HomeMy WebLinkAbout2317 HALF MOON LN - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2317 HALF MOON LN
Suite:
Vicinity: LOT 9
Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Conshuction: V-N
Parcel Number: TPN00511 Zoning:
Applicanr. WILLIAMS, GARY
Address: 1450
SANTA ANA, CA
N. TUSTIN AVE �
Owner. SHEA HOMES LTD '
Address 603 SOUTH VALENCIA AVE
- - BREA, CA '
Contractor: OWNER-BUIL DER
Address:
Phone: . 714-245-9760 X24
Zip: 92705
Phone: 714-985-1300
Zip: 92823 '
Phane:
, Status: ISSUED
Applied: 01/31/2005
Issued: 04/18/2005
ISSUED BY:
Zip: � , License: 000000 _ � � ��
Arch : WILLIAM HEZMALHALCH - Eng ,. ,
Address:. WI�LIAM HEZMALHALCH ARCHITECTS INC Address �. �
SANTA ANA,CA , Phone: 949-250-0607 �� Phone: �
2850 REDHILL AV STE 200 � �
Zip: 92705-5543 License: C12920 � License: '
SCOPE OP PERMIT
LOT 9 _ _, _ . _ . _ , . _ . .
PLANS 2A � �� � � . - - �
CONSTRUCT 2560 SF 2-STORY SFD WITH 449 SF ATTACHED GARAGE AND 72 SF PORCH. FIRST FLOOR 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, � ' � � " . � ' ' '
SEE PA-03-47, T-03-O6 � � . ' � -
Plan Check: $305.27
Permit: $1,878.55
SMIP Res: $25.76
SMIP Cam: ' $0.00 .
Other: $0.00
Inspection: $0.00 ,
Total: $2,209.58
SETBACKS
MAIN STRUCTURE Front 6- 0 Rear 16- 0
FEE SUMMARY -
:• � �-
PLANNING & ZONING
Lett 5- 0
Calc Valuation: % 8zs�,s�s.34
Claim Valuation: So.00
Right 5- 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiiements under California statutes and related
regulations. (Ord. No. 92•28, § 1, 12-27-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspendetl or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspectlons and finel approval must be obtainad. Failure to obtain inspections and final approval will result in the expiration of Ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
�aas�ye ��oo�
WORKERS'COMPENSATON DECIARATON:
I hereby eflirtn under penelty ot perjury �e of the following declarations:
❑ I heve entl will meintain e certificete of consent to seN-Insure tor workers' compenseflon, es provided for by saction 3700 of the Labor Cotle, for !he peAormence of the
work for which Ihis permit is issued.
❑ I have end will maintain workers' �PenSailon Insurance, es required by sectlon 3700 of the Lsbor Cotle, �or the pedortnance of ihe work for which this pertnit is issued.
My workers' compensalion Insurence carner end pollcy numCer ere:
Cerner: PoliCy Number:
(Tlris secNon need nor 6e complefed il the permit is velued at one hundred dollars ($ f 00) or less.)
.�_�;aertity that in the pertortnance 0� �he work tor �rl h �his pertnit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of CaliFomie, end egre t� should 6 e sub�ect to Ihe workers' compansetion pmvisions oi Section 3700 of the Labor Cotle, I shall forthwith
compy with these provisio
�,,��aNre: � oa�e: yl�a/as—
WARNING: FAILUPE TO ECURE i�qKE 5' COMPENSATJ N f�' RAGE IS UNLAWFUL AND SHFLL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND GIVIL FlNES UP TOIXJE NUNDRED
THOUSANDDOLIARE(S . ADDITIONTOiHECO9iQ�COMPENSPilON,OAMAGESASPROVIDEDFORINSEC110N31O60FTHELABORCADE.IIJrEREST,ANDATiORNE1^$FEES.
LICENSED CONTRACTORS DECLAPATION:
I hereby attirm that I am licensed under provisions of Chapter 9(commancing with Saction 7000) ot Division 3 ot ihe Business and Professions Code, and my license is in full
brce antl eHect. Lic, b Cless x
Contrector's Signature: Dete:
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirtn ihat Ihere is a cohstrucfion lending agency tor the OeAormance ol Ihe work br which this permit is issuetl. (Sec. 3097, Civil Cotle).
Lenders Name: Lender's Atldress:
SignaNre: Date:
OWNER-BUILDER DECLARATONS:
I here6y efrirm thet under penelty ot po�ury ihat I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business antl Protesslons
Code'. Aay ciry or counry which requirBs a pertnit to construct, alter, Impwve, tlemolish, or repair any struclure, prior to its issuance, also requires the applicaot tw such pe�mit
to tile e signetl statement thel he or sPe is IicenseC pursuent to the pmvisions of Ihe Conlrecbrs License Law (Chepter 9(commencing with Sectirn 7000) of DiNsion 3 of t�e
Business antl Professions Cotle) or that he ar s�e is axempt t�erefrom antl t�e besis lor tha ellagetl exem0�ion. Any violetion of Section 7031.5 by any applicant for a permit
subjects the epDlicem to e civil panelry af �ot more then Ilva �undred tlollars ($500).):
V�""t;§s owner ol Ihe properry, or my employees with wages es iheir sole compensation, WILL DO THE WORK, antl the stmcture is not intended or oRered br sale (Sec.
