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Home My WebLink About2203 AMERICAN AVE - Building Permits(774) 754•5273 • FBJc (714) 754-4856 • www.ci.cos�a-mesa.�ppLDING PERMIT 77 FAIR DFIVE, GOSTA MESA, GA 92626 Job Address: 2203 AMERICAN AV Suite: Vicinity: DUPLEX WITH ATTACHED GARAGE Primary Occ: R-3 Dwellings/ Cong Res <10 Type o( Construction: V-N Parcel Number: 42207215 Zoning: Applicant: DAVILA, ELIAS Address: 19651 EDUCATION LN. HUNTINGTON BEACH, CA Owner CARRIDO, MARY L Address P O BOX 16445 IRVINE, CA Contracror: ; E D ROOFING SYSTEMS CO Address'� 19651 EDUCATION-LN. Arch : Address: Zip: HUNTINGTON BEACH, CA Zip: 92646 Phone: �icense: Phone: 714-968-6135 Zip: 92fi46 Phone: Zip: 92623 Phone: pt4) 968-6135 License: 672009 Eng: Address: ISSUED BY: Status: ISSUED Applied: 09/13/2005 Issued: 09I132005 Phone: License: SCOPE OF PERMIT REROOF DUPLEX WITH ATTACHED GARAGE: T/O EXISTING ASPHALT SHINGLES, REPAIR/REPLACE SHTG AS NEEDED, 2 LAYERS 15 # FELT, , YEAR PRESTIQUE ASPHALT SHINGLES:' 26SQUARES . Plan Check: $0.00 Permit: $125.25 SMIP Res: $0.53 SMIP Com: $0.00 Other:. $0.00 Inspection: $0.00 Total: $125.78 SETBACKS � MAINSTRUCTURE Front 0-0 ' ACCESSORY PARKING Front 0- 0 Existina: 0 Rear 0-0 Rear 0- 0 Reauired: 0 FEE SUMMARY Calc Valuation: Ss,3iz.00 Claim Valuation: 5s,siz.00 PLANNING & ZONING Left 0- 0 . � Right 0- 0 left 0- 0 . Right 0- 0 Pr000sed: 0 R R Ip NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspections and final approvel musl be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 i 2448d818�00) WOflKERS'COMPENSATION DECLAHATION: � 1 hereby affirtn untler penelty of perjury one oi ihe following declarations: � ❑ I have end will maintain a certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of ihe Lebor Cotle, for ihe pertortnance of the �� work for which this pertnil is Issued. .'PIJ I have and will maintain workers' canpensalion insurance, as required by seccion 3700 of ihe Labor Code, for Ihe perfortnance of Ihe work for which Nis pertnit is issuetl. r` My workers'f� �m @nsg�ioa I�nS_urence c�¢wyend pol[cy n ber are: / �Certier_;�- ��/ '��L� �i��. POIiCy�N mu�be.�r _ ( � S �� (Tiiis section need not be complefed i! the permit is valued at one hundred dollars ($f 00) or less.) � ❑ I certity ihat in the pertortnance of ihe work for which �his pertnit is issued, 1 shall not employ any person in eny manner so as to become subject to the workers' compensation laws oi Ca end egree Ihat if I should be � sub�ect to Ihe workars' compensetion provislons of Saction 3700 ot the Lebor Coda, I shall forthwith comply with ihese provis' ns. �;A'', - /�) AppllcantS'g'neture: �-� � �"'�.. De�e:—.��'� / � Q� WARNINO: FAILURE TO SECURE WORKEFS' CAMPENSATION CAVEPAGE IS UNLAWFUL AN� SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES A D CIVIL FMES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDITION TO TNE COST OF CAMPENSATION, DAM4GES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR fAOE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirtn ihat I am licensed torce end eHecL Lic.� �� Caot`reclors�Signature: _ 9(commencing with Section 7000) ot Division 3 of the Business � PrgtqssRns Catla, and my licansa is in Full � Gass u.7 �J�9 Dat� ( =( � �— CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm that ihere is e construction lending agency tor ihe performance of ihe work for which ihis permit is issuetl. (Sec. 3097, Civil Code). Lenders Nema: Lender's Atltlress: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby aflirm Ihat under penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe tollowing reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a pertnit to construct, alter, improve, demolish, or repair any