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Home My WebLink About610 JOANN ST - Building Permits�pM 4 � a > _ r J `�a.ero.mco rF CITY OF COSTA MESA : BUILDING DIYIS/ON DEVELOPMENT SERVICES DEPARTMENT PERMIT (�ia) �sa-sz�s • Fax (714) 754•4856 1ob Address: 610 JOANN ST Suite No Vicinity: WATER REPIPE Parcel Nunmber: 42215117 Applicant: PAT ANTHONY Address: 1556 S. ANAHEIM BLVD. ANAHEIM,CA Owner: PARKER, ROBERT N Address 3074 CEYLON RD COSTA MESA, CA PLUMBING PERMIT Phone: (714)758-7725 Zip: 92805 Phone: 2ip: 92626 Contractor: PACIFIC COAST COPPER REPIPE Address: 155fi S. ANAHEIM BLVD. Arch / Eng : Address: ANAHEIM,CA Phone: (714)758-7725 Zip: 92805 License: 661428 Phone: Zip: License: PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Siatus: ISSUED Applied: 07/06/2000 Issued: 07/O6/2000 ISSUED BY: SCOPE OF PERMIT COPPER REPIPE OF WATER LINE FOR FOUR UNIT COMPLEX AND INSTALL NEW WATER MAIN. ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwaler Drain, Roof Drinking Fountain Expansion Tank Gas Earihquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Aulo ) AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 so.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap 50.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 SepticTank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 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 Qn 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 Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Waler Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT 50.00 $0.00 S0.00 $0.00 50.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $39.20 $9.80 $0.00 $0.00 50.00 $0.00 $0.00 $72.50 QTY 0 0 0 0 0 0 0 0 0 0 0 0 4 1 0 NOTICE: The work authorized by this permit shall comply with all applicable hendicap access requirements 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 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 Inspeetlone end flnal approval must be obtained. Feilure to obtain inspections and final approvel will resuN in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: " I hereby affirm under penalty of perjury one o� Ihe lollowing declaretions: ❑ I have and will meintain a certificata of consent to selFlnsure for workers' compensation, as provitled lar by secUon 3700 ot the Lebor Cotle, for Ihe peAottnance of tha work tor which thi5 pertnit is issued. ❑ I have antl will maintain workers' compensatlon insurance, as requiretl by seMion 3700 of ihe Lebor Coda, for the peAortnance ot Ihe work tor which this pe�mit is issued. My workers' compensation �I ance rner entl policy numbar ere: Carriar. �^�P /'7�,�`� Policy Number: 'l'�7^ i% f (This section ne6d nat e�ed i/ the permif is velued af one huntlred dollers ($100) or less.) ❑ I canify that in the pertortnance of Ihe work for whi is p �nit is issued, 1 shall not employ any person in eny manner so as to become subject to Ihe workers' compensa�ion laws of Califomia, agree that if �6m %ubject to �he workero' compensation provisions of Section 3700 of Ihe Lebor Cotla, I shell tonhwith comply with these pmvisions. � ApplicaniSignature: Oete: %—(.