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Home My WebLink About3273 COLORADO LN - Building Permits(714) 754-5273 • Fex (774) 754•4856 • www.ci.costa-mesa.caB.UILDING PERMIT » FAIR DRIVE, COSTA MESA, CA 92626 Jobnddress: 3273 COLORADOLN Suite: Viciniry: Parce� Number: 13906720 Applicant: TURNER, BILL Address: 976 N LEMON ST ORANGE,CA Owner: VALEZ, ENOT Address 3273 COLORADO LN COSTA MESA, CA Contractor. CLAYTON ROOFING Address: 976 N LEMON ST ORANGE,CA Zip: 92867 Arch : Address: � Phone: Zoning: Phone: 714-639-7190 � Zip: 92867 Phone: Zip: 92626 Phone: 774-639-7190 License: 601226 Eng: Address: ISSUED BY: Status: ISSUED Applied: 02IO6I2003 Issued: 07JO6I2003 Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF $HAKE ROOF. INSTALL SHEATHING AND COVER WITH 30 YEAR COMP. Plan Check: $0.00 Permit: $125.25 SMIP Res: $0.59 SMIP Cqm: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.84 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existin : 0 NOTES: Rear 0- 0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0- 0 SS,soo.00 Ss,soo.o0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12•21-92) EXPIRATION: This permfl shall automatically expire and become void if work is not commenced within 180 days, or if work Is suspendetl or abandoned for a period of 18Q days. INSPEC710NS: In order for the vrork authorized under this permit to be considered tegal, such work must cromply with all applicabte codes, and afl required Inapeetlo�e end final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration ol this permit. FOR INSPECTIONS CALL: (714) 7545828 zaae-ae �e�oo� WORKENS'COMPENSAnON DECLARAnON: � I hereby eNirtn untler penalry oi perjury on� ot the lollqwing tlederations: " � �I heve end will maintein e cenlficate of consent to self-I9�( e br workers' compensetlon, es provided far �y section 3�700 ot the Lebar Catle, for t�e pedortnance ot Ihe woAc for whith ihi5 p9rtnit 15 issued. / � p�/f hava end wlll /\ My workers' c Carner. n Insura�equired by section 3700 ot �he LeDor Cotle, br ihe perfortnance of Ihe work tor whic� Ihis pertnit is lssued. end poll n mher are: � Policy Num6er: ❑ I cenity that in the peAormence ol the work lor which Ihis permit Is issued, I shall not employ any person In any menner so es to become sub�ect to the workers' compensatlon laws at Calllamle, antl egrea t�at il I should become subJect to the workers' compensetlon provlslons of Section 37 01 the Lebor Cotle, I shall forthwit� comply wiih these pr slons.n ��r� Applicant Signeture: � 1 ln..�w✓� Dete: �/C1 � i WARNIN(3: FAILURE TO SECURE WORKERS' COMPENSATION COVEMGE IS UNLAWFUL PND SHALL SUBJECT PN EMPLOVER TO CRIMINAL PENAL ES AND dVIL FlNES UP TOONE HUNDRED T/KKl$AND DOl1ARE (5100.0OO�.IN r1DDfilON TO THE WST OF COMPENSATIpJ, DANAGES PS PROVIDED FOR IN SECiION 908OF THE IABOH WDE.IMEREST, AND ATiORNEYS FEES. LICENSE� CONTRACTORS DECLMATION: I hereby ettirm that I am licensetl under provlsionspfnCh�tgr g{�OrtlRe�iing�vilh Saction 7000) of Division 3 0l Ihe Business entl Prolessions Cotle, end my license is in lull torce entl eMect. Lit. a I � L�'�L{� Cless x ContracrorsSignaWre: � w�.,...�ti Dele: CONSTRUCTION LENDING AGENCY: ❑ I �ereDy ettirm that thera is a construction lending agBncy for the peAormence ot t�e work tor which l�is permit is issued. (Sec. 3097, Civil Cotle). Lentlers Name: Lentlors Atldress: SlgnaNre: Date: OWNER-BUILDER DECLARATIONS: I hereby eFtirtn thal untler penalry ol per�ury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for t�e following reason (Sec. 7031.5, Business and Protessions Code: Any ciry or wunry which requires e pertnit to construct, elter, improve, demolish, or repair eny strucWre, prior to Its issuance, also requires �he applicant tor such pertnit to file e signetl statemem that he or she Is Iicensed pursuaN to the provlslons of Ihe Goniractors Llcense Law (Chapter 9(wmmendng with Section 7000) of Division 3 of the Busineu end Profeulow Gode) or t�at �e or she is exempt therefrom end the hasis br ihe alleged e:emptian. Any Woletion ol Section 7031.5 6y any applicant tor a pe�mit subjects the epplicant to e civil penelry ot not more then Ma hundred dollars (5500).): � I, es owner ot the