HomeMy WebLinkAbout105 GEORGETOWN LN - Building PermitsPROJECT ADDRESS: 105 GEORGETOWN LN UNIT:
OWNER'S NAME: CHAVEZ, JUAN
ADDRESS: 121 SUNNINGDALE CIR
ORANGE,CA 92668
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 uc.(:�(055y9�L377 STATE LIC.: 402536 cuLss: C 39 EXP; 10/95
L11
Date: � P01"I1 _ J Signature:
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure or a certificate of Workers'
Compensation Ipst&ote2tc tFjjtifmd copy thereof (Section 3800. Lab. 85/19/95
POLICY NO.: AIG. EXP: DATE:
COMPANY: AIG
El Certified copy is hereby furnished. L"P Certified copy is iletl with the city Building Division.
ateJ)hWApplicant.
EXEMPTION FROM WOR IERS' COMPENSATION DECLARATION: (Thissection need notbecompleted ifine permitisforone hundred(51op)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.
Date: Signature:
NOTICE: If. after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor
Codeyou 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 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 issuancealso 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 ofthe 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).
as owner of the property or my empployees with wages as their sole compensation, will do the work, and the
11 structure is not intended or offered for safe(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
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).
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 contractors) license pursuant to the Contractors' State License Law). I am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ 1 am exempt under Section B. 8 P. C.
for this reason'.
Date' Owner
I do hereby certify that I am aware of and understand the requirements of 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 ler construction or modification from the Air Quality 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 Inspectionp rposes.
Dale: Signator - /�,
Driver's License or Social Security a:
164146 White—Building, Green—Cade Enforcement: Canary—Applicant Pink—Revenue', Goldenrod—Assessor _
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069514
PERMIT NO: B 069514 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR PURPOSE: ALT
JOB DESCRIPTION 1/0 RESTH & REROOF W/�B& HOT MOP SQ FT: 2,508
CLAIM VALUE: 2,508,00 CALC—VALUE;((;;p►,P((M) 2,508,00 GROUP OCC: R-1 /
COMMENTS; REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DETE. REQUIRED
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;
41916220
ZNE;
REF NO:
PLANNING
N TES>
iE if iE if iE * it ff
* iE iE 1E iE Rt 1F 1F iE iE
1E iE 1E it 1F it * * 1F iE iE iE 1F iE x iE 1E iF 1t iE if iE iE iF 1f 1E it it 1f iE 1E *
* 1E r 1F 1E iE iE iE iE iE
* * # iF 1E iE iE iE ♦E 1E iF 1E iE iE iE iE iE iE iE
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:
iF iE if lE lE iE lE if 1F 1E 1E 1E 1E ff'lE lF ik lk 1t 141)1) i!•aF fE if lE iE if1 i lF iF lE iE iF lF iE Eit it lE if ik ill) if M111f 41f 1F it 1F 1l 7f fE lE lE ik if lE 111E 1E 111) if it if ik lf iE
iE if lE lF iE iF iF*iE iE iE iE**iE 1E 1E 1E 1E it iF BE Mit it It 4RE iE E1 iE iF 1E iE*iE**iE iE iE iE it iE lF it**iF iF 1E iE 1E iE iE 1E iE 1E**iEx4*1t iE iE iE iE iE iE* iE 1E 1E*iE
LEGALIZATION;N E E S U M M A R Y STRUCTURAL SEGMENT:Y
BLD0 NMT PLUM81NI5 ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 54,00
PLAN
ISSUE FEE
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK
TOTALS ---- > 54,50 0,00 0,00
REVENUE DIVISION TOTALS--> COLLECTED•
BLDG PMT PLUMBING ELECTRIC MECHANIC
54,00
50
SMIP/NON—RES
TOTAL PAID DUE
54,50 54,50 ,00
54,50 OVER/SHORT; 00
FIRE SMIP/TOT .GRADING PLAN—CHECK
,50
iF iF iF iE iE 1E iE 1E 1E 1E if k HE 1E 1E iE 1F 1t iE r 1E iE iE iE 1f it iE r 1t it 1E iE iE it iE it 1E iE iE 1F iE iE iE 1E iE 1E iE iE 1E iE it iE 1E iE 1E iE 1t it iE iE 1E iE iE 1E 1F iE if if 1t iE 1t 1E 1E * 1E iE 1E 1E 1F
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 1,00 2,508,00
END OF FEES
Ol OOi70545-00170`4a TOT 54.54
DATE: 10/28/94 TIME: 12:42
CONSTRUCTION AND PLANNING
POOL A
APPROVALS Permit - Date
Inspector
APPROVALS Permit
Date
Inspector
1. Temporary Electrical Servlce-or Pole
i
_
52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd. -->,
53. Steel Reinforcement
u_3NE ctrical Coniiuit• tility�Undrgrndj
-
54. Forms
-,pTectrical Contluit;Undrgrnd.
