HomeMy WebLinkAbout2309 ORANGE AVE - Building Permits(714) 754-5273 •� Fax (7ta) 75a<e5s� •� www.ci.costa-mesa.�y�DING PERMIT 77 FAIR�DRIVE, COSTA MESA, CA 92626
�ob Address: 2309 ORANGE AV
Suile:
Vicinity: NEW SFR
Primary OcC: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: 43926107 Zoning:
Applicant: CEFALIA, JOE
AddresS: 1312 DOVER DR
NEWPORT BEACH, CA
Owner: CEFALIA, JOE R MARGIE
Address 23250RANGEAVE
COSTA MESA, CA
Convactor: O W N E R-B U I LD E R
AddresS:
� - � ISSUED BY:
Phone: 714321-6302 '
Zip: 92660 �
Phone: 943293-3787
Zip: 92667
Phone:
Zip: , License: 000000
Arch : VOLBEDA, PETE Eng:
Address: 615 N. BENSON � � � Address:
Stalus: ISSUED
Applied: 02/23/2005
Issued: O6/24/2005
Phone: 909-373-1150 Phone:
UPLAND,CA
Zip: 917g6 License: License:
SCOPE OF PERMIT -
NEW 2950 SF 2-STORY SINGLE FAMILY RESIDENCE WITH 466 SF ATTACHED GARAGE & 131 SF FRONT PORCH. 1ST FLOOR - 1456 SF/2ND
FLOOR - 1494 SF (4 BEDROOM/3 BATH).
REF: GOS-00004
PARK FEE PAID: REFERENCE PK-OS03 - - -
TRAFFIC FEE pAID: REFERENCE TI-OS-03' - -
Plan Check: $1,363.02
Permit: $2,096.95
SMIP Res: $29.63
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $3,489.60
SETBACK$
MAIN STRUC7URE Front 0- 0 Rear 0- 0
FEE SUMMARY
Calc Valuation:
Claim Valuation:
PLANNING & ZONING
Lek 0- 0 Right 0- 0
s2ss,3ao.52
So.00
NOTICE: The work authorized by this�permit shall comply with all applicable handicap access requirements under Califomia 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 considared.legal, such work must comply with all applicable codes, and all
required.lnepeetlane and.finel approvel must be.oblained. Feilure to obtain inspections and final approval will resul� in ihe axpiration oi this permi�
FOR'INSPECTIONS CALL:: (714) 754-5626: /
zmwe (erool �
WORKERS'COMPENSAnON DECLARATON: -- "' ! .
P�ereby eflirm under penalty ol perjury one ot the tollowinq declara�ionsi ' . � _ ,
❑ I hava entl will melntain a certificale ot wnsent to sel4lnsure lor workers' compensetion, as provided �br by secNon 3700 ot t�e Lebor Gode, lor the pertormence�ot the
work lor which this pertnit is issued. - • �
� I have entl will maintain workers' campensation insurence, as required by SecGon 3700 of the Lebor Cotle, br Ihe pertwmance ol Ne work for whlch this pertnit is lswed. �
My workers' compensation Insurance cartier and poliry number are:
Carner: Palicy Number:
(This section need not be comp/etetl il (he Oermit is velued af one huntlred tlollars ($ f 00) or /ess.J
�'—'-1 ceniy the� in ihe peAortnence of Iha wark toi�w�ich Ni4 pertnit is issued, I shall not employ eny person in eny manner so as to become subl�� �o Ne worker9'
compensation laws ol Celifomia, en0 agree Mai II I should bec a subject b t�e workers' compensation pravlsions ot Sectlon 3700 of the Lebor Cotle, I shall forthwith
comply with these provi ons.
qpY��G�c'Ain..Y�S�gnaMa�-�+�-��' � F� Date: � .- � �/ ^{���
WARNING: FAILURE TO SE WORKER ' �MPENSATIO OVERAGE IS IINLAWFUL AND SHALL SUBJECT PN EMPLOr Y TO CRI PENALilES AND CNIL FlNES UP TOONE HUNDRED
THWSAND OOLLARE (E100.00D�, IN AODRION TO THE COST OF COAIPENSATION, DAMAGES AS PROVIDED FOF IN SEGTION 3108 OF THE 1A80R COpE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS OECIARATION:
I hereby eflirm that I em Ilcensed under provisions of Chapter 9(commencing with Section 7000) of Divlsion 3 ot the Business and Professlons Cotle. and my license Is in full
torce antl eNecL Lic. q Class a
ContrectoYs Signawre: Dete:
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirm ihat there is e consiruction lending egency br ihe performance ot t�e work for which this permit Is issued. (Sec. 3097, Civil Code).
