HomeMy WebLinkAbout2121 ASTER PL - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
PLUMBING PERMIT
Job Address: 2121 ASTER PL
Suite No
Vicinity:
Parcel Nunmber: 42615117
Applicant: SZABO, KEVIN
Address:
Owner: TROTfIER, MARY ANNE TR
Address 2121 ASTER PL
COSTA MESA, CA
Phone:
Zip:
Phone:
Zip: 92627
Contractor: COAST ROOTER PLUMBING HEATING & AIR CONDITIONING
Address: 2737 S CRODDY
Arch / Eng :
Address:
ISSUE FEE
Backflow irrigation
BackFlow Preventer
Bathtub
Clarifier System
Connect pce,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
STE D
SANTA ANA, CA
REPLACE WATER HEATER
AMT
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Phone: (714)241-1414
Zip: 92704
License: 529127
Phane:
Zip:
License:
SCOPE OF PERMIT
FEESUMMARY
QTY AMT
Laundry Tub / Washer $0.00
0 Landscape Irrigation $0.00
0 P-Trap $0.00
0 Pressure Regulator $0.00
0 Process Piping (per 10 ft) $0.00
0 Receptors $0.00
0 Septic Tank $0.00
0 SewerCapforDemo $0.00
0 Sewer Connect $0.00
0 Sewer Private Line $0.00
0 Shower $0.00
0 Sink, bar $0.00
0 Sink, commercial $0.00
0 Sink, Floor $0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Status: ISSUED
Applied: 04/08/2003
Issued: 04/08/2003
ISSUED 8Y:
SumpPump
Swimming Pool
Trap Primer
Unnal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closel (Toilet)
Water Hea[er / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$12.30
$0.00
$0.00
$0.00
�TY
0
0
0
0
0
0
0
0
0
0
1
0
0
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 this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspeetions 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
eaae+etdw�
WORKERS' COMPENSAnON DECLAfiAnON:
I hereby afFirm under penalry of perjury one oi Ihe following tleclarations:
❑ I have and will maintain e certificate of consent to self-Insure for workers' compensation, as providad for by section 3700 of the Labor Code, for the pertormance of the
work for which this pertnit is issuetl.
� I �ave antl will maintain workers' compensation insurance, as required by section 3700 of ihe Lebor Code, for ihe pedortnance of fhe work for which this permit is issued.
✓� My workars' compensetlon Insurance carner and policy numbar are:
Certier,_ i�j'M-E ��✓r/�'J .PolicyMumber. l6� h7-�U 7J?j
(7ids secfion need not be compleretl il (he permit is velued at one hundred dollars ($100J or less.) .� —- -� �
`
� I certity that in the pedormance of the work M1rr which this pertnit is issued, 1 shall not employ any person in any manner so es to become subject ro the workers'
compensation laws of C)litomia, and e ree hat if I should become sublect to Ihe workers' compensation provisions of Section 3700 of the Labor Cotle, I shall forthwith
comply with these p i�ions = � L
Applicant Signeture: � Date: `�� ��
WARNItJG: FAILURE TO $ECU ERS' COMPENSATIdJ WVERAGE IS UNLAWFUL AND SHALL SlIB1EC� rW EMPLOYER TO CRIMINAL PENALTIES ANO QVIL FlNES UP TOONE HUNDRED
'THOUSMIDDOLLARE($100, ),INADDITIONTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIpEDFORINSELTION3)O60FTMEL4BORCADE,INTEREST,ANDATTORNEV'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eHirm ihat I em licensed under provisions of ChaO�er 9(commencing with Section 7000) oF Division 3 of Ihe Business antl Professions Code, antl my licanse is in full
torc�d ettea_�c.» ' — c�ass x �3L�L
Contrecrors Signature: � � �Dete: y� P�
CONSTRUCTION LENDING AGENCY:
❑ I hereby eflirm that ihere is a construction lentling agency for ihe performance of Ihe work for which ihis permit is issued. (Sec. 3097, Civil Code).
