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Home My WebLink About3012 JEFFREY DR - Building Permits(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, GOSTA MESA, C:A 92626 BUILDING PERMIT JobAddress: 3012 JEFFREYDR Suite: Vicinily: TRIPLEX AND ATTACHED GARAGES Parcel Number: 41812107 Applicant: MAIOLFI, GARY Address: P O BOX 3908 SEAL BEACH, CA owner: FRANKLIN, LEAH TR Address P O BOX 8442 NEWPORTBEACH,CA Contracror G M ROOFING Address: P O BOX 3908� ' SEAL BEACH, CA 2ip: 90740 Arch : Address: Status: ISSUED Applied: 12I04/2001 Issued: 12/04I2001 Zoning: R3 R3 ISSUED BY: � Phone: 562-429-7663 Zip: 90740 Phone: � Zip: 92658 Phone: 562-429-7663 License: 472566 Eng: Address: Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF TRIPLEX WITH ATTACHED GARAGES: T/O EXISTING WOOD SHAKE, REPLACE WITH 1/2" SOLID OSB SHTG, 1 LAYER 30# FELT, INSTALL 40-YEAR FIBERGLASS SHINGLES. 2900 SQ FT Plan Check: $0.00 Permit: $153.25 SMIP Res: $0.73 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $153.98 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existina: o NOTES: FEE SUMMARY Calc Valuation: Claim Valuation: PLANNING & ZONING Rear 0- 0 Lek 0- 0 Right 0- 0 Rear 0- 0 Left 0- 0 Right 0- 0 Required: 0 Proposed: 0 $7,300.00 $7,300.00 NO710E: 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 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 considerad legal, such work must comply with all applicabla codes, and all required Inapectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 244G46 (N00) WORKERS'COMPENSAnON DECLARArON: ' I hereby ettirm under penalry of perjury one of the following declaretions: ❑ I have and will maintain a cenifiwta of consent to self-Insure for workers' compensation, as provided for by sedion 3700 of the Lebor Cotle, for the pertormance of the r work tar which Ihis partnit Is issuetl. Il�f I have and will maintain workers' compensation insurance, as required by secGon 3700 of the Lebor Code, for the peAormance of the work for which this pertnit is issued. My workers' compensatlon Insurence carner and policy number ere: 7 Cerriar. �// r��(/�j Policy Number. �n�(�� J%� I� (This sectwn neetl not e complefed il the permrt Is velued ef one hundred dollars ($100) or less.) � ❑ I certity thet in the peAormance ot ihe work for which this permil is issued, I shall not employ any person in any manner so as to become sublect to Ihe workers' wmpensation laws of C 11 mla, end agree that i/ I should Decome subjact to lhe workers' compensation provislons ot Sectlon 3700 of the Labor Code, I shall forthwith camply with these pro �� ns. // Applicent Signawre: Date: /c� "'7 —O � WARNING FAIWRE TO SECURE W (ERS' MPEJ SA ION COy GE IS UNUWFUL AND SHP1L SUBJECT AN EMPLOYER TO CRIMINPL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED TFIOUSAND DOLLARE (5100,000), IN DITION TO THE COST OF CbMPEN5AT10N, DAMAGES AS PROVIDED FOR IN SECiION 3]Ofi OF THE LABOR CADE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRAC70R5 DECLARATION: I herehy aHirm Ihat I em licensed under provisyi ns of Chapter 9(commencing with Section 7000) of Division 3 oi ihe Busine and�P{� fessions Code, and my license is in full forco end ettect Lic. # �7� ��/9 / Class k� 3 7 Contrector's SignaNre: 4�� Date: /.� - �/'O/ CONSTRUCTION LENDING ❑ I hereby affirtn that ihere is a construction lending agency Por the pertormance of ihe work br w�ich ihis permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lenders Adtlress: Signa�ure: Da�e: OWNER-BUILDER DECLARATIONS: I hereby eHirtn that under penalty ot perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business antl Professions Cotle: Any city or counry which requires e permit to consiruct, elter, improve, demolish, or repeir eny strucWre, prior to its issuance, elso requires the epplicant tor such pertnit to tile e signed statement Ihat he or she is licensetl pureuent to the provisions of the Gontractors License Law (Chapter 9(commencing with Sedion 7000) of Division 3 oi the Business and Professions Code) or Ihat he or she is e:empt iherefrom and the basis for the elleged ezemption. Any violation of Section 7031.5 by eny applicent for e pertr<' subjacts the applicant to a civil penalry ot not more than five huntlretl dollars ($500).): ❑ I, es owner of the property, or my employees with wages as iheir sole compensation, WILL DO TNE WORK, and ihe strucWre is not intended or ottered tor sale (Sec. 7044, Business and Professions Code: The Coniractors License Law does not apply �o an owner of property who builds or improves thereon, and who does such work himself or �ereelf or through his or her own employees, provided that such improvements ere not Imended or oNered for sele. If, however, Iha builtling or improvement is sold within ona year of completion, ihe owner-builder will have ihe burden of proving ihat he or she did not 6uild or improve tor purpose ot sale.). ❑ I, es owner of tha property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business antl Pmfessions Code: The contractors License Lew tloes not apply to en owner of pmpetly who 6uilds or Improves ihereon, and who coniracts for