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Home My WebLink About590 WENDY LN - Building PermitsCITY OF COSTA MESA ' ° B!/ILDING DIYISION > � � DEVELOPMENT SERVICES DEPARTMENT � � PERMIT PERMIT NUMBER �� B98-01757 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 590 WENDYLN Suite: Vicinity: Parcel Nunmber: 42214311 Applicant: HAUSER, JENNIFER Address: owner: VERNON, BETTY A . Address 590 WENDY LN . ;COSTA MESA.CA . - Contractor: J D JONES ROOF CRAFTER Address: 8941 WAIKER ST Zoning: Phone: Zip: Phone: � Zip: 92627 Status: ISSUED Applied: 09/29/1998 Issued: 09/29/1998 � . � Phone: 714-826-4822 � CYPRESS,CA Zip:�' 90630 ' � License:r 435996 � Arch / Eng : � , � - � , ' Address: - �, � � - . � Phone: _ ,. .. � i Zip: License: SCOPE OF PERMIT •REROOF OVER EXIST. 1 LAYER COMP. WITH 30 YEAR COMP. SHINGLES. Plan Check: Permit: SMIP Res: SMIP Com: � Other: Inspection: Total: $0.00 $40.25 $0.50 $0.00 $0.00 $0.00 $40.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinq: 0 NOTES: Rear 0-0 Rear 0- 0 Reauired: 0 FEE SUMMARY —. , i r PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0-0 $1,150.00 $1,150.00 EXPIRATION: This permit shall automdtically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlona and finel approVel must be obtained. Failure to obiain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (7/4) 7546626 � ✓ WORKERS' COMPENSATION DECLARATION: I hereby aHirm under penalry ot perjury one of the fo,..,ning declaretions: ❑ I have and will maintain a certificate of consent lo self-Insure tor workers' compensalion, as provitletl tor by section 3700 of the Lebor Code, for the pertormflnce of Ihe work for which this pertnit is issuetl. ❑ I have antl will maintain workers' wmpensation insurance, as required 6y section 3700 of ihe Wbor Code, tor the pertortnance ot ihe work for whic� this pertnit is issued. My w�orkLe�rs,'.coIm-pensation Insurance carrier and policy number are: Carner: ��1'�'G��'1G( PolicyNumber: 2�5�-'�-.�i� ('/his section need not be completed i/ the peimit is velued et one hundred dollars ($100) oNess.) ❑ I certiy Ihet in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workere' compensa�ion lews ot Calitornie, and egree ihet If I should become subject lo the workers' compense�ion provisions of Section 3700 of ihe Labor Cotle, I shall forihwith comply with t ns. � j q �Cy Applicant Sig mre: �/�f'— Date: _ _%- Z G"^ /�i WARNINGFAILURETO� CU WO ERS'COMPENSATIONCAVEPAGEISUNL4WFULANDSHALLSUBJECTANEMPLOVERTOCRIMINALPENALTIESANDCIVILFlNESUPTOONEHUNDRED THOUSANDDOLURE,(E1�, ),INADDITIONTOTHECOSTOFCAMPENSATION,DAMAGESASPROVIDEDFORINSECTION3]OGOFTHEUBORCODE,INTEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm thet I am licensetl untler provisic force and effect. Lic. # 5 Coniractols Signatu�G_t�i�� of Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Profassions Cotle, and my license is in tull c�asss G^39 Date: 9 -2Y - �I'p. CONSTRUCTION LEN�HC`a AGENCV: ❑ I hereby aHirm that there is.a wnsimction lending agency for Ihe pertormance ot Ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). � Lendefs Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirtn that untler penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Protessions Code: Any city or counry which requires e permit m construct, alter, improve, demolish, or repair any strucNre, pnor to its issuance, also requires the applicant for such permit to file a signed stetement that ha or she is licensed pu�suant to Ihe provisions of tha Coniractors License lew (Cheptar 9(commencing with Seclion 7000) of Division 3 ot the Business and Professions Code) or that ha or she is exempt therefrom and ihe besis for the alleged exemp�ion. Any violation of Section 7031.5 by any applicant for a pertnit subjecis the applican� to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner ot ihe pmperty, or my employees with wages as their sole compensation, WILL DO THE WORK, and ihe stmcNre is not intentled or oHeretl for sale (Sec. 704d, Business antl Professions Code: The Coniractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herselt or ihrough his or her own amployeas, provitled ihat such improvements are not intended or oHered for sale. If, however, the builtling or improvement is sold within one year ot completion, ihe owner-builder will have the burden of proving that ha or she tlitl not 6uild or improve for purpose of sale.). ❑ I, es owner of iha property, am EXCLUSIVELY CONTRAC7ING WI7H LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions Code: The contractors License Law does not appty to an owner oi property who builtls or improves thereoq antl who contracts for such project with a contredor(s) license pursuant to the Comrecmrs License Lews.). ❑ I am exempt under sec. Business and Professions Code tor this reason: Signature: Date: Owner ID verified by driver's licensa. ❑ Yes ❑ No Driver's License No. Verificatlon of Ownerehip by (type of document, i.e. - properry tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: E:pires: ❑ I hereby certify thet no excavation fiva (5) or more feet in tlapth inro which e person is required to descend, will be mede in connection with work authorized by this permit, antl that no building strucNre, scaRoltling, falsawork, or demolition or dismentling ihereof, will be more ihan thirry-six (36) feet hiqh. (Chap. 32, Grp 2, Ar12, Sec. 341, Title B, California Administrative Cotle). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit from ihe Division of Industriel Safety, as noted ebove, unless such person hes a permit lo do such work from ihe tlivision. Signature: Date: Division of Indusirial Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENfHY: I certity under penalry of perjury thet I heve reed Ihis application and state that ihe information given is conect. I egree to comply with all state laws and ciry ordinances relating to building construction, and authorize represen�atives ot the Ciry of Costa Mese to enter upon the ebove-described property tor inspection purposes. I agree not to occupy or allow occupancy of any builtling authorized by ihis permit until final inspection. COpE t. IN�Vkf.TdINTYPE 1616 Fized System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Finel Block/Retaining Wall 202 Finel Factory Fire Place 203 Final Sign 204 Final Demolition 244fiA6 DAiE U1TID9lS /O-�-R� 6-W Date 9-29-98 Date CO�EN INSPECTIONTYPE 206 Finel Mechanical 208 Finel Plumbing 210 Final Elecincal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy o�rE 1I�dLS �> �:� ` CV�IA MESA BUILDINGSAFETY DEPARTMENT 9233 4/14/78 I�(o8 P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 9233 4/14/78 106oB APPLICATION FOR�STROCi'URAGPERMIT � p For Applicant to Fill in Completely — Use Ink Only RECEIVED BV � DA E RE EIV � DATEISSUED BUILDING �` �� ADDaESS d �2 A�BRLLB l.u�e. � OWNER A.P. NO. 115— — MAI4 BUILDING ADDRESS P .4DDFE55 3 Maple �4ae.�s�r c_ CITV Santa Ana No`.'751-9930 TRACTIO3HE LOTII BLOCK CANSTAUCTION - LENPER X BRANCN OWNER John R. Davies & Son ADDRESS y ARCH�TECT TE �111 le famil U11jLALU$ O ORENGI EER A.D.S. FIRE [/�' ADDRESS 447 E. 17th St. - Costa M ZONE TVPE ROVP JJ APPROVED CON7RACTOR Owner - Builder BV DATE ADDHESS TEL. ZONE NO.OF USE OF NE CITV $dntd And No. 75 _ 3°�2— eui�°i"c � STAYE CITV VARDSAPPqOVED VAROSAPVqOVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDIN� SIZE NO.OF BLDG.^a, (FROM C/l T OF l0T 21 X rJ4 NOW ON LOT ONT FT. USE OF / EXISYING BLDG. (� F Separate permits are required for L 5 DE F FT. electric, plumbing and heating work. REAR FT. USE OF BUILDING AND WOFiK TO BE PERFORMED A DiSTANCE BET. BET. MAIN & /y NIAIN BLDGS. ('� ACCEa BLDCaS. C U P��r�� ✓ I qppROVE�'d 7� �jf garage APPROVE � R � " 6 •� -7� I �araby acknowlatlpa thet I heve raetl thl� epplleetlon antl �tata � thnt the abova Informetio� It corroct entl epree co compiy wIM ell leW� ropulatinp Ouildinp conttructlon, antl I�hell not amploy nny perwn in vlolatlon of Mo warkmen'� eompanution lew� of tha Smte of Cellfornle. T � ( 1 horoby certlty tha[ I am properly Iican�etl ef a conbactor untler S�. FT. ,,,/ � T the Stata of Californla Businen antl Profaalom Cotle, Divitlon 3, TNE AMOUNT SHOWN UNDER VALUATION IS FOR C�eptar 9, entl ihet auch I�cenue ere In tull lorce entl offect, or 1 TNE GURPO6E OF ESTABL6MINO A PERMR FEE ONLV: em exompt from Ma orovlalons Rn tan oi Celifornla Buslnap VALUATION PERMIT FEE S antl P/otasslona Cotle, D vialon 3 apt B. A{ PLAN CHECK 3 5�o�a,�,. o� �D 5e o� a— Parmineo � $ TAX f ji / � Authorizatl Apent TOTAL PAID S �� d r' — 'GOSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626 i i oe � siaiiie:....::.-: ,i,60.00 TI! APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use ink Only RECEIVEDBV DATERECEIVED DATEISSUED BUILDING ADPRESS PERMIT NO. OWNER A.P. NO. MAI L BUILDING ADORESS ADORESS TEL. TRACT LOT BLOCK CITY NO. CppJSTfiUCT�ON A D A fl P LENDER BFANCH OWNER ADDRESS VALUE ' ARCHITECT TEL. S pq NGINEER FIRE ADDRESS ZONE TYPE GROUP APPROVED CONTRACTOR BV DATE ADO%7ESS TEL. ZONE NO.OF VSE OF NEW CITM NO. PLAf�LS BUILDING STA7E CITV VAR�SAPPROVED VAROSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT O�`17 FT. PT. VSE �F ExIST1NG BLDG. FT Separate permits are required for L S DE FT. FT. electric, plumbing and heating work. REAR FT. FT. USE OF BUIIDING AND WORK TO BE PERFORMED DSTANCE BEf. BET. MAIN & � MAIN BLOGS. ACC65.BLOCS. VAR.sW DATE C.U.P.�+ APVROVED APPpOVED � I hefeby acknowled8a thet I have reetl this applicetion antl rtete '^ n ihat the above intormatlon is corract end ag�ee to comply with m nll Im�+s reguleting buildinp consiruciion, antl I shall not amploy � any Garmn in violatl0n of the workman's compensatlon laws ot m the 52ata ot California. � m I �ereby certify that I am pro0orly IlcanseA as a contractor untler SQ. FT. rv tha 5tete of California Business antl Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR � m Chepta� 9, antl Shat such Ilcenses are In full force and eftact, or I THE PURPO6E OF ESTABL6HING A PERMR F NLY: � am axempt from Me provlslonso7the5tateof Celitornie 8usiness VALVATION PERMIT FEE E antl P�ofessions Cotle, Dlvlsion 3, Chapter 9, m SIO�Otura ot PV1N CHECK E ^' 0 Permittee S TAX E LL F U Authorizetl ABent TOTAL PAID E