HomeMy WebLinkAbout143 MORRISTOWN LN - Building PermitsOJECT ADDRESS: 143 MORRISTOWN LN UNIT:
OWNER'S NAME: BONE, GREGORY A
ADDRESS: 143 MORRISTOWN LN
COSTA MESA,CA 92626
ARCNIENGINEER: REG.Ii
ADDRESS: UNIT:
PERMITTEE: STOUT ROOFING, INC, (310)923-6775
ADDRESS: 9700 WASBURN RD
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 059 377 STATE LIc.:402536 cuss: C-39 EXP; 10/95
Date: _� OIOo��y Signature:
WORKERS' COMP 2ION DECLARATION: I hereby affirm that have a cenilicate of consent tosell-insure or a certificate of Workers'
Compensation Iu an a at a cerliged copy thereof (Section 3800, Lab. 65/19/95
a 5 / 1 9 / 9 5
POLICY Na: � � 2 6 9 9 EXP. DgiE:
COMPANY: AIG
❑ Certified copy is hereby furnished. IX Certified coopyyiis filed In
thecity Building Oivchon.
0
Date:
111 Q�I�I�"l Applicant:
1L[(vo
EXEMPTION FROM WIORKERS' COMPENSATION DECLARATION: (This Section need not be completed it the permit is for one hundred(5100) or iiI 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.
Date: Signature:
NOTICE: If. atter 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.
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. C).
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the ContractorsState 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 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
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
1, as owner of the property or my employees with Wages as their sole compensation, will do the work, and the
El 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 himseli/herselt or through
his or her own employees. provided that such improvements are not intended at offered for sate. It, 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
for the purpose of sale).
I.as owner of the properly. am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
Elantl 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 contractors) license pursuant to the Contractors' State License Law),I am aware
Mat proof of Meir Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. d P. C.
for this reason'.
Date: Owner:
I do hereby certify That I am aware of and understand the requirements at California Health 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
mese provisions.
Dale: Applicant'.
I hereby certify that I have read this application and slate that the above information is Correct. l 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: Signature'
Ower's License or Social Security •:
1641-46 While—Building: Green—Code Enforcement. Canary—Applicam: Pink—Revenue: Gourenren—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06949
PERMIT NO: B 069498 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT
JOB DESCRIPTION : T/O RESTH 6 REROOF W/COMP 6 HOT MOP SQ FT: 2,508
CLAIM VALUE: 2,508,00 CALL—VALUE: 2,508,00 GROUP OCC: R-1 /
COMMENTS: REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DET, RE�UIRED
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 REQ: PROV:
PARCEL:
41916274
ZNE: REF NO:
PLANNING Ni
MMM M M M MM M M MM M MMM MM M MM MM MMM MM M M M M M M M MMM M MM MMM M M M MM
M M M MM M M M MM M M M M M MM M MiEMM M Mitts
MM MM
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
DATE:
BUILDING APPROVED BY :
DATE:
APPLICATION ISSUED BY:
DATE:
MMMMMMMMMMMMMMMMMMMMMMMMMMiM
MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM
MMMM
MMM
LEGALIZATION:N \J F E 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/SHOAT: ,00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
54.00 .50
M MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMitMMMMMMMMMMMM
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 2508 REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
1,00 2,508,00
01 00170497-00170498 TOT 54.50
DATE: 10/28/94 TIRE: 12:25
'eJNSTRUCTION AND PLANNING
APPROVALS Permit #
Date
Inspector
POOL & SPA
APPROVALS Permit ak
Date
Inspector
1. Temporary Electrical Service or Pole u••
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd, - ;'j
53. Steel Reinforcement
,
,3.41ectrical Condl Rlitility-Undrgrnd:
54. Forms
4. Electrical ConduCt,6rpdrgrnd. -
55. Electrical Bonding
5. Steel Reinforce'rhent
56. Rough Plumbing & Pressure Test
-
,-,� Electrical UFER-Grnd. --
57. APPROVAL TO COVER-GUNITE
`
w:j,_Footings
5B. Electrical Conduit • Undrgrnd.
B.='Foundation -
59. Gas Pipe, ❑ Undrgrnd., Test
i
9.;Water Pipe-Undrgrnd.
60. Backwash Lines, P -Trap, ❑ Undrgrnd.
'10. Structural Floor System
61. APPROVAL TO DECK
11
11. Property Sewer Line & House Connection
62. Backwash & Receptor -Final
12. Sewer Cap
J
63. Heater & Vent -Final
13, Roof Drains r,
64, Plumbing System - Final
14. Rough Plumbing'
65. Electrical -Final
i
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
•D?ermit #
20.- Rough Factory Riaeplace 1 ;-:j <; I
a -'
Ct oiTAPPROVALS'
21.ucts, in StrL-cture' 1
' ,
-70. l5itdergr10 Hyilro
22. Duq{s, Ventilating... ,',<•
1
_ _
•'71, Product Piping --Gbs O.Od
1\ 1 4
23. Gas_Pipe--Rough&'Test72.
r! '�v
U
_ndergt6und FI sif,- _
24. ,Roof Fca: mng rr• •-•
> ? J
"737 Undergrnd. Stora gl _Tsvtk Cl Gas C Oil
25. Roof Sheathing e;
:iS qY
f(at.;+6i
'74; Overhead Hydro-,
26. 7 -Bar Ceiling (Struptural) & Monocoat
i _ c
J - r
75. 'Dry Chemical - - '-
27. Frame and Flashing
76: bry Standpipe
28. Lansing` Siding -i•: .. 7 C -;j pit
i;
e r
77.^ FIXED SYSTEMiF.:INAL• '
29. Insulatigp
78 FIRE PREV. FINAL ,
30. Drywall: mg -it:
�t .
