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HomeMy WebLinkAbout3124 BOSTON WAY - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.cBaUILDING PERMIT �� FAIR DRIVE, COSTA MESA. CA 92626 Job Address: 3124 BOSTON WY � Suite: Vicinity: Parcel Number: 14169127 App�icant: MC CLURG, KENNY Address: Owner: LUDES, MARK STEVEN Address 3124 BOSTON WAY COSTA MESA, CA Contractor. KENNY MCCLURG Address: 9661 CAITHNESS CA HUNTINGTON BEACH Zip: 92660 . Arch : Address: Phone: Zoning: Phone: 714-9641762 Zip: Phone: Zip: 92626 Phone: (714)964-1762 License: 356431 Eng: Address: ISSUED BY: Status: ISSUED Applied: 05/16/2001 Issued: 05/16/2001 Phone: Zip: License: � License: SCOPE OF PERMIT TEAR OFF SHAKE, APPLY 7/16 OSB SHEATHING, APPLY 30 YEAR COMP SHINGLES. INCLUDES ATTACHED GAR4GE. . Plan Check: $0.00 —_ - - Permit: $139.25 SMIP.Res: $0.63 SMIP Com:, $0.00 Other: $0.00 Inspection: $0.00 Total: $139.88 � FEE SUMMARY _ --- - - _ - - Calc Valuation: : �ss,zss.00 — • - � , Ciaim Valuation: ss,zssbo ., . � SETBACKS � - � � i �„ � � -�;� ' ,' - MAIN STRUCTURE Front 0�0 . , Rear �0- 0 ACCESSORY Front 0- 0 �". � Rear 0- 0 PARKING existinq: q �Required: o NOTES: Left Left � � � i�,',� " , D,,' � , ', '�s: . :ZONING :� ;�, /- - . _ j l � .�� � '. r� � i. . 0=�0 � ` � Rig6t � 0�0� � � ' 0-0 � . �. Right �' 0,.0 � , j . Pr000sed: - 0 ' - ��� � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related I regulations. (Ord. No. 92-28, § 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 of 180 days. INSPECTIONS: In order tor ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 244fi3fi (fJ00) WORKERS'COMPENSAnON DECLARAnON: I hereby aRirm under penalty of perjury one of the following declerations: . I heve and wlll maintain e certificete of consent to seN-Insure tor workers' compensation, es provided for 6y section 3700 of ihe Labor Cotle, for Ihe pertortnance of ihe w tor which ihis permit is issued. I have antl will meintain wo efs' compensation insurance, as required by section 3700 of the Labor Code, for ihe pedortnance of the work tor which this permit is issued. My workers' com e at nsur c cerner end policy number are: r Cerner: � �� Policy Number: l (This section need nof be campl il the permit /s valuetl et one hundred dollars ($100) or less.) ❑ I certity that in the pertortna ce oi ihe work for which this permit is issuetl, I shall not employ any person in eny manner so as to become subject to the workers' crompensation laws oi Cellf ia, antl e� e that if I shoultl beco sub�ect to [he workers' compensation provisions of Section 3700 of t Lebor Code, I shall forthwith comply with ihese pro si . �//� j� �� ApplicantSignaNre: (�i .�%./,/ i � Date: � /l(i� ' WARNINO: FAILURE TO 5 CURE WORKER CAMGENSATION COVERA I NLAWFUL ANO SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TVKKISAND DOILARE (5100,000�, IN ADDITION TO THE COST OF COMPE ION, DAMAGES AS PROVIDE� FOR IN SECTION 31060F THE LABOR CADE, IMEPEST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I �ereby aflirtn that I am licensed under pr isions of Chepter 9(commencin th Section 7000) of Division 3 oi the Business antl Protessions Cotle, end my license is In tull farce and ettect. Llc. x Cless a ConiractoYs Signeture: -G �� Date: � � 7 CONSTRUCTION LENDING AGENCV: ❑ I heraby eHirtn Ihat thera is a construction lending agency for the pertormance ot Ihe work for which this permit is iuued. (Sec. 3097, Civil Code). Lendefs Neme: Signature: _ OWNER-BUILDER DECLARATIONS: Lentler's Atltlress: Date: I hereby aNirm that under penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for tha following reason (Sec. 7031.5, Business entl Professions Cotle: Any ciry or counry which reduires e permit to consWct, elter, improve, demolish, or repair any strucNre, prior to its issuance, elso requires the applicant tor such pertnit to file a signed stetement that he or she is Ilcensed pursuant to ihe proNsions ot ihe Contrectors license Lew (Chapter 9(commencing with Section 7000) of Divislon 3 of the Business and Professlons Code) or Ihat he or she is exempt Iherafrom and the 6asis for the allegad exemption. Any violetion of Sectlon 7031.5 by any epplicant for a permit subjects the apD�lcant to e civil penalry of not more then five hundred dollars ($500).): ❑ I, as owner of ihe property, oi my employees with wages as their sole compensation, WILL DO THE WORK, antl ihe structure is not intended or oHeretl