HomeMy WebLinkAbout107 MORRISTOWN LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 107 MORRISTOWN LN
Suite:
Vicinity:
Parcel Number:
41916202
Zoning:
Applicant:
EWING, HARRY L TR
06/09/2003
Address:
18106 REDBUD CIR
ISSUED BY:
$0.00
Other:
Phone:
Phone:
FOUNTAIN VALLEY, CA
Zip: 92708-5753
Owner:
EWING, HARRY L TR
Address
18106 REDBUD CIR -
-
Phone:
- FOUNTAIN VALLEY, CA
Zip: 92708-5753
Contractor:
- -
Address:
-
-
Phone:
Zip: License:
Arch : _ - Eng:
Address: Address:
Phone:
Status:
ISSUED
Applied:
06/09/2003
Issued:
06/09/2003
SMIP Res:
$0.50
ISSUED BY:
$0.00
Other:
$0.00
Phone:
$0.00
Zip: License: License:
SCOPE OF PERMIT
CONSTRUCT A 56SF SOLID ROOF PARTIAL PATIO OVERHANG IN BREEZEWAY TO PROVIDE COVERAGE TO LAUNDRY AREA.
PATIO DOES NOT OVER ANY WINDOWS.
PLANNING & ZONING
SETBACKS,
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 - Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ,
PARKING Existing: 0 Required: 0 Proposed: 0
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: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
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.
FOR INSPECTIONS CALL: (714) 754.5626
2446.46 (SM)
FEE SUMMARY
Plan Check:
$25.19 Calc Valuation: $902.72
. Permit:
$38.75 Claim Valuation: $0.00
SMIP Res:
$0.50
SMIP Com:
$0.00
Other:
$0.00
Inspection: "
$0.00
Total:
$64.44
PLANNING & ZONING
SETBACKS,
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 - Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ,
PARKING Existing: 0 Required: 0 Proposed: 0
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: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
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.
FOR INSPECTIONS CALL: (714) 754.5626
2446.46 (SM)
DECLARATIONS
WORKERS' COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the
work for which this permit Is issued.
❑ 1 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 permit is issued.
My workers' compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed If the permit s valued at one hundred dollars ($100) 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, and agree that If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with these provisions.
Applicant Signature: Dale:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full
force and effect. Uc. N Class N
Contractors Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER -BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Code: Any city or 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 or she Is licensed pursuant to the provisions of the Contractors 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 the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure Is not intended or offered for sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himself or 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 -builder will havetheburden of proving that he or she did not build or improve for purpose of sale.).
.•Y•�( 1, as owner of the property. am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exeypt �under sec. Business and Professions Code for this Tea
Signature: Sc�-sr..T,.r Date: —O
Owner ID verified by drivers license. ❑ Yes NO Drivers U(�oense No. (� Expires: — —
Verification of Ownership by (type of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five (5) or more feet in depth into which a person Is required to descend, will be made in connection with work authorized by this
permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title 6, California Administrative Code).
❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑ Yes ❑ No
(Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds, or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
..................................................................................... ..................... ................................. ........................................ ........... ....................... ............................ ................ ........... ............................ .... ............ .... .................... ................ ................ _.......
2 Does or will the applicant or present or future building Occupant need to file a registration forth for acutely hazardous matedals? ❑ Yes ❑ NO
(Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely 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 temperature and pressure).
............................................................................................................................................................................................................................................................................................................................................................................................
3 Does or will ENO or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)?
❑ Yes ❑ NO
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation, certification and tiling with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
................................................................................................................................................................................................................................-..................................................................................-......................................................................
4 If en RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No
......._ ............. ................... .........................................._.._._................................................. _.............................. _............................... _............................................. _.................................................................................. _............... _..........
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a�ppplication a permit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes Yes 8 No
(Section 65850.2 of the California Goverment Code requires that the requested Information be furnished on applications for non-residential building permits).
.............................. .................................................................. ___._........... _................................ ..._..............................._.............................. _-.................................................. ......................... ................... _................... _................ __...............
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No
(It yes', the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
............................................................................................................................................................................................................................................................................................................................................................................................
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application, have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
........................................................................................................................................................................................................................................................................................................................... .... .................... ..................... -.................
0 (If yes', attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the infomnation given is
correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon
above-described property for inspection purposes. I agree not to occupy or allow occupan -any building authorized by this permit until final inspection.
Signature 01 Legal Owner(s) Date
And/Or Authorized Applicant Date
CODE# INSPECTION TYPE PATE Its SSPE! INSPECTION TYPE MR INRlALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re -Roof 210 Final Electrical
201 Final Block/Retaining Well 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
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.
