HomeMy WebLinkAbout3479 WINDSOR CT - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DFIVE, COSTA MESA. CA 92626
BUILDING PERMIT
Job Address: 3479 WINDSOR CT
Suite:
Vicinity: ROOF
Parcel Number: 41204224
Applicant: PHAM, MINH QUANG
Address: 18 FAITH
IRVINE, CA
Owner: PHAM, MINH QUANG
Address 18 FAITH
IRVINE, CA
Contraclor:
Address:
Zip:
Arch :
Address:
Phone:
Zoning: R1 R1
ISSUED BY:
Phone:
Zip: 92612
Phone:
Zip: 92612
Phone:
License:
Eng:
Address:
Status: ISSUED
Applied: 10/29/2004
Issued: 11/10/2004
Phane:
2ip: License: license:
SCOPE OF PERMIT
TEAR OFF EXISTING ROOF. INSTALL 30# FELT, REPAIR/REPLACE SHEATHING AS NEEDED, DURALITE SHAKE, WALNUT, ICBO #2656, 5.96
LBS PER S�UARE. 28 SQUARES INCLUDES ATTACHED GARAGE. _
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other.
Inspection:
Total:
$0.00
$167.25
$0.90
$0.00
$0.00
$0.00
$168.15
SETBACKS
MAW STRUCTURE'Front ,0=0
ACCESSORY �Front�.0-0-�
PARKING Existin : 0
FEE SUMMARY
Calc Valuation:
Claim Valuation:
Rear_- . 0-,0
Rear 0- 0
Required: 0
PLANNING & ZONING
Left 0- 0 Right . 0• D
Left 0-0 Right 0-0
Proposed: 0
$s,000.00
$9,000.00
NO710E: The work authorized by this permit shall comply with all applicable handcap access requiremenis under Califomia statutes and related
regulations. (Ord. No. 92•28, § 1, 12•21-92)
EXPIRATION: This permit shall automatically expire end become void if work is not commenced within 180 days, or it work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for Ihe work authorized under thls permit to be considered legal, such work must comply with all applicable codes, and all
required Inepeetione and final epproval must be obtained. Feilure to obtain inspections and final approval will result in the expiretion of this permit.
FOR INSPECTIONS CALL: (714) 754-5828
2446dfi (fl�00)
WORKERS'COMPENSAPON DECLARAnON: . � _
I hereby attirm unCer penalry of perjury one ol the following tleclarations: �
❑ I heve end wlll malntain e certilicata ot consent ro self�lnsure for workers' iompensation, es proNded for by saction 3700 of ihe Labor Cotle, lor the peAortnence of lhe
work tor which this permit is Issued. .
❑ I have and will meinlain workers' compensation Insurence, es required by section 3700 of t�e Labor Cotle, for the peAortnance ot ihe work for which this pertnit is issued.
My workers' compensatlon Insurence cerriar entl policy number are:
Certiec Poliry Number.
JThisYection need nat be canpleretl il the permit Is re/uetl et one hundretl tlollaro ($100) or less.) , ,.,
in the pertormance of the work lor which Ihis pertnit is issued, I shell not employ any person in eny manner so as to become sub�ect to Ihe workers'
m laws ol Calitomia, ppnd egree that it I should becwne suD�act to the workars' compensation provisions of Sactlon 3700 o the Labor Cotle, I shell lonhwith
these;provisions., ^ / i'] '-y_ . III I� �� 7
.�, �� �V �J�M i�� �i� ��{'l.fLyYl Da[�{,�_�Z
TO SEGURE WOFKEFS' COMPENSATION COVEMGE IS UNLAWFUL AND SHALL SUBJECT AN EMMOT�ER�GTiIMINA� PENALTIES AND CNIL FlNES UP TO ONE HUNDFED
IE (5100,000�, IN ADDITION TO TME COST OF CAMPENSATION, DAhNGES AS PROVIDED FOR IN SECTION 3]Ofi OF TME L4BOR CODE, IMEREST, Ml� ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm that I am licensetl untler proNsions ot Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professions Code, and my license Is in tull
force antl eMacL Lic. N Class a
Contractor's Signeture:
Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aflirm Ihat ihere is e construction lending agency tor the peAormence of lhe work tor which this permit is issued. (Sec. 3097, Civil Cotle).
Lender's Name: Lenders Aadress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I herehy eMlrtn thet under penelty ol perjury lhet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business antl Protesslons
Code: Any city or county which requires e permit �o consirucl, aiter, improve, demolish, or repair any siructure, prior to its issuance, elso requires the applicant tor such permlt
to tile a signed sietement thet ha or sha is Ilcensed pursuent to the provisions of the Contractors License Law (Ghapter B(commencing with Sectlon 7000) ol Divislon 3 0l the
Business and Professions Code) or that he or she is exempt Iherefrom and ihe basis for ihe allegetl enemption. Any violation oi Section 7031.5 by eny epplicant lar a permit
subjects the epplicem to e civil penalry ot not more then tive hundred dollars ($500).):
❑ I, as owner of ihe propeny, or my employees wl�h weges as Ihair sole compensation, WILL DO 7HE WORK, and the structure is not intentletl or offeretl for sele (Sec.
7044, Business and Professions Cotle: The Contractors License Law does not apply to an owner of property who builds or improves Ihereon, antl who tloes such work
himself ar herself or thwugh his or her own employees, pmvided �het such impwvemanis are not imended or oflered tor sale. If, hawever, the huiltling or improvement is
�sold within one yeer ot completion, Ihe owner-builtler will have ihe burden of proving that he or she did not build or improve for purpose ot sele.).
