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Home My WebLink About2905 ELLESMERE AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 2905 ELLESMERE AV Suite: Vicinity: HOUSE & ATTACHED GARAGE Parcel Number: 13926110 Applicant: ROBERTS, DWIGHT Address: 2905 ELIESMERE AVE COSTA MESA, CA Owner: ROBERTS, DWIGHT M TR Address 2905 ELLESMERE AVE COSTA MESA, CA Contractor: OWN ER-BU I LDE R Adtlress: Zip: Arth : Address: Phone: 2oning: R1 R1 Phone: (714)549-1564 Zip: 92626 Phone: (714) 549-1564 Zip: 92626 Phone: License: 0 Eng: Address: Status: ISSUED Applied: OB/24/2007 Issued: 08/24I2001 ISSUED BY: ' Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (35 SQ). TEAR OFF EXISTING ROOFING & REPLACE SHEATHING 8 FASCIA AS NEEDED. INSTALL 15# FELT UNDERIAYMENT 8 REROOF WITH 30 YEAR ASPHALT SHINGLES. Plan Check: �0.00 Permit: 5139.25 SMIP Res: $0.70 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $139.95 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Ezistin : 0 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 Right 0-0 a�,000.00 s�.000.00 NOTICE: The work authorized by this permit shall comply wNh ali applicable handicap access requlrements untler Califomia statutes and related regulatlons. (Ortl. No. 92-28, § 1, 72•21•92) EXPIRATION: This permit shall automatically expire and become vold if work Is not commenced within 180 tlays, or if work is suspended or abandaned for a period 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, entl all requlred Inapeetlons and final epproval must be obtained. Failure to obtain inspections and final approval will result in the ezplration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 �� WORKERS'COMPENSATION OECLARATON: 1 �ereby eNirm under penalty ol perjury one ot the lollawing tlederetlons: ❑ I heve entl wlll malntein e caNiicate of consent to setl-Insure lor workers' compensation, as provldad for by sactlon 3700 of t�e Lahor Cotle, lor ihe peAormence ot t�e work for whlch ihis pertnit Is issuetl. ❑ I heve end wlll malntain woA�ers' cwnpensation Inwrance, es raquire0 Cy sectlon 3700 ot ihe Lehor CoOe, for the peAormanca oi Ihe work lor which Nis pertnit Is IssueC. My workers' compensation Insurenca cerrier end policy number ere: Cerrier. ' Policy Number. ((hls sectlon neetl not be oomple�ed d the pemut ls vafued ef one hundred dWlers (5/00) or less.) ❑ 1 certity thet in the peAortnance of Ihe work tar whlch I�is pertnit is IssueA, I shell not amploy eny person In eny menner so es to become subject ro Ne workers' compensatlon lawa ol CeIlfOmia, antl agree t�at il I shouM become sub�ect to the workers' compensetion proNslons ot Sectlan 3700 of t�a LeDor Code, I shell fotlhwlth comply wlth Ihese proNsions. Applicent SlpneNre: �ate: W�RMNO: FAILUPE TO SEWRE WORKERS' COMPENSATION OOVEMOE IS UMAWFUL M'D SNALL SUBIECf M! EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDRED THOUSMIO OOLLARE (5100,000� IN MDITION TO THE COST OF OpAFENSATION, DAAMGES AS PROVIDED FOR IN SECf10N 3]OB OF THE LABOH CODE, INfEREST, AND ATTOfiNEV'S FEES. LICENSED CONTAAC70RS DECLARATION: I hereby eHirtn ihat I em Ilcensed under provlslons ot Chepter 9(cammencing with Sectlon 7000) oi Dlvision 3 al the Business entl Prolessions