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Home My WebLink About371 HAMILTON ST - Building Permitsr- -: (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 37'I HAMILTON ST Suite: Vicinity: ROOF Parcel Number: 41918121 Applicant: KAISER, MIKE Address: 928 CHEYENNE ST 2oning: Phone: (714)979-5314 COSTA MESA, CA Zip: 92626 owner. BAGDASARIAN ARMAN & LTRUST Address , 5452 DALLAS CIR - . - - - - - � ' � � � , � Phone: � � -,HUNTWGTON BEACH, CA Zip: 926463806 Contractor. KAISER ROOFING Address: 928 CHEYENNE ST ' -'�"� Phone: (714)979-5314 � COSTA MESA, CA � Zip: J 92626,� _ .� License: - 682897 . ArCh : �, � �_ Address: - � , "' , . ' �� Phone: Zip: . License: �. � � , � . . � , . . . ` � REROOF EXISTING SINGLE FAMICY•RESIDENCE (' REROOF WITH 25 YEAR GAF COMPOSITION SHINGLES. Eng: �� ,Address�� Siatus: ISSUED Applied: 04/04/2001 Issued: 04/04/2001 ISSUED BY: ' '� \ � �`�� l � � -. , , - �� `:�'� , - � ` � �\ ' Cx�� _� �`.', � ,Phone: �� . �; � � _ �, ' �' License: � � � . i .. ... A. rrcvrr�n�n�� • �� , - TEAR OFFEXISTING; INSTALL 30# FELT UNDERLAYMENT; & � i�� . . ..i;' ' _� � ;1�. �t. � 1�� i , '; �- FEE $UMMARY ', �I; ,�� / :rU , ,1 `--. t .1 j �, i Plan-Check $0.00 J '� � - ' � " _Calc Valuation �/ �� ,� $i 300 oor ; , � Permit , $47.90 � � Claim Valuation � �$i 300'00� 'SMIP"Res , �. $0.50 , � � —. ��f� � �'' �;?l SMIP;Gom �,$0.00 � "- - � '�� ' � ; �/( j � /(! � � Other � '�;$0.00 ,,/� I' �, � {, � Inspection:-' $0.00 `�� V � •�� , .., , _ %'/� � / Total: �$48 40 , „— ".:' �,�� ;-� ��/ ) �r /� fl � \j � � �� :, ��„ _ „ � � ,D. \�� v� ✓i A�� " ��,PLANNING & ZONING �: ;// � � � SETBACKS��V � ��:� '�\\ .. � � ' � ��. , ��V'�% O�� MAIN STRUCTURE�Frontr 0 0:,� -Rear 0 0- Left 0 0 � Right� !:0= 0 l � �_ � . � i _� . . .-, . - ' '-�.� ��.il��t�� ACCESSORY Fronf � 0-0 �. ..,� �Reer ' 0- 0 "� Left '.:, 0- 0�.f� ��, '�� Right" 0; Ol � ' _`. � � �. � � ..� /��/ � _� :�.r PARKING Exislina: 0�� Reauired: b �� ,A� Proposed: ' � "0 '�i. � �„ NOTES: _" _._� . �� " NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commerced within 1 BO days, or if work is suspended or abandoned for a period of 1 BO 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 raqulred inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration.of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaeaae �s�oo� WORKERS'COMPENSAnON DEGLARAnON: I hereby attirtn under penalry of perjury one of the following tleclarations: ❑ I h ve entl will maintain e certificate ot consent to self-Insure for workers' compensetion, as provided for by section 3700 oi the Labor Code, for ihe pertormence o� the ork for which lhis permit is issud0. I have antl will maintain workers' fAmpensation insurance, as required by section 3700 of the Labor Code, tor the performance of the work for which this permit is issued. � My workere' wm ensation Insurance carner and policy number are: �Certier: �.S� 9�e ��tn.c� Palicy Numher: 2y'r - O� u'„� f 0 D D) d 2J— ./Thls'section need no( be wmpletetl i fhe pertriif is valued af one hundred dollars ($100) or /ess.) �� -� ❑ 1 certity Ihat in the pertormance o� the work for which this permit is issuetl, I shall not employ any person in any manner so es to bacoma subject to the workere' compensation laws ot Califomia, and agree that il I shoultl bacome sublect to the workers' compensetlon provislons of Section 3700 0l ihe Labor Coda, I shall forthwith comply with these prov�i ioTns. �j � y_ �/ �/ Applicant Signeture:. , /� /r� Date: — — ` > i �-- WARNING FAILURE TO SECURE WORKERS' ��PENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALi1E5 AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE (E100,000), IN ADDITIOr1 TOTHE COST OF CAMPENSATION, �AMAGES A$ PROVIDED FOR IN SECTION 3]O6 OF THE LABOR COOE, INTEREST, AND ATTOqNEV'S FEES. LICENSED CONTRACTORS DECLAqAnON: I hereby aflirm that I am li }nsetl yn��;isions of C�apter 9(commencing with Section 7000) of Division 3 of.the Bu� � a3 Professions Cotle, and my licensa is in tull rorce end enecCuc: a b LGlass # `l � , y, y . c� Contractofs Signature: � - .Date; � (— CONSTRUCTION LENDING AGENCV: � I hereby aHirtn that there is a wnstruction lentling egency tor the pertormance of the work for which ihis pertnit is issuetl. (Sec. 3097, Civil Coda). Lendefs Neme: Lender's Address: Signeture: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirm Ihat untler penalry oi pe�ury that I am E%EMPT FROM THE CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any dry or counry which requires a pertnit to consiruct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicartt tor such permit to lile a signed stetement ihat ha or she is licensed pursuant to the provislons of Ihe Contractors