HomeMy WebLinkAbout2710 ASHWOOD - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.cBaUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 2710 ASHWOOD
suite: [CT 3(p
Vicinity: PLAN 3
Parcel Number: TPN00078
Applicant: PHILIPP, ROLAND
Address: 15326 ALTON PARKWAY � �
IRVWE, CA
owner: STANDARD PAC�FIC HOMES
Address 75326 ALTON PARKWAY -
IRVINE, CA
Contractor: OWN ER-BU I LD ER
Address:
Zip:
Zoning:
-, _
Phon�e: 949-789-�1600
Zip: 92678 ' .
Phone: 949-789-1600 �
Zip: 92618
Phone:
�License: ' 0 . •- �
�
ISSUED BY:
Status: ISSUED
Applied: O6/13/2001
Issued: 07/O6/2001
Arch : BASSENIAN LAGONI '' Eng: .
Address: 2031�ORCHARDDR . �.� � - .Address:` ' .. �.. ' �
STE 100 - Phone: 949-553-9100 � � _ - ' , Phone: � ,
NEWPORT BEACH, CA � � �
Zip: 92660 . License: � . License: � �
" . � � ', SCOPE OF PERMIT."'" "� �
CONSTRUCT NEW SFR - PflAN'3< FOR STANDARD-PAGFIC;HOMES: 2972SF �LIVING; 579SF GARAGE, 20SF,COVERED .;
.. - -- � --._.._ ._ __..__.__.._.,._, � ,�2.�
ENTRY AND 133SF PATIO:+REF: B00-01537 �� , _- , . " ' �
. , � �. ._ , r � ; ,
Plan Check:, $316.19
Permit' , $1,94575
SMIP Res: , $26.99
SMIP, Com: " $0.00
otner: `; ` $o.00
Inspection: $0.00
��; � .
Total: $2,288 93 :
�� �- ' ' FEESUMMARYf�".,�_,� _ ,,_ � -���_; �
_ _ _ _. . �1',�� ---�- --Calc Valuation r 1;� � gzee;szi:zs
� Claim Valuation. fE%; �, go:oo
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�'� "� ����' '� �\;'�.ti; =;PLANNING'& ZONING "�.' � �� v , /„
�� � �r/% �-,-,� '���
SETBACKS��� \ � i/�` � ,_ � ���\� . �� ; ;v � _� � �\ %'� ��
� �.
MAIN STRUCTURE� Front 16-�01 :� Rear �21-0 � Ceft 5 0 Right 5 0 ,��'
\�_ - i :� � r� , . ^� , � ,
- �- -%/�. i ' �� . . "_�.A \, /,�i
ACCESSORY Front'�, 0= 0-�-.� — '��Rear � � 0-'0 � �,Left �� 0-0�— � j ��� �± Right ,i:0'0 '
, � , '
: �J �.
P/�RK1NG Existing: 0 �_� ' Required: �3�-- � � ���- Proposed- 3 �"�%. �� �� � �
.. -� .. ._ - �i/:.
NOTES: ' -_� .. -_' __ «�--�,�
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
tor 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 Inspeetions and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
264G46 (C✓00) lX
WORKERS' COMPENSATION DECLARATION: — �
I �ereby aRirm under penelry of perjury one of the following tleclarations: .
❑ I �eve end will meintain e caniticate of consent to self-Insure for workers' compensetion, as provided for by section 3700 of Ihe Labor Code, for the peAormance of the
work for which Ihis pertnit is issued.
❑ I have end will maintaln workeis' compensation insurance, as requiretl Oy section 3700 of the Labor Code, for the peAormance of the work fa which this pertnit is Issued.
My workers' compensatlon InSurance carrier and policy number are:
Carner: Policy irumber:
(fhis section need not be com0�efed �� fbe permit is velued et one hundred dollers ($100) or less.)
❑ I certiy that in t�e pertormanca of ihe work tor which ihis permit is issued, I shall not employ any person in eny mannar so as to become sublect to ihe workers'
compensation laws ol Calitom�a, end agree Ihat if I s�ou10 become subject to ihe workers' compensatlon provisions of Sactlon 3700 oi the Labor Cotle, I shall torihwith
comply with thesa provislons.
