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Home My WebLink About813 JENNIFER LN - Building Permits(714)754-5273 • Faz(��a)�sa-aess • www.ci.costa-mesa.caB.UILDING PERMIT JobAddress: H13 JENNIFERLN Suite: Vicinity: STAIRS FOR UNITS B AND C Parcel Number: 41812117 Applicant: HARPER, RON Address: 8726 S SEPULVEDA BL SUITE 2011 LOS ANGELES, CA Owner: HALE, ANITA TR Address 70TIDEWIND IRVINE, CA Contractor: NATIONAL DECK & STAIR Address: 8726 S SEPULVEDA BL SUITE 2011 LOS ANGEL�S, CA Zip: 90045 Arch : Address: Zoning: R3 R3 Phone: 310-342-0004 Zip: 90045 Phone: Zip: 92612-3794 Phone: 310-342-0004 License: 763764 Eng: Address: i i rtun unrvc, i.va i i+ m�on, ..�. acom ISSUED BY: Status: ISSUED Applied: 01/27/2004 Issued: 01/27/2004 Phone: Phone: Zip: License: � License: SCOPE OF PERMIT REPLACE AN EXISTING WOODEN STAIRWAY WITH PRECAST STAIRWAY FOR UNITS B AND C IN AN EXISTING TRIPLEX. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $72.31 $111.25 $0.50 $0.00 $0.00 $0.00 $184.06 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORV Front 0-0 PARKING Existinq: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 �en o- o Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 Sa,soo.00 $4,500.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 7, 12•27-92) EXPIRA710N: This permit shall automatically ezpire and become void if work is not commenced within 7B0 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 appliceble codes, antl all required Inspectlons antl final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 ta+aas �eioo� WORKERS' COMPENSATION DECLARATION: 1 hereby attirm under penalty of perjury one of the lollowing tleclaretions: � ❑ I heve and will Fneintain a cenificate of consent to self-Insure tor workers' compensation, es provitled tor by section 3700 of the Labor Coda, lor the peAormance of the w or which this pertnii is issuetl. I have antl will maintain workers' compensation insurence, as required by secNon 3700 ot Ne Labor Code, Por Ihe perfortnance of he work for which this pertnit is issuetl. My wo e`�4en Insur ce cerner entl policy number ere: �/ p q� �J Cartier. _.�� Policy Numbar: (O� � !/ �d`('/OJ (This section need no! be comp/eted i the pemut is valued at one hundred dollars ($700J o� IessJ ❑ I cerlity Met in the peAortnance ol the work tor which this permit is issued, 1 shall not employ eny person in any manner so es lo become subject to Ihe workers' compensation laws oi Califomi end ree t t i I shoultl become su6�ect to the workers' compensation provisions ol gggeciion 37 0 oi the Lebor Code, I shall forthwith comply with Ihese provisi . I 1 I^� p 0� Applicanl Signefure: � Dete: �I�`L � WARNINQ: FAILURE TO SECURE WORKERS' COMPENSATION C EPAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPIOVEP TO CPIMINAL PENALTIES AND IVIL FINES UP TOONE HUNORED THOUSANDDOLLARE(5100.0OO�,INNODRIONTOTHECOSTOF PENSATION,DAA4IGESASPROVIDEDFORINSECiIqJ3]O60FTHElABORCOOE,INrEREST,ANDATTORNE`fSFEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirtn that I am li ed n r prov sions of C�apter 9(commencing with Section 7000) of Division 3 ot Ihe Business and Protessi9nj Cotle, and my license is in full lorce entl ettect. Lic. N Class q C�J� � l7L�L' 1 Contractofs Signature: � � Dete� � —1 /1L �rGTI—CT"7'-- e � CONSTRUCTION LENDING AGENCV: ❑ 1 hereby aNirm that there is a construction lending agency for the pertormance of the work br which this permit is issued. (Sec. 3097, Civil Cotle). Lentler'S Name: Lentler's Adtlress: Signeture: OWNER-BUILDER DECLARATIONS: Date: I herety aftirtn that under panalry ot perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7037.5, Business end Professlons Gotle: Any ciry or counry which requires a permit to consiruct, alter, improve, tlemolish, or repair any sWCWre, prior to its issuance, also requires the applicant tor such permil to file e signetl siatement that he or she is Iicensed pursuant to ihe provislans al the Conirectors License Lew (Chapter 9(commencinq with Secllon 7000) ol Division 3 oi Ihe Business end Protessions Code) or that he or s�e is exempt therefrom and the basis for Ihe alleged exemption. Any violatian of Section 7031.5 Dy eny epplicant for a pertnit subjects the epplicant lo a civil penalty at not more than five hunOred dollare ($500).): ❑ I, as owner of the property, or my employees wlth wages es iheir sole compensation, WILL DO T1E WORK, and iha strucWre is not inientlea or oNeretl for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does noI apply to an owner ot property who builds or improves thereon, antl who tloes such work himsatl or hersalf or Ihrough his or her own employees, provided that such improvemenis are not intandad or oHered for sele. If, however, Ihe building or improvement is sold within one year of completion, the owner-buiider will heve the Ourtlen of proving Ihat he or she did not build or improve for puryose of sale.). ' ❑ I, as owner oi the properry, em EXCLUSNELY CONTRACTING WITM LICENSED CONTRACTORS to consimci the project (Sec. 7044, Business entl Professions Code: The contractors License Law does not epply to an owner ot propeny who builtls or improves thereon, ana who contracts for such project with a comractor(s) licen5e pur5uant to �he Coniractors License L9ws.). ❑ I am exempt untler sec. Siqnature: Owner ID verified by dnvars license. ❑ V65 ❑ No Business and Professions Code tor this reason: Venfication of Ownership by (rype of daument, i.e. - property ta: bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Drivefs liCense No. Date: Expires: ❑ I hereby certify Ihat no excavation five (5) or more feet in depth Into whlch e person is required to descend, will be mede in connection with work euthorized by this permit, and that no building stmcture, scalloltlinq, felsework, or tlemolition or tlisman0ing thereot, will ba more then Ihirty-siz (36) feat high. (Chep. 32, Grp 2, An 2, Sec. 341, Tile B, Califomie AdmInlSlrailve Code). ❑ As owner-buildar, I will not employ enyone to do work which would require e permit trom Ihe Divislon of IndusMal Satety, as notetl above, unless such person hes e pertnit to do such wark from the diNsion. Signeture: Date: Division ot Industnal Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AUfHORIZA710N OF ENTRV: 1 certify under penalry of perjury thet I have read this application and stete that ihe information given is wrrect I agree to comply with ell stete lews end city ordinances releting to builtling consiructlon, end euthodze representatives of the City of Coste Mesa m enter upon Ihe ebove-descnbed property lor inspedion purpases. I egree not to acupy or allow occupancy ot any building authonzad by �his pertnit umil final inspection. CQOE 1. INSPECTIONTYPE 1616 Fized System Final Fire Preveniion 1266 Pool Spe Final 200 Finel Re-Root 201 Final Block/Retaining Wall 202 203 Final Factory Fire Place Final Sign 204 Final Demolition Pdlf ItIIIIlELS CODE� INSPECTIONTYPE 206 Final Mechanicel 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy D�� Date PAIE 2'2"'a w�. (714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIF ORIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 813 JENNIFERLN Suite: Vicinity: ROOF Parcel Number: 41812117 Applicant: WAYNE CAMPBELL Address: Owner: HALE, ANITA TR Address 70TIDEWIND IRVINE, CA Contractor. PEACE ROOFING Address: 888 COTTONWOOD ST CORONA,CA Zip: 92879-3062 Arch : Address: Zoning: R3 R3 Phone: Zip: Phone: Zip: 926123794 Phone: 909-7361430 License: 712823 Eng: Address: Phone: Stalus: ISSUED Applied: 04/21/2003 Issued: 04/21/2003 Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF EXISTING. INSTALL OSB BOARD SHEATHING, 30 YEAR, COMPOSITION SHINGLES FOR TRI-PLEX. 28 S�UARES. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $0.00 $139.25 $070 $0.00 $0.00 $0.00 $139.95 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existin : 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $7,000.00 s�,000.00 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 expire and become voitl if work Is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inapections 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 zaacee ��roo� WORKERS'COMPENSATION DECLARATON: " I hereby effirtn under penalry of perjury one of the following deGarelions: ❑ I have entl will maintaln e certificate of consent to selt-Insure br workers' compensalion, as proNded tor by section 3700 of the LeDor Code, tor ihe pertortnence of the work for which this permit is Issued. ❑ I have end wlll mainialn workers' compensation insurance, as requiretl by section 3700 