HomeMy WebLinkAbout596 JOANN ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIH UHIVt, GUS 1 A MtJA, GA BLtiLb
lob Address: 596 JOANN ST
Suite No
Vicinity:
Parcel Nunmber: 42215120
Applicant: ANTHONY, PATRICK
Address: 1556 S. ANAHEIM BLVD.
ANAHEIM, CA
Owner: PARKER, KENNETH L JR
Address 3074 CEYLON RD
COSTA MESA, CA
PLUMBING PERMIT
Phone: (714)758-7725
Zip: 92805
Phone:
Zip: 92626
Contractor: PACIFIC COAST COPPER REPIPE
Address: 1556 S. ANAHEIM BLVD.�
Arch / Eng :
Address:
ANAHEIM, CA
Phone: (714)758-7725
Zip: 92805
License: 661428
Phone:
Zip:
License:
Status: ISSUED
Applied: 02/26/2001
Issued: 02/26/2001
ISSUED BY: �"
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SCOPE OF PERMIT
REPIPE FROM WATER MAIN TO THE INTERIOR OF FOURPLEX. UNITS A.B.C.AND D. R& R 5 WATER
HEATERS.
ISSUE FEE
BackFlow irrigation
BackFlow Preventer
Bathtub
Clarifier System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwa[er
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 outlets)
Gas (Over 4 outleis)
Gas Repipe
Gas Service
Interceptors (Grease, Oiq
Interceptors (Sand Auto )
AMT
$23.50
50.00
50.00
$0.00
30.00
50.00
50.00
$0.00
$0.00
$0.00
so.oa
50.00
50.00
50.00
$0.00
$0.00
$0.00
50.00
50.00
$0.00
QTY
FEE SUMMARY
AMT
Laundry Tub / Washer $0.00
Landscape Irrigation $0.00
P-Trap $0.00
Pressure Regulator $0.00
Process Piping (per 10 ft) $0.00
Receptors $0.00
Sepiic Tank 50.00
Sewer Cap for Demo 50.00
Sewer Connect 50.00
Sewer Private Line $0.00
Shower $0.00
Sink, bar $0.00
Sink, commercial $0.00
Sink, Floor $0.00
Sink, kitchen $0.00
Sink, service/mop $0.00
Spa (private) $0.00
Spa (public) $0.00
aTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
COMMENTS / SPECIAL CONDITIONS
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum 8rkr BkFlow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Veni System
Water Closet (Toilet)
Water Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water Sokener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AMT
50.00
$0.00
$0.00
$0.00
50.00
50.00
$0.00
$0.00
50.00
50.00
$61.50
50.00
$9.80
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES: 594.80
QTY
0
0
0
0
0
0
0
0
0
0
5
0
1
0
0
NOTICE: The work authorized by Ihis permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-20, § 7, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if vrork is suspended or abandoned
tor 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 applicable codes, antl all
required Inepections 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
244&461N00)
'
WORKERS' COMPENSATION DECLARATION: `
I hereby aflirm under penalry of perjury one of the following tleclarations:
❑ I have entl will malntain a certificata of wnsent to self-Insure for workers' compensation, es provitled for by section 3700 of the Labor Cotle, tor the pertortnance ot ihe
�.n work for which this permit is issued.
� I have and will mainWin workers' compensaUon insurance, as required by section 3700 of Ne Labor Code, for the perfortnance of the work for which ihis pertnit is issued.
My workers' c�o/[np./pnsation�ranc carder and policy number are: �/
Carner: �0�1'� �1� Po�icyNumber: /�7 d�
(This section need no! be completed it the permif is valued et ane huntlred dollars (5100) or /ess.)
❑ I tertity that in the pertormance ot t work br
compensation laws oi Califomla,�ag�b th;
�5100,000�, IN ADOITION TO TME COST
puetl, I shall not employ en n in eny manner so as to become subject to ihe workers'
;ub�ect m[he worke ' pensation provislons of Section 3700 of the Labor Code, I shall torthwith
� i�ii�G'O�
AWFULPNDSHALLS CRIMINPLPENALTIESANDGVILFlNESUPTOONEHUNDRE�
DAMAGES AS PROVIDED FOR IN SECTION 3]Ofi OF THE LABOR CODE, INTEFEST, AND nTTOFNEY'S FEES.