sWCNre, prior to its issuance, also requiras Ihe appliwnt tor such permit to file a signetl statement Ihet he or she is licensed pursuant to the provisions of the Contractors License Lew (Chapter 9(commencing with Section 7000) of Divlsion 3 of the Business end Professions Gode) or thet he or she is exempt theretrom and �he besis tor the allegetl e:emption. Any violation of Section 7037.5 by any epplicant for e pertnit subjects ihe epplicant to a civil penelry of not more than five hundred dollers ($500).): � I, as owner of Ihe properry, or my employees wi�h wages es iheir sole compensation, WILL DO THE WORK, antl ihe structure is not intended or oHered for sele (Sec. 7044, Business and Protessions Cotle: The Contradors Licensa Law does not apply to an owner ot property who builds or improves theraon, antl who does such work himself or hersel� or through his or her own employees, provided that such impmvemenis are not Intentled or oflered tor sale. If, however, the bullding or improvement is soltl within one year ot completion, ihe owner-builder will have the burden of proving ihat he or she ditl not build or improve for purpose of sale.). ' ❑ I, es owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct ihe project (Sec. 7044, Business and Professions Cotle: The conirectors Llcense Law tloes not epply to an owner of pmperty who builds or improves ihereon, antl who contracis tor such pmject wlt� a contractor(s) license pursuant to the Contractors License Laws.). ❑ I em exempt under sec. Business end Professions Coda tor this reason: Signatura: Date: Owner ID veritietl by dnvers licen5e. ❑ Ves ❑ No Orivefs License No. Eapires: Venlication of Ownarship by (rype of document, i.e. - properry tau bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATION: ❑ I hereby certify Ihet no excavetion tive (5) or more feat in depth into which e pereon is required to descend, will be made in connection with work authorized by ihis permit, and ihat no building structure, sceHolding, falsework, or demoli�ion or tlismantling ihereof, will be more ihan Ihirty-siz (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle 8, Califomia Adminisiretive Code). ❑ As owner-builtler, I wiil not employ enyone to do work which would require e permit from the Division of Indusiriel Safety, as notetl above, unless such person has a pertnit to do such wark fram tha division. Signeiure: Date: Division of Indusinal Safery Permit Number: CER7IFICATE OF COMPLIANCE AND AUTHORIZA710N OF EMAY: I certity undar penalty of perjury that I heve read Ihis application and state that the information given is correct I egree to comply with ell state lews end city ordinances relating to building construction, and authotlze representatives of the City of Costa Mese to enter upon the ebove-described property for inspection puryoses. I agree not to occupy or allow occupency of eny building authorizetl by this permit until tinal inspection. ° igneWre Of Legal er(s) � �� -, _ �.f<�l AnNOrAuthoAze pplicant�. COOE I. INSPECTIONTYPE 1676 Flxetl System Final Fira Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final Block/Retaining Well 202 Final Factory Fire Place 203 204 Final Sign Final Demolition � 1tlIIDAl$ C OE1 INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approvel 222 Final Sita 250 Final Building�Occupency QSjE INTITULS a � CITY OF COSTA MESA ` � BUILDING DIVISION � � DEVELOPMENT SERVICES DEPARTMENT � . PERMIT PERMI�MBER✓ .�� A`' 698-01729 (714) 754-5273 • Faz (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 2203 AMERICANAV Suite: Vicinity: � Parcel Nunmber: 42207215 Applicant: LINDA STOKES Address: 12751 OLIVE ST GARDEN GROVE,CA . Owner: CARRIDO, MARY L Address P O BOX �16445 � �al.'