HomeMy WebLinkAbout3489 VENETIAN DR - Building Permits.. . + . "C::.� _ � ' . . . .
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STRUC�1��At'APPROVAL O���Y
�__- _—
SEPARATE PERMITS ARE REQUIRED
FOR ELECIRICAL, PLUMBVNG,
HEATING, VE(�TILATING AND ;
REFRIGERATION WORK
P�v� ��tr # .-,��
iH�ALLUIhSPECTI'
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BE
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SVF�`�t,��, �.,!�'�
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/.� PERSCP:S ARE TO
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. ' •-- , THESE PLANS. dUST BE ON JOB AT ACL TIMES
- � .� ' - • MAKE NO CH GES 1NITHOUT PRIOR APPROVAL'
. � ' ' � -. OF,�DEPf.:�-: . � . .
� � �' "` ',�l,� � '�"' ' THE f$SUANCE�OR GRR�?ING OF F PERMIT �OR"RPPROVAL
OF PLANS AND SFEqfICATIONS SHALL NOT BE�CONSTRUED
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City of Costa Mesa Planning Department
Port Office Box 1200
77 Fair Drive
I �j p� Costa Mesa, California 92626
�l9QU (71415565245
CMF 0569-26
R�e�i���
CITY Of COSTA MESA
PLANt31NG DEPT.
Ji�,�� i_:; �,:.;
REQUEST FOR OCCUPANCY A��� a�w
(Single Family Residential or 7 i$ i 9 i]0 i 11 �]2 i 1� 2 i 3 i 4 i 5 i 6"
Condominium Units) � �
Tract No. �%' ! �� Date 1�//— %�
Lot No.
Address ��� / ��� i� JGL /a ri // ri (� �
The developer of the above entitled tract desires to sell the above
set forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa.
The undersigned, by executing this agreement, acknowledges that
(he, she, they) (was or were) advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
City at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond. �
The undersigned agrees to indemnify and hold the City harmless
from any claim resulting in damage or personal injury to the undersigned by
reason of the aforementioned uncompleted condition.
� h� .� � ��.� w .�
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: /�. / i /
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By
Lentler
t
q
(714) 754-5273 • Fax (71a) 754-4856 • www.ci.costa-mesa.��LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 3459 VENETIAN DR
Suite:
Vicinity: RESIDENCE & ATfAHCED GAR4GE
Parcel Number: 41237107
Appiicant: WHITMORE, CLYDE A
Address: 1061 5 FILMORE DR
PALATINE, IL
owner: WHITMORE, CLYDE A
Address 1061 S FILMORE DR
PALATINE, IL
Contractor: OWNER-BU ILDER
Address:
Zip:
Arch :
Address:
0
Phone:
2oning: R1 R1
Phone:
Zip: 60067
Phone:
Zip: 60067
Phone:
License: 0
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 04/77/2001
Issued: 04/17/2001
Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF: TIO EXISTING SHAKE, 7/16" OSB, 2 LAYERS 15# FELT, APPLY COMP SHINGLES.
23SQUARES -
Plan Check: $0.00
Permit: $11125
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $111.75
SETBACKS
MAINSTRUCTURE Front 0-0�
ACCESSORY Front 0-0
PARKING Ezi_ stina: o
NOTES:
Rear 0- 0
Rear 0- 0
Required: �0
FEE SUMMARY
Calc Valuation:
Claim Valuation:
PLANNING & ZONING ' ,
Lek 0- 0 _ Right � 0- 0
Left 0- 0 Right 0- 0
Proposed: 0
ss,000.aa
55,000.00
��� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related
regulations. (Ord. No. 92-28. § 7, 12-27-92)
I EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspendetl or abandoned
for a period of 180 days.
INSPECTIONS: In order for ihe work auihorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
� FOR INSPECTIONS CALL; (714) 7545626
2466d6(N00)
WORKERS'COMPENSAnON DECLARAnOn: –
I hereby eHirtn under penalry oi per�ury one of the following declarations:
❑ I have end wlll mainteln a cenHicate of consent to self-Insure tor workers' compensation, es provided for by section 3700 ot Ihe Labor Code, for the pedormence ot the
work lar whiCh IhiS permit I5155ued.
