HomeMy WebLinkAbout110 GEORGETOWN LN - Building PermitsA ; PROJECT ADDRESS: 110 GEORGETOWN LN
OWNER'S NAME: WALSH, LAWRENCE C
ADDRESS: BROWN, EUGENIE
19201 E LYDLE CREEK PL
WALNUT_CA 91789
ARCHIENGINEER:
ADDRESS:
UNIT:
REG.NO.:
UNIT:
PERMITTEE: STOUT ROOFING INC (310)923-6775
ADDRESS: P 0 BOX 4509
DOWNEY CA 90241
LICENSED CONTRACTOR DECLARATION: I hereoy affirm that I arm licensed under provisions Of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Codo and my license is in full force and effect.
CITYLIC.: 059377 sTATELIC.:402536// cu�SS.
C�39 EXP: 10/95
Date: I Q'`.,y7�5Signature:L1,{�'
WORKERS' COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self insure or a certificate of Workers'
Compensation lgslgofe2or. tj§jfied copy thereof (Section 3800. Lab. G.5 / 19 / 9 5
POLICY NO.: GG tl 77 EXP. DATE: V
COMPANY: AIG
Cemfied copy is hereby furnished. A Demoted copy is tiled with the city Building Division.
Date: Applicant: Y,
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be completed if the parent is lot we hundred ($100) or less).
I cerhly that in the pelomence of the work for which this permit is issued. I Shall not employ any person in any manner s0 as to become
subject to the WorkersCompensation Laws of California.
Date: Signature:
NOTICE: Itafter making this declaration. you should become subject to the Workers' Compensation provisions of the Labor
Code. you must Pool 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 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 helshe 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).
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 for Sale (Section 7044. Business and Professional Code: The Contractors' Stale 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, crowded that such improvements are not intended or offered for sale. II, 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 exclusive)9 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). 1 am aware
that proof of their Worker's Compensation insurance should be provided to me.
❑ I am exempt under Section: B. 8 P. C.
her 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 for construclion or modification from the Air Duality Management District. Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certity, Thal 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 ereby authorize representatives of This city to enter upon the above-mentioned
property for inspection purposes.
Date: Signature'
Driver's License or Social Security a:
164145 White—Building: Green—Code Enforcement: Canary—Applicant Pink—Revenue; Goldenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 069512
PERMIT NO: B 069512 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STA PURPOSE: ALT
JOB DESCRIPTION : 1/0 RESTH 6 REROOF W1W 6 HOT MOP SQ FT: 2,508
CLAIM VALUE: 2,508,00 CALC—VALUE 2,508,00 GROUP OCC: R-1 /
COMMENTS: REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DETE. REQUIRED
**MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM*MMMMMMMMMMMMMMMM
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 RIGHT: FT IN
PARKINO REot PROV: PARCEL: 41916216 ZNE: REF NO;
VLANNING NOTES
MMMMMMMMMMMMMMMMMMMMMMMMM�r*+r+E tt***�r it �r*tr �r x �kr*r*�kr*ir*�E**�E**�E*Tr'3r*�E*�E *�E x+r �F****��E*�E*+E
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
t
ZONING APPROVED BY DATE:
BUILDING APPROVED BY DATE:
APPLICATION ISSUED BY: F DATE; ,.F�'1T'
MMMMMMMMMMMMM'1fMMMMMMM10- F MMMMMMMMM�EiE���E �E
M MMMMM M MMMMMM M M MMMMMMMMMMMMM Fa M MMM M M M M MM MMM MM M MM MM MM M MMMM M M MMMM M M M MM MM MMM M M MM M
LEGALIZATION:N 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
M MMMMMM M MMM MM M M M M MM M M M M MMM M M MMM M M M M MM M MM MM M MM M M MM M MMMMM M M MM MM MM M M M MM MM Miert M MM MMM
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 00170561-00170550 TOT 54,50
DATE: 10/2E174 TIME: 12:44
CONSTRUCTION AND PLANNING
POO SPA
APPROVALS Permit # Date
Inspector
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
52. Pool & Equipment Location
`
r.
