HomeMy WebLinkAbout3474 FUCHSIA ST - Building Permits� _. : . '� .
(714) 754•5273 • Fax�(714)�754-4856 •� www.ci.costa-mesa.�y�LDING PERMIT 77�PAIR DRIVE, COSTA MESA, CA 92626
Job Address: 3474 FUCHSIA ST
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE �
Primary Occ: R3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: 41217302 . Zoning: R1
Status: ISSUED
Applied: 05/24/2005
Issued: OS/24/2005
Applicant: LE, ROBERT --- - � t>. --. _
-'-'�-�:"',`-`w � ISSUED'BY:
Address: 9612 SUTHERLAND WAY.-- ;����,--' � " � "- ��- -. ; _z,y; .^ �_
-./i-'; � . . Phone: .(714) 541=5351-'� �� .
GARDEN GROVEi CA;. �=='_1 � Zip: �92844 % �7 �„\``'_ �\`` ,
( � . ,
/. �f�'�'- > 1' �'`� � �� � .. . � , �1� - f !_ T�_�,i A��. y- _
Owner. WU HUNGY '�\ f-� ` _ ,. � . � ,,, �
Address 7095 E COLUMBUS DR%"� � � — - ` � � c � - J ; - ` � �
� M.,y �! , \' i w � � " � . ' � � `" � :� � � �� � ` \ \' �-� S\. .
i i _ � Phone ._ . �� ��,r : � ` �`'• \
% /�rANAHEIM CA���i� �/ Zip: 928W -`\� ``�\\� �,/ � \�
Cont�ctoi: WESTMI S�TER ROOFING CO ��, ��`����" %��; ��
� � ��,�� �
Address:� 9612SUTHERLANDWAY �����.`�j� . _
, . ' i�;-,":'� -.-Phone: (714)541-5351 '-���� _ � �.
'�.
�'•GARDEN GROVE, CA ��; \ ��`�`•, � .
' Zi � 92844 ' I L'icense: 694940 - "� � �',�.'���� ' �
',. P� ;'�•• ` ___' , : � . . . ,�'\\ . , .
�
Arch . � ��/,% 1 �; � YS"'%! � � � _Eng: ` . � , _ _ ,
9 i .
Addresx �� j' �-,� d�� '�;+ tr � r � _ -.— Address: , � _ � :� : , ' .
.. / � � � .� �. ,: Phone'� - - z_' _ ; � P6one'� . .
_ ''' ��t . � _ -
- :,�� � -
,, ,,
� Zip: ' ,� ���. � : Ltcense: , . . Licen'se; � ' . � �
' i � �� j . ., - - � ' ' 1- ; . .
._A .�i
. . , ' • � � % i "1 �r r�j � S; r ,-�SCOPE,OF PERMIT :,-, ; �,F-;�'.�A , 1• _ ' .'�
� REROOF RESIDENCE AND ATTACHED GARAGE: T%O EXISTING WOOD_SHAKE,ROOF, 15/32 ;CDX PLYWOOD SHTG„2 �LAYERS 30# ASTM
FELT; APPLY "EAGLE MALIBU TILES.'--5.5 PSF ICBO #ER4660 =�=__---.--..---.-- -. � -� __ � . � , � '_�'; � �
28 SQUARES , ' . � ^- , � � '` �'j `- , �
l�i,� 1 � 1 +b� � �( � �'
� x . �� ',=
�� �" � ,4 �• FEE SUMMARY.',:: , . , ' r,.. ; , , i
'Plan Check " �'�� $0.00 � � �� --- � " � r� = � Calc Valuation � $s,aoo:oor
' � ' �Permit: '• ' .$181.25 i% � ,'� Claim Valuation: 1;;,� � , _ `Ss,aoo.o'o�
6MIP Res: ' �- $0.98 � ' �; � � , � � - � �
SMIP Com: � �$0.00 � " " � � % � ' � �
• �,Otlie�: �'$0.00 • " � � � �
� : -`I%�� � `' ;';;
Inspection: $0.00 � � =:. � �;P.'
.�, � ,' ,
. r': . �� i _�' "
�l
- .� ../. /1'y�. /
� �\ � ` � . " // l 9 ! 1 .✓. � ! . , i
TOtal: ' $182 23 :' �' fi: �, �t_ � r� L� -�;�,.�,^3�'i�` i� i- ,' / � ,
�'� - H , e - � i r
,�;� . A� _� , %� �a� � V r� �1 ��i` ��
i C., �• i .,��., i:%Y.
ti /;: , � �` , : :PLANNING'& ZONING _ :''%=''%'''` <' `'. � v' %, %� ,
�, � ,�.- r � � �; �
SETBACKS � ��• �, � ' ' -' �:.V` �` �� . i��.
