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Home My WebLink About1120 DANIELLE DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 r• . . i CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT .lob Address: 1120 DANIELLEDR Suite: Vicinity: Parcel Nunmber: 41207427 Applicant: JONES, CRYSTAL Address: 4091 E. LA PALMA ANAHEIM, CA UNIT D Owner: NGUYEN, HAI H Address LE, THU THUY T Permit: 1120 DANIELLE DR SMIP Res: THU THUY T LE Contractor: CAL -PAC ROOFING Address: 4091 E. LA PALMA Inspection: ANAHEIM, CA Total: UNIT D Zip: 92807 Arch : Address: Phone: BUILDING PERMIT Zoning: R1 R1 Phone: 714-978-9274 Zip: 92807 Phone: 714-741-3888 Zip: 92626 ' Phone: 714-978-9274 License: 719716 Eng: Address: . PERMIT B99-00152 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 02/01/1999 Issued: 02/01/1999 Phone: Zip: License: License: SCOPE OF PERMIT REROOF OVER EXIST. WOOD SHAKE WITH LIGHTWEIGHT STEEL TILE " ALPHA SHAKE" ICBO # 4966, 1.5 PSF. PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: $12,372.00 $12,372.00 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 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 final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 FEE SUMMARY Plan Check: $0.00 Calc Valuation: Permit: $199.75 Claim Valuation: SMIP Res: $1.24 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $200.99 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: $12,372.00 $12,372.00 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 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 final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 M 1 WORKERS' COMPENSATION DECLARATION: r I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the or which this permit is issued. have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this pprInit is is ued. My or or ' ompensation Insurance carver a policynumberare: ` �/1r� Carrior: ��\ C= I \ Policy Number: (This section sane pie if he permit is vakiedat one hundred dollars ($100) or less.) ❑ I certify that in the performance of the 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 laws Ealifomla, an agree t t if � become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these ro isi ns. 2- r _q (� Applicant Signature:% Date: l WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVEf>, GE UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($10IN ADDITION TO THE COST OF COM T Q000), ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed un provisi n of Chapter 9 (commencing with Section 7000) of Division 3 of the Busme and P ions Code, and my license is in full force and effect. Lic. # _ Class # Contractols Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivels license. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certify that no excavation five (5) or more feet in depth Into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title B, California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be tiled with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ................................................................................................................................................................................................................................................................................. 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ............................................................................................................................................................................................................................................................... 3 Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ................................................................................................................................................................................................................................................................................. 4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No .................................................................................................................................................................................................................................................................................... 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this plication aemit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 8 No (Section 65650.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). .................................................................................................................................................................................................................................................................................... 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (if "yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). .................................................................................................................................................................................................................................................................................... 