. Arch : , . - �� 4_ � ,��-; '� Eng: � , . Address:. �,'' 1 . ` , .,i�. ' _. ' — � Address: - _ „ . . . r ��. �-. .Phone: _ � � ,Phone: . . , ":i. �_ r -- , _ . �'Zip: . .'�Cicense: , � � License:, • � � � !"� �'`� .. .� '` SCOPE OF. WFERMIT,; � � � ' - TEAR OFF INSTALL 130LB FELT AND 25 YR COMP. SHINGLES. �� +i �� r- � f- � �� - ' � � `, � � : ` �� „ r , .�, PEE SUMMARY � ,:. � � � Plan Check: $0.00 '' t•` Calc Valuation Ss,sao.00 'Permit'. $125.25 _< ;o-` �J `-- - Claim Valuation: $s,3so.o0 �,SMIP Res: � $0.54 �J �' � ' SMIP Com: � � $0.00 ' � - � Other: $0.00 ' - - Inspection: ��$0.00 .. %� j� ` _ - �'� _,i_ � TotaL• . �$125.79 ,s �'� ,'`i .� . . , o , n,� i . - .. . �rtr % , y� ,, : . � . . .. . , c � '� i � � . PLANNING=& ZONING �;; � � ; �% z `, � � ` � t ` ' - ,. 30 �.%l � � �/ fr � . SETBACKS � ,. , �,� � , . �� .�, �,; � , � � � !. � . MAIN STRUCTURE��PPont 0 0 ' Rear �O=A� l:eft� 0 0 �- --'�Right 0 0�'i ' ` '_ ' _ . : _ , titi, ..i i - ACCESSORY Front 0- 0` �,-.��, Rear ' 0- 0 Left 0 0�` �' �� Right i� 0- 0='.� �� , ' .l 5 . : , . „ . � ; I. :e PARKING Existinq �` 0 ` � � . Required � � �0 ' ` - � �Proposed =p, i �� 1. - NOTES: - ' . , - - - ' .. - . � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 1247-92) EXPIRATION: This permit.shall�automatically expire and become void if work is not commenced within 180 days, or if�work is suspended or abandoned for a period ot 180 days. � INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of lhis permit. FOR INSPECTIONS.CALL: (714) 7545626 zaaaae (aroo) WORKERS' COMPENSATION DECLARATION: � � � ' I hereby ettirm under penalry bf pery'ury one ot ihe following declarations; � � ; - . � ❑ I have antl will.maintain a certificate of consent to selt-Insure tor workers' compensetion, as provided for by section 3700 of the Labor Cotle, for ihe peAormance of ihe �r which this parrt�it is issued. ' � - ., � ,�Yhave and will maintain Wo�ere' compensation insurance, as requiretl by section 3700 oi the Labor Code, tor the peRortnance of ihe work for whicH this permit is issued. y workers' compensation Insurance carrier and policy number are: . erri . PoliCy Number. is s tion need not be completetl i/ the permit is velued at one hundred dollars ($ f 00) or /ess.) �� I certify ihat in ihe perfoimance oi ihe w�k-Sor which this pertnit is issuetl, I shall not employ any person in any manner so as to become subject to the workers' mpansatlon laws oi Califomia, and Qr Atha '� I should become subject to the workars' compe�sat' rovisions of Section 3700 of Ihe Labor Code, I shall torihwith .. pb ih ovi ions. /! / plicant Sign tura: Date �/ f1 ) W . ILURE TO SECURE WORI COM ENSATION CAVERAGE IS UNL4WFUL AND SHALL SU&IECT AN� TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE ($100,000), IN A ION T(iTNE CAST Of COMPENSATION, DAMAGES AS PiiOVIDEO FOR IN SECTIQV 3]O60F THE LABOR CODE, IMEREST, AND ATTOf±NEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereb iha . lic§ngA� untler provisions of Chapter 9(commencing with Section 7000) of Divisi o/ Busir�qss and Professions Code, and my license is in full forcea � .# �L! d��l uQ,,., ss ��J Contractor' Sign re: �� Da` r�',�� CONSTRUCTION LENDING pGENCY: - . ' ❑ I hereby affircn that them is a constmction lending agency for Ihe pertormance of Me work torwhich Mis permit is issued. (Saa 3097, Civil Cocte). Lender's Name: Lender's Address: Signature: Dale: OWNER-BUILDER DECLApAT10NS: I hereby aHirtn thet under penalry ot perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business end Professions Cotle: Any city or counry which requires a permit to constmct, alter, improve, demolish, or repair any stmcture, prior to its iuuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to ihe provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or ihet he or she is exempt therefrom and the besis for the alleged exemption. Any violation oi Section 7031.5 by any applicant for a permit su6jects the applicant to a civil penalty of not more Ihan five hundred dollars ($500).): ❑ I, as owner of ihe property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and