HomeMy WebLinkAbout2463 MARSEILLES WAY - Building Permits(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa•mesa��MBING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2463 MARSEILLES WY
Sult¢ No
Vicinity:
Parcel Nunmber: 43914228
nppiicant: BOYCKS, BRUCE
Address: 2463 MARSEILLES WAY
COSTA MESA, CA
owner: BOYCI(S, MILDRED
Adtlress -2463 MARSEILIES WAY
COSTA MESA, CA
Convactor: OW N ER-BU I LDER
Address:
Phone: 949-677-3282
Zip: 92627
Phone: 714-836-4985
Zip: 92627 .
Phone: i �
Zip:
�License: 000000 �
SCOPE OF PERMIT
1 WATER HEATER AND 1 WATER REPIPE FOR A SFD.
ISSUE FEE
Backflow irrigation
BackFlow Preventer
BathWb.
Clarifier System
Conned pce,Soda,etc)
Dental Units
Dishwasher
Drein, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Ezpansion Tar1k
Gas Earthquake Valve
Gas (1-4 ouHets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
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
$0.00
so.oa
$0.00
$0.00
$O.OD
$O.OD
�
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
StaWs: ISSUED
Applied: 12/05/2006
Issued: 12/05/2006
ISSUED BV:
FEESUMMARY
AMT �
Laundry Tub / Washer � -$0.00 -0 �
Landscape Irrigation - � "$0.00 0 �
P-Trap 50.00 0 .
Pressure Regulator $0.00 �0
Process Piping (per 10 ft), $0.00 0�
Receptors '$0.00 - �0 �-
Septic Tank � $0.00' 0 .
Sewer Cap for Demo -$0.00 0
Sewer Connect . �$0.00 0
Sewer Private Line . $0.00 - 0
Shower � $0.00 0
Sink, bar $0.00 0
Sink, commercial � - ' ' . $0.00 0
Sink, Floor �$0.00,�_ 0
Sink; kitchen ' � $0.00 ' _>� 0
Sink, service/mop $0.00 0 �� ,-
Spa (private) $0.00 � 0 -
Spa (public) � - $0.00 0
COMMENTS I SPECIAL CONDITIONS
� SumpPump '
Swimming Pool '
Trap Primer
Urinal
_ Vacuum Brkr Bkflow(1-4),
Vacuum Brkr BkOow(5+) �
' Wash Basin
Wash Basin Set-,
�, Waste and Vent System-
Water Closet (Toilet) .
WaterHeater/vent �
Water Piping.(Inst or Rep.)
WaterRe-pipe '
Water Service �
Water Soflener .
OTHER �
� VIOLATION
, .PLAN CHECK ,
. '� REINSPECTION .
TOTAL CALCULATED FEES:
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$9.80
$0.00
$0.00
$0.00
$9.80
$0.00
$0.00
$0.00
$0.00
' $0.00
$0.00
$43.10
on
0
0
0
0
0
0
0
0
1
0
0
0
t
0
0
U]
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap.access requiremenis untler Califomia statutes and related
regulations. (Ord. No. 92-28, § 7, 72-21-92) �
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 authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspeetiona and final approval must be obtained. Failure to obtain inspections and (inal approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (774) 7545626
2446d8I8/00)
WORKERS' COMPENSA710N DECLARA710N: "
I herehy effirm under penelty of per�ury one o1 ihe following declaretlons: �
❑ I heva entl wlll melntaln e c0hificate oi Consent to self-InSura for workers' compensatlon, es provltled for by sectlon 3700 of t�e Lebor Cotle, tor the pertormance of the
work for which ihis permit is issued.
❑ I have end will maintain worNers' compensation insurenca, as required by section 3700 of tha Labor Code, Por t�e pedottnance of Ihe work Por which Ihis permit is issued.
