HomeMy WebLinkAbout1001 NANCY LN - Building PermitsADDRESS OF BMLOINO: 1001 NANCY LN DNT
gVNERS NAYEIp IOtOWN: RUTH, SMITH
`,ADORES& 1001 NANCY LN
C.M, CA 92626
ADPL. "llNG ADDRESS:
ARCHRECT OR ENGINEER: UC. NO.:
ARCH. OR ENG.'S ADORES&: UW:
cmmcrolysNAME:ISLAND PACIFIC ROOFING (714)637-2493
calmAcTGRsmmN 17762 CAMERON ST
ADORES& H. B, CA mw-. 631472
92647 um. 2
LICENSED CONTRACTORS DECLARATION: I h mbl eltim order peaty of p.rWy 0Nt I em Tinned urt r povuble d ChWer P
(ammendnp w h Saclian ]000) of Diwion 0 d IM Bu end Prdnebn. Code. W my foerus b in IW tau end aped.
CITY UC. NO, 05770 9 uc.cuss: C 39 FXP: 09/98
S Co..;
ER BUI ER DE IARATON: I hrabY dbm under pmNy jury Ihd I wn exemw tr I IM Canrtlm Liosma law la Na
Idbwip renwn ISediOn ]001.5 fimivaa wd Pmise.bm Code: Am M' w corm w rRdrn a p A to mmouct. Mw, improv,
damaleh, m I.Pee Try etudes, prior b b beu.Iu, abo reamm IM Rplian la etch PwmA 10 Me a -iVW tool a tl M a eM
I Burned mmmm to IM povmora of Ow Conradare Limns law (Chaptw S (molpen w h Swian ]000) d Diveian 0 of tM
dueiaa end Pros ms Cade] or th M or she as e npl Ihwehm .d IM hem for 0. etle0ad a emwbn. Am vidrbn of Sedion
7001.5 by ry appE b e Pm -A-*m Na appben to a CW P—ItY of m mora UIm r a hundred da.. )5500D.
❑ I.mown. of lM PmPerR' or rm wt loven"hwypm mds decomprlee4m. w do tM wk, rd tl+eawdure i.,ol id dW
a dlaredla em ISaalbn ]Ou, Bueimaa erld Pmlmabns Godo: ib Cmrmm Hume lewdon nal eppa/lom owrw d papadY
mt bteda a inwwee oM . and M due wM woh Finatl a bnetl a dsoudt M a her ownt,at Y of flop IMI . ft
bnpmwmew are m.'vumlod. of m in mb. tl, however, IM buibinp a lot i nm a soM w ar Y. d urrllplelipn. On
owmr-0.Mw win have tM buNm d prwirq M a aM d'd nal Wad a'vnpraw la IM puryaa d mk).
❑ I. n omw d tM prop". em wdwwal, mmainD well fumes mm.d.. b aumw dN pojad (Sadion )Ou, Bma s aId
Prole Coda: TM Cmmdm Lame law don not apply b m o of pramny wdn W or it w w IMvm end w1n
comet to, . womm wM a marool.0) IMned p `ood to IM Canvdors lienee law).
❑ I .n Bump uMr Sedim: B. 8 P.C.. Tor U,6 rmaon:
Dale: Ovnw:
I M brat, cm* thn I am swan of wd uMw.una tl1a Muhmam. of CaMmwe Hwb aM Sefry Code $talo ]5505. ]5503. eM
2 9a1-. W d I or era' Mm blardb0 om.w wA I wR m (dreb an) need to comply w h mid "0 Poles and the vamemaw b
ape for amutdbn or mtd5mti.n tam Ne Ai e; wlepemera Cimid. Ramamal mwr weppF lions m nemp lmm 1M
wovwbn..
Dds' App4 :
WORKER'S COMPENSATION DECLARATION: I h.dry ellmn t pamtly of Prpy a. d 0v t UowA V ded.alioro:
❑ I have aM wD mdoaeb a uM . of mwwt to satlimlea b w ' ampwumion, m Pro+ la by Sedim STOP d the Lnbm
Gods. for IM p rfa of Ne aark Im wlidl this Perms is inued.
