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Home My WebLink About921 CARNATION AVE - Building Permits.:; � ;� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.�.�LDING PERMIT ,lobAddress: 921 CARNATION AV , Suite: Vicinity: HOUSE & ATTACHED GARAGE ParcelNumber: 41221231' Zoning: R1 R1 Applicant: FERGESON, LEW Address: DBA: FOUNTAIN VALLEY ROOFING FOUNTAIN VALLEY, CA Phone: (714) 775-1947 11237 SLATER AV Zip: 92708 owner: MUSTAFA, RAED Address 921 CARNATION AVE Phone: (714) 557-6510 COSTA MESA, CA Zip: 92626 Contractor: A PLUS SERVICES INC./ A PLUS ROOF Adtlress: DBA: FOUNTAIN VALLEY ROOFING FOUNTAIN VALLEY, CA Phone: (714) 775-1947 11237 SLATER AV Zip: 92708 License: 675241 Arch : Address: Phone: Eng: Address: 77 hAIH UHNt, GVJ I A MCJH, l:A 82tiLb ISSUED BY: Status: ISSUED Applied: 10/09I2000 Issued: 1 010 9/2 000 Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE 8 ATTACHED GARAGE (24 SQ). TEAR OFF EXISTING ROOFING & RESHEATH WITH 7/16" OSB. INSTALL 30#ASTM FELT UNDERLAYMENT & REROOF WITH "ElK PRESTIQUE" 30 YEAR COMPOSITION SHINGLES. Plan Check: Permit: SMIP Res: SMIP Com: Other: I nspection: Total $0.00 $125.25 $0.57 $0.00 $0.00 $0.00 $125.82 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Lek 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 .. . . � � .. . S5,)35.00 $5,735.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. g2-28, § 1, 1241-92) 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 ot 180 days. � INSPECTIONS: In order tor tha work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetions and f(nal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446d8 (6�00) A WORKERS' COMPENSATION DECLARATON: I hereby affirm untler penalry of perjury ona ot the following daUarations: ❑ I heve entl wlll maintain a certifiwte ot consent to self-Insure tor workers' compensalion, as provided for by section 3�00 0l Ihe Labor Code, for the peAormance ot the work lor wBich thl5 permil is issued. ' '�"—�'have antl wlll maintain workers' compensation insurance, as required by section 3700 of ihe Labor Code, Por the pertortnance of the work for which this pertnit is issuetl. �My workers' corf�pens3/Non Insurance carner and policy number ere: � �Cartier: �/� //a.�e�a Po��N�m,a�:�LJ.c 3/2 y`l i � 5� .[This secBon neBd nat be comp/eted i! fhe pe�mit is valued ef one hundred dollars ($100J or less.) ❑ I cenily tha� �n the peAormance of the work tor which �his pertnit I5 issuetl, I shall not employ any person in any manner so as to becoma su6ject to the workers' compensallon lews of Califom' end agree ihet if I should become sub�ect to the workers' compansation provislons of Saction 3700 of the Labor Code, I shall fotlhwith complywitl+lhe5eprovision . Applicent�SignaWre;. • Date: �Q/� 9�Cti .WARNW�;FNLOREIOSECUREWORKERS'COMPENSATIIXJ OVERAGEIS WFULANDSHALLSUBJECTANEMPLOVEFTOCRIMINALPE�NALTIESANDpVILFINESUPTOIXJEHUNDPED THWSANDDOLLARE�5100,000�,INAODITIONTOTHECOSTOFCOMPENSATI ,DAMAGESASPROVIOEOFORINSECTION3]O60FTHELABORfADE,INTEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm tha� � am Ilcensed u tler mvisions of Chapter 9(commencing with Sec�ion 7000) of Division 3.oL�he Business and Professions Code, and my license is in full force entl eNect Lb. k ��5 �_Y/ � Cla« a---7 ��'f �� CONS7RUCTON LENDING AGENCY: ❑ I hereDy attirm Ihat ihere is a wns[ruction lendinq agency lor the pedormance of Ihe work for which Ihis pertnit is issuetl. (Sec. 3097, Civil Code). Lenders Neme: Lenders Atltlress: Signawre: OWNER-BUILD6A DECLARATONS: Date: I hereby