HomeMy WebLinkAbout1110 VALLEY CIR - Building Permits-ADORESSOF9uRpNQ 1110 VALLEY CI DM
OWNERS NAME IF IINOI GRAY, WILL IAM G
ADDRESS: 1110 VALLEY CIR
COSTA MESA,CA 92627
548-0410
APPL. MMUN0 ADDRESS:
ARCIIRECT OR ENGINEER:
ARCH. OR Era: s ADDRESS:
UC. NO:
UNIT.
CONRIACTORSNAME: AERO THERM CONSTRUCTION (714)966-8303
CONTRACTORSMANND 289 LILAC LN
ADDRESS: CM CA u0 NO.: 393321
92627 DMT:
LICENSED CONTRACTORS DECLARATION: I hereby affirm under penauy of perjury time I are licensed under provams d Chapter 9
(commendp with Section ]000) of Divisor 3 of the Business and Professions Cade, and my license is in full force and effect.
</\ CITY UC. NOO..:0449015 LIC.CLASS: C-39 uC.NO.: 393321 ' EXP: 09/96
09/96
Oats: / O._/Il S CaNrauor. & 7N![.t �F r
OWNER BUILDER DECLARATION: I hemby affirm under penally, of pwjury Thal I Am Gump from the Contractors License Law for the
Idlin" nese (Section 7031.5 Busirms and Professions Code: Arty city or county which requires a permit to comaud, ahs, improve,
demolish, or repair any structure, poor to ils'ssuance, also petition the applicant for such permit to fib a signed statement that he or ahs
is licensed Pursuwl to the provision of the Comrmmms License Law (Chapter 9 (commendp with Section 7000) of Division 3 of the
Business and Professions Code( or fMf he or she is exempt thormon and the basis for the albgad exempton. Any violator, of Section
7031.5 by any applicant for a Permit subjects the applicant to a dvil Penalty of IM more than TNa hundred ddlam (5500(j.
❑ 1, sr owner of the popenyor my employees with wages w eines mob mmperesion, will do the m4. and be stmclum b not intended
or offered for sale (Section 7014, Business and Professions code: The Contractee license Law does no appy tow owns of properly
who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided thin such
imparements we not inbred or offered for sale. 1. however, the wildip o mimmoment is sad within one year of completion, Ihe
owner4huileer will hero the burden of proving he or she did no( wile or improva for the purpose of sale).
❑ I, as owner of the propend, we exclusively contracting with licensed contrwron to construct the project (Semon 70u. Businms end
Professions Coda: The Contractors License Law notes res apply to an owner of property who windp
, o imovea and who
awho
contracts for such projects with a COnnadons) ICensee pursuant t0 the Contractors 1KM90law).
❑ I am exempt prer Section: B. 8 P.C.. IIX use !80901,:
Dat.: Owner
I do hereby codity then I am aware of and urar and the requirements of California Health and Safety Cove Sectbns 25505. 25533, and
25531, ar flow I M sly future building occupant will / will not (Cole me) need t0 CCTply wlh saki elate codes Bnd the remoremellts IIX
a pooh fmcanstmdm m modificoli0nhwn the A'saueTi ylianagemenl OLdrict. Residential m,attwon eppYreliorsere avemW Irom tlwsa
om spns.
Data: Applicant:
WORKER'S COMPENSATION DECLARATION: I hereby affirm under penalty of perjury ore of me following detlastons:
❑ I have sir will mailan a care icda of consent to selfinsure for ecdomacompemmon. as prided for by Section 3700 of the Labor
Code, for the performance of the work for which this p .it is h.mued.
fl 1 hero sir will meinna:l Insurance, as reel by Seaiorl 37Oo of the labor Gom.lor the ped«manpe of the
I� wwk for which this peorm is issued. My worlums compensation insurance carder vol poRry number ai
Cmrmr: STATE FUND EXPIRES
Policy Number: 'rad — Q S rThT T Tnn Q AA 01/01/96
(This sec(bn need net be completed y the pent is for one hundred ddhio /E1001 or hiss)
❑ I randy that in Ihe performance d the work for winch this o mh is sour. 1 shell con employ any peson in eery manner w m io
become subject to the workers' coax errouion laws of California And agree fist R 1 should become subject to the workers'
Dole compe0setbn psis^s�s ion 3]00 d the La>�Cant, shall lanhxilM1 comply with� � F
Warming:
Falluro ro eacuro wonkeri compweaHonroZsecuro woKeri compwseHon coverepa Is unk/wN'(�entl Ahsll arq�lacl an employer fo cNM,ul psneMes and
dirty Bros W W one hundred thousand da/bre /5100,0110). In addition to the caul of romperoatbn, dampen u provided for In
Section 37M of We Label Code, Interest, and adomsys fees.
CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty, d perjury thin them is a contomelion bring wen, for the
perfon11B11Ce of the m* for which this PBmll is issued (SectUn' 7. CM. C).
LENDER'S NAME:
LENDER'S ADDRESS:
I candy Into I have read this application and state that the above information is comm. I agme to comply wink WE cry and =my ordinances
and alma laws misting to windup construction and hereby amhorae mpeswta ism of this city to enter upon the above menlonr Property
for inspection wioses.
0 uiA/Pp F, L4/, 770x/,S
Print Name
Get:
Sigaulure of Owner ism/AppkcamuCommotor
(5151da WP) While -Buildup 8 Salary; Gram -File, Cwary-Appkcenl; Pink -Revenue: Gddenrad-bsessor
CITY OF COSTA MEsri .,_._
PERMIT NO: B 074376 PLAN CHECK 140: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V -N PERMIT TYPE: STR PURPOSE. OTH
JOB DESCRIPTION ; REROOF OVER 1 LAYER WOOD SHINGLE SQ FT: 3,930
CLAIM VALUE: 3,930.00 CALC-VALUE: 3,930.00 GROUP OCC: R-3 /M-1
COMMENTS: SMOKE DETECTORS REQUIRED PER 1991 UBC
ill ill ill if iF ill iF iF iF ill ill ill iF iF iF ill iF ♦F * ill ill 1E ill ill iF ill iF iE?E ill iF ill iF ill ill * iF iF 3E iF ill ill ill ill ill iF * if ill if iF if ill iF ill ill ill iF ill * ill iF iF ill ill ill dE ill ill ill ill * ill ill ill iF if ill ill
Z 0 N I N G R E Q U I R E M E N T S
S E T B A C K S
------------ MAIN BUILDING ---------- ---------
ACCESSORY BUILDING---------
FRNT: FT IN REAR: FT IN FRNT:
FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT:
FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 42203110
ZNE: REF NO:
PLANNING NOTES>
_
>
ill iF ill*ill**ill ill ill iE-1E ill ill ill ill iF*♦F iF ill ill iF*iF iF*♦E ill iF ill iF ill iF ill ill ill ill ill iE#iE i(-iF iF*ill ill ill iF
iF ill ill iEiF**iF ill**ill ill ill iF iF%ill*iE;K*ill ill iF iF*ill*
D E V E L O P M E N T S E R V I C E S R
E Q U I R E M E NIT S
ZONING APPROVED BY
DATE:
BUILDING APPROVED BY
APPLICATION ISSUED BY:TCC!TT !/lam%
_ DATE: ..
i'Y i DATE:
TTT T TVTT
iF iF ill iF iF iF ill iF iF ill iF i1"illi�')E']f'�')fif'N'j["%f]CFFIC�1CF jf���{"N'F���'K")�FF'ICF*'*��n'1C'1(•'N"K")E
*"�E i�"�jE'�* FF �P if"iE'N'
LEGALIZATION:N F E E S U M M A R Y
STRUCTURAL'TSEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
FIRE"Ir SMIP/RES GRADING
PERMIT 63.00
/ .50
SMIP/NON-RES
PLAN
ISSUE FEE
BUILDING, -DIV-> PERMIT ISSUE PLAN -CHECK
TOTAL PAID DUE
TOTALS ---- > 63.50 0.00 0,00
63.50 't 63.50 .00
REVENUE DIVISION TOTALS--> COLLECTED: 63.50
OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE
SMIP/TOT GRADING PLAN -CHECK
63.00
.50"
ill iF ill iF ill ill ill iF ♦E ill *ill ill ill ill *ill ill ill ill ill ill 1E ill ill *ill ill * ill iF ill ill iF ill * ill ill ill ill ill ill iF N -!Fill IE jE jE jE
df lf ill ill if if ill if iF'iE IE !E iE'lE 3E 1E 3f jf � 1E 3E ill ill M' �E?E IF ill jE
I N D I V I D U A L F E E B R
E A K D dtW N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 3930 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 3,930.00
END OF FEES
n
SEP 2 8119
CITY OF COSTA MESA
CONSTRUCTION AND PLANNING
APPROVALS Permit#
Date
Inspector
POOL & SPA
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. 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.
