HomeMy WebLinkAbout902 VAN NESS CT - Building PermitsPHQIFCTR�OflE55: �jQz VAN NESS CT �"�T' CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 067779
OWNEH'S NAME: SATHER � ROBERT R
Aooeess:SATHER BONNIE LEE PERMIT NO; B 067779 PLAN CHECK NO: N GOVT: N SUPP; N
�� P O BO� 608
ROOSEV£LT,UT 84066 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
APCHIENGINEEN:
ROORESS:
flEG.NO.:
UNIT:
PEPMITTEE: HILT—WELL ROOFING ( 719 ) 756-3501
aooeess: 3310 VERDUGO
LOS ANGELES CA 5
LICENSEO CONTHALTOP DECIAPATION; I here0y aifirm I�ai I am IlcenSeC unGer pmv ion5 0� C�aD� (commencinp wi�� Section
7W6) ot Dri.Sion 3 01 ine BuSinMs ane Ptolessions CoCe. atW my NcenSe Is in Iutl fa e�W cllet
cirrucP.:034076 sTTeuc.:q5800� — iXP: O1/99
Date: b^Z'��� — Siqnature. —
WOBREBS'COMPENSATIONUECLAflFTION: IIIertGya��irmlhail�aveat¢riiliWte0ltOn se "nsuaoracenilica�eafworkers'
Compensaiion ��aoF�� �c¢�Iij �G9VY t�ereol �Sectian 3800. LaD. GJ.
POUCY NO.: � L 9 q E%P. ORTE: U% I 3 S� 9 4
COMPRNY: CAL COMP INS.
. ❑ Cenilie� copy is herzEy fumiSAea. � Certi'ietl wpy is fileE xiU t�e dry BuilEi p' .
oa�e: 6-2� —�''l � noouw� .
ETEMPTION fPOM WOPKEP$' fAMPFN511TI0N �ECUMTION: (ih¢ se[tion neeO no� be ca�etW i� Ne rml is lor OnE MtttlrN �5100� ar 1e55�.
I ceNty Ihal in I�e petlorman[¢ ol I�e wo�k lor wMth t�is permil is i55ueE, I s�a0 noi em0�oy any Derson in any manner 5o a5 io became
su�iect lo Ihe workers' Compensaiion �aw5 0� Calilomu.
Dale' Sipnature:
NOTICE: IL alter makinp ihis aeclaraiion, you shoulE Uecome sublect to t�e Workers' Campensa�ion pmvisions o� t�e LaGor
Code. yw musi tINiRmfi compW vM1th suC� provisions ar tlas pe(mit Shau �e, 6eeme4 tevokeU.
CONSTBOCTION LENDINC AGENCY: I hereCy ailirm tAai Ihere is a cansim[ti0n IenOing aAe�cy laf IAe Detlormante ol �he work tOr
which mis Dermit is issuetl ISection 9097. Civ. CI.
LENUEX:
AODPESS:
OWNEB BUILUEB �ECUMTION: I �e�e0y allirm tlut 1 am e�empt imm tAe Coniractori Stale License Law lar the lollowing reason
ISection 7031.5 Business ana Prafessional Coae: Any cily of county wnicn repuires a permil to wnsirucl, alter, improva, aemolisn, or
�Epair any Simtlure. pnOr lo ils 65UanC6. al5p rryuir¢S l�e appGCani tOr SUCA p!lrtlii IO lile a 5ipneE Sia�emenl IAdi �PJShe i51iC¢nSeU
pursuam to t�e pmvisions o� i�e Contractars' State Licrose Law (Clwpter 9(commenpnp wil� SecLon 7000) al Division 3 of t�e Busineu
ana Pmlessions Co0e) or Ihal he/she ¢ e+empt tlieretrom ane Ine eaps �ot ine alle0ea eaemo�ion. Any vioWtion al Setlion 7031.5 Gy
any apDlicam for a oermii su0iects tne E7vlicant to a ciuil penalry ot not moro tnan live nunUreO UWlars (3b001.
I, as owner al ine propeny w my emyIuyeeS vntn wapt5 as ineir 5ole compensatian, will tlo the woM, antl ine
❑ simaure is not imenae0 or a11er80 for sale (Section 70aa, Business anG Proteuional Caee: TAa Cnntracrors' State License Law
aoes not apON �o an owner ot a O�oDeny wtn CWIUs or improves tnereon, ana wtq aoes wc� wo� NmselU�erself or NmuAh
his or �¢r own Bmplpy¢�5. O�ov�ea ��:� 5uU imprwem¢nis are not intentleE or O��E�¢4 fOr Sall. I�, Aowever lM1e �uildin0 or
impmvement is sola witnin one Year ol complelion, Ihe owner will nave Ine ouraen ol provinp ne/sne aiA nol euila or impmve
tor Ihe purpose ol Salel.
I, as owner ol l�e pw0etly, am exclu5ivery comracling vnih Iicense0 mmractors Io Consimct t�a proletl(Section 7044, Busine5s
❑ an0 Pmlessims CaAe: The CanVactors' State L'¢enu Law Aces not appy ta an owner o� procerry � �ml0.s or impmves Ihereon
antl who tonlraClS �or SUCh Dr01e[�5 wil� a Conlratl0r�5) lit¢n5¢ pur5uanl 101�e Conirac�ol5' State License Law). I am aware
��at prool ol I�eir Wod¢r'S Com0en5aiion inswante S�OUIE �e pmn0e0 l0 me.
� I am exempt unGer Seclion: B. B P. C.
lor Ihis reason:
Date: Owner.
