HomeMy WebLinkAbout2303 HALF MOON LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COS7A MESA, CA 92626
Job nddress: 2303 HALF MOON LN
Suite:
Vicinity: l0T 23
Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: TPN00504 Zoning:
Applicant: WILLIAMS, GARY
Address: 1450 N. TUSTIN AVE
SANTA ANA, CA
Owner: SHEA HOMES LTD
Address 603 SOUTH VALENCIA AVE �
BREA, CA . , ,
Con tracror. O W N E R-B U I LD E R
Address: - �
Zip:
�� � Phone: 714-245-9760 X24
Zip: 92705 � - ,
� Phone: 714-985-1300
Zip: 92823 �
Arch : WILLIAM HEZMALHALCH � _
�Address:- WILLIAM HEZMALHALCH ARCHITECTS WC
SANTA ANA, CA � _ -, ��Phone: 949-250-0607
2850 REDHILL AV. STE 200
Zip: 92705-5543 - License: C12920
Phone:
License: 000000
E�9 �
Atldress:
Status: ISSUED
Applied: 01/31/2005
Issued: 04/15/2005
ISSUED BY:
�. .
Phone:
License:
_ SCOPE OF PERMIT
LOT 2 , - — . . . � . .
PLANS 1C _ . - _ . . � � � ,. . _ � �
CONSTRUCT 2312 SF 2-STORY SFD WITH 457 ATTACHED GARAGE AND 126 SF PORCH. FIRST FLOOR 1036 SF WITH'1276 SF SECOND
STORY. A 126 SF COVERED PORCH WILL BE CONSTRUCT AT THE FRONT OF THE DWELLING. A FIREPLACE MODEL #4236 (ANSI UL127)
WICL BE INSTALLED IN THE � , . ,,
FAMILY ROOM; THERE WILL BE A 2ND.FLOOR LAUNDRY ROOM. --- .-- ' �.
REF: G04-00010, PA-03-47, T-03-O6 � - � � � � � � � : �
SEE PA-03-07 � � �
'�
� FEE�SUMMARY � , � � -
Plan Check: $286.15 � � � Calc Valuation: ' � �� $z3s;z�a.�z
Permit � $1,760.95 � Claim Valuation: . ," go.00
SMIP Res: $23.63 ; � : • , °
SMIP Coin: $0.00
Other: �$0.00 , � �� � � � '� � �
Inspection: � $0.00, � � � � . �
Total: $2,070.73 � - � '
PLANNING & ZONING
SETBACKS �.
, -.'. , ' '
NOTICE: The work authorized by ihis 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 automatically expire and become void if work is not commenced within 1 BO days, or it work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspections and final epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
244F46 (6/00)
WORKERS'COMPENSAnON DECLARAnON:
I hereby eflirtn under penalry of perjury one of ihe following declaretlons: � -
❑ I heve end will meintein e cehifcate of consenl to selFlnsure tor workers' compensetion, es pmvlded for by section 3700 of Ihe Labor Cotle, for ihe pertormance of the
work tor which th�s pertnit is issued.
❑ I heve and will maintein workers' crompensetion insurance, es reqWred by section 3700 of the Labor Code, for the pertormance of the work for which this pertnit is issuetl.
My workers' compenselion Insurance cerrier and policy num6er ere:
Certier: Policy Number:
(This sect/on need naf be completed il the Oermif is velued ef one hundred dallers (S I00) or /ess.)
� 4'certity that in the peAormence of the work for w ich this pertnit Is issued, I shell not employ eny person in any menner so as to become subjeci to the workers'
compensation laws ol G ifomia, entl egree h I ould 6ecome sublect to the workers' compensation provisions of Secti n 3700 1 ihe Labor Cotle, I shall forthwith
compty with these r �fsi ns.
�� / S� S�
Appli� ignat : Oeter-�..
WARNING: FAILUR TO SECU OR ERS' ODMPENSATIIXJ �E IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND pVIL FlNES UP TOONE HUNORED
T}IIXISANDDOLLAP .0�),INAD �ITIIXJTOTHECOSiOFCOMPENS/TION.DAMAGESASPROVI�EDFORINSECTION31060FTHEIABOFCODE.INTEREST,ANDATTORNEVSFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aflirm that I am litensed under pwvisions oi Chep�er 9(commencing wi�h Section 7000) ot Division 3 of �he Business antl Professions Code, and my license is in full
force and eftect. Lic. H qess a
CoMractor s Signature�, Data�.
CONSTAUCTION LENDING AGENCY:
❑ I hereby aHirm Iha� �here is a crons�ruction lending agency lor the peAormanca ol �he work for which this permit i5 issuetl. (Set. 3097, Civil Cotle�.
Lentler s Name: Lendar's Atldress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eRirtn that under penalry ot perjury thet I em EXEMPT PROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (SecJ031.5, Business and Protesslons
Cotle: Any ciry or counry which reQuires e permit to construct, alter, improve, damolish, or repair any stmcture, prior to its issuance, also requires the appliCant tof such pertnit
to tile a signetl stateml�� ihat ha or she is licensed pursuent to ihe provlsions ol the Contrecbrs License Law (Chapter 9(commencing with Section 70W) of Didsion 3 0l the
Business entl Protessions Cotle) or that he or s�e is enempt t�erefrom end the basis Por tha alleged exemption. Any violation of Section 7037.5 by any applicant for a pertnit
subjects the epplicant to a civil penalry of not more than flve �undred dollers ($S00).):
���ies owner of the properry, or my employees wlth weges as iheir sole compensatlon, WILL DO THE WORK, and the stmcture is not intentletl or ofleretl for sale (Sec.
