HomeMy WebLinkAbout189 MORRISTOWN LN - Building Permits ;AI ADDRESS OF BUILDING: 189 MORRISTOWN LN UHT: CITY OF COSTA MESA - BUILDING PERMIT
OtMEWSNAMEIFIUC*N: TILL, DANE H PERM NO: B 073480
ADDRESS: TILL, SUSANNE
2549 FORDHAM DR PERMIT NO: B 073480 PLAN CHECK NO: N GOVT: N SUPP: N
'I COSTA MESA,CA 92626
APPL.MMUNO ADDRESS CONSTRUCTION TYPE: VN PERMIT TYPE: STR PURPOSE: OTH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : T/OFF, SHEATH & REROOF W/COMP SHINGLES SQ FT: 2, 999
ARCH.OR ENG.'S ADDRESS: UMT:
CLAIM VALUE: 2, 999 . 00 CALC-VALUE: 2, 999 . 00 GROUP OCC: R-3 /
CONTRACTOR'S NAME: STOUT ROOFING INC ( 310 ) 923-6775
CONTRACTORSMMIlNG P 0 BOX 4309 COMMENTS: SMOKE DETECTORS ARE REQUIRED PER 91 UBC
ADDRESS: DOWNEY CA uCNO.: 402536 **************************1t*iEiElElE#1EltiftE#*1t1E****1EIEltikiEitlElEiElEit#1E1EfE1E1E1ElE#itfE*****lEiEiffEitihiE
90241 DMT; ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penal rjury that I am licensed under provisions of Chapter g SETBACKS
(commenting with Section 7000)of Makin 3 of the Business d Proles' v e,and my license is In full force -effect.
CITY UC.NO.: 059377 uc.cuss: 9 uC. 025 EX" 10/ I5 MAIN BUILDING ACCESSORY BUILDING
Date: �J
nn RNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
� comreaor: L/// rll d ' LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under penafy of perjury that I em exempt from the • radon Ucens w for the
following reason(Section 7031.5 Business and Professions Code:Any oily or county which requires a p.m*to construct. er,improve, PARKING REQ: PROV: PARCEL: 41916569 Z NE: REF NO:
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 PLANNING NOTES> '
is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Swain 7000)of Division 3 of the
Business and Professions Codes or that he or she is exempt therefrom end the basis for the alleged exemption.My violation of Section 7
7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollen 155001). *******************************************************************************
❑ I,as owrror of the property Of my employees with wages as their sole compensation,will do the work,and the structure is red intended D E V E 1L O P M E N T SERVICES REQUIREMENTS
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Lawdoes not apply to an owner of propend m"
who builds or improves thereon,and who does such work Nmset or herself or through his or her own employees,provided that such ...."
improvements are not intended or offered forsale.f,however.the buildingor improvement issold within one year of completion,the ZONING APPROVED' BY DATE: i '
owner-builder will have the burden of proving he or 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(Sedan 7044,Business end BUILDING APPROVED BY : DATE: -
Professions Code:The Contractors 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)licensed Pursuant to the Contractors License Law). �� %- des----
El
�('
❑ I am exempt under Section: B.&P.C..for this reason: APPLICATION ISSUED BY: DATE: - ii\d1F
****4E*********4(***************** * ******************************
Date: owner: LEGALIZATION:N FEE SUMMARY STRUCTURAL SEGMENT:Y
I da hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and
25534.and that for any future building comment(ell/wtl not(circle one)need to compfywih said etatemdes and themquiremerfs for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
a permit forconstruction or modification from the Ak Quality Management District.Residential construction applications are exempt from these PERMIT 54 . 00 , 50
provisions.
DatB: Applicant: - - PLAN SMIP/NON-RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE
❑ Ile dMImainanacedficateofconsenttoselinsurefarwodcericompensation,asprovidedforbySection3700oftheLabo BUILDING-DIV > PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
C 1«the pedorma eahew«kf«w:nln,pema ..aed. TOTALS > 54 . 50 0 . 00 0 . 00 54 . 50 54 . 50 .00
EilI have and will maintain workers'compensation insurance.ae required by Section 3700 of the Labor Code,for the performance d the
work for which me permit is issued-Mr workers' tf insurance tamer and policy number ere: EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 54 , 50 OVER/SHORT: . 00
Cenier:
Policy Number: 04494170004687 10/19/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be completed I the permit is for one hundred dollars )or bila.) 54 . 00 , 50
❑ I tend),that in the performance a the work for which this permh is shall not
einek
anyoperson in any er so as .
