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Home My WebLink About3014 JEFFREY DR - Building Permits(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us BUILDING PERMIT JobAddress: 3014 JEFFREYDR Suite: Viciniry: Parcel Number: 41812108 npplicant: MAIOLFI, GARY Address: Owner: PRICE, CHARLES D Address 4879 HAZELTON HOUSTON,TX Contractor: G M ROOFING Address: P O BOX 3908� SEALBEACH,CA Zip: 90740 Arch : Address: Zoning: R3 R3 Phone: 562-029-7663 Zip: Phone: Zip: 77035 Phone: 562-429-7663 License: 472566 Eng: Address: 77 FAIR OFIVE, GOSTA MESA, GA 92626 ISSUED BY: Status: ISSUED Applied: 11/07/2007 Issued: 71/07/2001 - Phone: � Phone: Zip: License: License: SCOPE OF PERMIT RE-ROOF TRIPLEX. ONE BUILDING. TEAR OFF EXISTING WOOD SHAKES, SHEATH ENTIRE ROOF , APPLY FELT AND COVER WITH 30 YEAR ELK COMP SHINGLES. � - Plan Check: $0.00 Permit: $139.25 SMIP Res: $0.69 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $139.94 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Ezistinq: o NOTES: Rear 0-0 Rear 0. 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0-0 Right 0-0 ss,soo.00 ss,soo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 9248, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned lor a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all epplicable codes, and all required Inspeetiona end final epproval must be obtained. Failure to obtain inspections and final approval will result In ihe expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 tses-ae �aroo� WORKERS'COMPENSAnON DECLARATON: I �ereby aNirm untler penalry oi perjury one oi the foliowing tleclaretlons: ❑ I have antl will maintein e cenificate of consent to self-Insure lor workers' compensation, es provitled br by section 3700 of the LeDor Code, lor the pedormance oi Ihe work lar which this permit is issuetl. have antl will meintein workero' compensalion insurance, as requiretl �y section 3700 of tha Labor Code, Por the pedortnance ol the work tor which I�Is pertnit Is issued. My workers' compeqsallon Insurence carrier antl policy numbar ere: Certiec ` � � Policy Num6er: (ihis sectian need nat be tromp/ete0 il the Oertnif Is valued ef one hundred dollars ($ I00) ar less.) ❑ I cetlity that in the pedortnance of the work for which this permit Is issued, I shell not employ any pereon In eny manner so es to becoma sublect to Ihe workers' compensetian lews of Celit ia, end egree ihat If I sho�ltl Decoma sub�ect to the workers' compansetlon provislons ot Se tlon 370 of the Lebor Code, I shell farthwith comply with thesa pravis' n� n ,,, �n�/, jI I Applicant Signeture: (.�W ✓" Date: —1 l�/ � � � WARNWG: FAILURE TO SECURE WORI S' CAMPENSA ION CAVE E IS UNL4WFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAITIES AND CIVIL FINES UP TOONE HUNDRED TqU5PND00LLARE(5100,000),INAD IONTOTHECOSTOFCOMPENSATIIXJ,�AMAGESASPROVIOEDWRINSECTION3]OBOFTHEIABORCOOE.IMEREST,FNDATTORNEI^SFEES. LICENSED CONTFACTORS DECLARATION: I hereby aNirm that I am force end eHeci. Lic. q_ GonirecmYs Signeture: CONSTRUCTON LENDING ol Chapter 9(commencing wilh Section 7000) of Divislon 3 0l the Business and Professlons Cotle, entl my license Is In full Class x �_� � i ` �~� Dete: '� ❑ I hereby aHirtn that there is a consiruction lentling agency for ihe performence ol the work tor which ihis permit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lentler's Atltlress: Signeiure: Date: OWNER-BUILDER DECLARATIONS: I hereby eMirtn that under penalry ot perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor IOe following reason (Sec. 7031.5, Business entl Protesslons Code: Any ciry