HomeMy WebLinkAbout995 AZALEA DR - Building Permits1 `'
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(714) 754-5273 • F� (714) 754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 995 AZALEA DR
Suite:
Vicinity: RESIDENCE 8 ATTACHED GARAGE
parcel Number: 41217340
Applicant CROWLEY, KEVIN
Address: 1016 E FIRST ST -
SANTA ANA, CA: % `' � � . �
Owner: RYU, SAM EOP � �,
Address 995AZALEADR �� . �
� COSTA MESA; CA ,, � �
Coniractoc GREA'TER'PACIFIC ROOFING
.Address: 1016 E FIRST-ST�
' SANTA�ANA, CA
2oning: R1 R1
Phone: (714)836-1966
Zip: 92701
Phone:
Zip�. 92626
Phone:. {714)836-1966
Status: ISSUED
Applied: 09/24/2001
Issued: 09/24/2001
ISSUED BY:
Zip:_ � 92701. License:- 621368 - � - . �
Arch : �
qddress: '
Zip:
. . . �. � " ,: Phone:
. " ` License:
Eng:
iAddress:� �
. Phone: ,
- License:-
SCOPE OF PERMIT
" REROOF: T/O EXISTING SHAKE, 1%2" OSB SHTG, 1 LAYER OF 30# FELT; INSTALL CLASS A 25-YEAR �.
"TIMBERLINE" COMP SHWGLES. 27 SQUARES � � � � � � � �� � � -� � � � � '
plan Check'
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection: :
' FEESUMMARY
$0.00
$125.25 - _ -
$0.59 � ��
$0.00
$0.00
$0.00 ; � , .
1
Total: $125.84 _
SETBqCKS
MAIN STRUCTURE� Front 0-0
ACCESSORY Front 0-0
pARKING Ez�s6�,� � o
NOTES:
P
Rear 0-0
Rear 0-0
Reauired: 0
' Calc Valuation:
Claim Valuation: , ,
PLANNING & ZONING
Left 0- 0
Left 0- 0
Proposed: 0
Right 0- 0
Right 0-0 "-- �
� . �
� $5;soo.00
. $5,900.00
�
NOTICE: Tha work autho�izetl by this permit shall comply with all applicahle hantlicap access requireme�ts uMer Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIAA710N: This permlt shall automatically expire and become void if work is not commenced within 180 days, or if work Is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for ihe work authorized under lhis permit to be consitlered legal, such work must comply with all applicable codes, and all
requlr6d Inspectlona and Sinal approvat must be obtained. Failure to obtain inspections and final approvat will result in the expiration of thfs pertnit.
FOR INSPECTIONS CALL: (714) 754-5626
zanaae (eroo)
WOBKERS' COMPENSATION DECLARATION: •� � � .
I hereby eflirm under penalry of p9�jury one of the fallowing declarationS: � '� , ' � � �
❑ I heve end will maintein a catlificate of consent to self-Insure for workers' compensatlon, es providetl for hy sectlon 3700 of the Lebor Code, for ihe perfartnance of the
work for which tliis permit is issued. -
�e and will maintain workers' compensetlon insurance, es requlretl by sedion 3700 of ihe Lebor Code, for the partortnance of the work for which ihis pertnit is issued.
My workers' compe�arion Insurence carrier end pollcy number ere:
Cartier: Policy Number:
(This secNon need not be completed!/ th ermif is velued ef one hundretl dalleis ($f 00) or Iess.J ,
❑ I certify that in Ihe pertorma of ihe work for which this permit is Issuetl, I shell not employ any person In any manner so as to become subject to ihe workers'
compensetlon laws of Ce rnla, and agree that if I should become subJect to the workere' compensation provisions of Section 3700 of the Labor Code, I shall foRhwith
comply wlth these pro ' ng, /
Applicant SgnaNre'. Date: Q �-t �{ ;�
i
WARNINO: FAILURE TO S URE WOpKERS' COMPENSATION GOVERAOE IS UNLAWFUL AND SHALL SUfl1ECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED
THOUSAND DOLURE ($100,000), IN ADDITION TO THE WST OF COMFENSATIIXJ, DHh1A6ES AS PflOVIDED FOR IN SECTION 3'7060F TNE LABOq CODE, INTEREST, AND ATTORNEVS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm ihat I am licensed upd@Fprovislons of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, entl my license is in full
force and eftect. Llc. M /r� Cless #
Contrector's SlgneNre: � � Date: q -�/1�
CONSTHUCTION LENDING AGENCY:
❑ I hereby eftirm that there is e construction lending agency for the pedormance of tha work for which this permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lendets Address:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I here6y eHirtn that untlar penelry ot per�ury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business and Professlons
Cotle: Any ciry or wunty which requires e permit to construct, eller, improve, demolish, or repair any structure, prior to its issuence, also requires the applicant for such pemtit
ro iile a slgned stalement ihei he or she4s licensed pursuani to ihe provislons of the Contractors License Lew (Chepte� 9(commencing with Sectlon 7000) of Dlvision 3 of the
Business end Professions Code) or thet he or she is ezempt iherefrom end ihe basis for Ihe elleged exemption. Any violatlon of Saclion 7031.5 by eny applicant for e perm�'
subjecis the epplicant to e civil penalty of no� more �han five hundred dollars ($500).):
❑ I, es owner of the proparry, br my employees with wages as their sole compensetion, WILL DO 7XE WORK, entl the structure is nat IntentleA or ottered for sele (Sec.