Lentler's Neme: Lendels ACtlress:
Signature:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby ettirm �hat under penalry of perjury tha� I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professlons
Cade: Any ciry or counry which reQuires a pertnit to construct, alter, improve, demolish, or repair any siructure, pnor to its issuance, also requires the applicant for such permit
to file e signetl statement ihat he or she is licensetl pursuam to the pmvisions ot the Contrectors License Law (Chapter 9(commencing with Sectlon 7000) of Division 3 oi the
Business end Professions Code) or thet he or she is azempt therefrom and Ihe basis for the allegetl e:emption. Any violation of Section 7031.5 by any epplicant for a permit
suhjects the applicant to a civil penalry oi not more ihan five hundred dollars ($500).):
❑ I, as owner of ihe property, or my employees with wages as iheir sole compensation, WILL 00 7ME WORK, and the s�ructure is noi in�ended or oHered for sale (Sec.
7044, 8usiness and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, and who dces such work
himself or herseli or ihrough his or her own employeas, provided that such impmvements are not Intended or oHered for sale. If, however, the building or improvement is
sold within one year ot completion, the owner-builder will have ihe burden of proving that he or sha did not builtl or improve for purpose of sale.). �
❑ I, as owner ot the property, em EJ(CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The contracmrs License Law does not apply to en owner of property who builds or Improves ihereon, and who contracts tor such project with a contractor(s)
license pursuant to ihe Contraciors License Laws.).
❑ I am exempt under sec.
Signature:
Owner ID verifiad by driver's license. ❑ Ves ❑ No
Business antl Professions Code for this reason:
Verification of Ownership by (�ype of document, i.e. - propetly tax blll or tleatl):
DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICA710N:
Drivels LiCen58 No.
Date:
Expires:
❑ I hereby certify thet no excavation five (5) or more �ee� in depih into which a parson is required to descend, will be made in connection with work authorized by this
pertnit, and that no building strucWre, scaHolaing, talsework, or demolition or dismantling thereot, will be more than Ihirty-siz (36) teet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Tile 8, Califomia Adminis�raiive Cotle).
❑ As owner-builder, I will not employ anyone to do work which woultl require e permit fmm the Division of Intlustrie� Safaty, as notetl above, unless such person has e
pertnit m da such work from the division.
Signature: Date:
Division oi Indusirial Safary Permit Number.
CERTFlCATE OP COMPLIANCE AND AUTHORVA710N OF ENTRY: I certify under penalry ot perjury that I have read this application and state �hat Ihe information given is
correct. I agree to comply with all state lews end ciry orGinances rela�ing �o building constmction, and authorize representatives of the City of Costa Mesa to enter uDon ihe
above-described property for inspection purposes. I agree not to occupy or ellow occupancy of any building authorized by ihis permil until tinal inspection.
CO�E I, INSPECTIONTYPE PdIE �NT
1616 Fized System Final Fire Prevention
1266
200
201
202
203
204
Pool Spe Final
Final Re-Root
Fina181ocWPetaining Well
Final Factory Fire Place
Finai Si9n
Final Demolition
Date
%��o��
CO�E� INSVECTIONTYPE '
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Finel Building/Occupancy
p�g ixrmn�.s
�►-aw-os 3�
�`
AVG��cant to fill in all spaces excev< those within heavY �ortler lines ane sign all appropriate tleclarations.
CITY OF COSTA MESA CONSTRUCTION PERMIT
ProjectAddress ��'�� RS�CR �i/�C2 FTnJ Raa�'
Applicant's Mail^ing Address S C1"�e
Owner's Nam^e, �-`�e' ' L � .p Phone e Ng- laa9
'�. Address �%1a � �1 eR 1 ��{�.'L
� Arch/En9. License No.
Address' ' '
Contractor's Name q-� �Phone �lt� 3333
Addresslmailinglaaql�+p, ��'i��� w�� _u��e%K
City License No. � m"�� n��
LICENSEO CONTRACTOR DECIARATION
� I hereby atfirm that I am licensed untle� provi5ions af Charte� 9(commencing
� with section ]OoO) o( Division 3 oi the Business antl Profeszions Cotle, antl
my license iz in full fo <el]ntl effett.
� Licen Cla ,%� Licen Ng.�
Date ��Z-� 5'9n t r . �tn �\� GI /e/A.Jit�
' W00.KER5' COMPENSATION DECLARATION � �
� I hereby aHirm tnat I nave a certificate ot consent to seH-insure or a certiticate
of Workers' Compensation Insurance, o� a certitietl _copy thereot ($action
3800. Lab.�U�9-So�iCL�Z 1��2 !'9�'Q�
PoliGy No. Company
� Certifietl ��py is filetlbwithrthehc t�y B�iyld�ing,�ivision.n�nn '
EXE �TIO��ROM WORKERS"aCOMPENSA IT ON DECLARATION'
(This sectlon neetl not be complet¢tl If the permit is for One huntlretl (5100) or
less)
I ce�tify that in the performance of the wo�k to� which this pe�m�t is issuetl, I
shall not employ any person in any manner so as to become subject to the
Workers' Compensation Laws oi Califomia. ' �
�� Date Si9nature '
�NOTICE: If, after making this tle[laration, you shoultl become subjec[ to the
IWorke�s' Comp¢nsatiOn provisions of the Ldbo� Cotle, you must fo�thwith_
comply with, such piovisions o� this pe�mit shall be tleemetl revoketl.
CONSTRUCTION LENDING AGENCV � ' '
I 1 herety afflrm tM1at there is a construction lentlinq agency for the per(ormance
ot the wo�k tor which Ihis pe�mit is issuetl ($ection 3097 Civ. C.)
�entler's Name
Lentler's Htltlress -
OWNER BUILDER DECLARATION � '
I hereby atfirm Shat I am exempt flom the Contractor's License Law for the
following reason (Section 7031.5 Business antl Professional Cotle: Any city or
county wnich requirez a permit to construct, alter, improve, tlemolish or repair
any struclure, ptio� to it5 i55uance, also �equires the applicant fo� such permit
to file a signetl statemen[ that he%she is IicenZetl pu�suant to the provisiOns of
the Contractor'S License Law (Chapter 9(commencing with Section 7000) of
Division 3 0� the Bu5ine55 antl Professions Cotle) o� that he/She is exempt
�. ',7�,neretrom antl the basis for•the allegetl exemption. Any violation of Section
g�+wU31.5 by any applicant tor a permit subjects the� applicant to d civil
;, enalty of not more than five huntlretl tlollars ($500).
'L� I, as owner of the p�operty or my employees with wages as thelr Sole
compensation, will tlo the work, antl the structure is not intentletl or offeretl
tor sale (Seciion 7044, Business antl Protessional Cotle: The Gont�actor'S �
License law tloes not apply to an owner of a property who builtls or improves
thereon, antl�who does such work himseli/herself or through his or her own
employees, p�ovitletl that such improvements are nOt intentletl or otteretl for
sale. Ii, however, the builtling or improvement is soltl within one year o/ mm-
pletion, fhe owner will have tM1e burtlen of proving he/She tlitl not builtl or im-
�ove'tor thc purpose oi sale).
I, as owner of the property, am ezclusively rontracting with licensetl con-
tractorsto construtt the O�ojec[ (Section ]044, Business antl Professions Cotle:
The Contractor's License Law tloes not apply to an owner ot prope�ty who
builtls or improves tbereon, antl who wntracts for such projects with a com
tractor(s license pursuant�to-the Contracto}'s License Law). I am aware that
proof o� [helr Worke�'S Compensation insurance zhoultl be provitletl to me.
❑ I am exempt untler Sec[ion B. & P. C. tor thi5 rea5on
Date Owner
I hereby certity that 1 nave�reatl this avPlication and state Ihat the above
intormation is correcL I agree to comply with a1l city antl county ortlinances
antl �state laws relating to builtlinq construction, antl hereby autM1orize re0re-
sentacivez of this city to enter upon the,above-mentionetl property (or
inspection r oses. - � n �_p�
Signature Date'1 D
Drivers' Li cS >k � � ��
TYPE OF CONSTRUCTION LJ nfEW U ADD U ALTERATION LJ REPAIR —�
❑ CONVERSION ❑ DEMOLISH ❑ OTHER q p�t
DESCRIPTION OF WORK/USE OF BLDG.
