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Home My WebLink About2953 ANDROS ST - Building PermitsJobAddress: 295$ ANDROS ST Suite: Vicinity; Primary Occ: R3 Dwellings/ Cong Res <10 Type of Construction: V-N Parcel Number: 13922333 Zoning: R1 npp�icant: JOHN DADIDO Address: i� :- _' Owner: MELZER, MARK,H� Address 2953 ANDROSSi-�. " � ' �� , � ��r/ . /.i//� � , , . COSTA.MESA, CA�� . � � _ ��/ �'\. A �� ,-' _ _ � Contractor:'�F5�STAR ROOFING:�;%;J"'_ Addres�s::'/j132�MERRIMACDR',�'��-:_ _ =" � /,'; „� \ /i //r %i � _�i `ANAHEIM,CA.��: � i J Zip: 92807' ' /.'� ' i � � ,'�,� / �, — %�:.�i_ �Arch : � c� / .�/�� / : Eng: Address:�� -�� - Address: ' � ,: � . ...� ,r U� Phone: � t� - , . � Zip: . , - P ' � ` � License: �. — , , . ' - � /�� . ' � ' .... � � ,"' , � �," � - . -- � � SCOPE OF PERMIT � �� T/OfiF, SHEATH AN�D REROOF 2800SF RESIDENCE W/COMP SHINGLES. " , .�� -,., ;i � . . ' '' / / _FEE SUMMARY � � Plari Check�:' _.� $0.00 �! �- •; °: � � ,,� �r� --; , _ -, � .Calc Valuation: �� Permlt� � -'$13925 � � �L ,. _ .��.':' ._ �_ `. . -� . .. �_ Claim Valuation: � SMIP Res:, $0.70 - \l� SMIP Corh';, ,'� � $0.00 1 �� Ofher.' � $0.00 r. - _ � , . - _ � In'spection;�' �$0.00 --'- - - � '.` _ .� ^. , ��:.,'_ - �: , ; �� ; Total: =�,'' $139.95 ' �, A`\ _ . .�� - - _ � . _ Phone: 714-791-6369 Zip: Phone: Zip:� 92626-4856 Phone: 714-791-6369 License: 825383 StaWs: ISSUED Applied�. 11I30I2006 Issued: 11I30I2006 ISSUED BY: �/'`�- ��, 1�`. � `•. � � `��; PLANNING & ZONING SETBACKS -�' � �,� _...,..�' -•��;:t� ., �� MAIN STRUC7URE Fronf'��0-0. � Rear, _0 0-,.,. "� Left �• 0-0�,�� Righl � - . . �� .i� ,.," ' "': � . ACCESSORY ��Front 0'0�� i^�'�?Rear �0-0%, ��.Left 0-0 �' �� Righl V ��., � �j„� ��A, � . = �= e ' �. � � � a ' " PARKING ��, Exlstlnq� ; 0�'�,�;,�Reauired: `� Q� ,. Proposed: 0 � \ - �\ .,� �.-. \ ,�•_ - . ,. . : // � �'�.. � � � . �.�\ �`y�A i/`...rA �� , . Phone: License: o- o . 0. 0' ,, `' ��. \� / i /,_ - - , . � ��', .�I'� , _ " - , '_ - , : �.� � \ � i- `^.��•� •�lJ� �i `'�i � r ,� _ � � � �,, � �' , .. s�,000.00. 57,000.00 � 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, 12-21-92) EXPIRATION: This permit shall automatically expire and become vold if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 7 BO 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 inapeetlons and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2446-08 (6/00) WORKERS' COMPENSATION DECLARAYION: . � " � ` � I hereby aHirtn under penelty ot perjury one a� the following declarations: - ❑ I have end wlll malntaln e certificate o1 consent to self-Insure for workers' compansatlon, es provided for by section 3700 of the Lebor Code, for the pertortnence of the work for which this pertnit is issued. ❑ 1 have antl will maintain workers' compensation insurance, es required by section 3700 of the Labor Code, for Ihe peAormance of Ihe work tor which Ihis pertnit is issued. My workers' compensation Insurance wrrier and policy number ere: . , ' � Certier: ' PoliCy Number: / (Thls tion need nof be completed il th� permit is veluetl at one huntlred dollars ($100) ar less.) I certify ihat in t�e pertormance 01/�he �+'ork for which ihis pertnit is issued, I shell not employ any person in eny manner so as to become subjea to Ihe workers' compansatlan laws at Celitomi�(entl �dbeconro�x4lacA to the workers' compensation provisions of Section 3700 ot the Labor Cotle, I shell forthwith comply with Ihese provi ' . 2 Applicant Signature: � Date: �� -J� `6 � / WARNING: FAILURE TO SECURE RKERS' Cd.1PENSATION COVERAGE IS UNLAWFUL AND SflALL SU6IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDREO TFIOUSANODOLURE($100,000) ADDfTIIXJTOTMECOSTOFCOMPEN$ATION,DAMAGESASPROVIDEDFOFINSECTIIXJ3]O60FTHELABORCOOE,INrEREST,ANDATTORNEYSFEES. UCENSED CONTRACTORS DECLAHATION: I hereby aHirm that I am licensed untler pro��sions of Chapter 9(commencing with Section 70 O) of Division 3 oi �he Business a d Professions Code, and my license is in full r i foroe end ettect Lic. N Class N �-3 1 �2. ContraaoYsSigneture: � Date: %/� 4�^ b% � .