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Home My WebLink About3124 ROOSEVELT WAY - Building Permits ADDRESS OFBUILDNG: 3124 ROOSEVELT WYI. OMT: CITY OF COSTA MESA — BUILDING PERMIT OWNERs"wEIFIwIxm:NGUYEN, MARION MIEN FLOOD : X 47 PERM NO: B 082396 e ADDRESS. 3124 ROOSEVELT WAY COSTA MESA, CA 92626 PERMIT NO: B 082396 PLAN CHECK NO: N GOVT : N SUPP : N APDL.MMUNG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR ENGNEER: GC NA.: JOB DESCRIPTION . T/OFF SHEATH & REROOF W/COMP SHINGLES SQ FT: 3, 800 ARCH.OR ENG.'S ADDRESS: WIT: CLAIM VALUE; 3 , 800 . 00 CALC—VALUE: 3, 800 . 00 GROUP OCC : R-3 /U-1 CONDUCTORS NAME VILLA CONSTRUCTION ( 714 ) 545-6994 CONTRACTORS MAu"G14351 EUCLID ST COMMENTS ; SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM & HALLWAY ADDRESS;G. G. CA GCMG: 616869 ********4**************************************************************************x-**************-*3E*******-*3t-*)E************** 92643 UMr: E Z ONING REQUIREMENTS SED CONTRACTORS DECLARATION:I hereby affirm under penaky of perjury that I am licensed under provisions of Chapter 9 SETH ACKS COM endng with Section 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. CrrY C.NO.: GC.CLASS:B UC.NO.: 616869 EXP : / -- MAIN BUILDING ACCESSORY BUILDING Date: I Contractor JILLI� CDW�7Tf )CTLLW FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNE'•BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law la the lot• reason(Section 7031.5 Business and Profession Cade:Aro city o county which requires a permit to COMMUN.after,improve, PARKING REQ: P RO V: PARCEL : 14169333 Z N E: REF NO: -. demoli or repair any structure,pier to hs isuanoe.also requires the applicant for such perms to file a signed maement Md he or she 11.1.1s lice :..pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 of the PLANNING NOTES> • . xand Professions Code)a that he a she is exempt therefrom and the basis for the alleged exemption.My violation of Section >. •`1.5 by any applicant for apermh subjects theapVlicenl to a cfM penally of not more than Me hundred dogma[MOD. *************)E*1E******************************************************.********* • I.as owner o the property Or my employees with wages as their Bole compensation,will do the work,and the structure i not intended D E V E%.-L OP MEN T S ERV IC ES R EQU IR EM EN T S or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an Omer of properly ho bold,or improves thereon.and who does such work Nursed or herse5 or through his or her own employees,provided that such 1• r'• i movements are cat intended o offered for sae.B.however.the building a inproement is sold sh within e year a completion. ZONING APPROVED BY DATE: H owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). I,as owner of the propend.am exclusively contracting with licensed contractors to construct the project(Semon 7044.Business end Professions Code:The Contractors License Law does not apply to an owner of properly who builds or pmpoves thereon and who BUILDING APPROVED BY : DATE: _ contracts for such projects with a contractorjs)licensed pursuant to the Contractors License Law). .� ❑ I am exempt under Section, B.Ap.c.,for thireason: APPLICATION ISSUED BY: A I�_ DATE: **********************- ' • ** * **** •** • .."' *'*** *** *********** ** Dale: OwnerLEGALIZATION:N F E E SUMMARY STRUCTURAL SE ME T: Y I do hereby certify that I am aware of and understand the requirements of California Health and Safely Code Sections 25505,95cnn,and aperx,and dhatloinr future mod Wikinpom the OuaityManat not gem one)need boompy with said stmecadeaandree amptfrom tse BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE -• SMIP/RES GRADING permit for thatIuctionor modificationhomlheAi Ou°kty Management District. toconiel construction eppodesandare exempt from these Provisions. PERMIT 87 . 25 1 . 50 Dale: Applicant: '..-7 S!I.IP/NON—RES • WORKER'S COMPENSATION DECLARATION:I hereby affirm under penallyof perjury one of the following detlerelion°: PLAN I have and MI maintain cert'if'icate of consent to seiynsure lecompensation. r workers' ea provided to S° by gien 3700 o Lab c4 Ler 'ISSUE FEE Code.forthe p.d«ma eofhewakfawiohn,pennhoo, ed. BUILDING DIV > PERMIT ISSUE PLAN CHECK TOTAL , PAID DUE p Ihaveandmlmaintainworkers'canpereminsurance, w inasrquiredbySion3700oftheLaboCode,fortheperformanceofthe TOTALS----> 87 . 75 0 . 00 0 . 00 87 , 75 ;/('87 . 75 00 work for whid,this permit is issued.My workers compensation insurance carrier and policy number are: Carder REVENUE DIVISION TOTALS--> COLLECTED : 87 . 75 OVER/SHORT: 00 Perry Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT'"'GRADING PLAN—CHECK is section need nor be cowered I the permt is for one hundred dollars(51001 or bas.) -- --- 87 . 25 . 