HomeMy WebLinkAbout2441 ELDEN AVE - Building Permits (7)Job Address: 2441 ELDEN AV � Status: ISSUED
Suite: C ' Applied: 08/25/2004
Vicinity: Issued: 09/01/200
Parcel Number: 4392$137 , ZOning: ISSUED BY:
Applicant: REAp, MARC
Address: P O B4X 194 �
� Phone: 949-337-9679
SURF$IDE, CA� Zip: 90743
Owner: DECINCES, DOUGLAS AND KRISTI
Address 12 STRqWBERt2Y FARMS ROAD
IRVINE, CA
Contractor: READ FIR
Address: P O 80X 19�
SURFSIDE,
Phone: 949.477.4280
Zip: 92612
i
Phone:�-949337-9679
Zip: 90743
License: 837553
SCOPE OF PERMIT '
INSTALL 23 OVERHEAD FIRE SPRINKLERS. REF.: B03-02096
FEE SUMMARY
Plan Check: $45,01
Permit: $69,25
Other: $O.DO
I
Total: $114.26
��,szAa, � Gl,c/li 9- �- � �'
�� �
Calc Valuation: Sz,000.00
Claimed Valuation: 32,000.00
N0710E: The work authorized by this permit shall comply with all applicable handicap access �equirements under Cafitornia statutes and re7ated
regu�auons. (om. No. s2-2a, § r, iz-z7-iz)
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 tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred InepecHone and final approvel must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
zaawe �eroo�
WORKERS'COMPENSAnON DECLARAnON:
I heroby eHirm under panelty ot perjury one of the following declaretions:
❑ I heve end will melntaln e certificate of cansent to selt-Insure for workere' compensatlon, as proNded for by sectlon 3700 of ihe Lebar Code, for Ihe pertortnance of the
work lar whiCh t�ls pertnit is issued.
❑ I heve entl wiil maintaln workere' compensetion Insurance, as required by section 3700 oi Ihe Lebor Cotle, for ihe pedortnance of Ihe work for which this pertnit Is issued.
My workere' compensetlon Insurence carrler end palicy number ere:
Certier. Policy Number:
(Tly'�S secNon need nof be complefed i! fhe permit Is va/ued ef one hundred dWlars (E700) or /ess.)
Ity Ihet in t�e pertormance M Ihe work br which this pertnit is issued, I shell nol employ any person in any manner so es to become sub�ect to Ihe workers'
iensatlon laws oi Calitomia, er eg at-4 � uld become subject to tha workers' compensatlon pmvislons ot Sectlon 3700 of Ihe Labar Cotle, I shall torthwith
Ay wilh these provisions. /� / �
�� �
Ilgnature �+ � Daler —
'AICORE TO SECURE WORKERS' COMPENSAiION COVERAGE IS UMAWFUL AN� SWLLL SUBJECf AN EMPL� CRIMINAL PENALTIES ANDpNL FlNES UP TOONE HUNDRED
DOLLARE (5100,0OO�.INl�DfilIXJ TO THE COST OF COMPENSATIIXJ, DNMGES PS PROVIOED FOR IN SEGfION 31080F THE LABOF CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
�hamby�ftirm�that I e`m Ocensed�upde� provisions of
CONSTRUCTON LENDING AGENCV:
with Sectlon 7000) ol
Code, and my Ilcense is in full
❑ I hereby aHirm that there is a construction lendinp egency For the pertormance ot the work for which this permit is issued. (Sec. 3097, Civil Cotle).
Lentlers Neme: Lenders Address:
Signature:
OWNER•BUILDER DECLARATIONS:
Date:
I hereby ettirm that under penalry of perJury ihet 1 am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor che tollowing reason (Sec. 7031.5, Business end Professions
Code: Any city or counry which requires a permit to consiruct, elter, improve, demolish, or repair any structure, prior to its issuence, elso requires tha epplicanl for such permit
to flle e signetl stetement ihet he or she Is Ilcensed pursuent to the provislons of ihe Contrectore License Lew (Chapter 9(commencing wlth Sectlon 7000) of Division 3 of Ihe
Business and Pmfesslans Cade) or ihet he ar she Is exempt therefrom end ihe basis br the alleged exemptlon. Any violation oi Sectlon 7031.5 by eny eppllcant for e permit
subjects the epplicant to a civil penalty ol not more than live hundretl tlollers (5500J.):
❑ I, es owner of the proparry, or my employees with wages es t�eir sole compensation, WILL DO THE WORK, end Ihe siructure Is not Intentletl or oflered for sele (Sec.
7044, Business and Professions Code: The Contrectors License Law does not apply �o an ownar of property who builds or improves thereon, end who does such work
himselt or herseH or ihrough his or her own employees, providetl that such improvemenis ere not Intended or ottered for sele. H, however, ihe bullding or improvement is
sold within one year ot completion, the owner-builder will have the burden ot proving ��at he or she did not build or improve for purpose of sale.). '
❑ I, as owner oi the property, am E%CLUSIVELV CONTRAC77NG WITH LICENSED CONTRACTORS to consiruct the projact (Sec. 7044, Business and Pmteuions
Cotle: The contractors License Lew does not epply to an owner ol property who Dullds or Improves thereon, and who rnnirects lor such project with a contrector(s)
license pursuanl Io ihe Contrectors License Lews.).
