HomeMy WebLinkAbout278 VIRGINIA PL - Building Permits PROJECT ADDRESS: 278 VIRGINIA PL UNIT: CITY OF COSTA MESA - BUILDING PERMIT PERM NO; B 063341
OWNER'S NAME: LAUTOUR, DENNIS S
aoofless:DE LAUTOUR• SHARON L PERMIT NO; B 063341 PLAN CHECK NO; 'N GOVT: N SUPP: N
i, 278 VIRGINIA PL
• COSTA MESA, CA 92627 CONSTRUCTION TYPE: PERMIT TYPE: STR i PURPOSE: 0TH
ARCH/ENGINEER: flEG.NO.: JOB DESCRIPTION ; T/OFF REROOF 1900SF W/HOT MOP SQ FT; 2, 938
ADDRESS: UNIT:
PERMITTEE: CLAIM VALUE: 2, 938 . 00 CALC-VALUE: 2, 938 , 00 GROUP OCC: R-3 /M-1
ADDRESS:
DENNIS DE LAUTOUR ( 714 ) 646-7600
278 VIRGINIA PL COMMENTS • INSTALL 2 SKYLIGHTS IBCO#4138 pp^�/c �-C p
C.M. CA 92627 *�E>E -xxx�ETc>E*�E�L+Exx�E>E>F�E�6x+L*�L*** *xxx******x*�E>E>E>E***�Ex-->E� x �E >Ex�ES1W YF�"LT��c'D f�E Ofti
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING R EQUIREMENTS REQUIRED+ `
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS tl EEQ V IR E
CITY LIC.: STATE LIC.: CLASS:
Date. Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: thereby affirm that l have a certificate of consent to setf-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 : 42608216 ZNE:I REF NO:
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>1
Jale: Applicant: *******************,*********lE**************-****1f-**fE****i(************* (v********'E
C
I
EXEMPTIONFROM WORKERS'COMPENSATION DECLARATION: (This sue Isnot noCom Moya ifypsonpermitt for one so ISM)or loss. SERVICES R E U I R E M E N T S
( pO 1 D 1: V E1.' �L 0 �P M E N 'I' ., ^c R V Z C Q.
certify that inthe performance of the work for which this permit is issued. shall not employ any person in any manner so as to become ,y "v
subject toottgt Workers'Compensation Laws of California. iZONING APPROVED' BY - : DATE: w.,
Dale: E' g..3 Signature: i---d—n4 r,/ seLsgY) 1
NO C I.after making this declaration,you sho ¢come subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY:.' , DATE; l.
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. r 9
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: DATE: e/
which this permit is issued(Section 3097.Civ.C). **************iC:****3E,********************** it-************************-* * * tltix.*.*
LENDER: **************if****1F************************************************'3f*******f*
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 SMTP/RES,/ GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 54 . 00 5 0a
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 PIAN V
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE
in
❑ 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----> 54 , 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 . 50L OVER/SHORT: . 00
mrthepurposeofsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMP/TOT GRADING.�LAN-iCHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 54 , 00 . 50 r
❑ and Professions Code: The Contractors State License Law does not apply to an owner of property who builds or improves thereon i''
and who contracts for such projects with acontractor(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. j
❑ am exempt under Section: B.a P.C. I N D I V I D U A L F E E B R E A K D O W N 0
for this reason: (--.TYPE QTY DESCRIPTION UNIT COST ',TOTAL COST
sate. �il%j owner: �// c» SFR 1000 ALTER BY VALUE RESIDENTIAL NOZONE 1 , 00 I 1 000 , 0G
I do hereby ertify that I am aware of and understand the requirements o aliforma,Health and Safety Code Sections 25505.25533,and SFR 1938 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 1 , 938 . 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
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from END OF FEES /�,)
these provisions. !'1
/2
Date: Applicant Ide.