� " i ' IRVINE,CA � i , �. �. �-' � � . _ Contracto .r� � � Address: � BUILDING PERMIT Zoning: '� Phone: 714324�613 - Zip: 92845 Phone: � • .. _ . - Zip: 92623 , � Status: ISSUED Applied: 09/25/1998 Issued: 09/25/1998 � Phone: � ZiP� �'�= '' � � - - ,,; License:� � Arch/Eng: � , ... � . .. . � Address: � � � " ��" � � � � � ' � �. -: � Phone: . � . . � Zip: � � � '� License: - ' , SCOPE OF PERMIT � " LEGALIZE DOOR BETWEEN,GARAGE & RESIDENCE AND WINDOW IN GARAGE IN UNIT #A. , Plan Check: ' Permit: SMIP Res: SMIP Com: Other: Inspection; ` Total: $0.00 $21.00 $0.50 $0.00 $21.00 $0.00 $42.50 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: $500.00 Claim Valuation: $500.00 PLANNING 8 ZONING ' Left 0- 0 Right Left 0- 0 Right Proposed: 0 EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codas, and all requlred Inapeetiona end tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545826 WORKEFS' COMPENSATION DECLARATION: I hereby aftirtn under penalry of perjury one of ihe following declarations: ❑ I have entl will meintain e certificate of consent to seH-Insure for workers' compensetion, as provided for by section 3700 oi ihe Labor Cotle, tor the pertormance ot the work far which this permit is issued. ❑ I have flntl will maintain workers' compensetion insurance, as requiretl by sedion 3700 of the labor Code, for ihe pertortnanca of the work for which Ihis pertnit is issued. My workers' compensetlon Insurance carrier an0 policy number are: . Cartier. Policy Number. (This section need nat be comp/etetl i! fhe permlf Is valued af ane hundred dallers ($f 00f or less.) ❑ I cerlity ihat in Ihe pedormance of the work for which this permit is issue4 I shall not employ eny pereon in eny manner so as to become sub�ect to ihe workers' compensetlon laws of Celifornle, and egree that If I should become subject to the workers' compensatlon proNsions of Sectlon 3700 of Ihe Lebor Code, I shall fonhwith wmply with Ihese provisions. Appllcent Signeture: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CFIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATIQV, DAMAGES AS PROVIDED FOR IN SECTION 3]O6 OF THE LABOR WDE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I �ereby aHirtn thet I am licensed under provisions ot Chepter 9(commencing with Section 7000) ot Division 3 of the Business antl Protessions Code, and my license Is in full force and eflect. LIc. N Cless N Contrector's SignaNre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm tha� there is a construction lentling egency tor Ihe pertortnance of lhe work for which this permit is iss�ed. (Sec. 3097, Civil Code). Lendefs Neme: Lender's Address: SignaNre: Date: OWNER-BUILDER DECLARA710NS: I hereby atfirtn thet untler penalry ot perjury �ha� I em E%EMPT FROM TME CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business and Professions Code: Any city or counry which reQuires a parmit to consWct, alter, Improve, demolish, or repalr any strudure, pdor to its issuance, also requires the applicant for such permit to file e signed statement ihat he or she is licensed pursuent to ihe provlslons o� ihe Coniractore License Lew (Chaptei 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or thet he or she is exempt therefrom and the basis br the alleged exemption. Any violation of Section 7031.5 by eny applicant tor a permit sub�ecGs the applicant to e civil penalry of not more ihan five hundred dollars ($500).): ❑ I, es owner of the property, or my employees with weges as iheir sole compensation, WILL DO 7HE WORK, entl the sirucNre is not intended or oflered for sale (Sec. 7044, Business antl Professions Code: The Gontractors License Lew does not apply to an owner of property who builds or improves t�ereon, end