HomeMy WebLinkAbout2321 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
Job Address: 2321 HALF MOON LN
Suite:
Vicinity: LOT 11
Primary Oca R-3 Dwellings/ Cong Res <10 Type of Construction: V-N
Parcel Number: TPNOD513 Zoning:
Applicant: WILLIAMS, GARY
Address: 1450 N. TUSTIN AVE
SANTA ANA, CA - �
Owner: SHEA HOMES LTD "
Address 603 SOUTFi VALENCIA AVE
- BREA, CA � � �
Contracror: O W N ER-BU I LDE R
Address: - ' ,
Phone: 714-245-9760 X24
Zip: 92705 �.
Phone:� Z14-985-1300
Zip: 92823 .
Phone:
Zip: . �icense: 000000
Arch : WILLIAM HEZMALHALCH , Eng:
Address: WILLIAM HEZMALHALCH ARCHITECTS INC �� � Address:
SANTA ANA, CA Phane: 949-250-0607 �
2850 REDHILL AV STE 200
Zip: 92705-5543 License: C12920
Status: ISSUED
Applied: Ot/31/2005
Issued: 04/18/2005
ISSUED BY: �
Phone:
License:
SCOPE OF PERMIT
LOT11 ��. . . _ . .
PLANS 2C . . . _ - . �. " _ .
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, PA-03-47, T-03-06 - � _ '
Plan Check: $305.27
Permit: $1,878.55
SMIP Res: $25.76
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $2,209.58
SETBACKS
MAIN STRUCTURE Front �- 6- 0
ACCESSORY Front 0- 0
FEESUMMARY �. ,
� CalcValuation: %, 525�,5�5.3a
Claim Valuation: So.00
, PLANNING & ZONING
Rear 16- 0 Left , 5- 0
'Rear 0- 0 Left � 0- 0
Right �20- 0�
' Right 0- 0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 7 80 days.
INSPECTIONS: In order for �he work au�horized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetiona and tinal approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
:606-06(NW)
WORKERS'COMPENSAntlN DECLARAnON:
I hereby aHirtn under penalry oi perjury one ot ihe tollowing declaratlons:
❑ I heve end will maintein e certificete ot consent to self-Insure tor workers' campensetion, es provitled for by section 3700 of the Lebor Cotle, for the pertortnance ot ihe
work for which Ihis permR i5 i55uetl.
❑ I have anC will maintein workers' compensetion Insurance, es required by sectlon 3700 of the Lebor Code, lor the pedormance of the work for which ihis permit is issuetl.
My workers' compensation Insurence ceMer entl policy number ere:
Cartier: Policy Number:
(This sectlon need not be cromp/efed il the permit is velued et one hunared dollars ($100) or less.)
I tErtily,that in the perto�ence oi the work tor which ihis permit is issueQ I shell not employ eny person in any manner so as to become subject to the workers'
��compensation laws ot Gelifomie, end egr het If I should become sub�ect to Iha workers' compensetion provisions of Section 3700 of t�e Lfl6or Cotle, I shell torthwllh
co�ese pr 'sions. � /�� � % � �
icaniSignaWr �� pate:_' -,�i / l� OS
r ��
WARNING:F/.IIURE RE KERS'COtdPENSA VERROEISUNIAWFULANDSHALLSUBIECiANEMPLOVERTOCRIMINALPENALTIESANDqVILFlNESLIPTOONEHUNDfiED
TilIX15AND OOLLARE (510p,000), IN ADDIiION TO THE COST OF OpMPENSATION, OAMAGES AS PROVIDED FOR IN SECTIqJ 31O60F THE LABOR CADE. INTEREST, AND FTTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION: '
I hereby aNirm that I am licensetl under provisions of Chapter 9(Commancing wilh Section 7000) ol Division 3 oi ihe Business and Protession5 Code, and my license is in full
fome antl eflect. lic. b Cless a �
Contractor 5 SignaNre: Date:
CONS7RUC710N LENDING AGENCV:
❑ I hereby aflirm that there is e conshuction lending agency lor Ihe performance ot the work lor which this permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lendar's Adtlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby ettirtn that untler penelry ot perjury that I em EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business an0 Protessions
Cotle: Any ciry or counry whiCh reQuires a pertnit to construct, alter, Improve, demolish, or repair eny structure, prior to its issuance, also requires ihe applicant for such permil
to tile e signetl stetement ihat he or she is licensed pursuent Io ihe provisions ol Ihe Contractors License Law (Chapter 9(commencing with Section 7000) of Divislon 3 of ihe
Business and Profeuion5 COde) or that he or she is exempt theretrom and t�e besis for Ihe ellege0 exemption. Any violation ot Section 7037.5 by any applicant for a pertnit
subl�ts iha applicant to a ciNl penelry at not more then five huntlretl tlollers ($500).):
`��es owner ot �he propeM. or my employees with wages es iheir sole compenselion, WILL DO THE WORK, and the siruciure i5 not in�andetl or otteretl for sala (Sec.
