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Home My WebLink About3016 COLLEGE AVE - Building Permits(714)754-5273 • Fax(714)754-4856 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: $O1s COLLEGEAV Suite: Vicinity: HOUSE & GARAGE Parcel Number: 14116206 npp�icant: MARSHALL DAVIS Address: 1171 PASEO TASCO CI CORONA,CA owner: KEARNEY, STEVEN R Address 3016 COLLEGE AVE � COSTA MESA, CA Contrsctor: GOLDENWEST ROOFING Address: 1171 PASEO TASCO CI CORONA,CA Zip: 91720 Arch : Address: Phone: BUILDING PERMIT Zoning: R1 R1 Phone: (909)371-8130 Zip: 91720 Phone: Zip: 92626 Phone:. (909)371-8130 License: 432088 . Eng: Address: PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Status: ISSUED Applied: 03/29/2000 Issued: 03/29/2000 Phone: Zip: License: License: SCOPE OF PERMIT REROOF - T/O, USE EXISTING SHTG; INSTALL 2 LAYERS OF 15# FELT AND 25 YEAR ELK PRESTIQUE COMPOSITION SHINGLES. � � FEE SUMMARY ' ' Plan Check: $0.00 Calc Valuation: S3,soo.00 Permit: $97.25 ' Claim Valuation: $a,soo.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existinq: 0 Rear 0- 0 Rear 0- 0 Required: 0 PLANNING 8 ZONING Left 0- 0 Left 0- 0 Proposed: 0 Right 0- 0 Right 0-0 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, § t, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is noUcommenced.wRhin 180 days, or if work is suspended or abandoned for a period of 180 days. ' � INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: I�ereby affirm under penalry of perjury one ot ihe Following dedarations: I have antl will maintain a certificate of consent to selt-Insure tor workers' compensation, as provitletl for by section 3700 of Ihe Labor Code, tor the pertormance of ihe work for which this permit is issued. . ❑ I have antl will m�tain workers' compensation insurance, as required by section 3700 of tha Lahor Code, for ihe perfortnance ot ihe work for which ihis permit is issued. My worke.r-s' -c,o� p.,e-n.sati urance carrier and policy number are: . G Carrier. � \�7�L'_ `C(lJ�✓) PolicyNumber. �LE%-�'i%%Y"'7g (This section need nof be completed ii the permit is veluetl at one hundred dollars ($700J or /ess.) ❑ I certiTy that in the perlormance of the work for which this parmit is issued, I shall not employ any person in any manner so as to becoma subject to the workers' compensation laws of Califomia, and agrea that if I should 6 come suhject to ihe workers' compensetion provisions of Section 3700 of iha Labor Cotle, 1 shall forihwith comply wi�h these provis�ionsj�/ //� Applicant SignaWre: .� v / �.� Date: �-� 2 `7 — �Od WARNING FAILURE TO SECURE WORKERS' CAMPENSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDPED THOUSAND DOLLAPE ($100,000), IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIIXJ 3]O6 OF THE LABOR CADE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hareby aHirm that I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Pmfessions Code, and my license is in full torce and eHect. Lic. s 4',� 1- !i � c�ass a G- 39 Coniractor'sSignature:; �� Data: (2 — 3/"- O r] CONSTRUCTION LENDING AGENCV: ❑ I hereby afiirm ihat Ihere is a constmction lending aqency for ihe pedormance ot Ihe work tor which Ihis permit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Signature: _ OWNER-BUILDER DECLARATIONS: Lentler's Atldress: Date: I hereby aNirm that under penalty ot perjury that I am EXEMPT fROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a permit to consimct, alter, improve, demolish, or repair any simcture, pnor to its issuance, also requires ihe applicant for such permit to file a signed statament ihat he or she is licensed pursuant to the provisions of the Coniractors License Law (Chapter 9(commencing wlih Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt ihereirom and ihe basis for the allegetl exemption. Any violation oi Section 7031.5 by any applicent tor a permit subjects the applicant ro a civil penalry of not more ihan five huntlretl dollars ($500).): ❑ I, as owner of ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, antl the structure is not intended or offered for sale (Sec. 7044, Businass antl Professions