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Home My WebLink About941 GOLDENROD DR - Building Permits(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT JobAddress: 947 GOLDENROD DR Suite: Vicinity: HOUSE & ATTACHED GARAGE Parcel Number: 41221402 App�icant: NGUYEN, CUONG Address: 14351 EUCLID ST #E GARDEN GROVE, CA Owner: KELLY, JAMES Address 941 GOLDENROD DR Zoning: R1 R1 Phone: (714) 545-6994 Zip: 92843 Phone: COSTA MESA, CA Zip: 92626 Contractor: VILLA ROOFING PROFESSIONALS INC Address: 14351 EUCLIDST#E GARDEN GROVE, CA Zip: 92843 Arch : Address: Phone: Phone: (714)545-6994 License: 758361 Eng: Address: ISSUED BY: Status: ISSUED Applied: 06I11I2001 Issued: O6/11I2001 Phone: Zip: License: License: SCOPE OF PERMIT REROOF EXISTING SINGLE FAMILY RESIDENCE 8 ATTACHED GARAGE (27 SQ). TEAR OFF EXISTING WOOD SHAKES & RESHEATH WITH 7/16" OSB. INSTALL 2 LAYERS OF 3Q# FELT UNDERLAYMENT & REROOF WITH "DURALITE SLATE" ICBO #2656 - 5.9 LBS. Plan Check: $0.00 Permit: $167.25 SMIP Res: $0.86 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $168.11 SETBACKS MAIN STRUCTURE Front 0. 0 ACCESSORY Front 0-0 PARKING Existin : 0 NOTES: Rear 0. 0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING 8 ZONING Left 0- 0 Left 0. 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0- 0 $8,600.00 sa,soo.00 NOTICE: The work authorized by Ihis permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § t, 1247-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 .o o �aU,� WORKERS' COMPENSATION DECLARATION: I hereby affirtn untler penalry oi perjury one of �he �ollowing declarations: ❑ I have end wlll meintain a cenificate oi consant to sell�lnsure for workers' compensation, es provided for by section 3700 of iha Labor Code, tor ihe peAormance of the work for which this permit is issued. 0� � I have antl wlll maintain workers' compensation Insurence, es requiretl 6y sectlon 3700 of ihe Labor Code, for the peRormance of t�e work for which ihis pertnit is issuetl. My workers' c,a��mpe�nsat,i.oGn Insura ce cern�j entl policy number ere: / �7 // Cartier.. - � /// /� �fi//� -Polic riumber: �f-� d ��! O � � � (1)iis section need nat be crom lefed tl the (S100J oi less.) �Y � p perm/f is veluetl et one hundred dollers ❑ I certity ihet In the peAormence oi the work for which Ihis permit Is Issuetl, I shell not employ eny person in eny manner so as to becoma subiect to ihe workers' compenseHon lews of Celifornle, end egree that If I shoultl become cub�ect b the workere' compensation provisions of Saction 3700 oi the Labor Code, I shell forthwith comply with these provisions. ,-- . ��/ / Applicant Signeture: ��'� - �Date: 0 a WARNINO: FAIWRE TO SECURE WO PE SAr�+ EMGE I$ UNLAWFUL M'D SHALL SU&IECT AN EMPIOVER TO CRI IM�NAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED T}IOUSAN� DOLLARE (5100,000),IN �C�T OF COMPENSATION, DMAAGES AS PfiOVIDED FOR IN SECTIdJ 3]OB OF THE L4BOR CODE, IMEREST, AND NTTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirm ihet I am farce antl eHect. Llc. p_ Contractofs Signature: CONSTRUCTON LENDING AGENCY: 9(commencing with Section 7000) of Division 3 of ihe