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Home My WebLink About782 HUDSON AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��pLDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 7$2 HUDSONAV Suite: Viciniry: HOUSE AND GARAGE ROOF Primary Occ R3 Type of Conslruction: V-N Parcel Number: 14152211 Zoning: R1 Applicant: DEPINHO, NELSON Address: 2832 N OLIVE AVE ORANGE,CA _ Owner: DIAMOND, MARY Address P O BOX 1855' � � COSTA �MESA, CA Contracroc ' ;DEPINHO�ROOFING '.' " Address: � 2832 N OLIVE AVE ." � � � 'ORANGE,CA�" . Zip: 92665-.,i�i. Arch : Address: Phone: Zip: License: � Phone: 714-632-7663 Zip: 92665 Phone: � Zip: .? � ' '( Phon . 714-632-7663 \ �, License: 683894 Eng: Address: Status: ISSUED Applied: 10/12/2006 Issued: 70/12/2006 ��,r;.�«i�-. �� fi" N`., :�i a Phone: License: SCOPE OF PERMiT TEAR OFF (E) ROOF MATERIALS, INSTALL 1 LAYER OF 30# FELT ON A 4:12 PITCHED ROOF, AND REROOF W/40 YEAR COMP SHINGLES ON AN ATTACHED HOUSE AND GARAGE, APPROX 20 SQUARES. REPAIR AND REPLACE SHEATHING AS NEEDED. Plan Check:� $0.00 Permit: $153.25 SMIP Res: $0.80 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $154.05 i. _ . . _ SETBACKS . MAIN STRUCTURE ,Front , 0- 0 Rear � 0= 0 - -.A - ; t;-*` ;_ , . ACCESSORY Front 0- 0�� Rear 0- 0 PARKING� � ;: xistin : �� 0-. � - -Reauired: 0 . , FEE SUMMARY z PLANNING & ZONING Lek 0- 0 Lefl 0- 0 Fr000sed: 0 Calc Valuation: Claim Valuation: Right . 0- 0 Right 0-0 $8,000.00 sa,aoo.00 NOTICE: The work authOrized by ihis permit shall comply with all applicable handicap access requiremenis under California statutes and related � regulalions. (Ord. No. 92-2g, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is no� commenced witliin 180 days, or if work is suspended or abandoned for a period of 180 days. .`:,�,.� �.:, •: '��;• `':,��, - .. . , � INSPEC710NS: In order for the work authorizetl under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepections and }inal approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALI: (714) 7545826 zme�a6lwoo� WORKERS'COMPENSAnON DECLARATION: . � - I hereby eHirm under penalty of perjury one of the following dectarations: ❑ I heve end will melnteln e certificate o1 wnsent to selbinsure for workers' compensetian, es provided for by sectlon 3700 af the Labor Gode, for Ihe pertormence at Ihe work tor which Ihis pertnit is issuetl. workers' compensa6on insurence, as required by section 3700 of tha Labor Cotle, for the pertortnance oi the work for whic� this pertnit is issued. tlon Insurance cerner end policy number are: �-7 / �/`J � t� hQ J�.�SV�l.4.•c+� C-c. . /''� POIicyNum�ber:..�� ' I�L O u� npleted il the permit is velued at one hundretl dollars ($100) or /ess.) (�`—�� ❑ I certify that in Ihe pertormance oi ihe work for which �• rmi}islSsueQ I shall not employ any person in any manner so as to 6ecome subjecl to tha workers' compensation laws of Celifornie, end egre e' s o Id become suDjact ro the workers' compensation provisions oM1Section 3700 of ihe Lebor Coda, I sheli torthwith comply with these prov'ei s. „�✓' AppllcanlSlqneture: �D t� f U�1 Z�U� �� i WARNINO:.FAIIURE T R WOiiKERS' dJMPENSATION COVERAGE IS UNLAWFUL AND SMALL SU&IECT AN EMMOYER TO CRIMINPL PENALTIES AND GVIL FlNES UP TOONE HUNDRED T/qUSAND OplARE (5100,000). IN ADDIT1qJ TO THE C0.ST OF COMPENSATION, DAMAGES AS PROVIDED FOH IN SECTION 3]06 OF THE LABOR CO�E, INrEREST, AND AiTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby attirtn that I am Ilcensed under provisions of Chapter 9(comme ' with Section 7000) of Division 3 of the Business tl r9,fessions Code, antl my licensa is in full force end ettect'Lic: N £7 � Q`i � Class,a� �.� �l Cornia`c�of �Sfgnetuie: � � �/!/"� Date:, --= S � V�� Z/�� CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm that there is a consiruction lending agency for the peAormance of the work tor which this permit is issued. (Sec. 3097, Civil Cotle). Lentler's Neme: Lender's Atltlress: SignaNre: Date: OWNER-BUILDER DECLAFiA710NS: I hereby eHirtn ihat under penelty of perjury Ihat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business and Professions Code: Any city or county which requires e permit lo constmct, alter, improve, demolish, or repair any stmcmre, prior to its issuance, also requires the applicant br such permit to file a signetl statement ihet he or she I5 Ilcensed pu�suant to the pmvisions oi ihe Contraqors