HomeMy WebLinkAbout904 VAN NESS CT - Building Permits(714) 754•5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 904 VAN NESS CT
Suite No
Vicinity:
Parcel Nunmber: 41808332
Applicant SZABO, KEVIN
Address:
PLUMBING PERMIT
Phone:
Zip:
Owner: QURESHI, MOHAMMED IRFAN
Address 920 VAN NESS CT
Phone:
COSTA MESA, CA Zip: 92626
Contractor: COAST ROOTER PLUMBING HEATING & AIR CONDITIONING
Address: 2737 S CRODDY
Arch / Eng :
Address:
ISSUE FEE
Backflow irrigation
Backflow Preventer
Bathtub
Clarifier System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
D2in, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
STE D
SANTA ANA, CA
WATER HEATER
AMT
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
Phone: (714)247-1414
Zip: 92704
License: 529127
Phone:
Zip:
License:
SCOPE OF PERMIT
FEESUMMARY
AMT
Laundry Tub / Washer $0.00
landscape Irrigation $0.00
P-Trap $0.00
Pressure Regulator $0.00
Process Piping (per 10 ft) $0.00
Receptors $0.00
Septic Tank $0.00
Sewer Cap for Demo $0.00
Sewer Connect $0.00
Sewer Private Line $0.00
Shower $0.00
Sink, bar $0.00
Sink, commercial $0.00
Sink, Floor $0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Status: ISSUED
Applied: 05/O6/2003
Issued: OS/06/2003
��� �
�' � /
SumpPump
Swimming Poal
Trap Pnmer
Urinal
Vacuum Brkr Bktlow(1-4)
Vacuum BrkrBkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toileq
Water Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$12.30
$0.00
$0.00
50.00
�TY
0
0
0
0
0
0
0
0
0
0
1
0
0
0
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regula�ions. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void il work is not commenced within 180 days, or it work is suspended or abandoned
for a period of 780 days.
INSPECTIONS: In order for the work euthorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inepeetione and tinal approval must be obtained. Failure �o obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (774) 7545626
2assre la�oo)
WORKERS'COMPENSAnON DECLARAnON:
I hereby aflirm under penalry of Oerjury one of the following declarations:
❑ I heve and wlll mainlain a certificate ot consent to seli-Insure for worker5' wmpensation, es providetl for by settion 3700 ot the Labor Cotle, tor the peAortnance oi the
wark for which t�is permit is issued.
� I heve entl will meintain workers' compensatlon insurance, as requiretl by section 3700 ol the Labor Code, Por Ihe peAortnanrs ot ihe work for which this paimil is issueC.
My work compensation Insurance cacr�ner antl policy number are: I_ �j 7� /�
Certier. ��� �UfJ �J PolicyNumber: 1� � V LLJ V�v�
(This section need nof be complefed i! fhe permi! Is valued et one huntlretl dollars ($ f00) ar less.)
❑ I certify thet in the pertormence ol the work for which th permit is issued, I shell not employ eny person in any manner so es to become subject to the workers'
wmpensatlon laws ol Cel'fo�liia, end aqre / It I sha iltl bewme subject to the workers' compensation provisions ol Secilon 3700 0l t�e LaDor Cotle, I shall torthwith
Comply with Ih058 provisi� ��� r
ApplicanlSignaWre: Date: S_ 'V—�3
WARNIN�: FAILUflE TO SEWRE WORI ERS' DMPENSA N CAVERAGE IS UNLAWFUL AND SHALlSUBJEGT AN EMPLOVER TO CRIMINAL PENPLTIES AND CML FlNES UP TOIXJE HUNDRED
THOUSPND OdlARE (5100,000). IN ADDRION TO THE WST OF COMPENSATION, OAMFGES AS PROVIDEO FOR IN SECTION 31060F TME UBOR CODE, IMEREST, AND ATTORNE'f5 FEES.
LICENSED CONTRACTORS DECLARA710N:
I hereby aflirtn thet I em
force entl eNect. Lic. M_
Contraaors Signeture:
CONSTRUCTION LENDING AGENCV:
with Sec�ion 7000) of Division 3 of tha Business d Prote ions CoOe, and my license is in full
Class p C�fp � C.
