HomeMy WebLinkAbout3029 HARDING WAY - Building Permits(714) 754•5273 • Fez (714) 754d856 • www.cl.Cos�a-mese.Ce.Us 77 FAIR OFIVE, GOSTA MESA, GA 92626
BUILDING PERMIT
Job/+ddress: 3029 HARDING WY
Suite:
Viciniry: HOUSE & ATTACHED GAR4GE
Parcel Number. 14113320
Applicant: LE, VINNY
Address: 9612 SUTHERLAND WAY
GARDEN GROVE, CA
Owner. TRAN, MAI �
Address 302g HARDING WAY
COSTA MESA CA
Contrector: WESTMINSTER ROOFING CO
Address: 9812 SUTHERLAND WAY
GqRDEN GROVE, CA
Zip: 92844
Arch :
Address:
Zoning:
Phone: (774)547-5351
Zip: 92844
Phone:
Zip: 92626
Phone: �(774)541-5351
License: 694940
Eng:
Address:
Phone:
Status: ISSUED
Applied: 08/22/2001
Issued: 08/22/2001
ISSUED BY: '
Phone:
Zip: � License: License:
SCOPE OF PERMIT
REROOF EXISTING SINGLE�FAMILY RESIDENCE & ATTACHED GARAGE (32 SQ). TEAR OFF EXISTING COMPOSITION
SHtNGLES, INSTALL 30# FELT UN�ERLAYMENT, & REROOF WITH "U.S. CLAY TI(.E" (5.95 LBS/IC80 #ER3523).
Plan Check: $0.00
Permit: $18125
SMIP Res: $0.93
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $182.18
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING &xi_ stinp: o
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
$9,300.00
$9,300.00
NOTICE: The work authbrized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92•28, § t, 12-27-92)
�' EXPIRATION: This permit shall automatically expire and become void ii work is not commenced within 180 days, or if work is suspended or abandoned
���. for a period of 180 days.
INSPECTIONS: In orcler for the work authorized under ihis permit to ba considered legal, such work must comply with all applicable codes, and all
requlred Inapections end final approval mus� be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALI: (714) 7545626
taae-as �eroo�
WORKEPS' COMPENSATON DECWiAT10N:
I hereby aHirtn untler penelty of perjury one ot the following tleclaretions:
❑ I have end will mainteln e certificate of cansent to self-Insure for workers' wmpensetian, es proNAed for by section 3700 01 Ihe Lebor Code, for Ihe pertortnence of the
work tor which this pertnit Is iuued.
❑ I have flrW will maintein workers' compensation insurerxe, az required by section 3700 of Ihe Lebor Coda, far Ne peAormance of the work tor whlch ihis pertnit Is Issued.
My worl�rs'yrompensyqlpn Insurenye car er enE polity num�er ere: �c�1
Cartier: �S��li _.(�! ,� � i PolicyNumber. �` 1C 'JOI� Zy
(This sectloMieed not be comp/eted /l Me permlt fs velued et one huntlred dallers ($100) or /e55J
❑ I certify thet in the pertartnance oi tha work �or which this pertnit is Issued, I shall not employ eny person In eny manner so as lo becoma sub�ect to the workers'
compensation lews of C Ilfomia, end egree ��at It I s�oula becoma subject to t�e workers' compensetlon provlsions oi Secti 3700 of the Lebor Code, I ehell tort�with
comply wlth these pro ions.
Applicent SlgneWre: _ Dete: . Z
WARNINO: FAILURE TO SECUR OR iMPEN5AT10N COVEMOE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRI Nn1 PENAL AND GVIL FINES UP TOONE HUNDREO
THOUSAND DOLURE (5100,000), IN FD�RION TO THE G�T OF �.1PENSATIdJ, DAMAGES AS PROVIDED f-0R IN SECTION 3�090F E LABIXi COOE, IMEREST, M!D ATfORNE1^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby effirtn tha� I em
torce ena ettect. uc. a_
Cantractors Signeture:
9(commencing with Sectlon 7000) of Dldsion 3 0l ihe B
Cless a
Date:
Code, entl my Iicense Is In full
CONS7RUCTION LENDING AGENCV:
❑ I hereby eHirm that there is a consiruction lending agency for the pedortnance ol the work for w�Ich fhis pertnit is issued. (Sec. 3097, Civil Code).
