HomeMy WebLinkAbout918 VAN NESS CT - Building Permits�
CITY OF C06'I'A
•a• s. •• • • •
't"
�r+cr r�o. i ;'-I y S
ILri' N0.
IIATE: !.�-�;-��1
ADDRFSS Gj�L� �/'C,I/� �P�i�� ��(5OV� i�l'�YL'<, ✓✓�`P<CI
'Ihe develcper of the above entitled tract desires to sell the above set forth
loti prior to the tune that the tract has been conpleted and its stz�ets
accepted b� the City of Costa Mesa.
By executing this agreement; the undersigned ackna�uledges that he/she/they
��was/were advised that this tract has not been given final inspection nor has
it been accepted Fi� the City of Costa Mesa as having earplied with the oonditions
of approval which �ere inposed b� the City at the tvne the Final Tract Map was
approved.
The City ass�mies no liability for the enforcesnent of the oonditions necessary
for approval other than those conditions protected b� surety bond.
The undersigned agrees to indemnify and hold the City harmless from any claim
resulting in dam�ge or personal injury to the undersigned b� reason of the
aforementioned unax�leted condition(s).
��=��iv�D
��n �` C"-ST1 M�SA
pi , �:.�� �,. ,
D�.0 2'.' 1979
AN!
`�i819i�elli�s�i2i3i4i5 6
_ �
4/79
BY�/��� . � Ti"%
(Signature of Pu-chaser)
BY �>r��,�� S,��P���i+��
�Si ture of Devel and or
authorized representative
Santa Fe Federal Savings and Loan Ass
gy /s/ Lee Henderson
(Signat�m of Lender)
%
t
CITY OF COSTA MFSA
RD]UGST FOR OCQIPANCY
T�-T �• 10445 IY�TE: 12-24-79 �
�T �• 101
�� 918 Van Neas Court, Coata Mesa
'II�e developer of the above entitled tract desires to sell the above set forth
lot prior to the time that the tract has been obrtpleted and its streets
ec�pted b� the City of (bsta Mesa. ' .
By exewting this agrE�ement, the tux7ersigned acknowledges that he/she/they
aes/aere advised that this tract has�not been given final inspection nor has
it been accepted b� the City of Costa Mesa as having axrplied with the oonditions
of approval which ti.ere inpc�ed b� the City at the time the Final Tract Map was
approved.
Ttie City assimies no liability for the enforceJ�nt of the conditions necessaty
for approval other than ti�e oonditions protected bf surety bond.
79�e undersigned agrnes to irx3�Nify and hold.the City harmless from any claun
resulting in dartage or personal injury to the undersigned b,� reason of the
aforementioned unoprpleted condition(s).
gY /s/ Van R. Kelsey III
(Signature of Purchaser) Van R. Ke'laey
���a�, ��c-� Xb�..s� �
U(Si ture of Devel r arr3 or
authorized representative
_ Santa Fe Federal Savings and Loan Assn,
4j79
�
PflOJEtT AO�flESS: 91 $ VAN NESS CT
OWNEH'SNFME: KELSEY, VAN R 3RD
nooxess: 3030 S BUNDY DR
LOS ANGELES,CA 90066
ABCMIENGINEEfl:
nooRess:
UNIT:
NEG.NO.:
uxrt:
PE"miTTEE: gILT—WELL ROOFING ( 719 ) 7
aooeess: 3310 VERDUGO
LOS ANGELES CA 90 �,,
LILENSEO CONTflpCTOfl OECIABAiION: I hereDy a��irm Ihal I am Iicen5e0 untler pmvisi0n I C�aO�e� 91�ommi
7000� al Oiv6ian 3 0l the Busine55 antl Pmlessions Gotle. antl my license is in full force an eltect.
c�ic.:_ sTeJEuc.:q5800� � " ""�•
oai _/—/ —"75� s�9naro ��
�
URBERS' COMPFNSp(I�N OECIARF�IUN: 1 he�eby a�fum ttWt I have a certUicate ol canuat t
Compensa�ion �ny�aqc�ol UcpyuljeQ cppy thereal �Section 3800, Lab. C).
