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Home My WebLink About913 DOGWOOD ST - Building Permits� w (714) 754-5273 • Fex (714) 754•4956 • www.c�.costa-mesa.c�.�LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 913 DOGWOOD ST Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 42252203 Applicant: THORIN, ADAM Address: 317 AVENIDA GRANADA LONG BEACH, CA '. Owner: HALLORAN, THOMAS Address 913 DOGWOOD COSTA MESA, CA Contracror: ADAMS ROOFING Address: 317 AVENIDA GRANADA LONG BEACH, CA 2ip: 90814 Arch : Address: Zoning: Phone: 7�4-965-0245 Zip: 90814 Phone: Zip: 92627-0116 Phone: 714-9650245 License: 524341 Eng: Address: Phone: ISSUED BY: Status: ISSUED Applied: t0121/2003 Issued: 10121l2003 Phone: Zip: License: License: SCOPE OF PERMIT REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXISTING 2 LAYERS COMP, REPAIR/REPLACE SHTG AS NEEOED, 1 LAYER 15# FELT, APPLY'30.YEAR COMP SHINGLES" ON 15 SQUARES OF PITCHED ROOF. APPLY TORCH DOWN ROOF ON THE 5 SQUARE FLAT SECTION. Plan Check: $0.00 Permit: $97.25 SMIP Res: $0.50 SMIP Com: $O.OQ Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existina: 0 Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Righl 0- 0 Right 0-0 53,750.00 $3,750.00 1 �. NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under Californla statutes and related regulations. (Ord. No. 92-28, § 7, 12•21•92) � EXPIRA710N: This permit shall automatically expire and become void if work is not commenced Within 180 days, or it work is suspended or abandoned for a penod of 780 days. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetlona and flnal epproval musl be obtained. Faifure lo obtain inspectlons and flnal approval wifl resuit in Ihe explratton ol lhis permii. FOR INSPECTIONS CALL: (714) 75q-5628 24a&48 (8N0) WORKERS'COMPENSATON DECLARAnON: I hereby aflirtn under penalry ot perjury ona ol the Idlowing dedaraGons: ❑ I have end will meintain e certilicete ot wnsent to self-Insure lor workers' compensation, es provided for by section 3700 0l lhe Labor Cotle, tor the pertormence ot Ne work lor which t�ls pertnit is issued. � I�have entl will rYa��tain wwkers' compensatbn Inwrance, as required by sectlon 3700 ol Ne La6or Cotle, for the peAomiance of ihe wwk for whkh this pertnit is Lssued. My workers' compensation rInsurancg carrier end policy number ere: J ceMa�: 5'?Fre / 4A� PolicyNumber. /�OOlyO (Thls sectlon need no� be completed I! the permlNs veluetl ef one huntlretl dWlars ($100J or less.) ❑ I cenih/ thet in tde performance af the work tor which Nis permit is Issuetl, I shall not employ any person In eny menner so as to became subject ta tha workers' compensatlon I&ws of Calll la, end rea t�at II I shoulA become su6�ect to �he workers' compensetlon provlslons ot Section 700 0( the Lebor Code, I shell lorthwith comply wit� these provisia . � ��L/ � Applicent Signeture: Dete: WARNINO: FAI�URE TO SECURE WORKER$' OOMPENSAT1dJ OOVERAGE IS UMAWFUL AND SHML SUBJECT AN EMPLOYER TO CRIMINAL PENqLTIES AND CML FlNES UP TO ONE HUNDfiED T/IOUSPND WILARE (5��.�). �N ADDRION TO THE C0.5T OF COMPENSATION, OAMAGES AS PROVIDED WR IN SEGTION 3]OB OF THE IABOR CODE, IMEREST, AND AT70RNEV'S FEES. LICENSED CONTRACTORS DECLApAT10N: I hereby eNirm �hat I am IicenseQ under prpWsi�� f;�aa.p� r 9(commendng with Secllon 7000) ot Dlvision 3 0l �he Business and Prafessions Code, antl my Iicense Is in full lorce entl eflect. llc. M / / `(SV Class a � CamrectoYsSlgneWre:' Dete: _L� CONSTRUCTON LENDING AGENCY: ❑ I hereby eMirtn Nat there is e wnstruction lending egenty br Ihe peAormance of lhe work tor which t�is permit is Issuetl. (Sec. 3097, Civil Code). Lentlor9 Neme: Lendefs Atltlre55: Slgneture: Date: OWNER-BUILDER DECLAfiAT10NS: I hereby eNirm ihet under penalty ot Oerjury thet I em E%EMPT FROM 7HE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Busineu and Prafessions Cotle: Any clty or counry whlch requires e permit Io consiruct, altar, lmprove, tlemolish, or re0air eny stmcNre, prlor to its issuence, also requires t�e epplicani lor such permit b tile e signetl slatemem that �e or sha is licsnsetl pursuant to the provisions ot Ihe Conirectore licensa Lew (Chapier 9(wmmencing with Section 7000) ot Division 3 at ihe Business entl Professions Cotle) or