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HomeMy WebLinkAbout2306 HALF MOON LN - Building Permits(7/4) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job nddress: 2306 HALF MOON LN Suite: Vicinity: LOT 16 Primary Occ: R3 Dwellings/ Cong Res <10 Type of Construction: V-N Parcel Number: TPN00517 Zoning: Appiicant: WILLIAMS, GARY Address: 1450 N. TUSTIN AVE SANTA ANA; CA . . owner: SHEA HOMES LTD Address 603 SOUTH VALENCIA AVE BREA, CA � � �� Contractor. 'OWNER-BUILDER Address: Phone: 714-245-9760 X24 Zip: 92705 Phone: 714-985-1300 Zip: 92623 Status: ISSUED Applied: 01/31/2005 Issued: 04/15/2005 ISSUED BY: � , , , ,. Phone: . . � . � Zip: , � License: 000000 _ � � Arch : WILLIAM'HEZMALHALCH — _ — Eng: ' ' � �Address: WILLIAM HEZMALHALCH ARCHITECTS INC �' Address:: � '. SANTA ANA, CA �- Phone: 949-250-0607 � Phone: 2850 REDHILL�AV STE 200 ' Zip: 92705-5543 � License: C12920 License: SCOPE OF PERMIT , LOT 16 , � � � - � . ' , � PLANS 1C - - - - � - - - -- CONSTRUCT 2312 SF 2-STORY SFD WITH 457 ATTACHED GARAGE. 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) WILL 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-03-47/T-16600 � _ . � Plan Check: Permit: SMIP Res: SMIP Coin: Other: Inspection: Total: SETBACKS $284.33 $1,749.75 $23.49 $0.00 $0.00 $0.00 52,057.57 ,_ _ FEE SUMMARY PLANNING 8 ZONING Calc Valuation: Claim Valuation: , . $234,857.02 ' So.00 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, 12-27-92) 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 the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requfred 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) 7545626 [Y9P9ti �fLW) WORKERS'COMPENSAnON DECLARAnON: I hareby affirtn under peneliy of perjury one af the following declerations: , ❑ I heve end wi�� meintain e certificete of consent to self-Insure for workers' compensatlon, as provitletl for by section 3700 of the Lebor Code, tor ihe pertormenca ot the wotk for which ihis pertnit is issued. ❑ I have end will meintain workers' compensatlon insurence, as required by section 3700 oi the Labor Code, for the pertormance of Ihe work for which this pertnit is issued. My workere' compansetion Insurance carrier end policy number era: Cartier: Poticy Number. (This secfbn need not be complefed i! fhe pertnif is veluetl a! one hundred dallers ($100) ar less.) ��I,certify that in ihe peAormance of t6e work for which this permit is issued, I shell not employ eny person in any manner so as to become subject ro the worknn' compensation laws ol lifomia, end egree he �hould become sub�ect lo ihe workers' crompensatlon provisions of Sec�ion 3700 of the Labor Code, I shall Iotlhwith compty with these pro s ns. � -��� � .�.� �. �e�a: Y��s/6�� WARNING: FAILUR TO SECUR ORP RS' WMPENSNTION C ER IS UNLAWFUL AND SMALL SUBIECT AN EMPLOVEN'TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE NUNDRED hKK15AND DOLL4 � , IN AD IT10N TOTHE COST OF ENSr1TION, DAMAGES AS PROVipED FOR M SECtION 37060F THE LABOR CODE.IMEREST, AND ATTORNEI^S FEES. LICENSED CONTqACTORS DECLARATION: 1 hereby aRirm Ihat � am Ilcensetl untler provisions of Chapter 9(commencing wlih Secllon 7000) of Dlvision 3 ot ihe Business and Protessions CoUe, and my license is in full torce and eflect. LiG. M Class u Contractoi s SignaNre �ate: CONSTRUCTON 4ENOING AGENCV: ❑ I hereby aRirrq that there is a cOnsWction lending egency tor ihe peAormance ol ihe work for which ihis Oermit is issuetl. (Sec. 3097, Civil COde). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDEH DECLARATIONS: I hereby aflirtn Ihat untler penalty ot perjury Ihat I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Protessions Cotle: Any ciry or coun�y which reduires e pertnit to consWct, aller, improve, tlemolish, or repeir any slmcture, Orior to its issuance, also requires the ap0�icant for such pertnit to file a signed stetement thet he or she is Iicanse0 Dursuent to the provisions o� Ihe Contrectors License Lew (Chapter 9(wmmencing with Section 7000) 01 Division 3 of the Busineu and Prot�s5ions Code) or ihe� he or 5he i5 exemp� Iherelrom and Ihe besis for �ha alleged exemption. Any viola�ion ot Section 7031.5 by any applicant for a pertnit subjects tha epplic?nt to a civil penalty ol not more then five hundred