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HomeMy WebLinkAbout2044 MEADOW VIEW LN - Building Permits a - c-i�iL:4� CITY OF COSTA MESA t BUILDING DIVISION I°9-r' "I DEVELOPMENT SERVICES DEPARTMENT PER NUMBER t' PERMIT P06-00795 se (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.vt4MBING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2044 MEADOW VIEW LN Status: ISSUED Suite No Applied: 09/26/2006 Issued: 09/26/2006 Vicinity: Parcel Nunmber: 42201310 - Applicant: SCOTT LITTLEFIELD ISSUED BY: Address: - - . ' , Phone: 661-259-0520 - Zip: Own 1P• N,iali'.M A 1 M - . Addre > c44 i .•ti'VIE LN - -• - .-• f,;:,) \. .. - Phone: COSTA MESA,CA - - Zip: 92627 • Contractor: AFFORDABLE WATER HEATERS AND PLUMBING Address: 24707 SAN FERNANDO RD , Phone: 661-259-7131 ' SANTA CLARITA,CA Zip: - 91321 ' .-License: 627368 • _i� C SCOPE OF PERMIT WATER HEATER CHANGE-OUT. - . • - ' , , , - FEE SUMMARY AMT QTY .. - _. . -. -AMT . QTY AMT QTY ISSUE FEE -- $23.50 - • Laundry Tub/Washer $0.00' 0 ' - - Sump Pump $0.00 0 Backflow irrigation $0.00 0 ' - - Landscape Irrigation ' $0.00' - 0 ' - Swimming Pool .$0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 , 0 Trap Primer $0.00 0 Bathtub, - ' $0.00 0' Pressure Regulator $0.00 0 Urinal '., $0.00 0 'Clarifier System ,- $0.00 0 - Process Piping.(per.10;ft) $0.00 ,,,l'.0',-_ _ Vacuum Brkr Bkfow(1-4)'- $0.00; , 0 Connect(Ice,Soda,etc) $0.00 0 ,, __ _'Receptors_' - ' 2`$0.00;'/0; > -: Vacuum Brkr Bkflow(5+) $0.00 . 0 Dental Units $0.00 0 .. Septic Tank . $0.00 , -0 _. Wash Basin . $0.00 0 ' Dishwasher $0.00 0 , Sewer Cap for Demo $0:00 , 0 Wash Basin Set , $0.00 0 Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater < , . $0.00 0 " Sewer Private Line - $0:00 .0 Water Closet(Toilet)..- $0.00 0 Drain;Roof- $0.00 0 Shower - $0.00 0 Water Heater/.vent .$12.30 1 Drinking : Fountain $0.00 0 Sink,bar ._L<. ; $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank - -$0.00 0 Sink,commercial' ' - .. • $0.00 0 Water Re-pipe ' ' $0.00 0 Gas Earthquake Valve $0.00 0 Sink„Floor' $0.00._ 0 Water Service - • $0.00 0 Gas(1-4 outlets) - $0.00' 0 Sink;kitchen $0.00`, .0 Water Softener_ ' 7$0.00 0 Gas(Over4 outlets) , . $0.00 ,, 0 , ,-' Sink,service/mop , $0.00 .... 0,:--±y 7<;,-* OTHER-' $0.00 Gas Repipe $0.000 Spa(private) $0.00 0' . VIOLATION $0.00 Gas Service ,- $0.00 •..0:: : Spa(public)-- $0.00 . 0 PLAN CHECK ./ $0.00 Interceptors(Grease,Oil).,'$0.00 0-. _ ,.., - - - - .%, REINSPECTION ,. :, ' •-' $0.00 0 Interceptors(Sand Auto) '10.00; '•0 ��� -- - - = ' i �,. _ - -_ - , - ' 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, 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 2446-46(8/00) DECLARATIONS U WORKERS'COMPENSATION DECLARATION: • . . I hereby affirm under penalty of perjury one of the following declarations: O 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 Fork for which this permit is issued. LCJ' 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 works °rmpensation Insurance carder and policy number are: at Cartier: f ^r- L• m I tk Policy Number: Zebniga70 (This section need not be completed if the permit is valued at 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 ree that if I sh0uld become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. /� Applicant Signature: r Date: 0)—(16 Lie WARNING:FAILURE TO SECURE WORKS COMPENSATION