ihe structure Is not intentletl or ottered for sale (Sec. 7044, Business and Professions Code: The Contradots License Law does not apply to an owner of property who builds or improves ihereon, and who does such work himself or herselt or thr0ugh his or her own employees, provitled that such improvemenis are not intended or otleretl tor sale. If, however, ihe building or improvement is sold within one year of Completion, ihe owner-builder will have ihe burden of proving Ibat he or she did not build or improve }or purpose of sale.). - ❑ I, as owner of ihe propehy, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consimct the project (Sec. 7044, Business and Professions Code: The conireclors �icense Law tloes not apply lo an owner af pmperty who builtls or improves thereon, and who contrac�s for such project with a contractor(s) license pursuant to the Contractors �icense Laws.). ❑ I am exempt under sec. Business antl Protessions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Driver's License No. Verification of Ownership by (cype of document, i.e. - property tax bill or tleed): Expires: DIVISION OF INDUSTRIAL SpFE7Y PERMIT CERTIFICATION: ❑ I hereby certity ihat no Bzcavation five (5) or more feet in depth into which a person is required to tlescend, will ba mada in connection with work authorized by ihis permit, and ihat no builtling simcNre, scalloltling, falsework, or demolition or dismantling thereot, will be more than ihirty-six (36) feet higR (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Celifornia Atlministrative Code). ❑ As owner-buildar, I will not employ anyone to do work which would require a permit irom ihe Oivision of Intlusirial Safety, es noted above, unless such person has a pertnit to do such work From the division. Signature: Date: Division of Industrial Sefery Permit Number: CER7IFICATE OF COMPLIANCE AND AUTHORIZATION OP ENTTiY: I cehify under penalry of perjury that I have read this application and state Ihat Ihe informa�ion given is correct. I agree to comply with all state laws end ciry ortlinanws relating ro building constmction, and authonze representatives of ihe Ciry of Costa Mesa to enter upon Ihe above-desc�ed property for inspection puryoses. I agree nm to occupy or allow occupancy ot any building authorized by lhis permit umil final inspection. CODE t. 1616 1266 200 Fixed System Final Fira'Preven�ion Pool Spa Final Final Re-Rwf � ' � 201 Final BIocWRetaining Wall 202 Final Factory Fire Place ' 203 Final Sign 204 Final Demolition J" Q�j� RIpL ry —� !�l.�.ri COpE 11 INSPECTION TYPE 206 Final Mechanical 208 Final Plum6ing - 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy � OATE ., INTIfIALS LoT 5 rR 37zz . � , ��:�. �� COSTA MESA 6UILDING-SAFETY DEPARTMENT P. O. BOX 9fY COBTA M68A. CALIFORNIA For AppUcdnf fo Fill In Complefely � � TYPE OR PRINT - BUILDING AODREsB 264 MINNESOTA AVENUE COSTA MESA. CALIFORNIA � MAIL K.W. KOLL i555 PLACENTIA AVE TEL. STATE 6 i i 95 `�*E�. M i 6-3227 LIC. NO. NO. SIZE �Ox'I 00 I NO. OP BIDG9. OF LOT � NOW ON LOT '� U6E oF NONE EXISTING BLDG. 66TBACK LINB FROM �jO� z� � C6NTeR oP BTReeT J REAR YARD � r � 81DE YARO ILEFT� RIGHT J DESCRIPTIOtd OF WORK BUILDING �vv-uni� NO. OF I SIZE � � '7-r, HcE ROOMS 6 STORIES EXTERIOR WAL�r I ROOF ROCK COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED SING A I E AND ATTACHED GARAGE PLAN �-G I H6REBY AGKNOWLEGGE TXAT 1 HAVE IiE/�D THIB APPLIGTION ANO eTAT6 THAT TH6 ABOVE IB CORPECT ANO AGREE lb CAM- PLY WITX ALL CITY O�INANCEB ANO% AT6 yW6 PEGULATNO BUILDINO CONBiA��N� ' ` lai // � ' � SIGNATUR6 OF p ✓ �i/�,_ _ �. � � AUTHORIZED F�E RECEIVED � OCT 241960 � FINANCE DEPT. APPLICAi1�W �C�1�� BUILDING For Office Use Only er I o�rz aE��o I owre CASTA MESA. FIRE ZONE TVPE APPROVED ZONING ZONE NO. OF USH OF NEW 'R�� IPLANB 7 BUILDING �, �ec�� DE9CPIPTION T nt S _ A. P. NO. 1'IpT1P YARDS EVES APPROVED ALLO (C6NTHF LIN6 8T.1 �._ n�e AMOUNT BHOWN UNOEH VALUATION �8 FOR THE PYRP08E OP EBTABLI9HING A PERMIT FEE ONLY. VALUATION ' / � �� ` �� PERMIT FEE $ �v^ �✓ s /n $ � PLAN CHECK $ /�/ � F 0 u