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Home My WebLink About3040 FILLMORE WAY - Building Permits3 0 �l o �3oy�-! r'l�[.17a2� co,r� M�;s� ,.. �x��6 �,c,c��:. r � z " --�+ �" . __,.—.- � Ti� `� � �,��Q� �r� �z�, � CNA�r� I.1�1� GRi'Lr w��GAi�� - rs � �,�- r;� Z6� ��63 APPR(�VED CITY OFCO.�'L1 1�tESA PLANN[Nl; 1JIVtStON URIr�'"r I"u BLDG. DEPT. RFA. N<i i I•.. :�DDITIONS, DELETIONS, OK C'URRECTIONS SHALL BE A�{'ROVED HY THE PLANNIN(i pIV c �- , BY: ��— nATE: _L� � � � � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��DING PERMIT 77 FAIR DRIVE, GOSTA MESA, GA 92626 ,lob Address: 3040 FILLMORE WY Suite: Vicinity: ROOF Parcel Number: 14113423 Applicant: BRODER, EDWARD Address: 3040 FILMORE WY Zoning: Phone: 714-470-1999 COSTA MESA, CA Zip: 960403833 Owner: SOLI, LISA ANN TR NANCY RHEA HADDEN TRUST Address %RICHARDSON, PHILLIP COSTA MESA, CA Phone: 276 E 19TH ST Zip: 98040-3833 Convactor: O W N E R-B U I L D E R Address: Phone: Zip: Arch : Address: License: 000000 Eng: Address: Status: ISSUED Applied: 04/30/2003 Issued: 04/30/2003 ISSUED BY: Phone: Phone: 7_ip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALI 30 YEAR, COMPOSITION SHINGLES, 15# FELT, SHEATHING WILL NOT BE REPLACED. 21 SQUARES OF COMPOSITION SHINGLES AND 4 S�UARES OF FLAT ROOF, TORCH DOWN. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $111.25 $0.50 $0.00 $0.00 $0.00 $111.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Frant 0-0 PARKING Existinq: o Rear 0- 0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Righl 0- 0 35,000.00 ss,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) 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 period of 1 BO days. INSPECTIONS: In order tor the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required inepections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 . >.aasr6 (5roo) WORKERS'COMPENSAnON DECLARAnON: I hereby aHirtn untler pena�ry of perjury one oF ihe tollowing tleclarations: ❑ I have entl will meintain a certificate o� consent to seli-InSure for workers' compensation, as provided for by section 3700 of the La6or Cotle, for the pedormance ot the work tor whiCh this permit is issued. ❑ I have end wiil maintein workers' compensation insurance, as re!�uired by ur,tion 3700 oi the Labor Code, for ihe pertortnance of the work for which Ihis permit is issued. My workers' compensation Insurance carrier entl policy number are: Carrier: � Policy Number: (TAis section need nof be comp/eted il fhe permit is velued af one hundred dollars ($100J or /ess.) ❑ 1 certify Iha[ In Ihe peAormenca ot the wo�e for which tNs permft is issuetl, 1 shall not employ any person in eny manner so as to 6ecome suhject to ihe workers' compensation laws of Califomia, entl agree thet if I should become sublect to the workers' compensation pmvisions of Sedlon 3700 of the Labor Code, I shell torihwlth comply wilh these provisions. Applicant Signeture: Date: WARNING: FAILURE TO SECURE WORKEFS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPIOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE (5100,0001� �N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIOED WR IN SECTION 3]O6 OF THE LABOF CADE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECIARATION: I hereby attirm that I em licensad under Orovisions of Chapter 