❑ 1 have end vie melmab eorbele'oaop ion veore oe,m mWead by Salto 3700 of 01e lobe CoM. for IM pefo, .awdtM
work 1. w Thi. Pwme as mtt e . MY woriaa' armarWion ilmperca .i. and POE" rumor en:
clunw:
Pain Nwnb,..
need na M rompbted7 Ns pant b b Pry luvMrW doom 1$1001 a 1emJ
I`a dy Ihm n dN perimywnu Of IM work kr which thb Pemll iS inwM. 1 " nPt em pt r Mto
j�cme eubjed to t /wJ.�kaY rnmwmetion Mw. d C.Doom end yrn N .t d a.. a*jed to IM woha.'
g6m�i� ion J100 d IM labor Code. I IoM nth • p
D MPS �n1:
Wamlrp: F.P. fo.soon wo*.i arnpmeetlon ooveyepe 1, unb�fd, . ehdl.Cleot m.mPfoyw to MN o tl Pen .end
e,Wl flop W n ow hixv r eMusAnd ddb. ($1190001 In Addltlan m Ore cwt of wrr U?n dt m m prorMed for In
Swdm 310$ of 1n lobo. Coda. In.mt aM emmey'• fen.
P CONSTRUCTION LENDING AGENCY: I hreby atirnl undw P.e y of Pwj.y IW Unna i. e oormnmbn
1e^diq apwlcy lot Ne
pMamerlae d IM wk for whidl tM pwmi u owed (Setlbn 309]. Civ. CI.
LENDER'S NAME:
LENDER'S ADORES$:
I caddy 1M I have mad the appja eM data Ihet the above idem w a tang. I awe. to ooarn* nth ao rAy aM county ocxl w
aM tool. W. mlrb9 to blAdM araatdipn end hereby autivba raPreeanMise of tW Wy to emar upon IM abov-menbrndp rly
for m'pwam purposes. NK MIRANDA
Pm irllz Ditto:
(5151d.WP) WMp9Wdip S Sdely: Gre..FN:C..y_Appian: Rnk�iwrale:GddwvoiAvavon
COMMENTS: 1 LAYER OF COMPOSITION SHINGLE.
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 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
PARKING REQ: PROV:
PARCEL:
93530013
_ 0053l
CITY OF
COSTA MESA — BUILDING PERMIT
BUILDING—DIV—>
PERMIT ISSUE PLAN—CHECK
TOTAL PAID
DUE
PERM NO: B 087720
PERMIT NO: B 087720
PLAN CHECK NO:
N
GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N
PERMIT TYPE:
STR
PURPOSE: OTH
JOB DESCRIPTION ; REROOF W/ILAYER COMP. OVER
EXISTING
SQ FT: 1,400
CLAIM VALUE: 1,400,00
CALL—VALUE:
1,400.00
GROUP OCC: R-1 /U-1
COMMENTS: 1 LAYER OF COMPOSITION SHINGLE.
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 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
PARKING REQ: PROV:
PARCEL:
93530013
ZNE: REF NO:
PLANNING NOTES>
BUILDING—DIV—>
PERMIT ISSUE PLAN—CHECK
TOTAL PAID
DUE
dEk*df di iE**♦E**k♦EdE**dt Ri iE iEkk*iF iE dE iE ii dE dH df*iF iE dF**dEif dEdE iE dt dE*dE lE df iE*iF%iF
dE*iE iE iE dE dE*dE iF RE iE iE if****dE iE iE if dF df iE iE
D E V 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 BY
BLDGSPMT
PLUMBING ELECTRIC MECHANIC
DATE:
BUILDING APPROVED BY :
DATE:
�,p
APPLICATION ISSUED BY:
DATE: 1
IU
dF iH 9i dE dE iE di iE**if df*K***iE dF*if*
x N•iE*7E RE *of RF Ri*
aF*
LEGALIZATION:N F
E E S U
M M A R Y
STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING
ELECTRIC
MECHANIC
FIRE SMIP/RES GRADING
�tiiki?tt` X15 , 75
.50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—>
PERMIT ISSUE PLAN—CHECK
TOTAL PAID
DUE
TOTALS ---- >
46.25 0.00 1 0,00
46.25 46.25
,00
REVENUE DIVISION TOTALS--> COLLECTED:
46.25 OVER/SHORT:
.00
BLDGSPMT
PLUMBING ELECTRIC MECHANIC
FIRE SMIP/TOTT GRADING
PLAN—CHECK
dE iElE li iE ib*kdE kf iikdi♦E iE iE*iF*1E*ii di iE iE di iEifSEiE iE di iF*aF dE ie if dE dE if dEi<**iE dE ii lE dE dE dF ii*iE ji iE*dE iE♦E*df fE 3f if iE ii jf if***iE*�E*♦F*
I N D I V I D U A -I, F E E B R E A K D O W N
TYPE QTY D E S C R I P T I OIN UNIT COST TOTAL COST
SFR 1400 REROOF BY VALUE RF�IDENTIAL__NOZONE 1,00 A 1,400.00
15-1998/19:29 ki1445.25
RCPT'8:61-2".;:24;0
RMIT:08772E1
CZ)NSTRUCTION AND PLANNING
APPROVALS Permit # Date
Inspector
POO ;PA
APPROVAL'S permit.
i
Date
Inspector
1! Temporary Electrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd.