P�LICV NO.: W 3 1 � 9� 4 E7(P. OATE: � 7� 31 / J 4
COMPRNY: CAL COMP INS.
❑ CerlilieU copy is �ereby IumiSheC. [{ Cetlitie� copy i5 liletl wit� tAe cit Builain 0 is
section
al warkers'
Date: � � Applica0�: ��
%EMPTIONFNOMWOPNEBS'COMPENSATIONUECLANAT�ON: Qhi55edionneetlna�becomple�edilthe0ermi e�uMreE15100�or1e55).
I cetlify Ihai in Ihe petlormance ol lhe work �or which tpis permi� is issuetl, I s�all no� employ any person in any manner so as �o become
suDle�� �o Ine Worker5' Comp¢nsation Laws o� Calitamia.
�a�e'. SiAnalure:
NOTICE: II, afler making Ihis aeclaralion, you 5h0uld become suhlecl Io �he Wo�kers Compensa�ion provisions oi �he La6o�
CaOe. y0u musl lOrl�wi�� tomply wilA 5ut� O�oNsionS or INS Dermi� Shall he tleemetl revOkeO.
CONSTHULTION LENOING RGENCY: I �erety atlirm ��at t�ere is a construction IenAing apency lor t�e pertormance a� the vrork lor
� w�ic� Ihis Dermit is issueJ �Section 3097. Civ. C).
LEN�EP:
AODBE55:
OWNEB BWLOEP OECLAflATION: I �ere0y allirm I�a� I am ¢�empt tmm t�e Cantaciors' Stare License Law tor tAe �ollowin0 ��on
(Section 703t.5 Business and Pmiessional Coae: Any city oi tounty which requires a permit Io cons�Nd, alier, imo��'e, tlemolish, or
�e�air any 51mCime. D��or t0 iis issuance. a15o �¢qln�es the appikant�a� Such permil totil¢ a SiBn¢4 Statement tllat h¢ISt1e ISIicen5e4
pursuanl ta tne pmvisians of Ihe Coniraclar5' State License Law (Chapter 9(commencing wiU Section 7000) ot Division 3 0� ihe Busineu
ana Pmfessions Caae) or itwt ne/sne is ex¢mpt Iheref�om ana ihe Uasis lor the alleAed exemplian. My vidation ol Settion 7031.5 hy
any apDlicant for a Dermil subjecis ine ap0licant to a �ivil penally of not more ihan five nuntlre0 Oallars (I500�.
I, as owner of the pmDeny ar my empIOY?es wit� wages as their sole campensation, will Oo Ihe work, anA the
❑ simcwre is not intentleG or ofiere0 for ule (Secuon 70aa. Business and Pmlessional CoOe: T�e Cantractori Stam License Law
tloes naI apply �o an owner o� a pmperly w�o �uilds or impmves ��ereon, and who does suth woM1 him5ell/herself Or Ihrouph
his ar her own employees, pwvitlea ��at sucn improvemenis are no� intentletl or ollere0 for sale. If, however [he builtlinp or
impmvemenl is soltl within one year o� com0le�ion. Ihe owner will have t�e burtlen of proving he/She tlid not huiltl or Improve
tor Ine vurpose ol sale�.
I, as owner ol ihe propetly. am exdusively con�racting with Iicense0 coniractors to conslruct tlle pmlect (Section 7044, Business
❑ anU Pmfessions Caae: The Contracmrs' State ��cense Law Ooes not aDPly to an owner oi property wAo Uuilds or impmves Ihereon
antl w�o conVacls far suc� pwle��s with a cOniractor(s) license pursuan� to �he Coniracrors' Siate LicenSe Law�. I am aware
I�al pmol ol I�eir Worker'S ComOensation in9urance shouitl be pmwtle0 Io me.
� I am exempt under Seclion: B, 8 P. C.
