HomeMy WebLinkAbout550 TRAVERSE DR - Building Permitsi CITY OF COSTA MESA n, ,V `
� ° BUILOING DIYISION
Y _ _ �
� DEVELOPMENT SERVICES DEPARTMENT B98-00999
� PERMIT PERMIT NUMBER
��p„ AD'
���oe�
(714) 754-5273 • Fax (714) 754-4856 gUILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626
.lobAddress: 550 TRAVERSE DR
Suite:
Vicinity:
Parcel Nunmber: 41802113
Appiiwnt: NGUYEN, DAN
Address:
Zoning: R1
Phone: 612-1859
Zip:
R1
owner: HARVEY, THOMAS JAMES
Address HARVEY,LORI � "
COSTA MESA,CA Phone:.
550 TRAVERSE DR Zip: 92626 � �
Contraaor: VILLA CONSTRUCTION '.
Address: 14351 � � :
GARDEN GROVE, CA Phone: 714-612-1859 �•�
� EUCLIDST#1E� Zip: 92643
" License: 618869
Arch / Eng : .
Address: - � �
Phone:
ZiP
- ' License:� � �
SCOPE OF PERMIT
T/O WOOD SHAKE AND REROOF W/ 1/2 OSB AND 25 YR COMP SHINGLES.
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total
$D.00
$87.25
$0.50
$0.00
$0.00
$0.00
$87.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0- 0
PARKING Existin : o
NOTES:
Rear 0- 0
Rear 0- 0
Re uired: 0
FEE SUMMARY - .
PLANNING 8 ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Status: ISSUED C
Applied: O6/09/1998 � �
Issued: O6/09/1998
Calc Valuation: Sa,soo.00
Claimed Valuation: S3,aoo.00
Right 0- 0
Right 0-0
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days. �
INSPECTIONS: In order tor Ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapectlona end ffnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this parmR.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMPENSATION OECLARATION:
1 hereby atfirm untler penfllry ot perJury ona of the following tleclaretions:
❑ I heve end wlll meintein e cerllticete ot consent to aelFlnsure for workers' compensetlon, es provided for by section 3700 of the Lebar Code, for t�e pertortnence ai Ihe
work far which ihis pe�mlt is IssueA. '
� have entl wlll maintain workers' oompenseti0n insurer�ce, es required by section 3700 of the Lebor Code, for the peRortnance of the work for which Nis permit is issuetl.
My wo rs' mpe tion�IoLsurence ca/r�er entl policy number ere: �/� r_ �
Certier. �� �/(�t� i✓� Policy Number. ��%� ��`�
(This section need not be com0letetl if the permit Is velued et one hundred dollars ($100J or less.)
❑ I certily thet in Ihe peAortnance of lhe work tor which t�is permlt Is Iuued, 1 shall not employ any person in any manner so as lo become subject to the workera'
compensation laws oi elitornla, end egree t�a N I ahoultl become��,wbbb �acl ta the workers' compensation provisions of Section 3700 of Ihe Lebor Catle, I shell lorthwlth
' comply with these Oro C I r. /'� /� ^� �
Applicent Signature: �� I�/� V X Date: ��—� �
WARNING: FNLURE TO SEWRE WORI( ' M1 NSATION ODVERAOE I UNUWFUL M!D SHAL15U61ECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED
T}KKJSAND OOl1ARE (5100,000). IN AODfTION TO THE C0.5T OF COMPENSATION, DAIMGES AS PROVIDED FOR IN SECf10N 31060F THE LABOR CODE, INTEREST, ANO ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eftirm thet I em
force end effect. Lia a_
'Conirectofs Slgneture:
af Chapter 9(commencing wlth Section 7000) at Divislon 3 of the Busine�and Pmfesslans Cotle, end my Ilcense is in tull
Class a
�Q_ / oa�e: ' — 7 '
CONSTRUCTION LENDING AGENCV: �
❑ I hereby aHirm thet there Is e consiruction lending agency for the peAormanca of the work for which ihis permit Is issuetl. (Sec. 3097, Civll Cotle).
