The URL can be used to link to this page

Home My WebLink About109 DANBURY LN - Building PermitsPROJECT ADDRESS: 109 DANB URY LN UNIT: OWNERSNAME: RODRIGUEZ ANNA M ADDRESS: 109 DANBU{AY LN COSTA MESA,CA 92626 ARCHIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: STOUT ROOFING INC (310)923-6772 ADDRESS: P 0 BOX 4309 DOWNEY CA 90241 LICENSED CONTRACTOR DECLARATION: 1 hereby affirm trial I am licensed under provisions of Chapter 9 (commencing wild Section 7000) of Division 3 of me Business and Prolessions Code, and my license is in full force and effect. CITY j9 �7, �STATELIC.: 402536 DLA^B: C 39 EXP: 10/95 Datet�' Signature: WORENSATION DECLARATION: I hereby affirm thathave a certificate of consent to self -insure or a certificate of Workers' Compensation Ir(yq[e2o(.a,peJLilied copy thereof (Section 3800, Lao. C65/19/95 5 / 1 9 / 9 5 POLICY Na.: tltl LL 6t `7J 99 EXP. DATE: U COMPANY: AIG ❑ Certified copy is he eb carni hed. CJ( Carolled copy Is fled with the cityBuildingDivision. Date: Applicant: #14,8 t�� PTI EXEMON F M WORXERS' COMPENSATION DECLARATION: ( is section need not be completed it the permit is lot 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 the WorkersCompensation Laws of California. Date: Signature: NOTICE: IL 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, Cie. 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 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 (S5DO). I, as owner of the properly 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' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himselllherself or through his or her awn 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 holshe did not build or improve lot the purpose at sale). I, as owner of the properly, 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' Stale License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me, ❑ I am exempt under Section: B. S P. C. lot 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 wilUwill not (circle one) need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and stale that the above information is correct.) agree to comply with all city and county ordinances and stale laws relating to building Construclion and hereby authorize representatives of this city to enter upon the above-mentioned property for inspecinm urpose . ��,�T'!I Date/_ a Signature' _/c./ flit Driver's License pr Social Security a: 1641 46 While—Building; Green—Code Enforcement; Canary—Applicant: Pink—Revenue; Goldenrod—Assessor COMMENTS: REROOF SLOPE SIDE W/COMP FLAT SIDE BUR SMOKE DETE, RE?UIRED kkkkkkkkkkkkkkkk�t+rir****it it*r+e*�r it*r�F it it*�F+r**�r *�Er**r*r��r****�E***+t*�r kE Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN CITY OF COSTA MESA — BUILDING PERMIT --------- PERM NO: B 06960 PERMIT NO: B 069605 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/COPM 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, RE?UIRED kkkkkkkkkkkkkkkk�t+rir****it it*r+e*�r it*r�F it it*�F+r**�r *�Er**r*r��r****�E***+t*�r kE Z O N I N G S E T B A C K S R E Q U I R E M E N T 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: 41916336 ZNE: REF NO: PLANNING NOTES> k k k k kkkk k kit k kk k k k k kkk k k k k kk k k k kkkk k k kk k k kkk kkk kkk k kkitkkk kkkkk kkk k k kk kk k kk k k k k k k 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 BUILDING APPROVED BY Y: r k h DATE: DATE: k kkkkkkkkkkkkkkkkkkkkkkkkkkk if iekkkiEkkkkitk4kih iekkkkkkiEkkkkkkkkkkkkkkkkkkkkkifkkkk LEGALIZATION:N E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES 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 k kkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkkk 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 00170690-00170691 TOT 54.50 DATE: 10/28/94 TIRE; 13:30 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POu, & SPA APPROVALS Permit # Date Inspector 1, Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.oElectrical Conduit Usility-Undrgrn&.. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6.':Electrical LIFER Grnd. 57, APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer 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. POOLISPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REOUIREMENT APPROVALS. Permit # 20, Rough Factory Fireplace 21.'Ducts, in Structure , ;; ;, - " 70. Underground. Hydro 22. Ducts, Ventilating. _ 71. Product`Piping 0 Gas 000 23. Gas PipetRough &'Test „ 72. Underground Flush 24. Roof Framing n, .• .. 73.'•Undergrnd.Stara geTank QGas ❑Oil 25. Roof Shgathing 3 -�S �(,t/ 74. Overhead Hydro 26. T.Ban Ceiling (Structural) & fNonocoat 75. 'Dry Chemical 27. Frame and Flashing* ' - 76. Dry Stand(iipe - 28. Lathing & Siding r 77. FIXED SYSTEM FINAL '29. Insulation 78.- FIRE PREV. FINAL ,30. Drywall Nailing HEALTH:OEPT. REQUIREMENT 31. Plaster Brown Coat X79. FINAL INSPECTION 32. Electrical Pov)er Meter -Final: i .80. FOOD CERTIFICATE ISSUED 33.,FFinal Electric 'Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Tesi• .36.' Hood or Canopy _ 37. 'Final Factory Fireplace ' 38. Final Plumbing 39. Water Service -Final : ' 40. Gas Service -Final : 41. Solar Domestic -Final .:-• 42. Backflow Preventer ` 43. Backflow Irrigation 44. Landscape Irrigation) System. r - - 45. Sound Attenuation : 46. 1-Iandicap Regulations n 47. FINAL STRUCTURE & BUILDING '7�q7 Pt;;G ' 48. FINAL PLANNING. 49. Electric Release to Edison •. 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. all CITY OF COSTA MESA CONSTR UCTIO PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT Nn Project Address -to Applicant's Mailingr ss. dd Owner's Name Phone Address _?,j�r1 I L� Arch/Eng. License No. Address Contractor's Name Phone Address (mailing) City License No r, LICENSED CONTRACTOR DECLARATION I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full fn an rF d effect. Licens s /- en Date �'fe/�)7IA Signature If 114 WORKERS' C MPENSATION DECLARATION , I hereby affirm that I have a certificate of Consent to self -Insure or a certificate of Workers' pC��oasmpee )nss/a�ati//o��n Insurance, Or a certified copy thereof ,(Section Policy Lab.7�a"(�(h� Company I1P�yoI Policy No. IY 1 Com an—Yp�J-(//_ /�)� ,�Wl• 1�/ /�,(b� 11' Cerlifietl copy �s filetlbwitnrt hehcity my Diyis o //.y� /f Date�� ,th theant 1 �/ �hvy 4� ^ EXEMPT ON ROM WORKERS' COM NSATION DECLARATION (ThiSsection need not be completed if the permit Is for One hundred ($100) 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 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's Name _ Lender'S.Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or 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 Contractor's License Law (Chapter 9 (commencing with Sectlon.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 ralty 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 Contractor's 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 com- pletion, the owner will have the burden of proving he/she did not build or im. prove for the purpose Of sale).- ❑ I, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project(Section 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a con. traclor(s) license pursuant to the Contractor's License Law). I am aware that proof off their Worker's Compensation insurance Should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date Owner 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 repre. �Sehtatives of this city to a ter upo the above-mentioned Iproperty for inSpi ction p os 9 /O J Signature Date !C� Drivers' License or 55 T- 6227 10/29/66 5e00 'TL TYPE OF CONSTRUCTION 0 NEW 11 ADD L1 ALTERATION ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. REPAIR' A.P. �W 2one S Main Building: Accessory Building: TYPE OF PERMIT GRADINGOUNDATION STRUCTURAL 1:1 TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL ❑ OTHER E T Front - Z O B A Rear N I K Right N' PROJECT DESCRIPTION ESQ. FT. OCCUPANCY CONSTRUCTION TYPE VALUATION $ ZONE GRADING CU.YDS. ACRES S Left G R Ping. Ref. # Parking Req./Provided E Remarks: Planning Notes: Q M T S PLUMBING FEES Bar Sink Showers ELECTRICAL FEES Backflow Preventer Service Sink Automatic Washer Construction Pole Sub. Transformer ❑ 15.50 KW ❑ 50+ KW Backflow Irrigation Sewer Cap Bathtubs - Sewer Connection Cooking Unit Meter ❑up to 