7044, Business antl Professions Cotle: TOe Contracmrs License Law does not apply to an owner of propeny who builtls or improves ihereon, and who tices such work
�imself or hersetl or throug� his or �er own employees, pmvided that such improvements are not intendetl or otteretl tor sale. If, however, the building or improvement is
soltl within one yaar of comple�ion, the owner-builder will have ihe burden ol proving ihat �e or 5he ditl not �uiltl or improve tor purpose of sale.).
❑ I, es owner ol lhp properry• am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRALTORS to consiruct ihe prolect (Sec. 7044, Busineu antl Professions
COCe: TTe contrectore License Lew does not epply lo an owner of property who builds or Improves thereon, antl who contracts for such projact with a contractor(s)
license pursu�i �o the Contractors License Lews.).
❑ lem
Venfication
sec.
r's license.
by (rype ol
Business and Professions Code tor this reason:
s`� p No
i.e. - property tax bill or tleed):
DIVISION OF INDUSTAIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certiy that no axcavation five (5) or more feet in depih into which e person is required to tlescend, will be made in connaction with work authonzed by this
pertnit, and that no building structure, scattWding, falsework, or demolition or dismantling iheraof, will be more Ihan ihirty-six (36) teet high (Chap. 32, Grp 2. An 2, Sec.
341, Ttle 8, CaliIDmia Adminislralive Code). �. . .
❑ As owner-builder. I will not employ anyone to do work which would require e permit from the Division of Industnel Safery, as notetl aDove, unless such person has a
permit to do such work irom the division.
Signature: Date:
Division ot Intlustrial Saiery Permit Numbar.
CEHTIFlCATE OP COMPLIANCE � AUTHORVA710N OF ENTAV: I cenify under penalty of perjury Ihat I have reatl ihis application and stale ihat ihe intorma�ion given is
wrrea I egree to wmp�y with II te laws and city ord�nances relating to builtling constmction, end euthonze representa�ives of the City ot Costa Mesa to enter upon the
above escnbed pro e�y 6r' uon purp . I agree not to occupy or ellow occupancy of any building au�horized by t perm until linel inspec�ion.
' �1%s� f
SigiaW .. . h g. ^ e O�vner�(sl.,..... �� Date= '—��
/
COQE �. INSPECTIONTYPL
1616 Fi:ed System Final Fire Prevention
1266 Pool SOa Fina�
200 Final Re-Rool
201 Final8lock/Ra�aining Wall
202
203
Final Factory Fire Place
Final Sign
204 Final �emaliti0n
PdIE INTRIALS
LODE� INSPECTIONTYPE
206 Final Mec�enical
200
210
212
220
Finel Plumbing
Final Electrical
Final Fire Prevention
Final Planning Approval
222 Final Site
250 . Flnal BuildinglOccupancy
QAIE I[�IELS
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(714) 754-5273 • Fau (714) 754d856 • www.ci.costa-mesa,c�.�TRICAL PERMIT n FAIR DRIVE, COSTA MESA, CA 92626
t
Job Address:
Suite No
Vicinity:
Parcel Nunmber.
2303 HALF NIOON LN
LOT 2
TPN00504
Status: ISSUED
Applied: 04/27/2005
Issued: 04/27/2005
Applicant' WILLIAMS, GARY : . :_ .l'�;:=�_ �; . �SSUED BY: �
Address: 1450 N. TUSTIN AVE,-r � "---- c, r..
; � . . . � � ,. ;+ � - �..
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SANTA ANA �CA . � r Zip 92705 � 1 � t "� -�� -�?..
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Owner SHEA HOMES LT� �i/�,� � � ��� �� �� � ��� � ` J , �. '`.,
f <� ; •K� •'�. � ,= r,-. �- _ � c. � . . �., } /
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Address �` -�803 SOUTH VALENCIA`AVE'' � � � � � �
� � :�- :� •:��%/� Phone: 714-985-1300 `����.� r . ?�;�
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�` �'� BREA. CA'`- -"' Zip: 92823 ,'� •.�\_ ' �/ \,�
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Contrector �-tOWNER-BUILDER ! ' � r �� � ��� �
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Address , ; S�J,,...iz,�. ,
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— , •, � »-v �> ry. ; 7 SCOPE OFRERMIT ., � t� . ' � �� . � �
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. ��L0T2/PLAN_1C � u . ,i �� ._ ; :��i� ..., �l'. . r � � _ ' � — , �
�.'. ELECTRICAL PERMIT FOR NEW 2312 SF SINGLE FAMILY RESIDENCE FOR "SHEA HOMESi°.�INSTALL ,' +�- �'���� •
� l� �'3 LIGHT FIXTURES 5 RECEPTACLE OUTLETS & 2 SWITCHES IN'GARAGE, AND 1 RES A/C - •� � '`;
� tPACKAGE. ' .._ `I,_ !'*'� ;�{?`^�,�.�: " . > � • ,%Y �. . ... . , s''� ,...�.,tiJ 1 ..
