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Home My WebLink About3018 COOLIDGE AVE - Building Permits (3)(714) 754-5273 • Fax (714) 754-4856 • Www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3108 COOLIpGE AV Suite: Vicinity: RESIDENCE ANp ATTACHED GARAGE Parcel Number: 14165124 Applicanc GARCIA, FRANK Address: 21681 IMPALA LN HUNTINGTON BEACH, CA Owner: WHITEHEAD, R ENID Address 3108 COOLIDGE AVE COSTA MESA, CA Contracror. COAST ROO�ING Address: 21681 IMPALA LN Arch : Address: HUNTINGTON BEACH, CA Zip: 92646 Phone: Zoning: R1 R1 Phone: 714-968-8754 Zip: 92646 Phone: Zip: 92626 - Phone: 714-968-8754 License: 450393 Eng: � � Address: ISSUED BY: Status: ISSUED Applied: 07/06/2004 Issued: 07/06I2004 Phone: Zip: License: License: � SCOPE OF PERMIT TEAR OFF SHAKE ROOF. INSTALL SHEATHING, FELT AND COVER WITH 30 YEAR COMP SHINGLES. INCLUDES ATTACHED GARAGE. FEE SUMMARY Plan Check: $0.00 Permit: $11125 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Caic Valuation: Sa,2ao.00 Claim Valuation: Sa,zao.00 Total: 5111.75 � . ' \ PLANNING & ZONING SETBACKS MAINSTRUCTUREFront 0-0 Rear,. 0-0 ACCESSORY � Front 0- 0 Rear 0- 0 PARKING Existinq: 0 ' Re uired: 0 NOTES: Left 0- 0 �� Right 0- 0 Left 0- 0" Right 0- 0 Proposed: 0 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, § 1. 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must compty with all applicable codes, and all required inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will iesufl in the ezpiration of ihis permit. FOR INSPECTIONS CALL: (714) 754•5626 !aas-as la�ool � WORKERS'COMPENSAnON DECLARAnON: 1 here6y ettirm untler penalry of perjury one of ihe following declarations: I have entl will meintain e certificate of consent to self-Insura tor workers' compensetion, as provided for by section 3700 of the Labor Cotle, for the peAormanca of the wa or which this permit is issued. have and will malntain workers' compensation insurence, as required by section 3700 of the Labor Code, for Ne perfortnance of the work for which Ihis permit is issued. My workers' compensation Insurence carrier end policy number are: �"� . � Carrier: Policy Number. (This sectlon need nat 6e complefed i! fhe permit is velued et one hundred dollers ($100) or /ess.) ❑ I ceniry that in ihe perto c of Iha work for which Ihis permit is issued, I shail not employ any person in eny manner so as lo become subject to the workers' compensation laws oi C ifomi , and egree t it I s�oulC become subject to Ihe workars' compansation provislons ot S tlon 3700 of the Labor Code, I shall iorthwith comply with these pro sio . /� ApplicantSigneWre: �7''�L Date: �/ WARNING FAIWRE TO $EC RE WORNERS' COMPENSATION CAVERAGE IS UNUWFUL AND SHALL SUBIECT AN EMPLOVER TO CFIMI PE LTIES ANC GVIL FINES UP TOONE HUNDRED THOUSAND DIX.IARE ($100,000). IN AOpITION TO THE COST OF COAIPENSATIqJ, DAMAGES AS PROVIDED FOii IN SECTIqJ 3/O6 OF THE IABOR CODE, IN�EREST, AND ATiORNE`f5 FEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm that I am license der provisions of Chapter 9(commencing with Section 7000) ot Division 3 ot the Business and Professions Code, and my license is in Full torce end eHect Llc. x Class N ConirectoYs Signature:� Date: CONS7RUCTION LENDING AGENCV: ❑ I hereby attirm that there is a consiruction lending agency tor ihe pedormance of the work for which this permit is issuetl. (Sec. 3097, Civil Cotle). Lentler's Neme: Signeture: _ OWNEH-BUILDER DECLARATIONS: Lentler's Address: Date: I hereby atfirtn that under penalry ot perjury that I em EXEMPT FROM THE