HomeMy WebLinkAbout254 VILLANOVA RD - Building Permits -OWNER Rutgers Development Co. DATE 8-29-58, ..
JOB ADDRESS 254 Villanova Rd. . BUILDING PERMIT.NO. " ' 7350
GENERAL CONTRACTOR Dike &--Colegrover Inc. VALUE $ '15;139:00- "
AP. No. LOT 6 TRACT 2954 FIRE ZONE DESCRIPTION OF WORK Res. w/att. garage
GROUP I & J TYPE V ZONE R1 PLAN NO.
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches 1 , 'orms • Steel
Floor Syst m
Steel Reinforce Chimney Re-Rod
Bern ." 7V_ankiaM nil Sir
Frame and Flashing '''.11i'®Z/ag
Lathing, In ✓ Out ✓ ci' allIZCia
Plaster, brown coat HAW- rEY272
Underground soil 5 W/G Pipe Testu ,'c Q--„,€) ..<'e
Top Out _
Furnace /s !�_Iinel�� 11 t, ' flI. 14880 s—
Gas Vents \
Rough Plumbing /t'H-S/� IrQTFASalSi, l
Cesspool Septic Tank
Prop. Swr. Line House,Con, F' . Swr. //7'-j-V r 11 0 a la 111,its Si MIN /h
Sprinkling System —. 1111111111
Heating Final t.S' 1
Plum bin. Fixtures, Final Al �,ALCM a )
AGI
Final Gas Test /- t OA r
onstructiun Pole a M
Underground Power ej \\
Rough Wiring '•0V 5 Mb r l;•„ S
Fixtures, Final y
OCCUPANCY 231. 4./2, a? \ i V 1
-Form 210-5M-1-57 •
•
•
COSTA MESA BUILDING DEPARTMENT AUG 27 1958
P.O. BOX 317 FINANCE DEPT.
COSTA MESA, CALIFORNIA ;MTV !1C (`r1CTn rice•
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
ABUILDING
DDRESS 254 Villanova Rd. BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLYy
RECEIPT NO. YyEIl1•,ry
OWNER Rutgers Development Co. . C 4...4.-ii
RECEIVED BY DATE RECEIVED DATE ISSUED
MAIL419 E. 17th St. /— GX6 7 AUG 2 9 1958
i --
ADDRESS �
CITY
Costa Mesa vo: LI 8-1159 ADDRESS
ARCHITECT Carlson & LIC. COSTA MESA. CALIFORNIA
OR ENGINEERMMr/dlehrnnk NO.
FIRE
ADDRESS Garden�l� Grove ZONE
Dike & CITY LIC ZONE OF TYPE ,/ GROU
CONTRACTOR r�nlAgrnve, Inc. NO. 841 1 `) Y ' v
ADDRESS 419 E. 17th St. No: Li 8-1159 BYPROVED DATE
LEGAL LOT .CORRECTIONS
DESCRIPTION NO. 6 BLOCK TRACT 2954
A.P.NO. (�(�
OSIZE
F LOT 70 x 100 NO.OF BLOCS.
MOW ON LOT none
USE OF
EXISTING BLDG.
SETBACK N 52, REAR YARD 27'
CENTER OFLISTREETEFROM 4 -
SIDE YARD RIGHT 51. LEFT 51
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION
REPAIR 6'p MS MOVING DEMOLISH .
BUIELDING 1480 sq.ft.ROOSTORIES 1
EXTERIOR WALL ROOF
COVERING stucco COVERING COM.. .
BUELDFNGEW Single family residence with
attached double garage
Plan 730C
I HEREBY ACKNOWLEDGE THAT I HAVE .READ THIS APPLICATION AND
STATE THAT THE ABOVE IS C40,0-0F T AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STA` R ULATING BUIL• G CONSTRUC-
TION. /' / VALUATION
• PERMIT FEE $ 6.00
SIGNATURE OF
PERMITTEE / �� • 0s
•
PLAN CHECK 45
$ 15,139.00
AUTHORIZED AGENT
Dike & Colegrove, Inc. 0° "F
•
401.-11.4y, CITY OF COSTA MESA
BUILDING DIVISION P RMIT NUMBER
ti ""^' ' DEVELOPMENT SERVICES DEPARTMENT
4 PERMIT
BOO-00724
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 254 VILLANOVA RD Status: ISSUED
Suite: Applied: 05/19/2000
Vicinity: HOUSE&ATTACHED GARAGE Issued: 05/19/2000
Parcel Number: 14144221 Zoning:
Applicant: REINHARDT, RICHARD J ISSUED BY:
Address: 7642 E APPALOOSA TRAIL
Phone: (714)545-3489
ORANGE,CA Zip: 92869
Owner: REINHARDT, RICHARD J
Address 7642 E APPALOOSA TRAIL
Phone: (714)545-3489- . .
• ORANGE,CA - Zip: 92869
Contractor: OWNER-BUILDER
Address:
Phone: D
Zip: License: 0
Arch : - - • Eng:
Address: - Address:- -
Phone: Phone:
Zip: - License: License:
SCOPE OF PERMIT
REROOF EXISTING SINGLE FAMILY'RESIDENCE&ATTACHED GARAGE(25 SQ).TEAR OFF EXISTING ROCK ROOFING&
REPLACE ANY DAMAGED WOOD. INSTALL 2-LAYERS OF 15#FELT UNDERLAYMENT&REROOF WITH 30 YEAR .
COMPOSITION SHINGLES.
•
FEE SUMMARY. _.
Plan Check: $0.00 - - Calc Valuation: $4,000.00
Permit: $97.25 Claim Valuation: $4,000.00
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $97.75
PLANNING St ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0Proposed: 0
NOTES: •
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is notcommenced within 160 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
DECLARATIONS O fl '
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are: .
Carrier: Policy Number:
(This section need not be completed it the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these provisions.
Applicant Signature: Date:
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARS(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.# Class#
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
O I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lender's Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant toe civil penalty of not more than five hundred dollars($500).):
❑ I,es owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements ere not intended or offered for sale.If,however,the building or improvement is
( s�within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
0 I,/as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
—Code:The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors Li ense Laws.).
❑ I am ex nder s � Business and Professions Code for this reason: 7
Sign�ature:l / elL.#"I LLC L•• . Date: ( A7( 71,f7�J
ii
'Owner'ID verifietl bydriver's license. `�-Yes 0 No Ddver's License No.
' p Q9 /k Hca
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
O As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
,
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
___hand
DeparCalifornia Code been fully complied with? ❑Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? IYes LJ No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If yes-,the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes',attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above- es bed pr arty for' action purposes.I agree not to occupy or allow occupancy of any building authorized by this permit ntil final inspection.
Lignature Of Legal Owner(s)---a- ate
And/Or Authorized Applicant Date
;ODE• INSPECTION TYPE 17AIE INTITIAL$ CODE• INSPECTION TYPE PAM INTETIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final / ✓t/71 208 Final Plumbing
rp
200 Final Re-Roof t5/D0 ( 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
2446-46