Dete: F,� –(4L0�
� I hereby aMirm Ihat there is e construction lentling agency tor Ihe pedormance of the work for which ihis permit is issuetl. (Sec. 3097, Civil Code).
Lender's Name: Lendefs Adtlress:
Signature:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby aHirtn thet under penelty of perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for lhe tollowing reason (Sec. 7031.5, Business antl Protesslons
Code: Any ciry or couniy which requires a permit to consWct, alter, improve, tlemolish, or repair any simcture, pnor to its issuance, also requires the applicant tor such permit
b file e slgned stetement thet he or she Is llcensed pursuant to ihe provisions oF the Contractors License Law (Chepter 8(commencing wlth Sectlon 7000) of Divislon 3 of the
Busineu flntl Protesslons Cotle) or t�et he or she is ezempt Iheretrom and lhe hasis tor the allaqed e:emption. Any violetion oi Section 7031.5 by any applicant for e pertnit
subjects the epplicant to e civil penelty ot not more than five hundred dollers ($500).):
❑ I, es owner ol the pmperty, or my employees with wages as t�eir sole compensation, WILL DO THE WORK, and ihe siructure Is noi Intanded or oNeretl lor sale (Sec.
7044, Business end Professiona Coda: 7he Comractors License Law does not apply to en owner ol property who builds or improves ihereon, and who does such work
himsall or hersell or through his or �er own employees, providad that such improvements are not intended or oMeretl for sala. If, howaver, the building or improvement is
sold within one yoer of completion, the ownar-builder will have the 6urden of proving ihat he or she tlid not build or improve for puryose ol sale.). �
❑ 1, es owner of the propeny, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRAC70RS to consWct the Oroject (Sec. 70aa, Business end Protessions
Cotle: The contractors License Lew does not epply to an owner ol property who builds or Improves ihereon, and who comracis for such project with a conlracmr(s)
liCenSe pur5uan� �o �he Con�rec�OrS Licen50 LewS.).
❑ I em exempt under sec. Business and Professions Code for this reeson:
Signature: Da�e:
Ownar ID verified by dnver's Ilcense. ❑ Yes ❑ No Driver's License No. Ezpires:
Ventication ol Ownershlp by (type of documem, i.e. - propeny taz bill or deetl):
DIVISION OF INDUSTRI0.l SAFETV PERMIT CERTIFICATION:
❑ I hareby ceniy Ihat no excavation five (5) or more feel in depih imo which a person is required to descend, will be mede in connection with work euthonzed by Ihis
pertnit, and that no 6uiltling structure, scaHoldinq, falsework, or tlemolition or dismantling thereof, will he more Ihan �hirry-six (36) feet high. (C�ap. 32, Grp 2, Ar12, Sec.
341, 71t1e B, Calilarnia Administretive Code).
❑ As owner-builder, 1 will not employ anyone lo do work which would require a permit from t�e Division oi Industnel Safety, es notetl ebove, unless such person has a
permit to tlo such work irom lhe division.
Signature: Date:
Division of InduSlnel Safery Petmit Number.
CERTIFICATE OF COMPIIANCE AND AUTHORIZATION OF ENTAY: I certity untler penalry ot perjury that I have reatl this application an0 state ihat the information given is
corract. I agree �o comply with all state laws and ciry ordinances relating to building construction, and authorize representatives of Ihe Ciry of Casia Mesa to enter upon the
ebove-describetl proparty for inspection purposes. I agree not lo occupy or ellow occupancy of any building authorized by this permit until linel inspection.