7044, Business and Professions Code: The Contractors License Law does noI epp1Y to an owner of properry who builds or improves thereon, antl who dces such work
himselt or herself or t�roug� his or �er own employees, provitle0 that such improvements are not intentletl or ottered for sale. If, however, Ihe builtling or improvement is
sold within one year ot Completion, the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.).
❑ I, as owner of the properly. em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct Ihe projeci (Sec. 7044, Business antl Protessions
Code: The contreciors 4�cense Law tloes not epply to an owner oi pmperty who huiltls or Impmves thereon, and who coniracts for such pmjeci with a contractor(s)
license pursuant to the ConiraylP3 Licens§,Laws.).
❑ lam
Venfication of Ownership by (ry�a of
Business antl Professions Code tor Ihis reason:
s ❑ No
i.e. - property tax bill or tleed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N:
❑ I �ereDy certity that no ex�evetion five (5) or mora feet in depth into which e person is requiretl Io tlescend, will be made in connection with work authonzed by �his
pertnit, and Ihat no building sirudura, scattolding, talsework, or demolition or tlismantling thereoi, will be more t�an ihirty-siz (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Ttle B, Califomia Adminisirative Code).
❑ As owner-builder, I will not employ anyone to do work which would require e permit from ihe Division ot Intlustnal Safery, as noted ahove, unless such parson has a
pertnit to do such work <<om the division.
Signature: Dare:
Division of Indusirial Satery Permit Number.
CERTiFlCATE OF COMPLIANCE AND AIJfHORIZATON OF ENTTiY: I cenify untler penalty of perjury ihet I �ave reatl ihis application and state t�at ihe inlormation given is
correct I agree to comply th all stete laws �ty ordinances releting to builAing consimction, and aulhonze representatives ot the Ciry of Costa Mesa to encer upon Ihe
ebovB-described pwpetl r inspetf n p egree to occupy or allow occupency of any building au��orized by �his permi� �il �i I inspection.
Y%rs'%qf
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Antl/Or Auihorized Applicant Da�e
COUE I, IHSPEttIONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spe Finel
200 Final Re�Root
201 Final BIocWRetaining Well
202
203
Final Factory Fire Place
Finel Sign
204 Final Demolition
pa¢ la
COOE� INSPECTIONTYPE
20fi Finel Mechanical
208 Finel Plum6ing
210 Finel Eleclrical
212 finel Fire PreveNian
220 Final Planning Approval
222 Final Site
250 . FinalBuildinglOccupency
ibIf. QQQIELi
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
2321 HALF MOON LN
HOUSE AND GARAGE
TP N00513
Status: ISSUED
Applied: � 05/11/2005
Issued: OS/11/2005
Applicant WILLIAMS, GARY __ y�-ttY- �-;_`;'_--�� ISSUED BY: I'-^' �
Address: 1450 N TUSTIN AVENUE,e"= �-�" "---� ��� �';� �
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�� Phone: 714-985-1300 � ����� \T� / � � _�
Zip: 92823 �\\ \'�i
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' J �',�i''),� ;f% SCOPE OF PERMIT� 'r �. ` ` � �r� +_ ;
� LOT 11 ' ��.. � _ s �. x at � ur � u ��.,�� �� � � �
�. PLANS2C �. . �:\___-_— "_-'_. .__'._____—" "�_ _" - : "' . ,
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'�� � ELECTRICAL PERMIT FOR THE�CONSTRUCTION.OF 2560 SFy2 STORY SFD WITH 449 SF ATTACHED `{ '�
,t�� GARAGE AND 72 SF'PORCH FIRST,FLOOR WILC"BE 1225SF WITH�1335 SFSECOND FLOOR �!!;"�%f r` " ,
..` `, ��� INSTALL 7 RES A/C PACKAGE FOR�HOUSE.�INSTAC�'2'LIGHTINGFIXTS;�3�RECEPT OUTLETS, V'!� , �'�
, SWITCH POR THE INSIDE AND OUTSIDE OF THE GARP,GEONL�Y. . ' j�(� ��; "' i��
, �REF:605-00169 � , �..P� �; ,� _ �,�r�% .��: ,� �. f
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�ISSUE FEE� ' $23.50 � - Temp Dist System�/ Lighting;. $0.00
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Temp service,test �" $0.00 \ .4 �. fi�: � v. = ,j Busway /100 ft�.�+`�.� ?�"'`�$0.00
Res. a/c package /�-$54 50.� ��� '`' �'�" � �� Standing Sechon � �� �b- - '-%$0.00
New Res 1-2 units V �/,$143.36 �'�A2580, �� c. �-� � . `Misc�Electnca;Equ�pment��'' $0.00
New Res (3+units) )\� �-, ���' SO:OP �,� 0� � � v �Transformerg u to�t kva`lk��$0.00
Pool / Spa ���,� �-_$0.00 �� � �0,��� � - � � �up t 1 Oikva/k�v �/$0:00
Lighting Fixts :,, �,` $2 20 ��, 2� � ,-� up to�50 kva/kw ('G��$0 00
ReceptOutlets �$3.30 � � /�3���� . - .' upto100.kva/kw '{1s$000
SwitChes +��$1.10 -/ �1�`1' �. � --� .. over:100kv2/kw �� $0,00
Non Res Appl �'$0.00� �`t 0� ,� j�---r j; 1� 7^, Low Voltage Equipmen� /$0,00
ResAppl $0.00. -�-_:�0 J
_ � � ��- � ; i -� �Low�Volt WinngSystem / Ckt%l $0.00
Service to 200a 50.00 ;- 0' -_ '" ''� Misa Cond'uit � i J: $0.00
Service [0 1000a $0.00 ' 0-.`_"�--%. �•;.'=.r�- . .._Misc.,Contluctor-�,;.,���..�-�"" $0.00
Service over 7000a $0.00 0 � "=�"-Circus{'gen ocnde)'� $0.00
Motors to thp $0.00 0 "-Citcus (mech ride or lights) $0.00
Motors to tOhp $0.00 0 Christmas Tree Stand $0.00
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NOTICE:�, The� work authorized� by� this� permit shalf comply�with: all� applicable handicap� accesa requirements�� under Galifomia� statutes� and related
regulations: (Ord: No:.92•28�, §�1',.12.21�-92)!