:\;,� � --" _ , — - '' i - _. '- - � -� ..
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�"REF:B05-00160 ���-. '- - ,- .— . - �.,.,;� -s __-----' .. , , . �t,.; !� _-, �t�,
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ISSUE�FEE � ,>
Temp service test
Res. a/c package ' � -�
New Res (1=2�units) �y �a
New Res (3+unit5).
Pool / Spa � .y -
Lighting Fixts � ��
Recept Oudets
Switches : . ' � -
Non Res Appl �
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to thp
Motors to tOhp
Motors to 50hp
,�r� ,
FEE SUMMARY. _=�c" , ' l �,' -. , , �
- � Quantity - � Quantii"y'�� l � .
;: $23.50 _ .,`',z � Temp;Dlst System / Lighting $0.00 /�0 � � �� �-� �,! i %� ��
$0.00 � �f . : ���Busway/100ft 50.00 ;;�,0 • �
$54 50 � Standing Seohon.� $0 00 ;�� 0 � j�
�
$129.47 -, 23�12., � � � � Misc'ElecKical,Eqmpment.=x...�.�-$0'00 f 0 > �i'':
l�$0�00 �' � O�f Trans(ormers up ta1 �kva/kw'^�` j50�00 0 � �^ �'�� �
'$Oi00`- i`�0 �-�� i up�to�10 kvalkvi � r$0:00 �� 0 ;� r- /
$3.30 � �,.3� c _ . Lp l0 50 kva/kw�/,�- $0.00% /,0 - �� r- '
' $5.50��., �:5 ;� �C`._. - .. - e...s...:....��.,up.to100:kva/kw� .$.0.00"V <0 �% �
� $220 "�\ 2'..^ :.... ..over_�t00kva/kw� � $0.00�"/ 0 `-r�� i�
-���$0:00 �. i� 0�� -- � LowVoltage"Equipment ���� $0.00" !0� ,
'�-$000' i�0_, , .� LowVoltWidng.5ystem/Ckt���C$O.00��GO'� '- �
'�,$000� '- 0-� " MisaContluitC,���� $000>^".="0
$0.00: 0'� Misc.'Conductor��_�� /5000'� 0
$0.00A - �'0 � . . ., `Circus ( gen o'r�ride) = %l'$0:00 0
$0.00 ' �:0� - �. - Cirws (mech ride�or.lights);,= � $0.00 0
$0.00 0"� �� - _ -_'Christma_s7ree"Stand�-"�� $0.00 0
50.00 0 �' " - -: �FireworksStanH � $0.00 0
NOTICE: The work authorized by this pertnit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a penod of 1 BO days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspeetions and flnal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
zaws �siao�
WORKERS'COMPENSAnON DECLARAnON: � ' � ...
I hereby affirm untler penelty of perjury one of Ihe tollowing declarations:�,::, . , .„ . ��:; ,��
❑ I hava end will maintein a certificate of consent b selFlnsure for workers' compenution, es provided Por by section 3700 of the Labor Code, lor the pedormence of the
work tor w�ic� this pertnit is issued. - - � � `�
❑ I have flnd will maintain workers' compensation insurance, as requiretl by seaion 3700 of tha Labor Code, for the peAoimance ot Ihe work tor whicti this pertnit is issued.
My workere' compensation Insurance carrier antl policy number ere: � .
Carner. POIiCy Number:
(This sectlon need not be canpleted i( fhe pertn/f is va/ued af one hunC�ed dollars ($ f 00J or less.)
�I certity that in the pedormance ot the work for which this pertnit is�issued, 1 shall not employ any person in anyinanner so as to become subject to Ihe workers'� �
compansation laws ot Califor ia, antl e9ree that ii s uld become subject to the workers' compensation provisions of Seytlon 37���000 of the Lebor Coae, I shall forthwith
comply with IheSe Dr�6 io �. '�/ /��
Applicam Signature: ( � 7� �l (/� � � Date: �i � 7 OS�
WARNING: FAILURE TO S RKER COMPENSATION COV j GFyI UNLAWFUL AND SHALL SUflIECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE MUNDRED
TFIOUSAND DOILAFE (E10U,000). IN A�DITION TO THE COST OF CAMPeFSATIIXJ, DAMAGES AS PROVIDED FOR IN SECiION 3]O6 OF THE LABOR CO�E, IMEREST, ANO ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
1 �ereby ettirtn thet I am licensed under provisions ot ChaO�er 9(commencing with Section 7000) of Division 3 of fhe Business antl Professions Code, entl my license Is in tull
torce and eflect Lia a qass x
CoNractofs SigneWra: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirm that there is a construction lending egency for ihe performance of the work for which this pertnit is issued. (Sec. 3097, Civil Code).
LentleYs Neme: Lender's Address:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby effirrn tha� untler penalry ot perjury that I am El(EMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or wunry which requires e pertnit to consiruct, alter, improva, demolish, or repair any strucWre, pnor to its issuance, also requires iha epplicant for such pertnit
to file a signetl statement that he or she is licensed pursuant to the provisions of Ihe Contrectors License lew (Chapter 9(commencing with Section 7000) ot DMslon 3 ot the
Business end Professions Code) or thet he or she is e:empt thereirom antl the basis for the alleged exemption. Any violalion ot Section 7031.5 by eny applicant tor e permit
su6jects the applicant to e civil penalry of not more ihan five hundred dollars ($500).):
❑ I, as owner of tha properry, or my employees with wages as their sole compensation, WILL DO 7NE WORK, and the structure Is not intended or oHeretl for sale (Sec.