Lenders Neme: Lenders Address:
Signawre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aXlrm the� under penelry of pepury Ihat I am El(EMPT FROM TME CON7fiAC70R5 LICENSE LAW tor Ihe fdlowing reason (Sec. 7031.5, Business end Professions
Code: Any ciry or counry which requires e pertnit to construct, alter, improve, tlemolish, or repair any structure, prior to its issuance, also requires t�e apP����t for such permit
ta tile a signetl stetement Ihet ha or she Is Iicensetl pureuent to ihe pmvisions of ihe Contrectors License taw (C�apter 9(commenGng with Sectlon 7W0) at Divislon 3 of the
Business and Prolessions Code) or thet he or sha is exempt thereirom end the 6asis br Ihe alleged exemption. Any violetian of Sectlon 7031.5 by eny applicant for a permit
rubjects the applicant to e civll penaly ol not more than live hundred dollars ($500)J:
k:
��\ I, es owner oi Ihe property, or my employees with wages as their sole compenutlon, WILL DO THE WORK, end the structure is not interWeA or otteretl for sale (Sec.
FF � 7044, Business and Professions Coda: The Coniractors License Law dces not apply to an owner of property who builtls or improves ihereon, end who does such work
j� 1' himself or herself or Ihrough his or her own employees, providetl �ha� such imprrnemenis are no� intended or oltered lor sele. II, �owever, ihe huilding or improvement is
F 1 soltl within one year of complelion, iha owner-builtler will have ihe burden of proving ihat he or she did noI builtl or improve for Durpose ot sele.�.
�I, as owner oi tha property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct tha pmject (Sec. 7044, Business antl Pmfessions
Cotle: The contractors License Law does not apply to en owner ol propeny who bullas or Improves ihereon, end who contracis for such pro�ect with a contwctor(s)
license pursuant to tha Comrecmre License Laws.). �
❑ I am axemp� untler sec. _ i n // Business end Professions Code lor this reason: .
Owner ID �r't'�d by tldver'�ense. (/{] Ves ❑ No �,Dnvefs Ckense.No.
Venticetion ol Ownership by (type af dwument, i.e. - praperty t� bill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certity ihet no excavetlon flve (5) o� more feet in depth imo which a person is requiretl lo descend, wlll be made In connection with work authorizetl by ihis
permit, antl Ihat no builtling structure, scattoltling, felsework, or tlemoli�ion or dismantling ihereot, will be more ihan thirty-six (36) fee� hiqh. (Chap. 32, Gry 2, Art 2, Sec.
301, Title B, Califomle Atlmini5tralive Code).
❑ As ownerbuilder, I will not emplay anyone to do work which would require e permit from ihe Division ol Intlustriel Sefery, es noted ehove, unless such person hes e
permit to do such work irom the division.
Signature: Data:
Division af Intlustrial Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AlJTT10RIZA710N OF ENTRV: I cenify under penalry of peryury lhat I have read lhis applicetion and state that the infortnation given is
correct. I agree to comply wlth ell state laws and ciry ordinances relating builtling construction, end authorize representaiives ot the Ciry of Costa Mesa to enter upon the
ebove-descnbetl property for i pectipn purposes. rae not to o up allow occupency of any buildinq authorizetl by this permit until final ins(p�actio�n.\
� r" F �l�%..�(�I �V�
igcl2Euie�OYCe'- Owner j�.i_03t�.�
AnC/Or Aut�arized ApPliwnt Date
COpE1, IHSVECTONTYPE " •• • • • `• QSIF •
7616 Fixed Sysiem Finel Fire Prevention ' '� �
1266 Pool SOa Final
200 Final Re-Root '
201 Flnel BIaWRetaining Well
202 Final Factory Fire Place ' _
203 Final Sign �
204 Finel Dem
�Q ' ' COpE1� MSPECTONTVPE � •
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Preventlon
220 � Final Planning ApProval
222
250
Final Site
Final Building/Occupency
���
��
�'
(714) 754-5273 • F2x (714) 754-4856 • www.Ci.COStH-m85a���sCTRICAL PERMIT �� FAIR �RIVE, GOS IA MtSA, GA 92626
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
i��DF'Z�] :7e1 � [�l �c1�1
NEW SFD
tpn00570
npp�icant GLEBOVICH, JOE
Address: 12951 DROXFORD STREET ISSUED BY:
Phone:-562-402-3021--�
CERRITOS, CA � Zip 90707 ' � - -
Owner: CEFALIA, JOE R MARGIE
Address
Contractor. SOUTH SEA ELECTRIC
Address: 12951DROXFORD STREET
CERRITOS, CA
Phone:
Zip:
Phone: 562-402-3021
Zip: 90701
License: 408563
Status: ISSUED
Applied: 09/14/2005
Issued: 09/14/2005
SCOPE OF PERMIT
NEW 2950-SF 2-STORY SINGLE FAMILY RESIDENCE WITH 466 SF ATTACHED GARAGE 8 131 SF �
- FRONT PORCH. 1 ST FLOOR - 1456 SF/2ND FLOOR - 1494 SF (4 BEDROOM/3 BATH). -
� � � REF: 805-0314 / G05-00004 - ` -
- - 1 NEW 2950 SF SFD INCLUDES A/C ELEC PKG � �
- � GARAGE: 2 LIGHT FIXTURES, 3 OUTLETS, 2 SWITCHES , ��
FEE SUMMARY
ISSUE FEE
Temp service test
Res. alc package
New Res (1-2 units) �
New Res (3+units)
Pool / Spa
Lighting Fixts '
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors l0 1 hp
Motors to 10hp
Motors to SOhp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
$23.50
$0.00
$0.00
$165.20
$0.00
$0.00
$2.20
$3.30
$220
$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
$0.00
$0.00
$0.00
Quantiry
2950
0
0
2
3
2
0
0
0
Q..