EXPIRATION:: This��pertniY.shall'automatically�expireand��.become�void�itwork�.is�notcommenced��within�180'days„or-ifwork�issuspended�orabandoned�
for a period.of1180 days:
INSPECTIONS:. Im.ordecfoctha:work authorized.under,this�permit�to be�considered!legal(.such.work musUcomply�with:all'applicable�codes, and aU'
required'�Inepaetions��andfinel!approvallmust�.be�obtained:.Failurelo��obtain�.inspectiona,and�finaliapprovaPwill�resWLimthe�expiratlon��oLthis.permi �
FOR�,INSPECTIONS'�CAL'L:, (714p754-5626�
2406i8 (8�W)
WORKERS' COMPENSATION DECLARATION: — "� ' �' , . �
I hereby effirm untler penalry of perjury one ol the tollowinq declaratlons: �- ; �', ' � . �
❑ I have ena will maintain a certificate of consent to seli-Insure tor workers' compensation, as providetl for by section 3700 of the Lebor Code, for the pertortnence ot Ihe
work for which this permit is issuetl. . ' � �
❑ I have and will maintain workers' compensation insuranca, as required by section 3700 ot ihe Labor Code, for the peAortnance of Ihe work for which Ihis pertnit is issued. .
My workere' compensation Insurence cerrier end policy number are: � _
Carrier. Policy Number. '
(This eC ion need wt be completetl il the permif /s velued af one hundrea tlallars ($100) or less.) �
A..,. .. . ..
I certity ihet in t�e pedormence of ihe work for w' �this pertnit is issued, I shall not employ eny person in any manne(so as to become subject to tha workers' -
compansation lews ot Celitor 'a, and egrea Iha ould be e sublec� b Ihe workars' compensatlon provisions oi Section 3700 oi the Labor Code, I shell torthwlth
comply with ihese provision .
� _ {/ !!/O �
WARNING: FAILURE T SECURE ' COMPENSATI GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLO'lE `� PENALTIES AND GVIL FlNES UP TOONE HUNDRED
TilOUSANDDOLURE ,IN RIONTOTHECOSTOFCOMPENSATION,Dl4MGESASPROVIDEDFORINSECTION310fiOFTHELABORCODE,INTEREST,ANDATTORNEI"SFEES.
LICENSED CONTRACTORS DECLARATION:
1 hereby eHirm thal I am licensed under prwisions ot Chapter 9(commencing with Section 7000) oi Division 3 of the Business and Professions Code, end my license is in full
force end eflect. Lic. # qass #
ContrectofsSignaWre: � Da[e:
CONSTRUCTION LENDING AGENCY: , .
❑ I hereby eMirtn that Ihere is a wnstruclion lending agency tor ihe Dertormance of tha work tor w�ich this pertni� is issuetl. (Sec. 3097, Civil Code).
Lenders Neme: LentleYs Atltlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby attirtn t�at untler penelry of perjury Ihat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for Ihe lollowing reason (Sec. 7031.5, Busineu flnd Professions
Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair eny siructure, prior to its issuance, also requires the eppliwnt tor such permit
to file a signed statement that he or she is licensed pursuent lo Ihe pmvisions oi the Contraciore License Law (Chapter 9(commencing with Seclion 7000) ol Division 3 ot ihe
Business and Professions Code) or that he or she is exempt therefrom antl tha basis tor Ihe alleged exemption. Any violetion ot Section 7031.5 by eny epplicent for e pertnit
subjects Ihe applicant to a civil penalry ot not more than tive hundred dollars ($500).):
❑ I, as owner ot ihe propeny, or my employees with wages as their sole compensetion, WILL DO THE WORK, and the stmcNre is not intendatl or oMaretl for sale (Sec.
7044, Business and Professions Cotle: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, and who tloes such work
himself or herseN or through his or her own employees, provided Ihat such improvemenis are not In�ended or ottered tor sale. I(, howaver, ihe building or improvement Is
soltl ithin one year of completion, the owner-builder will have ihe burtlen ol proving that he or she did not builtl or improve for purpose ot sale.).
as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions
Code: The contractors License Law Coas not epply to an owner oi property who builds or improves ihereon, and who contracis for such project with a contractor(5)
license pursuanj to ihe Con�ractors Lyoqns� Lews.)._
❑ lam
Owner I venfie y veYs license.
