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Home My WebLink About2973 ANDROS ST - Building Permits:: (714) 754-5273 • Fax (714) 754-4856 Jobnddress: 2973 ANDROS ST Suite: Vicinity: Parcel Number: 13922328 npp�icant BRIAN COFFEY Address: CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT. PERMIT BUILDING PERMIT owner: RAYMOND, ROBERT Address 2973�ANDROS ST COSTA MESA, CA � Contractor: . THE ROOFING SPECIALISTS Address: 2428 NEWPORT BLVD #5 COSTA" MESA, CA Zip: 92672 Arch : Address: Phone: Zoning: Phone: 949-722-8846 Zip: Phone: Zip: 92626 Phone: (949)722-8846 License: 734068 Eng: Address: PERMIT UMBER , 0-00556 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 04/26/2000 Issued: 04/26/2000 ISSUED BY: �� Phone: Zip: ' License: License: , SCOPE OF PERMIT , .� T/OFF SHEATH AND REROOF 2800SF RESIDENCE W/COMP SHINGLES. � - � SMOKE DETECTORS REQ PER 97UBC. - � � , Plan Check: Permit: SMIP Res: SMIP Com: � Other Inspection: Total: $0.00 $12525 $0.59 $0.00 $0.00 $0.00 $125.84 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: Claim Valuation: PLANNING & ZONING LeR 0- 0 Lek 0- 0 Proposed: 0 Right 0- 0 Righl 0- 0 � $5,900.00� $5,900 00 � 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 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 inspectiona and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATIO�i� � � � I hereby aHirm under penalry of perjury one of the tollowing declara�ions: . ❑ I heve antl will maintain a cartiticate oF consent ro seli-Insure for workere' compensation, as pmvided tor by section 3700 ot the Lebor Cotle, tor the performance oi ihe work for which this permit is issued, � �I have and will maintain workers' compansation insurance, as required by section 3700 ot ihe Labor Cotle, for Ihe perfortnance of ihe work for which this permit is issued. My workers' compen ation I suranrp rrier and policy number era: . / vv /� �7 l, � Carrier: '77 �( � Policy Number. L� US � (This section need nof be completed illhe permit is valued af one hundred dollers ($100J or less.) ❑ I certity Ihat in the pertormance of the work for which t is permit is issued, I shall not employ any person in any manner so as to become subject to ihe workers' compensation laws ot Celifomia, and agree Ihat if I sh tl become subjed to Ihe workers' compensation provisions of Section 3700 of the Labor Code, I shall fotlhwith comply with thesa provisian '/ ) �r-�1 � ApplicaniSignaWre: / Date: %�G�'—� C./ i WARNING FAILURE TO SECURE WORKERS' COMPENSATP CO RAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANDDO�LARE�$100.000),INA�DITIONTOTHECO$ OFCAMPENSATION,DAhU16E$ASPROVIDEDFORINSECTIQY31060FTHELABORfADE,INTEREST,ANOATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I I hereby aHi�m lhat I am torce antl ettect Lic. a_ � Contractor's Signeture: of Chapter 9(commencing with Sectio 00) ot Division 3 ot the Business antl Profe sions Code, and my license is in full Class N �' – 3 � e � Date: –Zi. ""r� CONSTRUCTION LENDING AGENCV: ❑ I hareby ettirm that ihere is a consimction lending agency for the performance of Ihe work for which ihis permit is issuetl. (Sec. 3097, Civil Code). Lentler's Name: Lendefs Address: SignaWre: OWNER-BUILOER DECLARATIONS: Da�e: I hereby attirm Ihat under penalry of parjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the Following reason (Sec. 7031.5, Business and Protessions Code: Any ciry or counry which requires a pertnit to cons�ruct, alter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires ihe applicant for such permit Io