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Home My WebLink About2718 ALBATROSS DR - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DFIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 2718 ALBATROSS DR Suite: Vicinity: ROOF Parcel Number: 13947614 Appiicanr. SELL, RON Address: 18032 LEMON YORBA LINDA , CA Owner: IGLESIAS, MICHAEL V Address " 2718 ALBATROSS DR . COSTA MESA, CA , Contractor: SELL ROOFING COMPANY Address: 18032 LEMON YORBA LINDA, CA Zip: 92686 Arch : Address: Zoning: R1 R1 Phone: (714) 528-1758 Zip: 92686 Phone: Zip: 92626-4714 Phone: (714) 528-1758 License: 323842 Eng: Address: Phone: Status: ISSUED Applied: 05/27/2003 Issued: OS/27/2003 ISSUED BY: <=� Phone: Zip: � License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 1/2 OSB, 30# FELT, 40 YEAR COMPOSITION SHINGLES. 2,900 S.F. Plan Check: $0.00 Permit: $125.25 SMIP Res: $0.59 SMIP Com: $0.00 Other: $0.00 Inspection: 50.00 Total: $125.84 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existinq: 0 NOTES: Rear 0- 0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0- 0 ss,soo.00 55,900.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements undei California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspaetlons and flnal approval must be obtained. Failure to obtain inspections and final approval will result in tha ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 ?46E66 (&0p) I hereby aitirm under penalry of perjury ona of the following declarations: ❑ I have and will maintaln a certifiwte of consent b self-Insure for workers' compensation, as provided tor by section 3700 of ihe Labor Coda, for the pertortnance of the work for which t�is permit is issued. �I 1 I have and will maintain workers' compensation insurance, as requiretl by section 3700 of Ihe Labor Code, for ihe pertortnance of �he work for which ihis pertnit is issued. /� My wo�rkers' cpomp�en�,s,etion Insurence carrier end policy number are: t� Cerner. �u�-2.. �txti.d Policy Numbar. � �� ,5,! (This section need not be completed i! fhe permit is valued a( one hundred dollars ($f 00J or less.) ❑ I certity Iha� in the perfortnance of �he work for which this pertnit is issued, I shall not employ any person in any manner so as to become subject to ihe workers' compensetion laws ot California agrea th t if I should become sub�act to the workers' compensation provisions ot Section 3700 of Ihe Labor Cotla, I shall forihwith camply with these provisions. �oD Appliwnt Signature: �� . �T Date: �(� � / � O �' WARNING: FAILURE TO SECURE WORKERS' �pApENSATION COVEPAGE IS UNLAWFUL AND SMALL $UBJECT AN EMPLOVER TO CRIMINAL PENALilES AND CIVIL FINES UP TO ONE HUNDRED TFIOUSAND DOLIARE ($100,000�, IN ADDITIOry TO THE COST OF COMPENSAiION, DAMAGES AS PROVIDEO FOR IN SECTION 3]OB OF THE LABOR CA�E, IMEREST, AND ATTORNEY'S FEES. IICENSED CONTRACTORS DECLARqTION: I hereby aflirm that I am licensed�u2nde�r p1rovisia forca antl ettecl. Lic. # � ConlrectoYs Signature:)�_ 9(commencing with Section 7000) of Division 3 oi the eusiness antl Professions Code, and my license is in full ciess s C 3 9 � / Date: X %/I �i / n CL CONSTRUCTON LENDING AGENCV: ❑ I hereby atfirm ihat ihere is e constmction lentling agency tor the peAortnance oi Ihe work for which this pertnit is issued. (Sec. 3097, Civil Code). Lentlefs Neme: Lender's Address: Signature: OWNER•BUILDER DECLARA710N5: Date: I hereby aRlrm ihat untler penelry oi perjury that 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (SecJ031.5, Business antl Pmtessions Code: Any ciry or counry wbich requires a permit ro construct, alter, improve, demolish, w repair any structure, prior to its issuance, also �equires the app7icant !or such permit to iile a signetl statement that he or she is Ilcensetl pursuent b the provisions of lhe Contractors License Law (Chapter 9(commencing with Section 7000) ot Division 3 of the Businass and Professions Code) or ihat he or she is exempt therefrom antl the �asis for the alleged ezemption. Any violation ot Section 7037.5 by any applicant tor a pertnit subjacts Iha applicant to e civil penalry oF not more than tive huntlretl tlollars ($500).): ❑ I, as owner oi the property, or my Bmployees with weges