HomeMy WebLinkAbout232 ALBERT PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR ORIVE, COSTA MESA, CA 92626
BUILDING PERMIT
JobAddress: 232 ALBERTPL
Suite:
Vicinity: ROOF
Parcel Number: 42607414
Applicant: NGUYEN, CUONG
Address: 14351 EUCLID ST
SUITE E
GARDEN GROVE, CA
Owner: SILVA, SETSUKO JEAN
Address 232 ALBERT PL
Zoning:
Phone: (714)545-6994
Zip: 92843
Phone:
COSTA MESA, CA Zip: 92627
Contractor: VILLA ROOFING PROFESSIONALS INC
Address: 14351 EUCLID ST #E
Arch :
Address:
Phone: (714)545-6994
GARDEN GROVE, CA
Zip: 92843 License: 758361
Phone:
Eng:
Address:
Status: ISSUED
Applied: 09/25/2002
Issued: 09/25/2002
.: ��LI '
Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF EXISTING COMPOSITION SHINGLES ONLY. INSTALL DOUBLE 15# FELT, 30 YR COMPOSITION SHINGLES. 2700 S.F. INCLUDES
ATTACHED GARAGE.
Plan Check: $0.00
Permit: $97.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
SETBACKS
MAINSTRUCTURE Fronl 0-0
ACCESSORY Front 0- 0
PARKING Existin : o
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
$3,900.00
$3,900.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
�� EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetiona and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permiL
FOR INSPECTIONS CALL: (714) 7545626
?aa6d6 (5roo)
WORKERS' COMPENSATION DECLARATION: ' � �
I hereby ettirm under penalry oi perjury one of the following declaratlons:
❑ I have antl will maintain a cenificete oi wnsent b self-Insure tor workero' compensation, as pmvitled for by section 3700 oi the Lebor Code, for the pertormance of ihe
work for which Ihis permit Is issuatl.
�j I hava antl will maintain workers' compensation insurence, es requiretl by section 3700 oi the Lehor Code, br ihe pertortnance of ihe work iw which Ihis Dertnit is issuetl.
My workers' wmpensetion Insuranc cflrrler and policy number are:
C8ff1A�^t /• �-�C � } /�.Z 7�/ .(v ~ �,2
7 [_01��(%�� Fo6cy�Number:
(This"section need not be comp/etedT/ the permit is valued a1 one hundred dollars ($100) or less.) �
❑ I cenity that in the performance of Ihe work for which this pertnil is issued, I shell not employ eny person In any manner so es to become subject to tha workers'
compensation laws ot Califarnia, end aqree Ihat it I should become subiact ro tha workers' compansation provisions oi 5ection 3700 ot t�e Lebor Coda, I shall forthwlth
comply with Ihese provisions. '
ApplicanFSignaNre:? �_Date:-�'/'�i�s�/� ��
{WARNING AIF LURETOSECUiiEWORK S.'�G8C91T)OR"COOlR� EiSUi:ii.'rrFULi�i.u3HALL5UBJECTANEMP'LOVERTOCFIMINALPENALTIESANDCIVILFINESUPTOIXJEHIINDRED
THOUSANDDOLLARE($100,000),INADDITIONTOTHECOSTOFCOMPE SATION,DAMAGESASPROVIDEDWRINSECTION310fiOFTHELABORCODE,INTEREST,ANDATTORNEV'SFEES.
LICENSED CONTRACTORS DECLARATION:
aHirm that I em
Contractars Signature:
9(commencing with Section 7000) of Division 3 oi Ihe Business anA Protesslons Code, antl my license is In full
CONSTRUCTION LENDING AGENCV: - -
� I hereby eHirm that there is a construc�ion lending agency for the performance of ihe work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lendefs Name: Lender's Atltlress:
Signatura:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby eMirm that under penalty of perjury thet 1 am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business end Professions
Cotle: Any ciry or counry which reQuires e permit to construct, alter, improva, demolish, or repair any structure, pnor to its issuance, also requires ihe applicant for such permit
to file a signed statement Ihat he or she is Ilcensetl pursuant to the pmvisions ot ihe Contractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 oi the
Business end Professions Code) or thet he or she is exempt thereirom and tha Casis for the allegetl e:emption. Any violation of Sectian 7031.5 by any epplicant for a pertnit
subjects ihe applicant to e civil penalry oi not more ihan five hundred dollars ($500).):
❑ I, as owner of the property, or my employaes with wages as their sole compensatlon, WILL DO THE WORK, and the structure is not intendetl or oiteretl tor sale (Sec.