MAIN STRUCTURE Front � 0 0.' . . �- Rear 0 0� �-- Left� 0-`0 �.-y -, Righ\t` ..0- 0�, . ._.
� ' ' . ` .. l % J � 1 ���` \1 ~ l l �, / .
� f it•.....-��"� �
1
ACCESSORY Front ,'0-;0�- �- " Rear� -O�Oy�� `,Left�, i '0-0 ��� j Right ���'0=0;��
" {
t. -
-� �. ` � �;! r ",`ti '. ! � -� ' : j �,-'' � ' i'f �,� .
PARKING Existing: 0 �: Reauired:___0 "Pr000sed: 0.--j,-,%� '
_ _�--_���; r,.�
a�-�� -
-_ ') . . _:'C.Y%fJ:! ' .
�NOTICEr The work authorized by this permit'shall'comply with�all applicable-.handicap.access;requirements under California staWtes and related
� regulations. (Ord. No. 92-28; §-1} 12•27-92)
' EXBIRATION: This permit shall automatically expire and�become voitl if workis�-not commenced withirc180 days, or it work is�suspended or abandoned
for a period of �180�days.
.INSPECTIONS: In orderforthe+work authorizad:under�this:permit�to:be-considered-legal, such work musYcomply.vrith all�applicable codes, and all
'requireddnepeetlona end.flnal approval must be�obtained. Failure to obtain inspections�and final approval will result in the�expiration of this permit.
� FOR�INSPECTIONS�CALL:. (Z74) 75445626�
2HFC8 (8�W)
WOPKERS' COMPENSATION DEI:LARA710N: � � � ��
I hereby a%irm under penalry of perjury one of the tollowing tleclarations:l �. `', ', - , i
❑.I have antl will maintain a certificate of consent to self-Insure for.workers' compensation, as pmvided for 6y section 3700 of the Labor Code, tor Ihe pertortnance ot the
wark �or whiCh this permit is i55ued. � ' ' " � - � . . -
� I have antl will maintain workers' compensation insurance, as requiretl Dy section 3700 of the Labor Cotle, for ihe pertortnance of the work tor which this`pertnii is issued. -
My workers' gom�pensation Insuran carner and policy number are: �.
cunar;� Si�o.Fc �pm�0lSii-�cn ZHcv�c�nr.e 1= �,1�1 ,Fa�a�,be�: OGO1394- 2�i�iS
(This section need not be com efetl il the permit is velued at one hundred dollars ($100) or /ess.) '
❑ I certity that in �he pertormance of the work for which this pertnit is issued, I shall not employ any person in any manner so as to become subject to ihe workers' '
compensation laws oi Califomia, end agree that ii I should become subject to the workers' compensation provisions of Section 3700 of the Labor Gode, I shall forthwith
comply with lhese p vi ns.
Appllcant'StgryaWre: � i r� �-�.U'U.S
WAfiNI� ILURE TO SECVRE WORKERS' CAMPENSATION COVERAGE IS UNL4WFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENA�TIES AND qVIL FiNES UP TO ONE HUNDRED
TFIOUSAND DOLLAf±E (5100.OW�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PFiOVIDED f-0R IN SECTION 310fi OF THE LABOR COOE, IMEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby a%irtn that I am licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 ot iha Business and Professions Code, and my license is in full
torce antl ettecL L�ic-N� � Clas � C�iQ {�i'..l C•
Co`nir'iacnr-s'�Su�neiure:` )u.� Datei� �'c2U-G�
CONSTRUCTION LENDING AGENCV:
❑ I hereby aHirtn that there is a consiruction lending agency for the pedormance of Ihe work tor which ihis permit is issued. (Sec. 3097, Civil Code).
Lendefs Name: Lentler's Atltlress:
Signature: Date: -
OWNER-BUILDER DECLARA710NS:
I hereby attirm that under penalry of perjury ihat I am EXEMPT FROM THE COMRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions
Code: Any ciry or wunty which requires a permit to consiruct, alter, improve, demolish, or repair any sWcture, prior to its issuance, also requires the epplicanffor such permit
to file a signed statement that he or she is licensed pursuant to the provislons of the Contractors License Law (Chapter 9(commencing with Secllon 7000) of Division 3 ot the
Business and Professions Code) or thet he or she is exempt therefrom and the basis tor the alleged exemption. Any violetion of Section 7031.5 by any applicant for e permit
subjecis ihe applicant to a civil penalty of not more than five hundrad dollars ($500).):
❑ I, es owner of the property, or my empioyees with wages as their sole compensation, WILL DO THE WORK, and the stmcNre is not intended or otteretl for sele (Sec.
