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Home My WebLink About500 TRAVERSE DR - Building Permits: .� (714) ]54-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 500 TRAVERSE DR Suite: Vicinity: HOUSE & ATTACHED GARAGE Parcel Number: 41803108 App�icant: FERGUSON, LEWIE Address: 4091 E LA PALMA SUITE D ANAHEIM, CA owner: DRIVER, TEX W TR Address 105 ASH CREEK COURT FOLSOM,CA Contractor: MC CORMACK ROOFING Address: 4091 E LA PALMA SUITE D ANAHEIM, CA Zip: 92807 Arch : Address: Phone: Zoning: R1 Rl Phone: (714)630-5543 Zip: 92807 Phone: Zip: 95630 Phone: (714)630-5543 License: 643700 Eng: Address: Status: ISSUED Applied: 10/15/2001 Issued: 10I15/2001 ISSUED BY: � � i i � / � ., i' Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (21 SQ). TEAR OFF EXISTING, INSTALL 30# ASTM FELT UNDERLAYMENT, & REROOF WITH 30 YEAR GAF COMPOSITION SHINGLES. Plan Check: $0.00 Permit: $69.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $69.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Ezisting: o NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0-0 sz,000.00 sz,000.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 780 days, or if work is suspended or abandoned for a period ot 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 Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2C4F4fi (N00) � : �� WORKERS' COMPENSATION DECLARATION: I hereby affirtn under penalry ot perjury one oi the following declarations: ❑ I have entl will maintain e certificate ot consent to self-Insure tor workers' compensetion, es provitletl tor by seclion 3700 of the lebor Coae, tor the pertortnence ot Ihe __work for which lhis permit is issued. ❑�I�have and will maintain workers' crompensa�ion insurance, as requiretl by section 3700 of Ihe Lebor Code, for the perfortnance oF the work for whlch ihis pertnit is issuetl. My workers' ompensation Insurance cejr'� r end policy number are: �_ 2(1 /� Carrier =' �✓L /C�(_ �4SuA-/-�*-r Policy�Number.`- LUC�,�4�IS.�S7 T3 / �(/his section need nof be completed i/ the permit is velued at one undred dollars ($100) or less.) , ❑ I certify that in the pertormance of the work for which lhis permit is issued, I shell not employ eny person in any manner so as to become subjact to the workers' compensation laws of Califor e, end egree ihat if I should Decome subJect to the workers' compensatlon provisions oi Sectlon 3700 of the labor Code, I shell forthwith comply with ihese provisio � ^ ��—_ '. Applicant�Signeture: �`� �-�-- Date: I Q��/�� . WARNING�FAICURE TO SECURE WORKERS' CAMPENSATIOtJ COVE � IS UNUWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE MUNORED THOUSAND DOLLARE ($100,000), IN ADDITION t0 THE WST OF COMPENSATION, DAMAGES AS PfiOVIDED FOF IN SECTION 3]W OF THE LABOR CAOE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereDy aHirtn IhaLl.em licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of iha Business and Professions Code, and my license Is in full force antl effeit_Lic..k� U� Class N� C 3 9 n � `� /07/ S'� � Coniredor'sSignature: �-�r Date: ` � L —�� ( _.-�, o r CONSTRUCTION LENDING AGENCV: ❑ 1 �ereby aftirtn thel there is a construction lending agency for the peAormance of ihe work for which this permit is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lendefs Addrass: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm thetundargenelry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 703L5. Business and Pmfessions Code: Any ciry or counry whiih requires a permit to constmct, atler, improve, tlemolis�, or repair any structure, pnor to its issuance, also requires the applicant tor such permit to file e signatl statement tha(he or she Is licensetl pursuant to ihe provisions of ihe Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) of Divlsion 3 af the Business end Professlons Cotle) or that he or she is exempt tharefrom entl the besis for Ihe ellegetl exemption. Any violation of Sadlon 703L5 6y eny apP�icant for e perrr+' sublecis the eppllcant to e civil penalty of noYmore than five hundred