HomeMy WebLinkAbout999 MISSION DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT �� FAIF DRIVE, COSTA MESA, CA 92626
Job Address: 999 MISSION DR
Suite:
Vicinity: FOURPLEX-UNITSI-4
Parcel Number: 14166416
Applicant: NGUYEN, CUONG
Address: 14351 EUCLID ST #E
Zoning:
� � Phone: (714)545-6994-
GARDEN GROVE, CA . Zip: 92843
Owner: RODGERS, ROY A
Address 17372 SAN KUIS ST APT 1,
� - Phone: - - .
FOUNTAIN VALLEY, CA -� Zip: 92708-3797 -.
Convactor: VILLA ROOFING PROFESSIONALS INC
Address: 14351 EUCLID ST #E
Phone: (714) 545-6994
GARDEN GROVE, CA
Zip: 92843 License:, 758361
Status: ISSUED
Applied: 03/31/2003
Issued: 03/31/2003
ISSUED BY:
Arch : , � Eng: . - , •
Address: . - - � � Address: ' � �
Phone: � Phone: ,
Zip: . License: ' License: �
SCOPE OF PERMIT
TEAR OFF EXISTING COMP ROOF AND COVER WITH 20 YEAR COMP SHINGLES. COVER OVER EXISTING SHEATHING. PROJECT IS A
FOUR PLEX. ALL UNITS ATTACHED. � - - ' -- - - - � � � �
Plan Check:. $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: , $0.00
Total: $97.75
FEE SUMMARY ,
_ _ : _ - Calc Valuation: S3,aoo.00
- Claim Valuation: - Sa,eoo.00
SETBACKS
MAW STRUCTURE Front 0-�0 Rear 0-0
ACCESSORY Front 0- 0 Rear 0- 0
PARKING Existin : 0 Reauired: 0
PLANNING & ZONING
Left 0- 0 - Right 0- 0
Left 0- 0 Right 0-.0
Proposed: 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes antl related
regulations. (Ord. No. 9248, § 1, 12-21-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned
for a period of 180 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
requlred inepections and tinal approvel must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
Zaasre le�oo�
WORKERS' COMPENSA'�ON DECLARATION: �
I hereby ettirm untler penalry of perjury one of ihe following tleclarations:
� I have en0 will malntain a certificate ot consent to sel4lnsure tor workers' compensatlon, es provitletl tor 6y section 3700 ot tha Labor Cotle, for the pertormence of Ihe
work lor w�ic� I�is permit is i5sued. �
ve en0 will meintdin workero' compensa0on insurance, as required by section 3700 ot ihe Laboi Code, for the pedortnance of ihe work for which this permit is issued.
My workers' com ensati n Ins�ur n'ceIca'rr��iejantl policy number are: / -7 )/
Cartier: I /�/v Policy NumGer. /(� GC ��! F/ ^��
(Thls secflon need nof be l�Wetetl i! the permit is va/ued et one hunared dollars (S 100) or IessJ
❑ I certity Ihat in Ihe p6�ormance ot the work for which t�is De�it is issued, I shall not employ eny person in any manner so es to become subject to the workers'
compensatlan laws 0� Califomia, and agree that If I shoultl become subject to the workers' compensation provisi� Sactionl3700 ot tl�e Labor Coda, I shall lart�wlth
compty with these prohsions. f Y�-`
Applicam Signature: Data: , tJ �
WAPNING: FAILURE TO SECURE WOf�$nn�rFb6=C0M� E IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIM PE TIES AND GIVIL FlNES UP TO ONE HUNDRED
TFIOUSANDDOLLARE(5100,OOOI.IKS OMiQ�f(ECOSTOFCOMP NSATION,DAMAGESASPROVIDEDFORINSECTION3IO60FiHELABORCODE,IMEREST,ANDATTORNEV'SFEES.
UCENSED CONTRACTOpS �ECLARA710N:
I hereby attirm that I am licensed under provisic
forca and eflect. Lic. N 7 S,Q�
Contractofs Signature: ���
CONSTRUCTION LENDING AGENLY:
(commencing with Section 7000) of Division 3 of the Business and Prolessions Gode, antl my license is in full
Class a
Date: %1 /Y2
❑ I hereby eHirm ihat tnere is a consWction lending agency fo� ihe OeAormance of the work tor which this pertnit is issued. (Sec. 3097, Civil Code).
