HomeMy WebLinkAbout266 VILLANOVA RD - Building Permits •501 NW 9 CITY OF COSTA MESA
qk BUILDING DIVISION
1. 1 li. DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
o riklph PERMIT
;�Praxmr�o A'' E06-00338
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
ELECTRICAL PERMIT
Job Address: 266 VILLANOVA RD Status: ISSUED
Suite No Applied: 04/19/2006
Vicinity: Issued: 04/19/2006
Parcel Nunmber: 14144223
Applicant: SCHULLMAN, RICHARD al /
Address: 910 OAK ST ISSUED BY: /
Phone: 714-642-2693
COSTA MESA,CA Zip 92626
Owner: SIMMS, CHRISTIE ANN
Address 16056 MARINER DR
Phone:
HUNTINGTON BEACH CA Zip: 92649
Contractor: SCHULLMAN, DICK ELECTRIC
Address: 910 OAK ST
Phone: 714-642-2693
COSTA MESA,CA Zip: 92626
License:411206
SCOPE OF PERMIT
- UPGRADE SERVICE CHANGE TO 200 AMPS.
FEE SUMMARY
Quantity Quantity
ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0
Temp service test $0.00 Busway/100 ft $0.00 0
• Res.a/c package $0.00 Standing Section $0.00 0
New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0
New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0
Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0
Lighting Fixts $0.00 0 up to 50 kva/kw $0.00 0
Recept Outlets $0.00 -0 -_ --- -- • up to 100 kva/kw $0.00 0
Switches $0.00 0 over 100 kva/kw $0.00 0
Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0
Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0
Service to 200a $30.50 1 Misc.Conduit $0.00 0
Service to 1000a $0.00 0 Misc.Conductor $0.00 0
Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0
Motors to 1 hp $0.00 0 . ' Circus(mech ride or lights) $0.00 0
Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0
Motors to 50hp $0.00 • 0 . Fireworks Stand $0.00 0
Motors to 1000- $0.00 ' 0 Other Electrical Fee $0.00
Motors over 100hp / $0.00 0
Communication drops $0.00 .0 Investigation Fee $0.00
Sub panel to 200a $0.00 0 Plan Check Fee $0.00
Pole Light Pkg $0.00 0 Reinspection Fee $0.00
Sign Circuits $0.00 0
Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $54.00
Intermed Pole $0.00 0
COMMENTS/SPECIAL CONDITIONS
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 not commenced within 180 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
2446-46(6/00)
DECLARATIONS, j� ') (1
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ 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 if the permit is valued at one hundred dollars($100)or less.)
I.ce tify 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
th 5. r%�
Date q 200-AApplica Signatute:.--
WARNINGFAILURE l0
TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND OOU,ARE($100.003).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby-affirm that Iam licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of.the.Bu`ine nd PJpf-essions Code,and my license is in full
force and effect.Lic.P �-} I I�2_O ♦=Class N_ —(1�,
'Contractor's Signature:. ��ic-Sc Acyl-CQ r-Date:-- is...Iru� cc; acnc ,
CONSTRUCTION LENDING AGENCY:
❑ 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: Lender's 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 to a civil penalty of not more than five hundred dollars($500).):
❑ I,as 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 are not intended or offered for sale.If,however,the building or improvement is
sold 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.).
❑ 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 License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
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 6,California Administrative Code).
❑ 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? ❑Yes ❑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? 0 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 California 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.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a,,ppermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Ul Yes L-I No
(Section 65850.2 of the California Govemment 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? ❑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? ❑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 COMPUANCE 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-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Venire___Of Legal Owner(s) �L (� Date
` And/Or Authorized Applicant. `I Date
OOps# INSPECTION TYPE PAIS INTITIALS CODES INSPECTION TYPE peg JNTmALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing /��
200 Final Re-Roof 210 Final Electrical Affil J , tee— n$..i,ur
201 Final Block/Retaining Wall 212 Final Fire Prevention pP
tO
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
PROJECT ADDRESS: 266 VILLANOVA RD UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 064957
OWNER'S NAME:
SIMMS, CHRISTIE ANN
y- ADDRESS: SIMMS, GEORGE R PERMIT NO; B 064957 PLAN CHECK NO: N GOVT: N SUPP: N
•
15949 RIVERLANDS RD
GUERNEVILLE, CA 95446 CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: ALT
ARCH/ENGINEER: REG.NO.:
ADDRESS: UNIT: ;JOB DESCRIPTION T/O & SQ
RE—ROOF W/COMPOSITION SHINGLES FT: 4, 500
PERMITTEE: ^ CLAIM VALUE: 4 , 500 . 00 CALC—VALUE; 4, 500 . 00 GROUP OCC: R-3 /
ADDRESS: BURR ROOFING ( 714 ) 548-2965
711 WEELO DR COMMENTS : SMOKE DETECTORS ARE REQUIRED AS OER 1991 U.B .C .
CM, 92627 CA 92627 ***************?e+e*aF*aE *** x +Fae********+F*****aE*** * ******ac*** *+E******+F********
LICENSED CONTRACTOR DECLARATION: I hereby affirm that)am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
70001 of Division 3 of the Business and Professions Code.and my license is in fun force and effect. SETBACKS
CITY LIC.: 0115,21 STATE LIC.: 302/57 �} SS: f.�'9
Date:J/ I7" 3 Signature: -�]�a..�, �S� — MAIN BUILDING ACCESSORY BUILDING
'WORKERS'COMPENSATION DECLARATION: I hereby affirm that l ave a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN
POLICY NO.: 1016 5 3 0—9 3 EXP.DATE: 07 /01 /94
comPANY: STATE FUND PARKING REQ: PROV; PARCEL ; 14144223 ZNE; REF NO:
❑ Certified copy is hereby furnished. Q Certified copy is filed wi the city Division. PLANNING NOTES>
>
Date: 11- 17_Q 7 Applicant: /_ 1 *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS
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. ZONING APPROVED BY DATE ;
Date: Signature:_
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ; DATE
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY : (:).1&—(7
:).1 �^ i
which this permit is issued(Section 3097.Civ.C). ` * /l/" DATE: `
****?E****************************TTTe---+++..1F79F*iiiFFF******3E**************1E*DATE* * ** i ***
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
OWNER BUILDER DECLARATION: I hereby affirm that am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT7 2 , 0 5
0
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SHIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN -"
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID • DUE
' ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 72 . 50 0 , 0 0 0 . 00 7 2 , 5 0 72 :50' . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through - •
his or her own employees, provided that such improvements are not intended or offered for sale. I1, however the building or
improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED ; 72 . 50 OVER/SHORT; ' . 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 72 . 00 , 50 •
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon "
and who contracts for such projects with a contractor(s)license pursuant to theContractors'State License Law).l am aware ,K,* *,*,**,*,**,*,*,**,***,*******,***,***************************************,**.************
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B.8 P.C. INDIVIDUAL F E E BREAKDOWN .� •
for this reason'. .1
TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner:
do hereby certify that lam aware of and understand the requirements of California Healln and Safety Code Sections 25505,25533,and SFR 4500 REROOF BY VALUE RESIDENTIAL NOZONE -- 1 , 00 4 , 500 , 00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END. OF• FEES
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions. EXPIRED
Dale: Applicant:_
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ' 'al�9KE !DETECTOR 'L '' ate ',Inspections
������/y(�—/p�
ordinances and state laws relating to building construction and hereby a
horde representatives of this city to enter upon the above-mentioned �s �N���i:��Gsa�'
property lar inspection purposes. )
11-0—�i3 (� REQUIRED Date 0100150862-00150£63 TOT 72.50
Date. Signature' DATE: 11/17/93 TIME: 13:28
--_ Driver's License or Social Security#:
1641.46 White—Building;Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
r
CONSTRUCTION AND PLANNING . 00L & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
•
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Uridrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation • 59. Gas Pipe, 0 Undrgrnd.,Test
9, Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 1 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection -- 62. Backwash & Receptor-Final
12. Sewer Cap { i 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
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0Oil
•
23. Gas Pipe-Rough & Test 72. Underground Flush
-'i
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil t-.-
25. Roof Sheathing 74, Overhead Hydro ,•
r-
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical f,r Fri
27. Frame and Flashing 76. Dry Standpipe `
28. Lathing & Siding 77- FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. 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:
34. Final Heating & Air Conditioning - 7 •
35. Final Gas Pipe-Test
36. Hood or Canopya .1n"
-,t -r ,
37, Final Factory Fireplace . ? 1
38. Final Plumbing
39. Water Service-Final 1
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
I
45. Sound Attenuation IL
46. Handicap Regulations E • PIM E
Incomplete Inspections
47. FINAL STRUCTURE& BUILDING
Date 9 //v 2-Sie'�
48. FINAL PLANNING � _
49. Electric Release to Edison !
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY �~
No. Date
S .,
• '7348 cE i�ECt 'EL
AUG 27 1958
COSTA- MESA BUILDING DEPARTMENT •
P.O. BOX 317 FINANCE DEPT.