B. 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 '
11. Property Sewer Line & House Connection
62. Backwash & Receptor-Final
-&
12. Sewer Cap
63. HeaterVent-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
i
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
APPROVALS Permit #
20. Rough Factory Fireplace
21. Ducts, in Structure
70. Underground Hydro
22, Ducts, Ventilating
71. Product Piping 0Gas 0Oil
23- Gas Pipe-Rough & Test
72. Underground Flush
24. Roof Framing
73. Undergrnd. Storage Tank O 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
77.- FIXED SYSTEM FINAL
l 29. Insulation
78. FIRE PREV. FINAL
130. Drywall Nailing
HEALTH DEPT. REQUIREMENT
I31. Plaster Brown Coat
79. FINAL INSPECTION
X32. Electrical Power Meter-Final
80. FOOD CERTIFICATE ISSUED
33. Final Electric
Notes:
34. Final Heating & Air Conditioning
I5. Final Gas Pipe-Test
6. Hood or Canopy
i
-
T. Final Factory Fireplace
-
{. Final Plumbing
-
. Water Service-Final
I
� t
Gas Service-Final
/t.
Solar Domestic-Final
Backflow Preventer
Backflow Irrigation
Landscape Irrigation System
found Attenuation
% r
handicap Regulations-
IINALSTRUCTURE&BUILDING
(NAL PLANNING
^cmc Re{ease to Edison
s Release to Southern California Gas Co
1
RTIFICATE OF OCCUPANCY
Date
8113
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 1200 - COSTA MESA, CALIFORNIA 92M
For Applicant to Fill In Completely
TYPE OR PRINT
N � i/o- 1 .I-/'jk 6
COSTA MESA, CALI
I
LIC. NO.1 NO. I ! LT V
SIZE A I NO.OP SLDGS.
OF LOT ') ��� GJ �%� NOW ON tar 11,H
USE OF
EXISTING SLOG.
SETBACK LINE FROM r� + !
C[NTEII OP STR[R REAR YARD,
SIDE YARD I L[rr � I RIGHT
DESCRIPTION OF WORK
NEW TERATI ADDITI N
REPAIR MOVING DEMOLISH
BUILDING / NO.OP
SIZE )e.7 V1 ROOMS STORIES
EXTERIOR WADI I ROOF l7J CD o GL
COVERING `'�VI f.m COVERING _C'(( /'!V0 L
USE OF BUILDING AND WORKTO BE PERP6 C-11-
_�
I HEREBY CKNOWLBDG[ THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDINGCONSTRY ION.
SIGNATURES](• ////,�� /7
PERMITTEE- :%�i!/l%II e l'"
AUTHORIZKDAGE14T ! /
AZD00 571**** *90.00
1M I 6-68EC
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
BECK] PT NO.
R[C[I ■
an [C VRD
DATE ISSUED
.BUILDING ;/lea -
ADDRESS
FIRE
ZONE TYPE OROUP-a')L
APPROVED
BY DATE
ZONING
XON[
NO. OP
US[Or N[WL'(/ /
�BYILDING _
..��JJPUHII
ouImoR�*. �� �,
. •
A. P. NO.
NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
80' TO SIDE a REAR P. L.
SAVES
ALLOWED CU. B. C. REQUIREMENT)
YARDSAPPROVED
YARDS APPROVED
MAIN BUILDING
ACCESSORY BUILDING
( PROM C/L STR[lTl
0
PRONT FT.�S/'
FT.
S
ft. SIDE .
RT.
L., W '/'
FT.
REAR FT.
FT.
DISTANCE ENT.
BET. MAIN e
MAIN ELD901
ACCESS. SLOGS.
�/
VAR.* V _a 9_% /
DATE J
C. U. P.
APPROVED
,^/
Q-[7/-(07
� —911
BYPR 10' !
DATE
HOLD FnP CDer
r
1T3Qf4jlsQ. I.T.
THE AMOUNT GH - VIN UNDER VALUATION IS POR THE
PURPOSE OF [STABLISHINO A PERMIT PER ONLY.
�
PERMIT FEE
[VALUATION
/�5aoPLAN
CHECK 5a
v
TOTAL FEE