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Home My WebLink About2123 PARSONS ST - Building Permits�na) ioa-aua • ran �i in� i�-qoao - w..w.��.w��a ��e�e.�a.�o Job Address: 2123 PARSONS ST Suiie No Vicinity: Parcel Nunmber: 41917134 Applicant: OLSON, LENARD Address: 2123 PARSONS ST . COSTA MESA, CA Owner: OLSON, LENARD Address 2123 PARSONS ST COSTA MESA, CA Contractor: OWNER BUILDER Address: Arch / Eng : Address: ISSUE FEE BackFlow irrigation BackFlow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve REPLACE GAS PIPE. 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 PLUMBING PERMIT Phone: 949-515-4835 Zip: 92626 Phone: Zip: 92626 Phone: Zip: License: 000000 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY QTY AMT .Laundry Tub / Washer $0.00 0 Landscape Irtigation $0.00 0 P-Trap $0.00 0 �Pressure Regulator $0.00 0 Process Piping (per 10 k) $0.00 0 Receptors $0.00 0 Septic Tank $0.00 0 Sewer Cap for Demo $0.00 0 Sewer Connect 50.00 0 Sewer Pnvate Line $0.00 0 � Shower $0.00 0 �Sink, bar $0.00 0 ��Sink, commercial $0.00 0 Sink, Floor $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Status: ISSUED Applied: 02J05l2004 Issued: 02/OS/2004 ISSUED BY: -- SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkFlow(t-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / venl Water Piping (Inst or Rep.) Water Re-pipe Water Service AMT 50.00 $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 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 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, 12-21-92) 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 ihe work authorized under this permi� to be considered legal, such work must comply with all applicable codes, antl all requlred Inapectlone and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7548626 2448d8(&00) WORKERS' COMPENSATION DECLARATION: ' � ' I hereby aHirm under penalty of perjury one oi ihe following declarations: , ❑ I have and will maintain a certiFicate ot consent to selt-Insure tor workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of Ihe Work tor which this permit is issued. ❑ I have flnd will maintain workers' canpensation insurance, as required by section 3700 of ihe Labor Code, for Ihe performance of the work for which Ihis permit is issued. My workers' co�P ens � cn I s nce carrier d policy number are: Carrie�; n\ � Policy Number. �This secfion need not be completetl il the per is va ed at one hundred dollers ($1(Y1) or less.) 1 certify that in [he pertorme or which this permit is issuetl, I shali not employ eny person in any manner so as to 6ecome su6ject to ihe workers' compensation l ews o omi a, a n d agre h d b ecome subl e c t t o t h e w o r k a r s' c o mpe ns a t i o n p mvisions of Sec/lo� jof the Lab r Cotle, I shail forthwith compiy with ihes ovisions. ,. ! AppliCanlSignature: Date: �I I V �I' WARNINGFAILUFETOSECUREWOFKEPS'CAMPENSATIONCAVERAGE ULANDSHALLSU6IECTANEMPLOYEqTOCRIMINAL ENALTIE ANDQVI FMESUPTOONEHUNDRED THOUS(W D DOLLARE ($100,000), IN ADDITION TO THE CAST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIINJ 31p5 OF THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirm that 1 am licensed untlar provisions of Chepter 9(commencirig with Section 7000) ot Division 3 ot the Business and Professions Code, and my license is in fuil force and ettect Lic. # Class # Contractor's Signa�ure: Date: CONSTRUC710N LENDING AGENCY: ❑ I hereby affirm that there is a consiruction lending agency tor ihe peAormance of ihe work for which ihis permit is issuetl. (Sec. 3097, Civil Code). Lenders Name: Lender's Atldress: Signature: Date: OWNER-BUILDER OECLARATIONS: I hereby