tile a signed stetement that he or she is licensed pursuaN to the provisions of the Coniractors License Law (Chapter 9(commencing with Section 7000) ot Division 3 of ihe Business and Professions Code) or Ihat he or she is exempt iherefrom and ihe basis tor the allegetl exemption. Any violetion of Section 7031.5 by any applicant for a permit sub�ects ihe epplicant to a civil penalry of not mora than five hundretl tlollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and lhe structure is not intentled or oHaretl for sale (Sec. 7044, Business end Professions Code: The Contractors License Law does not epply to en owner ot property who builds or improves Ihereon, and who does such work himself or herself or ihrough his or her own employees, provided �het such improvements are not intended or oHared for sale. If, however, ihe building or improvement is sold within one year of completion, the owner-builder will have ihe burtlen of proving ihat he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, em EXCWSIVELV CONTRACTING WITH LICENSED CONTRAC70RS to constmct the project (Sec. 7044, Business and Professions Code: The conirac�ors License Law tloes not appty to an owner oi property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to Iha Contrecrors License Laws.). ❑ I am eaempt under sec. SignaWre: Owner ID verified by driver's license. ❑ Ves ❑ No 8usiness antl Professions Code tor Ihis reason: Verification of Ownership by (type of document, i.a. - property taz bill or dead): Driver's Licensa No. Date: Expires: DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certlty �hat no exwvation five (5) or more teat in depth into which a person is requiretl ro tlescenq will be matle in connection with work authorized by this pertnit, entl that no huilding strudure, scaHoltlinq, falsework, or tlemoli�ion or tlismantling Ihereof, will be more ihan ihirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Calitarnia Adminisirative Cade). ❑ As owne�-builder, I will not employ anyone to do work which would require a permit irom the Division of Intlusirial Satery, as no�etl above, unless such person has a permit to tlo such work from tha tlivision. Signalure: Da�e: Division oi Industrial Satery Parmit Num6er: CERTFICATE OF COMPLIANCE AND AUT}IORVATION OF ENTRV: I certify untler penalry of peryury ihat I have read this apptication and state that tha infortnation given is correct. I agrae to comply with all state laws and ciry ortlinances relating to huilding construction, and authonze representatives ot ihe Ciry of Costa Masa to enter upon the above-descnbetl property for inspection purposes. 1 agree not to occupy or allow occupancy of any building authonzed by ihis pertnit until final inspection. � � /ff�f{d/OrAuthonzedApplicant CQOE 1. INSPECTION TYPE 7618 Fized System Finel Fire Prevention 1266 200 201 202 203 Pool Spa Final Final Re-Roof Finel BIocWRetelning Wall Final Factory Fire Place Final Sign 204 Final Demalition 2bi6<6 on� �y7p�@ L� � Date / � d(rZti— �l� Date LOpE� INSPECTIONTYPE 1 T� IIRRIALS 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Preven�ion 220 Final Planning Approval 222 Final Sile 250 FinalBuilding/Occupancy �� ,� _. �6 � • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. 