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Home My WebLink About2863 HICKORY PL - Building Permits! � �S t � o. F " �.� � . (714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT � PERMIT Jobnddress: 2863 HICKORYPL Suite: Vicinity: Parcel Nunmber: 139296 9 9 Applicant: REHNKE, MEL Addresg; 5383 CORNWALL AV RIVERSIDE, CA Owner: BOULTON, LINDA L TR Address 217 WAKE FOREST AVE COSTA MESA,CA Contractor: MEL'S ROOFING Addres5: 5383 CORNWALL AV Arch / Eng : Address: RIVERSIDE, CA BUILDING PERMIT Zoning: R3 R3 Phone: 909-684-6760 Zip: 92506 Phone: Zip: 92626 Phone: 909684-6760 Zip: 92506 License: 395503 ��-, � � - PERMIT NUMBER j B98-01895 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 10/19/1998 Issued: 10/19/1998 Phone: Zip: License: SCOPE OF PERMIT . TEAROFF EXISTING; RE-ROOF WI FIBERGLASS SHINGLES(25 SQ) AND ROLLED ROOFING (900 SQ FT FLAT ROOF GARAGE). SHINGLES = 30-YR. FLAT=I0.YR. Plan Check: $0.00 Permit: $124.75 SMIP ReS: $0.67 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.42 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 i Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 ss,�oo.00 ss,�oo.00 EXPIRA710N: 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 o( 180 tlays. , INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inapectians and final approval mus� be obtainad. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 V WORKERS' COMPENSATION DECLAqpTION: � I hereby eHirtn under penalty ol perjury one ot lhe t011owing decleration5: ❑ I heva end wlll melntain e certificeie ot consent to seli-Insure br workers' compensation, as provided for by section 3700 0l Ihe Lebor Code, for the pedormence oi Ihe work tor which this permit is issueq, ❑ I have entl wiil meintein workers' cqmpensation insurence, as required by section 3700 of the Le6or Code, tor the peAortnence of ihe work for which ihis permit is issued. My workers' compensation Insurence cartier antl policy number ere: Cartier. L_ Policy Number. G?-151- G (Tiiis section neetl no! be comp/etetl il the permif is velued ef one hundred dollers ($100 or less.) ❑ I certiy that In the paAormance af compen5atlon lews of Celifomla, a� compry vnth these p ions. \ � Appllcant Signature: WARNINO:FAILURETO FIEWORKEPS' � LICENSED CONTRACTORS DECLARATION: I hereby aKrm Ihet I em licen5ed force and eflect. Lic. x Contractor's Signature:� � tor which this permit is issued, I shall not employ any person in eny menner so es to become suDject �o ihe workers' et If I shoultl �ecome suDject to the workers' compensalion proNsions ol Section 3700 of the Labor Code, I shell forthwilh / oaie: � 9 o�-r^ryQ. � COVEMGE IS UNUW FUL AND SHALL SUBJEGT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUN�RED � COMPENSATION, DANAGES AS PROVIDED FOR IN SECfION 3�OB OF THE LABOR COOE, INTEREST, AND ATTORNE`f5 FEES. of Chapter 9(commencing wlth Ser�i6n 7000) of Division 3 oi the Business entl ProfessiurS Cotle, and my Ilcense I5 In lull � cless a G'[3 G5/ / � Date: i9 of.T9Fb CONSTRUCTION L DING AGE Y: ' ❑ I hereby aflirm Ihat ihere is e construction lending agency for ihe pedormence oF ihe work far which this pertnit Is issuetl. (Sec. 3097, Clvil Code). Lendefs Neme: Lendefs Atldress: Signature: Dete: OWNER-BUILDER DECLARATIONS: I hereby etlirtn thet untler penalry of perjUry that 1 am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reawn (Sec. 7031.5, eusineu and Protesslons Code: Any ciry or wunry which requires a permii to