❑ I em ezempt untler sec.
Signatura:
Owner ID vedtied by dnvefs license. ❑ Yes ❑ No
Business antl Professions Code lor ihis reason:
Vedflcetion of Ownership by (rype of Cocument, i.e. - properry ten bill or tleetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Drivers License No.
Dare:
Expir85:
❑ I hereby certity ihat no excavetion ilve (5) or more feet in depih into which e person Is required to descentl, will De made in conneclion with work euthonzetl by ihls
permlt, antl t�at no builtling structure, scattolaing, lalsework, or demolition or tlismanHing t�ereol, will be more then ihirty-slx (38) feet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title B, Califomla Adminisirative Code).
❑ As owner-Duiltler, I will not employ enyona to do work which would require a permit from �he Division of Industrial Safety, es noted ebove, unless such person has e
permit to do such work from the division.
SignaNre: Date:
Division ot Industnel Safery Pertnit Number:
CERTiFlCATE OF COMPLIANCE AND AIJfHORIZATION OF ENTRY: I certity under penalry of perjury that I have read this applicalion and stale Ihat the information given is
correct I agree to comply with all state laws and clry ordinances relaling to building consiruc0on, entl authonze representatives ol Ihe Ciry ol Costa Mesa to enter upon the
ebove-descnbed property for inspection puryoses. I agree not to occupy or ailow occupancy of eny building authorized by this permil until tinal inspection.
COOE t, INSFEC710NTYPE
1616 Fi:ed System Final Fire Prevenilon
1266 Pool Spa Finel
200 Flnel Re-Root
201 Flnel BIocWRetaining Well
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
Q�jE i�L 4QQf,,,( INSPECTION7YPE
206 Final Mechanical
20B Finel Plumbing
210 Finel ElectnCal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Finel BuildinyOccupancy
Date
QSLF ItIIID9L$
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 244'I ELDEN AV
Suite: C
Vicinity:
Parcel Number: 43928137
Zoning:
Applicant: EDGARDO J. GELSANO
Address: 20351 IRVINE AV
SUITE iC Phone: 714-641-1505
SANTA ANA, CA � � Zip: 92707
Owner: DECINCES, DOUGLAS AND KRISTI
Address 12 STRAWBERRY FARMS ROAD
Phone: 949.417.4280
. � IRVINE, CA Zip: 92612
Convactor: O W N E R-B U I LD E R
Address:
Phone:
Zip:
Arch :
Address:
License: 000000
Eng:
� � � Address:
Phone:
ISSUED BY:
Status: ISSUED
Applied: 12/04/2003
Issued: 04/22/2004
Phone:
Zip: License: License:
SCOPE OF PERMIT
LOT 3 UNIT C PLAN tAREV � ' ' � � - ' ' � " ' '
NEW 2,249 S.F. S.F.D. WITH 433 S.F. AT-TACHED GARAGE. WORK TO INCIUDE: 1 ST STORY (1,031 S.F.) AND 2ND STORY (1,218 S.F.), 3
BEDROOMS AND 3 BATHS. ALSO INCLUDES 101SF FRONT PORCH. REF.: 803-02094/2097/2098 AND G03-00021, PA-03-08, PM-03-243 �
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$1,082.74
$1,665.75
$22.00
$0.00
$0.00
$0.00
$2,770.49
SETBACKS'
MAINSTRUCTURE,Front 33-0
ACCESSORY Front 0- 0
PARKWG Ex�sn"❑: o
FEE SUMMARY
Calc Valuation:
Claim Valuation:
PLANNING & ZONWG
� Rear 20- 0 Left 5= 0' Right 26- 0-,
. Rear 0- 0 ` � Left ' 0- 0� - Right 0- 0 -
Required: 4 , Proposed: 4 -
$219,957.62
so.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calitornia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this pe�mit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
<ae-ae �emu�
WORKERS' COMPENSATION DECLARATION: - �- �.
1 hefeby affirm under penelry of perjury one oi the following dBClarBti0n5: �, "'
/�/ v ;���1 � '
❑ I have and will maintain a certificate of consent.to self-Insure for worke�s' compensation, as provided for by section 3700 of the Labor Cotle, for the pertormance ot the
work for wFlch ihis permit is issued. � \� y,.���.=;��� �,
�� I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code; for Ihe pedortnance of ihe work fw which ihis pertnit is issued.
My woikers' compensation Insurania carriar antl policy number'are: �-�_.� �.,-.c'� ^
Carrier: �I /% �� X`-"'-r�''^=•=�=s-�-�:.: ,PolicyNumber:
(Thls section need naf be completed il the permit is valued af one hundred dolla�s7$f00) or less.) ' - � �� �
I/ .P` , ��
❑ I cenify that in ihe pertormance of the work tor which ihis permit is issued, I shall not employ�any person in any manner so as to become subject to ihe workers'
compensation lawsbf Califomia, antl agree ihat if I shoultl become subject to ihe workers' compensation provisions of Saction 3700 of ihe Labor Cotle, I shall forihwith
Applican6Signetu?e: Date:
WARNING FAILtIRE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES lIP TO ONE HUNDRED
THOIISANO OOLLARE ($100,000), IN ADDITION TO THE COST OP CAMPENSATION, DAMAGES AS PROVI�EO FOR IN SECTION 3]W Of THE LABOR CADE, IMEREST, AND NTTORNEY'$ FEES.
