HomeMy WebLinkAbout542 TRAVERSE DR - Building Permits(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Jobnddress: 542 TRAVERSE DR
Suite:
Vicinity: HOUSE & ATTACHED GARAGE
Parcel Number: 41802115 Zoning: Rl R1
npp�icant: NGUYEN, CUONG
Address: 14351EUCLIDST#E � � � �
Phone: (774) 545-6994
GARDEN GROVE; CA� � Zip: 92843
Owner: PIONEER S&L ASSN
Address -%TAYLOR, TERESA � �
' IRVINE, CA - � Phone: �
, 2955 MAIN ST STE 200 Zip: 92614
Contracror: VILLA ROOFING PROFESSIONALS INC
Address: 14351 EUCLIDST#E
� Phone:��(714)545-6994
GARDEN GROVE, CA
Zip: 92843 License:- 758361
Arch : � — Eng:
Address: - � / Address:
Phone:
License:
Status: ISSUED
Applied: 12/10/2001
Issued: 12/10I2001
ISSUED BY:
. . , Phone: -
License:
SCOPE OF PERMIT,
� REROOF EXISTING SINGLE�FAMILY RESIDENCE & ATTACHED GARAGE (24 SQ). TEAR OFF EXISTING WOOD SHAKES 8
RESHEATH WITH 7/16" OSB. INSTALL 30# FELT UNDERLAYMENT 8 REROOF WITH 25 YEAR COMPOSITION SHINGLES.
Plan Check: $0.00
Permit: $111.25
SMIP Res: $0.50
SMIP Com: $0.00
Othec $0.00
Inspection: $0.00
Total: $111.75.
SETBACKS
MAIN STRUCTURE Front 0- 0 Rear 0- 0
ACCESSORY Front 0- 0 Rear 0- 0
PARKING Existinq: 0 Required: 0
NOTES:
FEE SUMMARY
Calc Valuation: Sa,zoo.00
Claim Valuation: $a,zoo.00
PLANNING& ZONING
Left 0-0 Right 0-0
LeR 0-0 Right 0-0 - -
Proposed: 0
NOTICE: 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 voitl if work is not commenced within /B0 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for ihe work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
�' requfred inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration ot this permit.
FOR INSPECTIONS CALL: (714) 7545626
...��.�. .n
WORKERS' COMPENSATION DECLARATION: .
I hereby affirm under penelty of perjury one of the following tleclaretions:
❑ I heve end wiil maintain a cenificate of consent to self-Insure tor workers' compensation, as provided for 6y sec�ion 3700 of ihe Labor Code, for the pedormence of the
work lor whiCh t�is permlt is issued.
�J I have and will maimain workers' compensation insurance, as required by section 3700 ot ihe Labor Cotle, tor ihe pedortnance of the work for which ihis pertnit is issued.
Myworkers'wmpensati Insu�r c/e/carrierandpolicynumberare: �� `�� ^�� J _O /
�Cemer:- S� /�✓� Poli Number. / E�
-(Tliis section need nof be complered i/ the permit is valuetl af one hundred dollars ($700) or less.) —�
❑ I certity that in ihe peAormance of ihe work tor which this pertnit is issueq I shall not employ any person in any manner so as to become sublect to tha workers'
compensation laws of Califomia, and agree Ihat ii I should become sublect ro ihe workers' compensatlon pmvisions of Section 3700 of the Labor Code, I shall lorthwith
comply with ihese provisians. /J� /
Applicant SigneWre: .�>-�-�/.//-,�T / f Dete: - /.� /� � /i�/
WARNINO: FAILURE TO SEWRE WOR PEN ATI ERAGE IS UNLAWFUL AND Sf1AlL SUBJECT AN EMPLOVER TO CRIMINAL PE TIES AN CIVIL FINES UP TO ONE HUNDRED
THOUSAND OOLLAFE ($100,OW�, IN ADDITOFi�ME COST OF GOMPENSATION, OAMAGES AS PROVIDEO FOR IN SECTION 3]O60F THE L4BOF CODE, IfJrERE$T, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I here6y eHirm that I am licensed u��r Provision$ of apter 9(commencing with Section 7000) oF Division 3 of the Business andp� ofessio� Code, end my license is In Full
force end ettecL�Llc. p- ^',�c� 3 Cless N 7 C"` j�
Con2recmPsSignature: , r�ate: ���� �/
L _ _ .- r
� o
CONSTRUCTION LENDING A .
❑ I hereby eHirtn that there is a wnstruction lentling egency for the pertormance oi the work for which �his permit is issued. (Sec. 3097, Civil Code).
