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Home My WebLink About428 HAMILTON ST - Building Permits(714) 754-5273 • Fan (714) 754-4856 • www.ci.cos[a-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 428 HAMILTON ST Suite: A Vicinity: UNIT A Parcel Number: 41917129 Appiicant COFFEY, BRIAN Address: 2428 NEWPORT BLVD #5 COSTA MESA,CA Owner: LUCARELLI, TERESA S Address , 1525 PLACENTIA AVE #H-4 � , , NEWPORT BEACH, CA Contractor: THE ROOFING SPECIALISTS Address: 2428 NEWPORT BLVO #5 COSTA MESA,CA Zip: 92672 Arch : Address: Zoning: Phane: (949)722-8846 Zip: 92672 Phone: Zip: 92663-2832 Phone: (949)722-8846 License: 734068 Eng: Address: ISSUED BY: Status: ISSUED Applied: 07/22/2002 Issued: 07/22/2002 Phone: . , Phone: . , Zip: License: License: SCOPE OF PERMIT _ REROOF RESIDENCE UNIT A ONLY: T/O EXISTING SHAKE/SHINGLES, 7/16" OSB OVER SPACED SHTG, 1�LAYER 30# FELT, APPLY "ELK PRESTIQUE 30-YEAR COMP SHINGLES" AND FIASHINGS. 20 SQUARES Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existin : 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $3,500.00 $3,500.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Cali(ornia 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 order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectfons and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 . 244618I8/00) WORKERS' COMPENSATION DECLARA710N: . I hereby eHirtn under penalry of perjury one of the following tleclaretlons: ❑ I have and will maintain e cenificate of conseM to self-Insure for workers' compensation, es pmvitleC tor by section 3700 ot the Lebor Cotle, for ihe pertortnance of the �ork for which IhiS pertnit is issuatl. ,� I have and will maint�in warkers' compensation insurance, as required by section 3700 of tha Lebor Code, for Ne perfortnance of tha work for which this pefmit is issued. My woM�er�s' compepsatlon Insurance carrier antl policy number era: �` Cerrier. 7( Q 1� Fil �� Policy Numher � C.i� ��i (This section need not be comp/ered i! the permit is valued et one hundred dollars ($100) oi less.) ❑ I certity that in the peAortnance of the work tor which this pertnit is issued, I shall not employ eny person in any manner so as to become subject to ihe workers' compensation laws of Califomia, and agr that It I should Cecome suDject to t�e workere' compensation provisions of Section 3700 ot tha Lebor Code, I shall lorthwii� comply with these pravis ApplicaMSigneture: Date: ��Z'2 — �Z WARNING: FAILURE TO SECURE WORKERS' CAM NSATION COVEPAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENNLTIES AND CIVIL FINES UP TOONE HUNDREO THIXISAND DOLLAFE ($100,000), IN ADDRION TO iHE COST OF CAMPENSATIIXJ, DAlMGES AS PROVIDED f-0F IN SECTION 3lOfi OF THE LABOR CODE, ItJrEREST, AND ATTOFNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aftirtn that 1 am force and aHect. Lic. a_ Contractors Signatura: of Chapter 9(commencing with Section 7000) of Division 3 of the Business end Professions Cotle, and my license is in full qassk �--3°i Date: � �l� Z— O L CONSTRUCTION LENDING AGENCY: • ❑ I hereby atfirm ihat Ihere is a construction lending agency lor the pedormance of ihe work for which i�is pertnit is issued. (Sec. 3097, Civil Code). Lentlefs Name: Lenders Addre55: Signature: OWNER•BUIIOER DECLARATIONS: Date: I hereby affirtn thet untler penelry of perjury that I em EXEMPT FROM 7HE CON7RACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Professlons Cotle: My ciry or couny which requires a pertnit to construct, alter, improve, demolish, or repair any strudure, prior to its iuuanca, also requires the epplicant tor such pertnit to file a signed statement Ihet he or she is licensed pureuant to t�e provisions of ihe Contrectors License Lew (Chapter 9(commencing with Section 7000) of Division 3 oi the Busineu and Professions Cotle) or that ha or she is exempt thereirom and ihe basis for the allegetl exemption. Any violation oi Sedion 7037.5 by any applicent for e permit subjects the aDPlicant ta e civil penalry of not more than tive hundred dollers ($500).): � I, as owner of the D�operty, or my employees with wages es their sole