HomeMy WebLinkAbout110 DANBURY LN - Building PermitsPROJECT ADDRESS: 1 1 0 DANB URY LN UNIT:
DINNER'S NAME: WAYDELICH, JAMES C
ADDRESS: 1756 MIRAMAR DR
BALBOA,CA 92661
ARCH/ENGINEER: 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.
L1c. �55Q99"�/7���7�� STATE LIC.: 4025 ss: .0 39 EXP: 10/95
Date: QIOMPEN
3 ISe( Signatur
�BS'jjATIONDECLARATION: 1 hereby affirm at I have a Certificate of consent to self insure or a certificate of Workers'
Compensationdied copy thereof (Section 3800. Lab.
P"ICY ND.: AI G�t�� E%P. DATE: 85/19/95
COIgPANY:
❑ r)trhfied copy is hereby furnished. I1 Certified copy
/,is/s pact the city Buildings Dirdsion.
Date: � J",r 4 Applicant: / / rA,I �L mac-
IXEMPTION I WORAERS' COMPENSATION DECLARATION: (This section 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 WorkersCompensation 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 forthvnlh comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: 1 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. aim requires the applicant for such permit to file a signed statement that he/she i9 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 tumedmm and the basis lar 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' 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 al 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 71344, Business
Eland Professions Code: The Contractors' State License Law does not apply to an owner of property who bolds 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.
❑ I am exempt under Section: B. 8 P. C.
lot this reason:
Date: Owner:
I no hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 255D5, 25533, and
25534 and that I or any future building occupant will not (circle one) need to comply with said slate codes and the requirements for a
permit for construction or modification from the Air Oualfly Management District. Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that 1 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 in pettmn purpose
Dl�� e;, M Signatu ' I C �i
dh,rin s License or Social Security e:
164146 While—Budmng; Green—Cede Enforcement: Canary—Applicant; Pink—Revenue; Goldenrod—Assessor
CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 069606
PERMIT NO: B 069606 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 S
HOT MOP SQ FT: 2,508
CLAIM VALUE:
2,508,00
CALL—VALUE:
2,508,00 GROUP OCC: R-1 /
COMMENTS: REROOF
SLOPE SIDE
W/COMP FLAT SIDE
BUR SMOKE DETE. REQUIRED
LEFT:
FT IN
RGHT;
FT IN
Z O N I
N G R E Q U I R
E M E N T S
RES,
PROV:
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
RES,
PROV:
PARCEL;
41916322
ZNE: REF NO:
PLANNING
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E Q U I R E M E N T S
ZONING APPROVED BY
DATE;
BUILDING APPROVED BY : DATE;
APPLICATION ISSUED BY: DATE:
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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/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
eE 4 ieieie ee if ie iE BeiEie ee4x**it*ie et MiE*****eN*eeie ie ie iE ecce***ee de ee eF ie k it of ie*4fE±f eE eN*ie*iE lE of ee ee lE**iF iE ie ie iE iE ie ie eF iE ee*iE
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
SFR 2508 REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
UNIT COST TOTAL COST
1,00 2,508,00
01 001706888-00170689 TOT 54..50
DATE: 10/28/95 TIME: 13:79
CONSTRUCTION AND PLANNING
APPROVALS Permit #
Date
Inspector
P(J tL & 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
A. Electrical Conduit-Undrgrnd. -
55. Electrical Bonding
5. Steel Reinforceinent
56. Rough Plumbing & Pressure Test
6. ElectricalUFER-Grnd.
57. APPROVAL TO COVER-GUNITE
-•
' 7.'f cotings
58. Electrical Conduit-Undrgrnd.
,.
. fl..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. PtoPerty 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. REOUIREMENT
rAPPROVALS : Permit # -
20., Rough Factory Fireplace -
- -
21. pucts, in Structure` ;'
-
-:70. Underground Hydro
22. Ducts, Ventilating
-71.Prod uc£Pjping0Gas 000
23. -Gas Pipe -Rough & Test
,.
'72. Underground Flush ,
24: Roof Framing ;,,
.
'73.'Undergrnd.Stora1. eTank OGas moil
25. Roof Sheathing :' Z
�`�j� �(�
6(�.yff-`
- 74. Overhead Hydro
26.'T -Bar Ceiling (Structural) & Monocoat
t,
t
75; Dry Chemical
27. Frame and Flashing. ...r ,
"
76. 'Dry Standpipe
28. Lathing &Siding _
_
77." FIXED SYSTEM FINAL"
29. Insulation.
I* r
78. =FIRE PREY. FINAL r .,
30. Drywall Nailing
HEALTH DEPT. REQUIREMENT
.31. Plaster Brown Coat
je
,79. FINAL INSPECTION
32. Electrical Power Meter -Final
'"'
80,. FOOD CERTIFICATE ISSUED
33, Final ElectrC
`.Notes: -
34. Final Heating & Air Conditioning-
.,_
_-• -•
35. Final Gas Pipe-Test-
ipe-Test36.
