HomeMy WebLinkAbout947 GOLDENROD DR - Building Permits� �o� s
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(714) 754-5273 • Fax (714) 754-4856
CITY OF COSTA MESA
BUILDING D/VISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
.lobAddress: 947 GOLDENROD DR
Suite:
Vicinity: HOUSE & ATTACHED GARAGE
Parcel Number: 41217801
npplicant: SWEETEN, LIZ
Address: 23532 EL TORO RD #27
CA
LAKEFOREST
Owner: MORAN, JOHN F TR
Address 947 GOLDENROD DR
COSTA MESA, Cq
Contrectoc BIENEK ROOFING
Address: 23532 EL TORO RD #21
CA
LAKEFOREST
Zip: 92630
Amh :
Address:
Zip:
Phone:
License:
BUILDING PERMIT
Zoning: R1 R1
Phone: (800)499-1340
Zip: 92630
Phone:
Zip: 92626
Phone: (800)499-1340
License: 651509
Eng:
Address:
PERMIT NUMBER
I'�/B99-01730
77 FAIR DRIVE, COSTA MESA, CA 92826
ISSUED BY:
Status: ISSUED
Applied: t0126/1999
Issued: tOR611999
Phone:
License:
SCOPE OF PERMIT
REROOF EXISTING SINGLE FAMILY RESIDENCE & ATTACHED GAR4GE (27 S�). TEAR OFF EXISTING SHAKE ROOFING
& RESHEATH WITH 7Ii6" OSB. INSTALL 1-LAYER OF 15# FELT UNDERLAYMENT & REROOF WITH "GENSTAR" 30 YEAR
COMPOSITION SHINGLES.
Plan Check: 50.00
Permit 5111.25
SMIP Res: 50.50
SMIP Com: 50.00
Other: 50.00
Inspection: 50.00
Total: $111.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existinq: o
NOTES:
Rear 0- 0
Rear 0• 0
Re uired: 0
FEE SUMMARY
PLANNING & ZONING
Left 0. 0
Lefl 0. 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 4 0
Right 0. 0
� � :
: ��: ' I
$4,400.00
$4,400.00
NOTICE: The work authorized by this psrmit shall comply with all applicable handicap eccess requiremenis under Califomia statutes and related
regulations. (Ord. No. 9248, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1B0 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permil to be considered legal, sucb work must comply witb all applicable codes, and all
required Inapectione end final approvel must be obtained. Feilura to obtain inspactions and final approval will result in the expira�ion o� this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS'COMPENSAnON DECLARAnON: -
I hereby eHirm untler p��alty of perjury one of the following tleclarations:
❑ I heve entl will md��tain a certifiwte of consent to self-Insure br workers' compensation, es provitletl for by section 3700 of iha Labor Cotle, tor Ihe pedormance ol the
wark for which this permii Is issuetl.
� I hava antl will maintain workers' compensation insu�ence, as requireA by section 3700 ot Ne Labor Code, for tho peAortnance of the work br which ihis pertnit is issued.
My workers' compensation Insurance carrier anA policy number are:
Cartier. l ��� G�V G� Policy Number. C.J �� p}$ O"7(e 3
(ihis section�ed not Oe camp/eted ll Ne permit is velued ef one huntlretl tldlers ($100J or IessJ
❑ I certily Ihat in the pertormence ot iha work for which Ihis parmit is i55ueQ I shell not employ any person in eny manner so es to Eecome subject to the workers'
compensation laws ol C omia, antl agr that il I shoulC become subject to Ihe woBers' compensation provislons oi Section 3700 of ihe LeDor Coda, I shall Ion�wiN
comply with these ' ns. n
ApplicamSigneWre: Dale: (��-,�Ce'% 7
WARNING FAILURE TO SHCURE WO ERS' COMPENSATIIXJ Q�VERAGE IS UMAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THIXISPND DIXIARE (5100,000). IN MOfiION TO THE C06T OF COMPENSATIIXJ, DAN.AGES AS PROVIDED FOR IN SECTION 37060F THE LABOR COOE.IMEREST, AND nTTORNEYS FEES.
