HomeMy WebLinkAbout194 BRANDYWYNE TERR - Building Permits(714) 754-5273 • Fax (714) 7%-4856 • www.ci.costa-mesa.�p�DING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 194 BRANDYWYNETR
Suite:
ViCiniry: ROOF
PrimaryOcc: R
Parcel Number: �4-��r"t'���'M�"' /�
� �YvIJtN!/O�
Applicant: JOEL ISFELD
Address: 8941 MINTAVENUE
WESTMINSTER, CA
Type of Construction: V-N
Zoning:
Phone: 714-847-7663
Zip: 92683
owner. , �:%��'(�L �P(
Adtlress 194 BRANDYVJINE TERRACE
Phone:
COSTA MESA, CA Zip: 92627-1576
Contr��toc CALIFORNIA ROOF LIFE CO INC
Adqress: 8941 MINT AVENUE
WESTMINS7ER, CA
Zip: 92683
Arch :
Address:
Zip:
Phone:
License:
Phone: 714-847-7663
License: 509623
Eng:
Address:
Status: ISSUED
Applied: 0526R006
Issued: OS/26/2006
ISSUED BY: l/���
Phone:
License:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 7/16 OSB, 50 YEAR G.A.F., GRAND SEQUOIA COMPOSITION SHINGLES OVER 1 LAYER OF 15# FELT. 38
SQUARES. UNITS 194-198.
FEE SUMMARY
Plan Check: $0.00
Permit: $44.85
SMIP Res: $0.50
SMIP Cam: $0.00
Other: $0.00
Inspection: $0.00
Total: $45.35
SETBACKS
MAINSTRUCTURE Fronl 0-0
ACCESSORY Front 0-0
PARKING Existina: 0
Rear 0- 0
Rear 0- 0
Reauiretl: 0
Calc Valuation: s�,zoo.00
Claim Valuation: $i,zoo.00
PLANNING & ZONING
Left 0- 0 Right
Lefl 0- 0 Right
Pr000sed: 0
0- 0
0- 0
INOTICE: The work authorized by this permit shall comply vnth all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days. '
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inepeetions end Iinal approval must be obtained. Failure to obtain inspections and final approval vnll result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
:wo-.o �vw�
WORKEflS' COMPENSATION DECLARA710N: '
I hereby eHirtn untler penalry of perjury one oi the following tleclarations: ,
❑ I heve end will maintain e certiticate of consent to self�lnsure for workers'.crompensetion, es D�oNtled lor by section 3700 oi the Lebor Cotle, tor ihe pertortnance of Ihe
work for which this pertnit is Issuetl.
� I have and will meintain workers' compensatlon Insurance, es required by section 3700 of the Lebor Code, for the peRormance of tha work for which Ihis pertnit is issued.
My workers' compensatlon Insurance cerrier antl policy numbar are: ! p
Cerrier: _ J���%E �GLN% � PolicyNumber: I%b 3F7Q� ZBUro
(Thls sec(ion need not be com0�eted i/ the permit is valued et one hundred tlollars ($ f 00) or less.)
❑ I certity that in the per
rnmpensetion laws at
comply with thesa pro
Applicani Signalure:
WARNINO: FAILURE TO SE
THIXISAND DOLLAFiE (31 .
of the work for whic� this pertnit is issued, I shall not employ any person in any manner so as �o become subject to lhe workers'
r that It I s�aultl betome subject to the workers' cwnpensation pmvisions of Secti�on /3700 oi lhe Lebor Catle, I s�all torthwith
Date: �ib � Z� —O�
RS' SATION OOVEMGE IS UNLAWFUL AND SHP115UBIECT AN EMPI.OVER TO CRIM1U�NAL PENALTIES AND CML FlNES UP TO ONE HUNDRED
'I ,THEWSTOFCOMPENSATION,DAMAGESASPPOVIDE�FORINSECTION3lO60FiHELABORCODE,IMEREST,ANDATTORNEY'SFEES.
LICENSED CONTRA6TORS DECLARATION:
I hereby eNirm Ihat I am licensed under $rovision£,of Chapter 9(commencing with Section 7000) of Division 3 of the Business entl Professions Code, antl my license is in full
force end eMect. Lia N J�� /�O y 7 Class N � �%
Contrecmr's Signature: Date: S' a`2 %• J L.
..f.
CONSTRUC710N LENDING AG ' /
❑ I hereby eflirtn Ihai �here is a consiruction lending agency for the peAormance of the work lor which this pertnit is issuad (Sec. 3097, Civil Code).