0
0
0
0
0
0
0
0
0
0
0
0
Temp Dist Syslem / Li9htin9
Buswag/700ft
Slanding Section �
Misc Electrical Equipment
Transformers up to 1 kva/kw
................up:to-00 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw
..................over 100 kva/kw
Low Voltage-Equipment
Low Volt Wiring Sqstem / Ckt
Misc. Conduit � -
Misa Conductor � �
Circus ( gen or ride)
Circus (mech ride or lights)
Christmas Tree Stand
Fireworks Stand -
Other Eleclrical Fee
Investigation Fee
Plzn Check Fee �. �
Reinspection Fee
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0 -
$0.00 , 0 �
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES 5196.40
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
ragulations. (Ord. No. 92-28, § t, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned
for a period of 1 BO days.
INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such wOrk mus� Comply with all applicable codes, and all
requlred Inspeclions end final epproval must be obtained. Failure to obtaln inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
26a6d6I8�00)
WORKERS'COMPENSAnON DECLARAnON:
I hereby effirm under penalry of perjury one oi ihe following declarations:
❑ I have and will maintein a cenificate of consent to self-Insure for workers' compensation, as providetl for by section 3700 of ihe Lebor Code, tor the pertortnance of the
work far which ihis pertnit is issuetl. .
❑ I �ave and will maintaln workers' compensation insurance, es required by sectlon 3700 of tha lebor Code, for ihe peAortnance of Ne work for which this pertnit is issued.
My workers' compensation Insurence cartier end policy numbar ere:
Cartier: Policy Number:
(This section need not 6e complefetl/l Ne permltls valued at one hundred dollers ($100J or Iess.J
� I certify t�at in the peAortnence ol lhe work Por which this pertnit is issuetl, I shall not employ eny person in any manner so es to become subject ro the workers'
compensetion lews of Calibmia, entl agree at ii I shoWA becoma subject to ihe workers' compansa[ion provisions oF Sectlon 3700 oi the Lebor Code, I shall forthwith
comply with these provisions. �
ApPlicent'Si� :.'> (�%� Date — � y — � S
WARNIN�: FAILURE TO SECURE WORKERS' COMPENSFTION COVEPAGE IS UNL4WFUL ANO SHALL SUBJECT AN EMMOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED
THOUSAND OOLLARE (E100,000). IN ADOITION TO THE COST OF WMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 310fi OF THE L4BOR CADE, INTEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARA710N:
I hereby ettirtn that I am Ilcensetl untler provision of Chapter 9(commencing with Sectlon 7000) ot Division 3 oi the Business antl Protessions Code, antl my license is in tull
rorce and ettect. � c.s'� `7� 4�' S G� c�ass�' C— I 0
Contf� ctors,Signeture: �_�% Da� 9 —/Y—O $
CONSTRUCTION LENDING AGENCV:
❑ 1 hereby ettirtn Ihat Ihere is a consiruction lending egency lor ihe peAormance ot the work for which this permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lenders Address:
SignaWre: Dete:
OWNER-BUILDER DECLARATIONS:
I hereby eftirm that untler penalry of perjury Ihet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, 8usiness end Protessions
Cotle: Any ciry or county which raquires e permit to conslruct, alter, improve, tlemolish, or repair any stmcture, pnor to its issuanca, also requires ihe epplicant tor such permit
to file a signed statement Ihat he or she Is Ilcensetl pursuent to the pmvisions of ihe Gontractors License Law (Chapter 9(commencing with Sectlon 7000) ot Divislon 3 of the
Business end Professions Code) or thet ha or she is anempt thereirom and the basis for the ellegad exemption. Any violation oF Section 7037.5 by any epplicent for e pertnit
suDjects the epplicant to e civil penalry of not more ihan five hundred dollars ($500).): .
