HomeMy WebLinkAbout872 LIARD PL - Building Permits�
(714) 754-5273 • Fau (714) 754•4856 • www.ci.Coste-meSa.C�.e�MBING PERMIT �� FAIR DRNE, GOS7A MhSA, GA yZti2ti
JobAddress: 872 LIARD PL
Suite No
Vicinity:
Slatus: ISSUED
Applied: 07/31/2006
Issued: 07131/2006
Parcel Nunmber: 41806q04
Applicant: SCO7TLITTLEFIELD ISSUEDeY: ./�
Address ,-- - - --- ---
� � :� �: Phonei �661`-259-5020-��
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Owner:
Address
% �'Address: 24707'S
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' �"` �'^�,. ,� SANTA'�
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�ISSUE FEE � � �� $23.50
,Back(low irngation •, $Q.00
�.Backflow Preventer. ��� , $0.00
8alhtub `- - -'� : 1,�� � � $0.00
�Clarifier System - l -�, $Q.00
Connect (Ice,Soda,elcj SQ.00
Denlal Units � £0.00
Dishwasher'' � ' �� � � $0.00
Drain,�Floor„�' ����; 50.00
Drain; Rainwater„ ��V�� Sp.00
Drain;_Roof,-� �� A �����50.00
Drinking Fountain �` � � � $0.00
Expansion�Tank� / �� 50.00
Gas Eartfiqualie�Valve �$0.00
Gas (1-4 outlets) ^ 50:00
Gas (Over�4-ou\lets) �� j $D 00
Gas Repipe, �� $0 00
GasService\�., /$0�.00
Interceptors (Grease Oil)(/$0.00
Inlerceptors (Sand Aulo ) �$0.00
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%/� /= � Zip: 92626 � \�� �. �- ��' \ � � \\\
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WATER HEATERS AND PLUMBING �� ��� � � � �����,
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Phone: �661-259-7131 `.� .� / ,��,\ ��: �
. Zip: ;,,91321 i . - - � ':`V� �`.,. �^�� ��A \
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"'�License: -627368° ��� , . ' � �.� ��
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-'SCOPE OF PERMIT�- � � � �, � �� ,, ` �,
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SAME LOCATION ' - ,_ f ; � � � `, �r • \
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�� FEE SUMMARY �� �' � �
QTY - ' - - - = AMT QN - i ' �, ,"�AMT .:QTY
��'r � 'r,- i r .,�' ' .
% /r LaundryTub/.Washer �i ) 5000: ,.0 � ��, ��SumpPump � $0.00 ;�0�
0 �L= * �Landscap'e' Irrigation �� 1 $0 00+".. _ 0 � ' � -�Swimming Pool ' � � � � \ $0.00 � 0 �
0 - -- -� � P-Trap ' - � ~-�50.00 � 0 „ . Trap Primer � . -$0.00 , �0%
0� PressureRegulalor $0.00 ��0;� � Urinal '� i��'�,' �$0.00 •0�
0 t „�.Process`Piping (per 10 ft)_ $0:00, ?0'r� Vacuum Brkr Bkflow(1-4) ; $0.00 ��0
0 ��=-'-==- Receplors �� � �A ��50.00');0;,�'�..� ,� VacuumBrkrBkflow(5+) ; �_`$0.00. �0
0 `Septic'Tenk -� - '$0.00% � 0' � - " Wash Basin %'�' - �$0.00 ,. � 0
0 I �� � �� Sewer Cap for Demo ` - - 50.00 .j 0� � � � Wash Basin Set .' �' ' `� $0.00 „ 0
0 Sewer ConneG 50:00,-� 0 Waste and Vent System..; ;$0.00 `�;� ,' 0
0/ Sewer Privale Line �50;00- 0 '� Water Closel (7oilep ; �� �$0.00� 0
0; Shower =�-50�_OO�L�O WaterHealer,/vent !�' 512.30�j 1
0� Sink,bar 50.00 0 WaterPiping�(IristocRep.)�50.00�' 0
0�� Sink,commercial,'�•,`�=-;�_ 50.00 0 WaterRe-pipei !, % 50.00 0
�
0� Sink,Floor,'':�� =i$0_00 0 WaterService `�_�� .$0.00 0
OI Sink,�kitchen� ,`$0.00�`',0 Water-Softeoer � � ��$0.00 0
0 Smk service/mop Jr� $0 00 � �:0 � OTHER�-� � � �y � �50.00
V�OS�''`'-�Spa(pnvate) :� $000`''0`--���'�VIOLATION v ��'/,$0.00
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\`� , Spa (public)\ - �� � $OAO _ 0 _ j % R NSPECT ON / jf �/ $0.00 0
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�� � - , ,;; , TOTAL CALCUCATED PEES: $35.80
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' `� � // CCOMMENTS I SPEC
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NOTICE: The work authonzeq by this permit sfiall comply wifh all appficable handicap access requirements under Califomia sfatufes and related
regulations. (Ord. No. 92-28, § 1, 1241-92) �
E%PIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days. �,
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codea, and ell
required Inspeetione and flnal approval must be obtained. Failure to obtain inspeclions and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 �
2A4&C8 (8b0)
� WORKERS' COMPENSA710N DECLARATION: �
I he�eby eXirtn untler penalry of perjury ona of ihe following tleclarations: ,
❑ I heve end will maintain a cenificate of consent to selFlnsure for workers' compensatlon, es provided for by sectlon 3700 oi the Lebor Code, tor the pertortnence M Ihe
�''ork for which this permit is issuetl.
