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Home My WebLink About972 DENVER DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR ORIVE, COSTA MESA, CA 92626 Job Address: 972 DENVER DR Suite: Vicinity: ROOF Parcel Number: 41808120 Applicant: GURNEA, SEAN M Address: Owner: BANERJEA, SAM Address 972 DENVER COSTA MESA, CA Contractor: WEATHERLINE ROOFING INC Address: '1013 E WALNUT ST SANTA ANA, CA Zip: 92701 Arch : Address: Zoning: Phane: Zip: Phone: Zip: 92626-2927 Phone: (714) 7313425 License: 729560 Eng: Address: Phone: Status: ISSUED Applied: 10/74/2002 Issued: 70/14/2002 �� /i .: a.�� Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTAIL 1/2' OSB, 1 LAYER OF 15# FELT, ELK 40 YEAR SHINGLES. 2,400 S.F. INCLUDES ATTACHED GARAGE. Plan Check: $0.00 Permit $111.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 � FEE SUMMARY PLANNING & ZONING Lek 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 Ss,000.00 ss,000.00 NOTICE: The work authorized by this permit shall comply with all applica6le handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abantloned for a period ot 1B0 days. INSPECTIONS: In order for the work authorized undar this permit to be considered legal, such work must comply wi�h all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446d8 (8/00) WORKERS' COMPENSATION DECLARAnON: � I hereby ettirtn under panalry of perjury o�e oi the following tleclaretlons: ❑ I heve antl will maintain a certilicate ot consent to selbinsura tor workers' compensation, as provitled for by section 3700 0l Ihe LeDor Code, for the pertortnance of ihe wark tar which this permit is issued. �ave and will maintain workers' compensation insurance, es requirea by sectlon 3700 ot Ne Letwr Catle, for the pertortnance ot Ihe work lor which this pertnit is issued. y workersC'�`-n� en atlon In an�e rrier antl policy number are: p / 'e� ]N�� Fi��1cYtNumCer. i6 �S-/G / (77iis seclion need not Oe comp/ete01! (ne permi( !s veluetl er one hundred dollars ($100) or less.) ❑ 1 certih/ t�et in the peAormence of Ihe work lor which �is permit is issueA, I shall not employ eny person in eny manner so as �o becoma subject to the workers' compensetion laws ot Cali rni a�d egr e that it oulC become sub�ect to Ihe workers' campensation provisions oi Section 3 00 of ihe Lebor CoAe, I shall torthwlth comply with these provisl 5. ARN�Applicmn Stgnature: . i �pete:., lp � y/6> LURE TO SECURE W� (ERS' �MPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL ENALTI 5 AND GVIL FlNES UP TO ONE HUNDRED TFIOUSnNO OOLLARE (St00,M0(IN ADORION TO THE COST OF COMPENSATION, �PMAGES AS PFt�Y1DE0 FOR IN SEGTION 3TO60F THE lAB9R COOE, IPITEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLAiiAT10N: I hereb� ha� I am licensed untl r rovis c f�nd�-'e�H�ec1-Li�� Contraaofs Signeture: ns ol Chapter 9(commencing with Section 7000) ol Division 3 of �he Business and P ofessiy�s Cotle, antl my license is in tull � Clea��N. ��.�i ,? � Date: �o �Y 62 CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirtn Ihat there is a consWction lentling agency for Ihe DeAormance of lhe work for which this permit is issued. (Sec. 3097, Civil CoOe). lentlefs Neme: Signeture: _ OWNER•BUILDER DECLARA710NS: LentleYs AAdress: Date: I hereby aNirtn that untler penalry of perjury that I am E%EMPT FROM THE CON7RACTORS LICENSE LAW lor the tollowin9 reason (Sec. 7037.5, Business and Professions Code: Any ciry or counry which requires a permit to construct, alter, Improve, tlemWish, or repair any strucWre, pnor to its issuence, elso requires the eDP��ent tor such pertnit to tile a sVgned stetement ihat he or she Is Ilcensed pursusN to the provlsions W ihe Comrectoro License Lew (Chaptar 9(commencing with Section 7000) ot Divisfon 3 oi [he Businass and Profeulons Code) or Ihat he or she is exempl iherelrom anA the basls for Ihe alleged exemption. Any vialation oi Sectlon 7031.5 by eny applicant for a permit sublects Ihe epplicant to a civll penalry ot not more ihan live �untlred dollers ($500).): ❑ I, as owner at the property, or my employees wlt� wages es thelr sole compensation, WILL DO THE WORK, entl Ihe structura is not intended or otteretl for sale (Sec. 7044, Business and Professions COde: The Coniractors License Law tloes no1 apply to an owner ol propeny who builds or impraves thereon, antl who tloes such work himseit