HomeMy WebLinkAbout922 VAN NESS CT - Building PermitsPfl0.1ECT p00XESS: Cj z 2 VAN NESS CT
OWNEH'SNFME: CUTHBERT, ELIZABETH ,7
aooness: g z Z VAN NESS CT
COSTA MESA,CA 92626
APCHIENGINEEfl:
AOUflESS:
PEXMITiEE: BILT—WBLL ROOFING
AOOHESS: 33SO VERDUGO
LOS ANGELES CA
ULENSEO CONTflRCTOP UECLABAiION; I hereby al�irm ��ai I am litens¢tl under D�ou
7000� ol Oivision 7 0l I�e Business antl P�afessions CoOe. and my litense is in lull Pon
c�uc.:_ _ sraseuc.: q5g005
uxir:
flEG.NO.:
UNIT:
(719)"758-3501
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i Chao�er 91com mA wilh Section
:nect.
.�:
—M6HNEflS' COMPENSATION DECLAflRTION: I �ereDy aliirm lhai I �ave a te i ita tOn IbinSUr¢ Wark¢rs'
Compensa�ion Insurance, or a cert�lieG coDY �hereol (Seciion 3800. Lab. C�.
voucvNo.: W93710298A E%P.OATE: O7Ij1I 4
comvnxr: CAL COMP INS.
❑ CenitieC coOY �s �ereby lumishetl. �. Ce�ilie0 co a IOIng9 ��e
Da�e' / ' /� /� ppplieanC
E%EMPTION FpaM WOflNEAS' fAMPFNSPTION OELLAflRTION: QAis secuon nee0 no� be campleleA i huMreU (E100) or less�.
I tenily I�al in t�e pedormance of tlle work lor w�ic� itlis permil is issued. I shatl nol employ any person in any manner W as to become
Su�lec� to �he Workers' Compensalion L8w5 al Califomia.
Daie: — Signature:
NOTItE: II. aller making IAis Oedaralion, you should 6ecome subject to the Workers' Compensalion pwvisions oi IAe La6or
Cotle. y0u musi larthwi�� comply wit� such pwvisions ar ihis permit s�all be CeemEd revOkeG.
CONSTflUCTION LENOING AGENCY: I pereDy ailirm Ihai [here is a tonitmt�ion lentlinp agenCy for Ihe pedormance ol ihe woB lor
which this permit is issue0 ISection 3097. Civ. CI.
LENDEfl:
AODflESS:
OWNEB BUILOEB UECLANPTION: I h¢r¢�y a��irm Ihai I am exemD� ��Om ��e Con�rat�ors' State License Law for tne followinp reason
�Seclion 7031.5 Business and Pm�essional Cotle', Any ciry a� counry which requires a permii �o conslmct, aller, im0�ove, demolish, or
repair any sirucWte. D�ior lo its issuance. also reauires ihe apDlicant for sucn permit to file a signe0 stalement Nat ne/she is licensetl
pursuam to Ihe Dmvisions o� Ihe Comracto�s' Slaie License Law (Chapier 9(commencing wiih Seclion 7000) o� Oivision 3 0l Ihe Business
and Pmlessions Code) or ihai �e/she is CxemO� iherelrom antl t�e basis 1or t�e allegetl exemption. Any violation of Section 7031.5 by
any aDP�icant �or a permi� subjecis t�e aVP�icanl to a civil penalty o� not more Ihan five hunOteO tlollars �5500�.
I. as owner al the owoeny o� my employ¢es with wages as Ih¢ir sole compenu�ion, will Uo ��e work, anG the
❑ SlmcWreis nolintentleU oroffere4�orsale�S¢t�ion 7044, Business antl Pf0te55ionalCode: The COn�raCi0r5' Slaie License Law
tloes not aDOty to an ownei of a D�opetly who builOs or improves ihereon, and wha tloes such work himsell/�enell or ihrough
his ar ner own employees. O�ovide0 t�at sucA impmvements are not imentle0 ar oHereO for sale. Ii, Iwwever tAe OuilAinO or
impmvemenl is sold vnihin one year ol completion, Ihe owner will have ihe 6urAen ol provinp Oe/she Aitl nol huilA or improve
, lor ihe Durpose ol Sale�.
