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HomeMy WebLinkAbout2522 ORANGE AVE - Building PermitsCITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPAFiTMENT (714)754-5273 Fax (774) 754-4856 • Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner Address 2525 ORANGE AV ,�( E 43941206 KAREN BRIDGES MURPHY, JAMES R 2525 ORANGE AVE #E COSTA MESA, CA V ' � Contrector: PLUMB IN TIME Address:� 360 MEMORIAL DR CRYSTAL LAKE, IL Phone: 866-2933031x1042 Zip: Phone: Zip: 92627-1365 Phone: 866-2933037 Zip: 60014 License: 868068 � SCOPE OF PERMIT WATER HEATER CHANGE-OUT ISSUE FEE BackFlow irrigation Backflow Preventer BathWb Clarifier System Connect pce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over a outlets) Gas Repipe � Gas Service � , Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT 523.50 50.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 50.00 50.00 50.00 $o.00 $0.00 $o,oa 50.00 50.00 $0.00 30.00 50.00 $0.00 QTY _ 0 ' 0 0 0 0 0 0 0 0 0 0 0 0 0 0' 0 0.. . 0 �'� � � `0 � FEE SUMMARY AMT Laundry Tub / Washer - $0.00 Landscape Irrigation � $0.00 P-Trap 50.00 Pressure Regulator 50.00 Process Piping (per 10 k) $0.00 Receptors � $0.00 SepticTank . $0.00 Sewer Cap for Demo 50.00 Sewer Connect 50.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial ' � 50.00 Sink, Floor� $0.00 Sink, kitchen 50.00 Sink, service/mop 50.00 Spa (private) 50.00 _Spa (public) . 50.00 � 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: 02/20/2007 Issued: 02/192007 ISSUED BY: �' ` 1 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(i-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toileq Water Heater I vent � Waler Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION , AMT $0.00 50.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 50.00 50.00 $12.30 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 50.00 $0.00 TOTAL CALCULATED FEES: 535.80 QN 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutas and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permil to be considered legal, such work must comply with all applicable codes, and all required Inapeetlone and final approval must be obtained. Failure to obtain inspections and final approval will result in Ihe ezpiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 .. 2446d61fi/00) � WORKERS'COMPENSAn I hereby attirm untlar penalty ,ving declarations: ❑ I have and wlll maintain a certificate o self-Insure for workers' compensetion, es provltled for by section 3700 of the Lebor Code, lor Ihe pertormance of �he work for wnich Ihis permit is issuetl. . �I have and will maintain workers' compensation insu2nce, as required by section 3700 ot t�e Lebor Code, for the peAortnance of Ihe work for whic� this pertnit is �ssuetl. My y/prker5' compensation Insuranc� c�rrier entl �ty number are: � u�� Certier.. �I.Y.!