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Home My WebLink About3110 CASSIA AVE - Building Permits(714) 754-5273 • Fa�c (714) 754•4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAtldress: 3110 CASSIAAV Suite: Vicinity: Parcel Number: 13949401 App�icant: WETHERBEE, JAY Address: owner: HOLLINGSWORTH, JERRY L Address 941 AZALEA DR COSiA MESA, CA Contractor. CLAYTON ROOFING Address: 833 W 17TH ST COSTA MESA, CA Zip: 92627 Arch ; Addresg; Zoning: R3 R3 Phone: 949-646-7884 Zip: Phone: Zip: 92626 Phone: (949) 646-7884 License: 607226 Eng: Address: Phone: ISSUED BY: Status: ISSUED Applied: 04/16/Z007 Issued: 04/16/2001 Phone: Zip: License: License: SCOPE OF PERMlT TEAR OFF ROOFING TO SHEATHING, APPLY 25 YEAR GAF TIMBERLINE SHINGLES. Plan Check: Permit: SMIp Res: SMIP Com: Other: Inspection: Total $0.00 $139.25 $0.70 $0.00 $0.00 $0.00 $139.95 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existin : o NOTES: Rear 0- 0 Rear 0- 0 Reauired: 0 FEE SUMMARY PLANMING 8 ZONIfJG left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-D Right 0-0 � 57.000.00 s�,000.00 � NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related ''� regulations. (Ord. No. 9248, § 1, 12-21•92) EXPIRA710N: This pertn0 shall automatically expire and become void it work is not commenced withln 760 days, or if work is suspended or abandoned for a perlod of 180 days. INSPECTIONS: In order for ihe work aulhorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapectlona and final approval must be obtainetl. Failure to obtain inspections and final approval will result in the expiretionof ihis pertnit. FOR INSPECTIONS CALL: (714) �545626 ?aae-se �aroo) WORKERS'GOMPENSAnON OECLARAT� w I hereby eXirm under penalry ol perjury one of the tollowing dedarations: ❑ I h antl will maintain a certiticate ot wnsent to self�lnsure for workers' campensation, es provided br by secl:on 3700 of the Lebor Coda, for ihe pertormence ot the ork far whlch this permit is Issuetl. I �ave and wi�l maintain workers' pensalian Insurance, as requiretl by sectlon 3700 of Ihe Lelwr Cotle, for Ihe perFortnance ot the wo�c lor which Uvs pertnt� ts Issugd, My workers' compen tion Inwr nce r" r end policy number ere: � _ Cerner. PoliCy Number. (T�is sectlon neetl not be omplel permiNs velued al one hundred dollars ($100) or less.) ❑ I ceniy thet in the peAortnenc o Ihe work tor which this pe��l is issued, I shall not employ eny person In eny manner so as to become subject to the workors' compen5ation laws of Galifo a tl epre that If I shoultl become su6�ect to the workers' compensetlon provisions of Sectloppp 3700 al IM1e Labar Cade, I shall lorthwith wmply with these p ision �// �/D � Applicent Signature: Dale: � WARNINO: FNLURE TO S R ORKERS' WMPENSAiION ODVEPA6E IS UNLAWFUL rWD SHALL SUBJEGT AN EMPLOYER TO CFIAU PENALTIE MI� dVIL FlNES UP TOONE HUNDRED TYi0U5AND00L�RE�St ,000),INADOI110NTOTHEWSTOFCOMPENSATION,DAhUGESASPROVIDEDFORINSECTIIXJ3]OfiOFTHELABORCODE,IMEREST,PNDATiORNEVSFEES. LICENSED CONTRAC70RS DECLAHATION: I horeby aMirm that I em licensetl untler D�ovisions of C�apter 9(commancing with Section 7000) of Division 3 0l the Business antl Pmfossions Code, end my license Is In lull larce entl efleG�. Lic. x Class N .. !