- S Main Buildin
TVPEOFPERMIT GaaoING �❑yFOUNDATION ❑STRVGTuaAL T Front
❑ TENANT ❑ ELECTRICAL id PLVMBING ❑ MECHANICAL B Rea�
❑ �OTHER ' %�
PROJECT DESCRIPTION 5Q. Fr. ocCUPANCv C Right
K Left
CONSTRUCTIONTVPE VALVATION$ � $
ZONE GRADING CU. VDS. ACRES ' p�ng. REf. #
aemarks: � . � Planning Noces:
Preventer -
Irrigation
Jrinking Fountains
Floor Drains
Floor Sinks
GasService �Outlets
Interceptors '
Kitchen Sink - �
Lavatories . '
P-Trop
Roof Drains
Reinspeetion �Fee . $15
Boiler _
Duct - Under Ground
Duct - Strucmral
Duct-,Ventilating �
Exhaust System ❑ Multiple
Firepl/Fact BIt. ICBO #
Heating SYstem & Ducting
❑4100,000 BTU 0100,000
Reinspection Fee � $75
CMF 0865-46, iev. 10/84 White - Builtling; Canary - Applicdnp Pink - Accounting; GOltlenrotl - Assesso�
PLUMBING
Showers
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Pipin9
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater .
Water Service
Auto-Wash
Laundry Troys
Issue Fee
Hood or Typel ❑ '
Canopy Typell ❑
Refrigeration Sys[em
❑0-100,OOOBTU ❑700,000
System Repair/Alteration
Fire Dampers �
Registers •
Issue Fee
S 3
FEES
$ 3
Automatic Washer
Construction Pole Su6.
Cooking Unit
Dishwasher
Dryers ❑Gas ❑Electric
Fan
F,A,U.
Fiztur¢5
Device Boxes �
Outlets
Switches
Garbage Disposal
Generator �65 KW �5-15
et 0�86 9/19/86
zooe
Accessory Building:
Parking
ELECTRICAL . � '
I Transformer ❑ 15-50 KW
❑ 50+KW
Meter LJup to 100 amps
Meter ❑over 100 amps� _
Sub Panel
Motors O0.1 HP 01'F. - 8
Inc. Solar 09-15 HP �16-15+
Microwave � .
Pole Light �
Range
Sign
Standing Sec[ions �
Trash Compactor
A
5.00
FEES
Z
O
N
1
N
G
R
E
Q
M
T
S
= Reinspection Fee �$15 luue Fee � ' $ 3
� DEVELOPMENTSERVICESREQUIREMENTS: � ,
Zoning ApOroved By Date
Building Approved By DdtB �`
Appliptian Issued 8y • ��• Deta _��.�.a �
� . SUMMARY OF FEES � '
BUILDING PERMIT $ SMIP $
— PLAN CHECK , $ � PERMIT �
- � PLUMBING ,$ S�� ISSUANCE .$
� PLAN CHECK 25% $ ENERGV P.C. $
� ELECTRICAL $ . � GRADING $
PLAN CHECK 50% $ MICROFILM . $ T;�
— MECHANICAL , $ TOTALFEE ,$ -�•w
PIAN CHECK 25% $ �
Tl
CONSTRUCTION AND PLANNING POOL ,PA
_{APPROVALS Permit# Date Inspector , AppROVALS Permit# Date Inspector
_1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
�� 2. Soil Pipe-Undrgrnd. � . 53. Steel Reinforcement
�3.�Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd, 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. ElectricalUFER.Grnd. 57. APPROVALTOCOVER-GUNITE