Applicant SlgnaWre: Date:
WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVEMGE IS UNLAWFUL AND SHALL SU6IECT AN EMPLOYER TO CRIMINAL PEW LTIES AND CIVIL FlNES UP TOONE HUNDRED
THOUSAND DOLLARE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED WR IN SECTION 3]OB OF THE LABOR CODE, IMEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DEC4AAAT10N:
I hereby eHirtn that I em licensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professions Cotle, and my license is in tull
�orce end eflect. Lic. q Glass k �
Contrector's Signature: Dete:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirtn Ihat there is a construction lending agency for ihe pedormance of the work for which ihis permit is issued. (Sec. 3097, Civil Cotle). ��
Lenders Name: Lender's Address:
Signalure: Date:
OWNER•BUILDER DECLARATIONS:
I hereby eHirm Ihet untler penalry of perjury ihet I am EXEMPT FROM TNE CONTRAC70R5 LICENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business and Protessions
Cotle: Any ciry or county which reQU�res a permit to construct, alter, improve, tlemolish, or repair any sWcture, D�ia to its issuance, elso requires ihe applicaN tor such permit
to file e signed atetement ihet he or she is licensed pursuent to the provisions of the Contredors License Law (Chapter 9(commencing wlih Sedion 7000) of Division 3 of Ihe
Business entl Professions Code) or ihat he or she is exempt iherefrom end t�e basis for ihe elleged ezemption. Any violation of Section 7031.5 by any eppliwnt tor a permit
sub�ects the appliwnt to e civil penelty of not more than five hundred dollers ($500).):
❑ I, as ownar of Ihe properry, or my employees with weges as their sole compensation, WILL DO TF1E WORK, and ihe structure is not intentle0 or oHeretl for sale (Sec.
7044, Business and Professions Code: The Contractors License Law does no� apply �o an owner of property who builds or improves thereon, and who does such work
himself or herselt ar ihrough his ar her awn employaes, pravided that such improvements ere not in�endetl or oHered for sele. If, however, Ihe building or improvement is
�sold within one year ol completion, the ownerbuilder will have ihe burtlen of proving ihat he or she did not build or impmve tor purpose of sale.).
I, as owner of the propeny, am EICCLUSNELY CONTRACTING WITH UCENSED CONTRACTORS to construct ihe project (Sec. 7044, Business antl Professions
\ Coda: The contrectors Licanse Law tloes not epply to an ownar oi property who builds or Improves thereon, and who comracts tor such proiect with a contrector(s)
license pursuant to the Contractors License Laws.).
❑ lam
Siqnawre:
Owner ID verified bV drivers license. ❑ Yes
Business and Pmfessions Code for this reason:
Vedtication oi Ownership 6y (rype of documen4 i.e. - property tau bill or deed):
DIVISION OF INDUSTRIAL SAFET�' PERMI7 CER7IFICA710N:
Dnver's License No.
Date:
Expires:
❑ I hareby certiy that no excava�ion five (5) or more teet in tlepth into which e person is requiretl to descend, will be made in conneciion with work authonzed by ihis
permit, and that no building siNcture, scattolding, talsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title 8, Califomla Adminis�retive Code).
❑ As owner-builtler, I will not employ anyone to do work which would require a permit from the Division of Indusirial Safery, as noted above, unless such person has e
pertnit to do such work from iMe tlivision.
Signeture: Dale:
Division of Intlusinal Safery Permit Number:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cetlify under penalry of perjury ihat I have reatl ihis application and state �hat ihe infortnaiion given is
correcL I agree to comply with all slate laws end ciry orGinances relating to building consimction, and authonze representatives oi ihe City of Costa Mesa to enter upon Ihe
above-describetl property for inspeclion puryoses. I agree not to acupy or allow occupency of any building authorized by ihis permit until tinal inspection.
� n U Ot n(s) � Date
�7 �i 3 O i
Antl/Ot Aulh rized App icant �— Date
CODE t. INSPECTIONTYPE
7676 Fixetl System Final Fire PrO�ention
1266
200
201
202
203
Pool Spa Final
Final Re-Roof
Fina181ocWRetaining Wall
Final Factory Fire Place
Final Sign
Final Demolition .