dollers ($500).): ��Iras owner ol ��e pmperty, or my employees wlih wages as their sole compensation, WILL DO 7HE WORK, antl the stmcture is not intended or oflered for sale (Sec. �70d4, Business and Protessions Cotle: The Contractore License Law does not apply to an ownar of propetly who builds or improves thereon. and who tloes such work himself or �ersetl or throug� his or her own employees, provitled ihat such improvemenis ere noI intended or oHeretl for sale. N, however, the huilaing or improvement is soltl within one year of completion, ihe owner-builtler will heva tho hurden ot proving that he or she did not builtl or improve lor purpose oi sala.). ❑ I, es owner ol Ihe property am E%CLUSIVE4� CONTRACTING WITH LICENSED CONTRACTORS to constmct Ihe project (Sec. 70a4, Business antl Professions Cotle: The contreCmrs LicenSe Lew doe5 not apply to en owner o/ property who builtls or impmvas thereon, and who contracts lor such pmjecl wilh a contrnctor(s) license pursueni to the Contrectors Lic s aws.). ❑ I em ezem ntl sea Business entl Protes5ions Cotle br t6is reason: Signet � .�. Dala:m .' ./� d� � Owner venfiedby �e' licen5e. . No Driver3'ficense:Noa"'= F�pires:; .�..-.. _' ,h Venficatio nerehip by (type of tlocumeN, i.e. � property tax blll or deed): _ � DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIPICATION: ❑ I hereby ceniry that no excavetion tive (5) or more faet in depth into which a person is required to descend, will be made in connection with work authonzed by t�is pertnit, and tM1at no buildinq swcture, scattolding, falsework, or demolition or tlismantling ihereof, will be more than Ihirry-six (36) leet higR (C�ap. 32, Grp 2, Art 2, Sec. 345, Title 8, Galitomia Administretive Cotle). ❑ As ownerbuiltler, I will not employ enyone ro tlo work which would require a permit from the Division of Indusinal Satety, as noted above, unless such person has e pertnit to do SUCh work frOm Ihe division. Signature: Date: Division oi Industn2l Safery Permil Numbec CERTIFlCATE OF CoMPL1ANCE AND AUTMORVA710N OF EMAV: I cenify under penelry ol perjury tha� I have read this application antl slate tha� ihe information given is wrrect. I gree to wmply with st e laws antl city ordinances releling to bullding constmctlon, end euthodze representatives of Ne Ci�y of Coste Mesa to enier uDon t�e eb nbed prope y lor � n purpo . I egree nol lo occupy or allow occupancy of eny building authoriz�by this pefmil until final inspection. � � ���_ ..�._ 'gnst� 1�'_ at�:Owner(s) �[,ite%�'. AnNOr Authorizetl CODE �. �$PECL4tl_� � QAIE INTRIALS 1616 Fixed System Final Fire Prevemion 1266 200 201 202 203 2�4 Pool Spa Final Final Re-Fioo� Final BIxWRataining Well Final Factory Fire Place Final Sign Final Oemolition CODE• INSPECTIONTYPE 206 Finel Mechanicel 20B Finel Plumhing 210 Finel Electrical 212 Finel Fire Prevention 220 Final Planning Approval 222 Finel Si�e 250 Final Buildiog/Occupancy p�TE ���} `" "' "'"" "'" ' —""" " — '"" " -ECECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: ApplicanC Address: � — ' > >. ; ' i ; 2306 HALF MOON LN LOT 16 TPN00517 WILLIAMS, GARY 1450 N. TUSTIN AVE,� � ,r �. ��1. �' f`.} l' �„'-`�> SANTA ANA �CA '� � l'l ',� � � �� � � '(SJ i" \ J/'\ l�. r�Y i / PiGS _ . .- �V A Y- J`� Status: ISSUED Applied: 04/27/2005 Issued: 04/27/2005 .__.� _ _ - y `t:�:?- ?f":".. �, ISSUED BY: �i�:--� �,� :-_ -_-_'_ ' :.=.,`T'...�.. � "Phone: � � ���1 J"� `- ,� � 1 ' Zip 92705 �i� � �� ' �� �--` � '� n � i � � � : ` � . r i r� � , c � � ' .� i � .,� \ � �.� \ � '�� ."' ..\C ^ � .� \ \ lr,.�r�;_ " _' . .��� �\. % \� \ '\�'�l C ' i/ � �A.� .�l �' / / a� \4� \ /. Phone: 714-985-1300 �'� - � � � � � ,�� � V ��:�`�i�v����� /�\\� -. Zip: 92823 :.��\ � i/ � :�, � �... �. � �.',i f !"' ! /-i- • lrYl, �/,ll:.� ��d� OWNER-BUILDER i -� ' �r�7� ' `; �`j �"%y'�, !/ , l�fl' � l �} 4/'-'�w `��.,•�h [r"}''. `.P-hone � � .. \� � ijC � _ j' �,,,.s,�,; .%'L ':z.P — _ . rt ;� /i��,,` �'` "QC: � License:000000 � � .. � �'� � •h .,-'�., �5 ,e� > �� ��� �. , _ , . �. 5 \� . " .. :'v \� � �`. / . . ` � «� � _ " � . , . ' � .i` -;. ' � �� , � � _ . � ; :, �� j �� , �� \ f`' �V� ;1 KI����y 3 �i'�� , � �`= j7 ^'� r"t-�7 SCOPE OPrP-ERMIT 7 '"'�� '��i i,. i%, LOT i61PLAN 1C {,lr �!I .1 i�'`i! it �E ��e � 1 � r' -.