HomeMy WebLinkAbout901 VAN NESS CT - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.c�.costa-mesa.� +�LDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 901 VAN NESS CT
Suite:
Viciniry: 2ND FLOOR
Parcel Number: 41808329
Applicant: JONES, JOHN-FREDERICK
Address: 901 VAN NESS CT "
COSTA MESA, CA
Owner: JONES, JOHN-FREDERICK
Address 901 VAN NESS CT
/
. � � COSTA MESA, CA , -
Contractor:
Address:
Zoning:
Phone: 714-546-5920
Zip: 92626-2948
Phone:
2ip: 92626-2948
Phone:
ISSUED BY:
Stalus: ISSUED
Applied: 08/04/2003
Issued: OB/07/2003
, Zip: License:� � � � �
.`Arch : � . • � Eng: .
Address: - � Address:
Zip:
Phone:
License:
Phone:
License:
SCOPE OF PERMIT
EXTEND 7W0 BEDROOMS ON THE SECOND FLOOR OF A SFR. TOTAL ADDITION IS 198 SQ. FT. ADD 2 SKYLIGHTS IN EXTENSION OF THE
J�.; MASTER BEDROOM AND 1 SKYLIGHT IN THE!OTHER BEDROOM EXTENSION. ICBO NUMBER 2469 FOR SKYLIGHTS. MISC. ELECTRICAL
WORK. �
� ADDITION CONSISTS OF FULLY ENCLOSING TWO EXISTING SECOND-STORY BALCONIES AT REAR OF UNIT; ADDITION DOES NOT
�AFFECT OPEN SPACE OR EXISTING SETBACKS. MINOR DESIGN REVIEW NOT REOUIRED; LOCATED IN A PDR-MD ZONE.
Plan Check: $199.71
Permit: $307.25
SMIP Res: $1.83
SMIP Com: $0.00
Other: $0.00.
Inspection: $0.00
Total: $508.79
SETBACKS � �
MAINSTRUCTURE Fmnl 0-0
ACCESSORY Front 0-0
Rear 0- 0
Rear 0. 0
FEESUMMARY
PLANNING & ZONING
Left 0- 0
Left 0- 0
Calc Valuation:
Claim Valuation
Right 0-0�
Right 0-0
N
Sia,29s2o
so.00
NOTICE: The work authorized by this pertnN shall comply with all applicable handicap access requirements under Calitomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12•21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In oMer for ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inepectlone and finel epprovel must be obtained. Failure to obtain Inspectlons and final approval will result in the expiration of ihls permit.
FOR INSPECTIONS CALL: (714) 754-5828
F�:.�rILiJ]
WORKERS' COMPENSATON DECLARATION: � ' � �
I hereby effr�n under pe7nalty of per�ury one of Ihe tollov.•ing deGarations: �.,
�� :
❑ I heve antl will melntein a certiTcate ot consent to self-Insure br workers' compensatlon, es pmvitletl tor by section 3700 ot the Lebor Code, for the pertortnance af the
work for which Ihis pertnit Is issued.
❑ I have entl will maintaln workers' compensetbn Insurance, es required by sectlon 3700 of Ne Lehor Code, for Ihe pertortnflnce of the woitc for which NLs pertnit is issuetl.
My workere' compensatlon Insurance caMer entl pollry numbar ere:
Cerner. PoliCy Number:
(rnis sec need nof be completetl !/ N permlf Is ve/ued et one hundred dW/ers ($100) or /essJ
cartiy Ihet in t�e p enc e work is ' is issued, I shell not employ eny parson in eny manner es to e e�sub� - t to the workers'
rqmpensatlon la o alit e th should beco sub�ect to the workers' compensetlon pmvisions oi e lon 7 o he � C� ����h
comDly with Ih . �
Applicant Sipnat Dete:
WMMNO:FNLURET SEGUREWORKE ' P TIONCOVERAGEISUNIAWFULANDSH�LLSUBIECTANEMPLOVERTOCRIMINAL NqLT1E5 CMLFlNESUPTOONEHUNDRED
TIIOUSANO (5100.000), IN ADDRIIXJ TO E ODST OF 00�.1PENSATION, OAANOES AS PFOVIOED FOR IN SECfION 31O80F THE UBOR CO�E,1 REST, AND ATTORNEY'S FEES.