COVERAGE I5 UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDITION 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.Lic.A Ie a7 3)o Class a C 36 Contractors Signature: /YC V' " Date: 9 (: -01 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 I 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 c1 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.). O 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 property 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: O 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(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, 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: 1 Will the applicant or present or future building occupant need to file end certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 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? 0 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 Califomia 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 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 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 and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and 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 Legal Own r(s) Date coir 9-ab - off, And/ uthorized App want Date ;ODE# INSPECTION TYPE INTITULS. ;ODE( INSPECTION TYPE QAII INTINIL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final • - 208 Final Plumbing 1�z —II `O� 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• . . CITY OF COSTA MESA REQUEST FOR OCCUPANCY TRACT NO. 10018 DATE April fl 1.979 LOT NO. 27 RECEIVED CITY OF COSTA MESA PLANNING DEPT. ADDRESS 2044 Meadow View Lane, Costa Mesa, Ca. APR 2i' 1979 AM PM 718i2il i11113ili2i 14 SSi& The developer of the above entitled tract desires to se� e a ove s t fdr lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they) (was or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. •_ P rchaser BY / /I a" Devel.. r and/or authorized repr_ ntative WELLS FARGO BANK, N.A. BY 'l T 6,, M.A.L , sistant Manager -I] t; l) t -CITY OF COSTA'MESA - BUILDING SAFETY DEPARTMENT POST IN CONSPICUOUS PLACE ON THE JOB ' I' DATE ISSUED • 5-5-78 „ A.P. NO. PER . . 459.55 1. a BUILDING ADDRESS 2044 Meadow View Lane r' .� ' TRACT' LOT BLOCK - ' • t, ' i•° 300 8 t 27 - {.: R NEW ADD ALTER REPAIR MOVING DEMOLISH • tt X 5 OWNER . .k- -- 'CWF 1RWOni COnIYAN-- - ••,-• f.. - Res w�at+ - naragr ' FIRE ZONE TYPE GROUP — PDR-MTI V I & J " . 2 UC'T.D POR SP"'C T AT. Cpp:'TRU.NII?NT5 SETBACKS 4 s • ji :: Front Yd. Rr Side Yd- R Att. L_AStL_ Rear 516" • ' {r. -` Side Yd. R L Rear ' BUILDING INSPECTION RECORD ' j- 'TO KEEP BUILDING PERMITS VALID, WORK MUST BE COM MENCED WITHIN 60 DAYS WITH ROUTINE INSPECTIONS AT . ' r'.'' LEAST EACH 120 DAYS THEREAFTER UNTIL COMPLETED. YSTRUCTURAL NSP DATE I L1/ Trenches Forms (? 7/� [� • Floor System' - ^ r 6--70A-if t`' Steel Reinf V'7� C' -�' -r - - ` S Sheathing ' ' •//—rF-71' ' Frame and Flashing debr /,-'r/-7G- t .' . t' Insulation I•"4-) Jf-7r-7f• r Lathing . . ..! ) m-0-7,r .• P' Dry Wall Nailing �_�� rsre aa�/- ii - IAS Plaster, Brown Coat P'i�✓ z—i7-'/ Sound Attenuation " - ' }t Handicap Regulation F:; ;i. FINAL j t'' 3...(2,..-7, ;' • '4 - PLUMBING P Soil I . ?t Yom/ —?-7• t .: Underground Water ,./.'A�T� '-r Rough Plumbing .` y; • �, -Prop.Sewer Line and House Conn 0),/,97 i7-Zcrfl -t .. li-Jo-7P Street Sewer Conn. 7)_,;'1,10 r+ } Water Service rr r! 3-YJ-7? 