HomeMy WebLinkAbout3008 JEFFREY DR - Building Permits(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us -� 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING F�RMIT
JobAddress: 3008 JEFFREYDR
Suite:
Viciniry: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 41812105
Applicant: LEE, VINCENT
Address: 516 N DIAMOND BAR BL
SUITE 183
DIAMOND BAR, CA
Owner: WONG, TUN FOO TR
Address 938 S SUNNYHILL PL
DIAMOND BAR, CA
Contractor. SUNSHINE ROOFING INC
Address: 516 N DIAMOND BAR BL
SUITE 183
DIAMOND BqR, CA
Zip: 91765
Arch :
Address;
Phone:
Zoning: R3 R3
Phone: 626581-7688
Zip: 91765
Phone:
Zip: 91765
Phone: 62G581-7688
License: 755126
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 03/25/2004
Issued: 03/25/2004
Phone;
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL SHEATHING AND COVER WITH MONIER LITE TILE. ICBO #2656. 5.8 LBS. INCLUDES RESIDENCE AND
ATTACHED GARAGE.
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 Existina: o
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
Calc Valuation: Se,000.00
Claim Valuation: sa,000.00
PLANNING & ZONING
Left 0- 0 Riqht
LeR 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
regulations. (Ord. No. 92-28, § 1, 1241-g2)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 180 days. �
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 inspectlons and final approVal must be obtained. Failure to obtain inspections and final approval will result in the expiration oi this permit.
FOR INSPECTIONS CALL: (714) 754-5626
24A646(6/00)
WOHKERS' COMPENSATION DECLARATION:
I hereby aifirtn under penalry oi perjury one of the following tleUarations:
❑ I have end will'maintain e cenificate of consent to self-Insure tor workers' compensatlon, es providetl br by section 3700 of the Labor Gode, tor ihe pertormance of the
work for which thi5 permi� i5 i5sued.
I have antl will maintain workers' compensation insurance, as required by section 3700 of t�a Labor Coda, for the pertortnance of the work for which Nis permit is issued.
My workere'S,ompensatlo�s�ureynfA�ca�rria�r end policy num�er are:
Carner: LQy �n+�/� Policy Number. �� �/��
(Tiiis section need nat be cromp/etetl i� Is ve/ued et one huntlretl tlollars ($100) oNess.)
❑ I certily that in the Oertortnance of tha work for which Nis permit is issuotl, I shall not employ eny person in any manner so as to become subject to the workers'
wmpensation laws of Celifomia, end egree Ihe�houltl become sublect t{ the workers' compensatlon provisions oi Sectl n 3700 of t�e LeCor otle, I shall fort�wlth
camply with Ihese pravisions. �J
Applicant Signature: �'�%��_ Dete:
WARNING: FAILURE TO SEGURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SlIB1ECT AN EMPLOYER TO CRIMINAL NALTIES A D qVIL Fl ES UP TOONE HUNDRED
TFIOUSAND DOl1NRE ($100,000), IN AODITION TO TME COST OF COMPENSATION, DAMAGES AS PROVIOED F-0R IN SECTION 3]OB OF THE LABOF CODE, IMEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hareby aftirm thai I am licensed under provisio�nsy 1 C�apter 9(commencing wilh Section 7000) ol Divisian 3 0l ihe Business and Pr tesslons Cotla, enA my license is in tull
torce and eeect. uc. a_ _%f'�/ aC� _ _ c�ess a �� 39'
T
Coniractors Signeture: � Date: � r / n
CONSTRUCTION LENOING AGENCV: '
❑ I �ereby attirtn thai t�ere is a constructlon lending agency tor the peAormance of ihe work tor which Ihis permit is issueG. (Sec. 3097, Civil Cotle).
Lender'S Name:
Signature: _
OWNER-BUILDER DECLARATIONS:
lender's AdOress:
Date:
I hereby afllrm ihat under penalry ot per�ury thet I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, eusiness antl Protessions
Code: Any ciry or counry which requires e permit lo construc4 alter, improve, tlemolish, or repeir eny structure, prior to its issuance, elso requiras tha epplicant for such permit
to file a signed stetement that he or she ISlicensed pursuant to ihe provisions of the Contrectors License Lew (Chapter 9(commencing wIN Sectlon 7000) oi Divislon 3 of the
eusiness entl Professions Code) or that he or she is ezempt therefrom end the besis Por the elleged exemption. Any Woletion of Sectlon 7031.5 6y any epplicant for e pertnit
subjects the epplicent to e civil penalry at not more Ihan five hundred tlollers ($500).):
❑ I, as owner of Ne property. or my employees with weges as �helr sole compensation, WILL DO THE WORK, antl ihe siructure Is not Intended or oHered lor sale (Sec.