IEJ
55. Electrical Bonding
'
-5:LSteel Reioforceni$nt
56. Rough Plumbing & Pressure Test
-' _6.16(ectrical UFBR-Grnd. p
57. APPROVAL TO COVER-GUNITE
'
a .7.'Footings -J
58. Electrical Conduit-Undrgrnd.
B,..Foundation
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
11, Property Sewer Lirre & House Connection
62. Backwash &Receptor -Final
12. Server Cap
63. Heater & Vent -Final
13, Roof Drains
64. Plumbing System • Final
14. Rough Plumbing
65. Electrical -Final
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 SYSTEMIS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
,APPROVA-LS" DPetmit# ^
20 Hough Fac[oiy F'vaplace i rr,ni -1
-^
^+
h• < 'h• •t'.a'
.••.
- .talo-.:- Y n,
21uc{s, in, St ct R, .. ,. _•
Ir
n - *
X70. flndenground Hy.6io
22. DuCis, V¢nti3atiri4 ! n�
*
: ^ {r71.
Produci'Pping QGas O'Oil
23LGag Pipa-Rc�ph & Test .r
'�
: ;
: 72. Under 1rcind Fl-'
9 '�r•
i ,r•'
r.•
.u6t9
24:jjRo6j Framing ,I i i r+F• : [-+
! �•C.�•
t :
73'Undergrrid. Storage ank fl Gas D Oil
25. Roof SR?athing'74
,OyerheadrHydro-, '
26=, -8-af Ceiling (Structural} &-Monacoat
t
t ! *
75 -,Dry Chemical -+ Ct 5:
-
Y -
} T
27.' -Frame and Flash"-,# 1-.-,
N
� ry - • # V (Ti n;
76. Dry Stan_1310
tau;':r
p:,;q
'-28,: Lathing:& Siding; . •�`":j t4tz
. i ••�
•• •^ s s
777 FIXED SrYSTEM: INALY -
29. Insulatioi ' n' 0
76' FIRE PREV. FI VAL y u
330. Drywalk Nail ng rr;+ _
I �• >
HEALTHflEPTS REQUIREMENT
.31. Plaster B5ovvn ca'5f',
Y
;- i ;
'FINAL INSP..'ECTIfaI N ='
"79:
.-.,32.•Electricaf PoCyer�_Meter, Finall ter•
+ nl
+. 3
r180a_FOOD CERTIFICATE ISSUED
33., Efectrjc'7NZes:
;:1 els t'1
-final
Y
n c ..
v
Y
n34. Final Heating & Q r, Conditioning j
1
t^ l ll 1
tr --,: C .F•
35."Final Ga3 Pipe -Test# 'v
•
fit r•1= _.".
_
`
`Hogd or.Cenopyn• ; -, - -1 1:
�` x
�• . ..
.,36: , Ir.
,-.
S'
37.'Final Factory Fire = •" -*'
>
38. Final Plumbing ^, l i
v .�
{
"t
39. Water Setvice•Fi=a 0
+
I
nt
CA
140. Gas Service -Pinar?}
,
-:�1. Solar Domestic -Final.. "•
* r--
42,-Backflow Prevente
42, -Backffow
43. Backflow Irrigation
Landscape Irr..igation Systems,':I -, r
.Y r
r� -
•1 R: # " �,
.44.
`'
o:r "'
�45.''Sound Attenuation11
# T f
N o t
r. •. '
r1l Ir
:46.';Handicap;Regulatidns = _
# ,,
a• r;:_,
47.,FINAL STRUCTURE & BUItDING (y.
��Y7'
'. •� _
-48..FINAL
,�
PLANNIN0.
