HomeMy WebLinkAbout905 VAN NESS CT - Building PermitsPp01ECTRUOAES$: JOS VAN NESS CT
�owNex•seaMe: pICKERING, ALEX
nooness: gp5 VAN NESS CT
COSTA MESA,CA
AHCN/ENGINEEN:
R�OflE55:
• UNIT:
92626
PEG.NO.:
UNIT:
PEpmiTTEE: BILT—WELL ROOFING
FDDPE55: j j i O V ERDUGO
LOS ANGELES CA
UCENSEU CONTBRCTOP oECIAflATION: I nereby atlirm Wt 1 am Iicertte0 uneer Or
7000� ol Divsion 3 0l ��e Business ana Pmfessions CaOe. anE rtry license is in IuA i ce
cirr uc.! 0. 4�.6/! aT, eyx.: 4 5 B s _ ss: _
Date: �� � r $igna,
WONNEPS' COMPENSATION OECIANRTION: I hereEy aHum ItWi v fArt
CAmpenSation Insurance. or a certilietl copy tnereot (�ction 3800. LaO. L).
roucr No.: W 9 3 710 2 4 B 9 EI(P. OATE: O%� 3 S I
comraNr: CAL COMP INS.
❑ Cenitietl cop i5 here�y umis�etl. GI. Ceriifiea toDY � �iletl wi�h t�e tiry Buildin
�aie: � –` Applirznt�
(719)758-3501
��apter commencinA witA Section
KP: O1/94
t��-Mure or af�iiiicate afworker5'
E%EMPfION FflOM WOHKEflS' LOMPENSA710N �ECIAMT10N: (iTit Section nME noi be tanplet¢0 it the p¢rtnlTs�a Me hunEred �5700) of less�.
, I cerlily Ihat in the petlorma�e ol I�e wOrk tor w�iCh t�i3 permit i5 i55ue0. I Shall not ¢mpl0y any perwn in any manner so as �o OeCome
i sub�eci lo Ihe Workers' Campensation Laws at Calilomia.
Oate: Si9nawre:
NOTItE: II. airer making t�is tletlaration. yrou s�oWO Dewme subject Io t�e Workeri CamDensaOon pmviswns ol t�e LaEor
Catle. you must Io�hvnl� comply vntll such O�ovisions or tNs permit s�all Ee tleemea revokeC.
CONSTflUC710N LENOING AGENCY: 1 �ereGy aflirm Riat t�ere ¢ a COnsWction IenGinp agency lor the ceMarmance af t�e vrork lor
wAic� t�is Oermit is issuetl �Sectian 3097. Civ. C�.
LENOEF:
hODFE55:
OWNEP BWL�Efl OECLAl1A710N: I heRCy allirm tAat I am evemD� ��om t�e COntractor5' State License Law for lhe iWlowing reason
(Semion 703t.5 Business ana Pmfessional Caae: Any city ot caunty w�ic� reQuires a Dermit la constmct, alter, improve. Gemolis�, or
ieDair any simcture. o��or to its issuance. a150 repuires t�e aDDlitant for such permit ta lile a SiqneE stattment Iflat hPlslle is IicenseU
pursuam to ine O�ovisions ol the Canvactors' S�a�e License Law (CtuD�er 9(wmmmcing wit� Sec�ion 7000) of Division 3 0l the Business
ana Pro�essions Coae� or ihat �e/s�e is e�empt iAertlmm anU t�e Oasis for l�e allepeG ex¢mD�ion. My violation al Sectbn 703L5 Oy
any a001itanl lor a p¢rmii Subl¢tls I�e appliwni lo a tivil penaliy ol n0i mOrO �lun live �unErtE A011ars (f500�.
I. as owner al tne O�oOeny or my employea with wapes as tneir SOIe compEnSation, vnll tlo ihe work, antl ine
❑ simcmre is nol imenaea or otfere7lar sale 15ecuon 70aa, Busineu anC Pmleuional COOe: Tha Contracmrs' S�ate License Law
aoes noi aDPM m an owner al a D�oVetlY w� OuilCs or imprmes ihereon, aM wM Ooes suc� work �imsetl/hersell or thmupA
�is or ner own employees, O�oviOe� Ihat suc� impmvemenis art nol intendeE or allereC lar sate. If, Irowever I�a Euildinq or
imDmvement is sNtl within ane year al wmpletion, t�e owne� will have Ne EurEen af D�ovinp �ds�e Oitl not bui10 or impwve
lorine purpose ol salel.
I, as owner ol I�e pmperiy. am exclusively coniraclinp vnl� Iicen5e0 coniractars to conSWci IAe O�olecl (Sectian 7044, Business
❑ an0 Prolessiws Ca0¢: iA¢ ConlraClors' Slaie L'xeme Law tices wl apqy IO an ovm¢r 01 Dfaperry wlio �utIES af ImDroves Ihereon
anG who tonlrati5 lor Sut� prole��s vn�h a[Onlratior(5� IicenSe Dursuan� Io i�e ContractOrs' State Licensa Law�. 1 am aware
Iha� pr0o� ol I�eif Warkei 5 Compensa�i0n iniuranre SOwIJ he O�OvMeO �a me.