100 amps Clarifiers Solar Collectors Dishwasher - Meter Dover 100 amps Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel Drinking Fountains Solar Tank Fan Motors ❑ 0.1 HP ❑ 1% - 8 Floor Drains Swimming Pool W/Spa F.A.U. Inc.Solar 09-15 HP ❑16-15+ Floor Sinks Urinal Fixtures Microwave Gas Service Outlets Water Closet Device Boxes Pole Light Interceptors Water Heater Outlets Range _ Kitchen Sink Water Service Switches Sign Lavatories Auto -Wash Garbage Disposal Standing Sections P—Trap Laundry Trays Generator 00.5 KW 05.15 KW Trash Compactor Roof Drains Reinspection Fee $15 Issue Fee $ 3 Reinspection Fee $15 Issue Fee $ 3 MECHANICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: Approved By Date Building Approved ByDate 1 Building y Dat Application Issued By— ./!J� Boiler Hood or Type ❑ Canopy Type 11 [D Duct - Under Ground Duct -Structural Refrigeration System 00-100,000BTU 0100,000BTU Duct. Ventilating Duct BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY $ $c $ $ $ $ $ $ OF FEES SMIP $ PERMIT S ' ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ TOTAL FEE $� Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. Bit. ICBO # Fire Dampers Heating System & Ducting 110.100,000 BTU❑100,000BT Registers I Reinspection Fee $15 Issue Fee $ 3 CMF 0865-46, r4v 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector POOL & SPA APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer 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 SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑Gas []Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing - 4:7 lhfr 39. Water Service-Final . 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45, Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ' 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51'>,CERTIFICATE OF OCCUPANCY No. Date \l OWNER SAN VTSPA BUILDING COMPANY DATE 6-1-64 JOB ADDRESS 109 Danbury lane BUILDING PERMIT NO. 22179 AP No. LOT lb TRACT 5160 FIRE ZONE DESCRIPTION OF WORK res INSPECTIONS I Si¢nature DI ATE I GROUP 7&J TYPE V ZONE R R Soil SUBCONTRACTOR Gas _fit_ ate, Wat} PERMITS ISSUED DATE NUMBER Rough ConY. Re ig. Cond. 0 Rough Heating a - Rough Plumbing -/—G Miscellaneous ' Prop. Swr. Line ❑House Con. St. Swr. ❑ Sprinkling System Construction Pole i Underground ❑ Power 0 Rough Wiring - Trenches ,0 Forms 0 Steel Reinf..0 0 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing Cunning Dept. Frame aad Flas ' g _ ea san.r�ed Lathing — In Ej Out I�. Plaster, brown coat Refrig. 0 Air Con. 0 Final Heating, Final i Plumbing Fixtures, Final Final Gas Test j - Electric Fixtures, Final / .e _ Building, Final _ OCCUPANCY I-- c a tea, �rc4+/1A. K uu,," M,N'" COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOK 317 COSTA MESA, CALIFORNIA For Applicant to Fill In Completely TYPE OR PRINT I Ma1U41.1I0BJ COSTA MESA, CALIFORNIA San Vista Building Co. 1166 E. 58th Street Los Angeles 11, Cal.TEL—AD 37187 CT JEER Raymond LevanaS Na'OR 37010 3432 Via Oporto. Newport Beach 1166 E.58th Street os Angeles 11, California 192782rT+7 AD 37187 NO.OFBLDGS. 3, None IOM ,T 13 REAR YARD EFT 0 I RIGHT 0 DESCRIPTION OF WORK X M N USEOFBUILDING IS 1 HEREBY OF O. OF OOMS ROOF 2 THAT I HAVE READ THIS APPLICATION WEIB CORRECT AND AGREE TO COM- 1ANCEB AND STATE LAWS REGULATING FEE RECEDED w19" FINANCE DEPT. APPLW�&4 fi!4TPE A BUILDING For Office Use Only RECEIPT NO.ZM�.-J 2 RECEIV SY DATESY DATE EC jVED DATR ISSUED( DATE ISSUUJED L N 1 1994 BUILISING ADDRESS FIRE ZONE TYPE GROUP `F APPROVED BY DATE ZONING ) Z E NO. OP USE OF NE PLANH BUILD 9 D ESIcn, TION Tract 5160 - Lot 18 j C A. P. NO. 1k NOTE: NO SAVE OVERHANG SHALL BE LESS THAN SO" TO SIDE 3 REAR P. L. EAVES ALLOWED (U.B.C.REQUIREMENT) YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING G f FROM C/ R1 FRONT FT. FRONT FT` 0 R. SIDE FT. FT. L. ID8 FT. FT. REAR Fr. Fr. DISTANCE BET. BST. MAIN B: MAIN BLDGS. ACCESS. BLDGS. VAR.* DATE A C.U.P. APPROVED APPROE BY � DATE J i� 7y� o. SQ. FT. THE AMOUNT SHOVN UNDER VALUATION IS FOR THE PURPOSE OF EBTABLIEHINO A PERMIT FEE ONLY. VALUATION PERMIT FEE $ PLAN CHECK $ ;Z.�2F.!� O //(f S O /�� TOTAL FEE • -� '