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Home My WebLink About371 LA PERLE LN - Building PermitsAriributes Property Address Address 1 371 LA PERLE LN Address 2 COSTA MESA CA 92627 Parcel Information Assessor Parcel Mumber 42531116 Legal N TR 1175 LOT 26 HOMEOWNER CLAIMANT IS TYGART, C E Range Township Sedion Quarter Section Area Acres Owner Owner Address 1 Owner Address 2 Year Built Building Square Feet Building Count Stories Number Parking Spaces Number of Units garage Square Feet Front Footage Depth Footgae Bedrooms 7393.93758 0.17 Owner Information TYGART C E 371 LA PERLE LN COSTA MESA CA 92627 Property Specs 1950 910 1 1 3 Page 1 of 1 http://mesagis2x/website/costamesa/parcel/popup.asp?opt=Attributes&HistorylD= {9EF3... 02/24/2003 PERMIT TYPE CITY OF COSTA MESA sva�►N� �►v�s�oN 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 ELEC JOB ADDRESS: 371 LA Vicinity: WATER FALL SCOPE OF WORK: � ELEC AN EXISTING SFD. FOR INSPECTIONS CALL: (714) 754-5626 PERMIT STATUS: _ DATE ISSUED: "'� - �-ISSUEDBY: r„ r . �. -;� ,. K. , '; ' y E FL CM i :� $uite/Unrt `, r' r "� � _ -�� 1 OUTI:EPAND 1 SWITCH FOR A r: ;rw:: • www.ci.costa-mesa.ca. NUMBER: E07-00731 ISSUED 08/08/2007 BJK LANDSCAPING WORK AT x r .l �r'; .r�„ '� ' ,i�., ��. ;f OWNER: ANTHONY ROBERT C LIVING TR'-' � :.Address 3Z7 LA PERLE,PL Unrt PHONE: '' { � - t` City/,State/Zip. _�; COSTA MESA CA APPLICANT: Y00, PAUL �r,� ' �� Address. �� 9465 GARDEN GROVE.BL. Unit:UNIT 200 PHONE: 714-994-3334 �� City/State/zZip: GARDEN GROVE' CA- �. CONTRACTOR. GREENLAND CONCEPT LA'NDSCAPING INC License No. 844850 '- Address: 9465 GARDEN GROVE-BLUniE��UN1T 200� � - ` ' - � � - �- '--� PHONE: - 714-994-3334 ._; .,. , .. .„ ... � _ . .,� City/State: GARDENGROVE;�CA- ZipCode:92844�'�:- -, CELL:"-� . . . ....�.- __ ._ -.. � �* + �: i 1� � � r I' , __ ELECTRICAL PERMIT�'FEES , �.� Electrical Plan Check Fee :;, �;(-;$0 00 Electrical Permit Fee: ';� $25J0,, "` Reinspection Fee j $0 00 � , j` TOTAL FEES x ,>> $25,70_ . r , ; � ' ` - ''' t; _ _- . ;�,:. . ,F, ; — _. ;. , - , _„ r � - � ' � . . _ < .. �,� . NOTICE: The work authonzetl 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 wmply with all applicable wdes, 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. C O�Er. INSPEGTIONTYPE 1fit6 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition DATE INTITIRLS GOpE/ INSPEG110NTYPE 206 Final Mechaniwi 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Fina18uilding/Occupancy ORTE INTITIRLS WORKERS' COMPENSATION DECLARATION: I hereby aRrm under penalty of perjury one of lha tollowing declaretions: [� I have antl will maintain a certificate of consenl to self-Insure for vrorkers' compensation, as proviCetl for by section 3700 of the Labor Cotle, for the pe rmance of lhe v.ork for which this permit is issued. � � r I have and will maintain v.orkers' compensation insuranca, as required by section 3700 of the Labor Code, fa the peAortnance of the v.ork fw which this permit is issued. My wUrkers' wmpensation Insu2nce carrier and policy number are: L L ��r�er„ S'-! at�.. i (ihis section neetl �uf Ee cpndete/dsMa ce�d k valued al one nuM.etlOdlars (5f00) w kssJ POltcy;Number: � �%/3�0� ❑ I certify thal in ihe pedortnance of the vrork (or which this permit is issueG, I shall not employ any person in any manner so as to become subject to ihe workers' compensation laws of Califomia, and agree that if I shoulC become subject to Ihe wnAcers' compensation provisions of Section 3)00 ot the Labor CoCe, I shall orthwith comply vrith these provisionsp. ) �?