Busine � an�,Prog�siolls Code, antl my licensa is in full Class a L S r� %1 Date: . �, /// � ❑ I �ereby ettirm that there is e conslmction lentling agency for ihe pedormance of the work for which ihis permit is issued. (Sec. 3097, Civil Code). LentleYs Name: Lender'S Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby atfirtn thel under penalry of perjury ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the �ollowing reason (Sec. 7031.5, Business entl Professions Code: Any ciry or counly which requires e permit lo construc6 elter, improve, demolish, or repeir eny simcture, pnor to its issuance, also requires the applicant for such permit b tile a signetl statement that he or she Is Ilcensed pursuem ro the provlsions of �he Coniractore IJcense Lew (Chapter 9(commencing with Section 7000) oi Divlsion 3 ot iha Business and Professlons Code) or Ihet he or shB �s e:empt thereirwn end the basis for the allegad exemption. Any violation of Section 7031.5 by any appllcant tor a partnit subjects the applicent ta e civil penalry oi not mor0 than five hunGreO dollars (5500).): ❑ I, as owner ol ihe properry, or my employee5 �+��h weges es their sole wmpensatlon, WILL DO 7ME WORK, end the strucWre is not imentled or otteretl br ule (Sec. 7044, Business entl Professions Code: The Contractors License Lew does not apply �o an owner of property who builds or improves Ihereon, and who does such work himself or herself or ihrough his or her own employees, provided lhet such improvements ere not intended or oHered for sale. If, however, the building or improvement is soltl within one year of completion, Ihe owner-builder will have tha burtlen ol proving �het he or she ditl not build or improve for purpose of sale.). ❑ I, es owner ol ihe property, am E%CLUSIVELV CONTRACTING WITM LICENSED CONTpACTORS to consiruct Ihe O�oject (Sec. 70d4, Business antl Prolessions Cotle: Tlie comracbrs License Lew tloes no� epply ta en awner ot propeny who builCs or improves thereon, antl who contracts tor such pmject with a contractor(s) license pursuant b the Contractors License �ewsJ. ❑ I em exempt under sec. Business entl Pmlessions Coda tor this reason: Signature: Date: Owner ID venfied by dnver's license. ❑ Ves ❑ No Orivefs License No. Venilcation ol Ownership Dy (type of tlocument, i.p. - property tax bill or daad): DIVISION OF INDUSTRIAL SAFETV PERMIT CBRTFICATION: E:pires: ❑ I hereby certity thet no excevatlon tive (5) or more feet in depih into which e person is required to descend, will be made in conneciion with work authorized by this permit, entl ihat no building siructure, swtto�ding, falsework, or demolilion or dismantling Ihereof, will be more than thirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, TUe 8, Celifomia Adminisire�ive Cotle). ❑ As ownerbuilder, I will not employ anyone to do work which would require a permit irom the Division of IndusMal Safery, as noted above, unless such person has a pertnit to do such work irom the divisian. SignaNre: Date: Division of Industrial Sefery Permit Number: CERT1flCATE OF COMPLIANCE AND AUTHOR17ATON OF ENfAY: I cenify untler penalry of perjury