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Home My WebLink About2879 MONTEREY AVE - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 2879 MONTEREY AV Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 14156223 Applicant: HAMMARSTROM, HOGAN Address: 18903 SAN CARLOS ST FOUNTAIN VALLEY, CA Owner: STEVENS, GREGORY H Address "2879 MONTEREY AVE . �COSTA MESA, CA � Convactor: ABSOLUT ROOFING CO Address: 18903 SAN CARLOS ST Arch : Address: FOUNTAIN VALLEY,CA Zip: 92708 Phone: Zoning: Phone: 714-6552231 Zip: 92708 Phone: Zip: 92626-4215 Phone: 714-655-2231 License: 761118 Eng: Address: ISSUED BY: Status: ISSUED Applied: O6117/2003 Issued: 06l17/2003 Phone: Zip: License: License: SCOPE OF PERMIT REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXISTING COMP SHINGLES, REPAIR/REPLACE SHTG AS NEEDED,'I LAYER 30# FELT, APPLY "50-YEAR CENTAINTEED PRESIDENTIAL COMP SHINGLES." 2600 SQ FT Plan Check: $0.00 Permit: $12525 SMIP Res: $0.52 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.77 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existin : o Rear 0- 0 Rear 0-0 Required: 0 FEE SUMMARY Calc Valuation: Claim Valuation: PLANNING & ZONING LeR 0- 0 Left 0- 0 Pr000sed: 0 Right 0. 0 Right 0-0 $s,zoo.00 ss,zoo.00 NOTICE: Tha work authorized by this permit shall comply with all applicable handicap access requirements under Calif ro nia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced withln 1B0 days, or if work is suspended or abandoned for a period of 180 days. � • INSPECTIONS: In order for the work authorized under this permit to be consldered legal, such work must comply with all applieable codes, and all requlred inapeetlona and finel approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaas�ae (eroo) WORKERS'COMPENSAnON DECLARAnON: . I hareby aNirm untler Oenalry of perjury one of the following declarations: ❑ I have enA will malntein a certificate ol wnsent to selFlnsure tor workers' compensation, es provitled for by seclion 3700 ot the Lebor Code, lor Ihe pertormanca of Ihe work tor w�ich this permit Is issued. ❑) 1 hava end will meintain workers' compensatlon Inw2nce, es required by section 3700 of Ne Labor Code, for Ne pertortnance of the work tor which Ihis pertnit is issued. My workers' compensation Insurence carriar en0 policy numher ere: �/ Carrier: 3 f I1 j Q�-FU 4� li PoliCy Number: � S L` � S SD (ihls sectlon need not be completed i! the permil ls ve/uetl el one hanCreC dollars ($f 00) or less.) ❑ I certify that in ihe peAormence ot the work lor which this pertnil is Issued, I shall not employ any person in any manner so as to become subjact ta Ihe workera' compensa�ion lews of Calilomie, antl egree that II I should �ecome subject to the workers' compensation provisions ol Section 3700 of Ihe LaDor Code, I shell lorthwit� wmply with these,�/rp�h��yipns^�� s, I� • O� Applicant Signeture: ( �KLM.' � Date: � % WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVEMGE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO qJE HUNDRED THOUSAND DOLLARE (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES 0.S PROVIDED FOFi IN SECiIIXJ 3]O6 OF THE UBOR ODDE, IMEFEST, AND ATTOFNENS FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettlrm that I em li sed under pravisions of Chapier 9(commencing with Section 7000) of Division 3 oi the eusiness endp rafessians CoAe, end my license is in tull ro�ce end eaect. uc. a �'� �n I I I� c�ass s i' ' S S Contrector'S SlgnaNre: �%.G .�n /1 n n. n Daie: �d . l� , n �7 CONSTRUCTION LENDING AGENCV: ❑ I hereby eHirm that there Is a consimction lentling egency for the pedormance of the work tor which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lenders Address: � Signature: Date: OWNER-BUILDER DECLARATONS: I hareby eHirtn ihat untler penalty of perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business antl Professlons Code: Any city or county which requires e permit to consWct, elter, improve, tlemolish, or repair any simcture, prior to its issuance, elso requlres the eOC�icant for such permit to file e slgnetl stetement ihet he or she Is Ilcensad pursuant to ihe provislons of the Contrectors License Law (Chepter 9(commencing with Sectlon 7000) oi DlNslon 3 ot the Business antl Professions Cotle) or that �e or s�e Is exempt theretrom and Ihe basis for the alleged exemption. Any violatlon of Sectlon 7031.5 by eny epplicant tor e permlt subjecis ihe epplicant to e civil penetly ot not more then five hundred dollars ($500).): ❑ I, as owner ot Ihe property, or