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HomeMy WebLinkAbout260 VILLANOVA RD - Building Permits el. • CITY OF COSTA MESA BUILDING DIVISION Ft;ilBW A, 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 4. FOR INSPECTIONS CALL: (714)754-5626 PERMIT NUMBER: E07-00828 PERMIT TYPE ELEC STATUS: ISSUED ` DATE ISSUED: 09/26/2007 ,ISSUED BY: BJK JOB ADDRESS: 260 VILLANOV4 RD CM •; Suite/Unit > Vicinity: FAU HALL CLOSET, CONDENSER RTSIDE'SFD SCOPE OF WORK: CHANGE-OUTi.OF'A FAU WITH THE-ADDITION OF A NEW A/C UNIT AT'AN'EXISTINGSFD. 1 RES NC PKG. NO OTHER WORK AUTHORIZED WITH THIS PERMIT -'"' OWNER: JOHNSON,NICOLL - Address '. 260 VILLANOVA R$3. Unit-`- rt PHONE: t, -,, ; r ::City/State/Zip: ,;COSTA MESA CA APPLICANT: ELLIOTT,DALE `? ) -.,..� Address. "'7600GARDEN GROVE BL'•Unit: PHONE: 714-901-05001 '':p - City/State/zZip: WESTMINSTER CA • - CONTRACTOR: A PLUS HEATING'AND AIR CONDITION' License No. 763154 Address: " 7600 GARDEN GROVE BLUnit: + • .I _. , "PHONE:-.'714-901-0500 City/State: WESTMINSTER CA ZipCode 92863 CELL: + ' '.1 XPh„ ELECTRICAL PERMIT FEE • ES , : 000 Electrical Plan Check Fee • Electrical Permit Fee:" $78 00 Reinspection Fee $0:0& ' TOTAL FEES $78 00 • N3 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. CODE/. INSPECTION TYPE DATE INTITIALS CODE I INSPECTION TYPE DATE INIITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 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 WORKERS'COMPENSATION DECLARATION Owner ID verified by drive. ❑Yes ❑No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the - perfo ce 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized nC� En��� by this permit,and that no building structure,scaffolding,falsework,cc demolition Cartier: !L or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp fir seCm need oeree �avawea4r one hundred dollars(sf00)wless) 2,Art 2,Sec.341,Title B,Califomia Administrative Code). Policy Number: e/, t_Jf/O(-1[ { ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the worker ' compensation laws of California, and agree that if I should become s • t o the workers' compensation provisions of Section 3700 of Applicants Signature Dale the Lab• •d I Sha fo ' comply with these provisions Division of Industrial Safety Permit Number: Applicant's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? El Yes ❑No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feel of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑No 7 Lic.# > /'J — Class# _"Zc (Section 25533 of the California Health and Safety Code, with some �J exceptions, requires registration with the Costa Mesa Fire Department by �i �" - L'/7 each business which at any one time has on hand a quantity of acutely ontract ignature rate 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097.Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes ❑ No (Section 25534 of the Califomia Health and Safety Code provides that the Lender's Address: 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. Signature Dale 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the Califomia Health and Safety Code). ❑ I. as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑ No thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from.the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). • completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). ' . information