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Home My WebLink About3049 JEFFREY DR - Building Permitsi r i � ' � (714) 754-5273 • Fex (714) 754-4856 • www.GLWs�a-mesa.ca.us 77 FAIR DRNE, WSTA MESA, GA 92626 BUILDING PERMIT Job Address: 3049 JEFFREY DR Suite: Vicinity: ROOF Parcel Number: 41812201 Applicant: STEVE GLAZER Address: 1915 W BALBOA NEWPORT BEACH; � ;r�: Owner: HENRY.;,ROXAN .,.�,� . Address 5123SE�UOIAAVE � -� /�i; �, � ; q CYPRESS, CA � i Contracloc� �, Address: �J,r�� ,. , i ;,!i/ � � �� ZiP: /:�� \ � �'Aich^. � �Address: � �� - � I % ,;v 1 ' ��' Zip: r t; � J �� i;� 3 Zoning: � .� � ISSUED BY: __�,.,• :A�� Zip'. 926 U � � i� R �, � �''�_�� i �--' - — — ,--!� Phone `. ; ----_ ,_--�� CA StaWs: ISSUED Applied: 10/07/2004 Issued: 10/07/2004 i3 !� �� i �,\`� \ � �1, / � --,_ �! � '�� c� �\�� 10-2936�� \\\.\ � Phone: (714) 612-8260 \\`\�V �/;/lr// t �� I n r ��G��/�---„� ��e... y�/� ��,\p"..Eng: ii (l /� � �'7 � Address: � � /� 1 � � _' --- � ; .1 ; I /I�!!" �� Phone:� �-1 o r�y �--__ _ o-., �l �--' � ' � 1 ; � a a ro �� - ~ - — _'�-, q�i� � .�- _.� / / �.,-i�= ,� � . '�G1 i/`��v"" License: ' 4R OFF EXISTING ROOF. INST .-INCLUDES�ATTACHED GARA -, IIIQi I i �--�� , Ian Gheck: �`^�� $0.00 � � Permit':�� ' $97.25 SMIP�Res: ��I` ° $0.50 �M�IP Com:��$0.00 �� Other'.� �$0.00 �'- � ;=.—� — z_s=:�� _=�_� .�, ��-�- ..r��':�� ` �`"�. . t,, � fJc�(� Q o o�''�<'" �� i i�.-.�. .,..F'^� ,�1 �,y. �, 9 G� o, o �i F.-�i�� 7 � `� °� � �'l! u• � �PLANNING &�ZONING � � n a wl e �' �� G• �, o 00 ��.a o- , \�� Do� u °o ° o� �� \Rearq,0-.0"' ',OCCek> =c0-0 X/ Valuation: i Valuation: G�� `� �' � `�-.�-'`..�.��`-�c�c� �� (\O �„l� ACCESSORY \F�\ 0�0 Rea 0�0"�--=- -L"eft--0 0��// Right" 0-0 / \�l�J/!�r 2� UC �o PARKING Exi\ o LRe uired� o� �� t` \ � �� f �.� �Lrti��u��J I NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related �, regulations. (Ord. No. 92-28, § 7, 12-21-92) . EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or i( work is suspended or abandoned for a period of 180 days. � INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetlone and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 _ �a+a+o �tiuu� �{ WORKERS'COMPENSAnON DECLARA710N: � � � � , _ . I hereby aHirm undar penelty of perjury one of t�e tollowing declaretions: � � ' ' � ' ❑ I heve and will melntain e certi�icate ol consent to self-Insure tor workers' compensation, es provldad tor by section 3700 of the Labor Code, for Ihe peAormance of the work for whlch ihis permii is issuad. ❑ I have anC wlll meintein workers' compensation insurance, as required by section 3700 ot the Lebor Code, for the perfortnance of ihe work for which this pertnit Is Issuetl. My workere' compensalion Insurence carrier and poliry number are: • - Carrier: Policy Number: � (This secNon need not be canp/ered �� the permit is velued a huntlred dollers (3100) or less.) , _,_ _, ❑ I certity ihel in Iha peAormance of 1�wopc for whic ' rmit is issuad, I shall not employ any person in any manner so as to com ubjecl to the workers' -- compensetlon laws of Calllomla, a(ee ihai if I ul �e e subJect b Ihe workere' compensation pmvisions oi Section 3 00 of e Lebor Code, I shell lonhwith complY with these provisions. � 6 ' � Applicant SigneWre: Date: W ARNING(FAILURE TO SECURE WOR% OMPENSATION GE IS UNLAW FUL AND SHALL SUBJECT AN EMPIOYER TO CRIMINAL PENALiIE RND C FMES UP TO ONE HUNDRED iF10USAN000LLARE�5100,000),INAD9J NTOTHECOST9 MPENSATION,OAMAGESASPROVIOEDFOqINSECilON3]OBOFTHELABORCODE,IMEREST,ANDATTORNEI"SFEES. LICENSED CON7RACTORS DECLAAAnON: I hereby nttirm Ihet I em licensetl force entl eMeci. Lic. a Contrector's Signeture: _ 9(commencing with Sectlon 7000) of Division 3 of the Business a�P��ions Code, end my Ilcense Is In tull �--- Cless A � 1 � - Oete: _/D 7 _ .. CONSTRUC710N