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Home My WebLink About3287 ARIZONA LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.cosla-mesa.ce.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT ,lobAddress: 3287 ARIZONA LN Suile: Vicini[y: RESIDENCE 8 ATTACHED GARAGE Parcel Number: 139�5208 App�icant: CHAMBERS, DARRELL Address: 414 N SHATTUCK PL ORANGE,CA , owner: JAMESON, DEBRA HAMADA Address , 3287 ARIZONA LN COSTA MESA, CA Contrecroc CORNERSTONE ROOFING Address: 414 N SHATTUCK PL ORANGE;CA Zip: 92666 Arch : Address: Stalus ISSUED Applied�, 70/10/2001 Issued: 70/10/2001 Zoning: ISSUED BY: � Phone: (714) 695-7040 Zip- 92666 Phone: Zip: 92626 Phone: (714)695-7040 License: 616586 Eng: Address: � Phone: . � Phone: � � � Zip: Lfcense: � � License: SCOPE OF PERMIT REROOF: REMOVE ONE COMP ROOF, LEAVING WOOD SHINGLE ROOF TO BE ROOFED OVER WITH 30-TEAR "ELK PRESTIQUE" COMP SHINGLES WITH 30N FELT 8 NEW FLASHINGS. 27 SQUARES " Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $111.25 $0.50 $0.00 $0.00 $0.00 $111.75 SETBACKS MAIN STRUCTURE Fronl 0- 0 ACCESSORY Fronl 0- 0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING 8 ZONING Lefl 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation Right 0. 0 Right 0- 0 $4,265.00 $4,265.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calilornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) El(PIRATION: This permit shall automatically expire and become void if work is not commenced vrithin 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order lor the work authorized under Ihis permit to be considered legal, such work musl comply with all applicabla codes, and all requlred Inspeetlone and final approval must be obtained. Failure to obtain inspections and linal approval will result in ihe expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545826 zansre �aroo� WORKERS'COMPENSAnONDECLARArON: � , � I hereby aflirm under panalry of perjury one ol Iho following tlecleretions: ❑ I heva entl will maintein e certilicale of ton5ent to selFlnsure lor workers' compenselion, es prwitletl for by sadlon 3700 of Ihe Labor Cotle, lar lhe peAortnence ol lhe ork lor w�lch lhi5 Dermil is iuuatl. I heve and will meintain workers' compensetion insurance, as required by seMion 3700 of ihe Lebor Cotle, Por Ihe OOAormence of Ihe work lor w�lch this pertnit is issuetl. My workers' compereetlon Insurence carrler entl pollcy number ere: Cerrier: Policy Number (This section need not be comp/ered /l (be permlt Is velued et one hundretl aollars ($f 00) or less.) ❑ I certily Ihat in tha peAormanca of Ihe work lor which this pertnil is issuetl, I shall nol employ eny person in any menner so es to becane subject to ihe workars' compensetlon lews of Celifamie, entl egree Ihet 11 I s uld hetOme sublect Io Iha workers' compensetlon provisions ol Section 3700 0l lha Lebor Gotle, I Shell forthwilh comply with these p ions. �%� AppliWn� Slgnelure: �� l � Dale: ��! —� �— 0/ WARNINO' FAILURE TO SECURE WORKERS' CdAPENSATION COVERAGE IS UNLAWFUL AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES M1D GV1L FlNES UP TOIXJE MUNDRED T/qUSAND Dq1AFE (5100,000), IN ADDfTION TO THE COST OF COMPENSATION, DAA41GE5 AS PROVIDED FOF iN SECTION 31O60F THE LABOR CODE, INTEREST, AND ATTORNE`f5 FEES. LICENSED CONTRACTORS DECLARATION: I hereby eXirtn that I em licensetl under provisions of ChapteAr 9(commencing with Sectlon 7000) of Division 3 0l the Business end Prolessions Coda, entl my Ilcense Is In lull force end aflect. Llc. a !� // Class a ContractoYsSigneWre: . �?'.:.��%� — Date: 0 —/U — � CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn that there fs a construction lending agen�y for Ihe pedormance ol the work for w�ich this pertnit is issuetl. (Sec. 3097, Civil Code). Lenders Neme: Lender's Address: Slgnature: Date: OWNER-BUILDER DECLARATIONS: I hereby efllrm Inet untler penelry ol perjury Ihat I em EXEMPT FROM THE CONTAACTORS LICENSE LAW lor the lollowing reeson (Sae 7031.5, Business and Prolesslons Code: Any ciry or counry which requires e permit lo construc�, aller, improve, tlemollsh, or repair eny struqure, Onor to its issuance, also requires the epplicem lor such permit �o lile a 51gneA sletement thet he ar she Is licensetl pursuent ta the pravisions ol the Contredors Llcense Lew (Chep�er 9(commencing wllh Sedlon 7000) of DlNsion 3 0l t�e Business end Professions Code) ar thet he or she is exempl therelrom antl t�e besis lor �he ellegetl eaemption. Any