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Home My WebLink About2579 WILLO LN - Building Permits -i.e.' . .---.10ivr, CITY OF COSTA MESA BUILDING DIVISION >•j" . ` .., PER NUMBER I DEVELOPMENT SERVICES DEPARTMENT F l . PERMIT ittitsctemm dt P06-00510 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 2579 WILLO LN Status: ISSUED Suite No Applied: 06/26/2006 Issued: 06/26/2006 Vicinity: Parcel Nunmber: 43911110 /� Applicant: DAVID BATIOFF ISSUED BY: at Address: ��i-�To��O, C.----"=-_- to / lam' Zip:,, /c r,,,,.tI I ir V /1 , I i�✓ -i LA �� . Owner: PATTERSON;TERESA\TR,S �� r //i i r -_;--__ Addre25799�WILLO LN -------t•-_-,----1,�, -3,-- i/ COSTA MESA,.C -2-_,,./-; �i�J Zip 92627-1437 `'\ �� Contractor:- WATER',HEATERS ONLY INC �� (Address.' 970 E;MAIN ST �� ,- �� I I 5 UNIT200 Phone:c 800-833-4572 �� --U �\\ V rii i.r I�, �A i /'''/ GRASS VALLEY,CA • I Zip: 95945 y Q �'��.�,A / r - �� ___-� •,licensev374573':0° 1 \\\ c. i' % 1 --1 1i` :'/ ) ':---\7;_ ''' `� ' �'\�( ', / ,� \� -J \\ \ i u. - _ ti �, V A k ` '\ I//CHANGE'OUT WATERH HEATER SCOPE OF PERMIT c/��J// +'n;1( '� �'S t r` I ,_ V FEE SUMMARY iN ` I, h �� t] ,� , I AMT QTY ^` AMT QTY l;, ( AMT °QTY Iyr, z ISSUE FEE $23 50 / �q if Laundry;tub',Washers,} $0 00 1/d 7/�� Sump Pump lc i1, t $0100 :nb; t,Backflow irrigation , . $0.00 0- _.Landscape.Iriigaliori $000_'"_0 __._ Swimming Pool i ' ' \ _50.00 \.0, (Backflow Preventer : $0.00 0 P-Trap $0.00 c0,g -7 Trap Primer I /9;I I L $0.00 \10 'Bathtub i $0.00 0 Pressure Regulator $0.00 0 Urinal \ !r/., $0.00 i 0 Clarifier System \` , $0.00 0 ,�J\/'Proocess\Piping.(per 10 ft)�$0.00,J0/5,.._ Vacuum Brkr Bkftow(1=4)L^$0 00 ill 0 Connect(Ice Soda,etc) $0.00 0 -_ -_-Receptors-' _fns $0.00 ,0: .-�'1 Vacuum Brkr Bkfow(5+) $0 00, �� 0 Dental Cnits�-, ` S c S0.00 0 r- Septic Tank._ .- C ) __$0:00 /0- •I Wash Basin 7/! $0100 0 0 Dishwasher , \\\`, $0.00 0 Sewer Cap for Demo $0:00/10 Wash Basin Seth/ / . $0.00,4i 0 Drain,Floor %`, $0.00 0 Sewer Connect e'$0.00/ 0 Waste and VentSystem----:_--0--$0.00,) 0 Drain;Rainwater \ $0.00 0[" Sewer Private Line =y 50.00-70 Water Closet,.(Tollet) �$0.00 Drain;Roof(\ $0.00X0'I Shower $0.00-'o Water Heater/vent 4 $12:30 1 I Drinking,F\ountain N $0.00 0/ Sink,bar d_ fT.,.N._. $0.00 0 Water Piping(Inst or Rep.) $0.00 0 ExparisionTank $000 01 Sink,commercial, 'v "\t) $0.00 0 Water Re-pipe �' $000 0 Gas Earthquake Valve $000 0 Sink Floor -, `$000 0 Water Service \ /$0.00 0 Gas(1-4 outlets) -, 50.00 :, 0 Sink kitchen. ($0.00 - 0 Wate(Softener,l /$0.00 0 Gas(Ovei 4'outlets)f, $000 � 0i..,n- nr5inkservice/mop ° ' $0.00, z0 -.±;`,„+,q OTHER ) > /)/$0.00 Gas Repipe 'v> $0.00 - . 1 Spa(private) C` ;1`, ° $0.60 -0 VIOLATION ti , /7 $0.00 Gas Service'\y�� /soda o " : Spa(public)�> °, icy, $0.00 , 0 c/PLAN CHECK �j. $0.00 Interceptors(Grease,Oiq� 50.00'2 0 .:_� - , - r o REINSPECTION %7 $0.00 0 Interceptors(Sand Auto) $0.00/:-..,:LS�V ' ' o r') op &_-<6,7 �li N\ 1 / \mo ° ' oc_-:- TOTALCALCULATED"FEES: $35.80 /n�(\ -�cw-`--- �v,)v /0v/ \� \"/ COMMENTS/SPECIAL CONDITIONS \ %,\---,-:--, `\:; 1_li /H t i./i,i i • \ c�� (.2 _ �J, \:tet! ��j �� 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 2448.46(8/00) 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 workers'lcompp-e�nnsattio�n Insurannce-carder and ooticy/ r:n2 bej,sere: �t 3 /� (-� Cartier: ('4 ri,[c.T.ur o 1 �l_of' t Q-G. Policy Number: `Y St LJ ( 7 (This section need not be lb mpleted!the permit is valued of 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 11 I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. // Applicant Signature: !O Date: to G WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOI SARE($1 W.000),IN ADDr1ON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEYS 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.Uc.a 7 7 9 ci 7 3' Class If )/ g b Contractors Signature: its Date: (O— '")4 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). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that t 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 properly 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 drivers license. 0 Yes 0 No Drivers 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(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,111e 8,California Administrative Code). ❑ As owner-bullder, 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: I 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? 0 Yes ❑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 II an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 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 a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 8 No (Section 65850.2 of the California Government Code requires that the requested Information be furnished on applications for non-residential building permits). —..___.._.ter hi__..._._ f __ 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health end Safety Code). _._ _.._ ..._ ..._.._equi __..._w_._._ 7 a permit tram tae South Coast s Quality cri ed Management eal or and Sr airtpollution control district 3 agency is required for the work which is the subject of this application,have all of the disclosures prescribed by Californiaia Health end Safety Code Section 42303 been made? 0 Yes 0 No 8 (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. Signature Of Legal Owner(s) 6 -26,-0 Date And/Or Authorized Applicant Date CODE F. 185PECTION TYPE GAIL IOW SDDFE INSPECTION TYPE !LAIC MOW 1616 Fixed System Final Fire Prevention 206 Final Mechanical /�/ 1266 Pool Spa Final 208 Final Plumbing ZAC/ 7 200 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 tori PROJECT ADDRESS: 2579 WILLO LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 067335 OWNER'S NAME: PATTERSON, TERESA ADDRESS: 2579 WILLO LN PERMIT NO: B 067335 PLAN CHECK NO: N GOVT: N SUPP : N /er COSTA MESA, CA 92627 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT ARCH/ENGINEER: 642-9600 REc.xo.: UNIT: SQ "1M ADDRESS: JOB DESCRIPTION : T/OFF REROOF WITH FIBERGLASS SHINGLES FT: 6, 267 CLAIM VALUE: 6, 267 .00 CALC—VALUE: 6, 267 . 00 GROUP OCC; R-3 / PERMITTEE: CRANK BROS ROOFING CO ( 714 ) 548-5569 ADDRESS: 126 COMMERCIAL WAY COMMENTS : SMOKE DETECTOR REQUIRED AS PER 1991 UBC, REROOF 2000SF RESIDENCE COSTA MESA CA 92627 ********a63txt***********+r***************************+r*********�E* .**.**** * 4Ax4c,r.yr.,c 7000)of CONTR3Cf the DECLARATION: hereby affirm that am icenseei under onceprovisions of Chapter 9(commencing with Section €M OKE D TEGTOR LICE E Division 3 T theECLA Business IOtl ProfessionsIebyCode,and my licensed in lull lone and effect.et Z ON ING REQUIREMENT CITY LIC.: 0 3 STATE LIC.:9 0 8 6 T Cue S E T B A C K S Date: r..._>_.lL 45- V Signature:l' \_ � MAIN BUILDING ACCESSORY BRE CC yRED.__— WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN POLICY NO.: 285-94UNIT224 EXP. DATE: 01 /01 /95 COMPAN(: STATE FUND PARKING REQ• PROV: PARCEL; 93786016 ZNE: REF NO: • '7 Certified copy is hereby furnished. C}} Certified copy is filed with the cit doing 0'. PLANNING NOTES> _� . Date: C(7. (a(CE•-/ Applicant: *************ir******************************************************,jt********** EXEMPTION ROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(4181)or less). D E V E •L O P M E N T SERVICES REQUIREMEN TS 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. ZONING APPROVED BY DATE: Date: Signature: NOTICE:If after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : • DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. ., S CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: , which this permit is issued(Section 3097.Civ.Cl **..X,.X.