HomeMy WebLinkAbout2283 ELDEN AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa•mesa.c��ILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job nddress: 2283 ELDEN AV
Suite:
Vicinity: 2283 AND 2287 ELDEN AV (DUPLEX) W/GARAGE
Parcel Number: 42605412
Applicant: MC CARL, TIM
Address: 126 COMMERCIAL WAY
Zoning:
Phone: 949-548-5569
COSTA MESA, CA Zip: 92627
Owner: PARISH, R PAIG AND HEATHER L
Address 2283 ELDEN AVE
Phone:
COSTA MESA, CA Zip: 92627-1740
Contractor: GARY REES DBA CRANK BROTHERS ROOFING
Adtlress: 126 COMMERCIAL WAY
Phone: 949-548-5569
COSTA MESA, CA
Zip; g2627 License: 736549
Arch :
Address:
Eng:
Address:
ISSUED BY:
0
Status: ISSUED
Applied: 09/29/2003
Issued: 09/29/2003
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF RESIpENCE WITH ATTACHED GARAGE: T/O 3 EXISTING ROOFS, REPAIR/REPLACE SHTG AS NEEDED, FELT PER MFGR'S SPECS,
APPLY "20.YEAR CLASS A FIBERGLASS SHINGLES' 14 SQUARES
Plan Check: $0.00
Permit: $13925
SMIP Res: $0.63
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $139.88
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0. 0
PARKING Ezistinq: o
Rear 0- 0
Rear 0- 0
Reauired: 0
FEE SUMMARY
PLANNING & ZONING
Lek 0. 0
Left 0. 0
Proposed: 0
Calc Valuation:
Claim Valuation
Right 0- 0
Right 0- 0
$6,253.00
$6,253.00
NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. g2-28, § 1, 12-21-92)
�I EXPIRATION: This permit shall automatically ezpire and become voitl if work is not commenced within 180 days, or if work is suspended or abandoned
�� for a penod of 180 days.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapectiona and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
24a&48 (fl�W)
WORKERS'COMPENSAnON DECLAqATON: �
I hereby aflirm untler penalry of perjury one of the tollowinq tleclarations: ��
❑,. I have antl wlll maimain e cenificate of consent m selt-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for ihe peAormance of the
� ' work for which this permit is i5sued.
�� I �ave antl will meintain workers' compensation insurence, as required by section 3700 ot the Lebor Code, for the pertormance of the work for which [his pertnit Is issued.
IAy workers' co pen ation Insurence carner ntl policy number are:
Carrier. d�-'t+� Q ��1. k� PoliCy Number. �� `1 %'rI �I Z-(� O� O B�
(This section neetl nof be complefed�s valued ef one hwUred dollers (5700) or less.) '
❑ I certify ihet in Ihe peAor aqce of ihe work tor which this permit is issued, I shall not employ eny person in any manner so as to become subject to tha workers'
compensation laws of CS if9Fni e agree Ihat if I shoultl ecoma subject to the workers' compensation provisions of Section 37 0 of the Labor Cotle, I shall foNhwifh
comply with ihese pr� efis.
Appllcant Signature: Date: � � �d I� � A �
WARNING: FAILURE TO SECUR W iiKEPS' COMPENSATIIXJ COVERAGE IS UNLAWFUL PNO SHALL SUBIEGT AN EMPLOYER TO CRIMINAL PENALTI� ES AND CIVIL FlNES UP TOONE HUNDRE�
THOUSAND DIXIARE (E100,000). ADDITION TO TME COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION �Ofi OF THE L4BOR CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARA710N:
I hereby aHirm that I am licensed
farce ontl aflacL Lia N�
Conirnctofs Signature:
CONSTRUCTION LENDING
of Chepter 9(commencing with Section 7000) of Division 3 oi the B
Class q
_ ..,. Date:
Code, antl my licanse is in full
❑ I hereby aHirm that there is a constmction lentling egency for the pedormance of the work for which ihis permit is issued. (Sec. 3097, Civil Code).
Lentler's Name: Lendets Add�ess:
Signeture:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby aHirm that under penalty of perjury ihat I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business end Protessions
Cotla: Any city or county which requires a permit to consimct, alter, improve, tlemolish, or repair any stmcWre, prior to its issuance, also requires the applicant tor such pertnit
to file e signed statement ihat he or she is licensed pursuent to Ihe provisions of ihe Comractors License Law (Chapter 9(commencing with Section 7000) of Divisian 3 of ihe
Businou and Professions Code) or thet he or she is exempt Iherefrom anA the besis tor the allegetl ezemption. Any violelion of Section 7031.5 by any applicant for a Oermit
sublecis ihe applicant to a civil penalry of no� more than tive hundred dollars ($500).):
❑ I, as owner of ihe property, or my employees wi�h weges es Iheir sole compensa�ion, WILL DO THE WORK, and �he siructure is not intendetl or otterad for sale (Sec.
70a4, Business and Protessions Code: The Contractors License Law does not appty to an owner of properry who builds or improves thereon, and who does such work
himself or herseli or Ihrough his or her own employees, provided that such improvamen�s are not in�ended or offered for sale. If, however, ihe building or improvement is
sold within one year oi complefion. lhe owner-6uiltler will heve the burdan of proving that �e or s�e did not �uild or impmve for puryose ot sele.). '
❑ I, as owner of Ihe propeny, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business antl Professions
Code: The contractors License Law does not apply to en ownar of property who 6uilds or impmves thereon, antl who contracts tor such project with a coniracbr(s)
license pursuant to �he Comractors License Laws.).
❑ I am e:empt under sec. Business antl Professions Code for this reason:
SignaWre: Oate:
Owner ID veritied by drivefs license. Ves ❑ No Drivefs License No.
Veritication of Ownership by (type oi document, i.a. - proparty taz bill or tleetl):
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certily �hat no excavation five (5) or more teet in tlepih into which e person is required to tlescend, wiil6e matle in connection with work aut�orizetl by �his
pertnii, and c�at no Duilding structura, scaHolding, falsework, or demolilion or dismantling thereof, will be more ihan thirty-six (36) leet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Titla B, Calitornia Adminisirative Code).
❑ As owner-builder, I will not employ enyone m tlo work which would require e pertnit from the Division of Industnal Safety, as noted ebove, unless such person has e
pertnit to tla such work irom the division.
Signature: Date:
Division of Indusirial Safery Permit Number:
CERTIFICATE OF COMPLIANCE AND AIfTHORVATON OF ENTFiY: I certify under penalty of perjury Ihat I have read this applica�ion and sWte ihat Ihe information given is I
correct. I agree to compty wiih all state laws antl ciry ordlnances relating to building consWction, end authonze represenia�ives of the Clty ol Costa Mesa to enter upon the
above-described property for inspection purpases. I agree not to occupy or allow occupancy ot any building authonzed Gy this pertnit until tinel inspection.
COUE �. INSVECTIONTYPE
1616 FixeA System Final Fire Prevention
726fi Pool Spe Final
200 Final Re-Rool
201 Final BIocWRetaining Well
202 Final Fectory Fire Place
203 Final Sign
204 Final Demolition
p�¢, � IMRULS
�� �
COOEI INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final ElecMcal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final BuildingiOccupancy
Date
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