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Home My WebLink About3021 CLEVELAND AVE - Building Permits�' �' - y�� •. �� . CITY OF COSTA MESA BI/ILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fax (714) 754-4856 Job Address: 3021 COOLIDGE AV Suite: Vicinity: UNITS A, B, & C Parcel Nunmber: 14114153 Applicant GALLA RINI, MILES Address: 346 E MEADOWBROOK- - ' BUILDING PERMIT ORANGE,�CA . � Owner: , NEWMAN, SWANNA O TR Addres5��1g75MARINERSDR. . - - %i "�// `- ' . �,`�� NEWPORTBEACH CA / �� ., A � � ,' ; � i � '" nt'rectoc GALLA'RINI CONSTRUCTION Zoning: Phone: 714-974-6424 - Zip: 92668 , " Phone: Zip: 92660 �,( Address: 346 E,MEADOWBROOK �-� l ! 1�'�� Phone: 714-974-6424 � � ; ORANGE,CA ��"'� � ., Zp: i 92668 i.�, . ,/i,�-.� Aich , 't Address ; �� • . . � -t-' �-- ( � Phone: r. ,� 't�l � r� /i" . � ' �% ��Zip � , � -License: � ; � � '�, � � � � : �License: 663983 ,�� .. NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 07/i 6/1999 Issued: 07/76/1999 ISSUED BY: � �. � �'t� � � V�� `, � ' \�, i � \�', � �,.,� :.,':. ;:�, , ^.� , �. � �. �\. Eng: Address: Zip: A • �� Phone: �License,: ��,� ! � � � , � SCOPE OF PERMIT , � � ,�4 ,� REROOF�EXISTING TRI-PLEX (30�SQ). TEAR OFF EXISTING GR4VEL�ROOF - EXISTING SHEATHWG TO REMAIN. ` , INSTALL' 1-LAYER OF 15# FELT UNDERLAYMENT 8 REROOF WITH 25 YR. GAF ASPHALT SHINGLES. � \ �.. � ;`�, Plan Check:, �, $0.00 �. ��, < Permit , „� $112.25 � `� SMIP Res: . $0.51 '�SMIP..Com: � $0.00 � ��C�`. 'Other'` '�';$0.00 '�Inspection:' ��$0.00 �'� �� ' �� 7otaL•" � $112.76 ., �`�, �� : : / � .,- , SETBACKS� ��_ " MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: 0 NOTES: - FEE SUMMARY ' ' Rear 0- 0 Rear 0- 0 Re uired: 0 PLANNING 8 ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: %. ;;. Ri9ht 0- 0 Right - 0- 0 \.� �.' '. � � �'� �� , �� ' �" .`, ',�� '� � ; �Y' I i , . - . $5.115.00 , .,$5,115:00 � � `✓ � }, , '�t NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned (or a period of 180 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectiona end tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. i FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: - I hereby aHirm un�er penalry oi perjury one ot the tollowing declarations: � � � ❑ I heve and will maintain a cenificate of cansent to self-Insure for workers' compensatlon, as provitletl for by seciion 3700 of ihe Lebor Cade, tar the pertormance oi the work for which this permit is issued. , . � I hava and will maintaln workers' wmpensetion insurance, as required by section 3700 ot the Labor Code, for the peAortnanca of the work for which this pertnit is issued. My workers' cnmpensation Insure�e carrier end policy number are: Carrier: ��A LANLtPJ� . . PolicyNumber zg.� —�cl 000 %(>�( (This section need nof be c p/eted il the permit is velued et ane hundred dollers ($100J ar less.) ❑ I certify that in the pertortnance ot the work for which this permit is issued, I shall not employ any person in any manner so as to becoma subject to the workers' compensation laws of Celifornia, end agree that if I shoultl becrome subject to the workers' compensation provisions of Section 3700 of Ihe Labor Code, I shall totlhwith comply with these pravisions. Applicant Signatura: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL PND SHALL SU6IECT AN EMPLOVER TO CRIMINAL PENALTIES ANO CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARE (5100.000). IN AODITION TO iME CQST OF COMPENSAiION, DAMAGES AS PROVIDED FOfi IN SECTION 3]O6 OF THE LABOR CODE, INTEREST, P.ND ATfORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirm that I am licensed under provisic torce and enect. Lic. x 6 Contractofs Signawre: wlth Section 7000) of Division 3 ot the Bu,sjnJC �d�Professions Code, and my license is in tull Class # �J Date: T I%6 9G CONSTRUCTION LENDING AGENCV: ❑ I hereby