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Home My WebLink About990 HARTFORD WAY - Building Permits, . Y , ' � p MF y CITY OF COSTA MESA � � - ' BUILDING DIVISION F _ � DEVELOPMENT SERVICES DEPARTMENT �• - PERMIT PER UMBER �� 898-02078 (774) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 99O HARTFORDWY Suite: Vicinity: Parcel Nunmber: 14105257 Applicant: MIRANDA, FRANK Address: Owner: PITTENGER, HARRY E Address 990 HARTFORD WAY COSTA MESA,CA Contractor: ISLAND PACIFIC ROOFING Address: 17762 CAMERON ST H.B. CA Arch / Eng : Address: BUILDING PERMIT Zoning: R1 R1 Phone: 640-4873 Zip: Phone: Zip: 92626 Phone: 714•557-6516 Zip: 92647 License: 631472 Phone: Zip: License: Status: ISSUED Applied: 11/18/1998 Issued: 11/18/1998 SCOPE OF PERMIT TEAR OFF BWOOD SHAKE INSTALL 1/2" PLYWOOD & SINGLE LAYER OF 30LB FELT & REROOF WITH 40 YEAR SHINGLES. Plan Check: $0.00 Permit: $124.75 SMIP Res: $0.65 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.40 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0. 0 PARKING Existina: o NOTES: Rear 0-0 Rear 0-0 Reouiretl: 0 FEE SUMMARY � PLANNING & ZONING left 0- 0 LeR 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0. 0 $6,500.00 $6,500.00 ��1� i ��s�� EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order For the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapectiona and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of lhis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATON DECLARATION: I hereby attirtn under penalty of perjury ane at the tWlowing declaretions: ❑ I have entl will malntain e certifice�e of consent to self-Insure tor workers' compensatlon, es provided lor by section 3700 0l the labor Code, for the peAortnance of the work lor which this pertnit is issuetl. ❑ I have antl will maintain workers' compensation insurance, es requiretl by saction 3700 ot the Labor Code, for ihe peAortnance of the work for which this pertnit is issued. My workers' compensatian Insurence cartier antl policy number ere: Cartier: Policy Number: (Thls section need not be comp/efed i/ the permlt Is velued ef one huntlretl tlollars ($t00) or less.) ❑ I certify that in the peAormance of tha work tor which this permit is issued, I shall not employ any person in eny manner so as to become subject to the workers' compensation laws of Celifomla, end e ree that if I should becp me subject to Ihe workers' compensetlon proNsions o Secti n 3700 af the Lebor Cotla, I shall forthwith comply with these o ns�. �� [ /,% �/�� %J Applicem SlgneWre: �,/�/f'LK—•�� I�IV�N✓'— Date: I' I" l�� WARNINO: FAILURE TO SEC RE WOflKERS' COMPENSATION COVEMGE IS UNLAW FUL AN� SMALL SUBJECf PN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TO ONE HUNDRED THOUSANO DOLLARE ($100,000), IN ADDRION TO THE WST OF COMPENSATION, DMt4GE5 AS PROVIDED FOR IN SECfIIXJ 3108OF THE IABOR CODE, ItJrEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirtn ihat I em force end eXect. Ua x Contractor's Signeture: of Chapter 9(commencing with Section 7000) oi Division 3 of Ihe E Clau a Date: _ Cade, entl my Iicense is in tull CONSTRUCTION LENDING AGENCY: ❑ 1 hereby ettirm ihet 1�ere is a canstruction lending egency for the pedormance ot the work lor which Ihis pertnit Is issued (Sec. 3097, Civil Code). lender's Nema: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirm ihat untler penalty of perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the lollowing reeson (Sec. 7031.5, Business entl Professions Cotle: Any ciry or counry which requires a pertnit to construci, elter, improve, demolish, or repeir any siructure, prior to its issuanca, also requires the epplicant for such pertnit to lile e signed statement Ihat he or she is licensed pursuent to the provisions ot the Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Busineu antl Protessions Coda) or that he or she is exempt thereirom antl the Oasis tor the alleged exemption. Any violatlon of Section 7031.5 by any epplicent tor a pertni� sub�ects ihe eppliwnt to e civ�l panalry ot