�� ;� � r , � . .. . _ .- __ _ _.. _ _ ._. _ .��.:.>�; . - _._ ' . '��','i�ELECTRICAL,PERMIT POR NEW 2312 SF SINGLE FAMILY RESIDENCE FOR "SHEA HOMES". WS V'`� ��3 LIGHT FIXTURES, 5 RECEPTACLE OUTLETS, & 2 SWITCHES IN�GARAGE, AND 1 RES A/C �� ,1' PACKAGE. � _.._.-''' :'<rr" �.��"7..�-� .., j : "„�� ��Yr',L: . - �� �� , , : r `=�; �E. t �� ; t, ' _ .' <'aY'�`'.��-"i� e � - .. _ 1REF: BOS-0016t " " - �-�- � � P -"� . � : �t.; , /J' t� � _ ,. � ; , :,�� FEE SUMMA ' ` ' ` ��,'.: ' Quantity , . , 'ti , ISSUEFEE J : �': �$23.50 . _,y;??j,��`Temp.. Temp service test 1;�$0.00 � K{+,i � Buswa Res. a/c package ��-r � $54�.50 � � u - - Standii NewRes(1--2�umts) '.•�' 81294Z. �� 2312,,� MiscE New Res (3+umfs) Pool / Spa � � ' Lighting Fizts �� Recept Outlels Switches . Non Res�Appl Res Appl' Service to 200a Service to 1000a Service over 1000a Motors to thp Motors to 10hp Motors l0 50hp $0.00.< � �Ol;i - �� . iransfi � �, . gQ00� �` �.A 0 .o r - �5 `-'�;- $330 �,\`�g\4 >� �. � p - , -�.. ' $5.50�� `�5 ='�.��� T � - .'.. ?r<\ -52.20 i � 2�-� `:'n;. � .:. �:`'`��`ti$0:00 ��tJlO�_ __ -.CowVi �� ` �-so.00 � _ � 1,� o;�)�_ � - ioW"v� �'^,$0.00 �_ �0 �. �- :� 'Misc.-( $0.00�?;.-., 0`��✓ - ,��',�'.�Misa( $0.00"-�,�-"0 . , :� � �` 'Circus $0.00 �� �0-����'.- , Circus $0.00 0 � _. - ;. %� , `�Christi $0.00 0 � '- - �—Firewo System / Lighting ''. i ,w� , TALL I � ' '�;r. �t � ,, t� �� �' F " ;+ , ' yf�;1� A � �ry', l' J'�'_ i t=, ; � Quanfity;�� ., � i� /. 50.00 /%�� �.� `�!; '.1 � $O.00I/fi.0 � . $0.00�/�� ...� !O�., $0:00� 0 7 -� j,+� ' '$O.00 , O ` �u� �$0.00�;�0� '�' �50.00+ Cf,O� �j;,' $0.00� LO / �i f �uipment �\� $0 00��0i� ' ..System/Ckt J*$000/,:�0` "" ""�1�,,, $0�00'�.��0 r� ��'r ./$0.00'� 0 ride) , - � %J�$0:00 0 ieor�lights) i $0.00 0 �Stand -"� $0.00 0 � $0.00 0 � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related I regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This pertnit shall automatically�ezpire and.become void if work is not commenced within 180 days, or if work is suspended or abandoned I for a period of 180 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� requirotl inspeetlona and flnal epproval must be obtained. Failure to obtain inspectio=s and.final�approval will result in the ezpiration of this permit. I FOR INSPECTIONS�CACL: (714) 7545626 2aaa�ae (5ioo1 WORKERS'COMPENSAnON DECLARATON: — ` � �� � - � � � I hereby aXirm under penalty of perjury one of the following tleclaretions: •'.. � � ❑ I have end will;maintain a certificate of consent to setl-Insure for.workers' wmpensetion, es provitletl tor�by section 3700 of the Labor Cotle, for the pertormance of the . work for which this permit is issued. ' '' ' � ❑ I have and wlll mainlain workers' compensation insurance, as requiretl by section 3700 of Iha Labor Code, tor Ne peAormance of the work for wh1U Ihis permit is issuetl. My workers' wmpensation Insurence carrier antl poli�y number ere: . Carder. Policy Number. - (This section need wf be comp/eted il the permit is valued af one hundred dollars ($100) or less.) � �I certify ihat in the perfortnance of ihe work for which ihis Prmit Is issued, I shall not �employ eny person in any manner so as to become suhjact to the workers' " �� compensation laws of Calitomi ntl egree t�at if I sh ecome subje ro ihe workers' compensetion provisions ot SecC n 370 of Ihe Lebor Cotle, I shall forthwith comply with these provisions L' Applicam Signature: Date: 7�% �� WARNING FAILUflE TO S RE WOFj1�ERS'p �MPENSATION WVERAG 5 WFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND dVIL FINES UP TOONE HUNDRED THIXISAND OplARE �51 I. IryAbDITIpN TOTHE COST OF COMPEN , DAMAGES AS PROVIDED F-0R IN SECTION 31O60F THE LABOR CODE. INTEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn Ihat I am Ilcensetl under provisions ot Chapter 9(commencing with Sectlon 7000) of Division 3 of Ihe Business and Professions Code, entl my license is in full force and eXect. Lic. M Class tt ContraCtors Signeture: Date: CONSTRUC710N LENDING AGENCV: ❑ I hereby ettirtn ihat there is a consiruction lending agency for ihe pedormance of the work for which this permit is issued. (Sec. 3097, Civil Cotle). Lenders Name: LendeYs Atltlress: Signawre: Date: OWNER-BUILDER DECLARA710N5: I hereby eflirtn thet under penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requires a permit to constmct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicaN for such permil to file a signed statemem thet he or she Is Iicensed pursuant m the pmvisions oi the Conuactors License Lew (Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Professions Code) or that he or she is exempt therefrom antl the basis tor the alleged axemption. Any violation of Sedion 7031.5 by eny applicant for e pertnit subjects ihe appliwnt ro e civil panalry of not mare than five hundred dollars (5500).): ❑ I, as owner oi Ihe properry, or my employees wi�h wages es iheir sole compensetion, WILL DO THE WORK, end Ihe structure Is not Intendetl or oHereO for sale (Sec. 7044, Business antl Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, and who does such work himseH or hereelt or ihraugh his or her own employaes, provitled that such improvements are not intended ar offered for sela. If, however, the builtling or improvement Is soltl within one year ot completion, the owner-builder will have Iha burden of proving ihat he or she did not build or improve for purpose of sale.). - �I, as owner ot the property, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to consimct ihe project (Sec. 7044, Business and Professlons Cotle: The contractors Llcense Law does not apply to an owner of property who builds or improves ihereon, antl w�o contracts for such prolect with e contrector(s) license pursuant to the Coniractors License Laws.). ❑ I am ezempt Signawre: Owner ID nfied I Venticatian o sec. by (type oi � Business and Professions Code tor Ihis raason: � Expires: , /`� OQ proparty tax bill or deed): DIVISION OF INDUS7RIAL SAFETV PERMIT CER7IPICATION: ❑ I hereby certity ihat no excavation tive (5) or more teet in tlepth into which e person is required to descend, wlll be mede in connection with work euthorizetl by ihis permit, antl that no building slrucNre, scaMoltling, talsework, or demolition or dismantling thereof, will be more than ihirty-six (36) tee� high. (Chep. 32, Grp 2, Art 2, Sec. 341, Ttle B, Calilomia Administrative Coae). ❑ As owner-builtler, I will not employ anyone to tlo work which would require e permit fwm Ihe Division of IndustAal Setery, es notad ebove, unless such peroon hes a permit to do such work from the division. Signature: Date: Division of Intlusinal Salery Permit NumDer: CERTIFlCATE OF COMPLIANCE AND AUTHORVJITON OF ENTRY: I certify under penalry of perjury that I have read this epplication antl stata ihat Ihe intormation given is correct I agrea to compty with all state aws d clry ordinan s relating to builtling construction, and euthorize representatives oF Ihe Ciry of Cosla Mesa to enter upon the ebove-descn pmDerty tor in pectio p s d I agrea occupy ar allaw occupancy of any building euthori�d by 1�� rmit until tinal insDection. L l� d �_ % � Signature 1 Le wner(�5 �� � Data CQOE I. INSVECTIONTYVE ' � ' PAIE" ' INTRIALg 7616 Fized System Final Fire Prevention 1266 200 201 202 203 204 Pool Spa Final Final Re-Rooi ' Final Block/Retaining Wall Final Factory Fire Plzce Final Sign Final Demolition COpE 1 INSPECiION TYPE 206 Final Mechanical ' 2oe 210 212 220 Final Plumbing Final Electrical � Final Fire Prevenlion Final Planning Appioval�' 222 Final Site 250 Final Building/Occupancy Date �E � �Z 2 � � � (714) 754-5273 � Fau (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT JobAddress: 2306 HALF MOON LN Suite No Status:� ISSUED Applied: 04127/2005 Issued: 04/27/2005 Vicinity: LOT 16 _._ � Parcel Number. TPN00517 . . , % " ,-��� -� y ` �.� , ISSUED BY: ,� �� -�' i:�.'- -.. - _�---� ti. '�� l-v.r�_ - �_'_ " ,.,,� ' � ' Applicant: WILLIAMS,.GARY''�":�5.-,..� �� � ir t, %"`�'^� � . �. f Address: �450 N TUSTIN`AVE' ! � i � 1l,/ / � � � �`� t , ���ia-�� �t������ ��_ ��PhOfIBf �� ._i� t�l �� ��-��V.�\ ,;SANTA ANA,` CA� . A �' �� 'Zip: � . 92705� c ; �. ' . � � � . �`� rY-�/ .�:\ �; t' J c;_.. . .,. ..� `, � � `` . �.,,�';.:y'� y:.;``�>�C�i-� ���� ��^,�•�.<� ��; / �.�.A�1 � � `SHEA HOMES LTD.��" �� 'r� � `'��� Owner , f �. - � ' � �� . � � �+' ��.�:' �, % J ✓ fi"--?. � �'� �ti.`?: �`� ! ' �. Address: 603 SOUTH VALENCIA AVE �� ��,;�'�,r��'� ��� �` r: /N-i �.� . !° si,i Yl _� . � ` ,�', ' ,r� r fl,�r Phone: 714-985-1300 ��".