HomeMy WebLinkAbout916 PEACE PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • w�vw.ci.costa-mesaPLUMBING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 916 PEACE PL
Suite No
Viciniry:
Parcel Nunmber: 41805247
Applicant:
Address:
Owner:
Address
SZABO, KEVIN
17390 MT CLIFFWOOD
FOUNTAIN VALLEY
DURAN, DEANNA TR
916 PEACE PL
COSTA MESA, CA
Phone: 714-241-1414
Zip: 92708
Phone:
Zip: 92626
Contractor: COAST ROOTER PLUMBING HTG AND AC
Address: 17390 MT CLIFFWOOD
Phone: 714-241-1414
FOUNTAIN VALLEY Zip: 92708
License: 529127
SCOPE OF PERMIT
WATER HEATER CHANGE-OUT IN AN EXISTING DWELLING.
NO OTHER WORK AUTHORIZED WITH THIS PERMIT.
AMT C
ISSUE FEE §23.50
Backflow irrigation 50.00 1
BackFlow Preventer $0.00 I
Bathtub 50.00 1
Clarifier System 50.00 I
Connect (Ice,Soda,etc) 50.00 1
Dental Units 50.00 1
Dishwasher $0.00 1
Drain, Floor 50.00 1
Drain, Rainwater $0.00 1
Drain, Roof $0.00 1
Drinking Fountain $0.00 1
Expansion Tank 50.00 1
Gas Earthquake Valve $0.00 1
Gas (1-4 outlets) 50.00 (
Gas (Over 4 outlets) 50.00 f
Gas Repipe $0.00 (
Gas Service $0.00 (
Interceptors (Grease, Oip $0.00 (
Interceptors (Sand Auto ) $0.00 (
Status: ISSUED
Applied: 02242006
Issued: 02242006
ISSUED BY:
FEE SUMMARY
TY AMT � AMT aTY
Laundry Tub / Washer $0.00 0 Sump Pump 50.00 0
� Landscape Irrigation $0.00 0 Swimming Pool q0.00 0
i P-Trap $0.00 0 Trap Primer $0.00 0
i Pressure Regulator $0.00 0 Urinal $D.00 0
Process Piping (per 10 ft) $0.00 0 Vacuum Brkr Bkflow(t-4) $0.00 0
� Receptors $0.00 0 Vacuum Brkr Bk(low(5+) 50.00 0
SepticTank $0.00 0 WashBasin 50.00 0
Sewer Cap for Demo $0.00 0 Wash Basin Sel 50.00 0
Sewer Connect $0.00 0 Waste and Vent System 50.00 0
Sewer Private line $0.00 0 Water Closet (ToileQ $0.00 0
Shower $0.00 0 WaterHeater/vent 512.30 1
Sink,.bar $0.00 0 Water Piping (Inst or Rep.) $0.00 0
Sink, commercial $0.00 0 Waler Re-pipe 50.00 0
Sink, Floor $0.00 0 Water Service 50.00 0
Sink, kitchen $0.00 0 Waler Softener 50.00 0
Sink, service/mop $0.00 0 OTHER $0.00
Spa (private) $0.00 0 VIOLATION 50.00
Spa (public) $0.00 0 PLAN CHECK 50.00
REINSPECTION $0.00 0
COMMENTS / SPECIAL CONDITIONS
TOTAL CALCULATED FEES: 535.60
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 automatirally expire and become void it work is not commenced wlthin 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work euthorized under this permlt to be consldered legal, suth work must comply with ali eppllcable codes, and all
requlred inapeetlona and finel approval must be obtained. Fallure to obtain Inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
zaa6�se16�Do)
WORKERS'COMPENSAnON DECLARAnON: _
I hereby ettirtn untler penelry oi perjury one of tha tollowing dedaralions:
❑ 1 have and will malnta�� e certifiwte ot consent to selt-Insure for workers' compensation, es provitletl lor by section 3700 0l the Labor Cotle, br the peAortnance ol the
` � work for which Ihis pd�it is iSsueA.