�nn Yl �/ ir �� U 711�V� (This sectiar��a nof be mmp el ted i! fhe pemVii�e ve ue el one hundred dollars (3 f00) r less.) Policy Number: ❑ I carlify Iha� in Ihe OeAortnance of the work for which lhls permit is issuetl, 1 shall not employ any person in any manner so as to become subject to the workars' compensadon lews 1 Calitornie, entl agree that II I shoulA bacome sublec� �o the workers' compensaiion provlslons of Sec�ion 3700 0l ihe Labor Code, I shall fohhwith comply witn Nesa p o'sions. . r ��/� /�'''� Applicant SignelWe: Ir��[�� /i � / Date: � lJ( l�C/ l � WARNING: FAILURE TO SECUR ORKERS' COMPENSATION ERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES ANO CIVIL FlNES UP TO IXJE HUNDRED THOUSAND DOILAAE (5100.00p), IN ADOITION TO TME COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECTIIXJ 3106 OF TME LABOq CADE, IfJrEREST, AND AiTORNEV'S FEES. LICENSED CONTRACTORS DECLApATION: I hareby aflirm t�at 1 em licp.nsed�yn�er p��ons of Chepter 9(wmmencing wiN Sect�7000) ol Division 3 0l iha Busin�s antl Pro�essions Code, and my license is in full force and ettect. Lic. » ������ ��� Class a � Gontrectors Signewre:�—�l � Date: _ � �7 CONSTRUCTION LENDING AGENCY: ❑ I hereby aX�� that ihere is a constructio� lending egency for the performance ot Ihe work for which this pertnit is issued. (Sec. 3097, Civil Cotle). Lentlers fJame: LerMets Adtlress�. Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirtn ihet untler penalry oi perjury Ihet I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires e permit to consiruct, alter, improve, tlemolish, or repair eny siructure, prior to its issuance, also requires ihe epplican� lor such pertnit to lile e signed statement that he or sha Is lice�sed pursuent to the provisions ot the Coniractors License Law (Chapter 9(commencing with Sectlon 7000) oi Division 3 ot the Business and Pro�essions Code) or that he or she is ezempt therefmm and the basis for Ihe allegetl eaemption. Any violation oi Seciion 7037.5 by any applicant for a permit su6ject5 the appllcen� to e civil penalty ol not more than live hundretl tlollars ($500).�: ❑ I, as owner oi the pmperry, or my amployees wit� weges as their sole compensation, WILL DO TME WORK, and the stmcture Is not iniended or oNered for sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not apply to en owner of property who builds or improves thereon, ana who does such work himself or M1erself or ihmugh his or her own employees, providea that such improvements ere nol Imended or oNered for sale. If, howevar, ihe huilaing or improvement is soltl within ono year of completion, Ihe owner-builtler will heve Ne burdan of proving that ha or she did not builtl or improve for purpose of sale.). ❑ 1, as owner ol the properry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTHACTORS to construct the project (Sec. 70aa. Business and Professions Coda: The contrectors License Lew does not appty to en owner ol pmperty who builtls or Improves t�ereon, entl who mnirects lor such projecl with a contractor(s) license OurSuant to ihe Coniractors Licanse Wws.). ❑ I am ezemp� untler sec. Signature: Owner ID verified by drivers license. ❑ Yes ❑ No Business antl Professions Cotlo lor Ihis reason: Verifiwtion ol Ownership by (type ol document, i.e. - property tax bill or deed): Drivefs License No. Date: E:pires: UIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cetl�iy ihat no excavalion five (5) or more teat in tlepth into which a person is requiretl to tlescend, will ba made in connection with work authorizetl by this permit, and that no building swcWre, scattolding, falsework, or demolition or tlisman�ling thereof, will be more than thirty-siz (36) leat high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle 8, Calibmia Adminisiretiva Code). ❑ As owner-builder, I will not empioy enyone to do work which would repuire a permit Irom t�e Division ol Intlustrial Safery, as notetl ebove. unless such person has a pertnit to tlo such work from t�e division. Signature: Date: Division of Industrial Sefety Permi� Number: CERTFlCA7E OF COMPLIANCE AND AUTHORIZATION OF EMAY: I certiry under penalty ol perjury tha� I have read this application entl slate that the infortnation given is correct. I agrae to �mply with all state laws and ciry ordinances ralating to builtling wns�ruc�ion, end euthorize representatives ot Ihe Ciry of Costa Mesa to enter upon the eDove-described property for inspection purposes. I agree not to occupy or allow occupancy of eny building authonzed by this permi� until finel inspection. I,�� i ature C�.eg Owner(s) / // C/l, �"'�� �Or Authorizad Applicam � COOE I. �jjQ�f. 1676 1266 200 201 202 203 20d Fixetl SyS�em Final Fire Preventlon Pool Spe Final Final Re-Root FIn01 BIOFWRetaining Wall Final Faa�ary�Fire Place Final Sign Finel Demolilion QAjE IMRI COpE 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elec�ncal 212 Fine� Fire Preven�ian 220 Fina� Planning Approval 222 Final Sita 250 Final Building/Occupency 1�ijF INiIiIRLS CI�Y OF C05�1� N�ESA CALIFORNIA P. O. BOX 317 FROM THE OFFICE OF THE PLANNING DEPARTMENT January 10� 1966 Mr. Robert E. Lee 2522 Orange Avenue Costa Mesa, Csii�ornia Re: Permit #23544 Dear Mr. Lee: The Building Department has been holding the occupancy approval of a resider.ce with attached garage until a reciprical driveway agreement is received by the Planning Department. 4Te would '�i;ca to clear o:ir records and so request this document 'oe fiied as soon as poasible. DL:ac cc: Kay Blum ✓ 6�tC.� .� . /J� �,����` G Sincerely, David Leighton Ser.ior Planner �/ GENERAL CONTRACTOR RObeY'b H. Gt1Y'lt2 DESCRLPI`ION OF WORK res. W/&Lb d� AP NO. 11J-112-'7& LOT TRACT FIAE ZONE VALUE $ 22� 10.00 �- 'ECTIONS � Si�,pature ate I GROUP I&J TYPE V ZONE u — In SUBCONTRACTOA L _. .; ". COSTA MESA BUILDING-SAFEfY DEPARTMENT P. O. BOX 91S COSTA ME9A. CALIPORNIA Fo� Applitant fo Fill In Comple�ely 7YPE OR PRINT BUILDINO 7 � ^� 2 AOORE59 a41 COSTq_MESA, CALIFORNIA OWNER /1 A l7-@� � L • � 'P� TEL. L `��' O I Wnw°n, 9HTBACK LINH IPOM cerviex oP BTPHs� � I RHM YARD S� 61D6YARDI LEFT 5'� I RIQNT J"' � � DESCRIPTION OF WORK NO OF BUILDIp6 I HEHEBY ACKXOWL8O08 THAT 1 HAVB ReAU TH19 �PPLIC�TION •NU 9TAT8 THAT THq ABOV6 IS COHNECT AND AOHEB TO COM- PLY WITH �LL CITY 6RDINANCE9 AXD YT�TB LI�We R[OULATIHO BUILD�N6CON6THUCryON. � SIGNATURH OF �' PERMITTE � AUTHORf ZED A6ENT � � / FEB 9 1965 FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RHCeI''f NO.' _ PERMIT NO. � er APPROVHD YARDSAPPROVED MAIN BUILOIN6 eEr. vwra. # I �- —' �` ?I SHALL BE LESS THAN YARD9APPROVED AGCESSORY BUILDIN6 DATE �i?JU 60. FT. �[� yJ / TH8 AMOUNT BXOWN UNOEH VPLUAT�ON 19 ROH TH8 PURPO88 OF 88TABL18HIN0 A pERMIT FEB ONLY. VALUATION �Q �7 � PERMITFEE $ �f $ 2� y�o E �. � T TALFEE O(J PERMIT CONTRACTOR