HomeMy WebLinkAbout137 MORRISTOWN LN - Building Permits PROJECrT ADDRESS: 137 MORRISTOWN LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069495
OWNER'S NAME: SEDLACEK MARGUERITE C
ADDRESS: 137 MORRISTOWN LN PERMIT NO: B 069495 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA,CA 92626
r CONSTRUCTION TYPE: V—N PERMIT TYPE: SIR PURPOSE: ALT
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/O RESTH & REROOF W/COMP & HOT MOP SQ FT: 2, 508
ADDRESS: UNIT:
CLAIM VALUE: 2, 508 . 00 CALC—VALUE: 2, 508 . 00 GROUP OCC : R-1 /
PERMITTEE: STOUT ROOFING, INC. ( 310 ) 923-6775
ADDRESS: 9700 WASBURN RD COMMENTS: REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DET. REQUIRED
DOWNEY CA 90241 ******************ir********************FFer****************************er*****sr,***
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACK S
CITY LfC.: 059377 STATE LIC.: 40253 cLAss: C-39 EXP : 0/95
Dane:1Q[2 '//DU Signature:__ MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm thathaveacenconsent
ificate alo sell-insure oracenifrcate of Workers' FRNT; FT IN REAR: FT IN FART: FT IN REAR: FT IN
Compensation lBSWdxe,.v/§tdied copy thereof(Section 3800.Lab.C1.5/19/95 LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: JIGLO7D EXP.DATE: l!
COMPANY: AIG PARKING REQ: PROV: PARCEL : 41916271 INE: REF NO:
❑ Certified copy is hereby furnished. [If Certified copy is filed with the city Building Division. PLANNING NOTES>
1p /� p >
Date: In(401— Applicant: — **************,*****************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOPMENT SERVICES R EQU IR E M E N T S
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:II,alter 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. 4
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE:
((// ,
which this permit is issued(Section 3097,Civ.Cl. **************************** ************************************3F **** * *
LENDER: **************************** * *************************************if **** ****
ADDRESS: LEGALIZATION:N 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 54 .00 . 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 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 P LAN ,
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(5500). ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 54 , 50 0 . 00 0 , 00 54 , 50 54 . 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 • 54 , 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
foror me purpose offsale). 54 . 00 , 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 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. IND I V IDUAL F E E BR EAKD OWN
❑ I am exempt under Section: B.&P.C.
lor this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: SFR 2508 REROOF BY VALUE RESIDENTIAL NOZONE 1 , 00 2, 508 , 00
I do 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.
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 building construction and hereby authorize representatives of this city to enter upon the above mentioned
property for inspection purposes. /
Date: LC)14`n1� Signature: 01 00170503-00170304 TOT 54.50
DATE; 10/28/94 TIME: 12:27
Driver's License or Social Security a:
1641-46 White—Building:Green—Code Enlorcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOL & SPA
_ APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. y .tn 53. Steel Reinforcement
3. 'Electrical Cond-u*t'cJtilityfUndrgrrirq, 54. Forms
4„ E4ectrical Condui;;Wndrgrnd. 55. Electrical Bonding
r. 5. Steel Reinforc@ra�rbnt _, 56. Rough Plumbing & Pressure Test
• 6., ElectricalUFER;urnd. 57. APPROVAL TOCOVER•GUNITE -
7, Footings - 58. Electrical Conduit-Undrgrnd. •
8: Foundation r 59. Gas Pipe, Undrgrntl.,Test 'n
9. Water Pipe•Undrgrnd. 60. Backwash Lines. P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Lirte & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
�• a
-t
13. Roof Drains .1 ,• 64. Plumbing System - Final
14. Rough Plumbing ' 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring r-•• 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough ElectricabT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20: Rough Factory Fireplace i tr,:I .r= a . [ rAPPROVALSMCIPermit # • r
.:, r r ♦' r '3 vi ,- t ,,-1 •+ ♦ • T, •' ti -:fr. -. "'
21. Ducks, i Structti e' ' .�` -- : 7 y ' M $�
.�s* •+ • -, a • -170. Onderrgrotutd Hydro
-
22. Ducts, Ventilating . • i 171, Product•Piping 761as DOiI
23. Gas P1p@tRqu9h&Test t* ; ,1 i_, - V t i y72- Undergrottnd Flus P, •, _
24.,Roof Framing J .;' _• e ? °]734 Undergrnd.Storage Tank 0 Gas 0011
Ti P
25. Roof Sheathing l r 15. ;`6:14 .t74e :6'4 '74 Q,verhead•Hydro-,
26.,T'Bar Ceiling (Structural) &-{vlonocoat r r^ + !
VWINLin WWI V1011 IsuL-C1.7.ng 1:0. yn++'+
JOB ADDRESS 137 Morristown Lane BUILDING PERMIT NO. 27186
GENERAL CONTRACTOR Owner-Bldr. DESCRrPTiON OF WORK Res.Watt.gar.