7044, Businass and Professions Code: The Coniractors License Law dces not apply to en ownar of property who builds or improves thereon, and who doas such work
himself or herself or ihrough his or her own employees, provided ihat such improvements are not intanded or oHeretl for sale. If, however, ihe building or improvement is
sold within one year of completion, the owner-builder will heve ihe burden ot proving that he or she did not Duiltl or improve tor purpose of sale.).
❑ I, as owner of the property, am EXCWSIVELV CONTHACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 704d, Business and Protesslons
Code: The conirectors License Law does not epply to an owner of properry who builds or Improves Ihereon, antl who contracts tor such project with e contrector(s)
license pursuant to the Contrectors License Lews.).
❑ I am exempt under sec.
SignaNre:
Owner ID veniied by drivers license. ❑ Ves ❑ No
Bu5in855 end Prot85sion5 Code for �his re9son:
Vedfication ot Ownership by (type of doCument, i.e. - property tax 6ill Or deed):
Drivers License No.
Date:
Expires:
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certify �hat no excavation five (5) or mora teet in dapth Into which e person is required to descend, will be made in connection wlth work authorizad by this
permit, and �hat no building s�ructure, scattolding, falsework, or demolition or dismantling Ihereof, will 6e more then �hirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle B, Californie Administrativa Code).
❑ As awner-builder, I will not employ enyone to do work which would require e permi� trom Ihe Division ot Intlustriel Sefety, es noted ebove, unless suc� person hes e
permit to do such work from Ihe tlivision,
SignaNre: Dete:
Division ot Indusinal SafeTy Permit Numbar:
CERTFICATE OP COMPLIANCE AND AIJTHORIZJITION OF ENTRY: I certity under penalty of perjury that I have reatl this applicetion and state ihat the Intorma�ion given is
correct. I egree to comply wlth all state lews end ciry ortlinances relating to builtling consiruction, end authorize representatives ot ihe Ciry ot Costa Mese to enter upon Ihe
ebove-described property�inspection pur�s. I egree not to occupy or ellow occupancy of eny buildinq euthorized by this permit un�il final inspection.
[�IS�7�I:F19{ilI•P�177�.
7616 Fixed System Finel Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 FIneI BIocWReteining Well
202 Final Factory Fire Plece
203 FinelSign
204 Final Demolition
�:I � Il:b
> > ,/?1I1�
_ Date
yO�E� INSPECTIONTYPE
206 Final Mechanical
20B Final Plumbing
210 Finel Elecifital
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final Building/Occupency
OWNER WILLIAMS
JOB ADDRESS 232 Albe
GENERAL CONTRACTOR
AP No.].1S-l�
T 'ECTIONS
�
Gas
OCCUPANCY
0
LOT
Stan
BUILDING PERMIT NO.
VALUE $ lh.im.nn
TRACT FIRE ZONE DESCRIPTION OF WORK R25
� Signature � DATE GROUP T X. .T TYPE p 7.ONE R
SUBCONIRACTOR
Ly
' -� � t 6835
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA, CALIFORNIA
For Applieanf fo Fill In Comple+ely
TYPE OR PRINT
su��o�Nc
ADDftE55
COSTA MESA. CALIFORNIA
TEL.
SIZE NO. OF 6LDG3. /F
OF LOT ♦.� � r+oW oN �or `N
USE OF ��
EXISTING BLDG.
9HTBACK LINE FPON �
CBNTER OP 6TfiELT f- � REAR YARD �
� �
SIDE YARD I LEF7 RIGHT �
DESCRIPTION OF WORK
■ BUILDING
TO BE
� HE�AGKNOWLE� THAT I HAV¢ READ THIe APPLIGTION
AND E THAT TH A90V¢ IS CORRECT ANO AaRER TO COM-
PLV H ALL CITY eDINANCEB ANO 6TATE LAWB REDULATING
BUILOINO CON9TRUCiION�
SIGNATURE OF
PERMI7TE
AUTHORIZED AGENT
FEE RECEIVED
��1AR 2 91.962 '
FINANCE DEPT.
CITV Of COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Ose Only
RECEIPT NO. PENMIT NO.
RECEIVEG !Y OATEj'ECEIVE DATE I65UyD
/f-'--��' � / � t�� 3 /,�`4/�; �
BUILDING �
ADDRESS
COSTA MESA, CALIFORNIA
APPROVED
ZO'NING
ZONFyn J I NO. OF ^ I U9E OF N&W
� y PL.�N6 �� B�I�LDING
LEOAL (j� O� ��
DEBCP�PTION /r; v �/ �
A. P. NO. I I V—I4 7��/�
YARDS EVES
(CENTER LIN!
