HomeMy WebLinkAbout331 REIMS LN - Building Permits CITY OF COSTA MESA '
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BUILDING DIVISION
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�r ~ 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)7544856 • www.ci.costa-mesa.ca.us
e. g FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: B10-00378
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 43914151 DATE ISSUED: 12/08/2010
ISSUED BY: KJB
JOB ADDRESS:C331-REIMS-LN.CM Suite/Unit:
Vicinity: 331 -337 REIMS'CANE - b-
Squares: 4600 Valuation: $18,000.00
SCOPE OF WORK: TEAR OFF EXISTING BUR SYSTEM AND INSTALL NEW BUR SYSTEM ON FLAT ROOF.INSTALL 2 LAYERS OF 15
#FELT AND 1 LAYER OF 30#FELT AND COVER WITH 40 YEAR COMP ON A BARREL ROOF.331 -337 REIMS
LN
OWNER: BACK BAY GARDENS ASSOC Address: • Unit:
PHONE: City/State/Zip:
APPLICANT: JORDAN ROOF COMPANY Address: 915 W COLLINS AV Unit: :
PHONE: 714-744-6577 City/State/Zip: ORANGE,CA
CONTRACTOR: JORDAN ROOF COMPANY . . - License No. 406783
Address: 915 W COLLINS AVUnit: PHONE: 714-744-6577
City/State/Zip: ORANGE, CA i 92867 CELL: .. .,..
ARCHITECT: License No. PHONE:.
ENGINEER: License No. PHONE:
FEE SUMMARY
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Reroof Plan Check: $0.00
Reroof Permit Fee: $293.25
Reinspection Fee: $0.00
Bldg Std Admin Fund $1.00 - •
•
TOTAL FEES $294.25
HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010-PER CMMC Sec. 13-279
Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm.Prohibitied all hours-Sundays and the following Federal holidays
New Years Day, Memorial Day, Independence Day, Labor Day,Thanksgiving Day and Christmas Day
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NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No.92-28,§ 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit,
COOS C. INSPECTION TYPE DATE INTITIALS CODEC INSPECTION TYPE DATE INTnIAL�S
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final � (f 208 Final Plumbing
200 Final Re-Roof A a-I I- II H 1bu n - 210 Final Electrical
201 Final Block/Retaining Wall 'J _ 212 Final Fire Prevention
202 Final Factory Fire Place _ 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. ❑Yes ❑ No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' ' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the A
performance of the work for which this permit is issued. •
❑ I have and will maintain workers'compensation insurance, as required by -
section 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
!t.Si,2_ ( �, by this permit,and that no building structure,scaffolding,falsework,a-demolition
SA- or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2.Grp
(This sechoil need not be completed d the penmt is valued at one hundred dollars(SIM or less.)
2,Art 2Sec.341,Title B,California Administrative Code).
m r:• C.I'eA f o s4,7_
0 As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of
Applicant's Signature Date
the Labor hall forthwith comply with these provisions.
Division of Industrial Safety Permit Number:
store HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑ No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes 0 No
Crair -IG 3 co-nage-35 (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
—r 0 each business which at any one time has on hand a quantity of acutely
cure �+ hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑ No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? El Yes El No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
thereon,and who does such work himself or herself or through his or her own 8 "yes",attachcertificate(If
employees, provided that such improvements are not intended or offered for ofcompliance from the appropriate air pollution
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors license Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: theCosta Mesa to enter upon the above-described property for
pecti ses. I agree not to occupy or allow occupancy of any building
a thori 's erm't rnnt9nnl Inspection.