0" I heve antl wlll maintain workers' compensation insurance, as requiretl by section 3700 oi Ihe Lebor Cotle, For the pertortnance of Ihe work for which Ihis pertnit Is Issued.
My work�erre-' wmpensation Insurence carrler and policy number are:
Cartier. / � ��� �h � PolicyNumber: ��i0-7�5��� I /
(This section neetl not be comD/eted i! the perml( Is valued et one huntlred dollars ($f0 ar /ess.)
❑ I certily ihet in ihe peAormance of Ihe work or which �his Dertnit is issued, I s�all not employ any person in any menner so as to become subject to the woAcers'
compensatlon lews of Celitomie, entl egre that tl I s ould become sub�ect to tha workers' compensation proWsions of Sectlon 3700 ot Ihe Labor COAe, I shell forthwith
compty with ihese provisions. r-�
'-'� Applicant Signawre: � y/ Date: /' 3�' Vb �
WMNINO:FAILURETOSECUREWORKERS'� PENSATIONCOVEPAGEISUNLAWFULMlDSW1LLSUBJECTANEMPLOYERTOCRIMINALPENALTESANDCMLFlNESUPTOONEHUNDRED
THOUSAND DOILARE (5100,000�, IN ADDRIIXJ O THE COST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECfION 3lOfi OF THE UBOR CODE, IMEREST, AND ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLAFiATION:
�
I hereby aHirm that I am Ilcensed
torce end etfect Lic. A�
Contradols Slgneture: _
of Chapter 9(commencing with Sectlo�000) of Divislon 3 of the Business er�d Protessions Code, and my Iicense is In full
Class N �- S b /
oa�e: � - 31 - o u
CONSTRUCTION LENDING AGENCV:
❑ I hereDy eNirm ihat there is a consiruction lending agency for ihe peAortnance ot Ihe work for which this permit is issuad. (Sec. 3097, Civil Coda).
Lentler's Name: Lendels Adtlress:
Signeture:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby e�firm �hat untler penalry of perjury Ihet I em EXEMPT FROM TME CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7037.5, Business end Professions
Code: Any city or county which requires e permit to consiruct, alter, improve, tlamolish, or repair eny structure, prior to its issuence, also requires ihe applicent for such permit
to flle e signed statement thet he ar she Is Iicensatl pursuant to the provisians af the Contractors License Lew (Chepter 9(commencing wlth Secllon 7000) of Dlvlslon 3 of ihe
Business end Professions Code) or thel he or she is exempt therefrom end ihe besis tor ihe elleged exemption. Any vialation of Section 7031.5 by any epplicent for e pertnit
subjects ihe applicant to e civil penalry of not more than five hundred dollare ($500).):
❑ I, es owner of the property, or my employees with wages as their sale compensetlon, WILL DO THE WORK, enG ihe siructure is not intentled or offered for sele (Sec.
7044, Busineu and Professions Cotle: The Contractore License Law does not apply Io an owner of properry who builds or improves Ihereon, and who daes such work
hlmself or herself or Ihrough his or her own employees, provitled that such improvements ere not intended or oHared for sale. If, however, the building or Improvement Is
soltl wit�in one year of completlon, ihe owner-buildar will have the 6urden of proving ihat he or she did not build or Improve tor purpose of sale.). •
❑ I, es owner of Ihe properry, em E%CLUSIVELV CONTRACTNG WITH LICENSED CONTAACTORS to construct the prolect (Sec. 7044, Bubiness entl Professions
Cada: The conirectors License Lew does not epply lo an owner of D�operry wha builtls ar improves iherean, end who contracts for such project with e coniractor(s)
Ilcense pursuant to ihe Contractors License Laws.).
