HomeMy WebLinkAbout3018 JEFFREY DR - Building Permits,lobAddress: 3018 JEFFREY DR
Sui�e:
� Viciniry: ROOF
Primary Occ: R3 Dweilings/ Cong Res <10
Parcel Number: 41812110
Applicam: JAY MOREAU
Address: 205 S BERKELEY CI
FULLERTON,CA
Owner: LINCOLN, STI
Address 3018 JEFFREY D
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�mractor (/GREATWESI
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GARAGE.
� �� $0.00
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�\i� n Permrc:�' �$167.25
SMIP Res „�s $0.90T
� � � SMI P �Coni "� ; � � �0.00 �
� ��, i� Other' �«�� � $0.00
� �,' Inspectwn �, ` � $0.00
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� \ Total: `V�'.$168.15
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Status: ISSUED
Applied: 01IO2/2007 `
Issued: 01/02/2007
Type of Conslruclion: V-N
� Zoning: R3
Phone: 714-738-5848
�- i �.,Zip:- ..92831 _._ ISSUED BY:
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. License: 880240 - �� �,A �_ �
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�� � SCOPE OF PERMIT ��' -� ��.,�;ip/ `.-.',� � i,`, ' , .:
1,LAYER OF 15# FELT, 4:12 PITCH, 7/16" OSB AND 30 YEAR COMPOSITION SHINGLES.�3�,000 S:Fr� ��
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NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calitomia statutes and related
regulations. (Ord. No. 9248, § 1, 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
for a period ot 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
required Inspeetlona end Ilnal epproval must be obtalned. Failure to obtain inspections and final approval will result in tha expiration oF this permit. .
FOR INSPECTIONS CALL: (714) 7545626
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WORKERS' COMPENSA7ION DECLARA710N: . � .. � '
I hereby aflirm under penalfy oi perjury one of iha following tleclaralions: � ' � . ,� � '
❑ I �ave d�tl will maintein a cartificate ot wnsem to setl-Insure for workers' mmpensatioq�as pmvitled lor by settion 3700 of (he labor Cotle, for Ihe pedormante ot Ihe
work fo� which this permit is issuetl.
$r�l have 8nd will maintain workers' compensa6on insumnce, as requiretl by section 3700 ol Ne LaDor Cotle, for the perfortnance oi the work tor which this permit is issued.
��My workers' compensation Insurence carrier and policy num6er are: / ) .,
Gem���.PIS'�'.Q��� T%�/% /N� �p�Ll ) /O� ✓f Poficy Number: �/- sS I �� % � 3 � ( -
(This section �eetl not be completed il the permit is valued at one huntlred dollers ($700) or Iess.J �:'..`
❑ I certity that in the pedormance oi �he work lor which this parmit is issuetl, I shall not employ eny person in any manner so as to become subject to Ihe workers'
comper�setion laws ol Califo e, end egree that if I should become subjecl to the workers' compansation pmvisions of Saction 3700 of Ihe Lebor Coda, 1 shall forthwith
comply with Ihese provisia /%! � / /`� _ �
Ap li` c�nt Sip�etu e`.,-^"� ���w.�� �Date�f-.
W ARNING�. FAIW� TO SECUR ERS' OOMPENSATION dJVE0.4GE IS UNIAW FUl PdJD SHALL SUBJECT AN EMROVER�TO CPIM{NAL PENAlT1E5 AND GIVIL FINES UP TO ONE HUNOPED
THOUSAND DO��RE (St00,0p0�.IN ADDRION TO THE CQST OF COMPENSATIdJ, OAMAGES AS PROVIDED FOq IN SECTIQV 3]O6 OF TME LABOR CODE, INTEFEST, AND ATTORNEY'S FEES.
LICENSED GON7RACTORS DECLAPATION:
Chepter 9(commencing with Section 7000) of Division 3 ot the Business and Prof sions Code, antl my licensa is in full
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�.�"� Date:.+^„-. � _ � — %
CONSTRUCYION LENDING AGENCY:
❑ I hereby aRirm fhat Ihere is a croslruction lentling agency for ihe peAormance of Ihe work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lendefs Name: Lander's Atltlress:
Signeture:
OWNER•BUILDER DECLARATIONS:
Date:
I hereby ettirtn that untler penalry of perlury ihat I am EXEMP7 FROM TME CONTRACTORS LICENSE LAW for the following reason (SecJ031.5, Business and Professions
Cotle�. Any city o� county which repuires a permit to constmct atler, Improve, tlemolish, or repair eny stmqore, prior to its Issuance, also requires the applicant for such permit
to lile a signetl statement thet he or ahe is licensed pursuant to ina provisions of the Contractors License Lew (Chapter 9(commencing with Section 7000) of Divislon 3 of ihe
Business end P�o�essions Code) a that he or she is e:empt therelrom and the basis for the ellegetl ezemptlon. Any viofation ol Sectlon 7031.5 by any applicenl tor a permit
su�jects the ePplicant to e civil penalty of not more than five huntlred dollers (5500).):
❑ I, es owner of Ihe property, ar my employees with weges es chair sole compensetion, WILL DO THE WORK, entl the slructure I5 not in�ended or offeretl for sale (Sec.
