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Home My WebLink About926 VAN NESS CT - Building PermitsPfl0.1ELTP00flESS: 9zG VAN NESS CT owr+ce s xame: FURUMURA, SACK T TR nooxess: z 2 g 0 2 CAS EDA MISSION VTEJO,CA 92691 ANLH/ENGINEEN: A�OflESS: eeemirTee: HILT—WELL ROOFING RDOflE55: 3310 VERAUGO LOS ANGEL£S CA � LICENSEU CONTHAC70P OECIANATION: I hereby alfirm Iha� I am licensetl wGer Dmvi 'ons 7000� ol Oiv�sion 3 0l Ihe Business antl Pmlessi0ns Code, and my license is in IUII �arce ntl ci u 0 3 0 7 Tnre uc.: q 5 B 0 � �— • . Da � Sipnature: WOXKEflS' COMPENSATION OECLANATION: I �ert0y alfirm Ihal I �ave a cenificate ol consem Compensa�ion I�uytanperaf �ce[�i4etl�cgpy �heieot (Seclion 3800, LaD. C). POLICY NO.: 3 1 L 9 E%P. DATE: � 7/ 31 / 9� coMrnxv: CAL COMP INS. �I ❑ Cenified coDY �s nereUy tumish .[� Cenifie0 copy is lilee wiln tne ci Buildin UN Da ei ' � � � AOplicant: EMPTIONFXOMWONNEPS'COMPENSATIONDECUppTION: (ihi55ec1ionnee0no�becompleLLbi� I cetli�v ihat in the oetlormance ol Ihe wod lor wnich Nis Oermi� is issuetl, I s�all not employ an UNIT: flEG.NO.: UNIT: (7 �� 0065 oi C�aD�er 9 (co ncii efleci. �`_'� 1 / witn Section n 1�' 9 �¢ p73ce�ilita�e OlWork¢rs' � lar one hunar� any manner 50 as lo C¢come su0lec� to I�e Workers' Compensalion laws al �alilornia. Oa�e: Siq��ure: NOTICE: if, atler making i�is declaration, you shoWC Oecome SUEI�� o ihe Workers' Campenution pmdsions al I�e LaEor fAae. yau must lannwiln comoly witn sucn vrovisions or Nis oermit shall �e deeme0 revoketl. LONSTFULTION LENDING RGENCY: I hereUy a��irm t�at t�ere is a constmction IenainA aAency lor ihe pedo�mance al lhe vrork for wnicn ihis Dermn is issued 15eciion 3097, Civ. GI� LENOEN: ADUHESS: OWNEB BUILOER OELLANR710N: 1 here6y aflirm Na� 1 am exemp� imm the Caniracmrs' State License Law for ihe foltowinp reason (Section 703L5 9usine55 antl Pro�essional Co0¢: A�Y �iiy ol couniy which repuires a permi� �o consimct, al�eL impmve, Aemolish. or repair any SlmCiure, prior Io iis i55uante. also rRaUires Ihe applican� lor 5uch permii to fil¢ a SigneA S�a�emenl t�al he/She ii IicenS¢E pursuam m the pmvisions ol lhe ConVacmrs' Siale License Law (Chapler 9(commencing wi�� Section 7000) o� Oivision 3 ol �he Business and Prolessions Code) or Ina� he/she is exempt Iherelmm antl Ihe hasis lor �he allegeA exemp�ion. Any uiolation o� Section 7031.5 by anV applicani for a permil 5u01ect5 lhe apPlicant lo a civil penally o� no� more Ihan live hunOrea tlollars ($500�. I, as owner of Ihe propeny or my employees with wapes as t�eir sole compensation, will do ��e wark, and t�e ❑ s�mcWre is nm imentlea or oile�etl for sale (Section 70a4, Business anA Pmfessional Code: ihe Coniraclors' Stale License Law Ooes nal apO�Y to an owner ol a pro0eriy �'/ho Guilds or improves t�ereon, and who aoes such woM Aimsell/hersell or t�roup� his or �er own employees, D/aviOeU ihal suc� impmvemenis are not intenEea or oflereE for saie. Ii, Ilowevei t�e buil0inq or impmvemenl is sola wil�in one year of completion, Ihe owner vrll �ave