The URL can be used to link to this page

Home My WebLink About952 GOLDENROD DR - Building Permitse (714) 754-5273 • Fax (714) 754-4856 •�wiw.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 952 GOLDENROD DR Suite: Vicinity: Parcel Number: 41217329 Applicant: TAN,OLLY Address: 952 GOLDENROD DR COSTA MESA, CA Owner: TAN, TONY CHENG-MING Address 952 GOLDENROD DR Contractor. Address: Zip: Arch : Address: COSTA MESA, CA Zoning: R1 R1 Phone: 714-434-6039 Zip: 92626 Phone: Zip: 92626 Phone: License: Eng: Address: ISSUED BY: Stalus: ISSUED Applied: 10/07/2002 Issued: 10I07/2002 Phone: . Phone: Zip: License: License: SCOPE OF PERMIT TEAR OFF INSTALL INSTALL 1/2" CDX , 130L8 FELT AND SOYR COMP. SHINGLES. Plan Check: $0.00 Permit: $111.25 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $111.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0- 0 PARKING Ezistinq: o NOTES: ' Rear 0- 0 Rear 0- 0 Re uired: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0-0 55,000.00 S5,o00.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulalions. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned for a period of 1 BO 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 inapeetlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446d6 (8�00) WORKERS' COMPENSA710N DECLAqAT10N: - ' I hereDy eMirm under po�elry of perjury one oi the following tleclaratlans: � � , ❑ I �ave end will maintein a cenilicate ol consent to setl-Insure for workers' rompensation, es provitlad for by section 3700 oi the Labor CoCe, lor Ihe pedortnance of the work lor which Ihis permit is issued. ❑ I heve end wlll maintein workers' compensation insuranca, as requiretl by section 3700 of Ihe lebor Cotle, for the pertormance of t�e work tor whl�h Ihis pertnit is issuetl. My warkers' compensation Insurence carner and policy num0er ere: Cerner: Policy Number: (This sectlon need nof De crompleted il the permit is velued ef one hundred dollers ($100) or /ess.) ❑ I certlty that in the Pertormance oi ihe wark for which this Oertnit Is Issued, I shall not employ any person in any menner so es to become sublect to ihe workers' compansation IaWs of Califomia, antl agree thal if I shoultl 6ecome subject to the warkers' compensation provisians of SecUon 3700 of the Labor Cotle, I shell torthwith comply with these Provisions. Applicant Sipnature: Date: WARNINp: FAILURE TO SE�1FE WORKERS' CAMPENSATION CAVEMGE IS UNL4WFUL AND SH4LL SUBJECT AN EMPLOYER TO CRIMINAL PENALilES AND pVIL FlNES UP TOONE HUN�RED TIqUSrW D DOLL4PE (5100.�). IN NODITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FIXi IN SECiION 3]W OF THE IABOR CODE, IMEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm thai I am licensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Code, end my license is in tull lorce an0 eflect. Lic. q Class N Con(ractor's Signature: �ete: CONSTRUCTION LENPING AGENCY: ❑ I hereby aNirm Iha� ihere is e consiruction lending agency for iha pertortnance ol Iha work br which this permit is issued. (Sec. 3W7, CiNI Catle). Lentlefs Neme: Lentler's Atldress: Signature: Dete: OWNER-BUILDER DECLARATIONS: I hereby flfllrtn that untla� penalry ot perjury Ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business and Professions Coee: Any ciry or counry which requires a permit to consirua, elter, improve, demolish, or repair eny strucwre, Drior to its issuence, also requires the applicent for such pertnit to tile e signed siatement Ihat he or she is licensetl pursuant Io ihe provisions of the Camrectors License Lew (Chapter 9(commencing with Section 7000) ol Division 3 ot ihe Business antl Pmfessions Code) or ihat he or she is exempt iheretrom antl the basis for [he atleged exempiion. My viWatlon oi Section 7031.5 by eny eppllcant tor e partnit sub�ects the applicant ta e civil penaly oi not more than five huntlretl dollars ($500).): ❑ I, as owner oi ihe propeny, or my employees with wages as thelr sole compensatlon, WILL DO 7HE WORK, end the structure Is not intentled or ottered lor sale (Sec. 7044, Business and Prolessions Cotle: The Contracbrs License Law does not appty to en owner ot properry who builtls or impwves thereon, end who tloes such work himselt or hersetl Pr through his or her own employees, pmvidetl Nat such improvemeNs ere not intentled or ofleretl lor sele. If, howaver, Ihe building or improvement Is �sold within one yeai oi complelion, iha ownervbuilder wlll have tha burden of proving that he or she ditl not build or improve for puryose of sale.). I, as awner of the p�operry, em EXCLUSIVELY CONTRACTING WI7M LICENSED CONTRACTORS m constmct the project (Sac. 7044, Business end Professions Code: The contraG�ors Llcense Law does not epply to en owner of propeny who bulltls