53. Steel Reinforcement
-
3. Electrical Conduit Utility-Undrgrnd.
54. Forms
4. Electrical Conduit-Undrgrnd.
55. Electrical Bonding
5. Steel Reinforcement
56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd.
57. APPROVAL TO COVER-GUNITE
7. Footings
58. Electrical Conduit-Undrgrnd.
B. Foundation
59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd.
60. Backwash Lines, P•Trap, ❑ Undrgrnd.
10. Structural Floor System
61. APPROVAL TO DECK "
11. Property Sewer Line & House Connection
62. Backwash & Receptor -Fina;•-
12. Sewer Cap
63. Heater & Vent-Final
13. Roof Drains
64. Plumbing System - Final
14. Rough Plumbing
65. Electrical-Final
15. Rough Electrical-Conduit
66. Solar System-Final
16. Rough Electric Wiring
67. Fencing & Access Approval
17. Rough Wiring Sign
68. APPROVED FOR PLASTERING
18, Rough Electrical-T Bar Ceiling
69, POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
APPROVALS Permit #
-
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22. Ducts, Ventilating
71. Product Piping ❑ Gas ❑ Oil
23. Gas Pipe-Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing
74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat
75. Dry Chemical
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. REQUIREMENT ,
31. Plaster Brown Coat
79. FINAL INSPECTION
32. Electrical Power Meter-Final
80. FOOD CERTIFICATE ISSUED
33, Final Electric
Notes:-I.AV-flr . elf
34. Final Heating & Air Conditioning
,
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing
,
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. 0ackflow Preventer
-
43. Backflow Irrigation
44. Landscape Irrigation System
45, Sound Attenuation
46, Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
City of Costa Mesa Plar Department
Pbst Office Box 1200
77 Fair Drive
� Costa Mesa, California 92626
C1 19�� (714)5565245
REQUEST FOR OCCUPANCY
(Single Family Residential or
Condominium Units)
Tract No. / Date //,2
Lot No. % �
Address /00/ / /j " k)A%OLI AQ L."�\ `—�(04 i{�
' c?5 A
The developer of the above entitled tract desires to sell the above
set forth lot prior to the time that the tract has been completed and its streets
accepted by the City of Costa Mesa. 7
The undersigned, -by executing this agreement, acknowledges that
(he, she., they) h (was or were) U%A 5 advised that this tract has
not been given final inspection nor has it been accepted by the City of Costa Mesa
as having complied with the conditions of approval which were imposed by the
City at the time the final tract map was approved.
The City assumes no liability for the enforcement of the conditions
necessary for approval other than those conditions protected by surety bond.
The undersigned agrees to indemnify and hold .the City harmless
from any claim resulting in damage or personal injury to the undersigned by
reason of the aforementioned uncompleted conditi
RECEIVED sy
CITY OF C��T4 MES.1 chaser
13
ZY Developer �.rorized
CSA /1W.
DEC 15 1977
AM Fill
g1g191101111i2i11210A'Slf
b
CMF 0569-26
JOB ADDRESS 1001, 1003. 1005 Nanev Lane BUILDING PERMIT NO. 43576
GENERAL CONTRACTOR 03er-Hldr.
DESCRIPTION
of WORK TrinlgX
MI -garages
AP No. -Op -]a LOT
TRACT 901
FIRE
ZONE VALUE $,120.200.00
INSPECTIONS pt. Al
Signature
Date
TYPE v GROUP
ff & T
ZONE
SOIL
29
SUBCONTRACTOR
i PEP
GAS
Dote
Number Si nature
WATER(1 2
Plumb n
ROUGH PLUMBING
-a,
PROP. SWR. LINE 0 HOUSE CON.
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER
ROUGH WIRING
and Vent.
TRENCHES t[ FORMS Y STEEL AEINF.
-19•ii
-I '7
H
FLOOR SYSTEM
-7
BOND BEAM Fj STEEL REINFORCE
SHEATHING
FRAME AND FLASHING 1[
7
LAT NING — IN I OUT j• -)
PLASTER. BROWN COAT
STRUCTURAL, FINALHEATING.
VENT., REFRIG. ANO A.C., FINALPLUMBING.
FINAL AND GAS TEST
A,,
ELECTRIC. FINALBUILDING.