7044, Business and Professions Code: The Coniractors License Law dces not apply to an owner of property who builds or improves ihereon, and who does such work
himself or hersetl or through his or her own employees, providetl that such improvemenis are not intended or oHered for sale. If, however, �he builtling or improvement is
soltl within one year ot completion, the owner-builder will have Ihe burden of proving that he or she did not build or improve for purpose of sale.). �
❑ I, as owner of the properry, am E%CLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to consiruct ihe projecl (Sec. 7044, Business and Profeuions
Code: The wntrectors License Law tloes not apply to an owner of property who 6uilds or Improves thereon, and who contracis for such project with a contrector(s)
license pursuant to the Coniractors License Laws.).
❑ I am exempt untler sec. Business and Professions Code for ihis reason:
Signature: Data:
Owner ID verified by drivers license. Ves ❑ No Driver's License No. Expires:
Veniication ot Ownership by (type of tlo ment, i.e. - properry t� bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certity ihat no excavation five (5) or more feet in dep�h into which a person is required to descend, will be made in connection with work authonzed by ihis
permit, end Ihat no builaing siructure, scattolding, falsework, or demolition or dismantling ihereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle 8, Califomia Adminisiretive Code).
❑ As owner-builtlar, I will not employ anyone to tlo work which would require a pertnit from the Division oi Indusinal Sefety, as noted above, unless such pereon hes e
pertnit to do such work irom �he division.
Signature: Date:
Division oi Intlustrial Satery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AIJTHORIZJITION OF ENTRY: 1 certify under penalty of perjury that I have read this application antl state that the information given is
correci. I agree to comply with all state laws and ciry ordinances relating to building consiruction, antl authonze representatives of t�e Ciry of Costa Mesa to enter upon the
ebove-tlescribed property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized 6y Ihis permit uniil final inspection.
cooe �.
1616
1266
200
201
202
203
INSPECTIONTYPE � �'� � � � ' "� '� PSI€� " UiIfRJ94$ � "' ' � 44PR� INSPECTIONTYPE ' ��"
Fized System Final Fire Prevention � � � -' 206 -� Final Mechanical .
Pool Spa Final � 208 Final Plumbing
Final Re-Root � � � '� [ ` — � z10 Final Elecirical � '
Final BIocWRetaining Wall 212 Final Fira Pravention
Pinal Factory Fire Place � �- � � � � . '� , � 220 Final Planning Approval'
Final Sign 222 Final Site
204 , Final Demolition
250 FinalBuildingiOccupancy
Date
�-� l� -US
��c
-1 '
.. .. w..._. __..� . .. .�. �. ��.. � .��.�.i:a�.w+.`�� ._.� . ..�. �.+.��.����.�t�...���L�..
C OF COSTA �iESA Rc.QliEST r'Ok OCCL_..A'CY
�� �'�
�7 ��'�/�.
TR9CT N0. ! �� li ��. � �7� �1�' %��
UJT N0. �� �Y'
r�DDRESS�y7 �% �� �/,L/�� �iG
�% �
.T.he developer oi the abeve eatitled tract desires to sell the above set
forth lot prior to the time that the tract has been completed and its stzeets
accepted 'oy the City of Costa Mesa.
The undersigned, by executing tnis agreement, acknowledges that
(�e-she-they)____����(was or were) �f� advised that this tzact has
not beer. giveri final inspectioa nor has it been accepted by the City of Costa Mesa
�s havtzg complied with tne conditions of approval which were imposed by the City
zt tae t'..�e the fir.al tract map :�;as approved.
':he City ass�:mes r.o liaSility for the enforcement of the coaditions
necess2ry £or approval other tnaa tzose coaditior.s protected 'oy surety boad.
Tne undersigr,ed agrees to iademnify ar.d hcld the City ha mless from
szy clai-� zesu3ting _n da^�age or personal injury to the undersigned by reason
of the a�orementioned uaco�vleted conditioa.
