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Home My WebLink About3213 DAKOTA AVE - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3213 DAKOTA AV Suite: Vicinity: ROOF Parcel Number: 13908415 npp�icant: KRIS WATSON Address: 2219 W OLIVE AV SUITE 282 BURBANK, CA Owner: DUARTE, VICENTE Address 3213 DAKOTA AV COSTA MESA, CA Contractor: MODERN ROOFING Address: 2219 W OLIVE AV SUITE 282 BURBANK, CA Zip: 91506 Arch : Address: Phone: Zoning: ISSUED BY: Phone: 888311-7663 Zip: 91506 Phone: 949-463-6448 Zip: 92626 Phone: 888-311-7663 License: 807881 Eng: Address: Status: ISSUED Applied: 05/03/2004 Issued: 05/03/2004 Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING ROOF. INSTALL 30# FELT, 30 YEAR COMPOSITION�SHINGLES, AND WILL NOT REPLACE SHEATHING. 24 S�UARES INCLUDES ATfACHED GARAGE. Plan Check: $0.00 Permit: $9725 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAIN STRUCTURE� Front 0- 0 ACCESSORY Fronl 0- 0 PARKING Existino: 0 Rear 0- 0 Rear 0-0 Reouired: 0 FEE SUMMARY PLANNING & ZONING Lek 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0-0 $3,700.00 ss,�oo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 9248, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days, or if work is suspended or abandoned � tor a period of 1 BO days. , INSPECTIONS: In order for ihe work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. j FOR INSPECTIONS CALL: (714) 7545626 'dbfi.4816/00� WORKERS'COMPENSAnGN DECLUiATON: I hereby eMirtn untler penalry af perjury one ot the lollowtng deGarations: ❑ I have and wlll melntein e cenificete of consent to self-Insure for woBers' compensatlon, es pmvltled br by section 3700 ot t�e Labor Code, br the peAortnance of Ihe work for whlch ihis partnit is Issued. I�i I have antl vrill melntaln workers' compensatbn Insurance, as requiretl by section 3700 oi Ihe Lebor Coae, lor the peAormance oi the work for which this pertnit is issuetl. (�' My worke`c' �cpmp�n_eatlon f{�suren_�1e wrrler and poliry number ere: n�i ,.✓) Cartier. JI.G� -,i/ V1[� Poliry Number: _(.�, "i'/ �iq' �V L (Thls secflon need not be completetl i! the permiHs velued at one hundred dWlers (5100) or less.) ❑ I cenity t�et in the peAormence of the work lor which this permit is issued, I shall not employ any pereon In eny manner so as to become sublect to Ihe workers' compensatlon laws ol Celifomle, entl egree that It I should become sub�ecl to ihe workers' compensellon provislons ot Sectlon 3700 0l the Lebor Code, I shall torthwii� comply wlth these pr�ovlsionsc{/�� Appllcant SlgneWre: _ _J� /!� oa�e: S-3—oy WARNIN�: FAILURE TO SECU WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHlLLL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES ANO GVIL FlNES UP TOONE HUNDRE� THWSAND DOLURE (5100,000). IN ADDITIIXJ TO THE COST OF WMPENSATON, OAMAGES AS FROVIDED FOR IN SECTION 3]OB OF THE LABOR CODE, IMEREST, ANO AiTORNEV'S FEES. LICENSED CONTRACTORS DECLAFiATION: I heraby eHlrm thet I am tome entl eNect. Llc. N_ Contractofs Signeture: of Chapier 9(commencing with Sectlon 7000) oi DlNsion 3 of Ihe Business and Professions Cada, erd my Iicense Is In full oia:sa e-39' - Date: S-3—oc/ CONSTRUCTION LENDING AGENCV: ❑ I hereby eHirtn t�et there Is a consiruction lending egency for the pertortnance ot t�e work tor which ihis pertnit is issuetl. (Sec. 3097, Civil Cotle). Lendefs Name: Lendefs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereGy eNirm t�et untler penelry ol per�ury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe Iollowing raason (Sec. 7031.5, Buslness end Prolessions Code: Any ciry or counry which requires e Dermit to wnsWct, alter, improve, demolish, or repelr eny structura, pnor to Its iuuence, also reQuires the eppliwN tor such permfl to file e sipnetl stetement that he or she is Iicensetl pursuant to the provisions ol Ihe ConiractoB LJcense Lew (Chepter 9(commencing with Sectlon 7000) oi DlWsion 3 ot Ihe Business end Professions Cade) or Ihet he or she Is exempt t�eretrom end the besis lor the ellepetl exempiion. Any violatian of Section 7031.5 by any epplicant far e pertnll subjects the epplicant to e civll penelry ot not more then flve hundred dollers (5500).): ❑ I, es owner o11he