9(commencing with Seaion 7000) of Division 3 0l ihe Business and Professions Cotle, antl my license is in tull torce end ettect Lic. a Cless N ' Coniractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm that there is e consimction lentling agency �or the pertormance of ihe work br which t�is permit is issued (Sec. 3097, Civil Cotle). � Lender's Name: Lendefs Address: �, Signature: Date: I hereby aHirtn tha( under. penalty ot perjury that I am E%EMPT FROM THE CON7RACTORS LICENSE LAW tor the following reason (Sec 7031.5, Business antl ProFessions Code: Any city or county Which requires e parmit to constmct, alter, improve, demolish, or repair any sWCNre, prior to its issuance, elso requires the epplicant for such permit to lile a signed statemenMhat he or she is licensed pursuant to the pmvisions of the Contrectors License Law (Chapter 9(commencinq with Section 7000) oi Division 3 oi [he Business and Professions C6de) or that he.or she is exempt therefrom and the besis for tha alleged ezemption. Any violation of Section 7031.5 by any applicant for e permit subjacts ihe appticant m a civil penalry of.not more then tive hundred dollers ($500).): c_. ❑ I, as owner ot ihe properry, or my employees wiih wages es lheir sole compensation, WILL DO TME WORK, and t�e structure Is not intendetl or ottered tor sale (Sec. 70a4, Business and Professions Cotle: The Contractors License Law dces not apply to an owner of property who builds or improves thereon, antl who does such woM himsel( or herself or th�ough his oi.her own employees, proviaetl thai such improvements are not intendetl or oHered for sale. I(, however, ihe builtling or improvement is soltl within one year ot completion, ihe`owner�6uilder will have Ihe burtlen ot proving ihat he or she did not build or improve for purpose ot sale.). ' ❑ I, as owner of the property, am E%CLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to consiruci the project (Sec. 7044, Business and Profeuions Cotle: The conirecto�s License Law does not epply to an owner of pmperry who builtls or improves thereon, end who contrects lor such pmject with a contrector(s) license pursuant to the Contractors License Laws.). ❑ I am ezempt untler sac. Business antl Pmtessions Code for this reason: Signature: Owner ID verified by arivers license. � Ye5 ❑ No Drivefs Licensa No. Verification of Ownership py (�ype oi document, i.e. - property taz bill or deed): DIVISION OF INDUSTRIA�- SAFETY PERMIT CER7IFICA710N: Date: Expires: ❑ I hereby certify Ihat no excavetion five (5) or more feet in depth into which e person is required to descenq will be made in connection wi�h work authorize0 by ihis permit, antl that no builtling structure, scaHolding, falsework, or demolition or dismantling ihereol, will be more than ihirty-siz (36) feel high. (Chap. 32, Gry 2, Art 2, Sec. 341, TiNa 8, Califom(a Adminisirative Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require e permit irom the Division of IndusMal Safery, as noted above, unless such person has a permit to do such w0�k from the division. Signature: Date: Division ot Indusfnal Sefery Permit Number: CERTIFICATE OF COMPU�ICE AND AUTHORVA710N OF ENTRV: I certify under penalry of perjury that I have read this application and state ihat the infortnation given is correct. I agree to comply with