� '�i% WARNING: FAILUFE TO SECURE W�RKERS' COMPENSATION COVE E IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMI Al PENALTIES AND C�VIL FINES UP TOONE HUNDRED THOUSANDDOLLARE(5100,000),INADDITIQYTOTHECOSTOFfAM NSATION,DAh41GE5ASPROVIDEDFORINSECTION3]O60FTHELABORfADE,IMEREST,ANDATTORNEV'SFEES. LICENSED CONTAACTORS DECLARATION: I hereby aMirm tM1at I am licensetl force and eXacL Lic. » Contractors Signature: _ CONSTRUCTON LENDING AGENCY: ❑ I hereby eBirm that there is a construction lending Lender's Name: Signature: Section 7000) of Divlsion 3 of the Business a Professi s Code, antl my license is in tull _ Class» �^ �� Date: �7._ /. — /'h � the peAormance of the work for which this permit is issued. (Sec. 3097, Civil Coda). Lenders Adtlress: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm that untler penalry ot perjury ihat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW lor the following reason (Sec. 7031.5, Business and ProFessions Code: Any ciry or counry which requues a permit to consiruct, elter, improve, demolish, or repeir eny strucNre, prior to its issuance, also requires ihe applicent for such permit to tila e signetl sta�ement that he or she is licensed pursuant to ihe provisions of the Coniractors License Law (Chapter 9(commencing wlth Sectlon 7000) of Division 3 of the Business entl Pro�euions Cotle) or that he or she is exempt theretmm and the basis for the alleged exemp0on. Any Wolation of Section 7031.5 by any aDP�icant for a permi[ subjects ihe appfcant to e civil penalry of no� more ihan five huntlred dollars (5500)J: ❑ I, as owner ot the property, or my employees with weges as their sole compensation, WILL 00 THE WORK, antl Ihe swcture �s not intentled or ottered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law dces not apply �o en owner of property who huilds or improves thereon, and who does such work himsalS or berselt or ihrough his or her own employees, providad that such improvamenis ere not intentled or oHered ior sale. li, however, the building or improvament is sold within one year of completion, �he owner�builder wlil heve the burtlen of proving that he or she ditl not build or improve for purpose of sele.). ❑ I, es owne! ol t�e property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to wnsiruct the project (Sec. 7044, Business antl Pmfessions Cotle: The coniractors License Law does not apDly to en owner oi property who builds or impro�es thereon, and who coniracts for such project with a contractor(s) license pur9uant to the Contractors License Laws.), ❑ I am exemp� under sec. eusiness and Professions Catle tor ihis reason: Signeture: Date: Owner ID veritied by driver's licanse. ❑ Yes ❑ No Driver's License No. Ezpires: Vedtication of Ownership by (rype oi daument, i.e. - propeM1y taa biil or deetl): DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: � I hereby cenity that no excava�ion tiva (5) or more feet in depih into which a person is required to tlescend, will be matle in connection wlih work autho�ized by ihis pertnit, antl �hat no building structure, scaHolding, falsework, or demolition or tlismantling Ihereot, wlll be more �han thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tiile 8, Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone to tlo work which would require a permi� tmm the Divlsion of Intlustrial Sefety, as notetl ebove, unlass such person has a permit to tlo such work from Ihe division. Signatura: Date: Division of Industrial Satety Permit Number. �CERTIFlCATE OF CQMPUMICE AND AUlt10RIZAt10N OF ENTFiY: I certify under qe�alry at pequry thai I have reatl this appliwtion and state that the information given is correct. I egree to comply with all state laws antl city ordinances rela' to building construction, antl euthorize representatives ot tha Ciry oi Coste Mesa to emer upon the above-descri6etl p�openy for inspection puryoses. I a o ocy�or allow occupancy oi eny bullding emhonzetl by this permit until flnal inspection. COOE �. �y$�jfQ�.IYPE 1616 Fixetl System Final Fire Preven�ion 1266 200 201 202 203 Pool Spe Final Finel Re•Roof Flnal BIo�WRetaininq Wall Final FeG�ory Fire Place Flnel Sign 204 Final Demolition 2a6&46 � Dete � —T� �oa� COOE 1 INSPECTION TYPE 206 Final Mechanical 20B Final Plumbing 210 Final Elecincal 212 Finel Fire PrBveniion 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy ,. � � ��f lril � �TJ . . 