HOb6I't G11PitZ DESCRLPTION OF WORK IIunlex with Att. FIRE ZONE VALUE Date GROUP I 8c J TYPE V �- SUBCONTAACTOR or • . � • ' 25327 , �COSTA MESA BUILDINGSAFEf`( DEPARTMENT P.O. BOX 1200 � COSTA MESA, CALIFORNIA 92626 For App►lcanf fo Fill In Compfefaly TYPE OR P NT BUILOINO ADDRESB .Z 1 L COSTA MESA. CALIFORNIA OWNHR �R � %� 'E ADDR65Y �•S � tY �/YN E VE rr�rv C�SJ�A MESA uo�"LYL•b� `L`�TY �� �;:5 � A k1ESA FEB 23 1966 APPLICATION FO�PERMR ��lJ r R[C6�R XO. PBRMIT NO. �. �� '_ wr�z3� yc wr¢ ieeu Z/ G a "o° �SL2 D,Q1qif/,l�- TYP �� GROVP�- `l� � �.tow� �/ AODR888 Duc111mon GITY �.�Z r A. P. NO. ' �— �' NOTl: NOGVROV[RHAN08HALL�8LE88THAN [-1 STATB TBL 80' TO 810Q d RiAR P. L z LIC.NO. Z Z O N L' �B 61ZE I /.i GVEH � r MO.o►�tDol. ALLOWBD .(U.B.C.RlOUIRBMENT) OF LOT 6 O,s' - ��� NOw oN j,]a YARDDMPROV6D YARD9MPROVfiD u8EOP MAINBUILDINO ACCEG80RYBUILOINO � EXISTINO BLOO. E � L �( rROM C/L iTR[}T N 66TBACR LII�[ lROtl � cerviHR OP aT�IR � O I Q!�. RUR Y D T? � M PPONT PT. PT. (y� / a 81DH YARD Li1T RIOFTT O�` 6�• R. YID[ / i� �/ FT. d DESCRIPTION OF WORK �. am S Fr. �. V v� TtRATI N ADDITI N RGR ��(PT. %�� FT. Vl DIPTANC[!R. B6I'. MAIN Q O MAIN BLD i ACClSY. BLD68. REPAIR M IN 6M L18 � BUILDINO � NO.Or `/ VM.�j DATB Q SIZE ROOMB i RI � C. U. P. MPROV6� a HXTHRIOR WALL ROOr APPROV� � COVERINO C COVBqINO [� er DATQ YY60FDUILDIpYANDWORKTOGQP[RFORM[O / ' p' � ,� �p _ / � a ' .� �l �` 7 ec. Rr. �,� � I HHP6OY ACRNOWL[DO6 TNAT 1 M�V[ 11lAD TXI/ MPL�CATION TMR /�MOUHi OXOWN UNOBR VALU�TON l0 FOR TX6 j AND BTATB THAT TM6 I100V[ 1� COqRtR�AND I10R8[ TO COM• �YPPOoi 01 �HTABLIBMINO A PBRMIT I88 ONLY. J�. PLY WITH I1LL CITY ONDINANCY AHD YTATi LAW/ R[OUTATINO BUILDINOCONBTRYGTION. VALUATIOPI Qa �� � BIONATUREOr � 1 PERMITFBH p PERMITTB s�� //� '7 w 7 AUTHORIZiDAG[NT I I�' � O g � TOTALFFQ P]�/Y�iR /7;VY� DESCRIPTION OF WORK SUBCONTRACTOR ZONE ( � � . � - C{ 25326 COSTA MESA BUILDING-SAFEfI' DEPARTMENT " P.O. BOX 1P00 I C08TA MESA� GALIFORNIA B36X 1 , For ApplicdM fo Flll /n Complataly t TYPE OR PRINT AODRE'88 . 2 � � VL� COSTA MESA CALIFORNIA ��r • � •RCHITECT � uae or PIRB No 6v�•ers� _��� T!L BYPRO� NO. zon �rUR%t2 � �o�� Di1C111► A. P. NC N0T6: ! :��'L�16-S�089 ao•ro � e.1J� . ��.i' � O !� no. N01 a � �,�'N7�.4L noM rr 2 � nuR iRT � RIONT DESC PTION OR WORK T[RATI N ADD M IN 6M NO.OP � /X 3 � ROOMH i LL ROOr �.t 0 covee�No A INY AND WORK TO B6 P[RFOII �� . I . CITY t7� C.;,S i zi N9ESA FEB 23 1 66 PLICATION FOR PE R �f0! _._._ 11[Ctl►fXO, p6PMIT. � � DATB� ZONING ; � o.i o. x: � �� emto�n�. c:� YARDB MPROVHD MAIN BUILDINO 4 PROM W L GTRRCI' ) V � R110NT �aL FT.'t . �� !,� 6 ^� R. YID� !T. �� �VAR. �C � C. U. P. 1 HER6BY ACKNOWL6p06 THA�T I XAV[ PGD TMIB APPLIGTION ANO BTATC TXAT TX[ ABOV6 1� CORRBR�AND AOPE[ TO COM• PLY WITH ALL CITV OROINAX AND /TATi LAWY RIOYLATIXO em�oixocoxereurnon. �,� SIGNATUREOP , G PERMITTE wurnortrz¢o waenr s ���e� � /� IOBMALL�HL JBTHAN Fy _ � (U.B.C..PEOUIREMENT> � YAROdAPPROVED a ACCEIIBJRYBUILDINO wy � Rf.' d a , '�� a �J �-Qi rT• V � ;� a � BR. MAIN n O ACCESB. B�OB• W DATE APPROVQ• Q �re a 2 /a% � � ax O7 �v �y �� I � � � O TM8 AI10UM OXOWN UNO6R VALU�TON I6 POR TH8 j �URP096 OP f8T/�BLI6MIN0 A P AMIT P[H ONLY. i3 -UATI I'1 � ��E E 7 w �