HomeMy WebLinkAbout2305 HALF MOON LN - Building PermitsJanuary 10, 2005
� `;
CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92fi28-1200
DEVELOPMENTSERVICES DEPARTMENT
To:
Building Safety Division
Code Enforcement
Communications
County Clerk
County Planning and Dev. Services
County Registrar of Voters
County Tax Assessor
Engineering Division (2)
ESRI
Fire Admin. - Training Officer
Fire Admin. - Mark Brown (Station 6)
Fire Prevention
Irvine Ranch Water District
Mesa Consolidated Water District
OLD ADDRESS
170 and 190 23r° Street
2337 Orange Avenue
Comcast Cable
Newport-Mesa Unified School. Dist.(2)
Pacific Bell
Police Dept. - Planning & Research
Sanitary District Engineer
Sanitation Division Office
So California Edison Company
Southern California Gas
State Board of Equalization
U. S. Post Office - AIS
U. S. Post Office, Adams
Thomas Brothers
File (2)
NEW ADDRESSES
186 and 190 23r° Street
2301, 2303, 2305, and
2337 Orange Avenue
2300-2321 Half Moon Lane'
Your cooperation in this matter is appreciated.
Sincerely,
�Z.U-�( iLC.c.[-' -t�>ti �-
Willa Bouwens-Killeen
Principal Planner
c: Kimberly Brandt
Steve Castles
Shea Homes
603 S. Valencia Avenue
Brea, California 92823
' N�w street
e�l,e.2l,, �
A. P. NO
439-261-05
439-261-09
439-261-31
BuiMing Division (714) 754-5273 • Code Enforcement (774) 754-5623 • Planning DiNs'ron (714) 75d-5245
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ORANGE avENUE
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See 190 23rd St. for add'I
paperwork covering entire tract.
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2305 HALF MOON LN
Suite:
Vicinity: LOT 3
Primary Occ: R3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: TPN00505 Zoning:
Applicant: WILLIAMS, GARY
Address: 1450 N. 7USTIN AVE
SANTA ANA, CA - : " -.
Owner. SHEA HOMESLTD
Address 603 SOUTH VALENCIA AVE ,
� � - BREA, CA '
Contracroi: �OWNER-BUICDER
Address: � �
� �i -� �
Phone: 714-245-9760 X24
Zip: 92705 ,� �
Status: ISSUED
Applied: 01/31/2005
Issued: 04118/2005
ISSUED BY: �
Phone:� 7144-965-1300 , ,
Zip: 92823 - . � , ' , � �;
Phone:
� Zip: . ' . ,License: �000000 � . ' �
Arch : WILLIAM HEZMALHALCH , _ Eng: ., � �
Address: WILLIAM HEZMALHALCH ARGHITECTS INC J� � Address: �
SANTA ANA, CA . Phone: � 949-250-0607 . Phone:
2850 REDHILL AV STE 200 ,
Zip: 92705-5543 License: C12920 " License: � �
SCOPE OF PERMIT
LOT 3 ' ' � . � _ ' ' � .
PLANS 2C ' � - � - � . — � - � '- - �
CONSTRUCT 2560 SF 2-STORY SFD WITH 449 SF ATTACHED GARAGE AND 72 SF PATIO. FIRST FIOOR WILL BE 1225 SF WITH 1335 SF
SECOND FLOOR. A FIREPLACE MODEL #4236 (ANSI UL127) WILL BE INSTALLED IN THE FAMILY ROOM; THERE WILL BE A 2ND FLOOR
LAUNDRY ROOM. . , "
REF: G04-00010, PA-03-47, 7-03-06 � � � � �
SEE PA-03-47/T-16600
Plan Check: $305.27
Permit: $1,878.55
SMIP Res: , $25.76
SMIP Com: $0.00
Other: $O.OD ' '
Inspection: , $0.00 _
FEE SUMMARY
Calc Valuation:�, � � $25i,a�s.3a
- ' Claim Valuation: So.00
� � � - i�
_
/
Totali $2,209,58 � -
SETBACKS �
MAM STRUCTURE Fronl 6- 0 �� Reaf 16- 0
P�ANNING & ZONING
Left 5- 0
- �=Right 5- C
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, 72-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days. .
INSPECTIONS: In order for the work authorized untler this permit to be considered legal, such work must comply with all applicable codes, and all
requfred inspections and final approval must be obtained. FaiWre to obtain inspections and tinal approval will resuN in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
204fi-46 (N00)
WORKERS'COMPENSAnON DECLARAnON:
I hereby etfirtn under penalty of perjury one of the tollowing declaretions:
❑ I heve entl will maintein e certificate af cnnsent lo selFlnsure for workers' compensation, es provitled for by section 3700 of tha Lebar Cotle, for the pertortnancre of tha
work for which this pertnit is issued.
❑ I have and will maintein workers' cnmpensetion insurence, es reqNred by section 3700 oi the Lebor Code, br the pertortnanre of tho work for which this permit is issued.
My warkars' compensation Insurence carrier antl policy number ere:
Cerrier: Policy Number:
(This sectlon neetl not be completed i! tAe permit is veluetl et one bunOred dollers (3f 00) or less.)
that in ihe pertortnance ot Ihe work for i ch Ihis permit is IssueQ I shall nol employ any person in eny manner so as to become subled to the workers'
�sation laws oi C�'�omia, end egre t '� I should become su6�ect to iha workers' compensation provisions of Section 3700 of the Labor Cotle, I shall Iorthwith
�th these pm � i �s.