�\lv'�, i r . �„ 1 �,'� BREA CA CF Zip: .92823 � 1 � ; � . ',. �'� � � /i,�rl� I.,r`,;i �. � �\ . ' ' . � � i�`✓, ( # - '� � � '- .? .� � � . Contracror OWNER BUILDER � . �a,� ., ,., !�/+r,:-� � . �- . � . � , Address� if h • .. ` '� ,. ,� �,' .s�..}v . . � ,ti- . pf�. � � � �f�� P � t ti � � � \'r/,9 y I ! r�. , . aJ• � �/ I/� �` � � ,�.-� �4�..x ��: ` Phone ��... - � - i ' � , � : i�f , ti - -� � ,+4�" . � 1�,/r •o i =�'� .", ZiP� '� _ ��� ��� ♦ .. � . {. n � i � � :t , � 1 1 �! , � l �ti � = " ' - . ' ' � i . _ � � i j� License: 000000 ' % ��, � .' `„ � � . rf,� � �,� ^� '•., � 7 `' ` ,'` , , ,, i . � "1'� � ` � � � -- ' � SCOPE OF<PERMIT --� • `� � '� 4` r � � �/' LOT 16/PLAN 16 7 T� 1�ry ' Y rs n x 'm �� r�--Y \.• - • j� �s � �� , l: u 'J/' r � f � � . i ' a � . 'l � IA ; I .'u" �� �1 li �.1%��r`4a y� 1 �, � � �� � � � ._. ' �' � � , `�MECHANICAL P.ERMIT-FOR�NEW 2317SFSINGLE'FAMILY'RESIDENCE FOR "SHEA HOMES i� � ', �' �� �---- �� INSTALL 2FAU'S,�1 DUCTWORK, 3.FACTORY FIREPLACES, 5 VENT FANS, 3 FIRE DAMPERS � r� `t � � I`� } � 1���:&2.A/CCONDENSORS _�^ f�' � � � '-!' ' � � �� t . " f.- _:�``!'� "b ��"�,��"' � ur�c s�:�� �'l f�L� - . . . ti �'�' � .� � ( � ii... � . l' REF: B05-00161 ( v _ . � - "it,�c-�. r•:' / �' .. _ �;"f ` � . 'i _v � .i' . . ""' . `- '..., y �¢ � - !�l��1 ! ..� � � i � �' ��` FEESUMMARY-- �7 ��- "� �``1 ,:.i � . _ _ `"' � �" . , � � r .� x:, . Quantity ,._ _"$ i , a y/�,�� � y`-`Quantity, = ,,� �'t , , -.: � � . ISSUEFEE, �����' �, ���� $23.50 �.y.� Repalr/AllAbsorbtionUnit , ,ifi�� '$O.00 I Oj;}a�f �..,--;`. ..: � InstFAU4100k�BTU��"� ��� �', $29.60 2 "�Repalr/AltRefrigeretionUnit 1 ���% '�$O.00j 0,,,';� Inst FAU�>700 k BTU � � �. , $0 00 0 } Ven611ahpn System ,� ! � $0 00 �'0� � Repalr/Alt Cooling/Heat� - ,�$1370 1 - �,EvaporahveCooler . i ���1 n $000/�0;� Inst / Rep. Recess Wa16Ht� ��\$0 00 „0 :��' 'Coriimercial In'cmeratoqy^�T-�,.�"�� �// -_ �'$0 00 �t�0 Refrig Sys <100 k:BTU /? �$0 00 0 -. � � ,� ' DomesLc Incinerator,��'� �/ �� $0 00' /0 �/h c � ' �' � � A 1.y+ Refrig Sys >100 k BTU /� $0 00�10 , - Compresso�s / AbsorpGon�SVstems �/� .� i; Gas Piping �`���* '. ��� $0 00�0 C� ' =� ��'Up to 3 hp f100 k�BTU`r'� � Ci '$0.00 Factory Fireplace �' � t �$31 95 3�:��v� � �' � � - 9 To 15 Fip /;500�k.BTU ����� � ��� �-$0:00 Hood w/Mech Exhaust ��ti� '$0 00 D � ,,...-:-05 To30-hp7�1 OOO�k BTU G rf` 7� .`$0.00 ' � a `�, ` VAV Box �� � $0; 00 �'! 0"'� --. _,__ r=30 To 50-hp / 1,750 k BTU �r,' lr ���� $0.00 Vent Fan / Single Duct ��'F- >���$36�25 / 5 L' t , Over 50.hp-/ Over\�1,750 BTU $0.00 Appliance ` �'�$0 00 �Ol �� � � � �`�� t ,`i (''-8oilers ' � 1 f � �� � �`�3 FireDampers �'�$2175'� 3 --a � ` ""� '; � Upto3hp�--.1 1 �!,�� - $29.40 Smoke Dampers $0.00 �'�0 ; ' -� . ,,: 3.To 15 hp' �� =-i; _�� �"� $0.00 ,—_ ,=. Inst or Relocate Appl Vent � $0.00 �'0_ � _ 15 to 30.hp��,, � -%� $OAO Air Handlers < 10000cfm $0.00 0 � , _ . ...f�� �30.to:50�hp;. ,-- J� $0.00 Air Handlers > 10000cfm $0.00 0 '"� --- - Over 50 hp 30.00 0 0 0 0. 0 2 0 0 0 0 '� NOTICE: The work aWhorized by.this permit shall compty with all applicabla handicap access requirements under Calitomia 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 wilhin�780�days�, or if work is suspended or abandoned for a period o( 180 days. 'INSPECTIONS: In�orderfor the work•authorized under this permit to be consideied-legal, such work must comply with all.applicable codes, and all � required�Inapeetions and.flnal approval�must 6e�obtained. FaiWre to obtain-inspections�and.final approval will result in the expiration of ihis permit. , FOR'INSPECTIONS CALL: (714) 7545626. � WORKERS' COMPENSATION DECLARATION: � ' ' ' I hereby aHirm untler penalry of perjury one of the following dectarations:' �, ' , . . ❑ I have and wAI maintain a certificate of consent to setl-Insure tor workers' compensalion, as provitletl for by section 3700 of the Lebor Code, for the,peAortnance oi Ihe work tor which this pertnit is issuea. � - ❑ I have entl will malntaln workers' compensaUon insurance, az requiretl by section 3700 of ihe Lebor Code, for the petlortnance of ihe work for which Nis pertnit is issuetl. My workers' compensation Insuranca carder and policy number ere: ,. Carrier: Policy Numher. (This secfion