HomeMy WebLinkAbout456 ESTHER ST - Building PermitsA : \
1 �
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.PLUMBING PERMIT �� FAIH UHIVE, WSTA MESA, GA 9Z626
JobAddr@55: 456 ESTHERST
Suite No
Vicinity:
Parcel Nunmber: 42632419
App�icant: BRUCE BINNQUIST
Addr@55: 1615 TUSTIN AV
COSTA MESA, CA
owner: INDRIKIS, AIJA INEZ
Address 465 ESTHER ST. ' �
� COSTA MESA, CA
Contractor: SYNERGY PLUMBING
Address: 1615 TUSTIN AV
COSTA MESA, CA
Phone: 949-337-8100
Zip: 92627
Phone:
Zip: 92627
Phane: 949-337-8100
Zip: 92627 -
License: 671575
, SCOPE OF PERMIT
_ , REPLACE SEWER LINE
ISSUE FEE
Backflow irrigatiqn
Backflow Preventer
Bathtub
Clarifier System
Connect (Ice,Sotla,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve '
Gas (7-4 outlels)
Gas (Over 4 ouUets)
Gas Repipe '
Gas Service
Interceptors (Grease, Oiq
Interceptors (Sand Auto )
AMT
$23.50
$0.00
50.00
50.00
$0.00
50.00
50.Oo
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
$0.00
50.00
aN
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
FEESUMMARY
- AMT
LaundryTub/Washer � 50.00
Landscape Irrigation 50.00
P-Trap ' 50.00
Pressure Regulator 50.00
- Process Piping (per 10 ft) $0.00
Receptors . � 30.00
Seplic Tank 50.00
Sewer Cap for Demo 50.00
SewerConneci 50.00
Sewer Private Line 524.65
Shower 50.00
Sink, bar 50.00
Sink, commercial 50.00
Sink;Floor- 50.00
� Sink, kitchen 50.00
Sink, service/mop 50.00
Spa (private) 50.00
. Spa (public) 50.00
an
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
COMMENTS I SPECIAL CONDITIONS
Status: ISSUED
Applied: 01/03/2007
Issued: 01l03/2007
ISSUED BY:
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Sel
Wasle and Venl System
Waler Closet(Toilep
Water Heater I vem
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water Soflener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AMT
50.00
$0.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
so.00
50.00
50.00
50.00
50.00
50.00
50.00
$0.00
TOTAL CALCULATED FEES: $48.15
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Orq, No. 92-28, § 1, 12-21-92)
EXPIRATION: 7his permit shall automatically expira and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 1 g0 days.
INSPECTIONS: In order for Ihe work authonzed under this permit to be considered legal, such work must comply with all applicable codes, antl all
requlred InspeCtions end finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiiation ol this permit.
FOR INSPECTIONS CALL: (714) 7545626
2aawe l�1
r. �
WOHKERS' COMPENSATION DECLARATION:
I hereby aHirm untler penalty oi perjury one of the tollowing tleclaretions:
❑ 1 heve entl wlll maintein a certificate ol wnsent to sell-Insure for workers' compensation, as pmvidetl for by section 3700 0l the Lebor Code, for ihe peAormance of the
work f0� which Ihis permit is issuetl.
❑ I�'-have dnd will maintain workers' compensation insurance, as required by section 3700 of the La6or Cotle, lo� ihe pedortnance of the work lor which ihis permit is issued.
iMy wolkers' compens�tion Insurance �,rner antlpol�y.qumber are:
.---�.,..�._ ��%DO�F.S�o-' �
olicy Number:.
or /ess.)
❑ I certity that in the peAortnance oi ihe work tor which this pertnit I SueQ I shall not employ any person in any manner so es to become sublect to Ihe workers'
compensation laws of Calitomia, anA.agr thet if I should bec sub�ect ro the workers' compensation provisions of Section 3700 0l ihe Labor Code, I shall lorihwith
comply with thes ' ions. �� 7
�F!rca�Si6`^�,.N�e� .". � ate: . �(�/n� — .3 — � �
WARNING: FAILUFE TO SECURE WORKERS' CAMPENSAT N COVEMGE IS IINUWFUL AND SHALL SUBIEGT AN EMP OYER TO CRIMINAL PENALilES AND CIVIL FINES UP TOONE HUNDRED
TFKKISANDDO�URE(5100.OW),INADDIiIONTOTHE OFCOMPENSATqJ,DPMAGESASPqOVIOEDFORINSECTIIXJ3]O60FTMELABOiiCOpE,�MEREST,ANDATTOiiNEV'SFEES.