Lendels Name: Lenders Address:
Signeture:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirtn that under penalty ot perjury ihat I em EXEMP7 FROM THE CONTRAC70RS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business entl Professlons
Code: Any ciry or county which requires a pertnit to construct, elter, improve, demolish, or repair any structure, prior to its issuance, elso requires the applicam for such permit
lo tile a signetl siatement that he or she I5 Ilcensed pursuent to the provisions of Ihe Contrectors License Law (Chapier 9(commenUng with Sectlon 7000) oi Didsion 3 of Ihe
Busineu entl Professions Cade) or that he or she is e:empt Iherefrom and i�e basis for the alleged e:emption. Any violation of Section 7031.5 by any apPlicant for e pertnit
subjects tha applicant to a civil penalry ot not mora than five �untlreC dollars (5500).):
❑ I, es owner af the prOPerty or my employaes with wages as their sole compensation, WILL DO TME WORK, and Iha structure is not iniendetl or ottered for sale (Sec.
70a4, 8usiness and P�oFessions Code: The Coniractors License Law dces not apply to an owner of property who builds or improves thereon, and who tloes such work
himself or herselt or Ihrough his or her own employaes, provitled that such improvements are noi intentletl or oftered br sale, tl, however, tha builAing or improvement is
sold wit�in one year ol wmpletioq t�e owneabuilder will have ihe burden oi proving ihat he or she did not build or improve for purpose oi saleJ. �
❑ I, as owner ol t�e prOperty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consWct ihe project (Sec. 7044, Business antl Profassions
Cotle: The contrectofs Licensa Lew does nm epply to an owner of property who builtls or Impmves ihereon, and who contracts tor such prolect with a contracbr(s)
license purSuaN to tne Coniractor5 License LawS.).
❑ I am exempt under sec. Business and Professions Cotla tor this reason:
Signature: Date:
Owner ID veritied by driver s license. ❑ Ves ❑ No Drivers License No.
Venfication ol Ownership by (rype of tlocument, i.e. - pmperty tan bill or deed):
Expires:
DIVISION OF INDUSTRIA4 SAFETY PERMIT CERTIFICATION:
❑ I hereby certity ihat no exwvation tive (5) or more faet in depth inio which a person is required to descend, will be made in connection wi�h work euihorized by Ihis
permit, antl ihai no builtlinq slructure, ScaHolding, }alsework, or demolition or tlismantling thereot, will be more than ihirry-si: (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec.
341, Ttle B, Celitomia Adminisirative Code).
❑ As owner-builder, I will not employ anyone to do work which would require e permit from Ihe �ivision ot Intlustrial Safety, as noted above, unless such pereon hes e
permit to tlo such wo�k irom the tlivision.
Signature: Date:
Division of Indu5tri01 Salery Permil Number:
CEH7IFlGATE OF COMPU�ICE AND AUTHORIZATON OF ENTRY: I cenify untler penalty ol perjury thai I have read this epplicalion end state ihat the information given is
correct. I agrae to comply with all state laws end ciry ordinances relating to building construction, and authorize representatives ol t�e Ciry of Costa Mesa to enter upon Ihe
above-tlescribed property ins��/e/s. I agree not to occupy or allow occupancy of eny building authonzed by t�is permit uniil tinal inspection.
h ��,� �/I Owne�r(s � '].� ^� Date
/�i,/O.0 . �[��' "� ' , l L
Antl/Or Authonzed Applicant � � Date
GODE I. INSPECTION TVPE
1616 Fixetl System Fin01 Fire Prevention
7266
200
201
202
203
204
Pool Spa Final
Final Re-Rool
Final BIocWRetaining Wall
Final Factory Fire P�ace
Finel Sign
Final Demolition
PdIE i�mnRLS
l
4QQf�j INSPECTIONTYVE
206 Final Mechanical
208 Final Plumbing
210 Final ElecMcal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Si�e
250 Final Building/Occupancy
o�re I�LS
City of Costa Mesa
Building Safefy Department
P. O. Box 317
Coslv Meso, Ga�ifornio
CERTIFICATE OF OCCUPANCY N� 1$49 C
The Building located�at ^^^ '.4J�i �. ' " -� —
has been inspecYed and found to comply with ihe provisions of all City of Costa Mesa Ordinances applicable iherefo
for a Group _��;_�_ Occupancy,
Use of Building_ � �, y � u ---
Legal Description �� io � ���
� "^-
(See reverse side for Meres ond Bo�nd�)
B�ilding Permit No. ��� ElecTrical Permit No.—�_ Plumbing Permit No. �o �7__
Floor Load Signs have been installed as Room Capacify Signs have been instaled as
required under 5ec. 2308 U. B. C. .� required under Sec. 3301 (1) U. B. C. .