neetl not be complefed i/ Me permif is ve/uetl at one hundred tlollers (5100) or less.) �I certity that in the pedormance of tfie work for whicfi this permit is issued, I shall not employ any pereodin any manner so as to become subject to the workers' - wmpensetion laws of Calitomia, and egree ihat tl I s d become subject to the workers' compensation provisions of Saction 3700 oi ihe Lebor Code, I shall fonhwith camply with these provisi � y zi �o.f Applicant SlgneWre: Date: WARNINGFAIWRETO ECURE RKE COMPENSATIONCOVERAG L4WFIILANDSMALLSUBJECTANEMPLOVERTOCRIMINALPENALTIESANDCIVILFWESUPTOONEHUNDRED hKK1SAND00LLARE�ft ADDRIONTOTMECOSTOFCOMPENSNTION,DAMhGESASPROVIDEDFORINSECTION3lWOFTHEIABORCAOE,IMEREST,ANDATTORNEV'SFEES. UCENSED CONTRACTORS DECLARATION: I hereby eHirtn that I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Professions Code, and my license Is in full force antl eHecc Lic. 8 Class M ' Contractofs Signawre: Dete: CONSTRUCTION LENDING AGENCV: . ❑ I hereby affirm t�at there is a construction lending agency for the pertormance ot the work tor which this permit is issued. (Sec. 3097, Civil Code). LentleYs Name: Lentlers Adtlress: SigneNre: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirm Ihat untler penalry oi perjury that I am EXEMPT FROM 7HE CONTRAC70RS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business antl Professions Code: Any city or wunry which requires e permit to construct, alter, improve, demolis�, or repair any strucWre, pnor to its issuance, elso requires the applicant for such permit to tile a signad statement that he or she is Ilcensed pursuant to tha provisions of the Contractors licensa Law (Chapter 9(commencing with Section 7000) ot DlNslon 3 ot the Business end Professions Code) or tha� he or she is e:empt theretrom antl the basis for Ihe alleged exemption. Any violetion of Section 7031.5 by any epplicant tor e permit subjecis the epplicent to a cNll penalry oi not more ihan live hundred dollers ($500).): . ❑ I, as owner of the property, or my employees with wages as their sola compensation, WILL DO TME WORK, and lhe structure Is nat intentlatl ar ottered lor sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not apply to an owner of properry who builds or improves ihereon, and w�o tloes such work himself or herselt or Ihrough his or her own employees,:provided that such improvements are not intended or oNered tor sale. If, howavar, the 6uilding or improvement is �sold within one year oi completion, the owner-builder will have the burden ot proving ihat he or sha di0 not build or improve for purpose ol sele.). � I, as owner of the properry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 70d4, Business and Professions Cotle: The cantrectors License Law does not epply to en owner oi property who 6ullds or improves thereon, and who coniracts tor such proJect with e coniractor(s) license pursuant to ihe Contractors License Laws.). ❑ I em eaempt u er sea _ Signature: Owner ID ritietl by ve icen�. Verification o nership by (type Business end Professions Code tor this reason: Expires: / property tax 6ill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify Ihet no exwvation fNe (5) or more feet in tlepih into whic� e person is requiretl to descend, will be made in connedion with work authorized by ihis pertnit, and that no building siructure, scatfolding, falsework, or demolition or dismantling thereof, will be more than �hirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Calitomia Atlminisiretive Cotle). ❑ As owner-builder, I wiil not employ anyone to do work which would require e permit from the Division of Industnal Sefery, es noted above, unless such person hes e permit to do such work irom �he division. Signature: Date: Division of Indusirial Safery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND Al7THORPA710N OF EMRY: I cetlity under penalry of perjury that I hava reatl this application antl stata Ihat the informallon given is correct. I agree to comply with all stete laws ity ordinances ralating [o building cnnsiruction, and authonze representatives of Ihe Ciry of Costa Mesa to anter upon Ihe ebove-descnb property for ins ectio u s. I agree n occupy or allow occupancy of any building authonzed by this pg� ii un finel inspection. `//27�os Signature O eg wner �� Dete AnNOr Authorized Applicant Date CODE�' IHSPECTIONiYPE^' ` • . �'r GdIE .. . IM171115 1616 Fixetl System Final Pire Prevention �' 1266 200 201 202 203 Pool Spe Final Final Re-Root � � Final BIocWRetaining Wall Final Factory Fire Place - � � � � " ' Finel Sign � � 0 �' fQy�,.! INSPEGTIONTYPE 206 Final Mechenical � 208 Final Plumbing � 210 Final Electrical � . 