HomeMy WebLinkAbout598 WENDY LN - Building Permits' CITY OF COSTA MESA
BIIILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
pia� �sa-sz�a • Fax (714) 754-4856
BUILDING PERMIT
JobAddress: 598 WENDYLN
Suite:
Vicinity:
Parcel Number: 42214309
App�icant PATRICK GRAY
Address: 07112 E.CHESTNUT
SANTA ANA CA
Owner: BRIDGE, CHRISTOPHER J
Address PO BOX 77928
COSTA MESA, CA
Contracmr: YOUNGS ROOFING CO., INC.
Address: 01112 E. CHESTNUT
SANTA ANA CA
Zip: 92701
Arch :
Address:
Zoning:
Phone: 714-753-5444
Zip: 92701
Phone:
Zip: 92627
Phone: 714-753-5444
License: 568560
En9:
Address:
r'
:
PERMIT NUMBER
B00-00079
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 01/19/2000
Issued: 01/19/2000
ISSUED BY: �
� Phone: Phone:
Zip: � License: License:
• SCOPE OF PERMIT
INSTALL 1 LAYER 30 YEAR COMP OVER EXISTING 1 LAYER COMP.
Plan Check: $0.00
Permit: $54.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $54.50
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0-0
PARKING existinq: o
NOTES:
FEESUMMARY
��
Rear 0- 0
Rear 0- 0
Re uired: 0
PLANNING 8 ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0-0
Right 0- 0
s�,soo.00
s�,soa.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expira and become void if work is not commenced within 180 days, or if work is suspended or abandoned
Ifor a period of 180 days.
INSPECTIONS: In order foi Ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
Irequired inspeetlona end finel approyal must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARA710N:
I hereby aHirm under penalty of perjury one of the following tleclarations:
❑ I have and will maintain a certificate of wnsent to self�lnsure for workers' compensation, as providetl for by sedion 3700 of the Labor Code, for the pertormence of the
wark br which Ihis permit is issued.
�I have and will maintain workBrs' compensation insurance, as required by section 3700 of the Labor Code, tor tha peAormence of the work for which mis permit is issuetl.
My workers' compensa�ion Insurance Cartier and policy number efe: .� G 3 C% S p OOO �
Carner: Policy Number.
(This secfion need not 6e completed il fhe permit is valued ef one hundred dollers ($100) or less.)
❑ I certiry that in the pertortnance of the work for which this permit is issuetl, I shall not employ eny person in any manner so as ro become subject m the workers'
compensation laws of Califor t, d a rae th i should becoma subjact to the workers' compensation pmvisions of S ction 3 00 of Iha Lebor Code, I shall forthwith
com provision . � % / �� �d
Ap � t Signatur � ` a—"D te:1
WARNI � L1RE TO SECURE V (ERS' C+IPENSAT N CAVERA IS UNLAWFUL AND SMALL SUBJECT AN E LOVER TO IMI L PENALTIES AND QVIL FINES UP TOONE HUNDPED
SANDDOLLAPE�S100.000),INADDITIONTOTHECO OFCAMPE SATION,DAMAGESASPRWIDEDFORINS OFTHELABORCADE,IMEREST,ANDATTOPNEY'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aflirm Ihat I i license untler pmvisii
force and-ef�ct-Eic71'-
CONSTRUCTION LENDING AGENCV:
(commencing with Section 7�t Division 3 oi the
Date:
�
Code, antl my license is in full
❑ I hereby attirtn ihat ihere is a constmction lending agency for ihe peAormance of the work for which Ihis permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lender's Atldress:
Signature:
Date:
OWNER-BUILDER DECCARATIONS��
I hareby aHirm that under penalty ol'perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and ProFessions
Code: Any city or county which requires a permit �o consimct, alter, improve, demolish, or repair any simcwre, prio� m its issuance, also requires the applicant for such permit
to file a signed statemem thet he or she is ticensed'pursuant to the provisions of the Contrac�ors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the
Business and Protessions Code) or ihat he or she'�is exemp� therefrom and the basis for ihe alieged exemption. Any vioiation of Section 7031.5 by any epplicant for a permit
subjects the applicant to a civil penalty ot not more than five hundretl tlollars ($500).):
❑ I, as owner of the property, or my employees with wages as iheir sole compensetion, WILL DO THE WORK, and the stmcture is not intentled or oHeretl for sale (Sec.