� CONSTRUCTION LENDING AG€NCY: ❑ I hereby aHirm Ihat ihere is a construc�ion landing agency for ihe pertormance of the work for which this permit is issued. (Sec. 3097, Civil Code). LentleYs Name: Lender's Address: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby elfirtn ihat under penelty of perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Protessions Code: Any ciry or county which requires a permit to consiruct, alter, improve, tlemolish, or repair any structure, pnor to its issuance, elso requires ihe applicent for such permit to flle e signetl sta�ement Ihet he or she Is Ilcensed pursuant b the provisions of Ihe Contrectors License Law (Chapter 9(commencing with Section 7000) of Dlvision 3 of the Business antl Pmfessions Code) or t�at he or she is ezempt therefrom end the basis tor Ihe elleged exemption. Any violation of Section 7031.5 by eny applicent for a pertnit suhjecis ihe applicant to e civil penaly c} no1 more than fiva huntlretl tlollars ($500).): ' ❑ I, as owner ol Ihe property, or my emp�oyaes with wages as their sole compensation, WILL DO 7HE WORK, and the s�ructure Is not intendetl or ofFered for sale (Sec. 7044, Business and Professions Code: Tha Contractors License Law dces not apply to en owner oF property who builds or improves thereon, antl who does such work himself or hersetl or through his or heY own employees, provitled ihat such improvements are no� intended or ottered tor sale. It, however, the building or improvement is sold within one year af completion, the ownerbuiltler will heve ihe burden of pmving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of tha property, am El(CLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The cont�ectors License Lew does not epply to an owner of property who builds or Improves thereon, end who contracts tor such project with a contractor(s) license pursuent to ihe Conirectors License Laws.). ❑ I am exempt under sec. Business and Professions Code tor this reason: Signature: Date: Owner ID venfied by drivers license. d Vas ❑ No Dnver's Licensa No. Expires: Venfcation oi Ownership by (type of tlaument, i.e. - pmperty tax 6ill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify thet no excavation five (5) or more feet in depth into which a person Is required to descenq will be made in connec�ion with work authorizetl Dy ihis permit, and that no building sWcture, scaHolding, falsework, or demolition or dismaniling ihereot, will ba more Ihan thirty-six (36) fee� high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Calitomie Adminisirative Gade). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division oi Intlusinal Safery, as noted ebove, unless such pereon has a pertnit ta do such work irom the divisi0n. Signature: Data: Division of Industrial Sefery Permit Number: 1 Will the epplicent or present or tuNre building occupant neetl to file antl certify e Business Plan for emergency response to release or threatened release oi a hazardous matanall ❑ Yes ❑ No ' (Section 25505 of the Calitomia HealtP and Sefety Cotle requires, with some ezceptions, that a Business Plen be filetl with ihe Coste Mesa Fire Depariment by every business which has at eny one time during e reported year a quan�iiy of hazerdous matariels equal to or greater ihan e weight of 500 pounds, or a volume ot 55 gallons, or 200 cuDic feet of compressetl ges at standard temperature and pressure). ............................................................................................._. .................................................................................................................................................................................................... ................................................... 