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No .................................................................................................................................................................................................................................................................................... e (II'yes", attach certcate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. gree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above- a cri ed rope for i pec'dna rposes. I agree not to occupy or allow occupancy of any building authorized b perm unhl I' pection. i -7 i Signature rr t Owner(s) Date And/Or Authorized Applicant Data gQDF-L INSPECTION TYPE DIM INTMALS CODE I INSPECTION TYPE DATE INTITIAL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 206 Final Plumbing 200 Final Re-Roof 3 — 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site _ 204 Final Demolition 250 Final Building/Occupancy 2446.46 Op 6,K1- Z W / hl /ci // CITY OF COSTA MESA REQUEST Ki, OCCUPANCY TRACT NO. q q(b (o DATE I 9D LOT NO. 41 l ADDRESS ( D C) The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The` Dundersigned, by executing this agreement, acknowledges that (he -she -they) (was or were) 1,o-rL6 advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and 'hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. SEP 03 1980 representative BY Len er ,c-s APPLICATION FOR A BUILDIN ERMIT Tract Block Lot BUILDING PERMIT NO. 939 Electrical Permit No. Building Address Plumbing Permit No. Cross Mechanical Area Street Permit No. OwnerRo 60--y+ ` cilk Type of Project: ❑ New ❑ Alter ,�----,,�� R1Addition Address ❑ Repair ❑ Convert ❑ Demo ❑ Occupancy Pmt. City Zip Phone A.P. Sup. Dist./ Insp. Area Architect/ Designer License No. Zone Sol. Pmt. No. Setbacks P/L Front C/L St. Street Width Address Yards Left igh ear City Zip Phone ave rot. Left Kignt Engineer License No. drk ng Spaces Required P,ovFde- overs Atltlress Struct No. of No. of City Zip Phone Haight Stories Family LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 Park Fees Yes Required No C.T. Fee Receipt Zoning Approved BY: Date (commencing with Section 7000 of Division 3 of the Business and Professions Code, and my license is in full force and effect). License Clas° License Number Date Contractor Misc. Proposed Use of Structure Address City and Zip Phone CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued ISec. 3097, Civ. C.). Occ Class TYPe Const. Cotle Year USE/OCCUPANCY SIZE SO. FT. Lender's Name Lender's Address 1. OWNER -BUILDER DECLARATION I hereby affirm that 1 em exempt from the Contractor's License Law for/he following reason; L7 1, as owner of the property, or my employees with wages as their 2. sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with 3 licensed contractors to construct the project. ❑ 1 am exempt under Sec. , B&PC for this reason 4. Data_"__h_ n Owrter WORKERS' COMPENSATION DECLARATION Total Valuation Encroachment Permit Required ❑ Yes ❑ No I hereby affirm that.V have a certificate of consent to self -insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof. Policy No Company Grading Pmt. Required ❑ Yes ❑ No Grading Pmt. No. ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with Orange County, EMA. Rough Grading Approved by: Date Date __ Applicant CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed it permit is for $100 or less). I certify that in the performance of the work for which this permit is PERMIT FEES issued, I shall not employ any parson in any manner so as to become subject to the Workers' Compensation Laws of California. Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of Structural $ Plan Check $ Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with suchl provisions or this permit shall be deemed revoked. Electrical $ Special Invest. $ plumbing E 1 CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS RELAT O BWILDING CON RUCTION, AND HEREBY AUTH- Ofj12E REP ESENTATI V O THIS COUNTY TO ENTER UPON Mechanical $ Pre -Grade $ Inspection TATE A E ME Fj OPERTY OR INSPECTION PUP. 'P \ �t i re of Applicant or g ate Pre -Grade Rec. No. $ Permit Issue $ E. �J�cxl Print Appl?cant's/Agent's Name All spaces within this box must be completed to processH7%� l C Issuance Approved: CMF 0335-46 (BV -28) rev. 6/80 wi OWNER qINEQ{I, BOB= E. DATE 11/4/E JOB ADDRESS 1120 Danielle Drive BUILDING PERMIT GENERAL CONTRACTOR Cwner-builder DESCRIPTION of WORK Patio Cover SOIL SUBCONTRACTOR PE MI S ISS EO GAS Date Number Si nature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. E] SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND M POWER n FORMS {J FLOOR SYSTEM bBOND BEAM ST SHEATHING h FRAME AND FLASHING LATHING -_114 [-]_ '^ PLASTER. BROWN COA HEATING. VENT., REFRIG. AND A.C., FINAL �I PLUMBING. FINAL AND GAS TEST COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only 2226 11/04/80 9_.50 TL APPLICATIOIOR STRUCTURAL PERMIT BULDINGADIDRESS A. P. NO. 