❑ I em ezempt under sec. Business end Professions Code tor ihis reason:
Signature: Date:
Owner ID verifietl by tlriver's license. ❑ Yes � No Dnvels Licanse No.
Vedficetlon of Ownership by (type of document, I,e. - properry lax bill or deetl):
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereGy certify that no excavation tive (5) or more teet in depth into which e person is required to descend, will be made in connection with work euthodzed by this
permit, end that no building structure, scaHoltling, falsework, or demalition or dismantling Ihereof, will be more than thirty-slx (38) feet high. (Chap. 32, Grp 2, Art 2, Sec.
347, Ttle 8, Cfllifomia Adminisiretive Code).
❑ As owner-builtler, I will not employ enyone �o do work which would require e parmit iram the Division oi Intlusirlal Sefery, as noted ebove, unless such person hes e
pertnit ta da such work from the divisian.
Signature: Dete:
Divislon o1 Industrial Satery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUiHORVJITON OF ENiRY: I certify under penalty of perjury that I have read this epplication and state that tha Informe[ion given is
correct. I egree b wmpry with ell state laws ena city ortlinances relatinq to builtling consiruction, antl authonza representatives ot iha Ciry of Coste Mesa to enter upon t�e
above-descnbed property for inspection purposes. I egree not to occupy or ellow occupancy ot eny building authorizetl by Ihis peimit until finel inspection.
CODE �. INSPECTIONTYPE
1676 Fixetl System Finel Fire Prevention
7266 Paol Spe Finel
200 Finel Re-Roof
201 Finel BIocWRetaining Wall
202 Finel Fectory Fire Placa
203 Finel Sign
204 Finel Demolition �
�F ��
Date
�-3l-ni.
CODE � INSVECTION TYPE
206 Final Mechanicel
20B Finel Plumbing
210 Final Electricel
272 Finel Flre Preventlon
220 Final Plenning Approvel
222 Final Site
250 Final Builtling/Occupency
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No
- WILLIAMS INSULATION COMPANY
OF CALIFORNIA
1201 E. Hunter Ave., Santa Ana, California 92705
(714) 547-5148
THERMAL INSULATION CERTIFICATION
THIS IS TO CEpTIFV THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 24 STATE
OF CALlFORNIA, IN THE BUtLDiNG LOCATED AT:
Tract Name
L_ _ No. �� Tract No: +��� Block No.
Street �� r ��./� City
EXTERIOR WqLLS:
Mfg. "`7�L'S Cp$[��i�'+ Thickness/Type
Cei I i ngs:
Batts:
Mfg. �"r'�� ���T'��n� Thickness/Type
Blown In:
Mfg. Thickness/Type
Sq. Ft. Covered No. of Bags Used
Pnors:
Thickness/Type
Other
R—
�t� Value ��
R—
jil H ¢
V al ue
R—
Value
R—
Value
R—
Value
R—
Mfg. Thickness/Type
General Contractor
California Contractors License No. Date
Signature Title
Williams Insulation Co. of California
California Contractors License No. 267522 Date �'=�7.'
'r—
�' ) k��.C�C: "i1"ii'
� � Signature TiNe _
JOB COPV-WHITE BUILDING DEPAFTMENT-PINK
GENERAL CONTRACTOR-VELLOW FILE COPY-GOLD
� �i r% i: ;� r�
COSTA MESA BUILDING-SAFETY DEPARTMENT
3353 2/-13/79
3353' 2/13/79,
j�30 'I��I�CKT�-I�'
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 3353 UUUU44/w J4 � ,�Q
APPLfCATION FOR STRUCTURAL PERMIT
For Applicant to Fill in Completely — Use Ink Only
///��� RECEIVED BV �ATE RECEIVED OATE ISSUED
BUILDING �
ADDRESS
PERMIT NO.
OWNER Foley CAnstnlctlon CA. , II1C. �+�P� NO. � ' Z�
MAIL y BUILDING
ADDRESS 2101 E. Fourth St. � tt1OO /aDDFESS a„
CITY SaI1td �I13 No�543-9471 TRACT LOT BLOCK
COKSTRUCTION W ADD AL P M
LENDEF
X
BRANCH
OWNER
ADDRESS VALUE D
ARCHITECT TEL. SE � 5
OR ENGINEER F'T312S—I3R St.OR N. S�I%—
FIRE
ADDflESS ]]% S'. �'�d]Sj St. 105• Qran e ZONE TVFE GFOUP
APPROVED
CONTRACTOR QNJj1PS' ],�VelO BY DATE
ADDRE55 Scili�
ZONE NO.OF USE OF NEW
CITY Sc'iRl2 NOL P�� � BUILDING DN/�I�
STATE CITV �'ARDSAPPflOVED VARDSAPPROVED
IIC. NO. Sclin2 LIC. NO. MAIN BUI�D�ING) ACCESSOFV BUILDING
SIZE NO.OF BLOGS. (F%�OM C/LOT�FT. �/ ar T.
