HomeMy WebLinkAbout970 LINDEN PL - Building Permits(714) �54-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
PLUMBING PERMIT
JobAddress: 970 LINDEN PL
Suite No
Vicinity:
Parcel Nunmber: 42248311
Applicant: BOYZO, JAIME
Address'. P O BOX 4253
SANTA ANA, CA
Owner: BOSCIA, FRANK TR
Address EXEMPTION TRUST
HUNTINGTON BEACH, CA
g832 LAPWORTH CIRCLE
Conuactoc AAROW DftAIN 8� PLUMBING
Address: P O BOX 4253
SANTA ANA, CA
Arch / Eng :
Address:
Phone: (714) 836-4861
Zip: 92702
Phone:
Zip: 92646
Phone: (714)836-4861
Zip: 92702
License: 730851
Phone:
Zip:
License:
SCOPE OF PERMIT
REPLACE EXISTING ON PROPERTY SEWER LINE.
ISSUE FEE
Backflow irrigation
Backflow Preventer
Bathtub
Clarifier System
Connecl Qce,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oip
Interceptors (Sand Auto )
AMT
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
so.00
$0.00
$0.00
$0.00
$0.00
$0.00
�
FEE SUMMARY
AMT
Laundry Tub / Washer $0.00
Landscape Irrigation $0.00
P-Trap $0.00
Pressure Regulator $0.00
Process Piping (per 70 ft) $0.00
Receptors $0.00
Septic Tank $0.00
Sewer Cap for Demo $0.00
Sewer Connect $0.00
Sewer Private Line $24.65
Shower $0.00
Sink, bar $0.00
Sink, commercial $0.00
Sink, Floor $0.00
Sink, kitchen $0.00
Sink, servite/mop $0.00
Spa (private) $0.00
Spa (public) $0.00
�TY
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
COMMENTS I SPECIAL CONDITIONS
Status: ISSUED
Applied: OS/24/2000
Issued: OS/24/2000
ISSUED BY:
SumpPump
Swimming Pool
Trap Pnmer
Urinal
Vacuum Brkr Bkflow(1-4)
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
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES: E48.15
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO710E: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 7. 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 780 days.
INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspeetions and tinal epproval must be obtainad. Failure to obtain inspeclions and final approvaf wifl result in the expiretion ot this permit.
FOR INSPECTIONS CALL: (714) 7545626
WOflKERS'COMPENSAnON DECLARAnON:
I here�y aftirtn under penally ol perjury one ot the tollowing declaretions:
❑ I have and will meintain e certificale of consent to selt-Insure tor workers' compensation, es provitletl for by section 3700 oi Ihe Lebor Code, for Ihe pertormance o� Ihe
work for whic� Ihis permit Is issued. .
❑ I have and will maintain workers' compensatlon insurenca, as required by sectlon 3700 0l Ihe Labor Code, for Ihe pertormance ot t�e work br which this pertnit is issuetl.
My workers' cnmpensation Insurance carner and policy number ere:
Carner: Polity Number:
(This section need not be completed i/ the permit is veluetl e( one hunUreU tlallers (3700) or IessJ
ity thet In �he pertortnence of the wark far which this permit is issued, I shall not employ eny person in eny manner so es to become sublect to the workers'
iensation laws of Califomia, end agree thet It I should become subject to the workers' compensation provislons oi Section 3700 oi Ihe Labor Cotle, I shall forthwith
ily with these pro �sions. (�
Agnalur7 � rDate: � J � L��G�i
'AIL9RE T W RE WORKERS' COA/PENSATIqJ COVERAGE IS UNLAWFUL AND SHALL SUBIECi AN EMPLOYEIi TO CRIMINAL PENALTIES AND CNIL FlNES UP TO ONE HUNDRED
DOLLAFE ( 100.000), IN ADDRION TO THE W5T OF COMPENSATIQV, DMMGES AS PROVIDE� FOR IN SECfIIXJ 3lOfi OF THE LABOF CODE, IMEREST, AN� ATTORNEV'S FEES.
LICENSED CON7RAC70RS DECLARATION:
1 hereby aHirm.that.l.arn.license under provisjons of Chapier 9(commencing wlth Section 7000) ol Division 3 t.the.Business and Professions Cotle, and my license is in full
farce and eHec�. Lic. a� ��S � �,� p� r- 36
Co�ctors Signature: � t/ Oal��� � L b bp
CONSTRUCTION LENOING AGENCV:
❑ I hereby aHirm ihat there is a consiruction lending agency for the peAormance ot the work tor which ihis permit is issued. (Sec. 3097, Civil Cotle).
Lendefs Name: Lendels Adtlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aflirm thet under penalty of perjury Ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW fo� ihe following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires e permit to constmcL alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the epplicant for such permit
to tile a signed statement ihat he or she Is licensed pursuant to the provlsions of ihe Cont�ectors License Lew (Chepter 9(commencing with Section 7000) of Oivision 3 ot ihe
Busineu and Professions Code) or thet he or she is exempt therafrom entl t�e basis for Ihe allegatl eaemption. Any violation oF Section 7031.5 by any applicant for a pertnit
sublects ihe ap0�icant to a civil penalry ot not more than Iive hundred dollars ($500).):
❑ I, as owner oi the property, or my employeas with weges es Iheir sole compensation, WILL DO TME WORK, antl the SWcture is not intentletl or oftered for sale (Sec.