Venfica ne ship by (type ot
� Business and Proles5ion5 Code for thi5 rea5on:
� � Expires:
property tax bill or tleed):
DIVISION OF INDUS7RIAL SAFETY PERMIT CER7IFICA710N:
❑ I hereby certity ihat no excavation tive (5) or mora taei in depth into which a person is required to tlescend, will be made in connection with work authonzetl by Ihis
pertnit, end ihat no builtling strucWre, scaHolding, talsework, or tlemolition or tlismantling t�ereot, will be more than t�irry-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec.
341, Ttle B, Calitomia Administrative COAe).
❑ As owner-huilder, I will not employ anyone to do work which would require e permit from ihe Division of Indusirial Setety, as noted above, unless such person hes e
pertnit to do such work irom the divisian.
Signature: Date:
Division of InAustrial Safery Permit Number.
CERTIFlCATE OF COMPIJANCE AND AUTHORIZATION OF EMAY: I certity under penalry ot perjury Ihat I have read this aDP�ication antl stata that ihe inlortnation given is
correct. I agree to comply with all state laws antl ciry ordinances relating lo building construction, antl authonze represeniatives of Ihe Ciry of Casta Mesa to enter upon Ihe
above-described properry for inspection puryoses. I egree not to occupy or allow occupancy of any building authonzed by Ihis permit until final inspection.
INSPECTONTYVE - ' "'-' ' "' ' `PSIF �"
1616 Fixetl System Final Fire Preventian
1266 Pool Spa Final
200 Final Re-Root ' � '
201 Final BIocWRetaining Well
202 Final Factory Fire Place
203 Finel Sign
204 Finel DemoliUon
�I:Ii11FtFj
Oate
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COOE� INSYECTIONTYPE'� • •� • •
206 � Final Mechanical � -'
208 Final Plum6ing
210 Final ElecMcal
212 Final Fire Prevention
220 Final Planning Appmval ' ' ' '
222 Final Site �
250 Finel BuildinyOccupancy � '
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
Parcel Number:
Applicant:
Address:
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2321 HALF MOON LN
THROUGH OUT HOUSE
TPN00513 ,--
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SHEA HOMESLTD'
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MECHANICAL PERMIT
Status: ISSUED
Applied: 05/17/2005
Issued: OS/11/2005
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,','v � PLANS 2C � �, �.."c '�;_ _
' � � MECHANICAL�PERMIT FOR THE (
� t`y�4,�ATfACHED GARAGE AND 72 SF;F
, � ; • SECOND FLOOR • �r /? /� 1= y
��� flNSTALL 2 FAU 100 K�BTU;-1-REP,
'� ���;�FANISINGLE DUCT; 2�FIRE�DAMPI
��REF: B05-00169 ,�
� ' ' '�. .
� �ti. Y � �, , .
t _�•� '�� �� _ •
� :
, \
\ � � .
ISSUE FEE; ", r,,. ��\i $23.50
Inst FAU <t00.k BTU" , � ��,$29.60
Inst FAU >100 k:BTU � \:$0:00
Repair / Alt Cooling/Heat ; i' � $13 70
Inst / Rep. Recess,Nlall Ht% ;�, �/� $0 00
Refrig Sys <100 k�BTU� L' �// $0 00
Refng Sys >100 k BTU� �� �- �� � %5�0:00
GasPiping �����\
Factory Fireplace �������
Hood w/Mech Ezhaust
vav eoX
Vent Fan / Single Duct
Appliance
Fire Dampers
Smoke Dampers
Inst or Relocate Appl Vent
�E�OF P.ERMIT�—' ; : -;;f-� `,.
' �(11�'l tI_', ,r�! , �? ,`
.�.;=—x_-�> __-
LCTION OF A 2560 SF.2;STORY�SFD WITH 449 SF
FIRST FLOOR WILL BE,+,1225 SF WITH 1335 SF
Quantity .� ' ``=
•ll �
2 `�� F
"-a�;�i'.�,:- - �' `_,9V
-s", .. j
�1. -; }. .. . �� .E
�0, `-,.� , �` ., �C
,+p���...' ,`rr c C
\�\� �` ��� =�': ,.��.: � �
j f0� -... -- -.__�� �
jz-'�„_,.:_ m—.-�-= �s
�,� } i
l ��\`i,' �_. ? i �� r� i:_, f(' 3
i�
' 6 �. ' �\ \.; � �C
$0.00 �'0'� "- -_ � " Boilers
$14.50 �2 .- �-;"� ���. _ -Up to 3 hp -
$0.00 0 -- ___',J`'�`3To_15hp� �
$0.00 0 1510 30 hp
k
4FIREPLACE, 6 VENT
- -_'1;
�.
