HomeMy WebLinkAbout2468 NAPOLI WAY - Building Permitsa :
Job Address: 2468 NAPOLI WY
Suite No
Vlclnity:
Parcel Nunmber: 43914147
npp�icant: JUDITH JOHNSON
Address: 10639 WIXON ST
SUN VALLEY, CA
owner. MC CANN, KATHLEEN D
Address 2468 NAPOLI WY
COSTA MESA, CA
PLUMBING PERMIT
f
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jf � 1
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4.��
Phone: 800.750.4426
Zip: 97352
Phone:
Zip: 92627
Contractor: LA HYDRO JET AND ROOTER SERVICE INC
Address: 10639 WIXON ST
ISSUE FEE
0
Backflow irrigation
0
Backflow Preventer
0
Bathtub
0
Clarifer System
Brkr Bkflow(1-4)
SUN VALLEY, CA
REPLACE WATER HEATER.
AMT QTY
$23.50
$0.00
50.00
$0.00
$0.00
$0.00
0
0
0
0
0
Phone: 800-750-4426
Zip: 91352
License: 749378
SCOPE OF PERMIT
FEE SUMMARY
AMT QTY
Laundry Tub / Washer $0.00
Landscape Irrigation $0.00
P-Trap 50.00
Pressure Regulafor 50.00
Process Piping (per 10 h)
ISSUED BY:
0
0
0
0
$0.00
Status: EXPIRED
Applied: 03/122007
Issued: 03/72/2007
AMT QTY
Sump Pump $0.00
Swimming Pool 50.00
Trap Primer 50.00
Urinal $0.00
0 Vacuum
NO710E: The work authonzed by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
reguletions. (Ord. No. 92-28, § 1, 12-21-92)
EXPIppTION: This permit shall automatically expire and become void if work is not commenced within 7B0 days, or ii work is suspendad or abandoned
for a period of 780 tlays.
INSPECTIONS: In order for ihe work authorized under Ihis permit to be considered legal, such work must comply with all applicable codes, and all
requtred inspeetlons and final approval must he obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
�. o ia�,�
WORKERS' COMPENSATION DECLARATION: �
I hereby eBirm under penalry ot perjury one of ihe following declarelions:
❑ I heve end will malntain a certiticate oi consent to self-Insure for workers' compensation, es provitled for by section 3700 ot the Lebor Code, for the pertormence of the
work far which Ihis pertnit is issuetl.
❑ I have and will ma��tain workere' compensetion insurance, as requlretl by section 3700 of tha Labor Code, for the peAortnance of the work for w�ich this permit is issued.
My workars' compensation Insurance carrier entl policy number era:
Certiec Pplicy Number.
(This secfion need not be completed it the permil is valued a( one hundred tlollars ($100) or less.)
❑ I certify that in the pertormance of iha work for which ihis permit is issuatl, I shell not employ any person in eny manner so as to become subject to the workers'
compansation IaWs of Californla, end egree that if I shoultl Decome subiect to the workers' compensetlon provisions ot Sectlon 3700 of the Labor Code, I shell forthwith
comply with these Provisions.
AppIICBn� Signature: Date:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIIXJ COVEPAGE IS UNLAWFI/L RND SHALL SUBIECT AN EMPIOVER TO CHIMINAL PENALTIES AND GVIL FlNES UP TOONE MUNDRED
TFIOUSAND DdlARE (5100.�). IN ADpTION TO THE WST OF COMPENSATION, DAMAGES AS PROVIDED WF IN SECTION 37060F THE LABOR WDE, INiEREST, PND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I here�y aHirtn that I em licensed under provislons of Chap 9(commencing wit� Section 7000) of Division 3 ot Ihe Business end Professions Code, and my license is in tull
forca antl eHect. Lic. q Class N
Contractor's SignaWre: Date:
CONSTRUC710N LEND�NG AGENCY: � �%
•�
❑ I hereby aHirm tha� there is a construction lentling agency tor the pedormance ol t r for which �his permlt is issued. (Sec. 3097, Civil Code).