License Lew (Chapter 9(commencing with Sectlon 7000) of Divislon 3 of tha Business end Profeulons Code) or th8t he or she is exempt therefrom and the basis for ihe allagetl exemption. Any violation of Section 7037.5 by any applicant tor e parmii sub�ecis ihe epplicant to a civil panalty of not more Ihan five hundred dollars (5500).): ❑ I, as owner oi ihe Droperty, or my employees with wages as their sole compensation, WILL DO 7HE WORK, and ihe structure is not intendetl or oNered for sale (Sac. 7044, Business and Professions Code: The Contractors License Law does no� apO�Y �o an owner of property who huilds or improves Ihe�eon, antl who does such work himself or herself or �hrough his o� her own employees, provided that such improvements are not intended or oflerea for sale. If, howeve�, ihe building or improvement is sold within one year of wmpletion, tha owner-builder will have the burden oi provinq ihat he or she tlitl not build or improve for purpose of sale.). ❑ I, as owner of the pmDertY. am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the pwject (Sec. 7044, Business and Protessions Code: The contraciors License L�w does not apply to an owner of propeny who builds or improves thereon, and who coniracts tor such project with a contrector(s) license Dursuant to the Coniractors License Laws.). ❑ I am exempt under sec. Business and Professions Code lor this reason: SigneNre: Date: Owner ID verlfied by drivers license. ❑ Ye5 Q No Drivefs LJcense No. Vedflw�lon ot Ownership by (type oi do�umen�, i.e. - property taz bill or deetl): E:pires: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N: ❑ I hereby certity that no excavation five (5) or more feet in tlepth into which a person is required m descend, will be matle in connec�ion with woM euihonzetl by Ihis permit, antl that no builtling siructure, scallolding, talsework, or demolition or tlisman0ing thereof, will be more then thirty-sia (36) taet �igh. (Chap. 32, Gry 2, Art 2, Sec. 341, Title e, Califomia AtlmiNstre��e Code). ❑ A5 owner-Duiltler, I will noi employ anyone to do work which would require a pertnit from the Division of Industnal Safery, as noted ebove, unless such person has e pertnit to do such work from the dihsian. SignaWre: Date: Division ot Inaustnal Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON.OF ENTAY: I certify under penalty of perjury tha� I have read this application and stete that Ihe infortnation given is correct. I agree to comply with all state laws en0 ciry ordinances relating to Duilding constmction, and authonze representatives of t�e Ciry of Costa Mesa to enter upon the ebove-tlescnbed property tor inspection purposes. I agree not to occupy or allow occupancy oi any building authorized by this pertnit until final inspection. C ��/ / Signature Of Legel Owner(s) //� /L��lY Antl/Or AUthorized Applicant CQOE I. INSGECiIONTYPE � -- 76t6 Fixed System Final Fire Prevention 1268 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Finaf Factory Fire Place 203 Final Sign 204 Final Demolition ' DITE' IMR - 0 -6 ( ,wl�L GODE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 final Fire Prevention 220 Fi�al Plartning Approval 222 Final Site 250 Final Builtling/Occupancy �,y U� PZIE 1�DE45 �Costa Mesa Bnilding Department : APPLICATION FOR PERMIT , COSTA MESA CAL FORNIA ir4SV / �/ U . D N G ' � FOY� O�FICE USE ONLY � F�R' APPLICANT TO FILL IN ; - RecNpt No. Pe�mit No. Butidin9 � n, /� 1 S S � Addresa i / v Costa Mesa, Ci&�01711& Received by 1Date Rec'd. Date lasued Nearest � J'� � � +� ; �.�� CrossSt. Building " Address Owner Costa Mesa California � ' M�il � nrtecc or �ineer 'ress No. I. G71 " City Lic. � Nor ;e�,., ,�r- e Block i TracY / ; : _ ��> a. SizeofLM�76� �� (� 'I No.ofBldgs Now on Lot Useof �I� I No.of ' I No. Existing Bldg.�'L.+.G.Gc.-r� FaMllles Ro� Setback L�ne from �/�/L � Rear Yard�3 Center of Street �( Side Vard ,S Building I —L •ior W, ering Use of New ��oN oF woRg IA�teration I I Addition Rooms v Stories � Frame: Fire Stops, . Bracing, Bolts I hereby aclmowledge that I have read this Application and state that the above is rnrrect and agree to comply Lath. Int with all City Ordinances and State Iaws regulating building construction. Lath. Ext. Signatureof /�� , Permittee � / //� _ � � Plaster, Int. Valustio��nf Permit Fee $ � �00,,/ Plan Check $ $ ' Total Fee $ FORbI 204 S-BP 2bI 8-55 � Plaster, ExL , 0 0 Masonry Reinforced � � Bond Beam o J FINAL _�. . . r-- , - - - . �, -_,- -- �' .�:. ' ._. � c � . .. ., •y. -r •��.,_:' : r„ -,�_ -- ' � ". .__ _. ._ . c v J . _ C � .a ' _ -'_'. J� ._ 6 o� . ... _ • ' o � . a � -- -- ._- - �--. ... . _ _a. . I,.: : . 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