LICENSED CONTRACTORS DECLARATION:
I herebv aHirm t�et I am Ilcensetl under orovisi[
Section 7000) of Division 3 of Iha Business antl Profe sions Cotle, antl my licanse is in full
_ Cless a . G'�,3 �
_ �oate':` ..� :i�d D7
CONSTRUCTION LENDING AGENCY:
❑ I hereby attirtn that there is e construction lending agency tor lhe pertormance of Ihe work for which �his permit is issuetl. (Sec. 3097, Civil Code).
Lender's Name: Lenders Atldress:
Signature:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby aflirm Ihel under penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reeson (Sec. 70.31.5, Business and Protessions
Code: Any ciry or coumy which requires a permit to construc�, elter, improve, demolish, or repair any sirucWre, p�or to its issuance, also requires lhe applicant for such pertnit
to fila e signed stetement that he or she is licensed pursuant to tha proNsions of the Contractore License Law (Ghapter 8(commencing with Section 7000) of DiWsion 3 of Iha
Business end P�olessions Cotle) or t�at he or she is exempt therefrom antl the basis for the elleged e:emption. Any violation of Section 7031.5 by any applicant for a permit
subjects tha �pplicent to e civil penalty oi not more then tive hundred dollars ($500).):
❑ I, as oWner ol the properry, or my employees with weges es t�elr sole compensation, WILL DO THE WORK, antl the structure is not intended or otfered for sale (Sec.
7044, 6usiness and Pmfessions Cotle: The Contractors License Law does no� apply to an owner of property who 6uilds or improves Ihereon, and who does such work
himself or herself or through his or her own employeas, providetl that such improvements are not intentled or oHeretl for sale. It, however, the builtling or improvement is
sold within one year of completion, ihe owner�builtler will heve iha �urdon of proving tha� he or she did not build or improve for puryose of sale.).
❑ I, es owner ot tha pmperty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constmct ihe prolect (Sec. 7044, Business and Professions
Code: Yhe coniractors License Law does not epply to en owner of proporty who builtls or Improves thereon, antl who coniracts for such pwject with e contractor(s)
licen58 OurSuent lo the Contraciors License Laws�.
❑ I em exempt under sec. Business antl Protessions Cotle for �his reason:
Siqnawre: Date:
Owner ID veh�ied by driver s license. ❑ Ves ❑ No Drivefs License No. Ezpires:
Verifiwtion ol �+'nership by (type oi daumenL i.e. � praperry tax bill or Aeetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby �ertity ihat no axcavation five (5) or more feei in tlepth into which a person is required to descentl, will be matle in connection with work amhorizetl by Ihis
permit, antl t�a� no building siructure, scaHolding, falsework, or demolition or dismantling thereof, will be more than thirty-siz (36) leet high. (Chap. 32, Grp 2, An 2, Sec.
341, Ttle B, Califomia Administrative Code).
❑ As ownervbuilder, I will not employ enyone to do work which would require a permit twm ihe Division of Intlustrial Safety, as noted above, unless such person hes e
pertnit to do such work from ihe division.
Signature: _ _- _ Date:
Division ol Indusirial Safery Permit Num6er.
CERTiFICATE OF COMPLIANCE AND AUT}IORIZA710N OF ENTRV: I cenify under penalry of perjury that I have reatl this application and state �hat ihe information given is
correcL I egree to comply with all slale laws and ciry ordinances relating to building consiruction, and au�horize representatives ot the City ol Costa Mesa to enter upon Ihe
ebove-tlescri6etl property for inspection purposes. I egree not to occupy or allow occupancy ol eny building au�horizad by this pertnit until final inspection.
GODE �, �HsvecnonTrre
1616 Fixed Sysiem Final Fire Prevention
5266 Pool Spa Final
200 Final Re-Rool
201 FInaI B�ock�Retaining Wall
202 Final Fectory Fire Place
203 Final Sign
204 Final �emolition
PSIE 1tQIIle1$
d � f, l'T/V � �
�-DBtO�z-'+y ti+.�
CODEI INSPECPONTYPE 1j�iT�F INTIf1,1L5
206 Final Mechenical
20B Final Plumbing ��
210 FinelElectrical �A.LA)
212 Final Fire Preventlon
220 Final Plann�ng Approval
222
250
Final Site
Final Builtling/Occupancy
(714) 754-5273 • Fax (714) 754-4856
ROOF
Job Address: 456 ESTHER ST
Suite:
Vicinity: HOUSE & GAR4GE
Parcel Number: 42632419
CITY OF COSTA MESA
BUILDING DIVIS/ON
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
Applicant: INDRIKIS, AIJA INEZ
Address: 465 ESTHER ST
COSTA MESA, CA
Owner: INDRIKIS, AIJA INEZ
Address 465 ESTHER ST
COSTA MESA, CA
Contractor. OWNER-BUI LDER
Address:
Zip:
Arch :
Address:
2ip:
Phone:
License:
BUILDING PERMIT
Zonin9:
Phone: (949)646-1908
Zip: 92627
Phone:
Zip: 92627
Phone:
License: 0
Eng:
Address:
NUMBER
I \ 99-Or 1737
`
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: 10/27/1999
Issued: 10/27/7999
Phone:
License:
SCOPE OF PERMIT
REROOF - T/O, REPLACE SHTG AS REQUIRED, INSTALL 2 LAYERS OF 15# FELT AND NEW COMPOSITION SHINGLE
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
I nspection:
Total:
SETBACKS
ACCESSORY
PARKING
NOTES:
$0.00
$97.25
$0.50
$0.00
$0.00
$0.00
$97.75
Front 0- 0
Front 0- 0
Existinq: 0
Rear 0- 0
Rear 0- 0
Required: 0
FEE SUMMARY
PLANNING & ZONING
LeN 0- 0
Left 0- 0
Proposed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
$n,000.00
sa,000.00
NO710E: 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 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 ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
� required inspectlona and fl�al approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of �his permit.