Lentler's Name:
Signeture: _
OWNER-BUILDER DECLARATIONS:
Lender's Atltlress:
Data:
I hereby eNirm ihat undBr penelty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires e permit to construct, alter, improve, damolish, or repair any strucWre, O�or to its issuance, elso requires the epplicant tor such pertnit
to file e signetl starement ihat he or she Is licensetl pursuant to the provislons of Ihe Cornractors License Law (Chapter 9(commencing wilh Sedion 7000) of Division 3 of ihe
Business and Professions Code) or that he or she is ezempt iherelrom end the basis for the ellegetl exemption. Any violation of Section 7031.5 6y any epplicent for e pertnit
sublects the applicent Itl a civil penalry ot not more than fiva hunArea dollars ($500).):
❑ I, es owner of Ihe p�operty, or my employees with wages as their sUe compensetion, WILL DO T1E WORK, end Ihe strucwre Is not intended or oHeretl for sale (Sec.
7044, Business and Professions Cotle: The Contradors Licensa Law aces not apply lo an owner ot property who builds or improves thereon, and who tloes such work
himself or herselt or lhrough his or her own employees, providetl that such improvements ere not intentlatl or oHered for sale. If, however, Ihe building or improvement is
sold within one yea� of completion, the owner-6uiltler will heve the burden of proving that he or she did not build or improve tor purpase of sale.).
❑ I, as owner of Ihe P�oPerty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business and Professions
Cotle: The coniraGtors Licensa Lew does not epply to an owner ol property who bullds or Improves thareon, antl who contrecls for such proiect wlth e coniractor(s)
license pursuanl to the Contractors License Laws.).
❑ I am exempt under sec. Business and Prolessions Code tor this reeson:
Signeture: Dale:
Ownar ID venfied by tlri�er's licanse. ❑ Ves ❑ No Drivefs License No. E:pires:
Veriticetion of Ownership by (rype of document, i.e. - property tav blll or deed):
DIVISION OF INDUSTqIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certify I�a� no excavation five (5) or more feat in depth into which a person is required to descend, will be made in connection with work eut�onzed by Ihis
pertnit, and Ihat no 6uilding structure, scaflolding, Falsework, or demoli�ion or tlismantling thereof, will be more than ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, 7itle B, Celifornia Adminisirative Cotle).
❑ As owner-builder, I will not employ enyone to do work which would require a permi� tmm the Division ot Indusidel Safery, es noted ebove, unless such person has e
pertnit to do such work irom Ihe tliNsion.
Signature: Date:
Divisio� ot Industrial5afery Permit Num6er.
CERTIFlCATE OF COMVUANCE AND AUiNORIZATiON OF EMRV: I certity under penalry ol perjury that I heve read this appliGe�ion end state Nat the information given is
correcL I egree �o comply wl�h all stete lews end city ordinences relating to building construction, and aulhodze representatives ot the City of Costa Mesa to enter upon the
ebove-descnbetl property ior inspection puryoses. I agree not to occupy or allow occupancy of eny building au�horized by t�is pertnit until final inspection.
Signature OI Legel Owner(s) Date
And/Or Au�horized Applicant
FODE �. INSPECTIONTYPE
1616 Fixetl System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Flnal BIocWReteining Wall
202
203
Pinal Factory Fire Place
Final Sign
2�4 FinalOamollUo��
jIA]i IMRIA�S
COpE 1 INSPECTION TYPE
206 Final Mechanical
208 Finel Plumbing
210 Finel Elecincal
212 Finel Fire Pravention
220 Finel Planning Approval
222 Final Site
250 FinalBuildingiOccupancy
PAIE INfifIALS
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2468 NAPOLI WY
Suite No
Vicinity:
Parcel Nunmber: 43914147
Applicant: ANTHONY, PAT
Address: 1556 5 ANAHEIM BLVD
ANAHEIM, CA
Owner: MC CANN, KATHLEEN D
Address 2468 NAPOLI WY
COSTA MESA, CA
PLUMBING PERMIT
Phone: (714)758-7725
Zip: 92805
Phone:
Zip: 92627
Contractor. PACIFIC COAST COPPER REPIPE
Address: 1556 S ANAHEIM BLVD
Arch / Eng :
Address:
ISSUE FEE
BackOow irrigation
Backflow Preventer
Bathtub
Clarifer System
Connect(Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
ANAHEIM, CA
Phone: (714)758-7725
Zip: 92805
License: 661428
Phone:
Zip:
License:
SCOPE OF PERMIT
COPPER RE-PIPE FOR AN EXISTING SFR.
