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Home My WebLink About913 PAULARINO AVE - Building Permits(774) 754-5273 • Fax (774) 754-a856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 913 PAULARINOAV Suite: Vicinity: ROOF Parcel Number: 41809112 Applicant: ALAN HOSKINS Address: 5231 E BLACKWIILOW CI ANAHEIM HILLS, CA Owner: JOYCE, MICHAEL D Address 410 W CAROL AVE Zoning: Phone: 714 279-9420 Zip: 92808 Phone: ' SANTAANA,CA Zip: 92707 Contractor: HOSKINS ROOFING COMPANY Address: 8231 E BLACKWILLOW CI Phone: 714 279-9420 ANAHEIM HILLS, CA Zip: 92808 . License: 614309 Arch : Address: Eng: Address: Status: ISSUED Applied: 04/29/2003 Issued: 04/29/2003 ISSUED BY: �� Phone: Phone: Zip: � License: license: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL PRESIDENTIAL, 50 YEAR COMPOSITION SHINGLES IN FRONT AND MODIFIED TORCH DOWN (APP) FOR REAR OF ROOF. 28 SQUARES INCLUDES ATTACHED GARAGE. - Plan Check: $0.00 Permit: $181.25 SMIP Res: $0.91 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $182.16 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Praoosed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Ri9ht 0- 0 $9,110.00 ss,i i o.00 NO710E: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related i regulations. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRA710N: This permit shall automatically expire and become void it work is not commenced within 780 days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis parmit to be consideretl legal, such work must comply with all applicable codes, and all required Inspectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 ?a46�68 (6/00) WOpKERS' COMP'�f�5AT0!1DECLARATION: " � I hereby aflirm under penalry oi perjury one of the tollowing declarations: ❑ I have antl will maintain a certificate ot consent b sell-Insure tor workers' compensetlon, es providetl tor 6y section 3700 0l the Lebor Code, for the pertormance ol the —/ work tor whicP Ihis permit is issued. ►/ I have antl will maintain workers' wmpensa�ion insurance, as required by sectlon 3700 of the Labor Cod6, Por IhB pedortnanca of Ihe work fw whlCh ihis pertnit is Issuetl. L�My workers' compensatlon Insrura�nce cartier and polic/ number ere: / / c, C CaMer. �79�� /— �%�� pplicy Number. �/O !O �� / / " �6 O � (Ti"is section neeG not be canp/efed il fhe permif Is velued et ane hundretl tlallers ($100) or less.) ❑ 1 certify t�ai in the pertorm e of the work lor icp th' pe it is issueQ I shell not employ any person in eny manne� so as to bacome sub�ect to the workere' compenselion �aws ot C o', end egre 1 I sh ul e subJect to the workers' compensetlon pravisions ol Section 3700 oi the Lebor Code, 1 shall lorthwith campty with ihese pr si s. Applicm�t'Signe`tu��,�� — � Da �7 /% y ^ � '9 — O� WARNING: FAIIURE TO SECIIRE WORKERS' COMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOOSPND OOLL4RE (5100,000), IN ADDITION TO THE COST OF ODMPENSATION, DAMAGES AS PROVIDE� FOR IN SECTION 31W OF THE IABOR COOE, IMEREST, AND ATfORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: tl hereby aHirm that I em lcense onder p visi< tolCB:9f1tl BiFetl: L1C, M— ' T Contractols Slanature:_ / /, wl[h Section 70�0) ot Cotle, antl my license is tn tull CONSTRUCTION LENDING AGENCY: ❑ I hareby ettirtn that there is a construction lending egency for the DeAormance ot t�e work for whic� ihis pertnit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lentler's Atldress: Signature: Date: OWNER-BUfLDEA DECLARASIONS: I hereby ettirm ihat Vnder penelry of perjury that I am EXEMPT FHOM THE CONTiiACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business and Protesslons Code: Any city or counry which reQuires a pertnit to