HomeMy WebLinkAbout570 TRAVERSE DR - Building PermitsPflOJECT RUONESS: S J O TRAVERSE DR
OWNEN'SNAME: NGUYFN NA,�i THANii
aoosess: 570 'PR'AVERSc ll't�
COSTA NESA,CA 92626
434-354'7
AflCHIENGINEEB:
AUOFESS:
flEG.NO.:
UNIT:
UNIT:
PEHMITTEE: DAN NGIJYGN ("77.9)434-3547
nooness: �70 1'KAVERSE
C,N,. CA 47.626
LICENSEU CONTFPGTON OECIANNTION: I �ereoy a��irm ��a� I am licensed un0er provisions oi C�ap�er 9(cammencing wiih Sedion
7000) a� �iv�sion 3 oi �he Business and Professions Code. antl my license is in full lorce antl effect.
CITY LIC.: STATE LIC.: ClASS:
Oate'. SignaWre:
WOPREflS' COMPENSATION OECLABATION: I heBby al�irm I�a� I have a certifica�e o� consent �o selbinsure or a cehi�icaie ol Workers'
�` , Compensatian Insurance. or a certifie0 copy t�ereof (Section 3800. Lab. C�.
°OLICY NO.: E%P. UpTE: '
COMPRNY:
�❑ Cetli�ietl Copy i5 here0y �UmiS�etl. ❑ CenifieA coDY is filetl wit� t�e ciry Building Division.
�ale: ApplicaN:
E%EMPrION FROM WOfl8Efl5' COMPENSATION OECIANRTION: (ThiS 5ection nee0 no1 �e completetl i1 the permi� i5 forone hunOree �5100) or 1e55�.
1 certily that in Ihe Dedormance ol ��e work lor whic� Ihis Oermil is issuetl. I s�all not employ any Derson in any manner so as lo �ecome
subjeci to Ihe Workers' Compensalion LawS ol Califomia.
Date: Signature:
NOTICE: IL a�ter making ��is declara�ion. you shouid become su�leci Io Ihe Wo�kers' Compensatian pmvi5ion5 of �he Labor
Cotle, you mus� fotlhwith comDly wil� such provisions or Ihis permi� shall be tleemea revoked.
CONSTBUCTION LENUING BGENCY: I �ereby ailirm Iha� �here is a constmc�ion IenOing agency lor �he pertormance of ��e work for
which ihis permit is issued �Seciion 3097. Civ, C).
LENDEN:
AOUHESS:
OWNEF BUILUEB DECIABATION: I �ereDy affirm Ihat I am exemp� imm ihe Contracmrs' State License Law for Ihe following reason
(Seclion 7031.5 Business antl Pmlessional Code: Any cily oi counry which requires a permi� to cons�mct, atle�, impmve. Oemolis�, or
repair any s�me�ure. pAor la Its issuante. alsa requires �he appllcant for such permit �o �ile a signetl s�a�ement that helshe is licensetl
pursuam m �he pmvisions ol lhe Conlraqors' S�ale License Law (C�apter 9(commencing wiN Sec�ion 7000) oi Division 3 0l �he Business
antl Pmfessions Cotle) or Ihal helshe is excmp� Ihere�mm and Ihe basis �ar �he alleged exemp�ion Any viola�ion ot Sec�ion 7031.5 6y
any applicant for a permit sublecis ihe applicanua a civil penalty ot not more than five hunOreO Oollars �$500).
I, as owner of ihe pmpeny or my employees with wages as their sole compensatioR will tlo the work, antl the
� SimClureis n0�in�entl¢tl orofleretllor5ale�Sec�ion 7044. Busine55 antl Professional COde'. The COn�mt�ors' S�ate Lit¢nse Law
does no� apply to an owner of a Ompetly w�o builtls ar impmves thereon, antl who tloes such work himselfl�ersel� or thwuAh
his or �er own emDloyees. DmvideU Ihat SucA impmvements are nol in�entled ar ottered tor sale. Ii, however the builtling or
improvemenl is salJ wilhin one year of completion, �he owner will have lhe burden o� pmving he/she Ditl no� 6uiltl or impwve
br the purpose ol sale�.
I, as owner o� I�e propehy, am eKclusively comraciing with licensed conlrac�ors �o cons�mct the pmlect (Seclion 7044, Business
❑ an0 Pmle55ion5 Co0¢' ihe Conlrac�ors' Siale Litense Law tloes not apply �o an Owner Of property who budJs Or impmve5lhereon
and who coniracis lor such proletls wiih a coniracbqs) license pursuant to ihe Con�mctors' State License Law). I am aware
that pmol ol �heir Worker's Compensation insurance shoultl be provided m me.