LENDING AGENCY� {' ❑ I hereby aHirtn ihat thera is a construction lending agency for the peAormance of Ihe work br which ihis pertnit is issued. (Sec. 3097, Civil Cotle). Lentler's Name: Lender's Address: Signeturo: _ OWNER•BUILDER DECLARA710N5: Daie: I herehy aHirtn Ihet under penalty of Perjury Ihet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7037.5, Business end Professlons Code: Any ciry or wunry which reqmres a permit to construct, alter, impmve, tlemolish, or reDair any structure, prior to iis issuance, also requires the eppliwnt for suc� pertnit to tile a signetl stetement ihat he or she is Ilcensed pursuant to �he provisions ol the Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) ot DMslon 3 oi the Busineu and Professions Code) or thet he or she is e:empt iherefrom and lhe basis lor the ellegetl exemption. Any violation of Section 7031.5 by eny epplicant for e pertnit subjacts �he applicant to a civil penalry of not more Ihan five hundred tlollars ($500).): ❑ I, es awner at the propeny, or my employees with wages as thelr sole compensation, WILL DO 7ME WORK, and iha structure Is not intentletl or oflered tor sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law tloes not apply to an owner of properry who 6uiltls or im0�oves thereon, antl who does such work himself or herselt or thmugh his or her own employees, pmvided thet such improvements are not Intended or oHered lor sale. It, however, Iha building or improvement is soltl wit�in one year of comple�ion, ihe ownerbuiltler will have iha burden oi proving Ihat he or she did not builtl or improve tor purpose of sale.). ' ❑ I, es owner of the property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the projact (Sec. 7044, Business antl Protessions Code: The comrecbrs Licensa L.ew tloes not apply to en owner oi pmperty who bulltls or impmves thereon, and who coniracis tor such project with e contrector(s) license Dursuam m t�e ConiraG�ors License Laws.). ❑ I am exempt untler sec. Business and Professions Code tor this reason: Signeturu: Date: Owner I� venfied by driver's license. ❑ �es ❑ No Driver's License No. Expires: Verificetion of Ownership by pype of dxument, i.e. - properry tax bill or tleetl): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CER7IFICA710N: ❑ I horeby cenily that no excavation five (5) or more feet in depih into whic� e person is required to descend, will be made in connection with work euthonzed by this permit, antl that no buil0ing siNcture, scaHolding, falsework, or demolition or tlismantling thereof, will be more than thirty-six (36) feat hlgh. (Chep. 32, Gry 2, Ar12, Sec. 341, Ttle B, Celilomia Atlminist�ative Code). ❑ As owner-builder, I will not emPloy enyone to do work w�ich would require e permit from the Division of Industrial Satety, as notetl ebove, unless such person hes a permit to do such work from Ihe divisian. SignaNre: Date: Oivision ol Industrial Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AUTMORIZA710N OF ENTRY: I certity under penelty of perjury that I have reatl this application and state that t�e information given is correct. I egree to comply with ell std�e lews and city ordinances relating to bulltling construction, an0 euthorize representatives of the City of Coste Mesa to enter upon the ebove�descri� property for in�ec�n puryoses. I agree not to occupy or allow occupancy of any building authorized by this permit umil f�el inspection. COOEl, INSPECiIONTYPE - . 1616 Fixetl System Final Fire Pre�ention 1266 Pool Spa Final . 200 Finel Fe-Raot 207 Final BIocWRetaining Well 202 Final Factory Fire Place � � 203 Finel Sign 204 Final Demolition ' CODE• �xsvernoxTrve 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention . . 220 222 2 0' Final Planning Approval � Final Sita Final Builtling/Occupency ,r _ ..,: �a.