Lenders Name: Lendets AtlCress:
Signature:
OWNER-BUILDER DECLARATONS:
Date:
I here6y eNirm that untler penalry ot perjury thet 1 am EXEMPT FROM TME CONTRACTORS LICENSE LAW for ihe tollowing reeson (Sec. 7031.5, Business ana Professions
Code: Any ciy or wunry which requires a permit to conswct, altar, improve, tlemolish, or repair eny structure, pnor to its issuance, elso requires the applicant for such pertnit
to lile e signetl statemeni that he or she is Ilcensed pursuent to Ihe provisions oi the Con�rectors Llcense Law (Chapter 9(wmmencing with Saplon 7000) of Division 3 of the
Business and Pmtessions Code) or that he or she is exempt iherelrom end ihe 6asis for the elleped e:emption. Any violation oi Section 7031.5 by eny epplicant tor e pertnit
sub�ects the epplicant to e civil penalty of nol more then five �untlretl dollars ($500).):
0 I, es ownar of the property, or my employees with weges as t�elr sole compensetion, WILL DO THE WORK, and Ihe siruclure Is not intended or oNeretl for sale (Sec.
7044, Business antl Pmfessions Cotle: The Coniractors License Law tloes not apply to en owner of propehy who builds or improves Ihereon, an0 who does such work
himself or herself or ihrough his or her own employees, providatl that such impmvements ere not Intended or oflered tor sale. If, however, ihe building or improvament is
soltl within ona year of completion, the ownerbuilder will heve ihe burtlen of proving ihat he or she tlitl not build or impwve for purpose oi selo.).
❑ I, es owner oi the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTOPS to construct the prolect (Sec. 7044, Business end Professions
Code: The cantractors Licanse Lew does noi apply �o en owner ol property who builtls or Improves ihereon, antl who contracts for such Dmjact wlih e contractor(s)
license pursuant to ihe Contraaors License Lews.).
❑ I em exempt under sac. _
Signaiure:
eusiness and Pmfessions Cade tor t�is reason:
Owner ID verifietl by tlriver's license. ❑ Yes ❑ No Drivefs License No.
Venflcation of Ownership by (rype of document, i.e. - property tex bill or tleed):
DIVISION OF INDUSTRIAL SAFE7V PERMIT CERTIFICATION:
Date:
Expires:
❑ I hereby certify ihat no excavatlon five (5) or more fee� In depth into which a person Is requirea to descend, will be made in connection with work authorized by ihis
permit, and that no building simcture, scaflolding, falsework, or demolition or dismentling ihereof, will be more ihan thitly-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tltle 8, California Adminisiretive Code).
❑ As ownar-buildar, I will not employ anyone to ao work which would require e pertni� Irom ihe Division of Industrial Sefery, as noted ebove, unless such person has e
permit to tlo such work from �he Civision.
Signewra: Date:
Division ol Intlusirial Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORVJITION OF ENiAV: I certiry untler penalty of perjury that I have read this application and state that the information given is
correcL I agree to compty wi�h all state laws and ciry ortlinances relating �o builtling construction, and aulhonze representalives of lhe Ciry ol Casta Mesa to enter upon the
above-descnbetl property for inspection Durposes. I agree not to occupy or allow occupancy ol eny builtling authorizetl by this permil until final inspection.
CQUE I. INSPE4 4N %
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Finel Re-Rooi
201 Final Block/Retaining Well
202
203
204
Final Faciory Fire Place
Finel Sign
Finel Domolition
Q�g� ' nnma�s
� W'—'
Date
S-a� -OG
Date
caoe� wsvecnoNnve
206 Final Mechaniwl
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupancy
PAIE L�Lfl
� n �. °� ��: �� ;�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING�"� / �4�,C 6. G
nooaess s�y9 i�&3�j QR� �
OWNER�C{%F 4F/L�i) �RJLL� IIh61) I.SI�L A
TE
CITY
BRANCH (
ADDPE55
AFCHITECT
19�
APPLICATION E
FECEIVEDBV D
ADDRESS
FIRE
ER
�oel 3108/7 I.� :,�a
1$�UQ'�¢�ERMIT' I�il'I'
. _, EIV la, ED IA...
'�^ / PERMITNO.
\�
�T4N c./i,ti %,L
� LOT BLOCK
VALUE
�
- " APPROVED � �j/ i
CONTRACTOR BV DATE� �
ADDRESS ZONE NO.OF USE OF NEW
TEL. Z P�qry$ � BUILDING
CITV NO.