My workers' compensation Insurence carrier antl policy number are: '
Cerner: Policy Number:
(Thl�cfion need not be comp/eted i! the permit is velued ef one hundred dollers ($100) or Iess.J
-Pcertity�he pertortnance of ihe work for which Ihis pertnit is i d, I shall not employ eny persor, in any manner so as ro become subject to the workers'
compensatlon laws ot Calitornia, e g�eet t if I sho subject to the workere' compensation provisions of Saction 370/p of the Labor Co/tle, I shall fotlhwith
comply with�these provisi _� / l J/-- /U (/
Applicant,Signeturei"� D tae;_ �V � �,� /
WARNIN�: FAILl1RE TO SECUFE S' CAMPE ON RAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPL�VER TO CRIMINAL PENALTIES AN IVIL FINES UP TOONE HIJNORED
T/10USANDOOLLARE($100,00p), DITIONTOTH PENSATION,DAhNGESAS�ROVIDEOFORINSECTIpN3�O60FTHELABOfiCODE,If�frEREST,qNDATTORNE`fSFEES.
LICENSED CON7RACTORS DECLARATION:
1 hereby aHirtn that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 oi Ihe Business and Protessions Code, and my license is in full
torce entl ettect Lic. a qass x
Contrector's Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aflirm t�a1 t�ere is W construction lentling egency for the pertormance of the work for which this permit is issuad. (Sec. 3097, Civil Code).
Lenders Neme: Lenders Atldress:
Signature�. _ pate�.
OWNER-BUILDER DECLARATIONS:
I hareby aflirtn that under penalry of perlury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Protessions
Code: Any ciry or county which requires e permit to consimct, alter, improve, demolish, or repair any structurti, prior to its issuance, also requires the applicant tor such pertnit
ta tile a si9ned stetement Ihet he or she is Ilcensed pursuant to tha provislons oi ihe Contrectors Licanse Law (Chapier 9(commencing with Section 7000) of Division 3 of the
Business end Professions Code) o� �hat he or she is exempt Iherefrom and the besis for tha allaged ecemption. Any violetion oi Section 7031.5 by any applicant for a permit
subjects the epplicant to a civil pe�alry ef not mora then tive hundred dollers ($500).):
❑ I, es owner of the property, Or my employees with wages as their sole compensa�ion, WILL DO TME WORK, antl the sirucNre is not intanded or oHered tor sale (Sec.
7044, Business and Professions Cotle: The Contractors License Law does not apply to an owner of properry who builtls or improves thereon, and who dces such work
himself or herself or through his or her own employees, provitled that such improvemaNs are not intendiad or oflered for sale. tl, however, ihe building or improvement is
soltl within one year of completion, tha ownao-6uilder will have the burtlen ot proving ihat he or she did not builtl or improve for purpose of sale.).
❑ I, as owner of ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the p�olect (Sec. 704G, Business and Professions
Cotle: The contractors License Lew does not apply to an owner of property who huilds or Improves i�ereon, and who contracts tor such pmject with a conirecior(s)
license pursuant to ihe Conuactors Licensa Laws.).
❑ I em exempt under sec. Business and Prolessions Code for Ihis reason:
SignaNre: Date:
Owner ID verified by drivels IicanSe. ❑ Ves ❑ No Dnvers License No. Expires:
Venfiwtion of Ownership by (rype of documeN, i.e. - properry tax bill or deetl�:
DIVISION OF INDUSTRIAL SAFin' PERMIT CERTIFICATION:
❑ I hereby certity ihat no ezcavation five (5) or more feet in depih inm which e person is required to descend, will be matle in connection wi�h work authonzed by ihis
permit, antl ihat no building 9lructure, scaHolding, talsework, or demolition or tlismantling Ihereof, will 6e more then ihirry-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec.
341, Titla 8, Calilarnia Administrative Cotle).
❑ As owner-builder, I will not amploy enyone to tlo work which would require a permit irom the Division of Industnal Satety, as notetl a6ove, unless such person has a
pertnit �o do SUCh wOrk trom �he divi5ion.
Signature: Date:
Division oi Indusinal Safery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTMORIZATON OF EN7AY: I certity under penalry of perjury that I lieve reed this application antl state that ihe information given is
correct. I egree to comply with all stete laws end ciry ordinances relating ro building construciion, and authorize represeNatives of tha Ciry ot Costa Mesa to enter upon the
abwe-tlescnbetl properry tor inspe�iion purposes. I egree not to occupy w ellow cecupa�y ot eny building auttrorizetl by this permit uMil tinat inspection.
COOE I. INSPELTION TYVE
1616 Fixed System Final Fire P�evention
1266 Pool Spe Finel
200 Final Re-Roof
201 Finel BIxWRetaining Well
202
203
204
Final Factory Fire Plece
Finel Sign
Final Damolition
PAiE ItffII1SL5
cooe� �QnNTYPE
206 Final MEichenical
208 , Finel Plumbing
210 Finel EloC�riCal
212 Flnel Flre Preventlon
220 Final PlFinning Appmval �
222 Final Sile
250 Final Building/Occupancy
�,�/ JG
I Date - "}
PdIE �NTITI�LS
�� a� �?aaxa ��ea,a i�'u�uP�uc� Z�i,uiaio�i
OWNER-BUtLDER
VERIFICATION
���1 Permi[#:
A city or county, u•hich is required to give notice pursuant to Section 1983Q shall attach to such notice, and, as
a condition precedent to issuing a building permit, require the completion and require the retum of, an owner-
builder verification.
Attention Property Owner:
An `owner-builder' building permit has been applied for in your name and bearing your signature.
Please complete and retum this inforniation in the envelope proJided at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No buildin¢ permit will be issued until this
verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property' vemen[. �Yes ❑ No
2. [(hav ave no signed an application for a building permit for
the pro ork.
3. I have contracted with the following person (firtn) to provide the proposed conswction:
Name
Address
Phone (
City _
Contractor's Lic. No.
4. I plan [o provide portions of the work, but 1 have hired the following person ro coordinate,
supervise and provide the major work:
Name
Address _
Phone ( )
City —
Contractor's Lic. No.
5. I will provide some of the work but I have contracted (hired) the following persons [o
provide the work indicated:
Name
t0a2<6 (Rev.11/Oa)
Address
Phone Type of Work
I hereby a�rtn [hat 1 have received a copy of the information set forth in Section 19830 of the State of
Califomia Health and Safety Code and have completed the above infortnation to the best of my personal
knowledge, in compliance with this State law.
Sign 'e,d� %"�-� Date: t�
� i
Name: ����-- /S� v� L /�1>
(Printed or Type )
C.D.L. � � �
For more informatian call City of Costa Mesa Building Division at 1;714) 754-5273..
t0a2+16 (Rev. HI04)
DECLARATION OF AUTHORITY
FOR AGENTS OF PROPERTY OWNER
TO APPLY FOR PERMITS
Street Address:
2y�3 �
f�
Bidg. Pertnit #
This Permit #
G�/�l% J(-�` �/2L 2� AP Number.
1. I( ), /�/,� �U��✓� ��i���� , declare that I am the Owner of Title of the above
referenced real property, and that I(�) hereby authorize:
� �� � \ �'1 y %� tJ
Name: / 2u" `�' `7C��1 " `v TelephoneNumber. � G� ��
r �JJ •l �^��L/�.'f/d' � r� ��/v` ///✓/1/ �
$treet Address:
City: �.� �� /� State: � � Zip: � Z�'� ��
�—�
to obtain permits in my behalt, as owner/builder, for
atthe above referenced property.
2. Should any person become an employee engaged in the improvement of the property, I(we) shail immediately provide Workers
Compensation Insurance coverage and cause a ceRificate of that coverage to be filed with the Building Division of the Cily of Costa
Mesa, as required by State of California laws.
3. As ownerlbuilder in fact, I understand and accept that my responsibilities do not transfer to any other person, company or
corporation.
4. I agree to indemnify and hold the City of Costa Mesa and its employees or o�cers harmless from any claim resulting in damage or
personal injury to myself or any other parties as a result of work authorized by the permits from the Ciry o( Costa Mesa.
5. I declare under the peqaljy of pery'ury that the foregoing is true and correct.
C�ir / "'/
Executed this � day of � cC_ r. 5` ^ 20 _(L , at �.i/�( �Nn , Califomia.
0
PrintName: " �/" ��� —�_ �"�t
Signature: � G%Vc'�
Date: — � 2_/�/_v �—
Note: This authorization does not grant aufhorization to perform the work as owner,
it solety provides for limited power of attomey to secure this pertnit in any behalf.
0719-46�rev.11/00)
1 � Y
May 1, 2007
Mr. Bill Nunez, Inspector
City of Costa Mesa
77 Fair Drive
Costa Mesa, CA. 92628
RE: Permit Copy -�2.463_iVlarseilles Way;.Costa Mesa
A Single-Story Unit in Newport Riviera POD
Dear Bill,
Fax: 714J54.4856
Pages• _
Thanks for stoppiug by the unit this morning and inspecting the rear hose bib
pressure relief valve. Living with m�� 84yr old Mother often presents some
chalienges with communications, etc., and something came up for this morning.
had left a message at your office, yesterday afternoon, to delay the inspection for
day.
Hence, [ was not there today, nor was your original City permit copy. Therefore,
I am enclosing same with this request to complete and file.
Sinc
r o -- ele:'949.263.2691 Fax: 949.260.8799
� CITY OF COSTA ME$A, �BUILDING SAFETY f"VISION
_ v POST IN CG_.SPICUOUS PLACE JN THE JOB
NOTICE
Schedule inspection one workday in advance. To schedule inspections, call (714) 754-5626. Provide the following information:
1) Permit number, 2) Job address, 3) Inspection item number.
PERMITS EXPIRE 180 flAYS (6 MONTHS) FROM ISSUANCE OR LAST INSPECTION
. . •.
Item e STRUCTURAL Date Inspector Iiem;i POOL 8 SPA Date Inepector
3 Job Site Consult 94 Pool 8 Equipment Location
4 Footings I Uter Ground 96 Steel Reiniorcement
6• Slab 100 Electrical Bonding
/8 Siructural Floor 102 Rough Plumb 8 Pressure Test
11 Pre�lnspect Roof 104 Approval to Cover - Gunite
12 Root Sheathing 1 Building Height 106 Elec Conduit - Underground
14 T-Bar Ceiling-Structural 108 Gas Pipe I Underground Test
16 Shear Panel 110 Backwash Lines, P-Trap,
18 Frame 8 Flashing Underground
20 Lathing 8 Siding 112 Approvalto Deck
22 Insulation 116 Pool Plumbing System - Final
24 Drywall Nailing 11 B Pool Electrical - Final
26 Plaster Brown Coat 122 Fencing � Access I Alarms Approval
30 Pre-Grout 124 Approval for Plastering
31 NPDESIBMP 126 Pool l Spa Systems - Final
33 Disabled Access
� •
1610 Overhd Hydro I Overhd Rough
1612 Dry Chemical
ELECTRICAL 1614 Dry Standpipe
36 Ufer Ground 1616 Final - Fixed System
38 Elec Conduit - Underground
44 Rough Elec - Wiring •
46 Rough Elec. Conduit -
48 Elec T-Bar Ceiling Call (714) 754-5626 for the following: oa�e inspae�or
50 Elec Power Final l Meter Release 200 Final Re-Roof
51 Temp Power Final 201 Final Block 1 Retaining Wall
203 Final Sign
204 Final Demolition
206 � Jr-�'O 7 I�
PLUMBING 8 MECHANICAL 208 Final Plumbing �'
52 Soil Pipe - Underground 210 Final Electrical
53 ShowerPan Call (714) 327-7400 for the following: oa�e inspee�or
54 WaterPipe - Underground 212 Final Fire Prevention
55 Underground Gas Call (714) 754-5671 two �2) working days
62 Rough Plumbing ,� prior to tinal. oa�e En9ineer
63 Prewrap 216 Final Public Svs. Dept. Approval
64 Rough Mechanical Call (714) 754•5245 for the following: oaie inapec�or
66 Rough - Factory Fireplace 220 Final Planning Approval
6B Sewer System Call (710) 754•5626 for the tollowing: oaie inspecior
72 Gas Pipe - Rough 222 Final Site
90 Gas Pipe Test - Final 250 Final Building I Occupancy
92 Water Service - Final
NOTES: SEE REVERSE
0559�a6 �rgv. Ji06)
owxEa DOYLE & SHIELDS Development Co..Inc. DATE 6-
GENERAL CO�.
