HomeMy WebLinkAbout917 VAN NESS CT - Building Permits.
TRACT N0. 10445
""- LOT N0, 100
DATE October 2, 1980
'��`� . ,- �,. � .
Development Services Department
Planning Division
City of Costa Mesa
77 Fair Drive
Costa Mesa, CA 92626
Attention: Mr. Paul Dudley
Dear Mr, Dudley:
_/�
Please be aware that the undersigned are aware that a certificate of occupancy
on the abwe referenced lot and unit is being requested prior to the entire
tract and its streets and co�on areas bein� completed and accepted by the
City of Costa Mesa.
� i���,��u�`a'i /✓ ���'l�l �
BY �
(SIGNpTURE OF PURCHASER) U
PHOJECT AUOflESS: 9 1 7 VAN N ES S CT
OWNEH'SNAME: HARRISON, JOSEPH L TR A
aoos¢ss: q022 NtONTEGO DR
� HUNTINGTON BEACH,CA 92649
AflCH/ENGINEEN:
aooRess:
REC.NO.:
uNiT: CITY OF COSTA ME5A — BUILDING PERMZT PERM NO: b 067927
PERMIT NO: B 067927 PLAN CHECK NO: N GOVT: N SUPF: N
CON5TRUCTION TYPE: V—N PER�tIT TYPE; STR PURFOSE: OTI-I
uxiT:
PEHMITTEE: HILT—WELL ROOFZNG ( 714 ) 758-3501
aooeess: 3310 VERDOGO
LOS ANGELES CA 90065
LICENSEO CUNTBACTOB OECIAHATION: I hereby aliirm �hal I am Iicense0 un0er pmvisions o� CAapier 9(commencing wii� SectiOn
7000� ol Orv¢ion�//33{{{���ol ihe us ess and Pmlessions Code. an0 my license is in lull lorce anG eltecl.
CITY LIC.: T STATE LIC.: G S B O O S cuss: C- 3 9 EXP ; S�QJ�
ale' �� Signalure: . -
FNE85' COMPENSF710N OECWBpTION: I �ere y a al l �a ceh - te o consen� Io sell�insure or a ceriificate ol Workers'
COmpensation Insurance, or a cetlilied coDY �here IiOn , ab. C�.
euucr nu.: W 9 3 710 2 4 8 4 %P. DRTE: O�J / 3 S/ 9 9
COMPpNY: CAL CON1P I NS .
❑ Cerlifie0 toDYJs hpreby lumishee. � Ceriili¢E COpy is liled with ��e Ciry Buitty'ng Divisi0n.
baie' Applican�: _
E%EMPTION Ffl M OflN 5' COMPENSIITION OECLABA �(ihis 5' neeA iwi �e campl¢tetl il ihe permi� is lor One �unOr¢0 (E700) or Ie551.
I cetlily ��al in I�e Dedormance ol the work br whicA Uis p �ssuetl, I shall no� empioy any person in any manner so as to become
su0jecl to �he workers' Compensation Laws ol Calilomia.
Oate: Signa�ure:
NOTICE: I�, after making ihis declaration, you shoul0 hecome su�iect to the Worker5' Camoensalion provisions al Ine La�or
Cotle. you mus� forinwilh comDly wi�h suc� O�ovisions o� ��is Oermi� shall be deemetl revoke0.
CONSTFOCTION LENOING PGENCY: I h¢r¢by aflirm Iha� fM1ere i5 a COnSlmtiion lentling agency fOr lhe peAormanCe a� Ihe wOrk lar
which Ihis permil is i=_suetl (Sectian 9097, Civ. C�.
