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Home My WebLink About3213 MONTANA AVE - Building Permits(7�4) 754-5273 • Fex (774) 754A856 • www.cl.cos�a-mesa.c�JILDING PERMIT 77 hAIH OFiNE, WSIA Mh.�A, GA 92626 JobAddress: 3213 MONTANAAV Suite: Viciniry: Primary Occ: R3 Parcel Number: 13909304 ApplicanC YOLANDA HUPAYA Address: 1216 N HANCOCK SUITE 107 ANAHEIM,CA owner: HOSTERMAN, BUR70N M Address 3213 MONTANA�AVE COSTA MESA, CA � / ,' - , � Contractor.�.MC CORMACK ROOFING Address: ,-,1216 N HANCOCK � � - � � SUITE 107�� i -"- ' ' �� .ANAHEIM;CA'� -� � � �. .' Zip: 92807 �, ' Arch � Address:� � , Zip: Phone: Type of Conslruction: V-N Zoning: � ' ' . License: :' �, Phone: 714-777-0040 Zip: 92807 ISSUED BY: Status: ISSUED Applied: 08/O7/2006 Issued: OSI01/2006 � Phone: Zip: 92626 , - - '. . . . _ - � ��\ � �� \ � _� Phone: 714-777-4040: ��. - "� ,��\ •� • . _.. ... � `�� License: ,•643700 �� En9: . - , _ � 'o . Address: ' . � SCOPE OF PERMIT TEAR OFF INSTALL7/16" OSB 1 LAYER OF 30# FELT AND 30 YR COMP. SHINGLES � FEE SUMMARY Plan Check: $0.00 • -- - - � Permit $11125 � _ . _ - SMIP Res: . $0.50 SMIP Com: $0.00 ' Other: $0.00 � Inspection: $0.00 — - --- -- - TotaL• , $111.75 � PLANNING & ZONING SETBACKS - - ' MAIN STRUCTURE Fron� 0- 0 Rear -0- 0 Left � 0- 0. ACCESSORY ,, Fronl ��0-0 , _ ,Rear 0-0 , Left 0-0 � � PARKING,� Existina: 0� Re uired: 0\� Pr000sed: 0 ' � ...�% � / �� . . _ _ . . _ .,` � Phone: � License: � , , _ Calc Valuation: � Sa,soo.00 Claim Valuation: Sa,600.00 _, � , . __ � ' i ` . , _ �+ ; ;; - • . � � _ � , Right� 0- 0-�� , - Ri9ht- � =0- 0� � , ; � , _ � , ' � . . �' i, � � ��/ • �� /� NOTICE: The work aulhorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes antl related regulalions. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within iB0 deys, or if work is suspended or ebandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all epplicable codes, arM ell requlred Inapeetion8 end final epproval must Oe oblained. Fallure to obtain inspectlons and final approvai will result in lhe expiralion ol this permit. FOR INSPECTIONS CALL: (714) 754-5848 � �� zas+e (erool WORKERS' COMPENSATION DECLApATION: ,,.� ', I hereby aRirtn untler penalry of perJury one ot the tollowing tleclaietlons: �• � �' ❑. Siieve edtl will melntain e certlficate of consent ro setl-Insure for workers' compensation, es provided for by section 3700 oi �he Lebor Code, foT the pert mance of �he work tor which this pertnit is Issuatl. II maintain workers' can satlon Insurence, es reqWreO �y section 3700 oi Ne Lebor Code, for Ne peAortnence of Newp� tor which NIs it Is Issuetl, My work TpR fi' n Insuren ' and poliry ber era: `! ��/�� 1�. 1, j �� (�°� cemer: I�AY�, (1 / O � �—)l.�L.�.r�°cy�Plu`oer. �� `'Y`-i�i m�_ __��_ �__�_._�...._ '__..._. ,.._' _" ___ .E_� 4� . _ , �..._ . � oi Ne wark for which ihis permit is Issued, I shall not employ any person I ,�tl egrea that tl I should become sub�ect lo the workers' compensetlon THOUSAND DOLLARE (E1110.OW)�IN ADOITION TO THE \ LICENSED CONTAACTORS DECLARATION: CONSTRUCTION LENDIN�ENCV: ❑ I hereby eHirm thel lhere is e constmctlon Lentlers Nama: SipnaNre: IS UNLAW FUL AND SHALL SU9 1TION, DM4AGES AS PFOVIOED ier so as to become subjecl lo Ihe workers' ot SeFtlon a700 oi Ihe Labor Code, I shell foMwith i AND CIVIL FlNES UP TO ONE HUNDRED INTEREST, AND ATTORNEY'S FEES. (commencing wilh Section 7000J o Ihe Busines n m lons C�9, and my Iicense is In full Gass N �J br tha peRormence of the work tor which ihis permit is issued. (Sec. 3097, Civil Code). Lentlers Address: Date: OWNER-BUILDER DECLARA710NS: I �ereby eHlrtn ihet under penelry of perjury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the fallowing reason (Sec. 7031.5, Business anG Professions Catla: My Ury ar counry which roquires e pertnit ta construct, elter, improve, demolis�, ar repeir any strudure, prior ro its igsuenca, elso requires the epplicant lor auch permit to iile e sipnetl statement ihat he or she Is Iicensed pursuant to ihe provlsians of the Gonirectors License Law (Chapter 9(commendng with Sectlon 7000) of DMslon 3 ot the Business end Protesslons COAe) or ihet he or she is exempt t�eretrom end ihe basis for t�e elleged exemptlon. Any violetion of Section 7031.5 by eny epplicant for e permN subjects Ihe epplicent