violetion of Sadian 7031.5 Dy eny epplifant for e pem+' subjects the epplicent lo a clvil penelty af not more ihan live huntlretl dollers ($500).): ❑ I, es owner ol ihe proDerry, or my employees with weges as iheir sole compensetlon, WILL DO TXE WORK, antl iha structure is not Intendetl or oHeratl lor sale (Sec. 7044, Business antl Professions Cotle: The Coniraclors License Law does not epply to an owner of properry who builtls or improves ihereon, end who does such work himsell or hersell or ihrough his or her own employees, provided that such improvements ere not intandetl or ofleretl for sele. If, however, Ihe builtling or improvement is sold within one year ol completion, I�e owner�builtler will �ave Ihe burden ol proving Ihat he or she did not build or improve lor Durpose of sele.). ❑ I, es owner ol lhe properry, Bm ESCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to Construct Ihe project (Sec. 7064, Business Bnd Prolession9 Gode: The conveclors License Lew tloes no� epply to en owner ol property who bullds or improves thereon, and who coniracts lor such prolect with a convector(s) license pursuent to t�e Cantraclors Licensa Lews.). ❑ I am exempt under sec. Business and Professions Cotle lor ihis reeson: S�gnaWre: Da�e: Owner ID verilietl by tlriveYs license. ❑ Ves ❑ No Dnvefs License No. Venfcation ol Ownership by (rype ol tlocument, I.e. - property �ax �ill or tleedJ: DIVISION OF INDUSTRIAL SAFETY PEHMR CERTIFICATION: Expires: ❑ I hereby cenify thet no ezcavation flve (5) or more feet in depih into which e parson Is requiretl to tlescend, will ba mede in connection wilh work euthorizetl by Ihis permit, and Ihet no builtling siructure, scafloltling, lalsework, or damolition or dismentling Ihereol, will be more then Ihirry�six (36) leet high. (Chep. 3.2, Grp 2, An 2, Sec. 341, Ttle B, Celllomia Atlmini51re11ve Cotle). ❑ As owner-builder, I will nol employ enyone to do work which would require a pertnit from the Division of Induslriel Satety, es notetl ebove, unless such person hes e permit to tlo such work Irom ihe division. Signature: Oaie: Division o1 Industrial Selery Permit Number: CERTIFlCATE OF COMPLJANCE AND AUTHORVJ1710N OF EMAY: I certily under penelly ol perjury Ihal I heve read ihis application antl state thel Ihe inlormetion given is correct. I egree to comply w11h ell state laws entl ciry ortlinances relaiing lo bwlding construction, end authodze representatives of the Gry of Casta Mesa to enter upon the ebove�tlescdbed property lor inspection purposes. I egree not to wcupy or allow occupancy ol any Guilding authonzed by this pertnit until Bnel inspection. � n re Legal Owner(s) Da1e w•�� % �� -�� - O � And/Or Authonzed Applicant � Date COUE /. INSPECTIONTYPE 7616 Fixed System Final Fire Prevenlfon 1266 Poal Spa Final 200 Finel Re-Roof 201 FIneI 81ocN/Retaining Well 202 203 20d Final Factory Fva Place Finel Slgn Finel Demolition Q�g IMRI�LS COOE I INSPELTION TYPE 206 Final Mechanitel 208 Finel Plumbing 210 Final Electrical 212 Final Frte Preven�lon 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupency �g �� -�3�F�5 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C06TA MEBA. CALIFOflN1A For Applicanf fo Fill In Complefely TYPE OR PRINT BUILDING 32gp Arizona Lane ADDRESS COSTA MESA. CALIFORNIA MAIL 1533 Balcer St. ADDRESS c�Tr Costa Mesa FEE RECEIVED �� JAN 19 1°6� FINANCE DEPT. C{TY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Offiee Use Only aeceiwr Ho. �pg� � . � necei o er o� xete�veo o�re ieeueo %�/�— � �-/7 —6/�J�+w a s ��st BUILDING A�DRE88 COSTA MESA, CALIFORNIA Ga d G ve FIRE ZONE TYPE GROU Dike & Coleerove. Inc. APPROVED ^ ' 1533 Baker St. ZONING ZON NO.OR U86 OF Costa Mesa �— I PLANe � BOILOI� ��7,�� TEL. YT O—�lCl LeGwL _.�. _ _ SIZE L � Z OF LOT V� USE OF EXISTING BLDG. BeTBACK LIN¢ FHOM 1 NO. OF DESCRIPTION OF WORK I X II ALTERATION I II ADDITIC I-- II_._.__._ I II__.____ OF YAROS EVE6 APPROVED ALLO ICBNTCP LINe 6TJ Y"`llrr conn�r •7 l/ ec vr v�iwirvm nrvu wvnn �v ec rcrtrairtmc�r � � Si le £amil residence xith attached ar e. Plan 11BR 1 HEPEBY ACNNOWLLDO6 THAT 1 MAVB qBAD TXi9 APPLIGTION THE AMOUNT BXOWN UNCeP V�LUATION 19 POp iXE •ND BTATE THAT THH A90VE I9 CORPECT �NO AGREE TO COM� pUIiPOBE OF EBTABLI9HIN0 A PERMIT FEE ONLY. PLY WITH ALL CIT' OFIDINAN�1+9 �ND @i�i¢ L.�WB REOULATIN6 BUItDINo CONBTNucilo - VALUATION r BIGNATURE OF PERMIT FEE $ 37�00 PERM17T8 �1�,139• PLAN CFIEGK $ 17��0 AUTHORIZED AGENT Dlke Coleerove_ Inc_ �,9_ O F O ¢