Signature of Leg l Owner(i) Date
Signature Date � I\T tIWLw/ t ^moi_LO
305746(3/07) mss" -
=And/or APPlitant�4 4 Date
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. 131D - 00-- ---7e
Prescriptive Certificate of Compliance: Residential , - CF71R-ALT
' Residential Alterations (Page 1 of 5)
Project Name: Climate Zone k #of Stories
' 33 i- 337 121 tz r ..,S CA.-, 47
• General information •
Site Address: Enforcement Agency: Dater-.2____t)._ Lo
Building Type D Single Family 15irMulti Family Circle the Front Orientation:N,E,S.W,or degrees
Conditioned Floor Area(CFA): Project Type: 0 Alterations ❑Envelope 0 Fenestration 0 Roof 0 HVAC
Replacement or Change Out ❑ Duct Replacement 0 Water Heater _
NOTE: This form is not to be used fin Newly Constructed Buildings or Additions
Insulation Values For Opaque Surfaces(for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration
D Opening of framed cavity alone-Alterations that involve the opening of the framed cavity of a wall,ceiling, or,floar must install the
mandatory minimum insulation value per§150 for the altered assembly. Fill in Columns A-C and enter mandatory insulation value in Column H.
❑Replacement of entire assembly-Replacement plan entire wall, ceiling,or floor assembly requires the installation of Component
Package-D insulation values in Table 151-C Fill in Columns A-J.
Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below.
-A B - C D E • F _ G H - ! • `1- • J J
-
Proposed seenotc Standard Values Front JA4 Table ' _
. r Framing Thickness, Framed I Continuous JA4 Proposed
Tag/ Assembly Name Material Spacing, U- 3A4 Table Cavity Insulation Assembly Assembly
IDI or Ther and Size or Other' factor" Number' R-valuer' R-Value' Cell Value' U-factor9
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1
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Note:For Jutted assemblies,accounting for Continuous Insulation R-value see Page JA4-3 and Equation 4-1. For calculating fumed walls use the Mass and
:Furring Construction table below
I.For Tag/ID indicate the identification name that matches the building plans.
2.Indicate the Assembly Name or type:Roof/Ceiling, Walls,Floors, Slabs, Crawl Space, Doors and etc...lndicate the Frame type and Size:For
Wood, Metal, Metal Buildings,Mass, enter 2s4, 2x6, or etc...see JA4 for other possible frame type assemblies.
3. Enter the thickness for mass in inches or Spacing between framing members enter; 16"or 24"OC;or Other for all other assembly description
such as Concrete Sandwich Panel, Spandrel Panel,Logs,Straw Bale Panel and etc....
4. Based on the Climate Zone;enter the Standard U factor from Table 151-B, C or D for each different assembly Name or t1 pe.
5.Enter the Table number that closely resembles the proposed assembly.
6 Enter the R-value that is being installed in the wall cavity or between the fi oning; otherwise, enter "0". .
7. Enter the Continuous Insulation R-value for the proposed assembly; otherwise, enter "0".
8.Enter the row and column of the U-facto'value based on Column F Table Number and enter the Assembly U-factor in Column J
9.The Proposed Assembly LI facto,', Column J, anus!be equal to or less than the Standard U-factor iu Column E'to comply.
Furring Strips Construction Table for Mass Walls Only
A B C D I E F G H I J K L M
Proposed Properties of Masonry and Concrete l Added Interior or Exterior Insulation
Walls From Reference in Furring Space from Reference
Joint Appendix Table 4.3.5,4.3.6.4.3.7 Joint Appendix Table 4.3.13
4.
O c' E s
V w L- 5 a u
�. D_ o - °..2 N
Assembly 2.0 j 2 `e c I t- c ot,'m '° s Final
Mass Nana or .JA4 Table d 2 c _+ c 2 2 0 't m v e- u .c Assembly
Thickness' Type' Humber' S '"_ = ui . c` Les n'. c S m t5i] r i U-factor"' Comment •
1
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r
I 1 I' I
Registration Number: Registration Doe/Time: HERS Provider:
2008 Residential Compliance Forms August 2009
Prescriptive Certificate of Compli Residential CF-1R-ALT •
Residential Alterations (Page 3 of 5)
Project Name: Climate Zone}i II of Stories
3 ( - 3l.7 �/Y
ROOFING PRODUCTS(COOL ROOFS)§151(1)12
When the area of exterior roof surface to be replaced exceeds more than 50%of the existing roof area,or more than 1,000 jf, whichever is
less, the new roofing area must meet the roofing product "Cool Roof'requirements of§152(191111, 152(b)1Hii, or 152(b)1Hiii.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof:requirements. Note:If any
one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Eminence requirements for roofing products in
§118(1)are not applicable.Do not fill table below. .
