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Home My WebLink About2523 POPLAR LN - Building Permits(714) 754-5273 • Fau (714) 754-4856 • Www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, GA 92626 PLUMBING PERMIT lob Address: 2523 POPLAR LN Suite No Status: ISSUED Applied: 05/24/2005 I ssued: 05/25/2005 Vicinity: ParcelNunmber: 43917266 . � � �L. , _._"-.' � - ISSUEDBY: �_ - �-��' , - " - -i - _ - _ � , ,� , - • Applicant: CANDY NOCK.'- -" ;'" � ' f` ` - � � ,� � �-, , :1: . � ; f ` Address: 11612 KNOTT�S7� � � � � , , � SUITE217- .°. � -' ,` �" Phone: (714)895-1246-1� `:�`��`, ,-GARDENGROVE.CA,:_,-�.�.- �" Zip:`-92841;-�c=,`_ -� _ � � �•,'',,�.:� . . . _ ., " . \ � � � � -_ _ ; , ��:� �Zg Owner MURTAUGH LESLIE ANNE � � �� Address. 2914 ELLESMERE AVE C��; , � �C � .. Phone: ,: ��i'�' �'�• .;,; - '� ��COSTA MESA, CA Zip: ,926263609 �� t � � .. . ,.�,; ' - _ �, '. , . , ' ' !� � i � � � Contractor '-NOCK PLUM6ING r `. �' ' � � - Address ��':1�1612KNOTTS7 ,: -< .�.1' �'_ .. --. � - .-- : , � �- . T. - ,:. t ', v. '.. � `�`'rSUITE 217 �" � � Phone: pt4) 895-1246 �'��: ' . ..-`.` ',� � _ � ' ', ,'�� ,� . / � .'�i � �.' � 'l' .� _ 1 �i'". GARDEN GROVE„CA'' Zip: 92841 `�� ' ' , - �� . ,:,' � � i y,,. . . .-'� .�.. � � •,, ,: . �; , - � ' " License. -907775 - - - . . ... . , i 4�.Y^ _ Y � n �r { � �° A � ' � �l� �1 {�� l.�' . ' . ' . i . i . . . . .. .. ' '. . 1 J _'. . . .� � .. . � � - � � �' � SCOPE OF PERMIT � `' ' ��, �' . � � WATER HEATEk CHANGE OUT .J . �� +�., � � - " .. , ...._ �� . - � i `, . . . , . _ - ' FEE SUMMARY• � , . � __, , � , � � � . AMT QTY � AMT �' (�. T_Y ' " � �- .AMT � � ` QTY ISSUE FEE , $23.50 " Laundry Tub / Washer �$0.00 - - 0 �Sump Pump " ' � $0.00 ��' � 0 BackFlow�ivi9ation � $0.00 0 Landscape Irri9ation . - $0.00 -' � `0�� Swimming Pool ; , ' -� $0.00! - 0 � Bathtub Preventer-'� �� .$0.00 0 Pressore Regulator,��,� -�� $0.00 0 Urap�Primer; ;�� t�" �;� j$0.00 0 Clarifier System $0.00 0 process Piping�(per 10 ft) '$0.00 0 Vacuum Brkr�BkOow(1-4) $0.00 0 Connect Qce,Soda,etc)��" $0.00: 0� Receptors .�'' �•$0.00 ��-',0 Vacuum'Brkr BkFlow(5+) ; g0.00 0 Dental UniGs � - ' $0.00� � ` 0 ,� . . ,��-Septic Tank �' ,' $0.00,�" 0 ��,*Wash;Basin . � ; $0.00 0 Dishwasher ' �� $0.00 � �:- 0 � "'Sewer Cap for Demo,. -' � $0.00� � 0 " �Wash Basin.Set � ' � ,$0.00 0 Drain, Ploor _ �-�`� -$0.00� � 0 :�� SewerConnect - � -$0:00 - �0 � �,� �Wastean;d�Vent,Systerri ��,i�$0.00 0 Drain,Rainwater' � �`$0.00'� 0 ��:-Sewe��Private�Line � � $0:�00','0 � :�%�Water"Closef(Toilet)`!�"' $0.00 0 Drain,Roof � • ` $0.00 ��- 0-� �' ,��Shower� "' � - , '` .$0.00 -0 ,. l WaterHeater/vent'�. $12.30 1 Drinking Fountain -�� $0 00 �, �. 0 Sink, bar `�� -. $0 00 ;-"0 - � � ! ,.� ;�Water Piping (Insl or Rep.) $0.00 0 Expansion Tank �� $0-00 � �` 0 '� Sink, commeraal.- ___ __ �.$0 00� "��0 �, ;'Water Re-pipe! . $0.00 0 Gas Eartfiquake Valve $0 00 �,' 0�` -. �Sink, Floor,. $0 00�--, Ol �.�' t Water Seiyioe� � $0.00 0 Gas(1-4outleGs) $000 �, .'�0 ��; `Sink;�kitchen. �':.'., ��$000'- �O��j.) Wate�So(tener $0.00 0 Gas (Over 4 outlets) $0 00 R'^� �, 0 _ "Sink, ser'vice/mop �'�, $0 00, `0�_ -' -OTHER � $0.00 Gas Repipe $0.00 0 � - '� Spa (private) � " ' . . . ' _�.