� ti
�/i `-' E J'��i
� � v ,
� �, ; % '� % Quanti
Unit r �" r$000 i'0'
mUmt�i,J�' •�"r$0.00��%0
�.A'����/i� ' -' $0;00% ' 0
�;`�/-��� `� /"`� $0'.00� 0
'/ � w�� � � /,50�00 0
� � �� l�j'J$0.00 0
10 k BTU�
i0 k BTU i
� 1,750:BTW
i' � i
$29.40
$o.00
$0.00
$0.00
$0.00
2
0
0
0
0
$0.00 0
$0.00 0
$0.00 0
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days. ,
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must eomply with all applicabte codes, and all
required Inspaelions and finel epp�oval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zaa�a6(aroo)
WORKERS' COMPENSATION DECLARATION: � '� ' � - �--• . . - � - • �• �
I hereby aHirm under penalry of perjury one of the following tlaclaratlons: , � '
❑ I have entl will maintain e cenificate ot consent to self-Insure for workers' compensation, as provided tor by section 3700 ot the Labor Cotla, for the peAormance of Ihe
work for which this permit is issuetl. � � � � .
❑ I have antl will meintain workers' compensa6on insurance, as requiretl by section 3700 of the Labor Code, tor ihe perfortnance of Ihe work tor which this pe(mit is IssueU. ,
My workers' wmpensaiion Insurance wrrier antl policy number ere: ,
Carner. Policy Number.
(This section neeC not be completed i/ the permif is valueC af one huntlretl dollars ($100) or less.)
I" tha� in �he peAormance Of tl B work �or which �his r it is issued, I shall no� employ any person in eny manner so as �o become subjeCt to Ihe workers'
wmpensation laws of Califomia, agree that if I sho 0 ome s lect to the workers' compensatlon provisions ot Section 700 (the LaDor Cotle, I shall forthwith
� comply wi[h Ihese provisions.
� �gneRET�� $ECUflEWORK S'O� .IPENSATION FAG UNIAWFULANDSHALLSUBJECTANEMP����Tl�� GVILFlNESUPTOONEHUNDRED
TMOUSANDDOIURE 100.0OO�,IN RION/fOTHECOSTOF��TION,OAMAGESASPROVIDEOFORINSECTIIXJ31060FTMELABORCODE,INrEREST,ANDATTORNEY'SFEES.
'�, LICENSED CONTRACTORS DECLARATION:
I hereby eHirm that I am licensetl under provlsions ot Chapter 9(commencing with Section 7000) of Division 3 ot Ihe Business and Protessions Code, end my license is in full
larca end effect. Lic. A CIaSs N
Contractofs SlpnaNre: Date:
CONSTRUCTION LENDING AGENCY: � ��
❑ I hereby etfirtn t�at there is a construction lending agency tor the pertortnance of Ihe work for which this pertnit is issuetl. (Sec. 3097, Civil Cotle). '
Lendela Name: Lenders Addreu: ''
Signe�ure: Dale:
OWNER-BUILDER DECLARATIONS:
I hereby eftirtn Ihet un0er Denalry of perjury thet I am E%EMPT FROM 7HE CON7RAC70RS LICENSE LAW for ihe follawing reeson (Sec. 7031.5, Business and Protessians
Code: Any ciry or counry which raquires a permit to construct, alter, improva, demolish, or repair any strucWre, pnor to its issuance, also requires the epplicant for such permit
to file a signetl statement that he or s�e is Ilcensetl pureuent to the provisions of the Contractors License Law (Chapter 9(commencing with SecNon 7000) ot Division 3 oi the
Business and Protessions Cotle) or Ihat he or she is eaempt Iherefrom ana the basis for tha alleged examption. Any violation oi Sectioq 7031.5 6y eny epplicant tor e pertnit
subjects ihe epplicant to a civil penalty of not more Ihan five huntlred dollars ($500)J:
❑ I, es owner of ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, antl the swdure is not intentletl or oHered for sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply to an owner ot property who 6uilds or improves thereon, antl who tloes such work
himself or herseN or through his or her own employees, pmvitled that such improvements are not intendetl or ottered for sale. It, hov,•ever, ihe building or impmvemem is
sold within one year oi wmpletion, tha ownerbuilder will have �he burtlen of proving Ihat he or she did not build or improve tor purpose oi sale.). �
�es owner of lhe pmperry, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRALTOfiS to constmct the project (Sec. 7044, Business and Professions
Code: The coNrectors License Ww does not apply m an owner of propeny who builds or impmves thereon, and who contracts for such pmject with a contrector(s)
license pursuant lo the Coniractors Licen s.).
❑ I am exempt un sec. Business and Professions Code tor this reason:
Signature: Date: /� bi /
Owner ID entied by rve liCen58. s No Driver's License No. � Expires: �
Venliwtion ership by (rype ot tl m n,.a. - property taa bill or deed): �
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTFICATION:
❑ I hereby cetlify Ihat no excavetion tive (5) or more feet in depth into which a person is required to descend, wiil be mede in connection with work authonzed by this
permit, entl �hat no building siructure, scaflolding, talsework, or demolition or dismantling thereof, will be more than Ihirty-six (36) teet hig�. (Chap. 32, Grp 2, Ar12, Sec.