given above is correct. I agree to comply with'all state laws and city ordinances regarding Hazardous Materials and Emissions. ❑ 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 Signature Date . property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city . ordinances relating to building construction, and authorize representatives of • Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. • of L,0:2> to Signature Date aature 3057-46(3107) • And/or Authorized aoolicant� c2/ae4 ) • CITY OF COSTA MESA r'"`ter BUILDING DIVISION FAA,! 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)7544856 • www.ci.costa-mesa.ca.us .). FOR INSPECTIONS CALL: (714)754.5626 PERMIT NUMBER: M07-00493 PERMIT TYPE MECH STATUS: ISSUED DATE ISSUED: 09/26/2007 • •..ISSUED BY: BJK JOB ADDRESS: 260 VILLANOVA_RD CM .t • Suite/Un1t • Vicinity: FAU HALL CLOSET, CONDENSER RT SIDESFD -, �' SO. FT: • • SCOPE OF WORK: CHANGE OUT OF A FAUWITH THE ADDITION OF A NEW A/C UNIT;AT AN EXISTING SFD. 1 FAU < 100K BTU, 1 CONDENSER 3-15 HP NQOTHER;WORK AUTHORIZED WITH THIS PERMIT k:4,` - OWNER: JOHNSON, NICOLE r "'` 'Address '260 VILIANOVA RD Unit 1t1 • PHONE: ;q „ct + - """� City//State/ZIp COSTA MESA CA APPLICANT: ELLIOTT, DALE j'j Address: 7600 GARDEN GROVE;BL Unit: PHONE: 714-901-0500 ;''t City/State/zZip: WESTMINSTER CA. '=.� . ij - CONTRACTOR: A PLUS HEATING`AND AIR CONDITION 'License No.. 763154 ?, - Address: 7600 GARDEN GROVE BLUnit: - - - - - - PHONE: 714-901-0500. City/State: WESTMINSTER, CA ? ZipCode 92863 -- CELL: r '`.I _ PIR' MECHANICAL PERMIT FEE SUMMARY MECH ITEM FEE: - `- • $65.45 • DRTE PLAN CHECK FEE: INVESTIGATION FEE: REINSPECTION FEE: $0 00 TOTAL FEES: $65.45 � . 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.' 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. CODE S. INSPECTION rwg DATE INTn1ALS CODES INSPECTION TYPE DATE INTRIALS 1616' Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final - 208 Final Plumbing 200 Final Re-Roof 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 I 711111. r it WORKERS'COMPENSATION DECLARATION Owner ID verified by drive. ❑Yes ❑No I hereby affirm under penalty of perjury one of the owing declarations: Drivers License No. Expires: O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document.i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performanc f the work for which this permit is issued. , • • • • , • ave and will maintain workers'compensation insurance, as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: . permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized ^ate����� by this permit.and that no building structure,scaffolding,falsework,ar demolition Cartier: ;ger'? ,6/e or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need not completed permit is valued at one hundred dollars less) 2,Art Sec.341,Title 8,California Administrative Code). Policy Number: /1/y / 1 d/O 7 0 As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' .mpensation laws of California, and agree that if I should become sub'• the workers'compensation provisions of Section 3700 of Applicant's Signature Date the Labor of s II f hvp pmplyvrith these provision,. /n Division of Industrial Safety Permit Number: Applica is Signature Da HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes El No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license',in ull force and effect. a registration form for acutely hazardous materials? El Yes El No Lic.