GOOE �,
1616
1266
Fi:etl System Final Fira Preventlon
Pool Spe Final
200 Final Re-Rool
201 Finel BIocWRetaining Well
202 Final Factory Fira Place
203 Finel Sign
204 Final Demolition
Q�jf, IMffIALS
COUE I INSPECTION TYPE
206 Final Mechaniwl
208 Final Plumbing
210 Final Elactricel
272 Final Fire Prevention
220 Final Planning Approval
222 Final Si�e
250 Final Building/Occupancy
� ��t� �
" Date
P� IiR�
PP0.IECTROONESS: 9QQ ��AN NESS CT
OWNEP'��NAME: oURESHI, MOHAMMED IRFAN
� • aooncss: CJ20 VAN NESS CT
C05TA MESA,CR 92626
RNCNIENGMEEB:
ROONESS:
HEG.NO.:
UNIT:
UNIT:
PENMIiiEE: HILT'WELL ROOFING (71 `'�" 501
aooness: 3�10 VERDUGO
L05 At3GELES CA 0065
UCENSE� CONTPACTOfl DEC�pATION: I �ere0y a��irm I�ai I am liten5e4 un0ef O�avisi s ol Cnaorer 9(c encing wim Stttion
7000� ol Drvision 3 0l ��e Bu5ine55 antl Prolessions Cotle, antl my license is in lull �orce a eil¢cl.
cirr uc.�0/3.,�F� S�TE LIC.: q j$ O O �; O 1/ 9 9
v
Oate: _ � f Sipnature:
wOBREHS' COMPENSATION tlECLAPATION: I hereoy allirm Ihal I Aave a cediiicale al consent to sell�insure or a certificate o� workers'
Comoensailon lns�a�cejoi Ucep�4eA�cgpy i�ereol (Sec�ion 3800. LaU. C)
POLICY NO.: W � 9 EXP. ORTE: U 7� 3 S I 9�I
COMPANY: CAL COMP INS.
❑ CerlilieE co0y is �ere (urnishe0. �/ Certilied coDY is I'I tl with the ciry BuilGi ' i5ion.
oa�e: 1^ �-� � Molicanr.
��. E%EMPTION FHOM WOflREBS' fAMPENSAT10N OECIABATION: (This section neeU noi Ee complete0 il �he pttmil is lor one hunareU (E100) or 1¢55�.
I cerlilp I�al in IM1e pedormanc¢ o� t�e work lor w�icA Ihis permit is issued. I 5bail not employ any person in any manner so as �a Decome
subie�� �o the workers' Comoensation Laws ol Califomia.
Date: Sipna�ure:
NOTICE: II. afler making Ihis tleclaralion, you 5hou10 become Subleci lo �he WOBers' Compensalion pwvisions ol t�e �a�Or
Coa¢. you musl fori�wiltl compty wilA such provisions or Ihis permi� sM1all be tleemetl revoke0.
CONSTBIICiION LENDING R6ENCY: I hereby aflirm t�at Ihere is a coretmction lending agency for Ihe pedormance oi the work for
wnich ihis permit is issuetl ISeciion 3097, Ciu. CI.
�exoes:
aooecss:
OWNEH BUILOEfl UELNRATION: I Aere�y allirm Iha� I am erempl irom �he Conirac�ors' S�ate License Law br the lollovnng reason
�Section 7031.5 Business antl P�o�essional Catle: Nny city ot counry whic� requirts a Dermii ta consimct, alter, impmve, demolish, or
repair any slrutlure. prior to i�s issuance, also requires ine apDlicant for sucn permit to lile a sipneC statement Inai nelsne is Iicensee
pursuanllo t�e D�a�sions ol ine CanVactars' State license Law �C�apter 9(commencin9 m�� �ction 7000) oi Oivision 3 oi the Buvness
ane Prolessions CoOe) or t�a� �e/she is ecempll�erelmm an0 the basa tor I�e allepe0 eKemption. Any viola�ion ol Section 7031.5 Gy
any aD4�icanl lo� a pe�mii suMec�s ih¢ applKant lo a civil penalty ot nol mo�e t�an lrve hund�ed 4o0.a�5 (550��.
I, as owner ol �he Dmperty or my emyloyees with wages as ��eir sole compensa�ion, will tlo ihe work. anA �he
❑ slmclure is nol intentlid or oifered lor sale (Sec�ion 704a, Business antl Pm�essional Code: The Coniractors' Slaie License Law
does not aD�ty lo an owner ol a D�oDetly who builtls or imo�o�es the�eon, an0 who tloes such work himsetl/nerself or ihmupA
�is o� her own emDloyees. pmvi0etl tlwt such impmvements are no� intenAetl ar offere0 lar sale. If, Irowever the huilainp or
improvement is sold wM1hm one year of camD�etion, Ihe owner vnli ha�e the burAen ol o�ovinp ne/sne Oi0 nol buile or impmve
for ine Durpose ol sale).
