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Home My WebLink About3210 DAKOTA AVE - Building Permits(774) 754-5273 • Fax(714) 754-4856 CITY OF COSTA MESA BUILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT �ob Address: 3210 DAKOTA AV Suite: Vicinity: HOUSE & GARGE Parce� Number: 13908503 Applicant: BRUCE, JOHN T Address: 3210 DAKOTA AVE BUILDING PERMIT Zoning: PERMIT UMBER • 99-01366 77 FAIR DRIVE, COSTA MESA, CA 92626 ISSUED BY: Stalus: ISSUED Applied: 08/26I1999 Issued: 082611999 , . Phone:` (714)557-7594_ COSTA MESA, CA . � � Zip: 92626 � ' _ Owner. BRUCE, SUZANNE ELIZABETH �- �� Address 3210 DAKOTA AVE � � � � , � � � - � , . . � � � . Phone: . . -. � • \ . /,.'-COSTA MESA; CA� • . � Zip: 92626� � _ .- - � - � �' Contractor: � . " - '.� -. � Address: � � �, , . . � � Phone: � ' � � � � �i Zip: ' � Licensei Arch : Address: 2ip: Phone: License: : ' � . . Eng: � . - ' Address: Phone: - -� License: � � SCOPE OF PERMIT � ' • �� REROOF - TIO, INSTALL 12" PLYWOOD SHTG, 1 LAYER 30# FELT, 8 NEW 40 YEAR COMPOSITION SHINGLE ROOF. FEE SUMMARY Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $97.25 $0.50 $0.00 $0.00 $0.00 $87.75 SETBACKS MAINSTRUCTURE Front 40 ACCESSORY . - Pront 0. 0 PARKING Existin : 0 NOTES: Rear 40 Rear 0. 0 Required: 0 PLANNING & ZONING Left 0. 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation Right a o Right 0. 0 sa,000.00 sa,000.oa NOTICE: The work authorized by ihis permit shall comply with ell applicable handicap access requirements under Califomia statutes and relatad regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced wilhin 1 BO days, or if work is suspended or abandoned � for a period of 780 days. � INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and ell requlred Inepactione and final epprovel musl be oblained. Failure to obtain Inspeclions and �inal approval will result in the expira[ion of ihis permit. FOR INSPECTIONS CALL: (714) 7545628 WORKERS' COMPENSAnON DECLAiiAnON: 1 hereby aHirm under penalry of perjury one of Ihe lallowing declarations: ❑ I have and wlll meintaln e certllicete ot consent ro self-Insure lor workers' wmpensetlon, as pmvitletl for by sectlon 3700 of the Lebor Cotle, lor the pertortnance ot the work for which this permit is Issued. O I have and wlll maintain workels' campensation Insurence, as requlretl by section 3700 of the Labor Code, for the pedormance of Ihe work for which ihis permlt Is issuetl. My workers' compensetion InBurenca carrier and policy number are: Cerder: Policy Number: (Th/s section need not be comp/efe0 i/ the permif75 velued e( one huntlretl tlollars ($100J or IessJ ❑ I cenity Ihat In Ihe peAormence oi the work for which t�ls permlt is issued, I shall not employ eny person in any menner so es to become suhject to the workers' compensation laws of Califom�a, end egree thai if I should become suD�ect to the workors' compensetion provislons of Section 3700 ai t�e Lebor Cotle, I s�all fotlhwith compty wit� t�ese provisions. Applicant Signeture: Oale: WARNING: FAILURE TO SECURE WORKERS' WMPENSATION COVERAGE IS UMAWFUL AND SHP11 SUBIEGT AN EMPLOYER TO CFIMINAL PENALTIES M1D dVIL FlNES UP TOONE HUNDRED TMOUSAND DOl1AHE (5100,000). IN AUOmON TO TNE ODST OF COMPENSATION, DAMAGES AS PROVIDED FIXi IN SECTION 3]OB OF THE LABOR CODE, INTEREST. ANO ATTORNEVS FEES. LICENSED CON7RACTORS DECLNiATION: I hereby eMirm ihat I em IicenseA undar provisions at C�epter 9(cammencing with Sectlon 7000) of Division 3 of Ihe Business entl Professians Catle, entl my license is in full forco antl eHecL lJc, M Class a ConlrectoYs Signature:^ Date: CONSTRUCTION LENOING AGENCY: ❑ I hereby aHirm ihat l�ere Is a cansWction lendinq egency tor Ihe pedarmence ol ihe work for which t�is permit Is issued. (Sec. 3097, Clvil Code). Lender's Name: Lenders AdCress: SignaNre: Dete: OWNER-BUILDER DECLARA710NS: I hereby eHirm that untler penalry ol perjury ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Prafessions Code: Any ciry or county which requi�es a permit to construct, alter, Improve, demolish, or repeir eny siructure, prior to its issuance, also requires the epplicant far such permit to tile a signed stetemem that �e or she is licensed pursuant to the pmvisions of the Contractors License Law (C�epter 9(commencing wlth Sectlon 7000) 01 Division 3 oi Ihe Business and Professions CoAe) or thel he or she is exempt Iherefrom and lhe basis br ihe alleged eaemption. Any Wolation