10�ti � � �: „_ . .. , .�' �� r-�� COSTA MESA BUILDING-SAFETY DEPARTMENT ;�t�'�,�;�E DEP��. �� `^ P.O. BOX 31] COSTA MESA. CALIFORNIA i�� _ , .� �._Cp fOR APP[/CANT TO f/[L /N COMPLETELY APPLICATION FOR PERMIT TYPE OR PRINT �� gU1LDING BUILDING � E ADORE55 r COSTA MESA, CALIFORNIA FOR OFF/CG USE ONLY I RECEIPT NO. I�/ P�N� OWNER Paul E. Robertaon Inc. � MAIL FECEI ED Y DATC RECEIV/c D DATE 198UEO ADDRE55 771 W 19th St. � I ��%�/ S �l%�/d_C �ARCH ITECT OR ENGINEER �CONTRACT�8ll1 ADDRE55 J]1 LEGAL ILOT SIZE �n •S� X 11 ^ I NO.OF BLDGS, OF LOT � LLL NOW ON LOT USE OF EXISTING BLDG. SET6PCK LINE FPOM S�O REAR VARO VO �� CENTER OF STflEET SIDE YARD ILEFT $•9 IRIGHT H.9 DESCRIPTION OF WORK rvEW I XIIpLTERATION I IIADDITION I BUILDING SIZE AND WORK TO BE PERFORMED COSTA MESA. CALIFORNIA APPROVED BY " ZONING NO. OF UBE OF NEW .�. � / PLANH 1� BUILDING REAR LINE 8T.) � ti �. .L � J � I HEflEBY ACKNOWLEDGE TN�T I HAVE flE/�D THIS 1PPLICATION - � - AND STATE THAT THE ABOVE IS COR CT �ND AGREE TO COM- TNE AMOUNT BHOWN UNDER VALUATION IH FOfl THE PLY WITH ALL CITV OROINANCEB �NO LAWS PEOUL�TING P�RPOBE OF E9TABLI6HING A PENMIT REE ONLY. BVILDING CONSTRULTION. VALVATION / / SIGNATURE OF / uO PERMIT FEE $ f./�� PERMITTEE � S �� PLAN GHECK $ � � A4THORIZED AGENT TOTAL FEE $ / �� BUILDING SAFETY DEPAR' VT NQ �� Q n � 'P: O. Boa No. 317 � Costa Mesa, California Data J�.+O� � 19d... e CITY OF COSTA MESA CERTIFICATE OF OCCUPANCY Ruilding Permit No�n �� <<. Electrical Permit No. Plumbing Permit No. Use of Buildin6' '-.� i.' 9i t7� �.� �i K: i. � i. r, .✓ GJ � T6e build'wg located af G�,1 �T,. .t a� ,! .�Y f,. c�:i %i S SA . . Legal Descrlptio� (See reverse side for Metes and Bounds) �has been inspected and found to comply wit6 the provisious of all City of Costa Mesa Ordin- ances applicable thereCo for a Group � Occupancy. ISSUED TO: - J City Building Official 1 � (-f r, � j: - �.. K P w 1"'��, n.l - - /� �r (Owner of Building) By ! ,. _.,_.�.v.�,.i� •� �.�t.�-a9ti.° CC: ❑ Original—Owner ❑ Sst copy--Gas Co. ❑ 2nd copy—Edison Co. ❑ 3rd copy—F� e Form 206 S-S P 1M I-60 .1 ., , . ;�, 1�� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 31] COSTA MESA. CALIFORNIA FOR APPL/CANT TO f/[L /N COMP[ETE[Y TYPE OR PRINT BUILDING 610 Joann Street ADDRE55 COSTA MESA. CALIFORNIA OWNER Paul E. Robertson. Inc. NoC-1449 Eyr,va d LEGAL ��.wacc.a NO.OF BLDGS. � USE OF EXISTING BL�G. 9ETB�CH LINE FROM I LEFT Z4 .� I RIGHT 8.6 DESCRIPTION OF WORK IE DING Z,L X 40 ftOONS STORIES 'ERIOR WALL IROOF 1 HEREOY ACKNOWLEOGE THAT I HAVE HEAD THIS APPLIGTION AND ST�TE THAT THE ABOVE IS CO FECT /.NO AGHEE TO COM- PLV WITH ALL CITY OROINANCES A STATE LpWS REGULATING BUILDING CONvTRUCTION. , SIGNATURE OF � , � AUTHORIZED , . ,�,� I.��Ili i� �� -��.s-i FIfVANCE DEPT. r�rv nF .r,nSTA MESA APPLICqTION FOR PERMIT BUILDING fo,e officF usF oacy COSTA MESA. CALIFORNIA APPROVED ZONING NO.OF /� U8E OF N PLAN6 / BUILOING APPROVED o-a��a (CENTEF THE AMOUNT BHOWN UNDER VALl1ATION IS FOR TME PURP08E OF ESTM1BLIBMING A. PERMIT pEE ONLY. VALUATION ' � PERMIT FEE $ /:� CL� 4--J�a �f- 5��` O�,- PLAN CHECK S �..-� TOTAL FEE S �✓ -