to e civil penelry o1 not more then five hundred dollere ($500).): ❑ I, es owner of the propeny, or my employees wlih weges es Ihelr sole compensatlon, WILL DO 7HE WORK, and ihe structure Is not Intentled or oXered for eele (Sec. 7044, Business and Professlons Cotle: The ConlraMors License Lew tices not apply to en owner of property who bulltls or Improves lhereon, flntl who does such work himselt or hersetl or throuph hls or her own employees, providetl that such impravemenis are not Intended or oHered tor sele. It, �owever, the builCing or Improvement Ia sold within one year oi wmpletlon, ihe ownerbuilder will heve the �urtlen ol proving Ihat he or she did nat build or Improve for purpase o1 saleJ. ' ❑ 1, es owner of the property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the pro�ad (Sec. 7044, Business end Professlons Cotle: The contraccore lJcense Lew tloes not appN to an owner of properry who builds or Impmves t�ereon, and who comrects tor such project wlt� a contractor(s) Iicense pureuant to ihe Contractors License Lews.). ❑ I am ezempt under sec. Business antl Professions Cotle tor Ihis reason: Signature: Date: Owner ID verifietl 6y tlrivefs Ilcense. ❑ Yes ❑ No Drivers License No. Vertlicetlon oi Ownershlp by (type oi document, I.e. - property lax blll or tleetl): Ecpires: DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICA710N: ❑ I hereby certify ihat no excavetion five (5) or more teet In Aepih Into which a person is requlred to descen4 will be mede In connectlon with work euthorizetl Dy this pertnit, entl that no buildinp Slructure, scaHoltling, falsework, or Oemolition or dismaniling t�ereol, will be more ihan thirry-siz (38) feet �iph. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Tltle 8, Califomia Atlminlstrative Code). ❑ As owner-builtler, I will not employ enyone to do work which waultl requlre e permit irom ihe DiWsion oi Intlustrial Setery, es notetl ebove, unless such peraon hes e pertnit to tlo such work irom the division. Signatura: Date: Divlslon oi Industrial Sefary Permit NumDer. CERTFlCATE OF COMPLIANCE AND AUfFfOfiVJ1TON OF ENTRY: I certity untler penalry oi peryury thet I have read this epD��a�lon end state thet the Informetion given Is correct. I agree to comply wl�h ell state laws antl ciry ordinances relating to tuilding cnnstructlon, end euthonze representatives o1 Ihe Ciry of Casta Mese to enter upon the ebova-described property for inspection puryoses. I agree not to occupy or allow occupancy oi eny builtling aulhorizetl by this pertnit until finel inspaction. 1818 v Fixetl System Finel Fire Prevention 1268 Pool Spa Final 200 Finel Re-Root � 201 Flnel Block/Retaining Wall 202 Finel Factory Fire Plece 203 Finel Sign 204 Finel Demolition .. .. .. COOEI MSPECTIONTYGE 206 Final Mechanical 20B Final Plumbing 210 Finel Elec�ncal 212 Final Fire Praventlon 220 Finel Planning Approvel 222 Finel Site 250 Final Building�Occupency ��I.H�Ciul�\cl �or 25 - rR 3�03 . .�,�1_r COSTA MESA BUILDINGSAFETY DEPARTMENT P. O. BOX 917 C06TA MESA. CALIFORNIA For Applicanf +o Fill In Compleiely TYpE OR PRINT AODRESB Z� MONTANA AVENUE COSTA MESA CALIFORNIA ■ aRCHrcecr i555 PLACENTIA AVENUE TEL. W��KOLL CONSTRUCTION CO.�INC. NE'dPORT BEACH� CALIFORNIA CITY 6TATE i. . __ TEL. ... w I NO. OF B1DG8. Q SHTBAGK LINB FROM �O 1 �J { C6NTHR OF 6TX6¢i REAR YARD � SIDE YARD LEFf � t I RIGHT J� DESCRIPiION OF WORK ..�.., I x II ., �Go.r,�N I II e��,r,�., I 88ZLDING �6��,755� ROOMS o STORIES 1 PXTERIORWALL STUGC�1Ra�F �OOD SHINGLES COV8RIN0 COVERIN UBE OP BUILDING AND WORK TO BE PERFORMED GARAGE PLAN �-AR � FEE RECEIVED � JPN 301�51 � FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only R8Ce1PT NO. A PERMIT NO. 9 �� BY DA}/Q H8Fy$1V!9 DAiE IBBUED . I /�/J�Y_/I�P��nn �s� FEB 1 1961 I' COSTA MESA. CALIFORNfA FIRE ZONE APPROVED ZONING zo ` I NO. OF ,� I use or n � •— � PLAN9 BUILDINO LEOAL , � 1 (� APPROVEO 9i. ) I XHRlBY ACKNOWLHDOB TMAT 1 HAVE RlAD TH19 MPLIGTION TNE AMOUNT 6HOWN UNDEP VALUATION IB POft THE ANO 8TAT6 TH�T THH A00V2 IB GORRGCT AND ACRE! TO COM- pURPOB6 OP 88T/�9L18HIN0 A PBRMIT PEE ONLY. PLY WITX ALL CITY OPDINANCEB A HTAT2 LAWB RE6ULATINO 9UIlDINa CONBTRUR1oN VALUATION ��_ SIGNATURH OP � � � PERMIT FEE $ PERMI7TL' j��JL'� /f $ � / " PLAN CHECK $ / s �' AUTHORIZED AGENT �- 70TAL FEE