-�"70a4. Business end Professions Cotle: The Con�ractors License Law does not apply to en owner of property who builds or improves ihereon, and who dces such work
himself or hereeli or Ihrough his o� her own amployees, pwvided that such Improvemen�s are not intentled or ofleretl for sale. If, however, the builtling or improvement is
so10 within one yeer of completioR �he owner-builder will have the burtlen of pmving ihat he or she did not build or improve tor purpose of sale.).
❑ I, as owner ot ihe properry• em E%C WSIVELY CONTRACTING WITH LICENSED CONTRACTOPS to constmct the project (Sec. 7044, Business and Pmfeuions
Cotle: The contrecmrs License Lew tloes not epply ro an ownar ol propeny who builds or Improves Ihereon, antl w�o coniracis for sucl+ prolect with a contracior(s)
license pursuani m the Comractors License Lews.).
❑ lem
ID �knfed6v tlRver's license.
Verification of Ownership by (type ot
Business end Prolessions Cotle tor this reason:
if/ � No
i.e. - propeny tax bill or tleed):
DIVISION OF INDUS7RIAL SAFETV PERMR CERTFICATION:
❑ I hereby certity that no eacavation five (Sj or more feet in depth into which a person is required to descend, will be matla in con�ection with work authorized hy this
permit, and Ihat no building siruc�ure, scattolding, falsework, or demolition or tlismantling ihereof, will be more ihan thirty-six (36) teet high. (C�ap. 32, Grp 2, Art 2, Sec.
341, Tile B, Calitomia Admini5�rd�ive Code).
❑ As owner-builder, I witl not employ anyone to do work which would require a pertnit trom the Division of Indusirial Safery, as noted above, unless such person has a
permitto do suc� work trom the division.
Signature: Date:
Division of IntlusMal Satery Pertnit Number.
CERTIFlCATE OF COMPLIANCE AND AUfHORIZATION OF ENTRY: I certity under penally o� perjury �hat I have read Ihis application entl state Ihat the informa�ion given is
correct I agree to wmply with all ste I s end ciry orGinances relating to building conslruction, an0 aulhorize represemetives of Ihe Ciry of Costa Mesa to enter upon the
above-descnbe openy fo ins I rposes. I a not to occupy or ellow occupency ot any builtling authorizetl by ihis permi� until al i pection.
� y��s
Si�riag "�ttrra�`Of' gel ne��s),.,; , ( p}te"�..
:,..° • V
And/Or Aut orizetl Applicant Dale
IQQp�� INSVECTIONTYPE
1616 Flxed SyS�em Flnal Flfe Pf8v0n�i0n
1266 Pool Spe Final
200 Final qe-Poot
201 Final BIocWRetaining Well
202
203
Final Factory Fire Place
Final Sign
204 Final Demolition
PdiE Ui7R1AL5
CODE I INSPEC710N TYPE
206 Final Mechanical
208 Finel PlumDing
210 Finel Electrical
212 Final Plre Prevention
220 Final Planning Approvat
222 Final Site
250 FinalBuilding/Occupancy
QAIE INTRUILS
(714) 754-5273 •� Fau (714) 754-4856 • www.ci.costa-mesa:ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Vicinity:
2317 HALF MOON LN
HOUSE AND GARAGW
Parcel Nunmber: TPN00511
StaWs: ISSUED
Applied: OS/11/2005
Issued: 05/11/2005
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Appllcant: WILLIAMS,GARY - . - '� :r=�.'-��;���--.� ISSUEDBY:
Address: 1450 N TUSTIN AVENUE�;� �^ `_ - � • - � �-��-� '-� =� -_
:i.."fx�.':! J^`j�..-�, `` Phone: � I.,, `t �! i���'`.'-'^.��'..
SANTA�ANA�CA �, A � , Zip ; 92705 ; t L'�r � ! �� j ���,
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/�l Phone: 714-985-1300 } ��.� � �,
,�,�` /? BREA,CA;�6� 2p: 92823 ����� � .
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�' i `�, ? � - 1 -�� �.ELECTRICAL PERMIT FOR THE�CONSTRU�
��; ', s �• ' GARAGE AND 72 SFPORCH FOR "SHEA H
t�. ��' �� ", INSTALL 7 RES A/C PACKAGE FOR�HOUSE
�i �1. � '��1'SWITCH FOR THE INSIDE AND OUTSIDE
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". �REF: BOS00177 �
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STORY SFD WITH 449 SF,ATTACHED� , �
a
FIXTS, 3 RECEPT OUTLETS AND� ' ,
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� � Quantity ... . .. . �,r;p.