�' � �/ Applimnl's ' eWre � Dafea WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 1$ UNL4WFUL AND SHALL SUBJEC7 AN EMPLOYER 70 CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S ($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 aKrm that I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, antl my license is in full force antl eRect. L��:# lC� D CWss'#. G_1! _o ( nlratlai�Si ra- Date CONSTRUCT ON LENDING AGENCY: � ❑ I hereby affvm lhat there is a construction lending agency tor the peAortnance W the work tor wfiich tltis pertnit is ssued. (Sec. 3097, Civil Code). �ender's Name: lenEer s Adtlress: Sipnalure OW NER-BUILDER DECLARATIONS: I hereby affirm Ihat under penalty of perjury that I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. Business antl Pro(essions Cotle: Any city or county which requires a Dermit lo ConsWct, alter, improve, demolish, or repair any sWCNre, prior to its �ssuance, alSo requires ihe applicant for such pertnil lo file a signed statement �hat �e or she is licensed pursuant to the provisions of ihe Con[rac[ors license Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Code) or that he or she is exempt Iherefrom and the basis (or the allegatl exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally ot not more than five hundred dollars ($500�.): ❑ I, as ovmer of the property, or my employees with wages as their sole Compensation, WILL DO THE WORK, and the structure is not intentled or qHered tor sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply lo an ovmer of property who builds or improves thereon, antl wbo does such work himself or �erselt or tbrough his or her ovm 0mployees, provided thal such improvements are not intended or oKeretl for Sale. If, however, the building or improvement is soltl vrithin one year of CompleUon, the owner-builder will have Ihe burden of proving t�at he or she tlid not builtl or improve for purpose of sale.). . ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH UCENSED CONTRACTORS to construct the project (Sec. 7644, Business antl Professions Code: The coniractas License Law dces not apply to an owner of pmperty who builOs or improves thereon, and who cont2cts for such pioject with a contractor(s) ticense pursuant ro the Contractas �'cense [aws.). ❑ I am ezempt under sec. � Business and Professions Code for this reason: Ovmer ID.verified by drive� �ise. ❑ Yes ❑ No Driver's LicenSe�No. Expires: Verification of Ownership by (type of tlocumant, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation frve (5) or more feet in dep[h into wfiich a person is required to descend, will be made in connectbn v.ith work authorized by this pertnit, and that no building structure, scaHdding, falsev.ork, oi tlemolition or dismantling thereof, vrill be more than thirtys& (36) feet high. (Chap. 3.2, Gry 2, i1fl 2, $EG. 34i, TII�E 8, ('.2�1(ORlld .�.GffIIf115h2�1V8 CO(:E�. ❑ As owner-builder, I will not employ anyone to do work which would require a permil trom the Division of Indus[rial Safery, as noted above, unless such person has a pertnit to do such vrork from the division. Appimnl's SgnaWre pate Division ot Intlustnal Sa(ety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applican[ or present or future building occupant need lo file and certify a Business Plan (or emergency response to release or threatened release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 of the Calitomia Health and Safery 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 tluring a reponeC year a quanUty of hazardous matedals equal to or greater than a vreight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature antl pressure). 