property, or my empiqrees wit� wages as t�eir sole campensatlon, WILL DO THE WORK, end ihe structure is noi intended or oHeretl for sale (Sec. 7044, Business and Professions Cotle: The Contrectors License Law does not apply to an owner ot proDerty who builds or improves thereon, and who tloes such work himsetl or herselt or Ihrough his or her own employaes, provitleC thet such Improvemenis are not intendad or oHered for sale. It, however, the builtling or imprwement is sold within one year ot compleUoq t�e owneo-builder will have the burden of proving that �e or she did not build or improve for purpose of sale.). � ❑ I, es owner ot the pmPerry, am E%CWSNELY CONTRALTiNG WITH LIGENSED CONTRACTORS to consiruct the Droject (Sec. �044, Business and Professions Code: The mmrectors License Lsw does rwi appty ro en owner ol property who builds or Imprwes thereon, entl who wniracts for such projeci with a contractoqs) license Oursuant to t�e Conireaors License Laws.). ❑ I am exempt untler sec. Business and Prolessions Coda for this reason: Signature: Date: Owner ID verllied by tlrivels license. ❑ Ves ❑ No Drivers License No. Venfication of Ownership Dy (rype oi tlocumem, I.e. - properry tex bill or deed): DIVISION OF INDUSTRIAL SAFETY VERMR CERTIFILATION: Expires: ❑ I �ereby certity thet no excavatlon tive (5) or more leet in tlepth into which e pereon Is requlretl to tlescentl, wlll be mede in connection wit� work euthonzed by �his permit, end thet no buildinp siructura, scaHolding, lelsework, or demolitlon or dismantling Ihereoi, will Oe more �hen ihirry-six (36) leet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Calllomla AtlmlNsiretive Code). , ❑ As owner-builder, I will not employ enyane to da work which would require e permll from the Division of Intlustriel Sefery, as noted ebove, unless such person hes a permit to do such work Irom the dlvlslon. Signature: Divislon of Intlustdel Sefety Pertnit Numbor. Data: CER7IFlCATE OF COMPLIANCE AND AUTMORIZATON OF ENfAY: I certity under penalry ol perjury thet I have read this epplication and stata ihat ihe intormatlon gNen Is correcf. I agree to compty with a� stete laws entl dry ordinences relating ta building consWction, and authodze representatives of the Ciry ot Costa Mesa to enter upon Ne ebove-descdDed pmperty for inspectian purposes. I eprea not to oaupy or allow occupancy ot eny building euthonzed by this permit until tinal inspectlon. SigneWre OI Legel Owner(5) �� AnNOr Authodzetl Applicam COQE �. INSVECTIONTYPE 1616 Fixetl System Final Fire Preventlon 1266 Pool Spe Flnal 200 Finel Re-Roof 201 Final Black/Retelning Well 202 203 204 Finel Factory Fire Plece Finel Sign Final Demolitlon QLffi II�ELS 'c.--ic-P�icf � 400E� INSPEC710NTYPE 206 Finel Mechanical 20B Finel Plumbing 210 Finel Electricel 212 Finel Fire Prevention 220 Finel Plenning Approval 222 Final Slle 250' FinelBuilding/Ottupancy PAIE It�LS Lo r 75 rR 372� . 1�3� 3 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. dOX 817 COHTA M68A. CALIPORNIA For Applicani fo Fill In Complefely TYPE OR PRINT BUILDINc 3273 �OLORADO LANE ADDRE58 COSTA MESA. CALIFORNIA owNER K& E DEVELOPMENT CO.�INC. mAIL 1555�P�nc[Nrin AVE annwcae ■BTATE .. . __ TEL. NO. OR BLDOB. Q F�E o��CE� V �� 0��. �3-bo-� FINANCE DE?T. q,P PLI CAT I O N�TFO R1 EP�R M I T BUILDING For Office Use Only NECEIPT NO. I flCBM1,'�9M aeceiv er o�rs RECEI o�re isaueo �iT�', /� �%�6 �r, � ,��, BUILDING V FIRE ZONB �: LEOAL GOSTA MESA. CALIFORNIA ZONING no. oF I use ov PLANB it BUILD�N BBiBACK lJN6 V�ON � - � � ��HTBA ��N6 OT.1 teNTaR oP BTRfBt 0a REAR YARD FRONT 91DE YARD I I-EFT �'Jf' I RIGHT �'�" p SIDE I DESCRIPTION OF WORK BUILDING i6� � .75SF ROOMS � 61ZE EXTERIOR WAL ROOF 00 COVBRING .O COVERING USE OF BUIL��NG AND WORK TO BE PEF Y E51 AND TTACHED ARAGE PLAN 1-AR I NEqEBY ACNNOWLBpOH TXAT 1 HAVB R6AD TH19 MPLIGTION � TMg AMOUNi BHOWN UNDE0. VALl1ATION IB FOP TH¢ AND BlATB TNAT TNH ABOVE 18 CORRECi AND AOREE TO COM- pUIS08H OP EBTABLIBHING A PHRYIT FEE ONLY. PLY WITX ALL CITY OqDINANLfi9 ANO BTATE LAWfi RQ6ULATINa eu�tDlNo CONeTrtuGT1oN� VALUATION / 81GNATURE OP � ` /� � �pp %'ERMI7 FEE $ Y�— PERMITTE / s � {� � PLAN CHECK S /� AUTNOR2ED AGENT ,(—'/_� TOTAL FEE �J 7