eHirm th9� under penalty of perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business antl PmFesslons Cotle: Any city or couNy which requires a permit b consiruct, alter, improve, tlemolish, or repair any simcWre, pnor to its issuance, also requires ihe applicant for such permit to lile e signetl sid�ement that he or she is licensad pursuent to the pmvisions of the Comrectors License Law (Chap�er 9(commencing wlih Sectlon 7000) of Division 3 of Ihe Business antl Proiessions Cotle) or ihat he or sha is exempt ihereirom and the basis for ihe alleged e:emption. Any violation oi SeIXion 7031.5 by eny applicant for a permit subiects the aDPlicant to e civil penalty of not more than five hundretl dollers (5500).): 0 I, as owner oi ihe property, or my employees with wages es Iheir sole compensation, WILL DO TME WORK, and Ihe siructure is not intended or ottered for sale (Sec. 7044, Business and Pmfessions Cotle: The Comrectors License Lew tloes not apply to an owner of pmperty who builds or impmves Ihereon, and who tloes such work himself or herself or ihrough his or her own employees, provided Ihat such improvements are not intentled or oMeretl lor sale. If, however, the builtling or improvement is sold within One year ol completion, the owner-builder wiil have ihe buraen of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner oi the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors LJcense Law tloes not epply to en owner ot Dropeny who 6uilds or improves thereon, antl who comracts tor such project with a contractor(s) license pursuant to the Coniractors License Laws.). ❑ I em exempt under sec. Business and Prolessions Coda for Ihis reason: Signatura: Date: Owner ID venlied �y tlrivefs liCense. ❑ Ves 0 No DriveYs License No. Expires: Verificetion of Ownership �y (type of dxumem, i.a. - properry tax bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cadity that no excevation five (5) or more feet in depth into which a person is required to tlescentl, will be matle in connection with work authorizetl by ihis permil, and lhat no builtling siructura, scatfoltling, falsework, or demoli�ion or dismantling thereoi, will be more than ihirry-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, 71t1e B, Californie Atlministretive Code). ❑ As ownerbN�lder, I will not employ anyone to do work which would require e parmit from lhe Division of Industnel Setety, es noted ebove, unless such person has e permit to do such work from the division. Signature: _ Date: Division of Intlusir�al Salety Pertnit Number: ICEATIflCA7E OF COMPIIANCE AND AUTHORVATON Of ENTAY: f certify undar penairy of perjury that I have reatl this appiiwtion and stata ihat lhe infortnation givan is I correct. I egree to comply with ell state laws and clty ortlinances relating to building consiruction, and authorize representaiives of I�e City of Cos�a Mesa to enter upon Ihe ebove-descnbed p�opetly for inspection purposes. I agree not to accupy or allow occupancy of any building authonzed by Ihis pertnil unlil tinel inspection. cooe �. IySPEG➢4tl.IYPi 1616 F{xetl SyS�em Final Fire Preven�ion 7266 Pool Spe Final 200 Final Re-R�� 201 FineI8loGk�Retaining Wall � 202 Final Fac�ory Fire Placa I203 Final Sign 204 Final Demolitian PAIE ItIIID�15 �'� � COpE� INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Apprwal 222 Fina� Si�e 250 ,FinalBuilding/OccuDancy 17.tl�I�1111JFy TRACT N0. � DATE • / IAT A'0, /• i /�� ADDRESS �� `7/�C The developer of the above entitled tract desires to sell the above set fo:th lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreemer.:, acknowledges that .