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Home My WebLink About190 VIRGINIA PL - Building Permits PROJECT ADDRESS: �+Y UNIT: '! OWNER'S NAME: 190 VIRGINIA PL )q—/ `/ CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 065762 ADDRESS: ANN Ht)U(HTON • `7 • 530 1ffIEgPtNT PERMIT NO; P 065762 PLAN CHECK NO: N GOVT: N SUPP : N C.M. 22626 CONSTRUCTION TYPE: V-5 PERMIT TYPE: PLU PURPOSE; OTH ARCH/ENGINEER: 7 1 4 ) 979-1942 REG.NO.: ADDRESS: • UNIT: JOB DESCRIPTION : REPLACE GAS LINE & WATER HEATER VENT SQ FT: 4. PERMITTEE: ANN HOUGHTON ( 714 ) 979-1942 CLAIM VALUE: CALC—VALUE; GROUP OCC: R-3 /M-1 ADOflE55: ((`` XN5,E30 PIERPONT COMMENTS ; THIS PERMIT TO COVER PLUNBING WORK AS ERQUIRED BY INSPECTOR •LICENSED CONTRACTOif tlECLARATION: thereby affirm lhatlam licensed under CA .926,26 o6,A5p r9(commencing with Section *************************************************************************'****** 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. Z ON ING R EQU IR EMENTS CITY LIC.: STATE LIC.: CLASS: SETBACK S Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have 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.: EXP.DATE: COMPANY: PARKING REO• PROV; PARCEL: 00000000 ZNE: REF NO: 7 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > Date: Applicant' ***********************************************ie******************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($1W)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 , subj. •the W.kers'Co•pensatior Laws of California. ZONING APPROVED BY 0 1 Signature: DATE: NOTICE:If.after making Ihi declaration.you should become subject to a orkers'Co pensation provisions of the Labor BUILDING APP ROVED BY • DATE: ' Code.you must forthwith comply with such provisions or this permit shall be deemed r oked. 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(Section 3097.Civ.C). APPLICATION ISSUED BY: DATE: LENDER: ********************************* *************************** ADDRESS: Alfrac-- ******** LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I 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 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT • 12 . 00 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% SMIP/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 20 . 00 I. as owner of the properly 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————> 12 . 00 20 . 00 0 . 00 32 .00 32 . 00 .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.If,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 : 32 . 00 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 32 . 00 ❑ 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 the Contractors'State License Law).l am aware *,**,**,*********,***************************************************************** that proof of their Worker's Compensation insurance should be provided to me. �] I & N D I V I D U A L F E E B R E A K D O W N YY am exempt under Section: BP704 4 B. P.C. for reason: OWN ' —B ILDER /^/ TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Owner: / do hereby certify that I am aware of and understand the requirements of California Health andsafety Code Sections 25505,25533,and PLU 1 WATER HEATER AND/OR VENT 7 . 00 7 • 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 PLU 1 GAS PIPING SYS OF. 1 TO 4 OUTLETS 5 . 00 5 . 00 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from END OF FEES these provisions. Date: Applicant: I hereby certify that I have read this application and slate that the above information is correct.I agree to co ly with all city and county ordinances and stale laws relating to building construction and hereby authorize representatives of this city to en rupon the above-mentioned • - properly Ipr ins Ction purposes. t 1 Date Signature: / ' 01 00153986-00153986 TOT 32.00 • river's License or Social Sec rity#: DATE: 01/19/9'4 T(fIEL 111-'56 164146 White—Building:Green—Code Eniorcemont:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor POO- - SPA TY t • CONSTRUCTION AND PLANNING • / .- •I ' I cI 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-Undrgrnd. 54. Forms •- . • • -` • 4,Aplectrical Conduit-Undrgrnd. 