HomeMy WebLinkAbout210 MONTE VISTA AVE - Building Permits c PRaJECTADDRESS: 210 MONTE VISTA AV UNIT: - _ CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 051141
OWNER'S NAME: GIBSON DAVID A
ADDRESS: 210 MONTE VISTA PERMIT NO: B 051144 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA,CA 92627
CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: ALT
646-2990
ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : REROOF W/3 TAB ASPHALTIC SHINGLES SQ FT: 750
ADDRESS: UNIT:
CLAIM VALUE: 750. 00 CALL-VALUE; 750 . 00 GROUP OCC: R-3 /
PERMITTEE: DAVID GIBSON ( 714 ) 646-2990
ADDRESS: 210 MONTE VISTA COMMENTS: *
COSTA MESA CA 92627 ************************************************yF***yF*********yr*yr***iE*+E********
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITY LIC.: STATE LIC.: CLASS: •
''rite: Signature: MAIN BUILDING ACCESSORY BUILDING
MRKERS'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
.)ompensation 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: 43918104 ZNE: REF NO:
❑ Certified copy is hereby furnished. 0 Certified copy is tiled with the city Building Division. PLANNING NOTES>
> •
Date: Applicant: •
******************************************************************************* •
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred(5100)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: BUILDING APPROVED BY : DATE:
ode.NOTICE:If,alter making this dpy with s,you should become or subjectmithe Workers' revoked.Compensation provisions of the Labor
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. ,I ,�
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: Y e a �_\ DATE: ��--
which this permit is issued(Section 3097,Civ.C). ********************** . **********1E7FRE*•
* ***
LENDER: *************************************** ( •3' *********************************
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,alter,improve,demolish,or PERMIT 21 . 00 ,50
repair any structure,prior to its issuance.also requires the applicant for such permit to lile a signed statement that he/she is licensed SMIP/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 • •
'd Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($5001. ISSUE FEE
v, I. as owner of the property or my emyloyees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
ua,
,v, structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 21 . 50 0 . 00 0 . 00 21 . 50 21 . 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 REVENUE DIVISION TOTALS--> COLLECTED: 21 . 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
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 21 . 00 . 50
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who butlds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'Slate License Law). I am aware *****************'**'************************************************************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E B R E A K D •O W N
o I am exempt under Section: B.&P.C.
Mr his reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST •
--- q
� Date:�CFar/e/ Owner:��--`0__ SFR 750 REROOF BY VALUE RESIDENIAL NOZONE 1 .00 750. 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 Managenw- 'strict.Reside,a onstrip map ations are exempt from
these provisions
•
-- Dale:a 42tre9/ 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' 01 0110&1275-UO0E 1276 T r)T '..',..a_
ordinancesfand inspection purpoie to building construction and hereby ant nr¢ Sentativo^ Ithis city t/ oentef upon the above-mentioned
property far/instal fa purposes. I/n ///f DATE: 02/25/71 TInE: I0S02
/� Date: ^7247.1/ Signature:
Driver's License or Social Security v:
1641-46 White—Building;Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
• CONSTRUCTION AND PLANe,,,,G POOL & SPA `
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit#
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ` •-'
2. Soil Pipe-Undrgrnd; 53. Steel Reinforcement _
4:
, 3. Electrical Conduit Utility-Undrgrnd. 54. Forms
r
. 4'.::-Electrical Conduit-Undrgrnd. 55. Electrical Bonding
: 5. Steel Reinforcement- 56. Rough Plumbing & Pressure Test
•6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
T Footings 58. Electrical Conduit-Undrgrnd.
. 8.:Foundation 1 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 ` I
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final �\
12, Sewer Cap 63. Heater & Vent-Final _
13. Roof Drains
1. •T- 64. Plumbing System - Final N -" _ '.
