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HomeMy WebLinkAbout2893 ELLESMERE AVE - Building Permits�: (714) 754-5273 • Fax (714) 754-4856 CITY OF COSTA MESA BI/ILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT �obnddress: 2893 ELLESMEREAV Suite: Vicinity: HOUSE & GARAGE Parcel Number: 13926113 Applicant: MIGUEL ENRIQUEZ Address: 1420 E. EDINGER AV #111 SANTA ANA, CA Owner: LEUM, JACK N Address 2893 ELLESMERE DR COSTA MESA, CA Contractor: BEST VALUE ROOFING Address: 1420 E. EDINGER AV #111 SANTA ANA, CA Zip: 92705 Arch : Address: BUILDING PERMIT Zoning: R1 R1 Phone: 714-542-5222 Zip: 92705 Phone: Zip: 92626 Phone: 714-542-5222 License: 715903 Eng: Address: Phone: � � NUMBER )737 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 05/24/2000 Issued: OS/24/2000 Phone: Zip: License: License: . SCOPE OF PERMIT REROOF - T/O, INSTALL 7/2" OSB BOARD, 1 LAYER OF 15if FELT AND 30 YEAR GAF COMPOSITION SHINGLES. Plan Check: $0.00 Permit: $139.25 SMIP Res: $0.65 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $139.90 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existin : 0 NOTES: Rear 0- 0 Rear 0. 0 Reauired: 0 FEE SUMMARY PLANNING & ZONING LeR 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 56,500.00 $6,500.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void 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 the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetlona and final approvel must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSA710N DECLARATION: I hereby aHirtn untler penalry oi perjury one of the followinq declarations: ❑ I have entl will maintain a certificate ol consant to seli-Insure tor workers' compensation, es provitled for by section 3700 of the Labor Code, for the pertormance of the work for which this permit is issued. � I have and will maintain workers' compensation insurance, as requiretl 6y section 3700 of Ihe labor Code, for ihe peRortnance oi the work tor which this permit is issued. My work rs' compensation Insurence carner and policy number are: �n Carrier: �Clj� 0✓l L✓�5 PolicyNumber: ��P��CJ roi � (This section need not be completed ii Me permll /s valuetl et one hundred dollars ($100) or less.) ❑ I certity that in the peAormance ot ihe work for which ihis permit is issuetl, I shall not employ any person in eny manner so as to become subject ro Ihe workars' compensation laws of Califomia, and agree ihat if I should become subjeq to the workers' compensation provisions of Section 3700 of ihe labor Code, I shall fonhwith comply with ihese provisions. � � ApplicenlSignature: Date: .ri—a �'G� WARNING FAILURE TO SECU OR <ERS' COM SAT CAVEPAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANDDOLLAFE($100, 0),INADOITIONT�HECOSTOFfAMPEN$ATION,DAMAGESASPROVIDEDFORINSECTION3]O60FTHEIABORfAOE,IMEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am licensetl untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Code, antl my license is in full torce and aHecL Lic. q I � � Class N G- 39 ContrectorsSignaWre: �fp�� Date: S—,94^�O T' J CONSTRUCTION LENDING AGENCV: ❑ 1 hereby aHirm Ihat ihare is e constmction lending agency tor ihe pedormance of the work tor which this permit is issued. (Sec. 3097, Civil Cotle). Lander s Name: Lender's Address: Signature: OWNER•BUILDER DECLARATIONS: Date: I hereby aHirm Ihat under penalry of perjury ihat I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a permit to constmct, alter, improve, demolish, or repair any simcture, pnor to its issuance, also requires ihe applicant tor such permit to file a signetl statement that he or she is ticensed pursuant to the provisions of the Conirectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Code) or ihat he or she is ezempt therefrom antl the basis for the alleged ezemption. Any violation ot Section 7031.5 by any applicant for a permit subjects the appiicant to a civil penalry ot not more ihan live huntlretl dollars ($500).): ❑ I, as owner oi the property, or my employees with wages as their sole compensation, WILL DO