HomeMy WebLinkAbout3493 VENETIAN DR - Building PermitsCity of Costa Mesa PI ig Department
Post Office Box 7200
77 Fair Drive �
I (� Costa Mesa, California 92626
i �Ij�i 1714155E5245
REQUEST FOR OCCUPANCY
7ract No. � p� �
Lot No.
Address
(Single Family Residential or
Condominium Units)
Date � �.,`I� ��/
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 thai
� 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 uncompfeted condition.
` — •^---CS�� C�U
R� C E I V E u BY Purchaser ��
cirv oF c^�r1 �•�sa
�
�r? � � 1978 BY a ,
lope Or Au ori2ed
�p„ P1� RePresent
t4Pt
�i�i9i'UE.1i1'LiIi2i3i4�5i6
By
Lender
CMF 0569-26
• CITY OF COSTA MESA �—! Y Y
° BUILDING DIYISION
> _ �
� DEVELOPMENT SERVICES DEPARTMENT
� � PERMIT PER T N BER
��
898-01689
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
�obAddress: 3493 VENETIAN DR
Suite:
Vicinity:
Parcel Nunmber: 41237108
Applicant: WARNER, RICHARD
Address:
Owner: WU, LIEN-500
Address WU, HSIN-CHU
COSTA MESA,CA
3493 VENETIAN DR
Contractor: BIENEK ROOFING
Address: 23532 EL TORO RD #21
Arch I Eng :
Address:
LAKE FOREST, CA
BUILDING PERMIT
Zoning: R1 R1
Phone:
Zip:
Phone: 751-0429
Zip: 92626
Phone:; 800-499-1340
Zip: �. 92630
License: � 651509
Status: ISSUED
Applied: 09(21l1998
Issued: 09/21/1998
Phone: •
Zip:
License:
SCOPE OF PERMIT
�TEAR OFF R7ESHEATH WITH 1/2" CDX 8 REROOF WITH LITE TILE ICBO# 3523, 538PSF.
Pian Check: $0.00
Permit: $137.25
SMIP Res: $0.72
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $137.97
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0- 0
PARKING Existinq: 0
NOTES:
Rear 0- 0
Rear 0-0
Re uired: 0
FEE SUMMARY
Calc Valuation: s�,zoo.00
Claim Valuation: 5�,zoo.00
PLANNING 8 ZONING
Left 0-0 Right
Left 0- 0 Right
Pro osed: 0
0- 0
R��
E��I�I ('� I � �
DgTE �-�1'
EXPIRA710N: 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 euthorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inapeetlone and tinal approval must ba obtained. Failure to obtain inspections and tinal approval will resWt in ihe expiration of Ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS' COMVENSA710N DECLARA710N: "
I hereby effirtn under penalry of perjury one of the tollowing tleclarations:
❑ I heve end wlll melntein a certificete af consent to seN-Insure tor workers' compensation, as provided for by SeCtlon 3700 0l the Lahar Code, for the peAormance at the
work for which this permil is issued.
� I have and will maintein workers' compensepon insurance, as required by section 3700 of the Labor Code, Por the peAortnance of tha wark for which this pertnit is iss�etl.
My workers' compensation Insurence cartier and policy number are:
camer: L FG �o �.l Polity Number. vc z- a atsv�c 3
(Thls sec(ion need wt be cbmp/eted il fhe permit rs valuetl at one huntlred dWlers ($700) or less.)
❑ I ihat in the pertortnance of the work for which this permit is issued I shall no ploy any on in eny manner so es to bewme sub�ect to the workers'
mpans on laws of Califomla, and egree that ii I should become subject to the wo rs' ation rovisions ot Sactlon 3700 0l the Labor Cotle, I shell torthwit�
ravi ' ns. q
Applicam Signe �.������ Date: /� Z�— 5k.
W URETO SECURE WORKER$' COMPEN9ATION COVERAGE IS UNUW R1L ANO SHALL 5 AN EMPLOVEP TO CiiIMINAL PENALTIES AND pVIL FlNES UP TO ONE H�NDRE�
ilqU$ANO DOLLARE (5100,0OO�.IN ADDITION TO TME Cp$T OF COMPENSATION, DMMGES AS PROVIpED FOfi IN SECTION 3N6OF THE IABOR WDE, IMEREST, PND ATTORNE`fS FEES.
iflrm thetl
ettect. Lic,
af Chapter 9(commencing wiM Section 7000) ot Divisio�he Business end Profefsians Cade, end my license is in (ull
CONSTRUCTION LENDING AGENCV:
❑ I hareby aHirtn t�at Ihere is a construction lentlin9 agency tor the pedortnance of the wark lor which ihis permit is issued. (Sec. 3097, Civil Cotle).