�q I have antl will mainta�� workers' compensetian insurance, as requiretl by sectlon 3700 0l the Lebor COde, for lhe peRortnance of �he work b� which this
/�� My w rkers' wmpen5atlo�n Ins`urence caMer and policy number are: ,�1 ���� ����
Carner. �T{�E- 1 v� � Policy Number. D� v D� O�— �O S
(This secUon neetl no! be c�p�eted tl(he permit is veluetl et one huntlretl dollars ($100) or less.)
❑ I certify Ihet in Ihe peAortnance of tpe wark tor w' this p it is issued, 1 shall not employ eny person in eny manner so us to become subjact to the workers'
compensation laws o� Califomi hd agrae l�e A I s oul ecome sub�ect to Ihe workero' compensetlon provislons ot Sectior� 370Q 1 the labor Catle, I shall torthwlth
comply with t�o5e prOWsionS. , __ /��v / O
� y
Applicam SigneWre: Date: _ L
WARNINO: FAILURE TO SECURE WORKER 00 GUVERAGE IS UNLAW FL1L lWD SMA�L SUBIECT AN EMPIAYER TO CRIMINAL PEtU1 IES AND GVIL FlNES UP TO ONE HUNDRED
THdASANDDOLIARE�5100,W01.INADDRI TOTHEOOSTOFCOMPENSATION,DAMAGES0.5PRWIDEDWRINSECilON3]OBOFTHELABOqCODE,IMEREST.ANDATTORNEY'SFEES.
LICENSED CONTRACTOPS DECLARATION:
1 hereby aNirm Ihnt I em licd�setl under provisions ol C epter 9(cammeny ing with Section 7000) ot Division 3 of the Business and Pmfessions Code, antl my license is in tull
+oroe ena enecc. uc. a S29/ Z i /� „/ aass a - 3
Contrector's SlgneNre: —_ � __ Dete: Z i,
7
CONSTHUC710N LENDING AGENCY:
❑ I heraby attirm that Ihere is a consWclion lentling epency for the peAormance ol the woik tor which this pormit Is issuetl. (Soc. 3097, Civil Code).
Lentlers Name: Lentlers Address:
Signawre:
OWNER-BUILDER DECLPRATIONS:
Date:
I hereby eHirtn ihat under penalry ot perjury that I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the lollowing reason (Sec. 7031.5, Business antl Prolessions
Code: Any city or counry wqich requires a permit to consWcL aller, improve, demolish, or repair eny stmCWre, prlor to Its Issuance, elso requires the appliwm for suc� pertnit
to tile a signed stetement tnal ha or sha is licensetl pursuant to the provisions of iha Contractors License Lew (Chapter 9(commencing with Seaion 7000) of Division 3 ot tha
Business end Prolessions Code) or that he or she is exempt therelrom antl the basis tor the elleged eaemption. Any violetian ot Section 7037.5 by flny epplicant lar a permit
subjects the appliwnt to e Glvil penalty ol not more then live �undred ddlers (5500).):
❑ I, as owner ol t�e property, or my employees with wages as their sole compensation, WILL DO THE WORK, entl Ihe siructure Is not in�ended or otteretl for sale (Sec.
7044, Business flntl Pmfessions Coda: The Contracbrs License Law dces not appty to an owner ot pro0erry who 6uilds or improves thereon, and who tloes such work
himsell or herself or tpwugh his or her own employees, pmvitletl tha� such improvements ere not inientletl or ofleretl tor sale. If, however, the 6uilding or imprwement is
sold within one yea� ot completion, the ownerbuiltler wifl hsve the burtlen ot p�ovirn� thal he rn she ditl nol build or improve f or purposa of saleJ.
❑ I, as owner ot the pwperty, am E%CLUSNELY CONTRACTNG WITH LICENSED CONTRACTORS to construct Ihe prqect (Sec. 7044, Business and Protessions
Code: The coniractor5 Llcense Lew tloes not apply to en owner of property who builtls or Improves ihereon, end w�o contracis lor such project with a wniractar(s)
license pursuanl to Ihe Comraaors Ucensa Laws.).
❑ I am exempt untler se�. Business antl Professions Code br �his reeson:
Signature: Date:
Owner ID veritietl by drivef5 license. ❑ Ves ❑ No Drivefs License No.
Venfication of Ownership by (Npe ol dxument, i.e. - pmperty tax 6ill or tleed):
Expire5:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby cenify Ihet no excave�ion five (5) or more feet in depth into which e person is required to tlescend, wlll ba matle in connection with work authodzed by this
permit, end that no bu�ltling slrucwre, scattoltling, falsework, or tlemolitlon or dismamling ihareol, will be more Ihen Ihiny-sia (36) feet high. (Chap. 3.2, Grp 2, Ah 2, Sec.
341, Title B, Calllomla Atlminisiretive Code�.
❑ As owner-builtler, I wl�l not employ anyrone to tlo work which woultl require e permit from the Divislon al Intlustnel Safety, es natetl ebove, unless such peBon hes a
pe�mit lo tlo such worN <<om Iha division.
Signature: Date:
Division oi Intlustnel Sefery Pertnil Number:
CEHTIFlCATE OF COMPLIPNCE AND AUTMORIZA710N OF EMAV: I cenify under penalry ot perjury ihat I have reed Ihis epplicetion antl state ihat ihe information given is
wrrecl. I egree b comply Wlth ell state laws end ciry ordinances relaling to building consWction, end authorize representetives of the City ot Casta Mesa to enter upon the
ebove�descnbed property to! inspection purposes. I agree no� to occupy or allow occupency of any building euthorized by ihis permit until finel inspection.
COOE 1, INSPECTIONTYPE PAIF
1616 Fixed System Final Fire Prevention
1266
200
201
202
203
204
Pool Spa Final
Final Re�Rool
Flnal BlaCk/Retelnl�9 Well
Final Factory Fira plece
Flnal Sign
Final Demoll0on
Date
z yN dU
� Date
J�$ f�QyE! INSPECTIONTYPE
208 Final Mechanical
20B Final Plum�ing
_ _ _ 210 Fina� Electdcal
212 Final Flre Prevention
220 Finel Plenning Approval
222 Final Site
250 Flnel Builtlingl0ccupancy
Pdg Iti�l3
1 • . /7l'
March 26, 1976
�
TO IdHOM iT MAY CO�CERNt
The Pdtio caver at 9I6 Peace Ylace� fo hfch building permit
1f41457 wt�s issued� substantially complies cv.• code requirements.
Very truly yours,
�
RICHARD ll. HANIiART
Building Safety Director
RDli:cb ��
I OWNtH M7rrnun� T_ x_ UAIt �-24-76
`� JOB ADDRESS oi� vo��o vi,,.o BUILDING PERMIT N0. 4t45�
SUBCONTRACTOR
�ROUGN PLUMBING
PROP. SWR. LINE ❑ HOUSE CON. �
SPRINKLING SVSTEM
ISCELLRNEOUS
ROUGH NEATING AND RIR CONOITIONING
TEMPORARV SERVICE OR POLE
UNOERGROUNO [� POWER �
ROUGM WIRING
THENCHES FORMS STEEI REINF.
FLOOR SYSTEM
BONO BEAM � STEEL REINFORCE ❑
SHEATHING
FRAME ANO FLRSHING
LRTNING — IN �J OUT ❑
PLASTER, BROWN COAT
STRUCTURAL, FINnL
H� `G. VENT., REFRIG. �ND �.C., FINRL
PL .ING. FINAL FNO GRS TEST j�j
,. 4I457
, .,, -
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
ADDFiESS / �` / C. AGI�. / �- •
OWNER �,%.' � MIL�I�A�LV
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ADDRESS C I L ����'� � '
TEL.
CITV (7STFF�I''pSA NO.�
CONSTRUCTION
LENDER �/H'
BFANCH N//.�
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ADDFESS /1/ �/�
ARCHITECT TEL.
OR ENGINEER ' NO.
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CONTRACTOR � [�
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TEL.
CITY NO.
