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Home My WebLink About3241 IOWA ST - Building PermitsCITY OF COSTA MESA � ° BUILDING DIYISION �� > _ � � DEVELOPMENT SERVICES DEPARTMENT J `' �� PERMIT PERMITNUMBER / B98-01883 V (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3241 IOWA ST Suite: Vicinity: Parcel Nunmber: 13910104 Applicant: LATIMER, JEFF Address: 3218 OREGON AV. COSTA MESA, CA � Owner GRISCOM, �DAVID L Address P O BOX 1506 �� . NEWPORT BEACH,CA Contractor. J R CONSTRUCTION Address: 03218 OREGON AV BUILDING PERMIT Zoning: Phone: 714-641-7448 � Zip: 92626 , Phone: � �� , Zip: 92659 Status: ISSUED Applied: 10/16/1998 Issued: 70/16/1998 � � � � . � .' � � � -� - Phone:. 714-641-7448 , �- � � � COSTA MESA CA Zip;, , 92626 � . � i � . - � � License:1485367 - � , ��' i Arch / Eng : . : . � �- ' , ' � , � ' / � . � Address: � - • � . . � " ' %� .:" � �Phone:_ . , �� Zip: � , License: . SCOPE OF PERMIT , REMOVE ALL EXISTING ROOF TO SHEETING, ADD tl2" CDX,PLYWOOD, AND NEW COM ROOF WITH � � � 30-YR LIFE. , . , FEE SUMMARY ,'i!, , Plan Check: $0.00 -% Calc Valuation: S3,soo.00 Permit: $87.25 � � � Claim Valuation: S3,soo.00 SMIP Res: $0.50 SMIP Com: $0.00 _ - '-- � Other. $0.00 , Inspection: $0.00 Total: $87.75 ' SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORV Front 0-0 PARKING Existi"a: o NOTES: PLANNING & ZONING, Rear 0- 0 Left 0- 0 Rear 0. 0 - Left 0- 0 - Reouired: 0, Proposed: 0 �� Right 0- 0 Right 0-0 EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized untler Ihis permit to be considered legal, such work must comply with all applicable cotles, end all �equlred Inapaetlona end final approval must be obtained. failure to obtain inspections and final approval will result in the expiration of this pertnit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS' COMPENSATION DECLARATiI ' I hereby eflirtn under penalry of perjury one oi Ihe fdlowing tleclarations: ❑ I heve entl will maintain e ceAlficate of consem to self-Insure for workers' compensetion, as provitletl for by section 3700 of t�e Lebor Cotle, for the pertormance of Ihe work for which this pertnit is i45ued. I� I heve antl will maintain work@�5' compensetian insurence, as reQuired by section 3700 of the Lebor Cotle, fo� Iha pertormence oi the work br wNch Ihis permit is iswed. My workers' compensation Insurence ceMer entl policy number ere: /� �� Certler. Policy Number. (1 �C —Q � (Thls secuon need nor be rompleted I! the permlt is velueO af one hunared dWlers (5100) or less.) ❑ I certify Ihat in the pertortnan�e ot Ihe work t this permit is Issued, I shall not employ any person In eny manner so as to become sub�ect to ihe workers' compensation laws of Califo 1, entl e ree t t If oultl become subJect to Ihe workers' compensatlon pmvisions ot Section 3700 of the Lebor Cotle, 1 shall forthwlih camply wlih Ihese h ia lWplicam Signeture: Dete: �� ^ �/� W ARNIN6�. FAILUPE TO SE Rf' ' COMPENSATION COYEAAGE 1S UNLAW FUL AND SHALL SU&fECT AN EMPLOVER TO CRIMINAL PENALTES AND GViL FlNES UP TO ONE HUNDRED THOUSAND DOLIARE (51 ,000), IN AD �ON TO THE WST OF CpAPENSATION, DNAAGES AS PROVIDE� FOR IN SECfION 3]OB OF THE IABOR CODE, INfERE5T, AND ATTORNEYS FEES. LICENSED CONTRACTORS DEC4ARATION: I �oreDy eNirm thet I em torce end aflect. Lic. # Contrectofs Sipnature: CONS7RUCTION LENDING with Sectlon 7000) of Didsion 3 ot tho I c�ess a Cotle, end my license is in full ❑ I hereby ettirm Ihet chera is a Gwisiructlon lending egenq for ihe peAortnance of iha work for which Ihis pertnit Is issued. (Sec. 3097, Civll Cotle). LentleYs Neme: Londers Atltlress: SigneWre: DB�e: OWNER-BUILDER DECLARATIONS: I hereDy eHirm Ihat under penalry oi per�ury thet 1 em EXEMPT FROM THE CON7RACTORS LICENSE LAW lor the Iollowing reason (Sec. 7031.5, Business antl Professions Cotle: Any ciry or counry which reqU��es e pertnit lo consiruct, etler, Improve, demolis�, or repair eny swctura, pdor lo Its Issuance, elso requires the appllcant for such pertnit to tile a sipnetl statement ihat he or she is Iicensed pursuant ta Iha provisions ol the Contractors License Law (C�apter 9(commencing with Section 7000) ot DFrision 3 of the Business entl Professions Code) or Ihat he or she is e:empt iherelrom