HomeMy WebLinkAbout230 VIRGINIA PL - Building Permits •
CITY OF COSTA MESA
01 Ms BUILDING BUILDING DIVISION
4401
04,
r ;• 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
4. "Ay l FOR INSPECTIONS CALL: (714)754-5626
•4ao f'
PERMIT NUMBER: E10-00046
PERMIT TYPE ELEC STATUS: ISSUED
APN: 42607218 DATE ISSUED: 03/24/2010
ISSUED BY:
JOB ADDRESS: 230 VIRGINIA PL CM Suite/Unit:
Vicinity:
•
•
•
•
SCOPE OF WORK: CHANGE OUT ELECTRICAL SERVICE TO 125 AMP PANEL
•
•
OWNER: REILLY,THOMAS F TR Address: 230 VIRGINIA PL Unit:
PHONE: City/State/Zip: COSTA MESA,CA
APPLICANT: ' JOEL Address: Unit: '
PHONE: 949-644-8801 City/State/zZip:
CONTRACTOR: ACME ELECTRIC License No. 527459
Address: 180 NEWPORT CENTER DRUnit: SUITE 180 PHONE: 949-644-8801
City/State: NEWPORT BEACH,CA ZipCode: 92660 CELL:
ELECTRICAL PERMIT FEES
Electrical Plan Check Fee: $0.00
Electrical Permit Fee: $54.00
Reinspection Fee $0.00 •
TOTAL FEES $54.00
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 CODEC INSPECTION TYPE DATE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing �
200 Final Re-Roof 210 Final Electrical 3 ISO
I10
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 drivers license. ❑Yes ❑ No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
Cs'❑ 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
performance of the work for which this permit is issued.
Jo 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 0 hereby certify that no excavation five(5)or more feet in depth into which a
number are:
5 J person is required to descend, will be made in connection with work authorized
/ r- Fut( � by this permit,and that no building structure,scaffolding,falsework,or demolition
Cartier: 1� or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp
(This section need not be competed Athepemut is valued at one hundred dollars($100)or less.)
2,Art 2,Sec.341,Title 8,California Administrative Code).
Policy Number: 00 3 S8 S -240-9
❑ As owner-builder, I will not employ anyone to do work which would
lc:70 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' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Dale
the Labor Code,I shall forthwith comply with these provisions
Division of Industrial Safety Permit Number:
„l Appicants ignalurE�`—' ate 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 ❑ 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 is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑ No
%/ Lic.# Sol. S / cClass# G'lc (Section 25533 of the California Health and Safety Code, with some
Ist A,6 _ exceptions, requires registration with the Costa Mesa Fire Department by
- .�—A 3 /Z y/Z(,0 each business which at any one time has on hand a quantity of acutely
Contractor's signature to 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 California 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? ❑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 Califomia Government 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 California 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
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
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.
Signature of Legal Owner(s) Date
Signature Dale 0-0/03057-46(3/07) - -�
And/or Authorized Applicant Date
'P'raI.IECT ADDRESS: 230 VIRGINIA PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 010836
j •
OWNEWSNAME:REILLY THOMAS F
ADDRES5: 230 VIRGINIA PL PERMIT NO: E 070836 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA,CA 92627
CONSTRUCTION TYPE: PERMIT TYPE; ELE PURPOSE: OTH
548-7976
ARCH/ENGINEER: REG.NO.:
JOB DESCRIPTION : UPGRADE PANEL & ONE 220 OUTLET SQFT;
ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC: /
PERMITTEE:THOMAS REILLY ( 714 ) 548-7976
ADDRESS: 230 VIRGINIA PL COMMENTS: X
C.M. CA 92627 ******************ar***kr********************a¢***+k**«Bc*+E3¢********a¢aE-*u*1¢k6********+r
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
70001 of Division 3 of the Business and Professions Code, and my license is in full force and effect. $ E T B AC K S
CITY LIC.: STATE LIC.: CLASS: EXP:
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I 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 REQ• PROV; PARCEL; 42607218 ZNE: REF NO;
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
>
Date: Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This secti need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENTS
I certify that in the, dorm ace of the work for which this permit i i ed,I shall not employ any n ink'/any
y m anner so as to become
subject to lr .m ers' , p•m .ion Laws of California. c�,// 5' f ZONING APPROVED BY DATE:
. .� Signature: �+v�i /� ✓ . .4"
C II,afD making this declaration.you s became subject to the Norkers Compensation visions of the Labor BUILDING APPROVED BY DATE:
Come. ou must forthwith comply with such pr visions or this permit shall be deemed revoked. /T,y� (IST CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY; / /T/� DATE; 4 ` J
which this permit is issued(Section 3097,Civ.C). ************************************** FEjVIF3l************************ **-
LENDER: *********************************************************************** *******
ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT : N
> •
OWNER BUILDER DECLARATION: I hereby affirm that l 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 PERMIT 40 , 50
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 0 SM I P/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 15 . 00
I. as owner of the property or my employees with wages as their sole compensation, wit 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'Slate License Law TOTALS----> 40 , 50 1 5 , 0 0 0 . 00 55 . 50 55 . 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 -S
his or her own employees,provided that such improvements are not intended or offered for sale.If, however the building or REVENUE DIVISION TOTALS--> COLLECTED• 5 5 . 50 OVER/SHORT
phepurpose sale).ere sold one year of completion.the owner will have the burden of proving helshe did'tmi build or improve
• fortBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 5 5 • 5 0 f
❑ 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 aconiractor(s)license pursuant to the Contractors'State License Law). l am aware *****************************.7(.*.1¢**********************.N.*.N.********.tc******3.*{F****
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
,xj I am exempt under SectionB P 70 4 4 B.&P.C.
mrmpisr on/OWNER—BUILDER � / //lfr erTYPE QTY DESCRIPTIO . UNIT COST TOTAL COST
110 ( r�0/f Owner:.../ ill"
ELE 1 •
SERVICES BELOW 600 {T E BELOW 201 AMP 18 . 50
)1.. ereb certify that lam aware of and understand the requirements: California Health and Safety Code Sections 25505,25533,and ELE 1 SUB—PANEL 18 . 50
25534 and that I or any future building occupant will/will not(circle o ' need to comply with said state codes and the requirements for a ELE 1 MISC APPARATUS NOT LISTED REQPER11 . 00 11 , 00
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from MIT , 11 0 0
these provisions. 'p���T sss••• END OF FEES
I
Date: Applicant:aF ��Tj�
ordinances
ifd that I vis r latd this ingtion and state that the above •r•information, ist correct. is agree to comp) • all city and county L lyKL
ordinances and state laws relating to building construction and hereby author' •r^ + entatives of lois city to e upon ¢ahoy Boned
q p 01 OTI#..5362-00175362 T 0 T 55-50
property tori .,eclmn ficoses. i DAT• E « < ` l 6 DATE: 0I/20/95 TIME: 16;15
Signature'. .CL % .sol
Nmde Licens: or Social Security 4: ///J
164145 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—A ess! sor
` /, CONSTRUCTION AND PLANNING POOL & SPA -
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit #
1. Temporary Electrical Service or Pole 1 52. Pool & Equipment Location ,
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement -'.r
3v
. Electrical Conduit Utility-Undrgrnd. �. 54. Forms
4. Electrical Condrrit•Undrgrnd. 55. Electrical Bonding tf
• 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test '
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7, Footings58. Electrical Conduit-Undrgrnd. _
8. Foundation y , � 59. Gas Pipe, 0 Undrgrnd., Test n'
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. • , ..