' 2. Soil Pipe-Undrgrnd. w . .n 0
53. Steel Reinforcement
A`grical ConnitlUtility-Undrgrnd:
-
54. Forms
Srical Con(iuit-..Undrgrnd. CL
55. Electrical Bonding
5. Steel Rainforreeml!Int
56. Rough Plumbing & Pressure Test
I
- �... Electrical UFFR'trnd. C,
57. APPROVAL TO COVER-GUNITE
u
,
s7 '«
58. Electrical Conduit-Undrgrnd.
.1;oclings
r4'
;J ,8i"Foundation
59. Gas Pipe, ❑ Undrgrnd., Test
_ m
Y r9. \Hater Pipe-Untlrgrnd.
_
60. Backwash Lines, P -Trap, ❑ Undrgrnd.
. -.
'10. Structural Floor System _
61. APPROVAL TO DECK
11. FiP'erty Sewer Line & House Connection
62. Backwash & Receptor -Final
12, Sewer Cap
63. Heater & Vent -Final
J
13. Roof Drains
64. Plumbing System - Final
14. Rough Plumbing -• =
65. Electrical -Final
15. Rough Electric'vl-Conduit.,
66. Solar System -Final
16. Rough Electric Wiring
67. Fencing & Access Approval
17. Rough WiringAign
68. APPROVED FOR PLASTERING
18. Rough Electrical -T Bar Ceiling
69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning
FIRE DEPT. REQUIREMENT
) 7 ,3, .II
'APPROVALS �) _'Permit # T'
20:4,Rough _ ctory Fireplace ^.-.,; �: -+
:•
Ct Z:'_ .�
__
Y••
n-. t^ S
21 .s, ip�Stkr�ctUje�
t .-1
'Y •-1 t
n
`f V tiL l '
-j 70, CJnderg5ormd Hy11 ro
ir�uri
,�, ;,
.
22. Ducts, Ventllatiny # -_
k
Products Piping E9G`as ❑Oil
n <
<e
„71.
23Rc ' h .' Gat-PipF& Test i'
t
-� `
«�;,
I ` j` -1
_'72. Undergr8und Flusli,(,;
, <-
r
24, Roof -Framing ,;; , ; . i-. -•p=.
- + ,
"73.0 Undergrnd-. Storeg4 Tank C Gas ❑ Oil
•�"
•.J
25. Roof Sheathing'D• r'/
(�
�w� �
74«-' Overhead �HVdrq-,`
J
u
y. a
26 T -Wirt Ceiling (Stiucturall &-Noeocoat
J
, •1:
.•. 1
r-. P1 r s
757'Dry Chemical `-- r *' R
27:tFrame a,nd Flash
'-6 'e,�; tr o:
7B. DrY StandPlPe ._ -)
•�Ir,.:'
. _
>, m� t
, e
28:"'Lat#ing_&Sdingi,.r
•• s
77V FIXED SYSTEMV-INAL
_E
'29. Insulati9P `' per; ='
i Cn
�,
78gFIREPREV'FINQ'L F -
tn30. DrywalV.Nail;ng ,et:
- I
�..
_HEALTH-DEPT«REQUIREMENT
'-31. Plaster Brown Co) t:�,79:'FINAL
IN_$PECTIQN
• 32._ElectricalP"er Mater -Final!
' t- ,. t
7•80.nFQOD CERTIFICATE ISSUED
n
Fina! E(cciri� ^ -
` t`i
�• *
t
"Notes:
_.33.
m
y,
"; ^1
.;'34. Firi'ai Heating.& R+ Coed iti'nirtq
.
1:. `
,i n:r + _•'7
35::Finaf Gas Pipe-Testi
•Hood
o; ;C nopyol r In --t .�
#
_
37,'FirW Factory FireplaceUi
. 38. Final Plumbing - nt
.39. Wates SeHvice•Final• ')
I
i
! �� '-
rnot • '�,
,,40. Gas Service -F na4= «
"
x4l, Solar Domestic -Final`::
42. Backflow Prevenier.
I
�# «
c, _ � .ij ,
43. Backflow Irrtgatibl= `• _.
". ,-.
x 1:
li C O
LandscaeeIrrigation System,;t,;ij 11,
-«r, ❑
r,
1 .
U: -Co V Q :L •
rfl4.