Lenders Neme:
Signature: _
OWNER-BUILDER DECLARA710NS:
Lentler's Atltlress:
Date:
I hereby ettirm that under penalty of perlury that I am EXEMPT FROM THE CONTBACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Professions
Code: Any ciry or county which requires a permit to constmct, elter, improve, demolish, or repair any stmcture, prior to its issuance, also requires ihe epplicant for such permit
to ille e signetl stetement that ha or she is licensetl pursuent to the provisions ot ihe Conirectors License Lew (Chapter 9(commencing with Sedlon 7000) of Dlvislon 3 of the
Business and Professions Code) or ihat he or she is evempt iherefrom and ihe basis for ihe alleged eaamption. Any violetion ot Section 7031.5 by any applicant for e pertnit
suhjects tha epplicant to e civil penalty of not more than five hundred dollers ($500).):
❑ I, as owner ot ihe property, or my employees wlth wages es Iheir sole compensation, WILL DO THE WORK, antl ihe sWcture is not intentletl or otte�ed for sale (Sec.
7044, Business and Protessions Code: The Coniraclors License Law does not apply to en owner of property who builds or improves thereon, and who does such work
himself or herselt or �hrough his or her own employees, provided ihat such improvemenis are not intended or oHered for sale. If, however, ihe building or improvement is
soltl within one year oi completion, the owner-builtler will have the burden of proving that he or she did not build or improve for purpose ot sale.).
❑ I, as owner ot the property, am EXCLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to constmct lhe prolect (Sec. 7044, Business end Professions
Code: The coniractors License Law does not apply to an owner oi property who builtls or improves thereon, and who contracts for such project with e contractor(s)
license pureuani to the Conirectors license Laws.).
❑ I am exempt under sec. Business antl Professions Cotla tor this reason:
SiqnaWre: Date:
Owner ID venfietl by dnvefs license. ❑ Ves ❑ No Drivets License No. Expires:
Venfication of Ownership by (type of tlocument, i.e. - properry ta: hill or deed):
DIVISION OF INDUS7FilAL SAFETY PERMIT CERTIFICATION:
❑ I hereDy certity that no excavation five (5) or more faet in depth into which a person is required to descand, will be made in connection with work euthorized by this
permit, end that no builtling structwe, scalloltling, falsework, or tlemolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title B, Califomia Atlministrative Cotle).
❑ As owner-builtler, I will not employ anyone to tlo work which woultl require a pertnit from tha Division of Industrial Safery, as noted above, unless such person has e
permit to do such work trom the division.
Signature: Date:
Divi5i0n of InduSMal Setety Pertnit Number:
CERTFICATE OF COMPLJANCE AND AUTHORIZATON OF EN7RY: I cenity under penalty of perjury ihat I have read Ihis flpplication and state that Ihe informetion 9iven is
correct I egree to comply with all s;ate laws and city ordinences relating to building constmction, and euthotlze representatives of the City of Costa Mesa to enter upon the
above-descnbed properry for inspection purposes. I agree not to xcupy or allow occupency of eny building authonzed by this pertnit until final inspection.
GOOE �, INSPECTONTYPE
1616 Fiaed System Final Fire Prevention
1266 Paal Spa Final
200 Finel Re-Roof
201 Finel Block/Retaining W all
202 Final Fectory Fire Place
203 Final Sign
204 Final Demoli�ion
QdjF INTIIlALS
�. �f
/Z �/O�/� �
� _Dat
CODE• INSFECTIONTYPE
206 Final Mechanical
208 Final Plumbing
270 Final Eleciricel
212 Final Flre Prevention
220 Final Planning Approval
222 Final Site
250 Finel Building/Occupancy
Qdg 1N�L4
INSPECTIONS
c
or
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BUILDING PERMIT NO
DESCRIPTION OF WOS
lE ZONE VALUE $ 2
GROUP I&J TYPE V
SUBCONTRACTOR
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24sn�
�OSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 91] COHTA M6BA. CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
eui�oirva ""r' �
ADDRESS
COSTA MESA, CALIFORNIA
ADDRE58 � � � L
f
CONTRAGTOR
ADDRESB ` `� �
CITY � • ^� /�
9TAT8 � y QrI r„f.�.� TEL. �1�{ ( f�
SIZE �� X jOtJ � NOWONLOTe
OF LOi
USE OF .���
EXISTINO BLO6.
BBTBACK LINE FROM � /\ �
� USE OF
EFT � I RIQHT �
DESCRIPTION OF WORK
� NO.OP
ROOMS
`F'�_ ROOF
�
0
1 HENEBY ACKNOWLEDOE THAT 1 MAV6 RHAD THIB APPLICATION
AND BTATE THA TXE ABOyE IB qRHCT ANO OqHB TO <OM•
PLY WITH ALL CI OqOiNANCHe ID BTATB q60ULATiNO
BUILDINO CONBT CTION.
SIGNATURE OF
PERMITTE �--
AUTHORIZED AGENT
CITY OF C�USTA ! ;A
AUG 19 1965
APPLICATION FOR PERMIT
118C[IIT NO.
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1
BUILDINO �� � �� , `
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FIRE /�
ZONE `�S TVPH Z.�
APPROVED .