APPROVED I,(J/�f�s, w— �
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THE AMOUNT 8H0 UNOER VALUATION IB FOR THE
PUPP08E OF E9TABL�SH�NG A PERMIT FEE ONLY.
VALUATION
/ � �O � � �� PERMIT FEE $ �l'f. �
$ �� PLAN CHECK $ � �. D-0
� OWNER SII,VA, Victor
�' JOB ADDRE55
�GENERAL C01
AR.'.'— ,.1�8-1
� f.�'y;i`:�```��%*CT I ON S
ROUGH PLUMBING
PROP. $WR. LINE � HOU:E CON. �-
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONOITIONING
TEMPORARY SERVICE OR POLE
UNPERGROUND � POWER �
ROUGH WIRING
TRENCHES � FORMS STEEL REINF.
FLOOR SVSTEM
BONO BEAM STEEI qEINFORC
SHEATHING
FRAME ANO FLASHIN ` � l
LATHING - IN UT
PLASTER,BROWN COAT
'TURAL, FI
1 IG, VENT.
PLUMBING. FINL
ANO A.C., FINAL
i TEST .L
ELECTRIC, FINAL "
BUILOING, FINAL
DATE 3-i6-7i
BUILDING PERMIT N0.
FIRE ZONE VALUE
GROUPI TYPE
SUBCONTRACTOR
OWNER gII,pA Victor - OATE q_lp_�j�-j
�' JOB ADDRESS 232 Albert Place BUILDING PERMIT N0.
y� GENERAL CONTRACTOR OWYI@T Hldl'. DESCRIPTION of WORK Blo
2 A" `�0.]18-12 -30 LOT FbP 323TRACTNpt. Hte FIRE ZONE VALUE $ 1�3 .00
�'7 I, _'CTIONS Siqnature Date TYPE Zn GROUP J ZONE I�.
soi� PERMITS ISSUED
`GAS I +�o�vn i nna,'vic
Da�e Number Siqnat�re
� ROUGH PLUMBING
�PROP. $WR. LINE�
SPRINKLING SYSTEM
MISCELlANE005
HOUSE CON.
ROUGH HEATING ANO AIR CON�ITIONING
UNOERGROUNO
ROUGH WIRING
TRENCHES �
FLOOR SYSTEM
BONO BEPM [_
SMEATHING
POWER
FORMS U STEEL REINF.
STEEL REINFORCE n
FRAME ANO FLASHING
LATHING — IN � OUT
PLASTER.BROWN COAT
h NG, VENT., REFRIG. NND A.C., FINAL
PLUMBING, FINAL AND GAS TEST �J
6UILOING, FINFL
. �
" Z�fi i �3
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING �f�J7 /J/7)�,[ /,��r
ADDRES�},�ot r/�,[Y�c� �,t
O W N E R �L/ (/� SL�T)
MAIL
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ADDRESS
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CITV r.�/�� ��6�� ' NOL���
STATE /f�^��� LICyNO.
LIC. NO l r
SIZE �� / , !U INO.OFBLDGS.
OF LOT �L NOW ON LOT
VSE OF
EXISTING BLDG.
SIZE OF NO.OF
NEW BLOG. ROOMS $TOFIE:
EXTEFIOR WALL ROOF
COVEFING COV@qING
USE OF BUILDING AND WORK TO BE PERFORME�
F��o
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APPLICATION FOR BUILDING PERMIT
RECEIVED� JAT�ECEIV; DA3 1/UED��
�� � 6
A.P. NO. �IO ���
AD'DFES�3 �G
OWNER
FIRE
ZONE
APPFOVED
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VAL��,y �
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E NO.OF USE OF NE�W ,K,/�U��0/7�1"���/�
�� ` PLANS p� BUILDING�A�+CLC/-O{�
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VARDSAPPROVED YARDSAPPROVED
MAIN BUILDING ACCESSORV BUILDING
V AR. #
C.U.P. #
BET. MAIN &
ACCESS.BL6
DATE
APPROVED
I hereby acknowletlge that I have reatl this application antl state
that the above into�mation is cOrrect antl ag�ee to comply with
all laws regulating builtling consttuction, antl I shall not employ
any person in violation of th¢ wo�kmen'S compensatiOn laws ot
,3l a m
ffie State o5 Calitornia. �
I hereby certity ffiat I am properly licensetl as a coniracior untler
SQ. FT, O
the State of California Business and Professions Cotle, DivisiGn 3, THE AMOVNT SHOWN UNDER VALUATION IS FOR �
Chapter 9, antl that such licanses are in full force and etfecf, or 1 TME PURPOSE OF ESfABLISHING A PERMIT FEE ONLV: Q
am exempt trom the provisions of the State of California Business
and Professions Cotle, Division 3, Chaprer 9. VALUATION �7 „�i ^ �
PERMIT FEE $ /< � �
/'� �
Signamre of /��� / ,__ )/ % °t
Permitte¢ b// GL�((7 $�^�' �� p�qN CHECK $ / 6• E
n� �� �_ LL
Authorized qgent TOTAL FEE $
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING _ .� � ., , � � ,� ,
OWNER V t C.{'bY � t I \I .�
MP�L 1 1 �
AODRESS � ��Z %1) �j e'I \ I 1
A ` TEL.