entl the basis for the allagetl exemption. Any violation of SeMion 7031.5 by any epplicant for a pertnit subJects the eDG��nt to a Uvil penelry ai not more Nan five hundred dWlars �E500)J: ❑ I, es owner of Ihe properry, or my emplqrees vrith wages es their sole compensation, WILL DO 7HE WORK, end the structure is nol intenGed or ottered for sale (Sec. 7044, Busineu and Professions Cade: The Cantreqors License Lew does not apD�Y �a an owner of property who builtls or improves Iherean, antl w�o does suc� work �imsell or herselt or thmugh h�s or her own employees, provitletl ihet such Imprwements ere not imendetl or otteretl tor sale. It, hor.ever, ihe building or improvemem is sola withln one year ot completion, the owner-builder will have the burtlen of proving ihat he or she tlid not build or improve for purpase ot sale.). ❑ I, es owner of Ihe properry, am E%CWSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to construct the praJect (Sec. 7044, Business and Professions Code: The conirectors License Ww tloes not appty to en owner of property who builds or improvas thereon, end who contrects for such project with a coniractor(s) license DursuaM ro the Contra�o�s �cense Lews.). ❑ I am exempt untler sec. SigneWre: Business antl Profeuions Code for this reason: Owner ID venfietl Dy tlrivels license. ❑ Yes ❑ No Drivefs License No. Verlticatlon of Ownership by (rype ol tlaumenl, i.e. - property ta�c 6ill or deed): Date: Ezpires: DIVISION OF INDUSTRIAL SAFET�' PERMR CERTIFICATION: ❑ I hereby cetltly ihat no ezcavd�ion INe (5) or more feet in depth into whlch e person Is requlred to tlescenC, wlll be made in connectlon wlth work euthotlzetl by Mis pormiL end that no building sw��ure, scaXOlCing, felsework, or demolition or tllsmantlinp ihereof, wlll be more then Ihirty-six (36) teet hig�. (Chap. 3.2, Grp 2, Art 2, Set. 341, Tltle 8, Celifomla Atlminls�retive Cotle). ❑ As owner-6uilder, I will not employ enyone to do work which would requlre e partnit irom the Divlslon ol Industdel Selery, es noted ebove, unless suc� person hes e portnit lo tlo such work trom the tlivision. Signeture: Date: DlWsion of Intlustrial Safery Permit Numbar. CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF EHTFiY: I certily under penalty of perjury that I have reed this epplication and stete t�et Ihe Iniormation given Is correM. I egree to comply with ell stete lews end dry ordinences releting to building consiruction, end euthorize representetives of the City at Cosia Mesa to enter upon the ebove-descdbetl property br InspecUon purposes. I egree not toAccupy or ellow occupanty ot any building authodzed Dy Nis permlt until tinel InspeIXlon. CODE �. INSPECiIONTYVE 1818 Fi:etl Sysiem Finel Flre Pr9�entlan 1286 Pool Spe Finel 200 Finel Re-Roo1 201 FInaI BIocWRetelning Wall 202 Final Fectory Fire Place 203 Final Sign 204 Flnel Demolitlon 2M&68 aeg u�e�s � � ��J —/� �f � oace CppFl INePELRIONTYPE 206 Finel Mechenlcel 20B Final Plumbing 210 Final ElectAcal 212 Finel Fire Preven�on 220 Finel Planninp Apprwel 222 Finel Slie 250 Finel Buildinp/Occupancy � ��9;i3 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA ME6A. CALIFORNIA �For Applicanf +o Fill In Complefely TYPE OR PRINT COSTA MESA. CALIFORNIA Ci3i].$OSl F;. LA'i.ir�l o7-�v. Cr2I'Clen Ca�, �11�=' G,Zq E. 1' Costa tde 57299 i ., � nn i NO. OP BLD09. B6TBACK LINB FROM CeNTeR OP 9Tf1[LT � REAR YARD ,2 � SIDE YARD I LEFT � I RIGHT � DESCR1IIPTION OF WORK NEW I X II ALTERATION I II AD�IiION I E%TERIOR WALL ROOF COVERING COVERII USE OF BUILDING AND WORK TO BE --FL.�n�� ,� / /c _ f�c, I - APPLICATION FOR PERMIT BUILDING For Offiee Use Only NHC8IPT NO. PFPMILNO._ D�Te 1l9UN BUILDING ADDRE65 COSTA MESA, CALIFORNIA ZONING ZON¢ NO. OP I U88 OP N R-1 ruxe 2 BUIIDINO LHOAL � . _ _ _ _ . _ YARDS APPROVED IClNTBP LINe BT.1 MPROVED I HEPEBY ACKNOWLCDOC THAT 1 XAVE READ TMIB APPLIGTION TNH �MOUNT BHOWN IINOEP VALUATION IB FOR TX! AND BTAi[ iHAT THH ��VE I8 COHNCCT AND AGqlB TO COM• pUPP086 OP EBTABLIBHING A PERMIT FEE ONLY. PLY WITX ALL CITY Op�INANCEB AND BTATH IaWB iiBGULATIN6 Bu�talNa coxsrnucrlON. VALUATION HIGNATURE OF C PERMIT FEE S 3S• PERMITTE $ 15, �45 • P�N CHECK s 17.50 AUTHORIZED AGEN7 �-ke & 6olegT�ove� Inc. TOTAL FEE S