AP No.
I ECTIONS
_ Io
�r
�FIRE ZONE
DATE IGROUP
vai.vE S .1b,9o5. o0
DESCRIPTION OF WORK
TYPE � V ZONE
SUBCON'Pf2ACTOR
CE NUMBER
2 i9
� '�
n.
-G 3 �.3 . .�'
_ � ��,�V
<
�. .. ,. ,
6
. I C��i% 5
COSTA MESA BUILDING-SAFET' DEPARTMENT
P.O. BOI9f] C06TA M[BA, CALIPORNIA
For Applicanf fo Fill In Completely
TYPE OR PRINT ,
BUILDING �ll� � �� �
ADDRE53 C �/�
COSTA �MESA, CALIFORNIA
OWNER Doyle & Shields Dev.Co.I�.
ADDRE85 831 So. Manchester Ave. a0
FIRH
cirr Andh0lm, C811f NoPR 2802 =°Ne
ARCHITECT TE BYPR
OR ENGINEER Hal C� Tan N�%Z�ZSZ
ADDRE54 4100 West Commonwealth
Z
GONTRACTOR S�Ille
L80AL
ADDR6SH S$me OeDCR
GITY S$me A. P. I
STATB 1SZ�ZSO�B�1 TE��PR 28020 9OTT
LIG. NO. NO.
SIZE w w EAV E:
OF LOT `r`t X S6 I NOW Orv WiB� ALLO
YARDSAPPROVED
USEOF ����y MAINBUILDING
ftt K��tIVtU
�F11�1�ICE� d��.
ITY OF COSTA MESA
APPLICATION FOR PERMR
BUILDING
For Office Use Only
� R!c¢IPf NO. � i1i
1Y OhT6p8C[IVED OATE189UED
'/ S"- asy-9��G 3 "�� :� ts63
o��J"�o �//'/.Oi�lLOi��.�l ,`G`�
ZONING
NO.OF U8H
rLAN9 _ BU11
R'� ZO. SO � RHAR YARD
EFT ����� I R16HT���-
DESCRIPTIQN OF WORK
X II .� ��e....,... � �.......,,,.. I
x 56 po.oF (
0 U56 OF BUILDING AND
I HEREBY ALKNOWL[OOH TXAT �{�AV6 RfiAD TMIB APPLICATION
AND 6TATE THAT TH6 ABOV6 I8 CORRECT ANO AORE6 TO COM.
PLY WITN ALL CpITY OPG�NAHC$p ANO BTATI LAW9 R60ULATING
SIGNATUREOP u� 1�. ��- 6 1il . QY .I �U �l.fl . rMC
PFRMIT�'FF J•�a"'K< < Au 1JM
� AUTHORIZEDAG6NT
D18TANCE BET
MAIN BLD65.
VAR. JF
1564 s�
TNE AMOUNT
PVpP056 OP
BHALL BE LE6S THAN
YARDSAPPROVED
ACGESSORY Bl1IL�ING
BET. MAIN
ACCES9. E
DATE
� pi - �
0
VALUAT�ON 19 FOR TX8 f
A P6NMIT FEE ONLV. p
�` � n
IT FEE S S 7 �
��7 n m
CHECK S �/ o
n i pt a