HomeMy WebLinkAbout437 WALNUT PL - Building Permitsp�a� �sa-sz�s • Fax (774) 754-4856
� CITY OF COSTA MESA
BU/LDING DIYISION �
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
PLUMBING PERMIT
.1ob Address: 437 WALNUT PL
Suite No
Vicinity:
Parcel Nunmber: 42631216
Applicant: NOCK, RON � ,' 1-�
Address: 11672 KNOTT ST� j%� � -_' '
CA '
GARDEN GROVE ; , , �
�•,
/
,�
/%,-' �
i
owner� � FWALTON,,CHRIS � �
Address��37 WALNU,T,PL - _ �
� � �
� � /i'/,i=.�.
`COSTA MESA; CA
s "�i
� i ,.- %
,Contrector:- NOCK PLUMBING
e
PERMIyNUMBER
/
1/P99-0049'I
77 FAIR DRNE, COSTA MESA, CA 92626
ISSUED BY:
r r � . � `
Phone: (714) 895-1246i� � - ,
Zip: 92841 � - . - , - ,
'
. ' ` �' ,. ,-? , .
:_ A
�.1 � ,
Phone: '•'*= `- � < ,
Zip: 92627 , ..
/
- Address ' 11612 KNOTT ST � � • � � � �
� CA ' j � . ,�Phone: (714) 895-1246
GARDEN GROVE , � �a , � "' � Zip: 92841 �. `',
.. . . � � � . t � � i „ ' - License: 707775 . .
�ArchlEn �"� � � . �
9 .-
� �Address: �
j, � . . Phone: � � .. ,..
. . _ , . 'Zip: .. . , -
- � � � License:
�
Status: ISSUED
Applied: OB/24/1999
Issued: 08/24/1999
o�x�'� �-
/(
i/1)�
'" SCOPEOFPERMIT' ' �'�
� . . �, WATER HEATER CHANGEOUT. . - ._ _- - j� �t . - ,
�
AMT
ISSUE FEE' � �. $23.50
Backflow,irrigation .= ', $0;00
BackFlow Preventer $0.00
Bathtub � . $D.00�
Clarifer System � $0.00
Connect (Ice,Soda,etcj $0.00
Dental Units , '$0.00
Dishwasher �, _ � ,$0.00
Drain, Floor $0.00"
Draln, Rainwater �� �� $D.00
Drain, Roof V- .$D.00
Drinking Fountain �,. $D.00
Expansion Tank $0.00
Gas Earthquake Valve $0.00
Gas (1-4 outlets) $0.00
Gas (Over 4 outlets) $0.00
Gas Repipe $0.00
Gas Service $0.00
Interceptors (Grease, Oil) $0.00
Interceptors (Sand Auto ) $0.00
Qn
� :.:
0
0
0 .
p .
0
0'
0
0
0
0
0
0
0 '
0
0
0
0
0
FEE SUMMARY
AMT
Laundry Tub / Washer $0.00
Landsczpe Irrigation � . $0.00
P-Trap � - �$0.00
Pressure Regulalor ' � $0.00
Process Pipin9 (per 10 ft) $0.00
Receptors , $0.00
Septic Tank - $0.00
Sewer Cap for Demo ' $0.00
Sewer Connect $0.00
Sewer Private Line . . $0.00
Shower �- $0.00
Sink, bar $0.00
Sink, commercial $0.00
Sink, Floor $0.00
Sink, kitchen . $0.00
Sink, service/mop $0.00
Spa (private) . - $0.00'
Spa (public) $0.00
orv
0
0
0
0
0
0
0
0_
0
0
0
0
0
0
0
0
0 "
0
COMMENTS / SPECIAL CONDITIONS
i�'
SumpPump
Swimming Pool .
Trap Primer ,
Urinal
Vacuum Brkr BkFlow(1-0)
Vacuum Brkr BkFlow(5+)
Wash Basin
Wash Basin Set - �
Waste and Vent System
Water Closet (Toilet)
Water Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water Softener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AM'f
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$12.30
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
so.00
TOTAL CALCULATED FEES: $35.80
0
QTY
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
NOTICE: The work au�horized by ihis permit shall comply with all applicable handicap access requirements under Califomia 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
! requlred inepectlona and final app�oval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS'COMPENSAnON DECLARATION:
I hereby aHirm untler panaly of perjury one oi ihe following declarations:
❑ I have and wlll maintain a certificete of consent to self-Insure for workers' compensation, es provided for by section 3700 of the Labor Cotle, for the pedormance ot the
work for which ihis permit is issued.
