HomeMy WebLinkAbout408 BRIGHTON SPRINGS - Building Permits(774)754-5273 • Fax(714)754-4856
CITY OF COSTA MESA
BUILDIN6 DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
JobAddress: 408 BRIGHTONSPRINGS
Suite:
Vicinity:
Parcel Nunmber: 93786025 Zoning:
Applicant: CRANK, JIM
Address: 126 COMMERCIAL WY . � . . ,
- , � ,Phone: 949-548-5569 - -
COSTA MESA CA- ��, � Zip: 92627
' /
owner. CONCORD EXECUTIVE SERVICES
Address 18 TECHNOLOGY DR � � � -
/ �,- #704 � � .� - � .Phone: 99-453-4400_ -
/ , -, �IRVINE, CA . j , . - Zip: 92618-2350 � � _
i / -
�
Contractor: � CRANK BROSHERS ROOFING CO
'Address: 126 COMMERCIAL WY
� „ , Phone:, 949-548-5569
- . COSTA MESA CA
� Zip: 92627 License: 408677 �
Arch : �� , � _ ' Eng:
Address: � � ' - Address:
, � , , � Phone: . .
' ,
. � Zip: � � License:
SCOPE OF PERMIT
� TEAR OFF AND INSTALL 8UR OVER THE CARPORT AND GARAGE ONLY.
� FEE SUMMARY
Plan Check: � $0.00
� Permit: $57.05 ` � �
SMIP Res: $0.50 - � /
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $57.55
SETBACKS
ACCESSORY
PARKING
NOTES:
Front 0- 0
Front 0- 0
Existina: 0
Rear 0- 0
Rear 0- 0
Required: 0
PLANNING & ZONING
LeN 0- 0
LeR 0- 0
Proposed: 0
� ��
PERMIT NUMBER
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 0812 3/1 9 99
Issued: 0812 3/1 9 99
ISSUED BY: `
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
Phone:
License:
$1,589.00
$1,589.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inepeetlone and final epproval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION DECLARATION: '
I hereby eHirtn untler penalry ol perjury one of the lollowing declarations:
❑ I heve and will meintain e certificate oi consent to self-Insure for workers' com0ensation, as providetl for by section 3700 0l tha Lebor Code, for the pertortnance oi t�e
work for which t�is permit is Issuad.
�I �ave entl will melntaln workers' compensa�ion insurance, as requlred by section 3700 ot the Labor Code, tor the peAortnence oi the work foi which this permit is issuetl.
My workers' compensetlon Insurance carrier and policy number ere:
Carner. Policy Numher:
(ihis sectlon need nof be compleretl i! fhe permlf is velued af one hundred dallers ($100) or IessJ
❑ I certify Ihat in the peNor ce ol Ihe work for w�ich ih�i ermit is issued, I shall not employ any person in eny manner so es to becoma suDject to the workers'
nsatlon laws of Celif end agree that It I s eifGecome sub'� ct ro the workers' compensation provis�l Ls ot Sectlon 3700 of ihe Labor Code, I shall forthwith
y wi se provision � / Y"�� �..�
plicant Signatu . �ate:^-7�' V��
URE TO S RE W KERS' COMPENSATION COVERAGE IS UNLAWFUL ANO SHALL SUBJECT MPLOVER TO CR AL PEM NqLTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSPNDOOII.ARE(St ADDITIONTOTHECOSTOFCOMPENSATION,DPMAGESASPROVIOEOFORIN�ELABORCODE,IPIrEREST,ANOATTORNEYSFEES.
LICENSED
I hereby aj
9(cammencing with Section 7000) of Di�3 of
�fF�areby aflirtn that Ihere is a constructlon IenCinq eqency for Ihe peAortnance of the work for which ihis permit is issuetl. (Sec. 3097, CNiI Cotle).
Lendefs Neme: Lenders Address:
Signature:
OWNER-BUILDER DECLARATIONS:
Dete:
and my license is in tull
I hereby eNirtn ihat under penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Professions
Cotle: Any ciry or county which reQuires a permit to consiruct, alter, improve, demolish, or repair any structure, prior Io its issuance, also requires Iha applicant for such permit
to file a signed s�atement ihat he or she is licensed pursuem ro the provisions of the Contrectors License Law (Chepter 9(commencing with Sectlon 7000) ol Dlvislon 3 oi Ihe
Business and Professions Cotle) or Ihet he or she is exempt theretrom end the basis for the allegetl ezemption. Any vlolation of Sectlon 7031.5 by eny applicant tor a pertnit
sublecis ihe epplicant to e civil penalry ot not more t�en five hundred dollars ($500).):
❑ I, as owner ot the pwperty, or my employees with wages as their sole compensation, WILL DO THE WORK, and the strucmre is noi intentlea or ofrered br sale (Sec.
7044, Business and Professions Code: The Contrectors License Law does not apply to an owner of property who builtls or Improves thereon, end who does such work
himself or hersell or ihrough his or her own employees, provitled ihat such improvements are not Intended or offered for sale. If, however, the builtling or improvement is
sold within one year of completlon, the owner-builder will have t�e burtlen of proving ihat �e or she did not build or improve for purpose of sale.).
❑ I, as owner of the propehy, am E%CLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Catle: The wntractors License Law tloes not epply to an owner of property who 6uilds or impmves thereon, entl who contrects for such project with a contrector(s)
license pursuant to the Contractors License Lews.).
❑ I em exempt under sec. Business and Professions Code for this reason:
Signa�ure: Date:
Owner ID verifiad by driver's license. ❑ Yes ❑ No Driver's License No.
