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 -
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� � i:� �' - . Phone: (714) 545-6994 - -. .
GARDEN GROVE{ CA . � Zip�. 92843 ' . � _ �
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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
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• License: .
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� � ,, -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: , -. , . . - ,
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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
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Right". �0- 0 - �- � /
Right 0- 0��; '
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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)
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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.
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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
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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
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COSTA N1ESA BUII.DING DEPARTMENT �I �
P. 0. BOX 317 � �
COSTA MESA CALIFORNIA �
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MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES--`"
MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLI.D�„�.LIINIE�
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BUILDING ADDRESS �'`�� r
Mail Address C'� S���N -� S
c�ty e cg 5,�`�- ,l'1( � 3 if
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Address�$ �� Z. �<� C�dL t) �
City Lic. No. ���^-R'� State L
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Size o/f�i.o �� S AP No.`—
Setbdcks: C/L Street �_� �
C::.
Side Yard � - Right �--
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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
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—� 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 ,�,/'� �/� �
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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
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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
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�r.[aar�a.�s��u�
DATE
CORRECTIONS
PERMIT FEE $ ��'�
PLAN CHECK S � SL ^
TOTAL FEE $ iG� -
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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
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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
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