I, a� owner of the pmperty, em EXCLUSIVELY CONTRACTINC WI7H LICENSED CONTRACTORS to wnstmct tha project (Sec. 7044, Business and Profeuions
Catle: The contreciors License Lew tloes not epply to en owner of pmperty who builds or impmves Ihereon, and who contrects for such projact with a wntrector(s)
�'�license pursuam to the Comractors License Lews.).
undersec.
OCytiedlDr"ariBed'by drivar's Wcense,
Veritication ot Ownership by (rype oi
Business and Professions Code for ihis reason:
s ❑ No
i.e. - property lax bill or
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
❑ I hereby cenily that no excavation five (5) or more feet in tlep�h into which a person is required to descend, will be made in connection with work authorizatl by this
permit, antl thet no building slmcture, sceflolding, falsework, or demolition or tlismantling thereof, will be more Ihan t�irry-six (36) feet high. (G�ep. 32, Grp 2, Ar12, Sec.
341, Title 8, Califomia Atlministrative Code).
❑ As ownar-Duiltlar, I will not employ enyone to tlo work which would require e permit from the �ivision of Indusinal Sefety, as noted ebove, unless such person hes e
permit to do such work from the division.
Signatura: Date:
Division ol InduStnal Salety PBrtnii Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTAY: I cehify untler penalry ot perjury ihat I have read this application and state that ihe information given is
correct. I egree to comply wilh ell state lews end city ordi ances relating to �uilding consiruction, and authorize represen�etives of the Clry of Costa Mesa Io enter upon ihe
above-describea pmparty lor inspepti purpo es.1� gr oI to occupy or ellow occupency of any buildinq authorizetl by this permit umil finelp�nspe tion.
�.<.1�. �_..:,� FX�� �-�_ 1,��1-I-v�c2�/
��" rie�Of LegellOwrier(s); 3 D'e e' �
z
AnNOr Authonzetl Applicant Date
CQOE 1, INSPECTONTYVE
1616 Fizetl System Final Fire Pravenlion
1266 Pool SDa Final
200 Finel Re�Roof
201 Final BIocWRetaining Wall
202 Final Fectory Fire Place
203 Finel Sign
204 Flnel Demolition �
Q� �$
�' Q-p �
CODE� INSPECTIONTYPE
206 Finel Mechanical
200
210
212
220
Final Plumbing
Final Electrical
Final Fire Prevention
Final Planning Approval
222 Final Site '
250 Final Building/Occupency
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COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FORSTRUC� � 'L PERMIT ( ��
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 M-
RECEIVEDBV PE ITr ,f�L�
For Applicant to Fill in Completely - Use Ink Only J N� ��'T�t
BUILDING Tract 10278, Lot 23 A•P•NO. — ��
ADDRESS q `
OWNEROR ADDRE55 3�� ( �� JOr ��
TENANT MCLain Develo ment Co.
UNIT OR
MAILING SPACE NO.
HDDRE55 1460 Jamboree RCI. TR.NOio ^ LOT a3 BLK.
TEL. �
CITV Ne OTt Beach N�� 640-6800 NEW ADD LTER REPAIR MOVING DEMOLISH
CONSiRUCTION
LEN�ER
BRANCH
OWNER
ADDRESS VAIUE
ARCHITECT TEI. VSE S
OR ENGINEER - y�7
ADDRESS 3661 Spruce St.,Ne ort Bch. zoNe�� \1 TVPE GROUP
APPROVED
CONTRACTOA MCLd1I1 Development CO. BV DATE
ADDRESS 1970 Jamboree Rd.
TEL.
CITV Newport Beach No. 640-6800
STATE CITV APPROVEDSETBACKS
LIC. NO. 2%3S%S LIC. NO.IHH%3
51 Z E NO. OF BLDGS. I F R OM C/L STR EET)
OF LOT NOW ON LOT OM FT.
USE OF �
EXISTING BLDG.
Separa[e permits are required for � sioe J FT.
electric, plumbing and heating work. {
REAR I�/ FT.
USE OF BUILDING AND WORK TO BE PERFOFiMED PLqNNING ACTION
onre
Sin le famil residence APPqOVED
New house �RaVE w, rO I -�`j
�
I horeby aeknowledBe that I have reatl this application antl rtete
that the abov0 Information is corract e�e eproa to comply with
ell lows regulat(np builtling conrtrucNon, antl I shall not amploy
eny perun in �iolation of Ma workmen'a compensation laws of
tha Smte ot Californla.
I hereby certifV that I am properly Iicensatl a� a contractor untler SQ. FT.
Mo Smte ot Ca��iornie euslness entl Profassions Cocie, Oivision 3, THE AMOUNT SHOWN UNDER VALUATION YS FOF
Chapter 9, and that sue� lieenaes are in fuil �orce antl efteet, or I TNE PVFIPOSE OF ESTABLISHING A PERMR FEE ONLV:
am exampt fram the provisionsof the5cateof Californla Businasf VALVATION PERMIT FEE S
nntl Profassionf Cotle, Dlvislon 3, Chapter 9. •0�
Sip^atura of ` /^� PLAN CHECK S ��
Permittee `- �� 5 /�� /OD TA% E
or h!./ J
Authorizetl Agen Date � TOTAL PAID
�3// • 9�f
94 TL