;8(Cool Roofs Not Required in Climate Zones 1-12, 14,and 16 with a Low Sloped. Less or 2:12 pitch.
6001 Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep-Sloped Roofs(pitch greater than 2:12)and product unit weight less
than 5Ib/ft2.
Alternatives to§152(b)1Hi and §152(b)Hii,Steep-slope roof(pitch>2:12)
❑ Insulation with a thermal resistance of at least 0.85 hr' '"F/Bat or ai least a 3/4 inch air-space is added to the roof deck
over an attic;or
❑ Existing ducts in the attic are insulated and sealed according to§151(010;or
❑ In climate zones 10, 12 and 13,with 1.ft2.of free ventilation area of attic ventilation for every 150112 of attic floor area,and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge;or
❑ Building has at least R-30 ceiling insulation;or
O Building has radiant bather in the attic meeting the requirements of§151(02;or
❑ Building has no ducts in the attic;or
O In climate zones 10,11, 13 and 14,R-3 or greater roof deck insulation above vented attic.
Exception to§152(b)1Hiii,Low-slope roof(pitch 52:12)
❑ Building has no ducts in the attic.
Other Exceptions
. 0 Roofing area covered by building integrated;photovoltaic panels and solarthermal panels are exempt from the below Cool Roof criteria.
.0 Roof constructions that have thermal mass over the roof membrane with at least 25 lb/ftt is exempt from the below Cool Roof criteria.
• Note;If no CRRC-I label is available,this compliance method cannot be used,use the Performance Approach to show compliance,otherwise,
Check the applicable box below if Exempt from the Roofing Products"Cool Roof'Requirement:
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Number' < 2:12 >2:12 < 5Ib/ft2 > 51b/ft2 Type2 Reflectance3'4 Emittance SRIF
❑ 0 0 0 ❑4
❑ 0 0 0 1:34`
❑
0 0 ❑ ❑^
❑ ❑
0 ❑ - ❑i
❑ ❑ ❑
0 0
4,
I. The CRRC Product ID Number can be abtainedfronr the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.ori/nraducts/search.php
2.Indicate the type of product is being used/or the roof top,i.e.single-ply roof asphalt roof metal roof etc.
3. If the Aged Reflectance is not available in.the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same
directory and use the equation(0.2+0.70,aniat-0.2)to obtain a calculated aged value. Where pis the Initial Solar Reflectance.
4. fleck box if the Aged Reflectance is a calculated value using the equation above.
5.Calculate the SRi value by rising the SIU- Worksheet at him://wrvw.enerr7'.ca.gov/litle24f and enter the resulting value in the SRI Column above and attach acopt of
the SRI- Worksheet to the CIT-I R.
To apply Liquid Field Applied Coatings,the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage
recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(i)4. Select the applicable coating:
❑ Aluminum-Pigmented Asphalt Roof Coating 0 Cement-Based Roof Coating 0 Other
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Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms • August 2009
•
Prescriptive Certificate of Camplia_ _: Residential . CF-1R-ALT
Residential Alterations (Pale 5 of 5)
Project Name: Climate Zone W * of Stories
23t - 33? Z1t£n, S L &
HERS VERIFICATION SUMMARY The enforcement agency should par special attention to the HEIRS Measures specified un this
checklist below A completed and signed CF-41?Form fa all the measurer specified shall be submitted to the building inspector before final
msnecnon.
Duct Sealing & Testing HERS verification is required for this measure.
❑ YES 0 NO YES:In Climate Zones 2 and 9-16,if more than 40 linear feet of new or replacement ducts are installed in unconditioned
space,the ducts are to be sealed per 1i152(b)lDii and the newly installed ducts arc to be insulated pet 1151(1)1 U.
O EXCEPTION: Existing duct systems that are extended, which are constructed,insulated or scaled with asbestos.
❑YES 0 NO \'ES-in Climate Zones 2 and 9-16, if the existing space-conditioning system(HVAC equipment and ducting)is replaced,the
ducts are to be sealed pet §152(b)1Di.
