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Home My WebLink About3129 BRAY LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3129 BRAY LN Suite: Vicinity: Parcel Number: 14163411 Applicant: HAMMARSTROM, HAKAN Address: 18903 SAN CARLOS ST FOUNTAIN VALLEY,CA owner: BIUCKER, MARK DANIEL Address 3129 BRAY LN COSTA MESA, CA Contractor: ABSOLUT ROOFING CO Address: 18903 SAN CARLOS ST FOUNTAIN VALLEY,CA Zip: 92708 Arch : Address: Zaning: R1 R1 Phone: 714-655-2231 Zip: 92708 Phone: Zip: 92626-2659 Phone: 714-655-2231 License: 761118 Eng: Address: ISSUED BY: Status: ISSUED Applied: 08/20/2004 Issued: 08/20/2004 � Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF (WOOD SHAKE PORTION OF ROOF ONLY); T/O WOOD SHAKE, INSALLL 1/2" PLYWOOD, 30# FELT & 40 YR. GAF COMP SHINGLES- 24 SaR'S. 0 Plan Check: $0.00 Permit: $139.25 SMIP Res: $0.61 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $139.86 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Existinq: 0 Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Pro osed: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0- 0 $s,oss.00 Ss,oss.00 NOTICE: The work authorized by Ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automaticglly expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO days. INSPECTIONS: 7n order for t7re work authorized under this permit to be considered legal, such work must comply with all applicabie codes, and all required inspections 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 ?aa6r6l�'o0) WORKERS'COMPENSAnONDECLARAnON: ' � � � � � � I hereby aNirm untler penalry of perjury one of ihe following declaretions: _ � , ❑ I have and will maintain e certificate ot consent to selt-Insure for workers' compensation, es provided tor by section 3700 of ihe Lebor Code, tor ihe peAormance of the work for whiCh this permi� i5 i5sued. ❑ I heve and will main�ain workers' compensation Insurance, as required by section 3700 of ihe Labor Code, for Ihe peRortnenca of the work for which this Oertnit is issue0. My workers' wmpensati Insure/nc�a carner antl policy number are: �/ C ^� Carrier. �TAI F ��/1�� / PolicyNumtier: ��6 �J�V (Tl�is section need not be complefed il the permit is valued af one h ndred tlollaro ($100J or Iess.J . ❑ I certify that in ihe pedor nce ol the wo r which this p it is issued, I shall not employ eny person in any menner so es to 6ecome subject to ihe workers' compensation laws if m' end e t t if I should come sublect to the workers' compensation pmvisions of Section 3700 ot t�e Labor Cotle, I shall forthwith comply with these ro io . �/ n Applicant Si9newre: Data: �� /� � L� r O� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CAVERAGE IS UNL4WFUL AND SHALL SUBIEGT AN EMPLOVER TO CRIMINAL PENALTIES AND pVll FlNES UP TO dJE HUNDRED THIXISAND DOLLARE ($100,000�, IN ADOITION TO THE COST OF COMPENSATION, OAMAGES AS PROVIDED WR IN SECTION 31060F THE LABOR CODE, IMEREST, AND ATTORNE`fS FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm that I am lice setl under prgvisions of Chapter 9(co encing with Section 7000) of Division 3 of the Business antl Professions Code, end m licensa is in full force entl ettecL Lic. N _� (n. I I I 6%I � Class #�' � q Y Contrectors SignaNre: �,/{ — 4,4nn n Dare: fi '�" n I? CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm Ihat Ihere is e cons�ruction lentling agency for the pertormance of ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lender's Adtlress: SigneWre: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirm ihat under penalry ot perjury that I am EXEMPT FFiOM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires e pertnit to construct, alter, improve, tlemolish, or repeir eny strucWre, Pnor to its issuanca, also