as iheir sole compensation, WILL DO THE WORK, antl Ihe structure Is nol intended or offered for sale (Sec. 7044, Business and Professions Code: The Coniractors Licanse Law does not apply to en owner of propehy who builds or improves thereon, and who does such work himselt or herselt or ihrough his or her own employees, provided that such improvemenis are not intended or oHered for sale. If, however, Ihe building or improvement is sold within one year of completion, ihe owner-builder will hava.the burden of proving that he or she did not build or improve for purpose of sale.). � ❑ I, as owner of the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct Ihe project (Sec. 7044, Business antl Professions Cotle: The contrectors Llcense LeW does not apply to an owner ol property who bullds or improves thereon, antl who comracts tor such project with a conirector(s) license pursuant to the Contrector„ License Laws.). ❑ I am exempt under sec. Signature: Owner ID ventied by driver's license. ❑ Yes ❑ No Business and Professions Code for ihis reason: Verificetion of Ownership by (rype of document, i.e. - property ta: 6ill or tleea): DIVISION OF INDUSTRIAL SAFETY PEpM1T CERTIFICATION: Drivar's Licensa No. Date: Expires: ❑ I he�eby cetlify tha! no excavalion tive (5) or more feet in depth in2o which a person is required to descenQ wi116e made in connection with woB authonzed by this permit, and that no building sirucWre, scalloltling, felsework, or demolition or dismantling thereof, will be more ihan thirty-six (36) faet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, Calitomla Atlministrative Cotle). ❑ As owner-builder, I will not employ anyone to do work which woultl requira a permit trom Ihe Division oi Industrial Safery, es noted ebove, unless such person has e pertnii to do such work from the diyision. SignaNre: Date: Division of Industnal Safety Parmit Number: CERTIFlCATE OF COMPLIANCE AND qIIfHORIZATION OF ENTRV: I cenify under penalty of perjury Ihat I have read ihis application and stale �hat the informe�ion given is correct. I agree to comply wit� ell stete laws and ciry ortlinances relating to bulltling consWction, end au�horize represeniztives ot ihe Ciry ot Costa Mesa to enter upon the above-descnbed properry for inspection puryoses. I agree not to occupy or ellow occupancy of any building authorized by this permit uMil finel inspaction. i ature Ot Le al n s) X-- .,� � �� x And/Or A4thorizetl p licant � Date COOE 1. INSPECTIONTYPE 1676 Fixed Sys�em Final Fire Prevention 126fi 200 201 202 203 204 Pool Spe Final Final Re-Rooi Finel BIaWRetaining Wall Final Factory Fire Place Final Sign Final Damoliiion Pd1E INTRIALS Y� 1(� CQDE� INSPECTIONTYPE QLff. lI�LS 206 Final Mechanical 208 210 272 220 Final Plumbing Final Elecirical Final Fire Prevention Final Planning Approval 222 Final Site 250 Final Building/Occupency La! 85 ' � I Q�� COSTA MESA BUILDING-SAFEfY DEPARTMENT P. O. BOX 9f7 C08TA MEBA. CALIFORNIA For Applicanf fo FIII In Completely TYPE OR PRINT ADDRESS 2 18 Albatross �I' COSTA MESA, CALIFORNIA 1 c�rv Costa Mesa No � 549039 ARCHITECT _ _ . _ . � . TEL. _ ._..... . � NO.OF � BET9ACK LINB FRQ� �n� , 1p � 6' 6' EFT R16HT DESCRIPTION OF WORK X II ., _�e._...� I II ......_,�.. 51Z'EDIN6 2 139 ROOMS 6 STORI6p4 � EXTERIOR WALiL� �n9 I ROOF S 4 e[k COVERING St�rn COVERIN6 � USE OF BUILOIfi6 AND ORK TO ! P RFORM Sinale familv wit�i attac�ec�aaraae. 1 HEFEBY ACKNOWLEpCE THAT 1 NAVE HEAD THI6 APpL�CATION ANO 6TATE THAT THE ABOVE 18 COqRECT AND .�GRE6 TO COM- PLY WITH ALL C�TY ORDIN/.N 88 AND 8TAT6 LA�eOULATING BUILOINO CONeiRUGI'ION. . SI6NATURE OF PERMIttE 'N AUTHORIZEO AG6N . FtE RECEIVED MAR s 1 1964 fINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMR BUILDING For Office Use Only RCCEIPT NO. �Ep�}IJiµp� Y IJIJ 4 �l�J aecEIYQD BY o� n�e� fi�� APR 1'4 191 /v BUILDIN6 I 1= ZONING NO.OF I UeEOFNHW Sl PLANe r? Bl11LDINY�,r/ a SHALL BE LE35 THAN YARDSAPPROVED I YARDSAPPROVED MAINBUILDING ACGESSORYBUILOING DISTAfJGE BfiT. I BET. MAIN @ MAIN BLOGB. ACCESS. BLI VAR.�C DATE n SC. FT. � THE AMOUNT SXOWN UNOEH VALUATION IS FOR TH6 F PURPOSE OF 88TABLIBHINO A PERMIT FEE ONLV. 0 VALUATION � / m PERMIT FEE S d � $�p30� , 33 - p _ _ t