�_ . ,,,,o i�of
�a��a:
..�:--
_U TO SECUR WOR RS' COMPENS COV E IS UNIAWFUL AND SHALL SUBJECT AN EMPLO ER TO CFIMINPI PENALTIES FND pVIL FlNES UP iOIXJE HUNORED
LL4 t �,INADDITIONTOTHE T PENSFTIIXJ,DFMFOESFSPROVIDEDFORINSECilON3lO60F1HELABORWDE.INTEREST,AND/TTORNEI^SFEES.
LICENSED CON7RACTORS DECLARATION:
1 hereby attirtn ihat I am licensed under pmvisions of Chepter 9(commencing with Secllon 7000) ot Division 3 of the Business and Professions Code, and my license is in full
forCe and ettecL Lic. d qass A
Comractor's Signature: Dete:
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirtn thal there iS a construction lending agency for the pedormance of iha work for which ihis parmit is issued. (Sec. 3097, Civil Code).
Lentlers Name: Lender's Adtlres5:
Signature: Date�.
OWNER-BUILDER DECLARAY�ONS:
I hereby effirtn that under penelry of perjury Ihel I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Busineu antl Pfofessions
Cotle: Any ciry or counry which raquires e permit to construct, ellar, impwve, demolish, or repeir eny stmcWre, prior to its issuance, also raquires the applicant for such permit
to tile a 5igneE statement that ha or s�e Is Iicensed pursuent to Ihe proWsions ol Ihe Contrectors Licanse Lew (Chapter 9(commencing with Section 7000) ot DMsion 3 of the
Business end Pmfessions Coda) or thet Oe or she is exempt therefrom and tha 6esi5 tor ihe ellegatl ezemption. Any violetion of Section 7031.5 by any applicant for a pertnit
,SuhjeC��he apPlicant Io e civil penel�y ol noi more �han five hundred dollers ($500).): �
�-y-Fe's"owner of Ihe properry, or my employees wiih weges es their sole compensatlon, WILL DO THE WORK, antl ihe structure is not intentled or oflered for sale (Sec.
7044, Business end Profe55ion5 Code: The Conirector5 license Law does not apply lo an owner of pmperty who builds or improves thereon, antl who dces suc� work
himseN or herseN or ihrouqh his or her own employees, provided thet such Improvemenis ere noI Iniendad ar offeretl for sale. It, however, the building or improvemeni is
sWtl within one yeer of cor�pletion, �he ownervhuilder will heve �he burden o� proving that he or she did nol builtl or improve lor purpose of sale.).
❑ I, es owner ot the properry. em E%CWSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec 7044, Business and Pmfessions
Cotle: The coniraCiors LICBnSe Lew doe5 not eppty to en owner of property who bullds or Improves Ihereon, antl wno contracts lor such prolect with a contrector(s)
license pur5uent to the Co���§f.�s LicenSe Laws.).
Business and Professions Code for ihis reason:
i s lio�o�� �$��'e.""'9� � ❑ No
by (rype ol document, i.e. - property taz bill ar
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I here6y certify ihat no azca�ation five (5) or more feet in tlepth into which e person is required to descenQ will be mada in connection with work authorized by [his
permit, antl that no building structure, scaflolding, lalsework, or demolition or dismantling thereof, will be more ihan thirry-six (36) leet high. (Chap. 32, Grp 2, Art 2, Sac.
341, T�tle 8, Califomia Adminislrative Code).
❑ A5 owner-builder, I will no� employ enyone to do work which would require a permit }rom the Division of Industrial Safery, as noted above, unless such person has a
permit to da such work from the division.
Signawre: Date:
Division ollndusirial Sefa�y Perm�i Number:
CERTIFlCATE OF CAMPLIANCE N�1D AUTFfORVJ1TON OF EMRV: I cenity under penalty of perjury ihat I heve read this epplication antl state Ihat ihe information given is
wrrect. I agree to mply with dll t ws end ciry ordinances relating to builtling conslmction, and euthonze represematives of ihe Ciry of Casta Mesa lo emer upon �he
ebove-des � r eey i ins i purpose agree not to occupy or allow xcupancy ol eny 6uilding auNorized by ihis permit until tinal i pection.
� • y��8� �-
,5��� � ae�.ow�a�,s> � ��.
AnNOr Authonzad Applicant Date
SODE �. INSPECTONTYPE
7616 Fixetl System Final Fir� Prevention
1266 Pool Spe Final
200 Final Re-Rool
207 Final8locWRetaining Wall
202 Final Factory Fire Pleco
203 Final Sign
204 Final Demolition
P�TE IMRIALS
CODE� INSPECTIONTYPE
206 Final Mechanical
20B Final Plumbing
210 Final Electrical
212 Final Flre Prevention
220 Final Plenning Appmval
222 Final Site
250 Final Builtling/Occupency
D�TE
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(714) 754-5273 �•"Fax (714) 754-4856 • www.ci.costa-mes3,�a,liSTRICAL PERMIT �n FAIR DRIVE, COSTA MESA, CA 92626
tLtl.