BY
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A. P. NO. � S4� ' O I/�/ —.FD
NOTE: NO EAV E OVERHANG 6HALL BE LE88 THAN
30' TO 81DE 9 REAR P. L
EAVEB
ALLOWED <U.B.C.REQUIREMENT
YARD3APPROVED YARDSAPPROVED
MAIN BUILDINO ACCESSORY BUILDIN6
L.61D8 � PT, F
REAR FT. F
DISTANCE BEf. BET. MAIN @
MAIN BLD�B. AGGE55. BL[
VAR.i{' OATE
J
TX8 AMOUNT HMOWN UNDEP VALUATION 18 FON TH8
PUHP088 OP 88TABLIeNINO A PERMIT FE8 ONLY.
VALUATION � )` /'6
PERMITFEE S �/1J
$�� � �/%'l PLAN CHECK $ �+ � �
U yl
TOTAL FEE $ ( I � �
a OWNER gOURASSA, Philip DATE 5-23-75
�JOB ADpRESS 542 Traverse Urive BUILDING PERMIT N0. q0031
GENERAL CONTRACTOR K. D. I. DESCRIPTION oF WORK Complete Bonu's Room
AP No4 g-021-15 LOT TRACT FIRE ZONE VALUE $
pI. iCTIONS Signatore Date TYPE V GROUP ZONE Rl
J54" � SUBCONTRACTOR _ PERMITS ISS�ED
ROIIGH PL
PROa. JwR. LINE � NOUSE CON. U
SPRINKUNG SVSTEM
MISCELLRNEOUS �7
ROUGH HEqTING AN� AIR CONOITIONING
TEMPORAWV SEFVICE OR POLE
UNOEFGROUND � PO�NEH Q
ROUGH wIpING n/G1v f�'
TFENCHES � FO 5� STEEL 0.
FLOOR SYSTEM
BONO BEAM [� STEEL REINFORCE �
SHEATHING
FRAME PND FLNSHING
LNTHING � IN OUT �]
PLASTEA,BftOWN COAT
S*-"rTURqL. FINAL
1 VG, VENT., REFRIG. AND A.C., FI
PLIIMBING FINAL ANO GGS TEST rI
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� � 4003 PAlI �,;L,�,Y
; ^��v ..-�5�,.�.00�oo�� 10.50
COSTA MESA BUILDING•SAFETV DEPARTMENT -
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Complete/y APPLICATION FOR BUILDING PERMIT
RE i DBV D TER CEIV �,
BUILDING I �
ADDRE55
VERMIT NO.
OWNER �G A.P. NO. -O - �
MAIL � � BUIIDING l �
ADDRESS ADDRESS J
Z .
a U CITY O, r %7E A. NO. TqACT LOT BLOCK
Z Q CONSTiiVCIION W A
ON �ENDER O U �/'
a m ��
J � BRANCH
JN �/ OWNER ��
m J ADDRESS �/� i VAIUE
m ARCMITECT TEL. S
J a OR ENGINEER
V Q FIRE
w� ADOFESS ZONE TVPE GROUP
a w APPROVED
W Z CONTRACTOR BY DATE �
J 0
m Z
J � ADDRESS 9 � �D �
W w ZO NO.OF USE OF W
p= TEL, p�,p,� BUILDI G
ZF CITY v T � � MO. ��� �OD
w O STATE CITV VARDS APPflOVED VAROS APPROVED
j O LIC. NO. Q � LIC. NO. MAIN BUILOING ACGESSORV BUILD�NG
512E NO.OF BLDGS. (FROM C/L STREET)
OF LOT NOW ON l0T � RONT FT. FT.
USE OF
EXISTING BLDG. C/ EN �/9 �— FT
H SIZE OF NO. OF
Z NEWBLDG. ROOMS STORIES LSiD FT , -
U COVE ROINGALS%��CO COV�ERING C�0 REAR F FT. �
J VSE OF BUILDING AND WORK TO BE PEflFORMED DISfANCE BET. 9ET. MAIN & m
a MAIN 8LOG5. ACCESS. BIOC>5. �" \
a „ ,
a C URP. qW APPROVED �
0
� %� I� �O�/ D �ROVED/- 1 / ✓1� _ � �
y ��V s-YJ
O I hareby acknowlatlBe thet I heva raa0 thie opplicetion antl smto srAT �}y
�J
)
� that tha eEova Information li tarrect antl apren t0 COmply wiSh C�
� nll lews repulatinp Gut�tling construetion, entl 1 shall not employ �
� any parson in vlolation of the workman's compenaation lawc of
y the Stete ot Califomia. m�p
ZI herebVi certify thet I am oroperlY ���ensetl az e convactor untlar SQ. FT. d
Na Stata oi California Businezs end Grofassione Cotla, Divlsicn 3, THE AMOVNTSHOWN UNDER VALUATION IS FOR
C�aptar 9, anE that such litensas ara In full force antl affect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ON Y: Q
am exempt from tha provisiDns of the 5[eie of Californle Business VALUATION
and Professians Code, i ision 3, Chap er 9. O r� r
� /J � �O PERMITFEE $ ]
Sipneture of // m
Perminee i� r §�040 P�,qN CHECK $ E
� O
Authorizatl Apent O ^ LL
TOTAL FEE S