HomeMy WebLinkAbout113 DANBURY LN - Building PermitsPROJECT ADDRESS: 1 1 3 DANB URY LN
OWNER'SNAME: ARMSTRONG, ANNIS E
ADDRESS: 113 DANBURY LN
COSTA MESA,CA 92626
ARCHIENGINEER:
ADDRESS:
REG.NO.:
UNIT:
UNIT:
PERMITTEE: STOUT ROOFING INC (310)923-67751
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
CITYLIC.:Q59377- STATE : 9025-6'vJ� C30/95
Dare(il Signature: / I
WORKER$' OM PE SATION DECLARATION: hereby affirm that Wave a certificate of consent to self -insure or a certificate of Workers'
Compensation IlukgrtSe2oT.a�Wified copy thereof (Section 3800. Lab. 85/19/95
POLICY NO.: CC LL C 77 E)P. DATE:
COMPANY: AIG
❑ Cemfied copy is hereby furnished. E� Certified copy //l
is filed Mwith the city Building Division.
Date: L ApplicanC
EXEMPTION F OM W0 ERS' 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: Ifafter 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:
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 ($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 at completion, the owner will have the burden of proving he/she did not build or improve
for the purpose of sale).
I, as owner at 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 tot 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.
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 (or 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 far inspection pposes.
Date: / Signature
Driver s License or Social Security a:
1641-46 White—Budding, Green—Code Enforcement: Canary—Applicant: Pink—Revenue, Goldenrod—Assessor
CITY OF
COSTA MESA — BUILDING PERMIT
PERM NO:
B 06960
PERMIT NO: B 069609
PLAN CHECK NO:
N
GOVT:
N SUPP: N
CONSTRUCTION TYPE: V—N
PERMIT TYPE:
STR
PURPOSE:
ALT
JOB DESCRIPTION : T/O RESTH
& REROOF W/COPM
& 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
ik ik iE eE it it if if iF jf if iF Bflfik#FBl iF i4lt iE if#if*if lE Bf ff it•it 9E iF if iB if lElfieie eEfE iF it if iE iF ifi(-4E ik it iF ie 9E iE it iE ek aE iE iE if i! it it it*al iE iE lE it le iE iE it iE
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
PARKING REQ:
PROV;
PARCEL:
41916334
ZNE; REF NO:
PLANNING NOTES>
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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
BUILDING APPROVED BY :
APPLICATION ISSUED BY:
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LEGALIZATION:N
E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
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
DATE:
DATE:
DATE:
eE *!F iE ♦F iF iE IE iE af-9f iE iE iE ec-* iF iF iE iF ie iE e( -BE iE if iE ae 9F
STRUCTURAL SEGMENT:Y
FIRE SMIP/AES GRADING
50
SMIP/NON—AES
TOTAL PAID DUE
54,50 54,50 .00
54,50 OVER/SHORT: ,00
FIRE SMIP/TOT GRADING PLAN—CHECK
.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 00170664-00170665 TOT 54..`101
DATE: 41 TIME: 23:23 1
CONSTRUCTION AND PLANNING
POOL - SPA i
{
APPROVALS Permit �'r
Date
Inspector
APPROVALS Permit #
Date
Inspector
1. Temporary Electrical Service or Pole
-
52. Pool & Equipment Location 1
'
(
2 Son Pipe-{jndrgrnd.
53. Steel Reinforcement (
I
3. Dectricai Conduit Utility-Undrgrnd:
54. Forms
.4. -Electrical Condtiit-Uhdrgrnd.
55. Electrical Bonding
,
'.5. "Steell Reinforce'rimaht
56. Rough Plumbing & Pressure Test
-
< r
6....Electrical LIFER Grnd.
57. APPROVAL TO COVER GUNITE
,
r 7 Footings
58. Electrical Conduit-Undrgrnd. I
-
8.�Foundation '
59. Gas Pipe, ❑ Undrgrnd., Test
(_
1
9. Water Pipe•Undrgrrd.
60. Backwash Lines, P -Trap, ❑ Undrgrnd.
10. Structural Floor System
61, APPROVAL TO DECK
f
11. Property Sewer Line & Hoyse Connection
62. Backwash & Receptor -Fina?
j
12. Server Cap -
63. Heate; & Vent -Fina! ,
I
13, Roof Drains -
64. Plumbing System - Final
14. Rough Plumbing - -
65. Electrical -Final
15. Rough Electrical -Conduit
66. Solar System -Fina!
16. Rough Electric Miring -
67. Fencing & Access Approval
1
17. Rough Wiring Sign
68, APPROVED FOR PLASTERING
18. Rough Electrical -T Bar Ceiling
69, POOL/SPA SYSTEMS FINAL
1,9. Rough Heating & Air ConditioningFIRE
DEPT. REQUIREMENT
APPROVALS Permit
( ��
20.,5ough Factory Fireplace
21._Du&'s, in Structure r _
_-
70. Under.ground Hydro
I
22. Dues, Ventilat£ng'..
;71. Prod ucf i=1 Piping �GSs Uii
I
23. Gas-Pipe'Rough &'Test �; ._.
Undergrodnd Flush
„
_
172.
