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Home My WebLink About566 TRAVERSE DR - Building Permits�� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.c�.�LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 56G TRAVERSE DR Suite: Vicinity: HOUSE & ATTACHED GARAGE Parcel Number: 418�21 �9 npp�icant: NGUYEN, CUONG Address: 14351 EUCLIDST#E GARDEN GROVE, CA Owner: WIGGINS, TAMRA Address 566 TRAVERSE DR Zoning: R1 R1 Phone: (714)545-6994 Zip: 92843 Phone: COSTA MESA, CA Zip: 92626 Contractor: VILLA ROOFING PROFESSIONALS INC Address: 14351 EUCLID ST #E Arch : Atldress: Phone:� (714)545-6994 GARDEN GROVE, CA Zip: 92843 License: 758361 Phone: Eng: Address: ISSUED 8Y: StaWs: ISSUED Applied: 03/12/2001 Issued: 03/12/2001 Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (22 SQ). TEAR OFF EXISTING WOOD SHAKES & RESHEATH WITH 7/16" OSB. INSTALL 75# FELT UNDERLAYMENT & REROOF WITH 25 YEAR COMPOSITION SHINGLES. 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 MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0-0 PARKING Existinp: 0 NOTES: Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Pr000sed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 53,900.00 53,900.00 NOTICE: The work authorized by ihis permit shall comply wi�h all applicable handicap access requirements under California statutes and relatBd regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. ' � INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable cotles, and all '� requlred inspeeqons and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446i8 (fl�W) � WORKERS' COMPENSATION DECLARATION: I hereby ettirm under penelty ot perjury one of ihp �ollowing tleclarations: ❑ I have antl will maintain a certificate of consant to self-Insure tor workers' compensation, es provitletl tor hy section 3700 ot the Lebor Code, tor the performance o1 tne work tor which this permil is issuad. v ❑_,1 �ave antl wlll maintain workers' compensation insurance, as requiretl by section 3700 of the Labor Cotle, for the pedortnance ol the work for which this pemiit is issuetl. My workers' com�pens,�artion Insu ance ca pr andnpo Ilcy number are: ,/'� / Certier. --'" s //! �� %L �PWity Num6er: - ..?(�i �— 0/ (This�secfion neetl not be complete0 i! the permit �s va/ued et one huntlred dollers ($100) or less.) ❑ I certify that in ihe pedormanca oi the work ior which ihis permit is issued, I shell no� employ any person in any manner so as to become subject to tha workers' compensation laws ol Califomia, and a ree that if 1 should become subiect to the workers' compensation provisions oi Section 3700 ot the Labor Cotle, I shall torthwith comply with these provisions. ApplicentSignature: �i.i� GDate:_ �'��.-.��l /d—� WARNING"FAIWiiETOSECUREWORK�95'�-COMP�ATIONCpVE GEISUNLAWFULANDSNALLSUBIECTANEMPLOVEFTOCRIMINQPENALTIESANtlCIVILFlNESUPTOONEHUNOfiED THOUSANDOOLIARE�SIOJ,000�,INAD THEC.W^TOFCOMPENSATION,�AMAGESASPROVIDEDWRINSECTION3]O60FTHEL400RCODE,INTEFEST,ANDATTORNEI^SFEES. LICENSED CONTRACTORS DECLARATION: I here6y affirm tha� I am licensetl untl�invisic force end eflecc Lic_N 1 �J ` Contractofs Signemre: ti� CONSTRUCTION LENDING AGENCY: 9(commencing with Section 7000) of Division 3 af the Business e Professi ns Cotle, ana my license Is in full Q1259 N- ' �� _ ❑ I hereby aHirm that there is a construction Iending agency for the peAormance ot the work for which ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lentlefs Aetlress: Signature: OWNER•BUILDER DECLARA710N5: Date: I �ereby ettirm ihat under penelty of perjury that I am EXEMVT FROM THE CON7RACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business entl Profess�ons Cotle: Any ciry or county which requires a permit to constmct, elter, improve, tlemolis�, or repair any strucfure, pnor to its issuance, also requires the applicaN for such parmit b tile a signed statemeN that he or she is licensed pursuant to the provisions ol the Contracrors License Law (Chapter 9(commencing with Section 7000) of Division 3 of t�e Business and Professlons Code) or fhat he or she is exemp� lharefmm antl I�e basis for the alleged aaemption. Any violetion ol Section 7031.5 by any appliceM for e pertnit subjects