HomeMy WebLinkAbout822 JENNIFER LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT » FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 822 JENNIFER LN
Suite:
Vicinity:
Parcel Number: 41812120
Applicant: BRANNON, T L
Address: 15161 LAFAYETTE ST , _
WESTMWSTER, CA� �
Owner: ZAFERIS, THEODORE
Address �PO BOX"480506 - -
LOS ANGELES, CA�
Contractor: BRANNON'S F200FING
Address:� 15161LAFAYETTE ST
� WESTMINSTER,CA
Zip: . 92683
Arch :
Address:
Zip:
Phone:
License:
Zoning: R3 R3
Phone: (714)897=8147
� Zip: 92683
i
Phone:
Zip: 9004&1506
Phone:. p14) 897-8147
License:- 609940
' Eng:
� '- Address:
Status: ISSUED
Applied: 08/06/2002
Issued: OS/06/2002
ISSUED BY:
a
EXpZRED
DA'� �O
_ SCOPE OF PERMIT _ .
T/ O SHAKES, INSTALL NEW SHEATHING, APPLY 40 YEAR COMP SHINGLES. �
FEESUMMARY
Plan Check: $0.00 Calc Valuation:
Permit: $9725 - Claim Valuation:
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
�:_ .-
SETBACKS
MAINSTRUCTURE Front .0-0
ACCESSORY Front 0-0
PARKING Existin : 0
NOTES:
Rear 0- 0
Rear 0- 0
Re uired: 0
PLANNING & ZONING
Left 0- 0 Right ' 0-�0
Left 0- 0 Right 0- 0
Proposed: 0 .
Phone:
License:
sa,000.00
sa,000.00
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 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 the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inepections and final approval must be obtained. Failure lo obtain inspections and final approval will result in the expiration of lhis permit.
FOR INSPECTIONS CALL: (714) 7545626
2448d8 (8�00)
WORKERS'COMPENSATION DECLARAnON: ' '
�I hareby efrirm under penalry ot perjury one oi the following declarations:
❑ I ve antl will maintain a caniticate ot consent to self-Insure For workers' compensation, as providetl for by section 3700 of Ihe Labor Code, for Ihe pertormance of the
ork tor which this permit is issued.
I have and will maintain w A� ers' compansaf insurance, a, required by section 3500 of the�Cabor Coda, for the perfortnance of the work for which t�is pertnit is issuetl.
My workere' compen�e I sura ce er d policy n� ber ere: �� �� � J!� �
�Cartier. t � . Policy Numbar. �
is section need not be comple ed i� the permit �s valued af one hundred dollars ($100) or less.)
ertity ihat in tha pedormance of ihe work for which Ihis permit is issued, I shall not employ any parson in any manner so es to becom subje t to the workers'
ompensation laws of alitornia, antl agrae that if I should become subject to ihe workers' compensation provisions oi Section 3700 W e La or Cotle, I shall forthwith
comply with the e pr ions. �- / ("[
Applicant Signature: �G!/F-� Date: ��
WARNING FAILURE TO SECURE WORNEFS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRiMINAL PENALTIES AND p L FINES UP TOONE HUNORED
TFIOUSAN� �OLLARE (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAhNGES AS PROVIDED FOR IN SECTION 3]060F THE LABOR CODE, INiEREST, AND ATfORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm that I am licensetl under pr9VisioPPy��� p r mmencing with Section 7000) of Division 3 of the Business a� Pr°� i "s Coda, and my license is in full
force end ettect Lic. k �� Cless N ��, /,
�,, Comractor's Signature: _ d � Date: /J —
CONSTRUCTION LENDING AGENCV:
❑ I hereby attirtn that ihere is a construction lentling agency for ihe pertormance oi Ihe work for w�ich this permit is issued. (Sec. 3097, Civil Cotle).
Lentler's Name: Lenders Address:
Signature: � Date:
OWNER-BUILDER DECLARATIONS:
I hareby aHirm Ihat under penal�y of perjury Ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Protessions
Code: Any ciry or county which requires a permit to consiruct, alter, improve, tlemolish, or repair any stmcWre, prior to its issuance, also requires the applicant for such pertnit
to file e signad statement thet he or she is licensed pursuant to ihe provisions of the Contractors License Law (Chapter 9(commencing wit� Sedlon 7000) of Division 3 of the
Business end Professions Gode) or Ihat he or she is exempt therefrom and the basis tor the elleqed exemption. Any violation of Section 7031.5 by any applicant for a pertnit
sutilecis Ihe epplicant to a civil penelry of not more than five nundred dollars ($500).):
�� 6') Z
❑�„I,�asiownei of Ihe property, or my employees with wages es their soie compensation, WILL DO THE WORK, antl t�e siructure is not imentlad or offered for sala (Sec.