LenOefs Name: Lentler'S Atltlress:
Signeture:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHirtn Ihat under penelry of perjury Ihat I�m E%EMPT FROM 7HE CON7RACTORS LICENSE LAW for Ihe following reeson (Sec. 7031.5, eusiness entl Professions
Code: Any ciry or counry which requires e permit to constmct, elter, improve, demolish, or repair any sirucNre, prior to Its Issuance, elso requiras the epplicent tor such permlt
to flle a signetl stetement ihet he or she is Ilcensed pursuem to Ihe provisions of t�e Contrectors Llcense Law (Chepter 9(commencing wlih Sectlon 7000) of Divlsion 3 of ihe
Business end Protessions Code) or ihat he or shg is exempt therefrom and ihe �asis for the alleged exemption. Any violetion of Sectlon 7031.5 by any epplicant For e permit
sub�ects the epplicant to e civil penalry ot not mor0lhan five hundred dollars �$500).):
❑ I, as owner of Ihe properry, or my employees with weges as their sole compensation, WILL DO TME WORK, entl the structure is not intended or ottered tor sale (Sec.
7044, Busineu entl Professions Code: The Contrec�ors License Law does not apply to an owner of property who builtls or improves thereon, and who does such work
himself or herself or Ihrough his or her own pmployees, provided that such Improvements ere not intentletl or oflered for sale. If, however, the bullding or Improvement is
sold withln one yee� of completion, ihe own9r-builtler will have ihe burden ot proving ihat he or she tlitl noi bulltl or imprave tor purpose of sele.).
❑ I, es awner of the property, am E%CLUSIVELV CONTRAC7ING WI7H LICENSED CONTRACTORS to construct the praject (Sac. 7044, Business end Professions
Cotle: The contractors License Law does not apply to en owner of property who builds or Improves thereon, entl who contrects for such project with e contraclor(s)
license pureuam to the Contwctors License Laws.).
❑ I am exempt under sec. Business and Professions Code tor t�is reason:
Signawre: Date:
Owner ID verilied by tlriveYs license. ❑ Yes ❑ No Drivers License No.
Vediication oi Ownership by (type of daument, i.�. - property tax bill or deed):
Expires:
DIVISION OF INDUSTRIAL SAFETY PEHMR CEpTIFICATION:
❑ I hereby certtly that no excavation live (5) or more feet in tlepth into which a person is requiretl to tlescenQ will De made in wnnection with work euthodzed by ihis
pertnil, end thet no builtling slruclura, scattolding, falsework, or tlemolition or dismantling thereot, will be more than t�irty-sia (36) leet high. (Chep. 3.2, Grp 2. Art 2, Sec.
347, 7111e e, Calllornla Adminlsiretive Cotle).
❑ As owner-builder, I wlll not employ enyone tp do work w�ich woultl require a pertnit irom ihe Division of Industrlel Sefery, es noted above, unless such person has a
pertnit ta do such work irom the divisian.
Signature: Date:
DiNsion oi IntlusMal Sefery Parmit Number.
CERTIFlCATE OF COMPLIANCE AND AUTHORIZqTION OF EMAY: I ceAiy under penalry of perjury ihat I have read ihis epplication entl state ihat ihe information given is
corred. I agree to compty with ell stete laws and ciry ortlinances relating �o building consWction, end euthonze representelives ot the Clry oi Costa Mese to enter upon the
ebovatlescnhed proparry for inspection purposes, I epree nol to occupy or allow occupancy of any building authonzed by Ihis partnit until linal inspection.
(E]�J, INSVECTIONTYPE
1676 Fi:etl System Flnel Fire Preventian
1266 Pool Spe Finel
200 Final Re-Roof
201 Final BIaWReteining Well
202 Final Factory Fire Placa
203 Final Sipn
204 Fnal DemollUon
2a6 48
5'-� 9- ��-
mt
QdjE ��$ �� INSPELTIONTYPE
206 Final Mechanicel
20B Final Plumbing
210 Final Eledrical
212 Final Fire Prevention
220 Final Pfanning Approvel
222 Final Site
250 Fnal Building/Occupan�y
�ff INIIDd�
OWNER L� Spp W p DATE 4/29/80
JOB ADDRESS 3493 Venetian Drive BUILDING PERMIT N0. 50025 .
AP No. 412-371-08 LOT 6 TRACT
INSPECTIONS Si noeu
soiL
c�s
WRTER
ROUGH PLUMBING
PROP. SWR. LINE �� MOUSE CON.
SPRINKLING SVSTEM
MISCELLRNEOUS
ROUGM NE�TING �NO �IR COMOITIOMIMG
TEMPOR�RY SERVICE OR POLE
UNDERGROUNO � POWER �
ROUGM WIRING
TRENCHES FORMS STEEL REINF. 2�
FLOOR SYSTEM
BONO BEr1M STEEL REINFORCE
SHERTHING
FRAME AND FL�SHING
LRTHING — IN OUT
PLASTER. BROWN CO�T
STRUCT�RRL. FINAL
HE�TING, VEHT., REiHIG. �ND �.C., FIN�L
PLUMBING, FINnL AN� GAS TEST
ELECTRIC. FIN�L
SUBCONTRACTOR
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_. COSTAMESABUILDINGSAFETYDEPARTMENT APPLICATIONFOR55TRU�CTURA�LPERM[T3Go50 TL
r
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
RECEIVE BV PERMIT �
For Applicant to Fill in Completely — Use Ink Only 'S � 0 2a
BUILDING � ' l- — `' /n: A.P, NO. � �/[,./ ///7 _
ADDFESS � / /r L� � --�!'•-��-� •—�`�"5'�
ILDING �'
OWNER OR ,� J/� ADDRE55 ��j3 Ve.�e.f�a... �r•
TENANT � O (/j/
UNIT OR
MAILING .� _ SVACEIVO.