2� 4.:Roof Framing f::
_73: �Undergrnd. Storage Tank C Gas C Oil
(� 25. --Root Sheathm 9
-14.-,Overhead Hydro
26. T -Bar Ceiling (Structural) & MonocoatV
75. Chemical
27.'F+ame and Flashing' -
`
_Dry
76. Dry Standpipe
-'
28. Lathing,& Siding:
77. FIXED SYSTEM'FINAL
( '29. Insulatio,
78., FIRE PREY. FINAL
�
r30. D=YWa11 Naiung �
HEALTH DEPT_ REQUIREMENT
----
--
31. PEarter 3rown Coat'
i,
FINAL INSPECTION
?
-
-. -
,79.
,r� ...
32. Electncad pottier Meter -Fina! •
+
=80. rPOOD CE!#TlF!CATe ?SSUED -�_
`�`
:'-
nalElectr<c
'`I
' •'
--
otes:
"N -
1 '34. Fina9 Heating & Air,Conditioning
35.'Final Gass Pipe -Test
:36. - Hood or, Canopy .,` ,•
-
_ j
1 37. FinalFactory Fireplace
_38. Final Plumbing •-
-
� �
------�----__--�
39 Water Service -Final
i Gas Service -Final
,SO.
41, Solar Domestic -Final
i
-42, Backflow Preventer
i
43. Backflow Irrigation =
;44. Landscape Irrigation System,
45. Sound Attenuation
,t
n I1
46. Nandicap;Regulatio6s -
r
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING'
49. Electric Release to Edison
50. Gas Release to Southern California,Gas Ca
51. CERTIFICATE OF OCCUPANCY'
No. Date
-
OWNER SAN VISTA BUILDING COMPANY DATE 6-1-64
JOB ADDRESS 113 Danbury Lane BUILDING PERMIT NO. 22177
INSPECTIONS I Signature I DATE
E ZONE DESCRIPTION OF WORK re
GROUP TZ.T TYPE IT ZONE n1
Soil _
Gas
—
SUBCONTRACTOR
PERMITS ISSUED
DATE NUMBER
Water
Rough Core. R frig. ff Air Cond. Cl
Rough Heating _
Rough Plumbing�/—
SL 3A,
Miscellaneous
\
Prop. Swr. Line ❑ House Con. St. Swr. ❑
r
EC---j—Ijo—
Sprinkling System
Construction Pole
Underground p Power f]
1
Rough Wiring
z -
G
Trcnches O Forms D Steel Reinf..❑
m
Floor System
Bond Beam ❑ Steel Reinforce ❑
Sheathing
.
Frame and Flashin-
Lathing — In Out
C .
6
Plaster, brown coat
(a
Refrig. ❑ Air Con, ❑ Final
p
_
Heating, Final
. Rea. snhn
Plumbing Fixtures, Final
Final Gas Test
,�
WI,
Electric Fixtures, Final
Building,Final
I'
OCCUPANCY
8orm BV4-6M--3-83-4 B P
22077
COSTA MESA BUILDING -SAFETY DEPARTMENT
P. O. BOX 917 COSTA MESA, CALIFORNIA
For Applicant to Fill In Completely
TYPE OR PRINT
BUILDING113 Danbury Lane
ADDRESS COSTA MESA, CALIFORNIA
MAIL
ADDRESS 1166 E. 58th SAreet
CITY Los Aneeles 11 Cal. TEL 37187
ADREss 3432 Via Oporto, Newport Beach
1 A DCFCR 1166 E. 58th Street ■
USE OF None
EXISTING BLDG.
SETBACK LINE FROM'
13
CENTER OF STREET REAR YARD
O
0
I
81DEYARDI LEFT
RIGHT
DESCRIPTION OF WORK
.....
I x 11--
--------- 1
C. U. P. #
II ---.-._..
11
I HEREBY ACKNOWLBDOE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT "' , ABOVE 18 CORRECT AND AGREE TO COM.
PLY WITH ALL CITY `pROINAN.EB AND STATE LAWS REGULATING
EUILDINO CONSTRULYION.
APPROVED
FEE RECEIVED
MAY 10,
18Q4
FINANCE DEPT.
APPLIF, MOAT Fa'RR*SA
BUILDING
For Office Use Only
ZONING
NO. OP ^/ 088 DI N8 ^ I
PLANS 4 BDILOING�I a
t 5160 - Lot 16
IRHANG SHALL BE LES:
EAVEB
ALLOWED CU. B, C. REQUIREMENT'.
YARDS APPROVED YARDS APPROVED
MAIN BUILDING ACCESSORY BUILDING
DISTANCE BET.
BET. MAIN Q
MAIN BLDGS.
ACCESS. BLDGS.
W
VAR.#
DATE �`
C. U. P. #
APPROVED 'J IC% 6
C.
APPROV
(AMA
B
DATE J
L'.
Vic
-
Q
V
a W
14 /L/ p�
s�Q. �a
7 Fr. to
o p.
THE AMOUNT SHOW i UNDER VALUATION 16FOR THE
PURPOSE OF ESTABLISHING A PERMIT FEE ONLY.
F
a
VALUATION'
5 /
r+ 0
PERMIT FEE S
7
m �
_
L
�Q
i "PLAN
CHECK�✓
O
_ i
0 _