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Home My WebLink About3007 JEFFREY DR - Building Permits(71a) 754-5273 • Fau (714) 754-a856 • www.ci.costa-mesa.ca.us BUILDING PERMIT JobAddress: 3007 JEFFREYDR Suite: Vicinity: Parcel Number 41812212 App�icant: MICHAEL HUGHES Address: Owner: �VERETT, CHARLES M Address TR CARPINTERIA, CA 4825 E SANDYLAND RD Contracror: MAPON INC. Address: 536 MC FARLAND DBA ACE ROOFING SYSTEMS WILMINGTON, CA Zip: 90744 Arch : Address: Phone: Zoning: R3 R3 Phone: 370-834-3900 Zip: Phone: 805-684-8358 Zip: 93013 Phone: 310-834-3900 License: 646787 Eng: Address: 77 FAIR DRIVE, GOSIA MESA, GA 9'LtiYti Status: ISSUED Applied: 09/13/2000 Issued: 09/13/2000 ISSUED BY: � / " Phone: Zip: License: License: SCOPE OF PERMIT T/OFF SHEA7H AND REROOF APARTMENT BUILDING W/COMP SHINGLES. SMOKE DETECTORS RE� PER 97UBC. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $0.00 $15325 $0.80 $0.00 $0.00 $0.00 $154.05 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existinq: 0 NOTES: Rear 0-0 Rear 0-0 Required: 0 FEESUMMARY PLANNING 8 ZONING Left 0- 0 Left 0. 0 Proposed: 0 Calc Valuation: Claim Valuation Right 0-0 Right 0- 0 58,000.00 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, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is�not commenced vnthin 180 days, or if work is suspended or abandoned for a period of 180 days. �'� '- • . INSPECTIONS: In order for the work authorized under Ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred inspections antl final approval must be obtained. Failure to obtain inspecfions and final approval will result in the ezpiration ot this permit. FOR INSPECTIONS CALL: (774) 7545626 2446d6 (fi/00) I � WORKERS' COMPENSATION DECLARATION: � I hereby aHirm untler penelry of perjury one of the following tleclarations: ❑ I have and will meintein a certiticate ot conseni to self-Insure br workers' compensetion, as provitletl lor Dy senion 3700 oi �he Lebor Coda, far the peAormance of the work for w�ich this pertnit is is5uetl. ❑ I have and will main�in workers' compensation insurance, as required by sectlon 3700 of ihe Lebor Code, for tha perfortnance of the work tor whicti NIs pertnit is Issuetl. My workers' comp0nsation Insurance cerner a�nd.i° licy number are: Cerrier. V./,i VA '.Lh� ta^za.�. { / PolicyNumber: �C �' --O 9Q'1> �}-,� (This secfion need nof be comple(ed i! fhe Oermif is valu at one hund�ed tlollars ($100) or Iess.J � 1 ceRity Ihal in Iha perfortnance of ihe work br which ihis permit is issued, l shell not employ eny person in any manner sa as to become subject to the workers' compensation laws of Califomia, end egree that if 1 shoultl become subject to the workers' compensation provisions of Section 3700 oi the Lebor Code, I shall forthwith Comply with the5e p�ovisions. / Applicant5igneture: �-//J-.,.,.n� / Date: nLt� ��/��oo ~ WARNING FAILURE TO SEGIRE WORKERS' COMPEN ION ERAGE IS UNLAWFLIL M1D SMFLL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOIXJE NUN�RED THOUSMID DOLLARE (5100.�). IN AODRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 31O60F THE LABOR CADE. IIJ�EREST, AND ATTOFNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn Ihat I am licensetl under provisions of Chapter 9(commencing wit� Section 7 ) of Division 3 ot Ihe Busineu antl Professions CoAe, antl my license is in lull forte and eHecL Lic. p — � �L � �- � �- � Class # (' T lf /�/`L'G � Contractofs Signawre: �k � rt�,� � Date: a 4.