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Home My WebLink About3025 JEFFREY DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us BUILDING PERMIT JobAddress: 3025 JEFFREYDR Suite: Viciniry: RESIDENCE Parcel Number: 41812207 Zoning: R3 R3 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: Ot/15/2004 Issued: Ot/15/2004 Applicant: GLAZER, STEVE _ - -- - ISSUED BY: Address: 1915 W BALBOA " . . � ��.� - ` - , /-" - - "- Phane: (7'14) 612-8260 ' . NEWPORT BEACH,:CA %'� � � ' Zip: 92663 � ��.,, / �� _ .s.. '� " � ' �, , - Owner. STAHL`ER; SHIRLEY, � ' - . _ /�' .� �� Address 3025�JEFFREY DR - � " - _ ". - � �� ` �-� �� / .� '�\ . - �; --- __Phone �' .�,� �.i ��A � '/; /OSTAMESA,,CA-��%=�"--�� Zip: 92626-2928 ,'�,'�.`�,'\�'� ;�f ,��\ , � /. �, � �-� , :--, " -��- �, � ,�� ': i / : �� . Con[ractor. �GLPZER;ROOFING ` -� �'; ' �;�� .=V-� �` �� ABdress: 1915 W BALBOA � ,- -_A % \� � ; •-� -;i�� Phone:�-'p14)612-8260 �`�� ,�� , ' � ��.. NEWPORT BEACH, CA - � � ` � � � i' � � Zip:_,� 92663�� ' License:°� 739756 � . " - �_� � �: � '� � � j� �— . , . ,A� ' Arch �. ' . . � �� - -. E�9. , , . . . , ,' , ` ,. _ . , , � . ' . �Address-` � � � , , �'- , _ - _ _ _ Addiess:�._ � '� � , - ' , � � ' � .. - .,. . Phone: . _ � � - _ _ � ,,-�, . Phone: � /' .a � - � -- 'v"' , . ., . .� /. . . , , � ��Zip: �.�' j �� ,- License: � _ . �.License: � � � \ _ / � . i i � , ' ,; , ' � � ' . .� � , - � �SCOPE.OF FERMIT.:. ;., , . �� , -- : TEAR OFF EXISTING WOODSHAKE ROOF�,'INSTALL SOLID;SHEATHING,'AND COVER WITH'30 YEAR COMP SHING6ES. i : ., ' . i __ -� - _ - '- - - . .. . _ ._. . . � �i " � �- - � � FEE SUMMARY �-:ii ` � �, � Plan Gheck , �,''� $0.00 _ ; � �' �� ,,� r^- �_ , �� ;��':,� .-Calc Valuation: � � � -.Sa,2oo.00, `� �i• � ' P0ffT111. . $� i 1 .Z�J - — _ ' -_ �' �— . � � � � � � C�81fT1 �/8�U8110f1 % � � - $4;200.00� .'�SMIP Res..', $0.50 � � � ,� l, ; ' � . � � SMIF Com. ' � $0.00 � ,� � �'� - , '� �� Othe�: �', �' $0.00 � _ :� s, �C �� Inspection: A A��$0.00 ._�, ' �!�j � �� ;�� r ,,, \ . ' �� : .�� / �� ' �/ �:7otal � , 5111 75 � '`� ` � �'* ,�i; i, � � � , y � - , `: _ • . � / , v\ - � ;: • i: � '�:12i'::i.::[e�,�— '.i-%� _ / . �� ,'%- � � ` `PLANNING &'ZONING ' � �. � � ��'' %i' � ' `� SETBACKS::�, � � , . MAIN STRUCTURE; Front 0-'0 - , � Rear` � � 0- 0 ` Lek �0- 0 _ ' ` � � Right 0- 0 . . ACCESSORY �'Front -,0�0'� � � � Rear„ 0-0�' - - Left � �0-0� . Riqht.� 0-0 \_` �� . �-. . � - �� . � , PARKING Ezistin:_"-0�� Required: �'0 '„ ��Proposed: �. 0�,`-, ��.'�� -�� _ - _ � � -' �_�-' -�r NOTES: � -'_ - - _ .�', _ . � . _,. . , - _ - - - =%;�: , i�'" ' . _ ..__ � _�-. - 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes antl related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire end become void if work is not commenced within 180 days, or if work is suspended or ebandoned for a period of 1 Bo days. , .. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all appliceble codes, end ell requlred Inspections and Iinal epproval must be obtained. Failure to obtain inspections and final approval will result In the axpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 eano-co iww� �WORKERS'COMPENSAnON DECLARAnON: � . - . I hereb effirtn under nal of , � � • y pe ry perjury one oi Ne lallawing dedarations: ❑ I heve end will melnialn a ceN/icate ol wnsent to self-Insure for workers' compensatlon, es pmNded for by seCtion 3700 of Ihe Lebor Cotla, for the peAormance of Ihe . work tor which thi5 pertnit is iuuetl. ❑ I hava antl will main�in workers' compensallon insurance, es reduired by settbn 3700 ot tha labor Cotle, br the peAortnance ot ihe work fa which ttus pertnil Ls issuetl. My workers' compehsation Insurance carrier antl licy number ere: Carrier: Policy Number: ,1This section need not be canpleted i( f pemtitls el e hunCretl tld/ers (3100J or less.) � '�.: . �y� rtity Ihat In the peAormen 1 N work tor is rtnil is Issue4 I shall nat employ eny pereon In eny menner so es to becane subject to Iha workers' mpensetion laws of Calllo ie egree t� I s o hecome sub�ect to the workers' compensetion proNsions ol'Saptlon 3700 oi the� r Code, I shall forthwith �._comply with Ihese provisio . 1 ,Applican15igneNre:. �eto: ' � C / � i'-r�� WARNINO: FAILURE TO SEWFE W PENSAP RAGE IS UNLAW FUL AND SHNL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TO ONE HUNDflED TIIOUSAND DOIURE (5100,000), W TO TNE WS COMPENSATION, DAANGE5/5 PROVIDED FIXi IN SECTION 31080F THE UBOR COOE, IMEREST, AND ATfORNEYS FEES. LICENSED CONTRACTORS DE I hewby eRirm Ihel I em Iicensetl I`rce and eXect. IJc. q �� ContracrofsSignawre: _ ot CONSTRUCTION LENDING AGEHCV: ❑ I hareby aRirm that ihere is a wnstruction lentlinp Lendars Name: Slgnature: OWNER•BUILDER DECLARATIONS: Sectlon 7000) of Division 3 0l the Business an0 Professions Code, and my Iicense is in full _ CIa59 N _ Date: 1 1 � ! \\ I _ pedormance of I�e work br w�ich t�ls permit is iuuod. (Se0. 3097, Civil Code). Lentlefs AdCress: Date: I hereby eMirtn lhat untler penalty ol pe�ury ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for l�e following reason (Sec. 7031.5, Business anA Professlons Code: Any ciry or wunty which requires a permit to consiruct, atler, impmve, demolish, or repair any structure, prior to its issuance. elso requires Ihe applicant for such pertnit to file e signetl statement thet he or she Is licensed Dursuanl to the provisians ot the Comrectors License Lew (Chepter 9(commencing with SecHon 7000) ot Dhrision 3 of the Businoss end Pmfessions Coda) or Ihat he or she is exempt Ihoretmm end the besis for Ihe alleged e:emption. Any vloletlon of Sectlon 7037.5 6y any applicant for e permit subjecis Ihe epDlicent to a civil penalry ot not more t�an five huntlretl Aollare (5500).): ❑ I, as owner ol tha properry, or my employees with weges es thelr sde compensatlon, WILL DO THE WORK, end the structure is not Intended or offered tor sale (Sec. 7044, Business and Professions Code: The Contractors Licensu Lew doos not ep01y to an owner of proporty who builtls or Improves thereon, end who tloes such work himself ar herself or ihrough his or her own employees, provitletl thet such improvements are noi Intendetl