ihat I have read this application antl state ihat t�e informetion given is correct. I agree to wmply with ell stata laws end city ordinances relating to building consiruction, antl auihonze representatives of t�e City of Cos�a Mesa to enter upon iha ebove-descnhed property for inspection purposes. � egrea not to occupy or ellow occupanty of any building authorizetl by this pertnit until final inspection. COUE �, INSPECTONTYPE 1616 Fizetl System Final Fire Prevention 1266 Pool Spe Flnal 200 Final Re-Roof 201 Final BIocWRetaining Well 202 203 204 Final Fectary Fire Place Final Sign Final Demolition Pdg ItIIIIIeLH i f + � 6/«�)0� �j a�e cooe. ixsvecnoNnve 206 Final Mechanical 20B Final Plum6ing 210 Final Elecincal 212 Final Fire Prevemion 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy o� �§ OWNER I,�RWI. JOB ADDRESS GENERAL CONTRACT01 A" �. Ih_. cCTIONS SOIL GAS WATER ROUGH PLUMBING PROP. $WR. LINE OUSE SPRINKLING SVSTEM MISCELLANEOUS ROUGH HEATING ANO AIR C0� TEMPORAFV SERVICE OR POl UNOERGROUN� � POWER ROUGH WIRING TRENLHES � FONMS FLOOR SVSTEM FRAME AND FLASM LATHING - IN P�O�TER, BROWN i S' 'URAL, FIN/ AT AND A.C., FINAL i TEST Z}� DATE UBCONTRACTOR � '� 3643� .>. . COS7A MESA BUILDING-SAFETY DEPARTMENT !}OjAR P.O.BOX1200 COSTAMESA,CALIFORNIA92626 For Applicant to Fill in Completely BUILDING g41 Goldenrod Drive nnnacca ,rnin!� p ��i 1�-7.C1•--V� 6��9�i dr'..i:�1�Z.v0 APPLICATION FOR BUILDING PERMIT RECE1VEJ� BV DfpTE RECEIVF�,D pATF ISSUI ^> OWNER �'[�,j1R t ia.r. rvv. BUILDING MAIL 16255 Ventura Blvd. �+DDRESS Z ADDR�SS a � CITV Encino Calif. No� 986-8890 TRACT ] Z Q CANSTRUCiION W ADD A'. �� LENDER Larwin Southern California am J N BRANCH 16255 Ventura Blvd. OWNEfl LA� m � ADDF�SS Encino California J Q ARCH17ECT TEL SE �-ES OR ENGINEER �1�in S. Calif. N' 273-4464 U Q FIRE woc ADDR�SS 9100 Wilshire Blvd., Bev. Hills Z�NE 4- W APPROVED � o CONTRqCTOR Larwin Southern California eV mZ �� ADDR�SS 16255 Ventura Blvd w W TEI. ZaNE NO.OF �= cirv Encino Calif. No• 986-8890 P�� Z F- w � STATE CITV �'ARDS APPROVED N� �ic. No. 191311 uc. No. B-1 MAIN BUILDING �� SI2E NO.OF BLDGS. (FROM C/L STREET) OF LO7 54 X I.OS NOW ON LOT Q FROtYT FT. USE OF EXI5fING BLDG. S S FT. F SI2E OF NO. OF Z NEWBLpC, 1784 ROOMS STORIES 1 L.SIDE S FT. V COVEEFjINGALLSCllCCO COVERINGW�OCI shin 12 REAR� '�FT. J USE OF gUILDING AND WORK TO BE PEIiFORMED DIS7ANCE BET. a' MAIN BLDGS. a 0 Construction Single Family Residence CURP # r APPROVED � z O HOLD FOR SPf VI hereby acknowletlge that I have reatl this application antl state � ffiat thg ebove information i5 mrrec[ antl aBrOe So comply with � all laws regulating building constNc[ion, und I shall not employ F any person in violation of tha workman's compensation laws of the State ot California. I Z I hereby certify that I am properly licensetl as a cOnttactor untler SQ. FT. � t�a State ot Celifornia Buslnass antl Professions Cotle, Divislon 3, TH AMO VNT SH Chapter 9, antl that such licenses are in tull torce and effect, or I THE PUFPOSE OF am exempt from th¢ provisiOns of t�e Steta of CalNornia Business VALUATION antl Professions Cotle, Division 