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
2305 HALF MOON LN
LOT 3
11�►[IZQ.111.",
Status: ISSUED
Applied: 04/27/2005
Issued: 04/27/2005
Applicant: WICLIAMS, GARY _ �,�,:r.-.-�:'a==�,__r�-;_ ISSUED�BY:
Address: 1450 N. TUSTIN AVE.-����'='�� " - - � - � �r � -� � _, �
. ii% _--!� - . _ r -�
.''ri%:.?'% "� �. , - Phone: '� � � l, �/�1 �\�`'�"`�-.
SANTA ANA,-CA" (� � t Zip 92705 I ., k /y % / �.� �;== ``•�,
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Owner.�i SH� � . � � � � � � . : � . � �
n'i,p�` \ '. - `t' ''�i// - -_5vc . .. \,." \ .4 �^�
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/°i i f'�f V �. /t�'. "�i�� .A ' ' /
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Addressiy,,603 SOUTH VACENCIA AVE `\� .;� ,� �.
�� ��'•. A
������ �i���ti�,.���� Phone: 7144-985-1300 �" ���+, ���� / -�,�
rl-'r � BREA.-CA,�� Zip: 92823 t`'�V.-. � �
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7 5' � i�,'"o i�r^'•V �✓ � .�tt\A� i-,
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' : ti�i ,�� � ' .' "�i ���?��-�yT SCOPEOFBERMIT�! � � ,�: ��,�,
, -: LOT 3/PLAN 2C l,� �' ,�t y'� �% d L j(7.� ,l�r J7: �� ,� t. �
, .,' ; . _ .- �. -� _ .—__ -- -.-_ � ,K_w.�-�-�:.,;��.: _-�.:_, .. _. . = �
' '; ELECTRICAL PERMIT FOR NEW 2560 SF SINGLE FAMILY RESIDENCE FOR "SHEA HOMES':;.
j� _ '� �'�2 LIGHT FIXTURES, 3 RECEP,TACCE OUTLETS, & 1 SWITCH IN GARAGE, AND 1 RES A/C
+ .e � ��PACKAGE � J•/ �. i�.t��r7. - �.� ��.,��� -
�� . . � :i � .� . . � .- S.__' _ �. . r . _ � '
� S ��j � ' ` REF: BOS-00170 , " .. . � � t � '"' ' '-- ' .
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� FEE SUMMARY_' =_�'s�"
1'�' ��� �. A :''�'�, 'Quantit �
� c ��i.,�'� ��a-; Y �„„��'.,.�.-.
ISSUE�FEE � %' , � $23.50 -��, Temp;DistSystem/Lighting
Temp service test � L, $0.00 ��<��, ' .� Busway /J00 ft
Res. e/c package „� , � .$54.50 r •' ' . � $tandingSe
New Res (1-2-units) ��� $143:36. � 'j �2560v;;;'y-��� ' � � ,Misc ElecVii
New Res (3+units), $0 00� A 0 _ -, , ;� ` � Tran'sforrtier
Pool/Spa ��,"\, ���$000-\�0`� �- ���...u{
lighting Fixts �V ��� "�jr $2:20 �� 2 �-�- �, r �� - �'.....<.. . u
ReceptOutlets ` �`,. � � $3:30�� `'^�3ti-�,"�, ��� `S�� i .:...::......� u
1.�w �.�.., v
Switches . `�' �� $1:10 � `�„ 1 � x . .-.. := : �
Non Res Appl : '``, 50.00 ' �; 0�� � �� _ �� - Low Voltage
Res Appl h'� �, ��5,0;00`� ��%/-0.� )' ��. -T �Low Volt Wi
Service to 200a `:�50.00. � ��i 0 �' ' , �- �; �, !`_ >Misc: Contli
Service to 1000a $0.00 � � 0 �l � , '' " ' • r'' = � PAi'sc: Cond�
Serviceover1000a $0.00��'��?�0_ `�� :��"-';"�Cirws�(gen
Motors to 1hp $0.00 .-"0�- �> , Circus (mec
Motors to 10hp $0.00 0 �� � _ - "� = ChristmasxT
Motors to 50hp $0.00 0 - -�- .-.-"'.6i�eworks�S
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$0.00 0
$0.00 0
NOTICE: '•The.work�authorized:by�ihis�permiP:shall�comply.with:al6applicable�handicap access�requirements undeCCalifornia-statutes�and related
-regulations. (Ord.'No.;9228,:§ 1,'�12F21-92)
1EXP�RATION: This.permit:shall�automatically�expire�and-become void if.work isnot,commenced within�180,days; or if work is suspendad or abandoned
� for a penod �of � 1 BO days.
�INSPECTIONS: �In�order��forthe�work�authonzed.undecthis�.permit:to.be.considered Iegal,�such,work�musYcomply.with-albapplicable codes, and all
rrequired inspeetlons and finaCapproval must be obtained.�Failure to obtaiminspeclions�and-final approval wilPresutt in the expiration of this permit.
INSPECTIONS��CACC:'(714) �7545626
� zaases Is/ao) � � . .
WORKERS'COMPENSATON DECLARAnON: - � � . �
I hereby attirm under penalry oi perjury one of t�e following tleclarations� � � ,. � .
