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Home My WebLink About965 PAULARINO AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT �� FAlfi DRIVE, COSTA MESA, CA 92626 JobAddress: 965 PAULARINOAV Suite: Vicinity: ROOF Parcel Number: 41808109 Applicant CLAYTON, WILLIAM Address: Owner: OWEN, CLAIRE E TR Address 961 PAULARINO AVE COSTA MESA, CA ' Convacror. SOUTH COUNTY ROOFING Address: 23511 WHITE DOVE DR LAKE FOREST, CA Zip: 92630 Arch : Address: Zoning: Phone: 2ip: Phone: Zip: 92626-2847 Phone: 949-597-0192 License: 737515 Eng: Address: Phone: Status: ISSUED Applied: 70/08/2002 Issued: 10/OB/2002 . : � �f/ Phone: Zip: License: License: • SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTAIL FLASHINGS, 7/16 OSB, 30# ASTM, 50 YEAR, ELK COMPOSITION SHINGLES. 2,100 S.F. INCLUDES ATTACHED GARAGff. Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existin : 0 Rear 0- 0 Rear 0- 0 Reauired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0- 0 $3,800.00 $3,800.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related i regulations. (Ord. No. 9248, § 1, 7241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period ot 180 days. INSPECTIONS: In ortler for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes. and all required inspections and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALI: (714) 7545626 >.aas-ae �aroo� WORKERS'COMPENSATIONDECLARATION: � � I hereby aXirm under penalty of perjury one of the �ollowing declaretions: o ❑ I heve end will maintain a cetlificate ot consent to salf-Insure for workers' crompensation, as providetl for by section 3700 of the Labor CoAe, for the peAortnance of tha work lor which this permit is issued. � �I have antl will maintain workers' compensation insurence, as required by sectlon 3700 of Ihe Labor Code, for Ihe pedortnance ol Ihe work tor which this pertnit is issued. y worlser;' cort�pensation Insurance carnel and policy number ere: one Policy:Number. �y �/�/7C J • O/ or less.) ❑ I certify Ihat in the peAormance ol the work tor which this pertnit is issued, I shall not employ eny person in any manner so as to become subject to tha workers' compen5ation laws of Calitomia, and egree ihat If I shouid become subject to the workers' compensation provisions of Section 3700 of Ihe Lebor Code, 1 shell forthwith comply wit� Ihese prov}i ions. �j�� / A�� SI��: � ,/ ✓. a-v�s/!"'-- Oal te:'—� �G/�/ �- WARNINp: FAILURE TO SECURE WORKERS' � PENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPl.OYEF TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED iF10USAND OOLLARE (5100,000). IN NDDITION TO THE G�T OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 31O60F THE L4BOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECIARATION: affirm Ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 oi the Coda. and my license is in full CONS7RUC710N LENDING AGENCY: ❑ I hereby aHirm that Nere is a consimction lending agency for Ihe performance of the work br which this permit is issued. (Sec. 3097, Civil Cotle). Lentler'S Name: Lantler s Addrass: SignaWre: OWNER-BUILDER DECLARATIONS: Date: I hereby affirm Ihat untler penalty of perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for ihe tollowinq reason (Sec. 7031.5, Business anC Profeuions Code: Any ciry or counry which requires e permit Io constmct, alter, improve, tlemoiish, or repair any stmcWre, prior �o its issuance, also requires the applicant for such pertnit b file a signed statement that he or she is licensetl pursuent to the provisions ot fhe Coniractors License Law (Chepter 9(cammencing with Sectlon 7000) of Divislon 3 of the Business entl Professions Code) or ihat he or shd is e:ompt iherelrom end the basis for the allegetl exemption. Any violalion oi Section 7031.5 by eny applicant for a permit subjecis ihe epplicant co e civil penalty of not more than five hundred doltars ($500).): ❑ I, as owner oi the pmperry, or my employee9 with wages as iheir sole compensetlon, WILL DO TXE WORK, and the structure is not intanded or o%ered for sale (Sec. 7044, Business and Professions Code: The Contracbrs License Law does not apply to an ownar oi property who builds or impwves thereon, and who does such work himself or herself or through his or her own employaes, provided that such