�
�
iHrrtia�s ��I INSVECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electncal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
PAIE IH�TIALS
'� KJ�L
sou�rxw�sT
Inspectlon & Testfng,(nc.
January 2$> 20Q2
Btllldl�g D�C18�
City of Costa Mesa
Department of Building and Safety
77 Fair Drive
Costa Mesa, Califomia 92626
CUnfinunu.t lrtspertiort & Mareritd.e Tes�in,�
n► .a i �. �. � .a� ..I� A �. .� .!. sis � .�
1OR26 South Nurwalk Bl�d., Sanra Fe Springs, C�A 9��+70
(562) 941-2990 � (744) 526-83-41
FAX (i62) 946-00'6
Re: F"u�sl inapection fot fie 1Nesa V erde Collection, Cos�a Meaa CA 118ct 15882.
Buildiog
60
61
62
32 .
33
34
Ihsr Build'mg O@"�ciel:
pHmit Num6ec
BO1-OOE97
B01-0Ot88
BO1-OOi92
B01-0b899
BO1-OOE89
BOi-00898
Build"mgParmit Number
35 BO1-00893
36 HO1-00896
37 B01-OQ88'7
3S HOl-W895
39 801-013R91
40 B(I1-00894
bf B({i-00890
Sartbwest Inapecdoit and Tmting was retsixd by the Owner to provide special u�spection �d matarisls testing in the areas Umt were
requned by secrion 1701 of the Uniform Bitilding Code, approved project �aw�ga �d spxitications, this wmk was witnessed by the
following epxiaf impectors-
Conaete plac�erd waz obsa�ved and emnpressiva svength semples were ca4t by. Heiry WaDca (OCEMA #0468), Erick Shauch
(OCEMA 1W548) and Kenny Chupp (OCEMA # 1156). Compressrve � sempies wete picked up by Southwest and tested in our
laba�atory.i AU wak wav done m aecorda�tce with the projact Plaos. specificaiiotta and wodm�nship provisions of tfie Uniform Building
Code.
Sttessi� of'h" post tensioned midons wat o6served 6y Pax Osterman (ICBO #1061525-81). All woxic was done ui accordance with the
P�'oJ� P��. ���o"s � warl�nship provisions of die Umform Buitding Code.
Baed uqum spccml imQeainn aad mauriaLr tcsting wriaen rcpocts of this wo�k, it ia our jiedgemeat that the inspeercd work was perFacma
to tfio bast of aur imawledge, in accordance with the approved pl�s, specifiea@ons end applicable warim�enship provLsion of the Uni focm
Birilding Codc.
Reviewed By:
No. COdt2/a
Ian R Waddell P.E. "F�C��
Prtoci�l Enpneer
For inspection and testing only, no design resQonsibiliry
�s7o.u.mrie�c�ummmr.r.M.rees�s�rbr��zc�na:wA.aeka.ma.riEo.D4�Llhds�u�,cd .
'hutilRArdtleGpuseetd Mm�.lpnwar
E(Z abEd •`WdOE�E ZO-BZ-uef •`9Z00 9tr6 Z95
•`18I 153MHi(105 ��0 ��aS
�;
lD -c� go L--b L
FI21'AL GRA.�ING CERTIFICATION
Project Address: _ 1 Co 4 A�OAw�S ,,
Lol Number. �1-T�''�� �k H 41 �x.f.,L-i ts��z
Permil Number. ��-�03�-
By Civil F.i�gineer:
I cutify to che sacisfaaory compluion of grading in. accordance a�ith the approved plaas,
specificarions. local aad s�te codes: All.drainage.daices required by ttu gnding pertnit,
8��8 Ptan and gnding ordinana,havrbeen ins;alted. �equa�.provisions have ban. made
for drainage of wrfaa water from eacttbuilding s��e. `'
The minimums are:
+ 296 Fall from strucwru wi[hin 5 feet from exterior walis.
196 Fall for asp6alc surfaces and I�ndscaped arcas.
0.59� Fall for concreu surfaces W approvCd disposal areas..
The final monuments as shown on the rccorded tract map wrre sa. All final grading eleva-
tioas are within ± 1/IU of the designed elevation �
Supervising Civil•Engiaeer Reg. No. . 3`,�4�8
(Si�wrc) �:,. .