❑ I have entl will maintain a certiticate of consent to self-Insure for workers' compensation, as provitled tor by section 3700 ot the Lebor Code, bcthe pertortnence ot Ihe
work for whiCh thi5 permit is issuetl. ' ' ' '
❑ I have end will meintain workere' compensation insurance, es required by section 3700 of the Lehor Code, for the perfortnance ot the work for which this pertnit Is Issued.
My workers' comDensation Insurence cerrier and policy number ere: , .
Cartier. Policy Number.
(yyyT���his section need nof be comp/eted il fhe pertni( is velued af one hundred dollars ($100) or less.)
�y I cenify Ihet in the pertormance af the work f� which this pertnit is issued, 1 shall nm employ any person in eny manner so as ro become subjed ro the workers'
/\ �mpensation laws oi C litomia, and egre ii I shoultl b ome subject to the workers' compensation provisions of S�tion 00 of t�e Lebor Cotle, I s�all tort�with
compty with these pro � ns. � �,/ /'
Appliwnt Slgnawre: Date: J� L7 ��
WARNING: PAILURE T SECUR (ERS' CAMPENSATIIX OV OE IS UNLAWFUL AND SHALL SUflIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO dJE HUNDRED
TIqUSM1DDOLLARE( ,IN DDITIIXJTOTHECOST PENSATION,OAMAGESASPROVIDEDFO{iINSECTION3�O60FTHELABORCODE,IMEREST,AN�ATTORNEV'SFEES.
LICENSED COMRACTORS DECLARATION:
I hereby aflirm Ihat I am licensed under provisions ot Chapter 9(wmmencing with Section 7000) ot Division 3 of Ihe Business and Professions Cotle, antl my license Is in full
brce antl ettact. Lic. N Class p
ConlractoYs Signewre: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby aMirtn that there is a construction lending agency tor ihe peAormance of ihe work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lenders Name: Lenders Address:
Signature: Date:
OWNEfi-BUILDER DECLARATIONS:
I hereby eHirm ihat under penalry oi peQury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW Por the tollowing reason (Sec. 7031.5, Business enH Pmtessions
Code: Any clty or wunry which requires e permit to construct, alter, improve, demolish, or repair any siructure, prior to its issuance, elso requires Ihe applicant tor such pertnit
to file e slgneA stetement that he or she is Ilcensed pursuen� to Ihe provisions of Ue Contrectoro License Lew (Chapter 9(commencing with Sectlon 7000) of DlNslon 3 ot ihe
Business end Profeulons Cotla) or that he or she is exempt therefrom and the basis for t�e ellegetl exemption. Any violation ot Seciian 7031.5 by any applicant for e Dermit
subjecis the epplicant to a civil penalry oi not more than five hundred dollars ($500).):
❑ I, as owner ot t�e property, or my employees with wages es Iheir sole compensatlon, WILL DO THE WORK, anC ihe structure Is not intended or ottered tar sale (Sec.
7044, Business and Professions Code: The Coniractors License Law dces not apply to an axner of property who builds or improves thereon, end who does such work
himsell or hersetl or through his or her own employees, providetl Ihat such imprwemenis ere not intendetl or oflered for sale. If, however, Ihe building or improvement is
,,VV sold within one year of completion, the owner-builder will have the burden ot proving that he or she ditl not build or improve for purpose of sale.). �
W I, as owner oi Ihe property, am E%CLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to construct tha project (Sec. 7044, Business and Professions
� 1 Cotle: Tha contrectors License Lew tloes not apply to an owner of property who builtls or improves thereon, end who coniracts for such project with e contrector(s)
licen50 putsuam to the Comrador5 Litense Laws.).
❑ I am exempt er sec. Business and Professions Code for ihis reason:
Siqnature:
Owner ID verified d' ars license. �Y No DnveYs License No. � Ezpires:
Verifiwtion o ne hip by (rype ot document, i.e. � propeny tax bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N:
❑ I hereby certify thet no excavation tive (5) or more feet in depih into which a person is required to dascend, will be made in connection with work authonzetl by I�is
permit, and that no builtling swcWra, scaflolding, falsework, or tlemolition or dismantling thereot, will be more than Ihirry-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Titla 8, Celitomia Adminisiretive Code).
❑ As ownerDuiltler, I will not employ enyone m tlo work which would require a Dermit from Ihe Oivision of Intlustrial Safary, as notetl ebove, unless such person hes e
pertnit lo do such work from the division.
Signature: Date:
Division of Indusiriel Safety Permit Number:
CERTIFlCATE F COMPIJANCE AND AUTMORIZA710N OF ENTAY: 1 cenity under penalry ot perjury that I have reatl this application antl state �hat ihe infortnation given is
correct. I agre comply with all 5tate laws a c' ordinances relating to buil0ing construciion, and authonze reprasentatives ot the Ciry of Casta Mesa to enter upon Ihe
above-tlesc' ad roperry for insp ction di}y gree not to o y or allow occupancy ot any building authonzed by ihi rmit uy�il tinal�ection.
