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Home My WebLink About3202 MICHIGAN AVE - Building Permits. �� 9 o. ' � > _ : J ' fL : �b+rommm � ��ia� �sa-sz�s • Fax (�ia� �sa-aess CITY OF COSTA MESA - BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT �obnddress: 3202 MICHIGANAV Suite: Vicinity: HOUSE 8 ATTACHED GARAGE Parcel Number: 13907307 nppliwnt: KAISER, MIKE Address: 928 CHEYENNE ST COSTA MESA, CA Owner: CLARKE, SCOTT E Address 3202 MICHIGAN AVE COSTA MESA, CA contractor: KAISER ROOFING Address: 928 CHEYENNE ST COSTA MESA, CA Zip: 92626 Arch : Address: BUILDING PERMIT Zoning: Phone: (714)979-5314 Zip: 92626 Phone: Zip: 92626 Phone: (714)979-5314 License: 682897 Eng: Address: . , 1 NUMBER 77 FAIR ORIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 01/102000 Issued: 01I70/2000 Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE 8 ATTACHED GARAGE (27 SQ). TEAR OFF EXISTING WOOK SHAKES 8 RESHEATH WITH 7/2 INCH OS6. INSTALL 1-IAYER OF 30# FELT UNDERLAYMENT & REROOF WITH 25 YEAR GAF SHINGLES. Plan Check: $0.00 Permil: $125.25 SMIP Res: $0.52 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.77 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: o Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING 8 ZONING Lek 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 55,200.00 55,200.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Celifornia statutes and related regulations. (Ord. No. 92Q8, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the xrork authorized under Ihis permit to be considered legal, such work must comply. vnth all applicable codes, and all requirad Inapactiana end flnal approvel mus� be obtained. Failure to obtain inspections and final approval will result in the expiration of Ihis permit. . FOR INSPECTIONS CALL: (714) 7545626 �-� WORKERS' COMPENSATON DECLARAT70N: I hereby eHirtn untler penalry of perjury one ol the following dedaretions: ❑ I �eve entl will meintein a certificate of consent to self-Insure for workere' cwnpensation, es proviaetl tor Dy sectlon 3700 oi the Lsbor Code, for �he paAortnance oi the work for which this permii is issued. � I have entl will maintein workers' compensation insurence, as raqulretl by section 3700 oi the Lebor Code, br Iho pedortnance ot the work for which this permii Is issuetl. My workers' compens@tion InSurante carnar and polity number ere: `Z8S- O 1 CefflBr. .S{A�r �..r POIICyNumber: (Thls sec(lon need not 6e comp/eted i/ the permif Is valued e( one huntlred dollers ($100J or less.) ❑ I certify thai in lho peAormanca ol lhe work tor whiCh Ihis permil is Issuetl, I shall not employ eny person in eny mennor so as Io becoma subject to ihe wOrkars' compensetion laws of Califomia, and agree that if I should bacome sub�ect to the workers' compensation provi5ion5 of Sectlon 3700 of the Labor Code. I shall lorthwith wmply wll� these provisioNns�.' // _ ApplicantSigneture: /M flm. Date: ��'�0�0� WARNING: fAILURE TO SECURE WOHKE0.S' COMPENS4TION WVERAGE IS UMAWFUL AND SHNLL SUBJECT AN EMPLOVEP TO CRIMINPL PENALTIES AND GVIL FlNES UP TOOIJE MUN�RED TIKKISPND DOLLARE (5100,000), IN ADOITqN i0 THE 005T OF COMPENSATION, DPMAGES AS PROVIDED FOR IN SECfIQV 3'1080F THE UBOR ODDE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby eHirm thet I em licensetl untler provisions of C�apter 9(commencing with Section 7000) of Division 3 of the Business and Pmtessions Code, antl my Iicense is in full brce end eHect. Lic. a 6�}�� 1 class a�- � y Contractor's Signewre: %� � Deto: /' �D' �'.7 CONSTRUCTION LENDING AGENCV: ❑ I heraDy eNirtn thet there is e construction lending egency lor Ihe pertortnance ol ihe work lor whic� this permit is Issued. (Soc. 3097, CiNI Codo). Lender's Neme: Lenders Address: � SignBNro: Date: OWNER-BUILDER DECLARATIONS: I hereby aflirtn Ihai untler penalty of perjury t�at I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business antl Professions Cotle: Any ciry or counry which requires a permit m construct. alter. improve. tlemolish, or repair any structure, pnor to its issuanca, also requires tha applicant br such permit lo tile e signed statement that he or she is licensed pursuant to the proNsions of the Contracmrs License Lew (Chepter 9(commencing with Section 7000) ot Division 3 of the Business entl Protessions Cotle) or that he or she is exempt therefrom entl the