7044, Business and Prolessions Code: The ConVactors License Lew tloes not epply to en owner of property who builtls or improves thereon, and who tloes such work
himself or herself or through his or her own employees, prov'ided ihat such improvemenls are not intendetl or ottered tor sale. If, however, the builtling or improvement is
sold within one year oi completion, ihe owner-bulltler will heve Ihe burden of proving thet he or she did not builtl or imOmva tor purpose of sale.).
❑ I, as owner of the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Cotle: The contrecmrs License Lew tloes not appry m en owner of property who builds or Improves �hereon, and who coniracis lor such project with a contractor(s)
license pursuant to ihe Contractors License Lews.).
❑ I am exempt untler sec.
SignaWre:
Owner ID verified by tlrivar's licensa. ❑ Ves ❑ No
Business entl Pmfessions Code for ihis reason:
Venfication of Ownership by (type of documenL i.e. - property tas bi�l or tleetl):
Driver's License No.
Date:
Expires:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: '
❑ I hereby certity that no excavation tiva (5) or more feet in dapih into which a person is reqWred to descend, will Oe matle in connection with work authorized by this
permit and that no building simclure, scaflolding, felsework, or tlemolition or tlismanUing ihereol, will he more than thirty-six (36) leet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title 8, Calitornie Adminisiretive Code).
❑ As ownerbuiltler, I will not employ anyone to tlo work which woultl require a permit from tha Division of Intlusirial Sefery, as notetl above, unless such person has a
pertnit to do such wark from !he divisian.
Signature: Date:
Division ot Intlustnel Safety Permit Number:
CERTIFICATE OF COMPLIANCE AND AllTHORIZA710N OF ENfAY: I certity untler penalry of perjury that I have read this application antl state that the information given is
correcC I agree to comply with all state laws antl city ortlinances relaling to hulltling constructlon, and euthonze representatives oi the City ot Costa Mesa m enter upon the
a6ove-tlescnbed properry for inspection purposes. I agrea not to acupy or ellow occupancy ol eny Ouiltling authonzed by this permit until /inal inspeaion.
COpE �, INSPECTIONTYGE p� INTRIALS
1616 Fixod System Final Fire Prevention
1266
200
201
202
203
Pool Spa Final
Finel Re�Roof
Final BIocWRetaining Well
Final Fectory Fire Place
Final Sign
204 Final Demolition
2446 46
COOE 1 INSPECTION flGE
206 Final Mechanical
208 Final Plumbing
210 Final Elecirical
212 Final Fire Pravention
220 Final Planning AOProval
222 Final Site
250 Final Building/Occupancy
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OATE INTRIRLS
�-25-0 0 �
ORANGE COUNTY BUILDING DEPARTMENT
636 Norlh Broadwoy ' '
- SANTA ANA, CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING
ADDRE55 �7O I,t nden Place
scNoo� oisr. C08t8 M98A
OR TOWN
NEAREST
CRO55 ST. RRTi�S�I 1 rt DOA _
TEL.
cirr BEVERLY JILS ��� CR. SZ:i6
ARCHITECT OR TEL.
ENGINEERCAIN & MCKERRACHER No. SY. 64 9
Aon7Rnc'roR NENPORT,AVI 4TASC0.� PAcaDE54�
nDDRE55 g 63 w,�s„�ae HLYD.� BEY.H�LLS
LEGAL pp
OESCRIPTION LOTNO. (){) BLOCK ��2
(ATTACH METES & BOUryD51
TRACT
SIZE OF LOT
66 X 1 � 0 I NOW ON LOTS O
USE OF NO OF NO �F
EXISTING BLOG. I FqmLLies I ROOI
DESCRIPTION OF WORK
NEW I x I/LTERATION I I qpDIT10N
REPAIR I I MQy�NG I � DEMOLISf
SIZ'EDING �0��• $Q•FTNO. OF � 1
Y ROOMS STORIES�
WALL ROOF COMPO
COVERINGSTUCCO COVERING 4HIN0
USE OF NEW
BUILDING Res�oENce.ptt.Carpo
APPLICATION FOR PERMIT �
- ��-��D��V
FOR OFi10E USE ONLY
' . RECEIPT NO. PERMIT NO.
� y2�� s /� s�
RECEIVEO BV' DATE OF APPL. OATE ISStiED ,
�'� ( �6—(3n�53 OC7 21 1953'
BUILDING �\ � -! �+ / . ,////. -
ADDRE55 !/ 11��•L�•�C/i<�•t `.� YlC
SGHOOL DIST. %1) _ _ O ( /n .
/]/ I I PLANS I� j V/ �
/ !//
SETBACK LINEE R CENTER OF ST. �
REAR�YAFD L�� ��� SIDE YAR❑ �� � l_
APPROVEOM�J. /,L _ J
RV Hl [/LD'f � owre 0 �,
APPROVALS
FOUNDATION: LOGqTION I ICISPEC
I HEREBY ACKNOWLEOGE THAT I HAVE READ THIS FORMS, MATERIALS,
APPLICATION AN� STATE THAT THE ABOVE IS CORRECT UN�ER-PINNING
AND AGREE TO COMPLy W�TH ALL COUNTY ORDINANCES FRAME: FIRE STOPS,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
BRACING. BOLTS
IATH.' INT. O I
SIGNATURE OF NEMPORT VI STA CO. LATH. E%T. ��
PERMITTE /�
AUTHOHIZED AGT.� � R. L_P�.f�t� � P�'45TER.INT. 'i �
VqLUAT10N
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PLASTER, EXT
$ 483o�OO P. C. $ �-� MASONRV RE
FEE S { �L � BOND BEAM
FEE /�, � FINAL
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