$0.00�' -0 - �l'�VIOLATION $0.00 Gas Service $0.00 0 = �Spa (public) $0.00 = ;O�G% �, - "� PLAN CHECK $0.00 Interceptors (Grease, Oip $0.00 0 ' ._ � , , � _ ., . � - '��.. � " REINSPECTION $0.00 0 Interceptors (Sand Auto ) $0.00 0 ' - � -- � ' � TOTAL CALCULATED FEES: 535.80 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California slatutes and ralated regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatiCally expire and become void if work is not commenced within 180 days, or if xrork is suspended or abandoned for a period of 180 days. INSPEC710NS: In order for the work authonzed under this permit to be considered iegal, such work must compfy with att appficable codes, anC ali required Inspecliona end flnal approval must be obtained. Failure to obtain inspections and tinal approval wiil result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 zaas-.e rsroo� WORKERS' COMPENSATION DECLARATION: � � � ' � . . � I hereby affirm under penalry of perjury one of the following tleclaretions.' •,�a�: '" '` � , ". � ❑' I have antl will maintain a certifiwte of consent to self-Insure for workers' compenseNon, es provided Por by section 3700 0l the Labor Cotle, for the pertormence of Ihe � work�foi which this pertnit is issueQ � � ' � - - . . workers' cOmPen tlon insurance, as requiretl by section 3700 of the Lebor Cotle, for the perfortnance of (he work tor wNch this perrnit is issued. '' Co Insur n ' y�+tl pry ic� number ere: n � I 1 (il I Pol` er."� - � � npleted i/ the permif �ue a one hunGred dollars (5100) or less.) �� L �'T ❑ I certity Ihat in the perfortnance ol the work for which tNs permit is issued, I shall noCemploy any person in eny manner so as to become subject to the workers' compensatlon laws ol Califomla, 9�d agrae that If I should become suDject to the workere' compensation provisions of Section 3700 of the La6or Code, I shall forihwith� com I wi he Nsions. /) r n/ ❑ i�e✓ � ,��/�� Da�a: �� ; e fAa.'^�t.. WARNINp: FAILURE TO SE E WORKER$' COFAFENS4TION C1�VERAGE IS UNLAW FUL AND SHALL SUBIECT AN EM � TO CRIAMNAI pENALTIES AND GVIL FlNES UP TO IXJE HUNDREO iY1d15AND ODLLARE (St00.00D), IN ADDITlOr1 TOTHE LWT OF COMPENSATION, DAMAGES AS PFiCMDED FOP IN SECTION 31O60FTHE�.ABOR CppE, iMEREST, AND ATTORNEI"5 FEES. LICENSED CONTAACTORS DECLARA710N: oi Chapter 9(commancing with Sec�ion 7000) of Division 3 ot t e Business ayb.Fjrg�qs,sions Code, and my license Is in tull CONSTRUCTION LENDING AGENCV:�.`� � ❑ I hereby aHirtn Ihat there is a con9�Nction lentling agency for ihe pedormance of the work for which this permit is issuetl. (Sec. 3097, Civil Code). Lentlels Name: Lentler's Atltlreu: Signatura: Date: OWNER-BUILDER DECLAfiA710NS: I here6y efiirm Ihat under penfllry ot Derjury ihet I em EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, eusinass antl Professlons Cotle: Any ciry or counry which requires a permit to construct, alter, improve, tlemolish, or repair eny structure, prior to its issuance, elso requires tha applicant tor such permit to ttle a signed statement ihat he or she 1s 6cense4 pursuant lo the pmdsions ot ihe Coniractors license Lew (Chepter 9(commencing with Secdon 