1 Ao �ereby cenily �hat I am aware ol an0 unOerstanG t�e repuiremenis of Californu Heatth anA Salery CoOe Sections 25505, 25533, an0
2553E aM �twt I or any tuWre Duilainq oLcupanl wilUwiO not (cirUe one) nee0lo compy vni� sai0 siate c00u an0 Ihe repuirements lor a
Oermil �or cons�mcli0n Or moCili[ation IfOm l�e Nr Oualiry Managemenl Uslritl. ReSiEen�ial tOnSINClion apD�itaiions are eKemD� bOm
��ese D�avisions.
Ua�e: Rpplicant
I hereoy cenify ��at I nave reaU rtus apd��'�n antl state rtw� Ue aDove intormation a rrttt I apree to co y wiID all pry and counry
orOmancesantlslatelav2relatinqtoGuiqi�qwnslrwAiananG�ereEyautMrirereye5enb solMsuryl eruponihea6ove�mentionetl
piopetlY im mSPetnon pmDoses.
b—Z�-9 S� --�
Wte: Signa ur .
Driver's ticense or Sociai Securny e:
i6al-a6 Wnne—Bunaing; Green—Code En�orcemenC Canary—npplicam; Pink—Revenue; GOltlenroE—Assessor
JOB DESCRIPTZON : T/OFF 6 REROOF WITH COMP. 6 BUR IN BACK SQ FT; 1,i00
CLAIM VALUE; 1,100,00 CALC—VALUE: 1,100,00 GROUP OCC: R-1 /M—i
COMMENTS; SMOKE DETECTORS ARE REQUZRED IN EVERY BEDROOM E HALLWAY
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Z O N I N G R E Q U I R E M E N T S
s s T s a c x s
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ: PROV: PARCEL; 41808330 ZNE: REF NO:
FLANNING NOTES>
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D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N'1' S
ZONING APPROVED BY DATE; -
HUILDING APPROVED BY ; DATE:
APPLICATION IS$UED HY; / � DATE: �� � �
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LEGALIZATION;N F E E S U M M A R Y STRUCTURAL �EGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADZNG
PERMZT 27,00 .50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 27,50 0,00 0.00 27,50 27.50 ,00
AEVENUE DZVISION TOTALS--> COLLECTED: 27,50 OVER/SHORT: ,QO
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
2%.�� .5�
ik i! 1�' if 1f if 1klt it ik if it it 1! if if k 1f itlf iE iE if fF iF!! # i! if� iE it 1E i(� 1f il� 1F 1F iE if jf iF iE ik # if iE 1k fFlE iflf iE il� # if 1F iE # iE ## If # iE if # M## if iF ## iE # if iF iE iF
I N D I V I D U A L F E E B R E A K D O W N
TYPE
SFR
QTY
1100
D E S C R I P T I O N
REROOF BY VALUE RESIDENTZAL NOZONE
END OF FEES
UNIT COST TOTAL COST
1.00 1,100,00
O1 0�163028-00163029 T a T 2�.50
DpTE= Ob/29/94 TIPfE: 16:03
CONSTRUCTION AND PLANNING POOI .. oPA
APPROVALS Permit # Date Inspector p�ppROVALS Permit � Date Inspector
s
1. Temporary Electr�cal Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrgrnd. 53. Steei Reinforcement
3. Electricai Conduit Uiility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinfarcemenc 56. Rough Plumbing & Pressure Test �
6• Electrical UFER Grnd. 57. APPflOVAL TO COVER�GUNITE
7. Footings 58. Electrical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd., Test �
9. Water P�pe-Undrgrnd. 60. Backwash �ines, P�Trap, � Undrgrnd.
10. Struciural Floor System 61. APPROVA� TO DECK
55. Property Se`n'er Line & HouseConnec:�on 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & VenoFina� I
73. Roof Drains 64. Plumbing System - Pinal
74. Rough Piutnbing 65. Electrical�Final
15. Rough Elecerical�Condurt 66. Solar SVstem�Finat
76. Rough EleGtric Wiring � 67. Fencing & Access ApProval
77. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceilin9 69. POOUSPA SYSTEP,AS FiNAL �
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREILtENT
20. Rough Factory Firepiace APPROVALS Permit #
27. Ducts, in Structure 70. Underground Nydro
22. Duc:s, Ventiiating 77. Product Piping OGas OOi1
23. Gas Pipe�Rough & Tes: 72. Underground Flush
24. Roof Fram�ng 73. Undergrnd.StorageTank �Gas ❑Oil
25. Roof Sheathing '7��4tf (�j�6/ 74. Overhead Hydro
26. T�Bar Ce41in9 IStructurall & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAI
30. Drysvall Nailin9 HEALTH OEPT. REQUIREMENT
31. Plaster BroWn Coat 79. FINAL INSPECTION
32. Electncal Power Meter�Final 80. FOOD CERTIFICA7E ISSUED
33. Finai Electric Notes:
34. Final Hedting & Air Conditioning �
35. Final Gas PiPe-Test �
36. Hood or CanopY -
37. Final Facto�Y Fireplace I
38. Pinal Plumbing l
39. Water Service-Final
40. Gas Service-Final
41. Solar pom¢stic-Final
a2. Backflow Preventer
43. 8ackflow Ifrigation
44. �andscape irrigation Systzm
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING Q,�� q ���
O
48. FIPIAL PLANNING '
49. Electric Release to Edison '
50. Gas Reiease to Southem California Gas Co A�
51. CERTIFICATE OF OCCUPANCv .-_
No. Date -'