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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