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
ordinances and state laws relating to building construction and hereby authorize representatives of this city to•nter upon the above-mentioned
_ p
property for inspection purposes. `—'
`�I Date: n/�r77 '3 Signatur ia_il - �. / /ja� _ _ -
/ Driver's License or Social Security a:
-- ---�—
1641.46 White—Building;Green—Code Enforcement'.Canary—Applicant:Pink—Revenue:Goldenrod—Assessor -
•
CSTRUCTION AND PLANNING - . POOL . JA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole , 52.-Pool & Equipment Location • -
2. Sod Pipe-Undrgrnd. 53. Steel Reinforcement .
11 3. Electrical Conduit Utility•Undrgrnd. 54. Forms
' 4. Electrical Conduit-Undrgrnd. _ 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical LIFER 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 61. APPROVAL TO DECK ,
r-
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 Numbing r 65. Electrical-Final r 1
15. Rough Electrical-Conduit r' 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing &Access Approval
17. Rough Wiring Sign r 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 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing- - &2c4z
-gm 3 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing (4.13 6w�, 76. Dry Standpipe t
v� J
28. Lathing & Siding L i 77. FIXED SYSTEM FINAL
1
29. Insulation I 78. FIRE PREY. FINAL I
30. Drywall Nailing i i HEALTH DEPT. REQUIREMENT
31. Piaster Brown Coat I 79. FINAL INSPECTION
32. Electrical Power Meter-Final I 80. FOOD CERTIFICATE ISSUED f
33. Final Electric
Notes:
34. Final Heating& Air Conditioning •
35. Final Gas Pipe-Test
36. Hood or-Canopy i ,
37. Final Factory Fireplace
1 1
38. Final Plumbing
39. Water Service-Final I
40. Gas Service-Final ._
41. Solar Domestic-Final 4
42. Backflow Preventer f
•
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation 1
46. Handicap Regulations •-
47. FINAL STRUCTURE & BUILDING T.7_6t3 ‘t,f•- '" i 514.4, - a, o`c - ece-te
48. FINAL PLANNING '
49. Electric Release to Edison i
i
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date I
• PROJECT ADDRESS: 278 VIRGINIA PL UNIT: e. CITY OF COSTA MESA — BUILDING PERMIT PERM NO: 'E 068630
OWNER'S NAME: DE LAUTOUR, DENNIS S •
>>liADDRESS: DE LAUTOUR SHARON L PERMIT NO: E 068630 PLAN CHECK NO: N GOVT: N SUPP : N
278 VIRGINIA PL
COSTA MESA, CA 92627 CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; UPGRADE TO 100AMP SQ FT:
ADDRESS: UNIT:
CLAIM VALUE; CALC—VALUE; GROUP OCC: R-3 /
PERMIrrEE: AMBURGEY' S ELECTRIC ( 714 ) 979-2311
ADDRESS: 945 CORONADO DR COMMENTS: ELECTRICAL WORK ONLY
COSTA MESA CA 92626 ****************"x****FFakac-aF*** ¢*x"*TF+r+c**x-**ir* ¢ ¢****** Far* ¢ ¢*FF-tc**x+t*x-d¢-x¢iF*+F->F**x"****at*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Divijien2 Sof theheBusiness and Professions
on 5 Code.
and my license is in full force 10 effect.
: 0 2 /9 5 SETBACKS
CITY
ats UU i5 6 SrarEuc claMAIN BUILDING ACCESSORY BUILDING
/ Date .__-' Signature':.OP _ .0_ i- __ . FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
IRKERS'COMPENSATION DECLARATION: thereby affirm that I have a certificate of consent to self-ins gi r a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
Compensation thereof(Section 3800, Lab.0.7/01 /9 5
POLICY NO.: STATE FUND EXP.DATE: PARKING RE PROV; PARCEL: 42608216 ZNE: REF NO:
COMPANY: ,.}} PLANNING NOTES >
E Certified copy is herebyefurniisshheed.. Of(( Certified copy is filed with the city Building Division. >
k: APPlicanL
DEVELOPMENT S E ;R V I C E S REQUIREMENTS
PTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the perm s f ndred(5100)or less).
I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become
subject to the Workers' Compensation Laws of California. ZONING APPROVED BY DATE:
Date: Signature: BUILDING APPROVED BY : DATE:
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. • NU iiic
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: - , DATE; s
which this permit is issued(Section 3097.Civ.C). *******'******"********'**'**********i** lt**le************f(**********• . • ^ -**
LENDER: ********************************************************************** ********
ADDRESS: LEGALIZATION: N F E . EI 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 PERMIT 18 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 50% . SM I P/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031.5 by ISSUE FEE 15 . 00
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the TOTALS----> 18 . 50 15 , 00 0 , 00 33 . 50 33 . 50 . 00
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
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 REVENUE DIVISION TOTALS--> COLLECTED• 3 3 33 . 50 OVER/SHORT: 00
improvement is sold within 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 SMIP/TOT GRADING PLAN—CHECK
for the purpose of sale).