ol Seciian 7037.5 Gy eny flpplicant tor a permit subJects the appllcent to e ciNl penalry oi not more than frve hundretl ddlars (5500).): ❑ I, es owner ol the properry. or my employees with wages as their sole compensation. WILL DO THE WORK, antl the structura is not intentled or offerad for sale (Sec. 7044, eusiness and Professions Cotle: The Coniractors License Lew does nat eppty ta an owner oi property who builds or improves ihereon, antl who dces such work himself or harsetl or thraugh his or her own employees, pmvided that such imprwemenis ere not intended or ottered for sale. tl, however, the building or improvement is sold within one year of complelion, the ownerbui�tler vrill have the burden of proving thal he or sha did not build or improve tor purpose of saleJ. ❑ I, as owner ol t�e property, am FJ(CLUSIVELY CON7AACTING WRH LICENSED CONTRACTORS to construa t�e project (Sec. 70a4, Business and Pmfessions Code: The conirectors Licensa Law does nm appty to en ownar of property who builtls or impmves thereon, end who wntracts for such pmject with a contractor(s) license pursu�nyto Ihe ComraC�g�s License Laws.). ❑ lum Owner IC�erified 6y drivef5licen5e. ❑ Ves ❑ No Business entl Profeuions Code for this reason: of Ownership by (lype of documeni, i.e. - property taz blll or deed�: Drivels Licenso No. Date: DIVISION OF INDUSTRIAL SAFET' PERMI7 CERTIFICATION: ❑ I herehy certity t�et no excavgtion live (5) or more feet in tlep�h Into which e person Is required to descend, wili be matle In connection with wark euthorized by Ihis permiL entl that no building structure, scallolding, felsework, or demali�ion or tlismantling ihereof, will 6e more Ihan thirty-six (38) feet hlgh. (Chep. 32, Gry 2, Art 2, Sec. 341, Tltle 8, Californie Adminis«ative Cada). ❑ As ownar-builtler, I will not employ anyone to do wark which woWa requlro a permit Irom the Divlsion of Industdal Sefery, es noted ebove, unless such person has a permit to tlo such work from Ihe division. Signeture: Date: Division al Industrial Selety Partnil Number: CERTiFlCATE OF CO IANCE AND AUTHORVA710N OF ENTAV: I cartity under penalry ot par�ury ihat I have read this appliwlion entl stata that the intortnation given is correct. I egree mply w all std�e jI '�� d ci � rdinances rela�ing to bull0ing construction, end euthonze representetive of Ne Ciry of Coste Mesa to enter upon the ebove-tlesc' �ro erty �spect{o� �Po gree not to acupy ar allow occupancy al any bullding euthodzetl by Ihls�lt umll nel inspection. �� ,�6 �� Sig aW�e Ot Legal Owner(s) � Dete And/Or Authorizetl Applicant CODE 1. INSPECTIONTYPE te18 Finotl System Final Fira Pre�ention 1266 Paal Spa Finel 200 Final RaRoof 201 FIneI BIaWRelaining Wall 202 Final Fectory Fire Plece 203 Final Sign 204 Finel Demolitlon 2dd&d8 PAIE ItI�lELS LODE� MSPECTIONTYPE 206 Final Mechenicel 20B Final Plumbing 270 Final Eletlriwl 212 Final Fire Preveniion 220 Final Planning Approval 222 Final Sita 250 Final Builtling/Occupancy QSIE INL1fIAl5 �07 75 - TRACT 3625 � ��.�'0'0 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 C08TA MEBA. CALIFORNIA For Applicanf fo Fill In Complefely TYPE OR PRINT Z�O DAKOTA �Ja7iCE — C05TA MESA. CALIFORNIA MAIL �555 PLACENTIA AVENUE ADDRE55 c�,n, NEWPORT BEACH N�.� 6-3zz7 ARCHITECT TEL. �55�J PLACENTIA �1VENUE ' 6TATE 6l j 95 rE�. M l 6-3227 LIC. NO. NO. neZE nr iiOX � 00 I wo;.,oPue�oac. � BBTBACK LIN6 FnOM O 1 REAR YARD zo' CENT6N OP BTtEeT 61DE YARO I LEFY �' I RIGHT J' I DESCRIPTION OF WORK BUILOING f� NO. OF 81ZE �`� SF ROObtS STORIE6 � EXTERIOR WALL STUCCO I RooF %��OD SH I NGLES COVERING COVERING UBE OF BUILDINO AND WORK TO BE PERFORMED SINGLE-FAMILY RESIDENCE AND ATTACHED GARAGE PLAN �-CR ,t r FEE RECEIUED ...�-� s-�3-�_0 FINANCE DEPT. APPLICA7I�N FdR��ER1vtITE� C BUILDING-. _•.. 6'� �For Office Use Only RECEIPT NO. � PCRMIT NO. COSTA MESA. CALIFORNIA FIRE ZONE APPROVED ZONING IONe�% NO. OP t16H OR NEW U^ I Pl.hNB 'BUILDING/J. � /U �a,.t —> .�r —� ,._ -r . YARD6 APPROVED fCENTCR LIN6 6T.1 / � 7 4� � � DATE S 1 HEFBBY ACKNOW�-EDGB TNAT 1 HAVE PGD T1118 I�PPLIGTION {�! AMOUM BHOWN UNDER VALUATION 19 FOP TXE ANO BTATB TMAT YM8 ABOVE IS CORR¢GT AND AGRCe TO COM- pUPPOSE OP EBTABLIBHING A PERM�T FEE ONLY. PLV WITM ALL CIT' OIiDINANGE9 /J!D 6iATE LAW9 RBOULATN6 Bu1lD�N6 COxBTRVrnoN. VALUA710N �y� � 81GNATURE OF PERMIT FEE $ � PERMITiE /// S " (�/� �� PLAN CHECK S ��/ AUTHORIZED AGENT � - CCM. ��'"�� r—(,�..� i n a