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Home My WebLink About3010 JEFFREY DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.cosia-mesa.ca.us 77 FAIR DFiIVE, GOSTA MtSA, (:A 92626 BUILDING PERMIT Job a.ddress: 3010 JEFFREY DR Suite: Vicinity: RESIDENCE AND ATTACHED GARAGE Parcel Number: 41$12106 Applicant: LEE, VINCENT Address: 516 N DIAMOND BAR BL SUITE 183 DIAMOND BAR, CA Owner: WONG, TUN F TR Address 938 SUNNYHILL PL DIAMOND BAR, CA Contractor. SUNSHINE ROOFING WC Address: 516 N DIAMOND BAR BL SUITE 183 DIAMOND BAR, CA Zip: 91765 Arch : Address: Zoning: R3 R3 Phone: 62&581-7688 Zip: 91765 Phone: Zip: 91765 Phone: 626-581-7688 License: 755126 En9: Address: ISSUED BV: Status: ISSUED Applied: 03/25/2004 Issued: 03/25/2004 Phone: Phone: 2ip: 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: $0.00 Permit: $153.25 SMIP Res: $0.80 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $154.05 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existin : o Rear 0- 0 Rear 0- 0 Reauired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $s,000.00 $e,0o0.00 NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requirements under California statules and related regulations. (Ord. No. g2-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. � INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 i44fi�46(fi/00) WORKERS' COMPENSA710N DECLARATION: I hereby aHirm under penalty of perjury one of the following declarations: � I have tl will maintain e cenificate of consent to selt-Insure for workers' compensation, es provldetl tor by section 3700 of ihe Labor Coda, for the pertormance of Ihe � wo or which ihis permit is issued. , � ave antl will meinWin workefs' compensation Insurence, as required by s+ictlon 3700 of the Lebor Cotle, for the pertortnance of t�e work for which t�is pertnil is issued. My worke�s' co pensation I urence wyrt,ier entl poliq number era: / l� �( Cerrier: S/�- }��17/p/ PolicyNumber. l(�1 .��0',1�_ (This section need nof be�d i� the permit is velued et one hundred dallers ($ ]00) or /essJ ❑ I ceniy thet in t�e pertortnance ot tha work tor which this pertnit is issued, I shall not employ eny person in eny manner so as lo become subject to the workers' compensation laws oi Califom�a, and agree t�et Ii I s uld become subject to the woMers' compensetion provisions ot S ction 3700 ot the Lebor Code, I shall fotlhwith comply with Ihese provisions. �%.`�7� Applicent Signature: — Date: � S � / �� WARNING: FNLURE TO SECURE WORNER5 COMPENSATION COVERAGE IS UNLAWFVL AND SHALL SUBIECT AN EMPLOYER TO CFIMINAL PENALTI S AND CM FlNES UP TOONE HUNDRED TFKKISAND DOLURE (5100,000). IN ADORION TO iHE COST OF COMPENSATION, DnMAGES AS PROVIDED FOH IN SECTION 3)OB OF THE LABOR �DE, IMEREST, AND ATTOpNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm thet I am licensed unde provislons of epter 9(commencing with Section 7000) of Divlsion 3 of the Business an�rof�yi� Code, anA my license is in full tarce and effect. Lic. A `��-�`/a � _ �,eu„ r „ ContractofsSigneWre: Date: �� rf /\ /1 CONSTRUCTION LENDING AGENCV: ❑ I hereby afllrm ihat there is a consfruction lending agency tor the performance of �he work tor which this pertnit is issued. (Sec. 3097, Civil Code). Lentlefs Name: SignaNre: _ OWNER-BUILDER DECLARA710NS: Lenders AtlAress: Date: I hereby aNirm thet untler penalty of Perlury ihat 1 am EXEMPT FROM TME CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business an0 