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Home My WebLink About341 MONTE VISTA AVE - Building Permitsa (714) 754-5273 • Fax (774) 754•4056 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 341 MONTE VISTA AV Suite No Vicinity: Parcel Nunmber: 43914108 Applicant: COAST ROOTER PLUMBING HTG 8 A/C Address: 2737 S CRODDY STE D SANTA ANA, CA Owner: BECK, JEFFREY L TR Address 2233 HEATHER LN NEWPORTBEACH,CA Phone: (714) 247-7414 Zip: 92704 Phane: Zip: 92660-3405 Contracior: COAST ROOTER PLUMBING HTG 8 A/C Address: 2737 S CRODDY STE D SANTA ANA, CA Arth / Eng : Address: ISSUE FEE Backfiow irtigation Backflow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental UniLs Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking FounUin Expansion Tank Gas Earthquake Valve Phone: (714)241-1414 Zip: 92704 License: 529127 Phone: Zip: License: SCOPE OF PERMIT CHANGE OUT OF WATER HEATER. AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 30.00 50.00 $0.00 50.00 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 ft) $0.00 0 Receptors $0.00 0 SepticTank $0.00 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 $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: 03/08l2004 Issued: 03/08/2004 ISSUED BY: � SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toileq Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service AMT 50.00 50.00 $0.00 $0.00 $0.00 30.00 $0.00 $0.00 30.00 $0.00 512.30 50.00 50.00 50.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 NOTICE: The work authori;ed by this permit shall compty with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for (he wOrk euthorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inepectlons and final approvel must be obtained. Failure to oGtain inspections and final approval will result in the expiration ot this permlt. FOR INSPECTIONS CALL: (714) 7545626 zue-ee (arool WORKERS'COMPENSAnONOECLARAnON: I �ereDy eflirtn under penalry of perjury one ol the tollowing tleclarations: ❑ I heve end wlll mainlein e certificete of consent to seil-Insure tor workers' compensatlan, es pmvided lor by section 3700 oi the Lebor Cotle, for the pertormance oi the � wark tor which lhi5 permit 15155ued. e entl wlll maintein workers' componsatlon insurence, es requlrod by sectlon 3700 ot �he Lebor Cotlo, for the pedormance ol the work lor whkh this pertnit Is Issued. My �cers'�pens�a.t,l,n�5�ncecerrlerendpollCynumberere: � I��SSS�O� � �JT (ThisseCfialnBednof6BCORI eledtl(he Poll umbBc pl permit is velued et ane huntlred tldlars (S100J or IessJ 'gJ t cortity that In the pertormarco of the work Por wnich this pertnit is IssueO, I shell not employ eny person in eny mennor so es to become subject to tha workers' compensatlon laws of Califc i ntl egree t� Fl..shoul become sub�ect b the workers' compensation prodslons ot Sactlon 3700 W Ihe Lebor Code, I shall torthwith e5e provi5ion. � `' icamSignatu . D� �-g'� l W LIPE TO SECUPE WORKE ' C��]pENSA OVERAGE IS UNLAWFUL M'D SHALL SUBJECf AN EMPLOV MINPL PENALTIES M1D CML FlNES UP TOONE NUNDRED TFKKISPND OOLLARE (5100,000), IN ADpTI TO THE COST OF COMPENSATION, DNMGES aS PRO��DED f-0R M SECTIpJ 3]O6 OF THE IrBOR