TME WORK, and ihe siructure is not Intendetl or ottered for sale (Sec. 7044, Business antl Professions Code: The Contractors License Law does not apply to an owner of property_who builtls or improves thereoq and who tloes such work himself or herself or through his or her own employeas, provitled �ha� such improvements are not intentled or oflered for sala. If, however, the building or improvemen� is sotd within one year ot completion, the owner-builder will have the burden of proving that he or she did not builtl or improve for purpose of sale.). ❑ I, as owner oi the properry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions Code: The contrectors License Law tloes not apply to an owner of property who builds or improves Ihereon, end who contracts for such project with a coniracbr(s) license pursuant ro the Coniracmrs License Laws.). ❑ I am exempt untler sec. Business and Professions Code for ihis reason: Signawre: Date: Owner ID verifietl by tlriver's license. ❑ Yes ❑ No Oriver's License No. Ventication of Ownership by (type ot tlocument, i.e. - property tax bill or deed): Expires: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ' ❑ I hereby certify that no excavation five (5) or more feet in tlepth into whic� a person is reQuired to descentl, will ba matle in connection with work authorized by ihis permit, and that no builtling structure, scaffoltling, taisework, or demolition or dismantling thereoi, will he more than ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 347, Ttle e, Califomia Adminisirative Code). ❑ As owner-builder, I will not employ anyone to do work which woultl require a permit from (he Division of Intlustrial Safety, as notetl above, unless such person has a permit to do such work From the division. Signawre; Date: Division of Industrial Satety Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZATON OF ENTFiY: I certify under penalry of perjury ihat I have read this application antl state that the iniormation given is cortecL I agree to comply with all stete laws and ciry ordinances relating to building consimction, antl authorize representatives of the City ot Costa Mesa to enter upon ihe above-described pmpeny for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit umil tinal inspection. COpE;I, INSPECTIONTYPE 1616 1266 Of Le al Owner(s) � i zed f an� oa�r IMRIALS Fizatl Syslem Final Fire Prevention Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 2446-46 b-3i-°`� � CODEt INSPECTIONTYPE 206 Final Machanical 208 Final Plum6ing 270 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy � pA�F INTRIpLS �'g . . ,_� ��� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 31] COSTA MESA. CALIFORNIA fOR APPL/CANT TO F/LL /N COMPLETECY TYPE OR PRINT BUILDING 2� � 3 � LL�Srh��2E ��� ADDRESS COSTA MESA, CALIFORNIA � ARCH ITECT 1 T ADDRE55 (� 55 PGacEu-r� e ocscn�rrtiorv I NO. /� I a�o�K � I 35C'� A.P. NO. JQQJ� / SIZE ]qryy/�� Y U/��'2 L1 SQR�G ]�I �O.OF BLDGS. OF LOT �/ �/'\ 1!��/ \ 'I NOW ON LOT USE OF E%ISTING BLDG. BETORCK LINE FROM /,.� � CENTER OF STFEET �J O REAR YARD I' SIDE YARD I LEFf f V' I RIGHT J / DESCRIPTION OF WORK REPAIR I II MOVING I II DEMOLISH I BUILDING Q�n NO.OF �'�J SIZE � C/�'� ROOMS / STORIES EXTERIORWALL57vG.IROOF /��'1.��`� COVERING COVERING 5 W USE OF BUILOING AND WORK TO BE PERFORMED S NG LE F'oM. QES. �` G'T TaT� (f pQpq P 1 HEflEBY ACKNOWLEDGE THAT 1 HRVE READ THIB APPLICATION /�ND STATE THAT THE ABOVE IS C RNECT ANO AGNEE TO COM- PLY WITH ALL DINANCES !D ST TE' FEGIILATING BUILOING CO Tfl CTI N. SIGNATURE O � PERMITTEE AUTHORIZED AGENT ��� �ECE9V�� �-� u-g-�� FINANCE DEPT. APPLIGATION��FOR� PE�RIv11T�E� BUILDING FOR OFFICE USE ONLY -�-/U I �-2 Ga COSTA MESA, CALIFORNIA TVPF �/ f.R(]IIP � � ZONING ZONE NO.OF USE OF NI I PL/�NS � Bl11LDING c� APPROVED, _ BY � DATE VARDS REpU1RED AL OWED ICENTEN L�NE ST.) L. � i L, ' � �� � ���o�n �iF �-�-� THE AM NT SHOWN UN�ER VALUqT10N IS FOR THE PUHP08 OF ESTABLISMING A PENMIT FEE ONLY. VALUATION PERMIT FEE $ 3� $ /� �j/ ^C PLAN CHECK $ �7 � TOTAL FEE S � / � I