LendeYs Nama: Lendefs Address:
Signature: _
Date:
OWNER-BUILDER DECLARATIONS:
I hereby ettirtn ihat untler penelty ol perjury ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for tha following reason (Sec. 7031.5, Business end Professions
Cotle: Any ciy or counry whlch requlres e partnit ro construct, alter, Improve, Cemolish, or reDair eny sirucNre, prior to Its issuance, also reqWres the applicant for such permil
to Ale a signed statement that he or she is Iicensed pursuant ro the provlsions o1 the Contrectors License Lew (Chapter 9(commencing wflh Sedlon 7000) of Division 3 of Ihe
Business end Professions Code) or thet he or she Is exempt Iherefrom and the basis for t�e alleg4d exemption. Any violetlon ot Seclion 7031.5 Dy any applicant far e permit
subjecLs Me applicant to e civil penalry oi not more ihan Bva huntlretl tlollaro (5500).): ..
❑ I, es owner af the proDerty, or my emplayees with weges es Iheir sole compenutlon, WILL DO THE WORK, end the structure is noi intendetl or otfered tor sale (Sec.
70a4, Business entl Professions Code: The Contractors tJcense Law does not appty to an owner of property who builtls or impraves thereon, antl w�o does such work
himself or herself or ihrough hls or her own employees, proNtled ihat such improvemenis ere not Intended or oHered for sale. If, however, lhe bullding or improvemen� is
sold within one year oi crompletlon, the owner�bulltler wlll have Ihe burtlen ol proving that he ar she tlitl not builtl or improve for purpasa af sele.).
❑ I, es awner ot the D�operty, em E%CLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to construct the praject (Sec. 7044, Business entl Professions
Code: The contrectors License Lew does not epply to en owner of property who bullds or Improves thereon, and who contrects tor such projed wlth e conUecror(s)
Iicense pursuent to Ihe Gontrectors lJcense laws.).
❑ I em eaempt unde� sec. Business and Prolessions Code for Ihis reason:
SignaNre: Date:
Owner ID ventied by tlrivefs license. ❑ Yes ❑ No Drivers License No.
Verificatlon ot Ownership by (rype of dxumenL I.e. - properry tez bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTFICATION:
Ezpires:
❑ I hereDy certity that no excavatlon five (5) or more leet In tlepth into whic� e person is requiretl to descentl, will De matle in connecllon with work euthodzed by this
permit, end that no building strudure, scettolding, felsework, or demolitlon or dismantling ihereot, will be more than ihirry-sia (38) feet hlph. (Chap. 3.2, Grp 2, Ar12, Sec.
341, 71t1e 8, Celllomle AAminlsiretive Code).
❑ As owner-builder, I wlll not employ enyane to do work whic� would require e pertnit fmm Ne Division oi Intlusidel Safery, as notetl above, unless such person has e
pertrut to tlo such work irom the division.
SlgneWre: Date:
Divisian of Industnel Satety Pertnit Number:
CERi1FlCATE OF COMPLIANCE AND AUfHORQATION OF EHTRY: I certify untler penalry ot Derjury that I have read t�is application entl slete that the infarmetion given is
conect. I agree to comply with all stete lews end uty ordinances relating to building consiruction, end euthonze represenlatives of the Ciry of Costa Mese lo enter upon ihe
flbova-described property for inspecllon puryoses. I agree not to occupy or allow occupancy of any building authorized by this pertnit until tinel inspection.
COOE �. INSPEITONTYPE
1616 Flxetl System Final Fire Preventlan
126fi Pool Spe Finel
200 Finel Re•Roof
201 Finel BIxWRetelning Well
202 Finel Fectory Fire Place
203 Finel Sipn
204 Finel Demolltion
244&46
Cilllqc
lo — � — t � oaie
De�e
ZQQ� INSPEC110NTYPE
206 Finel Mechanlcel
208 Finel Plumbing
210 Finel Electdcal
212 Final Fira Prevenllon
220 Finfll Planning Approval
222
250
Final Site
Final Building/Occupency
....�, wnnnr�rH�, xuHHv _... o � o0
JOB ADDRESS 550 Traverse Drive _ ___ BUILDING PERMIT N0. 28975
�GENERAL CONTRACTOR pir-Vent Awnine
�"�APT��� 141-021-14 LOT 7s TRACT
GAS
ROUGH PLUMBING
PROP. SWR. LINE Q HOUSE CON.
