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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— � BY u r-nn.. nerr � �'.�,, m �" 7.i /s coQ Q �i.q� �s' 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. $WR. LINE� SPRINKLING SYSTEM MISCELlANE005 HOUSE CON. ROUGH HEATING ANO AIR CON�ITIONING UNOERGROUNO ROUGH WIRING TRENCHES � FLOOR SYSTEM BONO BEPM [_ SMEATHING POWER FORMS U STEEL REINF. STEEL REINFORCE n FRAME ANO FLASHING LATHING — IN � OUT PLASTER.BROWN COAT h NG, VENT., REFRIG. NND A.C., FINAL PLUMBING, FINAL AND GAS TEST �J 6UILOING, FINFL . � " Z�fi i �3 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING �f�J7 /J/7)�,[ /,��r ADDRES�},�ot r/�,[Y�c� �,t O W N E R �L/ (/� SL�T) MAIL A�DRESS �� CITY C�S��T /I"/�� NEQnCL%(G.� Z . d U Z ZQ am J � J � 0] J J m Q U N Za W � d W WZ J Q m Z J � W w � _ Z � w � �O H z Q U J a a Q 0 F N Z 0 F U � � � N Z BRANCH A D DFi E�$�� ARCHITECT OR ENGINEEF ADDRESS CONTRAC7( TEL. . 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 $TOFIE: EXTEFIOR WALL ROOF COVEFING COV@qING USE OF BUILDING AND WORK TO BE PERFORME� F��o �?AR 1h-77�MSn00 398� ***��4$.f� APPLICATION FOR BUILDING PERMIT RECEIVED� JAT�ECEIV; DA3 1/UED�� �� � 6 A.P. NO. �IO ��� AD'DFES�3 �G OWNER FIRE ZONE APPFOVED r3'd3 BLOCK VAL��,y � " I/ — —GROUP � /� ]ATE`� —l� / E NO.OF USE OF NE�W ,K,/�U��0/7�1"���/� �� ` PLANS p� BUILDING�A�+CLC/-O{� I 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 $ c Z . aU 2 Za ON am J � J N aw QI J • (T] J Q U N Za W � aw W Z J � m Z J � W w 0 ZH W � N � � � H z Q U J a a Q 0 F N z � �" U � � H N z + 40L40 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� � .� , � / 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 � o LL TOTAL FEE $ 1) 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 �����