HomeMy WebLinkAbout594 WENDY LN - Building Permits�= � CITY OF COSTA MESA . '— j
° BUILDING DIYISION
' --
F DEVELOPMENT SERVICES DEPARTMENT
� PERMIT PER T NUMBER
��
698-01758 `�
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
�obAddress: 594 WENDYLN
Suite:
Vicinity:
Parcel Nunmber: 42214310
Applicant: HAUSER, JENNIFER
Address:
Owner: SLAMA, TIMOTHY M
Address 594 WENDY LN
COSTA MESA,CA
Contractor: J D JONES ROOF CRAFTER
Address: 8941 WALKER ST
Arch I Eng :
Address:
CYPRESS,CA
Status: ISSUED
Appliedt 09(2911998
Issued: 09/29/1998
Zoning:
Phone:
Zip:
Phone:
Zip: 92627
Phone: 714-826-4822
Zip: 90630
License: 435996
Phone:
Zip:
License:
SCOPE OF PERMIT
REROOF OVER EXIST. 1 LAYER COMP. WITH 30 YEAR COMP.
Plan Check: $0.00
Permik $40.25 _
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $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
Calc Valuation: $i,�5o.00
: � Claim Valuation: $i,�so.00
,
PLANNING & ZONING
Left 0. 0 Right
Left 0• 0 Right
Pr000sed: 0
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 penod of 180 days. -
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapeotiona end 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
WORKI(qS' COMYENSATION DECLARATION: ' � �
I hereDy ettirtn untler penelry ol perjury one of the following tleclerelions:
❑ I heve entl will meintain e certiticate ot consent to selt-Insure tor workers' compensation. as provided for by sectlon 3700 oi ihe Labor Cale, for the pertortnence of the
work tor w�ich lhis permit is Issued.
❑ I heve end will melntein workers' compensation Insurance, es requiretl by sectim 3700 ot the LaDor Cotle, lor the pertormance of the work lor which this pertnit is issuetl.
My wor�9rg' comp9nsatlon Insurance canier end policy number are: 2US— ZV �
carrier: J��.c% � rl Gi Policy Number:
(This sectlon need nof be comp/efed il the permif is ve/ued a1 one hundred dollars ($100) oNess.)
❑ I certiy thet in the performance of the work tor which this permit is issued, I shall not employ any Derson In eny manner so as to become sublect to the workars'
compensation e-oF681itornie, end egree thet If I shoultl become subject to the workers' compensatlon proWsions ot Section 3700 of the Lebor Cotle, I s�ell forthwith
complyw' ieseprovl Ia,s. / � �_�.�j_ rj�`
Applicant Sig �y Date: <� 7 7J
WARNINO: FAILUPE TO CUR ORKER ' WMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJEGT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDflED
TFIOUSPND OOLLARE 100 ), IN A�DRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOil IN SECfION 3)Ofi OF THE LABOR CODE, IMEREST, AND ATTORNE`f5 FEES.
IICENSED CONTRACTORS DECLARATION:
I hereby eHirtn thet I am Ilcensetl under provisi<
torce end enecc �ic. x �f 3S 99ro
Conlrectols SignahH6�=�-. �1
of Chepter 9(commencinq with Section 7000) of Division 3 oi the Busin ss e Professions Catle, end my license is in full
oia55» �-S°q
7 Date: �_� _ � B
CONSTRUCTION LEI�OJMG AGENCV:
❑ I heraby ettirtn that thera is a conswction lending egeno/ br Ihe perfortnance of Ihe work for which this permit is issued. (Sec. 3097, Civil Code).
Lenders Neme:
Signature: _
OWNER•BUILDER DECLARATIONS:
Landers Address:
De�e:
I hereby eHirm ihet untler penalry ot perjury thet I am El(EMPT FROM 7ME CONTRACTORS UCENSE LAW tor ihe following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requlres e pertnit to consiruct, elter, Improve, demolish, or repalr eny sUucture, pnor to its issuence, also raquires the epplicent for such pertnit
to tile e signetl 5tetement I�eI he ar sha is licensed pur9uant to the provisions of the Contractors License Lew (Chapler 9(commencing with Section 7000) of DIWSion 3 of the
Business end Professions Code) or that he or she is e:empt therelrom and the basis for the alleged e:emption. Any violatlon af Section 7031.5 by any eppliwnt for a permit
sub�ecis the epplican� to e civil penalry of not more than five �unAretl dollars (5500).):
❑. I, es owner of the properry, or my employees wiih wages es iheir sole compensation, WILL DO 7HE WORK, end Ihe structure is not intended or oHered for sele (Sec.