I. 1 personally plan to provide the major labor and materials for construction of the proposed
property improvement. ❑ Yes Q -to
2. 1 (havelhave not) signed an application for a building permit for
the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed construction:
J
Name a ryl e5 Kr�a -l
e2to ! �,Ft i'tS n"., TVt c,
Address /0 3 $ 9 Cre.<� hcLyere �4Sity e ✓L 1 /9 n� 9 a7 0
Phone (7/Y) -516— 9e. ` Contractor's Lic. No. S X.2 4°7
4. 1 plan to provide portions of the work, but 1 have hired the following person to coordinate,
supervise and provide the major work:
Name
Address City
Phone ( ) Contractor's Lic. No.
5. 1 will provide some of the work but 1 have contracted (hired) the following persons to
provide the work indicated:
Name Address Phone Type of Work
1M246 (REV. 9Te)
I hereby affirm that I have received a copy of the information set forth in Section 19830 of the State
of California Health and Safety Code and have completed the above information to the best of my personal
knowledge, in compliance with this State law.
Signed: —Q7�, 07Date: 6-9-6 --D)
Name: I) 0 n rt
(Printed or Typed)
C.D.L. # OR S.S. #
For more information call City of Costa Mesa Building Division at (714) 754-5273.
104246 (REV. 9/98)
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PROJECT ADDRESS: 107 MORRISTOWN LN UNIT:
OWNER'S NAME: DE WITT, RONALD J
ADDRESS: DE W ITT ELLEN K
107 MOR{tISTOWN LN
COSTA MESA,CA 92626
ARCHIENGINEER: REG.NO.:
ADDRESS: UNIT:
PERMITTEE: STOUT ROOFING INC (310)923-6775
ADDRESS: P O BOX 4309
DOWNEY CA 90241
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.
CITY LIC.:/05 77 STATELIC.:40253 CLASS: C 39 EXP: 10/95
Date: _Ll. Signatur _ _
WORKERS COMP HEATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers'
Compensation Insurance or a certified copy thereof (Section 3800. Lab. C).
POLICY NO.: 5822699 EXP. DATE: 05/19/95
COMPANY: AIG --
❑ Certified copy EX
hereby furnished. Certified copy is filed with the City Building Division.
Dater �l`{{''��/'(fd Applicant: /yt
EXEMPTION fNOM gRKERS' COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($t00( 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 WorkersCompensation Laws of California.
Date. Signature.
NOTICE: If. after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor
Code. you must Ionnwlth 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
which this permit is issued (Section 3097, Civ. Q.
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason
(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
pursuant to the provisions at the Contractors' Slate License Law (Chapter 9 (commencing with Section 70017) 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
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S50D).
Structure
owner of the property or my employees with wages as their safe compensation, will do the work, and the
Elstructure is not intended or affect 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 fpr sale. If, however the building or
improvement is sold within one year at completion, the owner will have the burden of proving he/she did not build or improve
tot the purpose of sale).
h as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
Eland Professions Code. The Contractors' Slate License Law does not apply to an owner of pmpetry who builds or improves thereon
and who contracts for such projects with a contractors) license pursuant to the Contractors' Stale License Law). 1 am aware
that proof of (heir Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. 8 P. C.
lot this reason:
CITY OF COSTA MESA — BU LDING PERMIT PERM NO: B 069501
PERMIT NO: B 069501 PLAN CHECK N ; N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TY E: SIR PURPOSE: ALT
JOB DESCRIPTION T/O RESTH S REROOF W/EQPM S HOT MOP SQ FT: 2,508
CLAIM VALUE: 2,508,00 CALC—VALUE CaAP. 2,508,00 GROUP OCC; R-1 /
COMMENTS: REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DETE, REgUIRED
sr�E+E+rk*�E�Ear�tr�E*�r
Z O 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 REO• PROV: PARCEL: 41916202 ZNE; REF NO:
PLANNING N TES>
M MMMMMM MMM M M M MMM M M M M M MMMMMMMM MM M M M MM MM M MM M M M M M M MMMMMMM MMM M M MMM M MM M M M M MM M M M M M MM M
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 N T S
ZONING APPROVED BY If
BUILDING APPROVED BY :
DATE:
DATE:
APPLICATION ISSUED BY:11'' rw' DATE:
MMMMMMMMMMMMMMiEMMMMMMM t f t E EIleM EMMiEM MMMM Ei EMMM f E E E MMMMMMMMMMM MM
M M MM M M M M M MM M M M M MMMM MMMMM MM MMM M fi M MM MM M M M MM M M M M M MMMM M MM M M M MMM MMM MM M M MM M M M MMM M
LEGALIZATION:N F E S U M M A R Y STRUCTURAL SEGMENT:Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 54,00 ,50
SMIP/NON—RES
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS ---- > 54,50 0,00 0,00 54,50 54,50 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 54,50 OVER/SHORT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54,00 .50
MMM M M MMMM MM M M MM M MM M MMMMM M M MM M M M M M MM M M M M MM M M M MM MMMM M MM MMMM MM Milts M MM M M M Mil -M MMM M MMM M
I N D I V I D U A L F E E B R E A K D O W N
TYPE
Date: Owner: I SFR
Ido hereby mmily that I am aware of and understand the requirements of Calilorma Nealth and Safety Code Sections 25505, 25533, and
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
Thom provisions.