� i� CONSTRUC710N LEND�NG AGENCV: ❑ I hereby aHirm ihat there is a construction lending agenty tor the Pedormance of the work for whic� ihis pertnit is issued. (Sec. 3097. Civil Code). Lentlefs Name: LentleYs Atltlress: SignaNra: OWNER-BUILDER DECLARATIONS: Date: I hereby aflirm thel untle! penalry of perjury Ihat I am E%EMPT FROM 7ME CONTRAC70RS LICENSE LAW lor ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a permit to constmq, alter, improve, demolish, or repair any slmcWre, prior to its issuance, also requires the epplicant for such permit to file a signed siatement Ihat he or she Is licensetl pursuant to the pmvisions ot Ihe Contractors License Lew (Chapter 9(commencing with Section 7000) of Divislon 3 0l Ihe Business and Professions Code) or ihat he or she is exempt l�erefmm antl the basis lor the alleged exemplion. Any violetion of Section 7031.5 by eny epplicant for a pertnit su6jects the applicant to a civil penalty ot not more than tive huntlretl dollars ($500).): ❑ 1, as owner oi Ihe properry, or my employees wiih wages es Iheir sole compensation, WILL DO THE WORK, antl ihe sWCWre is not intendetl or oNered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of properry who builds or Improves ihereon, and who tloes such work himself or herself of through his or her own employees, provided ihat such improvements are not imentlad or oflered for sale. If, however, ihe builtlinq or improvemem is sold within one yeaf oi completion, ihe ownar-builtler will have Ihe burden ol proving that he or she did not build or improve tor purpose of sele.). ❑ I, az owner of the pfoperty, am EXCLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to wnstruct the prolect (Sac. 704d, Business antl Pmtessions Cotla: TTie conlractars Ucense Law tloes not eOP�Y �o an owner of property who builds or impwves t�ereon, antl who contracis lar suc� prolect wit� a contractor(s) license pursuant to the Contractors License Lews.j. ❑ I am exempt untler sec. Business antl Professions Cotle for this reeson: Signature: Data: Owner ID verifietl by tlriv��'S1iCense. ❑ Ves ❑ No Driver's License No. Ezpire9: Vedficetion ot Ownership by (rype of tlacumeni, i.e. - properry tex bill or daed): DIVISION OF INDUSTRIAL SAFETY PERMIT CEFTIFICATION: ❑ I hereby cenify ihat �o excavation five (5) or more fee� in depih into which e person is require0 to descend, will be made in connection with work aut�onzed by this permit, and that no building structure, scafloltling, falsework, or demolition or tlismantling Ihereot, will be more ihan thirty-six (36) feet hiqh. (Chap. 32, Grp 2, Art 2, Sec. 341, T�lle 0, Califomia Adminis�retive Code). ❑ As owner-builtler, I will not employ enyone to tlo work which would require a permit irom ihe Division of Indusinel Setery, es noted ebove, unless such person hes e permit to do such work irom the tlivision. Signature: Date: Division of Industnal Sate�y Permit Number: CERTIFICA7E OF COMP4IANCE AND AIJTHORVA710N OF ENTAV: I caniry under penalry of perjury that I �ave reatl Nis application and state ihat the infortnation given is correct I agree �o comply with all state laws end city ortlinances relating to huiltling constmction, entl authonze representatives of the City oi Costa Mesa to enter upon ihe ebove-descnbed property br inspection purposes. I agree not to occupy or allow occupancy of any building euthonzed by Ihis permit until finel inspection. Signature Of � I And/OrAu 'zed A icant a�e _ I COOE A. INSPEC110NTYGE 1616 Fixetl Sysiem Fi�al Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Final Block/Reta(ning Wall 202 Final Factory Fira Place 203 Final Sign 204 Final Demoli�ion COOE� INSiECTIONTYPE 206 Flnel Methanital 208 Final Plumbing 270 Finel Electrical 212 220 Final Fire Prevention Final Plenning Approval 222 Final Site 250 Final Building/Occupancy pRTE I�$ ' � � �' . A3Ei43 �. ' =�' COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING ____ _ _ _ _ __ _ . _ _. f C W a Q � � 's F L1 W � 'Q G .d a > } � � fal a Q a o. z W S 3 OWNER MAIL CITV i�St3 �SCl 92627 NOL. CANSTRUCTION __ , BRANCH ADDRESS ARCHITECT _ _. _ . TEL. CONTRACTOR (}�lfl�' ADDRESS TEL. CITV NO. STATE CITV �ic. r,o. 281618 BL LIC. NO. SIZE NO.OF BLDGS. OF LOT NOW ON LOT USE OF EXISTING BLDG. Separate permits are required for electric, plumbing and heating work. USE OF BUIIDING AND WORK TO BE PERFORMED . � - i i . / .l _ _ _ ' 1 �ereby eeknowletlpe that I have �eetl thi� applicatlon antl stata that the abova Informetlon Ie corract and apree to comply with ell lawz raBulatinp bulldlnB conrtruetion, antl 1 shall not amploy eny pergon In violatlon of Me workman'� companaatlan lawt of the Stete of Calitornia. I hereCy cartify that I em properly Ilcenptl aa a conttactor untler the State of Calitornle Buslneu entl Profeuione Cotle, Dlvleion 3, Chepter 9, anC thet auch Iicenwe ere In full forca entl afiect, or i em exempt from the Drovlalons of the Steie of Cellfornla Bualness and Profesalone Cotle, Divlslon 3, Chepier 9. Signatura of �� /!�Z/oi. � J�� Permlttae l GLQ/V�� 'F!3 -2-77�„��Q 151'F �*� 16z.04 APPLICAT[ON FOR STRUC'fURAL PERMIT ��P.�� /!v/�Di BUILDING � ADDRES TRACT � W A OWNER �LJ7i S /- /Z FIRE ZONE T APPqOVED BV pl NO.OF — PLAN$ VARDS APPROVED MAIN BUILDING (FROM G� STREFTy VAR. C.U.P. APPROVED BLOCK VALUE VARDSAPPROVE BET. MAIN & � n m i m �/ SQ. FT. w TNE AMOUNT SHOWN UNOER VALUATION IS FOR m THE PURP65E OF ESTABLISHING A PERMIT FEE ONIY: � VALUATION PERMIT FEE S � n m / PLAN CHECK S 1O /-y/'//y�'/'J� � a $/ /[/vV TAX 5 LL • � u TOTALPAID 5 � Q ;- 3 �� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 I� � W 0. a y y 7. F G F a G ..1 Q 7 r .� a w a � C a. z W 3 ''w4-9-77�rt�� 628 �':.:t,Z�l�.�� APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely - Use Ink Only RECEIVED BV DATE RECEIVED DATE ISSUED BUILDING ADDRESS —A PEFMIT NO. OWNER R1Cj]3L'C] S'QWe�.l IRC. /a�F. NO. •'� MAIL AODRE 5�OO /�FF G/ ib�/\• ADDRESS 136 RDchhester .ci'tY22t C�T�' L'�St3 �S3 92627 No��642-4905 TRACT �OT BLOCK CANSTRULTION NEW ADD ALTER P LENDER URIQ1OW11 BRANCN OWNER EWEGL ADDRESS , VALUE ,7 OR ENGIN ER Sam Abu-Da eh rE`.642-4 S SE ��PICE S !/ FIPE ADDRESS ZONE TVPE Gf70UP APPROVED CONTRACTOR �ZQY' 8V DATE ADDRESS TEL. ZONE NO.OF USE OF NEW PtqNS BUILDING CITV NO. STATE CITY VARDSAPPftOVED VARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SI2E NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT RONT FT. FT. USE OF EXISTING BLOG. 5 FT. FT Separate permi[s are required for L. SIDE FT. FT. electric, plumbing and heating work. REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED OISfANCE BET. BET. MAIN & MAIN BLOGS. ACCESS. BLDGS. VAR.qIE DATE Z'il ].2X Wl�'1 dtt.dC11EY� d C.U.P.#� APPFOVED APPROVED 1 hereby acknowletlBe thet I hava reatl this opplication end stere � '^ n thet the ebove Information is correct entl aBrae ta comply with m all lewz reg�leting builtlinp construction, and I shall not employ � any perwn In vioietlon of the warkmen's compensation laws of m Me Staie of Celifornle. I hereby ceriify thet I am properly Iicansetl as a contractor untler SQ. FT. w the Ste[a of Callfornla Bueinev antl Professions Code, Dlvision 3, THE AMOUNT SNOWN UNDER VALUATION IS FOR m Chapxer 9, antl that such Ilcenses are In full fo�ce antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � am azem0t from the provl5iona of the State ot California Buslness VALUATION PERMIT FEE d antl Profasslons Cotle, Dlvision 3, Chapter 9. �n m Slpneture of — PLAN CHECK S '^ 0 Pefmlttae $ TAX E LL f U Authorizetl A t TOTAL PAI D ��