ISSUE FEE ��,�' $23�.50, 4�-� - Temp Dist Syst m/ Lighting:
Temp serJi e.test �`.� $0.00� -` J"3 . a'. . " Busway /100 k% ��-`ti, .�+-,ii.b�
Res. a/c package %�$54 50�� � z� "� Standing Sechon� �� k
New Res (1-2 uniLs)`� �/-$143 36 �' �2560 '= �, � � -.Misc Electncal�Eqwpment�'�/
NewRes(3+umts)� �� �r/$0_00-,� �0��� ,� %� ,, ,Transformers;uplo�lkva�/,kwy
Pool/Spa ` 1_� _$0:00`=� 0 �_„� ... . " up.totOkv`a/kw� �
Lightlng Fixts �" ;` .� $220 i��'; 2�"- - - '^� "' up�to;50-kva/kw (� �`
Recept Outlets `�� `.�$3.30 +�`�, ; f �3�'�. ,,. � � up to t00.kva/kw \�
Switches �.,�$1.10 � -r�•1 �' , - ....... ... .ovei.t00�kva/kw t.
Non Res Appl �-$0.00�� -_ ' 0� , - " ' ��~ � � ( �' Cow Voltage Equipmenll
r
Res Appl $0.00 � - , , 0 � I � '�� J � , ,�, �Low Volt Winng:System / Ckt�
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Service to 200a $0.00 � � �0 - � � � � � Mis�c. Conduit f,/„��
Service to 1000a $0.00 ' -0 � ``� 5- � � _ _Misc..Conductor�,. �- -�"'` �
Service over 1000a $0.00 0 �-. �^��'- -Circus{�gen or-ride) �
Motors to 1 hp $0.00 0 -��Circus (mech ride or lights)
Motors to 10hp $0.00 0 Christmas Tree Stand
1
$0.00
$0.00
$0.00
$0.00
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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)
, EXPIRATION: This permit shall automa[ically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
: for a penod of 1H0 days.
`INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with aN applicable codes, and all
� requlred Inapectiona and tlnal approval must be obtained. Failure to obtain inspections and final approval will resull in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
��� �awi
WORKERS'COMPENSAnON DECLARATON: '� � ��
I hereby ettirm unaer penalry ot perjury one of the following tleclarations: r, - ,. � -' ,
❑ 1 have end will meintain e certificate ot consent lo seli-Insure for workers' compensation, es provided for 6y section 3700 of iha Labor Code, for Ihe pertoimance of the
work for whith this pertnit is issuetl. ' ., �
❑ I have antl wiil maintain workers' compensatlon insurance, as required by section 3700 of ihe Labor Cade, for the peAortnance of the work lor which this pertnit is Issuetl.
My workers' wmpensation Insurance carrier antl policy number are: .
Certier. POlicy Number:
(This secflon need not be complefed il the permif is velued et one hundred dollars ($100) or /e55.J
� I�c�rtity Ihet in the peRortnance of�the work for whicti this permit is issued, I shall not employ any person in any manner so aS to 6ecome subject to Ihe workers'
� compensation laws of Calllomla, and agree t�at It I Id become subject 10 the workars' compensation provisions ot Section 37ppp0 of the Lebor Code, 1 shall torthwith
� with thes provision ���� //� �
ApPlica ignaNre: � :. �Date �.`: - -J/�/ / Q�
WARNINO: FAILUflE TO 5 RE W <E COMPENSATION C E IS UNLAWFUL M!D SHALL SUBJECT AN EMPLOYER TO CRIMI PENALTIES ANO CIVIL FlNES UP TO ONE HUNDRED
T110USAND OOLLARE (51 , ADDITI TO THE WST OF PENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 3]O6 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirtn that I am licensed under provisions of Chapter 9(commencinq with Seciion 7000) of Division 3 of �ha Business and Professions Code, antl my license is In full
torce end eHect. Lia a Cless N
ContrectoYs SlgneWre: Date:
CONSTRUCTON LENDING AGENCYi ' .
❑ I �ereby affirtn thal there is a consiruction lending agency for the peAormance of the work for which ihis permit is iuuetl. (Sec. 3097, Civil Code).