or oNered lor sale. If, however, the builtling or improvement is sold within one year ol completioq lhe owner-builder will heve the burden ot provinq ihat he or she tlitl not builtl or improve for puryose of sale.). ' ❑ I, as owner ol ihe properry, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct tha prqect (Sac. 7044, Business antl Protessions Code: 7he contwctors License Law aoes not appy ro en owner of propeny who bulltls or Improves ihereon, and who coniracis lor such pwject with a conirector(s) licensa pursuant to iha Contractors License Lews.). ❑ I am e:emp� under sec. Business antl Professions Code tor this reason: SigneWre: Dete: Owner ID verifled hy tlrivefs license. ❑ Ves ❑ No Orivels License No. Expires: Venficatlon of Ownership by (type ol tlocument, i.e. - propeny tex bill or daed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATON: ❑ I hereby cetllty ihat no excevatlon live (5) or more feet in depih into which a person is requlred ro descend, wlll be made In connecilon with work authodzed �y this pormit, antl Ihat no 6uilding strucWre, scaHolding, falsework, or demolition or dismemling Ihereof, will 6e more than t�irty-sia (38) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tifle 8, Celllornle AtlminiS�reUve Cotle). ❑ As owner-builtler, I wlll not employ enyone to do work w�ich wauld require e pertnit Irom the Dlvislon ot Indusirial Safety. es noted aDove, unless such person has e pormi� �o do such work Irom the division. SignaWre: Date: Division ol Industnel Salety Permit Number. CERTIFlCATE OF COMPLIANC AND Al7fHORVATION OF ENTAV: I certify under penalty oi perjury ihat I have reatl ihis eppliwtion antl state Ihat Ihe information given is wrrecL I agree to compty wit II stete laws end dry ortlinances relating to builtling construction, anC authodze representetives of the Ciry of Costa Mase to enter upon the ebove-described property tor � spection purypsey7 egree not to occupy or ellow acupency of eny building authorized by this permit until final inspection. COOE �. INSPECTION� r/ 1616 Fizetl System Finel Fire Preventlon 1268 Pool Spe Finul 200 201 202 203 204 Finel Re-Raol Finel8locWRetalning Well Final Factory Fire Place Final Sign Finel Demolilion �.I .1111. . / /� , !'�'�J / COOE 1 INSPECTION TYVE 208 Final Mechanical 20B Finel Plumbing 210 Finel Elecirical 212 Finel Fire Preventlon 220 Finel Planning Approval 222 Final Sile 250 Final BulltlingiOccupancy � � .nu' ,, . . , . ' G�Ad�� . COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only ADIDRESS 3 2 A B C J ff D'v C. OWNER Richard Se,aell�Inc. � ADDRESS � 13E ROCYleStEY .5�12@t TEL. ` CITV C�nc+a Moca Q9f.97 NO. (.d�-Q9 � • BRANCH va�u • 1$6..0 tEH -2-77cns.�� 1i�8�" ��fi [ APPLICATION FOR STRUC7URAL PERMIT ECEIVED BV DATE RECENED DATE ISSUEC BVILDING ADDRESS�" TRACT OWNER VALUE FIRE � ADDRE55 136 Rochester St. Costa Mesa Z�NE TYPE GRO APPROVED CONTRACTOF Q�qj]px' ' BV D�+TE ADDRESS ' TEL. E NO.OF USE OF N CITY � ' � NO. PLANS BUILDIN .F. STATE CITV YAFDSAPPFOVED VAROSlI LIC. NO. 281(ZH BI. LIQ NO. MAIN BUILDING ACCESSOP W SI2E NO.OF BLOGS. {FROM C! T ) a OF LOT � NOW ON LOT RONT a USE OF � .