or Impmves thereon, end who contrects for such project with e contrector(s) license pursuant to ihe Contractors License Lews.). � o I� I o,Z_ �]�l�n eaempt untle! sec.i�. ��, Business and Pmfessions Cotle for ihis reason: er ID vedfied by dnVer's license. ��es ❑ No Ve�111catfon ot O.vnarship by (rype oi documant, i.s. - propeRy �ax MII rn DIVISION OF INDUSTF�AL SAFE7Y PERMIT CERTIFICATION: ❑ I hereby cetlify tha� no excavetlon five (5) or more feet in tlepth into which e person is requlred ro tlescend, wlll be made In connection with woM euthodzetl by Ihis permit, en0 that n0 building sWcture, scaHoltling, falsework, or demoli�ion or dismantling I�ereof, will 6e more then t�lrty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 3C1, Title e, Celifomia Atlministretive Code). ❑ As owner-Duiltler, I will not employ anyone to tlo wo�k which would require e permit from the Division ol Indusirial Selety, as notetl above, unless such person has e pertnit ta do such work from �he tlivision. Signature: Date: Division ol Industnal Safary Permit Number: CERTIFlCATE OF COMGUANCE AND AUTTfORVATION OF EMRV: I cenity under penelry ol perjury t�at I have reatl this epplication and state lhat the information 9iven Is correct I agree to comp�y with all stete laws and city ordinences retating to buliding consiruction, and authorize representatives oi ihe Ciry of Coste Mesa to enter upon Ihe e6ove-described property tor 6Rp�Iponw5,1 egree noI to� c py or allow acupency ol any building authorized by Ihis permi�ntil f� inel inspec(io� � \ ��1 i o I v Z -1 ) /i \ � r'"'�i� Si ature Of L ner(s) Date And/Or Authorized ApDlicant Date COOE t. INSPECTIONTYPE 1678 Fixed System Kinal Fire Prevantion 1266 Pool Spe Final 200 Finel Re-Roof 201 Final BIocWRetaining Well 202 Final Factory Fi�e Plece 203 FinelSign 204 Final Demolitior� Qdg INTffIALS COOE� INSGECTONTYPE 206 Final Mec�anical 20B Final Plumbing 210 Finel Elec�rical 212 Finel Fire Preventlon 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupency PAIE B�ELS OWNER IpgWIN So. Cal. DATE Drive IN' �CTIONS so. GAS WATER ROUGH PlUM81N� PROP. $Wfl. LINI SPRINNLING SYS MISCELLANEOUS ROUGM HEATING AND AIR CON�ITIONING UNDERGROUN� U POWER ROUGM WIRING FORMS �(X STEEL REINF. FLOOft SYSTEM BONO BEAM n FRAME PND FLASHING �ATHING - IN ( PLASTER, BROWN COAT ;#��7C•:�I�7[iA7 SUBCONTRACTOR Z . w W a U Z Z Q 0 N a m J7 J N Q W 6] J J m Q U N Z � W W a , J � m Z J � W W O= Z � W � �� o 3b417 COSTA MESA BUILDING-SAFETY DEPARTMENT �i�1BR P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 ..., , ran i.:::: � ` r i1-7":�.� OQ Gi9� 1 �,..£i APPLICATION FOR BUILDING PERMIT For Applican[ ta Fill in Completely qECEI V E ev D TE RECEIVED .A/�` DATEISSUED BUILDING �f ADDPESS 952 Goldenrod Drive �P 1 PERM13 D10. OWNER Larwin Southern California A.P. NO. � h4 �? MA � � BUIIDING ADDRESS 16255 Ventura B�.VCI ADDRESS ��o�pEN/�D CITV Encino, Calif. No�'986-8890 TRACT ]�$ LOT ]$ BLOCK CLOENDEq�ION ��in Southern California P BRANCH 16255 Ventura Blvd. / OWNER LA��N � �� ADDRESS Encino California ALUE ARCHITECT TEL S �ES W �� G/Q� 5 OR ENGINEER N FIRE ADDRE55 9100 Wilshire �d. Bev. Hills ZONE Y E . GROUP �� APPROVED CONTRACTOR ]�yn,7in Southern California BV DATE —!%— � ADDFESS 16255 Ventura BLVa. ZON NO.OF USEOFNEW.s � TEL. p�qN$ BUILDING CITY Encino, Calif. No. 986-8890 - TTT GA,e. STATE CITV �'ARDSAPPROVED VARDSAPPROVED uc.No. 191311 LIC.NO. B-1 MAINBUILDING ACCESSORVBVILDING SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT 63 X 96 NOW ON LOT � FRONT � FT. FT. USE OF EXISTING BIOG. SI FT. SIZE OF NO.OF NEWBLOG. LJH�V ROOMS STORIES 1 L.SIDE FT. FT. EXTEFIOR WALL ROOF COVERING SCllCCO COVEFING WOOCI Sf11R 12 REAR J�FT. FT. USE OF BUILDING �+ND WORK TO BE PERFORMED DIS7ANCE BET. BEf. MAIN & MAIN BLDGS. ACCESS. BLOGS. Construction Sin le Famil Residence CURP.� APPqOVED APPflOVED � /D,� '73 HOLD FOR SPEC MENTS I hereby acknowletlpe zhat I have reetl this application enA ztete that ihe above intormetion is correct entl apree to comply wlth all laws raBulatinp builtling construc[Ion, end I shall not amploy any person in violation of Me workmon'a compensa[lon lews ot the State ot Celifornia. / TIv( 1 haroby cerH(y Mat 1 em proparly Iicensatl as a contrnctor under S�. FT. Me State of Californle B�ztnesa antl Protauions Cotle, Dlvislon 3, THE�AMOUNT WN UNDER VALUATION IS FOR Chap[ar 9, antl Net sueh licansas are In full forca end atfoct, ar I THE PURPOSE O 6TABLISNING A PERMR FEE ONLV: am axempt (rom Ma provisions of tha Smta of Callfornia Business VALUAT�ON antl Professiona Cotle, Division 3, Chepmr 9. PERMIT FEE s 94.00 $ipne2ura��ia��3"6'' �(��D. Downs 26 900 47.00 Permittae � f / $ � PLAN CHECK $ AuthorizaG Apent TOTAL FEE S 141. �0