Code, and my Iicense Is In lull force en0 etlect. LJc. a Cless q Contrectors Signeture: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby ettirtn thei �here is d�struction lending egenq tor t�e peAortnance ol Ihe work lor which Ihis Oertnll Is IssUad. (Sec. 3097, CiWI Cotle). Lentlefs Neme: Lentlefs AtlUress: Signeture: Date: OWNER-BUILDER DECLARATONS: I hereby eHlrtn that under penalry ot perjury that 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 70.31.5, Business flnC Professions Code: My dty or counry which requires a permit to construcL elter, improve, tlemolis�, or repair any awcture, prior to its issuanca, elso requires the applicant for such pertnit to tile e sipnetl statemeN that he or she Is licensetl pursuam to t�e D�� at the Contrectoro LJcense Lew (Chapter 9(commendnp wlih Section 7000) ot DMslon 3 0l Ne Business end Professions Cotle) or Ihat �e or she Is exempt theretrom end Ihe besls for t�e alleged axemptlon. Any vldation o1 Sectlon 7037.5 by any epplicant for a pertM: subJects the epplicant to e cMl penalty of not more t�an tNe hundred dollers (SSW).): � I, es owner ot t�e property, 0� my employees with wages es thelr sole wmpensatlan, WILL DO THE WORK, entl Ihe siructure Is not In�enOetl or otfered for sele (Sec. 7044, Busineu en0 Proteuions Code: The Contrectors Llcense Lew tloes no� apply to en owner af property who builds or Impmves thereon, flnd who tloes such work himsetl or herself or through his or her own employees, Orovided Ihet such improvemen�s are not IntenOetl or oflered for ule. If, however, �he building or improvement is sold withln one year of comp�etion, the owner-builder will heve t�e burden of proving ihat ha or she did not build or improve lor purpose of uleJ. ❑ I, es owner ol the property, Pm EXCLUSIVELY CON7RAC71NG WITH LICENSED CONTRACTORS to conslmct the project (Sec. 7044, Business and Prolessions Cotle: The wntwctore lJcense Law does noi apply to en owner oi properry who bullds or Impmves Ihereon, entl who wmrects tor such project with e comractoqs) license pursuant to ihe Contractors Licensa Lews.). Business end Professions Code for this reeson: ID verllletl by �er's IicenSe. ❑ Yes ❑ No VedNcetion ol OwnersNp by (typa a� tlocumenL i.e. � property tex bill or tleetl): DIVISION OF INDUSTRIAL SAFEn' PERMR CERTFICA710N: ❑ I hereby certity ihet no excaVatlon frve (5) or more Ieel In tlepih Into which a person is requiretl to descend, wlll De mede In Connection with wark euihoAzed by Ihis permlt, and ��et no building Slructure, sceflolding, falsework, or tlemolition or dismantling ihereol, will be mare then thirry-six (38) leet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Tltle B, Celllomla Atlm101sirative CoOe). ❑ As owner-builder, I will not employ enyone to do work which woulG requlre e pertnit Irom Ihe Divislon ol Industrlel Safery, as nated ebove, unless such person hes a permit to do such wark irom the division. SigneWre: Date: Dlvlsion of IndusMal Safery Permit Numbar: CERTIFlCATE OF COMPLIANCE AND AUTHORVJITON OF ENfAV: I certily undar penalry oF perjury ihet I have read this epplication and steta that the inlormation given is cortect I agree to wmpry wlth ell slete laws end dry ortlinances relating to