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HomeMy WebLinkAbout334 BOWLING GREEN DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 334 BOWLING GREEN DR Suite: Vicinity: HOUSE & ATTACHED GARAGE Parcel Number: 14138201 Zoning: Applicant: NGUYEN, CUONG ISSUED BY: Address: 14351 EUCLID ST #E - ��. �' � � i:� �' - . Phone: (714) 545-6994 - -. . GARDEN GROVE{ CA . � Zip�. 92843 ' . � _ � ' ,, � -� . , . . _ . . . Ownec C�ARKE,�WICLIAM D TR � � Address 2221 ARALIA ST - � � � � � Phone: . �, NEWPORT BEACH, CA Zip: 92660 Contracror: � VILLA ROOFING PROFESSIONALS INC �Address: 1435YEUCLID ST#E � GARDEN GROVE, CA ' Zip:. 928A3 Arch : Address: Phone: Zip: , License: Phone: (714)545-6994 License: 758361 _ Eng: Address: �� Status: ISSUED Applied: 01/02/2002 Issued: Oi/022002 � � _. ;A � � � , � ��,��� �� , . Phone: . � • License: . � � � ,, -SCOPE OF_PERMIL_;�.�,-• , � � REROOF EXIS7ING SINGLE FAMILY RESIDENCE & ATTACHED GARAGE (23,SQ). TEAR'OFF EXISTING COMPOSITION � SHINGLES, INSTALL 2 LAYERS OF 15# FELT UNDERLAYMENT, & REROOF WITH 25 YEAR COMPOSITION SHINGLES. , . � � � � . FEE SUMMARY � - � , Plan Check $0.00 - ' Calc Valuation: s2,soo:oo Permit: $83.25 Claim Valuation: , $z,soo.00 SMIP Res: $0.50 SMIP Com: $0.00 _ ' Other: $0.00 Inspection: $0.00 , Sotal: � $83.75: , -. , . . - , . � � � - SETBACKS"� � MAINSTRUCTURE F�Ont 0-0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0-0 Rear 0-0 Required: 0 PLANNING 8 ZONING Left 0- 0 Left 0- 0 Pr000sed: 0 �� Right". �0- 0 - �- � / Right 0- 0��; ' i =� . NOTICE: The work authorized by lhis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and fi�al epprovel must be oblained. Failure to obtain inspections and final approval will result in ihe expiration of ihis permit. FOR INSPECTIONS CALL: (774) 7545626 2946-46 (8�W) �� WORKERS' COMPENSATION DECLARA710N: . � I hereby aflirtn under penalry ot perjury one of Ihe tollowing declarations "- � . ❑� I have end will maintain a certificate of cansent to self-Insure tor workers' compensetion, es provided for by section 3700 of the Labor Code, for the DeAormance of the work For which �his permit is issued. , � � �1 have and will maintain workers' compensetion insurance, as requirea hy section 3700 of Ihe Labor Code, tor t�e pedortnance of the work tor which this permit is issued. My workers' comp nsation Insu/re�nc�e car,%�r and policy number are: / � C�iri ru S� � �GLii%// Polic Ny mb�_ " �(� � %� � � — � / is sectlon need not be completed il the permif is valued af one hundred dollers ($100) or less.) ❑ I cartity that in ihe peAormance of ihe work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation lews of Calitomia, and agrea that it I should bacome subject to the workars' compensation provisions of Section 3700 of the Labor Cotle, I shall fotlhwith comply with ihese provisions. �--i.... � A- icant SIBn`ature: �vK Dete: v ���� /.2 WARNING: FAILURE TO SECURE W ERS' COMPENSA pl CAVERAGE IS UNLAWFUL AND SHALL SU0.IECT AN EMPLOVER TO CFIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANDDOLL4FE�5100,Opp),IN OTMECOSTOFCOMPENSATION,DAMAGESASPPOVIDEDF-0RINSECTION3]O60FTHELABORCADE,IMEREST,MIDATTORNEY'SFEES. LICENSEO CONTRACTORS DECLARATION: I hereby ettirm ihat I am licensed under provisions ot Cha ter 9(commencing with Section 7000) ot Division 3 of ihe Businass and�ofe� � Code, end my license is in Full force end eflect. LI .