CITV `,_:JCT� ��ir [ l NO.
BFlPNCH
nooaess
qRCHITECT TEL.
CONTRACTOFi � W'ry����[er
qODRESS
TEL.
C�TY NO.
$YATE CITV
��0. NO. LIQ NO.
S I� E I NO. OF 6LDGS.
OF LOT NOW ON LOT
USE OF
EX�STING BLDG.
S12E OF NO. OF
NEWBLDG. FOOMS STORIE:
EXTERIOR WALL ROOF
COVERING COVERING
USE OF BUILDING AND WORK TO BE PERFORMED
Co � i3 � o c, \Z ti., z\\ �I " �31 o c�
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P"° 21.50
�UL 10-75�M<7.Q07171+r ***�
JAPF�LICl�TION FOR BUILDING PERMIT �
RE f,l E DATE RECEIVEO� �oTF iccucr
BUILDING
ADDFESI
FIRE
ZONE
APPROVE
ZON�F.j _ NO.OF
K rv,ns '
�'ARDS APPflOVED
DISTANCE BET
MAIN BLDCS.
VAR. #E
I nereby acknowledBe that I have reatl this epplication and state
that the eho�a informatio� is correct antl agrae to comply wiih
all laws repulating building construction, and I shall not employ
anY Oerson in violation ot the workman's compensation laws ot
the State of Calitornia.
I I+ereby certify that I am properly licensetl as a conttactor under
th¢ State ot California Business antl Professions Code, Divisicn 3, THE AMOI
Chapter 9, and that such licensas are In full force and effect, or 1 THE PUfiPC
ert� ezempf from the provisions of Me Scate of Califo�rtia 8usiness
and Protessions Coda, Division 3, ChaPter 9. VALVATION
Sipnatureof'11 , {- 9�(1 /� ,/
Pefmittee ���Ln1'!L� /i �Y (l+"G� $ L�
Authorized Agant
11
fS
OF
USE OF N
BUILDING �
VAROSAP�ROV
ACCESSORV BUI�
DATE
APPROVED
m
w
0
!N UNDER VALUATION IS FOR '
ABLISHING A PERMIT FEE ONLV: a
PEFMIT FEE $ � �
7
m
PLAN CHECK $ ' E
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LL
TOTAL FEE $
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CITY OF COSTA MESA PLANNING DEPARTMENT 4AR 1G-71CM5A00 399Ro****ZS.CO
A. P. No. .: ne -�,
Bldg. Permi �o.- � „2 /�/
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address �i p�:�FGT Uil1!'F�, !'"�"Tt, r�r.;�i f!;)lr�":�'?�fl.
Owner's Name VILT�R �il1�a
Bachelor or 1- Bedroom Units
$25.00 = 5`t'z=.:/:i
2 - Bedroom Units @ $40.00 =
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units @ $70.00 =
5 - or more Units @ $75.00 =
Total Fee ,,� � �.�,�
Total number of Dwelling Units
Planning Department Approval Date '��'��� Park Area No. t,
By ��•�•�• ��:1 Applicant's Signature ���
/v
� PAiD �k^h,
i�AR ifi-7lcrisa�� 394�c�.:...'rzS.Ori
CITY OF COSTA MESA PLANNING DEPARTMENT
A. P. NO. �r. �e s��.
Bldg. Permi Nt" o:- -'-5 /
PARK AND RECREATIONAL FEES - Apartment Developments
Fee Payment Receipt
Project Address �.��� �:1 h( sT i:l !�(i (:��}"�i %`i C�l (.^.� ?F^4,^iTl:
Owner's Name
Bachelor or 1- Bedroom Units � @$25.00 = �;
$:�.. . ..
2 - Bedroom Units
$40.00 =
3 - Bedroom Units @ $55.00 =
4 - Bedroom Units @ $70.00 =
, 5 - or more Units
Total number of Dwelling Units
$75.00 =
Total Fee y�r� ;}u
Planning Department Approval Date '���'�'} Park Area No. ;
By F1.L.I7. �Y{� Applicant's Signature �����