The URL can be used to link to this page

Home My WebLink About2865 EL RIO CIR - Building Permits(714) 754-5273 • Fax (714) 754-4856 Job Address: 28s5 EL RIO CI Suite: Vicinity: Parcel Number: 14156202 Applicant:. SHUR,TRACY Address: 2307 VAIL AVE CITY OF COSTA MESA BUILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT REDONDO BEACH, CA _ Owner: GOMEZ, RAYMOND D Address 2865 EL�RIO CIR � ' COSTA MESA, CA BUILDING PERMIT Zoning: Phone: 310-370-0703 Zip: 90278 Phone: Zip: 92626 . PERMI NUMBER 00-00023 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 01/06/2000 Issued: 01I06/2000 ISSUED BY: C�" L Contracroc SHUR ROOFING COMPANY Address: 2307 VAIL AVE � � Phone: 310370-0703 REDONDO BEACH, CA � Zip: 90278 License: 386491 � Arch : � , . Eng: Address: � . . . � ' Address: -,, � - . Phone: Phone: . � Zip: � License: License: , SCOPE OF PERMIT TEAR OFF INSTALL 1/2" CDX , iSLB UNDERLAYMENTAND 25YEAR COMP. . ' Plan Check: $0.00 Permit: ' $13925 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 Existinq: o NOTES: Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY _ Calc Valuation: $s,5oo.00 Claim Valuation: Se,aoo.00 PLANNING & ZONING Left 0-0 Right Left 0-0 Right Proposed: 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related � regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced,within 780 days, or if work is suspended or abandoned for a period of 180 days. � � INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicabla codes, and all required Inapectiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALI: (774) 754-5626 I WORKERS' COMPENSATION DECLARATION: I hereby aHirm untler penalry of perjury one of the following tleclarations: ' ❑ I have antl will maintain a certificate of consent to self-Insure for workers' compensation, es providetl br by seciion 3700 of ihe Labor Cotle, tor the pertormance of Iha work for which this permii is issued. ' � � I have and will maintain woBers' compensation insurance, as required by section 3700 oi �he Labor Cotle, for the performance oi the work for which ihis permit is issued. My workers' compensation Insurflnce carrier antl policy number are: Carrier. Policy Numher. (This secfion need nat be cromp/efed It the permit is va/uetl a( one huntlred dallars (5100) or less.) ❑ I cenify Ihat in the peAormance of the work for which this De�mit is issuetl, I shall not employ any person in eny manner so as to become subject to ihe workers' compensation laws of Calitomia, and agrea that if I should become subject to the workers' compensation provisions of Section 3700 of the Lebor Code, I shall forihwith comply with these provisions. p // � PPl�wnt Sign / O_ YG/LGi . ,H3iti /��D d O SECURE WORK ' COMPENSATION COVEfiAGE IS UNL4WFlIL AN� SHALL SU6)ECT AN EMPL��O CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE (5100.000). IN ADDfTIIXJ i0 iHE COST OF COMPENSATION, OAhWGES AS PROVIDEO FOR IN SEGTION 31060F THE IABOR COOE, IMEREST, ANO ATTORNEV'S FEES. LICENSED CONTAAC70RS DECLARATION: I hereb f� that I am licensetl unaer provisions of Chaptar 9(commencing with Section 7000) of Division 3 ot ihe Bu ' antl Professions Code, and my licanse is in full ome and ettec . c. » t �J ss N C %�/ll