Code: The Contractors Licensa Law does not appiy to an owner of propetly who builds or improves ihereon, antl who does such work himself or herself or through his or her own employees, provided ihat such improvemenis are not intentled or oHared tor sale. If, howaver, the building or improvement is sold within one year ot complation, the owner-builder will have ihe burden of proving ihat he or sha did not build or improve tor purpose of sale.). ❑ I, as owner of the propeny, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRAC70RS m construd the project (Sec. 7044, Business and Professions Cotla: The coniractors License Law does not apply to an owner of property who builds or improves ihereon, and who contrects for such projed with a contractor(s) licen5e pursuant to ihe ConireCtOrs LiCense Laws.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signawre: Date: Owner ID verified by tlriver's license. ❑ Yas ❑ No DriveYs License No. Expires: Veritication of Ownership by (rype of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certiry that no excavation five (5) or more feet in depih into which a person is required to descend, will be made in connection with work authorized by ihis permit, and that no building stmcture, scattolding, falsework, or demolition or dismantling ihereof, will be more ihan thirty-six (36) fee� high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, California Administrativa Code). ❑ As ownar-builder, I will not employ anyone to tlo work which would require a permit from the Division of Intlustrial Safety, as notetl ahove, unlass such person has a permit to do such work from ihe division. Signature: Data: Division of Industrial Satery Permit Number: CERTIFICATE OF COMPUANCE AND AUTHORIZATON OF ENTRY: I cetlify under penalty of perjury ihat I have read ihis application and sta�e ihat the information given is� correct. I agree to comply with all state laws and city ordinances relating to building constmction, and authorize representatives ot ihe City of Costa Mesa to enter upon the a6ove-tlescnbed property tor inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Si nat Of Legal Owner(s �� And/Or Authorized Applicant OE N. INS7ECTION TYPE 7616 Fized System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Rooi 201 Final Block/Retaining Wali 202 Final Fectory Fire Place 203 Finai Sign 204 Final Demolition 2aasas LOpEt INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Eleciricel 272 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuildingiOccupancy — Cc.O �� INTRIRL ORANG� COUNTY BUILDING DEPARTMENT ' 636 North Braadway • ' SANTA ANA, CALIFORNIA FOR APPLICANT TO FILL IN BUILDING D.,_..�i�] t_ � T � AODRE55 � SCHOOL DIST. ORTOWN Costa Mesa NEAREST CROSS ST. Ba](QI' Street OWNER X& ii Homes� Inc_ ADDRE55 8002 Central Avenue C�ry Garden Grove NO. i.�•. 9�2158 ENGINEERT ORB�ot Ln�lll8ei NOL LI B�ZUZ, AODRESSZ9�.O HaT'bOT BZViI�� Costa Mesa CONTRACTOR The H810 COmpar�y r�io ' 146053 �ooRess 8002 Central Avenue. G. G. LEOAL LOT � JESGRIPTION NO. BLOCK I TRACT q.,.No, See attached metes and bounds NO. OF BLDGS. SIZE OF LOT 7O X�S I NOW ON LOT � USE OF -� NO. OF NO. O� EXISTING BIDG. I F�Mtt�[e I ROOMS DESCRIPSAT�IO��N OF W�O��iC �j SETBAGK FROM 1 Y.�.. SIDE l/J! REARt L-_ AL SIZE�ING 1270 ROOMS G E%TERIOR WALL ROOF COVERINO StUCCO COVE USE OF NEW BUILDING Sl](Ple fam11V C� with attached e APPLICATION FOR �ERMIT Bui��iw� �-3 1 fOR OFFICE USE ONLY RECEIPT NO. PERMIT NO. I 779/ ��73 m BY DATEREC'D. OATEI68UCD 3— A—.� � 3 4�:7 �— IST. PLAN9 I DATE• r CORRECTIONS ALS FOUNOATION: LOCI1T10� I HEREBV ACKNOWLEDGE THAT I HAVE READ THIS FORMS, MATERIALS. APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING AND AGREE TO COMPLY WITH ALL COUNTY OR�INANCES FRAME: FIRE STOPS, BRACING, BOLTS AN� STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH, 11JT. 61GNATUREOF� T4iF' IIATF !`/1)AD,1AN /J LATH.E%T. P[11NR F4B f LQ�QO MA501 VnLUATION p��q CHecK s 3��0 S �`�� BOND fJ TOTAL FEE s 23.00 FINAL � � O I A � Z r . .. � PLOT PLAN Show location and distonces from property line and between buildings. - - - --. -----, - _ r. ;