•
COSTA MESA, CALIFORNIA ;7TY OF COSTA MFC{`,
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING 266 Villanova Rd. • BUILDING
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. El /SES
OWNER Rutgers Development Co. i1.A.:
RECEIVED BY DATE RECEIVED DATE ISSUED
ADD 419 E. 17th St.
ADDRESS Cit.-�'ThIeLLIG 9 (11"C 1"C
CITY
Costa Mesa, TEL. LI 8-1159 ADDRESS
ARCHITECT Carlson & LIE. COSTA MESA. CALIFORNIA
OR ENGINEERMiddlebrook NO.
FIRE
ADDRESS Garden Grove ZONE
Dike CITY LIC. ZONE NO.OF
PLANS TYPE GROUP 1/1+
CONTRACTOR Cniegrnve, Tnr. NO. 841 U
ADDRESS 419 E. 17th St. No: LI 8-1159 BAyPROVED DATE
LEGAL LOT CORRECTIONS
DESCRIPTION NO. 4 BLOCK TRACT 2954
A.P.NO.
SIZE
OF LOT 70 x 100 NO.NOW OFory BLOCSLOT .
Inone
USE OF • Cr
EXISTING BLDG.
SETBACK LINE FROM
CENTER OF STREET 531 •
REAR YARD 261 —
SIDE YARD RIGHT 5' LEFT 5�
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION
REPAIR MOVING DEMOLISH .
SIZEDING 1480 sq•ft.ROOMS 6 STORIES 1
CXTERIING W ALL Stucco COVERING COM!)
USE OF NEW
BUILDING Single family residence with
Plan
double garage
I HEREBY ACKNOWLEDGE I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES ANO STAT AWS REGULATING BVI INC CONSTRUC- _
TION. VALUATION
PERMIT FEE $ 36.00
SIGNATURE OF aaPERMITTEE
s• 15,139.00 PLAN CHECK S 18.00
AUTHORIZED AGENT
Dike & Colegrove, Inc. TOTAL FEE $ 54.00 kth
-OWNER Rutgers Pev. Co. • DATE 8-29-58 ' . ._
JOB ADDRESS 266 villa/lova Rd. BUILDING PERMIT NO: ,73148
GENERAL CONTRACTOR Dike & .Co]egrove r Inc. VALUE $ 15,1_39.00
AP. No. LOT 4 TRACT 295IFIRE ZONE DESCRIPTION OF WORK Res. w/att. garage
r .fp I&J TYPE V ZONE Rl PLAN NO.
£CTIONS - DATE SUBCONTRACTOR PERMITS ISSUED
Jib/6
DATE NUMBER
Trenches l' J-Forms /l l Steel 6' y/i D/ d
Floor System
Steel Reinforce 33 Chimney Re-Rod i
/gi
Frame and Flashing r' WWI;
Lathing, In 1.... Out Vii$I Y
Plaster, brown coat gil 14- I ad G/,SY
Underground soil ,44J ç W/G Pipe TeMtl4 y 94./0—t '
Top Out 93-!'Y - _
Furnace 41-ti- 'O3/-s-e :i��•7•t�A!L7r i • �n ►
Gas Vents 1 - 4f')"`�
Rough Plumbing hits #o-W"Sy k i D.)tre. k1 11 I IbU IL'. ` i
Cesspool Septic Tank , 1 AI
Prop. Swr. Line House Con/PHI. Swr. /L3 -5? s1�a g ,b /1--vi/7-S _In 5 l9bli 15139 1
Sprinkling System
Heating Final w (_s_59 .
I Ping Fixtures, Final / /,{/ /-4F'" \ IC'i)
1 Gas Test /3—k Ly I— 7' 0 - ' I
Construction Pole -
Underground Power ' 1
Rough Wiring r. ,P 4' 2.•%/ 4'4 i, Y- _. A 1_ • 9 • I • • -
Fixtures, Final OVA /r/Q reo/
--OCCUPANCY /49K t./2,pp • I
Form 90-5M-1-57 I
I.- :, 17704
1, �1 •. F [ ,I
COSTA MESA BUILDING-SAFETY DEPARTMENT F"� R AUG 2 Y. D
P. O. BOX 31/ COSTA MESA. CALIFORNIA 1 AUG 2 4 S
For Applicant to Fill In Completely APPLICATIOOFINANP DEPT.SA
TYPE OR PR T BUILDING
BUILDING 066. a s AArn, `J
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPT NO. 1 PIRII�f,�f.