� I am ehempt waer Section: B. 8 P C..
lor I�is reason: q� /� / , � l
oaie- I� L�l — �/I, I I(Tnnec
1 tlo here�y cenily Iha� I am aware ol antl unCersiantl �Ae requiremeNs o� Cah�omia, e h n Satery Code Seciians 2550.5� 5, an0
2553a ane �hai I or any Iuiure builtling occupani will/will no� �circle one) need Io com wii 0 s�ate cotles antl ��e requi nl5lor a
permii lor consimclion or moUification Irom I�e Nir �uality Management Dislrict. flesidential consimction apD�icalions are exempt iwm
tAese pmvisians. �
�a�e: Fp0licanL
I hereby cerlity tAat I have read Ihis applicalion 0 SIaIe tha� Ihe above information is
ordinancesands�a�elawsrela�ingtobutldingco Imc�ionanAherebyaulhorizerepresen4
propetly Iorinspeclio�n-Ipurpase/s�.
�ale'. �� Signalure'. _
Drivefs License or Social Security a:
I agree ta comply
this ciry �oRnter u{
1641�4fi Wtme—Builtlmg; Green—Cotle Enlorcement; Canary—AppllcanL Pmk—Revenue: Goldenrad—Assessor
CiTY Or COSTA MESA - BUILDING PERNIT PERN NO; B U5082
PERMI'1' NO: B 050A26 FLAN CHECF NO: 00423-91 S GOVT: N SliPP: N
CONSTR(ICTION TYPB: PERMI'f TYPE: STR PI]RPOSE: ADD
JOH DESCRIPTION ; LEGALI'LE 194.9SF ENCi.O5E1) PATiO CQVHR SQ r'I'; 154
CLAIM VALUF.; 3,000,00 CALC-VALUE: 7,061,60 GROUP OCC; R-3 /
COMMENiS: X � �p,�y�e
jf�lEiEiE9FiE�N��'r�1F3E1f�3i�if�K�1Ej4%#iE3EiF1Eih-%�ih;'riE3f%iFiEaf•iE1i�lElb%���#��3(-�x�jEiE3EiEjF#N�iEiP3f%3f3Eif14jFiEN�9a�y�}{��,�'�$M�1[-1�'q�y(,�71^ l��T.'.�„
Z O N I N G R E Q U I R E N, E N T S�dp� �����' �'I✓�` Y 4y�;j ����^-i
. F1
--- MA.iN BIJZLUING _____S-E-S B A-C_K-S_-_ ACCESSUi�Y �, Li).1NC;�����--
FkNT; 74 FT IN REAR: 7.8 FT 6 IN FRN'P: e'P IN REAR: FT IN
I,EFT: 28 FT IN RGHT; $ FT 8 IN LEFT: FT IN RGHT: rT TN
PARKING REQ• PROV: PARCEL: 41802108 ZNE: R1 REF NO:
PLAIdNING Nt3'CES> PERT;IT FOR EXISTING 194.4 SQ.FT. PATIO ENCLUSURE ATTACHED
> 1'O THE REAk OF TAE DWELLING
x-��x-��rx��+c �**�* x����c**�x ���*a�x x-��**;�x�r*x�*u u�***�r*x x*�t�c ��*��c�c�x-x�**�� ��rx-**�cx rt� x�**x
D E V E L O F M E N T S E R V I C E S R E Q U I k E M E N /T S
ZONING APPROVED BY IK-\7 DATE; _�/ 2 �
�
BUILDIivG APFROVED BY : DATE:
APPLICATION ISSUED HY: �- DATE: I��--�1 �
)E'N'lF3E%'lEif�l(�iFjElFiFltieiF%iE3F3('K'3E1E . n. . A. . �EiE')E1EjE*3fiF3F* )fjf
# 3f iE % 3E �%� iF %• iE �1( 34 3E �lF iF K� �E �E �1F #� 3f iE ie iF 3F iE iF 3P �If iE iE # iE-K-1F 3E 1F 7f -]f N� 3F �% 3f iF %� % 1f 3E 3E 3F 1f 3��-0E 3F �l'r 3E 3F 3kif 3F 3F �f 3F lE,�(� iE iE k-� K� iE ii� 1E �1E 3E;F-If 3E 1F 3t
LEGAI,I`LATION:Y F E E S U M M A R Y SiRUCTURAL SEGMENT:Y
BLDG i'MT PLUMHING ELEC'lRlC MECHANIC FIRE SMIP/RES:' GRAUING
PERM.IT 198.00 .5��'
SyIP/NON-RES
PLAN 123 , 70 .� ;
IS5UE FEE --,'
BUILDING-DIV-> PERMIT IS5UE PLAN-CHECK 'I'OTAL PATD � DliE
TOTALS----> 198.50 0,00 64,35 262.85 262.�85 {` .00
�` t
RF'VENUE DIVISION TOTALS--> COLLECTED: 262.85 OVER/�iHOR1�c � 00
HLDG PMT YI,LMBING `cLF.CTRIC ME(CFiANIC FZRE SMIP/TOT GRAD,'INC PLAN-CHECK
19R.00 , 50 ,:,: ;: '� 64. �5
� 3(� > iF 1F%iE jf iF �)E 94 iE �%� 3E K-* #� iE 3E 3E iE �R jf 3f� if ii� %aE 7E if K� �lP dF 9f if %� iF 7(� ff� K iE iF 1E %i6 iE if 3i� 1'r k 3E 3E 3F 3f 3F i'r IE if� �f� %�%iF 3F 3EJf �%aF 9F �� N� �E iE iE N�%3E fE �f if
I N D i V S D(J A L F E E: B ft E A K D O W N;
TYPE Q7Y D E S C R I P T I O N UNIT CO5'P " TOTAL COST
SFR� 194 RE:S-PATZO COVER-ENCi,OSED PATIO
END OF FEES
� �
EXPIRED � N
�ncomplete Inspections � �
�
Date � " M
��i� � �__ �
� FC \
�
:36,40 ' 7,06!.60
�71 �}DO%44i3-0�1]i4:�;5 'i'E� � %52.85
DATc: A1�24/YI TISIE; 2°�:".g
CONSTRUCTION AND PLANNING P��� & SPA
APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. Temporary Electric2l Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel iieinforcement