14. Rough Plumbing 65. Electrical-Final r /
15. Rough Electrical-Conduit 66. Solar System-Final
r i
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
,
18. Rough Electrical-T Bar Ceiling 69. POOL/SPASYSTEMS FINAL
19. Rough Heating & Air Conditioning _ FIRE DEPT. REQUIREMENT
20:-Rough Factory Fireplace • u - • - = R x APPROVALS', 'LPermit# • -,• 2
-:a : - 1 x•S � - _ :s : x '-:.1.. -
21:'Du , in Structui.e . ,. -,
ctss _ . , i70. UndeTdrotind Hydro lc
22. Ducts, Ventilating: dr X r71. ProducttPiping O'Gas ODOil
u .1 S
23;Gas Pipe Rough &•Test r _, . r _ _ 72. Underground FluIT--,� -
24::RoofFraming • :. - z • a' -S73.':UndergrniirStoragyTankOGas 0Oil
25. Roof, Sh athing Z '", • -• _ •,;;i.� ., &74;Overhead clydro ::" c
26. T-Bar Ceiling (Structural) &Monocoat _ �_ , '• 0 75.-Dry Chemical _ n r
27. Frame and Flashing '. S v 7.'• _ 76. 61-y Stanc[pipe 'f;
,.28. .Lathing:& Siding . _. S : _ • s - • - 77:' FIXED SYSTEM FINAL,
•
%
229. Insulation " ; • -• ; ' t 78..FIRE PREV. FINAL : ^ r: ;.
,
r30. Drywall:Nailing • , .X < HEALTH-DEPT-. REQUIREMENT
31. Plaster Brown Coati I '`,--i; r79:'FINAL INSPECTION R -
32.,-Electrical Power Meter,-Final, • . ._ I =80:rFOOD CERTIFICATE ISSUED
�33`Final Electric . .. . ''Notes: -•>• ' 3
Yr
,• r ....
.
34:Fin41 Heating_& Air•Conditioning, ,�3 : y .-,r c.
35..rFinal Gas Pipe-Test` - '' • "" ' r. c •,.'.•� . r'
36"Hood or.Canopy - t r a
-37..Final Factory
Fireplacet ' - '\ 4• '“` . - ry � wit
-38. Final Plumbing
r.'
::39. Water Service-Final' - - -'n -
. Y . .. ' . >. -
.
40. Gas Serv-i.:
ce-Final / •rCr., ;; _" - ,
•;41. Solar Domestic-Finale -
. .n - I U . .. _ _ T '
-42.`Backflow Preventer, •• `;; _ [ - •
43. Backflow Irrigation •. �' - . - rr - 1, -
44. Landscape Irrigation System,If J 1 _ - •,..: r ;
,45_Sound Attenuation • • % '?
t 46. Handicap Regulations - - •• tx , ,. A
"
47. FINAL STRUCTURE & BUILDING 9-q--4( �o4 . _•:) -
_r
48:`FINAL PLANNING • ;�-
- 49.--Electric Release to Edison ( I i a >' ,J i . !-
t I.
50.;Gas Release to Southern California Gas Co Il I i:
51. CERTIFICATE OFFOCCUPANCY t j 'y rno - I _
No. Date
CITY OF COSTA MESA
BUILDING DIVISION
OWNER-BUILDER VERIFICATION
A city or county, which is required to give notice pursuant to Section 19830, shall attach to such
notice, and, as a condition precedent to issuing a building permit, require the completion and require the
return of, an owner-builder verification.
Attention Property Owner:
An 'owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and return this information in the envelope provided at your earliest opportunity
to avoid unnecessary delay in processing and issuing your building permit.No building permit will be issued
until this verification is received.
1. I personally plan to provide the major labor and materials for construction of the pro-
posed property improvement.�.�,Yes 0 No
2. I (have/have not) /t1 e' signed an application for a building permit for the
proposed work.
3. I have contracted with the following person(firm)to provide the proposed construction:
Name
Address City
Phone ( ) Contractor's Lic. No.
4. I plan to provide portions of the work,but I have hired the following person to coordinate,
supervise and provide the major work:
Name
Address City
Phone ( ) Contractor's Lic. No.
