HomeMy WebLinkAbout559 TRAVERSE DR - Building PermitsCITY OF COSTA MESA r
r" �; _ � BUILD/NG DIVISION f `�
� DEVELOPMENT SERVICES DEPARTMENT
� � PERMIT PERMIT U BER
�
898-01736
(714) 754-5273 • Fa�t (714) 754-4856 � 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 559 TRAVERSEDR
Suite:
Vicinity:
Parcel Nunmber: 41802211
Applicant: NGUYEN, DAN
Address:
ownec CHOI, MYUN K
Address HYUN, YONG S
COSTA MESA,CA
559 TFtAVERSE DR
Contractor:
Address:
Arch / Eng :
Address:
BUILDING PERMIT
Zoning: R1 R1
Phone: 714-545-6994
Zip:
Phone:
Zip: 92626
Phone:
Zip:
License:
Phone:
Zip:
License:
SCOPE OF PERMIT
T/O WOOD SHAKES, INST 1/2 CDX, 30 LB FELT, CLAYMAX 5.8 LB ICBO #3523.
Plan Check: $0.00
Permit: $124.75
SMIP Res: $0.66
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $125.41
SETBACKS
MAIN STRUCTURE Front 0- 0 Rear 0- 0
ACCESSORY Front 0-0
PARKING
NOTES:
Existin : 0
Rear 0- 0
Re uired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
Status: ISSUED
Applied: 09/25/7998
Issued: 09/25/1998
$s,soo.00
ss,soo.00
EXPIRATION: This permit shall automatically expire and become voitl if work is not commenced withiri 180 days, or If work is suspended or abandonetl
for a period of 1 BO 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
required Inapectlona and finel approvel must be obtained. Failure to obtain inspeclions and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
W09KERS' GDMPENSATION DECLARATION: ♦
I hereby ettirtn untler penelry of perjury one oi lhe following decleretions: �
❑ I heve antl will maintain a certificete oi consent to selbinsure for workers' wmpensatlan, es providetl tor by section 3700 of the Lebor Code, for the peAormance ot the
'tot which IhiS permit i5 i55ued.
I heva end will maintein workers' compensation insurence, es required by section 3�00 of Iha Lebor Code, for �he peAormance oi Ne woAc for which Ihis pertnit is issued.
My workers' compe`�eetion I nce carrler and policy number ere: /�/ r//�
Canlar: >•� Palicy Number. Y�/ I n Y' l%%
(Th/s secNon need not be comp/efed i! Me permlf is velued at ane hundred dollers ($100) or less.)
❑ I certity thet in the Derformence of ihe work tor which this permit is issued, I shell not employ any person in eny manner so as to become subject to the workars'
co 'on laws of C Ilfomia, entl egree t N I shou//lp.6ecome su6ject to the workers' compensalion pravisions at Saction 3/7pp �of ihe Lebor Code, I shall fonhwith
1 th 51on5. � �.v"«�L— ( ��— ��
MDlicent SiqnaN/re. � Da�6:
Y/ARNWEFMC91iETOSE RKERS'COMPENSATIONCOVERA NIAWFULAN�SHAl15UBIECTANEMPLOYERTOCRIMINALPENALTIESANDqVILFWESUPTOONEHUNDRED
iFiOUSANDDOLLARE(3100,0OO�,INADOITIONTOTHEWSTOFCOMP TION,DAMAGESPSPROVIDE�FOFiINSECilON37060FiHELABORODDE,INTEREST,ANDATTOflNEYSFEES.
LICENSED CONTRACTORS DECLARATION:
I herebv aRirtn ihet I am licensed under-nrovisii
Gonlrectols
with Section 7000) oi Division 3 of the Business and Protessions Cotle, end my license is in full
Class a
� Date:
CONSTRUCTION LENDING AGENCV: `
❑ I �Breby aKrtn Ihat there i5 8 conSiNctlon Ientlinq epency for ihe DaAormante ol the work for which ihis pertnit is iuuetl. (Sec. 3097, Civil Code).
Lendefs Neme:
Signature: _
OWNER•BUILDER DECLARATIONS:
Lenders Address:
Date:
I herehy aHirm t�et under penelry ot parjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reeson (Sec. 7031.5, Buslneu and Professions
Code: Any ciry or counry which requires e pertnit to conswct, elter, Improve, demolish, or repair any structura, prior to its Issuance, also reQuires the epplicam for such pertnit
to fila e signed statement that he or s�e is Ilcensetl pureuent to t�e provisions at the Contrectore License Lew (Chepter 9(commencing with Section 7000) ot DlNslon 3 of ihe
Businass and Professions Code) or that he or she is exempt therelrom end the basis tor the alleged exemption. My violatlon ot Section 7031.5 by eny epplicant for a permit
sub�ecl5 the eppliWnl to a clNl penalry ol not more Nan five hundretl dollars ($500).):
❑ I, es ov.ner oi Ihe properry, or my employees with weges es lheir sole compensation, WILL DO THE WORK, and Ihe siructure is not intentled or oHered for sale (Sec.
704a, Business end Profeuions Cotle: The Contractors License Lew does not epDly lo an owner ot property who builtls or improves Ihereon, entl who does such wark
himself or herseN or through his or �er own amployees, proviUatl thet such improvements ere not Intended or oXered for sale. If, however, Ihe builtling or improvement is
sold within one year ot completion, the owner-builder will heve the burden ot proving ihet he or she did not 6uiltl or impmve for purpwe oi sale.).