❑ I have and wlll mainWin workers' compensation insurance, as requiretl by section 3700 ot Ihe Le6or Cotle, tor Ihe performance of ihe work for which this permit Is issued.
My workers' compensation Insurance carner and policy number ere:
Carrier. Policy Numher: ,
(This sectlon need nof be complefed i! fhe permif is valued e( one hundred dollars ($ I00) or less.)
❑ I certity �het in ihe pertortnenca of the work for which this Dermit Is issue4 I shell not employ any person in any manner so as to become sub�ect to the workers'
compensation laws ol Celifomia, antl egrae ihat It I s�auld become sub�ect lo the workers' compansation provisions of Section 3700 oi tha Le6or Cade, I shell forthwith
comply with these pravisions.
Applicant Slgnature: Dete:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNUWFUL AND SHALL SUBIEC� AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE (5100,000). IN ADDITION TO THE COST OF dJMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]Ofi OF THE L4BOR CADE, IMEFEST, AND AiTORNEV'S PEES.
LICENSED CON7RACTORS DECLARATION:
I hereby aHirm ihat I am licensed under provisions of Chapter 9(commencing with Sectlon 7000) ot Division 3 ot the Business and Professions Cotle, and my license is in full
lorce antl eflect. Llc. N Cless k
Goniractor's Signature: Date:
CONS7RUCTION LENDING AGENCY:
❑ I hareby attirm ihat t�ere is e construction lending agency for the peAormence ot the work tor which ihis pertnit is issuetl. (Sec. 3097, Civil Code).
Lentlefs Name: Lendor's Atldress:
Signeture: Date:
OWNER-BUILDER DECLARATONS:
I hereby eHirm thet under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7037.5, Business an0 Professlons
Code: Any ciry or counry which requires e Dermit to construct, alter, improve, tlemolish, or repeir eny sWCWre, pnor to its issuance, also requires Ihe applicant for such permit
to file a signetl statement Ihet ha or s�e Is Ilcensed pursuant to the provisions of tha Contracmrs Llcense Law (Chepter 9(commencing with Sectbn 7000) ot DlNslon 3 of Ihe
Business end Prolessions Code) ar Ihet he or she Is exempt t�eretrom and t�a 6asis for Ihe elleped ezemption. Any vialation oi Section 7031.5 by any applicant for a pertnit
s�uble%� Slhe applicent to e civil penelry of not more t�an tive hundred dollers ($500).):
fy I, as owner ot the properry, ar my employees with wages as their sole compensa�lon, WILL DO TME WORK, and ihe siructure is not Iniended or oNered lor sale (Sec.
7044, Business and Professions Code: The Contractors Licensa Law tloes not apply to en owner of properry who builds or improves thereon, end who does such work
himself or herself or through �is or her own employees, provided that such improvements ere not intended or offeretl for sale. If, however, ihe building or improvement is
sold within one year ot complelion, the ownerbuilder will have the burden ot proving ihat he or she did not build or improve for purpose of sele.).
❑ I, es owner ol t�e pm0erty, am EXCLUSIVELV CONTRAGTING WITH LICENSED CONTRACTORS to construa ihe project (Sec. 7044, Business and Professlons
Code: The contrectors License Law tloes not apply to an owner ot property who bullas or Improves thareon, and who contracis br such project with e contrecror(s)
license pursuanl m the Contrectors License Lews.).