7044, Business and Professions Gode: The Coniractors License Law does not apply to an owner ot properiy who builds or impmves thereon, and who tloes such work
himself or herselt or Ihrough his or her own employees, Drovide0 ihat such improvements are not intended or oHered tor sele. It, howaver, Ihe huiltling or improvement is
soltl within ona year of completion, the owner-builder will have lhe burden of proving that he or she did not build or improve tor purpose oi sale.). '
�I, as owner ol the property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contractors License Lew tloes not epply to en owner ol property who builds or improves Ihereon, entl who contracts for such project wit� a coniractor(5)
license pursuant to ihe Contractors License Laws.).
❑ I am exempt der sec.
Signature:
Owner I venfied by rivetl license. �Mes
Veritication Ow rship by (type oi tlocument i.a.
B ess and Pmtessions Code for ihis reason:
Date: �.��� , i
Drivels License No. � � Espires: ��
tex bill ar deed):
DIVISION OF INDUSTRIAL SAFEN PERMIT CER7IFICA710N:
❑ I hereby certify that no excevation tive (5) or more feet In depih into which a person is required to descend, will be made in connection with work authorized 6y Ihis
permit, antl that no building strucWre, scaflolding, falsework, or tlemolition or tlismantling t�ereot, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Ttle 8, Califomia Adminisirative Coda).
❑ As owner-builder, I will not employ anyone to do work which would require a permit irom Ihe Division ot Indusirial Sefery, as noted above, unless such person hes e
permit to do such work irom the division.
Signature: Date:
Division ol Industrial Satety Pertnit Number:
CERTIPICA7E OF COMPLJANCE AND AUTHO 7�Q OF EMAY: I certify under penalry of perjury Iha� I have reatl this application and state that the iniormalion given is
wrrect. I agree U compty with all state law p c y rdinances elaling to building consiruction, and euthorize representatives oi the Ciry oi Costa Mesa ro enter upon Ihe
ebove-descnbe roperry for insp tion p 6s gree not t cupy or ellow ocwpancy of any building authonzetl by t� permr umil fi� pection.
� �..�... y��/os
Sionature Ot Leaal O ner(s ��� oate
CODE I. INSPECTIONTYPE � ' � "
1616 �Fixed System Final Fire Prevention .
1266
200
201
202
203
04
Pool Spa Final
Finel Re-Roof
Final BIocWRetaining Wall
Final Facto'ry Fire Place
Final Sign
Final Demolition
:. ..., p� . ., � i � . � . .
COpE1 �INSPECTIONTYPE
206 . � Final Mechanical
208 Final Plumbing
210 ' ' Final Eleclrical + ' •
212 Final Fire Preven�ion
220 � � Final Planning�Approval
222 Final Site
250 Final Building/Occupancy
. , PAIE' II�EL$
3'Z�- l�-
(714) 754-5273 • Fax (714) 754d856 • www.ci.costa-mesa.ra.us 77 FAIR DRIVE. COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
2303 HALF MOON LN
LOT 2
MECHANICAL PERMIT
Status: ISSUED
Applied: 04/27/2005
Issued: 04/27/2005
Parcel Numbec TPN00504 - � . , _ ' �� �.t_.��--,:;.'_ .: -,-..,, ISSUED BY:
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Applicant: WILLIAMS..GARY �.-y� � i � � �-
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Address: 1450N TUSTINAVE. � --y } ` � t `�J� `,` �.\ 1'��
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Owner'�'iSHEAHOMES,LTDi" ���.,,�_.j� �`>'���;'\
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Addreas� 603 SOUTH.VACENCIA AVE -�-� �'�A� � � � �, , �
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r i'; � -. .; Phone: 714-985-1300 �4..'�.��, .
,�„�� ;_�i BREA CA�i Zip: �-92823 ���� � �.. .
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= SCOPE OF'PERMIT- - -
�� L0T2/PLAN 1C, i S'7�.� . J' �� �r�e -r�x. J �ra �> 4 t -r��f .,-� � '/;t���
� . _ � � ._ '1 ... � +� i 1� :. ✓ ,l .: �. . . , '{i
��,tMECHANICAL PERMIT FOR NEW 2312 SP SINGL•E FAMICY RESIDENCE+FOR"SHEA HOMES".�t; ��. �.
'',-; INSTALL 2 FAU'5,��4 DUCTWORK, 3 FACTORY FIREPLACES, 5 VENT�FANS, 3 FIRE DAMPERS,,. ;',, `
1'; ;& 2 A/C CONDENSORS.� ,- . �w� "� i� � � - �
� . � . __- �>r,� � --,.,' %'�,�-�
:,�REF:BOS-00�60 - . — . , `..' - , ..�''"�
� - � - _ � . _ _ _ �'n' - � � ',,2
� �. FEE SUMMARY -,.' � _
., ., . Quantity _ � -- '-� , � .; .�� � �--;-�Quantity
ISSUE FEE ' �� $23.50 -,— Repair / Alt Absorbtion UNt ' �� �' � J'$0.00 � Oi; � �
Inst FAU <100 k BTU'� � �� $29.60 2 •• ��i..��� �' �Repair / Alt Refrigeration Unit' i �'� `.$0.00� ,0 '
Inst FAU >100 k BTU $0 00 0 '` .� Ventillahon System '� b f $0 00 0..