ot ihe Lebor Code, for tha perfortnance of the work for which this permit Is iuuetl. My workers' cof�pensetlon Insurance carrier and policy num6er are: Carriar: Policy Number: (fhls sectlon neetl nof be compleretl if ihe permit is valuetl ai one huntlretl dMlars ($100) or less.) Fc�rtiy thet In the pedormance of the work for which this permit is Issued, I shall not employ any person in any manner so es to become subject to ihe workers' compensatlon laws at California, end agree that if I shoul0 becoma su6�ect to the workers' compensation provisions ol Section 3700 of the Lebor Code, I shell lorthwith comply with ihesef r�ov�i lons. ? ant�Slgnatura: JGL/�i,�— � Date�z y-� r`v J 'WG2FAILURE.TOSECURE ER$'COMPEN TIONCOVERAGEISUNLAWFULANDSMALLSU6IECTANEMPLOVERTOCRIMINALPENALTIESANDGVILFlNESUPTOONEHUNDRED iM1D DOLLARE (5��). �N ADD(fION TO THE COST OF CdAPENSATION, OAMAGES AS PROVIOEO FOR IN SECTION 3IO60F TNE LABOR CODE, IMERESi, AND NTTORNEVS FEES. IICENSED CONTRACTORS DECLARATION: of Chapter 9(commencing with Section 7000) of DiWsion 3 of t�e Business �C Prq(es�cyons Cotle, end my license is in tull CONSTRUCTION LENDING AGENCV: ❑ I hereby eHirm that there Is a consiruction lending agency lor the peAormance ot Ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Neme: Lender's Adtlress: Signeture: OWNER•BUILDER DECLARA710NS: Date: 1 herehy attirm that untler penelty of perjury that I am EXEMPT FROM TME CONTRAC70R5 UCENSE LAW for the follawiag reasa� (Sec. 7031.5, Busl�ss entl P�ofesslons Coae: Any ciry or counry which requires a pertnii to consiruct, elter, improvo, demolish, or repair eny structure, pnor to its issuance, also requires �he epplicant tor such pertnit to file e signed stetement t�et he or she Is licensad pursuant to �he provisions oi �he Contrectors License Law (Chepter 9(commencing with Sectlon 7000) ot Dlvision 3 ot the Business end Proless�ons Code) or thet he or she is exempt therefrom end the basis br Ihe ellegetl exemption. Any violation of Section 7031.5 by eny epplicant for a permlt subjecis Ihe appllcant �o e civil penalry of not more ihan live huntlretl tlollars ($500).): ❑ I, es owner ol the property, or my employeas wilh wages as ihelr sole compensation, WILL UO THE WORK, anC ihe siructure Is not inientletl or oNered for sala (Sec. 7044, Busineu antl Pmfessions Code: The Con�racbrs Licensa Law Uoes not apply to an owner ot properry who builds or impmves �hereon, antl who does such work himsetl or �erself or Ihrough his or her own employees, pmvided that such impmvemenis are not intended or oflered for sele. If, �owever, the building or improvement is soltl wilhin one year af completion, the owner-builder will have the burden of proving ihat he or sha ditl not build or improve lor purpose of sale.). � ❑ I, as owner oi the Droperry, em EXCLUSIVELY GONTRACTNG WITH LICENSED CONTRACTOHS to construct the project (Sec. 7044, Business and Professions Cotle: The comrecbrs Licensa Law does not apply to en owner ol property who bullds or improves thereon, entl who conirects lar such pmjeci with a contraaor(s) license pursuenl to the Contractors License Laws.). ❑ I am exempt un0er sec. Business end Professions Code for this reason: Signature: Date: Owner ID venfied by dmer s license. ❑ Yes ❑ No Driver's License No. Veniication af Ownership by (type of document, i.e. - property taz 6111 or deed): OIVISION OF INDUS7RIA� SAFETV PERMIT CERTIFICATION: Explres: ❑ I hereby certlfy tdet no excavation five (5) or more feet in depih into which a person is required to descand, will be matle in connec�ion with work euthonzetl by this permit, end ihat no 6uilding simcture, scallolding, falsework, o� demolition or dismantling thereoC will be mora than ihirty-six (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec. 341, Title 8, Celi�ornia Adminisirative Code). ❑ As owner-builtle4 I will not employ enyone to Co work which would require a permit from the Division ot Indusirial Selery, es no�ed ebove, unless such parson has e permit to tlo such work from ihe division. SignaWre: Date: DiWSion of InduStnal Sefe�y Permit Number: CEHTFICATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRV: I certity under penalty ot perjury that I have read ihis application entl state ihet Ihe infortnation given is wrrect. I egree lo corPply with ell stata laws and city or0inances releting to bulltling consiruction, and authorize representatives of the City of Costa Mesa to eniar upon Ihe ebove-described propehy tor inspeclion purposes. 