ihe burtlen ol pmving he/she Gid not builU or impmve for ihe DurOose of sale�. I, as owner ol Ihe properly. am exclusively comrac�ing wi�h IicenseU contmc�ors �o cons�mct the prnject (Sec[ion 7044, Business ❑ antl Professions Code: ihe Coniratlors' S�ate 4cense Law Eoes noi apOty ro an owner ol DroDerty who ONltls ar improves Ihereon an0 who COnlratis �Or SUth proletis wii„ a tOnlratlor(5) liCense pur5uant �o �he CAntfat�ors' S�a�e Litens¢ Law). I am aware � I�ai Dmof ai IAeir Worker'S Compen5ali0n insurance shoulG bC pruvi0e0 to me. �I � I am exem0� unaer Seaion: B. 8 P. C. . lar �his rtuon: Daie: Owner. I do �ereby cetlily t�a� I am aware ol an0 untler5�antl I�e requiremenls of Califarnu Heal�h antl Sa�eiy COJe Sec�ion5 2550.5, 25533, ana 2553a an01ha1 I or any lulure Ouilding occuDant w�IVwill no� �circle one� neeA to ComDly with 5aid state cotles an0 t�e reduiremenis for a permit lor mnstmction or moailication imm t�e Air Ouahiy ManaAement Disirict. Besidential conswction aOP�ications am exemD� «am Ih¢5¢ p10viSiMS. Da�e: ppplicam: I �ereDy c¢r�ity ihat I Aave read Ihis applitalion a04 5�aie t�al Ihe above in�ormalion i Urfetl. I agree to W aIl Cily anE COUn�y orainancesantls�ateqwsreia�ingioUwltlingconsimctionantlhere0yauthorizereprese ativesofihisci eruponiheaUove�mentione0 pm0erry for inspeclion pu�rpos`es. �� /— /� Signatu . omers ucense oi Sociai Securiiy n: 164L46 Whne-8wltling�. Green—Coda Enb«emenC Canary—ApPlicanC Rnk—Revanue; Goldenroa—Assessor CITY OF COSTA MESA — BUILDING PERidIT PERMIT NO: B 067790 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N pERMIT TYPE: STR PERi�i NO; B 067790 GOVT; N 50PP; P1 PURPOSE; OTH SOB DESCRIPTION ; T/OFF 6 REROOF WITH COMP. & HUR IN HACK SQ FT: 1,100 CLAIM VALUE; 1,100.00 CALC—VALUE: 1,100.00 GROUP OCC: R-1 /M-1 COMMENTS: SMOKE DETEC,TORS ARE REQUIRED IN EVEAY BEDROOM 6 HALLWAY *�r**��+r*+r�r�r�*��*+t**x�*�r**�***�****��*x��r**+r*�r�***��r�*��*��+�*��r�*�**##***�**�*rt 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 BUILDSNC --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN PARKSNG REQ: PROV; PARCEL: 41808354 ZNE; REF NO; PLANNING NOTES> > i! iF iE iElt it it iF iE it i1� i! il' 1F iFif if if it %iE if iE iE it iE iE iF if ic k it!! if 16 ## iE # iE if iE # if !f fF 1E iE 3f it iE 1E iE �lE iE iF iE k i(� ih if #�It # iE if i! iE iE fF if iF if if iE iE ik f! # D E V E,L O P M E N T 5 E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROV.ED HY : DATE: � APPLICATION ISSUED BY: �i1�:L DATE: D � #iFi(�ifiEiejEiEiEifif�lE%iFlfihiEiEiEitltiEiFifiEifiE�1F*ffiEiEikiCifiFif , sE�«.itifiFkiEiEiF#�iFihifdEiE�ltiEiEiEiEitiM1iElElE9EiEitiFit. itit�N-ihi' 1f�1riF iliEi(�IfifitikikititiEfFiEiEiEiEitiEifihiEiEtE*i(�1EiFifiFif#iEitiFlEiFiEit#iGiliF#iFifiF#itiEY,-#iEii#3f3tjfiEiF3(�iE1f#iFiliF�EiE�ifit FifiliEiE�tifiE# LEGALIZATION;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 SMIP/NON—RES PLAN TSSUE FEE BUILDING—DIV—> PERMIT TOTALS----> 27,50 ISSUE PLAN—CHECK TOTAL PAID DUE 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 