� . i . Coniractofs SIBnaWre: CONSTRUCT�N LENDING AGENCY: Dete: ❑ I heraby eHirtn t�ai t�era is a mns�mction lending egency br Ihe peAormance of lhe work tor which ihls pertni� is issued. (Sec. 3097, Civil Cotle). Lendefs Nem9: Lendefs Atltlress: Signeture: Date: OWNER•BUILDER DECLARATIONS: I hereby eHlrm thet under penelry of perjury Ihat I em EXEMPT FROM TME CONTqACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Protesslons Cotle: Any ciry or counry which requires e permit �o consiruct, elte�, improve, demolish, or repair eny sfrucWre, prior to its issuaoce, also �equires tha applicartt tor such permit to tile e slgned statemem that he or she is Ilcensed pursuam to t�e proNslons ot t�e Contractors IJcense Lew (Chapter 9(commencing wlih Sactlon 7000) ot DiWsion 3 of Ihe Business entl P�ofessions Cada) or thet he or she is exempt �herefram antl ihe basis tor t�e ellege0 exemption. Any violetion of Sectlon 7031.5 by eny applicant for a pertnit subjects the epPlicant to a civil penalry ot not more than frva hundred dollars ($500).): ❑ I, as owner ol the property, or my employees wi�h wages es thelr sole compensation, WILL DO 7HE WORK, and �he siructure is not intendetl or otteretl tor sale (Sec. 70d4, Business antl Professions Gade: The Contractors License Law does not apply to en owner ol properiy who builds or improves thereon, antl who tices such work himselt o� herself or through his w her own emplo}rees, prov�Ced ihat such imprwemems are not intendetl or oflered for sale. If, however, the building or improvemem is soltl wi�hin one year ot completion, ihe owneo-builder will have the burden ot pmving ihat he or she did noI build or improve for purpose ot sale.). ❑ I, as owner ot Ihe pro0erty, em EXCLUSIVELV CONTRACTNC WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business and Proteuions Cotle: The coniraciors LJcense Lew tloes noi appy to an owner of pmperry who builds or improves �hereon, and who contracls lor such projeci with a contracror(s) license pVrsuant to tha Contracto�s License Laws.). ❑ I am ezemp� under sec. Signature: BUsiness end Profassions Code for this reason: Owner ID venfiad by tlriver's license. ❑ Ves ❑ No Orivers License No. Vedfication at Ownership by (rype of document i.e. - pmperry tex bill or deed): Data: Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N: ❑ I hereby ceniry that no exwvation five (5) or more feet in depth into which a person is required to descentl, wlll he matle In connecUon with work auttwrized by lhis pertnit, end lhai no builCing siructure, scettolding, falsework, or demoliilon or dismantling ihereot, will be more ihan thirry-six (36) feet high. (Chap. 3.2, Grp 2, Ar12, Sec. 34 i, Ttle B, Califomia Atlminisirative Code). ❑ As ownePbuiltler, I will not employ enyona to tlo work which woultl require e permit Irom the Dlvision of Industriel Sefety, es notetl ebove, unless such person �es e permit to do such work Irom ihe Civislon. Signawre: Date: Dlvision of Industrial Safery Permit Number: CER7IFICA7E OF COMPLIANCE AND AUTMORVJ1T10N.OF ENTRV: I cenity under penal�y ol perjury thef I have reatl this application end sla�e Nat the information givon is correct. I agree to compy with ell stete laws end ciry ordinances relating to building