AMT
523.50
$0.00
$0.00
50.00
50.00
50.00
50.00
30.00
50.00
50.00
50.00
$0.00
50.00
50.00
FEESUMMARY
QTY AMT
Laundry Tub / Washer 50.00
0 - - Landscape Irrigation 50.00
0 P-Trap 50.00
0 Pressure Regulator 50.00
0 Process Piping (per 10 ft) 50.00
0 Receptors 50.00
0 Septic Tank 50.00
0 Sewer Cap for Demo $0.00
0 Sewer Connect 50.00
0 Sewer Private Line $0.00
0 Shower 50.00
0 Sink, bar $0.00
0 Sink, commercial 50.00
0 Sink, Floor $0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Status: ISSUED
Applied: 09/16/2003
Issued: 09/16/2003
ISSUED BY:
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum BrkrBkFlow(5+)
Wash Basin
Wasti Basin Set
Waste and Vent System
Water Closet (Toilel)
Water Heater/ vent
Water Pipinq (Insl or Rep.)
Water Re-pipe
Water Service
AMT
$0.00
$0.00
$0.00
50.00
50.00
$0.00
$0.00
30.00
$0.00
$0.00
50.00
$9.80
$9.80
50.00
�TY
0
0
0
0
0
0
0
0
0
0
0
1
1
0
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, 1247-92)
EXPIRATION: This permit shall au�omatically expire and become void if work is not commenced within 1 BO days, or If work Is suspended or abandoned
for a period of 780 days.
INSPECTIONS: In order for ihe work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspectione and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zsasee �eroo�
WORKERS'COMVENSAnON DECLARA�ON:
I hereby aNirm under penalry oi perjury one oi Ihe tollowing tleclaralions:
❑ I have antl will mainteln e ceniHcate o� �nsent to self-Insure tor workers' compensation, es provided for by sectlon 3700 ot t�e Lebor Code, tor iha pertormance ot the
ork lor which lhl5 pBrmii is issuetl.
I have antl will maintain workers' compensatlon insurence, as requiretl �y section 3700 ot Ne Labor Cotla, for the peAortnance of Iha work for whiGi this pertnit I5 Issued.
My workers' compensatian Insurence �errier entl policy number ere:
Carder.
(This sectlon need not be a
❑ I cenity that in the per
compensatlon laws ol
comply with these O�o
Applicent Signeture: _
ot
WARNING FAILURE TO SECURE WORKERS' COMPENSATION 1
TFIOUSAND �OLLARE (5100,000�, IN ADDITION Ttl THE COST OF
LICENSED CONTRACTORS DECLARATION:
I hereby aNirm that I am licensed under pro ' c
lorce entl eflect. Lia a
ContractoYs SlgnaNre:
Policy Number:
one huntlietl tlollars ($700) oNess.J
fpermit is i ue , hall not employ any person in any menner so es to become subject to the workers'
dd bewme t b Ih workers' compansation provislons ol S/ec�tlon 3700 of the LeDopr �Code, �I shall forthwith
Date: " � � I V/ � `-� )
RAGE IS U D SNALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TO ONE HUNDRED
PENSATI GESASPqOVIDEDWRINSECilIXJ3lO60FiHEUBORCODE,IfJrEREST,ANDATTORNEVSFEES.