7000) ot Division 3 of ihe Business end Protessions Gode) or lhai he or she is ezempt thereirom antl t�e 6esis for Ihe ellegetl ezemption. Any violation of Sedion 7031.5 by any epplicant for a pertnit sublecis the applicent to a civil penalry of not more than five hundred dollars (5500).): ❑ I, es owner of Ihe propeny, or my employees with wa9es as Ihelr sole compensatlon, WILL DO THE WORK, and ihe structura Is not intentled or otteretl tor sele (Sac. 7044, Business antl Professions Ca1e:•The Contractors License Law does not apply to en owner of properry who builds or improves thereon, and who tloes such work himselt or hersetl or Ihrough his ot her own employees, provitletl ihat such improvements are not intended or oHeretl for sale. If, however, the building or improvement Is soltl within one year of completion, ihe�owner-Duilder will have Ihe burden ot proving that he or she did not build or improve for purpose of sale.). � ❑ I, as owner of lhe property, am EXCLUSIVELY CONTRACTING WIT}1 LICENSED CONTRACTORS to construct the project (Sec. 7074. Business and Protessions Code: The conirac�ors License Law does not apply to an owner of pmperty who builds or Improves thereon, entl w�o conirects tor such projact wlih a contractor(s) license pursuant to ihe Contractors License Laws.). ❑ I am exempt untler sec. Business and Professions Cotle lor this reason: Signature: Date: Owner ID veritied by dnver's license. ❑ Ves ❑ No Drivels License No. Verilication oi Ownership by (type ot tlocument, i.e. - propeRy taz hill or deed): Eapires: DIVISION OF INDUSTAIAL SAFETY PERMIT CERTIFICATON: ❑ I hereby certity ihat no eKcavation ��e (5) or more teet in tlep�h into which a person is requiretl to descend, will be made in wnnectlon wit� work authonzed by Ihis permit, antl that no builtling structnre, swttoltling, tafsewodc, or demolition or dismantling t�ereof, vrifl be more Man thirty-six (36) feet hlgh. (Chap. 32, Gry 2, Art 2, Sec. 341, Trtle e, California Atlministrative Code). ❑ As owner-builder, I will not empl0y enyone to Do work which would require a permit from the Division ot Intlustrial Sefety, es notetl above, unless such person hes a permit to tlo such work irom the division. Signature: Date: Division of Industrial Safery Parmit Number: CERTIFlCATE OF COMPLIANCE AND AUIMORVJ1T10N OF ENTRY: I certi(y under penalry of perjury that I have read this epplication and state ihat ihe Information given is correct. I a9ree �o comply with all state laws end ciry or0inances relating to builtling construc�ion, and authorize representatives ot the Clly of Costa Mesa to enter upon Ihe ebove-described property for inspection purposes. I egree not to occupy or allow occupancy ot eny building au�horized by this pertnit until tinal inspection. GODE �. INSPECTIONTYPE" ' 1616 7266 Fixetl System Final Fire Prevention Pool Spa Final 200 Final Re-Root ' � 201 Final 81ocWRetaining Wall 202 Final Factory Fire Placa 203 Final Sign 204 Final Demolilion -. . o"re ' . .� : CODE1 ' INSPEC710NTYPE' ' ' 206 Finel Mechanical 208 Final Plumbing � 270 Final Electrical ' ' 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Finel BuiltlincyOccupency . . PSIE � 'I�L9