consiruct, elter, Improve, demolish, or repair any sirudure, pnor to its issuance, also requires the epplicam tor suc� permit to tile e signetl stetement tha� he or she is Ilcensetl pursuant to the provisions oi tha Cantreciors License Lew (Chepter 9(commencing with Sedion 7000) at Division 3 oi the Business and Prolessions Cotle) or that ha or she is exempt therefrom and the basis tor the alleged eaemption. Any violation ol Section 7031.5 Dy any epplicant lor a permlt subjects the epplicant to e clv�l penalry oi not more then 9ve huntlretl dollars ($500).): ❑ 1, es owner ol the property, or my employees with weges es thelr sole comDensation, WILL DO 7HE WORK, end Ihe structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not epply ro an owner of property who builds or improves thereon, end who does such work hlmself or herseli or Ihrough his or her own employeas, proNded Ihat such Improvemenis are not Intentletl or otteretl tor sale. tl, howevar, the builtling or Improvement Is solC within one yeer of completion, ihe owner-bullder will heve the burtlen of proving ihat he or she did not bulld or Improve tor purpose of sale.). ❑ I, es owner of the property, am E%CWSIVELV CONTRACTING WI7N LICENSED CONTRACTORS to construct iha projact (Sec. 7044, Business entl Professions Coda: 7Tie conirectors License Ww tloes no� epply to an owner of properry w�o 6uilds or improves thereon, end who caniracis lor such project wlth e contrector(s) license pursuant to the ContractoB License Laws.). ❑ I am axempt under sec. Business antl Professions Code tor this reeson: Signeture: Date: Owner ID verified by tlriver's license. ❑ Yes ❑ No Orivels License No. Expires: Verificotion ot Ownership by (rype of documanL i.e. - properry rex bill or deed): OIVISION OF INOUS7RIAL SAFETY P�qMR CER7IFICATION: ❑ I �ereby cartlfy thet no e:cevation live (5) or more feet in tlepth Inro which e person is requlred to deuend, wlll be metle In connectlon with wark euthodzetl by ihis parmit, antl thel no building sWdure, scaflolding, felsework, or demolition or dismentling ihereoi, wlll be more Ihen thirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Title 8, Celifomle ACministratNe Code). ❑ As owner�builder, I will not employ anyone to do work which waultl require e pertnit from ihe Division ot Industriel Safery, es noted abwe, unless such person has e pertnit to do such work from Ihe division. SignaNre: Date: Division ot Indusirial Satery Permil Num4er. CERTIFlCATE OF COMPLIANCE AN� Al7fHORIZATION OF ENfTiY: I ceriity under penalry of perjury thet I have reatl ihis application and state ihat ihe information given is correcL I egree to comply wi�h all sta�e lews end ciry or0inances relating to building construction, end euthodze reD�esentatives of ihe Ciry of Costa Mesa to enter upon ihe ebove-descnbed proparry tor inspection purposes. I egree not to occupy or allow occupancy of any building au�horized by Ihis permit until final inspection. 1616�FIR6H'�m Final Fire Prevention 7266 Pool Spe Finel 200 Final Re-Rooi 201 Final BIaWRetaining Wall 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition 244Ea6 �: I I`1111[1G • `b . /7� �1 Dete �9oGrR'i � oate CO�E� INSVECTIONTVPE 206 Final Mechenical 20B Final PIum6ing 210 Final Elecidcal 212 Final Fire Preventlon 220 Final Plenning Approvel 222 250 Final Site Final BuIlding/OccuDency oeg u�e�s OWNER SEIBERT, BRUCE DATE 6-17-70 JOBADDRESS �RF3 Nirknrv Plarv BUILDINGPERMITNO. 