1 egree not lo ocwpy or eitow occupancy of any boiiding authorized by ihis permit oniil tlnel Inspeclion. COOE I. INSiECTION TYPE 1676 Fi:ed System Finel Fire Prevemion 1266 Pool Spe Final 200 Final Re-Root 207 Fina1 81ocWR6taining Well 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition DAIE INTRIALS L�j dj � � CO�E� INSPELTIONTYPE � 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevenllon 220 Final Planning Approvel 222 Final Site 250 Final Building/Occupenry Q8g INTRIRLS F C W G Q h � Z F C w F Q � ..d Q 7 r .� � � a � � a 2 W S 3 4��d3 COS7A MESA BUILDING-SAFE'Si DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUIIDING ___ _ . _ _ ,_ _ _ __ OWNER MAIL CITV CONSTRU�ION BRANCN ADDRE55 CONTRACTOR ADDRE5S CITY STATE LIC. NO. SI2E OF LOT TEL. NO. TEL. NO. CITV LIC. NO. INO.O LBF�DGS NOW ON LOT Separate permits are required for electric, plumbing and hea[ing work. UILDING AND WORK TO BE PERFORMED I hareby ocknowledpe t�et I �eva �eatl th(s eppllcation end rtete ihat tha above information is corteec antl epree to comply with all laws reBuletinp builtllnB construcNon, antl I shall not employ any pars0� �� oletlon of tha workmen'z compenzallon laws ot the Stace of Cnlifornin. I heroby certify that 1 em properlV Ilcensetl os a contractor untler the Stata of Callfornia Businau entl Professionz Code, Dlvision 3, Chepter 9, end that such Ilcanws ara in tull foree antl eftoct, or 1 am ezampt from tha provlsions of tha State of Celifornia B�sineaa nnd Profestlona Code, Divislon 3, Cheptar 9. SIO�ature oi �C!�� Pormltteo �Q �� 'EQ —7_-77�N<�QO 134'+ *ri* 1 S6.S0 APPUCATION FOR STRUCTURAL PERMIT RECEIVED BY DATE FiECEIVED nnTc is<ucr /�1/'%O/ ^O /� O A.P. NOI�/�a, I[,� BUILDING�/� � ADDRES TRACT C W OWNER IC� s E FIRE 20NE T APPROVED BV Z � NO.OF PLAN$ VAflDS APPROVED MAIN BUILDING (FROMGUSTJ9EET) , BLOCK �t y�� VALUE /J/J 7. USE OF VAR DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLD VAR, qW r�� DATE /� C.U.P.�� I �Y.� APPROVE6/- n m SQ. FT � �- J T{/ N THE AMOUNTSHOWN UNDER VALUATION IS FOR m THE PURPp$E OF ESTABLISHING A PERMIT FEE ONLV: � VALUATION PERMIT FEE S a N n �-1' PLAN CHECK E ^ g�/1 0 J � 7nx S • Q:7 u 01� TOTALPAID S � �.3�3� COSTA MESA BUILDING-SAFE�FYDEPARTMENT P.O. 90X 7200 COSTA MESA. CALIFORNIA 92626 „�.a-9-��;;':—;00 Eoe �-*{=233.CG APPLICAT[ON FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEIVED BV DATE RECEIVED DATE ISSUED AD'DRESS 813—A B C Jennifer Iane C.M. PERMIT NO. OWNER �.� S' I A.P. NO. MAIL • BUILOING � c � ADDRESS 136 Rochestes Stseet �+DDRESS � TEL. TRACT LOT BLOCK c�Tv Cpsta Mesa 2 27 "o. 42-4 0 CANSTRVCTION W A %� P LENDER BRANCH ,'/ OWNER S�N/ LL ADDRESS /� � VALUE ARCHITECT TEL. S I/'" S �U OR ENGINEER S — FIRE ADDRESS 136 Rochester St. Costa Mesa ZONE TVPE GROUP APPROVED CONTRACTOR BV DATE ADDRE55 TEI. ZONE NO.OF USE OF NEW CITY NO. PLANS BUILDING STATE CITV �'ARDSAPPROVED VARDSAPPROVED LIC. NO. 281(1$ BZ LIC. NO. MAIN BUI�OING ACCESSORV BUILDING SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT ROM FT. FT. USE OF EXISTING BLOG. � FT FT Separate permits are required for L. SIDE FT. FT. electric, plumbing and hea[ing work. REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCEQ.BLDGS. VAF.qi'+ DATE C.U.P.qW APPqOVED APPROVED I hereby ecknowledBe that I have reatl this eppllcallon ond rtete � that No abova Intormatlon Is eorreet nn� aprea to cOmply wlth � m ell laws repulatlnB buildlnB construction, entl I shell not ampioy � i eny perwn In vlolation of Ma workman's eompenaation lews ot o i�e Smto of Celifornle. I heroby cartliy thot I am propotly Iicansatl as a connactor untlar SQ. FT. H tho Smro of Callfornia Buainesa end Profeulona Cotle, Divialan 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR y� Chepter 9, entl that such Iieenfee era in t�ll faree ontl effaet, or I THE PURPOSE OF ESTABL6HING A PERMIT FEE ONLY: � em exempt from the provlzions of the Stam oi Cnlifornin Business y VALUATION PERMIT FEE antl Professions Cotle, Olvislon 3, Choptar 9. �n m Sipnetura of PLAN CHECK S ^ 0 Parmlttoe � S� TAX S LL f U Authorizatl t TOTALPAID �