2 Does or will ihe applicant or present or future building occupant neetl to file a regisiretion form tor awtely hazardous matenals9 ❑ Ves ❑ No (Section 25533 of Iha Celifomia Health and Safery Cotla, wit� some e:ceptions, requires ragistration with the Costa Mesa Fire Deparlment by each business which et any one time hes on hend e quantiry of a�utely hazardous meterlels equal to or greeter ihen a weight ot 500 pounds, or e volume of 55 gallons, or 200 cubic feet of compressed gas et stantlar0 temperew�e antl pressura). ....................................................................................................................................................................................................................................................................................................................................................................................... 3 Does or will the applicant or present or �uture buildinq occupant need to prepara an RMPP (Risk Management end Prevention Progrem for ecutely hazardous materials)? ❑ Yes ❑ No (Section 25534 ot the Califomia Health and Safery Cotle provitles ihat ihe Costa Mese Fire Depanment mey require the preparation, certitication antl filing wlih ihe Fire beDeriment of en RMPP bv businesses which are required to register acutely hazardous meteriels with the Fire Depertment. 4 It 8f1 HMYY I9 PfBS90tly fBqWfBtl, Ilas SeCllon ............................................................................................... .............. 5 Does or wlll �he epplicant or present or �uWre irom the South Coest Air Qualiry Manegement (Section 658502 ot the Califomia Govemmenl ............................... _ ............................................................................ 6 Will any patl oi ihe faciliry to be constru��etl ur Qt yes", the faciliry must meet iha requlremenl ............................................................................................................. 7 Ii a oermit from the South Coest Air Oualiry Signature: have all ot ihe disclosures 25534 of the iwlmng xCupant requlre tor ine work whlcn IS tne Sub�BCi ot Ihls 8 plication a permit lor such consiruction or �istntt or from eny other eir pollution conlrol distrid or egencyl � Ves LJ No Code requires thet the requestetl intormation be fumishad on applica�ions tor non-residentiel builtling permils). ............................................................................................................................................................................................................................................ ]er �his permit be wi�hin 1000 teet irom the outer boundanes of a school7 ❑ Yes ❑ No of Sections 25534 end 42303 of lhe Califomia Healih anG Setety Code). oi ais[nc[ or egency is reqwrea tor ma � 42303 been mede7 ❑ Yes ❑ No �nc� from Ihe appropriate eir pallulion control oflicer). I certify ihat under penalry oi parjury ihe information given above is correct. I agree to comply with ell stata laws and ciry ordinences Emissions. . __ Date: .. CERTIFlCATE OF O PLIANCE AND AUTMORIZATION OF ENTRY: I certiry under penalty of perjury that I have read this application end state that the information given is correct I egree / c ply wi ell state lews entl ciry ortlinances relating to building constmction, and amhorize representatives of t�e Ciry of Costa Mesa to enter upon the above-describ U pi erty f i spection purposes. I agree not to xcupy or allow occupancy ot eny buildinq authorized by this permit until finel inspection. i/-3d- oY f Sia at e Ot legal �wnerSsl /" —T' Date COUE I, INSPECTIONTYPE 1616 Fixetl System Final Fire Prevention 1266 Paol Spa Final 200 Final Ra-Roof 207 Finel BIocWReteining Well 202 Finel Fectory Fire Place 203 Final Sign 204 Final Demolitian �:1 .1: i� �� ii�� CODE� INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Eleclncal 212 Final Fire Prevention , , 220 Final Planning Approval 222 Final Slte '250 Final Builtling/Occupancy Q� INTRIALg (714) 754-5273 • Faz (714) 754-4856 •��ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Jobnddress: 2953 ANDROSST Suite: Vicinity: ROOF OVER PATIO DECK Parcel Number: 13922333 2oning: R1 R1 Applicant: PATOCKA, NICOLE Address: 1653 SUPERIOR AVE _ " , � - � " � . � � , , - � . Phone: (949)642-7222 COSTA MESA, CA� �� - Zlp: 92627 �_ Ownec MELZER; MARK H�TR `� � �_ �� Address 2953-ANDROS ST�� , _ � - � . � -. i �� - . -- ' . . � , Phone: . � "-COSTA MESA, CA � - Zip: 92626 ' Contractor: LEE ROOF,ING OF COSTA MESA Address: 1653 SUPERIOR AVE " � . , Phone: (949)642-7222 , COSTA MESA, CA Zip: , � 92627 ' License: , 349686 Arch : Address:� � ' . .. , � , � • � .. . Phone: Zip: License: Eng: Address: e Status: ISSUED Applied: 70/26/2001 Issued: 10/26/2001 ISSUED BY: � . " , _ SI:VYt Uh YtKMI I , � � REROOF�COVERING OVER PATIO DECK ONLY: T/O EXISTING-ROOF, INSTAIL ONE�23# BASE AND A GRANULATED MODIFIED BITMUN TORCHDOWN ROOF SYSTEM. 350 SQ'�FT � � � � �� , � FEE SUMMARY ; � Plan Check: $0.00 — - – , - - Calc Valuation: Permit: , $44.85 , Claim Valuation: ; SMIP Res: $0.50 '� � SMIP Com: $0.00 � ' `. Other $0 00 si,zoo.00 s�,2oo.00 Inspection: - ��$0.00 � � ` � � � . . , � . � �, � _ �; ' �. Total: $45.35 _ . � � . : - . ,�. , ��;� �'' �, � PLANNING 8 ZONING . . , - � , , � " SETBACKS,�� - � , � , MAIN STRUCTURE Front 0- 0 Rear 0-�0 ' � Lek 0- 0 � Right 0- 0 ,,� ACCESSORY Front - 0- 0� -, Rear 0- 0 Left 0-.0 Right - 0- 0"� - PARKING Existin : 0 Re uirad: 0 Proposed: o � � � NOTES: ' NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPEC710NS: In order for the worK authorized under this permit to be considered legal, such work must comply with all applicable codes, antl all requlred inspeetlons and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 240636 (N00) v _ � 1 WORKERS' COMPENSATION DECLARATION: � . . — I hereby aHirm under penalry of perjury one of t�e tollowing declarations: ❑ I ve and will maimain a certificate of consent to self-Insure for workers' compensation, es provided tor by section 3700 of the Labor Cotle, for ihe peAormanca of the ark tar which Ihis pertnit is issued. I have and will maintain workers' compensetion insurance, as requiretl by section 3700 of the Labor Code, for the perfortnance of the work tor which ihis pertnit is issuetl. My workers�' �+ pen ation Ins nce carr er en0 policy number are: Cerrier. `7T�A� �Vl� PolicyNumher: (This section need not be comp/eted il fhe pertnit is va/ued et one hundred dallers ($f 00) or Iess.J ❑ I cetlity thet in the pertormence oi the work For which this pertnit is issuetl, I s�all not employ any person in any manner so es to become subject to Ihe workers' compensation laws oi Celifomie, and agre ihet if I should become sublect to [he workers' compansation provisions of Saction 3700 of ihe Labor Cotle, I shell forthwith comply with Ihese pro ' 'ons. /� Applicant Signeture: l�,�� Date: �V �� I WARNINO: FAIWRE TO SECl/RE WORKERS' CO ENSATIIXJ CqVERAOE IS UNIAWFUL AND SHALL SUflIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVI FINES UP TOONE HUNORED TFIOUSANDDOLURE(E100,00p),INAODITIONTO HECOSTOFCAMPENSATION,OAMAGESASPROVIDEDWRINSECTION3]O60FTHElABORCODE,IMERE$T,ANDAiTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirm ihat I am torce antl eHecL Lic. # Contrector's Signetura: of Chapter 9(commencing with Section 7000) of Division 3 of ihe Busine and ssions Cotle, and my licansa is in full I Class e _� Date: � ,��(L CONSTRUCTION LENDING AGENCY: ❑ I hereby e8irtn Ihat there is a construction lending agency for the pedormance of the work tor which ihis permit is issuetl. (Sec. 3097, Civil Code). Lender's Name: Lenders Adtlress: Signature: Date: OWNER-BUILDER DECLARAT10N5: I hereby aHirm Ihat untler penalry ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Busineu and Professions Code: Any ciry or county which requires e permit to consirucL alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file e signetl statement t�et he or she Is licensed pursuent b Ihe provisions of the Coniractors Licensa Lew (Chepter 9(commencing with Seclion 7000) of DlNsion 3 of Ihe Business end Professions Cotle) or that he or she is exempt thereirom and the basis for iha alleged exemption. Any vlolation of Section 7031.5 by any epplicant for e pertr+. subjects Ihe applicam to a civil penalty