I, as owner ol �Ae pmpeny, am exclusively coniracling wnh Iicense0 conVaciors m consimct t�e pmleai (Section 70ad, Business
❑ antl Pmfessions Catle: IDe Coniractars' State License Law tices not apply to an owner of Orope�ry wAo GWGS Or Im0«Sl�ere0n
an0 w�o tanlratl5lor 5u[� pm16��5 wilA a Conlratior�5) IitenSe DursUan� IO �he Coniratlors' State License Law�. I am aware
tha� piool of iheir Worker's ComPensation inmranw should he Dmvi0e0 ta me.
� I am exempi unaei Sec�ion: B. 8 P. C.
lor I�is reason:
Oate: Ownec
I Qo nereGy cendy Ihal I am aware ol antl understand �ne requiremenis af Caliiomia Mealin an0 Satety fAtle Sections 25505, 25533. an0
2553d anatnat lor anytuture Guiteing oc�u0aniwiltlwillnot�circle one�neetl to camoN ��h said state coa¢5 anathe reduirementstora
permii for conslmction or modil¢ation irom t�e Air Oualily Management Oistnc�. flesiaential consiruction applicaiions are exempi Irom
mese piovisions.
Daie: FpPlicanl:
I M1ereEy C¢i�ily Ihal I �ave ieaU I�is apPliGaiiOn an0 Slaie I�ai I�e ahove in7ormai n is correct. I aA� omDN ��h all ciry anE caunry
ortlinance5anO51a�elawsrelalingtobuilaii�gcanSlmc�ionan4here�yaWhonzer¢pr entatives ' atyloenteruDonthea�ove�mentione0
D�oOeriy lOr ins0ec�ion Dur0o5e5.
� ""1 / � li! — _s
�nver's License or Socia� Securiiy x:
t6aba6 Whua—ButlOing�, Green—COJo Enb¢ement: Canary—Apphcan�; PinN—Rovenua: Galtlonmtl—Assessar
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: H 067805
PEI2MIT NO: B 067805 PLAN CHECK NO: N GOVT; N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE; OTH
JOH DESCRIPTION ; T/OFF & REROOF 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 RE(�UIRED IN EVERY BEDROOM & HALLWAY
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Z O N I N C R E Q U I R E M E N T S
S E T B A C K 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
PARKZNG REQ: PROV; PARCEL: 41808350 ZNE: REF NO:
PLANNZNG NOTES>
i,
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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 T A E M E N T S
ZONING APPROVED HY DATE:
BUILDING APPROVED BY : y�� DATE: '
APPLICATION ISSUED BY: �//��y[� DATE:
iFikil'#K'ie'%N'iEiFIEiEiI'iE9FIfifIFlEif3hiE .d`�rt� 'IEiEifX'iflhitil'M'if F Fitil'�
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LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 27,00
PLAN
ZSSUE FEE
BUILDING—DIV—>
TOTALS---->
PERMIT ISSUE PLAN—CHECK
27.50 0.00 0,00
REVENUE DIVISION TOTALS--> COLLECTED:
BLDG PMT PLUMBING ELECTAIC MECHANIC
2%,��
FZRE SMIP/RES GRADING
.50
SM2P/NON—RES
TOTAL PAID DUE
27.50 2%.50 .00
27,50 OVER/SHORT: ,00
FZRE SMIP/TOT GRADING PLAN—CHECK
.50
!E iE 1t ih iE ik iE 1F 1E iF iE if iF if jE iE iE!! 1E 1! if i(� i! i4 i! iF 1E if fE 1f !E 1P i(� iF 1!!E iF if iE ih iF 1E 1E if iE fF iE iE i! 1F ik if iE !F if iE iE jF iE 1! if iE fE iE it #!E fF it if # if fF # iE # iF 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 HY VALUE RESIDENTIAL NOZONE 1.00 1,100.00
END OF FEES
41 00163311—OOIb33I2 T G T 27.SD
DATE: 07/O1/94 TIhE: OE:59
CONSTRUCTION ANDPLANNiNG POOL .PA
APPROVAIS Permit# Date Inspector APpROVALS Permit3k Date Inspector
7. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. - 53. Steel Retniorcement
3. Electrical Conduit Utility�U�drgmd. 54. Forms
4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steei Reinforcemenc 56. Rough Plumhing & Pressure Test