become subect to the workers'compensation taxa California, ee that it I ,./tad become su.'. the
**************************************************************
****************
romps"a°i° 'as°� '7g° I" Code,"^al'✓ /g t ;—tin.
v. A % / / INDIVIDUAL F E E BREAKDOWN
d `'Date: Applicant:
Warning:Failure to secure workers'compensation coverage is unlawful,end shall subject an employer to criminal p- -'C a and TYPE _.. QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred Thousand dollars($104000),In addition to the cost of corpenaatlon damages as provl•ad for in
Section 3706olmeLaborCods,intental,andatmmey,lees. SFR . 2999 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 2, 999 . 00
• CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES
performance of the work for which this permit is issued(Section 3097.Civ.CI.
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have mad this app cation and date that the above information is correct.I agree to comply with all tit and county ordinances
and state laws relating to building construction and hereby authorize representatives of thisbadly to enter upon the above-mentioned propend
f«insPedian"urposeg 'LENS BURFORD
' IF /� vir
P•IName
Gf ��/(.t/ i... Date: 01 00187164-00187165TO $4.50
d
Signature of Owner/Agent/Applican ontra « " I
• DATE: 07/2E/95 TIME: 09:27
(5151'46.WPI White-Building&Safely;Green-File:Canary-Appicatt 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.tSSoil Pipe-Undrgrnd. :, 53. Steel Reinforcement .
,3.�Igctrical Condgit t xility-Undrgrnd. 54. Forms r_. _
`u-:4y'E1&Ctrical Condgit-Undrgrnd. 55. Electrical Bonding
-5A gist! Reinforcement.' 56. Rough Plumbing & Pressure Test -it rr
r.^r`- trical UFEF6ind, 57. APPROVAL TO COVER-dUNITE _
$igotings 5'5 58. Electrical Cond4iL'Undrgr.nd. .
,4
C r- L -
8�IRoundation ^ a 59. Gas Pipe, 0 Undrgrnd.,Test 4
'7 ' 1-4.
- 9. Water Pipe-UndcgLd..i - 60. Backwash Lines,P;Trap, O Undrgrnd,
,r 10. Structural Floor System ' 61. APPROVAL TO DECK
11. Pfamerty Sewer Line& Housi•Connection en
,,, 62. Backwash & en
e
12. Sewer Cap , 63. Heater & Vent-Final `
13. Roof Drains 64. Plumbing System - Final• •
14. Rough Plumbing. A 65. Electrical-Final
y
15. Rough Electrical•Co duit66. Solar System•F.in.l '
16. Rough Electric Wiring 67. Fencing & Accass-Appro6al` -
17. Rough Wiring Sign Y 66. APPROVED F> tPLASTEf31Nd
18. Rough ElectricgtT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air ConditioningF,jREAEPT,.$EQUIF2EEIYT '
20. :Lou h Factor5y Fa lace r .-� 't c 2 s - APPbVAh? Pei;mit# A` r
_ C
21. buds, in:Structur 'S •• •• :,S _ *• � LR E
T, c- t. F, r,* 70. Y1nde�'Siound dro t
22. Duct? Velitil m^.. I 3 ,r S 2xr- ro' 17-&-'-^
p . $k .d K y:7 * 0 6 r., ..: ei 71. Produ-c};Fiping i' as O Oil
• # r IXC - --- C
23. Gas Pipe- our1t & Test ma" * [r; s x` G7 - 72• Underground Ptti hti " a
1 rr�;_, r'rrt• n [^ c* r r.Y ta 4. a ?_ o.
a.
