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Home My WebLink About2179 ORANGE AVE - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2179 ORANGE AV Suite No Vicinity: Parcel Nunmber: 42613315 Applicant: SZABO, KEVIN ,- � � Address: 2737 S CRODDY%� � STE D i , ' _ SANTA ANA, CA� �' ' , / �'// � \� . -. Owner,, �� CAMILO,.PATRICK.NI Address �21790RANGEAVE � � , � � : . �'.. '� � i ' � - � COSTA M,ESA, CA PLUMBING PERMIT Phone: (714)241-1414�- Zip: 92704 � � - - . �. Phone: Zlp:; 92627-1850 ' ' Contracto'r: COAST ROOTER PLUMBING,HTG & A/C Address: 2737 S CRODDY � � - - Status: ISSUED Applied: 05/25/2004 Issued: 05/25/2004 � � STE�D � -� , . - - Phone: (714)241-1414 . SANTA ANAjCA Zip: 92704 - � �� .� " . License: 529127 � ` . A�ch / Eng : � � - � f v �. - , i . !_ ._ . . .. . i . -, . . " � Address: _ . .. . . � - ' ' • Phone: � - . . � .__ _..._ .. ,Zip:� - --- /.,_ .-. ., - - . , .. - - License: - , , ' ' ;� ' � SCOPE OF PERMIT _-, � , � , _ � � . � �� CHANGE OUT WATER HEATER � - - � � - � �i �` , � ,;.;�FEE�SUMMARY:_�. " '�: ;' � AMT�c � QTY � - ". � ` AMT `;:QTY �j�• ` ,/,AMT ISSUE FEE ��` � $23.50 ��,., - ` - � _Caundry Tub / Washer � . $0.00-. ;-0 ^�= Surrip Pump � , �, . $0.00 BackFlow irrigation , $0.00 � � 0 Landscape Irrigation - $0.00 0 � . Swimming Pool ; -$0.00 BackFlow Preventer`, - $0�00 0, , P-Trap- � � � � %� $0.00 0 - -T�ap Prirner � / , ,� $0.00 Bathtub ' $0.00 , 0 �Pressure Regylator � � $0.00 � 0 � .' � = ,- Urinal �' � . /� $0.00 Clarifer System � '�\ � $0.00' ; -0 � Process, Piping (per t0,ft)'' $0 00_r0�_�';"�� `� /Vacuum B�kr BkFlow(1-4) $0.00 Connect (Ice,Soda etc)��; ;,$0.00 _ 0 - � Receptors," - � ' $0 00-s=0- - t ; Vacuuin Brkr Bkflow(S+) $0.00 Dental Units �_'�$0.00 �"� .-0 - �Septic Tank- -- _ � ' �.�:$0.00" � 0 '�, A�Wash Basin , �� $0.00 Dishwasher � $0.00 0 � � �Sewer Cap for Demo 50.00 � ;0 � . � � �Nlash Basin Set $0.00 Drain, Floor $0:00, � � 0 �� ' SewerConnect � ��`�' � -�`$0,00 �- 0 � ; Wasteand�VentSystem $0.00 Drain,Rainwater $0.00�� .0.� SewerPrivateLine�� $0.00 =-�0'--' �"WalerCbset(Toilet) $0.00 Draln,Roof $0.00 0�. ' �Shower� - . �A.. �-.$0.00� �0 �; ��-% WaterHea[er/vent $12.30 Drinking Fountain $0.00 0 , Sink, bar - _ ,$0.00 '"0%' ;_= Water Piping pnst or Rep.) $0.00 Expansion Tank $0.00 0 �Sink,.commercial ��_ %-.. �� "�$0.00��-0 '- Water Re-pipe $0.00 Gas Earthquake Valve $0.00 0 Sink, Floor -"-- ---��$0.00 0 Water Service $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPEGTIONS: In order for the work authorized under this permit to ba considered legal, such work must comply with all applicable codes, and all required inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of lhis permit. FOR INSPECTIONS CALL: (714) 7545626 2aaars (a�ao� WORKERS'COMPENSAnON DECLARAnON: I hereby ettirm untler penalry of perjury one oi the following declarations: ❑ I have end will maintein a cenifiwte of consent to self-Insure tor workers' compensetion, es provided for by section 3700 of tha Lebor Cotle, for the peAortnance of the �work tor which this permit is Issuetl. . , I have entl will maintain workers' compensetlon insurance, as requiretl by section 3700 of ihe Lebor Code, for the pertortnance oi Ihe work tor which this pertnit is Issuetl. My workers' compensation Insurance carrler and policy number are: ` /� Certier. �i�TTs �'l I�� Policy Number. 