R°Ev oF OSiA MEE D
PLANNING OEPj
ccr <�
Ah�
N 197�
���'��1�5:b. $��t�r4l�a6
�1 �
l
3Y� .�i L�'V!�`—
Pure s
BY / `-- ��("�c'. —�7 //�-1�,1,1%yii<`( �`—
Developer and/or authori2ed
representative
�
3x -.,i �zti�._ l, %�-��
iender
OWNER
�Q�1pDDRESS
GENERAL C0�
A'
I ;TIONS
so._
G AS
W ATER
ROUGM PLlIM01NG
SPRINK4ING SYST Pr
MISCELLANEOU
FOU�H NEATIN ANO AIR LON IONING
TEMPORpRY SERVICE OR POLE
UNOERGp0UN0 � POWER �
ROUGM WIRING
TRENCH�S FORMS /�] STEEL RE
FLOOR $VSTEM
BOND B�pM ❑ STEEL REINFORCE �
SHEATHING
FRAME qN� FLASHING
LATHING - IN �� OUT
PLASTEq, BROWN COAT
TURAL, FINAL
IG, VENT., REFRIG. ANO A.C., FI
PWMBING. FINAL ANO GAS TEST
DATE 4-
7RACT 77�A FlRE ZONE
SUBCONTRACTOR
z .
d U
z
z�
ON
am
J �
J N
n] J
J m
Q
U �
Za
W �
d W
WZ
J Q
m Z
J ¢
W w
O=
z�
W �
� Q
.3b'� � L � zrr.iu�t�, 614:� .._
'�.^, 71-7.�c;,�.
I:UJ I H IVit,q �U 1 LU I Nli-JA Y t I � UtYAIi 1 MtIV 1
)1 CR p.0. BOX 1200 COSTA MESA, CAIIFORNIA 92626
PP I ATION OR BUILDING PERMIT
For Applicant to Fi!l in Completely
REC IV BV T RE � ED DATE ISSUED
BUILDING �' / � / �R
ADDRESS ��F
' �_. PERfvLIT�N . L
OWNEF I.a.rwin Southern California, Inc. A.P.NO. -
MAIL BUILDING' " �
ADDRESS 16255 Ventura B01110VdTC1 - A.DDRESS�y 7 �CH'/S/ T
cirv Encino, California No�'986-8890 TRACT 7718 �or192 e�ocK
CANSiRUCTION �rwin Southern California W'4D° P
LENDER
i�� .
BRANCH 16255 Ventura Boulevard' � . /7
OWNER ��W�� S� C..ALi
ADDflESS EAcino, California VALUE /f
OR ENGINEER J.3T47111 S. Calif. No�' 273-4464 SE s L'� �!%� UL 5/'
FIRE i{
ADDRESS 97,00 Wilshire BLVCl. Z�NE TVPE GROUP �
� APPROVE ,� ,�
CONTRACTOR Larwin Southern California BY DATE
ADDRESS 16255 Ventura Blvd,
TE�. ZON NO.OF USEOFNEWS%R�r"'
cirv Encino, California No: 986-8890 —
PLANS Z BUILDING 6
STATE CITV ' �'ARDSAPPROVED VAROSAPPROVED
LIC. NO. 191311 � LIC. NO. $-1 MAIN BUILDING ACCESSOflV BUILDING
SIZE NO.OF BLDGS. (FROM C/L STREET)
OF LOT C)O X LO.3 NOW ON LOT O FRONT FT. FT.
USE OF
EXISTING BLDG, FT.
SIZE OF - NO. OF
NEWBLDG. ],98] ROOMS STORIES 1 � L.SIDE FT. FT.
EXTERIOR WALL ROOF
COVEFWG SCllCCO COVERING WOOd shin �.8 REAR FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
' MAIN BLDGS. ACCESS, BLDGS.
. VAR. #E � DATE
� � C.U.P. #'- APPROVED
Construction Single Family Residence 4PPROVED � � 7
�
�HOLD FOR ECI L EQUI NTJ
I hereby acknowledge ihat I have reatl this application antl state '
that the above intormation is corract and agrea to comply with
all laws ragulet�nB builtlin0 construction, and I shall not employ 7N(
any person in violation ot xhe workman's compensation laws of
the State of Califomia.
I hereby certify that I am properly licensetl as a contractor under SQ. FT.
Me State ot California Business antl Protassions Code, Divisicn 3, HE MOUNT S WN UNDER VALUATION IS FOR
Chaprer 9, and that such licenses are in foll force and eftect, or I TNE�PURPOSE OF ABL75HING A PERMIT FEE ONLY:
am eaemDt from tha provisions of ffie State ot California Business VALUATION �
and Protessions Cotle, Division 3, ChaDier 9.
' - PERMIT FEE $ LO1. SO
Si8^ature o
Permittee �jl��'--'-- D. Downs $ Z9 � 8OO Pu+N CHECK $ 50. 75
Authorizatl ABant TOTAL FEE $ iS2. ZS