�. EXISTING BLDG. � 51 � � �� f FSepsrate permits are required for � � �. sioe ...Rr. 0 elec�ric, plumbing and heating work. . REAR Fr. �' USE OF BUILP�NG AND WORK TO BE PEPFORMED F OISTANCE BET. BET. MAIN & QMAIN BLDGS. ACCESS. BLU VAR. # ' / TE ', C.U.P. 7 ROVEDG Q ' � � . APPROVED � %' W OLD F0�2 Si��CI � I �areby eckn0�'ladpe that I have rood ffile nppli<ation and state � � � O CL ihat the above Intormation ie corract antl epreo to comply with a all laws repuleilnB bulltllnB,coristructlon, entl 1 shall not employ Z any oarwn in ��olation �of the workmen's componmtion laws ot sthe Stata ot Cglitomia. ' ' 3 I hareby cartifV thet I am properly-IlcanseG os e contractor unEar �� SQ. FT. '� the Sieie of Celifornia 8�sineu and Profaui0�s Cotla, Divisian 3, THE AMOUNT SHpWN UNDER VALU Chapter 9, end ��at such licenses are in fu�l forca entl effeet, or I THE PVRPOSE OF ESfABLSHiNG A PER� am azampc from the provisions of the Stete Of Celifornia B�stness antlProfexiionsCotle,'Division3,'Chaptar9. VAWATION PERMITFEE S /^/-+ � PLAN CHECK 5 SIB�aiure of //� ^ � Perminea - ` 5� � TAX S i '�J Authoriz AgB�t - .TOTALPAI� E BLOCK Z oa n m v " m � � N ON IS FOR m FEE ONLV: e N n r/. m 0 .D � F � W 0. a � y _ F G1. W F a 0 ..1 a > i^ � m a � � 4 Z �" 3 - . � � 93�� . COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING ADDRESS 3025—A.B.0 Jeffr2v Drive C.M OWNER ' j harr3� .�W 11 Tn � ADDRESS 136 Roc�.hestes Street • • TEL. • ciTv rncto n,toc� Q9G97 No. Gd9—dQ BRANCH ' i ADDRESS ARCHITECT ,._ �. .._____�_ TEL.��-.� �� CONTRACTOR (J�rJjlps. � ADDRESS ' � ' ' TEL. CITV - ' NO. ' STATE � " . CITY , LIC. NO. 281(1H B]_ LIC. NO. SIZE � ' �i NO.OF BLDGS.. OF LOT � NOW ON LOT VSE OF EXI5TING BLDG. � ' ' ' � . Separate permits�are;required for �' . � electric, plumbing and�heating work. USE OF BUILDING AND WORK TO BE PERFORMED � PAIU J , �!ftR =9-77�;�,r'QU 631 � *'>" 2'S.7i.d[i APPL[CATION FOR STRUCTURAL PERMIT ECEIVED BV DATE RECEIVED ❑pTF ISSUF[ TRACT OWNER FIRE ZONE APPROVED ZONE NO.OF PLANS VARDS APPROVED OISTANCE BET. MAIN BLDGS. VAR.qY+ . C.U.P.aW APPROVED A� VALUE USE OF NEW BUILDING � � � VARDSAPPROVED ACCESSORV BVILDING BET. MAIN & ACC6S. BLD DATE I hareby aeknowletlpe that I have �eed this epplication entl rtate ' thet tha above Informatlon Is corract and aB�ee to comply with- ell laws rag�leting bu(IEInB �onztruction, end I shall not.employ eny perwn In violation of <he workman's compensaiion laws of � Me State of Celifornla. � � � I hereby certify ihat 1 em proparly licanutl es a contractor under SQ. FT. � t�o Sinia of Celifornie Buzineza antl Protawions Cotle, Division 3, THE AMOUNT SMOWN UNDER V� Cheptar 9, entl that wch I(canses ara in full force end effect, or'I THE PURPOSE OF ESTABLISHING A em axempt from tha provisions of the Stete of Celifornia Business VALUATION PERMIT FEE antl Profassions Cotla, Dlvision 3, Chapter 9. � " � PLAN CHECY SlOnature of � Permlttee � S TAX Authorized AB. / TOTAL PAIO S � OO � n m m m N ON IS FOR m FEE ONLY: �, a v� n m 0 LL . ' � U