compensation, WILL DO TME WORK, and the siructure is not intentled or otlered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law dces not apply to an owner oi property who builds or improves Ihereon, and who does such work himself or herself or Ihrough his or her own employees, providetl that such improvements are not intendad or oflered tor sale. It, however, Ihe building or improvement is sold within one year of comple�ion, the owner-builder will heve the burden of proving that he or she tlitl not build or improva for purpose of seleJ. ❑ I, as owner of lhe properry, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and ProfesSions Code: The contrectors License lew does not apply to an owner of pmperty who builds or Improves ihereon, antl who contrac�s for such project with a contrector(s) license pursuent to the Coniractors License Laws.). ❑ I am exempt untler sec. Signature: Owner ID venfietl by dnvefs license. ❑ Yes ❑ No Business and Professions Code for this reason: Verification of Ownership by (type oi tlocumeni, i.e. - pwperty taa bill or deed): DIVISION OF INDUS7RIAL SAFETV PERMR CERTIFICATION: Drive/s License No. Date: ExpirBs: ❑ I hereby certify ihat no excavation five (5) or more Feet in depth into which a person is required to descend, will be made in connection with work euthorized by ihis pertnit, and that no building structure, scaftolding, falsework, or demolition or dismantling thereof, will De more than thirty-siz (36) feet high. (Ghap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Calilamia Administrative Code). ❑ As owneo-builtler, I will not employ anyone to do work which would require a permit from the Division of Industnal Safery, es noted aDove, unless such person hes e permit ta do such work irom ihe division. SignaWre: Date: Division of Industrial Safety Pertnil Number. CERTIFlCATE OF COMPLIANCE AND AUiHORVA710N OF ENTRY: I certify under penalry of perjury Ihat I have read this application and stete that tha information given is correcl I agree ro compty with all state laws and ciry ordinances relating to building consWction, and authonze representatives of the Ciry of Casta Mesa to enter upon the ebove-describetl property for inspection purposes. I agree not to occupy or allow occupancy ol any builtling authonzed by ihis pertnit until final inspedion. CODE �. INSPECTONTYPE � 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final RB-Rooi 201 Finel BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition QLiE IN(ITIRLS ?— —o.Z �Q-4 Date �?-Z7� ov Date CODE I INSPECTION iYPE 206 Final Mechanical 20B Final Plumbing 270 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy BdTF U�E4fl (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT ,lob Address: 428 HAMILTON ST Suite: B Vicinity: UNIT B Parcel Number: 41917129 Applicanr. COFFEY, BRIAN Address: 2428 NEWPORT BLVD t15 COSTA MESA,CA Owner: LUCARELLI, 7ERESA S Address 1525 PLACENTIq AVE #H-0 , . NEWPORT BEACH, CA Contractor. THE ROOFING SPECIALISTS Address: 2428 NEWPORT BLVD #5 COSTA MESA,CA Zip: 92672 Arch : Address: Phone: Zoning: Phone: (949)722-8846 Zip: 92672 Phone: Zip: 92663-2632 Phone: (949) 722-8846 License: 734068 Eng: Address: ISSUED BY: Status: ISSUED Applied: 07/22/2002 Issued: 07/22/2002 Phone: Zip: License: License: , SCOPE OF PERMIT _ . � REROOF RESIDENCE UNIT B ONLY: T/O EXISTING SHAKE/SHINGLES, 7/16" OSB OVER SPACED SHTG, 1 IAYER 30# �� FELT, APPLY "ELK PRESTIQUE 30-YEAR COMP SHINGLES" AND FLASHINGS. 18 SQUARES Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 - $97.25 $0.50 $0.00 $0.00 $0.00 $97.75 SETBACKS MAIN STRUCTURE Frant 0- 0 ACCESSORY Front 0- 0 PARKING Existin : 0 NOTES: Rear 0- 0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0-0 $3,500.00 $3,500.00 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 tor a period of 180 days. ' INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 . 