AP No.141-701-03 LOT 265 TRACT 5160 FIRE ZONE VALUE $ 17,640.00
INSPECTIONS Signature Date GROUPI & J TYPE V ZONE R-3
Soil NH-s - -07 SUBCONTRACTOR PERMITS ISSUED
GasI Date Number Signature
Water aefA4,c-177:7-67 '�7-!ei .lumbin:�
Rough Plumbing rAMYAf. ' -1 i+4. l�i71jfre. .-6
Prop. Swr. Line 0 House Con. Z- /„ / _
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning 4 44$ 'r3...47,-(i7
Temporary Service or Pole _
Underground 0 Power p
Rough Wiring ; 'XI.67 Heatin and yens.
Trenches ® Forms a Steel Reinf. gs /QC
7-7_67 7>a)--1144(1. . g-/1(-a,7 fc7.?yL
Floor System 4 7 /33 67
Bond Beam ❑ Steel Reinforce 0
Sheathing % %it-- /507
Frame and Flas / c_ l ie e
Lathing — In Out i5
Plaster, Brown Coat _
Structural, Final F�'rQ1rafr ' , ectric /l
Heating, Vent., Refrig. and A.C., Vaal /�y f 1' / ;l_,- 4 , Jlu.e/ g-/_-(,7 _7_
Plumbing, Final and Gas Test F/ c _., _;,-2Z.
Electric, Final r ' e-z-
Building, Final C. 10 y _
r2r, } S6 JUN 19-67cnsn001627s * :I*85.50
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620 .
For Applicant to Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING / J7 -7 > % /� For Office U» Only
ADDRESS
RECEIPT NO. PERMIT NO.
COST.' MESA CALI OR/ie,i 2 ! Qf'
,`.y ./AN Cs• REC EY DATE RECEIVEDo? DRIG ISSUED 7
c&-1 YE
OWNER 1 -MAILt , .1'•'._ - 'i-.- , {�/,�/i'e .1,, BUILDING
✓J L�•�� ' ',,7�, `
ADDR 41T Ii) LL&SDJA{r4 IyII� ADDRESS ��/ (�/ /Lit/
2'/�� LAK//x/�
6B/) Te ZONEFIRE TYPE v OROUP.t
CITY Nal WO ND, /�j/4 Sit //nf
/L ^
APPROVED_.7,./Ax. /meq/ Y�
OR EHITNIi/EBR eI/:_n n 1 � NQJ,�r1�2� BY' DATB (p G 4-(((JJJ
l 0_ /3.- e•C_(( � ure, os...„ ZONING
ADDRESS -1 !{. ��A mN//[[,,..//.. No.OF VEE aP NEV '
CONTRAOTQR /Vr w k-e ` I I PLANS 2—I-■U�ILDII,N(o�€�i /n i
•
thar
ADDRESS l/9�-C
DESCRIPTION (c(`l c.-t Si 11�'•
-
CITY 1 J-Ce.I..a.- -- A.P.NO. / - �J b .J
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE TEL SO'TO SIDE&REAR r.L
LIC.NO. NO.
SIZEEAVES
FJ •) •/7v I NOOW ON LOT ^ ALLOWED (U.B.C.REQUIREMENT/
OF LOT V�IJ J� V —
YARDS APPROVED YARDS APPROVED
USE OP MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
- . (PROM C/L STREET)
SHACK LINE rigor---
FRONT ()PT PT.
CENTER or STREET REAR YARD
51D5 YARD' 1.17E—PT -- R.SIDR !�I IT. PT•
DESCRIPTION OF WORK L SIDE `//'11 PT, Pr.
NEW ALTERATION ADDITION REAR V FT. FT.
DISTANCE ELT. BET.MAIN&
REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.SLOGS.
BUILDINGq _ I. I
Ears
�" VAR. DATE L
SIZE .C4) X r j T ROOMS T STORIES 2- C.U.P.# Cl . /Yom/ APPROVED -18—63
EXTERIOR W IBOOP APPROIy/[q /' - I / -!gl—n .7
COVERING / 040 COVERING acct. 1Y L�C1. r DATE l0b to
US[O DUILDIHe DWORKTOOKP ORMEDHOLD FOR SPECIALREaU_; a.
C !T C.t.1: 1Ps m
Id
7,
it
X14.23?BO.PT. ; car
I HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION , THE AMOUNT SHO UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IH CORRECT AND AGREE TO COY. : PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH ALLCITY, DIMAMCSS AND STATE LAWS REGULATING : VALUATION _
BUILDING coNSTRItc fj�
SIGNATURE OF W PERMIT FEE ; `�
PERMITTED ziT P r e (_ I A //// E
/ <I g //� ((!V� PLAN CHECK S O2Z 2
AUTHORIZED AGENT. �' �
TOTAL.PEE S .LJ _^,