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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 r . �4S�o STA MESA BUILDINGSAFEfY DEPARTMENT P.O. BO%91] C09TA M6HA. CALIFORNIA For Appliccnt to Fill In Completely TYPE OR PRINT Ns 55Q TRr� �g COSTA MESA. CALIFORNIA ■ MAIL EXISTING BLD6. � BETBAIX LINB PROM �1 HHPEBY I AND BTTTB PLY WITH I DOIlO�NO C ■ AUTHORIZEC NO. OP BLDOB. DESCRIPTION OF WORK CITY OF CaSTA MESA AUG 19 1965 APPLICATION FOR PERMR NO. o�re IONING . zonen / no. or uee or He y e � xi ruHer�� ic D68CR PllO A�� �V l�/-- �CCCG J�j•/ A.P.NO. /7�`��/� H 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 ROOMS BTORIES � C. U. P. I ROOP l I.. � r APPRO' - � �2 as � G8 THAT I HAVB H8/�O 19 APPI.IWTION •BOVB 1q COHflBCT A Oq88 TO COM. :DINANCF� AND 8TAT8 B NHODUTINO � BET. MAIN 8 ACCES9. BL[ DATB ����s4.�. �a�y �— o 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 $��' TOTAL FEE S ` O� O r OWNER DF JOB ADDRESS AP No. hiR_n��_ii LOT ina TRACT SF,aA FIRE ZONE GAS WATER ROUGH PLUM9ING PftOP. SWR. LINE �SPRINKLING SYST MISCELLANEOUS .r HOUSE CON. UNOERGROUNO U POWER U ROUGM WIRING TRENCHES � FORMS � STEEL REINF. FLOOR SYSTEM BOND BEAM � STEEL REINFORCE ❑ SHEATHING FRAME ANO FLASHING LATHING - IN ❑ OUT n PLASTER, BROWN COAT DATE 6-25-6$ 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 � �6TATE TEL LIC. NO. NO. SIZE I No.o� DESCRIPTION OF WORK I � Bi�vDINOIn�V "2A/NO:.�n � �1 NCR6oY ACKNOWLfOO� TXAT.1 MAV6 RfAD TN�t MPLIGTION AND BTATB TMAT TX6 AlOV6.18 CORR6CT AND AOHH6'f0 CAY. PLY WITX ALL'C�T' ORDINANCi� ANO 1TA}[ LAW/ RiOYNTINO BUIL�INa CONBTMUCTION. ^ 816NATUR! O!' � r i// �% n ;;�. ,:.:,; v4ro ��' a{N 25-68��SA1i02083..�*****6.00 MPLICATION FOR PERMIT BUILDIN6 ' POr Ofi7a� Uf� Only 11[C[IF1' NO. �j�MIT NO. p� 9},,J� ��" 7 J (O G�'!�-1V�n� L��a'S� �%.�{�' � � T�YP/ • GROUP ovao -j� /� s- o�Te ZONING � qo. or usa or x[w ►LANp OYILDINO n ., � t �� �.NO. � n �' V LL—/! fE: NO6AVHOVERHAN6SHALLSELESSTNAN ' TO SIDE B REAR P. L �es .OWED ' (U.B.C.REQUIRBMHNT7 YARO3MPROVED YARDSAPPROVHO MAIN BUILDIN6 ACCE960RY BUIL�IN6 tOM GL HTRH6T1 )NT RT. �/ . . vwp. # DATB MPROVED owTa G - 2 a ro � — sa. r'r. � TM6 AMOUNT 9XOWN UNDlH VALUATION IB POR TH8 � PUPPoB[ O� 68TApY8XIN0 A PGHNIT PH8 ONLY. VALUATION a PHRMIT FE8 � sf�� � u TOTIti PEE S