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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