who does such work hlmseli or hereetl or through his or her own employees, provided that such Improvements are not intended or ottered for sale. If, however, Ihe building or improvement is sold within one yeer of completion, the owner-builtler will have the burtlen of proving that he or she tlid not builtl or improva tor purpase of sale.). ❑ 1, as owner ot Iha property, am EXCLUSIVELY CONTRACTING WITH IICENSED CONTRACTORS to cons�ruct ihe project (Sec. 7044, Business end Protessions Code: The contrectors License Lew does not epply to en owner ot properry who buiids or improves ihereon, and who contrects tor such projact with a contractor(s) Ilcense pursuant to the Contractors License Laws.). Q I am exe � SignaNr� Owner Ifferified by � ❑ Yes ❑ No Business and Pro�essions Code for this reaso .. Drivefs License No. Venfcation of Ownership by (rype of daument, I.e. - properry tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: Dale: Eapires: ❑ I hereby certity ihat no excavatlon five (5) or mora feet In deD�h into whic� a pereon is requlred to descend, will be made in connection with work authorized by ihis permit, entl thet no building siructure, scaHolding, felsework, or tlemolition or dismentling thereof, will be more then thirty-six (36) faet high. (Chep. 32, Grp 2, Art 2, Sec. 341, 71t1e e, Celifornla Adminisiretive Code). 0 As owner-builder, I will not employ anyone �o do work which would require a permit trom the �Ivision of Industrial Sefery, es noted above, unless such person has e permit to do such work irom Ihe tlivision. Signature: Date: Dlvision of Indusirial Sefery Permit Number: CERT1flCATE OF COMPLIANCE AND AUT}IORIZATION OF ENTRV: I certity under penalty of perjury that I have read this epplication and state that the intormation given is correct. 1 agree to comply vnth all stare laws and city oNinances relating to buiMing cronstruction, arM auttronze representatives of the Ciry of Costa Mesa to enter upon the above-described property tor inspedion puryosas. I agree not to occupy or aliow occupancy oi eny building authonzed by this permit until tinal inspection. �- 2 .� = 9g� _ � nnannabf I nnxl (hvnnrtsl � Dete CQOE t. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Rooi 201 Final BIocWRetaining Well 202 Finel Factory Fire Place 203 Final Sign 204 Final Demolitian 2666d6 UA7E Itl7ID9LS �yp[j INSiECTIONTYPE 206 Finel Mechanical 208 Finel PlumDing 210 Final Electdcal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy Date � ItR�AlS ` DECLARATION O�AUTHORITY FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS Bldg. Permit # This Permit # Z nrto�� ra treet Add ess O5 AP Numbe� 1. I(we), Mary r Carrido , declare that I am the Owner of Title of the above referenced real property, and that I(we) hereby authorize: Linda E. Stokes Name 12751 Olive St Garden Grove, Ca. 92845 to obtain permits in my behalf, as owner/b�ilder, for at the above referenced property. 714-324-6613 Telephone No. L. Carrido Zip 2. Should any person become an employee engaged in the improvement of the property, I(we) shall im- mediately provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the City of Costa Mesa, as required by State of California laws. 3. As ownerlbuilder in fact, I understand and accept that my responsibilities do not transfer to any other per- son, company or corporation. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. I declare under the penalty of perjury that the foregoing is true and correct. � Executed this ,�� day of gg$�, 19_gg_, at Mary L. Carrido qPpt � �qqR California. NOTE: This authorization does not grant authorization to perform the work as owner, it solely provides for limited power of attorney to secure this permit in any behalf. � \ � ��iil�`V��`�'`�'�'�� W79-aB (Rev. 2191) 9771 I/�I/80 5,50 TL , COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICAT[ON FOR STRUCTURAL PERMI'I' � P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 ftEC BV PERMIT *r0 49481 For Applicant to Fill in Completely — Use Ink Only i�� ADIDRESS f.. � O TIr'!ff n IYK �/T A.P. NO. �O? � OWNER OR � C J� � ADIDRE55 l��.{J El/, TENANT 1-'e ✓�-� "�Q � hYi+ UNIT OR � MAILING r� � /1 ��`1 `Gy �'Q SPACE NO. ADDRE55 ,L�O f"j� G TRNO. LOT / BLK. CITV4�US' �(i({l -, No`�SYg- 6 NEW A D ALTER PAIR MOVING DEMOLISH CONSTRUCTION LENDER BRANCH ` '� OWNER V ADDRESS USE � ��`A_ V'°'LUEE /�Q ARCHITECT TEL. '�� OR ENGINEER �• ADORESS 20NE TVPE � GROVP APPqOVED CONTRACTOR BV DATE � �� ADDRESS TEL. CITV NO. STATE CITV APPROVED SETBACKS LIC. NO. LIC. NO. SIZE NO.OFBLDGS. (FROMCLST ET) OF LOT NOW ON LOT r FRONT T. USE OF EXISTING BLDG. (n � � '� Separate permits are required for �. s F , electric, plumbing and heating wmk. REAR USE OF BUIIDING AND WORK TO BE PERFORMED PLAN I CTION � 1 DATE �O�L(i APPROVED �r:w �Ro o � " /—/ — d I hereby acknowletlga that I have reatl this application and stata O1 n ffiat the above informetion is wrrect and agree to comply with , � all laws regulating builtlin8 consttuctlon, antl I shell not employ � any person in violation of the workman's compensation laws of � the State of Calitornia. m I hereby cartify ihat I am properly licensetl es a conttactor under SQ. FT. N the State of California Business and Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, end that such licenses are in full force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � am exempt from the Orovisions of the State of Calitornia Business VALUATION PERMIT FEE $ p end Profe55ions Cotle, Division 3, Chapter 9. � � u� m Signature of PLAN CHECK $ iO �60 �, � Permittee 5 TAX $ D� � LL or O � u Authorizatl Agent Date TOTAL PAI D E OWNER SL._ fi0i1GH PLUMBING PROP. SWR. LINE � HOUSE CON. SPRINKLING SYSTEM ANO AIR CON�ITIONING UNDERGROUND I I POWER BONO BEAM [] STEEI REINFORCE ❑ SHEATHING FRqME /ND FLASHING LATNING - IN n Ol1T n ' PLASTER, BROWN CORT TURAL, FINAL 6 �G, VENT., REFRIG. AND �.C., FINAL PIUMBING. FINAL AND GAS TEST � EIECTRIC, FINPL BUILOING, FINAL SPEdnL REOUIREMENTS DATE 1-11-80 SUBCONTRACTOR / , ��✓ � �Gbw � �� , ��_ �. :L`�`.S`�`J /cn � a�- ��D� � � _ a .� v � . , � � ��+� . JUl 111980 COSTA�MESA BUILDING-SAFEN DEPARTMENT fIPdAP�CE DE?T, P. O. BOX 917 COSTA MEBA, CALIFORNIA CITY QF COSTA h1ESA For Applieant fo Fill In Completely APPLiCAT10N FOR PERMIT TYPE OR PRINT gUILDING UIIOING � DDRE68 �18�� nerican Avenue COSTA MESA CALIFORNIA For Offite Use Only HEGEIPT NO. . pPRMIL PLQ MAIL 1533 Baker Street ADDREbS ��n Costa �esa. �ali£. No'K191151 SIZE [ �F L[]T VO X �F Grove, �alif. & Colegrove, Inc. Bake: Street L4esa, Calif. TEL. KI 9-1151 NO. INO. OP BLDGB. NOW ON L[]T none FIRE APPROVED GY i DATE RECEIVED I DATE 189OEO COSTA MESA. CALIFORNIA ZONING NO. OP I USE OP NEN Puxs '/ em�oirva � Lot 14, Tr. 3717 9HTBACK LIN6 PROM C (C¢NTew 4NE BTJ h CENTER OP 6TREET 4O� REAR YARD 3J � FRONT �" SIOE YARD ILEFT S� IRIGHT 5' R.SIDE DESCRIPTION OF WORK � L. 51 DE NFW I X II ALTERATI�N ( II ADDITI�N I __. _ ^l / S ZE DING l� & EXTERIOR WALI COVERING 51 U6E OF BUILDING S{�iROOMS ZO garage (tivo JRIES 1 . rock Gar. Q20 sq. ft. i 1 HEREBY ACKNOWLEDde TMAi 1 HAVE RG� TXIB APPLIWTION }H6 AMOUNT BHOWN UNOER VALUATION IB FOR THE AND BTATB THAT THC ABOVE I6 CORREGT ANC AGREE TO COM- pUFPOB¢ OP EBTABLIBX�NG A PERMIT FEE ONLY. PLY WITM ALL CITY d��NANCE9 AHG BTATE LAW6 PEGULATINO BUILOINO CON6TI�iUCTy�CJ� /� ///� VALUATION SIGNANRE OF %�� /W'k�L�� PERMI7 FEE S 3%�OO ' AUTHORIZED AGENT Dike `�' 's 17, 926.� IT1C • $18.50 55.50 0