properry, or my employees with wages es thelr sola compensatlon, WILL DO TME WORK, end the siructure is not Intended or aHeretl for sale (Sec. 7044, Business and Prolessions Code: The Contractors License Lew does not apply to an Owner of property who builds or improves ihereon, and who tloes suCh work �imself or hersell or through his or her own employees, provitled ihat such improvements ere noi Intendetl or offered lor sale. If, however, ihe building or improvement is soltl wit�in one year ol completion, the owner-builder will have �he burdan of proving that he or she did not build or improve tor purpase of sale.). � ❑ I, as owner ot lhe property, em EXCLUSIVELY CONTRACTNG WIT}f LICENSED CONTRACTORS lo consWCl tha prqect (Sec. 7044, Business and Profession5 Code: 7�e contractors License Law tloes not apply to en owner ot pmperty who bullds or Improves thereon, and who contracts tor such prolect wlih e contrector(sj license pursuant to the Comractors License Lsws.). ❑ I em exempt untler soc. Business ena Pmlessions Code tor this reeson: Signature: Date: Owner ID verilied by drivers license. ❑ Ves ❑ No Driver's License No. Vedfication ot Ownership Gy (type o1 tlocument, i.e. - property tas 6ill or deed): UIVISION OF INDUS7RIAL SAFEN PERMR CERTIFICATION: Expires: ❑ I hereby certiy lhat no excavation five (5) or more teet In Cept� Into whlch e person Is required Io descenQ will be made in connection vrith work fluihoAzed 6y Ihis pertnit, entl t�at no Guilding sWcture, scaNWding, talsework, or Oemditlon or tlismentling thereof, will be more than thirty-six (36) feet high. (Chep. 32, Grp 2. Atl 2, Sec. 347, Title B, Calitomie Atlminlstrelive CoCe). ❑ As owner-builtler, I wlll not employ enyone to do work which would requlre e pertnit trom t�e DlWsion oi Indusirial Salery, es notetl ebove, unless such person �as e permit to do such work Irom the division. Signaturo: Date: Divislon of Industdal Safery Pormit Number. CER7IFlCATE OF COMPLIANCE AND AIfTHORRATON OF ENTRY: I cenily under penelry ot per�ury that I have reatl this application end state that the Informetlon given Is correct. I egree to wmply wlth ell stete laws and city ortlinances relating to bullding wnstructlon, entl euthotlze representatives of the City of Coste Mesa to enter upon the abave-descdbed property lor Inspec�ion puryoses. I egree not to occupy or ellow oaupancy of any building euthorizod by ihis permit un�il tinel inspectian. Signai e LegalOwner(s) ��_ AnNOr Aulhonzed Applicanl COOE �. INSPECTIONTYPE 1618 Fixotl System Final Fire Preven�on 1288 Pool Spe Final 200 Finol Re-Rool 201 Flnal BIocWRetelning Well 202 Final Feciory Fire Plece 203 204 Final Slgn Final Domolitlon PlSE II�E15 � � CO�E 1 INSPECTION TYPE 206 Finel Mechenical 20B Finel Plumbinp 210 Finel Electrlcal 212 Final Fire Preventi0n 220 Finel Planning Approval 222 Final SIIe 250 Final Building�Occupanq o�TE It�d15 �oT 63 - TRACT 6z �.�9:��3 COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 877 COSTA ME6M CALIFORNIA For Applicanf fo Fill In Complefely TYPE OR PRINT BUI�oiNG 32i3 DAKOTA AVENUE ADDRE68 C05TA MESh CALIFORNIA oWNER KENKO� CONSTRUCTION C�• MAiL �� (�LACENTIA AVENUE A�DRES6 c�rv NEWPORT BEACH No. MI 6-3� K.W. KOLL GONTRACTOR ADDRE66 � PLACENTIA AVENUE ��,� NEWPaRT BEACH 3TATE 6i �p 5 TEL. M 1 6-3zz7 LIC. NO. l No, SaE 66 x i oo ��. �a a�as. o 98TBACK LJN6 RRON 50 � Z5 � CeNT6R OP BTileeT REAR YARD SIDE YARD I LEFT � I RIGHT � DESCRIPTION OF WORK 'BB=1eLDING i6t�.75F ROOMS � EXTERIORWqLL IROOF ROCK � GARAGE PLAN 2-E � c ._:_� _�:.. : . �'�`�' s-r3-Nc i'I. '' J ,.�,,:i:� � _ APPLICATION FOR PERMIT ,�'. . i':` BUILDING For Office Use Only HECEIPT NO. � PlXMIT NO. BUILOING ADDRE55 COSTA MESA, CALIFORNIA FIRE �eoe� uxe ZOPIING NO.OF UBE OP rurvs '��/�em�mn 3 .. DATE s I � 185UED I HERBBV AGKNOWI.EDGE THAT 1 HAVE RE�D Tl118 APPLIGTION TMg AMOUNT BHOWN UNOER VALUATION 18 FOR THE ANO eTATE TNAT THE ABOV¢ 16 CORRECT AND AGPEE TO COM- PYPP08£ OF ESSABL18HiNG A pEftM1T PE8 ONLY. PLY WITM �LL CITY 06DINANCES AND BTATE LAWB RfiGULATNO BUILDIxo CON �oM. VALUATION SIGNATURB F / PERMIT FEE $ ��'� N PERMITfE $ /(�J /�� pLAN CHECK $ � �' � AUTHORIZE AGE �'`- ""� '"' '�'^� J/�f%- o TOTAL FEE y