7044, Business antl Protessions Code: The Conirectors LJcense Lew does not apply to en owner ol property who builds or improves lhereon, entl who tloes such work
himself or herseN or Ihrough his or her own employees, proNded thet such improvements are not intentled or oMeretl tor sele. H, hawever, the builtling ar improvement is
sold wit�in one yeer ot completion, the owner-builtler will heve Ihe burden ot proving t�at he or she Citl not 6ulltl or Improve for purpose ot sale.).
❑ I, as owner oi the property, em EXCLUSIVELY CONTRACTING WIT}I LICENSED CONTRACTORS to ConStruC1 the project (Sac. 7041, Business entl Professions
Cade: The contrectore License Lew tloes not apply to en owner of properry who builtls or improves thereon, entl who contracts tor such prolect wlth a comractor(s)
license pursueM to the Gontrectors License Laws.).
❑ I am exempt under sec. Business and Protessions Code for this reason:
SignaNre: Date:
Owner ID verifietl by tlnveYs license. ❑ Yes ❑ No Drivels License No. Expires:
Vadllcatlon oi Ownership by (rype of document, i.e. - property lex bill or tlaed):
DIVISION OP INDUSTRIAL SAFETV PERMI7 CERTIFICATION:
❑ I hareby certlfy �ha� no eacevatlon �Ive (5) or more teet In depih Into whic� a person is requiretl to descend, wlll be made in conneblon wilh work euthodzetl Dy Ihis
permit, and thet no bullding structure, scaHolding, telsework, or tlemolition or dismantling thereof, will be more Ihen ihirty-six (36) feet high. (Chap. 32, Grp 2. Atl 2. Sec.
341, Title 8, Celifomle Atlminlstretive Code).
❑ As owneo-builtler, I will not employ anyone to tlo work which would requlre a permit tmm the DMsion of Indusinal Setery, es noted above, unless such person has a
permit to do such work trom the tlivision.
Signature: Date:
Division of Industnal Sefery Permit Number:
CERTIFlCA7E OF COMPLIANCE AND AUTMOROATON OF ENTHY: I certify under penalry of perjury that I have read this epplication and state that the infortnetion qiven is
conect. I egree to comply wlih ell stete laws end ciry ordinances relating to building construdion, antl euthorize representetives of ihe Ciry oi Costa Mese lo enter upon the
ebove-describetl property tor inspection purposes. I agrae not to occupy or allow occupency ot any Duiltling authorized by Ihis permit until final inspection.
COOE �.
1616 d System Finel Fire Prevention
1266 Pool Spe Finel
200 Finel Re-Raol
201 Finel BIocWRelaining Well
202 Finel Fectory Fire Plece
203 Final Sign
204 Flnal Demolitlon
2446J8
UAff Itf�ll5
/0-�-5'� � u/
�Qp[� IMSPELTIONtYVE
206 Finel Mechanicel
208 ' Finel Plumbing
210 Finel Elecirlcal
212 Final Fire Prevenlion
220 Final Planning Approval
222
250
Final Sita
Final Building�Occupancy
9-2�ie Q�
Date
--1� • 45829
COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
9232 4/14/78 106084 TG
929� 4/14/7B 106o84CKT0
g�32 OU004�:5829 �A
APPLICATION FOR STRUCI'URAL PERMiT
For Applicant to Fill in Completely — Use Ink Only
RECEIVED BV DA E HECEIV DA E ISSUED
ADDRESS }9�3 Ma �2-AiLE.i3UE� �
OWNER A.P. NO.
115-321-67 `E
BUILDINO G
ADDFE55 P. 0. Box 1558 AODRESS
aTv $anta Ana No�'751-9930 TRACT �or e�ocK
CONSTRUCfION
LENDER
X
BRANCH
OWNER
ADDRESS
Sin le famil unit vn�ue p
ARCNITECT TEL. 9 Y S
OR EN INE R -
447 E. 17th St. - Costa Mesa "RE
AODRESS 20NE TVPE � GR U
APPROVED
CONTRACTOR BY DATE
ADDRESS 1720 E. Garry Ave.ISte ��8
TEL. ZONE NO.OF USE OF NEW
CITV NO. PLAIS 2 BUILDINO
STATE CITY YARDSAPPROVED YARDSAPPROVED
LIC. NO. UC. NO. MAIN BUIIDING ACCESSOP`� BUIIDING
SI2E NO.OF BLDGS. (FFOM C/L STR
OF LOT NOW ON LOT FT.
