HomeMy WebLinkAbout3033 HARDING WAY - Building Permits(714) 754-5273 • Fan (714) 754-4856 • www.ci.costa•mesa.��LDING PERMIT n FAIA DIiNE, GOSIA MtSA, GA 82ti2ti
.lob.4ddress: 3033 HARDING WY
Suite:
Vicinity:
Parce� Number: 14113321
Applicant: RUDYJIMENEZ
Address:
Owner. HANMER, GARY C
Address 3033 HARDING WAY
COSTA MESA, CA
Contrectoc CLASSIC ROOFING
Address: 01795 SKY PARK CI
IR CA
Zip: 92614
Arch :
Address:
Phone:
Zoning:
Phone: 774-731-2411
Zip:
Phone:
Zip: 92626
Phone:
License: 692490
Eng:
Address:
Status: ISSUED
Applied: 09/18/2000
Issued: 09/18/2000
ISSUED BY: � �
Phone:
Zip: License: License:
SCOPE OF PERMIT
T/OFF AND REROOF 2200SF RESIDENCE W/COMP SHINGLES,-REROOF 400SF GARAGE W/ROCK.
Plan Check: $0.00
Permit: $111.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $111.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existinq: o
NOTES:
Rear 0- 0
Rear 0- 0
Re Wred: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
sa,soo.00
$4,500.00.
NO710E: The work authorized by ihis 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
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 inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2db6i6 (N00)
WORKERS' COMPENSA710N DECLAHA710N:
I hereby aHirtn under penalty of perjury one of the following declarations:
❑ I have antl will meintain a cedi�icate of consent to self-Insure for workers' compensation, es provitletl lor by section 3700 of Ihe Labor Code, tor the pertormance of the
work for which �his permit is i5suetl.
❑ I hava and will meintain workere' compensation insurance, es required by �ection 3700 of the Labor Code, for Ihe perfortnance oi Ihe work tor which this pertnit is issued.
My rk rs' compensatlon Insurance cartler and policy number are: /p
Cerner: ��bNY B. T�41�,C�`%�iIUQ%` / PolicyNumber:,DL�ad�/7%J O�O�O
(This section need nof be complefed i! Ihe permif is valued a( one hundred dolfars ($100) or less.)
�
I � I ApplicantSigneture:,�i
WARNING: fAILURE TO SECURE
hIOUSAND DOLLARE (5100,000),
ol the work for which this pertnit is iuued, I s�all not employ any person in any manner so as to become subject to the workers'
ey�.00 m� � should become subject to ihe workers' compensation provisions oi �8ectiy0 3700 of the Labor Cotle, I sha0 forthwith
LICENSED CONTRAC70RS DECLARATION:
� Date / D v
AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL ENALTIES AND CIVIL FMES UP TOONE HUNDRED
=S AS PROVIDEO FOR IN SECTION 3�O60F THE LABOR CODE, INTEREST, AN� AiTORNEI"S FEES.
I hereby aHirm that I am lice erd�u tl r provisions of Chapter 9(commencing with Sectio/n �000) of Division 3 of the Business a Professions Code, antl my license is in full
forca entl eNact Lici 4i�-I � / Class #��� 3�
� Comractor'sSignature�� _ _ � j Date: � /8 J✓
CONSTRUCTION LENDING AGENCV:
❑ I hereby aNirtn that t�ere is a consimction lentling agency for ihe pertormance of the work tor which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lender's Address:
J
� Signature:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirtn that untler penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or counry which reqV�res a permit b construct, alter, improve, tlemolish, or repair any strucWre, pnor to its issuance, also requires Iha applicant for such permit
to file e signed statement ihat he or she I5 licensetl pursuant to ihe provisions of the Conirectors License Lew (Chapter 9(commencing with Section 7000) oi Division 3 of the
Business antl Professions Code) o! thet he or she is exempt therefrom and the besis for the aileqed exemption. Any violation of Section 7031.5 by any applicant for e permit
subjecis ihe applicant to e civil penalty of not more than five hund�ed tlollars ($500).):
❑ I, as owner of ihe property, or my employees wi�h wages es their sole compensation. WILL DO THE WORK, and the stmcWre is not intendetl or oHered for sale (Sec.
7044, Business and Professions Code: The Conlractors License Law does not apply to an owner of property who builds or improve5 ihereon, antl who does such work
himself or hersetl or ihrough his or her own employees, provided ihat such improvemenis are not intended or oHeretl for sale. If, however, ihe builtling or improvement is
soltl within one year ol compl9tion, the owner-builder will heva the burden oi proving ihat �e or she did not builtl or improve for purpose ot sale.).