Contractofs SignaWre: � Date: l -G -�OD�� •c T- CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn that ihere is a construc�ion lentling agency for tha performance of the work for which this pertnit is issuetl. (Sec. 3097, Civil Code). Lentler s Name: Lendefs Atltlress: Signawre: OWNER-BUILDER DECLARATIONS: Date: I hereby attirm ihal under penalry of perjury �hat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or cnunry which requires a permit to constmct, alter, improve, demolish, or repair any siructure, pdor to its issuance, also requires the applicant tor such permit to tila e signed statemem Ihat he or she is licensetl pursuant to Ihe provisions oi the Contradors License Law (Chapter 9(commencing with Section 7000) oi �ivision 3 ot the Business and Profeuions Cotle) or that he or she is exempt therefrom antl the basis for Ihe allegetl exemption. Any violation of Section 7031.5 by any epplicant tor a permit sublecls the applicani to a civil penalry of noi more than five hundred dollars (5500).): ❑ I, es owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and ihe siructure is not intended or ottered lor sale (Sec. 7044, 8usiness and Pwfessions Code: The Contractors License Law does not apply to an owner of property who builtls or improves lhereon, entl who tloes such work himseli or herself or through his or her own employees, provided ihat such impmvements are not imended or oflered for sale. If, however, the building or improvement is sold within one year of completion, the owneo-builder will have Ihe burden of pmving that he or she did not build or improve for purpose of sale.). ❑ I, as owner oi the property, am E%CWSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct the project (Sec. 7044, Business antl Protessions Code: The coniractors License Law does not apply to an owner of propeny who builtls or improves ihereon, antl who coniracis for such project with a coniractor(s) license pursuant to ihe Contractors License Lsws.). � I am ezempt under sec. Busineu and Professions Code tor this reason: Signature: Date: Owner ID venfietl by tlnver's license. ❑ Yes ❑ No Drivers License No. Expires: Venfiwtion ot Ownership by (type of tlocumeni, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby cenity that no excavation tive (5) or more leet in depth Into which a person is required to descend, will be made in connection with work authorizetl by this permit, and Uat no building stmcNre, scattolding, falsework, or tlemolition or dismantling thereot, will ba more than t�irty-siz (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 347, Title 8, Celifomia Adminisiretive Cotla). ❑ A5 owner-builtler, I will not employ anyone �o do work which woultl require a permit from the Division of Intlustrial Safety, as noted ebove, unless such person has a permit to tlo such work from the division. Signature: Date: Division of Inaustnal Safery Permit Number: CERTIFICATE OF COMPIJANCE AND AUiHORIZA710N OF ENTAY: I certi(y under penaity of perjury that I have read this application and state that tha infortna�ion given is correcl I agree m comply wiN all stete laws antl ciry ordinances relating to building constmction, antl authonze