10. Structural Floor System 61. APPROVAL TO DECK f/ :'
11. Property Sewer Line & House Connection /, " 62. Backwash & Receptor-Final 2."A
12. Sewer Cap I 63. Heater & Vent-Final • .
13. Roof Drains se.' 64. Plumbing System - Final
14. Rough Plumbing •• 65. Electrical-Final -
r
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.- tough Factory Fireplace _ - .. * APPROVALS;" Permit # '
21.:Ducts, in Structure - _ -' m70. Underground HO.ro
22. Ducts, Ventilating , ,` ' . .71. Product7Piping ❑Gas 0 Oil
23. Gas Pipe-Rough & Test _72. Underground Flush',
-1 CI
7
26. T-Bar Ceiling (Structural) & Monocoat .; ' 75..-Dry Chemical • 1•,.�,n '
®® I
27. Frame and Flashing 76. Dry Standpipe - � : .... ws a-.;
® •
77. _FIXED SYSTEM'FINAL
29. Insulation • ® 78.•FIRE PREV. FINAL .Q
30. • HEALTH DEPT. REQUIREMENT
79.-FINAL INSPECTION- - _
32. Electrical •, "80. _FOOD CERTIFICATE ISSUED
i
- Notes:-. . -•
1
34. Final Heating& Air Conditioning - I j "®P .ql . ��
I I
-
37. F.inal:Factory Fireplace -. - • • -t1
38. Final Plumbing
39 VVate Ser 40. Gas �
I
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
I
PROJECT ADDRESS: 230 VIRGINIA PL UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: IB 0703411
OWNERS NAME: REILLY, THOMAS F
, • ADDRESS: 230 VIRGINIA PL PERMIT NO; IB 070841 PLAN CHECK NO: N GOVT : N SUPP ; Y
COSTA MESA,CA 92627
CONSTRUCTION TYPE: PERMIT TYPE: OTH STR PURPOSE: 0TH
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF SHEATH & REROOF W/COMP SHINGLES SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC—VALUE: GROUP OCC ; R-3 /M-1
PERMITTEE: OWEN FITZSIMON ( 714 ) 997-8174
ADDRESS: 3032 HARTFORD RD COMMENTS : FINALIZE EXPIRED PERMIT #B63605 FOR REROOFING
ORANGE CA 92669 ******************+k+6*************yrN-****************** ******+E********kE*r*+r*#***
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU I R EMENTS
70001 of Division 3 of the Rusiness and Professions Code,and my 4 is in full force . d effect S ETBACKS
CITY LIC.:059817 STATE LIC.:6 1539 0 CLASS:6/ EXP: 00/00
Date:_�Z % 7C signature: op j_ f MAIN BUILDING ACCESSORY BUILDING ----
WORKERS'COMPENSATION DECLARATION: I hereby at I have a set. a 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 REQ• PROV: PARCEL : 42607218 ZNE: REF NO:
o Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES>
Date: Applicant: — *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This ' ion need of be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMEN T S
I certify that in the performance of the work for which this perm sued,I. all not empl, any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE;
Date:./ ' Z.5 `s- Signature: / a/
NOTICE:II.after making this declaration,you shout. subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE:
Cade.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- DATE- 'Z% ICI.
which this permit is issued(Section 3097.Civ.C). .*.********,**.******.µ**,*****,*****„******„*****,*,*****,******************,*,***1F****y.****
LENDER: **************************************************************************i%****
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y
OWNER BUILDER DECLARATION: I hereby affirm that l 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 PERMIT - 30 . 00
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensedSMIP/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
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 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————> 30 . 00 0 . 00 0 . 00 30 . 00 30 . 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 dore offered for sale.If,however the or building REVENUE DIVISION TOTALS--> COLLECTED• 30 . 00 OVER/SHORT; 00
imforptheepurpose of sae). one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 30 , 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).I am aware *******************************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
o I am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Dale: Owner: INS 1 BUILDING RE—INSPECTION FEE 30 . 00 30 . 00
Ido hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
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 -
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from
these provisions EXP
Date: Applicant. EX r RED
I hereby certify that I have read this application and state that the .five int.rmati re I agree to comply with all city and county 11111111111111WWWWWWWWWWWWWW iiia iiiirY iii LLL L
ordinances and state laws relating to building construction and • 'by autho' e re esentati f this city to enter upon the above-mentioned tint 6♦. %
property for inspection purposes. YA l� /a '
`ey Date: 7—L 3—r7 C Signal e 01 00175397-00175397 T 0 T 30.00
DATE: 01:23/95 TIME: 15:54
Driver's License or Social Security ' 2
1641-46 white—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL 'PA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
f1: 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 UFEEGrnd. 57. APPROVAL TO COVER-GUNITE
7'. Footings58. 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:nnection - 62. Backwash & Receptor-Final I
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 Si Air Conditioning FIRE DEPT. REQUIREMENT
20. ,Rough Factory Fireplace APPROVALS;'' Permit#
21. Ducts, in-Structure .. .. - Underground
' ' 70. Hydro '
22. Ducts, Ventilating - .71. Product Piping d Gas 0 Oil
23. .Gas Pipe-Rough & Test • - r • 72. Underground Flush,
24. Roof Framing ' ' " • /3.'.Undergrnd.Storage,Tank 0 Gas 0 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" ' / - ,r - 77. ,FIXED SYSTEM FINAL , . ' •
29. Insulation . , - 78._-FIRE PREY. FINAL cra,,;
'30. Drywall Nailing , HEALTH DEPT:'REQUIREMENT cId
31. Plaster Brown Coaf I -79. FINAL INSPECTION • •.C._.. i
32. Electrical Power Meter-Final : " .° '80. .FOOD CERTIFICATE ISSUED -, -.
. m
33, Final,Electric _ , - Notes: .a
34. -Final.Heating"& Air Conditioning. ' L6(7116
35:Final'Gas Pipe;;Test , .