2. Does or will the applicant or present or fuNre builtling occupant need b file a registration (orm for acutety hazardous ma[erials7 ❑ Yes ❑ No (Section 25533 of lhe Califomia Health antl Safery Cotle, with some exceptions, requires regisiration with the Cosla Mesa Fire Department by each business which at any one time has on hand a quantiry of acutely hazardous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic fee[ of compressed gas al standartl temperalure and pressure). 3. Does or will the apPliwnt or present or future building occupant need to prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous materials)7 ❑ Yes � No (Section 25534 of the Califomia Health antl Safery Code provides lhat lhe Costa Mesa Fire DepaRment may require the preparetion, certification antl fling with the Fire Department of an RMPP by businesses which are required lo register acutely hazardous matenals with the Fire Departmen[. 4. If an RMPP is presently required, has Seclion 25534 of the Califomia Health and Safety Code been fully wmplied with7 ❑ Yes ❑ No 5. Does or will the appliCant or present or tuture building occupant require for the work which is the subject ot [�is application a permit for such consiruction or motlifiwlion (rom the South Coast Air Quality Managemen[ District or from any other air pollution wntrol district or agency? ❑ ves ❑ No (Section 65850.2 of Ihe Califomia Govemment Code requires that ttre requested in(ortnation be fumishetl on appliwtbns for non-residential building pertnits). 6. Will any part of the facility [o be construcletl under ihis permil be wilhin 1000 feet from [he outer boundanes of a school? ❑ Yes ❑ No Qf'j�es", the laciliry must meet [he requirement of Sections 25534 antl 42303 of the Califomia Health and Safety Code). 7. It a permit from the Soulh Coast Air Quality Management District or other air polWtion control distnct or agency is requiretl for the work which is Ihe subjecl of this application, have all of the disclosures prescribetl Dy Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ Np 8. (If yes", attach certificate of compliance from the appropriate air pollution control officer). � � CERTIFICATE OF COMPLIANCE: I certi(y that untler penalty of perjury the infortnation given above is cortecL I agree to comply with all state lavrs and city ordinances regarding Harardous Materials and Emissions: CERTIFICATE OF COMPLIANCE AND AUTHORI7ATION OF ENTRY: I certify under penalty of perjury that I have read ihis application and state that the information given is wrrecL I aqree to comply with all state laws and ciry ordinances relating to building wnstruction, antl authorize representatives of the City of Costa Mesa to enter upon the above�escnbed property tor inspection purposes. I agree not to occupy or allow occupancy of any builtling authorized by this permit until final inspection. S��9^a�ureof� I� er��s,)Q rynDate Sie�amre Da�e - _ ' 1 J�l 1 �' "'� . \7 ...�iQ 3057<6(3N71 A ElW��m�}_ (�Date � CITY OF COSTA MESA � F BIIILDING D/VISION F � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us °�� • FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER P07-00490 PERMIT TYPE PLUM STATUS: ISSUED _ _ _ DATE ISSUED: 08/08/2007 - ISSUED BY: BJK � , - r, r � 4 � � : � / }� JOB ADDRESS: 371 LA PERLE PL::CM y ;: � ,, SuitelUmt ;';�, Vicinity: FIRE PIT �,�r - - _ 4 ; .`,�_rt_ � x' f � '� .. ,• �3s. � � y�' . _ . ::; �' \t:', SCOPE OP WORK: PLUMBING PERMiT FOR`1 GAS OUTLET (1-4) FOR A FIRE PIT IN CONJUNCTION WORK AT AN EXISTING SFD� , '`'` �� ' ?