❑ YES 0 NO YES:Iu Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement o1 the an handler,
outdoor condensing unit of a split system,cooling or heating coil,or the furnace heat exchanger)the ducts are to be
sealed pet §]52(b)1E.
❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS
• verification in accordance with procedures in the Reference Residential Appendix RA3.
❑ EXCEPTION:Duct systems with less than 40 linear leet in unconditioned space.
❑ EXCEPTION: Existing duct systems constructed,insulated or sealed with asbestos.
Refrigerant Charge- Split System HERS verification is required for this measure,
❑YES ❑ NO YES:In Climate Zones 2 and 8-15,when the existing HVAC equipment is replaced(including the replacement of the air
handler,outdoor condensing unit of a split system A/C or heal pump,cooling or heating coil,or the furnace heat
exchanger)a refrigerant charge measurement shall be verified per§l52(b)1F.
Central Fan Integrated (CFI)Ventilation System and Fan Watt Draw
The ventilation requirements of§150(o)do not anply to existing residential homes.
Ducted Split Systems-Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
- 0 YES 0 NO YES:In Climate Zones 10 through IS.when the existing space-conditioning system(HVAC equipment and ducting)is
replaced. the airflow and fan watt draw shall be verified per§152(b))Ci to meet the requirements of§151(f)7B.
•
_Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name: Signature:
•
Company: Date:
Address: 11 Applicable 0 CEA or O CEPE
(Certification i/): •
City/State/Zip: Phone:
Responsible Building Designer's Declaration Statement
• I am eligible under Division 3 of ttte California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance,
• I certify thai the energy-features and performance specification:•far the building design identified on this Certificate of Compliance conform
to the requirements of Title 24,Parts 1 and 6 of the California Code of Regulations.
• The building design features identified on this Certificate of Compliance arc consistent with the information provided to ducumeni thin
building design on the other applicable compliance forms, worksheets, calculations,plans and specifications submitted to the cuforcement
agency for approval with this building permit application.
Name: I Signatu
-t--(125c—Ls
Company: Date:
r pAn.t 0:0111:: ccs ( Z f —l
Address: License:
9IS W CaLL-tn(S 4oh,-783 • c-3S
City/State/"Sip' 1 Phone:
Far assistance at questions regarding the Energy Siandardt-, contact the Energy Hotline at: 3-69/fl-772-3300)
kegtstrauon Nutnher. Registration Date/Tune HERS Proncler.
2001:Residential Compliance Forms August 2009
4`e5 l 44 9 CITY OF COSTA MESA
0 it pC BUILDING DIVISION
> •'r ,r a DEVELOPMENT SERVICES DEPARTMENT MIT NUMBER
F r �� )6L'
PERMIT
4. so
M06-00326
*pc_
Rrnamto
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
MECHANICAL PERMIT
Job Address: 331 REIMS LN Status: ISSUED
Suite No Applied: 06/05/2006
Issued: 06/05/2006
Vicinity:
Parcel Number: 43914151
ISSUED
Applicant: PARSONS, GORDON
Address: 2282 ORCHARD DR
Phone: 949-456-0064
NEWPORT BEACH,CA Zip: 92660
Owner: PFAFF, DONALD ALAN
Address: 2052 NEWPORT BLVD#224
Phone:
-COSTA MESA,CA Zip: 92627-7140 -
Contractor: ABC HEATING AND AIR CONDITIONING
Address: 2282 ORCHARD DR
Phone: 949-456-0064
NEWPORT BEACH,CA Zip: 92660
License:810481
' SCOPE OF PERMIT .
