HomeMy WebLinkAbout598 FAYETTE CIR - Building Permits(�ia) �sa-sz�s • Fax (��a� �sa-aess
_ CITY OF COSTA MESA
BI/ILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT.
PERMIT
JobAddress: 598 FAYETTE CI
Suite:
Viciniry: HOUSE & ATTACHED GARAGE
Parcel Number: 41804119
BUILDING PERMIT
Zoning: R1 Rl
Applicant: NGUYEN, CUONG
Address: 14351 EUCLID ST
UNIT E Phone: (714) 545-6994
GARDEN GROVE, CA Zip: 92843
owner: COWLEY, TODD CHRISTOPHER
Address 598 FAYETTE CIR
Phone:
COSTA MESA, CA Zip: 92626
Contracror: VILLA ROOFWG PROFESSIONALS INC
Adtlress: 14351 EUCLID ST
UNIT E Phone: (714) 545-6994
GARDEN GROVE, CA
Zip: 92843 License: 758361
Arch :
Address:
Eng:
Address:
..i
PERMIT
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: 05/31/2000
Issued: OS/31/2000
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF EXISTING SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (23 SQ). TEAR OFF EXISTING LAYER OF
COMPOSITION SHINGLES, INSTALL i LAYER OF 15# FELT UNDERLAYMENT, AND REROOF WITH 25 YEAR COMPOSITION
SHINGLES.
Plan Check: $0.00
Permit: $83.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $83.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARK�NG Exis�lna: o
NOTES:
Rear 0. 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
Left 0- 0
LeN 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0. 0
Right 0-0
$2,300.00
52, 300.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 9248, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is no[�commenced wi�hin 780.days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for tha work aWhorized under ihis permit to ba considered legal, such work must comply with all applicable codes, and all
required Inspeetiona end final approval must be obtained. Feilure to obtain inspections and final approval will rasult in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMVENSA710N DECLARAT�ON: -
I hereby aHirm under penalty of per�ury one 0� the lollowing declarations:
❑ I have end wlll maintain a cenlficate ol consem to self-Insure tor workers' compansation, as provitletl for by sectlon 3700 ot Ihe Labor Cotle. for the pertormence ot the
work�� which this permit is issued.
�hhave antl will maintain workers' compensation insurance, as required by seclion 3700 oi ��e Labor Catle, tor ihe peAortnance of ihe work tor which Ihis pertnit is issued.
My workers compensatian In uren/ce�G�err�ie�r entl policy number era: . /�
Carrier: —Ci'� r/ti NQ P Iicy Number. �F/ ���0
(Thls section need nat 6e complefed il the p��it is velued et one hundretl tlallers ($100J or Iess.J �—
❑ I certify thet In ihe peAormance of thd work lor which this permit is issued, I shall not employ any person in eny manner so as to become subject to the workers'
compensetion laws of Califomle, and egree t�ai if I should become subject to ihe workers' compensation provisions of Section 3700 of tha Lebor Code, I shall forthwith
comply with these provisions. //
AppRcant�Signeture:z y� Dete: ��� O�
WARNING:FNLUPE.TO SECURE WORK �MPENSAT70N COV RAGE IS UNIAWFUL AND SMALL SUBJECT AN EMPL�OVER TO CRIMINAL PENALT7ES AND GVIL FlNES UP TOONE HUNDRE�
THOUSAND DOLLARE (5100,000), IN AD N TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECiION 3]O60F TME LABOR CODE, INTEREST, AND ATTOFNEY'S FEES.
LICENSED CONTRALTORS UECLARATON:
I hereby aHirtmthaFl.am.licensed und �r °v s Ch te/r 9'(commencing with Section 7000) of Division 3 ot �he�Bmin}� antl Prof ns Code, antl my license is in full
force and eNect.,Lic. N � �7 . � / �iss.pJ � � � _ _
CONSTRUCTION LEN�ING AGENCV:
❑ I hereby aflirtn that there is a constructlon lending agency for the pertormence of t�e work for which this permit Is issued. (Sec. 3097, qvil Code).