SPRINKLING SYSTEM
LANEOl15
ROUGH HEATING ANO AIR CONOITIONING
UNOERGROUNO U POWER Lf
ROUGH WIRING
TRENCHES � FORMS � STEEL REINF.
FLOOR SVSTEM
FRAME ANO FLASHING
FINAI
REFRIG. ANO A.C.. FINAL
BUILOING, FINAL
SPFf.IAI RFOIIIFFMFNTF
�
�
SUBCONTRACTOR
. ' ; � 28975
f
COSTA MESA BUILDINCrSAFETY DEPARTMEM
P.O. BO% i40D � COSTA MESA, CALIFORNIA P26Y6
For App1lcanf fo Flll In Camplefely
TYPE OR PRINT
BUILOIN6
ADDRE6E V ' �
COSTA MESA, CALIFORNIA
I N MAIL
S BETlACR LINi
TB4
C./ 1�. . i(.I I NO. O►
/
HRT � S RIOiR
DESCRIPTION OF WORK
�6P[RPORM[D
AUC 15-68�spU0 806 �**w -..,n;=
APPLICATION FOR PERMR
BUILDING
for Offim Use Only
ZONINfi
NO.O! YY[ORNI
�ux� 7 _ euuoinu
uw� �(.0 r
occcn�mox
A. P. NO. �
NOTQ: NO[AVSOVfRH
]l0' TO BID6 0 RBAR P.
a�vea
ALIAWHD
YARDH APPROVED
• MAIN BUILDIN6
1 HEREBY ACKHOW�[p06 TMAT I NAV[ R6AD TNIY APPLIC/�TION
AND BTAT6 TX/�T iIIC AGOV6 1� CORR6R�AND AORB[ TO COX•
PLY WITN ALL CITY ORO)IUNC�/ AND /TI1Tf LAWt R[OyuTINO
9UILOINO cONpTgyC{�OM.
SIGNATUREQpl� � l ��
PERMITT6E_ \-<L.�. \
/! " ,. �
AUTXORIZQO AORNT �,4. ��.++�.
vwa. #
-�/ .i
iALL BB Ll88 TNAN
U.B.G.�REQVIRHMENTI
YAflDSAPPqOVHD
ACCEiSORY BUILUINO
DATB
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V �
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S 80. PT. �
TH6 AYOUM tXOWN UNOEH VALUI�TON 10 POp TX6 j
�URPO88 OP �BiABL18MIN0 A PFAMIT P88 ONLY. ZS
VALUATION � GQ �
PERMIT PE6
'890c= ` ``
TOTAL FEG $ �
V�I3\liL� 1'lLIJA DlJ1lVli11 V Vl'll Al
or
LH1G � �� �/
�5 FIRE 'LONE VALUE
Date GRUUP I&J TYPE
79"� SUBCONTRACTOR
PERMIT
,:..
- , •`�' ?4603
•;COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO%9f7 C09TA ME9A, CALIFORNIA
For Applicant to Fill In Complefely
TYPE OR PRINT
BUILDINB ' � �
A�DRE59
COSTA MESA. CALIFORNIA
—1 n 'f= �1 Y1r�
STATE ` �_ TEL �
LIC. NO. \ / � NO.
OF LOT \LJ✓ \ �l.lO I NO'
USE OF �-
E%ISTIN6 BLDO.
BETBACK LINE GROM /�
C¢NTER OP 9TNEET v REAR
SIDEYARDI LEFT � I RIGHT
DESCRIPTION OF WORK
BUILDIN6
SIZE
EXTERIOR
COVERING
USE OF BU
I MEREBY ACKNO
ANO 6TATH THAT
PLY WITH ALL CI
9YILUINO CONBT�
61GNATURE OF
PERMITTE�_
AUTHORIZED A
TO
S
O6 TNAT I HAVH HBM1O TH19 APPLIGTION
ABOVB 18p COHftECT AN AOftEB TO COM-
tDINANCBp,AND 8TAT8�W8 qHOULATINO
viRe
LEOAL
CITY OF COSTA MESA
AUG 19 1965
P6CtIR NO.
�
AU�'rl'�'"�°o,�,,.