LICENSE� CONTRACTORS DECLARATION: �
I �ereDy ettirm Ihet I em Ilcensed under proNslons af Chepter 9(commencing with Sectlon 7000) oi DlWsion 3 0l Ihe Business end Professions Cotle, end my license Is in tull
lorce end ettacl. Lic. p Cless u
Contrectors Signelure:
De�e:
CONSTiiUCT10N LENDING AGENCY:
❑ I �ereby efFirtn ihat t�ero is e mnsiruction lending egency for Ihe peAortnence of ihe work for which Ihis permll is is9ued. (Sec. 3087, Civil Cotle).
Lendera Neme: Lendels Atltlress:
SigneWre: Date:
OWNER-BUILDER DECLARA710N5:
I he�eby ettirm Ihet under penalry ol perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Buslness and Professions
Cade: Any ciry or counry which requires e permlt to consWct, etler, impmve, Aemollsh, or repalr eny structure, D�or to its issuence, elso requires the applicant for such permit
to file e slgneA statement that he or she Is Iicensed pursuent to ihe proNsions oi the Contrectors Llcense Lew (Chep�er 9(commencing wlth Sectlon 7000) of DlNslon 3 of t�e
Business entl Professions Code) or Ihet he or she is exempt therefrom flntl Ihe besis for tha alleged eaemptlon. Any violetion of Section 7031.5 by eny appllcant for e pertnit
sub�ecis ihe epplicant to e civll penalry oi no� more than frve hundred dollers ($500).):
❑ I, as owner at the praperty, or my employees with wages es thelr sole compensa�lon, WILL DO THE WORK, enC ihe structure is not Intended or oMered far sale (Sec.
7044, Business antl Protessions Code: The Con�rectors License Law does not apply to en owner of properry who builds or improves thereon, antl who Coes such work
hlmself or hersett or through his or her awn emplayees, proNAetl thet such Imprwemanis ere not Intended or oflered tor sele. If, however, the building or Improvement is
soltl w thin one year ot wmpletron, the owneabuilder will heve the burtlen ot proving that he or sha did not build or impmve tor purpose of sale.J. •
es owner of lhe prope m EXCLUSIVELY CONTRACTING WRH LICENSED CONTRACTOfiS to construct the project (Sec. 7044, Business end Protessions
Catle: 7tie c,pigrector se Lew does pply to an owner oi property who builds or Improves thereon, and who contracts i¢_rspch�rry@ct wyR a contrapor(s)
license oix�u�nt to ontraclo ws:}.� ] \/
❑ I am p1i� �sec.
3Afied by drlvefSQiEen:
Of Ownership by (�ype
Business end Professions Caae for this reeson:
Yes ❑ No Drivers License No.
m, i.e. - property 1aa blll ar tleed):
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON:
� I �ereby ceN�y Ihat no excavetion flve (5) or more feet In depth into which e person Is requlred to descend, wlll be matle In connection wilh work euthorized by this
permit, end Ihat no building structure, scettolding, lalsework, or tlemolition or dlsmantling thereoi, will be more Ihan �hirry-six (36) feet hiph. (Chep. 32, Grp 2, A� 2, Sec.
341, T1Ue B, Califomla AdminiSlrelNe Code).
� As owner-builtler, I will no� employ enyone to tlo work whlch would raquire e permit trom Ihe Dlvlsion of Industnel Sefery, es noted ebove, unleu suc� person hes e
permit to do such wark fmm the diWsion.
Signature: Date: '
Division oi Indusidel Satery Pertnit Number.
ICOUE 1. INSPECTIONTYPE QSjE 7� �j INSVECTIONTYPE Qd¢, Jyj�� I
1816 FIxeO System Finel Fire Prevontlon 206 Flnel Mechanlcel
1286 Pool Spa Final
200 Finel Re-Roof
207 FIneI BIocWRetelninp Well
202 Finel Factory Flre Place
203 Flnal Sign
204 Flnal Demollllon
20B Finel Plumbing
210 Flnal Electrical
212 Finel Flre Preventlon
220 Finel Planning Approvel
222 Finel Site
250 Final Bulltling/Occupency
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77�FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT ,
Job Address:
Suite No
Vicinity:
901 VAN NESS CT
2ND FLOOR
Parcel Nunmber: 41808329
npplicant: JONES, JOHN-FREDERICK
Address: 901 VAN NESS CT � ��
�
COSTA MESA, CA� ,
'. ,
Owner:, � JONES, JOHN-FREDERICK
Address ,�901 VAN NESS CT _' �
� � ,
� COSTA MESA, CA
Contractor.