not more then fiva huntlretl dollars (3500).): ❑ 1, as owner of tha properry, or my employaes with weges es Iheir sole compensatian, WILL DO TTIE WORK, end Ihe structure is not intended or otteretl for sale (Sec. 7044, Business end Professions Code: The Contractors License Lew does not app1Y �o en owner of properry who builds or improves lhereon, and w�o tloes such work �ImseN or herselt ar through his or her own employees, provided ihat such improvements ere not Intended or oMered for sale. If, however, ihe bullding or Improvemenl is soltl within one year of completion, tha awner-builder wlll have ihe burden of proving ihat he or she dld not build or improve lor purpose af sale.). ❑ I, as owner of �he property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the projact (Sec. 7044, Business entl Professions Code: 7he contracbrs License Lew does not epply to an owner of propeny who builds or Improves thereon, end who contracis for such project wlth e cantrector(s) license pursuant to ihe Contractors License Lews.). ❑ I am exempt under sec. Business and Professions Code for �his reason: Signature: Date: Owner ID venfied by dnvers license. � Vas ❑ Na Dnvefs License No. Venfication at Ownership by (rype of document, i.a. - properry tex bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: Expires: ❑ I hereby ceNiy ihal no a:cavation five (5) or more feet in depth Into which a person Is requlretl to descend, wlll be mede in connection with work euthodzetl Dy this pertnit, and ihat no bulltling swciure, scaHolding, felsework, or tlemolition or tlismantling Ihereof, will be more then thirty-six (36) feet high. (Chap. 32, Gry 2, Ar12, Sec. 341, Title B, Calilomia Adminisvetive Catle). ❑ As owner-builder, I will not employ anyone to do work which would require a pertnit irom the DlNsian of Industrial Safery, es noted above, unless such person has a permit to tlo such work tmm Ihe division. Signeture: Date: Division ot Indusirial Safety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUiNOR¢ATON OF ENTFiV: I certity untler penalry of perjury that I have read chis epplication antl state that t�e information given is correct I egree to comply with all state laws and ciry ordinences relaling to building construction, end euthonze representalives ot Ihe Ciry oi Costa Mesa to enter upon the ebove-described property for inspedion purposes. I agree not to occupy or allow occupancy of eny building authonzed by this permit until tinal inspection. 1 �/,A��' t�Le el ner(s) I I' I� �Aate �� '0 �—And70r uthonzed Applicanl Date CODE t. INSVECTIONttPE UAiE Itii�l65 7616 Fixetl Syslem Final Fire Prevenlion 1266 Pool Spe Final 200 Finel Re-Rooi 201 Finel Block/Retaining Wall 202 Finel Factory Fire Place 203 Final Sign 204 Finel Demolition 2448.<6 �QpFl INSPECTIONTYPE 208 Final Mechenical 20B 210 212 220 Finel Plumbing Final Electrical Final Fire Preventlon Finel Planning Apprwel 222 Final Sita 250 Final Buildinq/Occupancy PdIE It�L4 Lot 4 �28731 COSTA MESA BUILDINCrSAFETf DEPARTMENT P.O. BOX 7� COSTA MESA, CALIFORNIA V202E Fo� App11mM to FI►1 In Compbt�Iy TYPE OR PRINT OUILDINO �j Q I � /�' C(, ACOREGD 1 v� COSTA MESA. CALIF RNIA ownee S�•� n C t i t n.. MAIL 1355 Front Stret ♦onwc�e 2949 Randolph Ave 2�4"�99 noL 54f •e gr - 3e� N�. Ho� i� r y'1 DO. RROY t86T 11GR �� d� R�a� DFSCRIPTION OF WORK '� NCRCBY ACkNOWL[DO� TXAT.1 NAV6 PMD TNI� A�rLIGTON ANO BTAT6 TNAT TI[ AOOVi.�B CORq6CT AND AOR6[ M COM. PLY WITH ALL'CITY OROIWIfFV A11O RI)i[ I.A1M� R[OYLATINO � wurtfontzso �a[rir , A1N 24-6 P�OOt98t• ****99.00 /VPLICATION FOR PERMR BUILDINO For Of(ic� Us� Only euun�Na ZONING 2 �.� euu L[OAL �eaueu � �- ! fH: NOEAVlOVERHAN68XALLBELl88THAN TO BIDE a REAR P. L �E8 _OWED <U.B.C.REOUIRHMHNTI YARDHMPROVED YAR�BAPPROVBD MAIN BUILDIN6 AGCB880RY BUILDINO iOM GL YTRH[T) >NT S ' !T. "'_ l'� �' — VAR. # iMi AMOUMT /XOW ►UR'OGt 0/ t1�A VAWATION Od s a�'i�'� BET. MAIN AGGH88. B DATB )ATi V"ZY-6G P� D7 � ,��a' � VALUATION 19 POR TM[ � A P6pYii P88 ONLY. � �r pee s G� - � E ��^ w �PEfi S 9s—