# • ! Class# (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by /_ 1L/ / w if each business which at any one time has on hand a quantity of acutely Contractors:nature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,CMI Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes ElNo (Section 25534 of the Califomia Health and Safety Code provides that the Lender's Address: • 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. Signature Date - 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? El Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? El Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the Califomia Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes ❑ No thereon,and who does such work himself or herself or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution employees, provided thatsuch improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). - completion, the owner-builder will have the burden of proving that he.or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). • information given'above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. ❑ 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 . Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ • I am exempt under sec. • - the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa. Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. re ol� .. ate / Signature Date i // i e v 2 3057-46(3/07) • And/or Authorized Applicantate CITY Oi':_OSTA Ml'SA PLANNING DiVfSION SUBJECT TO BLDG, DEPT REG. NOTE:ADDITIONS, DELETIONS, OR CORRECTIONS SHALL APPROVED Bj RE ` THE mi,; DIV. BY ei- I Su ea �=c act 240 \A U. A r‘31DvA T-o ADDRESS OF BUILDING 260 VILLANOVA RD - NMT: ► '� ©o(6e/ owxERswMEIPro'awn:JOHNSON, NICOLE - - _ CITY 'OF COSTA MESA. - BUILDING PERMIT A D.'s:JOHNSON KAREN J PERM NO: B. 087902 260 VILLANOVA RD _NO: B 087902 _ _ PLAN CHECK NO: N • GOVT: N SUPP : N •OSTA MESA,CA. 92626549-5494 •APPL. LAA ADDRESS: - CONSTRUCTION TYPE: VN= PERMIT TYPE: STR _ PURPOSE: IW0TH • ` /ARCXRECTORENMIIEER: • �'�' JOB DESCRIPTION 'T/OFF & REROOF W/COMP SHINGLES SQ FT: 2, 980 ARCH.OR ENO.'S ADDRESS: OMT: CLAIM VALUE: . ._ 2, 980 . 00 CALL-VALUE: 2, 980 .00 GROUP OCC: R-3' / CCNWACTORSNUIE ACE ROOFING (714 ) 680-61.00 CONTRACTORSMMLDIO 144.2 S. EUCLID ST - _ COMMENTS: REROOF -2200SF RESIDENCE W/COMP • ADDRESS:FULLERTON . CA .' A uCNO. 679543 **+E*****************Sr*SE*****Sr*srsr********Sr*******+E*iE**+ESE***x•*****+ESE**iE********** .92632_ -_ . . OMT' Z_O N I N G R E Q U I R .E M E N T S LICENSED CONTRACTORS DECLARATION:I hereby affirm under penaiy of penury-Mal I am'Sneed under provisos of Chapter 9 S E T B A C .K .S._ (commencing with Section)...)of Division of the Business end Professions Code.and my license is' faend M effect. _. CITY UC.No.:0 ,` IC. 39 LIC.NO.: /` . XP: 09/98 . MAIN BUILDING . . ACCESSORY..BUILDING --- Dae: 5Contractor: 9� FRNT.: ____ FT IN REAR: ., FT.._ IN FRNT: FT IN REAR: . FT IN (� LEFT: ._ ___ FT IN RGHT: FT .._._IN LEFT: FT IN RGHT: • FT IN of OWNER BUILDER DEC RATION: . by affirm under pen kyperjury