212 Final Flre Prevention 220 Final Planning Approval 222 Final Site ,�. � 2 ` S� 204 Final Demolition 250 Final Builtling�OccupenCy s (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2306 HALF MOON LN Suite No Vicinity: LOT �6 Parcel Nunmber. TPN00517 Applicant WILLIAMS, GARY,' Address�. 1450N.TUSTIN�AVE. �- SANTAANA",CA- - PLUMBING PERMIT Phone: �Zip: � 92705 , . . Owner: SHEA HOMES CTD .. Address .603 SOUTH VALENCIA AVE � � , Phane: 714-9854300 � BREA, CA Zip:,.;92823 Contractor. OWNER-BUILDER � . . a Address: ". � . _ . . . , � � � � - ' . - � Phone: Zip: . . License: 000000 ' SCOPE OP PERMIY, � - L07 16 pLAN 1C Status: ISSUED Applied: 04/22l2005 Issued: 04/22/2005 ISSUED BY: � 'c -- ..� . . j' . _ . �' ' PLUMBING PERMIT FOR NEW�SINGLE FAMILY ftESIDENCE FOR "SHEA HOMES". INSTALL 2� � ' �, BA7HTU85, 1 DISHWASHER, 5 GAS OUTLETS, 1 WASHER, 1 PRESSURE REGULATOR, 1 SEWER - � CONNECTION, 2 SHOWERS, i KITCHEN SINK, 1 SERVICE SINK, UP TO 4 VACUUM BREAKERS, 1 , WASH BASIN, 2 WASH BASIN SETS, 1 WASTE & VENT. SYSTEM, 3 WATER CLOSETS, 1 WATER � � ' „ HEATER, 1 WATER PIPING, & t WATER SERVICE. . �� , - . ' � , - REF:,605-00161 - � ' � � � � � �j ���; ' � , , , FEE SUMMARY' ` � AMT � QTY. = ..' ` . . " � � AMT-� -QTY-.�.'--:'", . ,. /,% �� ' ' , AMT QTY ISSUE FEE , $23.50 � - Laundry Tub % Washer $9.80 1 . Surrip Pump ���$0.00 0 BackFlow irrigation � � $0.00 0 �� � Landscape Irrigation, � $0.00 0� . �Swimming Poo6 � $0.00 0 BackFlowPreventer ' "$0.00 0 _ RTrap � $0.00 0 _ -, �- TrapPrimer'- , , -� $0.00 0 8athtub ,� � .$19.60 2 � -Pressure Regulator � $9.80 1 _ Urinal � � $0.00 0 Clarifier System �$0.00 . 0 � Process Piping (per 10 ft) 50.00 - 0 Vacuum Brkr.Bkflow(1-4) $12.30 1 Connect Qce,Soda,etc)� � $0.00 � � 0 � . " � Receptors $0.00 0 , Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 � 0� � Septic Tank 50.00 '. 0•. �� Wash Basin $9.80 1 Dishwasher $9.80_ �.1 , SewerCap for Demo 50.00 0 Wash Basin Sel 519.60 2 Drain, Floor $0.00 0 _ Sewer Connect $24.65 '- 1� . , Waste and Vent System $9.80 1 Drain, Rainwater $0.00 0. � � Sewer Private Line �$0.00 0. ,. ,� Water Closet (Toilet) $29.40 3 Drain, Roof $0.00 0 . Shower _ $19.60 "�.2.- � � Water Heater / vent $12.30 7 Drinking Fountain $0.00 0 Sink, bar � � �-- 50.00 � 0 Water Piping (Inst or Rep.) 59.80 1 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, 1241-92) 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 780 days. INSPECTIONS: In order !oi the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all raquired inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiretion ot this permit. FOR INSPECTIONS CALL: (714) 7545626 2446i6(F00) _ - _ - _ _ - WORKERS'COMPENSArON DECLARAnON: � � I hereby eHirm uneer penelry of perjury one ot lhe tollowinq declaratlons: ❑ I heve end will mei�tein e certificate of consent to selFlnsure for workers' compensatlon, as provided lor by section 3700 of the Labor Code, for the perfo:mence of the work for whith this Pertni� i5 i55ued. ❑ I heva end will maintein workers' crompensetion insurance, es required by seMion 3700 of the Labor Cotle, for the pertormance of ihe work for which ihis pertnit is issued. My workers' comp8n58tion InSurence cerner and policy num6er are: Cartier. Polity Number: (This secfion need not 68 rompleted il fha permit is velued et one hundred dallers ($100) or less.) ❑ I certiTy ihat in the pedortnance of Ihe work tor which this pertnil is issued, I shell not employ eny person in any manner so as to become subjed ro ihe workers' compensalion lawg o� Celifomia, antl egrea �ha� II I should become suhject lo ihe workers' compansatlon provisions of Section 3700 of [he Labor Code, I shell fotlhwit� comply with these provisions. Applicant Signature: Data: WARNING: FAIWRE TO SECURE WOqKERS' WMPENSATION COVEPAOE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENAlT1E5 AND CIVIL FlNES UP TOONE HUNDPED T10USAN0 DOLLARE (5100.