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Home My WebLink About3252 MICHIGAN AVE - Building Permitsr '�1 -� . t � � CITY OF COSTA MESA . ' , ° BI/ILDING DIVISION > � � DEVELOPMENT SERVICES DEPARTMENT � �• PERMIT P IT NUMBER ��a°' � esa-o�a�a (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 3252 MICHIGANAV Suite: Vicinity: Parcel Nunmber: 13907207 npp�icant: WHITNEY, ROBERT Address: owner. LARSSON, B OLLE Adtlress 3252 MICHIGAN AVE ,�.,,,�� ". . i�./ . A _ . COSTA�MESA,CA . � Contractor.. � WHITNEY-ROOFING Address: 00000 PO 15398 -" BUILDING PERMIT Status: ISSUED Applied: 10/15/1998 Issued: 10/15/1998 Zoning: Phone: Zip: . -�� ' Phone: - , ,_ .. . , . V�. AA , - _ - , .� ,�- � Zip: 92626 '<.� , .. � � � �.-; '\ . �A� ,' , ' : _ � Phone: 774-548-0769 �� ; - - , . NEWPORT BEACH CA Zip: � 92659 � � � � . . License:} � 406022 . ,' � • � - � '`+ � Arch / Eng : � . ; - � � � � . � / Addre;s: . � , � �.% � ' . - , , Plan Check: ' Permit: SMIP Res: SMIP Com: Other: inspection: Total: ' : �0 , "Phone: _ � - . � � � ' Zip: - , � License: SCOPE OF PERMIT :TEAR EXIST. BUR 8 REROOF WITH 25YR COMP. SHINGLES. � ` $0.00 $87.25 $0.50 $0.00 $0.00 '$0.00 $87.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: FEE SUMMARY �. . " -: � � - �� r' PLANNING & ZONING `\, �., � � . - � Rear 0- 0�' - � Left 0- 0 - Rear 0. 0 Left 0- 0 Required: 0 Proposed: 0 Calc Valuation: -Claim Valuation: � � �, �: Right " 0-0 Right 40 .- $3,810.00 $3,810.00 0 EXPIRATION: This permit shall automatically expire and become void it work is not commencetl wlthin 180 da , or if work is suspended or abandoned for a period of 180 days. � INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetiona and finel approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714)1545626 . WORKERS' COMPENSATION DECLARATION: I �ereby eHirtn untler penalry of perjury one ot thd �ollowing tleclarations: ❑ I heve end will maintain e certiticaie ol consent t0 5elf-Insure tor workers' compensetion, e5 provitletl for by section 3700 0l Ihe Lebor CaCe, tor the perfortnence o1 the work for whlch this pertni� is issuetl. ❑ I have antl wlll maintain orkers' compen58tion insurence, as required by secfion 3700 0l ihe Labor Cotla, for the pertortnance of the work lor which this pertnit Is issuetl. My workers' comp ion Insurance carrl�r end policy number are: p Cerrier. � Policy Numbec �� .s�4 � 7 (This secflon need not e co e etl i1 fhe permit 75 one undred dollers ($100) or /ess.) ❑ I cenify thet In ihe pertormence of th ork f hich this ermit is issued, I shall not employ eny person in eny manner so es to become sub�ect to the workers' campensetlon laws ol Califomia, epre9 t If I shaula h come subject to the workers' compensation provisions ot Sectlon 3700 0l Ihe Lebor Code. I s�all forthwilh compty with these provisions. M Applicam Slgnature: � Dete: /�� ' J �� WARNING: FNLURE TO SECURE WORKERS' PENSATIOM COVERAGE IS UNL4WFUL AND SHALL SUBIECT AN EMPI.OYER TO CRIMINAL PENALTIES PND CML FlNES UP TOONE HUNDRED TLi0U5AND DOLLARE (5100,000), IN AODfTIIXJ TO THE �UST OF COMPENSAiION, DAM1NGES AS PROVIDED F-0R IN SECrION 3]W OF THE LABOR CODE, IMEREST, AND ATTORNE`fS FEES. LICENSED CONTRACTORS DECLARA710N� I hereby eHirm thst I am licensed under provi ' s ot epte 9(comme�ing with Seci� 7000) ot Division 3 oi the Business entl Protessions Cotle, antl my license is in tulV force and eflect. Lic. q "L 7/ p�ess q c3 �% Coniractors Signature: Dete: /O- /S�- %fl CONSTRUCTION LENDING AGENCV: ❑ I hereby aflirm Ihat there is a consiruction IPnding egenq For the peAortnance ol the work tor which this pertnit is issuetl. (Sec. 3097, Civll Code). LentleYs Neme: Lendefs Address: SignaWre: Date: OWNER-BUILDER DECLAHA710NS: 1 hereby eNirtn thet untler penalry of parjury Ihet 1 am E%EMP7 FROM THE CONTRACTORS LICENSE LAW for the follawing reeson (Sec. 7031.5, Businass and