❑ I, es ownar of the property, em EXCLUSIVELV CONTRAC7ING WITH LICENSED COMRACTORS ro construct the project (Sec. 7044, Business end Professions
Code: The contractors Llcense Law does not epply to an owner of properry who bullds or Improves ihereon, end who contrects for such proJect wlih a conirador(s)
license pursuant to tha Contrectors license Lews.).
❑ I em exempt untler sec. Busineu and Professions Cotle tor t�is reason:
SignaWre: Date:
Owner ID vanfietl by drivers licensa. ❑ Ves ❑ No Drivels License No.
Verlticetlon of Ownarship by (rype ol tlocument, I.e. - properry ter bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON:
F�pires:
❑ I �ereby certify that no excevation eve (5) or more feet In depih Into which a person Is requlretl to descentl, will be metle In conneqion with work authodzed by this
permlt, entl that no builtling strucwra, scaHalding, falsework, or demolition or tlismentling thereoi, will be more then �hirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sac.
341, Tltle B, Califomla Atlministrative Code).
❑ As owner-builder, I will not employ enyone to tlo work whic� woultl require e pertnit Irom the Dlvision of Indusirlel Safery, as noted above, unless such person has a
pertnit to do such work fmm the tlivision.
Signeture: Date:
Division of Indusirial SaFery Permit Number:
CEHTIFlCATE OF COMPIJANCE AND AI7fXORPA710N OF ENiTiV: I certify under penelry ot perjury thet I heve reed this epplicatian and state thet the intormation given is
corred. I egree to comply wit� all state laws end ciry ortlinences releting to building consiruction, entl auihorize representetives ot the Ciry of Costa Mesa to enter upon the
above-describetl property for inspection purposes. I agree not to occupy or allow acupancy of eny Duiltling auNorizetl by ihis permi� until tinal inspection.
40oE �. INSPECfIONTYPE
7616
1266
Fixed System Final Fire PrevenUon
Pool Spe Finel
200 Final Re-Roo1
201 Finel Block/Retaining Wall
202 Finel Fectory Fire Plece
203 Final Sign
204 Fnal Demolitlon
zu5+6
�g ��
(a-7�2fj �
CO�E I INSPELl10N TYPE
206 Finel Mechenical
20B Finel Plumbing
210 Final Electdcal
212 Final Fire Prevention
220 Finel Planning Approvel
222 Final Site
250 Finel Building/Occupancy
� `D�� ! �
Date
GEN�RAL
or
and
PP1V�i.�C�!
I! = - : �
VALUE $ �
TYPE V
SUBCONTFtACTOR
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STA MESA BUILDINGSAFEfY DEPARTMENT
P.O. BO%91] C09TA M6HA. CALIFORNIA
For Appliccnt to Fill In Completely
TYPE OR PRINT
Ns 55Q TRr�
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COSTA MESA. CALIFORNIA
■ MAIL
EXISTING BLD6. �
BETBAIX LINB PROM
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AND BTTTB
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DOIlO�NO C
■ AUTHORIZEC
NO. OP BLDOB.
DESCRIPTION OF WORK
CITY OF CaSTA MESA
AUG 19 1965
APPLICATION FOR PERMR
NO.
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zonen / no. or uee or He y e �
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NOTE: NO EAV E OV ERHAN6 BHALL BE LESS THAN
90' TO SIDE 8 REAR P. L
EAVEB
ALLOWED fU.B.C.REQUIREMENT
YARDSAPPROVED YAR�SAPPROVED
MAIN BUILDIN6 ACGESSORY BUILpING
NO.OF — �� � �� VAR.$C
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I ROOP l I.. � r APPRO'
- � �2
as �
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DATB
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TH8 AMOUM BHOWN UNO6R VALUATION 18 POP THH 9
PUHPOBe OP 88TABLIBHINO A PHNMIT FE8 ONLY. 0
VALUATION �-/� QQ „
PHRMIT FE8 � j
3/ 6 oa�
0
$��' TOTAL FEE S ` O� O r
OWNER DF
JOB ADDRESS
AP No. hiR_n��_ii LOT ina TRACT SF,aA FIRE ZONE
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WATER
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PftOP. SWR. LINE
�SPRINKLING SYST
MISCELLANEOUS
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HOUSE CON.
UNOERGROUNO U POWER U
ROUGM WIRING
TRENCHES � FORMS � STEEL REINF.
FLOOR SYSTEM
BOND BEAM � STEEL REINFORCE ❑
SHEATHING
FRAME ANO FLASHING
LATHING - IN ❑ OUT n
PLASTER, BROWN COAT
DATE 6-25-6$
BUILDING PERMIT N0.
SUBCONTRACTOR
" 28755
COSTA MESA BUILDING-SAFE7Y DEPARTMENT,
P.O. BOX 7200 COSTA MESA. CALIFORNIA 9262E
For AppllcaM to Pill In Completsly
TYPE OR PRINT
•O1D1NO �.S 9 c-.�sc- 2
AODRED3
COSTA MESA, CALIFORNIA
�
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LIC. NO. NO.
SIZE I No.o�
DESCRIPTION OF WORK
I � Bi�vDINOIn�V "2A/NO:.�n �
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AND BTATB TMAT TX6 AlOV6.18 CORR6CT AND AOHH6'f0 CAY.
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MPLICATION FOR PERMIT
BUILDIN6 '
POr Ofi7a� Uf� Only
11[C[IF1' NO. �j�MIT NO.
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DATB
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TM6 AMOUNT 9XOWN UNDlH VALUATION IB POR TH8 �
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VALUATION a
PHRMIT FE8 �
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