,36.Hoqd or Canopy
-
37. Final Factory Fireplace t�'�" t
- •'
���
38. Final Plumbing • •
I•
-
39. Water Service -Final
•, I
_ -
40. Gas Service -Final
41, Solar Domestic -Final
42. Backflow Preventer,
43, Backflow Irrigation's
44. Landscape Irrigation Systema
45. .Sound Attenuation o
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
-T !7
48. FINAL PLANNING '.
-•
�• -
'
49., Electric Release to Edison
'•
r:
150. Gas Release to Southern California Gas Cc
51. CERTIFICATE OF OCCUPANCY
No, Date
-
Tl
•til• Va
GENERAL
6-1-64
INSPECTIONS I Signature I DATE I GROUP M.T TYPE V ZONE Ri
Soil _ J
Gas _ SUBCONTxACTOR
PERMITS
ISSUED
DATE
NUMBER
Water
Rough Co d. Reffig. pAir Cond. ❑
Rough Heating sL
O —
Rough Plumbing
Miscellaneous
Prop. Swr. Line ❑ House Con. gSt. Swr. ❑
EC `7 19�3�
Sprinkling System - — -
Construction Pole
Underground ❑ Power 10
Rough Wiring • L -
Trenches,D Forms ❑ Steel Reinf..❑ c 9
Floor System )
Bond Beam ❑ Steel einforce ❑
Sheathing 6
Frame and Flashing c y G
Lathing — In E --Out , @, ip
Plaster, brown coat B
Refrig. ❑ Air Con. ❑ Final
Heating, Final rL•�.,m, o� t.
Plumbing Fixtures, F'nalt Spec. P,, SetWmd
Final Gas Test j' _
07 Da
Electric Fixtures, Final _ c� na�pte Wt.
Building, Final
OCCUPANCY !
22 ► ,
COSTA MESA BUILDING -SAFETY DEPARTMENT
P.O. BOX 317 COSTA MESA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
COSTA MESA. CALIFORNIA
OWNER San Vista Building Co.
MAIL
ADDRESS 1166 E. 58th Street
T Los Angeles 11, Cal. r,E,LAD 37187
CONTRACTOR San Vista Building Co.
ADDRESS 1166 E. 58th Street
CITY Los Angeles 11, Calif.
STATE ------ TEL. .- --
NO. OF BLOCS.
USE OF
EXISTING BLDG. None
SETBACK LINE PROM 1J I
.....Cnv....
a 1J REAR YARD
1 DESCRIPTION OF WORK ■
BUILDING
SIZE
EXTERIOR
NO. OF
ROOMS
CCO I ROOF
2
'1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COM.
PLY WITH ALL ORDINANCES AND STATE LAWS REGULATING
BUILDING CO STRU ION.
FEE RECEIVIa --
WAY 19 Im
FINANCE DEPT.
APPLI&kjYOAFF&qq&fiVSA
BUILDING
For Office Use Only
RQCQI" NO. PF 211 VV
wa
ZONING
z
ZO NO. OP USQ OP N[
PLANS BYILOI
LEGAL
DESCRIPTION LE'BCL 2'u2v2-
LOL GQ
_-\-I
A. P. NO. n/ '3
I l
NOTE: NO EAVE OVERHANG
SHALL BEL SS THAN
SOTTO SIDE 9 REAR P. L.
EAVES
ALLOWED
(U. B. C. REQUIREMENTI
YARDSAPPROVED
YARDS APPROVED
MAIN BUILDING
ACCESSORY BUILDING
(FROM CAL -STREET)
W
J
L. SIDE FT.
FT.%
Z
REAR FT.
FT.
W
DISTANCE BET.
BET. MAIN e
MAIN BLDGS.
ACCESS. SLDGS
W
VAR. $C
DATE
C.
APPROVED/�
d
APP O
BY
DATE l
Q
r
L)
-
W
O
THE AMOUNT SHOWN
UNDER VALUATION IB FOR THE
G
PURPOSE OF ESTABLISHING A PERMIT PEE ONLY.
VALUATION
•
PERMIT FEE
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