FINAL
Wr 43
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILDING
ADDRESS I&4#I -Ila 3- IOOS A49IAi' IiIWt
OWNER I?RLgL 1S f PIIIIl/AriL I
MAIL N '^
ADDRESS ! OS ft/, BHLrSafM 04-
TEL
4TEL
CITY 11/64J&47 NO.
CONSTRUCTION
BRANCH
ADDRESS
ARCHITECT
OR ENGINEER fi
ADDRESS_ V,
CONTRACTOR
ADDRESS
TE
TEL.
CITY NO.
STATE CITY
LIC. NO. LIC. NO.
SIZE NO. OF BLDGS
OF LOT NOW ON LOT
USE OF
EXISTING BLDG.
Separate permits are required for
electric, plumbing and heating work.
I hereby acknowledge that I have read this application and state
that the above Information Is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under
the State of California Business and Professions Code, Division 3,
Chapter 9, and that such licenses are in full force and affect, or I
em exempt from the ovisions of the State of California Business
end Professions Co IvisIon 3, Ch or ,
Signature of
Permittee
Authoriz Agent
r
VP.,. 5-7',�,.;- 11
.00327 *h2:71:.41
APPLICATION FOR STRUCTURAL PERMIT
RECEIVED BV
I DATE RECEIVED
D TE
-.77PERMA.P.
NO.S-a,2 —BUILDING
DO OOSADDRESSTRACT
LOT
WOWNER
JBLOCK
L / A,VI&ALVE
FIREZONE YP
APPROVEDBv DATE
N E`e
NO. OF USE OF N
PLANS BUILDING
YARDS APPROVED YARDS APPROVED
MAIN BUILDING ACCESSORY BUILDING
(FROM C/L ET
ONT T. FT.
8- SIDE FT.
L SIDE FT. FT.
REAR FT.
DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLDGS.
VAR.0 DATE
C.U.P. � APPROVED % —
APPROV
OLD FOR SPECIALRE IRcl.;6PdT
SO. F 7;7361
THE AMOUNT SHOWN UNDER VALUATION IS FOR
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
VALUATION
PERMIT FEE E
PLAN CHECK E s
TAX S
TOTAL PAID
�4�X-Vj �
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
-"
AP LI A ION FOR STRUCTURAL PERMIT
For Applicant to Fill in CompT1etely—U,e1nk09"1y
RE ED V DATE RECEIVED
DA E ISSUED
LDING /!
Qa/
ADIDRESS /
P RMIT NO.
OWNERAL—a
A.P. NO.
MAIL
ADDRESS
BUILDING �%o - /'f"
AD DRESS Ae
TEL.
CITY NO.
TRACT
LOT BLOCK
CONSTRUCTION
NEW
ADD ALT R
P
LENDER
BRANCH
OWNER �{Lql_ S
ADDRESS
VALUE
USE C $
ARCHITECTTEL.
OR ENGINEER NO.
FIRE
ADDRESS
ZONE TYPE GROUP
APPROVED
CONTRACTOR
BY DATE
ADDRESS
ZONE
NO.OF
USE OF NEW
TEL.
PLANS
BUILDING
CITY NO.
STATE CITY
YARDS APPROVED
YARDS APPROVED
LIC. NO. LC. NO.
MAIN BUILDING
ACCESSORY BUILDING
(FROM C/L STREET)
SIZE NO.OF BLDGS.
OF LOT NOW ON LOT
FRONT FT.
FT.
USE OF
EXISTING BLDG.
A. SIDE FT.
FT.
Separate permits are required for
L. SIDE FT.
FT.
electric, plumbing and heating work.
REAft. FT.
FT.
USE OF BUILDING AND WORK TO BE PERFORMED
DISTANCE BET.
BET. MAIN &
MAIN BLDGS.
ACCESS. BLOCS.
VAR.+
DATE
C.U.P,+
APPROVED
APPROVED
RV
�alc
I hereby acknowledge that I have read this application and state
that the above Information is correct and agree to comply with
all laws regulating building construction, and I shall not employ
any person in violation of the workmen's compensation laws of
the State of California.
I hereby certify that I am properly licensed as a contractor under
SO. FT.
THE AMOUNT SHOWN UNDER VALUATION IS FOR
the State of California Business and Professions Cotle, Division 3,
Chapter 9, and that such licenses are in full force and effect, or I
THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY:
am exempt from the provisions of the State of California Business
VALUATION
PER FEE $
and Professions Code, Division 3, Chapter 9,
PLAN CHECK $
,C
Signature of
TAX $
Permittee
$
Authorized Agent
TOTAL PAID $
r