704d, Business antl Proteuions Code: The Coniractors License Law dces no� aOPty to en owner of property who builds or impmves thereon, antl who tloes such work
himself or herself or thmugh his or her own employees, proviaetl ihat such improvements are not intended or odered for sale. If, however, iha builGing or improvement is
sold witd�n one year ot completion, tha owner-builtler will heve the Durden of proving ihat he or she ditl not build or impwve br purpose o/ sale.).
❑ I, as owner ot the pmperty, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consirUct ihe project (SeCJ044, Business and Prolession5
Cotle: The contractors Licensa Lew does not apply to an owner ol property who �uilds or Improves Ihareon, and who contrecis lor such project with a contractar(s)
ilcense pursuant to the Comracto�s License Laws.).
❑ I em ex�mpt undet sec. Business and Professions Code for this reason: _
Signature: ' Date:
Ownor ID veri�ied by dnver's license. ❑ Ves ❑ No Drivefs License No. Ezpir85:
Verification of Ownership by (type of documem, i.e. - pmpeny tax bill or aeodJ:
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICA7ION:
� f hereby �ertity that no ezcavatian tive (5) or more teat in Aepth into which a person is requireA to tlescentl, will be made in connection with work authorized by I�is
permit, and that no 6uilding sirucWre, scaHoltling, talsework, or tlemolition or dismantling ihereol, will be more than thirty-six (36) feet �igh. (Chap. 32, Grp 2, An 2, Sec.
341, Ttle e, Califomia Adminisiretive Cotle). ' ,
❑ As ownUr-builder, I will no1 employ enyone lo do work which would require a permit Irom ��e Division ol Indusirial Satety, as notad above, unless such person�has a
permi� in do such work from ihe division. .
Siqnature: Date:
Division of Intlustrial Safery Permi� Number:
CERTFICATE oF COMPLIANCE AND AUTHORIZA710N OF EN7RY: I cehify under penalty of perjury Ihat I have read �his application and state ihat the information givon.is
wrrecL I agree ro wmply with all stala laws antl ciry ortlinances relating to builtling construction, end authodze representatives ot �he City ol Costa Mesa to enter upon ihe
ebove-tlescribetl property for insDedion puryoses. I agree not to occupy or allow occupancy oi eny building authorized by �his permit until finel inspection.
Lagal
CO�E I, IxSPELTIONTYPE
1616 Fixetl System Final Fire Prevemian
1266 Pool 5Pa Final
200 Final Re-Roof
201 Final Block/Retaining Wall
2�2 Final Factory Fire Place
203 FinalSign
204 Final Demolition
Appliwnt_:u.�=u�-�� _ �
P9If INTRIALS
� �
COOE I INSPECTION TYPE
206 Final Mec�anical
200
210
212
220
222
250
Final Plumbing
Final Electrical
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�, .L,W:.��a.Tlat..v.
ong iemm��s �
Final Fire Prevention
Final Planning AQproval
Final Site
Final Builtling/Occupency
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' �, �• �,;Q _% ','•ER —Z'iiPRtOoO i 2s� �:`� 156.50
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� COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626
APPLICATIQN FOR STRUCI'URAL PERM[T
For Applicant to Fill in Completely — Use Ink Only
RECEIVEO BY �ATE RECEIVED DATE ISSVED
nooRess 3018-A B C Jeffre Drive C:M. ��
OWNER RLl:l1OJ.0 S�+I�1 II1C. AP,�ry/p a/-U�iv�iO3_o5!' PER T .,.
MAIL - BUILDING
AD�RESS .13() ROCYlEStei' Stseet �+ODRESS e'
TEL. "
CITV '(p c� � z 2 No. 4z_q TRACT LOT U BLOCK
CpIW'TRVCTION � � W AD A P
LENDEfi UIl]Q1C7FII1
BRANCH
OWNER �
ADDRESS
VAWE � ��
OR EN INEER SaIfl AULrDd 2Y1 TE` �IZ—�I S S ' $
' FIRE
ADDRESS 136 Rochester St. COSt.d M2Sd ZaNE TVPE GROUP
' APPROVED � '
CONTRACTOR �(lpx . ' BY DATE
ADDRESS ' ' '
TEI. . �E_ NO.OF USE OF W
CITV NO. � PI.AN$ BUILOfN
F STA7E . . CITV 1'ARDSAPPqOVED VARDS PPROVED
.� LIC. NO. ' ZB161H B�. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
{�i7 SIZE � NO.OF BLOGS. (fROM C/L . E
d OF LOT NOW ON LOT ONi �FT FT.
a � VSE OF , - .
� EXISY�NG BLDG. ' I T . FT.
y �
FSeparate permits are required for L SIDE �._.FT. FT. '
electric, plumbing and hea[ing work.