ell state laws end ciry ordinances relating to building construc�ion, and authorize represematives of t�e Giry ol Costa Mesa to enter upon the above-described property tor inspection puryoses. I egree not to acupy or ailow occupancy ot any building authorized by ihis permit until tinal inspedion. COUE t, INSPECTIONTYPE 161fi Fixed System Final Fire Prevention 1266 Pool Spa Finel 200 Finel Re-Root 201 Final8locWRetaining Well 202 203 Final Factory Fire Place Final Sign 204 FinalOemolition P9I€ IMRIALS � .�o/�a'� D COOEt INSVECTIONTYPE 206 Final Machanical 20B Final Plumbing 210 Final Electncal 272 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency QAjf, INTITIRlS RiR 30 2003 2:26PH HP LRSER�ET 3200 RPR-30-2003 WFD 02i44 iH COSI'P Iff.Sl1 DEVELOP SVC9 P�� FAM N0. T147610856 r, uliu� - , Q�G�eR�t',OJ'e,gP Au�'I�ottm aeo.n�. fOR AO[NT{ OF PROrSRTY DNMBR T�i rrw+t� TpApVLV FOR rE11R�Ts �,�..r, X �o�'o �1��-r� .�,�.,�.. /�I/3 .� �. i 1+�). 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November 10, 2005 CYTY OF COSTA Nd�S�i P.O. BOX 1200 • 77 FAIR ORIVE • CALIFORNIA 92628-1200 DEVELOPMENTSERVICESDEPARTMENT BUILDING DIVISION COURTESY NOTICE OF PERMIT EXPIRATION Lisa Ann Soli & Nancy Rhea Hadden 276 E 19`" St Costa Mesa CA 92627-2834 PERMIT NUMBERS: FOR: PROJECT ADDRESS: B03-00738 Re-roof 3040 Filmore Wy., Costa Mesa Our records indicate the above listed permits were obtained for property improvements or alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4 Expiration, permits are valid for 180 days from the date of such permit, or the date of your last inspection for the project and additional fees will be required to finalize expired permits. According to our records, the permits listed above have not had an inspection for a period exceeding 180 days. if you have a signed inspection card indicating an inspection was conducted within 180 days from the date of this letter, please contact this office so we may correct our records. If you need to request an inspection please call our Inspection Request Line at 714-754-5626. If you wish to request an extension, requests must be made in writing addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances and listing an estimated date of completion. If you do not have an approved finai inspection, your permits will expire on November 29, 2005. If you have any questions, please contact the Building Division at 714-754-5273, between 8:00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. The accuracy of records affecting your property is our goal and we appreciate your working with us to resolve this matter. Sincerely, / Y i [,�� f; t Ma�ane Weidenkeller Office Specialist II Buifding Division (7f4) 754-5273 • Code Enforcement (714) 754�5623 • Planning Division (71a) 75A-5245 FAX (714) 754-0856 • TDD (714) 754-52a1 • w�vw.ci.costa-mesa.ca.us OWNER STUARTF M. DATE 3-31-70 JOB ADDRESS 3040 Fillmore Way_ _ BUILDING PERMIT N0. 31568 C1G_GtlC��BCII I.ORIz)All� ••�v�..