Lendar's Name: Lentler's Address:
Signature:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby eHirtn ihat untler penalry of perjury tpat I am EXEMPT FROM THE CON7RACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business entl Professions
Code: Any ciry or county which requires e permit to construct, elter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires ihe applicaN tor such pertnit
to file e signetl stalement ihat he or she Is Ilcensed pursuant to the provisions ot ihe Comractors License Law (Chepter 9(commencing with Saction 7000) of Division 3 of ihe
Business entl Protessions Code) or Ihet he 0� s�e is e:empt ihereirom entl the basis tor t�e elleged ezemption. Any violeeon of Secfion 7031.5 6y eny applicant for a permit
sublects Ihe epplicent to a civll penalry ol not more than five hundred dollars ($500).):
[] I, as ownar ot the pmperty, or my amployses with wages as their sole compensetfon, WILL DO 7HE WORK, and iha shucWra Is nol inlentletl or oBared for sala �Sec.
7044, Business antl Professions Code: The Contractors License Law does not epply to an owner of propeny who builds or improves theraon, end who tloes such work
�imself or herselt or thmugh his or �er own employees, providetl that such improvements ere not Intended or oMeretl for sale. IF, however, Ihe huiltling or improvement is
sold wit�in one year oi comple�ion, the owner-builtler will have the burden of proving Ihat he or she ditl not builtl or Improve for purpose of sele.).
❑ I, as owner oi the properry, am EICCLUSIVELY CONTRAC7ING WITM LICENSED CONTRACTORS to construct the projeci (Sec. 7044, Business and Professions
Cotle: The wntractors License Law dDes not epply to an owner oi pro0erty who builtls or impmves Ihereon, antl who con�recis for such project with a coniractor(s)
license pursuant to the Contrectors Lic�nse Lews.).
0 I am exempt under sec. Business antl Professions Code tor ihis reason:
Signature: Date:
Owner ID veri}ied by drivers license. ❑ �es ❑ No Driver's License No.
Venfication of Ownership by (type of tlocument, i.e. - property tas bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMI7 CERTIFICATION:
Ezpires:
❑ I here6y certity that no excavetion five (5) or more faet in dep�h Into which e person Is required �o descend, will be matle in connection with work authorized by this
permlt, end that no building sWcture, s�etfa�ding, talsework, or demolition or dismentling thereof, will be more Ihen ihirty-six (36) fee� high. (Chap. 32, Grp 2, Art 2, Sec.
341, TWe 8, Califomia Administretive Code).
❑ As ownar-builtler, I will not employ any0ne to do work which woultl require a permit from Ihe Division of Indusirial Sefety, es notetl a6ove, unless such person has a
pertnit to do such work tmm ihe division.
Signeture: �ate:
Division ot IntlusMal Safery Permit Number.
CERTFICATE OF COMPLIANCE AND AUTHORVA710N OF ENTRV: I certity untler penalry of perjury that I have read i�is application antl state that the information given is
correct. I agree to comply wi�h all s�ate laws and city ortlinances relating to building consiruction, and authorize representatives of the Ciry of Caste Mesa to enter upon tha
above-descnbetl properry for inspactlon purp0.ses. I agree not to occupy or allow occupancy of any bulltling au�horized by Ihis permit until tinal inspection.
['�•1'1�7�RFi74i1F]J�/99
7618
1266
Fixed System Final Fire Prevention
Pool Spe Final
200 Final Ra-Roof
201 Finel BIocWRetaininq Well
202 Finel Fectory Fire Plece
203 Flnal Sign
204 Finel Demolition
2bd8d6
�$ COUEt INSPECTIONTYVE
� 206 Finel Mechanical
08
l0•.�J-�J �� a
212
220
Final Plumbing
Final Electdcal
Final Fire Prevention
Finel Planning Approval
222 Final Site
250 Final Building/Occupancy
j'��
INTRIpLS
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626
1t� 3625 2/I6/79
�0.50 TL
APPLICATION FOR STRUCTURAL PERMIT
For Applican[ [o Fill in Comple[ely — Use Ink Only RECEI VED BV DATE FECEIVED
DATE ISSUED
BVILDING /
ADDRESS S ' / L� U�� C. C/tC
���' PERMIT NO.