7044yBusiness'and P,rofassions Code: The Coniractors License Law does not apply to an owner of property who 6uilds or improves ihereon, and who does such work
himself or herseN oi ifirough his or her own employees, provided ihat such improvemenis are not intended or ofleretl lor sale. If, however, t�e building or improvement is
, sold within one year of completion, ihe owner-builder will heve the burden oi proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner ot iha propetly; am EXCLUSNELY CONTRACTNG WITH LICENSED CONTRACTORS to constmd the project (Sec. 7044, Business and Professions
Code: Tha contractors License Lew tloes not apply m en owner of property who builtls or Improves thereon, and who coniracts for such project wit� a contractor(s)
license pursuant to ihe Contractors License Laws.).
❑ I am exempi under sec. Business and Professions Code for this reason:
SignaWre: Date:
Owner ID venfied by tlnvers liCen58. ❑ Yes ❑ No Drivers LiCense No.
Vedfication ot Ownership by (type of document, i.e. - property taz bill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Expires:
❑ I hereby certify that no evcavation tive (5) or more feet in depth into which a parson is required to descend, will be made in connection with work euthorizetl by ihis
pertni�, and that no building siructure, scaHolding, falsework, or demolition or dismanHing thereof, will be more ihan ihitly-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title e, Calitomie Adminisiretive Cotle).
❑ As owner-Duiltler, I wiil not employ anyone to tlo work which would require a permit irom ihe Division of Intlusiriel Safery, as noted aDove, unless such person has e
, pertnit �o do such work trom ihe division.
Signature: Date:
Division oi Intlustnal Safety Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF EMRY: I certify undei penalty ot perjury ihat I have reatl this application and state that the infortnation given is
correct. I agree ro comply with ell stete laws and city ordinences relating to building construction, an0 authorize representatives of the Cily of Coste Mesa to enter upon the
ebove-described property tor inspection purposes. I egree not to occupy or allow occupancy oi eny building authorized by this permit until tinal inspection.
_\�L�/X/ Signa re OF Legal Owner(s) O�/ _ �Ve�
��/ '
AnNOr Authorized Applicanl Date
GOOE I, INSPECTIONTYPE
1616 Fixetl Systam Final Fire Prevention
1266
200
201
202
203
204
Pool Spa Final
Final Re-Roof
Finel BIocWRetaining Well
Final Factory Fire Place
Final Sign
Final Demolition
Qejf INTffIALS
COOE� INSPECTIONTYPE
20fi Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
�g �
CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 9 26 2 8-1 200
DEVELOPMENTSERVICES DEPARTMENT
BUILDING DIVISION
NOTICE OF PERMIT EXPIRATION
June 9, 2003
Theodore Zaferis
P. O. Box 480506
Los Angeles, CA 90048-1506
PERMIT NUMBER (S): B02-01227
FOR: Re-Roof
PROJECT ADDRESS: 822 Jennifer Ln., Costa Mesa
Our records indicate the above listed permit(s) were obtained for property improvements
or alterations at the above address. Per the 1997 Uniform Building Code, Section
106.4.4 Expiration, permits are valid for 180 days from the date of such permit, or the
date of your last inspection for the project and additional fees may be required to finalize
expired permits.
According to our records, the permit(s) listed above have not had an inspection for a
period exceeding 180 days. If you have a signed inspection card indicating an
inspection was conducted within 180 days from the date of this letter, please contact this
office so we may correct our records.
A time extension may be granted if you intend to commence work and complete the
project. Requests must be made in writing addressed to Ed Petros, Chief of Inspection,
at the above address, detailing circumstances and listing an estimated date of
completion. If you need to request an inspection please call our Inspection Request Line
at 714.754.5626. If you do not contact this office within 10 days, your permits will expire
on June 23, 2003.
If you have any questions, please contact the Building Division at 714-754-5273,
between 8:00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. The
accuracy of records affecting your property is our goal and we appreciate your working
with us to resolve this matter.
Sincerely,
��� •.
Mary Jane Weidenkeller
Office Specialist II
BuiMing Division (714) 754-5273 • Cotle EntorcemeM (714) 75A-5623 - Planning Drvision (71A) I54-5245
FAX p14) 754-0856 • TD� (714) 754-52a4 • w�uw.ci.costa-mesa.ca.us
� � . � ..¢�3a3? ..
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applican[ [o FUI in Comple[ely — Use Ink Only
nooRess $22—A B C J 'f C.M
OWNER jjy�3y� S2WQ11 II1C.
ADDRESS 136 Rochester .St'i2e't
TEL.
cirv �� Mesa 92627 No. 642-49
CONSTRUCTION __ . __ _
F
�
[id
L
Q
y
y
S
F
O
[al
F
Q
�
�
Q
7
.r.l
C
W
G.
O
�
4
z
y"
3
BPANCH
TE
ADORESS jj(� t(pCR@SLPS JL. i 1A5L3 1.
CONTRACTOR Q�]p,Y'
ADDRESS
TEL.