�C�M � %So �J �� Gaes�#,- G CONS7RUCTION LENDING AGENCY: ❑ I hereby attirtn that there is a construction lenaing agency for the performance of ihe work for which this permit is issuetl. (Sec. 3097, Civil Code). Lentler's Nama: Lentlefs Address: Signafure: Date: OWNER•BUILDER DECLARATIONS: I hereby ettirm Ihat under penalry of perjury ihat I am E%EMPT FROM THE CONTRAC70RS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business end Professlons Coda: Any ciry or counry which requires a permit to consWc6 altar, improve, demolish, or repair any siructure, prior to its issuance, also requires the applicant for such pertnit ro fila a signed stetement ihat he or sha is licensed pursuant to Ihe provisions of ihe Coniractors License Law (Chapter 9(wmmencing with Section 7000) of Division 3 ot Ihe Business end Pmtessions Code) or ihat he or she is exempt iherefrom and the basis for Ihe elleged exemption. Any violation oi Section 7031.5 by eny applicant for e permit sublects ihe apDlicant to a civil penalry of not more than five hundred dollars ($500).): ❑ I, es owner of the property, or my amployees with wages as Iheir sole compensation, WILL DO THE WORK, and the sWcture Is not intended or oflaretl for sale (Sec. 7044, Business and Protassions Coda: The Contractors License Law does not apply to an owner ot propany who 6uilds or improves ihereon, antl who tloes such work himself or �erseN or through his or her own employees, provided ihet such improvements are not intentled or oflered tor sale. If, however, �he builtling or Improvement is soltl within one year ot completion, ihe owner-builder will have ihe burden of proving �ha� he or she did not build or improve tor purpose of sale.). ❑ I, as owner of tha property, am E%CLUSIVELV CONTRACTING WITH IICENSED CONTRACTORS to construct the prolecl (Sec. 7044, Business and Pmfeuions Code: The contractors Licensa Lew does not apply to an owner of property who builds or impmves ihereon, antl who contracts for such pmject with a contrector(s) license pursuant to iha Coniractors License Laws.). ❑ I am exempt under sec. Signa�ure: Owner ID venfied by dnvers license. ❑ Yes ❑ No Business and Professions Code for this reason: Verificetion of Ownership by (type ot document, i.e. - properry tax bill or tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Drivers License No. Date: Expires: ❑ I hereby certify Ihat no excavetion five (5) or mora feet in depth into which a person is required to descend, will 6e made in connection with work authorized by ihis permit, and that no building siructura, scaHolding, talsework, or tlemolition or tlismantling thereot, will be more �han thirty-six (36) teet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341, Title 8, California Administretive Code). ❑ As owner-bullde4 1 will not employ anyone to do work which would require e permit irom tha Division of Indusiriel Safery, as noted ebove, unless such person hes e permit to do such work from the tlivision. Signature: Date: Division of Industnal Sa(ery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUfHORIZAT10N OF ENTAY: I certify untler penalry ot perjury ihat I have reatl this appliwtion and state that the infortnation given is correct. I agree lo comply with ell stete lews end ciry ordinances relating to building construction, and authorize representatives of the Ciry of Costa Mesa to enter upon the above-descnbed pmperlyJor inspection puryoses. I agree not to occupy or allow occupancy of any buildinq authorized by this permit until finel insDection. COUE I. INSPECTONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Finel 200 Final Ra-Roof 201 Final Block/Reteining Wall 202 203 Final Factory Fire Place � Final Sign 204 . Final Demolition rPPncana-..u.' U�TE INr1TIFL5 � � COpE11 INSPECTIONTYPE 206 Final Mechaniwl 208 Final Plumbing 210 Final Elecirical 212 Final Flre Prevention 220 .Final Planning Approval 222 Final Site . 