�. . �� Kf h A �� 141-134-23 LOT 13 TRACT 4Zg1 FIRE ZONE VALUE I 1 T PROP. SWR. LINE U MOUSE CON. U SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONOITIONING TEMPOftARY SERVICE OR POLE UNOERGROUND � POWER � ROUGH WIRING TRENCHES FOfiMS STEEL REINF. FLOOR SYSTEM BON� BEAM ❑ STEEI pEINFORCE n SMEATNING FRqME ANO FLArSnH'ING LATXING - IN �n OUT � PL "TER, BROWN COAT S fUHAL, FINAL HEHi ING, VENT., REFRIG. ANU p.C., FINAL .17- SUBCONTRACTOR _ , 31568 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O, BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUI�DING 7 ! ADDRE55 �JD D OWNEFi MAIL Z AODRE55 � U � TEL�j F CITV s NO. ZZ Q CONSTRUC�ION O N LENDER am J � BRANCH J N a w ADDRE55 p] J J m ARCHITECT TEL. a OR ENGINEER N Z a �_ W � ADDRE55 aW � �i J O CONTRAGTOR - (i 0 m Z J � ADDRES5 � O w TEL, Z� CITV / /tj_O NO. S� 7 - � STATE � CITV � CL LIC. NO. Q LIC. NO. � � SIZE NO.OF BLDGS. OF LOT NOW ON LOT USE OF EXISTING dLOG. � � HAR31-70PaI��O 966 �*�** . cwsa 10.00 APPLICATION FOR BUILDING PERMIT IECEIV V DATE RECEIVED DATE ISSUED - �- 3i _ �n. BUILDING ADDRESS� TRACT OWNER FIFE ZONE APPROVED LOT/ � I BLOCK ' VALUE �- � IP��$_I BUILDING EW� VARDSAPPFiOVED VARDSAPPROVED MAIN BUILDING ACCESSORV BUIIDINC H SIZE OF NO. OF Z NEWBLIX3. ROOMS STORIES L.SIDE FT. U EXTEFIOR WP.LL ROOF COVERING COVERING REAfl FT. FT. J USE OF BUILDING AND WOFK TO BE PERFORMEO DI NCE BET. BET. MAIN & a M IN BLOCS. ACC65. BLDGS. a Q � VAR.# DATE O C.V.P.yW APPROVED y " — APPFOVED � �" Z/ � V .J z � VI haraby acknowlatlpe thet I have reatl this appllcation end state � ffiat the odova information is conect antl aBree to comply wiM � ell laws re9uletlnp builtling construction, entl I s�ell not amploy F eny parsoh �� olation of the workman's compensation laws of y the Steta Of Californie. � ? I hereby cortlfy thet I am properly licensetl as a contractor under SQ. FT. o the Stete Of California Bualnass antl Profeasiona Cotla, Dlvlsicn 3, THE AMOUNT SHpWN UNDER VALUATION IS FOR Chapter 9, antl thet such licensas era in (ull torea and effect, or I THE PURP06E OF ESTABL6HING A PEFMIT FEE ONLY: � am azempt f�om t�o p ovizions of the Stete of Catifornia Business ¢ VALUATION antl Professlons Cotl ivision 3, pt 9. N � O'= PERMIT FEE S D ] SlOnatur f �/ m Parmltt t $ C�DO� PLqN CHECK $�� E Author(zed �+pant D �� LL TOTAL FEE $ I/ LOT �.3 TRACT �ZH� � . COSTA MESA BUILDI N-SAFETY DEPARTMENT P. O. BOX 3f7 COSTA M68A. GLIFORNIA For Applicant fo Fill In Completely TYPE OR PRINT eu��o�nc ADDRe6S O�FO FILLMORE WAY � � COSTA MESA. CALIFORNIA KENNETH . KOLL �WNER V'� �-Iii'—�hF�-?WAf�4f-C.M1-��F-�('' � MAIL WPORT tSEACH� GALIF.�.�OMI OjLG TEL. NONE No. ""_' _"' _"_"""' _ _' _" ' 81ZE � I NO. OP BLDOB. O OFLOT 1M.77�x7�!-ri� IRaFnwowex�er L1M�,FRON 7� � i I LEFT �1 � I RIGHT � V� DESCRIPTION OF WORK �TERIOR WALL IROOF COVERING GOVHRING USE OF BUILDING AND WORK TO BE PERFORMED TR I PI F FAM I I Y ❑WELL I NGS W FEE RECEI:�ED �JAN 1 1 1° fINANGE DEPT. CITY Of COS1A MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. PeQFjI( [! y, BY �//n—///I /— COSTA MESA. CALIFORNIA APPROVED ZONING ZONH_—� I puNB � I BUILDINO�/�-�¢ � LEOAL �r- I 3 j R�/ t 8/ DEBCPIPTION A. P. NO. VAROS EVES APPROVED ICCNT6P IJNB BT.1 � j 3 /6 /6 - S— � r� �'�Ae . iN. IN. IN. IN. � ,.E 1 /9/GZ i XBRElY A2KNOWLCDGE THAT 1 HAVE HlAD TH18 APPLICATION THE �MOUNT BXOWN UNDeR VA�UATION IB FOR TXE AND 6TAT! THAT TXE ABOVE IB COPPEGT ANO AGRC¢ TO COM- pUliP088 OP EeTAOL18H�N0 A n¢nMIT F6H oNLv. PLY WITH ALL CIiY OROINANCEB AND BiATB UW! P80UUTINO BUILDINO CONBTItUGT10N. VALUATION SIGNATURE OF � % PERMIT FEE $ .�� '� PERMITfE $ �� I J� pLAN CHECK $ .� � AUTHORIZED AGHNT _ � ,_