17050. CERTIPICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied
uniil The owner ar operaTor has been issued a valid certificate of occupancy by the enforcement agency.
(b) A new tertificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of o building or portion thereof
2) The number of apariments or g�est rooms
3) Ownership
If Group H Occupancy, number of apartments and/or guesT rooms as required under Sec. 17050.1 (d), California
Adminisirative Code, Title 8, ChapTer 9, Article 8.
Number af apartmenis— �� and/or guest rooms
ISSUED TO: Building Official
mroonti�n rm-mn�n�n. Tc�� byjAi/ �jY���
--- --- T '—"—C
Dafe— .����-- ' ^ � c�:
J �-i] ��
This Cereificaee of Occupancy SHALL BE posfed in a conspicuous place on the premises and SHALL NOT BE removed
excepf by the 8uilding Official of ihe Cify of Costa Mesa under Sec. 306 (e) U.B.C. Form suat—iM—ii-ea—s-s r
e
/
City of Costa Mesa
Building Safety DeparfinenT
P. O. Box 317
Coeta Mesa, Califotnio
CERTIFICATE OF OCCUPANCY N� i849 B
The Building located at ^^'� j�66�£33 B=�.V2T�1 B
has been inspected and found to comply wiTh the provisions of all City of Costa Mesa Ordinances applicable thereto
for a Group � o-�-T� Occupancy.
Use of suildins =aa�e,�-�tes�.�Fa�se za��h ��d2e13ec}�a�'a�a --
Legal Description �a$ ��i� ���ggy��l�
(See ravarsa side fo� Metes ond Bounds)
Building Permit No.—+�1�� Eleciriml Permit No. '�,��7'j Plumbing Permit No. �,�_.�41
Floor Load Signs have been installed os Room Capacity Signs have been instaled as
req�t�ed ��der Sec. 2308 U. B. C. . required under Sec. 3301 (1) U. B. C. .
17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occ�pied
until ihe owner or operator has been issued a valid cerTificate of occupancy by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever ihere is a change in:
1) Oceupancy classification of a building or portion thereof
2) The number of apartmenTs or guesf rooms
3) Ownership
If Group H Occupancy, n�mber of apariments and/or guest rooms as required under $ec. 17050.1 (d), California
Adminisfrative Code, TiTle 8, Chapter 9, Article 8.
Number of apartments— �_� and/or guest
ISSUED TO: Building Offi ial
uv�an�m �g.�!'E, LC by�'�/1 �l�// ��
�—�/
Date—�s'�M � �r�Gi��
This Certificate of Occupancy SHALL BE posfed in a conspicuous place on the premises and SHALL NOT BE removed
excepf by the Building Official of The Cify of Costa Mesa under Sec. 306 (e) U.B.C. Fo=m svs.�iM—ii-sa--s_s r
. ��
� COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO%�1] CO3TA MESA. CALIPORlIIA
For Appllcan► to Fill In' Completely
TYPE OR PRINT
eui�oiN� SSlOII 1VE
ADDRE59 1].
COSTA MESA, CALIFORNIA
■ MAIL
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TEL.
SETBACK LIIIE FROM I.O � , �O t
CENTER OP BTREEI y' REAIi YARD
SIOEYARDI LEPT 11.� I RIOHT �
DESCRIPTION OF WORK
_._... � x �� ..-----�--.� �� ------ I
RE� ` 1 ll MOVIN6 I Il DEM04�9H I
sli. �g 55 � x 73 � ROOMH 6TORIEB 2
6XTERIOR WALL I ROOF _ _
1 HEREBY ACKNOWLEOOB THAT 1 HAVE PEAO TH�9 APPLICATION
iwT6 TNwT TMf ABOVI /9 COFFECT AND AOREfi TO COM�
PLY WITH ALL CITY ORDINANC66 AND BTATH LAWi RfiODUT�NO
eui�o�rvo coHsrrsurnon.
SIGNATUREOR HYCROFT TERRACE, INC.
PERMIttE
AUTHORIZ6DAGENT��' . /
FEE RECEIVED
JUN 1 0 ig6�
fINANCE, �DEPT.
C11°1PP�'0�,�iildl�SAEw�nR
For Ofiice Use Only
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'S'HE �MOUNT 9XOWN UNOER V�LUATION 18 FOR THE
PUFP09E OF HOTABLIBXIN6 • PERMIT FEE ONLY.
VALUATION
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