CITV NO.
STATE CITV
LIC. NO. 28161H Bl LIC. NO.
SIZE NO.OF BLDCS.
OF LOT NOW ON LOT
USE OF
Separate perrt�its are required for
electric, plumbing and heating work.
VSE OF BUIIDING AN� �'�'OFK TO BE PERFORA
FAIU Z ,i �,hA -
'r-n -z-������:O�J i.,� . i5b.50
APPLICATION FOR STRUCTURAL PERMIT
RECEIVEDBV OATERECEIVED DATEISSUEO
/�1i-ivi-�i,�a o3 oy PER���
A.P. NO.
BVILDING J
ADDRESS (�
TPACT LOT BLOCK
W A A P
x
OWNER IG /�AK.L ��'�// yQI.L�
SlSE�Q/ � /'CE/� VALU$ /O( /J'V
FIRE
20NE TVPE GROUP �
APPROVED
BV DATE
— NO.OP�
PLANS
VARDS APPROVED
MAIN BUILDING
DI5TANCE BET.
MAIN BlDGS.
VAR. #
C.U.P. �/1�
APPROVED /(/
USE OF
BUILDIN
DATE
FV
FT
I hareby ecknowlatlpe t�et 1 heve reatl ihis application and stata �
that thB abOve InformatlP� Is cOrract antl eprae to comply with �
m
all laws regulaNng bulltlin6 �o�rtruction, antl 1 zhall not employ
eny person in vioiatlon Of the workmen's compensation laws ot m
the Scace of Celifomie. -
I hereby certify thet I em properly Ileensed as e contractor untler Sn. F= ae 3 N
the State of Celitornie BUzineca antl Profaulons Cotle, Dlvision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chaptar 9, and that such licenses ara in full torce antl etiect, or I THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLV:
am exempt from che provisions of the Stete of Calitornia Business 'O
antl Professlons Cod , Dlvislon 3, Chapter 9.
VALUATION PERMIT FEE $ `�
� m
SlBnemro Of �/� I� J� PLAN CHECK f Y o
Pe�mlttea f J�U TAX E 50� u
�' J v�
Authoriza ant TOTALPAID 5/
�3 37 �
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. 60X 7200 COSTA MESA. CALIFORNIA 92626
PF:R f.
�;a�-a-���„S 00 r,as �::�i:2:S3.f'G
APPLICAT[ON FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
RECEIVEDBV DATERECEIVED DATEISSUED
AOIDRE55 $22-A B C Jeru�i
PERMIT NO.
OWNER �ji�j`jaii� SEW211 II1C. p"P' N�'
MAIL BUIL�ING /fn � lC�
ADDRESS 136 Rochester Street ADDRESS iSiC c
CITV No.`'642-4905 TRACT LOT BLOCK
CONSTRUCiION W ADD AL R P
LENDER
BRANCH
OWNEF • �EGi� LL_
ADDRESS �'/� VALU§
OR ENGINE R Salll AIilYDd eh TE`'. q-q SE ��� 07 �
FIRE
AODRE55 136 Rochester St. Costa Mesa ZONE TVPE GROUP
APPROVED
CONTFACTOR �lps BV DATE
ADDRESS
TEL. Z�NE NO.OF USE OF NEW
CITV NO. P�� BUILDING
STATE CITV �'ARDSAPPqOVED VAFDSAPPROVED
LIC. NO. 281 B LIC. NO. MAIN BVILDING ACCESSORV BUILDING
SI2E NO.OF BLOGS. (FROM C/LSTREET)
OF LOT NOW ON LOT RONT FT. FT.
USE OF
EXISTING BLDG. FT. FT
Separa[e permi[s are required for L. SIDE FT. FT.
electric, plumbing and heating work.
REAR FT. FT.
USE OF BUIIDING AND WORK TO BE PERFORMED DI5TANCE BET. BEf. MAIN &
MAIN BLOGS. ACCESS. BLDGS.
VAR.� DATE
C.U.P.S¢ APPROVED
APPROVED
I hareby eeknowledBe thai I have reatl this apPlication end state � �
that tha abova Information is corract and apree to comply wlth �
ell laws regulating builtlinB �e^nruetlon, entl I shell not amploy j .
eny person in violatlon ot Me workman's rompenseilon laws of � ,
Ma Stata of Callfornie.
I heraby cartify that I am properly licensatl as a contrector under SQ. FT. �
che Smta of Cellfornia Business antl Professions Code, Divislon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR �
Chnpter 9, antl that such licenses are in full forca entl atfect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
nm axempt from the provlsions of the Steta of Callfornia Bus(ness VALUATION PERMIT FEE
entl Profes5ions Code, DIviSlon 3, Chapter 9. _ i �
Sipnaiure of PLAN CHECK $ �
Pelmlttee _ $ `TAX $ �
i
Authorizad A t TOTAL PAI D �
