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HomeMy WebLinkAbout2564 YALE PL - Building Permits CITY OF COSTA MESA 05 aMFs9 BUILDING DIVISION :aril.@. 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.cosfa-mesa.ca.us � P FOR INSPECTIONS CALL: (714)754-5626 '`aroma"" PERMIT NUMBER: P11-00173 PERMIT TYPE PLUM STATUS: ISSUED APN: 14139120 DATE ISSUED: 09/13/2011 ISSUED BY: MDM JOB ADDRESS: 2564 YALE PL CM Suite/Unit: Vicinity: SCOPE OF WORK: REPAIR 4"CAST IRON SEWER LATERAL INSIDE HALLWAY& RESTROOM, REPAIR BATHTUB WASTE OVERFLOW AND P-TRAP WITH ABS, INTALL NEW TOILET FLANGE/CLOSET BEND, 4"ABS WALL CLEANOUT, REPLACE 2"CAST IRON KITCHEN LATERAL IWTH 2" PE PIPE, REPAIR BATH SINK DRAIN LATERAL WITH 2"ABS OWNER: CANNELLINI,PAUL Address: 2564 YALE PL PHONE: City/State/Zip: COSTA MESA,CA ,fir)A..% .., APPLICANT: COLLIN CASSON Address: PHONE: 714-458-4988 City/State/zZip: CONTRACTOR: POWER PRO PLUMBING License No. 766254 Address: PO BOX 6970 PHONE: 310-324-3661 City/State: TORRANCE,CA ZipCode: 90504 CELL: ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: • • 24 WASTE • PLUMBING PERMIT FEE SUMMARY ,.1t , l=.T:_RA?. PLAN CHECK FEE: $0.00 PERMIT FEE: $72.50 TOTAL FEES: $72.50 -11 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. CODE N. INSPECTION TYPE DATE INTITIALS CODES INSPECTION TYPE DATE INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical . • . 1266 Pool Spa Final 208 Final Plumbing x Q' )ID' 11 pr• Ow 200 Final Re-Roof 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 WORKERS'COMPENSATION DECLARATIOI! Owner ID verified by dr' license. ❑Yes 0 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): mpensation, 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 ection 3700 of the Labor Code,for the performance of the work for which this D}1JISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My/.rkers' compensation Insurance carrier and policy 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 —/(a /I - L z by this permit,and that no building structure,scaffolding,falsework,or demolition Career: /- - or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Gm (This section need not be•�fl 'Ube peem1dis//valued al one dollars(5100)or less.) 2,Art 2Sec.341,Title8,Califomia Administrative Code). Policy Number: TG�/,J y/D/ 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 i sued, I shall not employ any person in any manner so as to become subject such person hanrmit to.. doj5ucfrom the division. to the workers' compensation laws of California, and agree that if I should /11. 2-0 become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Da the Labor CO ,I h forthwit Caply with these provisions. /� (/ 9/fJ 2O// Division of Industrial Safety Permit Number: et f1 Ci App anT's Signatur, Dat 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? 0 Yes (�y�' .Rio ($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 occupantd to file my license is in full force and edeffffect, a registration form for acutely hazardous materials? 0 Yes o Lia# 6>T _ss# _ (Sceo 25533 ore the California Health and Mesa Code, with somet b ' exceptions, requires registration with the Costa Mesa Fire Department by .-' each business which at any one time has on hand a quantity of acutely co c Signa ure 'al• 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 C NSTRUCTION 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 eider's a of the work for h th' permit its issued.(Sec.309,Civil Code). prepare an RMPP (Risk Managemr nLynd Prevention Program for acutely Lender's Name.- /,y / L v --01 hazardous materials)? ❑Yes o //y (Section 25534 of the California Health and Safety Code provides that the Lender's Addre -: i'//ii /,i • Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required ! r to register acutely hazardous materials with the Fire Department. allir _ Sign—ure D - 4. If an RMPP is presently required, has Section 25534 of th alifornia OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yesbo affirm I hereby that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occu ant 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 r1 0' t or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes r 'No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished 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 perms 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? ❑Yes 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 ompensation, 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�Gdlifomia License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes -tYy�"�� thereon,and who does such work himself or herself or through his or her own 8 (If'yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for 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 come t. I agree to comply with all state laws and _ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordina s Min Haz nus Materials and Emissions. (LICENSED CONTRACTORS to construct the project(Sec. 7044,Business and ` L .40 Professions Code: The contractors License Law does not apply to an owner of ignature Datz property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that 0 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: 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. S ure of Legal Owner( Dale 3057-4613/07) Signature Date � �h R/ 1 // And/or Aulbo'zed Applicant` /(/Dale 0 040 FCITY OF COSTA MESA c r9 BUILDING DIVISION F DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER ICa PERMIT !i''� • "B01-00406 ‘174Pa (714)754-5273 • Fax(714)754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2564 YALE PL Status: ISSUED Suite: Applied: 03/29/2001 Vicinity: RESIDENCE&ATTACHED GARAGE Issued: 03/29/2001 Parcel Number: 14139120 Zoning: Applicant: WOLSKY, BRIAN ISSUED BY: Address: 17662 METZLER LN _ Phone: (714)847-9332 HUNTINGTON BEACH, CA Zip: 92647 Owner: ROUNTREE, DOUGLAS E • Address 2564 YALE PL Phone: COSTA MESA, CA Zip: 92626 • Contractor: TOM BYER ROOFING Address: 17662 METZLER LN Phone: (714)847-9332 HUNTINGTON BEACH,CA Zip: ' 92647 License: 575002 - ' Arch : Eng:. Address: Address: Phone: Phone: Zip: License: License: - SCOPE OF PERMIT - - REROOF:T/O EXISTING ROOF,REPAIR SHTG AS NEEDED,2-LAYERS OF 15#FELT;APPLY"GAF"25-YEAR , SHINGLES. 2700 SQ FT FEE SUMMARY/. Plan Check: $0.00 Calc Valuation: $3,750.00 Permit: $97.25 Claim Valuation: $3,750.00 SMIP Res: $0.50 SMIP Corn: •$0.00 Other: $0.00 Inspection: $0.00 • - • Total: $97.75 �� /, '/ •��; • - _ PLANNING&ZONING -�� `' •c /, 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 1 - Right "07 0"- PARKING Existing: 0 Required: 0 Proposed: 0 - - NOTES: 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 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) DECLARATIONS 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 wor e co{npersg' n Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if 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 of California,and agree that if I should become subject to the workers'compensation provisions of Setion 370 of the Labor Code,I shalt forthwith comply with these provisions. - /f Applicant Signaturerr Date: 3/24 C.3 WARNING:FAILURE TO SECURE WORKERS' %r PENSA ION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITIr TO THE !-T 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.N Class# Contractor's Signaturt.. Date: ' 2c /6 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 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,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($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. ❑Yes ❑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,Art 2,Sec. 341,Title 8,California 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 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 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 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 aperm it for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 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? ❑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 California Health and Safety Code Section 42303 been made? 0 Yes 0 No B (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. Signet - of Legal Owner(s) ate And/Or ••thorized Applicant Date CODE N. JNSPECTION TYPE DATE' INTITIALS CODE If INSPECTION TYP( DATE INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roofy�7�( 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 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 4IU9 l 2_1(i_ 41 a C."5 IL CITY OF COSTA MESA - PERMIT NO. TRACT . TRACT NO. LOT NO. BLDG.NO. .. " . CONSTtiRUCTION PERMIT PC /6& $O -'t'roject Address 2564 Yale P 1 TYPE OF CONSTRUCTION ❑ NEW U ADD U ALTERATION U REPAIR - - hi no ID)I L /n'. -I ."- -L Applicant's Mailing Address 5241 Tedfnrd YL • ❑ CONVERSION yy❑gDy�EMOLISH ❑ OTHER A.P.# • Zone Owner's Name 8811 Phone PESCRIVTIONBORIS St I C Htr IAPMO#52213 S Main Building: Accessory Building: Z+ Address `GRIP. TYPE OJFOOPERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL E Front N Arch/Eng. • License No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B A Rear N Address ❑ OTHER • ' Contractor's Name Home C ua rd Phone PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G M Address(mailing) CONSTRUCTION TYPE VALUATION $ S Left E I g 1571 S . Sunkist 937- 1104 ZONE GRADING CU.YDS. ACRES cn City License No. ' 24780 / Ping. Ref.# Park.Fees $ U LICENSED CONTRACTOR DECLARATION Remarks: ' PIC-- Q( 7 --Q L( S Parking Req./Provided I I hereby affirm that I am licensed under visio . of harter 9 (commencing et( ` 1 - R with section 7000) of Division 3 of th- .ine . a • • of-sslons Code,and Use of Building: E my license is in full force apoeffect. ` • License Class e 414 is •i" t_•ty V.Q - 1 0 PLUMBING FEES Planning Notes: M Date�rO�SUy6$ye Bar Sink Showers N WORKERS'COMPENSATION DECLARATION T ereby affirm that I have a certificate of consent to self-In •r a certificate S ',i:?' Backflow Preventer Service Sink Workers' Compensation Insurance, or a certified cop :reof (Section - . jt'NOo, Lab. C. Backflow Irrigation Sewer Cap ELECTRICAL FEES A Policy No. o9CK957470 Compo y : a/� _ - e Certified copy is hereby thr the Bathtubs Sewer Connection 1 Automatic Washer Transformer 0 15.50 KW • Certified copy JJ$$ lletl with the city a uil• • DI.J.3 / 0 50+KW Date 12/5 /M Applicant Clarifiers Solar Collectors („ Construction •POIe Sub. EXEMPTION FROM WORKERS'COMPENSATION DECLARATION • Dishwasher / Solar Piping "CCC-^ O C g p p (This section need not be completed if the permit is for one hundre' (.100) or P 9 ,Jt Cooking Unit Meter ❑u to 1008m s less) - I certify that.in the performance of the work for which this permit Is -sued, I Drinking Fountains / Solar Tank 3' Dishwasher Meter Dover 100 amps shall not employ any person in any manner so as to become sk•je• to the - - Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel - Date Signature -- ' NOTICE: ,after making this ions ofi h, you should becomeusubject h ite Floor Sinks Urinal Fan -Mo[ ❑1'/x-B 6L). Workers' Compensation provisions of the Labor Code, you must forthwith - — comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet F.A.U. HP 018.15+ CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending agency for the performance Interceptors Water Heater Fixtures Microwave of the work for which this permit is issued (Section 3097 Civ. C.)