HomeMy WebLinkAbout106 GEORGETOWN LN - Building Permits� 1
PROJECT ADDRESS: 106 GEORGETOWN LN
OWNERS NAME'. BRUCE ALEXANDER F TR
ADDRESS: 5551 AEIL AVE
HUNTINGTON BEACH,CA 92649
ARCHIENGINEER:
ADDRESS:
UNIT:
REG.NO.: _
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 Cotle, and my license is in full force and effect.
CITY 05937 STATE1402536 cuss: C 39 EXP; 10/95
Date: _'(��I� Signature
WORXERS' COMPE SATION DECLARATION: I hereby affirm that I have a cenificate of consent to self insure or a cenificate of Workers'
Compensation Ippgrarl(e2gc a.pectif1ed copy thereof (Section 3800. Lab. b5/19/95
POLICY NO.: JJ CCL CC 77 77 EXP. DATE:
COMPANY: 'AIC'
I Conduct copy is hereby furnished. EX Certified copy is filed with the city Building Division.
Date: Applicant:
EXEMPTION F OM WOO ERS' COMPENSATION DECLARATION: (chis section need not be completed if the permit is for one hundred (5700) 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 me WorkersCompensation Laws of California.
Dale'. Signature:
NOTICE: If, after 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, Ci, 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 Cotle'. 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 t0 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 (8500).
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 lot 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
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).
1. as owner of the property. am exclusively contracting with licensed contractors to construct the project (Section 7044, Business
❑ and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a conlracicr(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.
❑ I am exempt under Section: B. 8 P. C.
for this reason:
n,10
I do hereby teddy that I am aware of a
25534 and that) or any future building
permit for construction or modification
these provisions.
Owner.
no understand the requirements of California Health and Safely Code Sections 25505, 25533, and
occupant willlwill not (circle one) need to comply with said state codes and the requirements for a
from the Air Quality Management District. Residential construction applications are exempt from
Date: Applicant:
1 hereby penny that I have read this application and state that the above information is correct. I agree to comply with all city a�g county
ordinances and state laws relating to budding construction and hereby authorize representatives of this city to enter upon the a =mentioned
property for inspection purposes
Date:
Date: 6 G Signature
Drivers Licensee Social Security a:
1641-46 White—Building: Green—Code Enforcement: Canary—Appocant, Punk—Revenue: GOldermad—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069510
PERMIT NO; B 069510 PLAN CHECK NO; N GOVT; N SUPP; N
A.
CONSTRUCTION TYPE; V—N PERMIT TYPE; STR PURPOSE: ALT
JOB DESCRIPTION ; T/O RESTH 6 REROOF W/ 6 HOT MOP SQ FT; 2,508
CLAIM VALUE; 2,508.00 CALC—VALUE; 'I ' 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 RIGHT: FT IN LEFT; FT IN RGHT; FT IN
PARKING REQ• PROV; PARCEL; 41916218 ZNE; REF NO;
PLANNING N TES>
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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;fi�nn
APPLICATION ISSUED BY; DATE; W
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LEGALIZATION;N 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/SHORT; .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK
54,00 .50
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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
01 00170513-00170514 TOT 54.50
DATE: 40/28/94 TIME: 12:32
POOI :PA
CONSTRUCTION AND PLANNING _
APPROVALS Permit # Date
Inspector
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
-
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. -;, .-.;i
53. Steel Reinforcement
3i 1'1gctrical ConC it,,Otility-UndrgrnQ,
54. Forms
i♦1. Electrical ConBuit,Undrgrnd.
55. Electrical Bonding
-. 5;*6teel Reinforce'rrient
56. Rough Plumbing & Pressure Test
=
�...y,-
:y ,�. Btectrical UFFsi#'Grnd. �
57. APPROVAL TO COVER-GUNITE
• _
�7.j•,00tings ;Cl -
58. Electrical Conduit-Undrgrnd.
Foundation '
59. Gas Pipe, 0 Undrgrnd., Test
... a°
-- 8. Weter Pipe-UnCr: rnd.
-
60. Backwash Lines, P -Trap, C Undrgrnd.
'
-°t_Cj. Structural Floor System -
61. APPROVAL TO DECK
1T. ♦IQperty Sewer Line & House Connection
62. Backwash & Receptor -Final
12. Sewer Cap
63. Heater & Vent -Final
13. Roof Drains y
.�
64. Plumbing System - Final
14. Rough Plumbkag '"
65. Electrical -Final
15. Rough Electriq�l-Conduit
66. Solar System -Final
16. Rough Electric±Niring ^f
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
20:rRoughactory nreplace
�
<Petmit
r •,..
r:. a
m r7H F. t rC
21 ucts, in. Stritict e• ',.,
_
r7 r
' 70. HykOro'
F 1 „ „
,�
,Grtdergrogrid
22. D,Cis, Hentliati4 � ' �"-:
-` ` `'
t71. ProducirAiping 0Gas GtOil
_
23. Gas-PiP'*Rcy;bh &Test I
" o•
_' n a
;72. Under r'olinB F iusa~
24.:Rodf FtamIN q
a
' 73?' Undergrnt. Storage Tank L Gas ^O Oil
.-25.
Roof Sh4athing l
i
-74''Overhead'Hydro) '
26.;T -far Ceiling fStru¢turah &jiVlonocoat
r m
�'-'• ht, r
75 -Dry Chemical
27.'*,Frame and Flash Al
,
"
76�Dry Stang"'
_
t. ::::;
r
u; , „
_28."'Lothing'& Sidingn, of tKL
z:
t
777 FIXED 3YSTENI FINAL° "
'29. Insulati?P t'
i t'
�;
.
p
78-i FIRE PREV. FINAL ;
- oz
30. DrYwalailing ,r.7+
• I
-
r s.
