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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> iE aE lE iE lE * 1E k Bk lE iE 1f 1E iF iF e! jE je iE jF lE lE iE iF 1f if 1E Bk 1E 1F iE iE BF 9F BE Bk iE of 1E 1F ie iF B! 1EiE 1E iE ie if-iE iF %1e iE ie BE if ie it Jf !E if ee 1e %Be B! * iE iF ie iE iE iE ie 4F iE 3E iE 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: k1E 9t BE 1k iE�*��atr*���***BE aE�r� iE i! iP iF if B! if if 1E iE iF iE lE ie fE iE ie 1E iE iH BE iE ±E 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 iE 1E 1E aE if if * BE BE if 1e BE iE iE iE ie ik -0e iE !! et BE eE iE 3E if iE Bf iF ii * 1E iE Be iE lE lE iE BE ee 1F iE BE 9F iF eE iE 3f iE iE it iF it 9E if # is BF ae Bf iE iE i! 1E Bk 3E of iE ie 1E iF BF * * iF iF BF iE 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 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 _