HomeMy WebLinkAbout3016 HARDING WAY - Building Permits(714) 754-5273 • Fax (714) 754-4856 • wv+w.ci.costa-mesa.��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job address: 3016 HARDING WY
Suite:
Vicinity: ROOF
Primary Occ: R3
Parcel Number: 14113332
App�icant: TOM HIGBEE
Address: 6200 EDINGER AV
SU17E 425
HUNTINGTON BEACH, CA.
owner. CELESTINO, ROY B
Address 3016 HARDING WAY
COSTA.MESA, CA .;
Type of Construction: V-N
Zoning:
Contractor. . HIGBEE ROOFING COMPANY
Address -- 6200 EDINGER AV -
SU17E a25
HUNTINGTON BEACH, CA
. : Zip: 92647 �
Arch :
Address:
2ip:
Phone:
License:
.Phone: 714.350.2549
;- Zip: 92647,:
Phone:
Zip: - 92626: .
Phone: 714.350.2549
License: 631967
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 09/28/2005
Issued: 09/28/2005
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Phone:
License: ..,�
SCOPE OF PERMIT
, T/O EXISTMG COMP SHINGLES AND INSTALL 30 YEAR COMP SINGLES ON ATTACHED HOUSE AND GARAGE, APPROX 24� SQUARES. REPAIR
� AND REPLACE SHEATHMG AS NEEDED. � �� � -
PEE SUMMARY
Plan Check: $0.00 ° Calc Valuation: 8s,000.00
Permik $125.25 Claim Valuation: $s,000.00
?,
SMIP Res: $0.60 �
SMIP Com: $0.00 �
Other: $0.00
Inspection:; $0.00 ' �
Total: $125.85
PCANNING & ZONING
SETBACKS
MAIN STRUCTURE�.Front 0• 0
ACCESSORY FrOnt 0- 0
PARKING Existin : '0
Rear 0-0
Rear 0- 0
�Reouired: 0
� � x".
Left 0- 0
Left 0- 0
Pr000sed: - 0
Right 0-0
Right 0-0
NOTICE: The work a�thorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § t, 1241-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectlons and final approvel must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
2448-48I6/00)
WORKERS' COMPENSATION DECLAAATION:
I hereby aHirtn untler penalry of perjury one of the following dadarations:
❑ I heve end will melntain e certificAte of consent ta setl-Insure tor workere',�pmpensai;pn, es provided tor 6y section 3700 of ihe Lebor Cotle, for ihe performence of Ihe
for which this pertnil Is 155uBd.
., I have and will maintain workers' cbmpensatlon Insurance, as required by section 3700 of tha Labor Coda, for Ne pertortnance of ihe work for which this pertnit is Issued.
My wo� carr�pansatlo�'�sur9nce 9artier end policy number are:
Cerrier: S ��P �� PoliCy Number: 2�� ��
(This sectian need not be completed i/ the permit is velued et one hundred dollers ($100) or less.) '- --�� -
❑ I catlity ihat in the performence of ihe work for which ihis permit is issueq I shall not employ eny person in any manner so as to become subject to the workers'
compensation laws of Californie, entl agree ihat if I shoultl becoma sublect to ihe workers' compensation provislons of Section 3700 of the Labor Cotle, I shell forthwith
camply with these provisions. �J Q
Appliceot __Signeture: � _ — � .Dare: � � C— / '— � C
WARNINO: FWLURE TO SECURE WORKEF6•��1PENSATION COVERAGE IS IJNLAWFU� AND SHQL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOIXJE HUNDRED
THOUSAND DOLLARE (5100,000). IN AODfTION TO THE C0.ST OF COMPENSATION, DAMAGES AS PROVIDED WR IN SECTION 31O60F THE LABOR CODE, IMEFEST, AND ATTORNEVS FEES.
LICENSED CONTRACTORS DECLABAnON:
I hereby ettirm ihat I am lice9�s u9tl r Provisi ns ot Chapter 9(commencing with Section 7000) of Division 3 0l ihe Business and Protessions Code, and my license Is in full
force antl eHed: Lia d b�( � 7� `Cless q
.Contrector's-Signeture: �-� � �Date: �-Q 4^
�
CONSTRUCTON LENDING AGENCY:
❑ I hereby aflirtn thal lhere is a wnS�Nction lending agency for ihe pedormance of the work For which ihis permit is issuetl. (Sec. 3097, Civil Cotle). ��,
Lentlefs Name: LentleYs Address:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eNirtn ihat untler penelry ot peflury thet I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW tor iha tollowing reason (Sec. 7037.5, Business entl Protessions
Coda: Any ciry or counry which requires a pecmil to construct, alter, improve, demolish, or repair any stmcture, prior to its iuuance, also requires Ne applicaN tor such permii
to file e signetl statement ihet he or she is licensed pursuant to ihe provisions oi Ihe Coniradors License Law (Chepter 9(commencing with Saction 7000) of Division 3 of the
Business and Protessions Code) or iha� he or she is exempt tharefrom antl the basis for the alleged exemption. Any violation of Section 703�.5 by any applicant for e permit
subjects the applicant to a civil penalry of not more than five hundred dollars ($500).):
❑ I, as owner ot tha properry, or my employees with wages as their sole compensation, WIL� DO THE WORK, and the structure is not intended or offered for sale (Sec.
7044, Business antl Professions Code: The Coniractors License Law does not apply to an owner of propeny who builds or improves thereon, and who tloes such work
himsetl or herselt or through his or her own employees, providetl that such improvemenis are not intended or ottered for sale. If, however, ihe building or impmvement is
sold within one year of completion, ihe owner-builder will have the burden ol proving that he or she did not build or improve for purpose of sele.). '
❑ I, es owner of ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business and Professions
Code: The contractors License La�+' does not apply to en ownar of property who builtls or Improves ihereon, end who contrects for such prolect with e contractor(s)
license pursuant to the Conirecto�s License Laws.).
� I am exempt under sec. Business and Pmfessions Code tor Ihis reason:
Signature: Date:
Owner ID verified by drivers liCense. ❑ �es ❑ No Drivers License No.
Vedilcatlon of Ownership by (type ot document, i.e. - propetly tax bill or deed):
E:pires:
CERTIFlCA7E OF COMPLIANCE AND A�ORIZATION OF ENiAV: I certify under penalty of perjury ihat I have read Ihis application antl state that Ihe informatlon given is
covect I agree to comply with ell sta[e laws and ciry ordinances relating to buil0ing consWction, an0 authodze representatives ot Ihe Ciry of Costa Mesa to enier upon the
ebove-descnbed properry tor inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this pertnit until final inspection.
COOE 1. INSVECTIONTYPE
1616 Fixetl System Final Fire Preveniion
1266
200
201
Pool Spa Final
Final Re-Rooi
Final BIocWReleining Well
202 Final Fadory Flre Place
203 Final Sign
204 Final Demolition
Pfl7E INTRIALS
CODEt INSFECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final ElecMcal
212 Final Fire Prevention
220 FinalPlanning Apprwal
222 Final Sita
250 Final Building/Occupancy
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