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Home My WebLink About3005 JEFFREY DR - Building Permits. � , ,�c9�, . , (714) 754-5273 • Fax (714) 754-4856 • wvnv.Ci.Costa-meSa�DING PERMIT �� FAIR DFNE, GOSTA MtSA, GA 9262ti �obAddress: 3005 JEFFREY DR Suite: Vicinity: 4-PLEX APT & ATTACHED GARAGES Parcel Number: 41812213 Applicant: REISS, ANDREW Address: 536 MC FARLAND DBAACE ROOFING SYSTEMS WILMINGTON, CA Owner: BENDER, NORMAN E Address 10091 BEVERLY DR Zoning: R3 R3 Phone: 310-834-3900 Zip: 90744 Phone: HUNTINGTN BCH, CA Zip: 92646 Contractor: ACE ROOFING SYSTEMS (MAPON INC.) Address: 536 MC FARLAND DBA ACE ROOFING SYSTEMS Phone: 310-834-3900 WILMINGTON, CA Zip: 90744 License: 646787 Arch : Address: Eng: Address: ISSUED BY: StaWs: ISSUED Applied: 09/78/2000 Issued: 09/18/2000 Phone: - Phone: Zip: License: License: SCOPE OF PERMIT REROOF: T/0, INSTALL 1/2" CDX PLYWOOD, 1 LAYER 30p ASTM FELT, APPLY 30-YEAR "FIREHALT 2000" COMP SHINGLES. 3000 SQ FT. Plan Check: $0.00 Permit: $15325 SMIP Res: $0.80 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $154.05 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front �0- 0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0-0 Reauired: 0 FEESUMMARY PLANNING & ZONING Left 0- 0 Lek 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 sa,000.00 $8,000.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 9240, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commence� 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 wnsidered legal, such work must comply with all applicable codes, and all required Inspections and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 taac-4616�00) WORKERS' COMPENSATION DECLMATION: I hereb 9Hirm untler penalry of perjury one of the lollowing declarations: ❑ have end will maintain a certilica�e of consent to sel4lnsure for workers' compensetion, es provided for by sectlon 3700 0l the Labor Code, tor the pertormence of tha wark tor which Ihis pertnit is issued. I heve an0 will maintain workers' compensation Insurance, as required by section 3700 of Ne Labor Code, for Ne peAortnance of Ne work tor which this permit is issued. My workers' compensation Insurance carder end poliry number are: Certier: Polity Number: (This section need nor be e e permit is t one hundred dollars ($100) or less.) ❑ I catlity thet' e pertormance he work for c thi permit is issuetl, I shell not employ any person in eny menner so es to become sublect to ihe workers' compens ion lews of Califo ', 9nd egre et It I s Id become sublect to t�e workers' compensation provislons ol Section 3700 0l Ne Labor Cotla, I shan torthwith comply Ihese r ' s. /J —/� �l lSj ApplicamSigneWre: Dete: � WARNING: FAILUflE TO SECURE WORKERS' ��PENSATION COVERAGE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED IHOUSAND DOLLARE �5100.000), IN ADDITIG'�1 TOTHE COST OF CAMPENSATION, UhMAGES AS PROVIDED FOR IN SECTIIXJ 3]OB OF THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS I hareby ettirm Ihat I em ' nsed under fOrce entl ettect Lic. ContrectoYs Signat re:� with Section 7000) ot Division 3 0l Ihe Business antl Professions CoAe, and my license is in full Cless M Date: �� —��/ CONS7RUCTION LENDING AGENCV; ❑ I hereby eRirtn that there is a con5�mction lentlinq agency for the pedormance oi ihe work br which this permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lentler's Adtlress: Signature: Data: OWNER•BUILDER DECLARATONS: I here6y