CONTRAC70pS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requires a permit to consfruct, elter, improve, demolish, or repair any structure, prior to its issuance, also requires �he applicant for such pertnit to tile e signetl stetement ihat ha or she is licensetl pursuant to ihe provisions of ihe Contrectors License Ww (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Pmfessions Code) or tha� he or she is exempt tharefrom and the hesis for ihe alleged exemption. Any violation of Section 7031.5 by any epplicent for e pettnit subjects ihe epplicent to e civil penalry ot not more than five hundred dollars (5500).): ❑ I, es owner of the property, or my employaes with wages es their sole compensation, WILL DO T}fE WORK, and ihe structure is not intended or ofleretl for sale (Sec. 7044, Business and Professions Cotle: The Con�ractore License Law does noi apply to an owner of property who buiids or improves ihereon, and who does such work himself or hersetl or ihmugh his or hei own employees, provided that such improvemenis ere not intended or oNered for sale. If, however, the building or improvement Is sold within one year of completion, ihe owner-builder will have the burtlen oi proving that he or sha ditl not build or improve for purpose of sale.). � ❑ I, as owner of the pmperry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Protessions Code: The coniractors License Law does not apply to en ownar oi propeny w�o bullds or improves ihereon, antl who contracis for such proleci with a contractor(s) license pursuant to ihe Coniractors license Laws.). ❑ I em exempt under sec. Business antl Professions Cotle for ihis reason: Siqnature: Date: Owner ID varitied by tlnvar's license. ❑ Yes ❑ No Dnver's License No. Verification of Ownership hy (type of document, i.e. - property taz Dill or tleetl): Eapira5: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity that no eacavation five (5) or more fee� in depih into which a person Is required to tlescend, will be mede in connaction with work authorized by this pertnit, and ihat no building sirucNre, scaHolding, falsework, or demolition or dismantling ihereot, will 6e more than i�irry-six (36) taet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, T�tle 8, Califomia Adminisirativa Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require a Dermit from the Division of Industrial Sefery, as notetl ebove, unless such person hes e permit to do such work from the division. Signature: Date: Division ot Indusirial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AI7THORIZJ1710N OF EMRY: I certity under penalty of peryury that I have read this application and state that the information given is correct. I agree to comply wich all state lews and city ordinances relating to building construction, and authonze representatives of the Ciry ol Costa Mesa to enter upon the ebove-described property for inspection puryoses. I agree not to occupy or allow occupancy of any building authorizetl by this pertnit until fnal inspection. Si atura Ot L. O� /� O\ � Date And/Or Authorized Applicant �—� `7 Date CO�E t. INSPECTIONTYPE 1616 Fi%etl Sy5[Bm Finel Flfe PIBVBO(i00 1266 Pool Spa Final 200 Final RB-Roof 201 Final Block/Retaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demoiition PA� 1[�65 LOOE 1 INSVECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elec�rical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy Pdg 1t�9LS OWNER WHITTENBERG� William d Ni JOB ADDRESS 3108 CoolidQe Avenue GENERAL CONTRACTOR A No. 141- 51-24 LOT TRAC� INSPECTIONS Si nat SOIL GAS W ATER ROUGH PWMBINC PROP. SWR. LIN� ❑ HOl15E CON. � SPRINKIING SYS�tEM MISCELLFNEOUS ROUGH MEATING 4N0 AIR CONOITIONING TEMPORARY SERVICE OR POLE UNOERGROUN� �] POWEF � ROUGH WIRING TRENCNES� CORMS STEEL qEINF. FLOOR SVS EM � ' L f BONO BEAM � STEEL REINFORCE SHEATHING - � FRqME AN� FLASHING LATHING - IN OUT PlASTER,BPOWN COAT STRUCTURAL, FINAL NEATING, VENT., REFRIG. ANO A.C., FINAL PLUMBING, FINAL HND GAS TEST , DATE 5-2R- SUBCONTRACTOR , 40049 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fifl in Completely BUILOING r„�� %] _ _ /.'