STATE CITY
LIC. NO. IIC. NO.
OF LOT �p D� I fl � NOW ON L�OT��
USE OF (�
EXISTING BLDG. (� �1 � p(�� C 7Z
Separate permits are required for
electric, plumbing and hea[ing work.
USE OF BUIIDING AND WORK TO BE PERFORMED
Z-61 T •
,.�R?�-76����:0(11274�- ��':�t1G.5C
APPLICATION FOR STRUCTURAL PERMIT
BUILOING
ADDRESS
OWNER
FIRE
20NE
APPqOVED
ZON�
YARDS
DISTANCE BET
MAIN BLDGS.
VAR. �W
C.U.P.vW
0
� �A �
� VALUE
DATE
ED I VARDSAPPROVED
BET. MAIN &
ACC6S.BLd
DATE
APPROVED
I hareby ecknowledpe t�et 1 hava roatl thia application antl stata
t�ai the above Intormatlon Is corract entl aB�ea to comply wIN
all laws reBule[InB bulltllnp conrtruetlon, enG I shell noi employ
any parson in violetlon of Me warkmon'� compenmtlon laws of
t�e Stote of Cali(ornla.
I horeby <ertify thet 1 em prope�ly Ilcensed as a contrector untlar SQ. FT.
t�e Staie ot Callfornie Businev entl Profeulons Cotla, Dlvlsion 3, THE AMOUNT SH N R ALU
Cheptar 9, ontl thet euch Iicenses ere In full forca entl effoct, or I THE PURPOSE OF
am exempt from Na provisions of t�a Srom of Celifornla Businees
VALUATION PERMITFEE S
end Professiont Code, Dlvlsion 3, LhePter 9.
� 4q � ^^ � ' / � PLANCHECK S
Sipnotura ott- ` � �V� �'.1\I / / i
Permlttee ��R �%h1+C�t]- Y\ L\.JC.CQt�C 5�� �il� Tax s
V
AuthorizBdAgent TOTALPAID E
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m
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ON IS FOR m
FEE ONLV: e
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� 25438
CUSTA MESA BUILDINCrSAFEfI' DEPARTMENT
P.O. BOX 7P00 COSTA MEBA. CALIFOflNIA 9263!
For Appl)cant /o F711 In Camplefaly
TYPE OR PRINT
DREIBII 916 Peace Place
COSTA M�SA, CALIFORNIA
a MAIL
C.09t.3
IS s�ze
0
i�i311f •
R (1S � RQAR'
iRT ri� RIOHT
DESCRIPTION OF WORK
NO. OF
� ROOMH
— I R��
!� UYH
�1 HHPmY ACRNOWL[DOt �AT 1
•NO OTATB TNAT TM6 AGOy6 It
PLY WfTN ALL C(TY OR01f41NCt�
BOILDINO CONBiRUCiIOtl.
CITY.OF� COST��,MI
MAR 23 19fi6
fOe Offlce Um Only
11[C[IR HO.
`"�` i �7%L a�
ZONING -
ZO NO.OR Ua[O�N[W
�ux��i em�ou
�ow 3.
o�acn�mow
n
A. P. NO. RT
HOTl: NO GV6 OV[RHANO SHALL �e LE88 THAN
O DO'T081D[pRiARP.L
ewves
o�. ALLOWtD .(U.B.C.�NEOUIRHMENT
YARDBAPPROVHD YARDSAPPROYFD
MAIN BUILDINO AGGEIISORY BUIlO1N0
iFROM GLP[ALR)
0 PRONT PT. FT.
� R. HID[ S �.
DIiTANC[![T. B8T.1
MAIN BLDOf. ACCE
VAR.�L OATB
ortMen a
h °1
�
� l5 so. Rr. �
0
n��s �rruunoh n�a �rourrt nHowN unoex v�wwnon �e von �rxe j
i I�GPE[ TO CON. ��1NPo0[ OP [BTApL16MIN0 A PERMIT PE8 ONLY.
AWY RiQU TINO t�
VALUATIOq � �I� p� �
/+ PERMIT P8H �O
� s�Q�6� (; ..33 ° w.
TOTAL FEF