341, Ttle B, Califomia Administretive Code). :
❑ As owner-builder, I will not employ anyone lo do work which woultl require a pertnit fmm Ihe Division ot Indusinel Safety, es nated ebove, unless such person hes e
pertnit to do such work trom ihe division.
Signature: Date:
Division of Industrial Safety Pertnit Number:
CERTIFICATE OF COMPLIANCE AND AUTHORVATION OF ENTRV: I certify under penalty of perjury that I have read this application antl state Ihat the iniormation given is
correcc I agree to comply wlih all state laws anC ciry ordinances relating to building consiruction, antl authodze representatives of the Ciry of Costa Mesa to enter upon Ihe
above-descnbed properry for inspection puryoses. 1 agree not to occupy or ailow wcupancy of any buildinq authorized by this permit until final inspection.
1616
1266
200
201
202
203
204
Fized System Final Fire Prevention �•• �
Pool Spa Final
Final Re-Roof
Final BIocWRetaining Wall
Final Fectory Fire Place ,� �
Final Sign
Final emolition
.•� oerE . INTILIRLS„ . .
C9DE� INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
270 Final EIecMCal�
212 Final Fire Prevention
220 � Final Planning Approval �
222
250
Final Site
Final Builtling/Occupancy � ' '
�'
�
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2321 HALF MOON LN
Suite No
Vicinity: THROUGH OUT HOUSE
Parcel Nunmber: TPN00513
Applicant:
Address:
\�
PLUMBING PERMIT
Status: ISSUED
Applied: OS/t'I/2005
Issued: OS/11/2005
. . -"-' - .;.z-..v-:i.:....:".-...�.�-.. ISSUEDBY: �
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�� / - -P.hone: -_ - � / / �� � / �,�'��� �-.,^�
/. / �- -Zip: 92705'�c . , . \\., � / \�� ���`-�+�
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Phone: f;7�4-985-1300 `:�•.A ' -�, �
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Zip: !� 92823 ��� •. .. " . .
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a
,!Contractor ��;OWNERBUILDER� ?o� „���� ' � T ' , � t ' �-
7 tli� i . �� . „ —
,, n , t' ' , s� --_,..._ . ..
Address / /� � % ,o� t1`"; ( •- _. _ '� �t '! \ �
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1
� �� �� . i -���,� Phone: -� <.�.- .
�� + " �' �� t � � r�.�.A �
�,� '�;A� � �. .> >��.-! > Zip: A �\. �l ���
�'� � �fir� :6 ' .�'� :_=..-�Lroen}�se.=000t000=-s-=.-- . �,�� � _#'iY�l'�:
`'/ ' � , . `�� ti '��.!! .ii' �L� ` %`�L''�li� ,r�' t �`l` ,`
i �I., -- — --�-.�—.�—
, ..,_ . --
'�� �� �r SCOPE OF PERMIT ��'
_ , �.
� �� "L0T1� _�,/"� .� 7i. _ . �i` � '
� ��. ,` � ;�PLANS 2C - < <'J�" "� `k . - e ;" �. J ,_ ,
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'(�`�} .-' �'y � 3P�UMBING PERMIT FOR THE CONSTRUCTION OF A'2560,SF 2=STORY SFD WITH 449 SFATI
�� �''; ' ` GAR4GE AND 72 SF PORCH. FIRST FLOOR WILL BE 1225'SF WITH 1335 SF SECOND FLOOR
�',, `. ��� -� �,INSTALL 3 BATHTUB, 1 DISHWASHER, 1 GAS (1-4 OUTLETS)i�3�GAS (OVER 4 OUTLETS), 1,,
�-•�� ' ���` LAURDRYTUB/WASHER, 1 PRESSURE REGULATOR,'1�SEWER��CONNECT, 3 SHOWERS, 1,KI
♦ l,� �/�j �� ,/ SET,<1,WASTECAND�VENT SYSTEM, ,4UWATER C OSETV(TOILET)� WATER HEATERNENT tn
� � `. t � PIPING QNST OR REP) 1 WATER SERVICE ` ° � � ' - �/
� � � , �c�0� �� .j.
.�� � ��.REF 8058=00189 - ,.. - ,c - �j s„��-�����
�. �' `�' ` N i
_ ,. : ' , V` V `...` � - ,-FEE SUMMARY6"'#t' o �"ivcf' /'i i e c� �/
� . �:�. AMT % �QTY �+����� . r' � ' , �. � AMT QT-Yi� _\ l'"'\�!