or herselt ar through his or her own emplayees, pravided �hat such Improvements are not Intended ar otteretl for sale. If, however, ihe building or improvement is sold wi�hin one year ot completion, the owner-builtler wiil heve Ihe burtlen oi Droving Ihat �e or s�e did not build or Improve lor purpose of sale.). ❑ I, es owner of !he property, am E%CWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to ConsWct Ihe projett (Sec. 70G4, Busine5s and Profeuion5 Code: The comractors Llcense Lew does not apply lo en owner of property who builtls or Improves lhereon, ena who comraas for such project with a contractoqs) license pursuent lo the Contrectors License Lews.). ❑ I em exempt under sec. Business entl Pmtessions Code tor this reason: Signature: — Date: Owner I� vedfled by dnver's license. ❑ Ves ❑ No Ddvers License No. Verificatlon of Ownership by (type af dac�ment, I.e. - pmperty tex blll or deed): Expires: DIVISION OF INDUSTRIAL SAFETV P6RMIT CER7IFICA710N: 0 I hereby certify Ihet no excavatlon fiva (5) or more feet in tlepth Into which e parson Is requlred to descend, will Oe mede In connection with work euthonzed by this permit, antl that no builtling sWCWre, scaflWding, lalsewoak, or aemolitbn or dismantling t�ereot, will be more ihen thiriy-six (38) teet high. (Chep. 32, Gry 2, An 2, Sec. 341, Tltie 8, Celilornia Atlministralive Code). ❑ As owner-builtler, I will not employ enyone to do work which would require o permit Irom the Division ol Indusiriel Selery, es notetl above, unless such person hes e permit to do such work irom the division. Signature: Date: Division oi Intlusirial Selery Permit Number: CER7IFlCATE OF COMPLIANCE AND A�ORIZA710N OF ENfAV: I certiy under penelry of perjury Ihat I have read Ihis epplication and state that the intortnation given is wrrect. I egrae m comply wllh ell stale laws entl ciry ordinances releting to bullding construction, entl authodze representatives of the Ciry ot Costa Mesa to enter upon the ebove-describedyrep6TloTl�ispec�ion purpates. I egree not to occupy ar ellow accupancy of eny builAing autharizetl by this permit until Tinal inspection. cooe �• System Final Flra Preventlon 1266 Pool Spe Final 200 Finel Re-Roof 201 Finel Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolitian PAIF 1HiIDeLS �0-2S.oL �"%9 � tooe� ixsrernoxnve 206 Final Mechenical 208 Final Plumbing 210 Final Electricel 212 Final Fire Prevention 220 Final Plenning Approval 222 Final Site 250 Finel Building/Occupancy PAI: ItIIIDELB . 23a�� COSTA MESA BUILDING-SAFEfY DEPARTMENT • P.O.BO%91] COgTpM69A.CALIFORNIA For Applicant fo Fill In Complefely � TYPE qR PRINT eui�o�Na q � ADORESS d. /✓ � Y' ' COSTA MESA, CALIFORNIA OWNER S ✓ u S No5 'L',G 0 MAIL i.. _ — �' J __ r�t I�EC�IVED ��i�ucE7o�� CITY OF COSTA MESA ,PPIICATION FOR PERMIT BUILDING For Office Use Only � PCCBI'T NO. P! .f� i� //4�/8/�OO) �/l1'gN9Y6�JO ' � 7 � 17�u v�� d 0 , L ZONING � • ADDRE88 �! S� � A/ Z NO.O� U880PN6W � / tuna �/' BU�LDI CONTRACTOR O Ii {Y O Oc • / � - �aow� J V DEYCXIRION ADDRE89 ��- % A a' i4 CITY G A � A. P. NO. L L � I NOTE: NO EAV E OV ERHAN6 BHALL BE LE59 THAN LIC. NO. J NEL.S� %- ai5 .3 90' TO SIDE @ REAR . L. EAVEB 61ZE jS �jd so I No. op BLDa6. � ALLOWED (U. B. C. REQUIREMHNT) OF LOT l NOW ON LAT YARD9APPROVEO YARDSAPPROVEO USE OF MAIN BUILOING ACCESSORY BUILDINO EXISTIN6 BLD6. (FROM C/LSTREET) BETBACK LINB PROM FRONT � FT. cenTen or sraHci : S RHAR YARD � G / 3 L � R. aioe t�'. F r. SIDEYARpI L6FT S�� ' I RIOHT J ei DESCRIPTIQN OF WORK . s�o R*. �. I � REAR , � Ff. � ` Ff. NEW � ALTERqT10N _ ADDITION DISTANCE 9ET. BET. MAIN B MAIN BLDG3. ACCES9. BLD68. REPAIR MOVINQ DEMOLISH VAR.SF �ATE � BUILDINQ NO.OF q SIZE ROOMS � 8T RIH9 O� C.U.P. APPR VED EXTERIORWALL I CO�VERIN6 GV D O�L APPROV /-a,7-�� COVERING e f) Y DATE USfi OF BUILDING AND WORKTO BE PERFORMfiD � / N o = I .G � w !J� !�W ° '/ j . i�✓ � G ' �i � 1 /� i/! �� 1 � � � / 80. FT. . U ' e 1 HEHEBY �CKNOWLeDOH TXAT � H�yg READ TXIB �PPL�GTION TH! AMOUNT 9HOW UNDBP VALUATION IB POR TNH F ANO 6TAT8 THAT TH¢ ABOV[ Ig COqq¢CT AND AOqCH TO COM. PlIRP098 OR HBTA6L18HIN0 A PEHMIT FH8 ONLv. 0 PLY WITM ALL <ITY ORDINANC@9 AND 6TAT8 LAW9 H80UlATINO ypLUATION �jD em�ouua coHeixurnon. PERMIT FEE $ / O �� SIGNATUREOF/ cC/ GIy�G /� � PERMITTE ` � /ry /} m U $ a� (O✓ - PLAN CHECK $ � 7 � p AUTHORIZb� AGENT �` TOTAL FEE