Address:
,
ISSUE FEE
Temp service test
Res' a/c packag�e
New Res'(1-2 units)
New Res (3+units)
Pool / Spa�, ., ,
Lighting Fixts
Recept Outlets�
Switches
Nan Res Appl �
Res Appl �
OWNER BUILDER
u
Phone: 714-546-5920
, Zip: 92626-2948 ,
Phone:
Zip: 92626-2948
Phone:
Zip:
License: 000000
Status: ISSUED
Applied: 08/04/2003
� Issued: 08/07/2003
ISSUED BY: ��
'�
SCOPE OF PERMIT .
EXTEND TWO BEDROOMS ON-THE SECOND FLOOR OF A SFR. TOTAL ADDITION IS 198 SQ. FT. ADD
2 SKYLIGHTS IN EXTENSION OF THE MASTER BEDR001v1 AND 1 SKYLIGHT IN THE 07HER BEDROOM
EXTENSION. . ICBO NUMBER 2469 FOR SKYLIGHTS. MISC. ELECTRICAL WORK.
REF: B03-01314. ELECTRICAL TO INCLUDE: 9 LIGHT FIXTURES, 10 OUTLETS, 2 SWITCHES.
� .._ - . .- . _ .
� FEESUMMARY
Service to 200a � �
Service to 7000a
Service over 1000a
Motors to 1hp
Motors l0 10hp
Motors to SOhp
Motors to 100hp
Motors over 100hp
Communication drops
Quantity
$23.50
$0.00
$0.00
-: $0.00 0
$0.00 0
$0.00 0
$9.90 '9
� $11.00 - '10
32.20 2
50.00 0
$0.00 , 0
S0.00 1 0
$0.00 " " � 0
$0.00 ' • 0
$0.00 0.
$0.00 0
$0.00 � '� 0 -
$0.00 '0
$0.00 0
$0.00 0
Temp Dist System / Lighting
Busway /100 ft
' � Standing Section
, i Misc Electrical Equipment
Transformers up to'I kva/kw
................up to 10 kva/kw . . �.
.................up to 50 kva/kw �.
:................up to 100 kva/kw
..................over 100 kva/kw
Low Voltage Equipment
Low Volt Wiring System / Ckt
Misa Conduit
Misa Conductor
Circus ( gen or ride)
� Circus (mech ride or lights)
, Christmas Tree Stand
� Fireworks Stand �
Other ElecMcal Fee� �. -
Investigation Fee
Quantity .
$0.00 0
$0.00 0
50.00 0
$0.00 , 0
$0.00 %. 0
50.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
$0.00 - - 0
SD.00 0
$0.00 0
$0.00 0
$0.00
$0.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
� EXPIRATION: 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 ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectlona and tinal approval must be obtained. Failure to obtain inspections antl final approval will resull in the expiration oi this parmit.
FOR INSPECTIONS CALL: (714) 7545626 _
taac�ae(rvool
WORKERS'COMPENSAnON DECLARAnON: '� w
I hereDy ettirtn under penalty of perjury one a� the following deGeretions:
❑ I have end will meintaln a certificate of Gonsent to self-Insure for workers' compensatlon, es proNded tor by section 3700 of ihe Lebor Code, for �he pedortnence of ihe
work for which this permit is Issued.
❑ I �ave en0 will maintain workers' compensation insurance, az raquireC by section 3700 ot the Lebor Code, for Ne perfortnance of t�e work for which NI5 pertnit Is issued.
My workers' compensatlon Insurance camer antl policy number are: �
Carrier: Policy Number:
(7rils se '-need not be cromplete0 il Me pe�R is ve/ued et one hundred dollers ($100) ar less.)
I certiTy that in the p en of e work for Is permit i'ssued, I shell not employ any person in eny menner to e sub� to the workers'
crompensetion law Cell I iould becoma bject to Ihe workere' compensation provisions oi Secti 7 of he r Code, I shell forthwith
comply with the
Applicent Signetur . Date:
WARNING: FAILUR CURE WORKERS' COMP T10N COVEMOE IS UNIAWFUL AND SHNLL SUBIEC� AN EMPLOYER TO CRIMINAL P TIES CIVIL FlNES UP TO IXJE HUNDRED
THOUSANDDOLLAR ($100,OW),INADDITIIXJTO COSTOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECTIIXJ3]OBOFTHE CODE,IM EST,ANDATTOHNEY'SFEES.