80X 1200 COSTA MESA. CALIFORNIA 92626 �,��,�-„"a�soo 5s,� ��s.sc �NS.. APPLICATION FOR STRUCTURAL PERMIT For Applicant to FID in Completely — Use Ink Only R CEIV D BV DATE RECEIVED DATE ISSUED ADIDFESS Zl � /1 F%D�> 5�� !Jr P I N . OWNER � � UAI A.P. NO. ..J MAI L BUILDING ADOFESS ' ADDRESS TEL. TFAC LOT BLOCK CITV � NO.' CONSTRUCTION ' EW ADD ALTER' P LENDER BRANCH �,,../�y . OWNER C'/GIC-�Y ADDRESS '/ VALUE ARCHITECT TEL. USE $ OR ENGINEER ' NO. FIRE /� ADDRESS ZONE T PE GROUPV . APPROVED CONTRACTOR OW/U BV DATE / ADDRESS • TEL. Z E� NO.OF USE OF N W CITY NO. P�� BUILDIN � STATE CITY �ARDS APPROVED VARDS APPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUIIDING SIZE � NO.OFBLIX'aS. (FROMC/LSTREET) OF LOT NOW ON LOT FRONT FT. S. USE OP EXISiING BIDG. SI FT. FT Separate permits are required for �. sioe FT. C/ FT. electric; plumbing and heating work. /'� REAR FT. ✓ FT. USE OF BUILDING AND WORK TO BE PERFORMED DI5TANCE BET. BEf. MAIN & N i9 � MAIN BLDGS. ACCESS. BLDGS. / VAR.# DATE C.U.P.# APPROVED APPROVE / � /� 3 I hereby ecknowledge that I have reatl this epplication and state . '^ n ihat the above information is correct and apree to comply with m all laws reBulating building consttucNon, entl I shall not employ � any person in vlolation of the workman'S compensation laws of� m Me Stete of Celifornie. I hereby certify that I am properly �licensed as a contractor under SQ. FT. N t�e State of Celifornia Business antl Professions Cotle, Dlvision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chepier 9, and thet such Iicenses ere In full force antl effect, or I THE PURP�E OF ESTABLISHING A PEFMIT F ONLV: � am exempt from the provisions ot the State of Celifornia Business VAIUATI ON PERMIT FEE S I Q � p and Profecsions Cotle, Division 3, Chapter 9. � �n m �' PLAN CHECK $ ^� SignaSure of �..y�� Permittee ��w� ��Hdhv}d}l g �O0 TAX $ a LL `^� // i Authoriiatl Ageni v�'� Pti`"a- . TOTAL PAID E � v ° OWNER TfiOMSON, BEVERLY JOB ADDRESS 2g73 Andros GENERAL CONTRACTOR p�e / 139-223-28 �OT 1, :.TIONS s�._ c�s WRTER � AOUGH PLUMBING PROP: SWR. LINE � HOUSE CON. O SPRINNLING SVStEM ING �NO �IR CONO UN�ERGROUN� U POWER FOUGH WIRING TRENCHES FORMS FLOOR SVSTEM BON� 6EAM �STEEL RE SHEATMING FRAME RNO F�ASNING �ATHING - IN rJ OUT [ pl "TER. BROWN LOAi VENT ELECTRIC. FINAL BUILOING, FIN4L CPGfILI PF11111GGMGMTC REINF. FINAL TRACT �4A� FIRE DATE 5-�'-77 SUBCONTRACTOR a �� ' , �%��%=� COSTA MESA BUILbING-SAFETY DEPARTMENT P.O.BOX 3f] COSTA MESA.CALIFOftNIA fOR APPUCANT TO f/ll /N COMPLfTELY � TYPE OR PRINT BUILDING ........ . . ... COSTA MESA, CALIFORNIA OWNER Glernerdg Homes�Inc. MAIL g�x_ 6S ' � ADDRE55 ��r,,Balboa Island,Cali£. T oC eu y ts'_� �s��.'.,,..,�li7L� -�t2J %/—z7-�J � i�ir,i.'�iL [li6`1, n•- � �.�rr 0,� CG3�:1 �'c :; APPLICATION FOR PERMIT BUILDING �o,e oFficF usF oNcy I RECEIPTNO. I ��ft.�� GOSTA MESA, CALIFORNIA M8CC0 r.r0 STATE 98808 APPROVED CONTRACTOR rP• LIC.NO. BY DATE ADDRE55 �X 65�Ba1boa Island,Calif. ZONING LEGAL I LOT j��] I . I ��p ^ 20N I NO. OF I USE OF I oEscrsiP'i'iorv NO. �'+J BLOCK TRAC V� P�/NS Bu1LDINi A.P.-NO. APPROVEDt „ ,�C/ BY \X/ f�. DATE OF LOT �Qw I HOW oH toi O REQU RED ALLOWE[ USE OF (LENTER LINE ST.) EXISTING BLOG. FRONT S�r FT. C LINE FROM orsrAecr SO REAR YARD Z ARD�I�EFT � IRIGHT � DESCRIP710N OF WORK I x II ALTFBATIIIN I II Alll'fIT10N REPAIft I IIMOVING S I�E DING16LLl /� j 6 ROOMS / Llll LDING AND � l/ J -7� jd0 D I HEREBY AGKNOWLEDGE THAT 1 HAVE READ THIS APPLICqTION pND STATE THAT THE ABOyE IS CORRECT AND AGFEE TO COM- PLY WITH ALL CITY OHDINq�••��cccc pND STqTE LAWS FEGULATING BUILDING CONSTPUC N.J )E I3;MES�INC• C —J SIGNATUR F GL�'!r �v�y+n THE FMOUNT 9HOWN fINOER VALUATION 18 FOR THE PURPO6E OF ESTA6LISNING A PERMIT FEE ONLY. VALUATION / / PERMIT FEE $ �(� � $ / J �j� PLAN CHECK $ � �� TOTAL FEE $ s7' -