3. Electrical Conduit Ut��ity-Undrgrnd. 54. Forms
4. Electrical Condult-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrica� Conduit-Undrgrnd.
8. Foundation " 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor SyStem 61. APPROVAL TO DECK •
11. Property Sewer Line & House Connectlon 62. Backwash & Receptor�Final �
12. Sewer Cap 63. Heater & Vent-Final ,
13. Roof Drains � 64. Plumbing System � Final �
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar SYstem-Final
16. Rough Electric Wiring 67. Fencing & Access Approval ,
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING �
18. Rough Elearical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit # `�_.
21. �Ducts, in Structure � 70. Underground Hydro ��
22. Dutts, Ventilating 71. Product Piping OGas OOiI
23. Gas Pipe-Rough & 7est � , 72. Underground Flush � �a
�
24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil t! a' i
25. Roof Sheathing � 74. Overhead Hydro rT ��
�
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical CF. �� �
..a
27. Frame and Flashing ' � 76. Dry Standpipe . �
7 �. ,
28. Lathin & Sidin -O {
9 9 i � 77. FIXED SYSTEM FINAL a
29. Insulation � � 78. FIRE PREV. FINAL �
30. Drywall Nailing � � HEALTH DEPT. REQUIREMENT t
31. Plaster Brown Coat � � 79. FINAL INSPECTION , -
32. Electrical Power Meter-Final. i � 80. FOOD CERTIFICATE ISSUED
33. Final Electric � Notes: � �
34. Final Heatin9 & Air Conditioning � �
35. Final Gas Pipe-Test
36. Hood or Canopy j _
37. Final Factory Fireplace � �
38. Final Plumbing (
39. Water Service-Final �
40. Gas Service-Final �
41. Solar pomestic-Final • �
42. Backflow Preventer_ � �
43. Backflow Irrigation � �
44. Landscape Irriqation SYstem :;
45. Sound Attenuation E X �y
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING - �1e �
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co i ' ,
51. CERTIFICATE OF OCCUPANCY �
No. Date
!`1GJf1 D1+P
JOB ADDRESS �
Date
Final
BUII.DING PERMIT NO.
DESCAIPTION OF WORK
FIRE ZONE VA
SUBCONTAACTOR
. �-�
\
24598
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 917 C08TA MBHA. CALIPORNIA
For Appliean► to Fill In Completely
TYPE OR PRINT
B���o,Ne 5-1 o '
ADDRESS
COSTA MESA, CALIFORNIA
■ ARCHITECT
,
ADDRESS e � �. �
cirv
STATE `Q � THL.
LI0. NO. \ \ NO.
SIZE �y� NO. OF BLDOB.
OF LOT � `W NOW ON {.oT
USE OF _ _ /
PROM
5 � R�a� S
N OF WORK -
BUILDINO'+j I � NO.OP
SIZE { ROOMS SfOP
EXTERIOR WA1, ROOP
COVERING / COVERING I..�)
USE OF B�J,ILOI NC AND WQRK TO, QE PERFORMED
I HEFEBY ACKNOWLEOOB THAT I HAVB NEAO TXIB PPLICATION
•NO BTFTE THAT THE ABOVE IB CO ECT RND A E8 TO COM-
PLY WITH ALL CIT ORUINANC89 A 8TAT6 LA 80UTATINO
BUIL�INO CONBTR ION.
SIGNATURE OF `� J
PERMITTE
AUTHORIZED AGENT
CITY OF COSTA MESA
AUG 19 1965
APPLICATION FOR PERMfT
Fo,����►,,
I RCC[IPT NO. I. PHqMIT NO,
FIRE
ZONING
Ll6AL
>. NO �%`�' C�G±/ ^.f^
fE: NO EAVE OV ERHANO HHALL BE LE53 THAN
' TO SID� 8t REAR P. L
'ES
.OWED (U.B.C.REQUIREMENT]
YARDSAPPROVEO YAROSAPPROVED
MAIN BUILDIN6 ACCESSORY BUILDIN6
VAR. �
OATE
16775a.� Qh� �
THE /1MO�1NT BHOWN UNOER VALUAT�ON IB FOR TX8 F
PURPOSE OR EBTABLI6HIN6 A pEqMli FEE ONLY. p
VALUATION tl0 �/�% m
PERMITFEE $ /�^ �
2� 3 i4 � m
$� 36 =
��g�n �
TOTALFEE $