50.' - , [Al I eerily thin in the pedonance of the work fon which this permit is issued.I shall not employ any person in any manner so as to i.., sulh)ecl to the workers'compensation laws a Cailonb.and!Wee that it I °hwld become subject to the waken• ****.**************.************************************************************* Mof pentan provisionsSection 3700 a the Labor Code.I shall forthwith campy with those provisions. I 4. Applicant: VtidleAr0NCTR,Jtin 0»I I N D I V I D U A L F E E B R E A K D Oral N aming:Failure to secure iso ea'comperuetlon coverage Is unlawful,and shell subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST -Mi Rites W to one handed thousand dollars(5104000).M addition to the cat of conyasatior damages as provided for In ''orlon 3700 of the Labor Code,Interest,and attorneys fees1 SFR 3800 REROOF BY VALUE RESIDENTIAL NOZONE 1'.'00 3, 800 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that them is a construction lending agency for the END OF FEES i , en' performance of the work for which this pent is issued(Section 3097,Civ.C). LENDER'S NAME: LENDER'S ADDRESS: , r- I candythat I have read this application and pate that the above information is correct.l agree to complywith all city end county ordinances r and stale taws sewing to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. DAII NGUYEN .- 04-10-1997/09:06 NII/$87.75 Pdn RCPT0:01 igneAgentlAppliMr Nati Date 4-2 h PERMIT:082396 • . (al 51-40,WP) While-Building A Safety;Green-Rle;Canary-Apples*Pink-Revenue;Goldenrod-Assessor CONSTRUCTION AND PLANNING - - POOL /APPROVALS Permit# - Date Inspector APPROVALS Permit # ' Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding 5. Steel Reinforcement - 56. Rough Plumbing& Pressure Test 6. Electrical UF ER Grnd. • 57. APPROVAL TO COVER-GUNITE 7. Footings _ 58, Electrical Conduit-Undrgrnd. - 8, Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. - 60. Backwash.Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor System ' 61. APPROVAL TO DECK ' 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • . 12. Sewer Cap 63, Heater & Vent-Final 13. Roof Drains 64, Plumbing System - Final 14. Rough Plumbing 65. Electrical.Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL . • 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil i 25. Roof Sheathing /P7 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing&Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat • 79, FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED. 33. Final Electric Notes: 34. Final Heating & Air Conditioning' 35. Final Gas Pipe-Test 36. Hood or Canopy ' 37. Final Factory Fireplace . 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer //�� // 43. Backflow Irrigation -1 ereS c Lr 01244-4_ 44. Landscape Irrigation System *etkliZ` ( Cc � 6� LY�'v1-1_ 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING L//�9'/ R7�/ �/ 48. FINAL PLANNING t f ( Lf 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No Date --- 21339 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT JAN i. 7 1964 P.O.BOX 317 COSTA MESA.CALIFORNIA FINANCE�cTiD��EPTT. qq For Applicant to Fill In Completely APL#I�aO�POR PHUgqNIT TYPE OR PRINT BUILDING BUILDING For Office Use Only ADDRESS 3124 Roosevelt Way RECEIPT no. 43 COSTA MESA, CALIFORNIA � M North ate Homes RECEIVjDCY D/ ERECEIVED 1 JANr1IsAs°1961 OWNER g r/✓-/ J /(/� (/l_ BUILDING MAIL ADDRESS 15919 Las Flores ADDRESS Fountain Valley TEL $ /// CITY NO. 531679P ZONE TYPE GROUP ARCHITECT TEL. P BYPROVBD DATE UUU OR ENGINEER C. Hiller NO. KE52001 ZONING ^ Al. 6$ Anaheim pNyl I NO.OR^ I UBE OP NX �p PO.N0sF/.(` BUILDING u CONTRACTOR Hansel, Const. Inc. // LEGAL / 7-' 4 ADDRESI5439 Las Fl ores DESCRIPTION ,[ O / _ 1 �� CITY Fountain Valley A.P.NO, P---- / NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE TEL 30'TO SIDE a REAR e.L LIC.NO. 215049 NO. 5316792 EAVES SIZEI NO.OF BLDGS ALLOWED (U.B.C.REQUIREMENT) OF LOT 65X102 NOW ON LOT O YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. an (FROM C/L STREET) SETBACK LINE PROM 1 CENTER OF BTRHHT 50 REAR YARD 33 FRONT ✓FT. FT. SIDE YARD I LEFT 10 I RIGHT R.SIDE .</,(FFTT. FT. DESCRIPTION OF WORK L.SIDEIV�7, ICT. FT. Ir REAR 33'7.:. FT. NEW X I ALTERATION I ADDITION MOVING. DISTANCE BET. BET.MAIN eD MAIN BLDGS. ACCESS.BLGS. REI MOVING. DEMOLISH BUILDING p NO.OF VAR.SF DATE SIZE 1801 ROOMS / STORIES 2 C.U.P. _ APPROVED EXTERIOR WAL I ROOF I APPROVg1 — G L COVERING COVERING 1 BY DATE /- USE OF BUILDING AND WORK TO BE PERFORMED Si71g'7P fan res. w.att_ gar. r 7 706 SO.FT. - 41jam/ Q` i I HEREBY ACKNOWLEDGE THA HAVE -. D THIS APPLICATION THE AMOUNT SHOWN U DER VALUATION IS FOR THE AND STATE THAT THE ABO CORRECT ND AGREE TO COM. PURPOSE OP ESTASLIBHINO A PERMIT FEE ONLY. 0 PLY WITH ALL yy/j ND -TA E LAWS REGULATING VALUATION es `�N BUILDING CO .TRURIO�, PERMIT FEE $ I(/!. PERMITTEF OF / m I' /1 / $_/1/./ �Iie -- PLAN CHECK $ ��I L� o AUTHORIZED AGENT (/L, �LLLIII/// �� -„/� E TOTAL FEE $ N