Lenders Name: Lenaels Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
1 hereby alfirm ihat under penalry of perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions
Code: Any ciry or counry which requires e permit to consimct, alter, Improve, demolish, or repair any sWcture, D�or to its Issuance, also requires the applicaN for such permit
to tile e signed statemeM thet he or she is licensed pursuant to Ihe provislons oi the Contradors License Law (Chapter 9(commencing with Sectlon 7000) oi Dlvision 3 oi the
Busineu end Profeuions Cotle) or that he or she is exempt therefrom and the besis for the allagetl exemption. Any violation ot Section 7031.5 by eny epplicent for a pertnit
subjects the applicant to a cNil penalry of not more than fiva hundred dollars ($500).):
❑ I, es owner of Ihe O�oPerty. or my employees with wages as iheir sole compensation, WILL DO TME WORK, and the structure is not intentletl or otteretl for sale (Sec.
7044, Business and Professions Code: The Coniractors License Law does not apply to an owner of pmperty who builds or improves thereon, and w�o tloes such work
himself or herself or Urough his ar her own employees, provitletl that such imprwements are not intended or ottered tor sele. If, howevar, the huiltling or impmvement is
soltl within one year of completion, the owner-builtler will have the burden of proving that he ar she did not build ar imprava tor purpase oi sele.). �
�as owner ol lhe O�operty, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business antl Protesslons
Code: The contractors License Lew tloes not apply to en owner of property who hullds or improves thereon, entl who contracts ior such project with a contrectar(s)
license pursuent to ihe Coniractors License Lews.).
❑ I am ezempt u r sec. Business antl Professions Cotle for this reason:
Signature: Date: �� Gf i
Owner ID v rified by riv s license. �Y s ❑ No Driver's License No. Expires: ' ylf�_
i �
Vedtication of ership Dy (rype of documem, i.e. - properry tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION:
❑ I hareby certify ihat no excevetion five (5) or more feet in dapth into which e person is required to descentl, will be made in connection with work aut�orizeC by this
permit, antl Ihat no building siructure, scalloltling, talsework, or demolition or dismantling ihereot, will be more than thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Titla 8, Califomia Adminisiretive Cotle).
❑ As owner-builder, I will not employ enyone to tlo work which would require a permit trom Ihe Division oi Industrial Setery, as noted above, unless such person has e
permit to tlo such work from the division.
Signature: Date:
Division ot Indusirial Satery Permit Number:
CERTFICATE OF COMPLIANCE AND AIITTfORIZATION OF ENTRY: I cehify under penalry of peryury ihat I have read this application antl state ihat �he infortnation given is
correct I agree to comply with all state laws and ciry ortlinances relating ro building constmction, ena authorize representatives ot ihe Glry ot Costa Mesa to enter upon Ihe
abova-descriDed pwperry for inspection pprposes. I agree not to occupy or ellow occupancy of any building euthonzed by this permit until tinel inspection.
COUE I' ' INSPECTONTYVE ' `� "' " " ' �PAIE"` 'Iii7�6S "
1616 Fixed System Final Fire Prevention �
1266
200
zoi
202
203
2
Pool Spa Final
Final Ra-Rooi
Final BIocWRetaining Wall
Firial Factory Fire Place
Final Sign
Final Demolition
'QQQ(a ' INSPECTIONTYPE.' . .'^ �. . , . ••QajF . . �$
206 Final Mechanical
20B Final Plumbing
210 � Final Elecirical
212 Final Fire Prevention
_ 220 Final Planning Approval �- � �
222 Final Site �
250 FinalBuildinyOccupanq - �
(714) 754-5273 • Fan (714) 754-4856 • www.ci.costa-mesa.ca:us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 23'I7 HALF MOON LN
Suite No
Vicinity: THROUGH OUT HOUSE
Parcel Number: TPN00511 -
..... ...._ ._.'_!di
ApplicanC
Address:
a
AVE
MECHANICAL PERMIT
Status:
Applied:
Issued:
ISSUED
05/11/2005
OS/11/2005 ,
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�',�,' , , �; - SCOPE OFaPERMIT �-�( � - � � � --,
, -' �oT s " / �,r �. jr `(�"lr+ � �'i; j; 1 �' L. ' � . �� � i.. { , �; • � `_
, � F �PLANS 2A , � �� . . ..._._.:� - '__..,t-.:..�.�.w���.—�t�-.�.-. . _ - _ '. . i �� . ._ �
, '� -''� � � l�'�,MECHANICAL PERMIT FOR THE CONSTRUCTION OF A 2560 SF 2-STORY SFD WITH 449 SF �� �_
" ".ATTACHEDGARAGEAND�72SF.PORCH -r r=�-r ,� ?�� �'•'` + '�7 �
�' i• i ,'' INSTALL 2 FAU 100 K BTU,-�],REP.AR/ALT COOLING/HEAT 2�
��'' � , ,.FAN/SINGLE DUCT; �2 FIRE DAMPERS,3�UP_TO 3:HP/100.K E
i
� ��; ��� . . y»
�� �` ' � ��REF: B05-00777 - � !'-�- :
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'LACE, 6 VENT p '� r � -
�,�' �;
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e;
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i�.l 1„ � 1 J,-�' �
ll�`t ,��•_! ,�.1
' � � '� FEE SUMMARY
,`� '•, *i ' ' \ . '.