oi not more ihan tive hundred dollars ($500).J: ❑ I, as owner ot ihe pmperry, or my employees with wages as their sole compensation, WILL DO 7ME WORK, and the sWcture is not intended or ofleretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, flnd who does such work himself or herself or through his or her own employees, provitletl that such improvements ere not intended or offered for sale. It, however, ihe building or improvement is soltl within one year ot completion, ihe owner-builder will have the burtlen of proving that he or she did not build or improve tor puryose of sele.). ❑ I, as owner of the propeny, am EXCLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to constmct the project (SecJ044, Business and Professions Cotle: The coniradors License Law does not apply to an owner of pmperty who 6uiltls or Improves thereon, and who comracts tor such pro�ect with e contracroqs) license pursuant to Iha Conirectors License Lews.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID vertlied by dnver's licensa. ❑ Ves ❑ No Dnvefs License No. Expires: VeHtication of Ownership by (type ot document, i.e. - property tax bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certily ihat no axcavation five (5) or more feet in depth into which a person is required to descenC, will be made in connection with work euthorized Dy ihls permit, antl that no building siructure, scaftolding, falsework, or demolition or dismantling thereoi, will be more ihan thirty-six (36) faet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Celifomia Administretive Code). ❑ As owner-6uilder, I will not employ enyone �o tlo work which would require a permit from the Division of Intlusinal Sefery, as noted a6ove, unless such person has e pertnit to da such work irom the tlivision. Signature: Date: Division ot Industrial Safety Permit Num6er: CERTIFICATE OF COMPLIANCE AND AUTHORVA710N OF EMAV: I certify untler penalty ot perjury that I have read this application and state tha� ihe infortnation given is correct. I egree to comply with ell stete laws enC ciry ordinences ralating to bulitling construction, and authonza representatives of the Ciry ot Coste Mesa to enter upon the ebove-descn6ed property lor inspection purpwes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. A//A�� r al Owner(s) �/ 1 ^� nDate' / < <% C � 1 C nd/OrAuthonzed Apphcant � Date CODE I, INSPECl10N7YPE 1616 Fixed System Final Fire Prevention 7266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition Pl�IE INTRIALS COUEt INSPEC710NTYPE 206 Final Mechanical 208 Finel Plumbing 210 Finel Electrical 212 Final Flre Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency �E � . � ��-i;-3 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 317 COSTA MESA. CALIFORNIA fOR APAUCANT TO F/L[ /N COMPL�'TfCY TYPE OR PRINT Aoo E'S5 2953 Andros St. . COSTA MESA. CALIFORNIA Ess - Hox 65 Balboa Islarid,Calif ITECT OR�CCO CiO:'�10 LIC.NTO. 98808 Box 65�Ba]boa Is1and,Cali£ !INOT 138 IBLOCK ITRAC�Y A.P. NO. SIZE �/�O NO.OF BLDGS. O OF LOT � NOW ON LOT < LINE FROM oF srAeer � REAR YARD ARO ILEFT J IRIGHT DESCRIPTION OF WORK � X �� ____._._.. � �� .__._._. �REPAIR BUILDING K 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND TGREE TO COM- PLY WITH AlL CITY ONDINANCES AND STNTE LAWS NEGULATING BWL�IN� CONSTNUCTION�. � SIGN E OF (:T. .TDRiSIH'br1L� vnimo r.... ��+ r' ;r-� i� � f" � 7 a t�� t:e.v�.a �L.� �� i- �� , .�-/ � �,'` �-��ti�,� GL [iEr�, -v r t�� 0, CG�::1 �:�Sli APPLICATION FOR PERMIT BUILDING �o,e oFfic� usF oN�y I RECEIPT NO. I PERMIT NO. RECEIV_�p..BY I D�TER�jY/��N(;VA� �� //� V / � BUILDING ADDRESS COSTA MESA. CALIFORNIA FIRE ZONE TYPE GROUP d APPROVED BY DATE ZONING � �� ZONE _ I I PLANS �/ I BUELDINGE i^ L APPROVED 1 BV DATE i YARDS EVES REqUIRED ALLOWED ICENTER 4NE ST.) /'�) FRONT .�j � FT. R. SIDE �^ FT. L.SIDE l FT. REAR �'/1 Ff. T ir.e TNE RMOIINT BHOWN UNDER VALf1AT10N IS FOR THE PURPOSE OF ESTABLI6HING p PERMIT FEE ONLY. VALUATION � ^—• g /�/j /� RMIT FEE S 6 `� �/ PLAN CHECK $ I�j,p�� TOTAL FEE $ �J a��i