th 3 .not from tit ons License Law for the lowing reason(Section 7031.5 Business. .Professions Code:Any city or co. which requires resit to construct,after,improve, moflsh,or repair anystructure,prior toidbsuace,also requires the applicant for such permit to fib a signed statement that he or she PARKING REQ: -7.,.. PROV: ____ PARCEL: 14144222 ZNE: REF NO: • O- s licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 d the PLANNING NOTES>- Tt Business and Professions Code]o shat he or she is exempt therefrom arid the basis for the alleged exemption.M y violation of Sedan • : 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1550O]). >l "�: 1...d the « employeeswith es tfai sole cam *******************1t***************************1f*********************1k*****i!*** ❑ «offered for sale(Section)Oe4Business and Professions Code:The ContractorsLicensseeLawd"oesnaappy:toannw�wmrronpertyy D E V ErL 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 who builds or improves thereon,and who does such work himself or hersea or through his or her own employees,provided that such improvements are a intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the -• i2 ' owner-builder will have the burden oproving heorshe did mlbuikl«improvefor the purpose ofsale). ZONING APPROVED .BY DATE: ❑ I.as owner of the property,ern exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does viol appy to an owner d properly who builds«imroves rethemeendpIheewho BUILDING APPROVED _B YI �•� contracts for m such projects with a ntrea(s)licensed pursuant to the Contractors License Law). y : DATE: ❑ lamexempt under Section: B.diP.O..krthis reason: • APPLICATION ISSUED BY: DATE: ili'.#2� oat.: Chimer: ************************************************ . ****************** ******#** I do hereby candy that I am aware of and understand the requirements of California health and Safety Code Sections 25505.25533,end LEGALIZATION:N F E. E_. SUMMARY STRUCTURAL SEGMENT:Y 25534.and That I a any Mum building aaepenl will/wit not(circle one)need to comply with said data codes and the requirements for � ' e permit foroxslreioo a modificationfrom the AilsGyy anagement District. construction appicatioreere exempt from these BLDG PMT_ PLUMBING _.-ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. • PERMIT '74 . 75 . _ _ . 50 Dae: Applicant: � SMIP/ ON-RES WORKERS COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN ' • . . - - ._- - "-"n ElI have and«thwit maintain a centficate of consent to sell-insure for workers'compensation,as provided for by Section 3700 cf the Labor ISSUE FEE ^�o Code,fepedaao mcetheworkforwlichthispemmis issued. BUILDING-DIVr> . PERMIT_-..ISSUE -PLAN-CHECK TOTAL " ' PAID DUE lhave and MI maintain rackets'compensation insurance,a required bySeicn 3700 of the Labor Code.for the perormane of the TOTALS----> 75 . 25,,._._-,-..0. 00._ -_ _._- 0 .00 75. 25 , 75 . 25 .00 . work for which this permit is issued.My workers'compensation insurance canter and policy number are: • - Carer: CTATV ;limn EXPIRES REVENUE DIVISION TOTALS-->._, COLLECTED: 75. 25 OVER/SHORT: . 00 . PoicyNumbe.i 285-98 UNIT,1134 . 01./0.1,/99 ' - BLDG PMT PLUMBING ELECTIRIC .MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed i the perm*is by one hundred dollars($0001 or lass.) - -- 74 .75 r;50 ❑ I certify that in the performance of the work for which this permit is low .