2446�46(6/00) WORKERS'COMPENSAnON DECLARATON: I hereby ettirtn under penalry of periury one of Ihe following declarations: . ❑ I heve end wlll melntain a cenificate of conseni to selbinsure tor workers' compensation, as providetl for by section 3700 of the Lebor Code, tor the pedormence ol the /work tor which this pertnit is issued. �j I have enC will maintain workers' compensation insurflnce, as required by section 3700 oi the Labor Coda, for ihe pedormance of ihe work for which this permit is issued. My workers' compedsatlon Insurenc carrler antl policy number are: Carrier. '7'�-'i � �t%� � PolicyNumber ? �5 � U Z (This secfion neetl not be completed il fhe permit is ve/ued et one huntlred dollare (5100) or less.) ❑ I certily Ihet in ihe pertortnance ot t�e worly tor which this pertnit is issued, I shell not employ eny person in any manner so es to bacome subject to t�e workers' compensatlon laws of Califomia, end a 6e at if I should become subject lo Ihe workers' compensation provisions of Sectlon 3700 of the Labor Cotle, I shall fotlhwlih compty with Ihese �sionsr ApplicaniSlgneture: Date: �?Z2�7/ WAqNINO: FAILURE TO SECURE WORNERS' M ENSATION COVERNGE IS UNLAWFUL ANp SHQL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDREO T110USAND Dq1ARE (5100,000), IN ADDITIIXJ TO HE COST OF COMPENSATION, OAMAGES AS PROVIOED FOR IN SECiION 3]W OF THE LABOR CODE, IIJ�EREST, AND ATfORNE`fS FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm that I am torce antl effect. Lic. M_ Coniractor's Signeture: Chapter 9 CONS7RUC710N LENDING AGENCY: ❑ I hereby aHirm that ihere is a construction lending agency Lendefs Name: Signature: OWNER-BUILDER DECLARA710NS: Section 7000) of Division 3 ot the Business anA Pratessions Cotle, entl my license is in full _ Class B T � �i � _ Date: �j^ZZ�Z_ pedarmance of ihe work for which t�is permit is issued. (Sec. 3097, Civil Code). Lendefs Address: Date: I hereby eftirtn ihet untler Denalry ot perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professlons Cotle: Any city or counTy which requires e permit to construct, alter, improve, demolish, or repair any strudure, prior to iis issuance, also requires the epplicant tor such pertnit to file a signed slatement ihat he or she is licensed pursuent to the pmvisions ot the Contrectors License Lew (Chapter 9(commencing with Section 7000) oi Division 3 of the Business and Professions Code) or that he or she is e:empt Ihereirom and the basis for Ihe alleged e:emption. Any violation oi Section 7037.5 by eny applicant tor e pertnit subjec�s ihe epplicant to a civil penalry oi not more than five hundred tlollars ($500).): ❑ I, as owner oi Ihe property, or my employees with wages es their sola compensatlon, WILL DO 7HE WORK, and the structure is not intentle0 or ottered for sale (Sec. 704a, Business and Protessions Code: The Contrectors License Law does not appty to an owner ol pmperry who builds or improves thereon, end who does such work himselt or herself or �hrough his or her own employees, provided ihat such Improvements are not intended or oflered tor sele. If, however, the building or improvement is sold within one year of completion, ihe owner-builder will have the burden of proving that he or she did not build or improve for puryose of sale.). ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business entl Professions Code: The wntractors License Lew does not apply to an owner ot property who bullds or improves thereon, and who comracts for such pmject with e comracbr(s) licanse pursuant to ihe Contractors License Laws.). ❑ I am exempt under sec. Business and Pmfessions Code for this reason: Signature: Date: Owner ID verilied by dnvers license. ❑ Yes ❑ No Drive/s License No. Expires: Veritication of Ownerehip by (type of documeni, i.e. - property �ax bill or deetl): DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTFICA710N: ❑ I hereby certity Ihat no axwvation five (5) or more feet in depih in[o which a person is required to OescenQ will be made in"connection with work euthorized by this permit, and that no building sirucNre, scaHolding, talsework, or demolition or dismantling thereof, will be more ihan thirty-si: (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tule 8, Califomia Atlministrative Code). ❑ As owneabuiltler, I will not employ anyone to do work w�ich would require a pertnit from the Division oi Indusirial