construct, alter, improve, demolish, or repelr any structura, pnor to its issuance, also requires the epplicant for such pertnit to file a signed statemam that he or she is Iicensetl pursuent to the provisions of Ihe Contraclore License Lew (C�epter 9(commencing with Section 7000) ot Divislon 3 of the Busineu and ProfeSsfons Gode) ar Net he or she is ezempt therefrom and the basis lor the alleged exemption. Any violatlon ol Sectlon 7031.5 by eny epplicant br a pertnit suhjects the applicant to e civil penaly of not more ihan five hunared tlollars ($500).): ❑ I, as ownar ol �he pmperty, or my employees wlth wages as their sole compensation, WILL DO THE WORK, and iha sWctura is no� Intendetl or oHeretl tor sele (Sec. 7044, Busines& antl Professions Code: The Comractors License Law does no� apply to en owner ot property who builds or improves ihereon, end who does such work himself or hersetl or �hrough his or her own employees, provided that such improvemanis are not Intended or oHaretl tor sale. If, however, Ihe building or Impmvement is sold within one year oi completion, the ownar-builder will have ihe burden of proving that he or she did not builtl or improve lor purpose ot sale.). ' ❑ I, as owner of the pmpany, am EACLUSIVELV CONTRACTING WITH LICENSED CON7RACTORS to conscruct tha projea (Sec. 7044, Business and Professions Cotle: The con�raciors LJcense Law does not apply to an owner ol property who bulltls or Improves ihereon, end who contracts tor such pro�ect with e coniractor(s) Ilcensa pursua�l to the CoMractors Licanse Lews.). � I am exempt under sec. SignaWre: Owner ID venfied by driver's licanse. ❑ Ye5 Vedfication ot Ownelship by (rype oi tlaument, i.e. BuSiness Bnd Protession5 Code br thi5 r885on: ❑ No Dnvals Licanse No. property tax bill or tleed): Dete: Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereDy certify that no excavation five (5) or more feet in tlepih into which a person is requirad to descentl, wlll be made in connection with work euthorized by ihis permiL an0 tha� �o Duiltling structure, scatfolding, falsework, or demolition or tlismanlling thereof, wlll be more Ihan Ihirry-six (36) leet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifomia AtlmiNsirative Code). ❑ As owner-builder, I will not employ anyone to do work which would raquire e pertni� from the Division ot Intlusirial Selery, as noted ebove, unless such person has e permi� �o tlo 5Wh work irom Ihe tlivision. Signature: Dale: OiviSion ot Indu5lnal Safety Parmit Number: CEFiTFlCATE OF COMPUANCE AND AUTTIORIZATION OP EN7AY: I certiy under penelty ol perjury that I have reatl this eDP�ication end state that Ihe informatlon given is correct. I egree to comply wlt� ell siate laws end ciry ordinances releting to bullding consiruc�ion, and authorize represantatives of ihe City of Costa Mesa to enter upon the above-described property lor inspeaion puryoses. I agree not to occupy or ellow occupancy of eny building euthonzed by this permit until final inspection. CWE t. INSPECrWIf IVPE 1616 Fixed System Final Fire Preventlon 1266 Pool Spe Final 200 Final Re-Roaf 201 Finel BIocWReteining Wall 202 Final Fectory Fire Place 203 Final Siqn 204 Final Demoll��on GOOEI INSPECTIpNTYPE 206 Finel Mechanical 20B Finel Plumbing 210 Finel Electrical 212 Finel Firo Prevenilon 220 Finel Planning Approval 222 Final Site 250 Final Building/Occupancy iL\t��udlF9 CITY OF COSTA MESA PARK FEES Fee Payment Receipt N° 235 Project Address ! l� VL��,,L�J�7�� `9(J 6�� /J/2.