LICENSED CON7RACTORS DECLARATION: '
I hereby aHirm Ihat I am licensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, anA my license is in full
force antl eBect. Lia k Class #
Coniractor's SignaWre: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm ihat there is a consiruction lending agency for the pedormance of the work for which ihis permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby attirm ihat under penalry of perjury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions
CodA: Any ciry or county which requires a permit to construct, elter, improve, demolish, or repair any siructure, prior to its issuance, also requires the applicant for such pertnit
to file e signetl statement thet he or she is licensed pursuant to the provisions of the Conirectors License Law (Chapter 9(commencing with Section 7000) of Divislon 3 of the
Business and Professions Code) or [hat ha or she is ezempl theretrom and the basis for Ihe alle9ed examption. Any violation of Section 7031.5 by any applicant for a pertnit
subjocts ihe epplicant to a civil penalty of not more ihan five huntlretl tlollars ($500).):
❑ I, as owner ot ihe property, or my employeas with wages es their sole compensation, WILL DO 7HE WORK, and ihe siructure is not imentletl or oHered for sale (Sec.
7044, Business and Professions Cotle: The Contractors License Ww does not apply to an owner ot property who builds or improves theraon, antl who dces such work
himseN or herseN or thmugh his or her own employees, provided ihat such improvements ere not intended or ottered for sele. If, however, the building or improvement is
sold within one year ot completion, ihe owner-builder will have the burden of proving �hal he or she did not build or improve for purpose of sale.). -
I, as owner of ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe prqect (Sec. 7044, Business and Protessions
�fCode: The conirecrors License Law does not epply to an owner of property who builds or improves ihereon, and who comracts for such project with a contractor(s)
license pursuant to ihe Coniracmrs License Laws.).
❑ I am exempt under sec. Business and Professions Code for Ihis reason:
Owner 10 verified by driveYs license. es ❑ No D+iver'aLicense No.
Veritication of Ownership by (type oi tlo m�i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION:
❑ I hereDy certify that no excavation five (5) or more feet in depih into which a person is required to descend, will be made in connection with work authorizetl 6y �his
permit, and ihat no building structure, scattolding, falsework, or demolition or dismantling ihereof, wiil be more than ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Califomia Atlminisirative Code).
❑ As owner-builder, I will not employ anyone to do work which would require e permit from ihe �ivision of Industrial Sataty, as noted a6ove, unless such person has e
permit to do such wark trom Ihe tlivision.
Signature: Data:
Division ot Industrial Satery Permit Numbec
ICERTIFICATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRY: I cetlify under penalty of perjury that I have read this application and state that ihe intormation given is I
wrrect 1 agree to comply with all state laws and city ortlinances rela�ing m building consiruc�ion, and authorize representa�ives of the City ot Costa Mesa to enter upon Ihe
above-described property for inspection purposes. I agree not to occupy or allow occupancy ot any building authorized by this permit until final inspec�ion.
CODEN, INSPECTIONTYPE Qj��F INTRIALS
161R Fized System Final Fire Pravention
126G
200
Pool Spa Final
Final Re-Roof
201 Final Btock/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition �
Date
- ��Z ��
Dat
COpE� �NSPECTIONiYPE
206 Final Mechanical
208 Final Plumbing
210 Final Elecirical
212 � Final Fire Prevention
220 Fina� Planning Approval
222 Final Site
250 FinalBuiltling/Occupancy
onre INTITIALS
. �:—l..�t'UJ
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesfl.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicant:
Address:
2441 ELDEN AV
C
43928137
DECINCES,TIM
12 STRAWBERRY FARMS ROAD
IRVINE, CA � �
ELECTRICAL PERMIT
Phone: 949.417.4280
Zip: 92612
Owner: DECINCES, DOUGLAS AND KRISTI
Address 12 STRAWBERRY FARMS ROAD
Contracror:
Address:
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 uniLs)
New Res (3+units) .
Pool / Spa
Lighfing FixLS
Recept OutleLs
Switches
Non Res Appl
Res Appl
Service to 200a
Service to t000a
Service over 1000a
Motors to 1 hp
Motors to tOhp
Motors to SOhp
Motors l0 100hp
Motors over 100hp
Communica6on drops
Sub panel to 200a
Pole Light Pkg
IRVINE, CA
OWNER-BUILDER
Phone: 949.417.4280
Zip: 92612
Phone:
Zip:
License: 000000
Status: ISSUED
Applied: 08/23/2004
Issued: 08/23/2004
SCOPE OF PERMIT
ELECTRICAL TO INCLUDE: 2249 S.F. NEW S.F.D., 6 LIGHT FIXTURES, 4 OUTLETS AND 2
SWITCHES. REF.: 803-02096 UNIT C
$23.50
$0.00
$0.00
$125.94
$0.00
$0.00
$6.60
$4.40
$220
$0.00
$0.00
50.00
50.00
$0.00
$0.00
$0.00
so.00
$0.00 •
$0.00 i
$0.00
$0.00
$0.00
�uantiry
2249
0
0
6
4
2
0
0
0
0
0
0
0
0
0
0
0
0
0
FEE SUMMARY
Temp Dist System I Lighting
Busway /100 ft
Standing Section
Misc Electriral Equipment
Transfortners up to 1 kva/kw
................up to 10 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw .
..................over 100 kva/kw
Low Voltaga Equipment
Low Volt Wiring System / Ckt
Misa Conduit
Misa Conductor
Circus ( gen or ride)
Circus (mech ride or lights)
Chnstmas Tree Stand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspec[ion Fee
Quantiry
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00, 0
$0,00 0
$0.00 0
$0.00 0
$0:00 . 0
$0.00 0
$0.00 0
$0.00 0
$0.00 ; "� 0�
$0.00 ".� 0
so.ao ' o
$0.00
$0.00
$0.00
$0.00
NOTICE: The work authorized by ihis permit shall compty with all applicable handicap access requiiements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 7, 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 1 BO days. -�
INSPECTIONS: In order for the work authorized under this permit to be considered lagal, such work must comply vAth all applicable cotles, and all
requlred Inepeetlona and final approval must be obtainetl. Failure to obtain inspections and tinal approval will result in the expiratlon of,this permit.
FOR INSPECTIONS CALL: (714) 7545826 ��
2aawe �s�oo)
WORKEHS' COMPENSATION DECLARATION:
I heraby eflirm under penalry ot perjury one of the following declarations:
❑ I have antl will maintain a certiticate ai wnsent to self-Insure for workers' compensatlon, es proNded lor by sedlon 3�00 oi ihe Lebor Cotle, lor Ihe peAormence of the
wark for whlch lhis pertnll Is issuetl.
❑ I have and will maintain workers' compensa6on Insu2nce, as required by sectlon 3700 ot ihe Lahor Cade, for the peAormance of the work for which this pertnit Is Luued.
My workers' compensation Insurance carrier entl policy number ere:
Cartier. Polity Number.
(This sectfon need nof be complefed I! the permit is velued af one hundretl tlollars ($100) or less.)
�^ I certity that in the pertormance al the work for w�ich this Dermit Is issued, I s�all not employ any person in eny manner so as to became subject lo the workers'
'r" compensatlon laws of Calitomie, end egree Ihat II I shoultl Eecome subject to tha warkers' compensation pmvislons of Section 3700 of the Labor Code, I s�ell forthwit�
Comply wi�� Ihese provi5lons�� /
AppliceN Signeture: �/ �vl�. � Date: q— 2-} ��`-�
WARNINO: FAILURE TO SECURE WORKERS' COMPENSA COVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMP�OVER TO CRIMINAL PENALTIES AND pVIL FINES UP TOONE MUNDRED
THOUSAND DOLURE (5100,000�, IN ADDRION TO TME COST OF COMPENSATIIXJ, DMIAOES PS PPOVIOE� WR IN SECTION 31080F THE LABOR CODE, IMEREST, AND ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eHirtn that I em licensed under proNsions of Chapter 9(commencing wit� Sectlon 7000) of Division 3 0l ihe Business anA Professions Code, and my license is in tull
larce end eHect Lic. a Cless N
Conirector's Signeture: Dete:
CONSTRUCTION LENDING AGENCV:
❑ I hereby aRirm that there Is e constmctlon lentling agency tor the peAormence ol ihe work for which this permit is issuetl. (Sec. 3097, Civil Cotle).
Lendofs Name: Lender's Address:
Signature: Data:
OWNER•BUILDER DECLARATIONS:
I hereDy affirm ihet under penalry of perjury thei I am EXEMPT FROM THE CONTRACTORS LICENSE LAW far the tollowing reason (Sec. 7037.5, Business end Professions
Catle: Any ciry or counry which requires e permit to consirud, alter, improve, demolish, or repair any siructure, pnor lo its iuuance, also requires the epplicant tor such permit
b file e signed stetement Ihet he or she is IlcenseC Dursuant to the D�ovislons al the Cantrectars Llcense Law (Chepter 9(commencing with Sactlon 7000) 01 DlWsion 3 ai the
Business end Prolessions Code) or that he or she Is ezempt t�ere�rom antl I�e besis for ihe elleged exemption. Any violatlon at Saction 7031.5 by any epplicent far a permit
sub�ects ihe epplicant to a civil penalry af not more Ihen fiva hundred dollare ($500).):
❑ I, es owner oi Ne property, or my employees wllh wages as ihelr sole compensation, WILL DO TME WORK, antl t�e slrucNre is nol Iniendetl or ofleretl for sele (Sec.
7044, Business and Professions Code: Tha Contractors License Law does noI apply to an owner of properry who builds or improves ihereon, end who tloes such work
hlmselt or herself or through his or �er own employees, provided that suc� improvemenis are not Intended or oflered for sala. tl, however, the building or Improvement is
�sold within one year oi completion, ihe owner-builder wiil heve the burden of proving ihat he or she did not bulld or imp�ove for purposa of sale.). �
I, as owner oi Na property, am EXCLUSIVELY CONTRAGTNG WITH LICENSED CONTRACTORS to construct the O�alect (Sec. 7044, Business antl Professions
CoOe: 7Te wntractors License Lew does no1 appty to an owner oi propeny who builds or improves thereon, antl who contracts for such project with a contrector(s)
licensa pursuant to the Coniractors License Laws.).