representatives ot ihe City of Costa Mesa to emer upon ihe above-tlescnbed propeny for inspection purposes. I agree not Io occupy or allow occupancy of any building authorizetl by this pertnit until final inspaction. COUE �• INSGECTIONTYPE 1616 Fixatl System Final Fire Prevention 1266 Pool Spa Pinal 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 2ba6-46 QLF NTR L CODE� LNSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy Date UlI�RIItll14?. �: �iaoi n, COSTA MESA BUILDINGSAFETY DEPARTMENT P. O. BOX 9f7 C08TA M88A. CALIPORNIA For Applicant fo Fill In Complefely TYPE OR PRINT BUILDING .._._ _. _. _. . ■ ARG�••"^GT ■ STATE COSTA MESA. CALIFORNIA TEL. 7EL. NO. OP FEE RECEIVED NOV 1 5 1963 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. ..P6NWL BY �'1�� Ib�tl COSTA MESA. CALIFORNIA FIRE ZONE TYPE GftOU APPROVED � � BV ATE Z ING ZON \ I p AN8 � I BUILDIN� LEOAL � _� nn .... _._ � B8TB4CN 4N6 PROM (Q�TBR GHNSHR.OP 8iR86T SO � REAR YARD S� FRONT SI�E YARD ILEFT S� IRIGHT S� R.SIDE DESCRIPTION OF WORK __ _� � �� 'NO_OF rtt+ ii3-n /,� 33 " °� 1 N¢PElY ACKNOWLEDOE TMAT 1 HAV6 H6AD TH18 APPLIGTION TH6 AMOUNT BXO UNDER VRLUATION IB FOR THE AN� BTAi THAT TXE ABOVE IB GOPHELT AND AGRCE TO COM- pUPP08¢ OP EBTABLI9HING F PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANGE6 AND BTATE LAWB REOULATINO 9u1LOlNo CONBiRUCT1oN. VALUATION Fy'/ SIGNATURE OF '` PERMIT FEE $ ✓/ N PERMITTE � _ n ^ �' ^ �f 9 $ 1�1, 599.�� PLAN CHECK $ � � AUTHORIZED A6ENY � �,U .Y � �%%� � a 70TAL FEE y C �. ,, ' __^ r 29) I2 ; {7�T1 'Ui 11�'�]'e4 i°VI� COSTA MESA BUILDING-SAFEf`! DEPARTMEM " P.O. BOX 7300 � COSTA MESA, CALIFOHNIA 926I0 , $E R 11 i5od For Appl7cant to FiA In Complefoly PLICATION FOR PERMR,y TYPE OR PRINT Or �� n�s BUILDINO ' /_� � / O �'�� ,_... ADDRE6D �O /� ' RtCLI1T NO. �COSTA ME9A, CALIFORNIA � /J �/// /� 11[uN sr �e.��/ n-cS1V[p_ wn OWNER /G�SL � N�/�/// I� // ��V _ MAIL .i...__.,� .-. �...... .Ci./n :°I�taa�/aJ �� ) �4h. wooRess .Z �G 5�.�� .e l0 e�J ZONIN(i ION NO.O! UitOlN � �LAN� lUILOIN CONTRAGT R S� LF� p LCOAL AD RHif �p ��.�� /� DceC�ImoN CITYC.UST�A' /7C /� �LA'L//C. A.P.N . " - NOT6: NOlAVQOViRNANOBMALLBEL[88THAN 8TAT8 T64�� S� SO' TO BIDQ B RBAR P. L LIC. NO. N BIZe wo.o��oo�. / �LOWBD N.B.G.REQUIR6MENTd... ORLOT noW N YARDDMPROVHD YARDSMPROVED US80P Dw�LL/N.lj MAINBUILGIN6 �ACGEIISORYBUILGINO EXISTINO BLD0. - dFROMC/ GT R') D6lOA<K LIXi IROtl Pp�N FY• CBHTER O! YTR[R RiAR Y p 81D[ YARD I L[IR RIQNT R. YIDi �. DESCRIPTION OR WORK . a�o rr. rr. T6RATI N ADDITI N RNR � � PT. �. ' DIiTANG[!R. BBT. M%1IN Q R'cPAIR p7 �N gM Vg . MAIN BLD ACCEBf. BLOOB. BUILDINO ' � � NO.Or �j� � VAR.a{' DATB . . 81ZE � O ROOMB `✓ RI C. U. P. MPROVlD COVERINpWALL COV8RIN0 L�T p PR�v� DAT! UY OF �UILDIf�Y AND WO TO B6 P6RFORM[D ' � I a %S/4>/o - C avr ,�`//ii� W � �. �. � 1 NCRlBY ACKNOWL6D06 THAT I NAV[ RBAO THIB APPLICIITION YH6 11MOUNT OXOWH UHDBP YALUI�TION IB POR TH6 j �N� cTwT6 THAT TH6 ApOVt 1� CORR6GT��ND AORB� TO COM• MUPv086 �OI 6iTABLiBMIN6 A PBRMIT Pi8 ONLY. E3 PLY WITH AL{. CITY OPU NCt� AND R i tAWO R[OYUITINO yALUATION ' �/, � � BUIlO1N0 CONBiftYGT� SIGNATURHO PERMITREH �t/�'�� PERMITTE � � �� .�ao_ — AVTHOPIZiDA6tNT � ��/J TOTAL FEE � � ✓ ��