( shall no . any person in any manner eon to become subjectlie• to the . Com.: -:tion lawsofCalifornia, r.r•• Nal' ,. b become subject to the workers' ******************************************************************************* compenmticn.. atom d. a 37 d the Labor Cale. shall • /� .. pry ,provisions. Date: Applicant: if t i . .- -. - .-, ,_I_ N D I -V-..I_D_U_.A_L_- _ F-- E_ E ,H R E A K D;'O W N `" . r �' is lit/- Warning:Failure to secure wMere'compensation coverage launlawful, shall ac an employer to crtmjnal p.naffies and T.YP.E�.__...QTY_,•___ D .E ..S_C R..I.-P_ T_.I 0 N UNIT COST - TOTAL COST civil Da nup to one htam-•thousand dollars(S104000).In addition to the mato compensation,damages as provided for in.. - . - - Section 3706 of the Labor Code,Interest,and attorney's fees. CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty d,perr,ry that there is a construction lending agency for the • .SFR____._. 29.80 _ _ -REROOF BY 'VALUE_ RESIDENTIAL NOZONE ,•_ _ %;'1 ..00 2, 980 . 00 perf«macedlheworkfowhimNlspermilsbaued(Secin3097.Ci.C). END OF FEES - s�• LENDER'S NAME: - - 7.1' ' LENDER'S ADDRESS: �.- ^- : l i--:- I y Mat I have read this application and date that the above information is cone.I agree to comply with all ply and county ordinances • and state laws relating to building construction and hereby authorize representatives d this city to enter upon the above-mentioned property for inspection pun..,/ly STIN1ij• N _ . _ __ _._.`_' _. — ___ _. - ____ e04 27 133olfii:39 3Ptdlt725.2� ///,���/ Date: / ell-it/ { ` fiCPi087902 VU FERPIIT:0�7�82 �' S'�.ureal• r e ud�UConbeda (5151 de.W P) White-Building&Soley:Green-Fife;Canary-Apptcant;Pink-Revenue:Goldenrod-Assessor - U CONSTRUCTION AND PLANNING ' • . : t- Pal , SPA ' APP43OVALS .Permit# ' _ Date Inspector Date Inspector - APPROVALS Permit# 1. Temporary Electrical Service or Pole- 52. Pool & Equipment_Location '.,' 2. Sod Pipe-Undrgrnd. - - . . 53. Steel Reinforcement - . - %I C3DE1ebtrical Condit-dtllity_Undrgrnd.- - - • ; 54. Forms • "' .�1SElectrical ConduitSUgdrgrnd. . . 55. Electrical Bonding , • fir, - �S. .Steel Reinforcernerui4 -' - - 56. Rough Plumbing & Pressure Test 4. 7: ;;6. 'Electrical UFER=Grntl. - 57. APPROVAL TO COVER-GUNITE `^7;-`Fogtings -' - - ! 58. Electrical ConduiNUndrgrnd. ` `8?Fdundation = ...,, . • 59. Gas Pipe, 0 Unbrgrnd.,Test . r.. :L/ - 9JW@ter Pipe-Undrgrnd. -. 60. Backwash LinesrP-Trap, 0 Updrgrnd,' . 10. Structural Floor System - 61. APPROVAL.TacESECK':7`'• 11. Preberty Sewer Line.& Hous4onnection - .62. Backwash &.Recepior-Final ; 12. Sewer Cap d- _ - 63. Heater & Vent-Final _ -t . a • 13. Roof Drains -. . . ' . '64. Plumbing Systen - Finer C " 14. Rough Plumbing ?: ..1/ - " 65. Electrical-Final 15. Rough Electrica,PcCotluit T. 1 - ,66. Solar Systen-Final • - - - . 16. Rough Electric\H•irirtq - a ' ` 67. Fencing & Accest-Approval , - ' 17. Rough Wiring Sign ! 68: APPROVED F0F9'LASTERING • 18. Rough Electricagr Bar Ceiling , . - . '69. POOL/SPA SYSTEMS FINAL • 19. Rough Heating(7 & AirConditioning err,- - i' FI(}E nnEPT_-BEQUIF{EMENT co r: .-, I Sit, t M , t,.+: t rr .-; .�.J rr * rr 20. Rough FaStor Firef}iace ; Sty x ,: _a �..; =r t APPI3OV Lyi�t..Permit # ; = "- ^Y E S^�.