LICENSED CONTRACTORS DECLARA710N:
I hereby aflirm tha! I em lice(ns�e,tl�un�dar �provisic
force entl eHect. Lic. 8 —�A
Coniractofs Signamra:
oi Chapter 9(wmmencing with SecUon 7000) of Division 3 of lhe Business end Protesslons Cotle, antl my license Is In lull
Class a �- � �f
,„_ oe,a: i c� — 7- t, _ 9�—
CONSTRUC710N LENDING AGENCV:
❑ I hereby affirm tha� there is e consWction lentling egenty for the peAormence of the work lar which ihis parmit is Issued. (Sec. 3097, Civil CoAe).
Lender's Neme: Lentlers Atltlreu:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHirm ihat und6� penelty of perjury ihat I em EXEMP7 FROM THE CON7RACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions
Cotle: Any city or counry which requires e permit to consWcl, eltar, improve, demolish, or repair eny siructure, prior to its issuance, elso requires iha applicant (or such permil
to lite a sigaed statement Nat �e or she is Gcensetl pursuant lo the pmvisions ot the Coatractors Ucease Law (Ghaptar 9(commencing with Sectlon 7000) o} Division 3 ot the
Buslneu and Professions Cotle) or thet he or she is e:empt theretmm and ihe basis for the allegetl exemptlon. Any vlolation of Section 7031.5 by any epplicant for a permit
subJects the applicant to e civll penalry ol not more than Me hundred dollars ($500)J:
❑ I, es ownar ot the property, or my employees wit� waBes as Iheir sWe compensation, WILL DO T1E WORK, end the structura is noi intendad or ottered br sale (Sec.
7044, eusiness and Protessions Cotle: The Contractors License Lew tloes not apply to an owner of property who builds or improves thereon, and who tloes such work
�imself or herself 0� ihrough his or her own employees, provided Ihat such improvemanis are not intended or otteretl lor sale. If, howaver, the building or imprcvement is
soltl within one ye8� ol completlon, Ne ownerbuilder will have the 6urden of proving that he or she ditl not build or improve for purpose ot uleJ.
❑ I, es owner of the property, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTOfiS to consiruct ihe project (Sec. 7044, Business and Profassions
Cotle: The contraCtors License Law does not epply to en owner of property who builds or improves Ihereoq and who contracts for such projecl with a comraaor(s)
license pursuant to ihe Contractors License LawsJ.
❑ I am exempt untlef sec. Business and Professions Code for ihis reason:
Signature: Date:
Owner ID venfied by drivefs license. ❑ Yes ❑ No Drivefs License No.
Ventication of Ownership by (rype of documeni, i.e. - property tez bill or deed):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:
Expires:
❑ I hereby certity t�a� no excavetlon five (5) or more fee� In depth Into which a person Is requiretl b tlescen4 wlll be made in connectlon with work euthorizetl by ihis
permit, end that no building siructure, scallolding, falsework, or Cemolition or dismantling thereof, will be more then ihirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sac.
341, Title B, CaliforNa Atlministrative Code).
❑ As owner-builtler, I will not employ anyona to do warN which would reQuire e permit from the Division ot Intlusirial Setery, as noted ebove, unless such person has a
permit ro tlo such work irom Ihe division.
Signeturo: Dete:
DiNsion of Intlustrial Sat91y PertnN humber.
CERTFICATE OF COMPUANCE AND AUTHORIZA710N OF ENiAY: I cenify under penalry of perjury that I have read this epplication end state that ihe intormation given is
wrrect. I agree to comply w��h all state laws end ciry ordlnences relating to building consiruction, antl authodze represenletives ot iha City of Costa Mesa �o enter upon ihe
ebove-doscdhed propeny �or Inspeclion puryases. I egree not to acupy or allow occupancy ol eny building euthorizetl Dy this pertnit until final inspection.
