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Home My WebLink About818 JENNIFER LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddreSS: 818 JENNIFERLN Suite: Vicinity; RESIDENCE AND ATTACHED GARAGE Parcel Number: 41812119 Applicant: CRANK, JIM AddresS: 126 COMMERCIAL WAY COSTA MESA, CA Owner: BERNARDY, LORRAINE C TR Address 16 BARLOVERTO COURT NEWPORTBEACH,CA Zoning: R3 R3 Phone: (949) 548-5569 Zip: 92627 Phone: Zip: 92663-2359 Contracror. CRANK BROS ROOFING CO INC Address: 126 COMMERCIAL WAY COSTA MESA, CA Zip: 92627 Arch : Address: Phone: (949)548-5569 License: 794724 Eng: Address: Phone: ISSUED BY: Status: ISSUED Applied: 07/22/2002 Issued: 07/22/2002 Phone: Zip: License: License: SCOPE OF PERMIT REROOF DUPLEX: T/O EXISTING WOOD SFIAKE ROOF, 7/16" OSB SHTG, 1 LAYER 15# FELT, APPLY "30-YEAR ELK SHINGLES." 2800 SQ F7 Plan Check: $0.00 Permit: $125.25 SMIP Res: $0.59 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $125.84 SETBACKS MAIN STRUC7URE Fronl 0- 0 ACCESSORY Front 0- 0 PARKING Existin : 0 NOTES: Rear 0-0 Rear 0-0 Re uired: 0 FEE SUMMARY Calc Valuation: $5,ass.00 Claim Valuation: gs,ass.00 PLANNING & ZONING Left 0- 0 Right Lek 0- 0 Right Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related � regula�ions. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commencetl within 1 BO days, or if work is suspended or abandoned for a period of 180 tlays. � 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 inspectlona and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. i FOR INSPECTIONS CALL: (714) 7545626 , 2466d8 (NW) WORKERS'COMPENSAnON DECLARAnON: I hereby eflirm under penalry ot perjury one of the following declarations: ❑ I heve end will mejntaln B Certlficate of cOnsenl to self-Insure lor workers' compensetion, es providetl for by section 3700 of Ihe Lebor Code, lor ihe pertormence ot Ihe work tor w�ich ihls,Dermit Is Issuetl. /' � 1 have and will maintaln wo�kers' compensati nsurance, aSMequired by sectlon 3700 oi the Lebor CoOa, for Ihe pertormance of the work lor which this pertnit is Issuetl. Mv workers' comoeffsetlooJnsurence er entl oollcv nurtlbar are: Carner. � (fhis section ot b a ❑ I certity t t in t per compensat la ol comply with th ro Applicant Signature: WAPNINQ:FAIL TOSE THOUSAN� LI.ARE (5100 LICENSED RACT P I hereby aHirm ihat I am lic torce end eflecl. Lic. q_ CoNrector's SlgnaNra: CONS7qUCTl N LENDI ❑ I hereby vm iht Lentlers Name: Signaturfl: of the work br which i, entl egree Ihet If I� Policy Number: or less.) not employ any person in eny menner so as Io became sublect to tha workers' workere' compensatlon provisians oi Sec[ion 3700 ot the Labor Coda, I shall fo�hwith Date: / ^- 9PpRKERS' CAMPEMS'ATION COVERAGE IS UNLAWFUL ANO SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FlNES UP TOONE HUNDHED IN ADDITION TO THE COST OF COMPENSATION, DAMAGES FS PfiOVIDED FOR IN SECTION 3'lO60F THE LABOR CODE, INTEREST, AND ATiORNEY'S FEES. unAer provisions at with Section 7000) of Division 3 0l the Business and P ofessions Code, and my cense is in full ��eu � r� `� � �� _ Data:_?: — � � �_? p6ENCV: a is e conslruction lending egency for Ihe pedormance of ihe work for which �his permit is issuetl. (Sec. 3097, Civil Cotle). Lentlefs Address: Data. OWNER-BUILDER DECLARATIONS: I hereby eHirm that untler penely of perjury Nat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the lollowing reason (Sec. 7037.5, Business antl Pro�esslons Code: Any ciry or counry which requires a permit to conslrucL alter, improve, tlamolish, or repair any structura, prior