aHirm that under penalty of perjury that I am EXEMPT FROM 7HE CONTRAC70R5 LICENSE LAW tor ihe following reason (Sec. 7031.5, Business antl Protessions Code; Any city or county which requires a permit to wnstmct, alter, improve, demolish, or repair any stmcture, prior to its issuance, also requires �he applicant for such permit b file a signetl statement ihat he or she Is licensed pursuant to Ihe provisions of the Contractors License Lew (Chapter 9(commencing with Seqion 7000) of Division 3 ot ihe Business antl Professions Code) or that he or she is ezempt the�e(rom and ihe basis for the elleged exemption. Any violation o� Section 7031.5 by any applicant tor a permit ��u.,h/je�,!s ihe epplicant to a civil penalty oi not more ihan five hundred dollars ($500).): y�r I, as owner of ihe property, or my employees with wages as their sole compensation, WILL DO 7ME WORK, and ihe sWcture is not intended or oNered tor sale (Sec. \ 7044, Business and Professions Code: Tha Contractors License Law does not apply lo an owner of propetly who builds or improves ihereon, and who does such work himseN or herself or Ihrough his or her own employees, provitled Ihat such improvemenis are not intanded or oNeretl tor sale. If, however, Ihe building or improvement is sold within ona year ot completioq Ihe owner-builder will have ihe 6urtlen of provinq Ihat he or she did not build or improve tor purpose of sale.). ' ❑ I, as owner of the pmperty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct the projeq (Sec. 7044, Business and Professions Code: 7he conVactor ' ense Law tloes not appty to an owner of property who builtls or improves theieon, and who contracts for such p�qeci wiih a contractor(s) license pur o the Con c ice ❑ I am e mpt under sec. Business and Professions Code for this reason: Signawre: - Date: Own9r ID varified by dnver's license. es ❑ No - Driver's License Na cpires: VerifiCetian of Ownership by (type of docament, i.a. - pmperty taz bill or deedJ: DIVISION OF INDUSTRIAL SAFETV PERMI7 CER7IFICATION: ❑ 1 hereby certity ihat no excavation five (5) or more teet in depih inm which a person is required to descend, will 6e made in connection with work authorizetl by this permit, and ihat no building sWCWra, scaHolding, talsework, or demolition or tlismantling ihereof, will be more ihan Ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tille 8, California Atlminisirative Cotle). ❑ As owner-builtler, I will not amploy anyone m do work which would require a permit from the Division of Industrial Safery, es notetl above, unless such person hes a permit to do such work from lhe division. Signature: Date: Division of Indusirial Satery Permit Number: CERIIFICATE OF AND UTHO ON OF ENTHY: I certity under penalty ot perjury that I have read this application and siate that ihe intormation given is correcL I e to comply with I A te and cjt� o mances rela�ing to building consimction, and authorize representatives of ihe Ciry of Costa Mesa to enter upon ihe above- escribed property for' cf puryo es!I re not to occupy or allow occupancy of any building authorize�y t�is� m� u�l fin inspection. ` U --� Signature Of Legal Owner(s) D e And�Or Authorized Applicant Date CODE �. INSPECTIONTYPE 1616 Fixetl System Final Fira Prevention 1266 Pool Spa Final � 200 Final Re-Root 201 Final BIocWRetaining Wall 202 Final Fadory Fire Place 203 Final Sign 204 Final Demoli�ion ' DRTE INTITI COOE 11 INSPELTION TYPE 206 Final Mechanical 208 Final Plumbing 210 212 220 Final Elecirical Final Fire Prevention Final Planning Approval 222 Final Site 250 Final Bui�ding/Occupency pATE INTfML3 . nrr� Lenard Olson Feb. 4, 2004 2123 Parsons