POR INSPECTIONS CALL: (714) 754-5626
WORKERS'COMPENSAnON DECLARAnON: �
I hereby aHirm untler penalry of perjury one of the �ollowing tleclarations:
❑ I have antl will maintain a certificate of consent to self-Insure for workers' compensation, as provided for by section 3700 of ihe La6or Code, for the peAormance of the
work for which lhis permi� is issuetl.
❑ I have and will maintain workers' compensa�ion insurence, as required 6y section 3700 ot the Labor Code, for the performance ot the work Por which this permit is issued.
My workers' compensation Insurence carrie� end policy number ere:
Carrier: - Policy Number:
(fhis section need not 6e completetl il the permlf is veluetl ef one hundred Uollars ($100) or less.)
❑ I certiy thai in the paAormance of the wo�k for which this permit is issued, I shall not employ any person in any manner so as to 6ecome subjeci to Ihe workere'
compensation laws of Califomia, and agree �hat ii I shoultl become sublect to the workers' compensation provisions of Section 3700 0l the Labor Code, I shall Forthwith
comply with ihese provisions.
Applicant Signature: Date:
WARNING: FAILURE TO SECURE WORKERS' COMPEN5ATION COVERAGE IS UNLAWFUL ANO SHALL SU&IECT AN EMPLOYER TO CRIMINlLL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSAND DOLL4RE ($100,000), IN ADDITION TO THE C0.4T OF CAMPENSATION, OAMAGES AS PROVIDED FOR IN SECTION 3]060F THE LABOR CODE, IMEREST, AND ATTORNEV'S PEES.
LICENSED CONTRAC70R5 DECLARATION:
I hereby aHirm iha! I am licensed under provisions of Chepter 9(commencing with Section 7000) of Division 3 ot ihe Business and Professions Code, antl my license is in tull
force and eHect Lic: N Class #
Contractors Signature: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby aflirtn ihat there is a consWction lending agency tor ihe Derformance of the work for which ihis permit is issued. (Sec. 3097, Civil Code).
Lender's Name: Lentler's Address:
SiqnaWre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby attirm ihat under penalry ot perjury �ha� I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business antl Professions
Code: Any city or county which requires a permit to constmct, alter, improve, tlemolish, or repair any stmcture, prior ro i�s issuance, also requires ihe applican� for such permit
to tila a signed siatemen� that he or she is licensed pursuani �o �he provisions ot ihe Contrac�ors License Law (Chapter 9(commencing with Saction 7000) of Division 3 of the
Business antl Professions Cotle) or that he or she is ezempt therefrom and Ihe basis tor Ihe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
su6�ects the epplicant to e civil penalry ot not more than five hundred tlollars ($500).):
❑ I, as owner of ihe property, or my employeos with wages as iheir sole compensation, WILL DO TNE WORK, and Ihe siructure is not intended or oNered for sale (Sec.
7044, Businass antl Professions Code: The Conlractors Licensa Law does nol apply to an owner of property who builtls or improves thereon, and who does such work
himself or herself or ihrough his or har own employees, provided ihat such improvements are not imentled or offared for sale. If, however, tha building or impmvement is
soltl within one year of completion, ihe own8r-builder will have the burden of proving that he or she did not builtl or improve tor purpose ot sale.).
❑ I, as owner of the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS lo consiruci the project (Sec. 7044, Business and Professions
Code: The wntractors Licanse Law does not appty to en owner ot proparty who builds or improves thereon, and who coniracis for such project with a contractor(s)
license pursuant to the Coniracbrs License Laws.).
❑ I am exempt under seC Business and Professions Cotle for this reason:
Signawre: �^�7 r'� Dare�
Owner ID verified by driver' icense. ❑ Ves ❑ No Driver's License No.