to its issuance, elso requires the applicant tor such pertnit to fila e signed statement thet he or she is licensed pursuent to ihe provislans of the Conirectors License Lew (Chapter 9(commencing wllh Sectlon 7000) of Divislon 3 of ihe Business end Professions Code) or that he or she Is exempt theretrom and the besls for the alleged ezemption. Any vloletion oi Section 7031.5 by eny applicant for e parmit subjecis the epDlicant to a civil penalry oi not more then five hundred dollers ($500).): ❑ I, as owner ot the proparry, or my employaes wi�h wages es their sole compensatlon, WILL DO 7HE WORK, antl �hB siructure Is no� intended or oHeretl for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law dces not apply to an owner ot properry who builds or improves thereon, end who does such work himself or herself or through his or her own employees, proviAad thai such improvemems ere not In�ended or oHered tor sale. N, however, lhe builtling or impmvement is soltl within one year ot completion, the owneo-builtler will hava the burtlen oi Oroving that �e or she did not build or improve for purpose ol saleJ. ❑ I, es owner of the property, am EXCLUSNELY CONTRACTING WITH LICENSED CONTRAGTORS to construct the pmject (Sec. 7044, Busineu antl Professions Code: The contractors License Lew does not epply to en owner of propeny who 6ulltls or Improves Ihereon, and who comracis for such project with a comractor(s) license pursuant to iha Contractors License Lews.). ❑ I am exempt untler sec. Business and Professions Code lor ihis reason: Signeture: Date: Owner ID verified by tlriveYs Ilcense. ❑ Ves ❑ No Drivers License No. Veriticetion of Ownerehip by (IypB ot Caument, i.e. - property ta�c bill or dead): Expires: DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICATION: ❑ I hereby certify Ihat no exca�etion five (5) or more feet in depih inio which e person Is requiretl to tlescend, will be matle in connection with work euthonzed by Ihis permit, and ihat no building sWqure, scaHolding, falsework, or demolition or dismantling Ihereo�, will ba more ihan Ihirty-six (36) feet high. (Chap. 32, Grp 2, AA 2, Sec. 341, Ttle B, Califarnia Administretive Catle). ❑ As owner-builtler, I will not employ enyone to do work whic� would require a pertnit from the Division of Industnal Sefery, as noted ebove, unless such person hes e pertnit to do such work from the tlivision. Signature: Date: Division of Industrial Safery Permi� Number. CERTI OF COMPLIANCE AND AUTHORIZATON OF EMRV: I cenify under penelry ol perjury that I have read this application entl state that the information given is correct. gr to comply with a0 stete laws end ci tlinenyps relating to Ouilding constructlon, and euthodze representatives ot �he Ciry at Gosta Mesa to enter upon t�e above-des be property for inspadion puryos ree r�So occupy or allow acupancy oi any building authorized by ihis permit until tlnel'mspection. 7616 Fixed System Final Fire P�evention 1266 Pool Spa Final 200 Final Re-Rooi 201 Final Block/Retaining W dtl 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition •.17��GtltlGial � �� CODEt INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Finel Flre Praventlon 220 Final Planning Approval 222 P1naI51te 250 Final Building/Occupancy s Q�ET It�EL$ . � _ :.� - , C05TA MESA BUILDING-SAFETY DEPARTMENT P,O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicanf fo Fill in Completely — Use Wc Only OWNEP R1CYk1iYl ADDRE55 136 Roc cirv Cpstd M CANSTPUCTION lENDBR UI1�Q1 BPANCH ADDRESS ARCHITECT ,.,_ „ TEL NO. TE PaIG � yyth �Fe —z-77�,;.,00 �36 � 156.5G APPUCATION FOR STRUCTURAL PERMIT ECEIVED BV DATE RECEIVED DATE ISSUEC �/�/D/ _01�07�p3 �cf PERli:�ig.