❑ I, as owner of the property, am EXCLUSNELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (SecJ044, Business antl Professions
Code: The conirectors Licensa Law tloes not apply to en owner oi property who builtls or improves ihareon, and who contracis tor such project with a conirector(s)
license pursuant to ihe Coniractors License Laws.).
❑ I am exempt under sec. Business antl Protessions Code for this reason:
Siqnature: Date:
Owner ID venfied by tlnver's license. ❑ Ves ❑ No Driver's License No. Expires:
Verificatian of Ownership by (type o� document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFET�' PERMIT CERTIFICATION:
❑ I hereby cehify that no excaveiion five (5) or more teet in depth into which a pereon Is required to descanq will be mede in connec�ion with work authonzed by this
permit, and �ha� no builtling sWCWre, scaHolding, talsework, or demoli�ion or dismantling thereof, will be more than �hirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle B, California Admini5�rative Code).
❑ As owner-builtler, I will not er�ploy anyone to do work which would require e permil from tha Division oi Induslnal Safery, es noted above, unless such person has a
permit to tlo such work irom ine division.
Signature: Date:
Division of Industrial Satety Permii Number
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENiAY: I certiy under penalry of perjury that I have read this apDlication and state that the information given is
wrrect I agree to comply with all s�ate lews and ciry ortlinances relating to building consiruction, and authonze represematives of the City of Casta Mesa to enter upon the
ebove-descnbed propeny for inspec�ion purpases. I agree not to occupy or allow occupenry of any building authorized by ihis permit until final inspection.
COOE �. INSYECTON TYPE
1676 Fixed System Final Fire Pravention
1266 Pool Spa Finel
200 Final Re-Root
201 Final BIocWRe�aining Wall
202 Pinal Factory Fire Place
203 Final Sign
204 Final Demolition
PdIE �S
�-7fi -0o hlA���Li
(
COOE1 INSiECT10NTYPE
206 Final Mechanical
208 Final Plumbing
210 Finel Eledrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
PAIE II�LS
LOT 32 TRACT 4Z 2
4 3 ���
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 91] COSTA MEBA. CALIFORNIA
For Applfcanf fo Fill In Compleiely
� BUILDING
COSTA MESA. CALIFORNIA
owNeR K�& K DEVELOPMENT CO.,
MAIL
ADORESS 1555 Placentia ve
TEL.
I OF LOT fln � X IiIOO � I NO. OF BLD69. O
NOW ON LOT
FEE SREC EtV�u
'' FINANCE DEPT.
C�TY OF COSTA MESA
APPLICATION FOR PERMIT
� �9oS BUILDING
For Office Use Only
RECEIPT NO. PCNM11 NO.
BY
COSTA MESA. CALIFORNIA
FIRE v
ZONE TYPE GROUP
APPROVED
BY �ATE
ZONING
ZONE/J—/ I NruNe � I USE OF NE���9 �
K BOILDING �
�;°�e,e.,�.. ��'— � Z r,� yZ 3 Z
utiE oP YARDS EVES
EXISTING BLDG. APPROVED ALLO
6ETBACK LIN6 FROM Ii i� � qQ � II ❑ (C8NT8R LINB BTJ
CHNT¢R OP BiiIEHT `t`f REAR YARD �V 4 FRONT y y FT.
SIOE YARD I LEF�' �� I ftIGHT ���� R. SIDE `j_ FT.
DESCRIPTION OF WORK ,�- FT
L.SIDE
NEW I II ALTERA710N I II ADDITION I REAR � v FT.
REPAIR I IIMOVING I IIDEMOLISH I B��'ROVE� �✓� '
��
BUILDING NO. OF
&IZE ROOMS STORIES /
EXTERIOR WALL ROOF ROCK O
COVERING i COVERING
USE OF BUILDING AND WORK TO BE PERFORMED _ ,,
z6
1 HEqEBY /�CKNOW�OGE THAT 1 XAVC READ THIB APPLIGTION TXE AMOUNT 9HOWN UNDEfl VALUATION 19 FOR THE
AN� 9T�TE TXAT TME ABOV¢ 19 COIiR6CT ANO AGR88 TO COM-
PUPP08E OF EBTRBLIBHING A PERMIT FEE ONLY.
PLY WITH ALL CIY'� OPDINANCE9 AND 9TAT6 LAWB PH0114TING
eu�Lc�Ha coxernurnoH. VALUA710N L�
BIGNATURE OF � �/�/� � PERMIT FEE $ �`� ��
PERMITfE
, $ J PLAN CHECK S j��� J
AUTHORIZED AGEN7 �'� /�'i