❑ I am exem untler sec. ��
Signawre: _� �.j M�
Owner ID verified by dnver's license. ❑ Ves ❑ No
Business and Professions Code for Ihis raeson:
Date:
�riveYs License No. Eapires:
Ventication of Owners�ip by (rype of documenL i.e. � property tax bill or deed):
OIVISION OF INDUSTRIAL SAFETY PERMIT LERTIFICATION:
❑ I hereby certiy Ihat no ezcavation five (5) or more fee� in dep�h into which a person is required to descend, will be matle in conneciion with work authonzed by Ihis
pertni6 and Ihet no builtling structure, scaXolding, falsework, or tlemolition or dismantling thareof, will be more than thirry-sis (36) feet high. (Chap. 32, Grp 2, Art 2. Sec.
341, Title B, Calitomla AtlmlNstretive Code).
❑ As owner-bullder, I will not employ anyone to tlo work which would require e Dermit irom �he Division of Industnel Safery, es noted abova, unless such person hes e
permit m do such work Irom Ihe divisian.
Signature: Date:
Division of Indusirial Satery Pertnit Numbec
CERTIFlCA7E OF COMPLIANCE AND AUTMORIZATION OF ENTAY: I certify under penalry ol peryury that I heve read lhis applicalion and state Ihet Ne information given is
correct. I egree Io comply wlth all state lews and ciry ordinancas relating to bulltling constmction, end authorize representatives of the Ciry of Costa Mesa to entar upon Ihe
above-descnbetl property lor inspection purposes. I egree not to acupy or allow occupency of any building euthorized by Ihis permi� unti tinat insp ction.
C ��—�`'`0 9 la Owner(s) �r����� �
And/Or Authorized Applicant Date
COOE t. INSPECTIONTYVE
1616 Fixed System Final Fire Prevention
1266 Pool Spe Final
200 Final Ra-Roof
201 Final BIocWRetaining Wall
202 Final Fectory Fire Placa
203
204
Final Sign
Final Demolition
Q� IMRIALS
/}� ,�
• L!/ ��
CQOE� IHSPECTIONTYPE
206 Final Mechanical
20B Final Plumbing
210 Final Electncal
212 Final Fire Prevention
220 Flnal Planning Approval
222 Final Site
250 Final Builtlin<yOccupancy
PAIE II�JaIi
OWNER
JOB ADDRESS
� GENERAL CON
. AP No. d� 2_
ces
PL
G. RISPINO
wl PPOP. SWR, IINE I.J HOUSE CON. LJ
SPRINKLING SYSTEM
MISCiLLANE0U5
JROUGN HEFTING PND AIR CONDITIONING
:iTEMPORARY SERVICE OR POLE
;ROUND [ 1 POWER
WIRING
iE5 FORMS
$YSTEM
iERM rl STEEL RE
SHEnTniHG
FAAMG <NO fLASHING
LATHING — IN �� I
PLRSTER.BROWN COAT
ING.VENT..REFR
F.
DATE 2-28-79
BUILDING PERMIT N(
TION of WORK
�E VALUE
SUB�ONTRACTOR
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� ' COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completety — Use Ink Only
BUILDING � � �r �
ADDRESS
� t
OWNER
MAIL
ADDRE55
TEL. /��
CITV (�_,a,.�� �M� � w NO. Jy L
BRANCM
AODRESS
ARCHITECT TEL.
OR ENGINEER
ADDRESS
CONTRACTOR � /V �
ADORESS ��/ �/ p�1�Q,(jh, /J L•
/ TEL.�/l�
CITV �/A jyj�� �� NO. T
ST� � CITV
LIC. NO. LIC. NO/ �
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT
Separate permits are required for
electric, plumbing and heating work.
OF BVIIDING AND WORK 70 BE PERFOR�
`
&iA224 2/28/79 7.50 TL
�% -
APPLICATION FOR STRUCTURAL PERMIT
FECEIVEDBV DATERECEIVED DATEISSUED
PERMIT NO.
A.P. NO.
BUILDING
ADDfiESS
TRAC LO BLOCK
W A D A P
� � !
OWNEF �'
� VAWE
g _.
FIRE
ZONE PE . GROUP
APPROVED
BY DATE � �
20N NO.OF USE OF NEW
PLAN9 BUILDING .� l`
V
ARDSAPPROVED VARDS PPFOVED
- - - � � -.
i r
L SIOE FT
r G
REAR FT.