Verification of Ownership by (type of document, i.e. - property tan bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
Expires:
❑ I hereby certiy thet no excavation live (5) or more feet in depth into which a Oerson is reduired to descend, will be metle In connactlon with work authonzed hy ihis
permi6 end that no building stmcture, scattolding, falsework, or demolition or dismantling thereof, will be more then thirry-six (36) teet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Ttla B, Celilomia Administretive Code). .
❑ As owner-builder, I will not employ anyone to do work which would require a permit trom ihe Division of Industrial Safety, es noted above, unless such person has a
permit to do such work trom the division.
SignaWre: Date:
Division ot Indusirial Safery Pertnit Number:
CERTiFICATE OF COMPLIANCE AND AUiHORiZATION OF ENTAV: I certity under penaly of perjury that I hava read this application and state that the information given is
wrrect I agree to comply with all state laws and city ordlnances relating to builtling construction, and authonze representatives of ihe City of Costa Mesa to enter upon the
ehove-descrfhgtl property tor inspection purpases. 1 agree not to occupy or allow occupancy ot any builtling authonzetl by ihis permlt until final Inspection.
F�i7�1�lr.Ej���i[•r.ui��
7616 Fi:etl System Finel Fire Preventlon
1266 Pool Spa Final
200 Finel Re-Roof
201 Final BIxWRetaining Wall
202 Finel Fectory Fire Plece
203
20a
2a4646
Final Sign
Finel Demolition
QA¢, IMffIALS
� ��
COUE� INSPECTIONTYVE
206 Final Mechenical
208 Final Plumbing
210 Final Electrical
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupancy
� TIN RIpLS
9
,�,�¢ 400;oz�o�i� o�� OF, �o �
� 5 26 7/10/79 16.84 T��
COSTA MESA BUILDINGSAFETY DEPAR7MENT APPLICATIONaFOR STRUCTURAL PERNI� � �
P.O. BOX 7200 COSTA MESA, CALIFORNIA 92626
RECEI VED 8Y AERMIT �
For AppGcant to Fill in Completely — Use Ink Only
BUILDING A.P. NO./�,� � ��3�— L �J
ADDRESS ,
BUILDING �{O •
OWNEq OR �q D. Janes CO . Iric . nooRess
TENANT �
MAI LI NG UN IT O R
aooRess z950 Airway Ave ., D-9 SPACE NO.
T9 NO LOT BLK.
cirv Costa Mesa 92626 No`979-337 /QSv2- �'07�-
NEW ADD ALTER REPAIR MOVING DEMOLISH
CANSTRUCTION N/A � -�
LENOER
BRANCH Y'
� OWNE
AODRESS � ^ JfALUE
""`'"""'' Sam ieri I1
OR ENGINEER P � g
ADDRE55 17922 Sky Park, T
GONTFACTOR Owner
ADDRESS
TE�.
CITY NO.
STATE C1TY
IIC. NO. LIC. NO.
SIZE Irre INO.OF9LOG5. rn
OF LOT g• NOW ON LOT 7'
USE OF
EXISTING BIDG. (�
Separate permits are required for
etectric, plumbing and heating work.
USE OF BUILOING AND WORK TO BE PERFORMED
att
I hereby acknowletlBa thet I have �eetl t�is application entl rtate
that Lhe above IntafTetiOn if <OftacS anC eB�Oe t0 cOTply with
all laws regulatlnp builEing conrtrue2ion, and I shell not employ
any perwn in violaiion of tha workmon's campensatian laws of
the Staie of California,
I herabvi certify 2hat I em pro0erly licansetl os a conxrattor untler
ina State of Callfornia eusiness and Profeuions Cotla, �ivision 3,
Chapter 9, and t�at such licenses are in full fmce anE eifect, or I
em exempi frp the provislona of Sha $tate af CalltOrnie Business
and Pro+assions oda, ision 7, Chepier 9.
Signaiure of
Permirtee
or �
.au�horizetl , t Date
APPROVED
APP RO V E D SETBACKS
REAR � FT.
PIAIVNING ACTION
DATE // / 3 ,
APPROVED
4PPRQY�IJ/ /J �r � I DAT / � �v �
�� r.�
;�r, � <..,; �-.. __, ��... �-.,.:.�,�.,-�
m
i
m
m
SQ. FT. �`+
J
THE AMOUNT SHOWN UNDEP VAIUATION IS FpR m
THE PVRPOSE OF ESTABLISHING 4 PERMIT FEE ONIY: b
0
VALUATION PERMIT FEE E N
n
PLANCHECK 5�' ��-1 �
l!/
5 ZI�I 7UL.� TAX E( S� "$ f
�" U
TOTA� PAIO E 3�/...l•Z r
r
OWNERM. D, JANES CO3 INC.
'JOBADDRESS 408 Briqhton 5
GENERAL CONTRACTOR
AP No. LO7 25
� INSPECTIONS
SOIL
GAS
wnTER
ROUGN PLUMBING
PROP. SWR. LINE � HOUSE CON.
SPRINKLING SYSTEM
MISCELL�NCOUS
ROUGM HEnTING ANO nIR COMOIT�ONING
TEMPOR4FY SENVICE OR POLE
UNOERGROUND [�1 FOWER G
ROUGM WIRING
TRENCHES FORMS STEEI AEINI
FLOOR SYSTEM
BONO BEAM I—'I STEEL REINFORCE ❑
$MERiMING
FRAME AND FLR5MING
LATMING — IN OUT
PLASTER,BNOWN C04T
STRUCTUA4L. FINAL
HEPTIN0. VENT., AEFRIG. �NO �.C., FIN�L
DATE �u cy-/7
BUIIDING PERMIT N0.
TRACT 10525 FIRE ZONE
SUBCONTRACTOR