_ - Lender's Name Kitchen Sink ater Service , _,...- _Deuice,Qoxes Pole Light • Lender's Address Lavatories - ,r `� C _/ \ OWNER BUILDER DECLARATION -`%// 7 Outle4' Range I hereby affirm that I am exempt from the Contractor's License Law for the ifollowing reason (Section 7031.5 Business and Professional Code: Any city or P-Trap /c /r . Switches Sign 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 Roof Drains. Garbage Disposal Standing Sections to file a signed statement that he/she is licensed pursuant to the provisions of - the Contractor's License Law(Chapter 9(commencing with Section 7000)of Generator ❑0-5 KW 05-15 KW Division 3 of the Business and Professions Code) or that he/she is exemptTrash Compactor • •refrom and the basis for the alleged exemption. Any violation of Section - 31.5 by any applicant for a permit Subjects the applicant to a civil malty of not more than five hundred dollars($500). Reinspection Fee I $25 Issue Fee $ 3 ' 0 I, as owner of the property or my employees with wages as their sole Reinspection Fee $25 Issue Fee • $ 3 compensation, will do the work,and the structure is not intended or offered - MECHANICAL FEES - for sale (Section 1044, Business and Professional Code: The Contractor's - - _- _ '" PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 thereon, and who does such work himself/herself or through his or her own Zoning Approved By Date employees, provided that such improvements are not intended or offered for Canopy Type 11 ❑ sale. If, however, the building or improvement is sold within oneyear of com- Duct-Under Ground P Application Approved By Date pletion,the owner will have the burden of proving he/she did not build or im- ` Ufove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By e/41-)/ - Date%+� -1�-dp7 r I, as owner of the property, am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 BTU • tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who • builds or improves thereon,and who contracts for such projects with a con- Exhaust System ❑ Multiple 0 System Repair/Alteration BUI LDING PERMIT $ SMIP $ tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ Al. PER MIT 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# PLUMBING $ jr, Q ISSUANCE $ Date Owner r Heating System& Ducting PLAN CHECK $ . o?• c ENERGY P.C. $ I hereby certify that I have r .• this a)plicatio and state that the above ❑o-100,000 BTU ❑100,000BTL � GRADING $ information is correct. I agree omply wit all icy and county ordinances - - - - . ELECTRICAL $ and state laws relating to buil• const nd hereby authorize repro- MICROFILM $ �- S sentatives of this,city to e upon he .•• e-mentionedproperty fo PLAN CHECK $ !c•S�B inspection purposes. "it- 0..„— Signature ' -2 Date rS - MECHANICAL $ TOTAL FEE $s' e Drivers' License or 55# • t 0865-46 rev. 7/83 White-Building;Canal.pplicant;Pink-Accounting;Goldenrod -Assessor - - - . eONSTRUCTION AND PLANNING . . POOL PA _ - �, Date Inspector . Date Inspector. - APPROVALS Permit# APPROVALS Permit# 'Temporary Electrical Service or Pole - 52. Pool-& Equipment Location 2.• Soil Pipe-Undrgrnd. - 53.'Steel Reinforcement . 3. Electrical Conduit Utility-Undrgrnd. . 