HomeMy WebLinkAbout398 BRIGHTON SPRINGS - Building Permits:i�
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT
.lobAddress: 398 BRIGHTON SPRINGS
Suite: G004
Viciniry:
Parcel Number: TPN98074 Zoning:
Applicant: ALBERTSON, NOEL
Address:
Owner: BRIGHTON SPRINGS HOA
Address 500 BRIGHTON SPRINGS
� COSTA MESA, CA �
Contractor: `DAVEY ROOFING INC
� Address: 17182 ARMSTRONG AV
, " IRVINE, CA
Zip: 92614
Arch :
Address:
Zip:
Phone:
License:
Phone: 714-822-6304
Zip:
Phone:
Zip: 92626
Phone:. (949)852-9955
License: • 700710
' Eng:
Address:
� : REMOVE OLD ROOF, APPLY NEW METAL, INSTALL
CARPORT. . � ' - - � -
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: , $0.00
Total: . - $97:75
SETBACKS
MAIN STRUCTURE Front 0-0
ACCESSORY Front � 0-0
PARKING Existinq: o
NOTES:
x
Rear 0- 0
Rear 0-0
Required: 0
77 FAIR DRIVE, COSTA MESA, GA 92626
Status: ISSUED
Applied: 10/30/2000
Issued: 10/30/2000
ISSUED BY:
Phone:
License:
�vr� �r rcrcmi i
EW SHEATHING AS RE�UIRED, COVER WITH BUR. 6 CAR DETACHED �
FEESUMMARY
." Calc Valuation: ss,�sa.00
Claim Valuation: Ss;�ss.00
�. �
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
�� � ,-
C, / ,
Righl 0-0, / - .
Right 0-0
NOTICE: The work authorized by ihis 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 expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a pe�iod of 180 days. � •� '-
INSPEC710NS: 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 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
acra (aroo)
WORKERS' COMPENS/j�ION �ECLARA710N:
I hereby eflirtn untler penelty of perjury one ol ihe following declarations:
❑ I heve entl will melMaln e certificate ol consent to selFlnsura for workers' compensation, es provided for by section 3700 of Ihe Lebor Cnde, for Ihe peAormance of the
work for whlch ihis pertnit is issued. �^ :�-
❑ I heve and will maintain workers' compensation Insurance, as required by section 3700 oF Ihe Labor Code, for the peAortnance of the woM for which ihis partnit is issued.
My workers' compensatlon Insurence cerder end policy number are:
Cerrier. Policy Numbar.
(This sectlon need not be completed il the permit is velued et one hundred tlallers ($100) or IessJ �
❑ I cenify Ihat in the pertortnance of ihe work tor whic tNs permit is issued, I shell not emplay any parson in eny manner so es ro becoma suh�ect to the workers'
compensation law t Celifomia, entl agree t et if I ou10 bewme sub�ect to the workers' compensation provisions of Saction y00 of ihe ebor Code, I shell fonhwith
camply with these pr vi ions. `J �'j J V U
Applicant Signatura: Date:
WARNING: FAILURE TO SECURE WORKEFS OMPENSATION COVERAGE IS UNLAWFUT ANO SHALL SUBJECT AN EMPLOVEP TO CFIMIWIL PENALTIES AND CIVIL FlNES UP TOONE HUNDFEO
TFIOUSAND DOLLARE �5100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PFOVIDED FOfi IN SECTION 3]O60F THE LABOR CODE, IFIrEREST, AND ATTORNEY'S FEES.
LICENSED CON7RACTORS OECLAPATION:
I hereby eNirm Ihal I am Ilcensetl under provisions of
lorce end ettect. Lic. N
ContractoYs Signature:
CONSTRUCTION LENDING AGENCY:
9(commencing with Section 7000) of Divislon 3 of the Business antl Professions Code, and my license Is in tull
� Class M
� oa�e: / 5 0
❑ I hereby affirtn that thare is a construction lentling agency tor Ihe peAormance of ihe work for which Ihis pertnil is issued. (Sec. 3097, Givil Code).