ettirm thal under penalry of perjury Ihet I am E%EMPT FROM TME CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which repuires a pertnit to construct, alter, improve, demolish, or repair eny strudure, pnor to its iuuance, also requires the epplicaN tor such permit to file e signed stetement ihat he or she �s licensetl pursuant to the provisions of t�e Contractors License Law (Chepter 9(commencing with Section 7000) ol Division 3 ot ihe Business antl Protessions Code) or the� he or she is exempt therefrom and the basis lor the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjecls the applicant to a civil panelty tl� not more than five hundred dollars ($500).): ❑ I, es owner of the property, or my employees with weges as iheir sole compensation, WILL DO 7HE WORK, and the structure isnot intended or oHeretl for sale (Sec. 7044, Business and Pmtessions Code: The Contractors License Lew tloes noi aDPly to an owner of property who builds or improves ihereon, end who does such work himself or herself or through his o! her own employees, pwvided that such improvemems ere not Intended or ofleretl for sale. If, however, t�e building or impmvement is sold wit�in ona year of completion, ihe owner-Duilder will have ihe burden ol proving Ihat he or she did not Ouild or improve for purpose of saie.). ❑ 1, es owner of the property, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct lhe projea (Sec. 704a, Business antl Proteulons � Cotle: TTe conirectors License Lew does not apply to an owner of pmpeny w�o builtls or improves thereon, end who wntrects for such project with a contractor(s) license pursuant to the Contwcbrs License Laws.J. ❑ I am exempt untler sec. Signature: Owner ID venfied by drivers license. ❑ Yes � No eusiness and Prolessions Coda for this reason: Verificetion oi Ownership by Qype oi tloCument, i.e. - pmpeny tax bill or tleetl): Oriver'S Litense No. Date: Ezpires: DIVISION OF INDUSTRIAL SAFETY PEAMI7 CERTIFICATION: ❑ I hereby certify ihat no excavation five (5) or mora teet in depth into w�ich e person Is required to tlescend, will be made in connection wllh work authodzed by this permit, antl ihat no building sirucWre, scaHoltling, falsework, or demolition or tlisman�ling ihereof, will be more ihan thirry-siz (36) teet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlminis�retl�a Code). ❑ As owner-6uilder, 1 will not employ enyone Io do wark whic� woultl requlre a permit irom the Division ol Indus�nal Sefary, as nated ebove, unless such person has e permit to do such work from the dihsian. SignaWre: Date: Division ot Industnal Safery Permit Number: CERTIFICATE OF COMPLIANCE AND A�ORIZATION OF ENTRY: I certity under penalry of perjury Ihat I have read Ihis ep0lication and stata that the information given is correct. I a r mp uh ell stete �ws end ciry ordinances relating to 6uil01ng construction, antl authodze representatives of the Ciiy ol Coste Mesa to enter upon Ihe ebove- cnbed property fo inspec�io��= � eqree not to occupy or ellow occupancy of any building authonzed by this pertnit until final inspection. LOOE �. INSPEC710NTYPE 1616 Fised System Final Fire Preven�ion 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition Owner(s) _ oate � / ^ �Cv —�—__ d_ htpgGcao� Date PAI€ V�LS COOE� INSPECTONTYPE 206 Final Mec�anical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Plenning Approval 222 Final Sita 250 Final Bullding/Occupency PAIE IL�LS , � , �r � .