❑ I em e:empt undar sec.
SignaNre: � C
Or.ner ID venfied by tlnvefs license.
Verificatian at OwnerShip by (Iype of
DIVISION OF INDUSTRIAL SAFETY
_ BuSiness end Protessions Code tor Ihis reason:
Date: -
❑ No Drivers Licanse No. / Expires: �-/-7 /- n a
--r
pmperry taz bill or deed):
❑ 1 hereby certity ihat no excave�ion flve (5) or more feet in dep�h into whlch e person Is required to descend, will be mede in connection with work eu�horized by ihis
permit, end ihat no builtling simcture, sceHolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Atl 2, Sec.
341, Ttle 8, Califomia Atlministrative Code).
❑ As owner-Duiltler, I will not employ enyone to do work which would require a permit from Ihe Division of Intlustrial Safery, as notetl ebove, unless such person has a
permii Io tla such work irom Ihe tlivislon.
Signawre: Date:
Divislon oi Industrial Safery Parmit Numbar:
CERTFICATE OF COMPLIANCE AND AU7TIORIZATION OF ENfAV: I cenify under penalry of perjury thet I heve read ihis eppticalion and state thet ihe intormation given is
correct. I egree to comply wlth ell state lews end clry ortlinances ralating to bulltling construction, end authorize represenia�ives of �he Clty of Costa Mesa to enter upon ihe
ebove-descnbetl pmperry for ms tion purywes. I e9ree not to accupy or ellow occupancy of eny building euthodzed by this permit until tinel inspection.
��1 /I q— Z3—o�l
� Slgn alOwner(s) Date
And/Or Aulhonzetl Applicant Date
LOOE 1. INSFECTION TYPE
161fi Fixed System Pinal Fire Preventlon
1268 Pool Spe Final
200 Final Re-Roof
201 Final BIocWRetaining Well
202 Final Factory Fire Place
203 Final5lgn
204 Final Demolition
�L IMRIRL9
COpE II INSPECTION TYPE
206 Final Mechanical
208 Finel Plumbing
210 Finel Elacttical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final BuilAingiOccupancy
�e ii�a
l -Z 'l�i Q�—
Job Address:
Suite No
Vicinity:
2441 ELDEN AV
C
Parcel Number: 43928137
Applicant: DECINCES,TIM
Adtlress: 12 STRAWBERRY FARMS ROAD
IRVINE, CA
MECHANICAL PERMIT
Phone: 949.417.4280
Zip: 92612
Owner. 'DECINCES, DOUGLAS AND KRISTI
Address: 12 STR4WBERRY FARMS ROAD
IRVINE, CA
Contra ctor: O W N E R-B U I LD E R
Address:
PhOne: 949.417.4280
Zip: 92612
Phone:
Zip:
License: 000000
Status: ISSUED
Applied: 08/23/2004
Issued: OS/23/2004
ISSUED BY:
SCOPE OF PERMIT
MECHANICAL TO INCLUDE: 1 INST FAU < 100K BTU, 1 REPAIR/ALT COOLING/HEAT, 1
FACTORY FIREPLACE, 1 HOOD�W/MECH EXHAUST AND 3 VENT FANS. UNIT C REF.: 803-02096
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >100 k BTU
Repair/Alt Cooling/Heat
Inst / Rep. Recess Wall Htr
Refrig Sys <100 k BTU
Refng Sys >700 k BTU
Gas Piping � �
Factory Fireplace
Hood w/Mech Exhausl
VAV Box
Vent Fan / Single Duct
Appliance , ,
Fire Dampers
Smoke Dampers ` � '
Inst or Relocate Appl Vent �
Air Handlers c t0000cfrn
Air Handlers > 10000cfm
Floor Fumace
Floor or Suspend Heater
$23.50
$14.80
$0.00
$13.70
$0.00
$0.00
$0.00
$0.00
$10.65
$10.65
$0.00
$21.75
$0.00
$0.00
$0.00
$0:00
$0.00
$0.00
$0.00
$0.00
Quantity
Y.
FEE SUMMARY
Repair / Alt Absorbtion Unit
Repair / Alt Refrigeration Unit
Ventillation System
Evaporative Cooler
Commercial I nci n erator
Domestic Incinerator
Compressors / Absorption Systems
Upto3hp/100kBTU ,
3 To 15 hp /-500 k BTU
15 To 30 hp /_1,000 k BTU
30 To 50 hp / 1;750 k BTU �
Over 50 hp / Over 1,750 BTU� "
Boilers
Upto3hp - � , "
3To15hp � , �
15to30hp ' � � �
30 to 50 hp - �
Over 50 hp
Other Mechanical Fee ' -
Investigation Fee , . �
Plan Check Fee
Reinspection Fee � � �
Quantiry
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
�Q.Q� 0
$0.00 0
$0.00 0
$0.00 0
' � �- $0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES $95.05
NOTICE: The work authorized by this permit shall comply with all applicable handicap 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 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 comply with all applicable codes and all
required inspections end (inal epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this`�permit.