Llcense Law (Chepter 9(commencing with Sactlon 7000) of Division 3 oi the Businoss and Professions Code) or that he or she is ezempt thereirom end ihe basis lor the alleged exemption. Any violation of Section 7031.5 by any epplicant for a pertnit sublects ihe ap0�iwnt to a civll penalry ci not more ihan five hundretl tlollars ($500).): ❑ I, as owner of ihe properry, or my employees with wages as their sole compensation, WILL DO THE WORK, end Ihe sirucwre is not intended or otteretl for sale (Sec. 7044, Business and Protessions Cotle: The Coniractors License Lew does not apply to an owner of property who builds or improvas thereon, and who tloes such work himsalf or herseN or ihmugh his or her own employeas, provided that such improvements are not intended or o@ered for sale. tl, however, the building or improvement is cold within one year ot completion, the owner-builder will hava the burtlen of proving that he or she did noi build or improve for purpose of saieJ. ❑ I, as owner of the pro0erty, am E%C WSIVELV CONTRACTING WI7H LICENSED CONTRAGTORS to construct the project (Sec. 7044, eusiness antl Pmfessions Code: The contradors License Lew does not apply to an owner ol property who huilds or Improves Ihereon, antl w�o contracis for such pmject with a contrector(s) license pursuant to the Contractors License Wws.). ❑ I em exempt under sec. Signature: Owner ID verified by driver'Slicense. ❑ Ves ❑ No Business and Professions Cotle for ihis reason: Veritication of Ownership by (type ot document, i.e. - property taz bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Drivef5 License No. Date: Expires: ❑ I hereby certify Ihet no excavation five (5) or more feet in depth into which a person is required to descend, will ba made in connection with work authorizad by Ihis pertnit, and Ihat no builtling sWcture, scaflolding, talsawork, or demolition or dismanNing thereof, will be more than thirry-six (36) teet high. (Chap. 32, C�ry 2, Art 2, Sec. 341, Title 8, Califomla Adminisiretiva Code). ❑ As owner-builder, I will not employ anyone to do work which would reQuire e permit from the Division oi Industrial Sefety, as notetl above, unlass such person has e permit ta do such work irom the division. Signature: - Date: Division of Indusirial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF EMRV: I certify under penalry oi perjury that I have read this application antl state that the infortnation given is correct. I agree to comply with all stete lews and city ordlnencas releting to building construction, end authonza represantatives ot ihe City of Costa Mesa to enter upon the above-described proparty for inspection purposes. I egree not to occupy or allow occupancy of eny building authorized by this permit until final inspac�ion. COUE I, INSPECTIONTYPE 1616 Fixed System Final Fire Preven6on 1266 Pool Spe Final , 200 Final Re-Rooi 201 Finel BIocWReteining Wall 202 Final Factory Fire Place 203 Final Sign 204 Finel Demolilion �.fn��Citin�9 / m / � / i�/ COOE� INSVECTIONTYPE 206 Final Mechenicel 208 Finel Plumbing 210 Final Electricel 212 Finel Fire Prevention 220 Final Planning Approval 222 250 Final Site Final Builtling/Occupancy P� INTITIRLS Iwt 61 T ' �� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COHTA ME6A. CALIFORNIA For Applicanf fo Fill In Compiefely TYPE OR PRINT BUILDING � S!+ AODRESS AV2II11.2 COSTA MESA CALIFORNIA � E USE OF EXISTING BLDG HHTBA<K LINC PROM J NO. OF BLDOB. �OD NOW ON L�T O B � �.J � LEFT � RIGH7 .'7 DESCRIPTION OF WORK EXTERIOR WqQ¢�pCCO IROOWOf COVERING COVER❑ � USE OF BUILOING AND WORK TO BE FEE RECEIVED �' a�aY i � r�� fINANCE DEPT. CITY DF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT No. NERNIT'�lD� oY BUIL�ING COSTA MESA. CALIFORNIA FIRE ZONE TYPE � GROUi�G APPROVED BV OATE ZONING �{� ZONE NO. OF I16E OF NE L} R�� I PLAN9 � Bf11LDINQ�� ayy LEOAL � . /. � . �.�.... YARDS EVES APPROVED ALLO �CHNTEft L�N6 BTJ � � DEMOLISH I BYPROVED W. Ia/ D• STORIES � rlb shingle �i IFORMEO .__..__ ..._ D /- _� I HBRHBY ACKNOWLQ�GQ THAT I HAVE RBAD THIB APPIJGT�ON }{�g AMOUNT BHOWN UNDEP VALUAiION 18 FOq THe AND 9TATE TXAT THe �OV¢ �6 CORRECT AN� AGREE TO COM- pURPOSE OP EBTA9LIBHlNG A aERMtT c£E onLv. PLY WITN ALL CIiY ORpiNANCE9 AN� 9TAT8 UWB REGULATING au�lnlNo CONernuFnCN. VALUATION SIGNATURE OF � / PERMIT FEE $ �S — PERMI7TE "'« I�/y!O— ��C ' S �� PLAN CHECK $ � F AUTNORIZED AGENT � TOTAL FEE • J � LL