36. Hood or Canopy - , . - „ I' '
37, Final Factory Fireplace • . '- ,. -
.
38. Final Plumbing - I' .. _ ,,
39. Water Service-Final ,: ,� :� -
40. Gas Service-Final • -:ir s i i - _ - ..... .
41. Solar Domestic-Final - '•
42. Backflow Preventer =
' 43. Backflow Irrigation. , - •.
'44. Landscape Irrigation System •
45. Sound Attenuation. " - -- - - '
46.'Handicap Regulations - - ••
47. FINAL STRUCTURE Be BUILDING . - e I '
,
48. FINAL PLANNING • ' r . •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co _ - -
51. CERTIFICATE OF OCCUPANCY _
No. Date
CI
i
A PROJECT-ADDRESS: r � UNIT:
•
OWNER'S NAME: 230 VIRGINIA LPL CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 0636051
ADDRESS: REILLY THOMAS F '
230 VIRGINIA PL PERMIT NO: B — 063605 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92627
CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH
0( ARCH/ENGINEER: REG.NO.:
ADDRESS: UNIT: JOB DESCRIPTION : T/OFF SHEATH & REROOF W/COMP SHINGLES SQ FT: 2,
I • $00
;' PERMITTEE: CLAIM VALUE: 2, 800 , 00 CALL-V UE: 2, 800, 00 GROUP OCC: R-3 /M"1
ADDRESS: OWEN FITZSIMON ( 714 )997-8174
3032 HARTFORD RD COMMENTS- REROOF 2600SE RESID & GARAGE W/COMP SHINGLES
CA92669 ********4****************************** ***** ee *: ****** E *** VP*********
****
KE DETECTOR
LICENSED CONTgACTOQ INhereby affirm thatam licensed under provisions of hap er 9(commencing with Section Z ONING REQUIREMENTS
7000)01 Division 3 of the Business and Professions Code.and my license is in lull force and effect • SETBACK S
•
CITY LIC.: STATE LIC.: CSS: ,
615390 oEQLJ ��� •
Dale: g�23-73 Signature: rW MAIN BUILDING -�� /' ACCESSORY BUILRE 1�� N-
WORKERS'COMPENSATION DECLARATION: I hereby affirm . have a certificated - sent 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 '
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ; PROV: PARCEL: 42607.248 ZNE: REF NO: •
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> , -s.'
- / If
/J�, Date'. Applicant: ************WW* **************************,********************************it****
7�T 7 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). DEVELOPMENT S E R V I C E,S" . , R E Q ( R E M E N T S
I certify that in the performance of the work for which this permit is i I shall not em toy any person in any manner so as to become
subject lyyt�he Workers'Compensation Laws of California. .....)-1
-
ZONING Signature: 20NING APPROVED BY DATE:
Date. l
NOTICE:If.aver making this tleclaralion,you should bee me subject to the V ers'rCompensation provisions of the Labor BUILDING APPROVED BY v`1 DATE:
Code,you must forthwith comply with such provisions or this permit shall eemed revoked. O-,,4, �_
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency far the performance of the work for ADPL I CAT ION I SSUED BY: DATE• C`3 23
which this permit is issued(Section 3097,Civ.C). '� 1 ,
• LENDER: *********************4********************* ****************4* ** **
ADDRESS:
LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y
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,alterimprove,demolish,or
, ,50
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 54,. 00
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the BusinessSMI P/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----> 5 4 , 50 0. 00 0, 00 54 . 50 54 . 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. 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• 54 . 50 OVER/SHORT" ,00
for the purpose of sale). •
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADNG PLAN-CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 .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 the Contractors'State License Law).I am aware *************************,**, ******,W****, , **********************,.***.***,*,*,**.*.. *.*.*.*
that proof of their Worker's Compensation insurance should be provided to me.
o I am exempt under Section: B.8.P.C. INDIVIDUAL F E E BREAKDOWN
for this reason:
TYPE QTY DESCRIPTION • UNIT COST TOTAL COST
Date; Owner;
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 2800 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 800 . 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 tor airs F FEES
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from � . 4 yr
these provisions.