HEALTH,DEPT.REQUIREMENT
.31. Plaster Brown Cott' '
! I�
,79. -FINAL INSP.ECTIQN
.32.,;Electrica}Power Meier; Final
, -..
I j�
O. rFOOD CERTIFICATE ISSUED
33.inal Electric'-Nottes:
r
'54. _Finai Heating. Air;C&0itionirig
,
I , si.
r
35.,:Final Gas Piptl-Test
a
_ C
,36.'H00tlor:Canopy.,,, 1 4.,�
I
'i
•. _ -
.$7.FinaL FauROry FirepRace.`- ••
'- 't
_�8. Final,Plumbing ,'
.39. Water Sehvice-Final 1 -
+
♦ I
'r =
;50. Gas Service -Final.,.
,
41. Solar Domestic -Forel "I •-
. • .r
e
'
e
•
'42. Backflow Preventer_
43. Backflow Irrigation+ _�:.. _.
T '
•• -•
;44, Landscape Irrigatioct System,„rye ,4
y -
'r, r• - r .I
045. Sound AttenuationsTI
46.`Handicap,Regutations -,
"
- "
r ,�• �
'47.FINAL STRUCTURE & BUILDING
48.:FINAL PLANNING'
01
-49. %Electric Release to Edison
r
'50. Gas Release to Southern Catiforn, is Gas Co
51. CERTIFICATE OF OCCUPANCY'
No. Date
r ,>
JOB ADDRESS 14'1 MOrr
AP Nn l hl -701 -M T.f ?h2 TR Ar. r 71bU FTRE ZONE VALUE S i 1, vvv. vv
INSPECTIONS
Signature
Date
GROUP I & J TYPE V ZONE R-3
Soil
SUBCONTRACTOR
PERMITS ISSUED
Gas
I Date I Number I Signature
Water /
Plumbing,
Rough umbing
Prop. Swr. Line House Con.
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
S
2 -4-
4Temporary
TemporaryService or Pole
Underground ❑ Power ❑
Rough Wiring _
IFie
zD-
Heating and Vent.
Trenches 14 Forms Ja Steel Reinf.
Aft
1- 7 - C
Floor System
O,Me
Bond Beam ❑ Steel Reinforce ❑
Sheathing
7nm
/ b
Fr end Flas
Lathing — In Out
a
g
Plaster, Brown Coat
a
g
Structural, Final
ectri
Heating, Vent., Refrig. and A.C., F.Lnal
.E
/
Plumbing, Final and Gas Test
Electric, Final
s^S - q
Building, Final
yNe
1p 6
41; 4 159
COSTA MESA BUILDING WETY DEPARTMENT
P.O. BOX 1299 COSTA MESA, CALIFORNIA 926M
For Applicant to Fill In Complofoly
TYPE OR PRINT
4HG Mt-,A��
COSTA MESA. CALIFORNIA
/ I _,I.- R , o I i
oj
STATE
C
size _ .y � T , -1 1 1 NO. or SLDGS.
USE OF
DESCRIPTION OF WORK
BUILDING
BUI C �I C (K -7D I
m
1 HERRRY ACKNOWLEDGE TNAT.1 HAVE RHD THIS APPLICATON
AND GTATE THAT THE ABOVE,IS CORRECY AND AGREE TO COY.
PLY WITH ALL C1T RDINANCZII AND STATE LAWS 11EGULATING
BUILDING CONSTRUCTION.
SIGNTURP RMITTE E OP —'C�
AUTHORIZED AGEMr
PID .t ***-
1U.! 19-67LnAsn001624 • 85.5C
APPLICATION FOR PERMIT
BUILDING
For Offtco Uso Only
RECEIPT NO,ruladI
I
RECEI Y•
O
DATE RECEIVED
WT[ISSuED
BUILDING-
ADDRE
FIRE ' /
ZONE TYPE✓ GROUP
APPROVED /
BY DATE
ZONING
.
ZONE
NO. Or
US[OPNEW/
PLAN/
BUILDIN Qk�
LEGAL ^i
DucRlmoN
A. P. NO. O 6
No AVE
NO SAVE OVERHANG SHALL BE LEAS THAN
DO'TOSI DE B REAR P.L
EAVES
ALLOWED (U. B. C. REQUIREMENT)_
YARDS APPROVED
YARDS APPROVED
MAIN BUILDING
ACCESSORY BUILDING
(PROM C/L STREET)
FRONT d PIT.
rT.
OFT.
R. SIDE
FT.
L.810% FT.
FT.
REAR I,) FT.
FT.
DISTANCE SET.
BET. MAIN a
MAIN BLOGS.
ACCESS. BLDG8.
VAR.*
C
DATE
C. . I
APPROVED
AWP R" ED
DATE �9 O
HOLD FOR SPECK
REQUIRE2MfiiN.j'$
a cer
1 . rT/,•
8G
2 . 1
WTNa
wuoulTr BN 'IN' --R vAwwnoN 1G FOR THE
PURPOSE OF ESTAELISHING A PERMIT FM ONLY.
VALUATION
PERMIT FE6
s 0,y�PLAN
CHECK 5S�
TOTAL FEE