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Home My WebLink About3025 COOLIDGE AVE - Building Permits'd-.�-f{ B�GJ L��r7��f �-�'Z�'J� v � ;i �. � G �� -Q___ U �'� -� �--� �� A SUBJECT 'NOTE: AD . OR CORI APPROVED 'BY:_ �G" i L,f� c----- 7 Wood e:�c�o� r� a� �„�� ;�,��k 1�''� �� ` PROVED OF COSTA MESA ' INING DIVISION PO BLDG., DEPT. REG. 11TIONS, DELETIONS, ECTIONS SHALL BE IY THE PLANNING DIV. DATE: �LU'I ,-��-. �; .', . , "U '"µ 4 �.'.� * ��F u .u� � y i., � ,, �[ w @"k ._ L n; �.. r � .3 !)��[, n� � '�' � �4 < �",. a :" x .�� ,F. 'F�� {�M� . r •�' S '1 d M 5 � V � '}1 � ` a r ..i' �� a f if � 4 . c.,. � �� W � � � � �.� �,y ,� ,� � �'1 r i�- � � r�� - 1 � �° � e w s'� c^ � - .r-' � ; ' y ss �i . t .+ � � � �"1r "^` :' 4 h �� nvt i� v ��f . . ��y N � . ��' � � i�e A �i" �,..� • � . � e - i � �. �` ,""�, ,� �_, : , � J .. ` y'�{ u i ��.+{�.,�f' �:,� {x ,� �i� � i�r �a�1 �.y. . � '� = j, �..�.r.� ,�in ' t� �•"''? 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Y � , dir - . _�.. :a *, ra..... l �.�1f �� . er. �� . _ . .'r' , Yy...: . i. �� E"II ... �� 'r'a'Zi✓�i i1 (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.el�lLDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 t Job Address: 3025 COOLIDGE AV Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N Parcel Number: 14114152 . Zoning: npp�icant: IRAHETA, RODRIGO Address: 23162 RESPIT DR COSTA MESA, CA Owner: HERRERA, EVA Address 3025 COOLIDGE AVE �- COSTA MESA, CA Contredor. OW N ER-BU I LDER Address: . - - Zip: - i. ' Arch : Address: Zip: Phone: License: � . Phone: 949-205-4693 ISSUED BY: .. Zip: 92630 Phone: - Zip: 92626-2878 Phone: License: 000000 Eng: - Address: Status: ISSUED Applied: 08/31/2006 Issued: 08/31/2006 Phone: License: SCOPE OF PERMIT �REROOF RESIDENCE AND ATTACHED GARAGE: T/0 EXISTING COMP ROOF, REPAIR/REPLACE�SHTG AS NEEDED, 2 LAYERS 30# FELT, � APPLY 30-YEAR COMP SHINGLES. APPL STATES ROOF AREA IS 3166SF PITCH IS 4:72 . � � � - .- FEE SUMMARY . Plan Check: $0.00 Permit: ;• $111.25 , $MIP Res: $0.50 SMIP Com:. ;.:., , $0.00 ' " Other: ' $0.00 , Inspection: $0.00 Calc Valuation: g5,000.00 Claim Valuation: $s,000.00 i �, Total: � ,$111.75 � � � " � PLANNING & ZONING SETBACKS , � � > ` �.:�� ' MAIN STRUCTURE Front 0- 0.�, ; Reai= �0. 0 � „, Left �, 0- 0 �,� Right, .�0=,0 � . . ..� - - . � ; .. . , . . .-j.�'� -�� - . - . , ACCESSORY -. ,� Front, 0. 0 � ,� Rear��, 0. 0� - Left 0- 0 � Right . 0- 0 �,�; � - , . � � _�. � . � - . ' , ,. � PARKING �� Existinq: '� 0�� Reauired: � 0- �� Pr000sed: 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 it work is not commenced within 180 days, or if work is suspended or abandoned I'� Por a period of 180 days. - � • INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all � required Inapeetiona and final epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this peimit. I FOR INSPECTIONS CALL: (714) 754-5626 eaoo-ao �aw� WORKERS' COMPENSA710N UECLA(iATION: — � . . .. � � I hereby aHirm under penalry of perjury one ot Ihe following declaretions: � . � .. '. , ', ❑, I heve antl wlll maintain e certificate of consent to selFlnsure Iw warkers' compensetion, es providetl tor by seciion 3700 of the Lebor Code, for the peAortnance of Ihe work for which t�is permit Is issued. ❑ I have and will maintain workere' compansation insurence, as required by section 3700 of the Lahor Code, for Ihe pertormance oi the work for which this pertnit I5 issuetl. My workers' compensation Insurance carder and policy number are: � Carrier: � Policy Num�er. (This secfion need nof be canplered i/ (he permit is veluetl a( one hundred dWlars ($100) or less.) � I certity ihat in ihe pertormance of the work for which this permit is issued, I shall not employ eny person in any manner so es to become subject to the workers' compensatlon laws oi Gelifornia, end agree that if I should become subject to the workers' compensation provislons ot Section 3700 of the Labor Cotle, I shall forthwith comply with �hese sio . � (J � -�J C� �/ _ % Appiicant Sig"—,�` n�-a^ture ?