7044, Business and Professions Cotle: The Coniractors License Lew does not apply to en owner of propeny who builds or improves ihereon, antl who does such work
himself or herself or through his or her own employees, provided ihat such improvements ere not Intended or oHered for sele. If, however, the building or imp�ovement is
sold within one year of completion, the owner-bui�der will have ihe burden of proving that he or she did not Ouild or improve for Durpose of sele.).
❑ I, as owner of Ihe pmperty, am E%CLUSIVELV CONTRACTING WITH UCENSED CONTRACTORS to construct the prolect (Sec. 7044, Business and Profession5
Cotle: 7he contractors License Lew tloes not apply to en owner of p�opehy who bullds or Improves thereon, end who contracis lor such pro�ect with a contrectoqs)
license pursuent to the Contradors License Laws.).
� I am ezempt under sec. Businoss end Professions Code for ihis roason:
SignaWre: Date:
Owner ID verified by driver's license. ❑ Ves ❑ No Driver's License No.
Venlicetion of Ownership by (rype of document, i.e. � property tez blll or dead):
Expires:
DIVISIDN OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth into which a person Is required to descentl, will be made in connecUon with work euthonzad by this
pertni6 and that no building structure, swflolding, telsework, or demolition or tlismantling �hereol, witl be more then Mirty-sia (38) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Ttle B, Califomla Administretive Cotle).
❑ As owner-builder, I wiil not employ anyone to do work which would require e permit irom the Divislon of Indusirial Safery. es noted ebove, unless such person hes e
permit to tlo such work from the division.
Signature: Date:
Division of Industnel Safery Permit Number.
CERTIFlCA7E OF COMPLIANCE AND AUTHORIIATION OF EMRY: I certiy under penalry oi perjury ihat I have read this epplication end state that lhe intortnation given is
correct. I agree to comply with ell state laws and ciry ortlinences relating to building construction, end euthodze representatives of the City ot Costa Mesa to enter upon the
above-descnbed property for inspection purposes. I agr�o nyt�o occupy or allow occuDancy ot any 6uiltling aulhorized by Ihis perrrYt until tin�l inspection.
CODE I. ixsveenowmme
1616 Fixed System Final Fire Prevention
1266
200
201
202
203
204
Pool SOa Final
Final Re-Foof
Finel Block/Reteining Well
Final Factory Fire Place
Finel Sign
Finel Demolition
Owneqs)
�
ppli nt
PdIE ItIIIDAL3
� z.-pc �
tOUE� INSPECTIONTYPE
206 Final Mechanical
20B Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtling/OCCupancy
¢eiE �ume�
'#J`f' 2
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. 90X 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
ADORESS 3008-A.B,C Jeffrev Drive. C.M,
OWNER Richard Scivell Inc.
GTV
BRANCH
TEL.
NO.
TEL.
�Fe —z-,�'°;°oo „a=• � Fz.n4
f4"/ � �u*
APPUCATION FOR STRUCTURAL PERMIT
RECEIVED BV DATE RECEIVED nnTc icciicn
T
OWNER
U
PER
VALVE
FIRE �
ADDRESS 136 Rochestes St. Costa Mesa Z�NE TYPE GROUP
APPROVED
CONTRACTOR �'lps BY DATE
ADDRE55
TEL. NO.OF USE OF N
GTV NO.
� PIAN9� BUILDING
� STATE CITV �'ARDS APPROVED VARDS A ROV
LIC. NO. 'L816].H Bl IIC. NO. MAIN BUILDING ACCESSOR BUILDING
{cl S12E . NO.OF BLDCS. (FROM C/L S EE
0. OF LOT NOW ON l0T ROM FT FT.
a USE OF
.�, EXISTING BLDG. I F7.
�
� Separate permits are required for L. SIDE FT. FT.
