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Home My WebLink About2936 PEMBA DR - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • wv+w.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 2936 PEMBA DR Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 13926226 Zoning: R1 Rl Applicant ALEXSON, TROY Address: 1653 SUPERIOR AVE Phone: (949) 642-7222 COSTA MESA, CA Zip: 92627 Owner: MORLEY, JAMES P Address 2936 PEMBA DR Phone: COSTA MESA, CA Zip: 92626 Contractor: LEE ROOFING OF COSTA MESA Address: 1653 SUPERIOR AVE COSTA MESA, CA Zip: 92627 Arch : Address: Phone: (949) 642-7222 License: 349686 Eng: Address: Phone: Status: ISSUED Applied: 05/25/2004 Issued: OS125/2004 ISSUED 8Y: Phone: Zip: . , License: License: SCOPE OF PERMIT REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXISTING SHAKE ROOF, 7/16" OSB SHTG, 1 LAYER 30# FELT UNDERLAYMENT, APPLY "CLASS A 40-YEAR COMP SHINGLES:' 34 S�UARES Plan Check: $0.00 Permit: $181.25 SMIP Res: $0.96 ' SMIP Com: $0.00 Other: $0.00 � Inspection: $0.00 Total: $182.21 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existin : o Rear 0-0 Rear 0. 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Lek 0- 0 Left 0- 0 Proposetl: 0 Calc Valuation: Claim Valuation: Right 0. 0 Right 0- 0 ss,soo.00 ss,soo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expira and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2446d8(6/00) WORKERS'COMPENSAnON DECLARAnON: . • � I here6y aHirm under penelty ot perjury one ot tha tollowing decleretlons: � ❑ I heve end wlll melnleln a certificate of consent to self-Insu�e for workers' compensatlon, es provlded �or by section 3700 of the Lebor Cotle, for the pertormence ot ihe ,.., �work for w�ith Ihis pertnil is issuetl. ' �y- � have and wlll melntain workere' compensation insurenca, as required by secllon 3700 of the Lebor Code, for the peAortnance ot ihe work for which this permit Is Issuetl. My��wmpensa n I surence carner and policy numDer are: Cartier: . Polity Number: (Thls section need not be comp/eted i! the permit Is valued at one hundred dW/ars ($100) or less.) _ ❑ I certify Ihat In Ihe pertortnanca at the work For which this pertnil is Issued, I shall not employ any pareon in eny menner so es to become subiect to the workers' wmpensetlan I s of C domia, and gree tha�ecome sub�ect to the workere' compensation provislons ol Section 3700 oi the Lebor Cotle, I shall lonhwith comply with thes - � ^ Applicent Signeture: . ��lA� , _ _ Date: 5 � � WARNINGFAILURETOSEIXIREWOi#(ERS'WMPENSATIONWVERAGEISUNLAWFULANDSHALLSU&IEGTMIEMPLOYERTOCPIMINALPENAITIE DGMLFlNESUPTOONEMUNDRED hKK15ANDDq1ARE�5100,000),INADDRIONTOiHECOSTOFOOMPEN$ATIIXJ,DAMAGESASPROVI�EDFORINSECTION31080FTNELr1BORCODE MEREST,AN�ATTORNEI"SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm thel I em force entl eNect. Lia x_ Contreaofs Signeture: of Chapter 9(commencing with Sedlon 7000) of Dlvision 3 oi the Buslnq�s an�d P�fessions Coae, and my Ilcense Is In full Class M c % �Date:4-7o- �� CONSTRUCTION LENDING AGENCV: ❑ I hereby ettirm t�et there is a consiruction lending egency for Ihe performance of ihe wark for which �his permit is issued. (Sec. 3097, Civil Cotle). Lendefs Neme: Lendels Atltlress: Signeture: Date: I �ereDy eHirin tfiat under penalry ot perjury ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, euslness end Professlons Code: Any city or c'ounry�whfcti requlres e partnit to construcl, elter, improve, tlemolish, or repair any structure, pnor to Its Issuance, elso requires iha applicant br such pertnit lo lile a signed stetement Ihat he or she is'licensed pursuam to the pmNslons of the Contractors License Law (Ghapter 8(cammencing with Section 7000) oi Dlvision 3 oi the Business endPmfessians Code) 6r,that he or she is exempt t�erefmm and the basis for the alleged e:em0�ion. Any Wolation of Section 7031.5 by any applicam for e pertnit suD�ects the ep0licent to e civil penalry'of not more than five huntlretl tlollers ($500).): ❑ I, es owner ol the property,.oi my employees with wages as iheir sola compensation, WILL UO THE WORK, enC Ihe structure is not intentled or oflered lor sale (Sec. 