OWNER 7f PN f;piDa//JA`e]. Ld Ml3DRP/ I + r V(.+
MAIL
ADDRESS
3S? ✓ I ` I/�O/`LTi A 57'r t, / REC ,IB^Y1 „DATE Ib ---- Rev--fV//�ER II, )----- ISSUES.
CITY
o S/!' /4 L S/' NO.S�O D/3J ADDRESS (/ Wo(/�PS•T/liL.wevi{/J ,LS1J_ I., L/
ARCHITECT ,� TEL' COSTA MESA. CALIFORNIA
OR ENGINEER NO.
FIRE
ADDRESS ZONE �PE �ROUUPP /�
CONTRACTOR CC,Cad-774y' APPROVED %// DATE Q/Z`Y �2
ADDRESS }Wrat-- ZONING I1(yj�-�
ZO NO.OP USE OP NEW_ct
CITY - � — ( I PLANS Y I BUILDING
STATE �. TEL. ��' LEGAL I [�/', //��' n/ .J/
LIC.NO. NO. DESCRIPTION f... l 'O- /
SIZE ^ �J I NO. OF BLDGB. //` , / �,
OF LOT '�'/ �. ( noW ON Loi ` A.P.NO. Li/ 'l.! �� -
USE OF —_ YARDS fff 111 EVES
EXISTING BLDG. . APPROVED ALLOWED
SETBACK LINE FROM ��j ,{ �] r (CENTER LINE ST.1 r - / IN
CENTER OF STREET `� v�y� REAR YARDf�/II� FRONT /0 Fig./{/—�/ //•J/�.
SIDE YARD (LEFT /1-3Li�li I RIGHT R,SIDE (�-PI0FT.� / IN.
DESCRIPTI N OF WOR V
L.SIDEFT. IN.
NEW I II ALTERATION I II ADDITION I r REAR 1 S FT. q , II N. / r
REPAIR I I MOVING I (((NO. OF 'DEMOLISH APPROVED I ' /]//n DATE -) 7- -(� v
SIZE
BUILDING 2.4 ,1 ii-
ROOMS `� STORIES / •✓i ////��
EXTERIOR WALL c. (ROOF l
COVERING .).J/(GCO COVERING -rot
USE OF B ILDIN 'F D WORK TO R -E 1 O ED i
•
/ c// ., ._._.A.../�. . . ✓CJ- Al/
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF. ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING , ^
BUILDING CONSTRUCTION.r\ ® VALUATION
SIGNATURE O��\I� �l ' PERMIT FEE $ N
PERMITTEE Or
w7� 1.� R_
AUTHORIZED AGENT
s/ i e/) - PLAN CHECK $ l`� 2) �`
V o� X
St C
TOTAL FEE $/ y
9I/1 Ss-c...-&;i tltt &ReL,)
OWNER LOMBABDI, Joseph C. DAT 8-21t-62
JOB ADDRESS 266 V illenova Rd. BUIL .4G PERMIT NO. 1770/1-
GENERAL
770$GENERAL CONTRACTOR Owner-Bldr. VALUE $ 1560.00
I AP No. iki_1}1{2-23 LOT TRACT FIRE ZONE DESCRIPTION OF WORKAdd•to kit.of
INSPECTIONS Signature DATE GROUPI TYPE V ZONE R-1 B3E're5.
S Soil PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Com. Refrig. ❑ Air Cond. 0
Rough Heating
Rough Plumbing
Miscellaneous
Prop.Swr.Line 0 House Con. ❑ St.Swr. 0
Sprinkling System
Construction Pole r _
,� /
Underground 0 Power
Rough Wiring r
Trenches 0 Forms 0 Steel Reinf. 0
Floor System
Bond Beam ❑ Steel Reinforce 0
Sheathing •
Frame and Flashing
Lathing — In 0 Out 0
Plaster, brown coat
Refrig. ❑ Air Cond. 0 Final
Heating, Final
Plumbing Fixtures, Final _
Final Gas Test
Electric Fixtures, Final • A
Building, Final l
OCCUPANCY
FORM BU4.5M — 7.61
4847'
t
COSTA MESA BUILDING-SAFETY DEPARTMENT k120417/28/76 id.so TL,
P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626 .I,,.,- -
APPLICATION FOR S �CTURAL PERMIT ^I/w
For Applijcant to Fill inCompletelyCompletely — Use Ink Only RECEIVED BY DATE RECEIVED. .. .