55. Electrical Bonding - - 51,tteel Reinforcement 56. Rough Plumbing & Pressure Test '- 6:'EI'-ctrica! LIFER Gtnd. 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. StrGctural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 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 �. • . . .. - .. _ _ _i . , 20. Rough Factory Fireplace - - , APPROVALS'. _ Permit # i 21.'D acts in Structure i 70. Underground Hydro 22. Ducfs, Ventilating ' 71. Product.!~ipuig 0 Gas 0 Oil 13. Gas 2-pc-Rough & Test - . - 72. Underground Flush lI .4. Roof Framing- ' - - , ' - 73. Undergrnck Storage Tank 0 Gas 0aill 25 Root Sheathing * 74, Overhead Hydro I 26. •T-B,.:Ceiling (Structural) & Monotoat • - h 75. try Chemical �27. Fra tie and Flashing - - . 76. Dry Standpipe - 28. Lathing & Siding ' 77. -FIXED SYSTEM FINAL , 29. Insuation •• 78. FIRE PREV. FINAL r ^30. Drywall Nailing _�• HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION 1 -32 Electrical Power Meter•Final ' 80- .FOOD CERTIFICATE ISSUED = 33. Find Electric , -'} Notes: �py2..c-`Z11-4:0 ---me-) v rG'c5 TW'l \II 34. Finat.Heeting & Air Conditioning \ 35. Final Gas Pipe-Test - _ .. 36. Hood or Canopy _ . - • 37. Final Factory Fireplace ,r . '- .. - 1 38. Final Plumbing 2;2- 4_ - _----I 39. %'later Service-Final - ' 0. Gas Service-Final - 74-67- 4t i 41. Solar Domestic-Final • - I1 1 _� , 42. Backfio'w Preventei - . ' 43. Backflow Irrigation •- • -1 44. Landscape Irrigation System _. - , - • 45. Sound Attenuati0ri'• - r , . • 46. Handicap Regulations •• •• --_ 47 FINAL STRUCTURE& BUILDING 48 FINAL PLANNING --• - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co a'`. - 51. CERTIFICATE OF OCCUPANCY ` No. Date 1 1 OWNER SINKIEWICZ, JOHN & MARIE DATE 11-13-58 _ JOB ADDRESS 190 Virginia Place BUILDING PERMIT NO. #7971 GF.NERALfONTRACTOR Owner Builder VALUE $ None 12P. No. LOT 15 TRACT FIRE ZONE DESCRIPTION OF WORK Demolish Storage Room `.IP F2 TYPE ZONE RLl PLAN NO. INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Trenches Forms Steel Floor System Steel Reinforce Chimney Re-Rod ' Bond Beam Frame and Flashing Lathing, In Out Plaster, brown coat Underground soil W/G Pipe Test Top Out Furnace Gas Vents Rough Plumbing Cesspool Septic Tank Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating Final ing Fixtures, Final I. _ Gas Test Construction Pole Underground Power Rough Wiring Fixtures, Final , • -OCCUPANCY ( .43- vs/fl Form 210-5M-1-57 V / 7971 y ' t ', CWt �..�9eI r _ +cosTi 46a t**R*2.00 if xi COSTA MESA BUILDING DEPARTMENT s N t{ FC�Op�q�1 AtilA P.O. BOX 317 NIr1Y'V� COSTA COSTA MESA, CALIFORNIA � ,'9 FOR APPLICANT TO FILL IN APFLICQpT<IQN FOR PERMIT BUILDING (°I O e/L� 1/1 - pull':LDING ADDRESS • /�^ � N• ♦r; COSTA MESA. CALIFORNIA y I !FOR OFFICE USE ONLY '(L��{-r,�' r��A��1 .Fr r1' RECEIPT:NO, r-yw OWNERKIMlll(P✓"S+ 5An"l�Q.IJ�-- ��+-I %I` r tl F 1 � /'-' .1 (�/ff / cs; /OqTIs51ADDRESS( ��p..v/I� //1��U Sri NJJa of �/ -,I E �'7��f/ ./-/�/JO' c�It A2 CITY /\ V} •'D lc�'(�J.��'R` TN O.I'V I g �O Ol'SI ADDRESS BUILDING / / O� Y `/I46 / 4-/ A II' ARCHITECT LIC. :El '�. ' f `\ OR ENGINEER No. COSTAMESA:•CALIFORNIA 1 -...,_ .� 'FIRE { 4 ADDRESS /1ZiK.,� i/ ` ZONE:. ZO E NO OF TYPE 'GROUP TY LIC. NO O o CONTRALTO j�i� NO. .y' NS � Z Imo` TELAPPROVED ri'I ADDRESS NO. BY +DATE i DECALIPTION LOTNO. /v J�C LIE:% BLOCK TRACT I CORR F("TI�17]{�. SIZE �/`"' NO.OF SLOGS. 1 r P OF LOT 71 X 1 Tv NOW ON LOT . y r1 ti'1.�JA CITY 4` Cl 1- .I USE OF ��((�� at— p IIVG�I}T EXISTING BLDG. �INO.A.t r1 �'�OV (�'I �(DD'rl— PLAi� nFPT REG. I SETBACK LINE FROM SUBJF.CCET' 31- . _J .� CENTER OF STREET L REAR YARD ' [•'... 1 i I I I -- I �1/� I OLLL SIDE YARD RIGHT 4 LEFT ;,(/}/J I kali C DA DESCRIPTION OF WORK PLN '4„ 1 NEW 11 1 ALTERATION ADDITION 1 REPAIR MOVING DEMOLISH X BUILDING NO. OF SIZE ROOMS STORIES EXTERIOR WALL ROOF COVERING COVERING _ BUE DNEW �+� O OFer - BUILDING �, l� fel - '� HEREBY ACKN LOGE THAT I HAVE READ THIS APPLICATION AND STATE THAT TH PB VE CORRECT AND AGREE TO COMPLY WITH ALL CITY OROINANC S A 0 ATE LAWS GULATING BUILDING CONSTRUC' TION. r, r,..^ VALUATION SIGNATURE O A. eN^Ijt.(.4. PERMIT FEE 5.,_j• �"" PERMITTEE ' Q5, 5470//f /0��' PLAN CHECK b 1/e---OIY/ TOTAL FEE $ �/I � I AUTHORIZED AGENT Q� � E