of Divlsion 3 oi Ihe eusiness and Pmtessions Code, end my Ilcense is in full
C1859 #
CONSTRUCTION LENDING AGENCY: /
❑ I hereby aflirtn that there is a construc�ion lentling agenty for the partortnance of Ihe work br which this pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lendels Adtlreu:
Signature:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby eHirtn Ihat under penelry ot perjury thet I am EXEMP7 FROM TTIE CON7RACTORS LICENSE LAW tor the lollowing reason (Sec. 7031.5, Buslness and Professlons
CoCe: Any clry or counry which requires a pertnit to construci, alter, improve, demolish, or repair any structure, prior to its issuance, also raquires t�e epplicant tor such permit
to file a signe� statement Ihet he or she is licensed pursuant to the provislons of the Cantrectors License Law (Chapter 9(commencing with Sectlon 7000) ol Dlvision 3 ot ihe
Business end Professions Coda) or Ihat �e a� she is exempt therefmm and the besis for the allegetl e:emptian. Any violetion ol Section 7031.5 by any epplicant for e pertnit
subjects the epplicant m e civil penelry of no� mora t�an tive �undred dollers ($500).):
❑ 1, es owner oi ihe properry, ar my employees with waqes es liiafr sole compensatfon, W1LL DO 7HE WORK, end Ihe sWCNre 15 not imentlatl or oHered tor sale (Sec.
7044, Business and Pmfessions Coda: The Conirectors License Lew dces not epply to en owner of properry who builds or improves thereon, entl who does such work
hlmselt ar herself ar t�rough his or her own employees, prodded Ihat such improvements are noi Intended or oflered tor sale. If, however, t�e Duiltling or improvement Is
sold within one yeai oi completion, the owner-builtler will heva the burden of proving ihat he or she did not build or impmve for purpose ot saleJ. '
❑ I, as awner of the property, em EXCLUSNELY CON7RACTING WI7H LICENSED CONTRACTORS to constmct the prolect (SecJ044, Business and Pmfessions
Cotle: The coniracmrs License Lew dtles not appry to an ownar of property who bullds or Improves thereon, end who contracts for such proJect with e contractor(s)
license pursuant to the Contrac�ors LiGense Laws.).
❑ I am exempt untler sec. Business entl Professions Code lor this reason:
Signeture: Data:
Owner ID verifie0 by tlnvets Ilcense. ❑ Yes ❑ No Onvers LlcenSe No.
Verilicetian ot Ownership by (type ol documont, i.e. - properry ta�c bill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERM�T CERTIFICATION:
Expiras:
❑ I hereby certify Ihet no excavetion five (5) or mora feet in tleplh into which a person Is requlred to descenq will 6e made in connection wit� work authotlzed by [his
permi6 end that no bullding stmcWre, 9�attolding, talsework, or demolition or dismantling thereof, will be more then thirty-six (36) feet high. (Chap. 3.2. Gry 2, Art 2, Sec.
3a1, Title 8, Calitomia Atlministrative Code).
❑ As owner-builtler, I will not employ anyone to tlo work which would require e permit irom the Division oi InCusinel Sefery, as notatl above, unless suc� person hes e
permit to do such work from the tlivisio�.
Signawre: Date:
Division ot Industnal Safery Permit Number.
CERTIFlCATE OF COMPLJANCE AND AUfHOR¢A710N OF ENTAV: I certiry under penalry of perjury that I have read this application and siete that ihe infortnation given Is
correct. 1 egree to wmply with ell stete laws antl ciry orAina e a g t uiltling construction, en0 authonza representatives of the Ciry ot Coste Mesa to enter upon the
ebove-tlescriDed propeny for inspactian pur�ses. I egre ot to occu low ac�upancy ot eny building authorized by this permit until finel inspection.