CQDE 1. INSVELTIONTYVE
7618 Fixod System Final Fire Preven�ion
1266 Poal Spa Finel
200 Finel Re-Roof
207 FIna1 BIaWRet6ining Wall
202 Final Factory FIle Place
203 Final Sign
204 Finel Demolition
2648-d6
(n_��-�!'/�
�ate
Qd¢, �$ �QQE! INSPECTIONTYPE
206 Final MethaniCel
20B Final Plumbing
210 Finel Electdcel
212 Finel Flre Preventlon
220 Finel Planning Approvel
222
250
Final Site
Finat Builtli�lOccupancy
/Qy� INTRIILS
GL'7:1�5
ve
GAS
MISCELLANEOUS
ROUGH HEATING /.N� AIR CC
UNOERGROUND LJ POWER
ROUGH WIRING
TRENCHES FORMS
FL00R SVSTEM
FRAME AND
LATHING -
PLAST'- B
STRL AI
DATE
)UP IBnT TYPE
SU9CONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
ZO� A P.O. eOX 1200 COSTA MESA. CAIIFORNIA 92626
vnio �
.�. 11-T,�.-.0� 65��"� �`�''' iZ(.,.
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
PE�yCE�I V D BV D TE RECEIVED T I
AD'DRESS 947 Goldenrod Drive "' � � /OV � ���Y��
PERMI)T�T1Q.�y
OWNER Larwin Southern California A•P•NO. J 4
MAIL ADDRESS �LlJENR-oG
ADDRESS 16255 Ventura Blvd.
ciTv Encino, California No��986-8590 TRACT _ LOT e�ocK
CONSTRUCTION "`� A
�ENDER Larwin Sou[hern California ✓/ �
BRANCH 16255 Ventura Blvd.
ADDRESS Encino, California �WNER � /✓ D� t..
VALUE
ARCHITECT Larwin S. Calif, rE�.273-4464 s f��-{' W i07T6,o s .�
OR ENGINEEFi
FIRE �
ADDPESS 9100 Wilshire Blvd. Bev. Hills ZONE PE GROUP
GONTRACTOR Larwin Southern California eYPROVED DATE � Q.-
ADDRESS 16255 Ventura Blvd.,
TEL. ZONE NO.OF USE OF NEWS" .
CITY Encino California No� 986-8890 �� "�-P�"S 7i eui�oiNc,���
STATE CITV �'ARDSAPPROVED VAFOSAPPROVED
uc. No. I91311 LIC. NO. B-1 MAIN BUILDING ACCESSOqV BUILDING
SIZE NO.OF BLDGS. (FROM C/L ST EET)
OF LOT S�L X LLS NOWON LOT O FR NT FT. FT.
USE OF
EXIS7ING BLDG. FT
SIZE OF NO. OF O�FT. FT.
NEwe�o�. 1436 ROOMS STORIES 1 L.SIDE
EMERIOF WALL ROOF
COVERING StUCCO COVEFING WOOd shin LB REAR ' FT. FT.
USE OF BUILDING ANO WORK TO BE PERFOFMED DISTANCE BET. gE7. MAIN $
MAIN BLDGS. ACCESS. BLDGS,
VAR.� DATE
Construction Sin le Famil Residence c.�.P.�w APPROVED
APPROVED `.O � �
f10LD FOR PECI . IV�NTS
I heraby acknowledBe that I have raetl this application entl rteta
that tha above informatlon is corract antl agree to comply wlt�
all laws regulntln8 builtlinp consvuction, nntl 1 shall not employ JTiQk
any person In violoUon oi the workmen's compansaHon lews Of
the State of Colifornie. /
I hereby cerNfy thnt 1 em properly licansetl esa connector untlor � SQ. FT. �j%
the Stn[o ot Celifofnie Business antl Protessions COtle, Divizlon 3, THE AMOUNT SH N UNDER VALUATION IS FOR
Chepter 9, enG thot such Iicensas ere in i�ll force and eifxt, or I THE PURP06E OF ABLISHING A PEqMlT FEE ONLY:
am eaempt }rom tha provlsions of Ihe Srote of CalHornia Business V ALVATION
antl Protassions Code, �ivision 3, Chaptar 9. 83. 00
PERMR FEE 5
Slgnature o �� 41.50
Permlrte� Al/'�+a1 D. DOW�1S 5 QQ�LOO P�NCHECK 5
AuthorizatlApant TOTALFEE § 1Z�V.SO