St. Costa Mesa, Ca, 92627 • Building PlanningJPennits: Please accept these plans for Gas line repiping due to house piping leak. On 2/04/2004 The Gas Co. came out to install a new meter to update equipment. During the pressure test, after isolating all gas appliances, they determined the house piping was suspected of leaking. Thus, they plugged the gas line and tumed off the gas service. These plans are to rectify the leak and satisfy all safety issues. Sincerely, Lenazd Olson / / ! • / � I / � / ' I / OWNER-BUILDER VERI Ff �AT10N A city or county, which is required to give notice pursuant to Section 19830, shall a[tach ro.such noticc, and, as a condi[ion precedent [o issuing a building permit, require the completion and. require the retum of, an owner-builder vcrifica[ion. Attention Property Owner: An 'owner-builder' building permit has been applied for in yuur name and bearing your signature. Please complete and retum this information in the envelope provided at your earliest opportunity tu avuid unnecessary delay in processing and issuing your building pertnit. No buildine �ermit will be issued until lhis verification is received. I. I personally plan tu pro id c major labor and materials for conswction o( the proposcJ property improve en[. Yes ❑ No 2. 1(have/have noq signed an application (or a building permit for lhc proposed u•ork. 3. I h�we contracted with thc following person (firm) to provide the proposed conswction: Name Address City _ Phonc ( ) Contractur's Lic. No. 4. I plan to provide portions of the work, but I huvc hired the following person to coordinale, supervise and pruvidc thc major work: Namc Addrecs Phone ( City _ Contractor's Lic. No. 5. 1 will provide some of the work but I iiave contrac[ed (hired) the following persons to provide the work indica[ed: Name Address Phonc 7'ypc of Work IM2�a5 (PEV.9/98) I hereby affirm tFiat I have received a copy of the infortnation set forth in Secfion 19830 of the State of California Health and Safety Code and have completed the above infortnation to the bes[ of my personal knowledge, in compliance wi[h this Sta[e law. �. Signed: - �. Name: L �/"��Kl �'-'�1`� (Printed orTyped) C.D.L. # �, Date: d` � � �� For more information call City of Costa Mesa Building Division at (714) 754-5273. tOJ2-� (REV.8981 OwtvER DiKr� & COLEGROVE. INC. DATE ]OB ADDRESS 2123 P3T'SORS Street BUILDING PERMIT NO. (E 0],(� GENERAL CONTRACTOR Owner BZdI', VALQE $ 11,932.00 AP. No. LOT 2(y TRACT'j2Q� FIRE ZONE DESCRIPTION OF WORK R2S. W�Btt ReS GROUP �I Rt J TYPE V ZONE R�i PLAN NO. �9(5 �ECTIONS coat Test DATE � 8UBCONTRACTOR ISSUED , i ' �- a � 4965 COSTA MESA BUILDING DEPARTMENT , P. o. eox 31� COSTA MESA. CALIFORNIA FOR ING ss MAIL 1 AODRE55 fy CITV VO$li ARCHITECT OR ENGINEER ADORE55 LEGAL DESCPIPTION A.P. NO. TO FILL IN :s raraons �LreeL COSTA MESA. CALIFORNIA E. 17th Street f�� TNO� LIC. NO. QTV LIC. aKR NO. TEL OF BLDGS. USE OF E%ISTING BLOG. SET�iCK LINE FFOM CENTEF O[ STREET �� REAR VARD SIDE YARD RIGHT gi �eFr 51 NEW REPAIR USE OF NEW DESCRIPTION OF WORK ALTERATION I ADDITION MOVING I DEMOLISH NO. OF 4 Cr� L�F ROOMS I� STORIES FEE RECEIVED " �� -9�. fIN NCE DEPT. APPLI(�i�fIQ�Sl��'�F��RMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. �\�� J i�E�v� �� SEC"SEo7 MAYTE IHu�JJ�% I COSTA MESA. CALIFORNIA FIRE 20NE IONE APPROVED BY CORRECTIONS I HEREBV �CRrvOwlEOG[ TnFi 1 c�ilON �rv0 STATE TM4T TNE ABOVE I$ CORNECT ANp AGREE TO COMPLT WITM ALl CITY OfipINANCE3 ANp $T1TE L�WS REGULA:ING BUILOING CpN$TRUC� noN. yA W ATION SIGNATURE OF PEFMiT FEE $ Z��QO PERMITTEE �� PLnN CMECK S 1 �� Dike and Colegrove $ u�932'� TOTAL FEE S M AUTHORIZED AGENT I{2� W