�ei�e-they) (�e�� were).G'�� advised that this tract has not been given al nspection nor has it been accepted by the City of Costa `tesa as having co�plied with the conditions of approval which were imposed by the City at the tL�e the final tract map was approved. The City assumes no Iiability for the enforcement of the conditions necessa.ry for approval other thaa those cor.ditior.s protected by surety bond. The undersigned agrees to indemnify and hold the City haxmless froa any clair resulting in da�age or personal injury to the undersigned by reason of the aforementioned uncocapleted condition. RECEIVED CI7Y OF CDSiA (t4ES,1 P!.;p!NII�G DEP7. S E P G 1973 AM 7i8i9i10i11�12i1i2�3i4�5 6 � B-'��c�Q � Purchaser ` '!�. ' � BY � . ,; . !q -� : �'` .-/� !l� �. _ � T Developer and/or auchorized representacive aY ;�.`."%z��, l, /j��,Tti Lender OWNER I,pR47SN JOB ADDRESS q2: GENERAL CONTRACI AP No. INSPECTIONS s� G� WATER ROUGH PLUMBING PROP. SWR. LINE HOU! SPftINKLING SVSTEM MISCELLANEOUS ROUGN HEATING ANO AIR 1 TEMPORAFY SERVICE OR I UNOERGROUN� � POW ROUGH WIRING TRENCHES [�- FORMS G FLOOR SVSTEM BONO BEAM ❑ STEEL SHEATNING FRAME AND FLFSHING LATHING — IN �J OUT PLASTER, BROWN COAT STqUCTURAL, FINAL HEATING, VENT., REFRIG. I Pl NG, FINAL nN0 GAS ELc_.rilC, FINAL BUILDING, iINAL DATE � BUILDING E ZONE VALUE ROUP TR,T TYPE SUBCONTRACTOR z . W W o- U Z Za O v~i am J 7 J N Q W Q] J • 6] J Q U� za W � aw WZ J Q m z J � W w � zr w� N � � O H z Q U J d a Q 0 H y Z O H U � � H y Z 3�i4J COSTA MESA BUILDING-SAFETV DEPARTMENT �OLCRP�Q�BOX1200 COSTAMESA,CALIFORNIA92626 For App/icant to Fill in Comp/etely BUILDING AODRESS � � C/�2lJIL �N F oWNER Larwin So. Calif. nooaess 16255 Ventura Blvd. TEL. cirv F.ncino_ C.alif_ No.986-88 BRANCH 16255 Ventura Slvd. ADDR�SS Encino. Calif. ARCM17ECT TEL. ORENGINEER Tarwin NO 273-446 ADDR�SS 9100 Wilshire Blvd., Bev Hil CONTRqCTOR T ar[.ri n Sn (�al i f ADOR�SS 16255 Ventura Blvd. ciTv r�io� 986-889 Encino, Calif. iic No. 19131I �ic No. B-1 51 ZE NO. OF BLDGS. OF LOT 63 X 88 I NOW ON LOT � USE OF EXISTING BLDG. SIZE Ok NO. OF NEW BLpG, 23S�F ROOMS STORIES 2 E%TERIOR WALL ftOOF COVERING StUCCO COVERING WOOd shingl USE OF gUILDING AN� WORK TO BE PERFORMED !i,iI7F-7'�r�9��7222' '�''"l��.z4 APPLICATION FOR BUILDING PERMIT I7ECEI %A,T�iC�� p��g UE S i� O� PERMIT NO. A.P.NO. �— 'JC, 1 BUILDING � � � ADDRESS �� CA2n%A�O/� TRACT ]SS% LOT % BLOCK F ROVED DATE �' NO.OF^� USE OF PLANS [�- BUILDIN VAROSAPPROVED YAR MAIN BUIlO1NG ACCEt ROM UL STREET)„ /. Z VAR. # C.U,P, $ HOLD I hereby acknowletlga thai I heve reatl this applicacion antl state tha[ che ebove information ii correct anE apree ro comply w(th all laws regulating builEing consttuc�ion, antl 1 shnll no[ employ any person in vlolntion of the warkman's compensetion lews of the Statn ol Colifornie. � I hereby certify t�at 1 em prOperly licensatl es a conbncror untler 5�. F� the Stuto of Calliarnio Businass antl Protessions Cotle, Divisicn J, THE MOUNT Chaptar 9, ond that such licenses are (n full forco ontl affoct, or I THE PURPpSE 0 am eanmpt irom Me provisions of the State of Calltomia Business VAIUATION and ProVuss(ons Cotlo, Oiviston 3, Chapter 9. Sipnntura of/��7� /��( / Permittpe � / Dnwns g / , ,^ /�J v ui � � Authoriiatl ABent FT BET. MAIN & ACCESS.BLOGS. DATE APPROVED _ �o y� o OWN UNOER VALUATIpN IS FOR � ESTABLISHING A PERMIT FEE ONLV: m ¢ PERMR FEE s 116. 50 � J ' P�AN CHECK 4 SH.�LS E `o // LL TOTAL FEE $ ♦ Cj