1�lo BB S� ZOD � ,,(11This section need nof be comp/efetl i/ the permit is valuetl a! one hundred tlollars ($f 00) or /essJ � �I certiry that in the peAortnance of ihe work lor which ihis permil is issued, I shall not employ any person in any manner so as to become subject to ihe workers' compensation laws ol Calito a, entl agree that if I shoul become sub�ect to tha workers' compensation provisions ot Section 3700 of ihe La6or Code, I shall forthwith comply wiih these provisio s ApplicantSignature: Date: �J ��S - �� WARNINCa: FAI�URE TO SECURE WOFK S' PENSATION COVERAGE IS UNLAWFUL AND SHAIL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVII FlNES UP TOONE HUNDRED THIXISAND DOLLARE (5100.000). IN ADOfT10N TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIqJ 31O60F THE IABOH CODE. INiEREST, AND ATTORNEY'S FEES. LICENSED COHTRACTORS DECLARATION: I hereby atfirm Ihat I am licensed under provisions ot Chapter 9(commenping with Section 7000) of Division 3 of the Business antl Professions Code, and my license Is In full torce end etlect Lic. p Sz.9 12'1 �� c� I qass a � Contractofs Slgnature: A,.J� � Date: S' ZS' 0 CONSTRUCTION LENDING AGENCY: � ❑ I hereby attirm that there is e consVuction lending agency for ihe peAormance of the work for which this pertnit is issued. (Sec. 3097, Civii Code�. Lende(s Name: Lentlers Atltlress: Signature: Dale: OWNER-BUILDER DECLARATIONS: I hereDy aflirtn that under penalry of per�ury ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor ihe tollowing reason (Sec. 7031.5, Business and Professions CoCe: Any ciry or counry which requires e permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires ihe epplicant for such permit to file e slgnetl statemeN t�e1 he or she Is licensed pursuent b the pravisions af the Contrecbrs License Law (Chepter 9(commencing with Sectlon 7000) oi Divlslon 3 ot Ihe Busineu anC Professions Code) or thet ha or she is exempt therefrom and the basis for tha allegetl exemption. Any violetion of Section 7031.5 by eny applicant lar a permit subjects the epplicant to a civil penelry oi not more than fve huntlretl tlollars ($500).): ❑ I, es owner ot the property, or my employees with wages as their sole compensatlon, WILL DO THE WORK, and ihe structure is not intended or oHeretl tor sela (Sec. 7044, Business anC Professions CoOe: The Contractore License Law tices not apply to an owner of property w�o builds or improves thereon, and who tloes such work himself or herselt or thwugh his or her own employees, provided ihat such improvemenis ere not intended or oflered for sale. If, however, the building or improvement is sold within one year of completion, ihe owner-builder will have Ihe burden ot Oroving Ihat he or she ditl noi build or improve for purpose of sale.). � ❑ I, as owner Of Ihe pmperry, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions Code: The contractors License Lew does not apply to en owner ot property who bullds or Improves Ihereon, and who contrects for such project wlth e conhector(s) license pursuant to ihe Contrectore License Laws.). ❑ I em ezempt under SeC. Signature: Owner ID verified by dnver's license. ❑ Ves ❑ No Business and Professions Code for this reason: Verification ot Ownership by (type oi tlocumem, i.e. - property tax bill or Aeed): DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTFICATION: Dnvers License No. Dale: Eapires: ❑ I hereby certify ihat no excavation five (5) or more feet in depth into which e person is required to descend, will be made in connection with work authorizetl by ihis parmit, antl that no builtling slruciure, sceflolding, falsework, or demolition or dismantling ihereof, will