FOR INSPECTIONS CALL: (714) 7545626
2446-48(&00)
WORKERS'COMPENSAnON DECLARAnON:
I �ereby aHirm under penalry of perjury one of the toliowing declerations:
❑ I heve antl will maintein a certificate of consent to selt-Insure for workers' compensation, es provided for by sectlon 3700 of ihe Labor Cotle, for Ihe pedormence of iha
work tor which Ihis perr�i[ is issued.
❑ I have end will maintain workers' compensation insurence, as required 6y sectlon 3700 oi the Lebor Code, for the peAormance of ihe work for which this pertnit is issued.
My workers' compensation Insurence carrier antl policy number ara:
Carrier: Policy Number:
(This section need nof be coinp/etetl il the permit is valued ef one hundred dollars ($100J or less.)
� I cetlify ihat in the peAamance oi ihe work for which this pertnit is issued, I sF�ell not employ any person in any manner so as !o become subject 10 ihe woMers'
Compenseilon lews of Califomie, entl egree �ha� If I should become subJec� to lhe workers' compensetian provisions of Section 3700 ot �he Labor Cotle, I shell forihwi�h
comply with these provisions. G Z�
Applicant Signature: -�%�/ � Date: / � O�i
WARNWG FAILURE TO SEWR� WpqKERS' CQNPENSATION COVERAGE IS 11NLAWFUL AN� SHALL SUBIECT AN EMPIOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOIXJE HUNDRED
THOUSAN� DOLLARE (5100,000�, IN FDDRION TO THE COST OF COMPENSATION, DAMhGES AS PROVIDED FOii W SECiION 3105 OF THE LABOP COOE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLAflATION:
I hereby aNirm that I em liceqsed untler provisions of Chapter 9(commencing wlth Section 7000) of Division 3 of ihe Business antl Pmfesslons Code, and my licanse is in full
force and ettect. Lic. a Class #
Coniractor's SignaNre: Date:
CONSTRUCTION LENDING pGENCV:
❑ I hereby aHirm ihat there is e construction lending agency for the pedormance of the work for which this permit is issuetl. (Sec. 3097, Civil Cotle).
Lender's Name: lender's Adtlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby ettirm ihat under pehalty of perjury ihat I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business end Protessions
Coda: Any city or county which requires a pertnit to consiruct, alter, improve, demolish, or repeir eny structure, pnor to its issuance, also repuires the applicant for such permit
to Ille a signed statement th2t he or she Is Ilcansed pursuant to ihe provisions oi the Contradors IJcensa Law (C�apter 9(commencing with Section 7000) oi Division 3 of Ihe
Business and Professions Code) or that he or she is ezempt therefrom and Ihe basis for the alleged ezemption. Any violation of Section 7031.5 by any epplicanl for a pertnit
subjacts the applicant to a civil penalry of not more ihan tive hunared tlollars ($500).):
❑ I, as owner ot ihe properry, or my amployees with wages as their sole compensation, WILL DO THE WORK, and the siructure is not Intended or oHered tor sele (Sec.
7044, Business and Protessions Code: The Contractors License Law does not apply to an owner ot property who builds or improves thereon, and who does such work
himself or herself or through �is or her own employees, pmvided that such Improvements ere not inrended or oHered for sale. If, however, the building or improvemant is
�sold within one year of completion, ihe ownar6uilder will have the burden of proving ihat he or she ditl not build or improve for purpose of sale.). �
I, as owner of lhe propgrty, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to conslrucl Ihe project (Sec. 7044, Business and Protessions
Code: The contractors License Law does not apply to en owner of property who builds or Improves thereon, and who contracts tor such proiect with a contractor(s)
license pursuant to the Contrectors License Laws.).
❑ I am eaempt under ec,
Signature:
Owner ID verifietl b drivers license.
Vedtication oi Ownership by (type of
DIVISION OF INDUSTRIAL SAFETY
Business and Professions Code tor this reason:
❑ No Driver's License No.
properry tex bill or tleed):
oate: 9- 2-3 - o�(
e:p�res: N-�6-o9
❑ I here6y certity iha� no excavation five (5) or more feel in depih inro which e person is requiretl to descentl, will be mada in conneciion wlth work authorized by this
pertnit, a�d that no building simcNre, scaHoldi�g, talsework, or demolition or tlismantling t�ereof, wili be more then thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Calitornia qdminisirative Code).
❑ As awner-bullder, I will not employ anyone to do wark which would require e permit irom ihe Division oi Intlusiriel Sefety, as noted ebove, unless such person has e
pertnit to do such work from the division.
Signalure: Date:
Division of Indusirial Safery Permit Number.
CERTIFICATE OF COMPLIqNCE AND AUTHORIZATON OF ENTAV: I cenity under penalry of perjury �hat I have read Ihis epplication and state ihat Ihe infortnation given is
correct. I agree to comply with ail state laws and ciry ordinances relating to builtling consimction, and aNhorize representatives ot the City of Costa Mesa to enter upon the
ebove-descnbed propeAy for ins io puryases. I egree not to aapy or allow occupancy of any building authonzed by ihis permit until (inel inspection.