❑ I, es owner ot ihe property, or my employees with wages as their sole compensatlon, WILL DO THE WORK, and the stmcWre is not imendetl or oHered for sele (Sec.
7044, Business and Professions Cotle: The Contractors License Law tloes not apD�Y �o an owner ot property who builds or improves thereon, and who does such work
himself or hersetl or ihrough his or her own employees, provitletl that such Impmvements are noi intended or oflered lor sale. If, however, ihe building or improvemeM is
sold within one year ot completion, ihe owner-builder will heve the burden of proving thet he or she did not build or improve for purpose of sale.). '
❑ I, as ownar ot Ihe properry, am E%CLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contractors License Law tloes not epply to an owner of property who builds or Improves ihereon, and who conirects for such prolect with e contractor(s)
licensa pursuant to ihe Contrectors License Laws.).
❑ I am ezempt under sec.
Signeture:
Owner ID verified by driver's licensa. ❑ Ves ❑ No
Busine5s and PrOtessions Code for this reeson:
Vedfication of Ownership by (rype ot tlocument, i.e. - properry tex bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Driver's License No.
Date:
Expires:
❑ I hereby cenify that no ezcavation five (5) or more feet in depih into which a person is required to descend, wiil be made in connaction with work authorized by Ihis
pertni�, and that no building simcture, sceHolding, falsework, or demolition or dismantling ihereof, will be more ihan ihirty-siz (3fi) feet hiqh. (Chap. 32, Grp 2, Ar12, Sec.
341, TiSle 8, Celifomla Administrative Code).
❑ As owner-6uilder, I will not employ anyone to do work which would require e permit from the Division of Indusirial Safery, as notetl above, unless such person has a
pertnit ta do such work from Ihe division.
Signature: Date:
Division of Indusinal Sefary Permit Number:
CER7IFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENiAV: I certify under penalry of perjury ihat I have read this application and state that �he intormation given is
correc�. I egree to comply with ell state laws entl ci�y ordinances relating to building consimction, and authorize representatives of the City of Costa Mesa to entar upon ihe
above-descnbed pmperty for inspection puryoses. I egree not to occupy or allow acupancy of any building au�horized by this permit until tinal inspection.
CODE• INSPECTIONTYPE
1616 Fized System Final Fire Prevention
1266
200
201
Pool Spa Final
Final Re-Root
Finel Block/Retaining Wall
202 Final Factory Fira Place
203 Final Sign
204 Final Demolition
Qa¢, I L
Y-/`/-o
(
COOE� INSPECTIONTYPE
206 Final Mechanical
20B Final Plumbing
210 Final Elecirical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Finel Builtling/Occupency
eag �
(714) 754-5273 • Fau (714) 754-4856 •�www.ci.costa-mesa.ca.us 77 FAIR DRNE, COSTA MESA, CA 92626
Job Address: 2309 ORANGE AV
Suite No
Vicinity: NEW SFD
Parcel Nunmber: 43926107
Applicant: MIKE GROGAN ,
Address: 307 �6TH ST � � "
. . . APT 5 . . � - � .
HUNTINGTON BEACH, CA �
Owner: CEFALIA, JOE & MARGIE
Address 23250RANGE. �
. COSTA MESA, CA
Contractor: MIKE GROGAN PLUMBING
Address: 307 16THST� �
APT 5
• HUNTINGTON BEACH, CA
PLUMBING PERMIT
Status: ISSUED
Applied: O6/24/2005
I ssued: O6/24/2005
ISSUED BY:
Phone: 714-206-4135 " . -
Zip: 92648 � �
Phone: 949293.3787
Zip: 92667 . ,
Phone: 714-206-4135
Zip: 92648 ,
License: 853540
' SCOPE OF PERMIT
NEW 2950 SF 2-STORY SINGLE FAMILY RESIDENCE WITH 466 SF ATTACHED GARAGE & 131 SF
FRONT PORCH. 1ST FLOOR- 1456 SF/2ND FLOOR- 7494 SF (4 BEDROOM/3 BATH).
� - REF: B05-00314 � - � �
3 BATHTUBS, 1 DISHWASHER, 1 GAS OUTLET (1-4), 1 GAS OUTLET OVER 4, 1 GAS SERVICE, 1
. LAUNDRY TUB/WASHER, 1 SEWER CONNECT, 2 SHOWERS, 2 KITCHEN SINKS, 1 SERVICE/MOP SINK,
1 VACUUM BRKR BKFLOW (1-4), 1 WASH BASIN, 2 WASH BASIN SETS, 3 WATER CLOSETS, 1�
WATER HEATERNENT, 1 WATER SERVICE , �
ISSUE FEE �
BackFlow irrigation
BackFlow Preventer
Bathtub � '�
Clarifier System
Connect pce,Soda,etc)
Dental Units
Dishwasher�
Drain, floor
Drain, Rainwater
Drain, Roo(
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
AMT QTY
$23.50
$0.00 ' 0 '
$0.00 0
$29.40 3
$0.00 0
$0.00 . 0
50.00 • 0
59.80 1
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
FEE SUMMARY
AMT
Laundry Tub / Washer. �� , $9.80
� Landscape Irrigation � $0.00
P-Trap . $0.00
� Pressure Regulator $0.00
Process Piping (per 70 ft) $0.00
Receptors $0.00
SepticTank $0.00
Sewer bap for Demo $0.00
� Sewer Connect ' . $24.65
Sewer Private Line $0.00
Shower � $19.60
Sink, bar $0.00
Sink, commercial � _ � _ $0.00
Sink, Floor - � $0.00
QTY
1
0
o ,
0
0
0
0
0
1 '
0 '
2
0
0
0
�_ -,'SumpPump .
� � Swimming Pool
, Srep Primer
Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash 6asin Set
Waste.and Vent System
. Water Closet (Toilet)
Waler Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe '
Water Service
AMT
$0.00
$0.00
so.00
$0.00
$12.30
$0.00
$9.80
$19.60
$0.00
$29.40
$12.30
$0.00
$0.00
$9.80
QTY
0
0
0
0
1
0
1
2
0
3
1
0
0
1
NOTICE: The work authorized by ihis permit shall comply�with all applicable handicap access requirements under Calitomia statules and related
regulations. (Ord. No. 9248,�§ 1, 1&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 inspeetione and final�approval�must be obtained: Failure to obtain inspections�and final�approval will result in the expiratfon of this permi�.
FOH INSPECTIONS CALL: (714)�7545626 �
WORKERS' COMPENSATION OECLARATION: ' �
I hereby attirm under penelry ol perjury one of t�e bllowing declarations: � , , - ' , .
❑ I have and will maintain a certiticate ot consgnt to sel4lnsure br workers' compensetion, as pmvidetl �tor by section 3700 ol the Lebor CoCe, for the pertortnance of the
wOrk tor whiCh �hi5 permi� Is issuetl. ' ' � �
❑ I have end will maintain workers' compensation insurence, as reduired by section 3700 of the Labor Code, for the pertortnance of t�e work for which thls pertnit Is Issuetl.
My wolkefs' compBnSalion InsUfenCa Cerde! entl poliCy num6ef era: .
Carrier: Polity Numbec
(This section need nof be com0�eted i/ the permit is velued et ane huntlretl tlallers ($100) oNess.J
(;]^�cenity that in the peAormance of iha work tbr�which �t�is permit is issued, I shall not employ any person in eny manner so es to become suDject to the workers'
��compensation laws ot Californla, end agrea thet ii I shoultl becoma subject to t�e workere' compensatlon provisions ol Section 3700 ot the Labor Code, I shall fonhwith
comply with Ihe56 provislons. � / �7 /, �^
Applicant�Sipnature:_..., �1vif —/�C� J/ Date`."�14 { G�/' �� V�
�� 0
WARNINOrPAKURETO SECURE WORKERS' ENSAiION COVERAGE IS UNLAWFUL AND SHALL SUflIECT AN EMPLOYER TO CFIMINAL PENALTIES AND CNIL FlNES UP TOONE HUNDRED
Ti10U5AND DOLL4RE (5100,000�, IN ADDfT10N TO THE Cp$T OF COMPENSATION, DAMAGES AS PROVIDED FOFi IN SELTION �OB OF THE LABOR CODE, INTEREST, AND FTTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
t hereby aKirtn th�t.l,am licens nde ' ions of Chapter 9(commencing with Seciion 7000) of Oivision 3 of the Busyi �ss anQ Professions Code, enA my license Is (n full
force end ettact 4c:1 ,G�sa.k C.r� �� ��
CONSTRUCTION LENDING AGENCY: '
❑ I hereby aHirtn that ihere is e consiruction lentling agenty for t�e peAormance of ihe work for which this permit is issued. (Sec. 3097, Civil Cotla).
Lendefs Name: Lentlefs Adtlreu:
Signelure: Date:
OWNER•BUILDER DECLARATIONS:
I hereby eMirm Ihat under penelry oi perjury t�et I gm EXEMP7 FROM 7ME CONTFiACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business end Protessions
Code: Any ciry or counry w�ic� requires a permit to wnstrud, alter, improve, tlemolish, or repair any structure, prior to its issuance, elw requires the epplicent br such pertnit
to file a signed stelament ihel he or she is licensetl pursuant to the provisions of ihe Contractors License Law (Chapter 9(commencing with Section 7000) oi Divislon 3 ot ihe
Business antl Professions Code) ar that he or sh0 is e:empt t�ereiram end tha 6asis for the ellegatl exemption. Any violetian ot Section 7031.5 by any applicant for e pertnit
subjects the epplicant to e civll penelry oi not mare Ihan live hundred tlollers ($500).):
❑ I, es owner oi Ne properry, or my employees wilh wages es their sole compensation, WILL 00 THE WORK, end the strucwre Is not Intentletl or otteretl tor sale (Sec.