� _ . Q��Q.r1,.� ' COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING ____ . _ __ _ . _ _. OWNER MAiL CITV �S}�7 CAN5TRUGT�ON ��__ BRANCH ADDRESS ADDRESS j CONTRAG70R ADDRESS CITV F STATE � LIC. NO. 2 {i] SIZE �. OF LOT a VSE OF .�.. E%IS71NG 6LDG. y TEL. NO. TEL. TEL. NO. CITY LIC. NO. NO. OF BLDGS. NOW ON LOT FSeparate permits are required for � electric, plumbing and heating work. �.W. USE OF BUILDING AND WORK TO BE PERFOFMED �rB—?_-77Fa3u00 152? ��:� cn—s• 162.04 APPLICATION FOR STRUCTURAL PERMIT RECEIVED BV DATE RECEIVED �oTF iacucr BUILDING ROVEO NE' NO.OF� PLANS VARDSAPPROVED DISTANCE BET. APFROVED VALUE DATE USE OF EW L BUILDIN VARDSq PROVED ACCESSORV BUILDI DATE � 1 �e�eby e�knowletlpe Net 1 hava reetl Nif epplleailon and stete � a that che abova Information I� corract and agrea to comply with m ell Inwa reBuletinp �uiltlinp eonsirueilon, and I shall not employ z ony porwn In vlolatlon of t�a workman's eompenmtlon lews ot m � tho Stete a1 Callfornie. O �_ ��/ �� m_ 3 I haroCy cBrtify thai l em p�opetiy Iieenaetl es a contractor untlar S�. FT. N tho Stata of Calitornla Businao entl Protauiona Cotla, Dlvlaion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOF m Chapta� 9, entl that such Iicanws ars In full forca antl efioet, or I THE PURPpSE OF E5TABLISHING A PERMIT FEE ONLY: — am axompx trom tha v�ovlsion� of tha Stata of Callfornia Butineta a VALVATION PERMIT FEE E entl Protese�ona Co v, Divislon 3, C�aPter 9. �n n PLAN CHECK 5/ s M Sipnature of 7�% � % • � Pe�mlttee S// TAX S �� LL r � u Authorii AOa�t TOTALPAID E Q "` 93�50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 �,,R -�-��cu`:roo e2� � :�� 24i.00 APPLICATION FOR STRUCTURAL PERMIT For Applican[ to Fill in Completely — Use Ink Only FiECEIVED BV' DATE RECEIVED DATE ISSUED ADIDRESS 3005-A,B,C Jeffre Drive C.M. PEflM1T NO. OWNER �(„`]'�L"d SEW211 IRC. A.P. NO. MAIL BVILDING �O� EFG/CE7 � ADDRESS 136 Rochester Street /aDDRESS TEL. TRACT LOT BLOCK CITY (`AS� a 'l NO. CONSTRUCTION A ALT R R P LENDER UiI�SIIO.JR BRANCH OWNER ��EL� ADDRESS VALUE ARCHITECT S•dIil �ilY�d eh TE�.642-4905 S �� S �Q OR ENGINEER FIRE ADDRESS 136 Rochester St. CAStd �Sd ZONE TVPE GROUP APPROVED CONTRACTOR �1j']�' BY DATE ADD R ESS TEL. ZONE NO.OF USE OF NEW CITV NO. PLANS BUIIDING STATE CITV �'ARDSAPPROVED VARDSAPPROVED LIC. NO. 28161H Bl LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. F FT. Separate permits are required for �, SIDE FT. FT. electric, plumbing and heating work. REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & MAIN BLOGS. ACCE�. BLOGS. VAF.q� DATE 2'i 1 1 d C.V.P.� APPROVED APPROVED i hereby acknowlatlpe thai 1 have �eetl this epplication entl stata '^ n thet the ebove Informetlon Is correct and aptea to comply wlih m all laws reguletinp builtling connruction, entl I ahall not employ any perwn in vlolatlon of Me workmen's compensailon lews of m the Staie of Cellfornie. I hereby cartify that I am properly Ilcansatl as a conireciar untler SQ. FT. w the Stnte ot Celifornie Businasa antl Profeuions Cotle, Dlvlslon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chaptar 9, antl that such Iicenua ere In full force and effeci, or I THE PURP06E OF ESTABLISNING A PERMR FEE ON�V: � am exempt from the DroviSlons of t�e Stete of Cellfornie Business VALUATION PERMIT FEE a antl Professions Cotle, Divislon 3, Chepter 9. m PLAN CHECK § ^� SiBneture of � Permlttee �� fA`� $ T�qx y LL F Authorizad nt u TOTALPAID