The URL can be used to link to this page

Home My WebLink About298 BROADWAY - Building Permits(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.��LDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 298 BROADWAY Suite: Viciniy: ROOF Parcel Number: 11721312 Applicant: STUPIN, DAVID Address: 1803 CALIFORNIA ST HUNTINGTON BEACH, CA Owner: PAYNE, DONALD W TR Address 1968POMONAAVE COSTA MESA, CA Contractor: R R R ROOFING Address: 1803 CALIFORNIA ST HUNTINGTON BEACH, CA Zip: 92648 Arch : Address: 2oning: Phone: 714-536-6890 Zip: 92648 Phone: Zip: 92627 Phone: 774-536-6890 License: 709223 Eng: Address: Slalus: ISSUED Applied: 10/17/2002 Issued: 10/17/2002 ISSUED BY: �//C �� Phone: Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTAI.L WITH 3 TAB OVER 15# FEIT, LOW SLOPE WITH PEEL AND STICK ROLLED ROOFING. 900 S.F. FOR RESIDENCE ONLY. Plan Check: $0.00 Permit: $38.75 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $39.25 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Pront 0- 0 PARKING Existinq: 0 Rear 0- 0 Rear 0. 0 Re uired: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0- 0 s�,000.00 $t,000.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 7, 72-27-92) EXPIRATION: 7his 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 euthonzed under this permit to be considered legal, such work must comply with all applicable codes, antl all requlred Inapectlons and tinal epprovel must be obiained. Fallure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 �w� �� WORKBRS' COMPENSATION DECLARA710N: ' � . I �eroby allirtn under penalry o1 perjury one o� �he I011owing declaretions: � ❑ 1 heve entl wiil meintein e ceniliwte ol cronsent to selbinsure tor workers' compensation, as provitletl for by seaion 3700 of the Lebor Catle, for the peAormence oi t�e work tor whlch thls permil is issued � I maintain workers' compensetion insurence, as requirea Mj socUon 3700 of ihe LeOor Code, lor Ne peAortnance ol Ihe work tor whkh this permit Is Issued. bmpensatlon Insurance certler end policy numEer ere: �_ _._� �— a� , � • `POIIryNumber. E`yL �/�� not be comp/efetl i! the pe�� s valued et one hundred dollars (S I00J or Iess.J ❑ I cenify ihet in tho peAarmance of ihe work for which thls permit is Issued, I shall not employ any person In any manner so as to become sub�ect to lhe workars' compensation lewe of Celllo la, entl eBree that if I shouttl becoma su6�ect to Ihe workera' compensation provislons ot Sectlon 3700 ot the Labor Cotle. I shell forihwlth comply with these pr� ,Ji Applicam Signewre: /Al �Dflte: � WAHNINO: FAILURE TO SECU E W ERS' COMPENSATION COVERAGE IS UNL4WFUL M'D SNALL SUBIECT AN EMPLOVER TO CRIMINAL PENnLTIES AND GVIL FlNES UP TO IXJE HUNDRED TMOUSAND DOLURE (2100,OOOR IN ADDRION TO'mE COST OF OddPENSATION, DAAUGES AS PROVIDED FOR M SECiION 3]OB OF THE LABOR CODE, INTEREST, AND ATTORNEI"S iEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirtn Ihat I am licensed under provisi� farce antl eNed. Lic. a� ConlractoCs Stgnamra: with SecGon 7000) of Division 3 at the Business and ProlesslonsqC��f e, enG my license is in full _ �CIa55 M � G � 3 / _ (—Date: /A —�/ 7 � CONS7RUC710N LENDING AGENCV: ❑ I �ere6y aHirm thal t�ere is a cansimction lending agency for the pedortnanco ol the work lor which this permit is Issued. (Sec. 3097, Civil Cotle). Lentler's Neme: Lentlefs Address: Signaturo: Date: OWNER-BUILDER DECLARA710NS: I hereby eHlrm Ihet untler penelty of per�ury tna� I em E%EMPT FROM 7ME CON7RACTORS LICENSE LAW for ihe following reeson (Sec. 7031,5, Buslness and Professlons Cotle: Any ciry or tounry which requires e