� y 27 /Gs
Signeture O Legal ner(s) Date
AnC/Or Authonzed Applicant Data
LODE I. INSPECTIONTTPE . . . . .. - • .. QSIE � ' INTRULS
1616 Fi:ed System Final Fire Preveniion � � �
1266
200
201
202
203
Pool Spe Final
FlnafRe�Roof '
Final BIocWRetaining Wall
Final Factory Fire Place
Final Sign
Finel �emolition
COOEI INSVECTONTYPE '
206' FinalMeChanical
zae
210
272
220
Final Plumbing
Finel Electncal
Final Fire Prevention
Final Planning Approval
222 Final Site
250 Final Building/Occupancy
�g"' �$
� Z��. �
(Z14)454-5273 •� Fax (714),754-4856� • www.ci.costa-mesa.ca.us 77� FAIR'DRIVE; COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
2305 HALF MOON LN
LOT 3
MECHANICAL PERMIT
Parcel Number. TPN00505 � � - � ~�����~ �
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Applicant: WILL
Address: 1450 P
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Status:
Applied:
Issued:
ISSUED
04/27/2005
04/27/2005
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ANA�CA` ,\, ( .-! -''� ��Zip �92705 ac� 1..,, - J ` ^\ ,�
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%TH,� CENCIA AVE '�,��,\,''� ' '� ;
� i�w�� Phone: 7144-985-1300 ��\�,�::*.\ i \
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�+�����MECHANICALPERMIT'FORNEW�2560'SFSWGLE'FAMIhY'RESIDENCE�FOR"SHEAHOMES . �`'';� ,'""_��
' ' '�INSTALL 2 FAU'S,�1 DUCTWORK, 2,FACTORY FIREPLACES, 6 VENT FANS, 2 FIRE DAMPERS,' a�'�.� I_
i` 'i `1 ,& 2 AIC CONDESORS. l�/ ti i ` �, �+� = ,� �� � � .t•�, � %�; �
'N O� : \���iS�`yl� � /i ' .
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; �` REF: BOS-00170 y 1'"� ._ ' : c-,,� w�. � . . , G., - r- .
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IE�FEE, \� � �
Quantity
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"��\� � $23.50 ,, _ � ;�e�y�Repair/AltAbsorbtion Unit �
Inst FAU <100 k,BTU� � � $29.60 2 _� v��'� �; ' "'„Repair / Alt Refrigeration UNt '�
Inst FAU'>100 k�BTU �-,�� � , $0.00 0 � �"'�2'�` �- Ventilletion.System ';
Repair / Alt �Cooling/Heat � A� �$1370 1 - '' ��: GEvaporative�Cooler I_
Inst / Rep. Recess Wall'Ht �
Refrig Sys <100 k.BTU
Retrig Sys >100 kBTU
Gas Piping ' � _ 1��
Faclory �Fireplace
Hood w/Mech Exhaust `
VAV Box
Vent Fan / Single Duct
Appliance
Fire Dampers
Smoke Dampers
Inst or Relocate Appl Vent
Air Handlers < 10000cfm
AirHandlers> t0000cfm
� \��;$000-�r,0 ;?rt,._y . � ...L3�Cornmercialilncmera?oP�„^���
� � `$000 �0 �_, , ` -��Domeshclncinerator'��'"
��r . $0 00„�10 �_ a. , � � Compresso�s�l Absorption:Svstem�
l �j $0 00V0,� �' - -. �' "Up to 3�hp /'100 k.BTU��/ �
� t !^$21 $0 2�:,.�.,� ��.,', ,� 3 To 15 Hpf/ 500 k�BTU'
�� '` " $0 00� 0 � _ ' �'� -� ���.15 To 30:hp-/1,000 k BTU�C� �
� �� � �`$0 00 �0��� -�-- . _"30.To�50�hp% 1,750 k BTU� �4tF
;���543 50' �6.,-�' /l� -� ,_, _, Over 50 qhp hOv\er��1,750 BTU l
��.`�-$0.00 `0 �.' �-�I�' � � � -' �'; Bollers�l t�}'} V ) /.
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�$14.50 ;-_2 � . � i � 1' LUp, to 3 hp,—.., i �� ��/✓�
$0.00`��0�.�. � � ��-`3To15tip""� �-��r'�'E`
$0.00 0�, � 15 ta 30-hp_ � � ��- % �
$0 00 0 -? 7�30 to"SO�hp:
$0.00 0 " -- --Over"50 hp
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$0:00 %0
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$0.00 ���0
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$29.40
$0.00
$0.00
$0.00
$0.00
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iNOTICE:: The�workauthorized�bgthis�,permit-shall,complywithalPapplicable�handicap�access��.requirements�underCalifornia•.statutes-andrelated
�, regulations: (Ord..No:.92-28; §��1', 12-21�-92)
� EXBIRATION:: This,permiLshalbautomatically:expire�:and'become void�if�work.is.not commenced�.within 180�days, or iYwork�.is�suspended or abandoned
? tor a period oP18�'days:
!INSBECTIONS: In•ordector:the woik�authorizad.underthis pertnit to be�considered:legal,.such�work�mustcomply with��all:applicable codes, and all
; required�inepeetionasnd�.tinel'approvalimustlbe:obtained; F.ailuredo�obtain�inspectiona�and�.final'approval will.result�in tha expiration of this permit.