7044, Business and Professions Cotle: The Coniractors License Lew does not apply to an owner of properry who builds or improves ihereon, and who does such work
himself or harsetl or through his or her own employees, provided ihat such improvemenis are not Intended or oHered tor sele. If, however, ihe building or improvement is
sold within one year of comple�ion, ihe owner�builder will have the 6urden of proving that �e or s�e ditl not builtl or improve for purpose of sale.). '
❑ I, as owner of the property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to co�struct the project (SecJ044, 8usiness and Proleulons
Cotle: The contrecmrs License Law tloes no� epply to en ownar of pmperty who builds or impmves lhereon, antl who contrects lor such pmlect with a contrector(s)
license pursuant to the Coniractors License Lews.).
❑ I em exempt untlar sec. _
Signature:
Owner ID verlfietl 6y tlriver's license.
Venficetion ot Ownerehip by (type of
Business entl Professions Code br this reason:
ves ❑ No
i.e, - property tex hill or Oeetl):
Driver's License No.
Dete:
Expires:
DIVISION OF INDUSTRIAL SAFETV PERMIT CEqTIFICATION:
❑ I hereby cenify Ihat no axwvetion five (5) or more faet in tlepih into which e person is required to descend, witl be metle in connection with work euthodzetl by Ihis
pertnit, and that no builtling strucwre, scaflolding, falsework, or demolition or tlismantling thereot, will be more than thirty-six (36) feet high. (Chep. 32, Grp 2, Ar12, Sec.
347, T�le 8, Celilornia Atlminisirative Code).
❑ As awner-builtler, I will not emplay enyone �a do work which would raquire e pertnit trom the Division ol Industrial Salery, es notetl ebwa, unless such person �a5 a
permit ta do such work irom ihe division.
Signature: Date:
Division of Intlustriel Salety Permil NumDer:
CERTIFlCATE OF COMPLIANCE /WD AUTHORIZpTON OF EN7RY: I certify under penalry ol perjury that I �eve read this applicalion antl stete that ihe Iniormation qiven is
correct I agree to compty with ell state laws end Ury ordinances relating to building consWction, and authodze representatives of Ihe City of Cosla Mesa ro enter upon the
ebove-tlescnbed property tor inspection purposes. I agree not to occupy or allow occupancy ol any building euthorized by lhis Dermit until finel inspection.
GOOE 1' INSPECTONTYPE " ' ' ' ' " " ' QdjF' -
1676 Fi:etl System Final Fire Prevention ''
1266 Pool Spe Final
200 Final Re-Root � � -
201 Finel Blak/Retaining Wall
202 Final Factory Fire Place '
203 Finel Sign
204 FinalOemolition
COOEI� INSPECTIONTYPE •� � •
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
272 Final fire Prevantian
220
222
250
Finai Planning ApO�o�el
Finel Site
Final Builtling/Occupency
(714) 754-5273 • Fan (714) 754-4856 • www.ci.costa-mesa.ca.us Il tAIFI UMIVC� GVJ IA Mt3A� GX `JLOZO
,lobaddress: 2309 ORANGE AV
Suite No
Vicinity: NEW SFD
Parcel Number: tpn00570
Applicant: REAMS, DANNY
Address: P 0 BOX 639
SEAL BEACH, CA
Owner. CEFALIA, JOE & MARGIE
Address:
Contracror: REAMS HEATING CO INC
Address: P O BOX 639
SEAL BEACH, CA
MECHANICAL PERMIT
Phone: 562-430-5755
Zip: 90740
Phone:
Zip:
Phone: 562�30-5755
2ip: 90740
License: 162995
ISSUED BY:
SCOPE OF PERMIT
NEW 2950 SF 2-STORY SINGLE FAMILY RESIDENCE WITH 466 SF ATTACHED GARAGE 8 131
SF FRONT PORCH. 1ST FLOOR - 1456 SF2ND FLOOR - 1494 SF (4 BEDROOM/3 BATH).