� I am eaempt unEer Seciion: B. 8 P. C.
lor Inis ieason',
Oaie. Pnner: _
I I tlo hereoy cenily inat I am aware al antl unaerslanJ the reauirements af Calilom
I 25534 and Ihal I or any Imure Uuiiding occupani vniVvnll nal (tircle one� neetl Ia c
� permil lor constmctian or moGilicaiion Imm I�e Air Oualiiy ManaqemCni DiSinc�.
IIhcse pmvisi0n5. �
Oale: pDplitanl: .�
I hereby terlify Ihai I have rea4 ihis application an0 S�a�e lhat lh¢ a0ov¢ inbrmati0n
or0inances antl stale laws relating Io buileing constmtiion arb �ereGy auilqrize represt
pmperly �ai /in5peti.io.,n OpurpaS .
Date: bI K �� Signawre:
Orive�'s Laense or Sacia� Seariiy r:
COUe Sections 255Q5. 25533, antl
Cades antl Ihe iequiremenls tor a
Nen-eppliceNene.pre evempt Imm
comply with all ciry an0 counly
emeruoonthe above�mentioneA
164L46 Whi�e-6wlaing: Green—GoOe EnlorcemenL Canary—Applicanl: Pink—Revenue; Goltlanrotl—Assessor
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT NO: H 067783 PLAN CHECK NO: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; 5TR
JOB DESCRTPTION ; T/OFF 5 REROOF WITH COMP. S BUR IN BACK
PERM NO: B U677t1:
GOVT: N SUPP: N
PURPOSE: OTH
SQ FT: 1,100
CLAIM VALUE; 1,100.00 CALC—VALUE: 1,100.00 GROUP OCC: R-1 /M-1
COMMENTS: SMOKE DETECTOAS ARE RE�UIRED IN EVERY BEDROOM 6 HALLWAY
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Z O N I N G5 ERTEH�AUCIKRSE M E N T S
------------ MAIN BUILDING ---------- --------- ACCESSOftY BUILDIPJG ---------
FRNT: FT IN REAR� FT IN FRNT: FT IN REAR: FT IP1
LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 41808333 ZNE: REF NO;
PLANNING 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 0 I R E M E N T S
ZONING APPROVED BY DATE:
BUILDZNG APPROVED BY ; DATE:
APPLICATION ISSUED BY; �� DATE: � Z(p��
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LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/RES GRADING
PERMIT 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
REVENUE DIVISION TOTALS--> COLLECTED: 27,50 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
27.00 ,50
iP if� if it iE ih 1E!! iF 1!!E il� if 1E ik 1t if ik ik iF iE if M iF if ih 1E 1E if # if 1F 1E fE k� ff 141k 1t ik 1@ fE �)E iF !f �lE 1f # ih fE iE #�)E it 1t 1E if� if if ih if� iE 1! iE ####!E # iE IE iE iF ih k it ft iF
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 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 1,100.00
END OF FEES
02 Q�163034-00163035 T O T 27,50
DATE= 06/29/94 TIi9E� 16:05
� CONSTRUCTION AND PLANNING POOL & SPA
f APPROVALS Permit# Date Inspector qppROVALS Permit# Date Inspector
. 1. Temporary Electricaf Service or Pfl�e 52. Pool & Equipment Location i
2. Soil Pipe�Undrgrnd. 53. Steel Reinfo.cemen[
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Elecirical Condui;-Undrgrnd, 55. Electrical Bonding
5. Steel Reinforcemen: 56. Rouc�h Plumbing & Pressure Test
6• Electr�cal UFER Grnd. 57. APPflOVAL TO COVER�GUNITE
7. Footings 58. Elec[ncal Condwt�Undrgmd.
8. Foundation 59. Gas Pipe, O Undrgmd.. Test
9. Water Pipe�Undrgrnd. 60. Backwash Lmes, P�Trap, � Undrgrnd. �
10. Strucwral Floor System 67. APPROVALTO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final
12. Se�ver Cap 63. Heater & Vent-Pinal
73. Roof Drains 64. Plumbing System - Finat
74. Rough Plumbing � 65. Electrical�Final
75. Rough Electriral-Conduit 66. Solar System-Final
76. Rough Electric Wiring 67. Fencing & Access Approval (
77. Rough Wiring Sign 68. APPROVED FOR P�ASTERING
78. Rough Electrical�T Bar Ceifing 69, POOUSPA SYSTE�dS FINAL
19. Rough Heating & Air Conditioning FIRE D[PT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Pipinq C7 Ges ❑ Oil
23. Gas Pipe�Rough & 7est 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storaye Tank O Gas ❑ Oii
25.floo4Sheathinq �,.�_�y 6�„� 74.OverheadFlyclro
,
26. T�Bar Ceiling (Struttural) & 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. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plasrer Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter�Final 80. FOOD CER7IFICATE ISSUED
33. Final Electric Notes:
34. Fina( Heating & Air Conditioning
35. Final Gas Pipe�Test �
36. Hood or Canopy
37. Final Factory Firep�ace I
38. Final Plum6ing
39. Water Service-Final
40. Gas Sarvice-Final
41. So�ar pomesticFinal
42. Backflow Preventer
43. Backfiow irrigation
44. Landscape irriqation System
45. Sound Aitenuation
46. Handicap Regulatians
47. FINAL STfiUCTURE & BUILDING p�;/ ,,,gr /_W6!
!�� �6
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co •
51. CERTIFICATE OF OCCUPANCY
No. Da[e