dollers ($500).): �.i - ❑ I, as owner of the property, or my employees with wages es their sole compensatlon, WILL DO THE WORK, and ihe siructura is not intenaetl or oHared for sale (Sec. 7044, Business end Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, entl who does such work himself or herself or through his or her own employees, provided ihat such improvements ara not intended or oHered tor sale. N, however, ihe building or impmvement is soltl within one year ot completion, the owner-builder will have ihe burden of proving ihat he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, em E%CWSIVELV CONTRACTING WITM LICENSED CONTRACTORS ro constmct the project (Sec. 7044, Business antl Professions Cotle: The coniraciors License Law does not apply to an owner of property who builds or Improves lheraon, and who conirecls for such project with a coniractor(s) license pursuant to ihe Coniractors License Laws.). ❑ I em exempt untler sec. Business and Professions Code tor Ihis reason: Signature: Date: Owner ID veritiatl by tlnver's Iicense. ❑ Yes ❑ No Driver's License No. Eapires: Vedfication ot Ownership by (type ot dwument, i.e. - pmperry ta: 6ill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certily ihat no excavation five (5) or more feet in depih into which e person is required to descend, will be made in connection with work euihonzed by Ihis pertnit, end t�at no building swcture, scaflolding, falsework, or tlemolition or tlismamling t�ereof, will �e more than thirry-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle B, California Adminisirative Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Intlustnal Satery, as noted ebove, unless such person hes e permit to da such work from ihe tlivision. Signature: Date: Division of Industrial Safety Permit Number: CER7IFICATE OF COMPLIANCE AND AU7HORVA710N OF ENTRY: I cartity under penalry of perjury that I have read ihis epplication antl state t�et the information given is correct. I agree to comply wlth all state laws antl city ordinances relating �o builAing consiruction, antl authonze representatives of ihe Clry oi Costa Mesa to enter upon the ebove-descnbed properry For inspection purposes. I agree not to occupy or allow occupency of any building authorized by ihis permit un�il finel inspection. COOE �. IXSPECTIONTYPE 1616 Pixetl System Final Fire Prevention 1266 200 201 202 203 204 Pool Spa Final Finel Re-Rooi Finel BIocWRetaining Well Final Fectory Fire Place Finel Sign Final Demolition OpTE �$ � � COOE 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecincal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy p�¢, IM11U�5 CITY OF 7STA MESA PROPERTY DETAII ZEPORT Owner: Driver Tex W Resident Lecckowski, Larry A Site Address: 500 Traverse Dr City/Zip: Costa Mesa / 926263117 Parcel Id: 418-031-08 Location: Costa Mesa City Neighborhood: Unknown Wealth Code: 8.0 Legal Desc.: N Tr 5698 Lot 66 Zoning: Unknown Subdivision: Unknown Usage: S1yle: Construction: Year Built: Stories: Bdrms: Baths: Heating: Co�ling: Irr. Lot Terrain: Water: Sewer: Sqft 1st: Sqk 2nd: Sqft Bsmt Sqft Total: 001: Single Family Residential Unknown Unknown 1967 1 4 2 Full Unknown Unknown Unknown Unknown U�k�aw� Unknown 1395 Market Value: $155,661 Assessed Land: $71,423 Assessed Bldg: $84,238 Assessed Total: $155,661 Percentlmproved: 54% Delinquent Taxes: Sale Date: Sale Amt.: Deed Type: Volume & Page: Seller: Title Company: Multi-Parcel: Mar-01-1983 $74,000 Unknown Unknown No 500 Traverse Dr Costa Mesa, CA 92626-3117 Phone: Phone: (714)751-7141 Tax Address: 105 Ash Creek Ct City/Zip: Folsom / 95630-7t49 Own.Occ.: No School District: Newport-Mesa Unified Census Tract: 063908 Year Listed: Ttl. Rooms: 7 Bsmt. Type: Unknown Bsmt. Fin.: Unknown Gar. Type: Attached Garege Gar. - Cars: Gar. Sqft: Roof Mater.: Unknown Roof Style: Unknown Attic Type: Unknown Condilion: Unknown Lot Dim: Lot Size: 182 acres Lot Sqk: 7927.92 sq. feet Gross Tax Semi Ann.: HB920 Credit Semi.; RB Credit Semi Ann.: RBA Credit Semi.: Homestead Exemption: Spec. Assmt. Semi.: Tax Semi Ann.: Mortgage Date: Mortgage Amt.: Mortgage Type: Volume & Page: Lender: Mortgage Term: Mortgage Rate: Blktop Paving: Concrt Paving: Carport: Deck: Patio: Pole Barn: Pool: Fireplace: Gas: Electric: Units: $950.20 $950.20 Unk. Unk. No Unk. Unk. Unk. No Unk. Unk. The information is deemed reliable but is not guaranteed. 