Professions Cada: Any ciry or county which requires a pertnit to construct, elier, Improve, demolish, or repair any structure, pnor to its issuance, also requires t�e flpplicant tor such parmit to file e signed stetement ihet he ar sha is Iicens�d pursuanl to the pravisions oi the Contrectors License Lew (Chapter 9(commencing with Sectlan 7000) ot Divislon 3 of the Business end Protessions Code) or Ihat he or she is ezempt iherefrom and the basis for Ihe elleged exemption. Any violation ot Sectlon 7031.5 by any flpplicant ior e permit subjecis Ne appllcant to e civil penalry ot not more �han fve hundred dollars ($500).): ❑ I, es owner of the property, or my employe05 wlih weges as their sole compensatlon, WILL DO TME WORK, and Ihe structure is not Intended or offered fo� sale (Sec. 7044, Business antl Professions Code: ThB Contractors License Lew doas not epply to en owner of property who 6ulitls or Improves thereon, and who does such work himsell or herself or through his or �ar own employees, provided ihat such impmvements ere not intentled or oRered for sale. If, �owever, the building or improvement is soltl within one year of completion, the owner-builtler will have t�e hurden of proving Ihet ha or she did not build or impmve lor puryose ot sele.). ❑ I, es owner oi the properry, em E%CLUSIVELV CONTRAC7ING WI7H LICENSED CONTRAC70RS to consiruct the prolect (Sec. 7044, Business and Professions Code: The wNractors License Law does pot epply to an owner of property who bullds or improves thereon, antl who comracts lor such project with a contrectoqs) license pursuant to ihe Coniractors License Lews.). ❑ I am exempt under sec. Business and Professions Cotle for this reason: Signature: Date: Owner ID verified by dnvels license. ❑ Ves ❑ No Driver's License No. Expires: Vetlticatlon of Ownership by (type of document, i e. - property tac bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CEATIFICATON: ❑ I hereby certity that na excavetion five (5) or more teet in depth into whic� e pereon is required to descenq will be mede in conneciian with work euthodzed by this permlt, end thet no builtling stmcture, sceRaltling, felsework, or tlemolition or dismentling thereoi, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341,'fitle 8, Cellfomia Atlminisirative Catle). ❑ As owner-bulltler, I will not employ enyone to do work which woultl requira e permit irom ihe Division oi Intlustrial Sefery, as noted ebove, unless such person hes e permlt to do such work irom the division. Signeture: Divislon of Industnel Sefery Pertnit Number: Date: W ill the applicant w presant o� tuture building occupant nead to fde antl ceRity a Busioess Plan to� amergency respoose to release w threatened release ot a hazarduus materlal? ❑ Ves ❑ No (Section 25505 of ihe Calitomia Health entl Safery Cotle requires, with some e:ceptions, Ihat e Business Plan he filed with Ihe Coste Mesa Fire Depanment by e�ery business which has at any one time Auring a reported year a quentiry oi harardous materlels equel to or greater than e welght of 500 pountls, or a volume o155 gellons, (Sactlon 25533 oi one tlme hes on es or Yes �essed gas at stendard tempereWre and pressure). ............................................... ................................................................................................................................................................................. or present or future bullding occupent need to lile e registretion lorm for acutety hazardous materlalsl ❑ Yes ❑ No fomle Health end 5efety Code, with some exceptlons, requlres regisiretlon with the Coste Mese Fire Depertment 6y each busineu which et any quantiry of ecutely hezardous matenels equal lo a greater t�en e weight of 500 pounds, or e volume of 55 gellons, or 200 cubic leet oi 3rd temperature end