Date: 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
ordinances and state laws relating to budding construction and hereby authorize representatives of this city to enter upon the above mentioned
propertyforinspection purposes.
Date: _L.LL�.. 01 � Signature: 96
Drivers Lu:ense or atrial Security x:
;641.46 White—Building: Green—Code Enforcement: Canary—Applicant: Pink—Revenue: Goldenrod—Assessor
QTY D E S C R I P T I O N
2508 REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
UNIT COST TOTAL COST
1,00 2,508,00
01 00170531-00170532 T CET 54,5@
DATE: 10/28/94 TIME: 12:338
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 CondAit USility-Undrgrnd,
54. Forms
. Ejecirical Conduit-Undrgrnd.
55. Electrical Bonding
5. -St e1 Reinforcement
. rn
56. Rough Plumbing & Pressure Test
it r,ElGgirical UFER Grnd. -
57. APPROVAL TO COVER-GUNITE
-.
2. F.potings -
58. Electrical Conduit-Undrgrnd.
.' .�. Foundation ., �• n
59. Gas Pipe, 0 Undrgrnd., Test
- r
9. Nater Pipe-Undrgrnd,
60. Backwash Lines, P -Trap, ❑ Undrgrnd.
'
'.-,10. Structural Floor System
61. APPROVAL TO DECK
11. Property Sewer Line & House Connection
s
62. Backwash & Receptor -Final
12. Sewer Cap
63. Heater & Vent -Final
13, Roof Drains
64. Plumbing System - Final
14. Rough Plumbing '• -
65. Electrical-Firal
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
:APPRL'VA'E5 r Permit #
20..Rough Factory Frteplace •.,•
j
21 uc s, in,Structur'er
_Q .... _
i -
5
'70. Uhderg�oun(j Hy5 ro
22. Ducts, Ventilating.-
'71. Prod uct'Pfpinq O'Gas 0011
23. Gas-Pipe!711ough&1est ! „:
�,
_';
"72. UndergroundFlusti. ,
24.,Rodf Frarning .d• r '`-'
-• r
73: rUndergrnd: Storage Tank 0 Gas DO{I
25. Roof Sheathing ;-: i ' t%/
r[
Z� 9(,r•
-�74,:Oyerhead Hydro , • -
26. -T-Bar Ceiling (Structural) &YMonocoat
r r
_ t
75. ;Dry Chemical '17
27 nFrame and Flashintl�
76. -Dry Standpipe
'�8. lathing$ Siding 17. 7 _ - •t -.
. i
r +
77^_FIXED SYSTERIIFINAL'
29. InsulatiGp ` '� •' "
�� '
78:�'FIRE PREY. FINAL �
30. Drywall Wailing ni=-
H.EALTH.DEPT. REQUIREMENT
31. Plaster Brown. Co2t} I r t ,
�`,
.79. -FINAL IN_SPECTIQN -�
32.•7Electrica+Power MR6r,Final1 _t.
�+
,
B0.hF00D CERTIFICATE ISSUED
-,33. -Final Electric 7*
.n-
t'
'Notts:
`.34.,-Finai Heating'.& A,ir;C'onditioniat
_
t'
- _
35. Tna1 Gad Pipe -Test • rt -3
-•
- •
Y 7 1
,36. -Hood or Canopy „ L
Is A
;. r
'
z
_ _
-37. Fina't Factoiy Fire
.38. Final Plumbing ,t„ ' _;
t
39. Water Service -Final • • i
1
Is
', ., , ',.
,40. Gas Service -Final �'
1
-41. Solar Domestic -Final _' :'1 ••
�-
-42. $ackf low Preventers
43. Backflow Irrigation.
'44. Landscape Irrigation' S stem..