� . �L.., / � �� . � QuantitY .'; . � - �� .
ISSUE FEE . �� (�, , : $23.50 Repair /`Alt Absorbtion Unit
Inst FAU Z100 k BTU r ,.,:; �' � ;$29.60 _ 2. � •. ., ' � -:',cRepair�/ AltiRefrigeratlon�Ur
Inst FAU >100 k BTU � . � �� , $0 00 _0 .: ; � .`Venhllahon System `'-'nr'�':'
Repair / Alt Cooling/Heat � i : , $13 70 C 1 " �� % " ' � - :Evaporatrve Coole� �. '
Inst / Rep. RecesS Wall Htr ��, ; f j$0 00�'�0 �� `�> > Commercial;lncinerator�/
Refdg Sys �100 k�BTU�� � :�$0.00 �`-0� ��� ' :� ; �,1 : Domestic Incinerato��
Refrig Sys >'100 k BTU �,:r`� ` � � $0 00 � 0 �� ,, t � -Compresso�s�tAbsorption.;
Gas Piping ``'^. \ :��50�00 j�0-� +' _.. -" Up to 3!hpY�100 k BTU \�`
Hood w/Me hI Exhaust �i� -z $$0.00 f� 0' ��!? �'� f,�" �, �—� �^ i5;1'o�30 hp'%�1� 000 k BTU`
VAV Box �`�._ �$0.00, 0�_: ,� `"' �,' 1.' 3��) , �� 30,To 50, hp�/ 1,750 k BTU
Vent Fan / Single Duct $43.50-. �:6,. ,." _�` i �\ :_ '� -0ver.50 hp✓�OJer 1,750;BT
Appliance $0.00 ��0���>��_ -- ' ,.. �-' Boiler5 -�r;:rJ � .
Fire Dampers $14.50 2 - `"��'_ =.�, =� � --� Up';to 3-�hp�%=�'- '
'����..�'w_..': •
Smoke Dampers $0.00 0 ..,_,_.._.___,_3?o-15-hp���
Inst or Relocate Appl Vent $0.00 0 15 to 30 hp
� � � �i (' �`v � � /,r�' �
I � ��;1 �. � Quantity
/%i � $0 00 � *0 �
J r,y//� � r$0 00 �� 0
� f $0_00�`� /0
�
�
�
29.40 2
$0.00 0'
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
�NOTICE: The�work�authonzed�by this��permit shall'comply with all applicable handicap.access��requirements:undecCalifomia�.statutes and related
; regulations: (Ord. No. 92-28; §;1, 12-21-92)�
'EXPIRA710Nd This:permit�shall.automatically,expire and become void if work is.nof.commenced:withim180-days; or if work is�suspended or abandoned
; fora period.of 180 days. ,
In-orderforthe:workauthorized:undarthis�permit:to be.considered.legal, such��work�musY.comply-with:alfapplicable codes,
Ions��and.final'approval musf.be obtained. Failure to�obtain.inspections��and.final.approval will.resul[ in�the expiralion of�this per
(7�14)',754-5626�
zaouac �a�w�
WORKERS' COMPENSATION DECLARATION: - � �
I hereby eHirtn under penalry of perjury ona oi Iha tollowing tleGaretions: � - �� , , _
❑ I heve end will maintain a certlfiwte of consent to seli-Insure for workers' compensation, es pmvided for by section 3700 of the Labor Cotle, tor ihe peAormance of Ihe
work tor which this pertnit is issued. ' � �� � � -
❑ I heve and will maintain workere' compensatlon insurance, as required by sectlon�3700 of Ihe Lebor Cotle, tor Ne pertortnance ot ihe woAc for which this pertnit is issued.
My workers' compensation Insurance cartier and policy number are: ' •.,
Carrier: - Policy Numbec
,(TCis sec(is need not be comp/etea il the permit is valued ef one hundred dollars ($100J oNess.)
�certity Ihat in Ihe peAormance ot the work for x
compensation laws ot Calito ia, antl egrae that
comply with �hese provisior r. ���
naus,wo
COST OF
is issued, I shall not employ eny person in any'manner so as to become'subject to the woikers'
ne bject to the workers' compensation provisions of Sectiojn �700 f Ihe Labor Code, I she0 forthwlth
oa"°�.�°�d'�'//�� �-
NUWFUL AND SW1LL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND pVIL FlNES l/P TOONE HUNDRED
DN, OAMAGES AS PROVIDED FOR IN SECTION 3IO60F THE IABOR CADE, INiEREST, PND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm Ihat I am licensed under pravisions oF Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professlons Code, and my license Is in full
bfCB end BfleCI. L'Ic. 9 Class M
Comrectors Signature:
Date:
CONSTRUCTION IENDING AGENCV: ,. .