24. kooF Framing" 1-[, t "in x ' t> _ ,y: = 71 Undergrnd.Sto{,ggejank O Gas Obi
_ L •� _ _. A Y v ,
25. Roof-Sheathing is a' egYi-qc6.0/1(. 74: ',Overhead Hydrg, .. .-
26. 7-Ba-Ceiling (Strom ral) & Monocoat .* p .ti Ja; 7 .--Dry Chegrical
r m
_
,
27. rTame and Fiashiny• jrtt.. n ;.^ r re 76. DryStaiSdyiper-r-' '"
.- ] * 7 • cr'-, y " ,
t: 28. Lathing Sitng�,`t '• j'f^ .*,' ` -1 -1 •? r 77, FIXEDSYSTENf FINAL c,
i '' * .� t , i r* 78 FIRE PREV. F1t'4L _
29. Insulation n:>: S * r
30. Drywall Nailing ,_I '* r1iEALTf1 DEPT.-REOUIIQEMENT
31. Plaster Brown-Co At S a i r 79. FINAL rNCPECT$ON -
ti; -•A, '' 4 t�:�_-' r - 7
-' 32. IectricaFPovier NfelErrFinai '
* N I 'Ity - 80': FOOD CERTIFJ,CATE C SUEQ.
33. Fina-Electric: 1-0, m '< x ' .* - t -
•. 34. •FinaLHeag'ing& 1
A_v Conditionin =g '7 x ' x .�' S r, .{ •C'
35 ,inai GasPipe:Test-t: rt •• r - ' - 'r ZO Z I-, as r-
36. _Hood_'or Ct_icanopy tr t O , "'"- 4. r n i is S a: G^
37. •F.ina Lr•-F'aCtpry Fireplace ^ F'.
I -+ *' 1 n .* x n"
o 7 1 I ' , e rr- * r
7
38. Fina1'VlurTsN -bin �* �, ti * r`r S .y * m
11) 39. Water SeericeaF,incl r F IA it c �1• S-
r.
a 40Gas Service-F4nal T w T r i• a..J *
tF
• C--,•Z * <
41. Solar Dori11est -Fina c 1-:-,•"' •• .. � x
* _ t•0 *: ^
r
42. BackflovhPreventer t q, t J ' i At :--;i•--• • t' 0
p t m '-).-r-r * r-I _ CII i t Otv W i-
S. r ..ry
43. Backflow Irri1ation*r- 5` * * , C .-..r.
* 0 - •
_. .. - d .r * t
:44. Landscape Irf-igatio,tSystemTtT a >. -r. C CO CI.-i: rr N ^u "�� r v C.
j� i C < Q* z- £ Y v Gi, x 5
Y. -a;E-- T * G r- - ._ a . t+ -. ..r 4. +. -y C
45.!Sound Attenuation: - . ., m ;r i,;r = o' - K - r-10. x
36. Handicap Regulations -a "0 r * a: 'S CO S '
•• .. c .. ., c Y <' tri iJn .,
3 R5' 6• , ', rt.0S
,47. IN@�L STRt7;eTUR & BUILDING ��„ �, I 7
48. .EINSL PLANNING' i i-ti N I ri 'a: Y
..- r. i * I 1- s: n .i r. M
19. !lec't,ic Release to !ison ' r • t 'k F a. r '
r I * rIC •
r r ,
50. •Gas Release to Southern Califo niaGas Co I4 t r..- v
51. CERTIFICATE OF OCCUPANCY ' • x ,o t'
No , Date
OWNER SAN VISTA BUILDING COMPANY DATE 6-1-64
JOB ADDRESS 189 Morristown Lane BUILDING PERMIT NO. P2265
GENERAL CONTRACTOR FjPmr, VALUE $ 114,835.00
AP No. LOT 2ik TRACT 5160 FIRE ZONE DESCRIPTION OF WORK res w/att gar
INSPECTIONS Signature/ �DAT/E GROUP I&J TYPE V ZONE R3
Soil -77. W t'� PERMITS ISSUED
Gas SUBCONTRACTOR DATE NUMBER
Water
Rough Corn. Refrig. ❑ Air Cond. 0
Rough Heating ?���— //JJ�� 9/L L/e I/ .SS/$1 -
Rough Plumbing t - /1 . Fa. Qhr�i1.1 �!' l-'7 —GV (/.Si ILII n
Miscellaneous / y\ 11J'�/r
Prop. Swr. Line ❑ House Con. St. Swr. ❑ /-$ Y/0,71 (�',,i A. (P�,._�L. , 6 cr '�v Z 6 1 tO,
ConSpsIstruction
System / r/ ll'
Construction Pole :ell'
Underground 0 Power
Rough Wiring / r �Z,� �( )07 o .. SEP 1 7 I96.1 .911 5'2Trenches 27-Forms a® Steel Reini. ID / //
Floor System
Bond Beam 0 Steel Reinforce ❑ Mannino Ucpf.
