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Home My WebLink About3130 YELLOWSTONE DR - Building PermitsLr � r J � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.�.�LDING PERMIT n FAIR DRIVE, COSTA MESA. CA 92626 JobAddress: 3130 YELLOWSTONE DR Suite: Vicinity: HOUSE & ATTACHED GARAGE Parcel Number: 14153502 Zoning: npp�icant NGUYEN, VINCENT Address: 14351 EUCLIPST#E GARDEN GROVE, CA Ownec TRAN, KEVEN LY Address 3130 YELLOWSTONE DR Phone: (774) 545-6994 Zip: 92843 � Phone: COSTA MESA, CA 2ip: 92626 Contracroc VILLA ROOFWG PROFESSIONALS INC Address: 14351 EUCLID ST #E Phone; (714) 545-6994 GARDEN GROVE, CA Zip: 92843 License: 758361 Arch : Address: Eng: Address: ISSUED BY: Status: ISSUED Applied: 08/01/2000 Issued: 08I01/2000 Phone: Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (24 SQ). Plan Check: $0.00 Permit: $97.25 SMIP Res: �0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $97.75 SETBACKS MAINSTRUCTURE Fmnt 0-0 ACCESSORY Front 0- 0 PARKING Existinq: 0 NOTES: Rear 0- 0 Rear 0-0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0. 0 Lefl 0. 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0. 0 Right 0- 0 $3,500.00 $3,500.00 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced�within 1B0 days, or if work is suspended or abandoned for a period of 780 days. � INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 244fi-46 (&/00) WORKERS' COMPENSATION DECLAfiATIOn. I here6y affirm untler penalry of perjury one ot the following tleclarations: ❑ I have end will maintain e certificate of consent to self�lnsure for workers' compensetion, as provided for by section 3700 of ihe Labor Code, tor the perfortnance of the work for which this permit is issued. 0_I have end wiil maintain workers' compensation insurance, as required by section 3700 of Ihe Labor Code, for the pedortnance ot ihe work tor whic is pertnit is �issued. M workers' com ensation Insur1ancOe c nd IRiqy�umber are: „� /) Carner:Y ---- P ��4 (i � * � V� Policy Numbei: � ` �t'� (This secfion.nee0 not be completed il fhe permif is valued et one huntlretl dollars ($f 00) or /ess.) �— -� ❑ I certity that in the peAormance of the work for which Ihis permit is issued, I shall not employ any person in any menner so es to become sublect to the workere' compensetion laws of Calitornie, and agree thet if I shoultl bacome subject m the workers' compensetion provisions of Section 3700 of ihe Labor Code, I shell lorihwlth comply with these provision . %�� Applicant Signature: �,--Dele:-- � � — "'� WARNING FAIWRE TO SECURE WO ERS' COMPENSATIqJ C EPAGE IS U FUL NND SHALL SU&IECT AN EMPLOYERdO CPIMINAL PENALTIES AND qVIL FWES UP TO dJE HUNDRED THOUSANDOOLLARE�8100,000),-INADDITIONTOTHECOSTOFCAMPENSAT ,�AhNCaESASGROVIDEDFORIN5ECT10N3]O60FTHELABOqCADE,INTEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm that I am licensed unde�'P�p a}er y(commencin ih Section 7000) of Division 3 oL�he.Business an�rote�55} onsf� ae, and my license is in full force antl ettecCCic.—q—� l f9 I Class a� �'�7 `( ' ' -� Contractor's Signature: Date: i"'_"�- �- ' - - ;., - CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm ihat there is a consiruction lending agency for ihe performance of the work tor whic� this permit is issued. (Sec. 3097, Civil Cotle). Lentlers Name: Lender's Address: Signature: OWNER-BUILDER DECLARATONS: Date: I hereby attirtn that under penalry ot perjury ihat I am EXEMPT FROM TME CON7RAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a permit lo construct, alter, improve, demolish, or repair any strucWre, Drior to its issuance, also requires the applicant for such pertnit to tile a si9ned statement that he or she Is licensed pursuant to ihe provisions ot Ihe Contrectors License Law (Chapter 9(commencing with Section 7000) of OlNslon 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for ihe alleged eaemption. Any violetion oi Section 7031.5 by eny apPlicant tor e permit subjects ihe applicant to a civil penalty of not more ihan five hundred dollers ($500).): ❑ I, as ownar of ihe pwperty, or