BUILDING
•
ADDRESS of 4., I �� .�._/ (..�'_/ ?. -
794... 2
OWNER ce•A t, / ., r/ �4�f710-$... A.P.NO. I -t /_7 7 `.(,J �
BUILDING
MAIL z 4 4 .42.12.0_, oL� .r
ADDRESS O/9 C � /4E4 /Jo�lcL ADDRESS_ 'J /,/
/�.� TEL. TRACT..( 9J L LOT BLOCK
CITY eadit , in,[` P4- No.JJ7 CXly / /'/`/
CONSTRUCTION NEW ADD ALTER REPAIR IMOV fNG DEMOLISH .c
LENDER
BRANCH // �- /_/ &LS v
OWNER ( �,C/- �.1�..
ADDRESS �� ' ,1 N.
�/ VALUE
ARCHITECT TEL. USE ✓ r/04/G eitill $�r �
OR ENGINEER NO.
FIRE ... ` ... - -
-----•ADDRESS ZONE TYPE ze GROUP
/ APPROVED
.
PCONTRACTOR/�4) z., j ee YADATE 41/71
ADDRESS t O S. OIe.,
TEL. ZONEK'A/_ NO.OF fl USE OF NEW
CITY SQAJfQeft.w � NO. "1 / " PLANE A BUILDING An
YARDS APPROVED
LIC. NO. 020 el y7J " LID.NO.! VED
CITYYMAIN B I DARDSOING ACCESSORY BUILDING
NO.OF BLDGS. (FROM C/L STREET)
L OF LOT 70 LQ SIZE '/k /o O ! I NOW ON LOT FRONT .r FT. *FT. —
Q USE OF L � �/
s-iC4 EXISTING BLDG. ha R SIDE FT. !U FT.
h
FSeparate permits are required for L.SIDE FT. FT.
electric,plumbing and heating work.
W - - REAR FT. /00 FT.
F US F BUILDING AND�WORK BE PER ORM//E� DISTANCE BET. BET.MAINS:
0O C-iG-cu.) ACCESS.�''i'4i-• MAIN BLDGB. ACCESS. BLDGS.
rr , VAR.# DATE
', !c 3✓) W C.U.P,# APPROVED
xe
APPROVED/t IG�jGATE / t 7 Qer
IX l M
/
w
Oa I hereby acknowledge that I have read this application and state
N
N.
84 that the above Information is correct and agree to comply with
m
L all laws regulating building construction, and I shall not employ
Z any person in violation of the workman's compensation laws of E
Tthe State of California.
I hereby certify that I am properly licensed as a contractor under SQ. FT. N
the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ea
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 PERMIT FEE $ c
and Professions Code, Division 3,Chapter 9. p.,.Q� o
C m
Signature of /n _� jJ ` 0 � .mit PLAN CHECK $ o
Permittee § �\ TAX § U
Authorized Agent _ TOTAL PAID $ /as
r OWNER HOUSTON, CHRISTIE DATE 7'-28-78
JOB ADDRESS 266 Villa Nova Road BUILDING PERMIT NO. 4F474
GENERAL CONTRACTOR Modern Construction Co. DESCRIPTION of WORK Bloc}wall
P No. 141-442-23 LOT 4 TRACT 2954 FIRE ZONE VALUE $ 1.000.00
INSPECTIONS Signature Date TYPE III GROUP J - ZONE R-1
soa SUBCONTRACTOR PERMITS ISSUED
GAS Date I Number I Signature
WATER Plumbing
ROUGH PLUMBING
iii
PROP. SWR. LINE HOUSE CON. LI
. SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING ANb AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND 0 POWER fl
ROUGH WIRING Heating and Vent. .
TRENCHES FORMS STEEL REINF.
FLOOR SYSTEM
BOND BEAM rl STEEL REINFORCE r
SHEATHING
FRAME AND FLASHING
LATHING - IN [1 OUT n
PLASTER, BROWN COAT
STRUCTURAL, FINAL Electric
HEATING, VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST n
ELECTRIC, FINAL
BUILDING, FINAL nil, -J�y
///->ty. .
SPECIAL REOUIREMENTS