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Home My WebLink About3002 JEFFREY DR - Building Permits(714) 754•5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRNE, GOSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 3002 JEFFREYDR Suite: Vicinity: 2-UNIT APT BLDG WITH ATTACHED GARAGES Parcel Number: 41812102 Applicant: KIM, JOSEPH Address: 5830 WOODLAWN AV LOS ANGELES, CA - Owner: ABDEL-MALEK, NIAGDI T Address PO BOX 442 Zoning:. R3 R3 Phone: 323-231-6060 Zip: 90003 Phone: DOWNEY, CA Zip: 90241 Contractor. ACETEK ROOFING COMPANY Address: 5830 WOODLAWN AV Arch : Address: Phone: 323-231-6060 LOS ANGELES, CA Zip: 90003 License: 820199 Phone: Eng: Address: ISSUED BY: Status: ISSUED Applied: 09/27/2004 Issued: 09/27/2004 Phone: Zip: License: - License: SCOPE OF PERMIT REROOF 2-UNITAPT BLDG WITH ATTACHED GARAGES: T/O EXISTING WOOD SHAKE ROOF, 1/2" CDX SHTG, 1 LAYER 30# FELT, APPLY "30-YEAR DIMENTIONAL SHINGLES." 2100 SQ FT , . � � -_� � � � FEE SUMMARY - Plan Check: $0.00 . Calc Valuation: Ss,000.00 Permit: $11125 _ . . " _ ., Claim Valuation: Ss,000.00 SMIP Res: SMIP Com: Other: Inspection: Total: $0.50 $0.00 $0.00 $0.00 $111.75 SETBACKS� MAINSTRUCTURE Front 0-0 � ACCESSORY Front 0-0 , PARKING Existinq: 0 �`. : '' ' PLANNING & ZONING Rear 0- 0 Rear 0- 0 Required: 0 �,Lek 0-0 Left 0- 0 , Pr000sed: 0 Righl 0- 0 Right 0- 0" 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 automatirally 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 required Inspectlona and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiiation of Ihis permit. FOR INSPECTIONS CALL: (714) 7545626 zaa�ae�smo� WORKERS' COMPENSATION DECLARA710N: I �e�eby attirtn under penalry of perjury one of ihe following declarations: � ' ❑ I have end will maintain a certificate ot consent to self-Insure tor workers' compensetion, es providetl tor by section 3700 of the Labor Code, tor the performence of the work for which ihis permit is issued. . ❑ I have end will maintain workers' compensation insurance, as requiretl by section 3700 of the Labor Code, for the pertortnance of the work for which this pertnit is iuuetl. My workers' compensation Insurance carner end policy number ere: ., Cerner: Policy Number: (This sectian need no( be comple(ed il fhe permit is veluetl af,one hundred dollars ($100) or less.) , �q�l certify that in ihe peAormance ot Iha work for which ihis permit is issued, I shall not employ any person in eny manner so as to become subject to tha workers' compansation laws of California, and agree t at if I should become subjact to the workers' compensetion provisions of Section 3700 of the Labor Code, I shall fotlhwith comply with these provision@y. ' �} Applicani5ignature: �/I�/./�---� Date: �/" '—�� `—E' � WARNING: FAILURE TO SECURE WOPKERS' PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINPL PENALTIES AND QVIL FWES UP TOONE HUNDRED THOUSAND DOLL4RE ($100,000), IN ADDITION TO THE COST OF CqMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3'!W OF TME LABOq CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirm ihat I am licensed force antl ettect. Lic. # > Comractor's Signeture: _ 9(commencinq with Section 7000) of Division 3 of the Business and Class N . Date: O Code, and my license is in full -- u CONSTRUCTION LENDING AGENCY: . ❑ I hereby attirm ihat ihere is a consiruction lentling agency tor the peAormance of the work br which this permit is issuetl. (Sec. 3097, Civil Cotle). '�, Lender's Name: Lender's Address: Signatura: Date: OWNER•BUILDER DECLARATIONS: I hereby affirtn Ihat under penalry of perjury ihat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Protessions Code: Any city or county which requires a permit to consimct, alter, improve, demolish, or repair any simcture, prior to its issuance, also requires ihe applicant for such pertnit to tile a slgnetl stetement that he or she is licensed pursuant to the provisions of the Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) of Dlvislon 3 of the Business and Professions Code) or ihat he or sha is exempt therefrom and ihe basis lor iha allaged exemption. Any violation o� Section 7031.5 by any applicant for a permit subjecis ihe applicant to a civil penalry of not more ihan five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wa9es as �heir sole compensation, WILL �O THE WORK, end the s�ructure Is not intended or otteretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner ot property who builds or improves thereon, and who does such work himself or herself or th�ough his or her own employees, provided that such improvements are not intended or oHered for sale. If, however, ihe building or improvement is sold within ona year ot completioq the ownerbuilder will have the burden of pmving ihat he or she did not Duild or improve lor purpose of sale.). ' ❑ I, as owner of the property, am EXCLUSIVELV CONTRAC7ING WI7H LICENSED CONTRACTORS to consiruct the project (Sac. 7044, Business end Professions Code: The contractors License Law tloes not epply to an owner of property who builds or improves t�ereon, and who contracis for such project with a contraaor(s) license pursuant to the Contractors License Wws.). ❑ I am e:empt under sec. _ Signature: Owner ID verifie0 by tlnver's license. Verification of Ownership by (type af 8usiness and Protessions Code for this reason: Ves ❑ No i.e. - properry tax bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: Driver's License No. Date: Expires: ❑ I hereby cenify ihat no excavation tive (5) or more teet in depih into which e person is required to tlescenq will be made in connection with work authorized by Ihis permit, and ihat no building stmcNre, scaftolding, talsework, or demolition or tlismantling ihereot, will 6e more than ihirty-siz (36) feet high. (Chap. 32, Grp 2, A� 2, Sec. 341, Title e, Celifomia Adminisirative Code). ❑ As owneo-builder, I will not employ anyone to tlo wo�k which would require a permit from lha Division of Intlustriel Setery, es noted abova, unless such person ha5 e pertni� to do such work from the tlivision. Signature: Date: Division oi Intlustrial Safery Permit Number. CERTIFICATE OF COMPLIANCE AND AIJfHORIZATION OF ENTfiV: I cenify under penairy ot perjury ihat I have read �his application end state that ihe information given is correct. I agree to comply with all ste�e laws antl city ortlinences relating to building constmdion, antl auihonze representatives of the Clty of Costa Mesa to enier upon the above-descnbed property for inspection purposes. I agree not to occupy or allow occupancy oi eny building aWhorized by this permit until final inspection. Signature Of Lagal Ow er(s) �T—�../"� And/ r Authori Applicant ' CODE �. INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Roof 207 Final BIocWRetaining Wall 202 Final Factory Fira Place- 203 Final Sign 204 Final Demolition P'IE INTRIALS Da�e 0 9 �--�f r—O s� Date = ' COpE1 INSPECTIONTYPE . 206 Final Mechanical 208 Final Plumbing 270 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval � 222 Final Site 250 Final Building/Occupancy