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Home My WebLink About198 BROADWAY - Building Permits_. a ' MF 4 � e i " J�� (714)754-5273 • Fax(714)754-4856 CITY OF COSTA MESA BUILDING DIV/SION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 198 BROADWAY Suite: Vicinity: BROADWAYATORANGE Parcel Nunmber: 425233�$ App�icant: DURBIN, MICHAEL Address: OF/ MICHAEL'S ROOFING Owner: WALSHE, JOSEPH T Address 178 E 20TH ST COSTA MESA,CA Contractor. MICHEALS ROOFING Address: 1130 VICTORIA ST UNIT 0004 COSTA MESA, CA Arch / Eng : Address: BUILDING PERMIT Zoning: Phone: 949-642-0700 Zip: Phone: 949-645-2146 Zip: 92627 Phone: 7146420700 Zip: 92627 License: 672016 - PERMI� MBER 698-02119 � 77 FAIR DflIVE, COSTA MESA, CA 92626 � Phone: ' Zip: License: SCOPE OF PERMIT . / RE-ROOF: COVER AN EXISTING 20-YR COMP W/ NEW 25-YR R4TED COMP SHINGLES. Plan Check: $0.00 Permit: $Z4'JS SMIP Res: , $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $75.25 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING 8 ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0-0 Status: ISSUED Applied: 11/23/1998 Issued: 11/23/1998 $2,500.00 $2,500.00 EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 180 days. . IINSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inapections and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiretion of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSA710N DECLAHA710N: I hereby aNirtn under penalty of perjury one oi the tollowing declarations: ❑ I have�and will:melntain e certificete of consent to seli-Insure for workers' compensetion, es provided tor by section 3700 ot the Lebor Code, tor the performance ot the woFk tor which ihis permit is issuad. ❑ I have and will maintain workers' compensetion insurance, as required by section 3700 of the Labor Code, for Ihe peAortnanca of the work for which this permit is issuatl. My workers' compensation Insurance cartier and policy number ere: Cartier. Policy Number: (This sectlon need not be �mp/etetl il the pertnlf is valued at ane hundred dollars ($100) or less.) � I certiy that in the pertortnance of Ihe work for which this permit is issued, I shall not employ any person in any manner so es to become subject to ihe workers' compensation lews pt Celifomia, and egree thet if I shoultl become suhject to the workers' compensation provisions of Section 3700 of tha Labor Code, I shell lonhwith comply with ihese proyisions. ApplicanlSiqnature: �� / Date: ��— � 3-�Q.� WARNING: FAILURE TO SECURE WORKERS' COMPENSATIIXJ COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREO TFIOOSAND DOLIARE (5100,W0), IN ADDITION TO THE COST OF fAMPENSATION, DAhKGES AS PROVIDED FOR IN SECiION 31060F THE LA00R CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTOpS DECLARATION: I hereby eFfirm that I em licensed under provisions of Chapter 9(commencing with Sedion 7000) oi Division 3 0l the Business antl Professions Code, entl my Ilcense is in full force and eHact. Lic u_ 6�fe�ZB/� ,. Cless p G- 3� Contrectofs SignaNre: �l'/'k�� Date: fi - 2-'� — 9 fY CONS7RUCTION LENDING AGENCY: ❑ I hereby eHirtn ihat ihere is a consiruction lending agency for the pertortnance of ihe work for which this pertnit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lender's Address: SignaWre: Date: , OWNER-BUILDER DECLARATIONS: I hereby aflirtn Ihet under penalty of perjury Ihat I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for Ihe Iollowing reason (Sec. 7031.5, Business end Professlons Code: Any ciry or couny which requires e permit to consWcL alter, improve, demolish, or repeir eny sirucNre, prior to its issuance, elso requires ihe epplicant tor such permit to Nle e signed stetement ihat he or she is licensed pursuent to the provisions ol Ihe Conirectors License Law (Chapter 9(commancing with Section 7000) oi Division 3 ot Ihe Business and Protessions Code) or ihat he or she is exempt therefrom and ihe basis for the alleged azemption. Any violetlon ot Section 7031.5 by any epplicant for a permit subjecis the applicant to a ciwl penelry of not more �han five hundred dollars ($500).): ❑ I, as owner ot Iha property, or my employees with wages as Iheir sole compensatlon, WILL DO 7HE WORK, and the simcture is not intended or ottered tor sale (Sec. 7044, Business and professions Code: The Coniractors License Law does not apply to an owner ot property who builds or improves Ihereon, antl who tloes such work himself or herself or Ihrough hls or her own employees, provided thet such improvements ere not intendetl or otteretl for sale. If, havever, Iha building or improvement Is soltl vnihin one year oi completion, the owner-Duiltler will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner oi Ihe properry, am EXCLUSIVELY CONTRACTING WITH LICENSED CON7RACTORS to consiruct the projact (Sec. 7044, Business antl Professions Code: The contractors License Law does not apply to an owner of property who builtls or improves Ihereon, end who contracts tor such project wlth a contrector(s) license pursuant to the Contractors License Lews.). ❑ I am exempt under sec. Signature: Owner ID venfied by driver's license. ❑ Ves ❑ No Business and Professions Code for this reason: VeriFlcation ot Ownership 4y (type of document, i.e. - property tax bill or Dead): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: Drivers License Na. Date: Expires: ❑ I �ereby certlty that no ezcevation five (5) or more feet In depth into which a person Is requlretl to tlescend, will ba mede in connection with work authonzetl by ihis permit, end that no hulltling structure, swHolding, telsework, or tlemolition or dismentling thareoi, will be more than ihirry-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Ttle B, Califomla Atlministrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require e permit from Ihe Division of Industriel Safery, as noted above, unless such person has a permit to tlo such work imm the division. SignaWra: Date: Division of Industnal Safety permit Number: CERTIFlCATE OF COMPLIpNCE AND AIfTHORVATON OF ENTAV: I certify under penalty ot perjury lhat I have reatl Ihis application and state that ihe infortnation given is correct. I agree to comply with all state laws and ciry ordinances relating to building constmction, entl authonze representatives of the City of Costa Mesa to enter upon the above-descnbed pmpeAy lor inspection puryoses. I agree not to occupy or allow occupancy of any building authonzed by ihis permit until }inal inspection. � gn Of L Owner(s) �ate � / �� '., %.