�or Ihis reason:
Oate: Ownec
I tlo hereDy cendy itWl I am aware of ana unaerslantl ine reauiremenis of Calilomia Health an0 Satety CaOe SettioRS 25505. 25533, aM
2553<and t�at I or any IUWre CuilOmg acupanl wilUvnll not (circle one) neeE Io camply with SaiG Slaie COC¢5 anG Ih2 r¢Quir¢menis br a
permii br con9mcUon or motlilicalion Imm I�e Air �Vah�y Managemeni OiSinct. Fesidential cons�mclion ap0lication5 aB evempt iwm
11122E O�Ovi5i0�5.
Date: Applicanl: _
i �ereby cenity tha� 1 �ave rea0 tnis a001ication ane sta�e t�at tAe ahove inlormatio 5 carreCl. I apree Io tom ilA all tily anC tounry
ardinan[esan051ai¢IawSretaiinqlOOuilOmptOnSirutlionandhet¢byaulhor¢erepresnlalive5oilhi5ti�y erupanlheabwe�mentloned
pmpeny Ioi inspecuon prurposes
Daie' � / i � Sign .
oriver's License or Sociai Securi�y a:
16<1�a6 Wnite—Bwlamg; Gieon—GOGo Enbrcement: Canary—Appl¢anC Pink—Revenua; GolGanrop—Assassor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 067800
PERMIT NO: B 067500 PLAN CHECK NO: N GOVT; N SUFP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION ; T/OFF 6 REAOOF 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 ItEQUIRED IN EVERY BEDROOM S HALLWAY
****+�*x�+�****+�*�r�r+��t�*#**+��*x�******�******�**�r��r�r**�*�+��r**x��+r���-*�rx-��r********�r*�ar
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 BUILDING ---------
FRNT; FT ZN REAR; FT IN FRNT; FT IN REAR; FT IN
LEFT; FT ZN RGHT: FT IN LEFT: FT IN RGHT; FT IN
PARKING REQ: PROV; PARCEL: 41808346 ZNE: REF NO;
PLANNZNG NOTES> ,
>
��u��r*�*�r�r*x��r*+t�rr+rx��ru��*��r�***�u�**+�+��r��r�r�x�+��**##�r�r+�**�r*+��r�**�x���r+���r�*�w*�r*�**�r**x
D E�� 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 HY DATE: �
6UILDING APPROVED BY ; DATE:
APPLICATION ISSUED BY: �r �)a(�
******f�i�x�***�*�**�t�*�r**+rTr�**�r*�r�r+r,�* �.* ..rxxx��r �x**�r�r�r*�*+r�-***D***�it*�rxv�rr.,,�- �r,l�rf:—
iE*iEiEiE3EiF1EiEiEif%i[�K�1li!!E#ifif�iliFlFlE1flEifiliEiFi(�iliFiEiEfFifif4iE3E*iEiEi(�iEiEltlPiEiE9Ei!#jEiEiEifiEicifiFiE�1li(�f!-1Fif�f :iEfEiF' ifili(�if�iE
LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PEAMIT 27,00 50
PLAN
ISSUE FEE
BUILDING—DIV—>
TOTaLs--->
PERMIT ISSUE PLAN—CHECK
z�,so o,00 o.00
SMIP/NON—RES
TOTAL PAID UUE
27.50 27,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 27,50 OVERISHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
2%,�� ,5�
fE iE fElE iE iF i(� 1f fE if iE ik iE i!� iE iE ik if iE iF iF iE i4 iE i! ik fE iF iE # iE iE if iE if� iE iE iE 1E iklF ft iFlt it i! fE k IF iE if iE iE it iE 1! if ie if jE iE iE iE iE if �lE ff �IF ik iE iE M iE it iM1 M iE it i!
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 Z P T I O N CTNIT COST TOTAL COST
SFR 1100 REROOF BY CTALUE RESIDENTZAL NOZONE 1.00 1,100,00
END OF FEES
U1 00163305-00163306 T Cl T 27,Sp
DqTE: 07/01/94 TINE: 08:56
�..