be more �han thiAy-six (36) leet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Title 8, Calilomie Administrative Cotla). ❑ As owner-Duiltler, I will not employ anyone to do work which would require a permit from t�e Division oi Indusirial Safery, as noted ebove, unless such pereon hes e permit to do such work from ihe tlivision. SignaWre: Date: Division ot Industnal Safery Permit Number. CERTFlCATE OF COMPLIANCE AND AUfHORIZA710N OF ENfRV: I certify under penalry of perjury that I have read this epplication and slate thet ihe infortnetion given is correct. I agree to comply with all stata laws en0 ciry ordinances relating to builtling construction, and authorize representatives of ihe Clty of Coste Mesa to enter upon the ebove-tlescnbed property for inspection purposes. I egree not to occupy or allow occupancy oi any building authonzed by Ihis permit until finel inspection. COOE I, 1618 1266 200 Legal Fixed System Pinal Fire Prevention Pool Spe Final Final Re-Root 201 FIneI BIocWReteining Well 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition �71�� D te S-Zs- O� Date INm�l51 �QU�F� INSPECTIONTYPE 206 Final Mechenical 20B Final Plumbing � 270 Final Electncal 212 Finel Fire PrevenNon 220 Final Planning Approval 222 Final Site 250 Final BuilOingiOccupancy Q� I�LS �� IPHOJECTP�OPE55: 217(j ORAt�GE (:Lr � OWNEfl'SNAMF.�.AMS'LC�, PATRICR M aooeess:�AMILO ALB�RTA M P O BO�{ 11930 COSTA MESA,CA NPCMIENCINEEH: 5 9 8 � 6 2 9 aooncss: uxiT: 52627 HEG.NO.: uNiT: "ERminEE` PATRICY. CAMII.O ( 714 ) 548-0629 aooAess: z179 ORANGE AV LICENSE� CONTFpCT A OECIABATIQN: I hereby aflirm �hai I am IicenSeA untleCrpoviso � o Ch p�er 9(commencing with Section 7000� ot �iv¢ion 3 al ihe Business an0 Pmlessions COEe, ana my license is in lull �orce ana e��eci. CITY LIC.: STATE LIC.: C1A55: �ale Signature: WOHKEBS' CaMPENSATION DECLABA710N: I here�y alfirm ihat I nave a cenificale oi consenl to self-insure or a certilicate of Workers' Compensatmn Inswance. or a cenilietl copy �hereo� (Seclian 3800, Lab. C�. POLICY NO.: E%P. OATE: COMPANY: ❑ Cetlilietl copy is hereby lumished. ❑ Cehitietl copy i5 filed wi�h lhe ciry Builtling Drvision. Date: PpDlicanl: E%EMPTION FNOM WONNEflS'COMPENSATION UECLpBATION: Qhi55eCiion nee� notbe tompl¢Ieditih¢ permilisforanehundre0�3100�oNe55). I c ily tha� in I�e peAormance ol Ihe work lor whic� ihis permit is' eQ I shall not em any person in any manner w as la become �I�� lo t�e W rkers' Compens 'on laws oi Califomia. —J „(%�� ( r Oa�e: SignaWre: i� NOTICE: IL a er making this declaraiion. you 5hou10 �ec�me sub ect lo �he Worke 5' ompensa�ion pmvisions of the Labor Cotle, you mus� fotl�wiih comply wilh such pmvisions oXihis permi� shall be tleemetl revok¢d. WkSTBUCTION LENOING AGENCY: I hereby a�hrm iha� Ihere is a cons�mction lending agency for Ihe pertormance ot the work �or wh¢h �his Oermit is issued (Sec�ion 3097. Civ. C�. LENUEX: PODNE55: OWNEfl BUILOEfl OECLAPP710N: I hereby aflirm Ihai I am exempi Imm t�e ConVactors' S�a�e License Law �or Ihe lollowing reason (Setiion 7031.5 Business an0 Professional COUe Fny city at cowry whlch requires a permit �o conSlNc�, alter, improve, tlemolish, or Bpair any slmclure. priar to its issuance. also requires �he apDlicanl for such Dermit �o �ile a signetl statement �hal he/she is licensetl pur5uani Io Ihe Dmvisions oi Ihe Conlmciors' Staie Licenre Law (Chapter 9(commencing wi�� Seclion 7000) of �ivision 3 0� ihe Business antl Pw�essions Cotle) or thal he/s�e is exempt Ihere�mm antl