pre55ure). ................................................................................................................................................................................................................................. or present or future bullding occupant need to prepere an RMPP (Risk Management antl Prevention Program for acutely hazardous materiels)9 (Seclion 25534 of the Celifomia Haelth end 5alery Code provides that the Coste Mese Fire Department mey require lhe preperation, certification entl filing with the Fire Depertment oi en RMPP by businesses which ere requlred to register ecutely hezartlous metenels with Ihe Fire Depertment. .............................................................................. ................................................................................................................................................................................................... 4 If an RMPP Is presentty required, has Sectlor� 2553a ol the Celilomia Health and Salery CoAe been fully complied with7 ❑ Yes ❑ No .............................................................................. ................................................................................................................................................................................................... 5 Does or will the epplicant or present or tuture builtlinq occupant require for ihe work whlch Is Ihe subject of Ihis a plication e pertnit br such consiructlon or moCiticetlon from the South Coest Air �ualiry Menegement District or trom eny other aIr pollutlon conirol tlisirict or egenty7 � Ves LJ No (Sectlon 658502 ot the Califomia Govemment Cotle requires that Ne requeste0 inioimatlon be tumished on applications tor nao-resiaenGal huiltling pertnits). ................................................................................................................................................................................................................................................................................. . 6 Will eny part of Ihe taciliry to be constructed under Ihis pertnit be within 1000 feet Irom the outer boundaries of e school7 ❑ Ves ❑ No (It'yes', the teclliy must meet the requlreme�� of Sedlons 2553a and 42303 0l Ihe Celilornie Heelth antl Safery Cotle). ........... .... ..................................................................................................................................................................................................................._...... 7 II e permit tmm the South Coest Air Oualiy Menegement District or othar air pollutlon coniral tllsMct or agency is reQuiretl tor the wOrk whiCh 15 ihe 5ubjeCt of Ihis avollcetion, heve all of ihe dlsclosures orescnbed by Callfornie Healih and Sefery Code Sectlon 42303 been matle? ❑ Ves ❑ No CER7IFICATE OF COMPLIANCE: I certiy that untler penelty oi perjury t�a iniormation given above iscorrect. I agree to comply wlth all state laws and ciry ordinances regerding Hazerdous Meteriels and Emissions. Signeture: Date: CERi1FlCATE OP COMPLIANCE AND A ON OF NTAY: I certity under penfllty of peryury that I heve read Ihis appllcation end stete Ihat Ihe infortnetion given is wrted. I egree to compty with all state s e ciry ordina ces relating to building wnsiruction, antl euihorize raprasentatives of the Ciry ol Costa Mesa to enter upon the aDove-described property for insDec' purp s. I egree t to occupy or allow occupancy of eny builtling aut�orized by this pertnit until finel inspection. CO�E �. INSPECTIONTYPE 1816 Fixed System Finel Fire Prevention 1266 Pool Spe Final 200 Flnel RaRoof 201 202 203 264 2448d8 Finel Block/Retaining Wall Finel Fectory Flre Place Final Sign Final Demolitlon GA7E II�A65 .