�� And/Or Authonzetl Applicanl Date COOE t. INSPELTIONTYPE 1616 Fixed System Final Fire Prevention 1266 200 201 202 203 204 2446d6 Pool Spa Final Finel Re-Root Final Bbck/Retaining Wall Finel Pactory Fire Place Final Sign Finel Demolition QSiF It��S � 8 � COOE� INSPECTIONiVPE 206 Final Mechanical 200 Final Plumbing 210 Final Elecincel 212 Final Fire Preventian 220 Flnal Planning Approvel 222 Final Site 250 Flnal Buildinq/Occupancy QAg U�ltk C I T Y 0 F C 0 S T A M E S A CAi:,TFORIVIA P. U. Box 1200 From the Office of the Plann3ng Department October 22, 1964 Otis L. CardFrell 200 l�ix�aa,y Pl. Coata 1�3esa, Califarnia The City o£ Costa Mesa wishes to advise you that in revising street addresses, the numbers listed below were changed: Old Address �55 H Orange Avenue New Address ( ,� '�'' �i i. 198 8roaflv�y � ��a For your convenience we are listing the agencies below that we will notify oY this change. In addition to those listed, you may desire to notify your correspondents of the change. Your cooperation in this matter is appreciated. rlb cc: Southern Ca1if. Edison Co. Southern Co. Gas Co. Costa Mesa Co. idater Dist. Pacific Telephone U.S. Post Office County Clerk (4) Public Works Dept. Engineering Dept� Bldg. Saiety Street I'ile Very truly yours, W. L. Dunn Director of Planning By: ��4/�G�l��'" 7 Planning Technician 1(z� OWNER CARDWELI.a BESSIE E. De1TE 5_],�_E!y JOB ADDRESS 1H55 Ornnae Avenve BUILDING PERMIT NO. 991SQ---- GENERAL CO Ap No. 117-] I ECTIONS J Sou Q. Gas Water � Rough Com. Hf Rough Heat�ng .,,... _.. .,,..._,�:_ VALUE $ PIRE 'LONE 3 UESCRIPTION OF DATE IGROUP I TYPE V SUBCONTRACTOR �m cn -- 2�zisy � COSTA MESA BUILDI ETY DEPARTMEhR P.O. BOX 12M COSTA MESA� CALIFORNIA 92E2E For AppllcaM fo FFII In ComplNely TYPE OR PRINT COSTA MESA. CALIFORN �i4�IL-�P C \ G�LOY ac- v �-iz,uuz �.0 ARGXITEGT T6L. ^�� NOINBBR �� N . nesa CONTRACTOR �-%`=��' � � �U l�� cones� --�� errv -'�'--. f� STATE J �i ��, �l�� TEL . LIG. NO. (a � 1cTa �� NO. 6IZ��` / NO.oIeLOot. � OF LOT YJ X I�) (� I NOW ON LOT ryl U9E OP �J � (j EXIBTINOBLD6. /�7��? %�t� B¢TOACI( LINB PpOY , q GENTlR OP BT0.86f R6AN YAR cC.� � SIDQYARpI �rr ..3n RIOXT �/.S/ DESCRIPTION OF WORK REPAIR � MOVgNO'ON DlMOLISX BUILDIN6 NO.O� ' / BIZE ROOMB y HTqRIRp / EXTEHIORWALLI/.. . /J ROO� � �a 'e'�. 1 H6RQlY �CKNOWLtDO� TNAT.1 NAVH 11fA0 YNI� A��LIGTON I1ND 6TAT6 THAT TN[ ASOVi IB CORR6CY ANO A011�[ M COY. PLY WITM �LL CITY OROINANCf� Ap0 RAT[ !AW/ 11[YYL11TM3 GYILDINOCONDTqVCT10N. _ /.1 _ AUTNOIII2[D FEE�pyyRECyEIVED �11) 1 � 1��'" FINANCE DEPt. CITY OF COSTA MESA APPLICATION FOR PERMR BUILDINO Fo� OHit� W� Only ■ecnrtno. r�K�MC iaeueo ZONING mxa,.� n xo. or u.s or nsvt —110� �uN� D �VILDINO D�YCRIITION / /"✓ I O � J'� `� / � s , / � ', T 12: 3 � 7 w, r. no. !/ 7—/ 3 3— 4� NOTH: NOEAVEOVERHAN08MALLBHL688THAN HO• TO HICE S REAR P. L. EAVEB ' ALLOWED fU.B.C.RBQUIRBMHNT) YARDIIMPROVED YARDBAPPROVHD MAIN BUIL�INO ACC6880RY BUILDINO fPROMGLfTR[tTl� � `___ _ PR NT �� PT. t VAR.