WREAR FT. FT.
Q USE OF BVI�DING AN� WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLOCS. ACCESS. BLDGS.
� VAR.,� ATE '�
� � C.U.v, � —� ROVED �
� APPflOVEO P
� ''' OLD FC,�� SPECiaL I� en��„
w ��
� I hareby acknowlatlBa that I have reatl thl� apPllcallon antl smte •��i� �
N
q� thnt iha.ebova informatlon Is eorraet antl aprea co eomply with
a all laws repuletlnB buildinB conrt�uctlon, end 1 shall no[ employ
Z� nny perton In vloletlon of the workman'a compensotlon lews of �
= Me State of CalHomie. . � Q 0
3 1 heraby cartify that I em properly Ilcenaetl as e conireeiar untler SQ. FT. �J �v
the Stata of Celitornle Bus(nass antl Ptofeaions Cotle, Dlvision 3, THE AMOUNT SHOWN UNDER VALUATION IS FOq m
. Chaptar 9, antl that such licenses are In full forco entl effect, or I THE PURPOSE OF 6TABL6HING A PERMIT FEE ONLV: �
� am exempi from xhe o�a��sions of the Stete of Celifornia Business y •
VALUATION PERMIT FEE E
nntl Profecsions Co e, Divislon 3 I- car 9. J�
' ' PLAN CHECK y m
� Sipne�ure of •//� �
Parmitteo 5 (,, �OO TAX E LL
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u
AuthO/� Apent� ^ TOTALPAID E 0
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;
" � COSTA MESA BUILDINGSAFETV DEPARTMENT � ' ' � , - �
. ' P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626' ' ' � . .
APPLICATION FOR STRUCI'URAL PERMIT
For Applican[ to Fill in Comple[ely — Use Ink Only- REceiveo av DATE RECEIVED
DATE ISSUED
BUILDING
• ADDFESS 3018-A B GJeffre Drive C:M.�-
' � � ' ' PERMIT NO.
,- OWNER ��]]�d S el II1 . " �A.P. NO. .
MAIL . BUIIDING , / /J
ADDRESS �.36 ROC.Y1QS�i StT'E�2t ADDRESS� �J�F� �`Y
TEL. TRACT LOT BLOCK
cirv Costa Mesa 92627 No. 642-4905
CANSTRUCTION . � , W AD P
� LENDER
BflANCH ' . (����LL
OWNER �i
�ADDRESS � ' .. %� VALUE�
' ARCHITECT � 'TEL. US //L S �O
� � OR ENGINEER Sai[l — N — � . .
� FIRE
ADORE55 136 Rochester St. Costa Mesa ZONE TVPE GROUP
' , APPqOVED �
'CONTRACTOR BV ' DATE
� ADDRESS � ' '
. � TEL „ • ZaNE NO.OF USE OF NEW
CITY - NO. - ' P�� BUILDING
F STATE CIT�V , YP.RDSAPPROVED VARDSAPPROVED
U0. NO. '2g1 1H . Bl LIQ NO. �'MAIN BUILDING ACCESSORV BUILDING
� t � SIZE ' ' NO.OF BLOGS. IFROM GL STREET) .
a. .OF lOT ' NOW ON LOT ' FRONT FT. FT.
a USE OF - ' - ) �
� EXISTING BLOG. � S ' FT. ` - � � FT
"�
� . F Separate permits are required for. • . �. sioe Fr. �- Fr.
. � � electric, plumbing and heating work. ' REAR' Fr. � � Fr.
� USE OF BUIIDING AND WORK TO BE PERFORMED� ` '
'F'� ' DISTANCE BET. BEf. MAIN & .
Q ' MAIN BLDGS. ACCESS. BLDGS. '
Q � VAR. � DATE ' ' ' ,
-� TL'ip1Px With attaChed ara e c.u.P. �w APPROVED
¢
� � � ,. APPROVED "
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,a
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p I heraby acknowledBa thai I heve reetl this appllcaHon antl� stete . 3 f �
pf that the above Infotmaiion is corract entl a8�ea to comply with. �
a ell lews reBulatinB builtling connructlon, and 1 shall not amploy ' Q
i
Z any person.fn vlolaSlon of the workman'z componsetion laws of d .
ythe Scace ot Celitornia.
3 I hereby certify ihet I em properly Iicensetl as a contractor under SQ. FT. � H
Ne Siete of Celltornla Businaas entl Profassions Cotla, Dlvialon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
��Chepter 9; antl Mat such Ilcensea ere in full force entl affect, or I THE PVRPpSE OF ESTABLISHING A PERMIT FEE ONLV: �
� em ezemDt from tha provisions ot t�e Stete of Calitorn(a Buslness� a
entl Professlons CoGe, Diviclon 3, Chapter 9.
. VALUATION PERMIT FEE S •
m
PLAN CHECK E �^
� Sipnoturo of. �� � �
, Petmittee� TAX �5 LL
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� 'Authorizatl ant - ' , � - ' 'TOTALGAID $ .