such project with a conirector(s) license pursuant to ihe Contrac�ors License Laws.). ❑ I em exempt under sec. Business and Professions Code br ihis reason: Signature: Date: Ownar ID verilied by dnvefs license. ❑ Yes ❑ No DnveYs License No. Verifcation of Ownership by (typa af document, i.e. - property tez bill or dead): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Expires: ❑ I hereby certify Ihet no eacavetion five (5) or more faet in depih into which a pereon is required to descend, will be matle in connection with work euthodzetl by �his permit, end that no building simcture, scattolding, falsework, or demolition or dismamling thereoi, will be more then thirty-si: (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, T1tie 8, Califomia Atlministretive Cotle). ❑ As owner-builder, I will not employ anyone to tlo work which would require a permit trom the Division of Industnal Safery, es notetl above, unless such person has a pertnit to do such work from ihe division. Signature: Date: Divicion of Indusirial Safery Pertnit Number. CERTFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENTAV: I cetlity under penalry of perjury that I have reatl this epplication and state that ihe in(ormation given is correct. I egree to comply with ell state laws antl ciry ordinances relating to builtling construction, end authonze represematives of the Ciry of Costa Mesa to enter upon the above-described propetly tor inspection purposes. I agree not to occupy or allow occupancy o( eny building euthorized by ihis permit until tinal inspection. CODE 6 INSPECTIONTYPE 7676 Finetl System Final Fire Prevention 1266 200 201 202 203 Pool Spe Final Finel Re-Root Final Block/Retaining Wall final Factory Fire Place Final Sign 204 Final Demalition o"re INRTULS �oZ ' / —a,� % Date GOOE I INSVECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupency P7.5iil:Yuir��.j d F � W S Q H y S F C W F a c � Q 7 r � a w c. 0 a a Z W S 3 .� � ..43�?� . COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applican[ [o Fill in Completely — Use Ink Only BUILDING ____ _ _ __ _ , _ __ OWNER MAIL ADDRE: CITY BRANCH ARCHITECT OR ENGINEEf ADORE55 ADDflESS CITY STATE LIC. NO. SIZE OF LOT USE OF TEI.. TEL. NO. CITV LIC. NO. NO. OF BLDGS NOW ON LOT Separate permits are cequiced Coa electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PEFFOFMED vace ""rR—?_-77cn:.d� ?20'�• =s*162.Ob APPLICATION FOR STRUCfURAL PERMIT ECEIVEDBV DATERECEIVED neTcicciicn OWNER f�/CJJ� /�_ • � I � FIRE ZONE APPROVED BV E NO.OF PLAN$ VARDS APPROVE MAIN BVILDINC DATE USE OF N BUILOI VARDS A F ACCESSOflV VAR.,A�' / DATE C.U.P. �7(p' APPR( APPROVED / y IO I _ _ FT I hareby ecknowledpe ihai I hava reaG t�is appllcation entl etate '^ n t�at tha above intormetlon I� corrett entl epree to comply with m ell laws ropulailnp Duiltlln0 conrtructlon, antl I shell not amploy any person In vlolation of the workman's compensallon law� of the State of Calitotnle. /�/7 t - 1 hereby certlfy thet I am provarly Iicensatl oa a contrac[or untler v�/SQ. PT. �%� � H t�e State of Celifornla eusineu antl Prolasslons Cotla, Dlvislon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and Mot �ucn Iicensea ara �� full force antl effect, or I THE PUi1POSE OF ESTABLISHING A �ERMIT FEE ONLV: em exempt from che provisiona oi tha Srote of Celifornia Busineca iO VALUATION PERMIT FEE § � and Protesslons Co , Divl�lon 3, Chepmr 9. J� /J'') A'� PLAN GHECK y m Signatura of //�"' /7 �� 7 � o Permlttea � � $ / 7Ax E LL f u Authorize Bent TOTALPAID s ,Q F � W 0. Q y y S F G q] F� Q C ..1 Q 7 %" ..1 a � o. 0 m a Z�y 5 3 ... .. 93�24 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant [o Fill in Completely — Use Ink Only BUILOING ADDRE55 3O�Z—A,BS TPf � �'i{� OWNER Rl(_Y1dZ'(� SEiV211 ILIC. pTV BRANCH ADDRESS ARCHITECT Ati FNl`.INFFR SdIL� CONTRACTOR ADDRESS CITV STATE LIC. NO. 7 SIZE OF LOT USE OF TE L. NO. TE TEL. NO. CITV �IC. NO. NO. OF BLDGS NOW ON LOT Separa[e permits are required for electric, plumbing and hea[ing work. USE OF BUILDING AND WORK TO BE PERFORMED ''hR-�-77�vI�00 616 v�'•*-�Z4i.OJ APPLICATION FOR STRUCTURAL PERMIT RECEIVEDBV DATERECEIVED nnTcissuFr BUILDING y ADDRESS �,,, TRACT ZONE VARDS MAIN VAR. �W C.U.P. qJt APPROVED I hereby ecknowlatlpe that I hava raatl this epplication entl smte that the abova Informatlon Ia corract any agree to compiy with oll laws re0ulatlnp b�ildlnB �onsiruetion, entl I shel� not amploy nny peraon in violatlon of Sho workman'c compansotion lewz of tna stata of californle. I hereby certify thot 1 am properly Ilcensad es a eontrnetor untler tho State of Celifornie Businosa en0 Profauions Cotla, Dlvision 3, THE AMO C�apter 9, antl [hat such Iicenwe oro fn full force antl efiact, or I THE PVRPt nm exempt from iha provislons of t�e Steie of Celifornin Buslnass VALUATION entl P�ofesslona Gotle, Dlvision 3, Chapter 9. / Sipnature oi � Parmittae 5 A�thorized A t LOT BLOCK P iP�,ti �A"'S %,%OG TVPE GROVP OATE NO.OF USE OF NEW PfAN$ BUILDING FT & DATE APPROVED v� � m O m m N ✓N UNDER VALUATION IS FOR m ABLISHING A PERMIT FEE ONLV: — u PERMIT FEE E a N m PLAN CHECK S ^� 0 TAX S LL f U TOTALPAID E