the basis for �he allegetl exemption. Any viola�ion o� Sec�ion 7031.5 by , any applicant br a permit su01eci5 Ihe apDlican� Io a civil penally ol not more than Iive huntlrea dollars (E500). I, as owner ol Ihe DroDerly or my em0loyee5 wit� wages a5 �heir sole compensa�ion, will Oo �he work, and Ihe II ❑ s�mcmre is no� intended or ofiere0 for sale (Section 7oa4, Business an0 Pmtessional Coae: T�e Coniracbrs' State License Law aoes no� apPty Io an owner oi a pmperiy who builds or improves thereon, antl who does such work himself/Aersel� or �hroug� Ais or her own employees. pmvitled �hai such impmvemen�s are noi intentletl or o��eretl �or sale. If, howeve� Ihe builtling or impmvemen� is saltl wi��in one year of comDleiion. Ihe owner will have the Ourden o� proving he/she aid not bui10 or improve for the purpose o� sale�. I, as owner ol Ihe pmperiy, am exclusivety contracling wit� licensetl contraclors �o cons�mc� �he pmlec� (Sec�ion 7044, Business ❑ and Pm�e55ion5 Cotle', IDe ConVaclors' Stale LiCenSe Law does nOt apply t0 an own¢r of propetly who bui105 or im0�ove5 thereon and wno coniracis lor such pmjecis wit� a conVactaqs�license pursuan��o ��e Contrac�ors' $late License Law),I am aware Iha� pmol al Iheir Worker'S Campensation insurance should be provitle0 ta me. , I am exempt un0ei Seclian: B. 8 P. G. �onhisreason: BPiO44 �% /, � ^ AL W RR BY OWNER—�� A //. •Dale: �CI �L�y� Owner: 'V%�,r,a y—. I Oo hereby certily Ihal am aware ol antl unders�and �he repuiremems oi Calil ia Health anU $alety Cotle Sections 255Q5, 25533, antl 25534 and ihai I or any fuWre huiltling occupani willlwill no� (circle one) neetl to comply with said s�ate cotles antl �he re0uiremen�s �or a permit for conslmc�ion or matlilication imm Ihe Air �uahry Management �islrici. Fesitlential consimc�ian applica�ions are exempt fwm 1�25P pt0V151005. � Uale: Applicant: I here�y cetli�y I�at I have reaa Ihis a001icalion antl sla�e Iha� �he a6ove informalion is correcL I agree to comply wiih all ciry anA counly ortlinance5antl51alelaw5rela�ingtoCuiltlmgconsimclmnantlhereb,a�f1�(2erepres¢nty,ive - city�oenter �qpQnlh¢db\vE�ryen�iane0 Oioperty for lnspecilon purposes � � � ) �� _�� _L� �� ii i ii i � �r �., r Daie: Signa�ure'. �T ��Ulti—l� -��V�L�/IA Orivefs license oi Social Applicant; Pink—Revenue: Goldanroa—Assessor CiTY OF COSTA MESA — BUiLDZNG PERMIT PERM NO: B 06?799 PERMIT N0: 3 061799 PLAN CHECK NO; N GOVT: N SOPY: N CONSTRJCTION TYPE: V—N PER,MIT TYPE: STR PURPOSE: ALT JOB DESCRZPTION : T/OFF REROOF W/ COMP SQ FT: 4,000 Ci,AIM VAi,UE: 9,000.00 CALC—VALGE: 9,000.00 GROUP OCC: R-3 / COMMENTS: SMOKE DETECTORS RE�UIRED iEifiElEiE�f1E#F9EiFiFiFif��iEi!�iEifitlEi4�IfiF�7PiEjE�E�1E .iE�7f�fdkiFlE��ifdE�lfiE-1EIf1f�35iE3E1Ei(��%�7(-�YiEYif�lElfJf�E��lf-1E-%�X.�i4iEif�ki�KjEiEiE�%�-N'if1E#.�i(� Z O N I N G R E Q U I R E M E N T S S E T H A C R S ------------ MAIN BUIi,DING ---------- --------- ACCESSORY BUIiDING --------- FRNT: FT IN REAR: FT ZN FRNT: FT IN RF_AR: FT IN LEFT: FT IN RGHT: FT IN iEFT; FT IN RGHT; FT _TN PARKING REQ• PROV: PARCEL: 42G13315 ZNE; REb' NO: PLANNING NtSTES> i if iE iE 3f iE 3F iE iE iFiE iF if iE if k 1E iE iE iE 3E if �f iE 3flE if iE iElE iE if iElE iE iF iE 1E iE iF iE iE 1f iF iE 1E �!E 3E iE iF 1E iE IE iE iF �k iF if ih if it if iE iE �E if 3E iFiE iE iE # iEiEiE # iE if ?F D E V P L O P M E N T S E R V I C E S R E Q U i R E M E h'-T S ��.� 20NING APFROVED BY DATE: �+ BUILDiNG APPROVED BY : DATE: �'' APPLICATZON ZSSUED BY; DATE; g�3 iEi6�%iEi%±E'IFiE?EihiEifil'iF'N-'II'i%iE')I'fi'iE'% 'IF .. 