ZONING
no.op uaeovxew
runa� uao � Q
�_a-2° % � - ,( 2G��� • %
���� !J �%--�
�E OVERHANG BHALL BE LE89 THAN
! REAR P. L
fU.B.C.RHQUIREMENTI
YARDBAPPROVED YARDSAPPROVED
MAIN BUILOIN6 AGCESSORY BUILDINB
EOM C/L BTREET)�
VAR. #
DATE
ApPROVED
f1GTF e /
TN6 AMOl1NT BXOWN UNDEfl VALYwTION 19 FOq TH8
PURP08C OP 89TABLI8HIN0 A PERMIT FEC ONLT.
VALUATION � /�
PERMIT FEE $ J
$ �3j �I 7�) �
TOTAL FEE $ � I �
AP No. 418-021-0� LOT
INSPECTIONS
soi�
GAS
W ATER
ROUGH PLUMBING
PROP. SWR. LINE � HOUSE CON. �
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEFTING ANO AIR CON�ITIONING
TRACT S�o4 FI
DATE
SUBCONTRACTOR
UNDERGROUND U POWER Lf
ROUGH WIRING Heatina an� Vant. , T-q-�/�}�,
TRENCHES n FORMS � STEEL REINF. ❑ /ArYION - . NA O�' i 1'l�4(I�"l ' O�
FLOOR SYSTEM
FRAME ANO FLASNING
�. i
PLASTEIi, BROWN COAT
ELECTRIC. FINAL
BUILOING, FINAL
�
.
, 37075
COSTA MESA BUILDING-SAFETY DEPARTMI
P.O. BOX 1200 COSTA MESA, CALIFORNIA 926:
r Applicant to Fill in Completely
BUILDI G
ADDRESS
OWNER C�
MAIL "' % �%/7 L /i 1.cL. .0 �
' !UL 30-73cNs°002826� �����5.50
A P ATION FOR BUILDING PERMIT
REC V B DATE RECEIVED DA E ISSUED
��a ��
P �
A.P. NO. I— � � �
BUILDING �jr� ?��� J�,�G �' c:A�-�
A�DRESS `9f➢
a vi
J � BRANCH
J N OWNEF Q
m J ADDRESS VALUE �
m ARCHITECT TEL S < � /�OG $
J N OF ENGINEER
U Q FIRE
• W� ADDRESS ZONE / PE GROUP �
d w APPROVED
W Z � �
J O CONTflACTOR � BV �ATE
m Z
J ¢ ADORESS
w W TEL. ZaN NO.OF VSE OF N c
�= CITY NO. P�+� BUILDING P�i�.CrJ )d
Z �
W� STATE CITV �'ARDSAPPROVED VARDSAPPROVED
N Q �IC. NO. LIC. NO. MAIN BUILDING ACCESSORV BVILDING
7 O � (FROM GL STREET)�
SIZE NO.OF BLDCS.
OF lOT NOW ON LOT FROM ' FT. � FT.
USE OF
EXISTING BLDG. S T' FT
I� SIZE OF NO. OF
Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT.
U EMERIOR WALL ROOF
COVERING COVERING REAF FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DI5TANCE BET. BET. MAIN &
a MAIN BLDGS. ACCESS. BLD('aS.
a
Q � VAR. �' DATE
O _ C.U.P.�k APPROVED
yAPPROVED _ �^
z
�
VI heraby acknowletlBa [hat I have reatl this application antl state
� thet the above intormation is correct antl agree to comply with
� oll laws regulating builtling construction, antl 1 sholl not employ
F any person in vlolation ot the workman's compansetion laws ot
m
y �he Stare ot Celibrnia. �
zI hereby certify ffiat I am properly licensetl as a conlractor under SQ. FT. o
the Stete of Caliiornia Business antl Professiona Cotle, Oivisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR �
Chapter 9, antl Nat such licenses are in full forca anG aftect, or I THE PURPOSE OF ESiABLISHING A PERMIT FEE ONLV: m
am ezempt from tl e Orovisionz of [he Scat¢ ol Cali(ornia Business ¢
VALUATION m
and Profassions Cnoe, Divislon 3, Chapter 9. � � ry
PERMIT FEE $ ]
Sipnature of ✓ m
Permittee �, �% � 5�v PLAN CHECK E
S�,v `o
Authorizetl Age � LL
TOTAL FEE $