requires the applicant tor such pertnil to file a signed statement that he or she is licensetl pursuant to the provisions of the Contrectors LJcanse Lew (Chapter 9(wmmencing with Sectlon 7000) ol Division 3 of ihe Business entl Professions Code) ar that he or she is exempt therefrom and the basis tor tha elleged exemption. Any violation af Section 7031.5 by eny epPlicant for a permit subiecis the epplicant to a civil penelty ol not more ihan (ive hundred dollars ($500).): ❑ I, as owner of Ihe pmperty, or my employees with wages as their sole compensation, WILL DO THE WORK, antl t�e strucWre Is not intentletl or ofleretl tor sale (Sec. 7044, Business and Professions Code: The Contractors Licensa Law does not apply to an owner of property who builds or improves thereon, enG who tloas such work himself or herself or ihrough his or her own employees, provided that such improvemenis are not intendetl or oHered for sale. It, however, ihe building or improvement is sold within one year of compietion, ihe owner-builder will heve ihe burden of proving that he or she did no� build or improve for purpose of sale.). ' ❑ I, as owner of the property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business entl Profas5ions Code: Tha coniractors License Lew does not apply �o an owner of pmperty who builds or Impmves thareon, antl w�o contracis for such proiect with e contractor(s) license pursuani to the Conirectors License Laws.). ❑ I em exempt under sec. Signature: Owner ID verified by dnvers license. ❑ Ves ❑ No Business and Professions Code for this reason: Verificatlon of Ownership by (type of document, i.e. - propetly tax blil or deed): Dnvefs License No. Date: Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no eacavetion five (5) or more fee� in depth inm which a person Is required to descend, will be made in connection with work authorized by �his permit, and tha� no building simcWre, scalloltling, falsework, or demolition or tlismantling Ihereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Titla 8, Calitornia Adminisirative Code). ❑ As owner-�uiltler, 1 will not employ anyone to do work which would require a permit imm the Division oi Industdel Safety, es notetl above, unless such person has e permit to do such work from the diNsion. Signature: Date: Division of Intlustnal Safety Permit Number: CERTIFICATE OF COMPLIANCE AND AUh10RIZA710N OF EN7AY: I certify under penalty of perjury ihat I have read ihis application and state ihat the information given is correct. I agrea to comply with ell state laws and ciry ordinances relating to building consimction, antl authorize representatives of the City of Costa Mesa to enter upon ihe above-described property for inspection purposes. I agree no) to ocapy or allow occupancy of eny builtling authorized by this permit until final inspection. COUE I' INSPECTIONTYGE � 1616 Flxed Sys[em Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition pel� �MIilALS �� O Lo)ate �• r Date 40�E� INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 212 Flnal fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy PdIE 1[�I� Report Na, 66CM5-186E�OU2 H. V. LAWMASTER 8 CO., INC. .� 7940 MAIN STREET — STANTON, CALIFORNIA + 828-8040 � Field Data on Test Specimens Core Concrete �1� Grout/Mortar— Project John C. Poley, SNimpool Permit No.26109 Project location 3129 Brey Lane, Coete Mesa, Calif, Contractor Anthony Poole Architect Location in Structure See below Engineer ,' � ^ n Date Moulded Sept 15� 196ii No of Specimens 6 ___` Slump Specimens Marked X, XX, XXX Specified Strength at 2e days z000 p,5.1. Mix Designation Job Mix Age to be tested � days 28 days day's days READY MIX PLANT AGGREGATE SOURCE Menning Hros, Weather Condition warm, Sunny 1 Yd. Yd. Batch Cement Monolith Type j Cement, Ibs. 180 Bags Admix None Sand 35 Tons Specimens made by Anthony Pools #4 Data by H.Nensen ;r3 Delivered by Hel, #2 Dafe Delivered 9-16-66 # REMARKS: Wafer. Gals. Lab. No. Dafe of Test Specimen Dimensions Area Ultimate Load Lbs. per sq. in. H/D Corrected 9/22/6 6.27X12 30,88 104,000 3_�FA Beam `" ` � ��/ �jv'� )RATORY USE ONLY 1 1352 1353 X1354 9/2?./6 ,23X12 8ao500 I( 4, O 11� a Aa„ I�e�. ,�.