eKrm Ihat there is a conswction lending agency for the peAormance of ihe work for which this pertnit is issued. (Sec. 3097, Civil CoCe). Lenders Name: LendeYs Atltlress: , Signalure: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn �ha� under penalty of perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires a permit to consWcL alter, improve, demolish, or repair any strucNre, prior to its issuance, also requires the applicant for such permlt to file e signed statement thet he or she is licensed pursuanl to ihe provisions of Ihe Contractors Licensa Ww (Chapter 9(commencing wl�h Section 7000) of Division 3 ot tha Business and Professions Code) or that he or she Is exempt iherefrom and the basis tor ihe allegetl exemption. Any violation of Sectlon 7031.5 by eny applicant for e pertnit sub�ects tha applicant to a civil penalty of not more then live hundred dollars ($500).): ❑ I, as owner of t�e property, or my employees with wages as Iheir sole compensation, WILL 00 TME WORK, and the stmcture is not intended or oflered br sala (Sec. 7044, Business and Protessions Code: The Coniractors Licensa Law tloes not apply to an owner ot properry who builds or improves thereon, antl who does such work himself or hereelf or ihrough his or her own employees, provided ihat such improvements are not intended or oHered for sale. If, however, Ihe building or improvemem is sold within one year ot completion, the owneo-builtler will have ihe �urden of proving thet he or she tlitl not build or impwve tor puryose ot sale.). ❑ I, as owner of the properry, em EXCLUSIVELV CONTRAC7ING WI7H LICENSED CONTRACTORS b construct Ihe project (Sec. 7044, Business antl Professions Code: The contrectors License Law does not apply to an owner of properry who builtls or impmves thereon, end who contrecis tor such project with a contractor(s) license pursuant to the CONractors License laws.). ❑ I am exempt under sec. SignaNre: Owner ID verified by drivers license. ❑ Yes ❑ No Business and Protessions Code for this reason: Verification ot Ownership by (type of tlocument, i.e. � properry taz bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Driver's License N0. Date: Expires: ❑ I hereby certity that no ezcavatlon flve (5) or more tee� In tlepih Into which e person is required to descend, will be made in connection with work authonzetl by Ihls permit, entl ihat no builtling structure, scafrolding, falsework, or demolition or tlismantling ihereot will be mora than ihirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 347, Title 8, California Atlministrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit irom Ihe Division of Industnal Safety, as noted above, unless such person has a permil to do such work trom the tlivision. Signature: Date: Division ot Industrial Sefety Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATiON OF ENTAY: I cetlity under panel�y of perjury that I have read ihis application and s�ate that ihe intormation given is correc�. I agree to comply with all state laws and city ordinances ralating to building construction, antl au�horize representetives ot ihe Ciry ot Costa Mesa to enter upon the above-described properry for inspection purposes. I agree not to occupy or allow occupancy of eny building authonzed by ihis pertnit until tinal inspection. L i ure� egelOyner(s) � 1�te'R� AnNOr thodzed Applicam Dat CQOE �. INSPECTIONTYiE 7616 Fixetl System Final Fire Prevention 12fifi Pool Spa Final 200 Final Re-Roof 207 Final Blak/Retalning Wall 202 Finel Fectory Fire Place 203 Finel Sign 204 Final Demolitian 2446 46 �� .IW' ? �99 � LOpEt INSPECTIONTYPE 206 Finel Mechanical 20B Finel Plumbing 210 Final ElecMcal 212 Final Fire Prevention 220 Final Plenning Approval 222 Final Sita 250 Final BuildincyOccupancy PLiE .... .. .I'HOI ]B ADDRESS ^•� /-LV-/O BUILDING PERMIT Ni AP No.