ISSUE FEE �' �<� � $23.50
Backflow irrigation ���`$0:00
BackFlow Preventer "$0:00
Bathtub $29:40
Clarifier System $0.00
Connect Qce,Soda,etc) $0.00
Dental Units $0.00
Dishwasher $9.80
Drain, Floor $0.00
Drain, Rainwater $0.00
/ � A�'r��� < ` �—�% �
, � � \ Caundry Tub / Washer:�-_x$9:8�1 % �
�ti 0 C �'��Landscape lvigztion;=-�= �50:00� 0 �
� �- 0..: f�: �JP-Trap�, .�„ $0_00,-7 0�
'�=� 3� wt 1'Pressure Regulato�"'3 �"� �`igg g0 i 1�
�, 0 � �, �'Process'Piping (per'10 ft)� l $0.00 �0� �� �
0 r` Recepto�s - '�`, '-. �$0.00,�0 ,-� �'=
0 � � SepticTank_ $0.00 ��Oj%� ,���
1 � Sewer Cap for- Demo=� �i:�$0:00: _ 0—�'
0 Sewer CoMech� ��- - - --$24�.65 1
0 Sewer Private Line $0.00 0
x:' i
+` J
�! _i
,+�� �
; _, r
'-i
�
Vacuum`Brkr BkFlow(1-4)
Vacuum Brkr BkFlow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toilet)
AMT
$0.00
$0.00
$0.00
$0.00
$12.30
$0.00
$29.40
$9.80
$9.80
$39.20
QTY
0
0
0
0
1
0
3
1
1
4
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 automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period ot 180 days.
INSPECTIONS: In order for the work authorized untler this permit to be considered legal, such work must comply with all applicable codes,��
requlred Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this p i�.
FOR INSPECTIONS CALL: (714) 7545626
zaaaae
WORKERS'COMPENSAnON UECLARAnON: — ' " ` -
I hareby aHirtn under penalry of Derjury one of the following tleclarations: �
❑ 1 have entl will maintain e certificate ot consent to setl-Insure for workers'. compensation, es provided for by section 3700 of the Labor Code, for ihe peAortnance of the
work br w�ich tfiis pertnit is issued. � " � ' � � �
❑ I have antl will maintain workers' compensetion insurance, es raquired by sectlon 3700 ot the Labor Code, for Ihe pedortnance of the work for which this pertnit is issued.
My workers' compensation Insurance carrier and policy num6er are: • ,
Garner: Policy Number:
(Th/s section neetl not be camp/eted il fhe permlt is valued et one hunGretl aollers ($100) or less.)
T/IOl15AND
in the peAormance of ihe work tor wh" h this permit is issued, I shall not employ any person in ariy manner sb es to become sublect to Ihe workers'
>n laws of Cef mia, and egree th ould be me subject to Ihe workers' compensation pmvisions of Section 3700 of the LeDor Code, I shall forthwith
,Ideea�rov' d s.
� : a�-�-���i�6 S
'�. TO SECU W (ERS' COMPENS ION G MGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMIWIL PENALTIE$ AND GVIL FlNES UP TO ONE HUNDFEO
iE (5100 ), IN DRION TO T11E COMPENSATIIXJ, DAMAGES AS PROVI�ED FOR IN SECTION 3106 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby attirtn that I em licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professions Code, end my license is in full
torce and eflacL Lla a qass x
ConlractoYs Signeture: Date:
CONSTRUC710N LENDING AGENCV: '� .
❑ I �ereby aflirtn that there is a construction lending agency for ihe peAormance oF ihe work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lentlers Name: Lender'S Adtlress:
SignaNre: Date:
OWNER-BUILDER DECLARA710NS:
I hereby aftirtn Ihet untler penelry of perjury that I em EXEMPT FROM TME CON7RAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions
Code: Any ciry or counry which requires a permit to consiruct, alter, improve, tlemolish, or repair any sWcture, pnor to its issuance, also requires ihe applicam for such permit
b tile a signee stetement thet he or she is licensed pursuant to the provisions of the Comrectore License Law (Chapter 9(commencing with Sectlon 7000) ot Dlvision 3 oi the
Business end Pmfessions Code) or that he or sha is exempt theretrom and the besis for the elleged ezemption. Any violation of Section 7031.5 by any aDPIIcaN for e parmit
subjects the appllcent to e civll penalry oi not mare than five hundred dollars ($500).):
❑ I, as owner of the properry, or my employees with wages as their sole wmpensation, WILL DO THE WORK, and the structure is not iniended or oHeratl for sale (Sec.
7044, Business and Profeuions Cotle: The Contractors License Law does not apply to an owner of property who builOs or improves thereon, and who does such work
himsetl or herself or through his or her own employees, provided that such improvemenis are not iniended or ottered for sale. If, however, the 6uiltling or improvement is
sold wit�in one year of completion, the owner-builder will have ihe burden of proving that he or she did not build or improve for purpose of sale.). �
as ownar of Ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business entl Professions
Code: The contrectors Llcense Lew does not appty to en owner oi pmpeny who builtls or improves thereon, and who contrects for such project wiih e contractor(s)
license pursuant to ihe Coniractors License Laws.).
❑ I am exempt u r sec. Business and Protessions Code lor Ihis reason:
SignaWre� ��'
� Ezpires:
Venficati nership by (type of document, I.e. - properry tax Dill or deetl):
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTiFICATION:
❑ I hereby certify ihat no excavation five (5) or more feet in depth into which a person is required to descentl, will be made in connection with work authonzetl by thls
. permit, and ihat no builCing structura, scaffolding, falsework, or tlemolition or tlismantling thereof, will be more Ihan ihirry-six (36) teet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title 8, Calitomia Atlminisirative Code).