Repair / Alt �Cooling/Heat' � � $13 70 1 � - � Evaporatrve�Cooler , �,f/ t � $0 00 �� 0 �
Inst/Rep.RecessWallHtr ��$000 NOt!rt ' �- �Commercial'Incinerator,�,�y$E'��%� , '$000,',:0
Refrig Sys <100 k BTU �!' � ��$0 00 0 �� � , % � � . i �.Domestic Incinerator�� �. ���' � � $0:00 �/ 0
RefrigSys>100.kBTU (, . „� $000��0� ' �� �� Compressors/Absorptian,Systems;r� � ���� '
GasPim i,$000� 0-A, �� `U to3h�7"100�k�BTUi/ %'� ���
P 9 � �`� r -� � . ;z', P P .. /,r < / I..$0.00 0
Factory Fireplace � �"�` , � '�531 95 3- -�� ; , '" .'3 To�15hp /_SOO�k BTU� � - �'r �� " $0.00 0
Hood w/Mech Exhaust ' .�$0 00--� :0 ,� � _ A5To�30�hp9,1;000 k BTU = ���! � /,�!%i $0.00 0
VAV Box � :` �, ' �$0 00; �0 �; �- -� _-30'To 50"hp / 1,750 k BTU '- % ' � � � $0.00 0
Vent Fan % Single Duct � �, " $36 25 �r5,� � " � � t , Over 50 hp7,0yer'��1,750 BTU �"��i �� $0.00 0'�
Appliance � $000 �0-� f� �:�. - �',-Boilers'ti,� ��i �ii .
Fire Dampers �'$21.75„�3 �-�Up to 3 hp ��� - r� r � � $29.40 2
Smoke Dampers $0.00`-'�0::.. ' ���' � �'• . ' 3To`��5 tip��� -�� �!% - So.00 0
InstorRelocateApplVent $0.00 �'0 `-'__`, ' _ 75.to30�hp�;��,` %�`� $0.00 0
AirHandlers< 10000cfm $0.00 0 �,� - .. -.,�30td50�hp _.--� $0.00 0
Air Handlers > 10000cfm 50.00 0 � -- —� Over 50 hp $0.00 0
NOTICE: The work authorized by this permit shail comply with all applicable handicap access requirements undar Califomia statutes and relatad
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.
INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such work must comply with ali applicable codes, and all
requlred Inspectiona and final approva� musl be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545828
zaases �aroo)
WORKERS' COMPENSATION DECLARATION: � ' ' � � �� �
I hereby aAirm unaer penalry ot perjury one oi the following Dedarations-' .' . ' ., , a, .�-
❑ I have anC will maintain e certificate ot consent to self-Insure for workers' compensatlon, es pmvided for by section 3700 of the Labor Code, for the pertormance of the
work tor whlch thls permit is issuetl. �
❑ I have antl will maintain workers' compensation insurance, es required by section 3700 of Ihe labor Cotle, for Ihe peAortnance of ihe work Por which this peimit is issuetl.'
My workers' compensatlon Insurence cartier and policy number are: � " -
Carrier: Policy Number: ' '
(This section need nof be crompleted il the permit is velued et one hundred dollare ($100) or less.) �
�I certiy that in Ihe pedormance of t�e work for which this pertnit is issued, I shall not amploy eny person in any manner so as to 6ecome subject to the workers"
compensatlon laws ot Cali ia, antl agrae Net if I become su 'ect to Ihe workers' compensation prohsions of ection 3700 oi the Labor Code, I shall fort�wNh
comply with t�ese provis n. �-7/ �
Applicant Signeture: ` Date:
`/ !�J �}
WARNING: FAILURE TO ECURE �RK ' COMPENSATION COVE GE I LAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRI INqL PENALTIES AND CIVIL FlNES UP TOONE HONORED
THIXISANDDOLLARE(51 ,IN IONTOTHECASTOFCOM T10N,DPM4GESASPflOVIDEDFOFINSECilON31060FTHElABORCADE,INTEREST,ANDATTORNEI^SFEES.
LICENSED CONTRACTORS DECLARATION: .
1 hereby ettirm that I em licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 ot t�e Business and Professions Code, and my license Is in full
force antl eflect Lia N Class M
Contrectofs Signeture: Date:
CONSTRUCTION LENDING AGENCY: . '
❑ I hereby attirtn Ihat there is a construction lentling agency for ihe peAormance of ihe work tor which this permit is issued. (Sec. 3097, Civil Cotle).