COOE, IMEREST, M!D ATfOFiNEY'$ FEES. LICENSED CONTRACTORS DECLARATION: m�hl am licensetl under provisions of Chapter 9(commencing wilh Section 7000) of �ivision� Business and Pwfessions Cotle, end my license is in full �t. # �Clau 7�ti —L. � �/ �( C_ Signature: w.. � Uate� V�--yo' O� CONSTRUCTION LENDINC AGENCY: ❑ I hereby atfirtn that there is e conslruction lentling egenty for Ihe peAarmance oi t�e work tor whlch Ihis permi� is issued. (Sec. 3097, Civil COAej. Lentler's Neme: Lundefs Adtlress: Slgnature: OWNER-BUILDER DECLARATIONS: Date: I here6y eNirm thet untler penaly ot per�ury I�e� I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the follov.•ing reeson (Sec. 7031.5, Business entl Prolesslons Cotle: Any ciry or counry which reqmres e permit to construct, eller, imprave, demolish, or repair eny strucWre, pnor to its issuance, also requiras Ihe epplicam tor such pertnil to tile a signed statement that he or she I5 Ilcensed pursuant to the provislans at Ihe Contractors Llcense Law (Chepter 9(commencinq with Secllon 7000) ot Division 3 of Ihe Business end Professions Cade) or that he or she Is exempt therefrwn and the basis lor the ellegetl ezemptlon. Any violation of Sectlan 7031.5 by eny applicant tor e permit sublects the eppliwnt to a civil penalry of not more than five hundretl dollars (5500).): ❑ I, as mvner of Ihe pmperry, or my employees wlth wages as their sde compensa6on, WILL DO THE WORK, end the structure is not InterMed or ofleretl tor sele (Sec. 7044, Business and Professions Code: The Contractors License Law aoes not apDN �o an owner of property who builds or imprwes thereon, end who does such work himself or herself or Ihrough his or her own employees, provitleA t�at such improvements ere not intende� or oNered for sale. It, however, the building or improvement is sold within one year ol completion, the owner-buiider will �ave the Ourden of D�o�ng that he or she ditl not build or improve br purpose ol sale.). ' ❑ I, as owner ol Ihe properry, em EXCWSNELY CONTRACTING WITH LICENSED CONTRACTORS to con5irutt the projett (Sec. 7044, Busines5 entl Pmfeuions Cotle: The contrac�ors License Lew does not epply to an owner of propeny who huilds or Impmves Ihereon, entl who contracts for such prqect with a contrector(s) license pursuant to ihe CantractoB License Lews.). ❑ I em exempt untler sec. Business end Professions Cade far this reason: Signature: Date: Owner ID verilietl by tlrivefs license. ❑ Ves ❑ No Drivefs License No. Expires: Verilicatlan ol Owners�ip by (type ot Aocument, i.e. � property ter blll or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATON: ❑ I hereby cenity that no excevetion flve (5) or more feei In tlepih Into which a person Is requlred to tlescend, wlll he made In connectlon wit� work euthonzed by thls permlt, antl ihet no building structure, scaHolding, falsewoB, or tlemolition or tlismamling thereof, wlll be more ihan thirty-six (36) teet high. (ChaD� 32, Grp 2, An 2, Sec. 341, Title e, Celifomia Atlminis�re�ive Cotle). ❑ As owner-builder, I will not employ anyane ta do work which would requlre e pertnit trom t�e Divislon ot Industnal Sefety, es noted ebove, unless