improvemenis are not intended or ofleretl for sale. It, however, �he building or improvement is sold within one year of completioq the owner-builder will have ihe 6urden of proving that he or she did not build or improve for purpose of sala.). ❑ I, as avnar oi iha propetly, am EXCLUSIVE�Y CONTRACTING WITH LICENSED CONTRACTORS to constmcl the projed (Sac. 7044, Business end ProYessions Cotle: The contreaors Licensa Law does no� apply to en owner of pmpeny who builtls or Improves thareon, entl who contracts for such pro�ect with a coniractor(s) license pursuan� to Ihe Coniracto�s License Laws.). ❑ I em exempt under seu Business antl Professions Code br Ihis reason: SignaWre: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Oriver's License No. Ezpires: Veniication of Ownership by (type of document, i.e. - p�openy tax bill or tleatl): DIVISION OF INDUSTRIAL SAFETY PERMIT C6RTIFICATION: ❑ I hereby cetlify ihat no excavation �ive (5) or more feet in depih into which a person is required to tlescend, wiil be made in connection with work authodzetl hy ihis permit, and lhat no building stmcture, scaHoltling, talsework, or demolition or dismantling thereol, will be more than thirty-slx (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Trtle e, Califomia Atlminis�retive Code). ❑ As owner-builder, I will not employ enyone to do work which woultl require a permil irom ihe Division of Indusinel Safery, es notetl ebove, unless such person has e permit to tlo such work irom Ihe division. Signature: Date: Division of Industrial Safety Parmit Number: CERTIFlCA7E OF COMPLIANCE AN� AUTHORIZATON OF ENTAY: I cetlity under penalry oi perjury iha� I have read this appliwUon and state ihat Ihe infortnation given is correct. I agree to compty with all state laws and ciry ortlinances relating to builtling construction, and authonze representatives of the Ciry of Cosia Mesa to enter upon the ebove-described property for inspec�ion puryoses. I agree not to occupy or ellow occupency of eny building au�horized by Ihis permit until final inspection. CODE t. INSVELTIONTYPE 1616 Fised System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition p�g i"Trtu�s / �7 Od E n.. i O COOE� INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electricai 212 Final Fira Prevantian 220 Final Planning Approval 222 Final Site 250 Final BuildincyOccupancy P�TF IIII¢IdLd � .n9 , COSTA'MESA BUILDING-SAFETY DEPARTMEM P. O. BOX 917 COSTA M68A. CALIFORfiIA For Applicanf fo Fill In Completely TYPE OR RINT BUILDING � � ' r ADDRE55 COSTA MESA, CALIFORNIA - �. . —,— _ + / _ � , � . .. FEE RECEIVE� JAN 2 7 1965 FINAI�CE DEPT. CITY OF COSTA MESA ,PPLICATION FOR PERMIT BUILDING For Office Use Only R6C61Pf NO. I{il��yq^ Lv �.`,i � '//27e/ e�il� No�¢�ssu.So;C „ J ARCHITECT TEL. BT DATB OR ENGINEfiR �A w NO. � SS'S O � ADDRE63 �..j. $� .R I ' � d l .s zONING ZO NO.OF t1860FN6W � PLAIiB I BU�LUIXOW CONTRACTOR O o = O O . `� — LEOAL � �/� �. OE0CR1'T�ON T ADDREYS ,� �� O V _, I�. I— I • CITY G �( " �-> A. P. NO. O / .II NOTE: NO EAVE OVERHANG SHALL BE LE55 THAN LIC. NO. ` C^ NEL. -�% `�s.3� 90" TO 91DE @ REAR P. L. - SIZE BAVES ;s A/ �' � rvo.o�e�oae. ALLOWED �U.B.C.REQUIREMfiNTI OF LOT. �J � �/G. I NOW ON LOi � YARDSAPPftOVED YARDSAPPROVED USEOF ' MAIN BUILOIN6 ACCESSORY BUILDING EXISTING BLDO. ( FROM C/L STREET � BETBACK LINH FROM FRONT FT. FT. CeNTEn oF BTReEI �� REAR YARD � SID6 YARD L6FT �-� RIGNT R.91�E �FT. FT. DESCRIPTION OF WORK L.91DE FT. „ Ff. n NEW III '/�/\ ALTERATION ADDITION REAR FT. FT. , REPAIR I DISTAIiCE BfiT. BET. MAIN Q � MOVIIip DEMOLISH MAIN BLD68. ACCE55. BLOG9. BUILDINR NO.OR i VAR.SF � DATE SIZE ROOMS 8T RIES � C. U. P. APPROVED EXTERIOR WALL I ROOF � APPR ,� �- G S COVERING 5 �ro COVERINO i'✓Un Bl' DATE IJSfi OF BUILDING AtiD WORK TO BE PERFORMED S s � r / e ' O �i I vF-U o /� �•,. '' 6 - k �1! O %�1 U so. Fr. 4 1 HEREBY ACKNOWLEO68 THAT 1 XAV6 qEAO TXIB APPLICATION THE AMOUNT 9HOWN UNDER VALUATION IB FOP TX8 z ANO STATE THAT TH! ABOVH I6 CORRHCT ANU AOqfiH TO COM. PURPOSE OF 68TABL�SHINO A PERMIT FEE ONLY. � PLY WITH ALL CITY OqDINANC88 AND BTATH LAWB P60U TINO ypLUATION �/(//�� m eu��iHa eorvsTxucTloN. )1 PERMIT FEE $ / O � SIGNATUREOP � `�Z� �Jz" � �//��17 C — � PERMITTE r�-�/ m 7 �� ' 0 AUTHORIZ6D A6Ef�1T ^J LL TOTALFEE $ //—