^'," -c r 21. Duch inrStruZiureT7� •• •• ' ' S c7 1--c* fi? 1 -_ rr, 5, 5 n 0* • 70. "I,Under NY ro 22. Ducts:VeAtilaUngti .* 0 y O c-r • 71. Produpi;ruling L] tis GOO 23. Cries Pipe-Rough &_Test I. __ • # r-; ,_ 'FS, OY 72. Undergr5i d FVd 1iG ZZ 24. oo`Fram.ng" 21".c.,:. t ,.a-. -i- it- > O '.. * > ,-, ; :7 UndergrS�.StoH rC lank.O Gas ❑n il� 25. Rool"•SheaIhin .^:K < '`; ,..?„.42.-f_x - .: v - ,v .r g ',Z�,' ��, 74?2verhead Hydrt�,, 26. T'-BaF;Ceiling (StructGral) & Mat t. O H t`'* 75r Dry Chemical a..° .` -' C j �1. T. - a. t.. .,✓ ')s -. 27. trame and Flashing:,: itrm, .: >, o* 76. Dry Starr pipe `••-r3 r' _. I =� y 'w r vw :Tu r, tl nt r, 28. Lathing ,Si , g �. �= ;` '"' : 1' -' •• ••r 774 FIXED 5TE 1'7FINAL �, n - � -.w n ,. V 29. Insulation v x a s� S l ' � � ' =' ^ >' _ ^ _ 7 FIRE PREY. FIN�L �, 30. Drywall Nailing '_ta' a r~ 1 � S 'rC�iJFALT ,DEPt.'FIEO'UII MENT y D 31. Plaster BrawntCoat'>' S t tr-' .r Fg t 79. FINAL INSPECTION f _;32. Eectrical?owe{ M trIFinal ; t " ' - -801FOOD CERTIF:LATE I$SUED i :•33. F,jna!rElecsric;, Z-: _:r1 C 4 Noes: ';^ + 'i C' ccr; -K ...,k- 13 C 1334. FinaLHeating'& Aii1Condttionin'g S ri 3: i' :� S nx x S CC 35. Fv T J x I- . , •,_. x v inal Ga ipe;7es ',, r0 T .. I .w " Y.0 ,.i-r x -m 1 =36. Hood•or TCbnopy s: D I !r-d -+ t' * . o E n * 1/4.(r: tr. x * n 'r! :. a: tr x o ,4. tri .tr1 y37. Fina LFacl iory Firepace T ;,,if LT, k �. r. N r F -'38. Final'PluMbing- "J .i: `--' t. P.:73 O X39. WatefService., * * 4 I- v * S I.. v * -n '440. Gas Service-Final r m C r y El (t 6v r.,;.n' * • -. to c f ty; N . r I T i< < 41. Solar Domesti Final* s �` n y, * x 0 _ i X�� 42. Backflow Preventer a C. < I+: -_Q"Q t% '.r '/ r. a c' ..:a r, ti d �?"V ) ' V i r f-, /� .- .:S.S Y 4' r. Li ,^tL 43. Backflow IrrigTAtion * t. , s y 41. Landscape IrrtgatioMSystem �- z r r _ nt;C n .K r ���{-. ;r i 5. Sound Attenuation alt. HandicapRegiiations a- O 111111111_, cr . r_ ) fJ z 7. FIN d} STRJ TUR & BUILDING C22. NO= 48. EINAL PLANNING s t L. M to I _, G n S c 'K � I Ix -- C1 pt ¢ 0. Elect?ic Fjjoceas€to Ellison ` I eK . "• " cx t' 50. Gas Rslease to Southern California-Gas Co r I - • :m, r O • r . -r - : .. �o n a: ro 51. CERTIFICATE OF OCCUPANCY * C. rno x No Date COSTA MESA BUILDING DEPARTMENT �o -����n - ��04 P. O. BOX 317 I 88E�{, I . ~ I COSTA MESA CALIFORNIA EEE RECEiVIED FOR APPLICANT T FILL IN C.L. OF STREET'-.- ' 3 '-", $,L-6 11 {.4_, BUILDING ADDRESS 2�/`�' // 72 /C- 2ZP-moi I FINN ICE DEPT. Owner ' 1' __—PROP LINE _ CITY OF COSTA NEA r 10 •FT. FOR 60 FT. STREET I2 FT. 61N. FOR I Mail Addres �) - �i I �50 FT. STREET 1 ��.�-- 7 j I . I City L.f��C/- / ./_-.1�,/ Ph. No/(� / .1--C7 V Contractor-2;44 r4+aC'-G/-)�-)r Ph. No- / / /7� t' I I Address / 7 9,74.--a—t. .7!.- —L2i •, . C4 50 Fit IF FRONT, City Lic. No. ! / -7 State Lic. No. 17 17 ? `; IOF PROP. Fz 1'50 Ft w Size of Lot AP No?�25� r 5 w / r, I- ___..----1,-��; ZI ` I- Setbacks: C/L Street sfi14-/ Rear 1.� 7 % it I ¢ I m cc ti Side Yard.