OWNER J�% C. iJ � I ('�'� A.P. NO. �� � �'
UILDING - - i + /'
ADORESS � � � �JO � SS DDRESS � " ' � `j C �
CITV CO S'. � L S,( NOL�j7�"�/ TRACT '�`� g� LOT / BLOCK
CONSiRUCTION � W ADD A T R PA
LENDEF
BRANCH J
WNER '�_� v , j/YCLL�J
ADDRESS V LUE
ARCHITECT TEI. S � • 9 �
OR ENGINEER N
FIFE
ADDRESS ZONE TY E GROUP
APPROVED � I �
�C6NTflACTOR n p _•�. ' � I � BV DATE (p
AODRESS �� /�SP�� G �
TEL. � ZONE NO.OF USE OF NEWP�''�C
CITV NO. �—� P�� � BUILDING Go/G�'
STATE CITV �'ARDSAPPROVED VAROSAPPROVED
LIC. NO. LIG. NO. MAIN BUILDING ACCESSORV BUILDING
SI2E rs NO.OFBLDGS. (FFOM�NSaTGEETITO IfTi.!/�y
OF LOT n YJI' X �O Z NOW ON LOT FRONT FT. FT.
USE OF
EXISTNG BLDG. SI S F FT.
aci/ 7 EX/57GvG-
Separate permits are required for L. SIDE �TT'fT. FT.
electric, plumbing and heating work. REAq FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCE�. BLDGS.
� Q/— CURP,ay+ APPROVED
APPROVED Z —/S— 7 /
� •/
1 heraby acknowled9e thet 1 have reatl thia epplication antl state
that the above Informatlon Is correct entl agree to comply with
all laws regulating builtltng connruction, antl I shall not employ
any person in violation ot Ne workman's compensation laws of
the Stete of Celifornla.
I hereby certliy thet I am properly Ilcensetl es a controctor untle� SQ. FT.
tha State of California Business entl Professions Cotle, Dlvision 3, THE AMOUNT SHO U VA TION IS FOR
Chapter 9, antl that such lieenses are in full forca entl effect, or I THE PVRPOSE OF EST qMIT FEE ONLV:
am exempt from ffie provisions ot the State of California eusiness I
an Professions Cotle, Division 3, Chaptar 9. VALVATION RMIT FEE y �
r ttu�—��"t'�� \��il�/ �� S 5✓ O' TAX CHECK b �� !
SIp ra ot �
Auth izedAgent TOTALPAID
�-_
. - 279�7
COSTA MFSA BUIID�NG-SAFETY DEPARTMEPIT
P.O. BOX 7�pp COSTA MESA, GAIIFORNIA YMtO
For Appllcant fo F711 In Compfetaly
TYPE OR PRINT
�LD�N� 5� V l ' �\ ��v—
DRE88
COSTA MESA. CALIFORNIA
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TXt AMOUH} eMOWN UNOBR VALUATION l0 ROR 151Q j
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VALUATION - {�/' �
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OWNER
JOB ADDRESS
GENERAL C0�
�AP �I�. 418-
d =CTIONS
s�._ —
�AS
µqTEF
ROUGH PLUMBING
MiSCELLANC0U5
ROUGH nEaT�NG nq0 nIR CONOIT�OHiNG
TEMPORARV SERVICE Ofi POLE
IINDERGROUNO i'� POWER I I
FL000. SYSTEM
BOHO BENM I I STEEL R
SHE/THiNG u
FRAME ANO FLASHING
LATNING — IN (, OUT
STP"�TURqL. FINAL
H G, VENT., REFRIG. AND A.C, FINAL
PL.,••�BiNG. FINA� RN� GAS TEST �I
DATE 2-16-79
BUILDING PERMIT Na.
SUBCONTRACTOR