FURNACE C/O FOR SFD'
FEE SUMMARY
Quantity Quantity
ISSUE FEE $23.50 Repair/Alt Absorbtion Unit $0.00 0
Inst FAU<100 k BTU $14.80 1 Repair/Alt Refrigeration Unit $0.00 0
Inst FAU>100 k BTU $0.00 0 Ventillation System $0.00 0
Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler $0.00 0
Inst/Rep.Recess Wall Htr $0.00 0 Commercial Incinerator $0.00 0
Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0
Refrig Sys>100 k BTU $0.00 0Compressors/Absorption Systems
Gas Piping $0.00 --0- - - - - ,.-- - _ Up to hp/100 k BTU - , $0.00 0
Factory Fireplace $0.00 0 - 3 To 15 hp/500 k BTU $0.00 0
Hood w/Mech Exhaust $0.00 0 15 To 30 hp/1,000 k BTU $0.00 0
VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0
Vent Fan/Single Duct $0.00 0 Over 50 hp/Over 1,750 BTU $0.00 0
Appliance $0.00 0 Boilers
Fire Dampers $0.00 0 - , , Up to 3 hp $0.00 0
Smoke Dampers $0.00 0 3 To 15 hp $0.00 0
Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0
Air Handlers< 10000cfm $0.00 0 30 to 50 hp - $0.00 0
Air Handlers> 10000dm $0.00.: -0 Over 50 hp - - $0.00 0
Floor Furnace - $0.00 .0 - Other Mechanical Fee
Floor or Suspend Heater $0.00_ 0 Investigation Fee - $0.00
Plan Check Fee - $0.00
Reinspection Fee - $0.00
TOTAL CALCULATED FEES $38.30
' COMMENTS/SPECIAL CONDITIONS
•
NOTICE: The work-authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord. No.92-28,§ 1, 12-21-92) .
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned ,
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all I
required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(6/00) i
)
DECLARATIONS, C )
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under,penalty of perjury one of the following declarations:
O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
�work'for.which this permit is issued.
have and will maintain workers compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
---- My workers'c mpBensation Inyuance carrier and policy number are: //' y4,- c
'Gainer ,l / c'L/' Cl-PoNoy-Nomber >"L Ln /
/ 3 `l
-(This section need not be completed it the permit Is valued at one hundred dollars($100)or less.)
O I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of Califomia,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these Drovl ns.
q,Ppl��i --$ig Signature: 1�i9�i �12— Di;�[ �(6 `-i—(C-4-
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000).IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby-aftum.thet4emlicensed under provisions of Chapter 9(commencing with Section 7000)of Division 3-of.ihe'BYsines and Professions Code,and my license is in full
fort t a P Licrir"` ( .CJ -
COlffreclor s tura: - D - err r-
—
Irx
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.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penally of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
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 or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or 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(5500).):
❑ 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(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon,and who does such work
himself or 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 completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. _ Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
O I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
O As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 WIll the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes ❑No
(Section 25533 of the Califomia Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes 0N
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? L i Yes U No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No
(If'yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑Yes ❑No
8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
Si ature Of Legal Owner(s) Date
And/Or-Authodzed.ApplicaM^-"'---' Date "^�
LODE 0 INSPECTION TYPE DATE )NTITIALS CODE♦ INSPECTION TYPE OATS ffIM3
1616 Fixed System Final Fire Prevention 206 Final Mechanical 1,- in ,o
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
!O1 Final Block/Retaining Wall 212 Final Fire Prevention
02 Final Factory Fire Place 220 Final Planning Approval
13 Final Sign 222 Final Site
4 Final Demolition 250 Final Building/Occupancy
4 MF CITY OF COSTA MESA
FJy air
Ai BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
•q(bmkeeee;P PERMIT - PERMIT NUMBER
B99-00132
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
•
BUILDING PERMIT (�
Job Address: 331 REIMS LN Status: ISSUED / !1-P2
Suite: Applied: 01/27/1999
Vicinity: INCLUDES 331,333,335,337 REIMS LN Issued: 01/27/1999
Parcel Nunmber: 43914001 Zoning:
Applicant: HANSEN, DUKE
Address:
Phone:
Zip:
Owner BACK BAY GARDENS ASSN
Address 2915 REDHILL STE C104
Phone: 714-642-5777
COSTA MESA,CA Zip: 92626
Contractor: ROSS & BARROWS INC.