Professions Code: Any ciry or counry which requires e permit to consimct, alter, improve, demolish, or repair any siructure, pnor to its issuance, elso requlres the applicant tor such pertnit to lile a signed stetement Ihat ha or she Is Iicensad pursuant lo the provisions oi Ihe Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) ol Dlvlsion 3 of Ihe Business end Prolessions Code) or fhet he or she is ezempt iherefrom end the besis tor Ihe allegeA e:emption. Any violation of Sac�ion 7031.5 Dy eny epplicant for a permit subJects the epplicent to e civil penalty of not more ihan live huntlred dollars ($500).): ❑ I, as owner ot Ihe property, or my employees wlth wages as their sole compensation, WILL DO THE WORK, and the siructure Is not Intendad or ottered for sale (Sec. 7044, Business and Professions Coda: The Coniractors License Law does not apply to an owner of property who builds or improves Ihereon, antl who does such work himself or herself or through his or her own employees, provided ihet such improvemenis ere not Intended or oMeretl for sale. It, however, ihe building or Improvement is sold within one year ot comple�ion, the owner-builtler will heve ihe burden of proving Ihat he or she did not build or improve for purpose ot sele.). ❑ 1, as owner of the pmperty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to wnstrud the project (Sec. �044, Business ana Protessions Code: The conirectors Licen59 L.ew tloes not appty lo en owner Ot pmperty who builtls or imprwes thereon, end who contracts �or such project with a coNractor(s) license pursuant to the Contractors License Laws.). ❑ I em exempt under sec. Business and Prolessions Cade tor this reason: Siqnatura: Date: Owner ID verilied by driver's license, ❑ Ve5 ❑ NO Driver's License No. Verification of Ownership hy (type ot tlaument, i.e. - pmperty tez 6ill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I here6y cenity that no excavai�on live (5) or more leet in depth inm which e person is required to descend, will be made in connection with work authonzetl by this permit, end ihat no building siructure, scafloltling, falsework, or demolition or tlismantlinq thereof, will be more than thirty-six (36) leet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Celifomia Atlminisbetive Code). � A5 owner-builder, 1 will not employ enyone to do work which would requlre a permit Irom the Division of Indusinal Safety, as noted ehove, unleu such person has e pertnit to do 5uch work from ihe division. SignaNre: Date: Division ol Industrial Setery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORRATON OF ENTRV: I ceniy under penalry ol perjury that I have read this application end state that ihe information given is correcL 1 agree to comply with all state laws and cicy ordinances rela[ing to bullding conslruction, and euthonze representatives of tha Ciry ol Costa Mesa to enter upon the eDove-descnbed pmperty for inspecd—iy p�!po=es; agre t to occupy or allow occupancy ot eny building authorized by ihis pertnit until ti9el inspet� n. [�� / / SignatUre Ot Legal Owner(s) Date �t�l1V�g�4`P i�t�- Antl/Or Authonzed Ap cant Date COUE �. INSPECTIONTYVE 1616 Fixed System Final Fire Pr9�ention 1268 Pool Spa Final 200 Final Ra-Roof 201 Final BIxk/Retaining Well 202 Final Factory Fire Place 203 Final Sign 20a Final Demoliiion PdIE INTmALS r y-IL-�L � COOE 1 INSPECTION TYPE 206 Final Methanital 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 222 250 Final Planning Approval Final Site Final Builtling/Occupancy PAiE IHmuLS � _ ..