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Home My WebLink About3123 DUBLIN ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 3123 DUBLIN ST Suite: Vicinity: Parcel Number: 41814111 npplicant: JESUS VASQUEZ Address: Owner. BELL, SCOTT B Address 3123 DUBLIN COSTA MESA, CA Contractoc FIRST QUALITY ROOFING Address: 2402 W BROOK ST SANTA ANA, CA Zip: 92704 Arch : Address: Zoning: R1 R1 Phone: 714-836-3595 Zip: Phone: Zip: 92626 Phone: (774)571-0120 License: 776969 Eng: Address: Status: ISSUED Applied: 09/13I2000 Issued: 09/13/2000 ISSUEDBY: �T� Phone: Phone: Zip: License: License: SCOPE OF PERMIT T/OFF SHEATH AND REROOF 2400SF RESIDENCE W/COMP SHINGLES: SMOKE DETECTORS RE� PER 97UBC. 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 Existin : o NOTES: Rear 0- 0 Rear 0-0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Ri9ht 0-0 as,000.00 $5,000.00 �_ '� NOTICE: The work authorized by this permit shall comply with all applirable handicap access requirements undar 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 180 days, or it work is suspended or abandoned for a period of 180 days. - i INSPECTIONS: In order tor ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all �' requlred inspectlone and final approval must be obtained. FaiWre to obtain inspections and final approval will result in the expiration of this pertnit. � FOR INSPECTIONS CALL: (714) 7545626 >d4&48 (fl�W) WORKERS'COMPENSAnONDECLARAnON: ` I hereby attirm untler penalry of perjury one oi the lollowing tleclarations: ❑ I have antl will maintain e cerlificate of con3ent to selt-Insure for worker3' compensation, as provided for by saction 3700 of ihe LaDor Code, for the pertortnance of the work for which Ihis permit is issuetl. ❑ I have anC will maintain workers' compensetion Insurance, as required by sectlon 3700 of ihe Lebor Code, for the peRormance of the work for which this pertnit Is issued. My workers' compensatian Insurence cerrier antl policy number are: Carriec / Poliry Number: / (This section neetl not be complefed i! Ihe permit is velued et ane hundred dollars (Sl J or less.) �j I certiTy that in the pertormance of Ihe work for which this permit is issued, I shall not employ eny person in any menner so as to become subject to t�a workers' compensetion laws of Celilornia, end eqree Ihal it I shoultl becoma subjact to the wo eis' compansetion provisions of Section 3700 of t�a Labor Code, I shall fotlhwith Comply with ihese provision5. ,� ApplicantSignawre: i - — Date: Q��. �� , � t9 / WARNING:FAILURETOSECUREWORKERS'COMPENSATI COVERAGEISUNLAWFULlW�SMALlSUBJECTlWEMPLOVERTOCRIMINALPENALTIESANDGVILFlNESUPTOONEMUNDRED T110USAND OOLLARE �5f 00,000), IN ADDRION TO THE GOST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SEGTION 3106 OF TME LABOq CODE, IIJrEREST, qND ATTOFiNEV'S FEES. / � LICENSED CONTHACTORS DECLARATION: I hereby aNirm Iha� I em licensetl under provision5 of Chepter 9(commencing with Secti 000) of �ivision 3 of the Business and Professions Cotle, and my license I5 in full torce antl ettect Lic. k ��`/ � Class M /� _ 2 Ci Comractofs SignaWre: �� Q E,��S. +Ff� �..� � _ � Date: ��i'_% / 2 /� f'� CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirtn ihat there is e constmction lentling egency for the peAormanca of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Atltlress: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirm thel under panalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Protessions Code: Any ciry or counry which reQuires a permit to construct, alter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires the applicant tor such peRnit to tile a signed statement that he or she is licensetl pursuent to �he provisions of the Conireaors License Law (Chaptar 9(commencing with Section 7000) ot DiWsion 3 0( Ihe Business and Protessions Cotle) or thet ha or she is exempt thereFrom and Iha besis for the alleged exemption. Any Wolation of Section 7031.5 by any applicant for e permit subjecis ihe applicant lo a civil penalty of not more Ihan five huntlretl dollars (5500).): ❑ I, as owner of ihe properry, or my employees with wages as their sole compensa�ion, WILL DO THE WORK, and Ihe siructure is not intended or oNeratl for sale (Sec. 7044, Business and Pmfessions Code: Tha Contrectors License Lew tloes not appty to en owner ot properry who builds or impmves thereon, and who tloes such work himsetl or herseli or ihrough his or her own employees, provided Ihat such improvements are not intentled or oflered tor sale. N, however, ihe builtling or improvement is sold within ono year ol completion, the owne�-builtler will heva the burdan of proving ihat he ar she tlitl not build or improve for purpose ot sale.