my employees with wages es Iheir sola compensatlon, WILL DO 7HE WORK, and the siructure Is not intentletl or oMaretl for sele (Sec. 7044, Business end Pmfessions Code: The Contractors License Lew does not appty to an owner of property who builds or impmves ihereon, and who does such work himself or �ersell or ihrough his or her own employees, provided ihat such improvemants are not intendetl or ottered lor sale. If, however, Ihe builtling or improvement is sold within one year of comDletioq Ihe owner-builder will have.ihe burden of proving ihat he ar she did no� builtl or improve tor purpose of sele.). • ❑ I, as owner of ihe property, em EXCLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to conslruct the project (Sec. 704a, Businesa end Professlons Code: The contraaors License Lew tloes not apply to en owner ot properry w�a builas or Improves thereon, and who contraas for such project with e contrector(s) license pursuant to the Contrectors License Lews.). ❑ I em exempt under sec. SlgnaNre: Owner ID vertlied by drivers liCenSe. ❑ Ves ❑ No Business end Protessions Cotle tor this reason: Vetlficetlon oi Ownership Dy (rype ot Oaument, I.e. - properry te: bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Dnvefslicense No. Date: Expires: ❑ I hereby certity �het no excevetion tive (5) or more teet In depth into which a person is required to descend, will be made in wnnectlon wllh work euthorized by this pertnit, end thai no Duiltling strudure, scaHoldinp, talsework, or Gemolition or tlismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle 8, Celitomia Administretive Code). ❑ As owner�builtler, I will not employ enyone to tlo work which would require e pertnit Irom 1he Divisian of Intlustriel Safety, es notetl a6ove, unless such percon hes e pertnit to tlo such work trom the divislon. Signelure: Da�e: Division of Induslnal Safery Permit NumDer: CERTIFlCATE OF COMPLIANCE AND AUTHORPJITON OF EN7fiY: I certify under penalry of perjury that I have read this epplicetion and stete that the intortnetion given Is correcl. I egree to comply wit� all stete lews antl dry ortlinences relating lo building wnsiructlon, antl euthonze representatives of Ihe Ciry of Costa Mese to enter upon Ihe ebove-described properry for inspectlon purposes. I egree not to occupy or ellow occupancy of eny building authorized by this permil until final inspection. Signature OI al Owner(s) D e `�,Q,. �,I ., ,,., l v , � � . �� An[llOr Aulhorizetl Applicent Date CQQE I. INSPECTION TYPE 1616 Fixed System Flnal Fire Prevenllon 1288 Pool Spe Finel 200 Finel Re-Roof 201 Final BIocWRetaining Well 202 Final Fadary Flre Place 203 204 Final Sign Final Damalitian Q� ��$ _zs�j �vU- COpE� INSPECiqNT1PE 206 Final Mechenical 208 Final Plumbing �10 Final Electrical :'2 Final Flre Prevention 220 Final Planning Approval 222 Final Site 250 Final BuildinglOccupancy Qdg Qii�Li . . �5u� � COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 317 C08TA MEBA. CALIFORNIA For Applieani fo Fill In Compleiely TYPE OR PRINT COSTA M�SA. CALIFORNIA OWNER M D O f. ISO ADORESS 80��F+, Coast Hi hwa TEL. an C Mar Calif No.OR 1�220 ,^,e°�.�,�E�«e Macco Corporation Tu�OR 34220 ADDRES6 8OO F+• CO$Sti GONTRACTOR MaCCO Corpo ADDRESS 3800 �• COaSt cirr C a del PIar �;� T�o. 988o8-s s-1 o r kt tct�ti v tu Lot 23 T act l�204� Plan SEP 1 �196� ,,,,i FINANCE OC�'. / CItY OF COSTA MESR APPLICATION FOR PERMIT BUILDItdG For Office Use Only RECEIPT NO. I � �PlRMISSNO. BY I OAiS pELEIVE� I DATE IB9UED COSTA MESA. CALIFORNIA FIRE ZONE TYPE GROUP� APPROVED BY DATE Highway ZONING ZON NO.OF UBE OP N Jali£ornia � '- PLANB % BUILDING NOYl�' �^LGO DESCRIPTION T _ 1`��-�./` INO. OF BIDpB NOW ON LOT nOne p, p, NO. �� ne Yi1RD5 EVES APPROVED ALLOWEC 66TBACK LIN¢ PROM 'iL � �8�L11 (CENT6R L�NE 9T.) �.-/ C¢NTER OP 9TPEET J�� REAR YARD V �e...�� + b r 6� SIDE YARD ILEFT J� RIGHT DESCRIPYION OF WORK 5��X7��6�� ROOM6 � WALL - - IROOP stnrrn COVERING IILDING AND WORK TO BE PEI �iugle famil� roSirl a/attached garage L.SIDE s REAR � � �YPROVED �� 1 Livin area Garage area IN. IN. � IN. � IN. �err 9��-" �� 11�67 S F I HEREBY ACI(NOWIEDGE THAT 1 HAVE RHAO THIB APPLIGTION {HE AMOUNT 6HOWN UNDER VALUATION �e FOR THE ANO eTAT6 THAT THE ABOYE I8 GORRECT ANO AGREE TO COM• pUFiPOBE OP, EBTABLIBHING A PERMiT FEE ONLY. vLY WIiH ALL CIIY ORDINANCEH AND 6TATH LAWB RE6ULATINO Bu1LDINo CONBTRUCTION. VALUA710N �JG 81GNATURE OF a Del Mar Development Co • PERMIT FEE $ i v�� PERM ITTE 16,084. �Q a � $ PLAN CHECK $ /O � AUTHORIZED A 54�0� iOTAL FEE