builtling construction, and aut�odze representetives of t�e Clry ot Costa Mesa ro enter upon the �ebov - scnbetl 10� in � ryose . I e ree not to occupy or altow occupanty of eny buildifg auffiorixed by lhis permfl until tinaf inspection. �`� ��e� a�_. a 1+-, a-n.o I Signature Of Legal Owner(s) � "Date �� And/Or AuthoAzeE Applitent Date COQE 1. INSPECTION TYPE 1616 Fized System Final Pire Prevention 1288 Pool Spe Finel 200 Finel Re-Roof 201 FIneI8locWRetelnlnp Wel� 202 Final Fectory Fire Plece 203 Finel Sign 204 Final Demolition � It� �� CODE 1 INSPECTION TYPE 206 Finel Mechenical 20B Flnel Plumbinp 210 Final Electdcal 212 Flnel Fire Prevenilon 220 Flnal Plenning Approval 222 Finel Site 250 Final Bullding/Occupancy PeIE ItQIDAkS - ., (=E� �E��i�f EI� • _ 1�L�3�5 C�L� �r -.j - � o COSTA MESA BUILDING-SAFETY DEPARTMENT fryINANCE DEPT. P.O. BOX 317 COSTA MESA. CALIFORNIA CI11 O; cosTa m�sa FOR APPL/CANT TO F/LL /N COMPLETECY APPLICATION FOR PERMIT TYPE OR PRINT BUILDING ADDRE'SS 2905 Ellesmere Avenue COSTA MESA. CALIFORNIA roR afficE usF oNcy Ken rof Develo ment Co Inc� RECEIPT NO. ry,p EqpM� �a.r OWNER P P • J_�l_l��J� MAIL acent F� RECEIVEO BY OATE RECEIVED DATE ISSIIED , ADDRE55 � I eZ — Il' �`¢ FEB 3 j N2W Ot't B2aCh TNO. BUILDING CITY p ADDRE55 ARCHITEGT ��c. GOSTA MESA, CALIFORNIA OR ENGINEER NO. FIRE .�_ ADDRE55 ZONE TYPE GROUP CONTRACTOR K�rv. j=O11 LIC.NO. pll BYPROVED DATE Placentia zoNiNc ADDRE55 LEGwI LOT �JC 31C z9 20NE NO.OF 1u5E OF NEW DESCRIPTION NO. �� BLOCK I THAC.T l I P�ANS _�I BUILOING A� / ' /V A.P.NO. BYPROV /�I- � I% '., „_DATE• // — �-(UV SIZE 7�f��7 I Now oH �ois O REQU RED v ALLOWED OF LOT ! / ! USE OF None (CENTER LINE ST.) �+''' � EXISTING BLOG. FRONT ✓ �FT. IN. seiancrc �irve FROM CO 1 REAR YARD 1� t CENTER OF STflEET J R. SIDE SI SFT. IN. SIDE YARD I LEFT �� I RIGHT � L. SIDE C% FT. IN. DESCRIPTION OF WORK . `' REAR �FT�/ IN NEW I� II ALTERATION I II ADDITION I � REPAIR I II MOVING I II DEMOLISH I � � p�d r�,,,� SZ'EOING �p)�O S.i� ROOMS STORIES (�j. �� ' j�;� ;T' `� V `Y 1 o t� p � �) EXTERIOR 4�L ICOVERI GOCII �� Y.Y � LJ' � COVERWG y USE OF BUILOING AND WORK TO BE PERFORMED Sin le-F'a - � � and Attached Garage ! DAT�_ �_� � i;4 �In �� tiv l>�l IC a s�,4 I HEFE6Y ACKNOWLEOGE THAT 1 HAVE FERO THIS FPPLICATION THE PMOUNT SHOWN fINOER VALUFTION 18 FOR THE AND STATE TMA �E ABOVE IS LORNECT AND AGREE TO COM- PLY WITN.AL ITY RDINANCE A! O STATE IAWS FEGULATING PUPPOSE OF ESTABLISHING q PERMIT FEE ONLY. BUILDING CO STRU ION. �� I VALUATION SIGNATURE F ' �"�'- �y PERMIT FEE $ ��i �� PERMITTEE $ j� (/ J y� � � � � PLAN CHECK $ � y'— 1 AUTHORIZE� AGENT TOTAL FEE S S�'� i . � ' � i :. .._ ... ._ .. _ � , . i:._,...�.. .. . _ ? ' . i'Jt..,�....1 .:�:..." , , , . .. .,., �, . ...., , � .'... .:. . .... . ;. ..:T,,. �_-. ':�. - . V,. . ... . � . ��. : ':��:.'' .. �, . :�:..._....� ___.__._.. .. _.. . .. -_'-----. . ._- � � �-- � -. ... . �..: _ �i,� ' . . �,�p�:.r• ". ' " ' •:i��'. .. .'..`�. . , • ' i . • - . _� . , : ., .. . : .. �—.. ' . ,.._.. _.,� --..ii:.,_.. " ". _._._,...-.__ - - . . ... . ._ _ . . , ... . . . ��e . _ � .' .' . ._ . ., . , �r . . , . . .. �.. ., .. _ ... �. . . _ _ ..1. � . ... 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