LBntleYs Name: Lender5 Adtlress:
Signeiure: Date:
OWNER-BUILDER DECLARATIONS:
I hereby ettirtn Ihet under penalry of perjury that I am E%EMPT FROM THE CON7RAC70RS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business anU Professions
Code: Any ciry or counry which requires a pertnit to consirucL alter, improve, tlemolish, or repair any siructura, pnor to its issuance, also reQuires Ihe applicant for such pertnit
to tile a signetl statement thet he or she is Ilcensetl pursuant to the provisions at ihe Cantractore License Law (Chapter 9(cammencing wit� Sedlon 7000) af Division 3 of the
Business end Protessions Code) or Ihat he or she is ezempt therefrom and ihe basis for Ihe elleged e:emption. Any violation ot Section 7031.5 6y arry applicant for a pertnit
subjecis Ihe apD����� �o e civil penalry ot not more than five hundred dollars ($500).):
❑ I, es owner ot ihe pmperty, or my employees with weges as their sole compensation, WILL DO TME WORK, anOlhe structure Is not Intended or oHeretl tor sale (Sec.
7044, Busineu and Protessions Coda: The Contrectors License Law tloes not apply to an owner oi propeny who 6uiltls or improves Ihareon, and who does such work
himself or harself or t�rough his or her own employees, provitled that such improvaments are not intended or offered for sale. If, however, Ihe building or improvement Is
���/// sold within one year ol completion, ihe owneo-builder will have the burden of pmving that he or sha did not build or improve for purpose of sale.). �
�y I, as owner of the property, am EXCLUSIVELV CONTRAC7ING WI7H UCENSED CONTRACTORS to constmct fhe project (Sec. 7044, Business end Pmfessions
/' Code: The comractors License Ww does not appry to an owner of propeny who bullds or impmves thereon, and who contrecls for such project with e contrector(s)
license pursuant to ihe Contractors Licyrs�Lews.).
❑ I am exempt
Owner I venfied tlriv6fs license.
Venficat nership by (type ot
Business and Professions Code for this reason:
Qate: y ��, 6.1�— . �
Driver's License No. Eapires: I
tac bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certify Ihat no e:cavation tive (5) or more feet in depth into which a person is required to descenq will be made in connection with work authonzetl Dy this
permit, antl that no building structure, scetfolding, falsework, or demolition or dismantling thereof, will be more than ihirty-six (36) feat high. (Chep. 32, Grp 2, Art 2, Sec.
341, Tule 8, Celilomia Administrative Cotle).
❑ As ownervbuilder, I will not employ anyona to do work which woultl require a permit from ihe Division of Industrial Satety, es notad ehove, unleu such person has e
pertnit to do such work irom the divisian.
SignaWre: Date:
Division of Industrial Safety Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTTIORI TION OF ENTFiV: I certity under penalty of perjury ihat I have read ihis epplication entl stale that ihe information given is
correct. I agre to comply with ell state law iry ordinances relating to buiiding construction, and authorize representatives of the Ciry of Costa Mesa to enter upon the
above-des e property for i pecti fip o . I agree to occupy or allow occupancy oi eny building authonzed/ by his per it until final inspeciion.
`i �2%�as�
Sionature Leoal wn sl Da�e
LODF �. INSPECTIONTYVE'. _ .
1616 Fixetl System Final Fire Prevention
1266
200
201
202
203
zoa
Pool Spe Final
Final Re-Roof
Final Block/Retaining Wall
Final Factory Fire Place
v
Final Sign
Final Demolition
'QL1¢, ' �' ' N 1 �j � ' QQp�,ji INSVELTIONTYPE
206 � Final Mechanical
208 Finel Plumbing
210 Final Electrical� '
212 Final Fire Prevention
� � � � � ' 220 ' Final Planning Appmval
�222 Final Site
250 FinalBuiltling/Occupency
Date
�
,.._,._.__._ .__,...,._..--- _ ----
PLUMBING PERMIT
Job Address: 2303 HALF MOON LN
Suite No
Vicinity: LOT 2
Status: ISSUED
Applied' 04/27/2005
I ss ued: 04/27/2005
Parcel Nunmber. TPN00504 . - _� : `_'.�'" .-, �
� , . . ._ -_'.t-,-.�',.,-. ISSUEDBY:
,.. ..,. �. . . .�-_t :.;;,.7-c�-- -., �
Applicant: WILLIAMS, GARY/!�� � � � ' ; � �..r–..�=c � ti
� � ��� � , � , � � � � , �.
Address: 1450 N.�TUSTIN"AVE" l'' � � �. - ' ,� � � f � ..��.� ;,,_5n
� ,: �I✓� �"r � �` � �-- � '.Phone:. _ _ . ��; n � !�� �i ��c. :� . .
4.
i�, �
SANTAANA,�CA � ' � - Zlp: 92705 '� t �� � - ��
' '� '-,i � �' � = � � � , �
' , .- .' . . �, � ; r�,r ' �. � � .. \' . i,/ � •�;�ry�, .
Owner: � "9HEA HOMES LTD'� �� �,�A �/.� � ��� �,A
Address 603SOUTHVALENCIAAVE � �;��� , , f'���•�,
�i -,
s ' .� i
� -� . � � ` - Phone: 714-985-1300 � t� � � � ' � � ,
�'.
��_ .
�-� BREA CA' Zip. ;�92823 . �, � /�. � •. , . ,
, � '%.� �.
.. ,'ri..�j � , , • . . _ - . ` .. . - .