41qFi �INSPECTIONS SOIL GAS WATER ROUGH PLUM9ING PROP. SWR. LINE � HOlISE CON. � SPftINKLING SVSTEM MISCELLANEOUS ROUGH HEATING ANO AIR CONOITIONING TEMPORARY SEkVICE OR POLE UNOERGROUND � POWER � ftOUGH WIRING TRENCHES � FORMS � STEEL RE FLOOR SVSTEM BON� BEAM STEEL REINFORCE SHEATHING FRAME ANO FLASHIN ' F/ � LATHING - IN OUT n PLASTER. BROWN COAT HEATING PLUMBiI EIECTRI BUILOIN VENT., REFRIG. ANO A.C., FINAL , FINAL AN� GAS TEST � FINAI FINAL SUBCONTRACTOR ��,.. . � � � � qF3 COSTA MESA BUIIDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING � ADDRESS � •I C J OWNER � • � MAIL Z ADDRESS Z �� f•EGOIl W W TEL. 4- U CITY .0 .(, � NO. � ~ Z CANSTRUCTION ZQ O m LENDER J � BRANCH J N m J ADDRESS ..�— J m ARCHITECT TEL. a OR ENGINEER N UN Q w � ADORESS aW JO CONTRACTOR `'�_ m Z t J� ADDRE$$ �/ f j j�(,J yPs. w w . TEL. Z � ��T� �,oQoz.,J ��.�•c. _ No. 7/of ? O � C NO. g- / qt y P' LICVNO. SI2E I NO. OF BLOGS. OF LOT ,� NOW ON LOT ilt�� 17-70c�s 0�1749ts �*�::j9 ."� APPLICATION FOR BUILDING PERMIT RECEI\IE BY DATERECEIVED pq7EIS5UE0 i �— ' �%d � l��% BUIIDING ADDRESS TR/ OWNER � �rl FIRE V 20NE APPROVED ) - NO.OF PLANS VAR $APPROVE MAIN BVILDING ROM GL STfy2ET) US APPROVED � SIZE OF NO. OF Z NEWBLDG. ROOMS STORIES L.SIDE T. U EXTERIOR WALL��y+ ROOF COVERING .1/VGC�� COVERING - REAR FT. J VSE OF BUILDING AND WORK TO BE PERFORMED OISTANCE BE BET. MAIN& a MAIN BLDCS ACCE�. B�IX a Q VAF. aW DATE Q .�, t O� ai C.U.P.9W APPFiOVED F �(iOVED y .4 .o l� / lLG ` Z O VI horeby ecknowladBe Mat I heve reetl this oOPlicetion and steto � that [he above intormetion is corract end aB�ea m comply wlth � all laws reButaUng builtlinB consttuction, and I shall not amploy F any pe�son in violation of tho workman's compentatiOn laws ot (n tha State of CalifOrnie. ZI hereby cerNfy tHai I am properly licensetl es e convactor untler SQ. FT. th¢ State ot Califp��a Business antl Professions Cotla, Divisicn 3, THE AMOUNT SHOWN UNDER VALW Chapter 9, antl thBi suc� licenses ere in full force antl effect, or I THE PURPOSE OF ESTABLISHING A PERM1 am exempt from [he provisions of the Stata of Celifornia eusiness VALUATION antl Profas5ions Catle, Division 3, Chaptar 9. PEFMIT FEE 5, Siqnature of 4�� P�� /`� ^ Q�p Perm(ttee �� 5•7�0 ..�, PLAN CHECK 5� Au[horizatl Apant �-� � r t�% � � TOTAL FEE 5 � 0 J IS FOR � E ONLV: o rc � m —� � m � �� E I'W LL L :� } '.'� �088'7 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 31] COSTA MESA. CALIFORNIA �' fOR APP[/CANT TO f/LL /N COMPLETELY TYPE OR PRINT � BUILDING �.�.i� Gb%P-'._�.J��,�.Q�i/ COSTA MESA. CALIF�RNIA [NYC� l:! olegrove, Inc. STATE LIQ NO. LEGAL �ESCRIPT A.P. NO. NO.OF BLOGB. � USE OF EXISTING BLDG. SETBACK LINE FFOM ILEFT ZO� IRIGHT lO� DESCRIPTION OF WORK BUILDING NO.OF SIZE ROOMS EXTERIOR WALL IROOF COVERING ${,7�CC0 COVERIN USE OF BUILDING AND WORK TO BE � attached garage. (Four izving unit 1 HEREBY ACNNOWLEDGE TMAT I HAVE READ THIS APPLICM1TION qND STATE THAT TME RBOVE IS CORFECT ANO AGREE TO COM- PLY WITH ALL CITY ONDINANCES AND STATE LAWS REGULATIN6 BIlILU1NG CONSTRUCTION.� SIGNATURE OF _ PERMITTEE AUTHORIZED AGENTDZ�Ce & Col ePove, Iric. ,'��` ��.�� " �� -��-�-y ' FINANCE DEPT. APP�(�AQV�IAS�FAE�R M IT BUILDING foR affic� usF oHcr �:1.1 APPftOVED BY COSTA MESA, CALIFORNIA ZONING NO. OF USE OF NEW � / PLANB � I BUILDINO ST.) 1� � � THE �MOUNT 9HOWN LINDER VALU�TION IS FOP THE PURP08E OF E9TABLISHING A PEHMIT FEE ONLY. VALUATION PERMIT FEE $ SO.00 $ PLAN GHECK S 'ZS.00 30, 9�� a� TOTAL FEE $ 75•