"SE °F G 4
ExISTING BLDG.
Separate permits aro required for L T Fr.
electric, plumbing and hea[ing work.
REAR FT.
USE OF BUILOING AND WORK TO BE PERFORMED A DISTANCE BET. BET. MAIN &
/+ Mq�N BLDGS. ACCESS. BLOCaS.
Single family townhouse with 2 car cuo� E- -/�Roveo -�9
APPROVE�� p,� �..a3 .�g
I horeby acknowletlpa Net I �evo ned MI� ep011catlon antl rtota
that the ebova Informotion I� correct antl npraa to comply with
all lew� ropulotlnp bulldinp conRruCiion, antl I'hell not emD�oy
ony parwn In vlolatlon of No wo�kman'� companfaUon tewt of
Me Stete of Celifornle.
I �a�aby certlfy thet I em propa�ly Ileanptl af e aonveetor untlm SQ. FT.
tho Stnte Of Celltornle Buainen entl Pralwiont Coda, Dlvlsion 3, THE AMOUNT SHOWN UNDER VALUATION IS fOR
Chap��r 9, antl thet �uch Ilcenw� aro In full foree end effect, or I TNE PURPO6E OF ESTABLISMING A VERMIT FEE ONLV:
am exempt from Me O�a����o�o tem of Cell�ornie eu�lnaq VALUATION PERMIT FEE 3
ontl Protealons Cotle, Di/vlsion Chept/// 9.
r / � /� � PLAN CHECK f � �
SIO�eture of u �
Parmittoe ��`� � / S [—'N� TAX S
L,J V
Authorized /�Bent / TOTAL PAID 5 �
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71,09 6/27/7B 160•00 TU
C05TA MESA BUILDING-SAFETY DEPARTMENT �
P.O. BOX 7200 COSTA MESA. CALIFORNIA 926T6
APPLICATION FOR STRUCI'URAL PERMIT
For Applican[ to Fill in Completely — Use Ink Only
RECEIVEDBV DATERECEIVED DATEISSVED
BUIL�ING /
ADDRESS ��
PERMIT NO.
OWNER A.P. NO.
MAIL BUILDING
ADDFESS ADDRESS
TEI. TRACT LOT BLOCK
CITV NO.
CONSTPUCTION W '4
LENDER
BRANGM /�
OWNER if � � '
ADOflESS
VA E
ARCHITECT TEL. S
OR EN INEER
FIRE
ADDRESS ZONE TVPE GROUP
APPROVED
CONTpACTOR BV DATE
ADDRESS
TEL. ZONE NO.OF USE OF NEW
CITV NO. P�'� 8U1���'
STATE CITY �'ARDSAPPFOVED VAROSAPPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OF BLDGS. (FROM C/L $TREET)
OF LOT NOW ON LOT ROM FT. FT.
USE OF
EXISTiNG BLDG. T
Separate permits are required for L SIDE F7. FT.
elec[ric, plumbing and heating work.
REAR F?. FT.
VSE Of BUILOING AND WORK TO BE PERFORMEO DISTANCE BET. BET. MAIN & 1
MAIN BLDGS. ACCESS. BLDGS.
VAR.qW Q4TE
G.V.P.� APPROVED
APPROVED
I herabV acknowledpe Shat I have read this applicetlon antl ctata V'^
thet thB ebove Information is correct entl agree to comply with m
ell laws reg�laSinp builtlinB <onstr�ction, antl 1 shall noi employ �
eny pa��� �� �Iolatlon of Me workmen's compensallon laws ot m
Me Staro af Californla.
m
I hareby cartify t�at 1 am proparly Ileenxed as a eoniractor untlor SQ. FT. w
tha Steto of Callfornie eusinev entl Profazalona Code, Divislon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
C�epter 9, antl that sueh Ilcenses are In full torea end oifect, or I THE PURFO6E OF ESTABLSHING A PERMR ' ONLV �
am exempt from the provlelons of the Stata of California Bualness
VALUATION PERMIT FEE S
entl Pro}oasione Cotle, Dlvlslon 3, Chapter 9. in
m
� PLAN CNECK S ^�
SIO�etule o} �
Permittea g TAX E LL
f
U
AuthorlieEAOent TOTALPAID S