> '' ;� � � .xy _ .,,._,3 . ' .. ( p� . �q . , j .t :. � _ � !'. � : : � � OWNER: ANTHONY-ROBERT�C.CNING TR � __ �.-�pddress --. _, 371 LA PERLE PL� PHONE: ''u' - - City/State/Zip.�'=�=COSTA�MESA,CA -- APPLICANT: Y00, PAUL Address: 9485GARDEN GROVE-BC-. PHONE: 714-9943334 '� ` City/State/zZip: GARDEN GROVE, CA' ;-- - . � �: , . .. ,.�_.... . . .. � a.�� .,� .. .., ,... ;.-- _...... -.-- - i,�_ CONTRACTOR: GREENLAND CONCEPT LANDSCAPING.,�NC `'- -� Cicense No. 844850.' � Address: 9465GARDEN GROVEBLUNIT 200 - �� --� -PHONE: 714-994-3334 City/State� GARDEN�GROVE.CA ---� ZipCode' 92844:.� - CELL:'� WITH LANDSCAPING ,.:i UNIT 200 �:,,;� ��r .. . . _ t ._... .�.i� `a .sS:.�; 'aS '.,,.i � _ �4 � ti _ _ '! PLUMBING PERMIT FEE,SUMMARY; =;; i z :• �_ PLAN CHECK FEE: t $0 00 , � � _ PERMIT FEE: $29.65 = ::., ` z, ", '� { �, c�,, . TOTAL FEES: $29.65 �y�. f f';' ` � i �T.a . � E i�t i »,�� . - ��-,x �. �,5 ,� - �,� 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 vrill result in the expiration of this permit. C D�EN. INSPEL710NTYPE 1676 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition OATE IN1111RLS OEp INSPECIIONTYPE 206 Final Mechanical � 208 Final Plumbing 210 Final Eleclrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Sile 250 Final Building/Occupancy DRTE IN7171AL5 N�ORKERS' COMPENSATION DECLARATION: ' I hereby aKrtn untler penalty o! perjury one of Ne lollowing Aeclarations: � ❑ I have antl will maintain a certificate of consent to self-Insure for v.orkers' compensation, as provided for by section 3700 of the Labor Code. for the paAormance of the work for vfiich lhis permit is issued. , [[��1'hava arM will maintain »orkers' canpensation insurance. as requi2d by section 3700 of the Labor Code, fa lhe performance of the work fa which this permit is issued. My workers' compensation Insurance wrtier and policy number are: � �� C`•arrier,--.-. —(ihis serSiwr naetlnof 6e mrrip/eleCs/tne permlis vaNeQaf one hurMred OaNars (SiLV) w kssJ POIicpNumbert ��% �3%b � ❑ I certify t�at in the peAortnance of the work for which this pertnit is isSued, I shall not employ any person in any manner so as lo become subject to the warkers' wmpensation laws of Califomia, anG agree that if I should bewme subject to the workers' wmpe�sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with lhese provisions. rP-ct= e7 Ap limp nl'sSig u� L_Dale� l�� WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENqLTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S ($100,000), IN ADDITION 70 THE COST OF COMPENSA710N, DAMAGES AS PROVIDED FOR IN SECTION 37W OF THE LABOR CODE, INTEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn lhat I am IfcenseC under provisions of Chapter 9(wmmencing �dth Seclion 7000) of Division 3 of the Business and Professions Code. antl my license is in full force and effect. Class #> C—� _ ��/ LDdbJ CONSTRUCTION LENDING AGENCY: C] 1 hereby affum ihat there is a constmction lentling agency fa the pOAormance of the v.ork fawhich this permit is'ssued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Sigluwre Da�e OWNER-BUILDER DECLARATIONS: I hereby aKrm that under penalty of perjury tha[ I am EXEMPT FROM 7HE CONTRACTORS LIGENSE LAW lor Ihe following reason (Sec. 7031.5, Business anC Professions Code: Any city or county which requires a permit to cbnstruct. alter, improve, demolish, or repair any structure, prior to its issuanca, also requires ihe appliwnt for such permit to file a signed statement Ihat he w she is licensed pursuant !o the provisions ol Ihe Contracto�s License Law (Chapter 9(wmmencing with Section 7000) of Division 3 of ihe Business antl Pro(essions Cotle) or that he or she is exempt there(rom antl �he basis for the alleged exemption. Any viola[ion o( Section J031.5 6y any applicant for a pertnit subjects the applicant to a civil penalry of not more than (Ve hurtdred dollars ($500).): ❑ I, as owner of the property, or my employees vrith wages as their sole compensation, WILL DO THE WORK, antl lhe s[ructure is not intendetl or oftered tor sale (Sec. 7044, Business and Professions Code: The Contractors License Law tices not apply to an owner o1 property who Duilds or improves thereon, and who dces such Jrork himself or herself or through his or her ovm employees, provided that such improvements are not intended or oftered for sale. If, however, the bnilding or improvement �is sold within one year of completion, the ovmervbuilder will have the burden ot proving Ihat he or she did not build or improve for purpose of sale.). � ❑ I, as owner of the property, am EXCLUSIVEIY CONTRAC7ING WI7N UCENSED CONTRAC70RS to consWct the project (Sec. 7044, Business and Professions Code: The contractas License Law dces not appy to an owner of propeny wfio builtls or improves thereon, and who contracts for such project with a conVacta(s) license pursuant ro the Cont2ctors License Laws.). ❑ I am exempt under sec. � �� 6usiness antl Professions Cotle for this reason: Sigrialure 705].dfilYVl� �� Owner ID venfietl by drive. .ise. ❑ Yas ❑ No Driver's License No. Expires: Veri(cation of Ownership by (rype of tlocument, i.e. - property tai bill or tleetl�: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavatbn frve (5) or more (eet in dep[h into wfiich a person is required to descentl, will be made in connection with work autlwrized by this pertnit, and that no building structure, sCaffdding, falsework, a demolition or dismantling lhereof, will be more than thirty-six (36) feet high. �Chap. 3,2, Grp 2. Art 2. Sec. 341, Ttle 8, Califomia Adminisl2tive Code). ❑ As ovmer-builtler. 1 will not employ anyone to do work which woultl require a pertnit from the Division of Industrial Safety, as noted above, unless such person has a pertnit to do such work from the tlivision. Md��'s SignaWre Division of Intlustrial Safety Pertni[ Number. _ HAZNRDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to Ne and certify a Business Plan (or emergency response lo release or l�reatened release of a hazardous material? ❑ Yes ❑ No (Section Z5505 of lhe Califomia Health and Safety Code requires, vrith some excep[ions, that a Business Plan be fileC vnth the Costa Mesa Fire Department by every business which has at any one time tlunng a reportetl 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 wmpressed gas at stantlard temperawre antl pressure). 2. Dces or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials7 ❑ Ves ❑ No (Sec[ion 25533 of the Califomia Health and Safery Code, wilh some exceptions, requires registra[ion with the Costa Mesa Fire Department by each business which at any one time has on hantl a quantiry of acutely hazardous materials equal to or greater than a v.eight ot 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3. Does or vrill the applicant or present or (uWre builCing occupant need to prepara an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health antl Sa(ety Cotle provides lhat the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are requiretl [o register acutely hazardous matenals with the Fire Department. 4. IF an RMPP is presently required, has Section 25534 of the Califomia Health and Sa(ey Cotle been fully complied with? ❑ Yes ❑ No 5. Does a will the apD��nt or Dresent or (uture bu'Ading occupant require for the work which is the subject of this appliwtion a permit for such wnstruclion or modification (rom the South Coast Air Ouality Management District or from any other air pollution control disMct or agency? ❑ Yes ❑ No (Section 65850.2 of the Cal'rfomia Govemment CoCe requires that the 2questetl information be fumishetl on applications for non-residential building permits). 6. Will any patl o( [he facility to �e conslructetl untlar this permit be within 1000 feet from the outer boundaries of a school7 ❑ Yes ❑ No (If yes', the facility mus[ meet the requirement of Sections 25534 antl 42303 of ihe Catifomia Health and Safety Code). 7. It a permit fmm the South Coast Air Qualiry Management Dislrict or other air pollution control dis[rict or agency is required for the work which is ihe subject of this application, have all of the disclosures prescribed by Califomia Health and Safery Cotle Section 42303 been matle? .❑ Yes ❑ No 8. (If'yes", atlach certifcate of compliance from.tha appropriate air pollulion - controlOKGer). . . CERTIFICATE OF COMPLIANCE: I certify ihal under penalry o( pery'ury lhe information given above is correct. 1 aqree to cbmply wilh all�stale laws and city ortlinances regarding Hazartlous Materials and Emissions. Date , CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read Ihis application and state lhat the iniormation given is correct. I aqree to comply vrith all state laws and ciry ordinances relating to building wnstruction, antl authonze representatives of the Ciry of Costa Mesa to enter upon the aboveEescribed pmperty for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit un61 �nal inspecfion. SgnaWr�galOvm� �� P �� `�AUWanz Wican� Oate� . (714) 754-5273 • Fax (714) 754-4856 • vnvw.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 371 LA PERLE LN Suite No Vicinity: Parcel Nunmber: 42531116 Applicant: JOHN MELROSE " Address: 1525 MACARTHUR BL. �COSTA MESA, CA /� � O�;vnec TYGART, C'E�TR " Address 371 LA PERLE"LN COS7A MESA, CA PLUMBING PERMIT Phone: p14) 641-1545 ' Zip: 92626 Phone: . Zip: 92627 Contractor: C AND R DRAINS WCORPORAT Address: � 1525 MACARTHUR BL. � ' � Phone: (714)641-1545 ,� COSTA MESA; CA . Zip: 92626 - License: 531746 Arch / Eng : - � -� � - - - � � ' Address: , Phone: . . . ZIP,. . . . � Cicense: - � SCOPE OF PERMIT � GAS LINE FOM METER TO HOUSE. Status: ISSUED Applied: 12/26I2003 Issued: 12/26/2003 ISSUED BY: ''°�FEE�SUMMARY "....,- AMT . QTY - � - � AMT. � QTY--,: .,�- : �� ' , "AMT QTY ISSUEFEE�, ��, $23.50 . ' " � ' LaundryTub/Washer • _$0.00 0�'�' � �-'� Surnp�Pump � ,�� .g0.00 0 Backflow irrigalion $0.00 �0 Landscape Irrigation - 50.00 0 � Swimming Pool $0.00 0 Backflow Preventer " $0.00 0� , ' P-Trap ,, $0.00 0 - ' Trap.Primer' . " � $0.00 0 BathWb , $0.00 0 . Pressure Regulator, $0.00 0 � , . Urinal ' � $0.00 0 Clarifer System �$0.00. 0 Process Piping (per 10 ft) ,$0.00 0-. � Vacuum Brkr Bkflow(1-4) $0.00 0 Connect (Ice,Soda,etc)� ,$0.00�� 0� �� Receptors - $0.00- 0 � ,Vacuum Brkr Bkflow(5+) 50.00 0 Dental Units -$OAO 0 .. Septic Tank $0.00 0 ., Wash Basin% .' S0.00 0 Dishwasher $0.00 � 0 , Sewer Cap for Demo, , �$0.00 , 0� Wash Basin�Set $0.00 0 Drain, Floor $0.00. 0, Sewer Connect $0:00 0� Waste anB Vent System $0.00 0 Drain, Rainwater $0.00 0 Sewer Private Line 50.00. 