�have and will maintain workers' compensation insurance, as required by section 3700 ot the fabor Code, for the peAortnance oi the work for which this permit is issued.
My workers' compensation Insurance cartier end policy number are:
Carrier: �Ji%L��� ��[��/� PolicyNumber. �IA��i4'���s44 f] 2
❑ I certify that in the pertormance ot the work for which this permit is issued, I shall not employ any person in any manner so es to become subject to the workers'
compensation laws of California(, �and egree that if I shoultl become subject to the workers' compensation provisions ot Section 3700 of the La6or Cotle, I shall forthwith
compl9with Ihese provisions. �-�- �/7 � / �
Applicant Si natura: �� y� Date: 7 E�
WARNING FNILURE TO SECURE�MPENSATION COVEPAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI S AND CIVIL FINES U TOP ONE HUNDFED
THOUSAND DOLLARE (5100,000), IN ADDITION TO TME COST OF fAMPENSATION, DAMAGES AS PROVIOED FOR IN SELTION 3]O60F THE LABOR CODE, IMEREST, AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensetl under provisions of Chapter 9(commencing with Section 7000) oi Division 3 of Ihe f
force antl ettect Lic. a ��� �� � Class k
Contractors Signature: � n �� � Date: _
CONSTRUCTION LENDING AGENCV:
Code, and my license is in fuil
❑ I hereby aflirm ihat Ihere is a consimction lending egency for the peAormence of the work lor which ihis permit is issued. (Sec. 3097, Civil Code).
LentleYs Name: Lendets Address:
Signature:
Date:
OWNER-BUILDER DECLARATIONS:
I here6y attirm that under panalty of perjury that I am E%EMPT FROM 7HE CONTRACTORS LICENSE LAW for �he following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or county which requires a pertnit to constmct, alter, improve, demolish, or repair any simcNre, prior to its issuance, also requires the applicant for such permit
to file a signed stalement that he or she is licensad pursuaN to ihe provisions of the Conirectors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot the
Business antl Professions Code) or that he or she is exempt therefrom antl the basis for the alleged exemption. Any violation of Seciion 7031.5 by any aOP�icant tor a pertnit
subjects the applicant to a civil penalry ol not more ihan five hundred tlollars (5500).):
❑ I, es owner of the properry, or my employaes with wages as iheir sole compensation, WILL DO THE WORK, end the sirucNre is not intended or oMered for sale (Sec.
7044, Business antl Professions Code: The Contrecrors License Law does not apply to en owner of propeny who builds or improves thereon, and who does such work
himself or hersalf or through his or her own employees, provided that such improvemenis ere no� intended or ofleretl For sale. It however, the building or improvemam is
sold within one year of completion, ihe ownervbuiltler will have the burden of proving that he or she tlitl not build or improve for purpose ot sale.).
❑ I, as owner oi the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construd ihe project (Sac. 7044, Business antl Profassions
Code: The contractors License Law tloes not apply to en owner of property who builds or improves thereon, antl who contracts for such prolect with a contrector(s)
license pursuant to the Contractore License Laws.).
❑ I am exempt untler sec. _
Signature:
Owner ID verified by drivefs licen5e.
Verificatian ot Ownership by (type of
Business and Professions Cotle for Ihis reason:
❑ Yes ❑ No Driver's License No.
nent; i:e. - property tax bill or deed):
Date:
Expiras:
DIVISION OF INDUSTRIAUSAFETY PERMIT CERTIFICATION:
�\ �, ��
❑ I heraby cenity.tBatno excavetion five (5)'or more teet in tlepth into which a person is required to descentl, will be matle in connedion with work au�horized by this
permit, antl that no building stmcNre, scaRolding, falsework, or demolifion or dismantling ihereoi, will be more than thirry-six (36) tee� hiqh. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, California AdminisVetive Code).