�1. IN ADDITION TO iHE COSi OF COMPENS/ TION, DAMAGES AS PROVIOED FOR IN SECTIIXJ 3J060F THE LABOR CODE. IMEREST, AND ATTORNEYS FEES. IICENSED CONTRACT�AS DECLARA710N: I hereby attirm ihat I am licensed under provisions ot Chepter 9(commencing wilh Sectlon 7000) ol Division 3 oi the Business antl Profassions Cotle, and my license is in full force antl efrect. Lic. b Cless x Coniractor's Signature: Date: CONSTRUCTION LEN�ING AGENCY: ❑ I hereby aXirtn that ihere is a consiruction lending agency �or Ihe pedormanca ot Ihe work for whic� this permit is issuetl. (Sec. 3097, Civil Code). Lenders Name: Lender's Atldress: Signature: Dete: OWNER-BUILDER DEC�ARATIONS: I hereby affirtn that under penalry of Derjury Ihet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7Q31.5, Business and Professions Code: Any city or counry which reQuiras a permit to construc6 altar, improva, tlemolish, or repair eny slmcture, O�ior to its issuance, also requires the applicant for such permit to tile e signeC statemen� ihat he or sha is IicenseC pursuent to the provisions ol the Contrectors License Law (Chepter 9(commencinq with Section 7000) of Oivision 3 of Ihe Busin855 end Professiops Code) or thet he or she is ezempi theretmm end the basis lor ihe allegetl exemption. Any violetion of Section 7031.5 hy any applicant fOr a permit suhjetls the a001icant to e civil penelty of nat more then live �undred tlollero ($500J.): owner of t�e prope or my employees with weges es their sole compensation, WILL DO THE WORK, and the structure is not intentled or oHere� tor sale (Sec. 04 Busine aA�PrOf sions Code: The�x{ars��cense Law does not appty to en owner of property who builds or imOroves thereon, and who tices such worN imse erselt or �hro rOtm employees, provided thet such improvemanis are not intentled or oNered tor sale. If, however, the builtling or improvement is �sold within one yeer ol completion, the ownerv�uilder will have ihe burden of proving ihat he or she did not build or improve for puryose of sale.�. I, es owner ot Ihe property, am EXCLUSIVELV CONTRACTNG WITH UCENSED CONTRACTORS to constmct the projeCl (Sea 7044, Business antl Professions Coae: 7Te conirac�ors License Lew tloas noi apply to an owner of pmperty who builtls or Impmves thereon, antl who contracts for such projeci with a contracto�(s) license pursuani �o �he Con�retlors LiCense Lews.). ❑ lem Owner I�v Verification Business antl Pmfessions Code for this reason: license. ( [�/es ❑ No by (type of daument, i.e. - properry taa bill or deatl): Driver's License No. Date: � � ( Expires: � DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity Ihet no excavation five (5) or more taet in depth into which a person is required to descen4 will be made in connettion with work authonzed by this permit, and t�at no builtling structure, scattolding, falsework, or demolition or tlismantling ihereof, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sac. 347, Ttle B, Califomia Atlministrative Code). ❑ As owner-6uilder, I will not employ anyone to do work which woultl require a permit from the Division of Intlustnal Safery, as noted above, unless such person �a5 e permit to do such Work fwm ihe division. Signature: Date: Division ot Intlusirial Safery Pertnit Number: CEHTIFICATE OF COMVLIANCE AND AUTHORVA710N OF ENTRV: I certity under penelty of perjury thal I have reea this epplication antl s�ate Ihat the information given is correc�. I agree t comply with all state laws and ciry ordinances rela�ing to 6uiltling consimction, antl authorize represematives of ihe Clty of Costa Mesa lo enter upon the above-d nb ropatly <<��s urposes. I agree o� to occupy or allow occupancy of eny building authorized by Ihis per iit until final inspection. DS igna! O (s) Dale �/Z1fps�— d/OrAu ' d i t � Date COOE 1. INSVECTIONTYPE � 1616 Fixetl System Final Fire Prevemion 1266 Pool Spe Final 200 Final Re-Roof 201 FInaI8locWReta�ning Well 202 Final Factory Fife Place 203 Final Sign 204 Final Demolilion PdIE �NTITI�LS COpE 1 INSPECTION TYPE 20fi Final Mechanical 20B Finel PWmbifg 210 Finel Becirical 212 Finel Fire Prevenlion 220 Final Planning Approval 222 Finel Siie 250 Finel Building/Occupency 2AIE INTITUIg �Z � �