F STATE CITY �'ARDSAPPROVED VARDSAPPROVED
� LIC. NO. LIC. NO. MAIN BUILDING ACCESSOFY BUILDING
{a� SIZE NO.OF BLDGS. (FROM C/lSTREET)
0. OF LOT NOW ON LOT�.Q'�' FRONT FT. FT.
a VSE OF
� EXISTING BLDG. FT
H
FSeparate permits are required for L SIDE F FT.
0 elec[ric, plumbing and healing work. aena Fr.
W USE OF BUILD�NG ND WORK BE PEflFORMED
F DISTANCE BET. BET. MAIN &
QMAIN BLOGS. ACCESS BLDGS.
aC URP��L ��Q �/� APPROVED
� APPROV2R.� /p, ' � �
�., GGC!
.�
W HOLD FOR SPECiAL EOUiRFMFNTS
� I hereby acknowlatlpe that 1 have reatl this application antl state �
a ihet the above info�metion is correct antl agroe to comply with �
a ell laws ree��aii�e builtling consvuction, entl I shall mt employ �
Z any perzon in Vlolation oi e workman's compensation laws of °
Sthe State of Californla. � � / �
3 I hereby certify tha a r v Iicensetl as a contrac<or untlar SQ. FT. �/ � N
ffie Stete of Califo Ia u d Pro ns Coda, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chapter 9, entl th s h I n full forca and etfect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
em exempt from p vf f the Stete of Callfornia Business VALUATION PERMIT FEE S p
and Professlona C e, 3, Chepter 9. m
S(gnature of /� PLAN CHECK $ �'O o
Permittee $ Y P ir ry � TAX E ���6 U
U �/ f/ l/
Authoriz ont (9E / TOTAL7AID S /" ��
F�+
7.
W
0.
Q
�
y
..�
S
F
G
v�
F
a
0
J
¢
>
}
�
�
W
a
O
�
L
z
W
2
3
COSTA MESA BUILDINGSAFETY DEPARTMENT APPLICATION F�$TR���§iJ�rij.. PERM['�63�00 _TL
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 - -- � - - ---� . . _..
RECEIVEDBV PERMIT _ /�.�♦ �.�
For Applicant to Fdl in Completely - Use Ink Only
BUILDING � 7.
°ENANT R Yellow Brick Road Building Co.
ADDREss2082 Business Center Dr., N145
TEL.
cirv Irvine No.833-86�
�NOER��oNRepublic Federal Savings
BRANCH Orange Branch
nooRess1745 Oranqewood, Orange, Ca 926E
ARCHITECT nvironmen TEL.
C4�...�4���.�r QSi�)i}�
Mesa
CONTRACTOR
AODRESS
TEL.
c�rv Irvine No• 833-86
LC NO. N•`�• LICyNO.�'94Z9
SI2E NO.OF BLDGS.
OF LOT Z� SOO SQ. PC. NOW ON LOT O
VSE OF
EXI5TING BLDG.
Separate permits are required for
electric, plumbing and hea[ing work.
Residential -
I hareby acknowledpe that I hava reatl th(s eppllcatlon and ecete
that tha ebove Informetion Is corract and epree io comply with
ell taws regulaNnB buildinB eonstructlon, entl I shell not employ
eny person In vloletion at Me workman's companuilon laws of
t�e Stata of Celifornia.
I hereby certtfy that I em ptope�ly Ilcensetl ae a conttector untlar
the State oi Calltarnia Businesa antl Profauions Cotle, Dlvlsion 3,
Chapter 9, antl thet s�ch Iicenaez ere In full force antl eitect, or I
am ezempt from tha provislons of ihe Stata of Cellfornia Bueinecs
end Professions Cotla, Divislon 3, Chapt 9.
Sle�ature of
Permittae
or
Authorizad Agant Date �
A.P. NO.
BUILDING j� �� 1,�//
ADDRESS � y
UNIT OR
SVACE NO.
TR.NO. LOT
NEW ADD AITER REPAIR MOVING
OWNE (.LO((J � l
vALUE
USE E
ZONE TVPE GFOUP
APPROVED
gy DATE
APPROVEDSETBACKS
PLANNING ACTION
APPROVED
VALUATION �
/
5 ��� /
� ��
DATE
JN UNDER VALUATION IS FOR
'ABLISNING A PERMIT FEE ONLv:
PERMIT FEE E� 3 O
GLAN CHECK S
TAX E �
TOTALPAID S�/��8�
a
C
i
V
m
N
7
m
n
4
�
n
n
0
F
V