Address: 00260 E.ALTON AV
Phone: 557-7440
SANTA ANA CA
Zip: 92707 License: 327802
Arch : Eng:
Address: Address:
. Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
RE-ROOF 4 UNIT CONDO BUILDING. INCLUDES ADDRESSES:331,333,335,&337 REIMS LANE.
REMOVE OLD
ROOFING AND INSTALL NEW B.U.R. SYSTEM, ROOF CERT ATTACHED TO PERMIT. •
FEE SUMMARY ,
Plan Check: $0.00 Calc Valuation: $7,450.00
Permit: • $137.25 Claim Valuation: $7,450.00
SMIP Res: $0.75
SMIP Com: $0.00 •
Other: • $0.00
Inspection: $0.00 •
Total: $138.00
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 Required: 0 Proposed: 0
NOTES:
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
DECLARATIONS ^ f
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'compensation Insurance carrier and policy number are:
Cartier: Policy Number:
(This section need not be completed it the permit is valued at one hundred dollars($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 California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these ro isions.
Applicant Signature: f Date:r I — 2-7 —r/q
WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE($100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS 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.Lic.x Class#Contractors Signature: Date: 1 — 2-7—9 `f
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.(Sec.3097,Civil Code).
Lenders Name: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
1 hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,poor to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or 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(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or 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 completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions
Code: The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made In connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,An 2,Sec.
341,Title 8,Califomia Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? ❑Yes 0 No
(Section 25505 of the Califomia Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
• one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required,has Section 25534 of the Califomia Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a2ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes LJ No
(Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No
(If"yes*,the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? 0 es 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: _ Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
7 n
Signature Owners) / _ 2j —5"7
, 77ate
(� And/Or Authorized Applicant Date
;ODE L INSPECTION TYPE DATE =ALS conrj IN,SPPCTONTYPE DATE N11IDAL5
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final -f208 Final Plumbing
200 Final Re-Roof Z—L'-4 "i 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site _
204 Final Demolition 250 Final Building/Occupancy
2446-46
15639 FEE/ RECEIVED
• \./ JU N 3 1963
COSTA MESA BUILDING-SAFETY DEPARTMENT I '
P.O.BOX 317 COSTA MESA,CALIFORNIA
!FINANCE DEPT..
CkT _COSTA MESA
For Applicant to Fill In Completely L A FOR PERMIT,
TYPE OR PRINT BUILDING •
For Office Use Only
BUILDING 0;31 `1����� /`�� �
ADDRESS
7 uv.v I / I/�l RECEIPT NO. IP1`vyT �
• COSTA MESA. CALIFORNIA
••'��'`` (J'^ SLR,
/ '// ^� p 'IVSD ST OATH RECEIVED JUNEySSUUEF^63
OWNER 1 /DI IC / SL /,C ? v C; Lir • �3/St� OS J
YYYYYY I B DING
MAIL 1 A..RESS ✓J7'-
ADDRE93/ >, GhGh C,1�j— itFIRE
V l/�1
//�..� L T ZONE TYPE GROUFG��
CITY . '/7(AAJ e/fJ'1� `-u,//7 NOS eeZXQ7.•
APPROVED
0AP TENEER NOS? ;pc BY DATE
,LL� . a TEL �^JIJ
7/ DO WCS� a ZONING •�'
ADDRESS ' a "aN + =•••
r O 8 NO. • I USE OF NE" .Fq Y
1.7
PLANS BUILDINGI.. 1l f,, "p0'. l
CONTRACTOR S(.{iW� •
T(� VY 1 1JJC•y1y
r DESCRIPTIONESCL LO f ' t /rl1�J 33
ADDRESS Pan, e-/ •
LO l� Jl
CITY 1'2 yL e_/ A.P.NO.
�y� (/ NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STALIC.TENO/17-02-ST-13^/ NQ, ( O i} O iZ o 30"TO SIDE Et REAR P.L.
EAVES
OFLOT o3 )C J ;, b / I nowONLOT�, ALLOWED (U.B.C.REQUIREMENT)
USE OF —_' YARDS APPROVED YARDS APPROVED
EXISTING BLDG. MAIN BUILDING ACCESSORY BUILDING
(FROM C/4.STREET)
SETBACK LE FROM t �^
CENTER DF SINTREET FRONT V' FT. FT.
