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Home My WebLink About374 COSTA MESA ST - Building Permits(714) 754-5273 • Faz (714) 754-4056 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ' BUILDING PERMIT Joh Address: 374 COSTA MESA ST Suite: Viciniry: Parcel Number: 42630217 Applicant: YOUNG, MIKE Address: Owner: MORRISON, ROCKY VAUGHN Address 374 COSTA MESA ST COSTA MESA, CA Convactor. YOUNGS ROOFING CO, INC Address: 1015 E CHESTNUT SANTA ANA, CA Zip: 92701 ArCh : Address: Zoning: Phone: 714-963-5444 Zip: Phone: Zip: 92627-2355 Phone: (714) 953-5444 License: 568560 Eng: Address: Phone: ISSUED BY Slatus: �ISSUED Applied: O6/18I2002 Issued: 06/18/2002 Phone: Zip: License: license: SCOPE OF PERMIT TEAR OFF COMP ROOF AND APFLY NEW COMP SHINGLES. INCLUDES HOUSE AND ATTACHED GARAGE. Plan Check: $0.00 Permit: $57.05 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $57.55 SET6ACKS MAINSTRUCTURE Front 0-0 ACC SSORY Front 0-0 PARKING Existinq: 0 NOTES: Rear 0- 0 Rear 0- 0 Reauired: 0 FEE SUMMARY PLANNING & ZONING Lek 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 si,soo.00 si,soo.00 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, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or If work is suspended or abandoned for a period of 180 days. . ,,� INSPECTIONS: In order for !he work authorizetl under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectiona 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 . 'aasae la�ool WOHKERS'COMPENSAnONDECLARAnON: I hereDy eNrm undei penelry of perjury one ot t�e following declaretions: ❑ I heve end will maintein e ceniflcate ol consent to seN-Insure for workers' compensation, es providad lor by sectlon 3700 of the Lebor Cotle, br the pertortnance of Ihe lor which this pertnit is issued. . I have antl will maint�in workers' compensation insurance, as requiretl �y 5ection�00 ot�e Labor Code, tor t�e perfortnanca of ihe work tor wNc� this pertnit is Issued. My workers' competisatlon Insurance carner antl policy number ere: Carrier: Policy Number: (Triis secNon need not be cromplefed i! the pertnit Is ve/ued et one hundred dollars ($100) or less.) ❑ I cenity that in the peAormance ol ihe work br which this permit Is issued, I shell not employ eny person in eny manner so es to become subject to the workers' compensa[ion laws elifomie, en egree that If I should become sub�ect to the workers' compensetlon provislons of Sactlon 3700 0l Ihe Lebor Cotle, I shell forthwith complywilhthe o j � ApPlicant SlqnaNre: Date: � r 1 �— O� �� WARNINO: FNLURE TO SECURE WORKERS' ODMPENSATION COVERAGE I$ UNLFWFUL AND SW1L1 SU6IECT AN EMPLOYER TOCRIMINPL PENALTIES PNO dVIL FlNES UP TOONE MUNDRED T}qUSAND DOLLARE (5100,0OO�.IN ADDITION TOTHE CQST OF COMPENSATION, OAMAGES 0.5 PROVI�EO FOR IN SECTION 3708OF THE LABOR COOE, INTEREST. AND NTTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby efflrm that I am Iicensed under proNsions ot Chapter 9(commencing with Saction 7000) ot Division 3 of Ihe Business and Pmfessions Code, and my license is in full force end ottect. Lic. x Class a Gontrector's Signature. Date: CONSTRUCTION LENDING AGENCY: • ❑ I hereby aHirtn that there is a construction lending agency for the peAortnanca of ihe work for w�ich ihis permit is issued. (Sec. 3097, Civil Code). Lenders Neme: LBnderS Address: Signe�ure: � Da�e: OWNER-BUILDER DECLARATIONS: I hereby atllrtn thet under penalry of perjury lhat I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Business entl Professians Cotle: Any ciry or counry which requires e pertnii to consiruct, alter, improve, demolish, or repflir eny structure, pdor to its iuuance, elso requires Ihe applicam foi such permit to tile a signed statement thet he ar s�e Is licensed pursuant to ihe provlsions oi the Comractors �Icense Lew (Chepter 9(commencing with SecNon 7000) of Dlvision 3 of ihe Business end Proteuions Code) or t�et ha or she is axempt therefrom end the besis for the allagetl e:emption. Any violation oi Sectlon 7031.5 by any applicant for e pertnit subjects Ihe epplicant to a civil penalry ol not more than tive hundretl tlollars ($500).): ❑ I, es owner of the property, or my employees with wages as t�eir sole compensation, WILL DO THE WORK, and the structure Is not intendetl or otfered lor sale (Sec. 7044, Business and Pmfessions Code: The Coniractors License Law tices not apply to an owner of pmperty w�o builds or impmves thereon, and who does such work himself or herself or Ihrough his or her own employeas, providetl thet such improvements ere not Intentletl or oflered for sale. If, however, ihe building or improvement is sold within one year of completion, !he owner-builder will hava t�e burtlen of proving ihat he or she ditl not builtl or improve lor purpose of sele.). ❑ I, es owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the prqett (Sec. 7044, Busines5 and Professions Cotle: The contractors License Law Does nm epply to an owner of property who builds or Improves thereon, end who contracts for such pro�act with a comractor(s) license pursuant to the Conirectors Licensa Lews.). ❑ I am axempt under sec. Business antl Professions Code for ihis reeson: Signeture: Date: Owner ID veriFietl by drivefs Ilcensa. ❑ Yes ❑ No Drivers License No. EKpires: Venficetion oi Owners�ip by (type ot Aocument, i.e. - pmperty tae hlll or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hereby ceNfy that no excavatlon tive (5) or more feet in depth Into which a person is required �o Aescen4 wlll be made In conneciion with work authonzetl 6y this permil, and ihat no 6uiltling siructure, scalloltlinq, falsework, or tlemolition or dismantling thareoi. will be more then ihirry-six (38) teet high. (Chap. 32, Grp 2, ArI 2, Sec. 341, Tltle B, Califamia Adminisiretive Code). ❑ As owner-huilder, I will not employ enyone to do work which woultl require e permit from the Division of Indusirial Safery, es noted above, unless such person has e permit Io do such work from ihe tlivision. Signatura: Date: Division of Indusirial Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUiNORVA710N OF ENTAY: I certi(y untlar penalry of perjury that I have read this applicetion end slate Ihat Ihe infortnetion given is correct I agree to comply with all stete laws end city ordinances releling to building consiruction, and authorize representatives of ihe Clry of Costa Mesa to enter upon iha ebove-doscnDed property for inspection purposes. I egree not to occupy or ellow accupency of eny building euthorized by this Dermit until finel inspection. ✓�• natur\egal Owner(s) nn n) 0 n Date ��v' _ �{�� And/OrAuthon d Applicant Date 40oE t. INSPECTIONTYPE 1616 Fiaed System Final Fira Praventlon 1266 Paal Spe Finel 200 Flnel Re-Root 201 Flnel BIocWRetaining Wall 202 203 Final Fectory Fire Place Final Sign 206 Finel Demolition PA7E INiIiIpLS � � rol � 40DEj INSPELTIONTYVE 208 Final Mechanical 208 Flnal Plumbing 270 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy D�re It�Li