�. ❑ I, as owner ol iha property, am EXGLUSIVBLY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Prolessions Cotle: Tha cantractors License Law tloes no� apply to en owner of proparty who builQs or Impwves thereon, antl who cuntracis br such pmjact with e contractor(s) license pursuant to ihe Coniractors License Lews.). ❑ I am exempt untler sec. Signature: Owner ID verified by dnvefs license. ❑ Ves ❑ No Business and Professions Cotle lor this reason: Veriticetion ol Owners�ip by (rype of tlaumenL 1.0. - praperty laz bill ar tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CER7�FICA710N: Dnver'S Licen58 No. Date: Expires: ❑ I �ereby certify ihat no excavetion five (5) or more leet in tlepth into which a person is required to descend, will be made in connection with work authorized by t�is permiL antl that no building slructure, scaHa�ding, falsework, or demolition or dismantling thereoi, will be more Ihan thirry-si: (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celilomia Adminisiralive Cade). ❑ As owner-builder, I will not employ enyone �a do work which would require e permit trom t�e Division of Industrial Satery, as noted abova, unless such person has e pertnit to tlo such work from tha division. Signature: Date: DiviSion of InduS�rial Safety Permi� Number. CER7IFlCATE OF COMPLIANCE AN� AUfHORW1710N OF EMAY: I cehity untler penalry of perjury that I have reaa �his application and state that �he iniormetion given is correci. I agree to comply with all stete laws end ary ardinances relating to �uilding construction, an0 authonza representatives ot tha Ciry of Costa Mesa to enter upon Ihe eDove-descnbed propeRy for inspectian puryoses, I agree not to occupy ar allaw occupanry ol eny building authonzed by this pertnit until linel inspection. Signature OI Legal Owner(s) / Date .� 2��'i ��ir� Y ri6A2-� • �. Antl/Or Aut�io� APPlicant Date � • � S . O� COUE I, INSPEC710NTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Flnal BIocWRetaining Wall 202 203 Final Paciory Fire Place Final Sign 204 Final Demolition QajE �$ j�Qpj� INSPECl10NTYPE 206 Final Mechanical vL„7r�,,'� 2�0B Final Plumbing �0 U6 � /�{t/ei0 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy �g � OW NER �nllago Maaa Cnmian� DATE �'1$-�6 JOB ADDRESS 3123 Dubliri Street BUILDING PERMIT NO. 27�6 . GENERALCONTRACTOR The Hale �.'O VAWE $ 10,960��0 L� 1'j BLOCK TRACT 2�32 Single xeS. W�att gar GROUP I 6"`J TYPE V ZONE � FIRE DISTRICT 2B07 PERMITS ISSUED INSPECTION_S �,j �../ '��T�E¢ SUBCONTRACTOR DATE I NUMBER �Yi�/.A� �* Foundation Forms and Grade to Rough Framing r� Plumbing, Rough to � Plumbing, Rough Complet Temporary Pole Wiring.Rough //�7//l I%./S`.SLI /R�..�..., �2._ I L-��._t/_I � t97 — 3. Final Jr�-F i �If�%�i n �.7 ,P,- ( � '.3 �`_J� HouspJ(��! Sewer,St. t:1? 17s � •/� � • .'�i..ti�f(. LGdv � Lath�ng, In�� Out� jp/jy�� PI ing �� - Plumbing, Final, Fixtures Complete � (� -�, Plumbing,FinalGas7est ,(J�p �-1 Wiring, Final /� Occupancy � ��_� � FOHM 210 3M IO�vS . _ . . �gsxa, Mesa Building Department - "' 711 EAST 20th BTREET COSTA� MESA, CALIFORNIA 1 FOR APPLICANT TO FILL IN Costa Mesa, California Watson Avenue iress 8002 Central Avenue Tel. r Garden Grove No. LE 9-2158 ;hitect o Lic. 3ineer �a�/is & Quigle,y No. C-1790 iress 43 Mala�a Cove P1aza,Palos Verde City Lla �cractor The Hale Compar�y rvo. 34'l2 iress 8002 Central Avenue,Garden Grove �e�i�,... � rLa�t 17 � a�.,.o- � r.�.. 2432 Building of New APPLICATION FOR PERMIT 280� BUILD�ING � FOR O�'FICE USE ONLY I Receipt No. Permit No. �P?77� ,RRce�ved bY I c,i'i/ v e"✓.S� I[..�' �X � a �'rV Costa Mesa, California 6� x 95 � Nowon �o't None 3. INo.of No.of Familles Rooma : from � Rear Vard "30 eet 50 S{deYard � �CRIPTION OF WORH IX I AlteraHon I I Addition I � I I-Moving I I Demolish I No. of 1270 Rooms 6 Stories 1 � StuccO I Covering Sha$e Single family dwelling rlith Foundation i Forms, Ma w w Under-Pin Freme: Flre I hereby aclmowledge that I have read this ApplicaUon and state that the above is mrreM and agree to comply with all Clty Ordinances and State Laws regutating building rnnstrttction. StgnatureoT THE HAL� COMP Permittee Authorized Agt J Valuation PermltFee$ y � Plan Check $ � 3 ' $ �� ybQ, Total Fee $ • AM 2M C_AP 2M 8-55 rv o. m Plans APPROVALS ion � Inspeetor Plaster, Ext Masonry Reinforced 8ond Beam O z � 2 D r � PLOT PLAN Show location and Cistancea irom property Iine and between bulldinga , ' �" - cosrr , r � �R � � `?�P� ^Ci�{a 'r.. . 'i n`esn. ;9.(��. -.. ' � _ -.- . � . . . �. - i�� x , r .