that he or she is exempt iherelrom ena the besis br the alleged exemption. Any vlolatlon oi Section 7037.5 by eny applicent far e pertnit sub)ects Ihe epplicent �a e civil penaly ol not more Ihan five hundreA tlollars ($500).): ❑ I, as owner ol the properry, or my employees with wages as their sole compense0on, WILL DO 7HE WORK, end t�e sWcture Is not iniended or oXeretl for sale (Sec. 7044, Business entl Professions Code: The Contractors License Law does no� apPly �o an owner of property who builtls or improves �hereon, and who tloes such work himself or hersetl or through his or her own employees, provided that such impmvemems are not Intanded or oNered lor sale. It, �owever, Ihe 6uilCing or improvement is soltl wi�hin one year of completion, ihe owner��uilder will have the 6urden ol proving that he or she did not builtl or improve for purpose of sele.). ' ❑ I, as owner of fha property, am E%CLUSIVELY CON7RACTING WI7M LICENSED GONTRACTORS to construct the project (Sec. 7044, Business and Professions Cotla: The wmractors License Law does not eppry to an owner ol property w�o builds or Improves thereon, antl who wnirects for such prqect with a wmreaor(s) license pursuant to tha Contractors Licensa LewsJ. ❑ I em exempt unGer sec. Business end Protessions Code tor this reason: Slgnawre: Date: Owner ID verlfled by d��er's license. �g] Ves � No Driver's License No. Expires: Venflcation ol Ownership by (rype ot tlocument, i.e. - property tac blll or deetl): __ DIVISION OF INDUSYRIAL SAFETY VERMIT CERTFICATION: ❑ I hereby catllfy iqat no excavatlon Ilve (5) or more ieet in depth Into which a person is requlred to tlescend, wlll be matle in connection with work euthodzeC by ihls permit, antl that no buildinp siructure, sceflolding, talsework, or demolition or tlismantling thereol, will be more than thirty-slx (36) feet higR (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Calitomie Adminlstrative Code). ❑ As owner-builtler, I wlll not employ enyone to do wark which woulA repuire e pertnit irom �he Divislan of IntlusMel Satery, es notad ebove, unless such person hfls a permit to do sucd work from t�e tlivlsion. Signature: Date: Division oi Industrial Sefary Parmit NumCer. CERTIflCA1E OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I ceM1ity under penalry of perjury thel I have read this appliwtion and state ihet ihe inlortnation given is correcL I egreb to compry with ell stete lews entl dry ortlinances relating to bullAlnp consiruction, end authodze representatives at the Gry of Costa Mesa to enter upon tha ebove-dascribed propeny tor inspection puryoses. I eqree fwt m occupy a allow occupency of any builtling euttwrizetl by Ihis permit unNl linal inspectian. ignature Of Legal Owner(s) Date 5 �a zz o� AnNOr Authanzed Applicant Date CQOE �. INSiECTIONTYFE f 818 Flxetl System Final Fire PrevBntlon 1268 Pool Spe Fine� 200 Finel Re-Roo� 201 Final Block/RBtaining Well 202 Final Fectory Fire Place 203 Finel Sign 204 Final Demolition PAg II�dLS ��al1�L�� COOE 1 INSPECTION TYVE 206 Flnel MochenlCel 208 Flnal Plumbing 270 Final Elocidcal 212 Finel Flre Proventlan 220 Final Planning Appro�al 222 Finel Sile 250 Finel Bulltling/Occupancy PAIF ItII�Li OWNER SCIMIA R. A. JOBADDRESS 913 ��o::_ Street DATE 5�28`56 BUILDING PERMIT NO. GENERALCONTRACTOR (7HI1BI'-Builder VALUE S %2%•OO �O'i 289 BLOCK 9� TRACT 1%ZZ BZOCk w811 GROUP 'J TVPE ll1 ZONE � FIRE DISTRICT 3151 INSPECTIONS DATE SUBCONTRACTOR PERMITSISSUED _ _ � DATE I NUMBER Footing Trench �; Foundation Forms and Grade to Rough Framfng _ Wiri Heating, Final Sewer, House Sewer, St. Septic Tank or Cesspool Lathing, In Out Plastering Plumbing, Final, Fixtures Complel Plumbinp. Fin.al Gas Test OccupanCy I I I I FOFM 210 ]M 10�05 �115 � 117 EABT 20th STREET 3g51.. B U I L D,L N G ' COSTA MESA, CALIFORNIA a frt Wu I Street PLOT PLAN Show Iocation and distanees irom property line and between buildings. , ��T: � r/� ,.,.r �� s�PD�,�Gn. �75.1 . ... '�l. 1 ....rn�-i .� . .r r9 „•Y 2�1-5 , cosTr 7�S¢ .,...;.: • � ��l PD„E�,. qRANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT � ' , 636 North Bmodwar — � � I �.�. �-� �- - SANTA ANA, CALIFORNIA . . --..:. .- .. ,, .. �' �:�:=: : . 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