FOR'.INSPECTIONS'�CACL:: (Z14):7545626�
3��D
WOfiKERS' COMPENSATION DECLARATON: � ' �� � _
I hereby eflirm untler penalry of perjury one of the following tleclarationsi � , ,' .- - .
❑ I have end will meintain e cenitiwle of wnsent to selbinsure for workers' compensetion, es providad for by seclion 3700 of ihe Labor Code, for lhe pertortnance of t�e
work tor which this permit is issuetl. � - '
❑ I have and will malntan workers' compensatlon insuranca, as required by section 3700 of ihe Labor Code, for the pertortnance of Ihe work for which Nis pertnit Is IssueO.
My workers' compensatian Insurance carrier antl policy number ere: � �
Carner: Policy Number:
(This section need nof be comp/eted il the permif is ve/uetl a( one huntlred dollars (8100) or Iess.J
�I certify Ihat in the peAortnance oi Ihe work tor whi h thi5 pem�il i5 issued, I 5ha11 not employ any person in any manner so es to becomB SubjBCl t0 the workars'
compensation laws oi CalitoS ia, end egree that' houltl beco su6ject to the workers' compensetlon provisions oi Section 700 ot Ihe Lebor Cotle, I shall torihwit�
wmply wiih Ihese provisio 4
Applicent Signature: Date: � �� 0�
WARNING: FAI�URE TO EWRE W K S' COMPENSATION C IS UNIAW FUL AND SW1Ll SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FlNES UP TO IXJE HUNDRED
TFIOUSAND DplARE ($1 ADD ION TO THE COST OF C NSATION, OAMAGE$ AS PROVIOED FOR IN SECTIqJ 3/OB OF THE LABOR CODE, IMEHEST, AND AiiORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aNirm that I am licensed under provislons of Chapter 9(commencing with Section 7000) oi Oivision 3 of Ihe Business and Professions Cotle, antl my licensa is in tull
force antl aflect Lic. N Class N
Contractor's Signawre: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirm that there is a construction lentling agency for the performance of the work for which this pertnit is issuetl. (Sec. 3097, Civil Code).
Lender's Neme: Lenders Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby efllrm thet under penalry ot perjury.thet I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW tor the following reeson (Sec. 7031.5, Business and Professlons
Code: My ciry or counry which requires e pertni� to wns�ruct, alter, improve, demolish, or repair any siructure, pnor to its issuance, also reduires the epplicant for such permit
to file a signed statement thet he or she is licensetl pursuent ta the provisions of ihe Contrectors License Law (Chapter 9(cammencing wiih Section 7000) ot Divislon 3 ot ihe
Business end Profeulons Code) or that he or she is exempt therefrom and Ihe 6e515 for the elleqed e:emption. Any violation ol Section 7031.5 by any applicant tor e pertnit
subjecis the epplicant to a civil penelry of not more �hen five huntlretl tlollars ($500).):
❑ I, as owner of the property, or my employees wlth weges es their sole compensatlon, WILL DO THE WORK, antl the structure is not intentletl or oNered for sele (Sec.
7044, Busineu and Protessions Code: The Contractors License Law does not apply to an owner of properry who builds or improves t�ereon, and who does such work
himself or hersetl or through his or her own employees, provi0etl that such improvements are not intended or ottered for sele. It, however, ihe building or improvement is
sold within one year of wmpletion, ihe owner-builder will have ihe �urden oi proving that he or she did not build or improve tor purpose of sele.). �
j� I, as owner of the propeny, em EXCLUSIVELV CONTRAC7ING WI7H LICENSED CONTRACTOfiS to construct the project (Sec. 7044, Business and Professions
/� Code: The contrectors License Lew does no� eppty to an owner of propeny who builtls or improves thereon, antl who contrects for such pro�ect with a coniractor(s)
license Oursuant to the Contractors Licen�.pws.). ,
❑ I am exempt er sec.
SiqnaNre: I'+�
Owner I veritied by ve I
(type at
' Business and Profes5i0ns Code for thi5 reason:
_ Date: � 27 O S� �
Drivers License No. Expire5: � �_
tax bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATON:
❑ I hereby certity that no e:cavetion fiva (5) or more feet in depih into which e person is required to descend, will be made in connection with work authonzetl by Ihis
permit, antl ihat no buil0ing swcture, scaflolding, lalsework, or demolition or dismantling thereof, will be more than ihirry-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title 8, CalHomia Atlminisirative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a Dermit trom �he Division of Industnal Safery, as noted ebove, unless such person has e
permll �o tlo such wark from the division.
Signature: Date:
Division ot Intlustnal Safety Permit Number:
CERTIFlCATE OF COMPLIANCE AND A ORVJITON OF ENTRY: I certify untler penalry ot perjury ihat I have read this application end state lhat ihe information given is
wrrect I agree o comply with all state la� d ciry ortlinances relating Io building consWction, and euthorize representatives ol Ihe Ciry ol Costa Mesa to enter upon the
above-describ d roperty for in pecC n es. I a e not to occupy or allow occupancy of any building authonzed by is per il until final inspection.