** ,*** ,H,*,*,******,A,* , ,** ,******,**********� 1 ********** 2 � * 4.* LENDER: ******************************************************************************* ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT9 0 , 0 0' repair any structure.prior to its issuance,also requires the applicant for such permit to lite a signed statement that he/she is licensed 6 3 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 90 . 63 0 . 00 0 . 00 90 . 63 90 . 63 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/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 will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 90 . 63 OVER/SHORT; . 00 I for the purpose of sale/. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 90 . 00 , 63 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ********,**,***,*****-*,***,*,*,*,*,*,*********,******************************************* that prool of their Worker's Compensation insurance should be provided to me. am exempt under Section: B.&P.C. I N D I V I D U A L F E E B R E A K D O W N for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner. SFR 6267 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 6, 267 . 00 I da hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES permit for construction Or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above informal' is correct amply with all city and county ordinances an state laws relating to building construction and hereby authorize rep ere talives this ter upon the above-mentioned 01 00161180-00161181 Tor 90.63 property for nspecbon urppoosess�. DATE: 05/26/94 TIME: 10:40 �7 Date. 7 CP ( { Signature. Driver's Lit nse or Social Security er 164146 White—Budding:Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor f a 4- 1-- <1ip CONSTRUCTION AND PLANNING POO, WA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical ServiceDi Pole 52. Pool & Equipment Location j .t 2. Soil PipeUndrgrnd. 53. Steel Reinforcement f. 3. Eectr!cai Conduit Ut Iity-Unc!rgrnd. 54. Forms 4. Electrical Conduit•Undrgrnd. 55. Electrical Bonding . 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. E ctr.cal UF ER Gtnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundoton 59. Gas Pipe, 0 Undrgrnd.,Test !__ 9. Vali pe•Undrgrnd. ! 60. Backwash Lines, P-Trap, C Undrgrnd. II 10. Structural Floor System ' 1i 61. APPROVAL TO DECK 11. Propel ty 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 I 65. Electrical-Final .I 15 Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric!7iring 67. Fencing & Access Approval • . 17. Ruuyh Caring Sign • 68. APPROVED FOR PLASTERING 13. Rough Electrical-7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL - 19. Ro..gh He:ting & kr Cord),inning FIRE DEPT. REQUIREMENT t 20. Ruc.yh Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test _ _ 72. Underground Flush 74. Roof Framing 73. Undergrnd.Storag°Tank 0 Gas -17,0,: 25. Roos Shwthing G-(-67Y 6W61 74. Overhead Hydro 26. i-Ba- Ceiling (Structural) & Mc socoat 75. Dry Chemical 1 - • 27. Farm at d Fia:'a.ng 76. Dry Standpipe - 28. Lath•ng & Siding 77. FIXED SYSTEM FINAL 29. Insu:a'ion 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Paster Brown Coat 79. FINAL INSPECTION 32 Electr ci Power S:eter-Final I 80. FOOD CERTIFICATE ISSUED 33. Firal Electric Notes; 34. FHM "catiry & Air Conditio•rra 35. Fina' 645 Pipe-Test 36. Hood or Canopy r-,A 37. Firai F.dory Fireplace -� ---_--- 'I 38. Final Plumbing Wil' 39. Water Service-Final 40. Gas Sarwce-Final 41. Solar Domestic-Final 42. Backtloy., PrevanterI 43. Bac'cflow Irrigation ' 44. Landscape Irrigation$ystem 45. Sound Attenuation �1_ 46. Handicap Regulatio;f1 11 V1 47. FINAL STRUCTUR8 JBD.DING o-i_ctq 4e4-42 48. FINAL PLANNING M 49. Electric Release to Edi4Mn --c--?3-‘.--3 50. Gas Release to SouthLzA California Gas Co `> 51. CERTIFICATE OF QOUPANCY No. Tte 1