7044, Business end Professions Cotle: The Conirectors Llcensa Lew does not apply to an owner of propeny who bullds or improves tharaon, and who does such work himseN or herseli or ihrough his or her own employees, provlded Ihet such Impravements are not Intended or aHaretl tor sele. If, however, ihe building or Improvement Is sold within one year of completioq the owner-builder will have ihe burden of proving that he or she did not build or improve for purpose of sale.). ' ❑ I, as owner of the propeny, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business and Profassions Code: The contraaors License Lew tloes not epply to en awner ot Dropeny who builds or Impmves thareon, and who contracts tor such proJect with a contractor(s) license puBuant to tha Contractors License Wws.). ❑ I em exempl under sec. Business end Prolessions Code for Ihis reason: Signalure: Date: Owner ID venfied by drivels license. ❑ Vas ❑ No Dnvars License No. Expires: Vedfication af Owners�ip by (type of tlocument, i.e. - praperty tex blll or deed): _ DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON: ❑ I hereby certity ihat no exwvation five (5) or more teet In depth into which e person is required Io tlescend, will be made in connection with work aut�odzed by this pertnit, end thet no building siructure, scattoltling, falsework, or demolition or dismantling ihereof, will be more ihan thirty-six (36) feet high. (Chap. 3.2, Carp 2, A� 2, Sec. 341, Tltle B, Celifomia Administrative Code). ❑ As owner-Duiltler, I will not employ anyone to tlo work whlch would requlre e pertnit from Iha Division of Indusiriel Safery, as notetl ebove, unless such person hes e permlt to do such work from the divislon. Signature: Date: Divislon of Industriel Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUiHORVATON OF ENfAV: I certify untler penalry of perjury that I have read this epplication and state that ihe Iniormetion given is correct. I aqree to comply with all stata laws entl ciry ortllnences relating to bullding canstruction, entl authonze representatives of Ihe Ciry of Casia Mesa to enter upon the ebove-described pmperry for inspection purpases. I eqree not to occupy or allow occupancy of any building authorized by this pertnit until finel inspection. Si B i iLegalOw�� ne=_(s) r L�ate� �f' .7 r An r Authorized Applicant ' Date COOE I. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1268 Pc%1 Spa Finel 200 Pinal Re-Root 201 F�inal BIocWRetaining Well 202 flnal Fectory Fire Place 203 lFInelSlgn i 204 I Finel Demolition p�jf, �C� CODEI INSPECTIONTYVE 206 Flnal Methanlcal 20B Finel Plumbing � D� • 210 Finel Electticel 212 Finel Fire Prevention 220 Final Planning ApDroval 222 Final Site 250 Finel Building/Occupancy PAIE U�EL$ � q , 9- 3 GtZ g1'�:i��'1 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. CALIFORNIA For Applican+ fo Fill In Complefely TYPE OR PRINT ADDRE65 2q 3 b Em 8o J� COSTA ME5A. CALIFORNIA owNFa �LkF_AJ IUi��i� %n� MAIL ^{.�S� ADDRESS IJ TEL. � NO. TEL. TEL. Z� F%/�' VV \ ��bil NOWOONBLOTe BHiHACK LIN6 RROM }� ce'tiers OP eiaeer ✓ REAR YARD� 91OE YARD ILEFT � IRIGHT I D DESCRIPTION OF WORK r ,: ,e., , , ,. , ��__�,._. � , . .Q.��-u-�l-�� ,• .�.�� .�... .,. . . n'. � � � i.. .. APPLICATION FOR PERMIT� BUILDING For Office Use Only aeceirr Ho. e � o. f �' . °iGl pr I o�tq x�a�vLa I DwY'�'iH�F � r L� COSTA MESA. CALIFORNIA FIRE ZONE APPROVED � ZONING ZONE NO. OF U86 OF N¢W Fj_1 I PLANB '� I euuo�rva g� 8tt. �eaw� , � a-'3 s Z9 oesca�e��oH A. P. NO. NONE YARDS EVES APPROVED ALLOWED IC6NiCR LINe 8TJ � ! REPAIR I IIMOVING I IIDEMOLI6H I BYPROVED OA E L•- �� BUIL�ING O O D NO. OF � � SIZE O ROOMS STORIE6 � EXTERIOR WALL I ROOF Gu K C ( COVERING STuc�c COVERING -�nd USE OP BUII.DING AND WORK TO HE PERFORMED ( Q �) eT . Gatz. ; ; I HEREBY ACKNOWLEDOE TXA� � NAVE RGD TN18 APPLICATION �THE AMOUNT BHOWN UNDER VALOATION IB FOP TH8 ANO BTATE THAT T BOVN IB CORRECT AND AGR88 TO COM- �pUqpOBE OP EBTABLIBHING A PERMIT FEE ONLV. PLY WITX ALL CI OINANC WB R¢6ULATING Bu1LDINo CONB u IaN. VALUATfON /� PERM17 FEE S ;7� PERMAI7TEE � ((J�� J r S / � � PLAN CHECK $ �� AUTHORIZED AGENT �`�� ^ TOTAL FEE res