0 I hereby eftirm �hat there is a wnstruction lending agency for the performance of Ihe work for which Ihis permit is issued. (Sec. 3097, Civil Code).
Lendefs Neme: Lender's AOdress:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby ettirm thet untler penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business entl Professlons
Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any strucwre, prior to its issuance, elso requires the epplicant for such pertnit
to file e signetl stetement that he or she is Ilcensed pursuant to the provisions of the Comrecbrs License Law (Chapter 9(commendng with Sectlon 7000) of Division 3 01 the
Business end Professions Code) or that he or she is eaempt theretran antl the basis for [he elleged exemption. Any violation oi Sec�ion 7031.5 by eny apPlicant for e pertnit
subjects the epplicant to a civil penalry of not more ihan five hundred dollars ($500).):
❑ I, es owner of Ihe properry, or my employaes with weges as their sole compensation, WILL DO 7ME WORK, and the s[ructura Is not intendetl or oflereC for sale (Sec.
7044, Business end Professions Code: Tha Coniractors License Law tices not apply to an owner ot properry who builds or improves Ihereon, antl who tloes such work
himself or hersell or Ihmugh his or her own employees, proviaed that such improvements are not imended or oRered for sele. If, however, ihe building or improvement is
sold wi 'n one year oi completion, the owner-builder will have ihe 6urden of proving that he or she did not build or improve tor purpose oi sale.). �
, as owner ot the properry, am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to consWct ihe project (Sec. 70a4, Business ana Pmtessions
Code: Tha contreciors License Law does not apply to en owner of property who bullds or Improves thereon, antl who comracts br such project with a contrector(s)
license pursuant to the Contwctors License Laws.).
❑ I am axempt untl sec. Business and Professions Code for this reason:
SignBWre: Dale:
Owner ID rified by ver license. �f V ❑ No Drivefs License No. Expires: O b
Verifiwtion o ership by (type oi document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMITCERTIFICATION:
❑ I hereby certity thet no excavation fiva (5) or more feet In depih into which a person is required to descend, will be mede in connection with work euthonzetl by I�is
permit, end Ihat no building sWcture, scaROlGing, talsework, or demolition or tlismantling thereoi, will be more than Ihirty-six (36) feet hig�. (Chep. 32, Grp 2, Art 2, Sec.
341, TUe B, Celifomie Adminisiretive Cotle).
❑ As owner-builtler, I will not employ anyone to tlo work which would requira a permi� trom Ihe Division of Industnal Safery, es noted above, unless such person has e
permit to tlo such wark iwm the division.
Signature: Date:
Division of Indusirial Sefery Pertnit Number:
CER7IFlCATE OF COMPLIANCE AND AUTHORQATON OF ENTAY: I cenity under penalry ot perjury that I have read this application and state that the infortnation given is
correci. I egree to comply with all siate laws end city ordinances relating to building construction, and authorize representatives of I�e Ciry of Costa Mese to enter upon the
above-described property for inspection purposes. I egree noi to occupy or allow occupancy of eny building authorized by Ihis permit until tinel insDection.
CODE �' INSPECTIONTYPE ' ' "' "
1616� Fixetl System Final Fire Preventbn
1266 Pool Spe Finel
200 FinalRe-Rool�� �
201 Final BIocWRetaining Well
202 Final Factory Fire Place ��
203 Final Sign
204 Final Demolition
.` Q�j@ � .••,INf1iIRL5
� ��Qp�.� '�RISPECTONTYPE
206 Final Mechanical
208 Finel Plumbing
210 Fioal Electrical
212 Final Fire Prevention
220 Final Planning Approval � �
222 � Final Site
250 FinalBuilding/Occupancy '
7.11 "ini1.,4
I
/'
(714).754-5273 ^ :Fax,(714) 754-4856 + -www.oi.coste•mesa.ca�.us �77IFAIR'.DRIVE,�COSTA'MESA, CA 92626
Job Address: � 2317 HALF MOON LN
Suite No
Vicinity: THROUGH OUT HOUSE
Parcel Nunmber: TPN00511
Applicant: WILL
� Address: 1450P
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PLUMBING PERMIT
Status: ISSUED �
Applied: 05/11/2005
Issued: 05/11/2005
, ,,. . �_.",'=:��.g;-n�-=r;^��, ISSUEDiBY:, W�'V
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� ,�,SCOPE OF PERMIT `�` '
1 �. � �� �LOT 9 , t �,;
� t , y .' PLANS 2A _ J�,r' "� . �- ���* "'T ;�, "�.-..,�' �t'�-! �t f, � � .