5. I will provide some of the work but I have contracted(hired)the following persons to pro-
vide the work indicated:
Name Address Phone Type of Work
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State
of California Health Safety Code and have completed the above information to the best of my per-
sonal knowledg in co plian h I /ate law.
Signed: ' Date: of/.2 r/9/
Name: DAL,/?3 ( 1'.35
(Printed or Typed)
C.D.L. Nor S.S. N ,
754-5273
1042-46
• 24988 egiigF- M A *11 z.50
' COSTA MESA BUILDING-SAFETY DEPARTMENT �j r1
P.O. BOX 1206 COSTA MESA, CALIFORNIA 9262E - DEC 1+O 1"C�"`�
For Applicant to Fill In Completely PLICATION FOR •E•.A.
4/� TYPE OR PRINT I Se ?- ;,
r)71
DRESS
AD (x 1 a rM/( XJ I/24.to
COSTA MESA. CALIFORNIAIF�//
RICKS( D•Y T5REGAIVIIDa,- TE'soup
OWNER F GA Q T2(i 2L P.
Wuo D
MAIL ESS 2-432-2-A3 /30->c BUILDINGADDR '
ADDRyy
IRE
CITY �gJ l tr / N054�y4. Z . GROUP
APPROVED 777/3
ARCHITECT TEL. BY DATE n--ie
OR ENGINEER NO.
ZONING1,624,f
ADDRESS �j
zo NO.or USE OF N
_� PLANS 1..."--
I "EUILDINOEN
k-
CONTRAC.TOR ATLAS V 1 L i7r2S /1` co, l / AAAA rx �j
ADDRESS /2 y 3 2- A/a'L/m,.2r 8Lv1 . LEGAL
ARITON I I C 9 /LL`��.{/(�^� •J C
CITY C.� n (-r aRn 6 C14 C.1It Q A.P.NO. /7 .{/J-. lY .
STATE 193 3 NO. 54
5'944 3 • 80NOT TO SIDE O REAR p.LE: NO EAVE N08HALL B8 LESS THAN
LIC.NO.
EAVES
SIZE 40
O' /g c i I NO.of SLSOS.NI L- ALLOWED (U.B.C.REQUIREMENT)
OF LOT J NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF ter(C - MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STLREET)
SU 2CONT 2' L/ PT.
SETBACK UNE FROM i s , JZ11
CENTER OF faREAR YARD
flan
�
jf i
✓
SIDE YARD LEFT _ RIGHT 14 R.SIDE /qn. FT.
I
DESCRIPTION OP WORK L.SIDE h FT, PT.
/ �
NEW ✓ ALTERATION ADDITION REAR �,9 FT. FT.
DISTANCE BET. BET.MAIN Q
REPAIR MOVING DEMOLISH MAIN BLDGB. ACCESS.SLOGS.
BUILDING QQ W NO.OF Q VAR.# DATE
X720
SIZE ROOMS `� STORIES I C.U.P.# APPROVED
EXTERIOR WALLUCC , ROOF eA/ APPROVED ( 4./ '/I
COVERING I COVERING "'^�� SY W `•' I/ 0,77E' � '� 'IG
USE OFBUI INS AND WOR TO BE PERFORMED 0.
F• r z / HOLD FOR .GaFrIAI �F�IR fMLNnTtS4 "
a Q , [7,.
I HERESY ACKNOWLE THAT.I NAYS READ THIS APPLICATION THE AMOUNT SHO UNDER VALUATION IS FOR THE 2
AND STATE THAT TN AB VI IS CORSE ANO AGREE TO CAM• PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY OR AND A LAWS REGULATING
BUILDING CONSTR CTI VALUATION
PERMIT FEE $ �� E
SIGNATURE O
PERMITTB► APPF $c;77 3, 3 7 p��J Ip�71 s -PLAN CHECK $ 750 w
AUTHORIZED AGENT
//a'1 -5-6
..-..-..e .u.r: :... [`:'::.. .,. ....� I TOTAL PEE $