54. Forms - . :4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding '5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - 6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings - 58.. Electrical Conduit-Undrgrnd. - 8. Foundation - 59. Gas Pipe, ❑ Undrgrnd.,Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10: Structural Floor System - 61. APPROVAL TO DECK 11. Property 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. REQUIREMENT • • 20. Rough Factory Fireplace APPROVALS Permit# 21: Ducts; in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑Oil 23: Gas Pipe-Rough &Test 72. Underground Flush , 24. Roof Framing73. Undergrnd.Storage Tank O Gas 0 Oil 25. Roof Sheathing ' ' 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75...Dry Chemical - 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL . 29. -Insulation 78. FIRE PREV. FINAL 30: Drywall Nailing I HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric /7/2C17)j L,ji- ) Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test . .- 36. Hood or Canopy - - 37. Final Factory Fireplace - ' 38. Final Plumbing ' 39. Water Service-Final - - , • .. . 40. Gas Service-Final • 41. Solar Domestic-Final • /04,311 (40 . 42. Backflow Preventer • - - 43. Backflow Irrigation 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations s 47. FINAL STRUCTURE - , •• 48. Special Requirements Completed 49. Electric'Releaseto Edison - -- • . I • - •- . - • 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY - - ' ' - No. Date • • 'he campletion ' of this fnrm for each Job will not only enable us to profe9siona\l -T•prelsint your firm , bu n addition eliminate man delays in acquiring your >ermits . . • . HOME-GUARD CONTRACTORS , INC. . 1571 South Sunkist , Suite "K" _ B Q_Ir/ Anaheim, Ca . 92806 • ' CJL EC :USTOMER (3 l� (714) 937-1104 ED Q / r ✓ 5 1984 Q,4 q h ! f-t ( e_ P ) _ Legal Discription Lot y7 TractSlla(o Parcel # - r_nc4- a- ecA- 026 . • Home Phone(7N) COS ESIW Work Wife Work ) T19 POOL DOMESTIC/SPACE - SPA A/C FURNACE . ;OL - f ManuAin V iV Size 44 )(2/ Quan i t Manuacturcr � /}�' I Y Flush Mount )C Racked special Rack ` D V TANK Manufacturer �� l/ACiCI lil�('� �'A ITS Size JJ Location • Garage Size • X Back Yard Side Yard ' . Property 'Line Clearance Shed Size % X Attached to Dwelling Detached Pre fab New Construction ROOF Pitch �C� StRUCTURA q "— Material f2 ni K ` ROV�ioCONLY Roof Rafter Size :�, X Span S —'i-n�g-- T r u s s . Roof? ' RATE PER611TS .q RE Q FOR ELECTRIrgL Pl(1+R(3lN�IRED ADDITIONAL WORK 4'0 �� HEATIA'G, ;iE;' TLn�rtGAND Electrical Outlet /Y Replace Water Heater HEFRIGE1::::;:sTN:l p Relocate Water Heater Gas Extension L HOME OWNERS ASSOCIATION ? �eCO�,J jSYSTEM CONTRACT PRICE? ITHIS NUMBER ALL INSPECTION RE PLOT PLAN' Show entire property . Submit two copies • s-;L-a-Le..NGS eq-- P_ ca•ti n5 Please include the following : ' I BE E�VFLOING WHERE PERSONS i . south Arrow STflTE ' Wole; ARE TO 2 . Front Street , r I INDUSTR AL SAFETYFORMA Ep VISION �E • 3 . Roof Peaks . __40DJTIONAL REQU EMENTS,CONSULTED 4 . Collectors 5 . Tanks Storage tank , existing water heater AIR CONDITIONING FURNACE AIR CONDITIONER Manufacturer tiodel # BTU/Tone Replacing Existing Unit New, Installation Location Electrical Upgrade Electrical Outlet FURNACE itanufacturer node ) N CTU/Tons Location Please use revercg CLIP Fnr an.. rnmmnn . . - - . _ 1 A a r • E IGV SUMUD! SEAMICI . N.inu; 3 e_�.. 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I1 0 SOLAR HOME•r0ARD CONTRACTORS INC. COLLECTORS >, AIR VENT GEN. PLUMBING DIA. ' 2' SOLAR SYS. ' ;i S RW, 11-84 i i+ GALV. FLASHING I i; STRUCTURAL APPROVAL ON 12 VDC —'RUCTURAL `� SENSOR. SEPARATE PERMITS ARE R ' IRED- �' i x 10 K OHM FOR ELECTRICAL, PLU"J.ING, �� .,li �� r . HEATING, tE1PL4T WINO i dI i —3/4 COPPER M REFRIGE.;, r, v Il PIPE Pewit # r INSULATION THIS NUMBER ^Th 3 Ary:EuNL ii I P; AC T I V E ALL INSPECTIUI REQUESTS._S_LL,:, ` SYSTEM I HOSE BIB fOR LL Lhi;': S 4ffl ?t ri^SONS AIDE TO ` I BE EMPLO'rt0, t','f S..iGufST THAT 1}� ,••• STATE OF C:.LIFO;:NIA DIVISION OF I I O VAC INDUSTRL9L S ETi c rn nDDrnoNaL � f�ANI �FIDR AS " CONTROLLER COLD-- r.