Dermit to cons(ruct, eller, improve, tlemolish, or repair eny sWcturo, pnor to ils issuance, elso requires the epDlicenl br such pertnit to tila e sipnetl slatement thet he or she Is licensetl pursuent to tha provisions of the Contrectors License Lew (Chepter 9(commenGng with Sectlon 7000) of Divislon 3 of �he Business entl Profe9slons Code) or ihet he 0� she is exempt therefmm and Ihe basis far the alleged examptlon. Any Nolation oi Secibn 703/.5 by eny epplicflnl br e pertnit sub�ects the epplicent to e cMl penalry ot not more than tive huntlretl Aollars (5500)J: ❑ I, es owner W the property, or my employees with wegas as their sole wmpensation, WILL DO TY1E W ORX, antl the strucwre is not intentled or ottere0 For sate i5ec. 7044, Business enC Professions Code: The Contractors License Lew Coes not apply to an owner of D�openy who bui105 or Improves t0oreon, end who tloes such work himsetl or hersell or ihragh his w hei own employees, proWtletl t�at such Improvements are not intended or oHeretl for ule. If, however, the building or improvement is soltl within one year ot completion, Ihe owner�huilder will �ave ihe Gurden ol praving Ihat he or she Oid not build or improve for purposa oi sa�e.j. ❑ I, es owner ol lhe O�operty, am E%CLUSIVELV CONTRACTING WRH LICENSED CON7RACTOBS lo consiruct the pm�ea (Sec. 7044, Business flnd Protessions Cotle: The contrecmrs LJcensa Lew doas not epply to an owner al pmpeny who builtls or improves thereon, and who contrecis for such project wlth e comractor(s) license Oursuant to the Contrectors License Lews.). ❑ I am ezempt under sec. Business and Pralessions Cotle lor ihis reeson: Signatura: Date: Owner ID verlfletl by drivefs Ilcense. ❑ Yes ❑ No DAveYs LJcense No. Expires: Vedflcation at Ownership Dy (type ot tlocument, i.e. - propeny taz blll or deetl); DIVISION OF INDUSTRIAL SAFETY VERMIT CERTIFICATION: ❑ I hereby certity Ihet no excavetlon five (5) or more teet in depth Into wNch e person is required b aescend, wlll be made in connectlon with work authodzed by this permit, enC t�el no bullding stmcture, s�nolding, telsework, or demolition or tlismentling Ihereof, will 6e more ihan thitlysl: (98) leet �Igh. (Chap. 32, Gry 2, Atl 2, Sec. 341, Tltle B, Calitomle AdmInlS�reilve CPtle). ❑ As ownerbuiltler, I Mill not employ anya�e to do work which would require e permit from the Division of Intlustrlal Salery, es naletl ebove, unless such parson hes e pertnit to do such work Irom Ihe tlivision. Signature: . . . . Date: Division of Industnal Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF EMRY: I certity under penalry ol perjury thel I heve reed this epplicatlon antl stete Ihet the Informatlon given is correct. I egree to comply wlth ell stete laws entl clly ordinances relatlng to bullding construction, end euthodze representatives ol the Gry ot Coste Mese to enter upon t�e ebovo-tloscribed property lor insDection purposes. I egree nol to acupy or ellow occupency ol eny building euthonzetl �y this permit until linal inspec�ion. CODE �. INSPECTIONTYPE 1816 Fixed System Final Fire Prevention 1266 Pool SOa Final 200 Finel Re�Raof 201 Final Block/Retaining Wall 202 Final Fectory Fire Place 203 Finel Sipn 204 Final Demolitlon �_1 JIII" � �]!I ►: Date �o-i�--. i —Date COOE I INSPECTION TYPE 206 Finel Mechanicel 208 Final Plumbing 210 Final Electrical 212 Final Flre Prevantim 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupanty PAIF It�1SL9 (714) 754-5273 • Faz (714) 754-4&56 • www.ci.costa-mesa.�EqLDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 298 BROADWAY Suile: Vicinity: HOUSE ONLY Primary Qcc: R3 Parcel Number: 11721312 Applicant: POSADA, MARIO Addr@ss: 905 E JEFFERSON BL LOS ANGELES, CA owner: PAYNE, DONALD W TR Address 1968 POMONA AVE COSTA MESA, CA ContraMor: ASTROM ROOFING CORP Addr�ss: 642 E 46TH ST LOS ANGEIES, CA Zip: 90011 Arch : Address: Phone: Zip: License: Type of Construction: V-N Zoning: Phone: 323-232-3325 Zip: 90011 Phone: 2ip: 92627 Phone: 213-446-4677 License: 779011 Eng: Address: ISSUED BY: Status: ISSUED Applied: 04202006 Issued: 0420R006 Phone: License: SCOPE OF PERMIT TEAR OFF (E) ROOF MATERIALS 1 LEYER OF 4Q# FELT AND REROOF WITH TORCH DOWN ON FLAT ROOF, HOUSE ONLY; APPDX 8 SQUARS. REPAIR ANp REPLACE SHEATHING AS NEEDED. � FEE SUMMARY Plan Check: $0.00 Permit: $69.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $6975 PLANNING & ZONING SETBACKS MAIN STRUCTURE Fronl 0• 0 ACCESSORY Front 0-0 PARKING Existina: o Calc Valuation: S2,000.00 Claim Valuation: $2,000.00 Rear 0. 0 Left 0- 0 Right 0- 0 Rear 0. 0 Left 0. 0 Right 0- 0 Reauired: 0 Pr000sed: 0 NOTICE: The work authorized by this permit shall comply with all applirable handicap access requiremenis under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void Ii work is not commenced within 180 days, or if work is suspended or abandoned for a period ot 1B0 days. INSPECTIONS: In order tor the work authorized under this permit to be conslderad legal, such work must comply with all applicable codes, and all requlred Inspeatlone and finel epproval must be obtained. Failure to obtain Inspections and ffnal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5628 �«o-.o �vw� WORKERS' COMPENSATION DECLARATION: . I hereby aHirtn undar penalry of peryury one of the following tleclarations: � , ❑ 1 heve end wlll maintaln a certificeta of wnsem to selt-Insure tor workers' compensatlon, es provitletl for by sectlon 3700 oi Ihe Labor Code, for the pertortnance ol the work tor whlCh �hls pertnli is issue0. ��'I have'anC will maintaln workers' compensetlon insurance, es requiretl by section 3700 ot the Labor Code, lor the pertortnance ot ihe work br which thlq pertnit is issued. �+`��My workars'�q mpensation Insurence carder and policy number ere: ca�aa�: �-I-n.t� Gowl��rvi.5 n.-��n L✓�Sv�oncc ��v�a 7"�Iir,y.N��: DC7U'��5� -a-OOF, (Th/s sechpn;need nof be canpleted il the permitls velued af one hundred dollars (S I00J or less.) I cenify that in t�e pertormance ol iha work for which this pertnit Is issued, I shall not employ any person in eny manner so as to bocome subject to the workers' compensetlon laws ot Celilornia, entl egrae that If I should hecome sub�ect ro the workers' compensation provisions ot Section 3700 of the Lebor Code, I shell iorihwith comply with these pro�ions,�� _ AppliWnt Sig re: �'vs�__�%�� oai� ,=�� ) -� n() (, WARMNG FAILURE TO SECURE WORNERS' COMPEN COVERAGE IS UMAWFUL ANO SHAIL SUBJECT AN EMPLOVER TO CRIMINAL PENALTES AND CML FlNES UP TO ONE HUNDFED T1/OUSAND DOLLARE (5100,000), IN ADDRION TO THE COST OF C(MAPENSATION, DAMAGES AS PROVIOEO F9R IN SECTION 3]060F THE LABOR COOE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARA7ION: I hereby atlirm �hat I am licensed under wvisions of Chapter 9(commencing with Sec�ion 7000) of Division 3 of ihe Business and Pmtessions Code, and my license is in full to�ce ene ettecr. uc: a� _'�� 0 / � ,s �C�ess x� l� GI -.