+
-
-45. Sound Attenuation, • - -
t
n
-
46. Handicap RegulationsI
c 11 <- _
47. FINAL STRUCTURE & BUILDING
•48..F,INALPLANNING'
!� g16'GvGL
7
49. *Electric Release to Edison
50. Gas Release to Southern Califorgia,Gas Co
'
I.
51. CERTIFICATE OF OCCUPANCY
No. Date
r .
OWNER
SAN VISTA BUILDING COMPANY
DATE 6-1-64
DATE
JOB ADDRESS
107 Morristown Lane
BUILDING PERMIT N0.
22317
GENERAL CONTRACTOR SaMe
VALUE$ 131895-00
AP No.
LOT 334 TRACT 160 FIRE ZONE
DESCRIPTION OF WORK
res watt g
INSPECTIONS
I Signature DATE I GROUP
M.T TYPE U ZONE
R4
Soil
Gas SUBCONTRACTOR
PERMITS
ISSUED
DATE
NUMBER
Water
Rough C crmt. Re ig. p Air Cond. ❑
Rough Heating
--
Rough Plumbing
Miscellaneous
Prop. Swr. Line ❑ House Con. 9 St. Swr.
DEC 9 196
Sprinkling System
Construction Pole
Underground .E] Power p
I
Rou h Wirm -lL-
Trenches Forms Steel Reinf. ❑
Floor System
Bond Beam ❑ Steel Reinforce ❑
Sheathing
Frame and Flashing
Lathing — In [}/Out E�-'
Sett. Rca. Seti d
Plaster, brown coat G-
Refrig. ❑ Air Con, El Final
Ima
is Wu
.Heating, Final
Plumbing Fixtures, Final
Final Gas Test
Electric Fixtures, Final / - - v
Building, Final
OCCUPANCY
22317
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 817 COSTA MESA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING 107 Morristown Lane
ADDRESS
COSTA MESA. CALIFORNIA
OWNER San Vista Building Co.
MAIL 1166 E. 58th Street
ADDRESS 3432 Via Op
CONTRACTORSan Vista
ADDRESS 1166 E. 58th
CITY Los Angeles 11
STATE 192782
SIZE
OF LOT 20 x 70
USISE OF None
EXTING BLDG.
6ETBACK LINE FflOM
R 37010
It Beach
Calif.
TEL AD 37187
NO. OP BLOOD.
DESCRIPTION OF WORK
BUILDING �j NO. OF, S n I C
SIZE 49 Y J2 ROOMS STORIES 2
EXTERIOR ROOF
COVERING L7tUCC0 I COVERING Shingle
USE OF BUILDING AND WORKTO BE PERFORMED
Residence
1 HEREBY ACKNO EDGE THAT 1 Al.HREAD THIS APPLICATION
AND STATE ABOV. IS CORRECT AND AGREE TO CON.
PLY WITH ALLICITY RDINANCES AND STATE LAWS REGULATING
BUILDING CON&Ru IDN.
FEE RECEIVED
dAY 19 W64
FINANCE �Crne7D�EPI�T..
APPLkVVION P&TARAVP
BUILDING
For Office Use Only
R[CEIPT NO.
NO.
/PPEIRMIT
R[C[ Br
DA EC81 D
1
.-1-
OATEI4SUH
D
BUILDING
ADDRESS
FIRE �
ZONE TYPE GROUP
APPROVED
BY DATE
ZONING -
NO. OP
USE OF
PLANS
I
SOIL
DESCRIPTION Tract 516z0 -Lot 334
`
A. P. NO. •
NOTE: NO EAVE OVERHANG SHALL BE ESS THAN
SO' TO SIDE 3 REAR P. L-
EAVES
ALLOWED (U. B. C. REQUIREMENT)
YARDS APPROVED
YARDSAPPROVED
MAIN BUILDING
ACCESSORY BUILDING
I FROM C/1�.'�TREET)
FRONT
FT.
(,(��-_FT.
R. SIDE '}/y�/' FT.
FT.
L. SIDE " FT.
FT.
REAR 0 FT.
FT.
DISTANCE BET.
BET. MAIN S
MAIN SLOGS.
ACCESS. SLOG/S.
CAR. P. "\
APPROVED U i
APPR
BY
DATE OO
Uzr
60. FT.
'1 THE AMOUNT SHOWNEH VALUATION 1E FOR THE
PURP09E OF HSTABL INO A PERMIT FEE ONLY.
VALUATION
PERMIT FEE
6 7. S"'
TOTAL FEE $