CONSTRUCTIQN AND PLANNING POO. oPA
APPROVALS Permit# Oate Inspector APpROVALS Permit,�' Oate Inspector
L 7emporary Electrical Service or Pole 52. Pool & Equipment location
2. Soit Pipe-Und�gmd. 53. Steei Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgmd. , 55. Electrical Bonding
5. Steel Reinfarcement 56. Rough Plumbing & Pressure Test
6. Electricai UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings 58. Electrical Cqnduit�Undrgrnd.
8. Foundation 59. Gas Pipe, � Undrgrnd., Test
9. Water Pipe�Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd.
10. Structural Floor SYstem 61. APPROVAlTO DECK
7 7. Property Sewer Line & Nouse Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent�Final
73. Roof Drains 64. Plumbiny System � Final
74. Rough Piumbing , 65. Electrical�Final
15. Rough Electrical-Conduit � 66. Solar System-Final
16. Rough Electric Wiring , 67. Fencinc� & Access Approval
17. Rough Wiiing Sign 68. APPROVED FOR PLASTERING
18. Rough Electrica6T Bar Celling 69. POOUSPA SYSTE��1S FINA� '
79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Firepiace APPROVALS Permit #
27. Ducts, in Structure � 70. Underground Hydro
22. Ducts, Ventilaung 77. Product Piping O Gas ❑ OiI
23. Gas Pipe�Rough & Test J2. Underground Flush
24. Roof Framing 73. Underyrnd. Storaye Tank O Gas ❑ Oil
25. Roof Sheathing ��� 9�(��{/-� 74. Overhead Hydro �� .
26. T-Bar Ceilinq (Structurall & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding � 77. FIXEO SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing � HEALTH DEPT. RE�UIREMENT
31. Piasier Brown Coat 79. FINA� INSPECTION
32. Electrical Power Meter-Finai 80. FOOD CERTIFICATE ISSUED
33. final Electric Notes:
34. Final Heating & Air Conditioning ,,
35. Finai Gas Pipe-Test - �
� -
36. Hood or Canopy t
37. Final Factory Fireplace
38. Fina� Plumbing
39. Water Service-Final
40. Gas Service•Pinai
47. Solar pomestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. landscape irrigation System �
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING �.�/I C�'U �w6'L •
� .. _I.
48. FINAL PLANNING
49. Electric Release to Edison �•
50. Gas Release to Southern California Gas Co
51. CERT�FICATE OF OGCUPANCY •,
No. Date
'`
' `,A�;,.d�
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626
For Applicant to Fill in Completely - Use Ink Only
OWNER Biddle Development, Inc. (_%L
MAIL 3848 Campus Suite 116
ADDFESS
CITV Newport Beach, CA No�540-550
CONSTFVCiION
LENDER N�A
BRANCH
AODRESS
ORENGINE2rr+dd,Kelsey,Woodard NOL.
180 Newport Center Dr. NB
ADDRESS
CONTRACTOR $}��}e �eV6�B�,1F119CFl� Iil�'
nooaes�48 Campus Dr. Suite 116
ci�v Newport Beach, CANo,�`s40-5505
BLDG. �k 3�"'"���i1,3 I /23/79 243.65 �TL
I APPLICATION FOR STRUCTURAL PERMIT
TRACT
W AD
OWNER
SE t.I/K�
FIRE
ZONE
APPROVED
F STATE CITV �'AflDSAPPROVED
� LIC. NO. �IC. NO. MAIN BUILDING
(y� SIZE NO.OF BLDGS. (FROM C/1. STREET)
L OF LOT NOW ON LOT - ONT T.
a USE OF
� EXISTING BLOG. $�
e3c unit QaraQe= sq.
F Separate perrritts ar€required for �. o Fr.
� electric, plumbing and heating work. REAR Fr.
%'� USE OF BUILDIry G AND WOF E PERFORMED
Unit 9F101 A��L��i S(]. EC. DISTANCE BET.
MAIN BLDCS.
102 C 1603sq.ft VAR. �yA��/
�-1 C.U.P. -i r1
� �vTa�. a-tD2'I �r """�" p`� •
}
�
W woLD FOR :
a I hareby acknowlatlge that I have reatl thls epP��catlon entl stata
O
� that the ebova intormation is correct antl aprea to comply wich
� ell lews �e9ule<Ing buil4ing construction, and 1 sha11 �ot emp(oy
Z any person in vlolation of ihe workman's compensatian laws of
� the Staie ot Celitornle.