for sale (Sac. 7044, Business and Professions Cotle: The Contractors License Lew tloes not apply to an owner of property who builds or improves ihereon, and who does such work himself or herseN or ihrough his or her own employees, provided that such improvemenis are not intendetl or oNared for sele. It, however, ihe builtling or improvement is sold within one year af wmpletion, ihe owner-builder will heve ihe burden of praving that he or she did not build or improve for purpose of sale.). ❑ I, es owner of the properry, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contrac[ors License Law does not apply ro an owner of propeny who builds or improves thereon, antl who coniraas for such project with a contrador(s) licanse pursuant to ihe Contractors License Laws.). ❑ I am exempt under sac. Signeture: Owner ID verified by dnver5 license. ❑ Yes ❑ No Business antl Professions Code lor Ihis reason: Veriticatian of Ownership by (type of tlocument, i.e. � property taz bill or tleetl): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATON: Driver'S License No. Date: Expires: ❑ I hereby certify ihat no excavation tive (5) or mora feet in depth into which a person is required to tlescend, will be mede in connection with work authonzetl by ihis permit, and that no builtling strucWre, scaHolding, falsework, or demolition or dismantling ihereot, will be more than thirty-six (3fi) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, 7tle B, Celifomia Adminisirative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from tha Division of Industnal Safery, as noted above, unless such person has e permit to do such work Irom the division. Signature: Date: Division oi Intlustnal Satery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I certify under penalry of perjury ihat I have read this application and state Ihat the information given is wrrect. I egree �o comply with all state laws and city ortlinances relating to building consiruction, and authorize representatives of ihe City of Costa Mesa to enter upon the ebove-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. naiure Of Le er(S)� � D e �,,��`��2�fi '� l l (O / �.� � And/Or Authoriz pplicant ' � Date COOE I. INSPEGTIONTYPE 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roof 201 Final Block/Retaining Wail 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition PSI& INTRIRLS 2�{-0 �u-�'` CO�E� INSPECTIONTYPE 206 Final Mechanical 20B Final Plum�ing 210 Final Electrical 212 Final Flre Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy PdIE 1tlIlI1SL5 w_ �o�� � � FEE RECEI�ED � oci z �ab � � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX9f7 C06TAM68A��A��POR�,a . � � fINANCE DEPT.� For Applican► to Fill In Completely AF�LfCA110NFCSR'F�MR TYPE OR PRINT BUILDING � BUILOIN6 ' � FO� Ofiica Usa Only� ADDRESS � 1� nv ' R6CCIPT NO. /l�61{Mlf�� ' � COSTA MESA, -CALIFORNIA ���I � ncc¢yveo ev oAi n¢ex ve�� � ^� is�� OWNER 1`?OT'Yf1P�f�.te� `d l�J�`,a'. t. P, C � . ��� � MAIL � BUILDIN6 . ' AODRESS 1 �i�Q L • h T . .0 AOORESS b'ountain V lley re�.316792 ZONB TYPE • GROUP � cirr o N APPROVED. ' OREN'GEN ER C. �Hiller .No'KB�200 BY � DATE - An�heim ZONING AODRE53 i0 NO.OP � O6EO�N6 � . PLANe BUILDI�V� CONTRACTOR B Y1.^�iP. C 'T (` Il 1K9�9 L�sFloree • o��A�.r�o� �.QT ` � � - rCiV ADDRESS �QTY .Fountsin V`d�.�P A�P•NO.� . NOTE: NO EAVE OVERHANG BHALL BE LE95 THAN ' STATE t� TEL 30^ TO 61DE @ REAR P. L. LIC. NO. W NO. rii . EAVES 6¢E No.oPeLDoe.. ALLOWED � fU.B.QREQUIREMENT7 OF LOT K� � now oN LOT - , � . � �YARD8APPROVEO YARDSAPPROVED USE OF MAIN BUILDIN6 ACCESSORY BUILDIN6 EXISTIN6 BLD6. (FROMGLSTREET) � BETBACK LINE FPOM� O� REAR VA D 1 � RRONT � FT. FR. C¢NTER OF 6TRE6! SIDE YAROI LEFT � S� I RIGHT � R.8ID6 ��/PT. �• DESCRIPTION OF WORK L.81D •J r-r. Fr. NEW I X II ALTERATION I II A�OITION I REAR �� �• � FT• q USE OF BIIILOIl16 � HEREBY ACKN LEO� AN� 6TATE T T THE PLY W�TH A CITY�Oq BU�LDINQ C BTRUCTI< SIGNATUR PERMITfE AUTHORIZED AGENT TO BE PERFORMHD — V raS. w�af.t.anh gar�ge I c/'�z MAV HEAO TXIB APPL�CATION CORR�i AND A�REfi TO COM. kN� AT[ LAWB RBOULATINO D18TANCE B6T. ' BET. MAIN @ MAIN BLD 3. ' . ACCES3. BLD08. VAR.}C . . DATE C. U. P.1C APPROVEO. AsPPROV� . IAA/�ti. nn�rc ��'.'!" Ca 0 � 6Q. Ff. � TNe �MOUM eHOWN UNOEP VALUAT�ON �B FOR THE F PUIVPO58 OF EBTABLIBXINO A PEPMIT FE¢ ONLY. � VALUATION % m PERMITFEE $ /� ' � j $ a � �6s_ 3 m J PLAN CHECK 4 �'�' � ¢ TOTALFEE $���'^