`
_49. Electric Release to Edison
I
jY
41
ii
CU. Gas Release to Southern Cakiorpka Gas Co
.Y
H
51. CERTIFICATEOF;OCCUPANCY
No. Date
OWNER SAN VISTA RiTTi'T)7N(' (!OMPA_NY DATE 6-1-64
JOB ADDRESS >_05 GeQrg�town TxnP BUILDING PERMIT NO. 222QQ_
GENERAL CONTRACTOR Fame+ VALUE $ i�, 735
AP No. LOT 31 r, TRACT FIRE ZONE DESCRIPTION OF WORK re,a w/att mr
INSPECTIONS Signature
GROUP Tg..T TYPE v ZONE R1
DT SUBCONTRACTOR
PERMITS
SUED
GF —
DATE
NUMBER
Water
Rough Com. R rig. ❑ Air Cond. ❑
Rough Heating
_
Rough Plumbing
Miscellaneous
(
Prop. Swr. Line ❑ House Con. St. Swr. ❑
v�...C- ,
DEC 4 196
408 G
Sprinkling System
Construction Pole
Underground -Q --Lower-,- "
i I
Rough Wiring
Trenches �pr Forms Steel Reinf.
/
Floor System
Bond Beam ❑ Stecl Reinforce ❑
Sheathing o
O
Frame and Fla hin i /9-1
Lathing - In Out
'a
Plaster, brown coat
Ref,' , ❑ Air Con, ❑ Final
He , Final
3- $p¢c. Rea Satisfied
Plumumg Fixtures, Final
Final Gas Test f
/ lawo6 De[
Electric Fixtures, Final
Building, Final
OCCUPANCY
i
norm iuj - m- -6x -m r --,Ir A r UPrIT ITREWNT5
y z�,qs
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX Ht] COSTA MESA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILFADDRESS
ESS 105 Geor etown Lane
COSTA MESA. CALIFORNIA
R San Vista Buildin Co.
1166 E. 58th Street
GINGER Raymond Levanas NobR 37010
:Ss 3432 Via Oporto., Newport Beach
RACTORSan Vista Building Co.
Los Angeles 11, California
NO. OF 8LDG8.
USE OF
EXISTING BLDG. None -
SETBACK LINE FROM 13' _
CENTER OF_6TR6ET REAR
61DE YARDI LEFT 0 I RIGHT
DESCRIPTION OF WORK
BU
V
I HEREBY, ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANDSTATE T"A"THE ABOVE IS CORRECT AND AGREE TO COM.
PLY WITH ALL CI OpDINANCES AND STATE LAWS REGULATING
BUILDINGCQNSIR CTION.
SIGNATURE` A. A i • i Aii-���`�\
y
FE.E RECEIVED
Jay 19 04
FINANCE DEPT,
CITY OF COSTA MESA
APPLICATION FOR PERMIT
. I BUILDING
For Office Use Only
REC[IPT NO.
PERMIT NO.
�
=Y
D
[R[C 11( D
-
Iffu +a
BUILDING
ADDRESS
FIRE
ZONE TYPE" GROUP 7 -1-111v-
APPROVED
BY
DATE '
ZONING _
P"
NO. OP
PLAN.
US[OF
BUILDIN -
LEGAL Tract
5160 - 1�i3`tl 316
DESCRIPTION
A. P. NO.
NOTE: NO SAVE OVERHANG SHALL BE LESi THAN
SO' TO SIDE & REAR P.
L
EAVES
ALLOWED
(U. S. C. REQUIREMENT)
YARDS APPROVED
YARDS APPROVED
MAIN BUILDING,
ACCESSORY BUILDING
(FROM C/L
':FREETr
FRONT T.
FF.
R. SIDE �l/ FT.
Fr.
L. SIDE `" FT.
Ff.
REAR FT.
FT.
DISTANCE BET.
BET. MAIN e
MAIN BLDGS.
ACCESS. BLDGS.
VAR.# /!l
DATE
C. . P I LL`
APPROVED 6 6 Q
APPR
1
r/
Y
t
DATE
AT
THE AMOUNT .HOW
NDER VALUATION IS FOR THE
PURPOSE OF EGTA
6HING A PERMIT FEE ONLY.
VALUATION
PERMIT FEE $ •7^/
PLAN CHECK $
TOTAL FEE IF