�0�� /K-<�NC l G"C rDal�e: �► `•� �J� �� G�n WARN NG�1 . FAILURE TO SECURE WOFKERS COAIPENSATION COVERAGE IS UNLAWFUT AND SWg1 SU6IECT AN EMPCOYER TO CRIMINAL PENALT/ES AND CIVI� FINES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PPOVIDED FOR IN SECTION �O60F THE LABOR CODE, INTEREST, AND PTTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn that I em licensetl untler provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Professions Cotle, end my license is in full farce and ettect Lic. M Class N Contractofs Signaiure: Date: CONSTRUCTION LENDING AGENCV: ' ❑ I hereby attirtn that Ihere is a construction lending egency tor the pertormanca of the work for which this permit is issuetl. (Sec. 3097, Civil Code). Lentler's Name: Lenders Address: Signawre: Date: OWNER-BUILDER OECLARATIONS: I hereby attirm thet undar penalry of perjury Ihat I am EXEMPT FROM THE CON7RAC70RS LICENSE LAW tor the tollowing reeson (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires e permit to construc6 alter, improve, demolish, or repair any s�rucNre, pnor Io its issuance, elso requires �he epplicant for such pertnit to file e signed statement thet he or she is licensed pursuant to Ihe provisions of Ihe Contrecmrs License Ww (Ghapter 9(commencing with Section 7000) of Dlvislon 3 ot ihe Business and Professions Code) or that he or she is exempt iherefrom and ihe besis tor the ellegad exemption. Any violetion of Section 7031.5 by any applicant for e Dertnit �sub'aW, the applicant ro a civil penalry of not more than fiva hundred dollars ($500).): 'I�as owner of Ihe property, or my employees with wages es their sole compansation, WILL DO THE WORK, and the structure is not intentled or otteretl for sale (Sec. 7044, Business antl Professions Cotle: The Coniractors License Law does not apply to an owner of properiy who builds or improves ihereon, end who does such work himself or herselt or through his or �er own employees, provided that such impravements ere nat imendetl or oNered for sale. If, hawever, the builtlinq or improvement is sold within one year of completion, ihe owner-builtler will have the burtlen of proving that he or she did not 6uild or improve for purpose ot sale.). � ❑ I, es owner of the property, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business entl Professions Cotle: The contrectors License Lew tloes nat apply to en owner of pmpeny who hullds or Impmves ihereon, end who contracts tor such projeq wl�h a contractor(s) license pursuant to the Contrectors License Laws.). ❑ I am�p� de�e�O Business end Professions Coda tor �his reason: SigneW�at ��+ �.., .- � O'-r1U��rertN�d by tlrive license. ❑ Ves ❑ No DrI�� .�'� Venfication of Ownership by (type of documem, i.e. - pmperty taz bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hareby certity ihat no excavatlon five (5) or more feet in depth into which e person is required to descend, wiil be made in connection with work eu�horizetl Dy Ihis permit, and that no builtling structure, scaHoltling, falsework, or tlemolition or dismantling thereo�, will 6e more ihan thirry-six (36) feet high. (Chap. 32, Grp 2, Ah 2, Sec. 341, Ttle B, Califomia AdmlNsirative Cotla). ❑ As owner-builder, I will not emD�oy anyone to tlo work which would require e permit irom the Division of Industnal Safery, es noted e6ove, unless such person hes e permit to do such work irom the division. Signalure: , Date: Division oi