The URL can be used to link to this page

Home My WebLink About3269 MINNESOTA AVE - Building Permitss 0 (714) 754-5273 • Fax (714) 754-4056 • www.ci.costa-mese.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT �obAddress: 3269 MINNESOTAAV Suite: Viciniry: RESIDENCE AND ATTACHED GARAGE Parcel Number: 13906306 npplicant: ALEXSON, TROY Address: 1653 SUPERIOR AVE COSTA MESA, CA Owner: PASEK, GERALD S Address 3269MINNESOTAAVE Zoning: Phone: (949)642-7222 Zip: 92627 Phone: � COSTA MESA, CA ' Zip: 92626 Contractor: LEE ROOFING OF COSTA MESA Address: 7653 SUPERIOR AVE Arch : Address: Phone: (949) 642-7222 COSTA MESA, CA Zip: 92627 License: 349686 Phone: Eng: Address: Slatus: ISSUED Applied: OS/13/2003 Issued: OS/13/2003 Phone: Zip: License: ' License: SCOPE OF PERMIT REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXISTING ROCK ROOF, REPAIR/REPLACE SHTG AS NEEDED, 1 LAYER 30# FELT, APPLY "30-YEAR DIMENSIONAL COMP SHINGLES " 29 SQUARES PITCH: 2.5:12 Plan Check: $0.00 Permit: $125.25 SMIP Res: $0.56 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.81 SETBACKS MAIN STRUCTURE Front 0. 0 ACCESSORY Front 0-0 PARKING Ezistin : 0 Rear 0- 0 Rear 0- 0 Reouired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $s,soo.00 ss,soo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements undei Califomia statutes and related regulations. (Ord. No. 92•28, § 1, 1241•92) �'� EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 1B0 days, or if work is suspended or abandoned � for a period of 780 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply vrith all applicable codes, and all requlred inspeetlona end final approval must be obtained. Failure to obtain inspections and final approval will result in tha expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 sesas �aroo� WpRKERS'COMPENSAnON DECLARAnON: I hereby eMirm under penalry of perjury one ol ihe following declarations: ❑ I heve and will maintein a certifiwte ot Gonsent to selbinsure tor workers' compensation, es providetl for by section 3700 ot the Labor Cotle, for the peAormance ot the wark for which lhis pertnit is issuetl. �have and wlll maintain wOrkers' compensalion insurance, as requiretl by seclion 3700 of Ihe Labor Code, lor Ihe pedormanca of the work for whic� this pertnit is issuetl. My workers' compensation ura e carner end policy number ere: � �ama� �k .� Po��ty��: .a�S oer� �9�rzew� (Tnis secfion need not be completetl ii the permit is valued et one huntlred dollers ($100J or /ess.J ❑ I certity that in the pedormance of the work lor which lhis permit is issue0, I shall not employ any person in eny manner so es to become subject to t�e worke�'+' compensa0on ia, a egree thai It I s�ould bacome sublect to ihe workere' cOmpensatlon provision5 of Sectlon 3700 oi the Lebor Cotle, I 5hall torthwllh comply with these pro ions. G 2 qpplicantSipneture: Date: � ✓ ��/�� WqRNINO: FAIIURE TO SECURE WORKERS' COMPENSATION COVERNGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AN� CIVIL FlNES UP TO ONE HUNDRED THpUSAND DOLLARE ($100,OD0�, IN ADDITION TO THE COST OF COtAPENSATION, DAMAGES AS PROVI�ED FOR IN SECTION 3]OB OF THE LABOq COOE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARA710N: I h9reby atfirtn that I am licen5� d under provisions at Chapier 9(commencing with Section 7000) of Oivision 3 ot the Busine� an Pd ofessions Code, and my license is in full mrce ana effect. Lic;a -1� 3N �( � j� class a � 1 Con�reclorsSigneture�. �. 