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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