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Home My WebLink About2080 FEDERAL AVE - Building Permits(774) 754-5273 • F� (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT . .lob Address: 2080 FEDERAL AV Suite: Vicinity: ROOF Parcel Number: 42250104 Zoning: Applicant: COTTRELL, MARY ELIZABETH COTTRELL, MARY ELIZABET Address: 2080 FEDERAL AV COSTA MESA, CA Phone: 949-631-1672 � Zip: 92627 Owner: COTTRELL, MARY ELIZABETH COTTRELL, MARY ELIZABET Address TR � COSTA MESA, CA Phone: � 2080 FEDERAL AVE Zip: 92627 \ Contractor: O W N E R-B U I L D E R Address: Phone: Zip Arch : Address: License: 0 Eng: Address: Phone: Status: ISSUED Applied: 05128/2002 Issued: OS/28/2002 ISSUED BY: � Phane: Zip: - License: License: SCOPE OF PERMIT TEAR OFf EXISTING COMP SHINGLES AND INSTALL� NEW COMP. SHINGLES. 1034 S.F. WITH ATTACHED CARPORT. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $9725 $0.50 $0.00 $0.00 $0.00 597.75 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: 53.300.00 Claim Valuation: sa,3oo.00 PLANNING & ZONING Left 0- 0 Right LeR 0- 0 Right Proposed: 0 NOTICE: The work authorized by this 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 aulomatically expire and become void II work Is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. • INSPEC710NS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapeetlona and final approval musl be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this pertnit. FOR INSPECTIONS CALL: (714) 754-5626 zaowe l�007 WORKERS'COMPENSAnONDECIARATON: � I hereby affirm under penalry of perjury one of the following tleclarations: � ❑ I have and will maintain a certificate of consent to self-Insure for workers' compensation, es provitletl for by section 3700 oi the Labor Code, for Ihe pertortnance of the work for which this pertni� is issued. ❑ 1 have antl will maintain vrorkere' compensatlon insurance, as required by sectlon 3700 ot tha Labor Cotle, tor ihe pedortnance of ihe work for which this permit is issued. My workers' comp�nsation Insurance carner antl policy number are: Carner: Policy Number. (This sectlon need no! be wmplefetl il fhe permit is velued at ane hundred dWlars ($100) or less.) �fcertily that in the peAormance of Ihe work lor which Ihis pertnit is issued, I shall not employ any person in any manner so as to become subject to Ihe workers' compensation laws of Calilornia, antl agrae at it I fi ul sublect to ihe workers' compensation provislons of Sectlon 3700 ot the Labor Code, I shall forthwith camply with Ihese p�a�q n�s�. � APplicantSignehme Y��u.,� �� ; �oe,? .ri — 2$— 02 WARNING: FAILURE TO SECURE WORKERS' C MPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE MUNDPED THOUSAND DOLLAPE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMhGES AS PfiOVI0E0 FOF IN $ECTION 3]O60F THE L480R CODE, INfEREST, AND ATiORNE1"5 FEES. LICENSED CONTRACTORS DECLARATION: I hereby eNirm �hat I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business antl Professions Cotle, end my licensa is in full force entl eHect. Lic. q Class a ContrectoYs Signature: Da�e: CONSTRUCTON LENDING AGENCV: ❑ I hereby aflirm that Ihere is a construction lentling agency for the peAortnance of Ne work br w�ich ihis permit is issued. (Sec. 3097, Civil Cotle). lentler's Name: Lender's Address: Signature: � Date: OWNER-BUILDER DECLARATIONS: I hereby aNirm Ihe� under penalry of perjury �het I am EXEMPT FROM 7ME CONTRACTORS LICENSE LAW for ihe following reeson (Sec. 7031.5, Business and Professions Code: Any ciry or counry w�ich requires a pertnit b construct, alter, improve, demolish, or repair eny strucWre, pnor to its issuance, also requires the applicant tor such pertnit to file e signed statement t�at he or she Is licensed pursuant to the provisions of Ihe Contractors License Lew (Chapter 9(commencing with Sectlon 7000) ol Division 3 of ihe 8usiness end Protessions Gode) or ihat he or she is exempt therefrom end the 6asi5 For the alleged eaemption. Any violetion of Section 7031.5 by any epplicant for a permit subjects the applicant to e civil penalry ot not more than five hundretl tlollars ($500)J: ❑ I, as owner o( the property, or my employees with wages as their sole wmpensation, WILL DO THE WORK, antl tha structure is not intendetl or ottered for sale (Sec. 7044, Business end Professions Code: TTe Contractors License Law tloes not appry to an owner of propehy who Duiltls or improves Ihereon, and who does such work himself or herselt or thwugh his or her own employees, providetl ihat such improvements are not intended or oHeretl for sale. If, however, ihe building or impmvement is soltl within one year of completion, lhe owner-6uilder will have the burden of proving that he or she tlitl not build or improve for purpose of sale.). �as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contrectors License Lew does not appty to an owner of property who builds or improves thereon, and who comracts for such project with a