3 I hereby certHy thai I am proparly Iicensetl as a contractor untlar SQ. FT.
tha Stata of California Busineza antl Professlo Cotla, �Ivision 3, THE AMOUNT 51
Chepiar 9, antl thet suc� licensas are in orce antl ettect, or I THE PURPOSE OF
am exempi from M¢ provisions of t ta of Californla Business VALUATION
antl Profassions Cotla Dlvision 3 pter 9. �
SlBnetur `� I
Per ee , $ � ;'�
1 '
Authnrizetl Agant
y�F( PERMIT NO.
�
��e � �a
LOT BLOCK
����. ��
EW
ED
BET. MAIN &
ACCE�. BLD
DATE
iE / ��O— / /
REOL1iREMENTs
JN NDEF OALU
ABLISHING A PERI
PERMIT FEE 5
PIAN CHECK $
TAX E
TOTqLPA1D S
.S>d�q
ON IS FOR m �
FEE ONLY: _ ^
'° v �
� V
N �
m
i�j m
U o
LL
0; � ,
u�
�
F
�
W
G.
Q
h
y
r77
F
G
{zl
F
a
Q
�
r
�
a
w
u.
O
0�.
4
z
{t]
x
3
COSTA MESA BUILDING-SAFETY DEPARTMENT
� c...� G *�3S
r_
APPLICATION FOR STRUCTURAL PERMIT
...,....... ..-- -__. � ...__�. _�_.. ....._.� ___
RECEIVEDBY PERMIT
For Applicant [o Fill in Completely — Use Ink Only
BUI LDING A.P. NO.
ADDRESS
BUILDING
OWNER OR ADDRE55
TENANT
UNIT OR
MAILING SPACE NO.
c.00aEss 3 48 Cam us Suite 116
TR.NO. LOT BLK.
TEL.
CITV NO. — �'j
NEW ADD ALTER REPAIR MOVING DEMOLISH
CONSTRUCTION
LENDER
BRANCH .
OWNER
ADDRESS VALVE
ARCHITECT TEL. USE E
OR ENGINEER
ADORESS 20NE TYPE GROUP
APPROVED
CONTRACTOR Biddle Develo mentm Inc. sv DATE
ADDRESS
TEL. �
CITV NO.
STATE CITY APPROVEp SETBACKS
LIC. NO. LIC. NO.
SIZE NO.OFBIDGS. (FROMC/LSTqEET)
OF �OT NOW ON LOT ONT FT.
USE OF
EXISTING BLDG. F
Separate permits are required for L. SIOE fT.
electric, plumbing and heating work.
REAR FT.
USE OF BUILDING AND WORK TO 8E PERFORMED PLqNNING ACTION
DATE
APPROVED
Permit - Tract 10445 �ROVED
I heraby acknowletlBa that I have reetl this apPlicetion antl stete
that the above informetlon is correet and agree to comply with
ell lews re0ulatinp building conrtruction, antl 1 zhall not employ
any perwn in vialatlon of the workman's compenzatlon laws of
Me Siata of Calito��la.
I heraby canify tl+at I am properly Iicensetl as a contractor untler SQ. FT.
She Siate of GalitPrnia Business end Profeuions Cotle, Division 3, THE AMOUNT SHOWN UNDEIi VALUATION IS FOR
Chapter 9, and Mat such ' n II torca antl effect, or I THE PUPPO6E OF ESTABLISHING A PERMIT FEE ONLV:
am exempt from th visio ihe S te ot Californie B�siness VA�UATION PERMIT FEE S � 0
antl Protessions CO ��� � , Ch er 9.
PLAN CHECK E
SIB�ature of
Permittae $ �. TAX $
Or
Authorizetl Agent Data TOTAL PAI D S �� Ob
i
IO�'
.�
0
� o.
m
C�r.
.. �-,
_�
m.0
. \�
m•V'
N��D
�
m
e
Y
N
�� �
o �
li � �O
f �
U �
O
4�+