1, ^ ICLLL.. n OWNER OR • t -a TENANT O T)^ F - B.e ADDRESS �s- UNIT OR MAILING^,^� SPACE NO. ADDRESS 1�1t" TR. O. LOT ELK. TEL. CITY�S V -C P- NO.) 3 LD EW ADD ALTER REPAIR MOVING DEMOLISH CONSTRUCTION �� LENDER BRANCH / �' � r—. OWNER Q C 1 CGK 1, ADDRESS//J/ VALUE pp J'O OY2— ARCHITECT TEL. USE 0j Ccve.Y E OR ENGINEER ADDRESS ZON 'L TVP GROUP APPROVED BY tux DATE CONTRACTOR r y ADDRESS TEL. CITY NO. STATE CITY APPROVED SETBACKS LIC. NO. ( LIC. NO. / SIZE(�\ NO. OF BLDGS. (FROM C/L STR T OF LOT ` �J NOW ON LOT ONT G USE OF/ EXISTING BLDG. Separate permits are required for L SIDE FT.0 electric, plumbing and heating work. / / n REAR FT. USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTIO DATE l D APPROVED APP I hereby acknowledge that I have read this application and state that the above Information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of the State of California. p� 9% 2 I hereby certify that I am properly licensed as a contractor under SD. FT the State of California Business and Professions Code, Division 3, THE AMOUNT S14OWN UNDER VALUATION IS FOR Chapter 9, and tha1�licenses are in full force and affect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt fro the or Talons of 'he State California Business VALUATION PERMIT FEE E antl Professions Cotle, D Ision 3, �te �- Signature of / /// /� PLAN CHECK E ` s Permlttee (r((/•'t/ S �j TAX $ 2..-_ or i .Sii AuthorizatlA nt Date TOTALPAID S ,S (� n! P 7 COSTA MESA BUILDING -SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING I I el ri nA &I 1 f -I I h OWNER MAIL ADDRE: CITY T BRANCH ADDRESS West 508 29th Street TEL. NO. ARCH OR ENGINEER Frank Spangler NEEL 673-0952 ADDRESS 2240 Newport Blvd. Newport Bch CONTRACTOR Owner ADDRESS m CITY rEEDPBY,,, TEL NO. STATE LIC. NO. the State of California Business and Professions Code, Division 3, CITY LIC. NO. SIZE OF LOT Avvrox. 60'x 80' NO. OF BLDGS INCINONLOT 0 USE OF Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED r10V 10-77Pa;800 582* *** cnsa 122.64 APPLICATION FOR STRUCTURAL PERMIT BY DATE RECEIVED qTE ISSUED that the above information is co ct and agree to comply with 7/ PE I all laws regulating building construction, and I shall not employ OL any person in violation of the workman's compensation laws of m the State of California. rEEDPBY,,, I hereby certify that I am properly licensed as a contractor under LOT BLOCK the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the,broyisions of the State of California Business VALUATION �O PERMIT FEE E V antl Professions Co Division 3, Chapter 9. n Signaturew aeVALUE m PLAN CHECK E 117.50 0 Permittee >�'�G� `'G USE td. Gar. s 73,400. ■ O - NL41S' ,/ BUILDING W IVla�s VARDSAPPROVED I YARDS APPROVED 5 BUILDING VAR + DATE ..4..,..1,, 4...„,1_.._4,Bedronm I C U.P.40G• I - I' AA APPROVED l% !Z-7-7 71 1 I 1 hereby acknowleQ§e that I hay{r,6ad this appKcation and state 0 DCAAF hITIZ that the above information is co ct and agree to comply with K J 1; `F m all laws regulating building construction, and I shall not employ OL any person in violation of the workman's compensation laws of m the State of California. I hereby certify that I am properly licensed as a contractor under 2790 SQ. FT. r the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: am exempt from the,broyisions of the State of California Business VALUATION �O PERMIT FEE E V antl Professions Co Division 3, Chapter 9. n Signaturew m PLAN CHECK E 117.50 0 Permittee >�'�G� `'G s 73,400. TAX $ 5,14 2 Apthprl2e Agent/�Qp [-/fit-s./%�' TnTAL pAln s �A �1 01 1 _ 'EC-9"77crISp00 526 J *235.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEIVED BV DATE RECEIVED DATE dN BUILDING ADDRESS PERMI OWNER A.P. NO. BUILDING MAIL ADDRESS ADDRESS TEL. TRACT LOT B CITY NO. CONSTRUCTION W ADD AREPAIR LENDER BRANCH OWNER ADDRESS V LUE ARCHITECT TEL. S $ OR ENGINEER FIRE ADDRESS A ZONE TYPE GROUP APPROVED CONTRACTOR B yDATE ADDRESS TEL. NO. OF USE OF NEW CITY NO. PLANS BUILDING STATE CITY DS APPROVED YARDS APPROVED LIC. NO. LIC. NO.IN BUILDING ACCESSORY BUILDING SIZE NO. OF BLDCaM C/LSTREET) OF LOT NOW ON LOT FT. FT. USE OF EXISTING BLDG. T FT. Separate permits are required for FT. FT. electric, plumbing and heating work. FT. FT. USE OF BUILDING AND WORK TO BE PERFORMEDCE BET. BET. MAIN & LDGS. ACC64. SLOGS. DATE APPROVED rREUD U RV I hereby acknowledge that I have read this application and state that the above Information is correct and agree to comply with all laws regulating building construction, and I shall not employ any person In violation of Me workman's compensation laws of Me State of California. 1 hereby certify that I am properly licensed as a contractor underT. the State of California Business and Professions Coda, Division 3,SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force and effect, or IF ESTABLISHING A PERMIT FEE ONLY: am exempt fromthe pr visions of fhe State of California Businessend Professions Code, vision 3, Chooter 9.PERMIT FEE ESignature of� / PLAN CHECK EPermittee �'�/�"�+ TAX $ Authorized Agent �/ !y TOTAL PAID E Ir