I, as owner o� the pm0ehy, am exclusiv¢Iy comrac�ing wilh licensed comracmrs m con5imct Ihe Dmled (Section 70dd, Business
❑ antl Prolessions CoOe: The Contractors' Siate license law Ooes not appty to an ovmer ol properry who hmlAs ar imDroves lhereon
anA w�o contrac�s la! such O�ole��s vnlh a conira[tar�s) license pur5uanl Io ��e Conirac�ors' Slate License Law�. I am awar¢
IIWI Dmal ol I�eir Wa�ker's Compensation insurance s�ou10 be proNtletl lo me.
� I am ¢rempt under 5¢�tion: B. 8 P. C.
lor Ihis reason:
Date: Owner
I eo nereby cendy inat I am aware of ane untle�stantl ine requirements of Caii�ornia NealtA antl Safeiy CoOe Sections 255Q5, 25533, ana
25534 an0 Nal I ar any IWure Duilding occu0anl will/wili nol (circle one� neetl to com0ly wilh saiE sta�e coCes antl t�e reQuiremen�s �or a
permit loi consimction or matltlicaiion Imm Ine Air Ouality Managemen� Oi5Vic1. fleSiUen�ial con5lmciion applica�ions are exemp� Irom
�hese provisions.
�a�e�. Applicam:
I �er¢by ceriify I�a� I have r¢atl l�is applita�ion and S�ate t�a� Ihe a�Ove intormalion i5 tOrre[I. aprt¢ la campty ' II Gry 2n0 COunry
ordinan[¢5aM statelaws relatingio OvilOing con9mpion anC �¢re0y auihorize represen�atHesaft piyla ent nlAeabove�mentioneC
pmperly lo� ins0ec�ion purpo5e .
Date: � • � Signature:
Drivei's Ucense m Sociai Security •:
t6ai�a6 Wmie—Builaing', Green—Coee Enlorcemem'. Canary—Applicanl: Pink—Revenue; GOIGenraE—Assessar
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: S 067781
PERMIT NO: B 067781 PLAN CAECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION ; T/OFF E REROOF WITH COMP, S HUR 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 REQUIRED ZN EVERY BEDROOM S HALLWAY
******+�+�***���r*+�**�*********i�****�*�r+t�t*****�r*atx�+�***��***�:+�**�*������r w***�r�-*�*�
Z O N I N G R E Q fJ I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSOEiY BUZLDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT ZN
LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL: 41808332 ZNE: REF NO:
PLANNING NOTES>
>
if if iE iE # if it iE it it it it it if iE ff tf iE it iE iE it iE if if it iE it i! iE IP tt if iE if it i6 iF it iE it ft iF ir it iF # it it # iE it iF it It if is K� i(-iF it ih # iE it #�t iF iF iE * if 3F IE iF �tt if iF iP
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 T S
ZONING APPROVED BY DATE: "
BUILDING APPROVED BY ; DATE;
APPLICATZON ISSUED HY; DATE;
il�lE�IflfiEiElEiFffiElElFiM1ifiFfEiEiFiM1fF1EiE�1F3F�iF����;F3F� ..�F�t�E�;f3F� iF3f�Fi�'�;FTFif�E�'F'�tTFlEifiFlEiE#lfiFiFiE�y,e, rt x:�it�
x�it*ir�****it*at�e*atit�t**atiEit�r�rar�t**�r*�r*�t*«-�atie***�tx�ftiratir��ratfrx�*�r*�*�-it*w*#it**x�rx�ir r�r*�t*rt�raa�
LEGALIZATZON:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 27,00 50
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS----> 27.50 0.00 0.00
REVENUE DIVISION TOTALS--> COLLECTED;
HLDG PMT PLUMBING ELECTRIC MECHANIC
2%,��
SMIP/NON—RES
TOTAL PAID DUE
27,50 27,50 .00
27.50 OVER/SFIORT; 00
FIRE SMIP/TOT GRADING PLAN—CHECK
,5�
# 9! iE �f iE itlE # iE iE iE �E iE 1f 1k if it 1E iE iE �E iE iE i4 it # 1E M df ib if iE fE jE 1E IE iE iE �E iE iE ff i(� if iF fE iE if if iF iF if 1E �E 3t- ih if iF iE i(-if ik # 1E iF IF ff ic iE aE �IE �lE iF iF M if # it *
I N D I V I D U A L F E E B R E A K b O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 1100 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 1,100.00
END OF FEES
Ui C�163032—�D263D33 T O T 27.`D
OATE: Ob/29/94 TIt1E: 16:D4
C�JNSTRUCTION AND PLANNING POOL & SPA
aPPROVALS Permit # Date inspector APPROVALS Permit # Date Inspector
i. TemOorary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe�Undrgmd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgmd. 54. Forms
4. Electrical Conduit•Undrgmd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Gmd. 57. APPROVAL TO COVER�GUNITE
7. faotings 58. Electricai Cqnduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Tesc