7044, Business and Professions Coda: The Contractors License Law tloes not apply to an owner of property who builtls or improves thereon, and who does such work
himself or hersetl or �hrough his or her own employees, prov'ided �ha� such improvements are not intended or oRered for sala. If, however, �he building or improvement is
sold within one year of completion, the ownervbuilder will have the burtlen of proving that he or she ditl not build or improve f6r purpose of sale.).
❑ I, as owner oi Me property, em EXCLUSNELV CONTRAC7ING WI7H LICENSE� CONTRAC70RS to consimct the prolect (Sec. 7044, 8usiness antl Professions
Code: The coniractors License Law does not epply to an owner of pmperty who builtls or improves thereon, antl who contracts tor such pmjec� with a coniractor(s)
license pursuant to the Comractors License Lews.).
❑ I am exempt under sec.
Signa[ure:
Owner ID verified by drivers licanse. ❑ Ves ❑ No
Business and Professions Code for ihis reason:
Venfication of Ownership by (typa ol document, i.e. - propehy tax bill or deed):
Driver's License No.
Date:
Expires:
DIVISION OF INDUS7RIAL SAFETV PEHMIT CERTIFICATION:
❑ I herehy cenify that no excavetion five (5) or more feet in tlepth inm which a person is requiretl to descend, will be made in connection with work authorizetl by Ihis
permit, and ihat no builtling structure, scaHolding, falsework, or demolition or dismantling thereot, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle B; California Administretiva Code).
❑ As ownervbullder, I will not employ anyone to do work which would require a permit irom ihe Division of Industrial Safety, as noted above, unless such person has a
permit to do such work from the division.
SignaNre: - , Date:
Division of Induslriai Satery Permit Numbar
ICERTIFICATE OF COMPLIANCE AND AU7HORIZATION OF EN7HV: I certi(y under penalty of perjury ihat I have read Ihis applica�ion antl sta�e lha� the informa�ion given is I
correct. I agree to comply with all state laws and city ordinances relating to building consimction, and authorize representatives of the Ciry of Costa Mesa to emer upon the
above-tlescribed property for inspection puryoses. I agree not to occupy or allow ocapancy ot any building authorized by Ihis permit until final inspection.
CODE Y. INSPECTIONTYFE
1616
1266
Fiaetl System Final Fire Prevention
Pool Spa Final
200 Final Re-Roof
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demoiition
2d46 d6
o� nrtma�s
�
COpE 1 INSPECTION TYPE
20fi Pinal Mechanical
208 Final Plumbing
210 Final Electrical
212 Finai Pire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
Date
OATE IMRIRLS
� �� 45828
T -:•
COSTA MESA BUILDING-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 82G28
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For Applicant to Fill in
BUIIDING
OWNER
MAIL
c�rv Santa Ana
corsraucnorr
— Use Ink Only
No '751-9930
BRANCH
ADORESS
ARCHITECT TEL.
ORENGINEER A_D_S. NO. E1Q%
e,,,,oG�� 447 E. 7th St. - Costa Mesa
nooaess1720 E. Garry Ave.,/ Ste 118
TEL.
��T� Santa Ana 92705 N�• 751-
STATE C1TY
LIC. NO. LIC. NO.
oF�or 22x54 + 3x24 �� �
USE OF
Separate permits aro required (or
electric, plumbing end heating work.
OF BUILDING AND WORK TO BE PERFORA
I �eraby xknowladps Met I �ava r�etl Mis apPllcetion aM sten
that Mo eGova Informetlon i� corroct on� eprea to comply wIM
all lewt rpulOtlnp bullClnp tOnsvuCtlon, en0 I �hall not an0�0y
any parton In vioktlon of tTe workman's eompanptlon law, Of
Me Smta of Cellfotnie.