0 � "Water Closet (Toileq 50.00 0 Drain, Roof $0.00 0 � Shower � $0.00 0. ,-, " � Water Heater / vent $0.00 0 Drinking Fountain $0.00 0 � Sink, bar $0.00 --- 0� " Water Piping (Inst or Rep.) $0.00 0 Expansion Tank $�.00 0 Sink, commercial _� _ � $0.00 0 Waler Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service �0.00 0 NOTICE: The work authorized by ihis permit shall comply with all.applicable handicap access requirements under California statutes and ielated regulAtions. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permi� shall automatically expire and become void it work is not commenced within 180 days, or if work is suspendad or abandoned for a period of 780 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetlona and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 2446-66(6/00) WORKERS'COMPENSAnON DECLARAnON: ' � I hereby attirm untler penalry of perjury ona ot the followinq declarations: ❑ I have end will mainteln e certificate of consent to seli-Insure tor workers' compensatlon, as provided for by section 3700 ot ihe Labor Cotla, tor the peAortnence of the work for which this pertnil is Issuetl. ❑ 1 have flnd will maintain workers' compensation Insurance, es required by section 3700 ot Ne Le6or Code, for the peAortnance ot Iha work lor which Ihis pertnit is issued. ,� My wo�s' compensation I�surance carrler end poli� r ere: � ,� � �� Certier: 7 dxv'�" %:�^� 1 //��%'�� Poli Number. (Thl�s s�ection neeC n��completed il lhe pertnit is'valued et one hundretl dollers ($100) or less.) .i T— �NI certiy that in the pertortnance ot ihe work for which this Dermit is issued, I shall not employ any person in eny manner so as to become subject to Ihe workers' . compensation laws ol Califomia, and egree Ihat it I shoultl Cecome sub'ect to the workers' compensation provisions of Section 3700 of the Lebor Cotle, I shall torthwlih wmply with these hsion� `Applirant Signature: �. �i � � _: �� Date: � � Z — Z.li-03 WARNING: FAILURE T ECURE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CFIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED iMOUSAN�00LLAFE 5100.0OO�,INADDITIONTOTHECOSTOFCW.IPENSATION,DMIAGESASPROVIDEDFORINSEGTION31060FTHElABORCODE,IMEREST,AN�ATTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I e irtn that licensed under provisic CONSTRUCTION LENDING AGENCV: of Chapter 9(commencing with Section 7000) ot Coda, en0 my license is in full ❑ I �ereby aHirm t�at there is a consiruction lentling agency for the pedormance of the work For which this permit is issuetl. (Sec. 3097, Civil Cotle). Lenders Neme: Lendefs Addre55: Signewre: Date: OWNER-BUILDER DECLARATIONS: I hereby eNirtn that under penalry of perjury that I am EXEMPT FROM 7ME CONTRACTOfiS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business end Professlons Code: Any ary or counry which requires e pertnit ta construct, alter, improve, Oemolish, or repair any siructure, pnor to its iuuance, also requires ihe applicam for suc� pertnit to tlle a signetl stetement ihet he or she Is licensed pursuent to Ihe provisions of the CoNrectors License Lew (Chapter 9(commencing wit� Section 7000) of Division 3 of the Business end Profeuions Code) or that he or she is e:empt theretrom end the basis for Ihe alleged exemption. Any violation of Sectlon 7031.5 6y eny applicant for e pertnit sub�eds the epplicaN to e civil penalty of not more than five hundred dollars (5500).): ❑ I, as owner ol the property, or my employees with wages es their sole compensation, WILL DO TME WORK, and the struciure is not intentletl or o%ered for sale (Sec. 7044, Busine and