contractor(s) license pursuant to the Comractors License Laws.). ❑ I am ezert�pt untler sec. Owner ID venfiad by dnvefs Ilcense. Venticalion ol OwnerS�ip by (rype of T_AT (��Business and Pmfessions Code for ihis reason: X/�� Data: — z �D� ❑ No DrivelS License No. Expire5: f�'�— O� property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify Ihat no excavation tive (5) or more teet in depth into which a person Is requlred to tlescend, will be mfltle in connection with work authorized by �his permiL antl �hat no 6uilding structure, scaflolding, falsework, or demoli�ion or Oismantling thereof, will he more �han thirry-siz (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Titla e, Califomia Adminlsirative Cotle). ❑ As owner-builtler, I will not employ enyone to do work which would require a permit imm the Division of Intlustrial Sefery, es noted ebove, unless such person has e pertnit to do such work Irom ihe division. Signature: Data: Division of Industnal Safety Permit Numbar: CERTFlCATE OF COMPLIANCE AND AUTHORVJITON OF ENTAY: I certity untler penalry of perjury that I �ave read this application antl state that tha information given is correcL I egree to comply with all sate laws end ciry ortlinances relating �o builCing consiruction, and authorize representatives of ihe Ciry of Coste Mesa to enter upon the ebove-described D�operty for inspe ti l e not to occuDY ar allow wcupency of any building authorized by �his permit il tinel inspecti n. �.�, r �� `� �- � a- � �5 n re�OPCegal'OwneNs)—"' �Date--� AnNOr Authonzed Applicant Date CODE �. INSPECTIONTYVE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Flnal 200 Finel Re-Rooi 201 FIneI BIaWRatalning Well 202 Final Feciory Fire Place ' 203 Finel Sign 204 FinalDemolition- - PaIF IIIIQ1eL@ B � CODE� INSPECTIONTYPE 206 Final Mechenical 208 Final Plumbinq 210 Finai Electncal 212 Final Flre Preventlan 220 222 250 Finel Planning Approval Finel Site Finel Building/Occupancy PAg It�L$ 'i C''�it�i o� C''.odta. ��eda �u�%��us�y Diui4ioc� OWNER-BUILDER VERIFICATION A city or county, which is reyuired to give notice pursuant m Section 19R30, shall attach ro such notice, and, as a condiiion precedent to issuing a building peimit, require the completion and reyuire the retum of, an owner-builder verification. Al�ention Propeny Owner. An 'owner-builder' building perniit has been applicd (or in your name and bcaring your signature. Please complete anJ rewm this information in [he emelopc provided at your earlicst opportunity tu avoid unnecessary delay in processing and issuing your building pem�it. No buildine oermit will be issued until this verification is received. I. I penonally plan to provide the m� jNr labor and materials for construction of the proposed property improvement. Yes No % 2. I(have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the (ollow•ing person (firm) to rovide the proposed co/n�swction: Name �d.,P T �^-fr�/i��O�X Address ' City Uc �V L [ Phone (��%� �^- Contrac« x's Lic. No. / 4. 1 plan to provide portions of the work, but 1 have hired the following person to coordinate. supervise and provide Ihe major work: Namc Address Phonc ( ) City _ Contractor's Lic. No. 5. 1 will provide some of the work but I have contracted (hired) thc fallowing persons to provide �he work indicated: Name 10a2�46 (FEV.998� Address Phonc Typc of Work � ORANGE COUNTY BUILDING DEPARTMENT. _ APPLICATION FOR PERMIT � � 636 NorN ��oadway . • . +� SANTA ANA, .LIFORNIA _._ .B . I L.D I N� FOR APPUCANT TO FILL IN FOR OFFICE USE ONLY RECEIPT NO. PERmIT NO. nooae�ss Q(�p,n Fi'et3�ral Apg� �l/ � � �ff/33f� SCHOOL DIST. RECErvED BY DATE OF APPL. DATE ISSI�ED OR TOWN NEAREST � ��13',7 � 6 _�-.H :�3 �Ross sT. Victoria A �� BUILDING �� D �/ �•, � /J n ...+ - OWNER ALE�T HOMESa INC. ADDRE55 A _ -�""F-� N-<�L MAIL 9363 w� �sH � RE Bl{�D. SCHOOL OIST. / �` /_ �� ADORE55 u h/t OR TOWN lii vT�. CITV BEV• n��l$ NO�R• J��"t ' NEAREST � 6 � CRO55 5T. /�/�' �—G.�� ARCHITECTA R TEL 20NE NO.OF TVPE I GROUP ENGINEER I,AIN Si MCKERRACHER NO.SY. 648� /I/J, / I PLANS I/�l_ /,� T. nooRess 2� �O E. WAt,NUT ST. � PASADENA ��,,.,, ,,,,< <e,,.. ��„_�p „�� •�� ft _ ADDRE55 9�6� W�l,$FI�I LEGAL DESCRIPTION LOT NO. , (ATTACH METES 3 BOUNDS) BUILOING SIZE WALL COVERING USE OF NEW eui�o�rvc Hi��s 1712 I NO. OF I NO. OF G. ' Few.iue5 ROOMS DESCRIPTION OF WORK I x I ALTERATION I I AOf]ITION RESIDENCE I HEREBY ACKNOWLE'JGE THAT I HAVE REAO THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRlJCT10N. SIGNATUREOF NEMPORT VISTA C0. PERMITTE A AUTHOHIZEO AGT/��. _ _ . _ O l/.� __ VAlUAT10N � � 4830.0o P. �. s 2 FEE J %i S FEE I CORRECTIONS G E: APPROVALS LOCATION I ��C' IATERIALS, NNING o I 9 � r •f - I �Y < m N STREET � i � ): � " � �, '!, t _ .. _ '�' _�.3�:)'�1:1`. ,:'.,..-. .. �.�/)\`".i:. ♦�\. �-JJi'�_� .. • � � • . . • _ _ _� �— ` � � / . , ' �1 .�. q..�� r �.�.i�::'l�.1 - . 7 � : . • � � . _ . .. . . � , I`' � . . � J�. J.' .. � � .. .c i rr' ' ' ' . _ ' '