Date: Applicant: ,' EXPIRED
I hereby certify that I have read this application and state that the ab informa' n is co agree to mply with all city and county 1ssP�1 '�
ordinances and state laws relating to building construction and here rizer resent es of is city enter upon the above-mentioned / I�/] ///�� c,^ ents.-
.,proeerty I orS inspection purpos2es. `^/`/^` � caw ( `_lfl �Y. �xg.Date: a�3 J signawre: 01 00145437-00145438 T 0 T 54.50
Driver's License or Social Security N: i, DATE: 08/23/93 TIME: 10:33
Canary—Aooiicant:Pink—Revenue:Goldenrod—Assessor 'j I '1
,
4
CONSTRUCTION AND'PLANNING ' - ' • - - •
POOH ,PA -
Date Inspector - - - ' Date Inspector
APPROVALS Permit # - = fr
n APPROVALS Permit #
-.+. v
1. Temporary Electrical Service or Pole 'r- et - •52. Pool & Equipment Location
1i
2. Soil Pipe-Undrgrnd. •y 1„ . .V 53. Steel Reinforcement f/,' ' .
3?EJectrical Condo_={` 0iity-Untl'rgrnd. •, .' 54. Forms • ^JI
�7 n
.�4 Electrical Condt EDitdrgrnd." ' 55. Electrical Bonding - J
'5. S,te€l Reinforcer7i - . 56. Rough Plumbing & Pressure Test .
c, �Flgytrical UFER;Gind. , - 57. APPROVAL TO COVER-GUNITE Li
„`
t
ST::Rhbtings :b, "- 58. Electrical Conduit-Undrgrnd.
,y.4 ,1. ..-.
'8.'Frpundation = ' ° ' /, 59. Gas Pipe, 0 Undrgrnd.,Test `
-9, Water Pipe-Undrgf3d. 4 f// 7 60. Backwash Lines, P-Trap, 0 Undrgrnd. L
10. Structural Floor System �ti ! ,1 61. APPROVAL TO DECK i� / 7 %'
11. Property Sewer Lint H,ouecConnection 1` 62. Backwash & Receptor:Final ' .\
12. Sever Cap _ ',- f 63. Heater & Vent-Final T i /
t�
13. Roof Drains - - SI
64. Plumbing System - Final
14. Rough Plumbing: n' 65. Electrical-Final '
15. Rough ElectricatConduit ( 66: Solar System-Final -
- - '
. 16. Rough Electric Wiring . 67. Fencing & Access Approval ,1
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electricdl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL,
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
• ('i v t , lex , •. - '7 " U',-t,.L•F- ;i; A I-• Cu
20. tRough Factory Fi1eplace r•tn -v7 * 0j p 'r APPROVALS':,2ermit#' .' -- rc
ni §.,e Sf: c'rte 1};_f A. g..;. .'1 •T .",ti,-'f-• "":". rJ• W
1 i, X t^G. Ts X ',-2
' ^ i2,1.-:. '^•7•_.Q i r:
21. Pug's; iniSV uctur # ,. .. ,...,.� , ,y �-". r '.70. Underground-}1Yf{ro ac
22. Ducts; Ventilating-- ,aS r S a•: . X71. Product PiOr1n laG'33 09*
23. (das pyipei,Rough &'Tkst th ' 1 �' F2 .t
.1• ai. M px ,`7,2. UndergroundiFluji/.,, Y,. Ix,
24. tRoofFrkiaing,. t;a i t-r-' •••N x O 1� x: + :;73.t1'lndergrnd StoragA"-Parrk 0 Gas 0 O1P
25. RooSheathing G" X
n'o. it, -'3" " '74. '79v-erhead Hydro 81-"CI x -.
4.