� _� � - 27- o �/
'Signa'fure alOwner(s) Date
And/Or Authorized Appiicanl
COUE �, INSPECTONTYPE
1616 Fiaed System Final Fire Preventlon
1266 Pool Spe Final
200 Final Re-Roof
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Finel Demolition
�jf, �NTITu�s 4QQ�( �ECTIONTYPE
206 Final Mechanicel
20B Final Plumbing
210 Final Elecirical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 FinalBuilding/Occupency
D�TE li�{vfi
� Z �Q ^ .��i
r i�C
(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DfiIVE, COSTA MESA, CA 92626
Job Address: 2441 ELDEN AV
Suite No C
Vlcinity: UNIT C
Parcel Nunmber: 43928137
Applicant: BLYLEVEN, PAM
Address: 1130 W DEWEY DR
ANAHEIM, CA
PLUMBING PERMIT
Phone: 714.750.5461
Zip: 92802
Owner: DECINCES, DOUGLAS AND KRISTI
Address 12 STRAWBERRY FARMS ROAD
IRVINE, CA
Contractor: BLYLEVEN'S PLUMBING INC
Address: 1130 W DEWEY DR
ANAHEIM,CA
Arch / Eng : �
Address:
ISSUE FEE
Backflow irrigation
BackFlow Preventer
Bathtub
Clarifier System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Phone: 949.417.4280
Zip: 92612
Phone: 714-750-5461
Zip: 92802
License: 761484
0
Phone:
Zip:
License: . � _ -
Status: ISSUED
Applied: 04/29/2004
Issued: 04/29/2 04
ISSUED BY:
SCOPE OF PERMIT
UNIT C
NEW 2,249 S.F. S.F.D. WITH 433 S.F. ATTACHED GARAGE.
2 BATHTUBS, 1 ICE CONNECT, 7 DISHWASHER; �1 GAS OUTLET (1-4), 1 GAS OUTLET OVER 5, 1
GAS SERVICE, 1 LAUNDRY BUT/WASHER,�3 SHOWERS, 1� KITCHEN SINK, 2 SERVICE/MOP SINKS, 3
WASH BASINS, 1 WASH BASIN SET, 3 WATER CLOSETS, 1 WATER HEATER/VENT ,
REF: B03-0209� : . ; , . . - � �
AMT
$23.50
$0.00
$0.00
$19.60
$0.00
$9.80
$0.00
$9.80
$0.00
QTY
0
0
2
0
1
0
1
0
Laundry Tub / Washer
Landscape Irrigation
P-Trap
Pressure Regulator
Process Piping (per 10 ft)
Receptors ,
Septic Tank
SewerCapforDemo. �
Sewer Connect
AMT
$9.80
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
QTY
1
0
0
0
0
0
0
0
0
SumpPump. -,
Swimming Pool,
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$29.40
$9.80
$0.00
�TY
0
0
0
0
0
0
3
1 '
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2466-06 (6/00)
WORKERS' COMPENSATION DECLARATION:
I hereby attirm under penalry of perjury ona of the tollowing declaretions:
❑ I have and will maintain a cehiticata of consent to selFlnsure tor workers' compensation, as provided for by section 3700 of the Labor Code, tor ihe peAormance of the
work for which ihis permit is issuetl.
❑ I have antl will maintain workers' compensation insurence, as required by section 3700 of ihe Labor Code, tor the perfortnance ot the work for which Ihis pertnit is issued.
My workers' compensation Ihsurance carrier and policy number are:
Carrier: PoliCy Number:
(This section need not be completed i/ the permit is veluetl af one hundred dollars ($f 00) or IessJ
�I cenify that in ihe performance of ihe work tor which ihis permit is issued, I shall not employ any person in any manner so as to become subject to ihe workars'
compensation laws oi Califo�nia, and egree that if 1 should become subjacl to ihe workers' compensation provisions of Saction 3700 of ihe Labor Coda, I shall forthwith
comply with t� isiong. ' ` / f
Applicant SignaNre: ,�-- Date: �--1 a� l G�
WAflNING FAILURE TO SECURE WORKERS' COM ATION CAVEPAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FWES UP TOONE 11UNDRED
THOt1SAND 00LLARE ($100,000), IN AqDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOF CODE, IIJrEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aftirm ihat I am
torco and eHecL Lic. N_
Comracbr's Signature:
ot Chapter 9(commencing with Section 7000) of Division 3 oi the Business and Protessions Code, antl my license is in full
Class N C _� ip
� Date: y / `d-�'I � �
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirm ihat Ihere is a consiruction lending agency for ihe peAormance of Ihe work For which ihis permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lender's Address:
Signature:
OWNER-BUILOER DECLARATIONS:
Date:
I hereby attirm ihat under penalty ot perjury ihet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or county which requires a permit to consimct, alter, improve, demolish, or repair any simcNre, prior to its issuance, also requires the applicant tor such permit
to file a signed statement that he or she is licensad pursuam to ihe provisions of ihe Contracmrs License Law (Chapier 9(commencing with Section 7000) ot Division 3 of the
Business antl Professions Code) or that he or she is exempt iherefrom and tha basis tor ihe alleged ezemption. Any violation ot Section 7031.5 by any applicant for e pertnit
subjects ihe applicant to a civil penalty of not mora than five hundred dollars ($500).):
❑ I, as owner ot ihe property, or my employeas with wages as iheir soie compensation, WILL DO THE WORK, and ihe structure Is not intended or oHered for sale (Sec.