'R iF'IEifiEloiFiE'IEiE'IE�ic��FS�fF'ft3E'k iEiEiE3EiEififiEiEiEiEifiE?PiEjEiF�(�*3f#iEiEiE1'iE.� .. . itiEifiE?(if?Eifi/�EiEjEifiEiflEjEiElEiFiEiEih�E?EiEif*iEiFiEiE3EiFltifiFikiEiE-k�iE#iEjf3f iEGAiIZAiION:N F E E S U, 1N A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBZNG ELECYRIC MECHANIC FIRE SM?P/kES GRADING PERMIT 63.00 .50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—UZV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTAi,S----> 63.50 0,00 0.00 63,50 63.50 .00 iR�VENUE DIVISION TOTAiS--> COLLECTED; 63,50 OVER/SHORT: 00 $LDG PMT PLUMHING EL£CTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 63.OU .50 iE iE if iF 1h if if iE 1E fE #E iE iE iE iE 1E �1F � iF �lf iE iF iE iF 1f iE iE iF if )f� iF'F?f iF?f 3f iE �]F iE iE fF i(� #�f �1! it-%if df iE-%�f� 3E i4 if iE 1E �N� ff� if �1(- )f �E �%iE 1E iP iE iF if iE if �if 3E %� 3F �%� if aE I N D I V I D U A L F E E B R E A K D O W N TYPE QiY D E S C R I P T I O N UNIT COST TOTAi, COST SFR 9000 REROOF BY VAi,UE RESIDENTIAL NOZONE 1,00 9,000,00 END UF FEE5 O1 00137489—OQ137S90 TO T 53.5Q DqiE� 04/19/93 7I11E: 13:$0 CONSTRUCTION AND PLANNING APPROVAIS Permit � 1. Temporary Electrical Service or Pole 2. Soil Pipe-Undrgrnd. , 3. EYectricaf Conduit Utitity-Undrgfnd. 4. Electrical Conduit-Undrgrnd. 5. Steel Reinfo�cement 6. Electncal UFER Grnd. 7. Foot�ngs 8. Foundation ^. Water Pipe-Undrgrnd. 10. Structuraf Floor System , 71. Prope�ty Sewer Line & House Connection t 73. Root prains 14. flough Plumbing 15. Rough Electrical-Condult Date� � i6. Rough ElectricUViring ' 77. Rough W�ring Sign 18. Rough Eiectrica!-T Bar Ceiling 19. Rough F!ea[ing $� Air Conditioning 20. Ro�,c�h Factory Fireplace 21. DuCts, in Strutture 22. Ducts, Ventilating 23. 3as Pipe•Rough & Test 24. Foof Framing 25. flool Sheathing 26. T-Bar Ceding (Structural) & 67onocoat 27. Frame and Flashing 28. Lath�ng $i Sid�n9 29. Insulation � 30. Dryv:all t.�aiiing 31. P�aster 6ra.vn Coat 32 E'ect�icai po��er bieterFica! 33. Fir.a' Electric 34. Final HEating & Air Conditioning 35. Final Gas Pipe•7est 36. Hood or Canopy ' 37. Final Pactory Fireplace � 38. Final Plumbing 39. Water Service�Final � 40. GasService-Fina1 41. Solar pomest;cFinal 42. Backfloy� Preventer 43. Backflow Irrigat�on 44. landscape I.iiqation SYstem 45. Sound Attenuation 46. Handicap Regufations 47, FINAlSTRUGTUffE&BUfLDING (Q 48. FINAL PLANNING � 49. E�ectric Release to Edison ' 50. Gas Release to 5outhern Caiifornia Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date � � POOL .,PA I Inspector P P � Date Inspector a �� e� I AP ROVALS ermrc � 52. Pool & Equipment Location ' � 53. Steei Reinforcemant � 54. �orms 55. Elecirica! Bonding , 56. Rough Plumbing & Pressure Test � 57. APPROVAL TO COVEF�GUNITE 58. ElecVical Co�duit�Undrgrnd. 59. Gas Pipe, O Undrgrnd., "fest 60. Backwash �ines,P-Trap, O Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Final • 63. Heater & Vent-Final - 64. Plum6ing System - Finai � 65. Electrical-Final � 66. Solar SYstem-Final - 67. Fencing & Access Anproval ' 68. APPROVED FOR PLASTERING � 69. POOL/SPASYSTEMSFINAL , FIRE DEPT. REQt11REMENT APPRbVALS Permit # 70. Underground Hydro 77. Product Pipin9 � Gas G Oil 72. Underground FIusN 73. Undergrnd�. Storaye Tank O Gas ❑ Oil 74. Overhead HVdro 75. Ory Chemical 76. Dry Standpipe 77. �FIXED SYSTEM PINAL 78. FIRE PREV. FINAL HEALTH DEPT. F#EQUIREMENT 79. FINALINSPECTION � 80. fOOD CERTIFVCATE ISSUED Notes: �.' c� � �_�_ ., : r_ ^.- =-'i ti' ' `c