❑ As owner-builder, I will not employ anyone to do work w�ich would require e pertnit irom the Division ol Intlusinal Sefery, as noted ebove, unless such pereon hes e
permit to tlo such work irom ihe division.
Signature: Date:
Division oi IndusMal Safery Permit Number.
CERTFlCATE OF COMPLJANCE AND AIITHORIZATON OF ENTFiV: I certify under penalry ol perjury ihat I have reatl this application and state ihat ihe information given is
correct. I agree Io comply with all state lews antl ciry ordinances relating to building consiruction, antl authodze represematives ot the City of Costa Mesa to enter upon the
above-descnbed property tor inspection purposes. I agree not to occupy or allow occupancy of eny building authorized by ihis permit umil tinal inspection.
COOE I' INSPECTIONTYPE • . " . � . .• .' PAIE INTRULS
1616 Fized Systerti Final Fire Preveniion� �
1266
200
201
202
203
2
Pool Spe Final
Finel Re-Rooi
Final BIocWFetaining Well
Final Factory Fire Place .
Final Sign
Final Demolition
�t
CWEI 'INSPECTIONTYPE • � ��
206 � 'Final Mechanical ' �
208 Final Plumbing
210 Final Elecincal� �
212 Final Fire Prevention
220 Final Planning Approval �� '
222 Final Site
250 Final Building/Occupancy " - �
.1111_ :
�
� � �'
INSULATION CERTIFICATE
This is to certify that insulation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24, State of California, in the building located at
���� ,�/- ' HACF MOON L E-PHS-2-TRACT 16600-COSTA MESA
� ` LOT-11
CEILINGS:
TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning THICKNESS: R-19 6-1/2"
WALLS:
TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning
GENERAL CONTRACTOR: SHEA HOMES
�
THICKNESS: R-13 3 1/2"
LICENSE#
SCHMID INSULATION CONTRACTORS, INC. LICENSE #221517 C-2
BY: �/�M TITLE: PRODUCTION ASSISTANT DATE: 02/07/2006
ANN TE PATTERSON
INSULATION CERTIFICATE
This is t0 certify that insulation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24, State of California, in the building located at
HALF MOON LANE-PHS-2-TRACT 16600-COSTA MESA
LOT-11
CEILINGS:
TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning THICKNESS: R-19 6 1/2"
WALLS:
TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning
GENERqL CONTRACTOR: SHEA HOMES
THICKNESS: R-13 3 1/2"
LICENSE
BY: TITLE:
SCHMIq INSULATION CONTRACTORS, INC. LICENSE #221517 C-2
BY: .� ���n� TITLE: PRODUCTION ASSISTANT DATE: 02/07/2006
ANNETTE PATTERSON
��" �j'1:4'A'1'�IIC
�AIR CONOR10NlNG INC.
Installation Certificate : Residemtial �CF-6R
Site Address
2321 HA,x,F MOON LAilVE BIdR: - Unit: -� �
1. BUII,A�R INFORMATION
Shea Homes
G03 S. Valencia Avenue
Brea, CA 92823
JNSTALLING CONTRACTOR:
2. PROJECT TNFORMATION
AISTRIBUTION TX1'E
Plezible Ductwotk in
Attic and Betwccn k7oors
PE�IT #
SUBDIVISION: Half Moon Lane
CITY: COSTA MESA
COUNTX:ORANGE
wF,STPAC AIR CONAI'A'�ONING
� �l_ �:.'..'1► �_ . J
Flewble buciwork Will have
a R-Value of 4.20 or Better
I, tlae undersigncd, verify that the cquipment listed in thc category above my signawre is the equipment installed und tlaat tlte equipment
meets or exceeds the reyuzrements of [he Appliance Efficuacy Standards. In addition, I have verified that rhe equipment is equivalent to or
more efficient than the equipment specified on the Ccrtificate oPCompliance submiued to demonstratc complirnce with the bnergy
Eiiiciency Snndards for residentia] buildings.
3. HEATING INFOR�fATION
IIT A7ING
EOUIP.
Fumacc-FAU 1
4. COOLi1YG iNFORMAT,iOIv
HEA7ING
LAP.D
OLING MAIr'UF CO SOR AL EFF. OLING E HEATING
Ep[JIP• MAKE MOAEL # SEER CAPACITY LOAD
Coil-FAU 1
A/C-STD H526
Allstyle
L,ennox
LENNOX
ASFM60-ISA3IT+S
10ACC-048
EER
10
'I'he building design heat loss and design heat gain rate have bcen detectrtined using a method specified in Section
150(h) of thc Energy Efficicncy Standards, and aze two of the criteria used fa cquipment sizing and selection.
5- THERMOSTATIC EXPAIYSION VALVL (TX�:
Thermostatic Expansion Valvc (or Commision approved equivalcnt) is installed and access is providcd for inspection.
6. SiJBMITTED $X:
WESTPAC AIR CONDTIiO1vING
Signature Installing FIVAC Conri�actor
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Jobp: 4889 Lot: 11 B�dg: - llniL' •
YES [] NO Q N/A Q
6/30/2006
Datc
See 190 23rd St. for add'I
paperwork covering entire tract.