6. Electrlcal UFER Grnd. 57. APPROVAL TO COVER�GUNITE
7. Footings - 58. Elecirical Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, C Undrgmd., Test
9. Water Pipe-Undrgrnd. 60. Backwash L�nes, P�Trap, O Undrgmd.
10. Structurel Floor System 61. APPROVAL TO DECK �
11. Property Sewer Line & House Connection 62. Backwash & Recep[or�Final
12. Sewer Cap ' 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing Sysiem � Final
14. Rough Plumbing 65. Etectrical-Final
15. Rough Eiectrical-Conduit 66. Soiar System-Final
16. Rough Electric Wiring 67. Fenci�g & Access Approval
77. Rough Wirin9 Sigp . 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL;SPA SYSTEPAS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. ftough Factory Firepiace APPROVALS Permit #
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Produci Piping OGas ❑0�1
23. Gas Pipe-Rough & Test . 72. Underground Flusii
24. Roof Framing 73. Undergrnd.StorageTank �Gas `JOiI
25. Roof Sheathing -� . ' 7��-1G�' �,vbL 74. Overhead Hydro
26. T�Bar Ceiling {Structural) & Monocoat 75. Dry Chamicat
27. Frame and Flashing 76. Dry Standpipe
28. lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREI4IENT
31. Plaster Brov��n Coat 79. FINAL �NSPECTION
32. Electrical Power MeterFfnal 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Finai Heating & Air Conditioning
35. Finai Gas Pipe-Test �
36. Hood or Canopy �
37. Final Factory Fireplace i
38. Final Plumbing
39. Water Service-Finai
40. Gas Service-Pinal
41. Solar Oomestic-Final
42. 8ackflow Preventer �
43. Backflow Irrigation
44. Landscape irrigation Syscem �
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUI�DING `l,C�'(f �,�-
/
48. FINAL P�ANNING ' ,
49. Electric Release to Edison
50. Gas Release to Southern Catifornia Gas Co :
51. CERTIFICATE OF OCCUPANCY -
No. Date
���/�1� ! /' "
TRACE NO.
IIJT NO.
ADDi2E:SS
CITY OF CC6TA MFSA
RDQIJFST FUR OCQJPANC7'
10445
105
922 Van Ness Court, Costa Mesa, CA
IYaTE:
December 31, 1979
Zhe 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
accepted b� the City of Costa Mesa.
By exewting this agree�nent', the undersigned acknowledges that he/she/they
was/were advised that this tract has not been given final inspection nor has
it been accepted ty the City of Costa Mesa as having cortplied with the oonditions
of approval which were in�ed b� the City at the time the Final Tract Map was
appraved.
The City assimies no liability for the enforcement of the oonditions necessary
for approval other than th�e oonditions protected by surety bond.
The undersigned agrees to indenu�ify and hold the City harmless from any claim
resulting in dam3ge or personal injury to the undersigned b� reason of the
aforanentioned uncanpleted condition(s).
�z�:v��'JE�
�yTv nr �.�..-� ..-�'.
��yi! 5�19ff9
AM PR9
�i8i970ellel2��h 62s3e4i5i6
Q
4�9 ,lA� � 1980
BY ��_ �...: .�
(Signature o rchaser) ' ,
BY ,%�y s.�i c
si ature �
authorized
San Fe edexal S
�.
GUS' = �I
^
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TRACT N0. 10445
LOT N0, 105
ADDRESS 922 Van Ness Court, Costa Mesa, CA
Development Services DeparYment
Planning Division
� City of Costa Mesa
� 77 Fair Drive
Costa Mesa, CA 92626
Attention: Mr. Paul Dudley
December 31, 1979
Dear Mr. Dudley:
Please be aware that the undersigned are aware that a certificate of ::occupancy
on the above referenced lot and unit is being requested prior to the entire
Yract and its streets and common areas being completed and accepted by the
City of Costa Mesa.
BY-� A <.w�.��.,a, k..
(SIGNATIJRE OF PURCHASER)
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an.
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