- Right 3..0 ` rIn 1 Left 5 0 73/9 Iu) r---- i tel- ---,,, a. _i J Type of Fence /-�";- --e---14--fl Z t' c c-� I u. VALLEY QR PlbP LINE\ iz / 7L 4c U , °• N I J m I~r Z to 3 IIS -, I hereby acknowledge that I have read this application and state u • I ��nn •_ that the above is correct and agree to comply with all City Ord- Ci j El 10 ( '' ' S T b, !Y'I' I inances and State j2aws regulating building construction. V p.It' r. ul o ,I' 7 '1 I I'-- t t-- `, I • - Signature — ?J lo� 3 ' IDI I �ZCr>/�iiC � t%� of Permittee U rj o 41 v C t✓ SFT I Agent � , 0. O = P 77 5 :-...�' 37 6 IN. Tm i � r FOR OFFICE USE ONLY FT Z V n d 1)4r - I I �� I FOT J I • Permit No. a m 8888 I' w - -• 60 FT STA f Received by Date Received Date Issued —y d t I I- i--,�-' =;-o?T'- r 3 -. V / IV F� St rl t ( VALUATION �/ I —_iPROP. LINE i� -1`� I =_�. - -i I Permit Fee $ ` / ° 1 ..2 it / ' $ J 69-257 Plan Check $ C.L. OF STREETS I \ • 'TOTAL FEE $ MAXIMUM 4 FT. FENCE MAY'BE PLACED ON DOTTED LINES -- - -- • — MAXIMUM • 6 FT. FENCE MAY BE PLACED ON SOLID LINES USE REVERSE SIDE FOR DETAILS -OWNER Rutgers Dev. Co. ' DATE 8-29-58 _ - ' _ JOB ADDRESS 260 Villanova Rd. '- , BUILDING PERMIT NO. ;_ 7349, GENERAL CONTRACTOR Dike &'Colegrove, Inc. VALUE $ 16,598.00 AP. No. LOT 5 TRACT 295i- FIRE ZONE DESCRIPTION OF WORK Res. w/att. garage _GROUP - _ & J TYPE V ZONE Rl PLAN NO. _ INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER y Trencheslg -orms V� /// I Floor Systrm Steel Reinforce Chimney Re-Rod Buom ,t_dis Frame and Flashing U Ma'///(/ ' Lathing, In .— Out W 2Mill //%/S 8 Plaster, brown coat V— I vi/„fes • Underground soil C W/G Pipe Test oIC a,'O-q'y `"Top Out 4-a$X � ;� Gas aceVe . A7 1 P r, it mnin' 1 1:fr�I%I yl Rough Plumbing C //t3 4 - i mm�i f ian 'kVl 1 /J Cesspool Septic Tank Prop. Swr. Line //House Con. 1V.St. Swr. ®`fr � t tin ID taxa Sprinkling System \ 4 Heating Final 4 l/l - - V Plumbic. Fixtures, Final / II r Final Gas Test !n /.i ji_H'4 1v onstruction Pole , Underground Power Plininfilaileir Rough Wiring i IV ,(a iggragasl~�n1 Mani U Fixtures, Final /n/ ,fts JOCCUPANCY rim /.//1.•4Q Form 210-5M-1-57 , /7349 - EE RECEIVE) u COSTA MESA BUILDING DEPARTMENT AUG 27 1958 P.O. BOX 317 FINANCE DEPT. COSTA MESA, CALIFORNIA �?11-V !1C rC$TA MFCP, FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ABUILDING . DDRESS 260 Villanova Rd. BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY- RECEIPT NO. .REAMIT�N OWNER Rutgers Development Co. . li ` MAIL • RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESS 419 E. 17th St. tea/ ,y_ _t. crcf.AUG 2 9 1958 TCITY CMesa NO. BUILDING ostaLI 8-11 • ADDRESS OR ARCokEER Carlson & No. COSTA MESA, CALIFORNIA FIRE ADDRESS Garden Grove • ZONE Dike & CITYONE NO.OF TYPE GROU q/� LIC. g/'1 I PLANS '/ V OR CO NTRACTeolcgrovo, Inc. NO. r4ff+ Y AK/ ADDRESS lA • E. 17th t. TEL. - • APPROVED 8 BY DATE LEGL A LEGAL ory NLOTO. 5 BLOCK TRACT 2954 CORRECTIONS A.P. NO, I SIZE 70.x 100NOW ON SOT none OF LOT USE OF EXISTING BLDG. SETBACK C CENTER OFLINE STREETFROM 50 REAR YARD 25 SIDE YARD RIGHT 51 LEFT 5t DESCRIPTION OF WORK N EV. X ALTERATION ADDITION REPAIR MOVING ry DEMOLISH BUILDING4, t� NO.OF SIZE 1647 Sq.ft. ROOMS 7 STORIES 1 EXTERIOR WALL stucco ROOF comp. _COVERING COVERING USE OF NEW BUILDING Single Family residence with . attached double garage Plan 760A I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STAiA: 5 REGULATING B NG CONSTRUE• TION. VALUATION SIGNATURE OF PERMIT FEE S 38.00 PERMITTEE ~, 19.00 $ 16,598o00 PLAN CHECK $ AUTHORIZED AGENT Dike e & Colegrove, Inc. TOTAL FEE $ 57.00 VeNF