` i --�� ,;x `C! PUMP-Q7 AMP --II' L ; MIXING VALVE f 4+t% HECK VALVE? HILLER BYPASS A-i ISOLATION VALVE .. ' HOT ♦ YPASS WM 4— CHECK f DIELECTRIC VALVE a- �:� �. UNIONS UNIONS •s P&T I,. , , eV P&T 0 I ANODE ; ► t 1 ROD , I I ; ' • 1 u 4 —DIP TUBES PETCOCK ' i ' ----DRAIN r GAS Or —;�$ l THERMOSTAT 0 I ; d IV.,/ / ///7/4/74‘:,... m t. 61' t f//////,// , ////////// l... HEATER STORAGE TANK • • ._. _ __ N�/�wx►rr- 4' a' : t 3 S3 LS5 war 411c id r. 164 125 WIT . • 0 &Lld oIH®1sbcNs- 4*c '=4IK.i �6a tiht5" 4 ft 0 a.7,25 i;gust' c°� NIAW F1'ib; Sok% T{. 6 CTURLL pis ALvMlNtim Ec' usic4/ se\\ } N Z C7 D en 21-20 CC= Z 0-1— `Crow S/ O. CV I wmaQ o= 6 /CD 1 w _ .oma,'" ¢d ' �:13qn� CC NSM UA �, :, � I./.J 4- G R � Ari a , R U L•1 a �U Ts�_w� \. ir= `d�C N = EN t .roc.5�a }rr LL ¢ SZ Izr J li OO�Q• 401510 r - Q acc !J =ca m ., - 1 ce p W NQ mall-=- S14N0ARD Roc,c 1.4004'f` 4. 1 AF y _ r omNz tETML 064— P'MJ • r — � SOUR Fl47 PLAn Cog-tcro s I - ei ` f - i �aawD ;i; ^ i I urNay s SaoeE A 0 two O FcK►►14 AiT' Zo1S r4",a a.. SIS"x g"L Ab WI �5 --------....... _FRo4T` Oa r*‘t - 'k"AtEatiltwot4oc.a Y Bradforcl•White I4tter Heaters Solar Saver Products ; .? California ' P'al �r s .yre Solar/Electric Water Heater, Solar-Storage Tank Models M .. Features: ^, Solar Saver Foamlock®insulation—full 11/2" ultra dense polyurethane. 2" on Ell . . 120 gallon. It provides for an R factor of 12 on the 65 and 80 gallon " models and an R factor of 16 on the 120 gallon model. Vitraglas® lining for years of extra service. Factory installed nipples—no dielectric fittings or unions _ - needed. Side T&P valve opening. t Thermal Feet: Unique design provides complete tank isolation. i Prevents thermal conduction through bottom of tank. , Pre-wired sensor lead from storage sensor mounting stud to top asit I 0: of tank. Toptank access for all connections. " �� a= Available as insulated storage tank or electric models equipped with a 4500 watt heating element and automatic thermostat where a back-up system is desired. Tank—heavy_gauge steel automatically formed, rolled and welded torassure a conti�lnuous seam-for-glass lining. Each tank 51nIu-Inknl npnnr:,n is triple tested to insure qualny:L ONLY QUA,LIFIESIEOR�LCALIFO,RNIAfTuAX CREDIT `� l 5 y ear warrantyCFulIC3tyearyplusradditional 2 year limited warranty"ori Tank fbiNadditio nal,iprotection. SI REFRIGERATION WORK psmBe # Bradford yl White THIS f.Ui'^EER MUST ACCOMPANY CAL 4intorpot ALL INSPECTION REQUESTSGAl SEIA "fi .' '- ° FJ., L)„ILOINOS WHERE PERSONS ARE TO BE EMPLOYED, WE SUGGEST THAT THE STATE OF CALIFORNIA DIVISION OF I I INDUSTRIAL SAFETY BE CONSULTED FOR ADDITIONAL REQUIREMENTS. r, 1. • ` — c_ ___,4---.. ... A. Wires from Sensor Solar Saver Mounting Stud M ► 0 B. Thermostat Products C. Heating Element `,/, , ," D.D. Collector Return 0 ''.6. Tube . a a C <B E. Cold Inlet Tube I z 0 F. Ultra Dense Foam , j '. #1-4/:Pump Suction Insulation 02--$."Cold Inlet \ r • #3.44"Collector Return \I G. Pump Suction #4-+. Hot Outlet Tube H. Hot Outlet/Anode A r A A 1 Rod N. D H �, _ 'G eVd. I Stud Sensor Mounting *Y.: 8 B J. Thermal Feet C C D D` r . // K. Glass Lined Tank ill - r t L. Drain Valve o 0 Solar Electric - Solar-Storage Tank q' M. T&P Valve Water Heater - - Opening ' F 4K I • I Solar Saver Models e c D Ht. Ht. Ht. A Floor to Floor to Floor to Approx. L a � Gal. Approx. Jacket Heater Water T&P Shpg. �� . Z0 Model Cap. R Factor Diem. Top Conn. Valve Wt.(lbs.) !-'�j �3 " MS65RF3(S) 65 12 21" 583/4" 593/4" 521/2" 165(168) * MS8ORF3(S) 80 12 23" 583/4" 593/4" 53" 210(213) • MS120RF3(S) 119 16 28" • 621/2" 63W 561/4" 310(313) General j Y NOTE:Suffix Letter S denotes models with 4500 Watt Electric Heating Element and 4 Surface Mounted Thermostat.All Models Certified at 300 P.S.I.Test Pressure and 150 - P.S.I.Working Pressure.All Water Connections 3/4'N.P.T. Electrical Connections 3/4".All }A Models are U.L. Listed. 