�Jh`:�� r.. .� COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant [o Fill in Completely — Use Ink Only ADDRESS 3010-A B C Jeffre Drive C.M OWNEfl Rictu,-�rd Sc�rell Inc. ADDRESS 136 RndZester Street F C LL� a ¢ H y S t� C � F ¢ C :J Q � � 7. W a O C a Z k7 S 3 CITV (� CONSTRUCTION LENDER BflANCH ADDRESS ARCHITECT CONTRACTOR ADDRESS CITV STATE LIC. NO. Z SIZE OF LOT USE OF NO. TE TEL. NO. CITV LIC. NO. NO. OF BLOGS. NOW ON LOT Separate permits are required for electric, plumbing and heating work. BUILDING �+ND WORK TO BE PERFORMED 'Ftt -?.-7?�FS°�0 119a �** l6ZC�! I APPLICATION FOR STRUCTURAL PERMIT BUILDING ADORES: m� FIflE — vi��s� ciJ/ a7 t.J'Y�s a ai/ � tu -o ' % � LOT BLOCK � P E�.L / � /� t'—Sr VAWE '/��%a N NO.OF PlAIS VAR�SAPPROVED APPFOVED VSE OF BUILDI VAR�S I ACCESSORV a :] I hereby acknowletlga that I heva raatl this appliceHon end steta � thet tha above Informatlon Iz correct end eprea to comply whh m ell lawe rBpulatlnB builtlinB �onctrucHon, entl 1 shall not employ � any perwn in violatlon of Me workmen's compansaHan laws of Ma Sieta ot Calitornle. a �T/� ; I hereb certlf thet 1 em �� SQ. FT.V n y y propa�IV Iitonxtl as a conSracior untler Me Smte of Calltornle Businasa pntl ProfossiOns Cotle, Divlsion 3, THE AMOUNT SHOWN UNDEfi VALUATION IS FOF ro Chapter 9, antl thet such licance5 are in full forca antl affaci, or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � am ezampt irom MB provislons Of the Steta of Callfo�nie Business VA�UATION PERMIT FEE S a and Professlona Co a, DiW�lon 3 Chepter 9. m PLAN CHECK � "� Slpneture of /'/� /7� � • � Permittee 5// TAX y LL I � U Authoriz Apant TOTAL PAIO E Q' F � W 0. Q � � 5 F C F Q � .� Q 7 } .d LX k7 O a a Z 'y' 3 43��,3 _� . COSTA MESA BUILDING-SAFETY DEPARTMENT F.O• BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Ose Ink Only BUILDlNG ADDFiESS 30�o-A B� - Tr�ffrp,� Dri�m � OWNER RlCI1dYC� SESJE?ZZ IRC. MAIL CITV C CANSTRUCT�ON BRANCN ADOFESS ADDRESS CITV STATE LIC. NO. 512E OF lOT USE OF TEL. NO. TEL. TEL. NO. CITV �IC. NO. NO.OF BLDGS. NOW ON LOT Separate permits are required for electric, plumbing and heating work. UILDING AND WORK TO eE PERFOR� 1 hereby aCknowledpe that i have reatl this epplication and nate thet She a4ove fnformeNon (s corract and agree to comply wiffi ell lews requlatinp bulldlnB �onstruction, entl 1 shall not employ ony perwn �n vlolatlon ot the workmen's compensstion laws of Me Siaie of Celifornle. I horaby cerNfy ihat I am proparly IicenseG as a contracior unCar the State of Callfornie Business entl Professions CoAe, Division 3, Chapter 9, entl thet such Iicensez are in full forca antl affect, or I em exempt }�om tha provislons of She Steta of Callfornia Business entl Profass�onz Cotle, Division 3, Chepier 9. SlBnawra of �� Parmlttae AuthOrizetl q ��, �r�-�-»�—�,oa b,� �,�u,r2�i.oc APPLICATION FOR STRUCI'[JRAL PERMIT RECEIVEDBV DATERECEIVEO nnTcwcimr PERMIT BUILDING ADDRESS � TFACT LOT OWNER VALUE ROVE� ZONE NO.OF USE OF NEW PLANS BUILDING VARDSAPPROVED YAR�SAPPROVED MAIN BUILDING ACCESSORV BUILDL (FROM C/L STREET) DISTANCE BET. BEf. MAIN & MAIN BLDGS. ACCESS. BLD VAfi.SM' DATE C.U.P.q� APPROVED APPROVED i ...0 7 � � � m S�. FT. n THE AMOUNT SHOWN UNDER VALUATION �5 FOR m THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � VALUATION PERMIT FEE a N m PLAN CHECK § "� 0 $� TAX $ LL f u TOTALPAID E