,'... ., .'�"1 . r�-..".....� .^- � :rs.,;�-�---,',� �.x->. �;__'� ��:
�. \ � � ' PLUMBING PERMIT FOR THE CONSTRUCTION OF A 2560 SF 2STORY SFD WITH 449 SF ATTAI
` � � ���,GARAGE AND 72 SF PORCH. . � � � �t�'
�t � i�• INSTALL 3 BATHTUB, t DISHWASHER, 1 GAS (1-4 OUTLETS)„3�GAS (OVER 4'OUTLETS), 1, f,f
�'� '^ �. �LAUNDRY TUB/WASHER, 1 PRESSURE REGULATOR� 1'SEWER�CONNECT, 3 SHOUERS, LKITC
'�� '�' �\� '; SINK; 1 SERVICE/MOP SINK, 1 VACUUM BRKR.BKFLOW, 3 WASH BASIN, 1 WASH BASIN.SE7f 1
�, �,�� `� �'� WASTE AND VENT SYSTEM, 4 WATER CL'OSET�(TOILET), 1 WATER HEATERNENT, 1 WATER P
, `. � �"� QNST'OR REP), 7 WATER SERVICEr��: "� "'��: , , ��/
_`� i REF BO&00177 � �
t ^ � �a � ` `��.00 � J��1�^` ^a
�L ` AA 1 .7 w%v[' -( l �+G
�� � �, \ �p � FEE SUMMARY� � � � � "'
�
`'�� ��AMT �� QTY � :� - �i ��� _ � - ' o AMT���' QTY'-i
ISSUEPEE .:,�. $2350����: ,,,,�Laundry_Tub�/Washer „� e$980.�1,�%.%
Backflow.irrigalion �^.A`�';'�$0.00, ' 0�\ �Candscape�lrrigation.-��,c_�«$0(00%%0�
BackBowPreventer ���$0,00A',0/ ; �� �-.P-Trap --` _ _��- = _ _: �$0.00��0
Bathtub � � � $29.40� � 3�`�,/J � �`.i Pressure Regulator � $9.80 -�-� '1 -,1i
ClarifierSystem $0:00������0, V��_'"Process�Piping(per�l0�ft);l�$0,00C",.aO�J\
Connect (Ice,Soda,etc) $0.00�'�., �0��� � \'Receptors + , ' 1+ '�) I 50.00 �--0.��
DentalUnits $0.00 �0�����-� SepticTank ';_���,�, � ;J$OAO� 0 ,.�
Dishwasher $9.80 1 ��-Sewer,CapforDemo $0.00-�-'OjG:/�
Drain,Floor $0.00 0 �' SewerCorinec't��'��$24.65'�'h,1-��
Drain, Rainwater $0.00 0 Sewer Privatetine ----$0:00 0
Drain, Roof $0.00 0 Shower $29.40 3
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IFAI�-.�V; / {� /
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Vacuum�8rkr Bkflow(1-4)
Vacuum Brkr BkFlow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toileq
Water Heater / vent
AMT
$0.00
$0.00
$0.00
$0.00
$12.30
$0.00
$29.40
S9.&o
$9.80
$39.20
$12.30
QTY
0
0
0
0
1
0
3
1
1
4
1
NOTICE: The work authorized by this permit shail comply with all applicable handicap access requirements under Califomia statutes 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 vnthin 1 BD days, or it work is suspended or abandoned
for a period of 780 days.
INSPECTIONS: In order for-the work authorized under ihis permit to be considered legal, such work�must�comply with all applicatile codes, an 11
requlred Inspections and final epproval must be obtained. Failure to obtain inspections and final epproval will result in the expiration of this per .
FOR INSPECTIONS CALL: (714) 7545626
2446d8 (8�00)
WORKERS'COMPENSAnON DECLARAnON: r � ' � � ". ' .
I hereby attirtn untler penalty ol perjury one of the following declaretions: � '' . ' '
❑ I heve and will maintain e certiticate of consent to sel6lnsure for.workers' compensation, es provitletl tor by section 3700 of the Labor Code, tor the peAortnance of the
work for which Ihls permit Is issued. � � - , �
❑ I have end will maintain workers' compensatlon insurence, as required 6y section 3700 of the LaDor Cotle, for the perfortnance oi Ihe work tor which this pertnit is issuetl.
My woMers' compensation Insurance wrrier and policy numbar are: � ,
Carrier: Policy Number: �
(This sec(ion need not be comp/e(ed il (he permi( is velued et one hundred tlollars ($700) or less.) •
,��Ny t�at in the peAormance of the�work for whicfi this pertnit is issued, I shall not employ any�person in any manner so as to become suDject to Ihe workers' -
wmpensation laws of Califomia, antl agree t it I should become su6ject to the workars' compensetion provisions oi Section 3 00 of iha Lebor Cotle, I shall fort�with
comply with the Qryvision
A � nature: � � �_�' �G 6r
WARNINO: FNLURE TO 5 WRE W ' COAIPENS YON ERAGE IS UNLAWFUL AND SHALL SUBIEC� AN EMPLOYER TO CRIMI�NALTIES AND CIVIL FlNES UP TOONE HUNDRED
TqU$ANDDOLL4RE(51 ADD IONTOTHE WMPENSATION,DAMAGESASPfiOVIDEDFORINSECTION3]OBOFTHELABORCODE,INTEREST,ANDFTTORNEVSFEES.