Industnal Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AUiHORVATION OF ENTRV: I certity under penalty ot perjury Ihat I have read this application and state tha� �he infortne�ion given is correct. I agrea to comply with all state laws and ciry ortlinances relating to bullding consiruction, and authonze reprasentatives ot the City ol Coste Mese to enter upon Ihe ebove-tlescribed properly for inspection purpases. I agree not to occupy or allow occupancy of eny building authorized by Ihis permit until final inspection. CQOE 1' INSPECTIONTYPE � 1676 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 -�Final Re-Root 201 Finel BIocWRetaining Well 202 Final Faciory Fire Place 203 Finel Sign 204 Finel omolition D� UiIIIIAIi i/ l� - i` i� CODE I INSVECTION TYPE ` 206 Final Mechanical 20B Final Plumbing 210 Final Eleciricel 212' Final Fire Preventlon 220 Final Planning Approval 222 Final Site, . . " ` 250 Final Building/Occupenc � DECLARATION OF AUTHORITY I BIdg.Permit# FOR AGENTS OF PROPERTY OWNER TO APPLY FOR PERMITS This Permit # /� C Street Address: �v� � �%� , AP Number: ✓ 1. I(we), �V� e/��i�l�c, , declare that I am the Owner of Title of the above referenced real property, and that I(we) hereby authorize: Name: Street Address: Telephone Number: — � � /,�" v �/l City: ��i f`--�_ /�'e.S� State: �� Zip: �� % V to obtain permits in my behalf, as owner/builder, for at the above referenced property. 2. Should any person become an employee engaged in the improvement of the property, I(we) shall immediately-provide Worker's Compensation Insurance coverage and cause a certificate of that coverage to be filed with the Building Division of the Ciry of Costa Mesa, as required by State of California laws. 3. As owner/builder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or corporation. 4. I agree to indemnify and hold the City of Costa Mesa and its employees or officers harmless from any claim resulting in damage or personal injury to myself or any other parties as a result of work authorized by the permits from the City of Costa Mesa. 5. I declare under the penally of perjury that the foregoing is true and correct. Executed this �� day of 20 Ql , at Note: This authorization does not grant authorization to perfortn the work as owner, it solely provides for limited power of attomey to secure this pertnit in any behaH. 0779-a6 �rev.� v00� , Califomia. LOT TRACT 4ZH� . .: : is�� 'COSTA MESA BUILDING-SAFEN DEPARTMENT P. O. BOX 917 - C09TA MEBA. CALIRORNIA For Applicanf fo Fill In Complefely - TYPE OR PRINT COSTA MESA. CALIFORNIA KENNETH W. KOLL TEL. ENo. ----- FIRE ZONE APPROVED �EE RECEIV�D � JAN 4 196 FINANCE D�'T. CbiTY Of COSTA MESA APPLICATI N FOR PERMIT . BUILDING For Office Use Only REGEIPT NO. PERMLZNO� BY IDATjE/RECgIyED�� Jo'Ne��eau'� / !C COSTA MESA. CALIFORNIA ZONING ZONE I NO. OF I U9E OF NeW /• R��. PI.ANB 2 BIIILDIN6 W 'dtt LEGAL _ . _ . � �.n� NO. OP BLOG9. � V rii� � NOW ON LOT O usE oF YARDS BXISTING BLDG APPROVED S6TBACK LINi PROM (�M'�eR YNC eTJ GeNTeR oP eTR[eT � REAR YARD 2 � pRONT SIDE YARD I I.EFT H� I RIGHT � R. SIDE DESCRIPTION OF WORK L. SI�E NEW I X II ALTERATION I II ADDITION I REAR REPAIR -I IIMOVING I IIDEMOLI6H I APPROVED BY 8B ZE INcGADR : $�S F ROOMS � 2 • STORIES z . EXTERIOR WALL IROOF / COYERING' COVERING ROCK (� USE OP BUIL�iNG AND WORK TO BE PERFORMED . _� r PLAN }r 2A � � 1 HHRlsY AGKNOWLQDOE TMAT 1 HAVE RBAD TM19 APPLIWTION ANO 6TAT6 THAT TH6 AlOVE 19 COPPECT AND AGRC6 TO COM- PLY WITX ALL GIT' ORDINANCEB ANO HTATB UW9 R80ULATINO BUILDINO CONBTRURION. SIGNATURE OF ''�� 7�, �('�/S�� AUTHORIZED EVES THE AMOUNT BXOWN UND¢R VALUATION IB FOP THe PIIftPOBE OF E9TABLISHIN6 A PERMIT FEE ONLY. VALUATION � L _PERMIi FEE $ � C�'� $ � �/ �' �' ` PLAN CHECK $ � �5 '� �jt, t TOTAL FEE /�/ 4