�'1 BUILD�NG ADDPESS OWNER /�ILfIH�IJ ��LG T�� VALUS USE f FIRE ZONE TVPE GRC APPROVED 9v DATE ADDR&�� T E L. NO. OF CITV NO. P�K' � STATE CITY YARDSAPPROVED � LIC. NO. 2g].61H Bl IIC. NO. MAIN BUILDING {,y SIZE �tlO.OF6LDGS. (FROMC(L EET �. OF LOT NOW ON LOT q�.J7' FT Q USE OF .�,� E%ISTING BLDG. y FSepara[e permi[s are required for �. sio r. elec[ric, plumbing and heating work. G REAfi FT. W USE 0i BUILDING AND WORK TO BE PERFORMED F DISTANCE BET. QMAIN 8LDG5. VAF. �+ a / � .LE C.U.P. ' lp' i � APPROVED �' � :C�._ � .:... ::+PE' W � I harebV ecknowledpo thet I heve reed thls eppllcation and state � y� that thB ebova Informetion is corract antl aprea to compiy with d ell lewf re0ufotfnB bu}Idfng co�siruction, and 1 a�all not amploy Z any varwn in violetion of the workman'a compensatlon Inwe of W Mo Staxa of Callfornie. S 3 I �eroby certify that I am properly Iicensetl os a conttector unEer � S�. F the Steta of Californle Businesa antl Professions COAe, Dlvlsion 3, THE AMOUNT SHOI C�epter 9, antl that eueh Iieenaes are In full force nnd efiact, or I THE PURPOSE OF E5 em axampt from cha provislons of the Stata of Cellfornia Businass V AlUAT10N nnd Professlons Cotle Divislon 3, Chaptar 9. SipnotuYo of 7a/ /� w ^ � Permlttea $ `//M�// d(/V AuthoriTe ent USE OF N W BUILDI YAROS A PR ACCESSORV BI & /M�• — ^ m i m '=G�' � !N UNDER VALUATION IS FOR m ABIISHING A PERMIT FEE ONLV: PERMIT FEE 5 � v� n PWN CHECK y m 0 LL TAX E O � u TOTALPAID $ � F C W S Q y y 'S. F •'aR_O-77f.M5rQ'J 60u ua=*233.CC COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 APPLICATION FOR STRUCI'URAL PERMIT For Applicant to Fill in Comple[ely — Use Ink Only RECEIVEO BV DATE RECEIVED DATE ISSUEO ADIDRESS 818—A B C J 'f L7I1 .M PERMIT NO. OWNER j�1 `(1'Ldi'd SeWell IISC. A'P' N�' MAIL BUILDING �/O �N� � ADDRESS 136 Rocl�ester Street ADDRESS Q CITV �OSt3 r']Q$3 92627 No�642-4905 TRACT LOT BLOCK CONSTRUCTION NEW ADD AL P LENDER BRANCM (�� OWNER \J ADDRESS � �' VALU$ � . ARCHITECT TE�. USE OR ENGINEER N — FIRE ADDRESS ZONE TVPE GROUP APPROVED CONTRACTOR acJ]lp�' BV DATE ADDRESS TEL. ZONE NO.OF USE OF NEW CITV NO. P�� BUILDING STATE CITV �'AROSAPPROVED VAROSAPPPOVEO LIC. NO. 28161H B], LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLDCS. (FROM C/L STREET) OF LOT NOW ON LOT RONT FT. FT. USE OF EXISTING BLDG. SI FT. FT. Separate permits are required for L. SIDE FT. FT. electric, plumbing and hea[ing work. FEAR FT. FT. VSE OF BUILDING AND WORK TO BE PERFORMEO DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCESS. BLIX'a5. VAR. # DATE Ti�l IPX Wl�'1 dt.tdC172C1 3id e C.U.P.#�' APPROVED APPROVED 4 I hereby acknowletlpe chat I have reatl this applicaHon entl stata � u r that the above Information Is corract end aBrae io comply with e all lews regulating builtlinp construcHon, entl I shell noc employ / 0 any parson in vloletlon of tha workmen's compensation laws of � the Staie of Celifornie. i haraby certify ihet I em proparly Iicensetl es e conirocior under SQ. F, n the Stete of Callfornle Business antl Professlons Code, Divlsion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ¢ Chapter 9, and Shat sueh Itcencas era In full forca antl eftect, or 1 THE PURPpSE OF ESTABLISHING A PERMIT FEE ONLY: � am exempt from the provislons of tha Stete ot Californie Business VALUATION PERMIT FEE d antl Professions Code, Divislon 3, Chapter 9. / � Signeture of _ PLAN CHECK S � Permittee $ � TAX S � C Autho�izetl Ag TOTA� PAID 5 ��