LICENSED CONTRACTORS DECLARATION: �
I herehy aRirm that I am Ilcensetl under provislons of Chepter 9(commencing with Section 7000) ot Dlvislon 3 0l the Business and Professions Cotle, end my license Is in full
torca and ettect Lic. A Class N
Contrectols Signature: _ Date:
CONSTAUCTION LENDING AGENCY:
❑ I hereby eflirm ihat there is e constructi0n lentling agency for Ihe peAormance of tha work for which this pertnil is issued. (Sec. 3097, Civil Code).
Lender's Name: Lenders Adtlress: �
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby effirtn ihet under penalty of perjury tlrat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, BuSlness and Professions
Code: Any city or county which requires e permit to construct, elter, improve, demolish, or repeir eny structure, prlor to its issuance, elso requires ihe epplicant for such permit
ro iile a signetl statement Ihat he or she Is Ilcensetl pursuent to the pravisions oi ihe Contredors License Lew (Chapter 9(crommencing with Sectlon 7000) of Divislon 3 ot the
Business end Professions Code) or t�et he o� sha is exempl therefrom end the Desis for t�e elleged exempiion. Any violetlon of Section 7031.5 by any applicant for e pertnit
subJects t�e eppliwnt to e civil penalry of not more than five huntlred dollers ($500).):
❑ I, as owner of ihe D�operty, or my employees with wages es their sole compensetion, WILL DO THE WORK, entl Ihe simclure Is no� intended or oXeretl fo� sale (Sac.
7044, Business and Professions Cotle:'me Conlrectors Llcense Law tloes not epply to en owner ot proparty who builtls or improves thereon, and who tloes such work
himself Fself or ihroug� his or her dwn employees, providetl thet such improvemems ere not Intended or otteretl lor sale. If, howeveq the building or improvement Is
so i hin one yeer ot completian, the 0�+'ner-buil0er will heve the burden of proving thet he or she tlid not build ar improve tor purpose of sele.). '
I, as owner of the property, am EXCLUSIVELY CON7RACTING WITH LICENSED CON7RACTOiiS to construd Ihe project (Sec. 7044, Business end Profeuions
Cada: The contrec License Ww not epply to an ownar oi properry who builtls or improves Ihereon, antl who contrems for suchp ro�act with a contraaor(s)
license Dursuan Con�re ny6�s.). � //� r
�
of Ownership Cy
Business and Professions Code for this reason:
❑ Yes ❑ No
tlocument, i.e. - property tex bill or tleed):
Drivers License No.
E�ires:Z_i
DIVISION OF INDUSTRIAL SAFETY PERMIi CERTIFICATION:
❑ I heraby certity ihet no excavetion five (6) or more fae� in tlep�h into whlch e parson is required to descend, wlll 6e metle in connection wlih work authoAzetl by Ihis
partnit, end that no builtling siructure, sCeNolding, falsework, or demolition or dlsmantling thereof, will be more than thirty-six (36) leet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Califomla Adminisiretive Code).
❑ As owner-builder, I will not employ anyone to do work whlch would require a permit irom the Division of Intlusiriel Sefety, es noted above, unless such person hes e
pertnit to tlo such work irom Ihe division.
SigneWre: Date:
Division of Industnal Sefery Permit NumDec
COUE 1, INSPECTONTYPE
1616 Fixed System Flnel Fire Prevenlion
1268 Pool Spe Final
200 Finel Re-Roof
201 Final BIocWRetaining Well
202 Final Faclory Fire Place
203 Finel Sign
204 Final Demolition
QS¢, 7�� EQQ� INSPEC710NTYPE
206 Finel Mechanical
208 Flnal Plumbing
210 Finel Eleclncel .
212 Flnel Fi�e Preventlon
220 Finel Planning Approvel
222 Final Site
250 Final BuiltlingiOccupancy
PAIE QII!➢�L$
o�ecT nooness: g p 1 VAN NESS CT
OWNEfl'SNAME: MILLER, CRAIG S
nooness: MILLER, KELLY L
901 VAI� NESS CT
COSTA M�SA,CA 92626
ARLHIENGMEEN:
AOOflESS:
NEG.NO.:
uxiT:
UNIT:
PEflMITTEE: BILT—WEI+L ROOFING (719)'I58-3501
noonEss: 3310 V�RDUGO
LOS ANGELES CA�
LICENSEO CONTBRCTOB OELLAflATION: I hereby aliirm �hat I am licensea un0er pmv ions ol ChaD�e� 9 ommencing wi�� Section
7000� ol Drv��sion 3 of t�e Business an0 Proiessions CoOe. anU my license is in lull lorc antl efiect.