# DAT6 -�s � ca �� a � � ea. rr. � TN[ IIMOYM �HOWry YND6N VALUATON is POp TNt � IYRN6i O� tQ�ADLI9XIN0 A PlNMIT PEB ONIY. � VALUATION .I�'' p / PERMITFE6 S _7 ` � E s f5_O /r - w. � .� TOTAL RiE - �.� JOB ADDA GENliRAL AP No. 11' I �CTI( � 54.� r_.... Power ,��-�,,,ti �...� ..- o..� sa�lv t< CO. , IriC. Vni.UE $ 20:9�t E ZONE � DESCRIPTION OF WORI� GROUP I& J TYPE V ZONE T^PERMI7 SURCONTfiACTOR i ��y` /' , w - 22356 + COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BO%31] C09TA ME9A� CALIFORIiIA For Applicant to Fill In Completely TYPE OR PRINT ///�� BUILDIN6 �� P�qN� � ([/ � � � ADDRE55 // / COSTA MESA, CALIFORNIA nwracw i% i�%�/ S L. C F10P0�� L�-- �r c�n G D S7%/ /li/�. ■ ARCHITECT � 51 � BETBACK DESCRIPTION OF WORK ROOP 1 HEREBY ACKNOWLE�OE THAT 1 H�Ve PCAD THI9 �PPLIGTION AND BTATE THAT TX8 ABOVE 19 CORPECT ANO AGREE TO COM- PLY WITH ALL CITY ORDINANCHB AND BTATB LAWe R60ULATING BUILOINa CONSTRUCTION. /J SIGNATURE OF � l_...� /. /� II I/M-�i/ . AUTHORIZEDA6ENT FEE RECEIVED �� FINANEE DEPT. � , ad�LT�A�V�r�4�& d'��r � BUILDING Fo� Office Use Only RHC8IPT NO. PERMIT NO. � BY DAT��RlCSIVBD OATE�eeUEO /� .9n /�. Ln —�/ L.� � NO. OP / � PUN9 oescn�mor�.l��T � D =� S� �L �OT / � V � `j �t�T�� I�, A. P. NO. II / �l�( �j'_ � � � ( J NOTE: NOEAV@OVERHAN69HALLBELE33THAN ` 90" TO SIDE 8 REAR P. L. \ EAVES ( ^ ALLOWED (U.B.C.RE�UIREMENTI �/J� YARDSMPROVED YARDSAPPROVED � MAIN BUILDIN6 ACCESSORY BUILDING (FROM-C/ ST E6T) I � FR NT � FT. / (�C R. SIOF . FT. FT• L.81DH /✓ FT. Ff. REAR PT. r ^1 P'f. �J D18TANCE BET. BET. MAIN 3 ' MAIN BLDGS. ACCESS. BLD69.//nII � VAR.# I J � DATE � `� � Z. C.U.P.�j APPR VEO / p,j APPROVH� (� 1 U / w BY DATE ✓ � � � � �/ E� OUNTBXOW UNO6R �LUATbION 18 FOR TXe � � PURP08E OF EBTABLIBHIN6 A PEqM�T FE8 ONLY. 0 � VALUATION N � � a9( /� PERMITFEE $ �� a �� / �N HECK � � ~ O {{(�,� TOTALFEE $ 9 � � ¢ � �c� � `� Z �WlY''Li v.ii� �.eaiw�l.iw or DATE 7 .�v vJ BUILDING PF1iMIT NO. OF WORK Haa VALUE SUSCONTRACTOR 24170 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 9f7 COSTA MCSA� CALIFORNIA For Appllcani to Fill In Completely i TYPE OR PRINT BUILDINB ADDRE53 W COSTA MESA. CALIFORNIA ■ MAIL 1 P - � 6ETBACK LINH FflOM TEL corY a� �ys�� Esa MAY 18 1965 RHC8IPT NO. APPROV ED r� � � �'j TEL. .�.._.� BY L DATE NO. ^'jzoe ■ NO.OP ZONING OF NEW i ,� Z PLANB euucina l, r^ DEBCRIPTION � + 6` �T � ,:, / -1 a A. P. NO. - a NOTE: NO EAVE OVERHAN6 SNALL BE LE88 THAN T � `— REAR EFT � I RIQHT DESCRIPTION OF WORK - /3Zo . OF BLOO6. �` W ON LOT YARD YARDSAPPROVEO MAIN BUIL�IN6 'BUILpIN6 NO.OF � � VAR.# rSIZE � ROOMB 6TORIE9 � C. U. P. ■ EXTERIOR WALL `- I ROOF ._ APPRO' ,� �+-_-„ � L✓ " r ✓ I HEREBY ACKNO LEUOE TX�T 1 H�VE P O THIB APPLICATION ANO BTATE TNAT TH6 ABOVE 19 CONqECi ANO A6qEE TO COM- PLY WITN ALL CITY OR�INANCfiB AND BTAT6 LAWB R80ULAT�NO BIIILDINO CONBTRIICTION. SIGNATUR80� � �� PERMI7TEF 1-� � /'J AUTHORIZEDAGENT��C1C1 l.�.ti.r_'_ . YARDSAPPROVED ACGESSORYBUILDIN6 DATE TH8 AMOUNT BHOWN UNDEP V�LU�TION 19 FOH THE PUHPOSE OP E6TABLIBHINO A pERMIT PEE ONLT. VALUATIOIJ '.��. , ,/) OO � � PERMIT FEE S � �� $ / PLAN CHEGK $ � . ._ ___ � � Q