� � t/(/ � � / D�� ate LOOE� INSPECTIONTYPE 206 Finel Mechanical 200 Final Plumbing 210 Flnal Elecidcal 212 Final Fire PrevenGon 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy QAiE It�LS ♦ "' ` THOMYdON, Donald "^" 25-10-76 JOB ADDRESS 3252 Michi�an_Avenue BUILDING PERMIT N0. !�2l��( II:,�;;-�.`CTIONS SOIL ' )GRS , (. W ATER �ROUGH PLUMBING �PROP. $WR. LINE � HOUSE SPRINKLING SVSTEM MISCELLANEOUS �OUGH NEATING ANO AIR C0� TEMPORARV SEFVICE OR POL UNOERGROUNO � POWE0. ROt1GN WIRING TRENCHES [ FORMS � FLOOR SVSTEM BONO BEAM [� STEEL RE SNEATHING FRAME ANO FLASNING I CTHINf. - IN n OOT � 5T H. 'TIIRAL. FINAI VENT., REFRIG. AND A.C., FINAL SPF[IAI REOIIIREMENTS SUBCONTRACTOR ... .. r T.��?J.� COSTA MESA BUILDING•SAFETY DEPARTMENT P.0.80X12�0 COSTAMESA,CALIFORNIA92626 Fatn r,�lc to-7E��;,00 9�2�f *�f�::�5.50 APPLICATION FOR STRUCTURAL PERMIT For Applicant to FHI in Completely — Use Ink Only RECEIVED BV TE REC DATE ISSUE PDIDRE55 V-G�� M i�. Ni 6-�4�/ � O� � �• pWNEP �JO/V/�- �� ll 7/�oM PSai�I A.P. NO. �� a� P 1 MAIL �r BUILDIN � ADDFESS J d�� M �e N i 6A� ADDRESS S ��j� CITV L(J �(/7. ia/h�ly NOLT+�� TRACT✓ LOT BLOCK �ONSTRUCTION W A P �ENDER BF1/aNCH OWNER � A DO R ESS VALUE ARCHITECT TEL. $ 5 OR ENGINEER N FIRE ADDRESS ZONE TV�E GROUP J APPROVED Q CONTRACTOR -- /� BY DATE O� O� ADORESS � //71\I` �'F ,\�/ /' �I TEL _. Z NO.OF USE OF NE CITV �-/�R /JE/y �T�1�Vr N0�3 j9/333 P�� BUILDING $TATE CITV '�ARDSAPPROVED VARDSAPPROVED L�C. NO. LIC. NO. MAIN BUILDING ACC£SSOflY BUILDING SRE NOAF BLDGS. (FROM GL STREET) pF LOT NOW ON l0T ONT FT. T. USE OF EXISTING BLDG. FT. FT. Separate permi[s are required for L. SIDE Fr. QFT. electric, plumbing and heating work. REAR FT. FT. U&E OF BUILDING A.ND WORK TO BE PERFORMED DISYANCE BET. BET. MAIN & MAIN BLDGS. ACCE�, gLDGS. VAR. aW OATE B C C.U,P.qb APPROVED �� APPFOVED .Gi � � ' 2S � horaby acknowletlBe that I hava raad this applicetion entl scata that the ebova Informetlon ia correct and aprea ta comply wlth all Inws reguleHng butltllnp construction, entl I sholl not employ enV Parson in vlolatlon of tha workmen's compensallon laws of tha Stote of Celifornle. I neroby cartify that I em proparly Iicensetl es e conttactor untlor SQ. FT. Ma Staia of California Bufinen entl Pfofeulona Cotla, Divlslon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOFi Cnepter 9, entl Mat such Iicenws ara in 1�II force antl et}ect, or I 7HE PURP06E OF ESTABLISMING A PERMIT FEE ON�V: em exampt from the provlslons of tho Stem of Celifornla Business VALUATION PERMIT FEE E antl Profes5ionf Cotle, Divislon 3, Cheptar 9. � ! � PLAN CHECK E Sip�otura oI�I Permlttea j�J��/ S TAX E A4tho�ized Apant TOTA� PAID b � / LDT 3O - TR 2 . __� -_ - ��_�� COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 9f7 C09TA MEBA. CALIFORNIA For Applicanf fo Fill In Complefely TYPE OR PRINT j�yr �G-AVENUE COSTA MESA CALIFORNIA 1555 PLACENTIA AVENUE G[� ACENTIA AVENUE size bOx700 no. ov e�nae. OF LOT now ox LOT � USH OF EXISTING BLDG BeTOACK LINH PRON � n � ecemR OF eiReHi � REAR YARD G SIOE YARD I LEFT � I RIGHT O� DESCRIPTION OF WORK uww I%� II n�Tcwaneua I II aoo�rinu I 1597.5sF o°:,u� 6 BUILDING FE� RECEIVED �� MAR 24t�1 FINANCE DEPT. APPLICATIC3N �F6R �ERtviIrMESA BUILDING For Office Use Only PBCHIPT NO. _ PBNMIT NO. BY COSTA MESA. CALIFORNIA ZONING 20N l NO. OP ^ t188 OP N8W �-y PLANB G BUILDINO L80AL �J(� D88CRIPiION T.Ot �v� TTAC A. P. NO. 11011@ YARD6 EVES APPROVED ALLOWED (CBNTtR LJN! BT.1 �. SY1� EXTERIOR WALL.TUCCO ICOV�ERINGOCK COVHRING J USE OF BUILOING AND WORK TO BE PERFORMED SINGIE FAMILY RESIDENCE AND ATTACHED GARAGE PLAN No. 2-E � I HHqE�Y AGI(NOWLlOGE THAT 1 NAVE RB�D TXIB APPLJGTION TryE AMOUNT BHOWN t1NDER VALUATION IB FOR TH6 ANO BTATE TNAT TME ABOVH I6 LOPNHGT ANO ApqlB TO CON- pURP08H OP EBTABLI8HIN0 A PENMIT FEE ONLY. PLY WITX ALL CIiY ORDINANCE9 ANO BTI�T6 WB ii6GULATINO BUItDIN6 CONBTRUCT1oN VALUATION 61GNATURE OF � ` � PEBMIT FEE $ `�G � PERMITfE � $ /% ��/ � �' �j PLAN CHECK $ � AUTHORIZED AGENT j—/J