�7Iti f A. P. No. _�� 11 — LJ";l I'� Q I . , Building Permit No. �� l �a7 Owner's Meiling FEE Single Family ' No. of Units � @$455Z0 Multiple Farnily "• No. of Units @ 5321.32 Planning Department Approval Applicant's Signature _ � Clty Ortlinancn 72-44 •• City Ottllnanca 72-45 •" CItY RaSOWlion 74324 Wblte - Vlan ning; CanatY - P -��- _ �3 s v Total Fee � 3 • � �.. ��1J,c�PG— Plnk • Finance; Goltlenro0 - ApDllcant CMF 0174-26 C.O;S1G' �1CSJ F �' a W o. Q � y Z F G � F Q L1 ..7 Q � .d x w a O LY. C. z "j' 3 ► a�0 I.? COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING�� _ � _ OWNER\�f x f MAIL � ADDRESS CITV �� Cpry$7qUCTION LENDER BpANCH �,J ADORESS ARCHIYECT no cni�INFFR � CONTR�+CTOR � ADDRESS � CITV STATE ' � IIC. NO. SI2E � OF LOT TEL. NO. CITV LIC. NO. No. oF e�ocs. NOW ON LOT Separate permits are required for electric, plumbing and heating work. BUILDING AND WORK TO BE PERFORMED I herBby acknowletlBa that t have read this application antl state that the above informetion Is cor�ect end agrea So comply wiih all laws repulatlnB butldinB consiruction, entl I shell not employ eny per4on In violation of the workman's compensation laws of the State of California. I hereby certify that I am properly licensetl as a contrector untler the Siate of Californ(a Business antl P�ofeuions Code, Division 3, Chapier 9, antl ffiat such Iicansa5 ere in full force antl etfect, or I am exemPt from the ovis' qqqq of tha State of California Business and Profassions Code, ' ivis �f 3, Chepter 9. SlBnatora of �� `J Permittee AuthoriYetl A nt h:... 7F�-7� �.:. O�117?n:: ..;:;:,-�:�; I'S APPLICATION FOR A.P. NOC.-�.� }( " —�r�— BUIIDING AODRESS__ _ �� OWNER RE VAROS (F R USE OF IVEW DISTANCE BET. BET. MAIN & MAIN BLOGS. ACCESS. BLp vAR. � DATE C.V.P.# APPROVED FOR i m / 3 SQ. FT. — N THE AMOVNTSHOWN UND VALVATION IS FOR m THE PURPOSE OF E5TABLISHING A PERMIT FEE ONLV: � VALUATION PERMIT FEE $ p N m � PLAN CHECK $ ^� 0 Sl��'�� TAx $ ; 3 � U TOTALPAID $ � ^I'C �S"7BpAcLoo 90, ��wQ�e�.co COSTA MESA BUILDING- A ETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERM[T For Applicant to Fill in ompletely — Use Ink y RECEIVED BV DATE RECEIVED DATE ISSUED BVI�DING ADDfiE55 PERMIT NO. OWNER �+.P. NO. MA�L BUILDING / — ADDFESS �1DORESS l TEL. TRACT LOT BLOCK CITV NO. CONSiRUCT70N W p. D AL P LENDER BRANCN OWNER ADORESS UE ARCHITECT TEL. S ' S OFi ENGINEER N FIHE ADORESS ZONE TVPE GROUP APPROVED CONTRACTOR BV DATE ADDFESS ZONE NO.OF USE OF NEW TEL. p�p,ryg BUILDING CITV NO. STATE CITV YAROSAPPROVED VARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLDGS. (FROM C/l STREET) OF LOT NOW ON LOT OM FT. FT. USE OF EXISTING BLDG. 5 FT Separate permits are required for L SIDE FT. FT. elec[ric, plumbing and heating work. REAR FT. FT. USE OF BUILDING ANO WORK TO BE PERFORMED DIS7ANCE BET. BET. MAIN & MAIN BLOGS. ACCESS. BLOGS. VAR. qW DATE C.U.P.qy+ APPROVED APPflOVED I hereby acknowletlpe thet I hava raetl this appltcation entl smte that the abova information is correet and apree to comply wiih all laws rapulatintl builtllnB conrtruction, and I shell not employ any perwn In violation of Me workman's compensation lawa of Ma State of CalitO��e. I hareby certify tnat 1 am properly Iicenaetl as a contractor untlar SQ. FT. ihe State of CaIIfO�nie Businasa entl Profaulons Cotle, Dlvision 3, THE AMOUNT SNOWN UNDER VALUATION IS FOR Chaptar 9, antl iha< such Iicantes are In full torce entl effact, or I THE PURPp$E OF ESTABLISNING A PERMIT F E ONLV: am ezempt from the provisiona of the S[eta of California Buslnass VALVATION PERMIT FEE • � antl Profassfons Cotle, Divi�lon 3, Chapter 9. E -� p�'�/ � � PLAN CHECK 3 SiBnatura of Permittee $ TAX E AuShoflied Apent TOTAL PAID S �� /" OWNER � ct � AP `M INS �`son \c�s 3WAl ROU PRO \ SPR DATE No. 418-091-01 LOT L TRACT fIREZONE VALU UNOEpGR0UN0 U POWER ROUGM WIPING fOFMS SHEqTHING FR�ME �N� FLASNING LATNINf. - IN rJ� SUBCONTRACTOR