7044, Business end Professions Cotle: The Contractors License Lew does not apply to an owner of proparty who builds or improves thereon, and who tloes such work
himself or hereelf or through his or her own employees, provided thet such Improvements ere not Intended or oNered for sale. If, however, Ihe building or improvement Is
sold within one year of completion, tha owner-6uilder will have ihe burden of proving �hat he or she did no� build or improve ior purpose of sale.).
❑ I, as owner of the pmperty, gm EXCI.USIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct Ihe projed (Sec. 7044, Business end Professions
Code: The contwctore License Lew does no� epply to en owner ot propetly who bulltls or Improves ihereon, and who conirects for such proJect with a contractor(6)
license pursuant to the Contractors License Laws.).
❑ I em exempt under sec.
Signature:
Ownar ID venFied by dnver's license. ❑ Yes ❑ No
Business end�Professions Code for ihls reason:
Verification of Ow�rship by (type o( document, I.e. - p�opefty taz bill w daed)�.
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Drivers License No.
Date:
Expires:
❑ I hereby certity that no excavatlon five (5) or more feet in depth into which e person Is required to descentl, will 6e made in connection with work authodzed by [his
permit, and ihat no building siructure, scettolding, talsework, or demolition or dismantling thereof, will be more than thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Celifomia Administrative Cotle).
❑ As owner-builder, I will no� employ enyone to do work which would require a permit from �he Divislon of Indusirial Safe�y, es notetl ebove, unless such person hes e
permit to do such work from the division.
Signeture: Date:
Division of Industrial Safety Permit Numbar:
CERT1flCATE OF COMPLIANCE pND AUTHORIZA710N OF EMAY: I certify under penalty of perjury that I have read this epplication end state that the informatlon given is
conect. I agree to comply wilh ell state laws end ciry ordinences relating to bullding construction, and authorize representatives oi tha dry of Costa Mese to enter upon ihe
above-described prope¢yior inspection purposes. I egree not to occupy or elloW occupancy of eny building authorized by this permit unlil finel inspection.
COOE �. INSPECiIONTYVE
1616 Fixetl System Final Fire preventlon
1266 Pool Spa Final
200 FInaI��Re-Roof
201 FinaLBlocWHetein7ng Well
202 Final Fectory Fire Place
203 Finel Sign
204 Finel Demolition
Q�E INTRIpLS
/Date
9-jt/al
ate
COUEI INSVECTIONTYPE
206 Final Mechanical
2�8 Final PlumWng
210 Finel Electrical
212 Fir�el FIre�Prevention
220 Flnal Plenning Approval
222 Final Site
250 FInal�Bullding/Occupancy
P9IE 1[ffID9Lfl
; f�' 30916
:
COSTA MESA BUILDING�SAFETY DEPARTMENT
4O1 P•O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
BUILDING � �
ADDRESS
PAID
JUL -5-73CP15n00 285* *** 161.9
APPLICATION FOR BUILDING PERMIT
'�E ,VE BV D 7E RECEIVED D TE ISSU�
�ao_ � �
ERfvI�Z
OWNER �Wjj�j SOUTHE CALIFORNJA INC. A.P.NO.
MAIL BUILOING
ADDRESS162SS VQRtllTd $LV(1. ADDRE55
CITY Encino, Calif. No�986-8890 TRACT
BRANCH 16zS
ADDRESS EI1C
ARCHITECT _
ADDRESS ylUV W115R1t2 IIlVa.� D.R.
CONTRACTOR Larwin Southern Calif. Inc
ADORESS 16255 Ventura Blvd.