1/In�� Date: G_,��pT CONSTHUC710N LENDING AGENCV: ❑ I hereby eNirm that there is a consiruc�ion lentling agancy for the pedormance of the work for wMch this permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lentler's Adtlress: Signeture: � Date: pWNER-BUILDER DECLARATIONS: I he�eby afllrtn that under penalry oi perjury that I am EXEMPT FROM THE CON7RACTOFiS LICENSE LAW for the fo��owing reason (Sec. 7037.5, Busineu antl Profeulons Code: Any city or county which �equires e permit lo conslruc6 elter, Improae, damolish, or wpair any 51rucW re, prior to its issuance, also repuires the eppllcaM for such permit to file e signetl stetement thet he or she Is IlcenseC pursuent to the provislons ot ihe Contractors License Law (Chepter 8(commencing with Sectlon 7000) oi DlNslon 3 of the Busi�ess end Pm�essions Cotle) or that he or sha is e:empt Ihereirom and the basis for the allegetl ezemption. Any violation of Section 7031.5 6y any applicam tor e permit sublacts the applicaM to a civil penalry of not more than fiva hundred dollare (5500).): ❑ I, es owner of t�e pmperty, or my employees with weges es ihelr sole compensation, WILL DO THE WORK, antl ihe sWCWre is not intendetl or oNered for sale (Sec. 7044, Busineu and Pmtessions Cotle: The Contractor5 License Law tloes noi apply ro an owner at properry who builds or improves Ihereon, and w�o tloes such work himsell or �erseli or ihrough hls or �er own employees, providad ihai such imprwemenis are not inrentled or oHeretl tor sale. li, however, ihe building or improvement is sold within one year ol complation, the owner-builder will heve the burtlen ot proving ihat ha or she tlitl not build or improve lor purpose of sale.). ' � I, es awner at Ihe properry. am EXCLUSIVELY CONTHACTINC WITH LICENSED CONTRACTORS to conSWct the pmject (Sec. 7046, Business antl Professions Cotle: The coniractors License Law does not appy to en owner ol pmpeny who Ouiltls or Impmves Ihereon, antl w�o coniracts for such project with e contrector(s) license pursuent to Ihe Conirectore License Lews.). ❑ f am exampt untler sec. Sigr�a�ure: Owner ID venfied by tlrivers licanse. 0 Ve5 VeriNca�lon ol Ownership by (type oi document, i.e. Business and Pmtessions Code for tnis reason�. ❑ No Driver's License No. property ta: bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Date: Ezpires: ❑ I hereby ceAlfy ihat no excavation five (5) or more feet in tlepth into which a person is requiretl Io descenA, will be made in wnnaction with work auihonzetl by this permit, and tha� no building slrucWre, scalloltling, falsework, or demolition or dismantling thereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Gry 2, An 2, Sec. 341, Ttle e, Califomla Adminisirative Coda). ❑ As owner�builtler, I will not employ anyone lo do work which would repuire a permit irom the Division ol Intlustnel Sefary, as noted ebove, unless such person hes e permit to tlo such work from the division. Signature: Date: Division oi Intlustnal Safary Permit Numher: CEMIFICATE OF COMPl1ANCE PNO AlfTT10RVATON �F ENTTiY; 1 certity untler penalry ot pequry that I have reatl this application anC sWte that Ne Information given is correct I agree to comply with all state laws en0 city ortllnanCes relating to builtling consiruction, entl authodze representatives of Ihe City of Costa Mesa to enter upon Ihe e6ove-descn6ed p�operty for inspection purposes. I agree not to occupy or allow occupancy of eny building authorizetl by this permit until final inspeCtion. COOE1, INSVECTIONTYPE 