Welectric, plumbing and heating work. REAR O FT. FT.
[.. USE OF BU�LDING AND WORK TO 8E PERFORMED DI5TANCE BET. BET. MAIN & S
QQ MAIN BLDGS. ACCESS. BLDGS.
� VAR.# / DATE _ /J
QC.U.P. � � (Q APPqOVE %
� APPROVE� P S_�
� ✓ -_
� O rt3 Z r�t,. -� i:C� !{�6:f�(IENT
w — —
QI hereby aCknowlatl8e ihat I hava reatl this applicetion antl state �
y� that the above InformeNon is correct antl eB�ae to eomply with �
a ell laws retlulaiing buildinp construction, and I shall not emplay �
Z eny person in violation of Me workman's compensotion laws of �
� m
,s the Steta ot California. O �
3 I herab cenif that I am � �' SQ. FT. =��� � m
y y proDerly �icensetl es e eonireeior under �
Ne State of Californla Businass and Professlons Cotla, DIvlslan 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chepter 9, entl [het suth licenses are in fuil force end effaci, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONIY: �
am exampt from tha provisions of the Stete of Callfornia Businass a
VALUATION PERMIT FEE $
end Profess�ans C a, Dlvision 3, Chaptar 9. �n
S "
� PLAN CHECK $ � G m
Signature of %7 � / �
Permittea `� / / TAX E � LL
i
u
A�thoriz Apent TOTAIPAID E/G�� O
�
COSTA MESA BUILDING-SAFETV DEPAR7MENi
P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626
,�,� -�-��"ut;oa �z� �::: � z�,�.00
APPLICATION FOR STRUCTURAL PERMIT
For Applican[ to Fill in Completely — Use Ink Only
FECEIVED BY DATE RECEIVED DATE ISSUEO
ADDRESS 3008-A B C Jeffr Drive C.M
PERMIT NO.
OWNER gi�h�n3 Sewell Inc. />�P� NO. I �j
ADDRESS 1 BUILDING �DO� VE� /CE • //—�
A�OFESS
TEL. TRACT LOT BLOCK
ciTv Cp�}y �sa 92627 No 642-4
CANSfRUCTION W A D A TER P
LENDER
BPANCH
OWNER / L
ADDRESS
VALUE �/
OR EN INEE S� ��� � �n,E .`'642-4905 SE � ^a !� !� V
FIRE
ADDRESS 136 Rochester St. Costa d ZONE TVPE GROUP
APPROVED
CONTRACTOR �ZP� BV DATE
ADDRESS
TEL. ZONE NO.OF USE OF NEW
CITV NO.
FlANS BUILDING
STATE CITY �'ARDS APPROVED VARDSAPPROVED
11Q NO. ZHZF)ZH BL �I0. NO. MAIN BUILDING ACCESSORV BUILDING
512E NO.OF BLDGS. (FROM C/LSTREET)
OF LOT NOW ON LOT FRONT FT. FT.
USE OF
EXISTING BLDG. 51 F FT.
Separate permits are required for L. SIDE FT. FT.
� electric, plumbing and heating work. REAR FT. FT.
USE OF BUILDING AND WORK TO BE PERFOFMED DISfANCE BET. BET, MAIN &
MAIN BLDGS. ACCESS, gLOC'>S.
VAR.� DATE
C.U.P.# APPROVED
APPROVED
I hereby acknowletlge thet I have reatl th�s application and stete /� '^
that the above Informatlon is correcc antl agree to comply wlth vv �
m
ell laws repulacin0 building consttuction, antl I shall not employ � �
any person in vlolation of the workman's compensatlon laws of u
the Stete of California.
1 hereby certify Mat 1 am properly licensetl es a contractor untler SQ. T. N
the Stat¢ of California Businass end Professions Code, Divlsion 3, THE AMOUNT SHO ALUATION IS FOR m
Chapter 9, and Mat such ticenses are In full force anG effeci, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONIV: �
am exampt trom the provisions af the Stete of California Business VALUATION a
PERMIT FEE $
antl Professlons Cotle, Division 3, Chapter 9, � m
if� PLAN CHECK S M
Signature of {� �
Permittee Q� �qQ $ TAX $ LL
�
U
AuthorizedA M TOTALPAID 7�?