LICENSED CONTAACTORS DECLARATION:
I hereby ettirm that I em licensed under provisions oi Chapter 9(commancing with Section 7000) of Division 3 ot Ihe Business and Professions Cotle, and my licanse Is in full
torce and eflect. Lic. p qass x
Contractors SignaWre: Date:
CONSTRUCTION LENDING AGENCY: . .
❑ I hereby aHirm that there is e construction lending agency tor Ihe peAortnance of Ihe work for which Ihis pertnit is issued. (Sec. 3097, Civil Cotle).
Lentlels Name: Lender's Atltlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirm Ihat under penalry ot per�ury ihat I am EXEMPT FFiOM TliE CONTRACTORS LICENSE LAW for ihe tollowing reeson (Sec. 7031.5, Business entl Protesslons
Code: Any ciN or wunry which requires e permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant tor such pertnit
to file e signetl statement Ihet he or she Is Iicensed pursuant to Ihe provisions of ihe Contractors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of ihe
Business entl Protessions Code) or Ihet he or she is exempt iherefrom and the besis for the elleged e:emption. Any violation oi Section 7031.5 by eny applicent for e pertnit
subjecis ihe epplicant to a civll penalry oi not more Ihan tive hundred dollars ($500)J:
❑ I, as owner o1 the pmperry, or my empiqrees with wages as Iheir sole compensation, WILL DO THE WORK, antl the sWCWre Is not Intanded or ottered 1or sele (Sec.
7044, Business and Professions Cotle: The Contractors License Law dces not apD�Y �o en owner oi properry who huilds or improves Ihereon, and who does such work
himself or herselt or Ihrough his or har own employees, provided Ihat such improvemenis are not intentled or oHeretl tor sale. If, however, ihe building or improvement is
soltl Yhin one year of completion, the ownar-builder will heve the burden of pmving ihat �e or she tlitl not builtl or improve for purpose of sele.). �
, as owner of the Droperty, am E%CLUSIVELY CONTRACTING WITM LICENSED CONTRACTORS to consiruct the prolect (Sec. 704d, Business and Protessions
Cotle: The conirectors License Law tloes not apply to en owner of property who builds or Improves i�ereon, entl w�o contrects for such proJect with e coniractor(s)
license pursuant to the Comractors License Lews.).
❑ I am e:em t untler . ///�� usiness antl Pmfessions Cotle tor this reason:
SignaWra: ��✓1 —/—f• Date: o� 6� �
Owner ID verifi by ' ers ' ense. �e o Driver'S License No. _ E:pires: �
Veniication of Ownership by (rype oi document, i.e. - properry tax bill or deed): �
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certity thet no excavation tive (5) or more feei in depth into which a perwn is required to descend, will be made in connection with work euihonze0 by this
permii, end that no building siructure, scaHolding, talsework, or demolition or dismantling t�ereof, will be more Ihan thirty-si: (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle B, Callfomia Adminisiretiva Code).
❑ As owner-builder, I will not employ enyone to do work which would require a permit from the Division of Intlustrial Satery, as notetl above, unless such person hes a
pertnit to do such work irom Iha division.
Signature: Date:
Division of InGustnal Sefery Permit Number:
CERTIFlCATE OF COMPIJANCE AND AUTMOHQATON OF ENTRY: I cehity untler penalry of perjury thai I have read ihis application and state that the information given is
correct. I agree to comply with all stete laws and ciry ordinances relating m builtling constmaion, and authorize representatives of the Ciry ot Costa Mesa to enter upon Ihe
ebove-described prpperty for inspection purposes. I agree not to occupy or ellow occupancy oi eny buildinq auihonzed by this permit until finel inspection.
COOE �' INSPECTIONTYPE ' �' ' "' "
1616 Fixetl System Final Fire Prevention
1266 Pool Spa Finel
200 Final Re-RaoP � -
201 FInaI BIocWRetaining Well
202 Final Factory Fire,Place �
203 Final Sign
204 Final Demolition
... . .•. Q�jE . . . � INTIfIRLS . �
COOEI
206
20B
210
INSPECTIONTYPE^�
Final Mechanical � .
Final Plumbing
Final ElecMcal
212 Final Fire Prevention
220 Final Planning Approval
222 � Final Site
250 Finel Building/Occupancy "