'r;; Sprinkling System . , Gas Test 'a �r '+�i-If .t'.: FINAL ./.n-ti ?. HEATING,AIR-COND. AND REFRIGERATION Refr. Lines,Pressure Test ---- r• Ducts, Underground �,r4!r;Y) J-, -// • Ducts,in Structure . '7.'1-711 /1..--,S.2ce ''• Ducts,Ventilating _✓.r�•.v.flCf--',j ' I• .Rough Heating and Air-Cond. • =ioY f1 5 -f-??' , Y. , FINAL u�, . -s -/G,,rf I ELECTRICAL ' :. Temporary Service or Pole �+r�z•' --- Underground - O _, /d'ld--ft l- Power Meter Rough Wiring l�,.1P.7.G FINAL IO4 -/t 1 - - Do not occupy this project until final inspection has 'i been made and occupancy has begnlap r ed• f Building Final - O(�' $It 1t • ' Special Requirements ' Occupancy • r I o. NOTICE . • , 24-hr. notification required when the job is ready for inspection. You must furnish PERMIT NUMBER and the JOB ADDRESS FOR EACH I • , , - RESPECTIVE INSPECTION. CALL556-5273. APPROVED PLANS SHALL @E'ON JOB AT ALL TIMES CMF 0559-9fi - L45955 N785 51.30278 8311.7_I. _TU ' COSTA MESA BUILDING-SAFETY DEPARTMENT 't 785 5/30/78 -23'f.7fCKTa P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 1� yypp�� ������,8fi9g re,t�� -_ APPLICATION FOR•STRUL7TJRALPLRh1IT I,Q For Applicant to Fill in Completely — Use Ink Only RECEIVED BY DATE RECEIVED DATE ISSUED ' B UILDI SG (J q 11/A // /I � ADDRESS 4 'l/ v PERMIT NO. OWNER the gregory companyA.P.No 6 ?f/ - /2. / MAIL 3187- g airway ave oloRE sp (�(/{,yI / S...._4,...- ADDRESS { / TEL TRACT 10018 LOT 27 BLOCK CITY costa mesa ND.751-3850 CONSTRUCTION NEW ADD ALTER I REPAIR MOVING DEMOLISH LENDER X BRANCH OWNE'the gregory company ADDRESS VALUE ARCHITECT harrison/lorenzith.. 751-38JUSE condo w/at- OR ENGINEER NO, q FIRE ADDRESS 31a7-g airway ave ZONE TYPE V GROUP TM APPROVED CONTRACTOR gregory construction co BY DATE - • ADDRESS 3187-G Airway ave �1 TEL. $.ytf'I NO.OF- USE ON NEW CITY costa Mesa NO. 751-384.0 ��IN PLANS BUILDING i .. STATEo CITY YARDS APPROVED YARDS APPROVED LIC. NO. 285981 LIC.NO008179 MAIN BUILDING ACCESSORY BUILDING W SIZE 427"x992' NO.OF BLDG (FROM C/L$7RE ET) O. OF LOT NOW ON LOT FRONT ..0. FT. FT. Q USE OF EXISTING BLDG. FT, N II Separate permits are required for , L.SIDE FT. G electric,plumbing and heating work. REAR V G FC T. • FT. (L7 USE OF BUILDING AND WORK TO BE PERFORMED F DISTANCE . BET.MAIN& Qn MAINrBLDG BLDGSACCESS. BLDCv^. Li new condominium units with C.U.P.VA .# DATE APPROVED > attached garage APPROVED /A �O• DATE 6--4 • '2 e _AY VC R c4481:13 FOR gPECIAL RE•UIREMENTS w o 1 hereby acknowledge that I have read this application and state N I7: that the above information is correct and agree to comply with a. all laws regulating building construction, and I shall not employ m Z any person In violation of the workman's compensation laws of ,5 the State of California. - - 3 I hereby certify that I am properly licensed a . contractor under 1249 SO. FT. 431 garage ami the State of California Business and Profess • Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, a • hat such Ilcen are •-f •rce and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: N am exam• ro the provlslo, •f of California Business VALUATION PERMIT FEE /�/ OD o and Pro :sslons 'ode,Pivislo , •� py 9. $ • it en Signe. re of / PLAN CHECK $ ` o • �/ in • Permittee A- $ DO - Oa�J LL �`__ 3 ,Ga© -� TAX § . U .Auth• -- 7 TOTAL PAID $ ii7