c+Truc.: p340076� ps�TaTeuc.:458005 ! P: 01/94
Dare: �—Z O " / � Signamre: �
WOBREPS'COMPENSRTION�ECIAflATION: ��ereUya�tirml�all�aveaterlilitale0�con5enilo oraCerti�itafC0lWOrkerS'
Campensation Insurance. oi a cerlilied topY �hereol �Seciion 3800. LaO. C�.
roucrxo.: W937102484 E%P.OATE: O%�31I
comvnxr: CAL COMP INS,
❑ Ceriifiea Copy i5 her¢�y Nmi50e4. GQ Certili¢tl topY �5 �iletl wiih t112 ti�y Bui ing Uivisi .
Daie: � ��^ �� AODiicant.
E%EMPTIONFPOMWOBRENS'COMPENSRTIONOECIAHATION: (Thissectionnee0no�hecomplete rmtisioronehunOre�(5100�orless�.
I certliy Ihai in Ihe periormance oI the waB �Or whlch Ihls permll Is lasued I ahall noi employ any person In any manner so as lo become
su0iect io the Workers' ComDensation Laws of Calilomia.
. �ate: Signature:
NOTICE: 11, aI�¢r making Ihis deClaratio0. you S�oultl betOme Su6lett Io Ihe Workers' Compen5a�ion Dmvisions af �he lahor
Cotle, yau mus� fotl�wilh comDly with 5uch provisions or ihis permi� s�all be EeemeE revoketl.
CONSTBUCTION LENOING RGENLV: I Aere�y aHirm I�at I�ere is a tansiruclion lentlinp aAenq �or �he pedormance o� IOe xrork for
w�K� I�is permil i5 i55ue0 �Setiion 3097. G�'. C�.
LENOEN:
pDUflESS:
OwNEH BUILOEN OECIABATION: I hereoy affirm �nat I am exempl Imm Ihe Coniractors' State License Law lor the follovnnp reason
(Seaion 7031.5 Business antl Protessional Cotle: Any city oi counry w�ic� repuires a permit to cansimct, alter, impmve, tlemalisA, or
reoair any simcWre. prior to its issuance, also repuires Ihe aoolicant for such permit to lite a signee s�atement ihat ne/she is licensee
pursuam m ��e pmvisions ol the Comraqors' State Li�¢nse Law (Chapier 9(commencing wi�h Section 7000) ol 0ivision 3 of Ihe Buvness
and Professions Cotle) or I�at he/she is exemPl ��erelrom ana Ihe �asis lor Ihe allegea exemption. Any violaiion ol Seciion 7031.5 by
any applican� �ar a permil sublecls Ihe applican� to a civil penalry ol no� more Ihan hve hundred dollaB ($500).
I, as awner ol t�e D�oDeny or my emD�oyees with wages as their sole compensation, will Go Ne work, and Ihe
❑ stmcNreis nolinlenJe4 oroffere0forsale (Section 7044, Busmess antl ProtessionalCotle: TAe Coniractor5' State License Law
does not appty to an owner of a pmpehy wtlo huilds ol improves lhereon, antl w�o Ooes sucb work Aimseltl�ersel� or throuAh
�is or �er own ¢mploy¢e5. pmvidEC Ihai Suth imD�Ovemenis are noi inientletl or offeretl lOr 5aie. If. how¢ver (he bUildinp ar
im0�ovementis SOIG vnt�in one year oi cumpletion.IAe ownervnil have Ihe �urden oi O�oNnA he/she aitl not �ui10 orimprave
br tne ouroase ol sale�.
I, a5 owner ol IAe O�oOe�y, am eKClusively conlrac�ing vnih licensetl coniratlors to canstmct Ihe pmject (Seclion 70Ad, Busine5s
❑ antl Pmlesvons CoOe: T�e ComraciJrs' State License Law Ooes not appty to an ovmer oi pmperry who 6uJEs or improv¢5 tAerton
antl who comratts lar Sut� pmletl5'Mth a comracioqs) license Dursuanl Io ��e Coniracmrs' S�a�e License Law�. I am aware
Ihal proo� of their Work¢r'S Compedsxtion in5urant¢ S�oultl 6¢ prrniAetl la m¢.