DISTANCE BET. BET.I
MAIN BLOGS. ACCE."
VAR. qIE DATE
C.U.P.qp APPR(
APPROVED
I hereby acknowlatlBe thet I have read thla aOP�<<ailon end atate
that the above Info�matlon Is cortect enG aBrae to comply wlih
all laws repuleting bullCing conrtrUetion, anE I zhell not employ
eny perwn in violation of Me wofkman's compansatlon Iews of
the Stata of Celifornia.
I he�eby certify that I am properly ���ensed aa a contrector unCer SQ. F
the State of Celifornie Business and Protasslons Cotle, Dlvislon 3, THE AMOUNT
Chepter 9, entl thet such Iicenses ale in full force entl effect, or I THE PURPpSE <
am exempt from the provl;Ions of the Ste of California Buslneu VALUATION
anA ProfeseiormC DI �41on 3, CI Pt� � y
O �
SlOnetu f •//� �},��� '_
Permittee S /// (/
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Authorizetl Agent
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YN UNDEfl VALUATION IS FOR m
'ABLISHING A PERMR FEE ONLV: �
PERMIT FEE $ r� d
n
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PLAN CHECK E "�
0
TAX E JS'(, LL
E
L
TOTALPAID S
.
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COS7A MESA, CALIFOHNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING /�C7
ADDaESs ,� CJ / GNG i�7- il V�
O W N E R FpLEy gANIII,y Tla7SP
MAIL ... _' — — _' __ "' "_
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CITV
BRANCH '
ADDRESS
ARCHITECT
TEL.
NO.
TEL.
CONTRACTOR FO�P_� C'nTRtT'll(!I'll1T1 (h_ _ �
ADDRESS $�jj[� dS dY]OVE'
TEL.
CITV NO.
STATE CITV
liC. NO. LIC. NO.
SIZE NO.OF BLDGS
OF LOT NOW ON LOT
VSE OF
EXISTING BLOG. N�A �
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFOFMED
_. .._.,,
I heraby acknowlatlge thet I have reetl this eppllcatlon and etete
thet the above Information is corract en� aB�ea to comply wlth
oll lews reguleting bulltlinp conrtructlon, and I shall not omptoY
ony person In violetlon ot Ma workmen's compenmtlon laws of
the Stace of Celifornia.
I hareby cartify that I am properly Iicensetl es e contractor untlar
t�e State of Callfornia Businen antl Professlons Code, Dlvialon 3,
Chapter 9, end that sueh Iicensas are In full force ond effact, or I
om eaempt from the provislons of the Stem of Celifornla Businesz
entl Profecslona Cotle i on 3, Cho�om�r 9 )
SIB^oture o���.�'.+��/ .�_ ��
ParmiKoe
�CT Z�'77PQI�OO�Ob�I 3��.7�
cwsa � ¢*�
TION FOR STRUCTURAL PERMIT
BY DATE RECENED neTc icci mr
��/ �T T■ /b. 'L/�
A.P.No. l40-05�-3E
ADDRIEss 3469 Venetian
TRACT QQ(�j LOT
�
OWNER
GU
S
FIRE
ZONE
APPROVE
BV
ZONE ' NO.OF
PLANS
VAFOS APPROV ED
MAIN BUILDING
(FROM GL STREET)
�9NT g_S FT. G
VAR.
VALUE
DATE
USE OF NEW f�uy�1
BUILDING ��
VARDSAPPROVED
DATE
APPROVED
6'
�
n
n
m
i
m
2236 SQ.FT. f(��Y'_ 4%% z.ft �
THE AMOUNTSHOWN UNDER VALUATION IS FOR m
TME PURPOSE OF ESTABLISHING A VERMR FEE ONLV: '
e
VALUATION PERMIT FEE 5 O � P
u�
� � m
% PLHN CHECK $ p
LL
5 /� TAX E z �
U
TOTALPAID E