OF LOT NOW ON LOT � ROM L
use oF N/A �
EXISTING BLDG. SI FT Q FT
�
Separate permits are required for L. SIDE FT o FT.
electric, plumbing and heating work. /
REAR FT.O FT.
USE OF BVILDING AND WORK TO BE PEPFORMED OISTANCE BET. BET. MAIN &
MAIN BLOGS. ACC6S. BLDGS.
VAR.9W DATE
�2V2�.0 t of 41 C.U.P.#'+ APPROVED
detached residence units. �Rov o � 6
I hereby a<knowledBe that I have raatl this applicetion antl state Ip REOU[R Clv �.
FOR SPEC
that tha abova Iniormetlon is cor�ect und apreo to comply with
ell laws reBulating Cuiltllne �onstruction, antl I shall not amploy
any person In violation of Me workman's compensation laws of
ffie Stata of Califomfa. /_
I hereby certify thet I am properly licensetl os e contracior untlar
2 6OO SQ.FT CD
the Stata af Callfornia Businau antl Professions Cotla, Division 3, THE AMOUNT S OWN UNOER VALUATION IS FOR
Chaptar 9, antl thet such Iicenses are In full torca antl effect, or 1 ITiE PURP06E OF ESTABLSHING A PERMR FEE ONIV:
am exempt from the provisions ot the Stace ot Cal(fornia eusiness VALUATION
� PERMIT FEE E
and Professions Cotle, Division 3, Chapt • �D ��
PLAN CHECK E
Signature �
Permittee � $ 3��14.�� TAX E �
Authorized ABa^t TOTAI PAID E `
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COSTA MESA BUILDING-SA ETY DEPARTMENT �;:6749 3%27/79_ ._ "249.00CKTD�
P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 �`�%49 OOOQ4G74 34 ` I R�" '�
APPLICATION�R STRUCTURAL PERMIT
For Applican[ to Fill in Completety — Use Ink Only
RECEIVED BV DATE flECEIVED OATE ISSUED
BUILDING %� � �
ADDFESS � �
/� /� PERMIT NO.
OWNEF • J�y�,`/ A.P. NO.
MAIL � BUILDING �
ADDRESS ADORESS
TEL. TRACT LOT � BLOCK
CITV NO.
CANSTRUCTION W AD ALT R R P
I.ENDER
BRANCH �
OWNER � • � �^
AD�RESS VALUE
ARCHITECT TEL S $
OF ENGINEER N
FIRE
ADDRESS 20NE TYPE GROUP
APPqOVED
CONTRACTOR BV DATE
ADORESS
TEL. ZONE NO.OF USE OF NEW
CITV NO.
FLANS BUILDING
STATE CITV VARDSAPPROVED YARDSAPPROVED
LIC. NO. LIC. NO. MAIN BUI�DING ACCESSORV BUILDING
SI2E NO.OF BIDGS. (FROM C/L STREET)
OF LOT NOW ON LOT RONT FT. FT.
USE OF
EXISfING BLDG. FT. FT.
Separate permits are required for L. SIDE FT. FT.
electric, plumbing and heating work.
REAR FT. FT.
USE OF BUILDING AND WORK TO BE PEFFOHMED DISTANCE BEf. BET. MAIN &
MAIN BlDGS. ACCESS. BLDCS.
VAR.� DATE
C.U.P.�W APPROVE�
APPROVED
I hereby acknowletlea thet I have read this application and state . �+
n
thet t�e eCove Information is correct antl agrea to comply with m
all laws regulating building eonstruction, and 1 shall noi employ
any perwn in violaiion of the workman's compensallon laws of m
Me State ot California.
1 hereby cettify tha< I am properly IicenseC es e conttactor untler SQ. FT. N
the Stete ot Calitornia Business and Profess(ons Cotle, Dlvision 3, THE AMOVNT SHOWN UNDER VALUATION IS FOR m
Chepter 9, antl t�at suc� licenses e�e in ful� forca antl affact, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV:
am exempt from Me provlsions of the State of Celiforn(a Business y
VALUATION PERMIT FEE $
and Professions Cotle, Division 3, Chapter / � � in
n
PLAN CHECK $ ^
Signeture of �
Parmittee
$ TAX $ LL
�
`U
AuthorizedAgent TOTALPAID E2 O