REF: BOS-00314
1 INST FAU < 100K BTU, 1 REFIG SYS < 100K BTU (A/C)
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >100 k BTU
Repair/Alt Cooling/Heal
Inst / Rep. Recess Wall Htr
Refrig Sys <700 k BTU
Re(rig Sys >700 k BTU
Gas Piping
Factory Fireplace
Hood wlMech Exhaust
VAV Box
Venl Fan / Single Duc�
Appliance
Fire Dampers
Smoke Dampers
Inst or Relocate Appl Vent
Air Handlers < 10000cfm
AirHandlers> 10000cfm
Floor Furnace
Floor or Suspend Heater
$23.50
$14.80
$0.00
$0.00
$0.00
$14.80
$0.00
$0.00
$0.00
$0.00
$0.00
30.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantity
FEE SUMMARY
Repair / Alt Absorbtion Unit
Repair / Alt Refrigeration Unit
Ventillation System
Evaporative Cooler
Com me rcia l I n cinerator
Domestic Incinerator
Comoressors / Absorption Svstems
Up to 3 hp /-100 k BTU
3To15hp/SOOkBTU
15 To 30 hp / 1,000 k BTU
30 To 50 hp / 1,750 k BTU
Over 50 hp / Over 1,750 BTU
Boilers
Upto3hp
3To15hp
15to30hp _ .
30 to 50 hp
Over 50 hp
Other Mechanical Fee
Investigalion Fee
Plan Check Fee
Reinspection Fee
Status: ISSUED
Applied: 0923/2005
Issued: 09/23R005
Quantity
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00
$0.00
50.00
TOTAL GALCULATED FEES 553.10
COMMENTS / SPECIAL CONDITIONS
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, 72-21-92)
EXPIRATION: 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 this permit to be considered legal, such work must comply with all flpplicable codes, and all
required Inspectlona and flnal approvel must be obtained. Failure lo obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626 �
2d68-68(8/00)
WORKERS'COMPENSAnON DECLARArON:
I hereby eHirtn untler penalry o� perjury one ot the fallowing dederetions:
❑ I have and wlll meintain a certilicata of consent to selt-Insure tor workers' compensation, es pmvitled for by sectlon 3700 of the Labor Code, for ihe pertortnence of ihe
wark for whith ihis pertnit is issue�.
��I have end will maintain woflcers' compensatlon Insurence, as required by section 3700 of the Lebor Cotle, tor Ne peAortnance oi Ne work br which this pertnit is issuetl.
My workero' compensation Insurance carrier anA pollcy number are:
c�;er.-_"',_.T- _�..ro a� t,m er I?/T/G/G- UJ'— •
Is seciion neetl nof be comPl ted i/ 1he permit is velued e! one hundred ddlars ($100) or IessJ
❑ I tertify that in the perfort�ance oi the work for w�ich IhlS pertnit is issuetl, I 5hall not employ any person in eny menner so as to become subject to tha workers'
compensatlon laws oi Calitornie, antl flgree lhet II I should hecome sut�ect ta lhe woticers' compensaUon provisbns oi Section 37W ot the Lsbor Code, 1 s�sl1 forthwith
comply wlth t�ese O�ovisions. /
Appticent- Sigine ur� � h—�� -- Da _ FJ — Z�•� Q!—
� .vF.. ,.
WARHINO: FAILURE TO SECUFiE WORKERS' COMPENSATIqJ COVEMGE IS UNLAWFUL AND SHALL SUBJEQ AN EMPLOYER �O CRIMINAL PENALTIES AND dVIL FlNES UP TOONE NUNDRED
TNOUSAND DOLLARE (5100,OW), IN AODRION TO THE COST OF COMPENSATION, DAM4GE5 AS PROVIDED FOR IN SECTION 3�O60F THE LABOR CODE, IfJrEREST, AND ATTORNE'fS FEES.
LICENSEO CONTRACTORS DECLARATON:
I hereby aNirm ihet I em licensed untler provisions oi Chapter 9(commencing with Section 7000) of Divislon 3 of iha Business entl ProFessions Cotle, and my license is in tull
force end ettect Li�c: A'i _/�%l/g�� C�ra C�Z U
CONSTRUCTION LENDING AGENCY:
❑ I hereby eMirtn Ihat Ihere is a consiruction lending e8ency for ihe peAormance of the work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lentlefs Name: Lentlers Address:
Signeture:
OWNER-BUILDER DECLARA710N5:
Da�e:
I hereby afllrm thet under penalry of perjury Ihat I em EREMPT FROM THE CONTRACTORS LICENSE LAW tor �he following reason (SecJ031.5, Business end Professions
Cotle: Any ciry or county whicn requires a permit to consiruct, elter, improve, demolish, or repair eny stmcWre, prlor to its issuance, also requires the applican� lor such permit
to file e signe0 statement ihat he or she is licensed Oursuent to Ihe provisions of ihe Coniractors License Lew (Chapter 9(commencing with Section 7000) of DlWsion 3 of the
Business entl Professlons Code) or that he or she is exempt therefrom and the basis far the alleged exemption. Any violation of Seciion 7031.5 by eny appllcent for a pertnit
subjects the epplicant to a civil penalry of not more than five hundretl dollers ($500)J:
❑ I, es owner ol the properry, or my employees with wages as their sole compensation, WILL DO TME WORK, and the strudure is not intended ar oHered tor sele (Sec.