250 Final Building/Occupancy ��u COSTA N1ESA BUII.DING DEPARTMENT �I � P. 0. BOX 317 � � COSTA MESA CALIFORNIA � CC �C•L. OF STREET � � h U � 0 F 0 u c I��F'�! ___JiPROP LINE_ 'T. FOR 60 FT. STREET I � � 50 FT J � �I � � ZI � J �� r----- ---a'i � � I ` "" R R P LINE �� ILL� INtO _ ��PROP .EY 0 P . , rc a� ` Q w 1 � '. � � I `F1 I .� � Foo F . c� ¢'� IO.I G' � �, Q FT I .>_ U—� vv � � ��� tl v�� � � � a. � -1 :� r � ' � 4 . t-r� u' � i , z � ' 'F V � � I ''' a � m I I I � 6C ~ '• i — --- LL--' ------� � C.L. OF STREET � _1 MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES--`" MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLI.D�„�.LIINIE� ; h W W ' � h N � O J ti S T. BUILDING ADDRESS �'`�� r Mail Address C'� S���N -� S c�ty e cg 5,�`�- ,l'1( � 3 if - -- -�------- Address�$ �� Z. �<� C�dL t) � City Lic. No. ���^-R'� State L „ ? Size o/f�i.o �� S AP No.`— Setbdcks: C/L Street �_� � C::. Side Yard � - Right �-- ! ,/ Type of Fence '�- /�'� `�� -�r,tl I hereby acknowledge that I have read thqt the above is correct and agree to inances and State Laws regulating bui ,Signature • of Permittee . n �-. —� FOR OFFICE USE VALUATION Permit Fee a. IP,lan Check OWNER COLLEG�-PARK� -- onrE 3-12-5'j JOBADDRESS ��jt'$OWllri� �iP22II DP1Ve BUILDINGPERMITNO. #IyCJ3O GENERAL CONTRACTOR H8T'bOT' Construction VALUE $ ].1�2��•�� �oT 65 s�ocK TRACT 3166 Res. w/det, gar. , GROUP I& J TypE V ZONE FIRE DISTRICT �71.rj PERMITSISSUED INSPECTIONS ' DATE SUBCONTRACTOR DATE I. NUMBER Foundation Forms and G Rough Framing Plumbing, Rough to Slab Plumbing, Rough Compl� Temporary Pole Wiring, Rough Heating, Rough Heatina. Final Septic TanK or �esspooi � Lathing, In Out .t.y�� Plastering � Plumbing, Final, Fixtures Complete ?('is .0'�g� : Plumbing, Fin,al GasTest �cS� - `/JtoS' D /�Qs�j � <- ' Wiring,Final ,�,/'� �/� � i Occupancy FORM 210 3M 10-•u3 ' ,-`• 4'715 CUSTA MESA BUILDING DEPARTMENT / � P.O. BOX 31] ' .. COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN BUILDING AD�RE55 7�7.�i Finbill 1NO ii[ICC�I �iol VF OWNER MAl l ADDRE55 � 'Cn EGT INEER COSTA MESA. CALIFORNIA EGE PARK.NO. 3 � 6 SO. MAIN ST, ` ANA, CALIF�. No. KI LIC. NO. // cirv c. �E -CL�-�t✓t'z� ro. TEL. LEGAL LOT OESCRIPTION NO. A.P NO. 5'�` 6 x OF LOT USE OF E%ISTING BI.OG. SET6ACK LINE FFOM CErvTEa OF STREET SIDE VARD RIGHT � LEFT � U DESCRIPTION OF WORK NL ALTERATION I ADDITION ftEPAIR MOVING DEMOLISH Bl11LDING � NO'.OF SIZE I � ROOMS STORIES EXTERIOR WALL ROOF COVERING COVERING USE OF NEW _ _ NO.OF 0LOG5. NOW ON LOT REAR F�f REC�f�IE^D � v 1 O.i� -� 11 � 1q �,/^�• �. . fINANCE DEPT. - CITY OF COSTA MESA APPLICATION FOR PERMIT, BUILDING FOR OFFICE USE ONLY � PECEIPT NO. PF1tIQljfjOr` COSTA MESA. CALIFORNIA FIRE APPROVED BY STATE THAT THE /BOVE IS CORFECT FND AGREE TO COMPLY WITH ALL CITY OFOINPNCES 4ND STATE L�WS REGUL4TING BVILDING CONSTRUC- noN. VALUATION SIGNATUREOF COLLFGF PARK No. 3 PERMITiEE � ��2�0. �r.[aar�a.�s��u� DATE CORRECTIONS PERMIT FEE $ ��'� PLAN CHECK S � SL ^ TOTAL FEE $ iG� - . ��'' -' .,q, . . � .. . OWNER ��COLL'E�GE"PARK -� � DATE 10-22-57 JOBADDRESS 334� Bowling Green Th'. � BUILDINGPERMITNO. � SJOZ - GENERAL CONTRACTOR Crosby Conatr. VALUE$ 150.00 AP. No. LOT 65 TRACT 3166P�E ZONE DESCRIPTION OP WORK COY1CP8t8 Iilocic '�Val l .�.,....., ....,,,n . -�.,w.n .,r , �. ...,. �,...,, ' .;'�`:r.<`:>i.Y:). . - INSPECTIONS r.' coat - ri) W/G Pipe Test ing Septic Tank -� - ".House Con.' SfY�Swi. :m - , . v:'_ r res, Final � Jo:.��. __.. 'UATE I SUBCONTRACTOR PERMITSISSUED TE NUMBER e •, .i. �..,.� . � ��..'-.. ': . �— ..-;ni'� :'ti:.\i::'. � ,;:590]