9. Water Pipe-Undr9rnd. 60. Backwash Lines, P-Trap, CI Undrgrnd.
10. Struciural Floor Svstem 67. APPROVRL TO DECK
it. Property Sewer �ine & HouseConnection 62. Backwash & Receptor�Final
12. Sewer Cap 63. Heater & Vent�Finai
13. Roof Drains 64. Plumbing System - Final
74. Rough Plumbing 65. Electricai-Final
15. Rouyh Elec!rical-Conduit 66. Solar System-Final
76. Rou9h Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOLJSPA SYSTEPAS FINAL
19. Rough Heating & Air Conditioning FIRE DEP7. REQUIREMENT
20. Rouyh Pactory Fireplace APPROVALS Permit #
21. Oucts, in Struct�re 70. Underground Hydro
22. Ducts, Veniifating 77. Product Piping OGas OOiI
23. Gas Pipe�Rough & Tes: 72. Underground Flush
24. Roof Framin9 73. Undergrnd.StorageTank �Gas ❑Oil
25. Rooi Sheathing 'I,.G�Rl.� ��,�j- 74, Overhead Hydro
26. T�Bar Ceilin9 (Structural) & Monocoat 75. Dry Chemical
27. Frame and Fiashing 76. Dry Standpipe
28. La[hing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIflE PflEV. FINAL
30. Drywali Nailing HEALTH DEPT. REQUIREMENT
31. Piaster Brown Coai 79. FINAL INSPECTION
32. Elzcirical Power Aqeter�F�nal 80. FOOD CERTIFICATE ISSUED
33. Finai Elec:ric � Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test �
36. Hood or Canopy
37. Final FactorV Fireplace
38. Final Plum6ing
39. Water Service�Final
40. Gas Service-Final
41. Solar pomesiiaFinal
42, Backflow Preventer '
43. Backflow Irrigation
44. Landscape IrriGation System
45. Sound Atte�uation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �,�/�����
l�
46. FINAL PLANNING /�
49. Electric Release to Edison �;,,;
50. Gas Release to Southern California Gas Co `"
51. CERTIFICATE OF OCCUPANCY •�
No. Date
.
�,cT ::�. 10445 �,��.�.� September 3, 1980
i.a: r:o. 87
ADDRLSS 904 Van Ness Court, Costa Mesa, CA 92626
Developre.^.nt Scrvices Dcp:irt:�en[
, Yl.nning Division
. Ciey of �:osta b;esa
77 t air Drive
� Costa ?1c.a, CA 92626
Attention: Pir. Pav1 Dudlcy
Dcar 4tr. Dudley:
please be aware [hat the undcrsigned are aware [hat a cer[ificate of occupancy
on the abwe referenced lo[ and unit is bcin� requested prior to the entire
tract and its streets and cor.enon areas Ueino completed and accepted by the
City of Costa Picsa.
BY S
(SI i�41TU^nE OF PURC
BY o ��
(SYCNA URF. OF DEVELOPER A°:D OR
AUTHORI'GED REPRESEidTATIVG)
a�. �� y�������
;SIC\P�TIII'.F. F LEidllF:F)
,s�,� � ,,1 i y��
'z ^'� R�c� �Fn -.�
��fl�O `_ � SEp a On6l �
�T� MESA BRANa V
BANK o° eMERICA
S�N7.a5.�.
/ 517 ' ��
\�� 1 �.`