the eppllcent to e civll penally of not more than five hundred dollers ($500).): ❑ I, es owner ol the pwperty, or my employees wi�h wages as �heir soia compensation, WILL DO THE WORK, and Ihe simcture is not intendetl or ofleretl tor sale (Sec. 7044, Business end Professions Cotle: The Contractors License Lew does not apply to an owner ot propeny who builtls or improves Ihereon, and who does such work himself or herself or ihmugh his or her own employees, provided that such impmvemems ere not imentled or oHered for sala. Il, however, Ihe builtling or improvement is sold within ona yeer of completion, the ownar-builder will have ihe Durtlen of proving that he or she did not �uild or improve for purpose of sale.). ❑ I, as owner ol the property, am EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to construct the praject (Sec. 7044, Business end Professions Cotle: The contrectors License Law does n0� epply to en owner ot propeny who bullds or improves t�ereon, and who wmracts tor such project with a contrador(s) license pursuant to the Contractors License WwsJ. ❑ I em exempt untler sec. Business and Professions Code for Ihis reason: Signature: Date: Owner ID venfied by drivers license. ❑ Yes ❑ No Driver's Licensa No. Vedfication ot Ownership by (type of tlacument, i e. - property tax bill or tleetl): Expires: DIVISION OF INDUSTRIAL SAFETY PERMR CEAniICAT10N: ❑ I hereby certily Ihat no excavation tive (5) ot more teet In depth into which a person is required to descend, will 6e made In connection with work authonzed by this permi6 and that no builtling sirucWre, scattolding, talsework, or demolition or tlisman�ling �hereof, will be more than thirty-six (38) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, California Atlministretive Cotle). ❑ As owner-builder, I will not employ anyone ro do work which would require e permit from the Division of Indusiriel Salety, es notetl a6ove, unless such person hes e parmit to tlo suc� work irom the division. Signature: Date: Division of Intlustnal Safery Permit Numbar. CERTIFICA7E OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I cenify under penalty ol perjury ihat I have read this application and state that ihe information given is correct. I agrae to comply with all state laws and ��y ordinances relating to building constmction, antl�authonze represematives ol the City of Costa Mesa to enier upon Ihe above-described prop :for inspection uryoses. � agree not to wcupy or allow occupancy ol eny building aulhorizad by ihis permil until final inspection. � u, ��/�lo/ i. onan n Ot Le I Dwner(s1 'T � Date COOE A, INSPELTIONTYPE 7616 Fixed Syslem Final Fire Prevention 1266 Pool Spe Final 200 Fina1 Ra-Root 207 FInaI BIocWRetaining Wall 202 Final Fac�ory Fire Place 203 Finel Sign 204 Finel Demolition Q� ItIIIDeL9 COOE 1 INSPECTION TYGE 206 Final Mechanicel 20B Finel Plumbing 210 Final Electncal 212 Final Fire PrBvBniion 22o Final Planning Approval 222 FinalSite 250 Final Building/Occupency ➢STF 1�L@ VE LA'1"L V GV—O� BUILDING PERMIT NO. :PTION OF WORK res. w att. � :oxE v.ai.oE S 23,350.00 )UP I&J TYPE V ZONE SUBCONTRACTOR I PEftMIT: ilaln I Nnn � 24sss �COSTA MESA BUILDING-SAFETY DEPARTMEIYT P. O. BO% 917 C09TA M89A. CALIFORNIA For Appl)cant to Fill In Complafely TYPE OR PRINT BUILDIN6 � / n A�DRESS l0 ll CpSTA MESA. CALIFORNIA TEL. , ExiSTING BLD6. `� e¢TBwCK LIN6 FROM G Z � � eui�oina ADDR88G FIRC ZON6� %L L6a�L cirY oF cus;� M: AUG 19 1965 PLICA�P,J F� �Ijb1fZ �(o4n� 6'�J n[cnrr rvo. ZONINf3 no.or uea PUN9. �%i �DUII S/ NOTE: NOEAVEOVER S 90'T031D8BR R HAVEB No.oPBLDae. ALLOWEO NOW oN wi YARDS APPROVBD MAiN BUILDINO EFT � I RIOHT DESCRIPTION OF WORK NO. OF �ROOM�S I ROOF 1 H6NHBY ACKNOWLHOaB TNAT I NAVB RBAD TX19 AND BTATH TMAT�T."H8 ABOVH IB COp flECT AND AO PLY WITH ALL CIN OHDINANC88 A(�p BT�Te LAW� eWIDINOCONBiw\I�ciION. I \ AUTHORIZEO DISTANCE BEf MAIN BLDGS. VAR. iC 7�i��J..Y �� /�� 6HALL BE L889 THAN (U.B.C.REQUIREMENT YARDSAPPROVEO ACCE650RYBUILDIN6 eEr. Mw�N e ACCES$. BL[ DATE ! 7� y 64. �. �4 g a"' '�— o TN8 AMOUNT BMOWN UNDBFl V�Lt1AT10N 19 PON TNH � PUHPo98 OP 86T�BL18HIN0 • PBkMIT PE8 ONLY. � VALUATION O �i6e � PERMIT FEE � $��3�U `�'� 6Q ; 0 T TAL REE � � �