7044, Business and Professions Coda: The Contrectors License Law does not apply to an owner ot properry who Duiltls or improves Ihereon, antl who does such work
himsetl or hersetl or throagh his or her own employees, provitled �het such improvements ere nat Intentled or ofleretl for sale. If, however. Ihe building or improvement is
sold within one year oi rAmpletion, the owner-builtler will heve Ihe burden of pwving that he or she did not 6uild or improve tor purpose of sale.). '
❑ I, as owner oi the propeAy. am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to canstruct the prolect (Sec. 7044, Business and Professions
Cotle: The comrectors Ll�ense Lew does not epply to en owner oi propeny who builtls or imprwes thereon, and who coniracls for such pro)ect with a wNrenor(s)
license pursuent to the Goniractors License Wws.).
❑ I em exempt untler sec. Business and Prolessions Cotle for Ihis reason:
Signature: Date:
Owner ID verilied by driver's liCanse. ❑ Ves ❑ No Driver's License No. Ezpires:
Vedfication ol Ownership by (type of document, i.e. - pmpetly tex bill or tleetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICATION:
❑ I hereby certify that no a%��ation fiva (5) or more Ieel In depih into which e person is required to tlescend, will be matle in conneciion wlth work authonzed by this
permil, and Ihet no building structure, scaHolding, talsework, or damolition or tlismantling Ihereof, will 6e more Ihen Ihiny-six (36) faet high. (Chap. 3.2, Gry 2, An 2, Sec.
341, Tule B, Califomia Administrative Cotle).
❑ As ownerbuildar, I will not employ enyone to do work which would require a permit Irom Ihe Division ot Industrial Safery, as notetl ebove, unless 5uch person has a
permit ro do such work trom ihe tlivision.
Signature: Date:
Division of Intlustrial Sefery Perm�t Number.
CERTFlCATE OF COMPLIANCE AND AUTTIORVA710N OF EMRY: I certify untler penalty of perjury iha� I have �eatl ihis appliwtion end state that ihe Information given is
correct. I agree to comply with all state laws end ciry oMlnences relating to building construction, end euthonze representatives oi the Giry oi Costa Mesa to anter upon the
ebove-descnbetl property for inspection purposes. I egrea not to occupy or allow occupancy of eny building authonzed by Ihis permit un�il finel inspection.
GODE �, INSPECTONTYPE
1676 Fised System Final File Prevention
1268 Pool Spe Final
200 Final Re-Roof
201 Final Block/Re�aining Wall
202 Final Factory Fire PIaGe
203 Final Sign
204 Final Demolition
INTRIALS �j INSPEGTIONTYPE
206 Final Mechanical
20B Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final BuildinryOccupancy
PAIF �
Zti3�eC�
�S�
APPROVED
CITY OF COSTA MESA
PLANNING DIVISION
SUBIECTTO BLDG.DEPT.REG.
NOTE: ADDITIONS, DELET[ONS,
� 3 O�"f OR CO RECTIONS SHALL BE
�R'�'d� �'t`'THE PLAA[AIING DIY.
BY:__�
_�
/
1
r
r'
, 12/'28I/2005 WED 8:10 FAX 4535354 ENGDOH'N �-�� Costa Mesa Releases
� � i
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� I��'Il1� R�C� lY�l� DI�1C� 15600 SorM Canyon Ave., P.O. Aoz 57000, frvine, CA
� , � I
, � �
, �
� � ' i
I � ,
December 27, 2005 ; �
I I
INTr. Rick Brown
City of Costa Mesa
� Planning Departrnent
I 77 Fair Drive
� Costa Mesa, CA 92628
I Subject: Release for Residential Use
Dear Mr. Brown: � ' i
i
Irvine Ranch �Vater District hereby releases residential ho I e located at 2309.00
at Santa Ana Heights Area for the following: . I
I
RELEASE FOR OCCUPANCY - Water meter has beeii installed by dev
Yours huly,
i i/� " / ^` ;%�
• Ivlike lack
� Construction Inspection Manager
MJ/fc
�
cc: Developer— Temir Sacuy �
c/o Joe Cefalia, 1312 Dover, Newport Beach 92660
IRWD Inspector — Craig Ervin �
IRWD Developmental Sezvices I
IRWD Customer Service (2) �
Chron '
TOTAL NUMBER OF UNITS POR BUILDINGS RELEASED THIS DA
f�OOV001
I
�
(sa91
R40700 (2)
SD 1. 40700
'_ Code: 4311
I
(
I
I
I
nge Avenu i
er. �
1