I �areby certify Mat I am plopnly Ile�nmO m e conaector unAa
tne Stnts ot Califwnie Busfnan entl Vroteasioro Cotle. DIvl:ion 3,
Chapter 9, en0 Mat wch Ileanra ere In full force entl effxt, w I
em axamp< from Me prOvislon State of Californla Buflnaw
antl Profesalons Cotla Diviqon , Chnp r 9. �
Sipnaturo of
Parmltteo �
AuthorizeE Awnt
9231 4/14/78 84065 TL
9231 4J14J78 84o65CKTD
9231 OOI IQ4458 28 I A
APPUCATION FOR STRUC7VRAL PERMIT
A.P. NO. 115-3Z1—E%
BUILDING
ADDRESS i��z n�__i
John R. Davies & Son
r-
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ROM
v.na
VALUATION
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FT.
BEf. MAIN d
NOC�. eLO65.
� i ��0327=�
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SMOWN UNDER VALUATION IS FOR
IF ESTABL61/1N0 A VERMIT FEE ONLY:
PERMIT FEE 3
d'L OLAN CMECK t Z� �
TA% t �� ( O
TOTALPAID f
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GOSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
7110 6/27/78 127.00 TL
APPLICATION FOR STRUCTURAL PERMIT
For Applican[ ro Fill in Comple[ely — Use Ink Only
RECEIVEDBV DATERECEIVED DATEISSUED
9UILDING
ADDRESS
PERMIT NO.
OWNER A.P. NO.
MAIL BVILDING
ADDRE55 ADDPE55 .
TEL. TRACT LOT BLOCK
CI7�' NO.
Cp(JSTRUCTION 0 P
LENOEF
BRANCH �
OWNER
A DDR ESS VALUE
ARCHITECT TEI. E
OR ENGINEER
FIRE
ADDRESS 20NE TVPE GROUP
APPROVED
CONTRACTOfi BV DATE
AOPRESS
TEL. ZONE NO.OF USE OF NEW
CITV NO.
PLANS BUILDING
STATE CITY �ARDSAPPROVED VARDSAPVROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSOR�' BUILDING
S12E NO.OF BLOGS. IFFOM C/L STREET)
OF LOT NOW ON LOT ROKf FT. GT.
USH OF
EXISTING BLDG. FT
Separate permits are required for L SIDE FT. FT.
electric, plumbing and heating work.
REAF FT. FT.
USE OF BUILDING AND WOflK TO BE PERFORMED DLSTANCE BET. BEf. MAIN &
MAIN BLOCS. ACGESS BLDGS. �
VAR.# DATE
G.U.P.# APPROVED
APPROVE�
I haraby acknowlatlpo thet 1 have reatl thla appllcation entl stnta �
Mat tha above informatlon Is corract entl apree to comply wiih �
oll lews regulatinp bulltllnB eonstruction, entl 1 zhall not employ �'
any perwn In vlolation at Me workman's compensatlon lawa ot �
t�e Staie ot CalHornle.
ro
I horoby certHy that I am properly Iicanzetl ae a contrector untler SQ. FT. N
Mo Sieta of Californla Businesa entl Professlons Cotle, Dlvlslon 3, THE AMOUNT SHOH'N UNOER VALUATION IS FOR m
Choptar 9, ana chat such Iicenees era in iull force antl effect, or 1 THE PUFPOSE OF ESTABL4SHING A PERMIT FEE ONLY� �
am Bxempt from tha pravlelons of the SCete ot Cellfornia Businau VALUATION PERMIT FEE E �
antl P�ofesslonz Cotle, Divislon 3, Chaptar 9. �i+
�
$�g�eture of PLAN CHECK S ^
0
Parenittea S TAX S`� f
U
Aut�orizatl Apent TOTAL PAID E