3, Chapter 9. Sipneture o Permittee ,�/I'� D. DOWIIS 5 Z�J�9�� • Author�ietl ABent n So �-�rV L VALUE C� USE OF NEWSii' BUILDINGAT 6 VARDS APPRO ACCESSORY BU BET. MAIN & ACCESS. BLD DATE 7 /�� m 0 JN UNDER VAWATION IS FOR � ABLISHING A PERMIT FEE ONLY: m PEpMIT FEE s 94.00 j m PLAN CHECK $ �}] OO E 0 TOTAL FEE ^y 141.00 LL �OWNER K� JOB ADDRES: � �-YERAL CC �V o. 41� INSPECTION: Pool Location Forms Main Drain — Steel Reinforce Elec, Bond — Approval to Cover Underground Electric _ Gas Piping Test Filtering System Lines _ Backwash Lines and Recep. Electrical Final er and Vent Final _ Fiiter System Final Backwash and Recep. Fina1 Fencina Final DATE BUILD 1 Pools DESCRIPTION of WORK Pv TRACT FIRE ZONE VALUE Si nature Date GROUP TYPE "� � SUBCONTRACTOR Electric � ��.�� ✓ �l-1�, 7� ✓%j �/r3G%�-j Plumbing C� -Z,a-'�3 �/r`-� YZo•73 j �, , ^ � /�� PFID 35.00 i `� OCT?_6-73�;;5�0�105i� *+�** � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BtlX 1200 COSTA MESA, CA�IFORNIA 92626 For Applicant to Fill in Completely P C ION FOR BUILDING PERMIT FEC V pATE_i�ECEIVED ��55UE4� BUILDING (// a� �J v n �' 9� / � ADDRESS 7 W�i(O-� V' (O / PERMIT NO. OWNEF i/}�O/LO INI � A.P. NO. I�� BUILDING �/ n E� v MAIL ADORESS [f- Z ADDRESS /'NP •�/ / dU CITV O� i0 //�LS N�`��•IZ/ TRACT SS LOT(Q BLOCK ~ Z CONSTRUCTION /J W ADD A P ON IENDER C�S%�' ` am j J � BRANCH / JN OWNER ' /�OKON/I 7 m J AODRESS _ +� m AfiCHITEC7 / NEI. �� OD�LUS J O�%I J N OR ENGINEER � I+%// 'e � ' V Q // / ' FIRE W¢ ADDRE55 2 �/y/V9 K/�>i /� �� ZONE TVPE GflOUP aW . / WZ ON�/iLQ� PO`S APPROVE qj 'J i2 J O CONTRACTOR 7 L BY C/ OAT v�/iG �i '� mZ p �/// J� ADOFES$ �/�Z �'J'�wi9 - � - �,l W W /,_ • , F�j9/ ZONE NO.OF USE OF NEW IKJb Z� CITV .�q/y{/�3 NOOp�Ln'-�/JO I PLAN$ � BUILDING �� STATE n CITY VAflDSAPPROVED VAqDSAPPROVED y K LIC. NO. L�O�QB LIC. NO. �y)� MAIN BUI�DING ACCESSORV BUILDING �� SI2E NO.OF BLOC'a5. (FROM C/L STREET) OF �OT NOW ON LOT I RpM FT FT. G USE Of EXISTING BL � /V ' /�//yj � � FT. �FT F SIZE OF NO.OF � Z NEW BLDG. ROOMS STORIES L. SIDE FT. FT. EXTERIOR WAIL ROOF / (/ V COVERING COVERING REA FT. FT� J USE OF BUI�DING AND WORK TO BE PERFORMED D ANCE BET. BET. MAIN & a AIN BLDGS. ACCE�. BLDGS. � a %� O /i A//�s' (/QIJ/ CUA.31E APPROVED y APPROVE tt J', !_ � F+ Z O V1 nerebv actnowleaqe tha[ 1 have reatl this application antl stete �'jTP`T � Nat tha e0ove information is corrett end aprae io comply with � all laws regulatinB builtlinp consttuction, entl I shall not employ � eny pe�son i� ��olaiiOn ot iha wo�kmen's compensatiOn laws oi y the State of Calitorola. , m � �( �D z I heroby certify that 1 em properly licensetl as a coniraetor un0er SQ. FT. T o [he Stnte of Celitornie Businasz antl Professions Cotla, Divisicn 3, THE AMOVNTSHOWN UNOER VALVATION IS FOR Chaptar 9, antl that suc� licenus are in full force antl a�fect, or I THE PURPOSE OF ESTABLISHING A PERMR FEE ONLY: m am exempt t�om kie provisions of the State of California Business Q VALUATION entl Professionz Co ' Division 3, Chapter 9. �� N �A— � PERMIT FEE $ � SM1B^ature of �� J �� jI m Permlttee $'e� PIAN CHECK 5 ' E `� `o Authorizatl ABant u TOTAL FEE $ V