33 . 50
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property whobeildsorimpravesthereon ,***,*,****,***,**,******************************************************************
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
❑ I am exempt under Section: B.8 P C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 18 . 50 18 . 50
I do hereby eerily 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 Quality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant 01 00166683-00166633 TOT 33.50
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
ordinances and slate laws relating to building construction and here Ihorize re entatives of this city to enter upon the alio 1ionG0� DATE: 08/25/94 TIME: 13:51 .
rtpp y for inspection purposes. _
1\ Oat _��"/ —• � CSignature: _ _ --
'river's License or Social Security,: -
1641-46 White—Building:Green—Code Enforcement,Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
•
CONSTRUCTION AND PLANNING -1 POOL & 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 J
3r•Electrical Conduit Utility:UrCdgrnd. ' - 54. Forms
• 4.'Electrical Cond'uit-bndrgrnd! `• ", '�- 55. Electrical Bonding
5. Steel Reinforcement l-. 56. Rough Plumbing & Pressure Test If
- 6:1 Electrical UFER"-Gind. 57. APPROVAL TO COVER-GUNITE '-
• 7. Footings • 58. Electrical Conduit-Undrgrnd.
-B..Foundation , - _ 59. Gas Pipe, 0 Undrgrnd.,Test
9 jWater Pipe-Undrgrnd. `• 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10,,Structural Floor System '',• . - 61. APPROVAL TO DECK / ' '
.t
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap _ ; 63. Heater & Vent-Final i
i "
13. Roof Drains I - - 64. Plumbing System - Final .
14. Rough Plumbing - _ 65. Electrical-Final
15. Rough Electrical-Conduit:, 66. Solar System-Finalf
e'
16. Rough Electric-Wiring - i 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING I
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
- r-a :r4
20. Rough Factory Fireplace ' '7i 1 '.' . . APPROVAL 1 Permit # .+ -1
"
21.•Dutts, in Structure 4-- I e . -icr:'
_ , i.. , 370. :Undergeoand Hydro
22. Ducts, Ventilating; %-; ...s. -17. ' ?,71. Product Piping O'Gas OOil
23,pas PipeRoggh &Jest ; 72. Underground Flush ?
24.,Rodf Framing . 732 Undergrncl.Storage;Tank'0Gas 0 Oil
_25. Roof Sheathing ri 74. Overhead Hydro
26,-T-Bar Ceiling (Structural) &-Monocoat7 7 ; 75;' Dry Chemical _"" • i - 4
r.
27. Frame and Flashing 76. Dry Standpipe -;
28. Lathing & Siding; . :- --"•:. f •_ - ' 77y FIXED SYSTEh1..FINAL
"29. insulation • ,- • ". ' .4- i 1 78. FIRE PREV. FINAL rc
;30. Drywall Nailing - I I • ' " -HEALTH,DEPT. REQUIREMENT
31. Plaster Brown CoatIoatI Ir. • 79/FINAL INSPECTION
32..Electrical Power Meter-Final I PT.IFOOD CERTIFICATE ISSUED -
33.15inal Electric 8 � i - • Nojes: _ - is
'34. Final Heatin4.& Air Conditioning •, e. - 1 I . ; --
'35: Final Gas Pipe-Test
.j/
. I _; . - . _ . -
ii 1.
,36.1Hodd or Canopy • I ' - • ' • -' -
37. Final Factory Fireplace ,, i i• I
:38. Final Plumbing -t - I
i
.39. Water Service-Final- ' • i '• - I
I I
.40. Gas Service-Final - . I
`41. Solar Domestic-Final': .' •• I I
'42. Backflow Preventer
I
43. Backflow Irrigation - - I
'44. Landscape Irrigation System : i - -, I
' 45. Sound Attenuation I
46.,Handicap Regulations , •• • ._ I
47. FINAL STRUCTURE & BUILDING 1 JCS". • - a aI
48. .FINAL PLANNING - ` - -- I
49. -Electric Release to Edison I
r
50. Gas Release to Southern California Gas Co i '-i--'t- - - - - - 1
-51. CERTIFICATE OF OCCUPANCY . - . -,
No. Date '
I
I