Sheathing I/!IJ %.1Arf rf .. • ... ..ir
Frame and Flashing /- � __ 6 • -,
Lathing - In,D.-----Out t3----
Plaster,
3� o / A�„�,h pc..
Plaster, brown coat {y� Cpl'/7 / cc
Refrig. 0 Air Con. 0 Final
Heating, Final Q__ /y L a
Plumbing Fixtures, Final
Final Gas Test /St` ��/- f j a
Building Fixtures, Final 5,,,,,47"
Building, Final � ,a
OCCUPANCY U ' I .
Form BU4-5M-3-83-S-B P TA(\T rl rno CPr TAT. PPM IMPISAFNIS
22265 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 317 COSTA MESA,CALIFORNIA �N�N�F .nCD�Y 1 9
For Applicant to Fill In Completely APPLIC�11b J cgR�`YEN 1RNIIT
TYPE OR PRINT CITY3I(1i"piTA MESA
Q For Office Use Only
BUILDING/ f 1/6-4,- RO
ADDRESS o / �'�I�N'��+^✓
RECEIPT NO. PFjtMIT NO.
COSTA MESA. CALIFORNIA t''j7
(� 1 ' �/y- `my�I`�)Jn7,� /� RECEI Y DA�jTE�HCE VED DATE ISSUED
�
OWNER JIQM Vil<AG. V�'O ` LiU J ��-G� JUN 1 �9sfl
MAIL jib
e VV iT V ADDREBUILDSS
NG
ADDRESS ,,JJ(��O ��j/p� anFIRE ,
CITY �i [/71 i NE01-4,f��0 / ZONE TYP CAC GROUP���
ARCHITECT � - �� � _ �c�(/qL,, APPROVED
OR ENGINED CW O NO. �'(e/o BY DATE
3 /32 i&.e- "714145S-
F. ,
7 �4 0 J- ZONING ��
ADDRESS, ��/sruJ 1 , I NO.OF I USEOPN 1T h "-
CONTRACTOR Sc��LNI 11...S{ P./unB � LBult/D'l�na: �I �tf •
,p ,_��/.
V. GAL
SCR i/n n -Y- �7 /(P W/
ADDRESS
�J//66 (ems Sit4- _T/' DESCRIPTION
rf/K1SrlZ
CITY lfit /I A.P.NO. 1 Li- I J / i
a/� a NOTE: NO HAVE OVERHANG SHALL BE LE S THAN
STATE //47 O � L.EQL.A ^ 3/7/17 30"TQ SIDE&REAR P.L.
LIC.NO. rE X711
EAVES
SIZE
OF LOT 1 //yD no.of SLOGS. ALLOWED (U.B.C.REQUIREMENT)
O
NOW ON LOT
USE OF YARDS APPROVED YARDS APPROVED I
EXISTING BLDG. 4 lierni .� MAIN BUILDING ACCESSORY BUILDING .k.-;
(FROM C/ STREET)
SETBACK LINE FROM / FRONT FT. FT.
CENTER OF STREET f,� REAR YARD 0
SIDE YARD LEFT D I RIGHT . 0 R.SIDE / FT. •FT. J
DESCRIPTION OF WORK L.SIDE 0 FT. Fr.
�/ U)
NEW �( ALTERATION _ ADDITION REAR FT. FT. (-
•
DISTANCE BET. BET.MAIN Q z
MAIN BLOCS. ACCESS.BLD03. W
REPAIR MOVING DEMOLISH
rYin(v-Ii3H VAR.# DATE la
BUILDING /� X �2 ROOMS U 11 n _
SIZE V STORIES ,. C.U. .# APPROVED
EXTERIOR WALE./--- I ROOFCOVERING (I ,,o- APP //, [/
COVERING 'y(AA.C(,� S�LYw•v+t•_. BY - 1✓I'ti DATE -L �'v�/
US ILDIN//qq//AND WORK TO B• ERFORMED VVV r
a t rti-
1-a;Fr. —��v o D.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN DER VALUATION IS FOR THE 4 VIF
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF !STAB HI NG A PERMIT FEE ONLY. O O
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION o N Iy
BUILDING CONST UCTION. PERMIT FEE $ 48 rt SIGNATUR _
oi
PERMITTER OF /� 5-fry aiI re 0 4
$ ..) C
AUTHORIZED AG T .-
TOTAL FEE $ 7a• �