�.u_�___ 9/22/66 6,51X12 87,500 Test �3 �� O�S-�iSGt' CITY OF COSTA MESA CALIFORNIA P.O. BOX �'1200 FROM THE OFFICE �F THE PLANNING DEPARTMENT Dacemb�r 1, 196b John Foley 31P9 �'4Y I,ane Coste P�ea� Cal3fornis Dear Pool Ownere The Costa Mesa Planning Department has been notified of the completion of your swimming pool< So that yaur pool will be a safe one and for the purpose of advising you of your responsibilfty regarding the requirements of the Costa Mesa Municipal Code' we quote Section 929809: 1, No swimming pool shall be co�tructed closer than five`(5) feet to any property lines, measured from water line of pool, 2, No swimming pool shall be constructed under any electric power lines or on any electric power easement, 3, No swimming pool shall be constructed unless the yard surrounding such pool is completely enblosed by a fence sfx (6) feet in height and has a self-closing and locking type gate or gates. This courtesy letter is directed to you so that you will be aware of our ordinances and can make a complete safety check of your pool area, Sincerely yours, William L, Dunn Director of Planning OWNE:fi FOI,EY, JOHN DATE 9-1-C�6 JOB ADDAESS �129 Rrav T,ane BUILDING PEAMIT NO. 7/,'1(1Q SUBCONTRACTOR . f 26 I 09 MSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 91] COHTA M6SA. CALIPORNIA For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA, CALIFORNIA JOHN FOi,F'•�' ■ MAIL ADDRB88 5571 FIRESTONE BLVD. c�TY SO GATE STATE TEL. LIC. NO. NO. OF LOT �j D`f I Z� I�O. on aLoas. � NOW ON LOT USE OF EXISTING BLOO. aereecK une vnom � L� CENTER OF BTREEI REAR YARD V 61�E YAROI LEFT GO%' ( RIGHT S t DESCRIPTION OF WORK BUIL�IN6 486 NO.OP 61ZE ROOMB EXTERIOR WALL I ROOF COVERING COVERINO USfi OF Bll l LDING MID WORK TO BE PER PRIVATE SWIPi POOL 1 HEREBY �CKNO 8 THAT 1 HAVB RPJ1D THIB APPLICATION ANO BTwTE T N8 A OVE_IB CORHECT ANO �6pi� TO COM� PLY WITH A LITY OpO ANC88 �ND BT�T81GIW9 REaULATINO BUILOINOC NSTRORIO . / / � AUTHORIZED A6ENT SEP -7-66 00 068* ****18.00 APPLICATION FOR PERMR BUILDINf3 For Office Use Only RecHIPT NO. P'�. ZOI(q NO. OP U6H OF N6W G 1 1r �� puHa 2 eu��oino ��+ �¢OAL � �C �l I ' L�� DEGCR�Yf10N/ A.P.NO. %OI � �� ' /i3J�'� NOTE: NOEAVEOVERHAN68HALLBELESSTHAN YARDSAPPROVED MAIN BUILOING tOM C/L 9TREET) VAR. �C VAR�SAPPROVEO ACCESSO�RY BUIL�ING / 'D d � � �� / Ff . a p �-f' — Fr. / DATE � ...�vaacc�vlClV 1J C � c, �n a.�,q�2r� o so. Fr. THE AMOUNT eHOWN UN�ER VALUATION IB FOH TNe � PIIRPO3E Op E6TABL18HIN0 p PEHMIT FEE ONLY. � VALUATION ^ O� m PERMIT FEE $ � �" � r ! i s 27Q��0� �7 �O rc /]�[I G 4 ThT11 FFG A � V OWNEA HARBOR HALL OF FAME HOMES, 7NC. DATE C,IOV 3 0 7962 JOB ADDR�5S 419Q Rrav T.ane BUILDING P�RMIT NO. iRo�n GENERAL CONTRACPOR Lifet AP No. LOT 100 INSPECTIONS FIRE ZONE DATE GROUP D�5CRIPTION OF WORK ReS.w/Stt TYPE sr ZONE SUBCONTRACTOR ,,�G coat — • "• � A xn . � ��18350 CGSffA MESA BUILDING-SAFETY DEPARTMENT P. O. BO% 917 C487A MEBA. CALIFORNIA For Applieanf fo Fill In Complefely TYPE OR PRINT eui�oiNo 3 i 2 9 �'�- �..y ADORES9 COSTA MESA. CALIFORNIA owNeR �rbor Hall of Fame Home I MAIL p �X 2066 ADORESS •0• c,T,. Santa Ana NE�T 9-220� ARCHITEC.T t_—. .__ TEL.��.i. __�.. 225 "D" St., 15istin ADDREbB 2131 SO• Artesia St.