�%,7,��5-
Signature Oi egal O eqs) Date
AnNOr Authonzed ApDlicant Date
CODE t INSPECTIONTYVE ' ' ' �'- '�" ' Q�. ' UII�A4S
1fi16 Fiaed System Final Fire Prevention � �
1266
200
201
202
203
204
Pool Spa Final
Pinel Re-Roat '
Final 81ocWRetaining Wall
Final Factory Fire Plac'e
Finel Sign
Final Demolition
CODE� INSPECTIONTYPE �
206' FinalMechanical
200
210
212
220
222
250
Final Plumbing
Final El2ctrical
Final Fira Preveniion
Final Planning Approval
Final Site
Final Building/Occupancy
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR.DRIVE, COSTA MESA, CA 92626
PLUMBING PERMIT
Job Address: 2305 HALF MOON LN
Suite No
Vicinity: LOT 3
Parcel Nunmber. TPN00505 - - � � ' �'fr"-�-.
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Applicant: WILLIAM
Address: 1450 N TU
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Status: ISSUED
Applied: 04/27/2005
Issued: 04/27/2005
i GARYX�-'_"r�,,�� � � I �' � � -' ��.
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�.�i ��PLUMBING PERMIT.�FOR NEW 2560 SFSINGLEFAMILY•RESIDENCEFOR SHEA HOMES INSTALL 3
' �> '.- � r '-+BATHTUBS, 1 DISHWASHER`7'GAS�OUTLETS��I=WASHER�I�PRESSURE�REGULATOR, 1 SEWER; � - �' � !; ,�
,��Z�, �' .�`,CONNECTION, 3 SHOWERS, 1 KITCHEN'SINK, 1'SERVICE,SINK� UP TO 4 VACUUM BREAKERS�3�r i� _-� ���
�._,' �i ; �' �WASH BASINS,�1 WASH BASIN SET, t WASTE & VENT SYSTEM, 4 WATER CLOSETS, 1 WATER ;' /- �;� I�� !
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- ��HEATER, 1 WATER PIPING, & 1 WATER SERVICE. �JF_,„''�.... '- .r ��' ���' :
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��� REF' B05-00170 + � s�`% J*��'�J� Ifj I
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���� ti, �` �- 'FEE SUMMARY'� .Sv,,
' �'���', �;r:, AMT �'QTY ��- ..}_ ,. . _ r c;7 oAMTin��QTY � .j�,"+'.��'
ISSUE FEE �� `� $23 50 :�� ; -Laundry Tub /.Washer �j0 c$9.80 � 1 -`"',� -,r ^
Backflowirrigation j$0�00 ��0�\ `Lantlscape,irrigahon.. '�ii$000 �?0� t
Backflow Preventer � � $0 00' �� 0 ' -,,.. � � P Trap =� ��� � ' � $0.00� ,° 0 ta� y�
Balhtub `' ��$29.40�/i3 ��?PressureRegulator -�� � $980_�1��/
Clarifer,System ,�.,z'$0.00`: 0� �-�,� r �Process�P.iping(per,tOftj,- ,�$O:OO;iO�%'�
Connect (Ice,Soda,etc) "�� 50 00 � � o / �'/ � ;` Receptors= - --� - $0:00� 0 C
Dental Units � $0 00� �\ 0� (i �� �'Septic Tank _ ` $0 00'� 0'�
Dishwasher $9 80� ,��7\ � 1 c Sewer Cap fo? Demo � ��$0.00 �--�0 �1 �
Drain, Floor $0.00 ; �0��,�, '�� SewerConnect•" �', � �� , $24'65 t--1,,_=,�'
Drain, Rainwater $0.00 ��0 � � Sewer Pnvateiine ,�`. , _- ��,:, $0.00--' "0 ,�, � j
Drain, Roof - $0.00 0 �� � S}iower- $29.40.- -3`!!" "�-
orinkingFountain $0.00 0 � �� Sink,_bar--',._:�,_;:-_,`,=j�,$0.00'!�`0 -�"�
Expansion Tank $0.00 0 Sink, commercial— �---$0.00 �� 0
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�� ' $0.00
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$0.00
�4) $12.30
+) $0.00
$29:40
39.80
Waste�and Vent System $9.80
Waler Closet (ToileQ $3920
�WaterHeater/vent $72.30
Water Piping Qnst or Rep.) $9.80
Water Re-pipe 50.00
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.NOTICE: The work authorizedby�this �permit.shall comply with all �applicable �handicap access requirements under Califomia.staWtes and related
regulations. (Ord. No. 92-28,'§ 1, 12-21-92)
�EXPIRATION: This pertnit 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 780 days.
dNSPEC710NS: In order for Ihe�work.authorized,.under,this pertnit to be considerad legal, such �work must�comply with all applicable codes, and all
�requlred Inspeetions�end final approval must be obtained. Failure to oblain inspections and final approval will resutt in the�expiration of this permit.
�FOR INSPECTIONS CACC: (714) 7545626
c�.m_'(:i:)1
WORKERS' COMPENSATION DECLARATION: -- ' " �
I hereby affirm under penalry oi perjury one of the following tleclarations: �� �;- . • �
❑ I heve and will maintein a certificate oi consent to self-Insure for workers' wmpensation, as providetl for by section 3700 of the Labor Code, tor the pertormance of ihe
work tor which this permit is issued. '' " � `
❑ I hava and will mainialn workers' compensa6on insurance, as required by section 3700 of ihe Lebor Cotle, tor �he peAortnance of Ihe woAc for which Ihis pertnit is issuetl.