Lendafs Neme: Lender's Address:
Slgne�ure: Da�e:
OWNER-BUILDER DECLARATIONS:
I hereby ettirm that under penelry of perjury that I em EJ(EMPT FROM TME CONTRACTORS LICENSE LAW lor the tollowing reeson (Sec. 7031.5, Business entl Professlons
Code: Any ciry or counry which requires e pertnit to construct, elter, Improve, demolish, or repair eny siructure, prlor lo its Issuance, also requlres the eppliwnt tor such pe�it
to file e signetl stetement Ihet he or she is Iicens9d pursuent to Ihe provisions of ihe Conirectars Ucense Lew (Chepter B(commencing wit� Sectlan 7000) of Dlvlsion 3 af Ihe
Businass entl Piofessions Cotle) or Ihet he or she is exempt Iherefrom enA the besis for the elleped ezemption. Any violation of Section 7031.5 by eny applicent for a pertM1
subjects the epplicent to e civil penalty of not mora than five hundretl dollars ($500).):
❑ I, es owner of t�e property, or my employee5 w��h wages as their sole campensatlon, WILL DO THE WORK, and the strucWre is not Intended or otteretl for sale (Sec.
7044, Busineu enC Protessions Cotla: The Conirectors License Lew dces not epDN �o an owner o1 properry who builds or improves thereon, and who does such work
himsell or herself or throuqh his or her own employees, providetl thet such improvements are no� Imendetl or oNered br sele. If, however, the builtling or Improvemen� Is
soltl wlt�in one year of completion, the ownUr-builtler will heve the burden of proving that he or she did not build or improve for purpose of sele.).
❑ I, as owner of Iha properry, am E%CLUSIVBLV CONTRACTNG WI7H LICENSED CONTRACTORS to construct Ihe project (Sec. 7044, Buslness end Prolessions
Coda: The contrectors License Lew does no� eppty to en owner oi pmperry who builds or impmves thereon, end who coNracts for such project wlth e contractor(s)
license DurSuant to ihe Contractors License Laws.).
❑ I em exempt under sec.
Signature:
Owner ID verified by dnver's licensa. ❑ Ves ❑ No
Business entl Professions Code tor this reason:
Verificatlon of Ownership by (rype of daument, I.B. - property tex blll ar deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CffAnFICA710N:
Dnvers Licensa No.
Date:
Expires:
❑ I hereby certily thet no excevatian live (5) or more feet In depih Inio which e person Is required to descentl, wlll be mede in connec�ion wlth work euthoAzed by this
pertnit, end that no building strucWre, scattolding, lalsework, or demolition or dismantling thereot, will be more then ihirty-six (3fi) feet hig�. (Chep. 32, Gry 2, Art 2, Sec.
341, Title 8, Celitomia Adminisirative Code).
❑ As owner-Duiltler, I will not employ anyone �a tlo work which would require a permit Irom the Division ol Industnel Safery, as noted above, unleu such person has e
permit to do such work fmm the division.
Signature: Date:
Division of Indusirial Selery Pertnit Number:
GOOE I. INSVECTION TYPE
1616 Fixetl System Final Fire Prevention
1266 Pool Spa Final
200 Finel Re-Roof
201 Flnel B1ocklRatatning W all
202 Final Fectory Fire Place
203
204
Flnel Sign
Final Demolition
.1111
/ ' �i:"� �
COOE 1 INSPECTION TYFE
206 Final Mec�enical
208 Final Plumbing
210 Finel Electricel
2t2 Finet Fi�e Pre�entWn
220 Final Planning Approval
222 Finel Site
250 Finel Building/Occupancy
PA7F It�lALS
+
SOWNER MITCI�I,L� F.
I ,
JOB ADDRESS 9 x
GENERAL CONTRACTOR
���} nPNo141-133-20 �
"�NINSPECTIONS
~SOIL
Gn5
WPTER
ROUGH PLUMBING
PROP. $WR. LINE HOl1SE CON.
SPRINKLING SVSTEM
MISCELLANEOUS
R011GM HEATING RND AIR CONOITIONII
TEMPORARV SERVICE OR POLE
UNOERGROI/N� � POWER �
ROUGH WIPING
TRENCHES � FORMS STEELI
FL00R SVSTEM
BOND BEAM � STEEL REINFORCE
SHEATHING
FRAME AND FLASHING
LATHING — IN OUT
PLASTEF, BROWN COAT �
STRUCT�RAL, FINAL
HEr1TING, VENT., REFHIG. RNO A.C.. FINAL
SPECIAL REpUIREMENTS
UTILITV NOTIFIEO, GAS U ELECT.
DATE 7-10-74
BUILDING PERMIT N0.
I�1�.'I�I:alill�P.Qf:L�1'� 1
SUBCONTRACTOR
�oam BU4
38665
.
PA 11.
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COSTA MESA BUILDtNG-SAFETV DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APP IC TION FOR BUILDING PERMIT
For Applicant to Fill in Completely
c� (� FE EIV D D E RECEIV D DATE ISSUED
ADDRESS L i !/J �lJ�' ^ � � ' O �
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OWNER A.P. NO.