_�_... �...-n OWNEF �,�/r��i�4M ��Nt�k! WNIn MAIL 3�OB Cool�d4� �i ADOflESS TEL. CITV n.CT'A I�IF__CA NO. BFANCH ARCHITECT TEL. OR ENGINEEfi NO. ADOFESS CONTRACTOR OW/VGIG I�JLLI�D�/" ADDRESS TEL. CITV NO. STATE � CITV IIC. NO. LIC. NO. SIZE ' NO.OP BLDGS. OF LOT I NOW ON �OT VSE OF EXI5TING BLDG. SIZE OF ^� NO. OF NEW BIDG. O �± ROOMS STORIE'� EXTERIO:� WALL ROOF COVERING COVERING USE OF BVILDING AND WOIiK TO BE PERFORMED A.P. NO. r BUILDING ADDRESS OWNER FIRE ZONE APPROVED aa�u �„Y?8-7��M�;O01,a_s� �:+A;:36sc TION FOR BUILDING PERMIT �— DATE RECEIVED DATE SUE� � �� PERMIT NO. � p �Coaur� - c 1S� LOT(p� BLOCK \ P � � � ) 1 � 1'Tc�,1 BE� VALUE �'''?� tN �I �� $ �)(/ / � /T� PE GflOUP ^ // _ neTc�.✓AI/ YAROS APPROVED MAIN BUILDING (FqOM Gw�l STREET) FROM FYI \ FT. A. SIDE 4 I FT � L. SIDE � FT � REAR I� FT'} DISTANCE BET. - MAIN BLDGS. VAR..iE c.u.v. # APPROVEp! .� / (1 VARDS�APPROVED MAIN & I hereby acknowledge that I hava reatl ihis applicaiion antl state that the above informatian is corroct antl a8ree to comply wit� ell laws reguleting building construction, antl I shell not employ any person in viofation o5 the workman's comp¢nsation laws oS the State ot Calitornia. � � hereby certify that I am D�operly licensetl as a coniractor under SQ. FT. the State'of Califomie Businass antl Protessions Cotle, Divisicn 3, THE AMOUNT SHOWN UNOER V Chapter•9, end that such licensas are in full force antl aHect, or I THE PURPOSE OF ESTABLISHING A am ezempt from the provisions of tha Stete of California Business VALUATION antl Protessions Cotle, Division 3, Chapter 9. PERMIT FEE Sipnature o ' �'( �� Permittee $ �Y )� �— PL.qN CHECK i `-� Auihoriz0d Agent - TOTAL FEE �2�-' . � 0 I IS FOR � F ONLV: ¢ � m � j 7�`f m E � LL . �� COSTA' MESA BUILDING•SAFETY DEPARTMENT ' P. O. BOX if] COHTA MEHA. CALIFORNIA For Applicanf !o Fill In Comp►efely � TYPE OR PRINT' . ADDRE54 �.OH Q O i' GOSTA MESA, CALIFO IA � � ' - OWNER' " /C O LIC.TNO. 1 � 74 NEL. TS 'ES—HOZiF SIZE • - - � NO.OP DL008. OF LOT ' -( NOW ON lAT USE OF EXISTIN6 BLD6. BETBACK LINH PROM � ' CENTER OF GTRiiT S� � R6AR YAR� aZS / / / BIDEYARDI L6FT C� ', ' RIOHT - V DESCRIP710N OF WORK BUILOIN6 .NO.OP •� SIZE S��i� ROOMB EXTERIOR WAL � ROOF COVERING G COVERIN6 U560FBUIL 1 6ANDWORKTOBEPERR 1 HEREBY ACKNOWLE ANO 6TRTE THNT T PLY WITX ALL CI 6WLUINOCONS IC 31GNATUR PERMITTE . i.� AUTHORIZfiD A6ENT FIRE FEE RECElVED ��: 1. '% 1�� . . Af I NAAI�IAL�IF� PERMR Ci�roP+t�ra=m�►r - fl6ClIPT NO. pl�.��j/{lP � . , . ,.. , _ .� V V L 0 � 16y OY - Dy�[fl IVH DATE 183UEU h� /B��r�c3 JUL .^. i t. �\ ZONING ..�, �.,. ZON6 � NO.OP UB80FNEW^� R-1 I Puns 2 I euao�rva W� 8bt gE L80AL DeYCR�''f10N 'LOt 65, Tract 4536 A. P. NO. ROIIE NOTE: NO EAVE OVERMAN6 SHALL BE LE85 THAN 30" TO SIDfi B REAR P. L. EAVES ALLOWED fU.B.C.REQUIREMENT YARDBAPPROYED YARDSAPPROVE� MAIN BUILDIN6 ACGESSORY BUILDIN6 OISTANCE BET. I BET. MAIfJ BLDGB. ACCE VAR.�C - OATE - .fd o�� 5l d ° � � sa. Fr. 'PLIC�TION TM6 �MOUNT 9 N UNDEP VALUATION 19 FOR THE C TO COIII. PUFP056 �OF HeTABLIeHINO A PERM{T FEE ONLY. I