❑ As owner-builder, I will not employ anyone to tlo work which woultl require e permit from the Division of Indusirial Sefety, as noted above, unless such person has a
pertnit ro do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
CERTIFlCATE OF COMPLIANCE AND AU7HORIZATION OF ENTRV: I certi}y under penalty of perjury that I have read Ihis epplication end s�ate that the information given is
correct I agree to comply with all state laws and ciry ortlinances relating to building constmction, antl authorize represematives of the Ciry oi Costa Mese to enter upon the
above-described property for insDedion purposes. I agree not to occupy or allow occupancy ol any building authorized by Ihis pertnit until tinal inspection.
re Ot egal Owner(s)
�'
And/OrAuthorrzad Applicant
CODE t. INSPELTIONTYPE �E �NTRIALS
1616 Fi:ed System Final Fire Prevention
1266
200
201
202
203
204
2ans as
Pool Spa Final
Final Re-Roof
Final Block/Retaining Wall
Final Factory Fire Place
Final Sign
Final Demolition
COOEY INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final BuildincyOccupancy
�� � �
ate
�RTE INTRIALS
2.
3.
COUNTY OF ORANGB
BUILDING DHPT. •
636 No. Broadway
Santa Ana� Califotnia
Phone: KI 2-6211
r •'� �
��
Application for Building Permit
AND FOR A
Certif�cate of Use and Occupancy
OWNER'S NAME__.______. �• /
--- ------/- ------------ -- -- ---- --- -
.
MAILING ADDRESS------ -/`�- �`---�_ -� � --�-'-�- `- --- - - ---- -- -
Name ... -----------
Address _.__.___._._..
City .-- - --
State
Lic. No. -------...--- �
PROPOSED USE:
(Arcktirect or Enginee-)
Phone _._-
Address
Permit No..��7�J1----__.
Date------ /2���`�����-��--------------
---- ---- — PHONE��--6-�-�/
--- CITY - - -- - --------- ---- - ---- --
!�
City----------------- ----------------
Scate
Lia No. _ /I�_��o.Q---__
JOB LOCATION.--- -- -- �-=�- �--------- --l���--
(House No.) (Na/me of-Streea)
LCGAL DESCRIPTION: Loc ._._f� _ /--�.-��________Block
(Meces and Bounds Descripoion—Use reserse side of form/)
✓
(Contratror)
Phone
--------------------------------------------
(Town or School Dis[ritt)// /
------ - - - -Tracc .I'!`-'�Z- �- --�' ------ ---
4. CORNER LOT ( ) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT (
5. SIZE OF BLDG.:.Z.�_�_�.. .AREA:_1� C.O..__._ __SIZE OF LOT:._7.,G-k. /0.1�-- AREA:.7�p____._.___._._
J
6. HEIGHT OF BLDG.:
p /
CEILING HEIGHT:.____p___.....__._._._.._____. NO. OF STORIES.___.�__.
7. NO. FAMILIES _.________�_ ___________________. Size of $ma�lest Bedroom: .__� 6X__��.. Size of Kitchen: _/Q_-�_/Q_G_._.._
S. EXTERIOR WALL CONSTRUCTION:------��.eY�-r------.INTERIOR WALL COVERIIVG -----�r_-`'�-cco.-------
(Frame, Stucco, Em.) ! (Plaeter-Dr wall, Ecc.
Y )
/ �
9. SETBACKS: Front Yard from Cen�er Line of Street------ -Q-'------------------------------------------------------------------- ---'-----.—
/ ' ✓ '/ 0 i/�
IVearest Side Yard_____(.a_______.Rear Yard.___?'-.�____.Distance in Feet Between Bldgs. on Same Lot __._��___.__ _... _.____
10. A COMPLETE PLOT PLALV IS REQUIRED, SHOWI[�IG ALL STRUCTLJRES AND USE OF EACH.
/ �7 � � y
ll. For (a) Footing: Width __.._ �4___________________ Depth in Ground____!�.... ....__.___.Width o£ WaII _ ___.._.__.__ .__
Accessory
Bldgs. and / �
(b) S�ze of Studs: __._� Y_�__.___Spaciag___.__�(p.__.______—_"CC Material oF Floor...�_ . _._____
Similar ,
$tructures: p �/ ♦
(c) Size of Floor Joists: ___Z..`'X-p._------------.Spacing (a__.____..