� I am exempl un0er Seclion�, B. 8 P. C.
fOr �hi5 reason:
Da�e: Ownec
I tlo herehy cenify thal I am aware of anJ understan0lhe requirements oi California Healih and Safety CoOe Sections 25505, 25533, and
25534 an01ha1 I or any future building occupanl wilVwill not (circle one) neeA lo comply with saiA sta�e cotles and �he �epuirements lor a
permil for ton5lmtiion or m00iiitatian Imm Ihe Nu Oualiry ManaBemeni DiSiricl. fleSiAeniial COnSlmtiion aODlica�i0n5 afe ¢xemp� trom
Ihese pmvisions.
Oaie: Np0licanl:
I hereGy cerii�y I�ai I �ave r¢a4 i�i5 applitafiJn an0 Slaie Ihai I�e a0ove inlormaiion i orrect. I agree ompN ��� ail tiiy anG county
or4inancesanes�atelawsrela�inglobuil4ingcons�mctionantlhereUyamhorizere0�ese alive501thi5' Ioenletupan��eaUove�menli0ne0
pmpetly lor in50eclion Ourposes.
Oaie: �^�� Signawre:
onver's �mense or Saciai Securiry N:
�64ba6 Wnne—Bailtling: Green—Catle Entorcement: Canary—Applicant: Pink—Revenue: Golaenrotl—Assessar
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 067778
PERMIT N�: B Q67778 PLAN CHECK NO; N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR pURPOSE; OTH
JOB DESCRIPTION ; T/OFF E REROOF WITH COMP, 6 BUR IN BACK SQ FT; 1,100
CLAIM VALUE: 1,100,00 CALC—VALUE: 1,100,00 GROUP OCC: R-1 /M-1
COMMENTS: SMOKE DETECTORS ARE RE�UIRED IN EVERY BEDROOM E HALLWAY
x�+�*�r*�r�r�r#u�x��rx�rt�r*i�*�ir�t�r*�r�****+��r* �rx�**+r*****+t*+r**x��rx�x����*�r**���r*+r*x��*+t**�r+�****�+�#
Z O N I N G R E Q U Z R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY 6UILDING ---------
FRNT; FT IT] REAR: FT ZN FRNT; FT IN REAR; FT IN
LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ: PROV: PARCEL: 41808329 ZNE: REF NO:
PLANNING NOTE5> '
i
*�*x�**��r�r�r,r�r�u�**+�x#��**�*�*�r*+�;��r*�*����r�r**�r�*�*x#�***#�+��*�*��*�«,���r**:r#����#*
D E V E,L O P M E N T S E R V I C E S R E Q 0 I A E M E N�T S
ZONING APPROVED HY DATE: �
BUILDING APPROVED BY ;
APPLICATION ISSUED BY;
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LEGALIZATION;N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMZT 27,00
FI
PLAN
ISSOE FEE
$UILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL
TOTALS----> 27,50 0.00 0,00 27,50
DATE: `
DATE: � ��� �
ititit�fl�it##ieitx : st -%
iFif#'1E'7fif1E9F�E##ii�� #####.FlE#
STRUCTURAL aEGMENT:Y
\ SMZP/RE5 GRADING
50
SMIP/NON—RES
PAZD DUE
7.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 27.50 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK
2%.�Q .SD
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I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 1100 REROO£ BY C'ALUE RE�IDENTIAL NOZONE 1.00 1,10U,U0
END OF FEES
U1 00163�26-00163027 T U T 27.50
OATE: 06/29/94 TIHE: iL:03
,
�f CONSTRUCTION AIVD PLANN�NG POOL a. �A
APPROVALS Permit #� Date Inspector APPAOVALS Permit xk Date Inspeccor
i. Temporary Electrical Service or Po�e 52. Pool & Equipment Location (
2. Soil Pipe�Undrgrnd. 53. S[eel Rzinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Sceel Reinfo�cemenc 56. Rough Plumbing & Pressure Test �
6. Electrlcal UPER Gmd. 57. APPFiOVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe.O Undrgmd.,?esc
9. Water Pipe-Undrgmd. 60. Backwash Lines, P�Trap, � Undrgrnd.
70. Structural Floor Svscem 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection . 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent-Final
73. Roof Drains 64. Plumbing System - Finai
14. Rough Plumbing 65, Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final I
16. Rough Electric Wiring 67. Fencing & Access Approval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
78. Rough Electrical-T Bar Ceiling 69. POOLlSPA SYSTEPAS FINAL
19. flough Heating & Air Condivonin9 FIRE DEPT. REQUIREMENT
20. Rough Factory Firep!ace APPROVALS Permit # '
27. Ducts,in Siructure 70, Underground Hydro
22. Ducts, Ventilating 77. Product Pipiny GG�s GO�i
23. Gas Hpe-Rough & Tesc 72. UndergrOund FlUsh
24. Roof Framing 73. Underyrnd. Storage Tnnk � Gas ❑ Oil
25. Roof Sheathing 7�(�..�(1 �j ��j( 74. Overhead Hyclro
26. T�Bar Ceiling lStructural! & Monpcoat 75. Ory Chemical �
27. Frame and Flashing 76. Ory Standpipe
28. �athing & Siding 77. FIXED SYSTEM FINAI
29. Insulation 76. FIRE PREV. FI�AL
30. Drywall Nailing HEALTH OEPT, REQUIREb7ENT
37. Plaster Brown Coat 79. FINAI INSPECTION
32. Electrical Power Mete:-Final 80. FOOD CERT'IFICATE ISSUED
33. Finai Eleccric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test �
36. Hood or Canopy � "
37. Final Factory Fireplace I
38. Final Piumbing
39. Water Service-Final �
40. Gas Service-Final
41. Solar pomestic-Fina�
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation �
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING `� Gy �y�
[
48. FINAL PLANNING _
49. Electric Release to Edison
50. Gas Reiease to Southem California Gas Co _,_ _-
51. CERTIFICATE OF OCCUPANCY •
No. Date '� �
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;�'y����'� '' � t.o'; no. 84 '
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':f�`��:;;;;,,;.,;�, �.„,;.nnDtiEss 901 Van Ness.Court, Costa Mesa, California 92626
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,mr� � Devcloper.ent Scrvices Dcpa:tr:cn[ •
�Sa;:,,;,� . , PlanninL Divisior, .
�;j?`. :a ," C icy of t;osta Kes i � �
.'`St�z'''�''� 77'Faiz Drive '
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,�,�:s�.:-'^ • . Cost� ;1csa 'CA '92626
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3:,�,�.,, .�., A[tention: t1r. Paul Dudley
���, ��� �.� '
;�e ;„`�Y ..��Dear �fr. Dudlcy: . :�..
p�i� �,;n.°�;,y :'z' . � � . . - . .
���?�`' : r".Please be avare that the undersigned are avare that a ccrtificaGe of occupancy �
�,�„�r �; t� o on..the �bwe referenced lo[ and unit is-bcing requcsted prior to the en[ire ,
4�( �' 4
��,n'�M ;_ i} tzaet and its streets and common are;cs, Ueing completed and accepted by the .
�w x -
� � �4,,5�,. era� 'City of Costa Afesa. . � .
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y� �:-�,,,,t�,_ . i�ICNA URF. OF. DEVELOPCR A�'ll oR .
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�w�cT �:o. 10445
I.o'a no. 84
Auaust 22, 19Rn
ADDR�SS 901 Van Ness Court, Costa Mesa, California 92626
Develop^r.ne Scrvices Dep:vrt::�ent
PlanninZ Divisio❑
City of Costa ?;esa
77 F'air Dri�re
Cost� ?1csa, CA 92626
Attention: �1r. Pau1 Dudley
Dcar �;r. Dudlcy:
Please bc a�+are that the undcrsigned are awarc that a ccr[ificaCe of occupancy
on the abwe referenced lot and i�nit is UcinF requcsted prior to the entire
tract and its streets and cor.anon areas being completed and accep[ed by the
City of Costa licsa.
S l'
AUTIIORI'LED REPRESEiiTATIVf)
SIC�I�TUFE OF I.E\�F.F
I�GQ ��L��?
LITY OF G.. ..1 C1FS;',
�FV�LGrMFNT Sf.RVif} ; nFPAi<i."�E�: �
Auc 2 � 9980
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