my employees with wages es their sole compensation, WILL DO TME WORK, and Ihe sWCWre is not intended or oNeretl for sale (Sec. 7044, Business and Pmfessions Code: The Coniractors License Law dces not apply to an owner of property who builds or impmves Ihereon, and who does such work himsetl or herseN or ihrough his or her own employees, provided ihat such improvements are not intended or oflared br sale. If, howevar, Ihe builtling or improvement is sold within one year of completion, ihe owneo-builder will have the burden ot proving that �e or she tlitl not �uild or improve for purpose ot sele.). ❑ I, as owner ol lhe property, am E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to consiruct the projec� (Sec. 7044, Business antl Professions Code: The contractore License Law tloes not apply to an owner of property who builds or improves thereon, end who coniracls for such project with e contrector(s) license pursuant to the Contraaors License Laws.). ❑ I am exempt untler sec. Business antl Professions Cotle for Nis reason: SignaWre: Date: Owner ID venfietl by tlrivefs license. ❑ Ves ❑ No Dnvefs License No. Expires: Verification of OwnerShip by (type of dotumen�, i.e. - property tax 6ill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be mede in connection with work authorized by Ihis permit, and that no builtling structure, scattolding, falsework, or demolition or tlismantling thereot, will ba more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celitomia Atlminisirative Cotle). ❑ As ownerbuildar, I will nol employ anyone to do work which would require a permit from Ihe Division of IndusMal Sefery, as notetl ebove, unleu such person has e permit to do such work from ihe division. Signature: Date: Division of Industrial Safery Pertnit Number: CERTFICAlE OF COMPLIANCE AND AUTHORIZA710N OF ENTHV: I cetlify under penalry ot perjury that I have read ihis application antl state that ihe information given is wrrect I agree b comply with ell state laws antl city ordinancas rela�ing to builtling constmction, end authonze representatives of ihe Ciry of Coste Mesa to enter upon the above-described property for inspection puryoses. I agree not to occupy or ellow occupancy oi eny building authorized by this permit until finel inspection. COUE �, INSPECTIONTYYE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Final Ra-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Finel Demolition BAIE UIIIII9LS �'�i �'" �'� p� Date �7�y�y� D' �� `i — l/ COOE 1 INSiECTION TYPE 206 Final Mechanical 208 Final Plum�ing 210 Finel Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 FinalSite 250 FinalBuilding/Occupency p:lYtlr,16'j ' �v��9 COSTA MESA BUILDING-SAFETY DEPARTMENT A.0.60X 31] COSTA MESA. GAIIFORNIA FOR APPC/CANT TO f/LL /N COMPLfTE[Y TYPE OR PRINT wooae�ss � O YELLOWSTONE DRIVE COSTA MESA. CALIFORNIA aooRess � PLACENTIA AVENUE CITY NEWPORT BEACH� CALI�rEio! ARCHITECT LIC. OR ENGINEER NO. � CONTRACTOR K LEGAL DESCR A. P. N SIZE rE _ �ECEIl1�D � JAN i o 1��1 fINA�CE DEPT. APPLICATIOrNT FOR CPETRMMTE,SA BUILDING �oR ofFicF usF oHcy I PECEIPT NO. I 4 Vb'lU1�VXOl BY —!s �4'/ I � 1 COSTA MESA, CALIFORNIA rvor �/ r nno._ ✓ APPROVED _ ��5rj PLACENTIA NEWPORT BEACH ZONING / 20NE NO.OF I IISE OF NEW NO. �O IBLOCK ITRAOCT R-1 IP�ANS n eUiLOING x att IIOII@ APPROVED L - BY W.L.D. _wi_ DATE i-6-6i 6tx98.65 IRREG SETBACK LINE FROM li � CENTER OF STREET �f5 DESCRIPTION OF WORK REPAIR � IIMOVING I IIOEMOLISt SZ�EDING �5o6SF ROOMS � STORIE EXTERIOR WALhSTU CCO I ROOF COMPOS I T I ON COVEftING COVERING SHINGLE USE OF BUILDING AND WORK TO BE PERFORMED SINGLE FAMILY RESIDENCE AND ATTACHED GARAGE PLAN No. 3-BR I HEREBY ACKNOWLEDGE THAT I HAVE •ND STATE THAT THE ABOVE IS CORRI PLY WITX Nll CITY ORDINA CES AND BUILOING CONSTRU TION. SIGNATUREOF .%A .� �� AUTHORIZED AGENT � 20' REAR TNI6 APPL�CATION THE AMOUNT SHOWN UNOER V.�LUATION IB FOR THE O AGFEE TO COM- LAWS'� PUFPo6E OF ESTABLIBHING • PEHMIT FEE ONLY. � VALUATION PERMIT FEE S � j � /� �il� �� '7 $ � � PLAN CHECK $ � / / S� TOTAL FEE $ , f!i