LENOEN:
ADOflESS:
OWNEH BIIIWEP OECLABPTION: I herehy aflirm �hat I am exempt imm the Contractors' State License Law lor t�e followinA �eason
(5¢clion 7031.5 Business antl Prolessional CoOe: Any ciiy of county which repuires a permi� �o consirutl, alier, impwve, GemolisR or
repai� any strutture, pnor to its issuance, alm repuires ine aoDlicant for suc0 permii ta file a signe0 statement ihat npJsne is licensed
ursuani to ��e rovisions oI the Comratlors' Stale license Law (Chapter 9 gommencinp vn�� Seclion 7000) ot DiviSion 3 0� 1�e Buvness
JOB DESCRIPTiON ; T/OFF 6 REROOF WITH COMP. 6 BUR IN BACK SQ FT: 1,100
CLAIM VALUE: 1,100.00 CALC—VALUE: i,i00.00 GROUP OCC: R—i /f4—i
COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM 6 HALLWAY
�**+t**�r�*#��**��c*���-*#*��*****���*�*�x**���t*#*�r�-***�**�#*�r#�**�**r�**+��**��-+t��*��
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY DUILDIA]G ---------
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: 41808396 ZNE: REF NO:
PLANNING NOTES:
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�itfritu�+t�r#�rft�rir+t�+r*x�u��**�*irittrxx�fr�r##�x��x��r*�ittr�t�ar+r**��fr�tr*it#�r�x�+tic-*���#*��+t+t*�if�x�;: �+�x�
D E V E L O P M E N T S E R V I C E S R E Q U I k E M E N T S
ZONING APPROVEi? BY DATE: �,.
BUILDING APPROVED BY :
APPLICATION ISSUED BY:
�if9E1FiE3EiF3FifiFlEiFiFic#iFiEiflfiEiEiEitTe�Fit�T�'ir{t�t�$� yt � t f�h�#3tit - R ih iF
�f iE 9E �lE iE iF 9f if if iFlF iE �)f iE 3F iE iE iFlE 9F if i( iE # if # iF 1f if iF iE iF iF iE iE iF # iE iE if �lE iE 9E iE iF iF iF 9E 1F iF # if 1F iF IF �If iE i!
LEGALIZATION;N F E E S U M M A R Y
BLDG PMT PLOMHING ELECTRIC MECHANIC FIRE
PERMIT 27.00
DATE:
DATE:
it 9F iE IE �lE if -1E 9E iE #�lE 16 iF )F iE it iF K#�lf
STRUCTURAL SEGMENT;Y
5MIP/RES GRADING
.50
p p SMIP/NON—RES
and Pmiessions Cotle� or IAai ne/she is exempi IAerelmm an01�e hasis lor I�e allegeA exempiion. Any violation ol Seclion 7IXi1.5 by PLAN
any apPiicam lor a Dermit suhle��s t�e applicant to a civil penally ol not more t�an irve huntlre0 Eollars (5500). I S SUE f EE
l as owner o� the omDeny ar my emVloyees �in wages as ineir sde campensation, win oa me wark, ano �he gUILDING—DZV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ stmcwre is not imenUeA or oflereu for sale �5ection 704a, Busineu anO Pmfessional Coae: The Coniractors' Sute license Law TOTALS ---- > 2%, 5 0 0, 0 0 O. Q Q 2 7. S 0 2 7, 5 0 , 0 0
Oo¢s nol appty m an owner ol a pmperty wM10 buila5 or impmve5 Ihereon, and wh0 Ooes SutA worN AimSell/AeRell Or I�mugh
his ar her own employees. proviaetl inat sucn improvements are not intenOeE or ottereJ for sale. Ii, Aowever the euilainp or REVENUE D I V I S ION TOTALS--> COLL ECTED • 2 7. 50 OVER /SHORT •
impmvement is sot0 vn�hin one year o� cOmpleiioq ��e owner vnll �ave t�e GurGen o� provinp �e/5�e CiE nol huilC Or impmve Q Q
m�ineoorposeoisaiel. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
i. as owner o� tne propeny, am e.ciusi�eiy conlraciiitg wiih Iicen5e0 contractors lo construc� ihe pwlect,Seclion 7044, Business Z! . � � . 50
❑ antl Pmfessions Coae: The Contractors' State LicenSe Law Ooes not apDry ro an owner oi pmpert9 who Cwltls ar improves thereon
antl w�o conVads lor suc� pmlecl5 wit� a mnirador�s) license pursuan� Io Ihe ConVac�ars' Sta�e License Law�. I am aware
Ihat pmol ol �heir Worker'S COmpen5a�i0n inSuranLe SAoultl �e pmviAed to me.