Safety, as noted above, unless such person hes e permit to do such work irom Ihe tlivision. Signature: Date: DivLsion of Industnal Safey Permil Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF EMRY: I certify under penalry of perjury ihat I �ave reatl this eppliwtion and state thet ihe infortnation given is correct. I agree to wmply with ell state laws and city ordinances relating to builtling construc�ion, antl authorize representatives of the Ciry ot Coste Mesa to enter upon ihe flbove-described property for inspection purpases. I agree not to occupy or allow occupancy of any builtling authonzed by Ihis permit until final inspection. COUE 6 INSPECTIONTYPE � 1676 Fixed System Final Fire Preven�ion 1266 Pool Spe Final 200 Final Re-Roof 201 FInaI BIocWRetaining Wall 202 Final Fedory Fire Place 203 Final Sign 204 Final Demolition Applicant Qdg IMITIALS c o t INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuiltlinyOccupancy �ZZua�e U�L� � YdiE 1[�l,fl BLAKE J. JOB ADDRESS 42tS Hami] GENERAL CONTRACTOR C AP No.11S-236-2B LOT INSPECTIONS OCCUPANCY �treet builder TRACT pPR 1 1 t962 , nnT� 1D-30-61 BUILDING P�RMIT NO. VALUE $ k00.00 FIRE ZON� DESCRIPTION OF WORK S DATE GROUP I TYP� [J 7.ON� SUBCONTRACTOR � I� � reG. ,. . . ...r r;� r �? . ,��,. COSTA MESA BUILDING•SAFETY DEPARTMENT P. O. BOX Sf7 COBTA MEBA, CALIFORNIA For Applieant fo Fill In Complefely TYPE OR PRINT BUILDING � D ��IL �I� ADDRESS O COSTA MESf4 CALIFORNIA MAIL AD�RESS I Z F�d�'��eD . �CT 301961 � �p�� ,�— BUILDING For Offiee Use Onl y nECEIPT No, p[RMI.T NO� ,_�3 ✓:?�� IECEI`iE0 BY I OATE fiE�1VEO _ I OATE 185UED ' J.�F12 / FT W U Q V C.�— I U L IT/✓k `{�� No.le-i3of� BUILDING �� L( ADDRES6 �(( 7E�. COSTA MESA. NO. FIRE ^ ZONE TYPE P '�/JV! t '.�t�� APPROVED ' BY e OF LOT�U �� I S I NO. OF BLOG9. NOW ON LOT USE OF �_ EXISTING BLDG. C.SJ C� C 6CT6ACK LINE FROM ceniex ov arxeer REAR YARO SIDE YARD ILEFT IRIGHT DESCRIPTION OF WORK EXTERIOR WALL � � ROOF COVERING COVERI! � USE:OF BUILDING AND WORK TO BE ZONIPfG ZO ^�I NO. OF — I lI6E OF NEW PLAN6 �Ji�BO�LOING V LEGAL !� L I O86CRIPTION �V 7 l� � � ♦ A. P. NO. YARDS � EVES APPROVED ALLOWED (CENTHR LINE 8T.) . APPROVE� 1 HEPEBY ACNNOWLED�e THAT 1 HAVE REAO THIB APPLIGTION THE AMOUNT BHOWN UNOER VALIIATION I6 POR THE ANO BTATE THAT THE ABOV¢ IB COPRECT ANO AGRHE TO COM- pUPPOBE OP EBTABLIBHING A PERMIT FEE ONLY. PLV WITH ALL CITY O�INANCEB AND BTATE (AW8 RE6U41TIN� BUILDIN6 CONBTRULT�oN. VALUATION ,J _— SIGNATURE OF• PERMIT FEE $ oL PERMITTE .( �S"� �JU/J � n $ � �/ � PLAN CHECK $ �� AUTHORIZEU AGENT ' � � 70TAL FEE LL JOB AP. xo. 115—: U"'>ECTIONS Z¢ OCCUPANCY Form 210-SM-11-59 5-B P drs. VALUE $ 9, 79.00 CT FIAE ZONE DESCRIPTION OF WORKRes. w att. Gar. oArE I GROUP I& J TYPE V ZONE R- SU6CONTRACTOR �ia S� � - i1555 ��,: 1��55 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 31] COSTA MESA. CALIFORNIA FOR APPUCANT TO f/LL /N COMPLETELY TYPE OR PRINT BUILDING� % w ADDRESS �"� COSTA MESA. CALIFORNIA /� i� /1 • � MAIL LEGRL I LOT ({'V�'�YV' 1 I OESCRIPT�ON NO. BLOCK A.P. NO. I I. / �� /r. f: OF BLDG3. � v Orv Loi �E� r� �CEIVED -3/�/� � �� .. , FINANCE DEPT. APPLICATION�FOR 'P�ERMIT BUILDING FOR OfF/CE USE ONLY � RECEIPT NO. I PENMIT IYiU BY OATE RECE`-I�VED D E� � I � ,� .T ._ � �.� BWLDING ADDRESS COSTA MESA, CALIFORNIA FIRE I//� ZONE TVPE / - GROOP GC sETawcK LINE FROM � � �/ CENTER OF STREET REAR YqRD �0 R. SIDE YARD ILEFT �I ' IRIGHT .�� , � DESCRIPTION OF WORK RE NE�. I�ALTERATION I II AOOITION I REPAIR �} I II MOVING I II DEMOLISH I BtIiL�W0�7 'O�'� NO.OF , � , NG ICOVERING � B�%' DING AND'WORK T BE PERFO[2 ,. �IGr,.w l l t�a.✓d I _ �s' 1 HENEBY FCKNOWLEOGE THAT I.HAVE REAO THIS APPLICATION AND STATE TH�1T THE ABOVE IS COFRECT AND AGREE TO COM- PlY WITH ALL CITY OROINANCES AND STATE LqWS REGULATING BUILOING CONSTRUCT N. - l� � C-U �-�- SIGNATURE O PERMITTEE AUTHOftIZED AGENT . � NO.OF USE OF � PLANS �� BUI�D11 LINE STJ li■ 0 IG! � :'��(/ C�. [��11rl1. 3•-%- �� THE AMOUNT SHOWN IINO VAL.IIATION IS FOR THE PUNPO6E OR ESTABLISHING q PERMIT FEE ONLY. VALUATION �� — /' PERMIT FEE $ $ % �/ ��'� PLAN CHECK $ ��'•� � TOTAL FEE $ J� (f "�—