ADDRE55 ��. �
qqq ,( TR � � LOT BLK.
CITY LC.. NOL �� DT
NEW ADD LTER REPAIR MOVING DEMOLISH
CONSiRUCTION
LENDER
BRANCH
OWNER �00
ADDRESS USE A�IO LpVQ.� VALUE
ARCHITECT TEL. E
OR ENGINEER N
ADDFESS ZONE TYPE Y_N GPOVP � 7
CONTRACTOR " �A D •� , ByPROVED DATE �"1/�Q(�
ADDFESS � � �u(�a,.� G(i(/'�-
TEL.
CITV C��(„) (/(�/3�C� NO. �C
STATE y CITV .qPPROVEOSETBACKS
LIC. NO. /�j (� ' � LIQ NO.
SIZE NO.OF BLDGS. (FFOM C/L ST
OF LOT NOW ON LOT ROM F
USE OF �
EXISiING BLOG. F7.
Separate permi[s are required !or L SIDE �FT. !/
electric, plumbing and heating work: /���) �
REAR �T. L� �/
USE OF BUILDING AND WORK TO BE PERFORMED ' PLANNINC. ACTION
� DATE
f 0 APPROVED
� APPR
I heteby acknOwletlge that I heve reatl this application antl stete �
that t�e ebova information is correct and apree to comply with
all laws reg�lating builtlin8 construction, antl I shall not employ �
any person in violation of the workman's compensation laws of d
the State af Calitornia. �
7 z � � m
I here0y certify that I am prop¢�ly licensetl as a cOntracto� untle� " SQ. FT. � �
the State of California Business antl Professions Cotle, Division 3, THE AMOUNT SH WN UNDER VALUATION IS FOR ro
Chapter 9, and that such lieenses are in tull force antl effect, or t THE PUFPOSE OF ESTABLISH�NG A PERMIT FEE ONLV: �
am exempt from the provisions ot the Stata of Calitornia Business n a
VALVATION PERMIT FEE S �� �.�. N
antl Professions Cotle, Division 3, Chap�r 9. m
PLANCHECK E � z� �� ^
Signatura of �
zqiz. LL
Permittee 0�1 t�V L G`� `�� $ � TAX S Q, j 0 f
or U
AuthOrizad AgOni Ddte TOTAL PAIO 5
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
ADIDRESS 3�F`�� Uc.ve I/Q-,�f � /��
OWNER FOLEY FAMILY TRUST
ADDRESS 2101 E. Fourth St. #100
TEI.
arv Santa Ana. 92705 No• 543-5
BRANCH
ADDRESS
ARCHITECT
TEL.
CONTRACTOR F�o1ev c:onstsuction c:o., J
ADDRESS $aj[I2 d5 cl'}JOVE
TEI.
CITV NO.
STATE CITV
LIC. NO. . �IC. NO.
SIZE NO.OF BLDGS.
OF LOT NOW ON l0T
USE OF
EXISiING BLDG. N�A
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMED
A.P. NO. /Z�
BUILDING
ADDRESS 3
TRACT
W ADD
X
OWNER O
SE
FIRE
ZONE
APPROVED
ar,r 2�-7�Pp'OOOio6eX� �*�*308.51
��i5�.
FORSTRUCTURALPERMIT
ATE RECEIVEO DATE ISSUED
- /v.2/' �%
�� / ..� � PERMIT NO.
LOT b I BLOCK
20NE �' IP�� J I BUILDING EWS��
G+
�'ARDSAPPROVED VARDSAPPROVED �+
MAIN BUILDING ACCESSORV BUILDING
VAR. #t
BET
0
BET. MAIN &
ACCESS. BLOCS.
DATE
APPROVED
,,,,,� lb 20-
I hereby ecknowleEpe that I have �aetl this epplieation end sta<e , '^
n
that the above Information is correct and epree to comply wlth m
ell lews repuletin9 bullding conrtruction, an0 1 zhall noi amploy �
eny parson In violation of the workman's compensatlon laws of m
Me Stata ot Cellfornia. •
m
I hareby certHy that I am properly Iicansetl as a contractor untler SQ. FT. a
the State of Callfornia Bucinesa entl Profesalons Cotle, Dlvlsion 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m
Chaptar 9, antl that fueh Ilcansas are In full force antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e
am examp<from tha provislons of thaState of Californla 9uslness VALUATION PERMIT FEE S .r a
entl Profeaslons Cotla I Qon 3, Chapt m
J� PLAN CHECK y /7' ^�
Signeiure of �/J �j / � , V �
Permittae 5� //f� TAX S D� �
V V
Authoriz T � TOTALPAID D .S/