construction, end euthodze representatives of Ne City ol Costa Mesa to enter upon the ebove�descnbed property for inspection Ouryoses. I agree not to acupy or ellow occupancy of eny building euthorized by lhis permi� until finel inspection. COUE �. �ueocenON7YPE 7616 Fized $ys�em Final Fire Prevention 1286 Pool SGe Final 200 Flnel Re-Rool 201 Flnel B��WRetalning Well 202 Final Factory Fira Place 203 Finel Sign 204 Final �emolition Pd7E' It�Lfl / /� � �.: / . �:: COOE� INSPECTIONTYPE 206 Flnel Mechanical 20B Finel Plumbing 210 Final Electrical 212 Finel Flre Preventi0n 220 Final Planni� App�oval 222 Final Slle 250 Final Building/Occupanry u��s � { %f7� ,�2 � COSTA MESA BUILDINGSAFETY DEPARTMENT P.O. 80% 72W COSTA MESA, CALIFORNIA 926i0 For Applican! to Ftll In Completa TYPE OR PRINT eui�o�no 3110 Cassia Fl �e' � �ooneea COSTA MESA. CALIFORNIA owr,eR Kal-South Deve1. Corp. R� BUI ADDR86m 442 S Euc ' d ADD Fullerton re�871-823 oNe 1442 S. Eucl e'ze 73 x 116 OF LOT USEOP ----- E%I8TIN0 BLDO. onewcrc uni rwor 53 f DESCRIPTION OF WORK exreaior�4�WCCp I reoo� COVERINO COVERIHO UBQ OR �U ILDIIIY AND WORK TO 86 PQRP( .CideRGP plus 5 car garages 12� Rock 1 HHR6BY ACNNOWLmO� TNAT 1 XAV[ R6AD fNl� APPLIGT�OH AND 6T�T6 TNAT TN6 AGOV[ 1� CORR6R�AND AORB[ TO COY. PLY WITH �LL CITY OpDIN/�NW AND �TAT{ LAWt kO11lATINo �WL�INOCONGTRYC/TIy�r. SIGNATUREO! L �j,��„�iozi� PfiRM1TT8 AUTNORIZQD AO[NT OCT31-66 OD1325k ***210.75 APPLICATION FOR PERMR BUIIDIN(3 For Offlce Ute Only R[C[IR NO. �/['P� T/ ]N� / ..i C[� �Y/ pA�R�I 6D�1 MT6196U {aL n � ' RE'Bi �//D // C.4(/' Q �/_/, TYpC OROUP tOV[D /Y/�� DATH /O"�� ZONINO � _3 �o. o. �.� o. ��, �un� � em�oieo G i�moN (�I�G7� �/2 • � c NO. ^ :: NO GV! OV[RNANO BHALL SB L688TNAN YARDD APPROVHD MAIN BUILDIN6 � Z vwx.Ot VAR08 MPROVHD ACGHLeORY BUILDINO DATB W W � �'�i�.� ea. Rr. . l n J Q�L %D'� � 0 TH6 AYOUHT OXOWI UNOBR VALUI�TON 19 �OR TH[ j ■URP09[ OP [HiABLI8MIN0 A P6PMIT I88 ONLY. 3 �„��„T�o� D . 0 � PERMIT FE8 s y,9��— � w TOTAL FEH � a�D. 7� Gty of Costa Mesa Building Safety Deparfinent P. O. Box J17 �oslo Me�o, Coli(ornia CERTIFICATE OF OCCUPANCY N� 2462 C The Building located at �ti '�B�SQ At'Lia:LRt (1»b has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group �& J Occupancy. � Use of B�ilding li 11�'ts li�+' yl`il1Lt �`. V'�A�"BC}af.'ti W�'EL^iCt'3 t�"(� .�5.'4�lSIIL�T� Legal Description �t' ��r � �3 (Soe reverto �ido for Mate� ond Bound�) I Building Permif No. �-� Elecirical Permit No. �f� Plumbing Permit No.�� Floor Load Signs have been installed as Room �Capacify Signs have been instaled as _ required under Sac. 23�8 U, e. C. . req�ired under Sec. 3301 (1) U. B: C. " . 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency. � (b) A new certificate of occupancy shall be obtained whenever there is a change in: 1) Occupancy classification of a b�ilding or portion thereof . 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, n�mber of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Administrative Code, Title 8, Chapter 9, Article 8. Number of aparimenTs � and/or guest rooms ISSUED TO: euilding Offi ' I KAL-EiC'�".�$ L`•�",.�r�'i' C�. bY - . . ,.. Date 'h ' �• This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. For,,, svaa—�m—»-ea,sa r