2002-2003 Tax Year Copyright 2003 Haines Printed Aug-19-03 SOUTH ORANGE CA OWNER pi�g� DpN� DATE 5-29-69 JOB ADDRESS SOO T�vsrse Drive BUILDING PERMIT N0. ��57 'CCAICDAI ('l1AITDAfTf1D Tmmmwiel Mu+nl D..r.A..n+� f1FC!'D1DTVl�i..[wnov n.,a-a., n..._..__ SPECTIONS I Sianat�re I Date GAS W ATER ROUGH PLUMBING PROP. SWR. LINE � HOUSE CON� ❑ SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONOITIONING TEMPORARY SERVICE OR POLE UNDERGROUNO � POWER �_ ROUGN WIRING TRENCHES � FORMS � STEEL ftEINF FLOOR SVSTEM BONO BEAM � STEEL REINFORCE � SHEATHING FRAME ANO FLASHING LATHING — IN n OUT n PLASTER,BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. ANO A�C., FINAL PLUM6ING FINAL ANO GAS TESY [1 ELECTRIC, FINAL BUILOING, FINAL � SUBCONTRACTOR � r s r + ��% Faio �.�� + il;iY?9-6�c�is;.001743 �*�***+� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 ForApplicanttoFillinComp/etely APP ATIONFORBUILDINGPERMIT RECEI Bv D REC ED D •IS�SU p ADIDRESS �Q AJElZSE (J�� '� � �-/ Gi� OWNER �oNALD ��,cyC2 P..P.NO. MAIL BUILDING Z . /� r /� ADDRESS ME �+DDRE55 d U CITV C: Qs T� MC s/7 NOL TRACT Z Q CONSTRUCTION �,/ W O N LENDER O /Y � am J � BRANCH J N OWNER m J ADDRE55 �J m ARGMITECT TEL. S J GG�Y J a OR ENGINEEp V Q FIRE w � ADORESS ZONE a w CONTRACTO�MP�F�' L ML rI�.0 /�lJDUGl� gyPROVED J Z ADDRE55 �O( O S �� = CITV�T�• N��C/'J NOL ZONE NO.OF PlANS ZF � STATE CITV �'ARDSAPPROVED jO LIC.NO. O ��J LIC.NO.%Q_%� MAINBVILDING SI2E NO.OF BLDGS. (FROM C/L STRG�T) OF LOT MOW ON LOT ROM Pf� VSE OF � ExISTING BLOG. � SIZE OF NO. OF Z NEW BLDG. ROOMS STORIES L SIDE FT. EMERIOR WA�L ROOF V COVERING COVERING REAR � FT. J USE OF BVII.DING AND WORK TO BE PERFORMED DISTANCE BET. a MAIN BlDGS. a o ,�vro� �/��r P�>�'o �'o r/E C VRP.qp F APPROVED N z � UI horeby ocknowlatlpe Ihet I heve �aetl [hts applicetiOn antl stata � the[ the ebova intormation is tOrra<t antl eprea to comply with � afl fews �e0u�ating �uiltlinq coastrucHon, and l shall not employ � eny person in vloletion of ihe workman'� compansetion lew� ot y [ha State of Colifornie. ? I �ereby ca�tlty that I om proparly Iicansatl ea e eontractor untlar SQ. FT. the State ot Celifornia Businecs antl Profeasion� Cotla, Dlvisicn 3, THE AMOUNT SHO\ Chapter 9, entl that sueh licensas ere in full force entl etfact, or I TNE PURPp$E OF E5 em ezempt irom tha provisio of tha Steto of Calllornlo B�ainaas VALUATION antl Professio C D��0 3, Cheptar 9. �(, SIp^etura o .—/� Pormlttee $ �j�/-. / / l:/ ✓ v Authorizatl A �t LOT VAWE USE�OF ,�yJ BUIlO1N ' VARD$ APPROVED ACCESSORV BUILDING OATE FT. m � O VALUATION IS fOR ^ A PERMIT FEE ONLV: Q m E $ � ] m KS E `o LL I $ � , 27q�2 �- COSTA MESA BUILDINGSAFEf`! DEPARTMENT P.O. BOX 1200 GOgTA MESA, CALIFORNIA 92626 Fo� Appllcanf to Fill In Compfatoly TYPE OR PRINT COSTA MESp, CALIFORNIA STATH Z �(J O LIC. NO. srze 5d•6 � OFLOT \ l t12'iFOP 31177 ) . ii 8 Y6TlACK LIN[ IROtl �rT � I RIOHT DESCRlPT�ON OF WORK BUILDINO `�� O SIZE EXTERIOR WA��CCQ COVERIN� 1 XHR6BY ACKHOWLBD� AND BTATB TMAT TN[ PLY WITN �LL CITY Op BUILO�NO CONBTHYCTI( SIGNATURB OP PERMITTH� AUTMORIZHD AG[NT � � 1 XAV[ R 1M1� 11VPLIWTION I CORP6 NC AONB[ TO COM. Y AND IAWY R[OYLATIXO � DEC 27-67�80 931� t+►*+90.00 APPLICATION FOR PERMR BUILDINti fOr Offlce Use Only ntcurt xo. � �` ZONINCi wo. or vai or xm ruru Z eu��o�No" at LGfi �� /� S� YARDBAPPROVHD MAIN BUILDINO oiarwncc e[r. MAIN BLDpY, VAA. # C. U. P. J� e PROV[O �n SNALL BH L688 TNAN YARD9APPROVHD ACGEII90RY BUILDING eer. i ACCE DATH HOLD FOR S�E( IAL REOUI^�• {��T� �? � /`�/40 � � `� �. �. 5� � 0 •xs AYOUHT BNOWH uxoex v��u�non ie �on rHe 7 1�URP006 OP 6YTABLIBNINO A �EHMIT !H8 ONLY. � VALUATION � PERMITFHH D � p /��PB � 3/� G S � i W / TOTAL FEE E / � ��