�^•- -� contraa� ors signawre: �� oate` __ .L1- � 0- D 6 CONSTRUCTION LENDING AGENCV: ❑ I hereby aMirtn thet there is e consiruction lending agency tor the peAormance ol ihe work for which this permit is Issued. (Sec. 3097, Civil Cotle). Lendar's Neme: Lentlers Adtlress: SigneNre: OWNER-BUILDER DECLARATIONS: Date: I hereby afllrtn ihat under penelry of perjury Ihet I em EXEMPT FROM THE CONTRAC70RS LICENSE lAW (or ihe tollawing reason (Sec. 7031.5, Buslness and Prolesslons Code: Any ciry or wunry which requires e permit to consiruc4 alter, improve, demolish, or repair any strucWre, prior to its issuance, also requires the applicant tor such permit to tile a signed stetement �hat he or she is licensed pursuent to the pwvisions ol the Contrectors License Lew (Chapter 9(commencing with Section 7000) of Division 3 ot Ihe Business ane Professions Code) or that �e or she Is ezempt theretmm and the basis for Iha alleged eaemptlon. Any vlolatlon of SecUon 7031.5 by any epplicant for e permit subjecis ihe epplicani to a civil penalry af not more then five hundred dollare ($500).): � I, as owner of Iha propeny, or my employees with wages es ihelr sole wmpensetion, WILL DO THE WORK, antl the structure is not intended or oHeratl for sele (Sec. 7044, Business and Protessions Code: The Contractors License Law does no� eppy to an owner of propetly who builtls or improves thereon, and who does such work himseN or herseN or ihrough his or her own employees, provided that such improvements are not intended or oHered for sale. If, however, tha building or improvement is sold within one year of completioq Ihe owner-builder wiil have Ihe burden of proving that he or she tlitl not huild or improve for purpose ot sale.). ❑ I, as owner ol ihe properry, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTfiACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Lew tloes not apply to an owner of propeny who builds or Improves Ihereon, and who comracts for suc� pmject with a contramor(s) license pursuant to ihe Contractors License Laws.). ❑ I em exemp� under set. Signature: Owner ID verified by drivers license. � Yes ❑ No Business and Pmfessions Code for this reason: Vedfiwtion ol Ownership by (type of documem, i.a. - property taa blll or tleed): Drivers License No. Date: Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certily lhei no eacevetion fiva (5) or more feel in depth into which e person is required to descend, wlll be made in connection with work authodzed by thls pertnit, and that no building structure, scaflolding, talsework, or demolition or dismantling I�ereof, will be more than thirry-sia (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Ttla 8, Califomia Adminisirativa Code). ❑ As owner-builder, I will not emplay anyane to do work which would require a pertnil Irom Ihe Division of Industrial Safery, es noted ebove, unless such person has a pertnit to do such work irom the division. Signawre: Date: Division of Industrial Safery Permit Number: CERTIFICATE OF COMPLIANCE ANO AUiHORIZA710N OF ENTAV: I certity under penalty of perjury that I heve read Ihis epplication and stete thet the Information given is corract. I egree to compy with ell state laws entl cl�y or0inances relating �o bullding cons�ructlon, antl authorize representatives of the City ot Coste Mesa to enier upon the above-described property for inspection purposes. I eqrea not to occupy or ellow occupency of eny building euthonzed by this permi� until fnel inspaction. COpE I, INSPECTIONTYPE 167fi Fixetl Sys�em Final Fire Prevention 126fi Pool Spa Final 200 Final Re-Root 201 Final8lock/Re�aining Wall 202 Final Factory Fire Place 203 FinalSign 204 Final Domollllon I�jE IMRULS g� �. �e. 2� i� 400E� INSVEGTIONTYPE 206 Final Mec�anical 20B Final Plumbing 210 Final Elecifical 212 Final Fire Prevention 220 222 250 Final Planning Approval Finel Site Finel Bulitling/Occupancy .w