COOE 1. INSPECTIONTYPE
1876 Fixed System Finel Fire Prevention
1266 Paol Spa Finel
200 Final Re-Root
201 Finel BIocWRetaining Well
202 Final Factory Fire Place
203 Final Sign
204 Final Demalition
PdIF � INfIi1RLS
�-((� -r�
Date�
COOE 1 INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Elecincal
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final Builtling�Occupancy
PAIE L�ELB
� ., : i �71I�
Conned Qce,Soda,etc)
0
Denlal Units
0
Dishwasher
0
Drain, Floor
0
Drain, ftainwater
0
Drain, Roof
1
Drinking Fountain
Piping (Inst or RepJ
$xpansion Tank
Re-pipe
Gas Earthquake Valve
Service
Gas (1-a outlets)
SokenHr
Gas (Over 4 outlets)
OTHER
Gas Repipe
$0.00
Gas Service
$0.00
Interceplors (Grease, Oiq
0
$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
$0.00
$0.00
50.00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Receptors $0.00
Septic Tank $0.00 '
Sewer Cap for Demo $0.00
Sewer Connect 50.00
Sewer Private Line $0.00
Shower $0.00
Sink, bar
Sink, comme�cial
Sink, Floor
Sink, kitchen
Sink, service/mop
Spa (private) 50.00
Spa (public) $0.00
0
0
0
0
0
0
$0.00
$0.00
$0.00
$0.00
$0.00
0
0
0
Vacuum Brkr Bkflow(5+) $0.00
Wash Basin j0.00
Wash Basin Set $0.00
Waste and Vent System 50.00
Water Closet (Toilet} $0.00
WaterHeater/vent $12.30
0 Water
0 Water
0 Water
0 Water
0
VIOLATION
PLAN CHECK
REINSPECTION $0.00
Interceptors (Sand Auto ) 50.00 0
TOTAL CALCULATED FEES: 535.80
COMMENTS I SPECIAL CONDITIONS
. �
COSTA MESA BUILDINGSAFETY DEPARTMENT
P.O. BOX 91] C09TA MEBA. CALIFORNIA
For Applicant to Fill In Complefely
TYPE OR PRINT i
BUILDINO A i� Ab .. _ . , _ _. . i
COSTA MESA. CALIF4RNIA
A NO. 8�I
F.�t�
NO.OP
� 6ETBACK LINE PROM
DESCRIPTION OF WORK
X II GLTERATI[]N I II enn
BUILDINO . NO.OF
SIZE ROOME
EXTERIOR WALL S�r��� ROOI
COVERING L�nnb COVI
1 HEREBY ACKNOWLEOOB THAT I HAVB PEAD THI PPLICATION
♦ND BTATC THAT TN8 ABOVB �H CORflECT /�NU E! TO COM-
PLY WITH �LL CITY OqO�NANC88 AND 9TATk LA R80ULAi1N0
BUILOINO CONBT UCT�ON.
HIGNATURE OF
PERMITTE
AUTHORIZED AG
�_�� �;�.C�����
APR 2 2 i963
FiN��!CE DEPT. �
APPLICATIONYFOR PERAAIT MESA �
BUILDING �
For Office Use Only
R[C61P} NO, p[RMIT NO.
PlCCI OOT OAT6 6C81 D OATEIB IIEO �
� /�'-d3 �T-,�� -�,3
BUILDINO
A�OR6iH ^
ZONE T'P8 � GROUP �/ � �
APPROVED S Z `3 �
BY DATE
INCi � M
�``- �\
ZO 6 NO.OR 11980FN8 , �
( — PUNB BWLDINO �
LHO�L ���"�' r,l•
D88CHIRIO�L�ot y� T%Z.3Y3i
A.P.N . I
NOTE: NO EAVE OVERHAN6 SHALL BE LES9 THAN
90' TO SIDE @ REAR P. L
EAVES
ALLOWED (U.B.C.REQUIREMENT) \
YARDSAPPROVED YARDSAPPROVED
MAIN BUILDIN6 ACCESSORY BUILDING �
/FROM C/LBTREET)
FRONT FT.-r RI'. 1�, �_�T("
O QI�IF LDIifT � F� ` V
REAR �RI..FT._�— Ff. �
DISTANCE BET. BEf. MAIN @ z':
MAIN BLDGB. ACGE55. BLDG9. {y�
VAR.�F DATE 41
C. U. P. APPROVED ' [_;
BTPR�VH DATE /� O Q�
l
C
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sc. �. " c.
TNE AMOYM BXOWN UNOER VALIIATION 19 FOH TH6 t', �
PUPPo98 OP EeTABLIeNINO A PEHMIT P8H ONtY, p ,�
VALUATION o O
PERMIT FE8 � �
�� ;
/� m
$�Cl / � ,
4 x
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