such pereon �es e pertnit to do such work from the divislon. Signeture: Date: Division of Intlustrial Safery Permit NumCer: CERTIFlCATE OF COMPLIANCE AND AUTHORIIATON OF ENTRV: I certify untler penalry of perjury the� I have reatl ihis epplica�ion entl state ihat fhe infortnatlon glven is wrrecL I egree to comply with ell stele laws end ciry orAinances releting to huiltling construciion, antl euthodze represematives of Ihe Ciry of Goste Mesa to enter upon the above�described properry br inspecUon purposes. I egrae not to occupy or ellow occupency of eny building eulhorized by ihis permit until tinal inspection. CppE 1, INSPECTIONTYPE — Qejf, �L$ 1618 FIzeO System Final Fire Pravention 126fi Pool Spa Final 200 Final Re-Roof 201 Flnal BIocWRetalning Wall 202 Final Fflctory Fire PIecB 203 204 Finel Sign Final Demoli6on COQE I INSPECTION TYPE 206 Finel Mechenical 208 Final Plumbing 210 Final Elecirical 212 Finel Fira Prevan�ion 220 Finel Plenning Approval 222 Final Site 250 FInalBuilding/Occupanry � It� � •� �► & SHIELDS Develoffient Co..Inc. & AP I?" S Gas VALUE DESCRIPTION OF WORK Res.w SUBCONTRACTOR . �95s� FEE. RECEIVED COSTA MESA BUILDING-SAFETY OEPARTMENT 1`p1\'/[ � � 1963 P.O.B0X9f7 C09TAMESA,CALIFORNIA 1` rINANCE DEPT. For Applicant fo Fill In Complefely APPLICATfOf�l POR�TMESA TYPE OR PRINT BUILDIN6 ' Fo. ofrs�a use o�y eui�o�no 2 /� � AODRE$$ J I �`y 0.ECC1'T NO. pEPMIT NO. COSTA MESA. CALIFORNIA Q PE IV6O !Y DAT6 NLC81V � D/�TEISSUEO OWNER �b �E ' ;c �s ' .Lti �- �- - g 3 �ur+ s �ssa � ADDRESH �.J � ({�Ilh GhC.,{�Gt /'�✓L B I DING � / �l � � �. � - A R65S (Q%�uQ.� /A/// p FIRE CITY /�%ILII .�,h� �� • NO. �OO.�Z.O ZONE TYPE GROU � � APPROVED ARGHITEGT • TEL.p BY DATE OR ENGINEER O-I •� NO.O I' �B O 'I'`�(/'_ ZONING ., � ADDRE59 I OO WGa( 1 �.O��0�1 WC Z 6_� NO.O� 6'� U860PN! •urva r� BUILDIN CONTRACTOR S��C.. (� `e°"` .La � / r � 33 wDDREss v G-� �C.. osscaimon CITY J�-!//� � A. P. NO: � STATE TE ., G 90TT0 SIDE 8 REAR PHLfJ6 SHALL BE LESS TNAN LIC.NO./�/ �SO��—I NO�R �OdZO SIZE 33`�/' S3. J �� No.oPBLooH. ALLOWE� (U.B.C.RECUIREMENT) OF LOT ! NOW ON LOT �� YARD9APPROVED VAROSAPPROVED USE OF MAIN BUILDIN� ACCESSORY BUILDING EXISTING BLD6. �� ( FROM C/L 6TREET) eeiewcK une vrsOM /' FRONT � FT. Ff'. CENTER OF 6TREEf / `� REAR YAR� p-� 6106 YARD I LEFT I R16HT R. SIDH v F�. FT. DESCRIPiION OF WORK �. aioe O�, er. NEW � ALT6RATI N_ ADDITION REAR �/ Ff. FT. DISTANCE BET. BET. MAIN Q REPAIR � MOVIN6 DEMOLISH MAIN BLDG9. ACGESS.BLD69. BUILDIN6 � �S�NO OR VAR.# DATE SIZE 3� ��+4 RO MS � 6T RIfi9 � C. . P. APPR VED EXTERIOR WALLJ'��0 COV�ERINO `"O �'h O AYPR�V �^' 1 DATE �J-7 �� ` COVERING U^�f-QFBU,LDN6ANDWORKT BEPE"pFOgME `F �.c . � cH � . w At�ar.f+c i'�r VYradcl �f�- �833 sa. yo A� � I HEREBY ACKNOWL80G8 THAT I HAV6 NGO TXIe APPLICATION TXH �MOUNT 6HOWN UNDBP VALUATION 18 POR THE F Arvo BTATH THAT THH ABOVH IB CORRECT AND AOpE6 TO COM� PURPO58 OF 88TABLIBMINO A PERMIT FE8 ONLY. � PLY WITH ALL CITY�OqOINANC6G AND BTATi LAWB p60ULATNO ypLUATION / � m BUILDINO CONBTROCTION. � % ry SIGNATUREOF ' � C PERMITFEE $ O�J m PERMITTE � � p�aN CHECK 5��i � 0 AUTHORIZED A6EN .�/� $ /� �e �/ �` TOTAL REE $ � � J �