��ad� . C05TA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COS7A MESA, CAIIFORNIA 92626 For Applicant to Fill in Complete{y — Use Ink Only BUILD�NG ADDRESS 3 -A B C ff Drive C.. OWNER R1C]'k"iiCl S2WP11 IRC. E-� C a Q � G1 � F Q C .� Q � � J C m a � � a z [:d 2 3 TEL c�rv Costa Mesa 92627 No. CANSTFiUCTION _. , _ _ � ADDRE55 TE CONTRACTOR QW(lp� ADDRESS TEL. CITV NO. STATE CITV ��c. No. 281618 BZ LIC. NO. S12E I NO.OF eLDGS OF LOY NOW ON LOT USE O� EXI5TING BLDG. Separate perrtti[s are required for " e]ectriq plumbing and heating work. VSE OF BUIIDING AND WOflK TO BE PERFORMED Pn�u r�a —z-��5,.00 � �o�x ��t 162.Oa APPLICATION FOR STRUCTURAL PERMIT RECE�VED BV DATE RECEIVED nnre iecimr �V/� %1 r N � NO.OF � PLAN$ YARDS APPROVED DISTANCE BET VALVE VSE OF BUILDI YARDS MAIN & I heraby ecknowletlBa that I have reetl this application antl stete thnt th0 ebova Iniormetion Iz corract entl aprea to comply wit� nll laws *epuletfn0 bu{Idfng co�atructbn, and 1 shall not empioy . any perwn In vlolotlon ot Me workmen's compentallon laws of ' Mo State of Cnlifornie. / 1 �areby �artlfy that'I om v�operly Iicensetl az e conttaetar unEer 'SQ. FT. � M� No Smta oi Callfornie Businoaa entl Profattiona Cotla, Divislon 3. THE AMOUNT SHOWN UNDER VALUA Chopte� 9, antl thnt Such IlcOnfof a�o In full forca entl affect, or I THE PURPO6E OF ESTABL45HING A PERMI am exemPt from tha provislons of Me Staxa ot Calltornie Business VALUATION PERMIT PEE E ond Pro}eulons Cotla, Dlvieion 3, Chepter 9. I� SlBnoture of . f �/� P�N CHECK E Pe�mlttBe S�r/ � TAX E ✓ AuthorlRe Apont � . TOTALPAID E ROVED BUILDI � n m � m 7 m d u�1 n m 0 i u %� � � � , COSTA MESA BUILDING-SAFETY DEPARTMENT � � P.O. BOX 7200� COSTA MESA. CALIFORNIA 92626 F � � a a � � F , . ° �,:2�i.oa a&R-9-77�,;�rQ4.G37 �� APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEIVED BY DATE RECEIVED DATE ISSUED nooRess . 3049-A B C Jeffre Drive C.M. , ' � . . PERMIT NO. OWNER R1C�1dYC1 SH4J@ll II1C. � . A.P• NO. ' MAIL BUIIDING -�^A ' � �� ` —� ADORESS 136 Ro PSt2Y S t, /�DDRESS. �.��Jy TEL. TRACT LOT BLOCK arv ' Costa Mesa 92627 No 642-4905 CAN5TRUCTION NEW ADD ALT R P LENDER BRANCH L , , OWNER EWL � ADDRESS ' • VALUE�J ARCHITECT� � ' TEL. SE S I OO � OR ENGINEER Sam Abu-Da PIl — . FIRE ADDRESS .136 RQC1`jeS�Y St. � COStc1 M2Sd ZONE ' TYPE GPOUP . ' ' � APPROVED ' CONTflACTOR' " BY ' DATE ADDRESS • ' TEL. ZONE NO.OF USE OF NEW PLANS BUILDING CITV NO.' STATE . CITV YARDSAPPROVED VARDSAPPROVED LIC.NO. Z81(1H Bl UC.NO. MAINBUILDING ACCESSOFVBVILDING SI2E � ' NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. ' VSE OF � , EXISTING BIDG. � � � FT. � FT , Separate permits are required for . �. soE ' Fr. FT. elec[ric, plumbing and heating work. �� .. REAR �FT. FT. USE OF BUILDING AND WOFK TO BE PERFORMED DI5TANCE BET. BET. MAIN & � MAIN BLOGi. ACCF�. BLIX's$. ' VAR.� DATE T 1 Wl ' C.U.P.�p• qPPROVED � , . APPROVED . . I',hereby acknowletlge that I have reatl this epplicetion antl�state '^ n ffiat ffie above informetlon is correct any n0ree to comply with � ell laws re9uleting building consttuction, entl I shall not employ . �� i eny porson In violation of the workmen's compensatlon laws af �� m Me State ot�California. � I �ereby cartify ihat I am proparly licensetl as e eoniractor untlar SQ. FT, cmi ihe Stete ot Californie Busineza antl Protess(ons Code, D(viston 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Ghapter 9, antl that such 17canses are in full, force and effeet, or I THE PURP06E OF ESTABLSNING A PERMIT FEE ONLY: � am exempi from the p�ovisionsof the State of Californie Business VAIUATION � PERMIT FEE a ' antl ProfesSions Cotle, Division 3, Chapter 9. b �+ .. m PLAN CHECK 5 '� SIB�at�r0 Ot � � Permlrtea 5 ' THX E - LL F u Auinorizetl ABe � TOTAL PAID �