Professions Cotle: The Contractors License Law does not apply to an owner of property who builds or improves thereon, entl who tloes such work himsetl or her If or Ihrough or her own employees, provided that such improvaments are not Intended ar aHered for sale. If, however, the builtling or improvemen� Is �� sold within o year oi co I ion, the owneo-builder will have ihe burden ol pmving ihat he or sha tlid not build or improve for purpose of sale.). • ❑� I, as owner I the prope , EXCLUSIVELY NTRACTNG WIT}1 y1�ENSED CONTRACTORS to construct the project (Sec. 700G, Business and Professions Code: The ontractor ice e Law does not p to an owner ot p ehi who Duilds or Impmves ihereon. antl who contracis br such projecl with e contractoqs) licen5e Du u6n� to t Co rec�ors License w). 1 ❑ by DIVISION and i.e. - property tax �ill or deed): SAFE7V PERMR CERTIFICATON: Drivef5 license ��ate: ❑ I �ereby certify that no exwvation five (5) or mora leet in depih into which e person is required to descend, will he ma0e In connection with work authorized by this pertnit, and that no building sWcture, scaftolding, falsework, or demolition or dismantling Ihereot, will ba more than thirry-six (36) feet high. (Chflp. 32, Grp 2, Art 2, Sec. 341, lltle 8, Califomla Administretive Code). ❑ As owner-builder, I will not employ enyone to tlo work which would require a pertnit from the Division of Indusirial Satery, as notetl ebove, unless such person hes e pertnii to tlo such work irom ihe division. SignaWre: Date: Division of Industrial Satery Pertnit Number: CERi1FlCATE OF COMPLIOHCE AND AUTHORVATION OF ENTRV: I certify under penalty of pe�ury ihat I have read this epplication antl state ihat the inlortnation given is wrrect. I egree to wmply with ell stete lews and ciry ordinances relating to building construction, antl euthorize representatives of tha Ciry of Coste Mesa to enter upon �he ebove-descnbed property lor inspection purposes. I egree not to occupy or allow occupency oi eny builtling authonzed by Ihis permil until tinel inspection. COUE t. INSPECTIONTYPE 1818 Fixetl System Final Fire Prevention 1288 Pool Spe Final 200 Final Re-Root 201 Finel Block/Retaining Well 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition l2—� � S � Date COUEt INSPECTIONTYPE 206 Finel MeChanical 208 Final Plumbing 210 Final Elacincal 2tt Pinal Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Oaupanq PAIE I�15 / ir OWNF.R, I�'A; (;AMMUIV� (i15UHIi15 Y. llATL�' 11-GO-00 SOB ADDRESS 371 La Perle L3ne BUII7HING PERMIT NO. 2641�+ _. L Forms DESCRIPTION OF WORK SUBCONTftACTOR . , 26414 y COSTA MESA BUILDING-SAFETY DEPARTMENf P.O. BOX 120! COSTA MESA� CALIFORNIA 92828 • Fo� AppI1mM fo Flll In Completoly TYPE OR PRINT ADOREGII / � �A ��RLE LFIN� COSTA MESA, CALIFORNIA nwuvo �!-'d (L %E /�. INc ei9/�O /'L7. O r �9 �V Q/J/ � 66TBACK LINB �ROp DESCRIPTION OF WORK ALTHRATION �` ADD MOVINO DQM� NO. OR ROOMB � ! EXTERIOR WALL I ROOr COVERIN6 COVEI Ui[OPDIJILDINYA�f WORKTOBI D 4� � � �P /t�✓v fu�.✓ �E � Hea¢eY �eKMovnscoi nur.� x�vs AND 9TAT6 1'MAT TN[ A!Oyj IB COqpl PLY WITX ALL CITY ORD1YrNC�i �NO � � AUTHORIZCD AOLlR tdOV'28-66 001239 �***�*5.00 ArPLICATION FOR PERMR BUILDIPfO For Off7ce Us� Only 11[ClIIf HO. � II ' ZONING / xo. o� wa o� „�w ruHs �� euao�No � YARDB MPROVlD MAIN BUILDINO VAR. �}' NO. 0 HHALL OH Ll88 THAN (U.B.C.REGUIRBM8NT1 YARDS APPROV ED ACc6b60RY BUILDIN6 DAT6 h ro � �. �. � iMt AMOYNT iXOWN UryO6p VwLUATON IB IOR TIQ � PURPOG[ OI �HiAGLIBHINO A PlpNl'I PB8 ONLY. � VALUATION �O� p PHRMIT FE6 � ` �o�� b� `' o-�o TOTAL PEE