7044, Business antl Professions Code: The Contractors License Law does not apply to an owner oi property who builds or improves thereon, and who does such work
himseN or herself or through his or her own employees, provided that such improvemenis are not intended or oflered (or sale. If, however, ihe building or improvement is
sold within one year oi completion, lhe owner-buiider will have ihe burden of proving that he or she did not build or improve tor purpose of sale.). �
❑ I, as owner of ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS lo construct ihe project (Sec. 7044, Business and Professions
Code: The contrectors License Law does not apply ro an owner oi pmperty who builtls or improves thereoq and who contrects tor such pmject with a coniractor(s)
license pursuant to ihe Contrectors License Laws.).
❑ I am exempt under sec. Business and Protessions Code tor this reason:
Signature:
Owner ID verified by dnver's license.
Verification ot Ownership by (lype ot
Ves ❑ No
i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATION:
Driver's License No.
Date:
Ezpires:
❑ I hereby certity ihat no excava�ion tive (5) or more teet in depth inm which a person is required to descend, will be made in connection with work authonzad by this
permit, and ihat no building s�mcture, scaHolding, talsework, or demolition or dismantling thereot, will be more Ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Ah 2, Sec.
341, Title 8, California Atlministrative Gode).
❑ As owner-builtler, I will not employ anyone m do work which would require a pertnit from ihe Division ot Industrial Safety, as noted above, unless such person has a
permit to do such work from the division.
Signature: Oate:
Division ot Indusirial Safety Permit Number:
CER7IFlCATE OF COMPLIANCE qND AUTHORIZA710N OF ENTRV: I cenify under penalty oi perjury that I have read this application and state that the information given is
correcL I agree to comply with all state laws and city ordinances relating to building consimction, antl aNhonza representatives of �he Ciry of Coste Mesa to eNer upon iha
above-desaibed p�opetly ta inspection puryoses. I agree not to occupy or allow occupency of a�y building authorized by this permit until fi�el i�spection.
Oi Legal Owner(s) � /ar /�ate,
A_TPM —L � � j
nhnrioad Annlir.ant Date
CODE t, INSPECTONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final BlockfRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
o�
I AL
COOEt INSPECTIONTYPE
206 Final Machanical
208 Final Plumbing
210 Finei Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Buildin<yOccupancy
Q� INTRIpLS
December 9, 2003
To:
CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200
DEVELOPMENTSERVICES DEPARTMENT
Building Safety Division
Code Enforcement
Communications
County Clerk
County Planning and Dev. Services
County Registrar ot Voters
County Tax Assessor
Engineering Division (2)
ESRI
Fire Admin. - Training Officer
Fire Prevention — Mark Brown (Station 6)
Fire Prevention
Irvine Ranch Water District
Mesa Consolidated Water District
AT &T Broadband
Newport-Mesa Unified School Dist. (2)
Pacific Bell
Police Dept. - Ping. & Research
Sanitary District Engineer
Sanitation Division Office
Southern California Edison Company
Southern California Gas Company
State Board of Equalization
U.S. Post Office, AIS
U.S. Post Office, Adams Avenue
Thomas Brothers
File (2)
The below address change has been made. Please make any necessary changes
immediately to reflect the new addresses with the corresponding Assessor Parcel
Number.
OLD ADDRESS
2441 Elden Avenue
NEW_ADDRESS
�2441 Elden Avenue�Units_A Thru D
lG�
Your cooperation in this matter is appreciated.
Sincerely,
�� �
MEL LEE, AICP
Associate Planner
Attachments
C: Kimberly Brandt
Tim and Doug DeCinces
12 Strawberry Farms Road
Irvine, CA 92612
A.P. NUMBER
439-281-37
Building Division (714) 754-5273 • Code Enlorwmen� (714) 754-5623 • Planning Division Q74) 754-5245
FAX(7t4)754�856 • TDD(714)754-5244 • www.ci.costa-mesa.ca.us
ricurtr r�r
NOTES
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_� --- "� —= I= ----- -f - --- -- - - - ---- - " I Ilj/ I
� t ' ' LOT • .. — � . . _ _ .— _ . _ _ — — �_ . _ , i .� i'a° �
' ,e� . . /� ' - ' . � ' �� � �
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9
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-�=rMK..—�-,.�.,- - -- �� - �_ -� �- - - - - - - - ,y
" _ � -,T ,��a„,��
-�-_- - , - - �- -- — -- - —_— �__� --�-�� - � � i;���
2441 D
ELDEN AVENUE
---' .rs,o,.,,..,,z �,,_ � ��--��._-- ' �� � � j��,,,�;
� ����,,,�
2441 C
ELDEN AVENUE
2441 B
ELDEN AVENUE
rnu.u.�iu
.�unr .u�e eo.
illv xE•L� fi\i]
n.a�.n-.xeo
2441 A
ELDEN AVENUE
PAPCEL
f?
N