1616 Fixed System Pinel Fire Prevemion 1266 Pool Spe Final 200 Final Ra-Roof 201 Final8locWRetaining Wall 202 Final Faclory Fire Place Zp3 Final Sign 204 Finel Demolition Qag 1NL194S IF/ I _ � � � �_ iii/ � /j/� / S-/3— a3 Date SODE I INSVECiION TYPE 206 Finel Mechenical 20B Final Plumbinq 210 Final Electrical 2/2 Finel Fire Prevenilon 220 Finel Planning Approval 222 Final Site 250 Final Builtlin<y0ccupancy Q� I�LS Z . a cwj HZ 2Q ON am J � J � Q W 6] J J m Q U N Z Q W � dw J � m Z J � W w � _ Z � W � N � �O F z Q U J a a a � f' N Z O H U � � H y Z 4004 7 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applican[ to Fill in Completely BUILDING 2/1 /'� .i //N,j /�c`�Yll j(//(� AODRESS ��uGr�J/ i�i �v �vti••� �_w..., O W N E R�"+ �`�/IJ F�/�J MAIL A�P��%� ADDRESS �Y ��T� Cas7'A M�S,g No�s-7� BflANCH AD�RESS CONTRACTOR (JIY�' ADOFESS CITV STATE LIC. NO. SI2E 2O OF LOT� J X / USE OF %/J'�� EXI5TING BLOG ,/`(�C SI2E OF /Z V 2 � NEW BLpG. �� > EXTERIOR WALL I/ Inii COVERING l/�I�'�� USE OF BUILDING AND Tti-LL7/V NQ�� 7T(�' � i � �� F I R E ZONE 1`� � APPROVED L_y� BY TEL. ZON� NO. CITY 1'AFOS � LIC. NO. MAIN E �/� NO.OP BLDC$. (FROM GL /WJ NOW ON l0T / FFOfYT � r.>{�� %�i ' ♦ ^ pO.OF nn,uc crna�oc � i c�no I BE PERFORMED DI5TANCE MAIN BlD F/��/�-y�M. � � � P� APPROVED 1 hereby ecknowlatlBe that I have raetl this epPlicatiOn entl rtete that the above infarmation is corract and aBree to comply wlxh ell laws reguletlnp builtling consiructlan, antl I shall noi employ eny person in violation of the workman'a compensetion laws of She $tete 01 CalifOrnla. I hereby cartity Iha[ I am properly licencetl es o contrector untler Me Steto ot California Bustness antl Professionf Cotle, Dlvisicn 3, THE AMO� Chaptar 9, antl thet such licenses ere in full foroe entl etfact, or 1 TME PURPC am exampt tram Me provisions of Ne Srota of Califomia Bus(ness VALUATION antl Professions Cotle, Div' i n Chepxer . SiB^ature of �%�� Germlttee $ 0 Au[ho�ixed Apent vaiu r `�AY 12-75��00109�;f r:�* ^77_.62 TION FOR BUILDING PERMIT DATEFECEIVED neTcissiu VALUE OF USE OF NEW NS � BUILDIN O O �%� VED YARDSAPPROVED DATE FPPROVED �— neTc S �(o ^ SHOWN UNDER VALU'AT IF E5TABLISMING A PERMIT � W 0 IS FOR ONLV: Q — m N J ' m E � `o LL Lor 121 TR 3 722 . 13�.'7� COSTA MESA BUILDING-SAFEN DEPARTMENT P. O. BOR 917 C09TA MEBA. CALIFORNIA For Applleanf fo Fill In Complefely TYPE OR PRINT BUILDING AODRE68 �269 MINNESOTA AVENUE ' CASTA MESA. CAL{FORNIA MAIL ADDRES6 Ir15S PLACENT TEL. FIRE ZONE APPROVED R-1 L60AL �3Q�' � 00 I NO�_ OP BLD69. Q FEE RECEIV�D � OCT 241960 �fINANCE DEPT, CITY Of COSTA ME9A APPLICATION FOR PERMIT BUILDING For Office Use Only i1ECHIVT NO. � P�jl�}IT�flf er D1T6 IBBUBD COSTA MESA. CALIFORNIA ZONING NO. OP ' 1186 OP N8W rurvs o euaotna . CHMew OPN8TR8FTM Of REAR YARD ZZ•�' ��Mew uNc si.� /�J FRONT SIDE YARD I LEFf l� / I RIGHT t7 / R 61DE � DESCRIPTION OF WORK ___ 91ZE � �. – Jt ROOM& V STORIE6 HXTERIORWAL4.UCC0 IROOE ROCK COVERING � COVERING U66 OF BUILDING AND WORK TO BE PERPORMED If:l F FCMII Y RFSIf1FNfF AND ATTACHED GARAGE PLAN Z-B i xexeer wcecNow�sooe rH�r 1 NAVE nsnc rH�a APPLIGTON ANO BTATB THIT TN6 ABOVE IB C06FECT AND AGqGH TO CAY- PLY WITH ALL C�N ORDINANCQ6 AND �$$��'{�TE g p6GULATN6 BUILDINO CON9�UGj�� N. ^ ` � // 81GNATURE OK / f/p p� i /p_.�_�. �� ■ AUTHORIZHD AGENT APPROVEDW L. D. av TH6 AYOUM BHOWN UNDER V�LUAT�ON 18 FOP TH¢ PUI808E OP fiBTABLIBXING A PBRMIT P8H ONLY. VALUATION S �/ PERMIT FEE S ' � — ' / ��//� PLAN CHECK $ I � �K � O u