TEL.
arv Encino, Calif. No.986-8890
L C No. 191311 LICVNO. B�1
OF LOT 6O X J9 I NOW ON LO� 0
USE OF
EXISTING BLOG.
SIZE OF NO. OF
NEW BLDG. ROOMS STORIES
EMERIOR WAIL StllCCO R��F WOOCl shin 10
COVERING COVERING B
USE OF BVILDING PND WORK TO BE PERFORMED
$
I hareby acknowledpe that I have reatl this application antl state
that the ebove informetion is corract antl apree to comply with
all laws reBulating'bu��tling consiruction, antl I shall not employ
any person in vio{ati0� of Me workman's compensallon taws of
Me State ot California•
I hareby certify that I am proparly Iicensetl as a contrector untler
the State ot CalifornfB Business end Professione Code, Oivisicn 3,
Chepter 9, antl Ma[ s��h licensas era in full torce antl effect, or I
am enamp< bom the provisions of tha State of California Business
antl Professions C e, Division 3, Chepter 9.
Sipnetura -,
Parmittae ,f� ✓�• LUWi1S
Authorizetl Apent �
APPROVED
(
BLOCK
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C► BUILDING
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VARDSAPPROVED VARDSAPPROVED
MAIN BUILDING ACCESSORV BUILDING
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THEAMOUNTS'�
THE PURPOSE OF
VALUATION
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BUILDING S [�� /
ADOFE55 � � �
OWNEF /�—` ��
MA7��� �,
ADDRESS
CITV ���� /�
CANSTRUCTION � A� � �
BRANCH
ADDRESS
AFCHITEI
CONTRAC7�T�
ADORESS 2
CITV F�(/ •
9
STATE
11Q NO. /
SI2E
OF LOT � O /
TEL.
No.7E�
CITV
LIC. NO.
NO. OF BLDGS.
NOW ON LOT
SIZE OF/7r( «/ �/f l'C/NO. OF
NEW BLDG. ROOMS STOI
EXTERIOR WALL ROOF
COVERING GOVERING
USE OF BUILDING AND WORK TO BE PERFOFMEO
O � r�
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APPLICATION FOR BUILDING PERMIT
BUILDING
ADDRESS
OWNEF
FIFE
)N NO.OF
� PLANS
VARDSAPPROVE
MAIN BUILDINf
ROM C/L STF�ffET)
VAR. #
C.U.P.a
�_ �� '
PERMIT NO.
LOT BLOCK
F�.i �
VALUE
% $
GROUP
DATE/n'� ��
USE OF NI
BUIL�ING f
VARDS
BET. MAIN &
ACCESS. BLD
�ATE
I hereby acknowletlge that I have reatl this applicetion and state -"�E
that the abo�e information is correct end agree to comply with ^
all laws reBu�ating builtling construction, entl I shall not employ �� �
any person i� violatlon of the workman's compensation laws of
the State of Calitornia. �. m
I heraby ceriify that 1 am properly licensed as a contracto� untler SQ. FT. � O
the State of California Business antl Professions Code, Divisicn 3, THE AMOUNT SNOWN UNDER VAIUATION IS FOR
Chapter 9, and that such licenses are i� tull forca antl etfect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: m
em exempt from the provisio�s of the Sta f Califomia Business �
VALUATION
antl Professions Cou�, Division 3, Chapte� . / D � N
� PERMIT FEE $ �
SiBneiure of / OO m
Permittae $ � D PL4N CHECK $ �— E
/D— `o
Authorizetl ABent LL
TOTAL FEE $
TRACT t30
IAT NO
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DATE � • T� 1 T
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 ita streets ,
accepted by the City of Costa Mesa.
The unders gned, by executing this.agreement, acknowledges that
.(he�shr-they �aa�e�-were)��i�� advised that this tract has
not been given f 1 inspection nor has it been accepted by the City of Costa Mesa'
ae having complied with the conditions of approval which were imposed by the City
at the time the final tract map was approved.
a
The City assumes no liability for the enforcement of the conditions
aecessary for approval other than those conditions protected by surety bond.
The undersigned agreea to'indemnify and hold the City harmless from
any claim resulting in damage or pereonal injury to the undersigned by reason
of the aforementioned uncompleted condition. '.
RECEIVED.
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BY i����`'`. �Y�- c-l�(
Purchaser '
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BY �"i �.a�'tz��C? �l�ir-„-L�-�
Developer and/or authorized
representative
BY 7��1_!'ti� /� l-/�-.�.on�
ender