26..TpBarr:Ceiling (Structural) & Mwonocoat co C *:r 75.:Dry Chemical �'-i A i-1 !- s
' 27. 'Frame and Flashing* •�� 'y 76.1D'r=j Stand"pe S'a1 >< S Cr
o t• 41 T : 1 t^t:. .A IJ w, ;�)a: e - r '1 - _
/3. ^Lathing 6siding p;.a c� -iq s: •• ••s r 77,'iFIXED SYST'EM'EENAL tr '••
-29. Insulatld,l c x 0 % y ' ' I it 78.,FIRE PREY, FINA, 7 cc r ;
i30. Drywall Nailing p;.� �s -- .i HEALTHtpEPT-REQUIREMENT
1
pi. Plaster B1nwri..CoaTil; 1 * I, , 179.`FINA L INrsCTIC51.1 x 'it1
E x :. n i
- f: I Fi-, x x f"...
r. , � .c 3 ', III E32. .Electrical-Pow*r Mener^Final 1 . .. IRO. ;F,OOD CERriiIFI<L?,ilE ISSllED
33. ;FinaP'Electric I .ra 1 ,S ' .-, k Y rlVottss: U Ir'X hl . .
` 4. Fina1'Heatin`" tti �.•�`_: ; "1: ��. C^ .•,t : I1.h.
t3 t t _ g_$I A onditioRl�s n 1 s fix a c-+t7
J
35. 'Fina1-Gas:Pipe?Test ' '-Ti 'i r' r [-, C'1 ins 5p
a 't Y, t ..1 . n .1
36. 'Flooi3'or (:anopy nf: .:__ •, ��; A ' = i' ra 4. r -
y, ;R-_
-
'37. 'EinaFFailory Fire-gplade'rl: ' " ii..;; t 9,• r ' : a' ;:-., >. +_:
•
:38. Finales'lurifbing -,, 4�, :• 1�_. I ' :T ;;r J
ids. Water,Service;Final r ! `14 �/ n -, x t[
.. ,1 i. Tt' :, ` �` � .,, •;�
' 0. Gas Service-Final,y,: to o.•�tr s ' .r. na v:.l
:41. Solar Dornestic'Firu`rl S i",` ` rV I ¢' T.
n G T .. ��w •; _ .0 VY
42. �ackflovv Preventer E ? i
43. Backflow Irrigation Zr,S - , :rho x C
44. Landscape Ir gatioceystemtz4,j' t -.1.; v ,7 x . , .x ,_i ,:i.! .^ sc .o 0
_ r 4. _ ��
5. :Stound Attertoation* .+Kr• . Z r ' •-, • C .-1 z,-•1 a,< . - -'
..- /•, ♦. '1 . .. A .:, "I. fri 4' f ._ . t- J. p
46. IHandica -Re ulatiotls; - t::. 5 ` , t' „ -
f j
d7. FWaL STRiJOTUR�&,BC�4L}D/NG ( 4 ; ,,,io= ,.
48. FINFKL PLANNING?L --4-Cl":" ' ' t'' •
I. �'
.49. Electfic Releasec
to Edi;qn i x " ,.
., l -. r I . ,. . -n .' - -c • - a
`.5U. Gas Release to Sout�i'ern-Cal'tfprnia Gas Cu ',' I. II S c' c;.= " o
v ,s: : t-. 4-: C . p rr X
:51. CERTIFICATE OF9CCUPANCY' ;. ;. CI t p_ c
No. Date
.470444, CITY OF COSTA MESA
i47 6,. CALIFORNIA 92628-1200 P.O. BOX 1200
pq II
P1 Z' DEVELOPMENT SERVICES DEPARTMENT
N. a?
October 24 , 1994
Dear Costa Mesa Property Owner:
In reviewing past permits, we find that work has been done on your
property located at 230 Virginia Place, Permit No. B63605, for a
roofing permit. The permit is valid for 180 days from issuance or
your last inspection, per Section 303 (d) of the 1991 Uniform
Building Code. Should we not hear from you within 10 days, your
permit will expire as stated herein and additional fees will be
required to finalize the permit. Failure to final a Building
Permit could possibly impact the future sale of your property.
•
To activate the above permit, please follow these steps:
1. Telephone (714) 754-5626 or 754-5627.
2. Request an inspection; state address, permit number, and type
of inspection.
3. Be sure to have working smoke detector's as required per
Section 1210(a) of the 1991 Uniform Building Code.
4. Have an adult present at the property at the time of
inspection to provide us access.
Should you have any questions regarding this process, please
contact me at (714) 754-5273 .
Thank you for your cooperation.