2%,�� ,5� # IElf 1f !E i! fE 1E fE fElE iE iE iE iE it if iE f! if iE �IF fE iE iE iE 1F iE iE fF if 1k if if if !E # i! fE iF iF iF iE iE if #�E iE ie iE iE iE if if iF if aE iE iF ic # 16 # 1E # iE �IE if iE ik iE # fF it iE 3E iF iE fl� 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 Z O N UNIT COST TOTAL COST SFR 1100 REROOF BY VALUE RESIDENTIAL NOZONE 1,00 1,100,00 END OF FEES D1 00163243—�D163294 T G T 27.SQ DpTE� O7/Q1/94 TIflE: OE:.SD CONSTRUCTION A(VO PLANNING POOL � SPA APPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector 1. Temporary ElBctriral Service or Pole 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. 53. Steel Reintorcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Etectrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Stee! Reinforcement 56. Rough Plumbing & Pressure Tasi 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Fooiings 58. Electrical Cqnduit�Undrgrnd. 8. Foundation 59. Gas Plpe, Q U�drgrnd., Test 9. Water Pipe-Undr9rnd. 60. Backwash Lines. P-Trap, � Undrgrnd. 10. Structural FloO� System 61. APPROVAL TO DECK 71. Property Sewer line & House Connection 62. Backwash & Receptor�Final 12. Sewer Cap 63. Heater & Vent�Final 73. Roof Drains 64. Plumbing System � Final 14. Rough Plumbing 65. Electrical�Final 15. Rough Electricai-Conduit , 66. Solar Svstem-Final i 6. Rough Electric Wiring 67. Fencing & Access AnProval I 17. Rough Wiring Sign � 68. APPROVED FOR PLASTEflING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditionin9 . FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in StruGture 70. Underground HYdro 22. Ducts, Ventilating 77. Product Piping �G�s OOiI 23. Gas Pfpe�Rough & Ter. 72. Underground Flush 24. Root r'raming 73. Undergrnd. Storu9e Tank O Gas ❑ Oil 25. floof Sheathing '7�7_e�Y ��„� 74. Overhead Hydro 26. T�Bar Ceilinq (Strucmral} & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe I 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywali Nailing HEALTH DEPT. RE�UIREMENT 31. Piaster Bro��n Coat 79. FINAL INSPECTION 32. Electncai Power h9eter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning � 35. Fina� Gas PiDe•Test . ,,� 36. Hood or CanopY ' ; 37. Final Fattory Firepiace 38. Final Plumbing 39. Water Service�Final 40. Gas Serv(ce-Final 41. Solar pomestiCFinal 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Aitenuation 46. Hantlicap Regulations 47. FINAL STAUCTURE & BUILDING � S LjL� �Wf� 46. FINAL PL.ANNiNG ' 49. Electric Re�ease to Edison ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY � �. No. Dace TRACT No, 10445 DA� October 29, 1980 LOT N0, 109 AnDx.esS 926 Van Ness Court, Costa Mesa, CA 92626 � Development Services Department � Planning Division , City of Costa Mesa 77 Fair Drive , Costa Mesa, CA 92626 Attention: P1r. Paul Dudley 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 tract and its streets and co�mnon areas being completed and accepted by the City of Costa Mes� f� �� jY' ,i0,..c<T,C. %� i�� (SIGNATU&� OF PITRCHASER) , _: '"-,_.��$3 ��^ � Q�. �98