Lender'S Neme: Lendefs Address:
Signature:
OWNER-BUILDER DECLARATIONS:
Date:
I hereDy eMirtn that untler penalty of perjury that I em E%EMPT FROM THE CONTRACTOPS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires a pertnit to consiruct, alter, improve, tlemolish, or repair any sWcture, prior to its issuance, also requires the applicam for such permit
lo file e signed statement thet he or she is Ilcensed pursuant to the provisions of tha Cantrectors License law (Chapter 9(commencing with Sectlon 7000) of Dlvlslon 3 ot ihe
Business en0 Professions Cotle) or that �a or she Is exempt t�eretrom anA t�e basis tor the elleged e:emption. Any violation of Sedion 7031.5 by any epplicant for e pertnit
subjeas the epplicant to a civil penalty ot not more Ihan five hundretl tlollars ($500).):
❑ 1, es owner of Ihe property, or my employees with wages as Iheir sole compensation, WILL DO 7HE WORK, and the structure is not inlentle0 or offered tor sale (Sac.
7044, Business and Professions Code: The Contractors License Law tloes not apply to en owner ot property who builds or improves thereon, and who does such work
himself or herself or Ihrough his or her own employees, providetl that such improvements are not intentled or oNered lor sale. If, however, the builtling or improvement is
sold within one year ol completion, the owner-builder will have the �urden of proving that �e or s�e did not build or improve tor purpose oi sele.).
❑ I, as owner of the properry, em E%CWSIVELV CONTHACTNG WITH UCENSED GOMRACTORS to construct the D�aled (Sec. 704a, Business anC Professions
Catle: 71�e cantractars License Law tloes not epply to en owner at property w�o bullds or Impmves Ihereon, end who conirects for such projact with e contractor(s)
license pursuant to Ihe Contractors License Lews.).
❑ I em exempt under sec. Business entl Professions Cotle tor ihis reason:
Signatura: Data:
Owner ID veritietl by dnver's license. ❑ Ves ❑ No Dnver's License No. Ezpires:
Vedficetion ot Ownership by (rype af tlocument, i.e. - properry teu bill or tleetl):
DIVISION OF INDUSTiiIAL SAFETY PERMR CERTIFICATON:
❑ I hareby certily ihet no excavation five (5) or more feet in tlepth into which a person is requiretl to descenQ will be made in connection with work authonze0 by this
pertnit, and that no building sirudure, scaHolding, falsework, or demolition or dismantling thereot, will be more then �hirry-si: (36) feet high. (Chap. 32, Grp 2, An 2, Sec.
341, Ttle 8, Celifomia Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from ihe Division of Industrial Safety, as noted above, unless such person hes e
permit to tlo such work irom the division.
Signature: Date:
Division ot IndustAal Safery Permit Number.
CEHTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENfAY: I certity under penalry oi perjury that I have read this appliwtion anC siate that the inlormation given is
wrrect. I egree lo wmpy with ell stete laws end ciry ordinences relating to builtling construction, antl authonze reprasentatives of ihe Ciry of Costa Mesa to enter upon Ihe
ebovatlescribed properry for inspection purpases. I egree not to accupy or allow ocapancy oi eny builtling authorized by this permit until tinfll insDection.
i WreOtL�egelOwneqs) � ���
�� - / fia1�D
� Antl/Or u honzed Applicant —� Date
WOE t. R15PECiqNTYPE
1616 Fixed System Final Fire Prevenlion
1266 Pod Spe Final
200 Final Re-Root
201 Final BIocWRetaining Well
202 Final Factory Fire Place
203 Finel Slgn
204 Finel Demolition
� lt��
c�/
� ursvernoNrrae
206 Final Mec�anical
20B Final Plumbing
210 Final Electrical
212 Pinal Fire Prevention
220 .Final Planning Approval
222 Final Site
250 Final Buildin<yOccupency
o�re R�lti