Sincere
Al
"0 ac,
• 1
anda Huapaya
nit Processing Specl• . ist
77 FAIR DRIVE
Building Division(714)754-5273 • Code Enforcement(714)754-5623 • Planning Division(714) 754.5245
FAX(714)556-7508 • TDD(714)754-5244
•
•
,1. 608'7
COSTA MESA BUILDING DEPARTMENTMESA
NOV 1 R-57PIJS25B 457T. ****45.00
P.O. BOX 317
COSTA MESA. CALIFORNIA
.FOR APPLICANT TO FILL. IN APPLICATION FOR PERMIT
BUILDING 230 VIRGINIA PLACE BUILDING
ADDRESS
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO PERS{LT6OG
OWNER FABRE CONSTRUCTION CORP. 6
•
RECEIVED�- BY��/ DATE RECEIVEDMAIL A
GTE ISSUED
ADDRESS 3404 Via Lido "-7— //- /S%S,.'101 2 5 1'
CITY Newport Beach : BUILDING
OR 3-1240 ADo
ARCH ITECEER Raymond Levanas Nlo: C. 747 COSTA MESA. CALIFORNIA
ADD 3432 Via Oporto, N. B. FIRE
ZONE
CITY LIC. ZONE NO.PLANS TYPE 1/ GROUP
CONTRACTOR Lido Constr. NO. 7520 P Y d ,
ADDRESS .3404 Via Lido •TNA. OR 3-1240 BYPPROVED DATE
LEGAL
NO. 6 BLOCK TRACT 3242
A.P. NO.
of DoT 6300 s q,ft. - NO. ON SLOGS. None
USE OF
EXISTING BLDG. C J
SETBACK LINE FROM 451 .+.1750 sq. t.
CENTER OF STREET REAR YARD
SIDE YARD RIGHT 51 • LEFT 5'
DESCRIPTION• VOF WORK . .
•
NEW I ALTERATION ADDITION
REPAI. MOVING DEMOLISH
BUISIZELDING 1400 sq.ft., ROOMS 6 STORIES 1
EXTERIOR WALL wood ROOF shake
_COVERING . COVERING
BUILDING Dwelll�ing.^ A++ an.
!/. -8
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 STATE LAWS REGULATING BUILDING CONSTRUC-
TION. VALUATION ]
SIGNATURE OF fu
w PERMIT FEE $ /(7 �'
PERMITTEE
-L`�VL-� � ��
/Ri CT D y y PLAN CHECK $ Af --
AUTHORIZED AGENT .
TOTAL FEE $ �S` Pr
• -OWNER FABRE CONSTRUCTION CORP. DATE 11-25-57
JOB ADDRESS 230 Virginia Place BUILDING PERMIT NO. 6066
GENERAL CONTRACTOR Lido Construction VALUE $ 12,304.00
AP. No. LOT 6 TRACT 3242 FIRE ZONE, DESCRIPTION OF WORK Residence w/att gar.
up I & J TYPE' V ZONE Rh PLAN NO. 6087
•
INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Trenches Forms)( Steel 4-14 /.t '.f 7
Floor System
Steel Reinforce Chimney Re-Rod
Bond Beam
Frame and Flashing ,A.-4:-...04.- 1 - A__- C..V - .
Lathing, Int, Out( 4/C-‘ / - I`,j R
Plaster, brown coat - ¢j-S2-7—Ct
Underground soil 14/,,Lc W/G Pipe Tesyf,95 i}-1/-3'7
Top Out 1 Y-3'1
Furnace AAf c /2-30-37 dint -lh a ems* . /2-1.3-5-7 /23,22. J.,--
Gas
Gas Vents 1/
Rough Plumbing mels /1'3 u C7"int- rt.rit-r .P,6'+- f .21-7-4-- // -47-1 7 / 21CtC 1. _
Cesspool Septic Tank 0
Prop. Swr. Line House Con.31 M$t. Swr. /-,. ss' So to uQsixi co- J-.22- Yr Lai 2(z
Sprinkling System t
Y 'nu Final M/-/5- 1
.ng Fixtures, Final ` /
M'S 1
8.....a Gas Test /3— 4/1,-C1 /
Construction Pole •
i if
Underground Power
Rough Wiring /-"J ! w. ?MAL/nye age. /2-50-5-7 5-872_,3 ' ,'
Thirie
Fixtures, Final ,
-OCCUPANCY T �,1 _
Form 210-5M—I-57 /
6066