��_�47_Zq LOT TRACT FIRE ZONE VALUE SUBCONTRACTOR GAS � W ATER (� ROUGH PWM6ING ry� PROP. SWR. LINE � �SPFINNLING SVSTEM MISCELLANEOUS � ROUGH NEATING ANO AIR CON❑ �TEMPORARY SEFVICE OR POLE UNDERGROUNO � POWER � FOUGH WIRING RENCHES [� FORMS � . � FLOOfi SVSTEM TIONING STEEL )BON� BEAM [� STEEL REINiORCE ,j SMEATMING FRAME ANO FLASHING LATHING - IN � 1 PLASTER,BROWN COAT LSlif `..� ' -• 423 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 AP IC� For Applicani to Fip in CompJetely C I ED BUILD�NG ADORESS - �L /✓� OWNEF �. �. Q `—��/� A.P. NO. I� '} / BUILOING �+' ADDRESS J�% Z� �s � �`�r� �%✓t,� . ADDRESS � dU CITV �O�S, � �j�j� NOL✓ �� a TRACT ~ Z CONSTRUCTION W AD O N LENDER am J � BRANCH —� � OWNER m J ADDRE55 � r J m ARCHITECT TEL. S`/ "" a OR ENGINEER N U N Q FIRE W � ADDRESS ZONE a W APPROVED W Z CONTRACTOR �.'O Z�/ ��- �Q�,/'SG- BV m � T J � ADDFESS O �✓ �h�� . �j� PAiU n' ♦ I I�;1. rQ-i��ne.:,�10?_069"� r:��'';t.�i.f;0 FOR BUILDING PERMIT i • ' �!�%: `—.l,i • • e?:..,_,•�. — VALUE DATE W� ZONE � NO.OF USE OF NEW Z= CITV �/`� l�B �� NO�. �� ' P�� BUILDING U F w� STATE �j/�/^ /� CITV YARDSAPPROVED YARDSAPPROVED �� LIC. NO. J Y/ % LIC. NO. MAIN BUILDING ACCESSORV BUILDII � O (FROM GL STREET) SIZE NO.OF BLDGS. �j�,(� OF LOT NOW ON LOT � qONT FT. iCl FT. USE OF EXISTING BLDG. � �✓'� � $ H' S12E OF NO. OF Z NEW BLDG. ROOMS STOfl1E5 L. SIDE a EXTERIOR WALL ROOF �% COVERING COVERING REAR J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET a - MAIN BLDGS. Q � i � � VAR. # O �OG/� /ti/��G � C.U.P.� y G/'� �J j—'jf��GH �PROVED� z 0 UI hereby acknowletlBe that I have reatl this application and steta = that the above information is correct end agrea to comply with � all laws �egulating building constt�ction, a�tl I shell not employ F any perwn in violailon of the workman's compensetion laws ot �y the State of Calitornia. zI hereby ceriify ihai I am properly lic¢nsetl as e contractor untler the State ot California Businass anC Professions Cotle, Divisicn 3, THE AMOI Chepter 9, and that such licenses are In f�ll force antl etfect, or I THE PURPC am exempt from the provisions ot the State ot Californle Business VALUATION antl ProfessionsCotle, Division 3, Chapter . Si0^atureofi�� .�/y� P /1.�/✓ Pe�mlttee � �� A /��—' $ Autnori:etl A9ent � FT. O FT. ^/ [ . J FT. BET. MAIN & ACCESS. BLDGS. DATE APPFOVED - 1-h L)'7Lv � T. O SHOWN UNDER VALUATION IS FOR ' �F ESTABLISHING A PERMIT FEE ONL�': Q m PERMIT FEE $ � 7 m PLAN HECK $ E -`o LL TOTAL FEE $ • U (I �oT �,H TRACT 4395 .-� - 16301 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 977 C08TA MEBA. CALIRORNIA For Applieani fo Fill In Complefely TYPE OR PRINT BUI6DWG 0..� /�L.. / _ . A _ ■ MAIL COSTA MESA. GALIFORNIA FEE RECEIVED �JAN 3 1136P. fINANCE DEPT. CITV OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Offiee Use Only wecetrr No. . PECEIVED BY DAT6 RECELYlO DATE I86UEO � PLACENTIA AVENUE ;�-��— }96 NEWPORT BEACH NOM�� O ZP BUILDING ADDRESS rE�. COSTA MESA. CALIFORNIA �Innir mn """ FIRE ADDRE56 � VEN E ZONING ZONE I NO. OP USH OR NEW t�� l1/ CITY � �/ PLANS � BUILDINO / ` W LIC.TNO. - NO. � – Z2 �EGAL Z�� T/� y3 9`i O88CRIPTION SIZE ✓ i NO. OF BLD09. OF LOT �A/'f ��! /Ab xow oN �oT � . e.... �'�—� 9ETBACK LINH PPOM �/ �l i (�MQR LINB eet+'�w ov aireeer REAR YARD �/S FRONT ,(– / / 61DE YARD LEFT Cl RIGHT � R. SIDE DESCRIPTION OF WORK . _.__ NO. OF I X¢RlBY ACNNOWLeDp¢ THAT i XAVB q6AD THi9 APPLIGTION AND BTATC THAT THE ABOVE I6 WRPEGT ANC AGIiCE TO COM- PLY WITH ALL CITY ORDINANCEB AND BTATE LAWB RHOULATING BUILDINO CONBTRUGTION. 61GNATURE OF � _ _ IJ L... / / ' ■ AUTHORIZED AGENT APPROVED 3 �� IN. � IN. � IN. rE l I3o/6L THe AMOUNT BHOWN UN�ER VALUATION 19 POR TX¢ PUPPOBE OR E8T�10L18HING A PERMIT FEE ONLY. VALUA710N / / PERMIi FEE $ , �//� — a $ r✓ / ��/ PLAN CHECK $ /�'� n F 1 C TOTAL FEE �J � d