• �,r,. Santa Ana �;�TNo. 208676 NE�' KI J�ZOtF SIZE 6000� NO. OP BLD09.o OF LOT I xow oN �or USE OF None EXIBTING BLDG 9ETBACK LINB PHOM [ � CENTEfl OP 9TRa8T J� REAR YARD 1�' SIDE YAR� I LEFT S� I RIGHT S� DESCRIPTION OF WpORK n1ew I ii II er rroarinra I II enrnrinu I NO. OF 'EXTERIOR WALplgBte=• I ROOF Shake COV8RIN0 COVERING U8H OP BUILDING AN� WORK TO BE PERFORMED I H8qlBY ACKNOWL8DO8�A� � H�VB PGD TH18 MPLIGTION AND 8TAT8 TH�T THE A 6 IB CORH¢GT AND AOR86 TO COM- PLY WITN ALL CIiY dRD ANGE6 Aj1LL8T� LAW9/�lHOULATINO BUILGIHO CON8T11U��o I f\ � 11 �AUTHORIZED AGENT �t looFEE�tRE��EI�VE�° E �FINANCE DEPT. CITY OF COSiA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only PBCHIPT NO. P[RMIT NO. _ BY I D�/�teC ` pyI DATBIi �14C i .`f�K COSTA MESA. CALIFORNIA FIRE ZONE TYPE GROUPC APPROVED ZONING< PUNB /f�f.U88 OR a��o�� LEa�L (CCMER LINC BTJ FRONT s I R. SIDE S L. SIDE � REAR �/ b �' APPROVEO i. � � � � �'-/`7'� °` �.�- �a� II, TN6 AMOUM 9HOWN UNDHR VALI)ATION IB pOP TNC PURPOBE OF EBTABLI9XIN0 • P6RMIT PE! ONLY. VALUATION /� PERMIT FEE $ +lJ��" S/� PLAN CHECK $ +,�-/ D %�%�J�� ///��J�r [y(/� �' I.�l /`�/ TIYT�I CRF Q/ � J OWNER �LYAK, HOWARD nr rvo. ��*�-��Y-�� w i I F INSPECTIONS Si SOIL GAS WATER ROUGH PLUM9ING PROP. $WR. LINE � HOUSE CON. � SPRINKIING SYSTEM MISCELLANEOUS ROUGH HEATING ANO AIR CON�ITIONING TFMPORARV SERVICE OR POLE UN�ERGROUN� U POWEft U ROUGH WIRING TRENCHES � FORMS � STEEL REINF. FLOOF SVSTEM BONO BEAM � STEEL REINFORCE � SHEATHING FRAME AN� FLASHING LATHING - IN ❑ OUT �] PLASTER,BROWN COAT STRUCTIIRAL, FINAL HEATING, VENT., REFRIG. AN� A.C., FINAL PLIIMBING. FINAL AND GAS TEST I� DATE 8-31-70 BUILDING PERMIT N0. RIPTION of WORK Patio Cover ZONE VALUE$ 990.00 DUP J TYPE V 2 SUBCONTRACTOR PER � i2 Pnto ,' �2? ��' Jdi r� 31-70 flang01307 J r, Af16 31-7�JcMs�001307�a�;,-**lO.00 ' COSTA MESA BUILDING-SAFETY DEPARTMENT '� P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT Fo� App�icant to Fill in Completely REC I�D DAT'%ECEIVDED �7��VEgO BUILDING i/ (� / %J �j a �J ADDRESS •.7 y/ YG /� i �[J / OWNER �/G � � I K A.P. NO. � `I/ P��TGO MAIL BUILDING ! Z . ADDPESS S_�^wti �� ADDRESS ww TEL�/� TRACT �/3SG LOT DD BLOCK d U CI7v /� NO. �� ~ Z CONSTRUCiION W a m LENDER - �iiL""�" " %� J � BRANCH J � OWNER II m J ADDPESS VALU " m ARCHITECT TEL. $ J y OR ENGINEER U Q FIFE W Q ADDRESS ZONE TVPE GROUP � aw CONTRACTOq rjtJ JS BYPROVED DATES a/�/O I WZ J Q m Z ��'v0 �o �ir . ✓� J � ADORESS z� �Q/LMA NO��I—U�G 20NE P�� BUILDIN CITV w � STATE /� C L`6 �ICVNO. vMAIDN BUILDOING ACCE SORVPBUOI DDING N � LIC. NO. J �� SIZE NO.OF BLDGS. (FROM C/L STRE T OF LOT NOW ON LOT RONT FT. USE OF � � / `�' EXI5TING BLDG, S T H SI2E OF NO. OF * QNEWBLIX'i. FOOMS STORIES L.SIDE FT FT. U EMERIOR WALL ROOF /� COVERING COVERING REAR L' FT. FT. J US OF BUILD�NG AND ORK TO BE PEPFORMED OISTANCE BET. BET. MAIN & a � MAIN BLOGS. ACCESS. BLDGS. a 0 ( N 4 N1 � c u'r.�w n°v"vTRoveo F APPROVED v, O t,�/r-`� - /- O z 0 UI hereby acknowledpe t�at I have raatl this aPPlication anG state � that the above informatton ia corract antl apree to complV w�th � all laws regulatl�Y builtlinB constructlon, antl � ahall not amploy � any person in J�olation of the workman's compensation lewa at cha Stete ot Califomla. � � m ? I hereby certify that I am properly Iicanmd af a contractor untler � SQ. FT. � o the Staxe ot Cal�fornia Bu�ineu and Professions Cotla, Dlvlaion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapte� 9, and ihet Iieansea ere In fu{I force end effset, or I TNE PURPOSE OF ESTA8L5H{NG A PERMIT FEE ONLY: ¢ am exempt trom e pr vislons of tha State of Colifornia Buciness VALUATION �q antl Profezsion o e, D' ion 3, Che ter 9. PERMIT FEE $ r � V �' SlBnetureo N�J-�� ///''' !rB m PermltSee ( $ �yO � P�P.N CHECK $ E / o Authorizetl pe�< �/� LL TOTAL FEE $ �O / (/ (/