,Confiactor fOWNER-BUILDER ".-� • ' �'� '� , �
4' � . � { � . 4 n� , { . . . _ r t\ \ ,
,� ,Addre55 .�lr •'J� ��� . s��u-t;niz � � .�t- ..`.. . ._ "_ _ s . , ,, .
.0 t V . - � J'..
. . +�.i , � - _ . Phone: ' � .__ . . '�.. _ . `� - � ,
� -
, /. � � Zip: i . . Y� t i • - , l'
, � . � �� � .. , � �'% � License: 000000 �� � � � ': '� 1 ' ' '�,
' , - — " -- _-- '-____---_ _ _._..__ - . . ��ii } 'i
, �;
. . ' �J"i:ir^ _..r:"T n.-...� t.._ •_ ;�,-. . .
- � i�l lt t'p p�� �r.! � ' ' �Li f..� jn �� � - .- ' 3
, ��
; -_—. �---�. SCOPE'OF PERMIT- -- _. . . - -.
- . LOT 2/PLAN 1C -�� �., � - ' , , ,
� . . - •;;_. ; �t ,
� .. t � �_ . . ,
;, � PLUMBING PERMITFORJNEW 2312 SF'SINGLE FAMILY�RESIDENCE'F.OR "SHEA HOMES INSTQCL 2" �-� '`
� k� '� 1• BATHTUBS, 1 DISHWASHER SGAS'OUTCETS,'1�WASHERb1�PRESSURE REGULATOR, 1�SEWER�..� , ' �
_ � .�-;
, �. �"CONNECTION, 2 SHOWERS, 1 KITCHEN SINK, 1 SERVICE SINK; UP TO 4 VACUUM BREAKERS;"7; ' _ � j� �
, �.-� WASH BASIN, 2 WASH BASIN SETS, 1 WASTE& VENT SYSTEM, 3 WATER CLOSETS, t WATER; �� - �� �
� HEATER, 1 WATER PIPING, & 1 WATER SERVICE. .. � , + ` -� � �' '
.. . - . � ._ ' � � -. �
� REF:805-00160 � / �`'�� /� � � /;; -
. . _ . -.�, -_ � /.: � .��� � ,
- �,
` FEE SUMMARY'; :t� ,'"% F '
•L; ��
' ;.�+ L"� AMT � ��QTYi s.' > �, . ._� j AMT��°QTY � y-x�w,� j� jr . ' ���AMT
ISSUE FEE � . . $23 50 :A`� � :;�, Laundry Tub / Washer - $9 80 � 1 � ���' Sump Pump� ' � �� $0 00
BackFlow irrigation �� �$0�00 0 \� `Landscape Irngahon ''�� $OOOf�, �+0 �,-�Swimming'�Pool, R / $0.00
BackFlowPreventer - "$OOOi;',_0 "`�� �PTrap ���;;�" � `" `"o $000' '0 �� *��TrapPrimer i�. �,�' •� $0.00
Bathtub . - .�. $19 60� ,", 2 � ' �Pressure Regulator �= -� � $9.80�_ ��1 -. Urinal -',`� �! i ' � $0.00
ClariferSystem �,.'$0.00:.� 0 �, ��� Process.Pipinq_(perl0ft),�.�$OA0��0'i � n;, �Vacuum�BrkrBkFlow(t-4) $12.30
Connect Qce,Soda,etc) :' SO 00 � � 0 ` � � ' '� Receptors -- -, - . _ $0"00 "� 0 `.�'�Vacuum Brkr.'BkFlow(5+) $0.00
Dental Units $0 00 � � 0 %J - �-�Sephc Tank $0 00 � 0" �� � N/ash Basid �%'� $9.80
Dishwasher $980� ���� �.CSewerCapforDemo- � �$000�0��,) Wash,BasinBet $19.60
Drain, Floor $0.00`'� ., 0 'Sewer Coone�cl t .� 524 65 '-4 � �-� ��Waste�and Vent System $9.80
Drain,Rainwater 50.00 �0��` � SewerPnvateLine`,`'� ��-.i$0.00`"0 ':!%�N/aterCloset(Toilet) $29.40
Drain, Roof 50.00 0�"�' � Shower, - $1_9.60�-�2�1/"_�! WaterHeater/vent $12.30
DrinkingFountain 50.00 0 Sink,.bar: -�,;�„-;_�,:$0:00'��0--'- WaterPiping(InstorRep.) $9.80
Expansion Tank $0.00 0 Sink, commercial -� --- -- -$0.00 0 Water Re-pipe $0.00
QTY
0
0
0
0
1
0
1
2
1
3
1
1
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92) II
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. ��
INSPEC710NS: In order for ihe work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all I
required Inspeetlons and final approval must be obtained. Failure to obtain Inspections and final approval will result in the expiration of this permit. ��
FOR INSPECTIONS CALL: (714) 7545826 I
zaae-as �eroo)
WORKERS'COMPENSAnON DECLARAnON: � � - + , ' •�
I hereby effirtn untler penalry ot perjury one oi the Following tleclaretions: �� . ,. . _
❑ I have end will maintein e certificate ot consent to 5eif-Insure for workers' compensation, as pwvided tor by seciion 3700 of ihe LeDor Cotle, for ihe peAortnence ot Ihe,
work for which Ihis permit is issuetl. " � � " ' �
❑ I have and wlll maintain workers' compensation insurence, as requiretl by section 3700 oi Ne Labor Cotle, br Ihe performance of the work for which thls pertnit is issuetl: :
My workers' compensation Insuranca carrier antl policy number are: � '
Cerrier: Policy Number:
(This sec(ion neeU nof be comp/eteC i! the permit is veluetl et one hunUred dollars ($100) or Iess.J
�. I certity that in ihe pertortnance of Iha work for w' this Dertnit is issued, I shall not employ any Oerson in any manner so es to tiecome suDject to Ihe workers'
wmpensatlon laws ot Califomia, en8 egrea th hould �ecome subjact to the workers' crompensation provislons ot Secti 3700 ot the Labor Cotle, I shall forthwith
compty with ihese provis4 //
ApplicanlSignature: � Dete: �/����
WARNING FAILURE T SECURE W ' WMPENSATI CO GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND QVIL FlNES UP TOONE HUNDRED
T}IOUSIW D DOLURE ( 00,000 A ITION TO THE CQST PENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CODE, IMEFEST, AND ATTORNENS FEES.