Verification of Ownership by (type of document, i.e. - propetly tax bill or deetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CkA71FICA710N:
❑ I hereby certity ihat no eacavation tive (5) or more faet in tlepth into which a person is requiretl to tlescend, will be made in connection with work authorized by ihis
permit, and that no building stmcture, scattoltling, falsework, or demolition or dismantling thereoi, will be more ihan thitly-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title e, Califomia AdminisVative Cotle).
❑ As owner-builder, I will not employ anyona to do work whic� would require a permit from the Division of Intlus�rial Safery, as notetl above, unless such person has a
pertnit to do such work from the tlivision.
Signature: Date:
Division of Industrial Safety Permit Number.
CERTiFICATE OF COMPLIANCE AND AUTHOR17A710N OF ENTRY: I certity under penalty of perjury ihat I have read this application and state thai ihe information given is
correct I agrae to comply with all sta�e laws antl ciry ordinances relating to building constmction, and authorize representatives of the Ciry oi Costa Mesa �o en�er upon the
above-dascribed prope for iPspection p ses. I egre not to occupy or allow occupancy of any building authorized by this permit un' linal inspectiqry� ��
�� L!j ' 't j� �� ( %
Signature Of Legal Owner(s) Date � �—
And/Or Authorized Applicant Date
E M INSPECTIONTYPE
1616 Fi:ed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final BIxWRetaining Wall
202 Final Factory Fire Placa
203
204
2466-46
Final Sign
Final Demolition
Q9j� I TN RULS
- a'1' ?�
COOEN INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final ElecMcal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
ppTE
INTITIA
OWNER DIRON� MR& MRS. ROSS V. DATE 10-23-59
JOB ADDRESS 1�56 Esther St. BUILDING PER641T NO. ZOS6S
GENERAL CONTRACTOR Everett C, FiuPd VALUE 5 18s565.00
nr. xo118-293-02 LOT 12 TRACT 6�J1 FIRE ZONE DESCR[YTION OF WORK ReS . W 8fif.. Gar.
INSPECTIpNS �� �_.y��. DATE I GROUP I& J TYPE V ZONF. R L{
Underground Soil�� U.4. Water J�,� ��� SUBGONTRACTOR PERMITS ISSUED
UndergiOUDd Ges f„�W /l-/j/•S� DATE NUMBER
! head Nater and Gas
R,...dh HeatinP N/ � � iiu._....Ci� /.. . ... i�. -%/-_¢l �_ti9 v.' ./
C:. -
�,.. c� /� 9 /
-- r —
Form 210-3M-4-59
/L-YY
�.Y
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 31] COSTA MESA. CALIFORNIA
fOR APPC/CANT TO f/lL /N COMPLETELY
TYPE OR PRINT
BUILDING (`�'/
ADDRE55 �7 p
COSTA MESA. CALIFORNIA
�.�.,.,�:,
CITY l/]I'QyR /KI �QY� NO. ��
ARf -TECT LIC.
OF INEER NO.
A�DRE55
IEGAL
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FINANCE DEPT. `' ��
APPLICiATIOfV�(FORi1�PERMIT
BUILDING
fox offic� usE oHcy
RECEIM NO. PEAMIT NO.
,L��
:IVEpJY I OATH RECHIV6O I DATE I65UEO
� C IC�. NTp I l'� I/O..J APPROVED
BY
rre�1`'i{,c�. si„� Q�a
ZONE
COSTA MESA, C,
TYPE
D�
YONING
INO.OF � IUBE�
PLANB BUIL
A.P. NO. I i �i - � I gy /,�/ ��
!
SIZE I NO.OF BLDG9. " ypRDS
OF LOT O� How oH tot pE�UIRE �`
USE OF (GENTHN LINB BT.)
EXISTING BLDG. FftONT
SETBPCK LINE FNOM / � `
CENTER OF STREET REAR YARD J R. SIDE �
� ,L � � /
SIDE YARD I LEFT rG 7� I RIGHT % � 1
L.SIDE �:.�
DESCRIPTION OF WORK v
1� REPAIR
ROOF
_UCCG COVERIN
ING AND WORK TO BE
I HEHEBY /�CNNOWLEDGE THAT I HAVE REA� THIS APPLICATION
ANU 9TATE THAT TMC �BOVE IS CONFECT AND A6REE TO COM-
PLY wITH wLL CITY O ANCES A�A,�O
BUILDING CONSTR ON
SIGNATURE � � �
PERMIiTEE �—
AUTHORI2ED AGENT
r.�
i�aa.�'� .�/
�i s Q -
THE wMOUNT 9NOWN UN�E V�IUATION IB FOR TNE
PUNPOSE OP EHTABLIBHING A PERMIT FEE ONLY.
VALUATION f%
PERMIT FEE $ ' ..% �/
$ /�l SbS� PLAN CHECK S ` / '
TOTAL FEE 5 � �"
/