7. Footings ' 58. Electrical Conduit-Undrgrnd.
8. Foundation � 59. Gas Pipe, O Undrgrnd., Test
9. Water Pipe-Undrgrnd. , 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK .
71.. Property Sewer Line`& House Connection 62. Backwash & Receptor-Final
72. Sewer Cap � � 63. Heater & Vent-Final
13. Roof Drains ' ' 64. Plumbing SVstem - Final
� 14. Rough Plumbing 65. Electrical-Final �
15. Rough Electrical-Conduit 66. Solar System-Final '
16. Rough Electric Wiring 67. Fencing & Access Approval �
_ 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' -
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping OGas ❑Oil
23. Gas Pipe-Rough & Test 72. Undergro�nd Flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
. 25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL �
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED �
33. Final Electric Notr,s: �-I�J'X% (,��� �QS P�%Z. 20.3 uFt. GlEU
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy '
37. Final Factory Fireplace �
38. Final Plumbing .
39. Water Service-Final `'�
�;,
40. Gas Service-Final : �,
41. Solar pomestic-Final
j:,
42. Backflow Prevenfer S �
_ �.�
43. Backflow Irrigation � •; - . '
44. Landscape Irripation SYstem�_
45. Sound Attenuation � ••- .
46. Handicap Regulations ` t; ' -
47. FINALSTRUCTURE&BUI�DING �
48. Special Requirements Completed �. ' �
49. Electric Release to Edison �
50. Gas Release to Southern California Gas Co � , �
51. CERTIFICATE OF OCCUPANCY _ _ � � .
No. � Date ' .
., 23 � ��
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 9f] C08TA MESA�CALIFORNtA
For Applicant to Fill In Completely
TYPE OR PRINT �
1DING A �� 1 )` .
JRE53 � I � I /{��7F ���1.
COSTA MESA, CALIFORNIA
NER 1�'[i 1
JRES3 L L �/K )
Y�/� 2 `• � L TEL. CO r�
y � � �.� �—f 1 NO. G(L{S /
_...__— 1 1 • __. .S'�4 -.
STATE
LIC. NO. ZZZ�
SIZE �
OF LOT
USE OF
EXISTING BLDO.
TEL.
9ETBACK LINE FROM Y.'� � REAR
CENTER OP 6TREET 7J
�
SIDE YARD LEFT �� RIOHT
DESCRIPTION OF WORK
FE� RECEIVED
f� ANCEs d��.
CITY OF COSTA MESA
APPLICATION FOR PERMR
BUILDING
For Office Use Only
� MBCEIPT NO. PERMIT NO.
Z
��' � I vuna .Y I eui�oina
�e wo � �i �•, /1 1„/� 1 c—, /
A.P.NO. �,fL: � U
��`NOTE: NOEAVEOVERHAN68HALLBELE38THAN
J 80" TO SIDE @ HEAR P. L.
EAVES
OPBLDae. ALLOWED �U.B.C.REQUIREMENT]
lonwr ypRD9APPROVEO YARDSAPPROVED
� MAIN BUILDIN6 ACCESSORY BUILOING
� FRONT F
� /
R. SIOE F
L.51DE F
� REAR F
DISTANCB BET.
MAIN BLD 8.
VAR..'iF �,ji
i G. U. P..'�
� APPROVHD
B
OLD FOR SF
1 HEREBY ACI(NOWLEOOE THAT 1 XAVB REAO TXIB APPL�CATIOI✓/ / T 09RZ�lVSV1
FND BTATE THAT THE ABOVE IB CORRECT AND AOpEE TO COM� G ��bk��gy�
PLY WITH ALL CITY OqDINA 88 AND 8TAT8 I,AWe RB6ULATINO ypLUAT10N O
BUILO�NO CONeTRUGTiON. ��!A`%G" VP'M�T�L� O
P RMnITTEF OF A�.�s.. / /
�_,�, �,� sl � /� Z
AUTHORIZED AGENT
DATE /
APPROVEm
.�
�m
n
_ o
y m
F
� 0
4
MOSS, 7.'OM, SUILDER DATE NOV 4 1964
UP I&J TYPE
SUBCONT1iACTOR
i�
w