IICENSED CONTRACTORS DECLAfiATON:
I hereby attirm ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the 8usiness and Pmtessions Coda, antl my license is In tull
forca end BHecL LJc. A Class k
�, Contractors Signeture: Date:
CONS7RUCTION LENDING AGENCY: �
❑ I hareby aflirtn Ihat there is e constmction lending egency for ihe OeAormance ot the work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lenders Name: Lentler's Atltlress:
Signature: Date:
OWNEF-BUILDER DECLARATIONS:
I hereby atlirtn that under penelry of perjury Ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor ihe tollowing raason (Sec. 7031.5, Business end Pratessions
Code: Any clry or wunty which raquires a pertnit to construct, alter, Improve, demolish, or re0air any structure, prior to its issuance; elso requires t�e applicant tor such pertnit
to tile a signed statemant ihat he or she is licensed pursuant to the provisions ot t�e Coniractors License Lew (Chapter 9(commenang with Sectlon 7000) ot Divislon 3 of the
Business an0 Professions Code) or ihet he or she Is e:empt theretrom anA ihe basis for the alleged e:emption. Any violation of Section 7031.5 by any applicant for e permit
subjecis ihe applicant to a civil penalry of not more t�an five hundred dollers ($500).):
❑ I, es owner of �he property, or my employees with wages as iheir sole compensation, WILL DO 7HE WORK, and the siructure Is not intended or oHeretl for sale (Sec.
7044, Business ana Protessions Code: The Contractors license Law Coes not apply to an owner of pmperty who builds or improves thereon, antl who tloes such work
himself or hersetl or through his or her own employees, provided that such improvements are not intended or ottered tor sale. If, howaver, the builtling or improvement is
sold within one year ot completion, the owner-builder will �eve the burden oi provin9 that he or she did not build or improve for purposa of sale.). �
Ai I, es owner ot ihe property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
7� CoOe: The comractors License Lew tloe ot apply to en owner ot property w�o builtls or improves thereon, antl who coniracts for such prolect with a contractoqs)
licensa pursuant to the Contractors sa Lews.).
❑ I am exempt er sec. Business antl Professions Code for this reason:
SignaWr � Date: � Z O� . i
Owner D veritie y eIs license. � s No Drivels License No. � Expires: �y
Verifi nership by (rype of tlocument, i.e. - properry ta�c bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hareby certify ihat no excavation five (5) or more teet in tlepih info which e person is requiretl to tlescend, will be made in connection with work euthonzed Dy ihls
permit, anC that no building structure, scattolding, falsework, or demolition or dismantling ihereof, will be more than thirty-six (36) feet hiqh. (Chap. 32, Gry 2, Art 2, Sec.
341, Title 8, Califomia Administretive Code).
❑ As owner-builder, I will no� employ enyone to do work which would require a permit irom the Division of Indusirial Safety, as notetl ebove, unless such person hes e
permit to tlo such work trom the division.
Signawre: Date:
Division of Inaustrial Satety Permit NumDer:
CERTFlCATE OF COMPLIANCE AND AUTMORIIATON OF ENTRY: I cenify under penalry of perjury ihat I �ave reatl this application and state that ihe infortnation given is
correct I egr e to wmply with all st I Ns and ciry ortlinances relating to building consWdion, antl auihorize represen tives of the Ciry oi Costa Mesa to enter upon �he
above-desc ed property or in i uryoses. I gree not to occupy or allow occupency of any building amhorize�by is perr%it until finel inspection.
^/ '�7 //��—
Sianature � Le9P Owner(s) � oate
COQE �, IHSPECTONTYPE � � . . .-PAIE ' .: �ALS .
7616 Fixetl System Final Fire Brevention :
1266 Pool Spa Final
200 Final Re-Root � - - �
207 Final Block/Retaining Wall
202 Final Factory Fire Place ' ��
203 Final Sign
204 Final �emalition
�QQQE.! INSPECTIONTYPE �
206 ' Final MeChanical
208 Final Plum6ing '
210 Final Electrical
212 Final Fire Prevention
220 � Final Planning Approval
422 Final Site
250 Finel BuildinglOccupancy
�F.. �
, � �