LICENSED CONTRACTO LARATION:
I hereby a' � m licensed ntler ro isions ot C m ing �th Section 7000) of Divisi of the Business antl Professlo s Code and my license is In tull
fOrco d eN . LIC. N CIeSs N
n�racto Signature: Date: —'!f'
CON CTION LENDING AGENCV:
I here6y eHirm that ihere is a conswction IenOing eqency for the pertormanca ol iha work for which ihis permit is issuetl. (Sec. 3097, Civil Cotle).
Lender'S Neme: Lender's Address:
Signature:
Date:
OWNER•BUILDER DECLARATIONS:
I here6y attirtn that untler penaly of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professions
Code: Any city or counry which requires a permit to construct, alter, improve, demolish, or repair any stmcturo, prior to its issuence, also requires the applicant for such pertnit
to file a signad statemant ihat he or she is licensetl pursuam ro the D�ahsions of t�e Contreaors Licensa Lew (Chapter 9(commencing with Section 7000) of Division 3 ot Ihe
Business and Professions Code) or that he or she is exempt iherefrwn and ihe besis for the alleqed e:emption. Any violation oi Section 7037.5 6y any applicant for a permit
suhjacts the appiicant to a civil penalry of not more than five hundred dollars (5500).):
❑ I, as owner of the property, o� my employees with wages as Iheir sole compensation, WILL DO THE WORK, antl ihe siructure is not intended or offered for sala (Sec.
7044, Business and Professions Code: The Contractors License Ww does not apply to an owner of property who builds or improves ihereon, and who does such work
himself or hersetl or thmugh his or her own employees, provided that such improvements are not intended or oHered for sale. If, however, the building or improvemeni is
sold within one year oi completion, the owner-builder will have the burden of proving ihat ha or she tlid not build or improve for purpose of sale.).
❑ I, as owner of the property, am E%CLUSIVELY CONTRAC7ING WIT31 LICENSED CONTRAC70RS to construct the prolect (Sec. 70d4, Business and Profeuions
Cotle: The coniractors License Law does not apply to an owner of property who builds or Improves thereon, antl who contracts for such pmject with a contractor(s)
license pursuant to ihe Contractors License Laws.).
❑ I am ezempt under sec.
SlgnaWre: ���+
Owner ID verified by dme'r'S.IitenSe.'
Vedfltalion of Owners�ip 6y (type of t
❑ No
Busine5s and ProfeSsionS Code for Ihis reason:
tac bill or daed):
Drivefs LitenSe No.
Date:
Expires:
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTFICATION:
❑ I hareby certity that no excavetion tive (5) or more feel in depih inro which a person is required m descenq will be ma0e in connection with work authorized by t�is
permit, and lhat no building siructure, scaffolding, talsework, or demolition or dismantling thereot, will be more than thiry-six (36) feet hig�. (Chap. 3.2, Grp 2, An 2, Sec.
341, Title B, Califomia Adminisira�ive Cotle).
❑ As owner-builder, I will not employ enyone �o do work which would require a permi� trom the Division of Industnel Safery, es noted ebove, unless such person has e
permit to tlo such work from the division.
Signature: Date:
Division ol Indusirial Safery Permit Number.
CERTIFlCA7E OF COMPLIANCE AND AIfiHORIZATION OF EN7RY: I certify under penalty of perjury �ha� I have reatl �his application and state that �he infortnation given is
correcL I agree to comply with ell state laws end ciry ordinances relating to building constmc�ion, antl authorize representatives ot the Clty ot Costa Mesa to emer upon the
ebove-described propetly for inspection purposes. I agree not to occupy or allow acupancy of eny build�ng authorized by this permit until final inspection.
COUE �. INSPECTIONTYPE
�6�6 Fized System Final Fire Preven�ion
1266 Pool Spa Final
200 Final Re-Root
207 Final BIocWRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
INTIilALS INSPECTION TYGE
206 Finel Mechanical
208 Finel Plumbing
210 Final Electrical
212 Finel Fire Prevention
220
222
250
Final Planning Appmval
Finel Slle
Final Building/Occupency
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