- ----"cc
�
(d) Size oi Ra£ters: -------r2-�-- -------------.Spating ---��-------------------"CC
12. VALUATION OF ILROPOSED WORK: Ine uding all laboq plumuing, electrical wiring, heating, fire sprinklers, paint-
ing and sewage disposal �_7��.�,._�4___________________ _ ____ . .
1;. I HEREBY CERTIFY THAT TO THE BEST OF MY KIVOWLEDGE AND BELIEF THE INFORMATION IN
THIS APPLICATIGN IS CORRECT AND THAT THE CONSTRUCTION VC�ORK WILL CO[VFORM TO ALL
LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFOR[VIA APPLICABLE THERETO.
Plans Filed
FEES:
Bldg. Permit - �._.
Plan Check - $._.
Total - - - $._.
Receipt No. - - __.
Paid to - - __
Date
DATE_-_--_---_
!M-'1-50
Sign
FOR DEPARTMENTAL USE ONLY
GROUP--���-----------
TYP E-----,�`Ts�-`------------------
DIST.
MAP- - ---��-------
SHEET NO._._ � ._.____
:�;/Ij�Fy.CKING BY
APPLICATION.__'�� HEALTH
�ss�j� FIRE
ZONING.------- ------ "- b1ARSHAL----------------
PLANS AND
SPEC'S___-_---_-_-____-_ STATE _-_-
CORRECTIO[VS E[VGIIVEER
VERIFIED..___________ _ ____ CAL______________
PER
DEC 1 4 19SO I' !I� COUNTy BVILDING
— v 7 INSPECTOR
�O , ^ �__. DEPUTY y�,
� ......-`_-' ._._._. _ �/
COUNTY OF ORANGE
BUILDING DEPT.
636 No. Broadway
Sanm Ana, California
Phone: KI 2-6211
1. O�`UNER'S NAME
MAILING ADDRf
Name
Address
City -- - --- --- ---
State
Lic No.
PROPOSED USE
2. JOB LOCATION
(House No.)
Application for Building Permit
AND FOR A
Certificate of Use and Occupancy
(Archioeco or Engineer)
Phone
Name
Address
City -_---
$.a[e
Lic. No.
Pennit No.���� �___
D ate------/�.��/�---`� ---------------
---------.... PHONE:__ �-?/
--- CITY -- - -- - -------- -------- -=---
(Contracror)
(Name of Street)
/ ✓
3. LEGAL DESCRIPTION: Lot ___./�-�____._________________Block
(Meres and Bounds Description—Use reserse side of form) �
✓
(Town or Schaol Disaia) ' /
.._________________Tract ___�^�-���_/.._..__
4. CORNER LOT ( ) IIVTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( )
5. SIZE OF BLDG.:_�p_�_o?L2-_.AREA:_q��,_Q______._.__.SIZE OF LOT:_7fX-�d�.-AREA: __��0--------------
`/ /
6. HEIGHT OF BLDG.: __.______�.T_____.___...____CEILING HEIGHT:
NO. OF STORIES___�_______________
7. NO. FAMILIES ____.___�}-__._._..._.___ —__Sue of Smal�est Bedroom: _____-�-____________. Size of Kitchen: _..__.�_____________
�
8. EXTERIOR WALL CONSTRUCTION:___._�/�ft�.r.f.._...INTERIOR WALL COVERING ____._'-'_____.____
(Frame, S[uccq Etc.) � (Plaaoer-Drywall, Etc.)
9. SETBACKS: Front Yard from Center Liae of Street._____..—____�� ��s���
- ------- - ------ ----"-------------------- --'
/ � /
Nearest Side Yard.__.___.�.______._.Rear Yard__ ��________.Distance in Feet Between Bldgs. on Same Lot__�(�_..____._..._.
IG. A COMPLETE PLOT PLAIV IS REQUIRED, SHOWI[VG ALL STRU(.'TURES AND USE OF EACH.