_ :7:
"45. "Sound Attenuation
t
a In
:1 �) t 6
C •Z -: I;7 -
46.'HandicoVRegulas
47.INALSTRUCT�RE&WUI'iDING=q-
6(y� }
'• t
_ _
48.5il"LPLANNING 'rr;"
,•
_
:49.'Eleciric Nelease to Edison I
'50.2 Release to Southern Calificirpa Gas Co
51. CERTIFICATE OF.000UPANCY
No. Date
JOB ADDRESS 11Osi Georgetown Lane -BUILDING PERMIT NO. 22303
GENERAL CONTRACTOR same VALUE$ 14,835.00
A.P. No. LOT 920 TRACT 5160 FIRE ZONE DESCRIPTION OF WORK res watt gar
I*--^ECTIONS
Signature DATE GROUP J&J TYPE V ZONE
_PEILMITS
— SUBCONTRACTOR
ISSUED
Gas
DATE
NUMBER
Water
Rough Com. lfbfrigi. ❑ Air Cond. ❑
Rough Heating
Rough Plumbing
3
Miscellaneous
'
Prop. Swr. Line ❑ House Con. id St. Swr. ❑
`ii1
DEC 9 1963
8
S rinkling System
Construction Pole
Underground ❑ Power ❑
t'
Rough Wirin
Trenches Forms 2K Steel Rend. ❑
Floor System
Bond Beam ❑ Steel Reinforce ❑
Sheathing
e
Frame and Flashin
2
Lathing — In Out
Plaster, brown coat
P . ❑ Air Con, ❑ Final
I. .ng, Final
h Spec. Req. Satisfie
Plumbing Fixtures, Final
Final Gas Test ��[-'r
_ _ Imudf Date
Electric Fixtures, Final
Building,Final
_
,
_
OCCUPANCY
n
°"" r "tern Vnu CPFCTAT. REOUIREMEN"1'S
22303
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX GIT COSTA MEGA. CALIFORNIA
0 MAIL
0 STATE
M USE OF
For Applicant to Fill In Completely
TYPE OR PRINT
NO '110 Georgetown Lane
COSTA MESA, CALIFORNIA
Los Angeles ll, Calif
ECT. Raymond Levanas
OR San Vista Building Co.
1166 E. 58th Street
TEL.
NO.
SETBACK LINE FROM1
CENTER OF STREET 1 1 REAR V
SIDEYARDI LEFT 0 I RIGHT
DESCRIPTION OF WORK
NEW ALTERATION 11 ADD['
REPAIR MOVING .DEMC
BUILDING NO. OF r
SIZE D ROOMS S
EXTERIOR WALL _ I ROOF
37187
37010
each
A
i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE TH THE ABOVE IS CORRECT AND AGREE TO COM.
PLY WITH AL CI OROINANCIS AND STATE LAWS REGULATING
BUILDING CONSTRU ION.
FEE_ RECEIVED
,dAY 19
FINANCE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office. Use Only
RECEIPT NO.
PlRMIT NO.
p[C[ BY
DATE RECEIVED
E- IBB
_4
JUN i 1qRA
BUILDING
ADDRESS
FIRE iT
ZONE TYPE t�L_ 'GROUP lL..T VZ
APPROVED
BY DATE
ZONING
N
NO. Of
UBE OFxffvv-
PLANE
I BUILDI
LEGAL
Tract 5160 - Lot 320
L /— _
A. P. NO. �/
NOTE: NO SAVE OVERHANG SHALL BE LESS THAN
SO" TO SIDE O REAR P. L.
EAVES
ALLOWED (U. B. C. REQUIREMENT)
. YARDSAPPROVED
YARDS APPROVED
MAIN BUILDING
ACCESSORY BUILDING
(FROMC/eTREET)
FRONT (`\ FT.
FT.
R. SIDE FT.
FT.
L.SIDE FT.
FT.
REAR 0 FT.
FT.
DISTANCE BET.
BET. MAIN S,
MAIN SLOGS.
ACCESS. SLOGS.
VAR.#
(
DATE,
G
C.U.-P.#,
APPROVED 1
APPRO
EID
�`
'4
BY
DATE
v QU
- a
(0.I SQ. FT.
THE AMOUNT SHOWN AVER VALUATION IS FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. '
VALUATION
PERMIT FEE $
CHECK S 2�1—
-/Ok//�"�PLAN
TOTALL FEE