basis for the allegetl exemptlon. Any Nolation oi Section 7037.5 by any applicant tor e pertnit subJects the epplicant to e civil penalry of not more Ihan tive hundred tlollars (5500).): ❑ I, as owner of the property. or my employees with wages as their sole compensation, WILL DO THE WORK, and the SWctura is not intended or otteretl lor sale (Sec. 7044, Busineu antl Pmtessions Cotle: The Contractors License Lew does not appty to an owner of pwpeny who builtls ar improves t�ereon, antl n��o does such work �imself or herself or Ihwugh his or her own employees, provided lhat such impmvements are not intendad or ottered for sale. It, however, the building or improvement is sold within one year of completion, the owner-builtler will have Ihe burden ol proving ihai he or she did not build or improve for purpose of sale.). ❑ I, es owner ol ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe prolect (Sec. 7044, Business entl Professions Code: The contrectors License Law tices not applY �o an owner of pmpetly who builds or impmves �hereon, and who con�rects for such project with a con(rector(5) license pursuant to the Contractors License Laws.). ❑ I em eaempt under sea Business and Professions Code for this reason: SignaWre: Date: Owner ID vBrIt180 6y tlrivefs license. ❑ Ves ❑ No Driver's License No. Expires: Verification of Ownership by (rype of tlocument, i.e. - property taz bill ar deetl�: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certiy lhat no excava�ion five (5) or more feet in tlepih inro which a person is requlred to descend, will he made in conneciion wit� work aut�odzed by Ihis permit, entl Ihet no building 5trucNre, Scalloltling, telsework, or tlemolition or tlismantling thereot, will be more then thirty-six (36) teet high. (Chap. 32, Grp 2, A� 2, Sec. 341, Title 8, Cfllitomia Atlministrative Code). ❑ A5 ownerbuiltler, I will not employ anyone ro tlo wark w�ich would reQuire a permit from the Division of Intlustrial Safety, es noled above, unless such person �as e permit to da such work tmm the division. Slgna�ure: Da�e: Dlvision ol Intlusinel Salety Permit Number: CERTiFICATE OF COMPLIANCE AND AUTHORIZATION OF EMRY: I certify under penalry of perjury ihat I have read lhis application and state that the information given is correcL I agree to wmply with all state laws and ciry oMinances relating to builtling construction, end authonze representatives of the Ciry of Costa Mesa to enter upon the above-tlescnhetl propeny lor inspection puqwses. I egree not to occupy or allow occupancy of eny 6uiltling authorizetl Dy this pertnit until /inal inspection. Si nature Of Legel Owneqs) Dete /N /la,,,� /-/O-v � And/Or Authonzed Applicant Date COOE I, INSPECTIONTYVE 7676 Fizetl System Final Fire Prevenlion 1266 Pool Spa Finel 200 Finel Re-Root 201 Final BIocWRetaining Wall 202 Finel Fecfory Fire Place 203 Final Sign 204 Final Demolitian 2668<B G� INTRIALS COOE♦ INSVECTIONTVPE 206 Fin01 Methenitel 208 Final Plumbing 210 Final Electrical 212 Final Flre Preventlon 220 Finel Planning Approval 222 Finel Slte 250 Final BuiltlingiOccupency i�AIE INiITIALS � LoT 42 - TR 2 ?��': n COSTA MESA BUILDING•SAFETY DEPARTMENT P. O. BOX 917 C06iA MEBA. CALIPORNIA For Applieanf fo Fill In Complefely TYPE OR PRINT BUILDING �«'�j ¢� ADDRE68 2OL IX AVENUE COSTA MESA CALIFORNIA nwuec {N/K INVESTMENT CO.. INC. A AVENUE TEL. I� I,ALIF. TEL. nn NO. MI -�LL7 I RREG I NO. OP B1D08. ■ USE OF � BHTlAGK LIN6 PROM � ILEFT �� IRIGHT �O� DESCRIPTION OF WORK BB=LDING �5q7.55F ROOMS 6 STORIE6 � EXTERIOR WALL STUCCOIRooF WOOD SHAKES COVERING COVERING U6H OP BUILDING AND WORK TO BE PERFORMED SINGLE F.4MILY RESIDENCE AND ATTACHED GARAGE PLAN N0. 1 Hep6BY ACNNOW�DaB TMAT 1 HAVE RGD THIB APPllGT10N MID BTATH THAT THE ABOVe 18 CORREGT I1ND AGfiCC TO COM- PLY WITH ALL CITY Q��MAN�9 AND 9TAT6 LAWe RepULATNO BUILDINO CONBTpYGT10N. _ (\ /J OF FE� RECEIVED pApR 2 413ti) � FINANCE DEPT. ��I $F COSTA MESA APPLICAT F R PERMIT BUILDING For Offiee Use Only r�cei er �' BUILDING APPROVED BY ZONE R -1 LHGAL COSTA MESA. CALIFORNIA ZONING NO. OP I U8E OP NHW PLAN9 /l BU�LDINO (C6NT6R 4N8 9TJ - FRONT � R. SIDE 1 � L SIDE , � ftEAR 1� o� APPROVED BY ' THE AMOUNT eHOWN UNDEP VALUATION 18 FOR TH8 PURPOB¢ OP EBTABLIBHING ♦ PERNIT FEE ONLY, VAWATION ^� // PERMI7 FEE $ ✓ ��y $ /VJ ��/ PLAN CHECK $ �V � �AUTHORRED AGENT � I _ .TG%_