My workers' wmpensation Insurance carner and policy number ere: ,,
Carrier: Policy Number: �
(fhis secfion need nof be completetl i! tM1e permit is valued ef one hundred dollars ($100) or less.) �
It1� I certity tha( in the peAorrnan'ce of ihe�woAc for which is�pertnit is iuued, I shall not employ any person in any manner`so as to become subject b tlia workers'
]G compensation laws ot Califomia, ana egree t�at' I d become subjed to ihe workere' compensation pmvisions of Section 3700 of Ihe Labor Coda, I shall forihwith
cromply with Ihese Drovision U ^1 /
Applicant Signetura: Date: 7/Z // ��
WARNIN(3: FAILURE TO SE URE WORI COIAPENSATION COV RA UNUWFUL AND SHALL SUBJEGT AN EMPLOYEii TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE MUNDRED
TIN)USAND DOLLARE (E10D, ), IN ION TO THE COST OF COMPENSATION, DAMAGES AS PROVIOED WR IN SECTIqJ 31W OF THE LABOR CODE, INrEREST, AND ATTORNE`f5 FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirm that I em Ilcensed under pmvisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Coda, ana my license Is in lull
torce end eHecL Lic. q Class N
Contrectols Slgnature: Data:
CONSTRUCTION LENDING AGENCV:.
❑ I hereby aflirtn that there is a consWction lending agency Por the peAormance of Ihe work for which this permit is issuetl. (Sec. 3097, Civil Code).
Lenders Neme: Lendefs Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby atfirtn that under penalry of perjury that I am E%EMPT FROM THE CONTRAC70RS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business and Professions
Code: Any ciry or county which requires e permit to construct, alter, improve, demolis�, or reDair any strucWre, prior to its issuance, also requires the applicant for such pertnit
b tile a signed statement Ihat he or she Is licensed pursuent to the provisions of the Conirecmrs License Lew (C�apter 9(commenUng with Sectlon 7000) ot Division 3 of the
eusiness antl Professions Code) or t�at he or she is e:empt therefrom and Ihe basis for the alleged ezemption. Any violation of Section 7031.5 by any epplicant tor e permit
subjects Ihe eppliwnt ro e civil penelty of not more ihan five �unAred tloilars ($500)J:
❑ I, as owner ot the property, or my employees with weges as their sole compensation, WILL DO THE WORK, and the siructure is no1 intendetl or oHere� for sale (Sec.
704a, Business antl Professions Code: The Contractors License Law dces not apply to an owner oi property who builds or improves thereon, and who tloes such work
himself or herseN or thmugh his or her own employees, provitletl that such impmvements are not intended or oHered for sale. N, however, the building or improvement is
sold wi�hin one year oi wmpletion, the owner-builder will have tha burden ot proving ihat he or she tlitl not Duiltl or improve For purpose of sela.). �
�^ I, es owner oi the property, am EXCWSIVELY CON7RALTING WITH LICENSED CONTRACTORS to construct the pmject (Sec. 7044, Business and Professions
�� Code: The contractors License Law does not appy to an owner ot property who bullds or Impmves thereon, antl who contrects for such project with a coniractor(s)
license pursuant to the Contractors License Laws.). �
❑ I am exempt un sec. usiness and Professions Cotle for ihis reason:
SignaNra: ��""�1 A �_
Expires: �/
Verificetion ot Ownership by (type of tlocument, i.e. - pmperty taa bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certity that no ezwvation tive (5) ar more feet in depth into which e person is required to tlescend, wiil be made in connection with work euthorized by this
pertnit, end t�at no Duiltling structure, swtfolding, falsework, or demolition or dismantling thereof, will be more then ihirty-six (36) teet high. (C�ap. 32, Grp 2, Art 2, Sec.
341, Ttle B, Celitornia Atlminisirative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a pertnit irom the Division ol Industnal Sefery, es notad ebove, unless such person hes e
permit to tlo such work from the division.
SignaWre: � Date:
Division of IndwMal Safery Permi� Number.
CERi1FlCATE OF COMPLIANCE AND AUiHORPATION OF EMAV: I certity under penalry of perjury Iha� I have read Ihis epplication and state that the inlortnation given is
correct. I agree to wmply wit all sta�e laws and ciry or ' dces relating to building construction, and authonze representatives oi ihe Ciry of Costa Mesa lo emer upon Ihe
ebove-descnbed property br n Dedion purposes. I g t to acupy o Ilow occupancy of eny building authonzedp��is per� il final inspection.
gna e Of Legal Owner(s) �/ � Date
AnNOr Authorized Applicant Date
COOE �. INSPECTIONTVPE " ' -' ' � ` ` ' PAIE' ' � INTITIRLS
1616 Fized System Final Fire Prevention � '
1266
200
201
202
203
204
Pool Spe Final
Final Re-Roof
Finel BIocWRetaining Well
Final Factory Fire Place
Final Sign
Final Demolition
I��
'S�Qp[! �INSGECTIONTYPE �
206 �. Final�Mechanical .
208 Finel Plumhing
210 Final ElecMcal ��
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building�0aupency
� � �