'Qualifies for California Tax Credit. or • u■�► Dimensions and specifications subject to change without notice in accordance with v� our policy of continuous product improvement. Corporation California 5 Year Tank California Full 3 Year Warranty Corporate Offices Warranty on Component Parts 24th & Ellsworth Streets BRADFORD-WHITE CORPORATIONS BRADFORD-WHITE Philadelphia, Pa 19146 full 3 year/limited 2 year warranty: CORPORATION has a 3 year 215-546-3800 protects your investment in a quality warranty on replaceable parts— glass-lined water heater. If the tank thermostats, elements, magnesium leaks for reasons of faulty materials, anode rod,dip tube,drain valve. Service Centers i workmanship, or corrosion within the These quality components are NORTHERN CALIFORNIA / warranty period, the heater will be manufactured for us by industry Palo Alto replaced with a comparable heater of leaders and will be replaced in the/ 415-858-1600 our manufacture. See complete copy event of failure during the parts SOUTHERN CALIFORNIA of warranty included with the heater. warranty period. Anaheim 714-630-5430 501-13-1084-G 100 YEARS OF EXCELLENCE Printed in U.S.A. — - , ,rniuma ' — _ OWNER COLLEGE PARK . DATE 3_12_57 JOB ADDRESS 25611 Yale Pl are BUILDING PERMIT NO. #4618 GENERAL CONTRACTOR Harbor Construction VALUE $ 11,200.00 1 47 BLOCK TRACT 3166 Res. w/det. gar. GROUP I et J TYPE V ZONE FIRE DISTRICT 4697 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR /� �` - DATE NUMBER Footing Trench 4-A 1,j V is s/ Foundation Forms and Grade to Garaagael�w�1 Rough Framing C A1(lF ' '' `6- Plumbing,Rough to Slab yn"c, Plumbing, Rough Complete Me 5 -asks7 Temporary Pole ✓ �+w.-.�- �t�.�� H -/c-Dn Wiring,Rough JUN ly t-G co �.rt:v --n-UJ 2 Ce)/0...S.�57 Heating,Rough 1�2".l�C 5 -"q"S ' , . . �,4, -9-i,-.5-7 9/ 7/ f Heating,Final e-S O'/5•S7 / ,,/n�,, bc _ Sewer, House wll Sewer,St. Mee S -t2-47 3tZ 4 f t _ s- 2-, a- 7 Septic Tank or Cesspool I 1 •ng, g Out �r ffi G//2:C P. ,.eying 9//p.s7 Plumbing,Final,Fixtures Com ete}VIL$ i De-/S'-S7 // ',�/�� Plumbing,Final Gas Test /S MX-S O,/SSS / � 7 //5 ' /'] ' .l7 //(/ i Wiring,Final �.�T- Q.•.4 s1r �I [C- / Occupancy /% /e .-0v7 FORM 210 SM 10.55 . 1 r/ 4697 FEE RECEIVia E ()/\(\ 0J\ —k 1j 1 q ‘ 1 , COSTA MESA BUILDING DEPARTMENT FINANCE DPT . ,P.O. CALIFORNIACITY OF COSTA MESA 317 COSTA MESA.A. L FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT ADDRESS256b.256L. YALE PLACE BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. P `T OWNER COLLEGE PARK No . 3 • 4� MAIL RECEIVED BY DATE RECEIVED MD.ATE ISSUED ADDRESS 21 1 6 SO . MAIN ST. ,.3' 8 —.1-7 AARR i 2 195 TEL. BUILDING 55577 CITY SANTA ANA , CALIF . NO. KIADDRESS ARCHITECT LIC. OR • w),NEER NO. COSTA MESA. CALIFORNIA I . FIRE ADDRESS ZONE 1 /e',/ / / /�/J GITY[LI C. 23 ZONE F{� I PLANS iYPEI/ GROV P/I CONTRACTOR /L((����/jL��yl O. �6G 'L�` `-I\(///v J • TEL. APPROVED ADDRESS NO. BY DATE LEGALLOT 1 CORRECTIONS DESCRIPTION NO. L.7 BLOCK TRACT 3 I 66 A.P.NO. SIZE {] NO.OF SLOGS. OF LOT 80 x 105 NOW ON LOT USE OF Cr EXISTING BLDG. SETBACK LINE FROM CENTER OF STREET 50 REAR YARD 30 — SIDE YARD RIGHT 5 LEFT 5 DESCRIPTION OF WORK NEI' X ALTERATION I ADDITION REPAIR MOVING DEMOLISH SIZE1379LDING ROOF ROOMS STORIES EXTERIOR WALL ROOF COVERING COVERING USE OF NEW BUILDING RESIDENCE & DETACHED GARAGE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC• TION. VALUATION SIGNATURE OF COLLEGE PARK NO • 3 PERMIT FEE S o PERMITTEE tern s 11 ,200• AUTHORIZED AGENT - TOTAL FEE S a.: — .fm%