REAR YARD
SIDE YARD LEFT ,-----"--."--- I RIGHT I R.SIDE ® FT. FT.
DESCRIPTION
OF WORK L.SIDE 0C� FT. Fr.
•
N. ALTERATION _ ADDITION REAR FT. FT.
DISTANCE BET. BET.MAIN a
REPAIR _MQVIIiG DEMOLISH MAIN BLDGS. ACCESS.SLOGS.
q VAR.* DATE
BUISIZE '?Sti ROOMS STORIES C.U.P.# APPROVED
EXTERIOR WAL - ROOF /p�� APPROV okA V Z9"
COVERING /V LC-c, COVERING �_iJ1rIed .D ev • �;• V , A DATE I� �Y
USE OF BUILDING AND WORK TO BE PERFORMED• /V�
II JJJ //JJ�l / I
)ea; eked GJ/ rT/7ade Go —
/ Via
/ (y�j3 / a '
,*O jc . / a _ Q /a 3 SQ.Fr 1�I 0 c
I HEREBY ACKNOWLEDGE THAT/I NAVE READ THIS APPLICATION THE AMOUNT SH0 UNDER VALUATION IS FOR THE
STATEAND THAT THE ADO VI ID CORRECT AND AGREE TO COM. PURPOSE OP EST LISHING A PERMIT FEE ONLY.
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTRUCTION. �/ /� VALUATION /PT N
SIGNATURE OF 14 1 � /l Age..
. PERMIT FEE $ `VF ,
PERMITTER + IW. �W lL OP'I` s//S�4 vy 3 n I
/) !/'f Jy�S 9
AUTHORIZED AGENT Irk hie Al_ - TOTAL FEE $ / / 5.77
_ 6
,/ ...YL� ' ��
OWNER DOYLE & SHIELDS Development Co. ,Inc. DATE 6-3-63
JOB ADDRESS 331 Reims BUILDING PERMIT NO. 19639
GENERAL CONTRACTOR Doyle & Shields Dev.Co. ,Inc. VALUE $ 19,540.00
AP No. LOT 51 TRACT 3433 FIRE ZONE DESCRIPTION OF WORK Res.w/att.gar.
INSPECTIONS Signature DATE GROUP I&J TYPE V ZONE R_p
Soil /1-14_5- 7/l+3 SUBCONTRACTOR PERMITS ISSUED
DATE NUMBER
Gas A� /p S,,�3-
Water /�S
Rough Corn. Refrig. 0 Air Cond. ❑ _
Rough Heating /mss' //-Y.1-1. ,--:-.4,' - JUL 2 2 la y--aqg�, 7-2 —
Rough Plumbing in-AS" "Via'63 ..t44 � '. ' . . G -.7J=63 „3 SLd -
Miscellaneous _
Prop. Swr. Line House Con. g'St. Swr. O /Z-z G3 • iv wow •- A7--7- VC2 O p�
Sprinkling System • b" i`"
Construction PoleUry/i.Y•
Underground W Power i] /���- fl47 I
Rough Wiring 'free air e(cater/. - b f X X —
Trenches l Forms Steel Reinf. 0 L.-- - 7-.4. • /
Floor System /5 /t 7,-9 -._ t D
Bond Beam 0 Steel Reinforce 0
Sheathing - -� 1 .
Frame and Flashing a � J_ vu� �' //�'
Lathing— In, Out �- '�! --/-.r. I Q�" .,•1 I/
Plaster, brown coat ad ` . 63 _ I 1-!--.'-C-1-
Refrig.
i i 1-
Refrig. ❑ Air Con. 0 Final d R A/`'
Heating, Final ////1-,- 2_- .20-/ e le-P
IX
Plumbing Fixtures, Final ✓ 41.---/-C
, V 1/". p I
Final Gas Test /ire-- /-C47 ' ry..r�-
Electric Fixtures, Final (YI
Building, Final -E -714y
OCCUPANCY .
Form BU4-5M-3-63-S-B P HOLD FOR SPECIAL REOUIREMENTS