� I am exemp� un0ar Seclion'. fl. A P. C.
loi inis reason:
Date: Ov+nec
I Uo �ere�y renify Ihat I am aware oi an0 unAerstan0lAe requiremenis oi Cali�ornia Nealih antl Sa�ery Cotle Seciions 25505, 25533, ana
2553<antl t�at I o� any fuWre builtling acupan� wilVwill not (circle one� neea to comply wi�� sai0 slate tatles an0 t�e requirtments for a
permii for ton9mciion ar mo0ilication Imm I�e Air uality Management �i5irict. Pesi�eniial con9mction aODlitdiion5 ar¢ exempt �mm
Inese pmvisions.
�ale: Appli[ant:
1 nere�y cenity Inai I have rea0 ihis apDlitalion anA slale Iha� t�e aGave inlormation is correcL I agRe to compty wi�� all city and counry
ardinance5antls�a�elawsrelalinglo�uiltlmB�on51mc1ionanOher re0�esen esollhi5cityloenleruponl�eaEove-men�ioned
prOp¢tlV �ar in5DEL1i0n,0u�DO5P5. �i
—OriverS �icense ar Saciai Securiry x: ) �"�
ibaba6 wnne—BuuOmg; Green—CoOe Enlo¢umem: Canary—PpplicanC Pink—Ravenue; GolEanroE—Assessor
�)EiEifiEifiFiEfFiFi6iEitieifiFlEiF�Ff(�1fiEiEie#ia1FiE3FIfiEitiEiEiEififiti(��f*i!i'iEiE�1F#iFi(�if�if#il�FiEikib#fE#ififiE#iEieiE�lEiEiF#it#iEifiF#if�Y
I N D I V Z D U A L F E E H 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
';:� -�3- Z- i
, .., D.
CITY OF COSTA MESA
�
CONSTRUCTION AND PLANNING ' POOL & SPA �
APPROVAlS Permit # Oate Inspector p�ppROVALS Permit # Date Inspector
7. Temporary Electrical Serviez or Po�e ' 52. Pooi & Equipmenc Locauon �
2. Soil Pipe�Undrgrnd. , � �� 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical 8onding
5. S[ee! Reinforcemen: 56. Rough Plumbing & Pressure Test I
6. Electrital UFER Grod. 57. APPflOVAL TO COVER�GUNITE
7. Footings � 58. Electrical Conduit�Undrgrnd.
8. Foundation � 59. Gas Pipe, O Undrgrnd., Tes[
9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, Cl Undrgrnd. �
10. Structural Floor Svstem � • 67. APPFOVAL TO DECK
7 7. Property Sewer Line & House Connection 62. Backwash & Recepior�Final � -
12. Sewer Cap 63. Heater & Vent�Final �
13. Fioof Drains 64. Plumbing System • Fina�
14. fiough Plumbing 65. Electrical-Final
15. Rough Electriral�Condu�t 66. Solar SVstem-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
77. Rough Wiring Sign � 68. APPROVED FOR PLASTEFING
18. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEPAS FINAI
19. Roogh Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Firepiace APPROVALS Permit #
21. Dupts,in Structure 70. Underground Hydro
22. Ducts, Ventlfating 77. Product Piping O Gas ❑ Oi1
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof'rraming 73. Undergrnd.StorageTankOGas �Oil
25. fioof Sheathing �� 8..o(pr �...Li 74. Overhead Hydro �
�' DI.
26. T�Bar Celling (Structuraq & Monocoat 75. Dry Chemicat
27. Frame and Flashing 76. Dry Standpipe I
28. Lathing & Siding 77. FIXED SYSTEh4 FINAL
29. Insulation 78. FIRE PREV. FINAL
30. OryLvall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coai 79. FINAL INSPECTION
32. Electrical Po�ver Meter�Finai 80. FOOD CERTIFICATE ISSUED
33. Fina� Electric Notes:
34. Final Heating & Air Condit�oning
35. Final Gas Pipe-Test �
36. Hood or Canopy .
37. Final Factory Fireplace �
38. Final Plum6ing '
39. Water Service�Final
40. Gas Service�Final
41. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation �
44. Landscape Irriqation System
45. Sound Attenuation
46. Handicap Regulations
47. fINAL STRUCTURE & BUILDING �L`C ��� , '
/
48. FINAL PLANNING --
49. Electric Release to Edison .
50. Gas Release to Southern California Gas Co •
51. CERTIF�CATE OF OCCUPANCY
No. Date