,/ /� �7 `�
__--_--__---_--De th in Ground-_----f�{.-----
1I. For (a) Footing: W;dth __.___�T- p _____..__.Width of Wall .. .____... ___._.._.._
Accessory y
Bldgs. and Z /
i�__�______.S aan ____._.__...______"CC Material of Floor..�y�
b Size of Studs: _.___.__ __
Similar ( � .-_ -. p 5.------. - -_�____"_
Structures `
(c Size of Floor oists: ._______ _ '— "
) J - -- - - -- - -.spaang - --- -- --- - -- ----------- cc
, / ./ 4
(d) Size of Rai'ters: ------.� i'�-T------------.Spacing --a-Y----------------"CC
12. VALUATION OF PROPOSED WORK: In uding all labor, plumbing, electrical wiring, heating, fire sprinklers, paint-
ing and sewage disposal $--7�-Q.•--�e-�-----------------------------
1;. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN
THIS APPLICATION i5 CORRECT AND THAT THE CONSTRUCTIO[V WORK. WILL CONFORM TO ALL
LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORIVIA APPLICABLE THERETO.
� - Sigr
Plans Filed: ..____._.�._ .____________________..____
Bldg. Permit
Plan Check
Total - -
Receipt No.
Paid ro
SM-I-lO
FOR DEPARTMENTAL USE ONLY
FEES: /� �
If�� GROUP_____�
' '�----- --._� --
-"- -------
�0 TYPE -----��. - -
'� --��------------- DIST.
� ---------�--f ------- '
��L-- --- MAP------- ----e
" --- - ---
" --------------------'-`-"(- SHEET NO.--�-- _.. ---
0
C�NG BY
APPLICATION�`___.__ HEALTH.__._________._____._____.
�;� FIRE
ZONING----K��.. -. MARSHAL---------------------
PLANS AIVD
SPEC'S----- - ----------- STATE. -- ----- ------ - -----
CORRECTIONS ENGINEER
VERIFIED -------------- CAL.---- ---------------------
PERMIT ISSUED BY:
DEC 1 4 1?.ri0 �� D�1� ;.i�E COUi1TY BUILOING
� INSPECTOR
'____.____._____ "'____. _ _.___ _ ,
--- - ----- -- ------------------------------------ ------`----- J
DEPUTY ��
������
� 45422
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completety — Use Ink Only
�i� nieir w_ _ � �f /
OWNER
MAIL
qTV ( d)�7�
GONSTRVCTION
LENDER
BRANCH
AODRESS
TEL.
ADDRESS
CITV G�� �/��J • NO`�U�
LIC. NO. 3 7 p LICVNO� S
SIZE NO.OF BLOGS.
OF lOT NOW ON LOT
VSE OF
E%ISTING BLDG.
Separate permits ace required for
electric, plumbing and heating work.
USE OF.BUIL,pING ANp�/yQRK TO BE PEPF9RMED
4981 1/30/78 20,OU TL
APPLICATION FOR STRUCI'URAL PERMIT ii
ecy�ve�ar ���il/�� ��''�'�lnU/7�
L,U
BUILDING
ADDFESS
OwNE
FIRE
ZONE
AVCROVED
ZONE NO.OF
PI,AN$ �
vAflDS APPROVED
DISTANCE BET.
MAIN BLDGS.
VAR. 9F
I hareby ecknowladpe thet 1 heve �eatl this aPplicatlon antl smte
that the ebove InformeNon b correct end eBrea to comply with
ell lawa reBulaNnp build(nB �onsttuctlon, antl 1 s�all not amploy
eny person In violatlon of Me workman'a componsatlon lawa oi
Ma State of Cnliforniu. �
I hereby eertify thet I am proparly Ileensetl as a contreecor untler SQ. FT
the Stete ot Callfotnia eusinov entl Professlo�a Cotla, Dlvlslon 3, THE AMOUNT S
Chepter 9, end thet sueh Ileenus are tn full tor<e entl alfxt, or 1 THE PURPOSE OF
em exem t from Mo Proviaiona af the Smn of Californla B�einess
DATE
VARDSAPPROVED
� l/
FT
/ �/
FT.
6''
FT.
BET. MAIN &
ACCE�. BLDGS.
DP.TE
APPROVED
'- ...r� /�3, o �
P VALUATION PERMIT FEE S
ana Profosalon+Code Dlvislon 3, Chaptet 9.
PLAN CHECK S
Sipnaturo Of
Parmlttea S / ?DO Tq% S
J
Aut�oriza0 Apant TOTAL PAID E
N
n
m
i
m
m
N
IS FOR m
ONLY: n
m
m
0
_ LL
D �
%.