The URL can be used to link to this page

Home My WebLink About920 GOLDENROD DR - Building Permits(714) 754-5273 • Fa�t (714) 754-4856 � CITY OF COSTA MESA svuo�N� �nr�s�oN ` DEVELOPMENT SERVICES DEPARTMENT PERMIT Job Address: 920 GOLDENROD DR Suite: Vicinity: Parcel Number: 41221312 Applicanr BILL TARGOUSKI Address: BUILDING PERMIT Zoning: R1 R1 PERMIT NUMBER 'V899-01700 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 10/20/1999 Issued: 1 0/2 011 9 9 9 ISSUED 8Y: �/ 1 r- �� . Phone: 310-318-6207 : � � � .�'/.'Y_ - � Zip: '. - - _ . ;'j% , � r� ' � v � � _ Ownec EHLE,GERALD"R� , `, '� � /; i ,�� Address 920 GOCDENROD DR' � � � � � " - i'i� /, � � � i - Phone: -_ - % � i ,i �= �\ . ,/i.' ��, 'i - , ' \ c � Y COSTA MESA, CA � , ' � Zip: 92626 ��_, -' � \ J \ %i � _ � -� - f �� . �. , � ./ � i - __ l „ , � � D�'� � Contractoc ��B ROOFING � ��'� � �P Address: �� 1603 CONAR CN,� �� `�V� % � \� � �� " "� � �� Phone: 310-318-6207 �j�'j'$ �_� : • �.� i REDONDO BEACH,CA {' � � �,�: . � �:. . . ` , Zip:� 90278;� License 573593 � � .� , , � i :�A � Arch � � %� . � ' i � � Eng: ' , ,>,�� . � . . ' � � � ' �� .�� ' - � ` �Address: ' Address: � � , _ . �c� -, _1 . _ . , ' . \` , � � . "� ;Phone: '� '' - - . Phone: � ; �" % . . _ , . . . ��. ' Zip: - . ! � � / v � _ _ � License: --� � , � � �\license: � � � ' SCOPE OF PERMIT ` " Voff sheath and reroof 20005Eresidence wlcomp shingles. smoke detectors�req per 97ubc. �� .�- ,. � > . A Plan Check: $0.00 Calc Valuation: ' s5,000.00 Permit: . _ $111.25 ; � , �� ;,,, ;� -, -- _ � , :' � j� I� "�, Claim Valuation: � Es,00aoo SMIP Res: $0.50 — � � � � SMIP Com:' ^ $0.00 �� - � � � � � ,' .' � , Other '� $0.00 '�_ ,� � � Inspection: $0.00 - -- _ � � - S � Total:; $111.75 . � � � . _ � � � � � PLANNING & ZONING -- �. � _�. � SETBACKS MAIN STRUCTURE Front 0-0 � �� ACCESSORY� �_ Front 0-0-'. PARKING �-existinq: �� o NOTES: Rear 0- 0 � . Rear � 0- 0 Reauired: 0 Left' 0- 0 Left - 0- 0 _ Proposed: 0 � Right �- �0-,0� � i Right ;`0-0 - j' ' NOTICE: The work authonzed by this permit shall comply vnth all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 7, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considared lagal, such work must comply with all applicable codes, and all requlred inepectione and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � WORKERS'COMPENSAnON DECLARA�ON: �' `�� I hereby alfirm under penelry ol perjury one o� the lollowing declarations: ' ❑ I have entl wlll malntein a cenllicete ot consem to sell-Insure far workers' compensatian, es D�a�ided tor by sectlon 3700 of Ihe Lebor Code, tor Ihe peAortnance of the work for which this permit Is issued. ❑ I have and ill meintein workers' compensation insurance, as required by section 3700 oJ the Lebor Code, for the peAorman�f Iha work�which this permit is issued. My w c pensa�,drrrnsuranc rrier entl pollcy number are: / Certier. Fi.'K./� ! PolicyNumber. �Q � / (This sectian nee not be comp/efed I/ t e pB�it Is velued et one hundred dollars ($100) or less.) � � I certiy ihat In the pertormance of the work for which this permit is issuetl, I shall not employ any person in eny manner so as to become subject to the workers' compensetion lews i Californie, end Pgrea t uld bacome subject to the workers' compensation provisions ot Section 3700 ot the Lebor Code, I shall forthwiih Comply with these ovi 'o� sD�, �, / Applicant SlgneWre: �.C�(./�c / Dete: WARNING: FAILURE TO SECURE WORKERS' MPEN ATION COV�E IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSANOWLL4RE(5100,000),INAODI TOTME OFCOM NSATIIXJ,�AMAGESASPROVIDEOFORINSECTION�OBOFTHELABORCOOE.INTEREST,ANDATTORNEV'SFEES. LICENSEDCONTRACTORS I hereby aHirm thet I am lic�? force flnd eMacl. Lic. p��' Contracrofs Signature: /! �� CONSTRUCTION LENDING AG ❑ I hereby aRirm thet ihere is Lenders Name: SignaNre: ol Chapter 9(commencing with Sectioy7000) of Division 3 of ihe Businesy,aai WyJy�slons Code, antl my license is � Glass a �— 7/ Dete: //1— /G� lending egency for Ihe peAortnance of the work lor which this permit Is Issued. (Sec. 3097, Civil Code). Lenders Address: Date: OWNER-BUILDER DECLAHATIONS: I hereby affirm thet under penalry ol perjury Inat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Protessions Code: Any ciry or counry which requires e pe�it to construct, al�er, impmve, demolish, or repair any sWCNre, pnor to ils issuance, also requires ihe applicant tor such pertnit to tile a signed stetement that he.or ahe.is licensed pursuant to iha provisions of Ihe Coniracrors Llcense Lew (Chepter 9(commencing wit� Section 7000) of Division 3 oi Ihe Business antl Protessions Code) oiith`at he"0(she is exemp�lherefrom and Ihe basis for the allegeC exemption. Any vlolatlon of Sectlon 7031.5 by any epplicant tor a pertnit sub�ects the applicent m a civil pen_Ity of not mo�e than fi"ve hundred dollars (5500)J: �—�oe�} ❑ I, as owner ol ihe Dropeny, or my employees with weges as iheir sola compensation, WILL DO 7HE WORK, end Ihe structure Is not Intantletl or oHaretl for sale (Sec. 7044, Business entl Professions Cotla: The Contractors License Law does not apply to an owner of property w�o bullds or improves thereon, entl who does such work himself or herseN or through his or her own employees! provided ihat such impmvemenis are not intended or ottered for sale. If, however, the 6uilding or improvement is soltl within one yeer of complation, the owner-huilder will have ihe hurden of proving that he or she did not builtl or improve tor purpose of sale.). ❑ I, as awner of t�e property, em E%CLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the prolect (Sec. 7044, Business entl Pmfessions Gode: The contrectors License Lew tloes not epply ta en owner of property who builds or improvas thereon, end who contrec�s for such project with a contrector(s) license pursuant to the Contrectars LicB�se Lews.). ❑ I am ezempt untler sec. Signature: Owner ID verified by tlriver's liCenSe. ❑ Yes ❑ No Business and Professions Cotle for ihis reason: Venfication of Ownership by (type of document, i.e. - propeny tax bill or tleetl): DIVISION OF INDUSTRI,4� SAFETV PERMIT CERTIFICATION: Drivers License No. Date: Expires: ❑ I hereby certify thet no e:cavation Ilve (5) or more leet in depth into which a person is required to descend, will be made in connec�lon with work auihorized by ihis pertni�, antl t�et no building slructure, scaHoltling, talsework, or demolition or tlismantling ihereof, will 6e more ihan ihirry-six (36) fee� high. (Chap. 3.2, Grp 2, Atl 2, Sec. 341, Ttle 8, Celifomia Atlminisirative Code). ❑ As ownar�builtler, I will no� employ eny�ne to tlo work which would require a permit from the Division ot Industrlel Sefety, es notetl ebove, unless such person has a permit to tlo such work fmm ihe division. Signature: Date: Division af Industrial Safary Permit Number: CER7IFICATE OF COMPLIANCE AND AllTT10RIZATON OF ENTHY: I certity under penalry of per�ury that I have read this application and ste�e that the information given is correct. I agree to compJy,wlth all state lews antl city ortlinances relating to huiltling conswction, entl euthonze representatives ol the Ciry of Costa Mesa to enter upon the e�v�-de5cnbetlyrep8�yi�t inspec�ion purp0.ses. I agree no� �o occupy or ellow occupanry of eny huilding authonzed by lhl5 pertni� un�il finel in5peclion. �� cooe �. 1616 1266 Fixetl Sysiem Finel Fire Prevention Pool Spa Final 200 Final Re-Rool 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition 2d48-dfi Owner(5) � /� - � �- 1[�j� INTRULS COOE� INSPECTONTYPE 206 Finel Mechenicel 208 Final Plumbing 210 Final Elecirical 272 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy D�i j� INTIiIFL JOB ADDRE55 920 Goldenrod Dr. GEN''AL CONTRACTOR Larw3n AP 412-213-� LOT 9 INSPECTIONS so�� Gn5 WnTER ROUGH PLUMBING PROP. $WR. LINE�'POUSE CON. SPRINKLING SYSTEM MISCELLnNE0U5 ROUGN MEATING ANO PIR CON�ITIONING TEMPORRRV SERVICE OR POLE UNDERGROUNO � POWER � ROUGH WIRING TFENCHES FORMS � STEEL REINF. � FLOOR SYSTEM BONO BEAM � STEEL REINFORCE ❑ SHERTMING FRAME ANO FLRSNING/ LATHING — IN � � OUT PLA` BROWN COAT BUILDING,PERMIT N0. SUBCONTRACTOR 2 . ww a U Z 2 Q o v~i am n] J - Q] J Q U N Za W � d W W Z J p m Z J � W W 0 ZH W � �O � Z Q n a Q � H N Z O F U � � F � Z :, 7921 COSTA MESA BUILDING-SAFETY DEPARTMENT 2�1 p,0. BOX 1200 COSTA MESA, CALIFORNIA 92626 For qpp�icant to Fill in Completety BUILDING � ADDRESS OWNER Larwin Southern California, Inc. ADORESS 16255 Ventura Boulevard TEL. cirv Encino_ California No.986-885 � ' PAl: � � FI3 -7-7 ��_ 00 300:> «� 126.G5 APPLICATION FOR BUILDING PERMIT REC��VE�BV DATE R CEIVE DATE ISSUI C(i/O 2- %-i BVILDING ADDRESS a TRACT �eNoea�T:a'rwin Southern California lnc. BRANCH 16255 Ventura Boulevard nooaess Encino, California OWNER �o �.^TE° o Larwin : ��'273-4464 S ADDRESS A Larwin nooRess 16255 Ventura Bo cirv Encino, California $TATE �ic. No. 191311 OFLOT GL X LO6 VSE OF EXISTING BLDG. N�Ew eLoc. 1436 Roo�nns EXTERIOR WAL4 SCLLCCO ROOF COVERING COVERI USE OF BUILOING AND WORK TO BE No?386-8890 CI7V UC. NO. B—�. INO.OF BLDCaS. NOW ON lOT O wood shingle FORMED Construction sinQle family residence FIRE ZONE APPROVED NO.OF VARDS APPROVED MAIN BUILDING DISfANCE BET MAIN BLDGS. VAR. sW C.U.P.�W APPROVED /. I hareby acknowletlge thet I have �eatl this application and sta[e � that the above information is correct antl a8rea io comply wiih all laws ragulating Cuiltling construction, antl I shall nox emp�oy nny person in violation of the workman's compensation laws ot the Stare ot Cal{fornla. I heraby certity that I am prope�ly licensetl as e cOntrector untler �� SQ. F tha Staie of Calj{arnia Businass antl Protessions Cotle, Divisicn 3, THE AMOUNT Chapter 9, and t�a[ such licenses are in tull torce ontl effac[, or 1 THE PURP06E C am exampt from the provisions of the State ot Celitornia Businazs VALUATION antl Protessions Cotle, ivision 3, Chaptar 9. Sienature ot n, D. DOWRS Pe�mittee (',�{,,.�-- $ 'z'z � 1��. �� Authorizetl Ageqt USE OF NEW BUILDING j � — 3 VAROS Af BET. M41N & � i� � STqT� a� � ' b m tD � ' O� 1NDER VALUATION IS FOR m^, .ISHING A PERMIT FEE ONLV: � Y ¢ ` '�MIT FEE $ H3.00 j N CHECK $ 41.50 E `o AL FEE 5 124.50 LL