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Z Q CANSTRUCT{ON
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am �^
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m J ADDRESS /n/� p VALUE �
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w� ADDRESS ZONE � TVP GIiOUP
w Z ♦ ,/n'� /� ��� APPROVED / �
CONTRACTOF /�K� M1�"«�v�^' �� ��C� BV DATE
J � ADDRESS � � P�ZQOM� � �`e
w w ) TEL. Z�NE NO.OF USE OF N V
Z� CITY [.�j �VT/�iJ' i NO. ; f�S� I PIANS � BUILDING �
w O STATE � CITV �'AROS APPROVED VARDS APPROVED �
y� LIC. NO. G32 � LIC. NO. MAIN BUILDING ACCESSORY BUILOING YI
7O (FROMGLS REET) ��
51ZE NO.OF 8LOG5. �
OF LOT �— � NOW ON LOT � qONT FT FT:
USE OF " �_ (/�
E%ISTING BLOG. �� — ,/^ / FT �
H S12E OF / NO. OF ��
Z NEW BLO(f R�OMS � 5T0 IES L. SIDE FT. FT.
a EXTERIOR WALL ROOF ' � I�
�% COVEFING L�J COVEqING � REAR F FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN&
a MP.iN BLDGS. ACCE55. BLDGS.
a
Q �1 ' � ` VAR.qW ONTE
O /�.� I�1'C��A �/ C.U.P.qW APPROVED
F APPROVED
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U1 heraby aeknowletl0a thet I heve reatl this epplication antl itete (
= that the abova intormetion is corract antl agrea to comply wlth �
� all lewa reBulatinp builtlin8 conrtruction, antl I shell not amploy • I
F any permn in violation of the workman's compen lews of
y Me State of Californis. ^1 D i.�y � �
J� lw•
? 1 �ereby canify that I em pr IY Iice tl os a eontra or untler � SQ. FT. O
tha S[ete of CalHornle Bus ass a tl P of ssions�Cotle,� Ivislcn 3, THE AMOUNT SHOWN UNDER VALUATION I$ FOR a �
Chepter 9, antl that such�license ar n ull forc eri fiact, or I TNE PURP06E OF ESTABLSHING A PERMR FEE ONLV: I
amuxempttmmtho rovisions f e$teteo altl rnl Bvalnass VALVATION �`� j 1�„
entl Professlons Coda Divisb � optar 9. pERMR FEE S � `
Signatura of � �� � �� pp m
Permlttee /} $�C��G PLAfJ CMECK § � E
0
Authorizetl Ap0 TOTAL FEE $� � u
Lor 3}
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� 4�,�,�,2
COSTA MESi4'BUI DING-SAFETY DEPARTMENT
P. O. BOX 917 C08TA MEBA. CALIFORNIA
For Applfean� io Fill In Complefely
TYPE OR PRIfxT .
' - - ,..,, „., �--.
COSTA MESA. CALIFORNIA
f LL nt-v�-� e '-
,��/ SEP 2"1196Y�
�FINANCE OEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
�qoS BUILDING
For Office Use Only
REC81V O BY I OAT EC81VlD p.�TE
G
� 2.Z BUILDING
ADORESS
COSTA MESA. CALIFORNIA
APPftOVED
ADDRESS a ZON I N G
ZONE I NO.O• I U8H OF NEW���
CITY Ne ort Beach R�� vLANB � BUILDIN6 (y
LIC. NO. 61� No: Mi 6- 2z �a•� ,�,.*- 3/ Tir `!Z 3 Z
DHBCH�PT�ON
OF LOT [1CI � X 1 OO � I NOW ON LOTe O e e nrn '��—
� 66TBACK LINB FNON
DESCRI
' �� (CeNTHR LINB OT.1 /
REAR YARD �7�2 FRONT J
/ /u
� �� RIGHT O� O R. SIDE �
ON OF WORK 6
L.SIDE
2ATION I IIAODITION I REAR /�
VG I IIDEMOLISH I OYPROVED �.��'�
BUILOING NO. OF
SIZE ROOM6 STORIES
E%TERIOR WA{�L ROOP('(�M PO SH I NGLE
COVERING �j}Ilf`!`n COVER�(flG
U6E OI F BUILDING AND WORK TO BE PERFORMED
Attatched Gara e
1 NERHBY AGNNOW�3CG8 TH T � HAVE RBI�D iH18 APPIJGTION
ANO BTATB THAT TH8 ABOVB IB CORNCGT AtID AGREE TO COY-
PLY WITII ALL CITY OflDINANC¢6 �NO BTATH IAWB pEGULATIHO
BUILDINO CANBTRUGTION.
SIGNATUFE OR �...�^ �� /�� _
PEHMITTBF �
AUTHORIZED AGENT
�
Z �N.
: %�2G�G /
TX8 �MOUM BHOWN UNDHR VALUATION IB FOR TNe
PUPV088 OP BBTABLI9NING A PEpMIT FE8 ONLY.
VALUATION 2
PERMIT FEE $ JS�
I � 2
S ✓/ ./ �O` pl,pN CHECK 5��i•5 I