or counry which requires a permit to construc6 alter, improve, demolis�, or repair any structure, prior to its issuence, elso requires the epplicant lor such permit to file e signed stetement ihet he or she Is licensed pursuent to Ihe Orovisions ot ihe Contrectors License Lew (Chaptar 9(commencing wilh Secllon 7000) oi Divislon 3 oi Ihe Business enC Professions Cotle) ar t�at he or she is axempt therefrom end ihe basis br Ihe allegetl exemption. Any violetion of Sectlon 7031.5 �y eny applicant for e pertr+l subjects the epplicant m a civil penelty oi not more than five hundred tlollars ($500).): ❑ I, as owner ot Ihe property, or my employees with wages as iheir sole compensation, WILL DO 7ME WORK, and Ihe siructure Is not intended or oflered for sale (Sac. 7044, Business and Professicns Code: Tha Contrectors License Lew does not epply to an owner of pmperty who builds or imDroves thereon, end who does such work himself or herself or through his or her own employees, provided that such improvements are not intendad or oHeree tor sale. If, however, the building or improvement Is sold within one year Of Complalion, ihe Owner-builder wiil heve ihe burden of proving thal �e or she did not 6uild or Improve for purpOse of Sele.). ❑ I, as owner of the pmper�y, am EXCLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to con5iruct the prolect (Sec. 7044, Busine59 entl Protesslon9 Cotle: The contractors IJcense Lew tloes not epply to en owner of property who 6uilds or improves Nereon, end who conlracis for such pro�ect with e conirector(s) license pursuant ro the Contractors License Lews.). ❑ I am eaempt untler sec. Signature: Owner ID venfietl by tlriveYs license. ❑ Ves ❑ No Business ena Prolessions Code for Ihis reason: Venfication of Ownership by (rype of document, i.e. - properry ta�c bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Drivers License No. Date: E:pires: ❑ I hereby cartity ihat no excavetion five (5) or more leet in depih Into which e person is required to descend, wlll be mede in connectlon with work euthonzed by Ihis pertnit, and thet no building structure, sceHoltling, falsework, or demolltion or dismantling Ihereof, will be more than Ihirry-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 347, Title B, Califomie Administrative Cotle). ❑ As awner-builder, I will not employ anyone to tlo work which would require e permit from the Divislon ol Industnel Sefery, as noted ebove, unless such person hes e permit to do suc� work trom the division. Signature: Date: Division of Indusinal Safety Permit Numbar: CERTIFlCATE OF COMPLIANCE AND AUTHORZITON OF EMRY: I certify untler penelry of perjury that I heve reaC �his eOPliwtion enC state that �he infortnaiion given is correct. I agree to comply with ell stete lews and ciry ordinences relaling to building constructlon, and euthorize representatives ot the Ciry ol Costa Mesa to enter upon the ebove-descnbetl property for inspection puryoses. I agree not to occupy or allow occupency of eny building euthonzed by Ihis pertnit until finel inspection. COOE �. INSPECTIONTYPE 1616 Flxetl System Flnal Fire Prevention 7266 Pool Spe Finel 200 Finel Re-Rooi 201 Finel BIocWRetaining Well 202 Final Fettory Fire Place 203 Flnel Sign 204 Final Demolitian PAg It�Li �—� � �ate ate CQOE I INSPECIION iYPE 206 Finel Mechanical 20B Finel Plumbing 210 Finel Electncal 212 Finel Fire Praventlon 220 finel Planning Appmval 222 Final Site 250 � Final Building/Occupancy BAg II�15 � :a.�� ' COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSYA MESA, CALIFORNIA 92626 For AppGcant to Fill in Completely —. Use Ink Only BUILDING nnnwess Rmd—A_R.0 Jeffrev Drive. C.M. OWNEq RLC1ie7TC1 ADDRESS 136 Roc] CITV `(„O5� jJJi CONSTRUCTION __ ' BRANCH ADDRE55 ARCHITECT CONTRACTOR ADORESS CITV F STATE � IIC. NO. Z {c� SIZE G+ OF LOT a USE OF � ExISTING BLOfi. y TEL. NO. CITV LIC. NO. NO. OF BLOGS. NOW ON LOT FSeparate permits are required for p electric, plumbing and heating work. F USE OF BUILD�NG AND WOFlK TO BE PERFOR� Q 0 a > r .a x w a , ` `3-2-7/�—��tn�0 121' *��*1�fi.S� APPLICATION FOR STRUCTURAL PERMIT FECEIVEDBV OATERECEIVED n,.+viccimr —0/�07� eui�oiNc ' ADDRESS OWNER ��G^I'�i� S15E � I � 1/:� - FIRE ZONE T APPROVED BV E NO.OF � ./ PLANS VARDS APPROVED DI5TANCE BET MAIN BLDGS. VAR.�W�� I hereby acknowletlBe that I have reatl this application and state (� <hat t�o above informatlon b carrect antl eprae to comply wit� �' ull lows reguleting bulldinp Lonrtruction, and I shall not amploy Wany person in violetion ot Me workmen's compensation laws of �. ihe State of Californla. � QQ� 3 I hereby cartify that I em proPBrly Ilcensetl as e contrector untler Q� SQ. F the Steta of Cellfornle Businesa antl Professions Cotle, Dlvlslon 3, THE AMOVNT Chnpter 9, entl t�at svch Iice�wa ere In tull torea and effett, or I THE PURPO6E am ezampt trom the p�ovl5io�s of the State of Cellfornia Business VALUATION ontl Professlons CoC Divisio� 3, Chapier 9. SIB�aiura of � � ^arAittee ^"• � �/�(�/l. N g "')�1�� PEqMlr�yqi LZ 7fi VALUE USE OF N BUILDING' VARD� BEf. MAIN & ACCESS. BLOGS. DATE APPROVE�-''� _ _ �_ 5��. r,. n mf r. ' y N SHOWN UNDER VA�UATION IS FOR m OF ESTABLISHING A PERMIT FEE ONLV: e PERMIT FEE b p J� n W PLAN CHEGK 5 m 0 TA% E • Q:�� U TOTALPAID $ 43�.25 � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. HOX 7200 COSTA MESA. CALIFORNIA 92626 aaio .k '4�R-4-'i7 Q�l 6i7 o:t*;:?S.S.OL f,u^.� APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEIVEDBV DATERECEIVED OATEISSUED BUILDING ADDRESS PEFMIT NO. OWNER Rj(�`]]c1T'(� SEW21�. Ii1C. P"P' N�' /� MAIL BUILDING y � /� ADDRESS 136 Rochester Street P.DDRESS E�jC }�/ /T TEL. TRACT LOT BLOCK cirv Costa Mesa 92627 No. 642-4905 CONSTRUCTION NEW ADD A P LENDER BRANCH OWNER � L ADORESS VALUE OR ENGINEEFl St3If1 AUll-Dd No�' 42-4 SE � S FIRE ADOFESS 136 itochester St. Costa Mesa ZONE TVPE GROUP APPROVED CONTRACTOR p�er - sv DATE ADDRESS TEL. ZONE NO.OF USE OF NEW CITV NO. PLANS BUILDING STATE CITY �'ARDSAPPROVED VAR�S APPROVED LIC. NO. '2 1 8 Bl LIC. NO. MAIN BUILDING ACCESSORV BUILDING 512E NO.OF BLDGi. (FROM C/L STREET) OF LOT NOW ON LOT FFONT FT. FT. USE OF EXISTING BIDG. FT. FT. Separa[e permits are required for L SIDE FT. FT. electriq plumbing and heating work. REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & ' MAIN BLDGS. ACCESS. BLDGS. VAR. # DATE Til 12X Wl�l 3t.tdCY12C� clYd 2 C.V.P.� APPROVED APPROVED 1 heraby acknowled0e thet 1 heve reatl this application and state ^ '^ n thet the ebova information is cor�ect entl agrae to comply with y� ell laws reguleting bulltling construction, antl I shall not employ O � eny person in vloletlon of the workman's compensation laws of d the S<ace of Celifomie. ' I hereby cartify that I am properly Iicensed as a conttactor untler SQ. FT. N tha Stete of Calttornla Buslneas antl Professions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, antl thet sueh licenses are in full force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � am exempi trom the provisions of tha Stata of California Business VALUATION PERMIT FEE a antl Profassions Cotle, Divislon 3, Chepte� 9. $ vi m PLAN CHECK $ M SiB�atule of _ � Pe�mlttee $ Tqx g LL � U AuthOfiZed S TOTALPAID ��