HEALTHr0EPT,. REQUIREMENT
31. Plaster Brown CoatR,.79
FINAL IASP..ECTI� { n J
..32. -Electrical PoryertMater:FinalL
r m
iiB0,r.FOOD CEftTIFIGASE ISSUED
_33';Fina1 Electric =' ` I
^s : r i •T
' ° I
! I
- a
`tNoles: I, `
"1 7 C't `7 _ ti t=:
+1'34. Final He;lting.& Aid (%ELditionla ,
t
; r:c rt
_
35.vFinal Gass Pipe.Te3t=
C' rrt-
,36: Hood oil-CSa• o PY.y
_F !n p t it •_t -
I
s
�!
.�t •• - .
, . t �: 1''
=PT Ina! FSEtoiV Firr-eplat, e
R
Final Plumbing '
,:38. u
39. Water Service-Firtalr
40. GasService-F•naG_;
-�
J
41, Solar Domestic-Fm;I:L ••
,Y
-42. -Backflow Prevente ;
43. Backflow Irrigation,
r
..r '
44. Landscape Ir�i. can Systemp�,r ..
;n rr
,7 t-.7 a •
)S T, ;',, j U ..
'a45.:Sound Attenuatidrt 7'. L-4 n
F•
-' F•`
- a:�
'46.12-landicaP.Re9'ulatiohs
t
_k ;
;� : - t
'47. STRUCTURE & BUILDING
t2�'`�d
-;FINAL
tsr
t
t
4B. FIN'f1L PLANNING
:49.7Elaeglc Release to Edison Ir
�T.
•a; t '-t '
+
n
$0. .Gas Release to So4ern California Gas Co
:_ ; t
• • ,.:
r
.51. CERTIFICATE OF OCCUPANCY'
No. Date
JOB ADDRESS 104 Georgetown Lane BUILDING PERMIT NO. 22301
GENERAL CONTRACTOR same VALUE $ 14.835.00
FIRE ZONE
INSPECTIONS I Sienature I DATE. I GROUP TR...T TYPE V ZONE RR
Form nua-sm— -b: -B P HOLD FOR bVELiAL =YuMnlvlb a
SUBCONTRACTOR
PERMITS
ISSUED
DATE
NUMBER
Water
Rough Co Re rig. ❑ Air Cond. ❑
Rough Heating
Rough Plumbing
_
Miscellaneous
i
Prop. Swr. Line (] House Con. St. Swr. ❑
' .,.,�{� ,
�.0 4 19
Sprinkling System
Construction Pole
Underground ❑ Power p
Rou h Wiring
Trenches Forms 1�3' Steel Reinf. ❑
-ZZ- -� _ p_•�,
%% i
-----�
Floor System
Bond Beam ❑ Steel Reinforce ❑
Sheathing
c
Frame and Flashi g
Vlamm� oeor.
Lathing — In Out
2. Scan Ren. Satishied
Plaster, brown coat
❑ Air Con. Final
Imtich Dn.
1 ig, Final17
z
Plumbing Fixtures, Final
Final Gas Test 15#
Electric Fixtures, Final
rz
Building, Final
JAI
OCCUPANCY
Form nua-sm— -b: -B P HOLD FOR bVELiAL =YuMnlvlb a
22,301--1
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 217 COSTA MESA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
NO 106 Georgetown Lane.
COSTA MESA, CALIFORNIA'
San Vista. Building Co,
Y MAIL
CITY Los Angeles 11, Calif.Na'AD'37187
TE
r
AR CTRa mond LevanaS No•OR 37010
32 Via Oporto, Newport Beach
G66 E. 58th Street
geles 11, Calif.
LIC.
STATNO 192782 TEL.NO• AD 37187
SIZE OG x 70 'I NO. OP BLOOS. O'
nP,T L t,nwnrv,rcr
USE OF
EXISTINGBLDO. None
SETBACK LINE FROM l O I
CENTER OF STREET 1 J REAR YARD
SIDE YARD LEFT 0 I RIGHT 0
DESCRIPTION OF WORK
WALL
1 HEREBY ACI(O LHDOE THAT 1 HAV. READ THIS APPLICATION
AND STATH TNAT E ABOV. IS CORRECT AND AGREE TO COM.
PLY WITH AL4 CI ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRU ION.
FEE RECEIVED
dAy 19 04
FINANCE DEPT.
�ITY OF COSTA MESA
APPL CATION FOR PERMIT
BUILDING
For Office Use Only
NO.
�RECEIPT
PE I nl
RECEI Y
- DATE RHC IVHD
DATEISSUED
_
JUN 1 1964
BUILDING
ADDRESS
FIRE
.ZONE TYPE GROUP
APPROVED
BY DATE
ZONING
- O E NO. OF UHH OF N
PLANS HUIL
LEGAL
...CRIRiON
`
A. P. NO.. r�
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
90' TO SIDE a REAR P. L.
EAVES
ALLOWED (U.B.C.REQUIREMENT)
YARDSAPPROVED
YARDS APPROVED
MAIN BUILDING
ACCESSORY BUILDING
(FROM C/L REET)
FRONT FT.
FT.
` R. SIDE FT.
FT.
L. SIDE FT.
FT.
REAR FT.
FT.
DISTANCE BET.
BET. MAIN S
MAIN BLDGS.
ACCESS. SLOGS.
VAR.# _/
\
DATE
C.
APPROVED 6
APP O
BY I`
DATE �l
4,Qq e
V FT. Oc O
THE AMOUNT SHOW NDER VALUATION IS FOR THE
PURPOSE OF ESTA ISHING A PERMIT FEE ONLY.
VALUATION
PERMIT FEE $
PLAN CHECK 7"
TOTAL FEE s 7.2 —