• ' : � 21lsIoZ.
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(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicant:
Address:
Owner:
2710 ASHWOOD
PLAN 3
TPN00078
PHILIPP, ROLAND
15326 ALTON PARKWAY �
IRVINE, CA ,
STANDARD PACIFIC HOMES
Address 1565 W MAC ARTHUR
COSTA MESA, CA
Contractor: OWN ER-BU I LD ER
Address:
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool / Spa
Lighting Fixts
ISSUED BY:
Phone: 949-789-1600
Zip: 92618
Phone: 714-668-0300
Zip: 92626
Phone:
ZiP ,
License: 0
Status: ISSUED
Applied: O6/28/2001
Issued: 06/28/2001
SCOPE OF PERMIT, ' '
CONSTRUCT NEW SFR - PLAN.3 - FOR STANDARD PACIFIC HOMES: 2972SF LIVING, 579SF `
GARAGE, 20SF COVERED ENTRY, 133SF PATI0. �
1 NEW RES (1 UNIT), 2 LIFHT FIXTURES, 3 OUTLETS, 2 SWITCHES, 1 MOTOR TO 1 HP. REF: �;
601-00896 . " . .
__'__ _ _____ _ ` _._ - ' _ _, _;,' -
FEE SUMMARY` � t � � �
;c. ' ��
� Quantity -.��• Quantity.%; . ,
, $23.50 Temp Dist System / Lighting �$0.00 �0 �� .
� $0.00 : r Busway /100 ft $0.00 I 0; � � - �
, $0.00 _ � Standing Section $0.00 -=; � 0
$166.43 2972 _ ^ -- Misc Electrical,Equipment $0.00''�; 0 '
� �$0.00 0 �� � Transformers up to•7 kva/kw_ $0.00% 0 L" '
$0.00 � .!-- � p?, � `_ - _� ...............up to 10 kva/kw'".'.�.� �:$O.OD� 0 � , � '
$2 20 z �` �- 2 ` � - . up to 50 kvalkw � $0 00 � 0 ,; '.'
ReceptOutlets �,� $3.30� �� �3 c� � �` � 'updo,100kva/kwcy, j$000: j„0 "� "
Switches ;�� ".,/ $220� �.� ti 2. :� , , � y ; ' �_ :over 100 kva%kw%'/ $0-00 - ��j 0 ����
Non Res Appl , �� ; �, �$0.00� '; �-0�.= � , Low Voltage Equipment�'�� � $0 00; � ��0!, � '
Res Appl �
Service to 200a
Service to t000a
Service over 1000a
Motors to ihp
Motors to tOhp
Motors to SOhp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
; $0.00 �� ��: � 0 - ' Low Volt Wiring"System / Ckt��, �'$0.00: ; 0� ;. '
� � ,$0.00' � j ,f� 0 �� , Mlsa Conduit . �`�� i:$0:00 , � :� 0;
� -_, $0.00�� . � 0 . _ _ Misc. Conductoc • � i `�, A % "$0.00; .- � 0
� .$OAO�_ ' � 0 � �Circus ( geo or rid'e)' � t �$0.00, %� 0
$4.76� -�'� �._ 1' - ' � Ciiws�,(mech ride or lights) /�� 50.00 0
$OAO"��_ " �-0� . ' ' � � ChristmasTreeStand-_ �,.- /$0.00 0
$0.00 '- 0� - ,- � FireworksStand..:���-� � $0.00 0
$0.00 0 _ � � - -OlherEleclricaYFee"" $0.00
$0.00 0 � � � -�� - �
50.00 0 Investigation Fee $0.00
$0.00 0 Plan Check Fee $0.00
$0.00 0 Reinspection Fee $0.00
$0.00 0
$0.00 0 TOTAL CALCULATED FEES 5202.38
$0.00 0
COMMENTS / SPECIAL CONDITIONS
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 it 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 untler ihis permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inspections and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (774) 7545626 �
2446-46 (N00)
WORKERS'COMPENSArON DECLARAnON: .
I hereby eftirtn under penal�y of perjury one ot Ihe following declaretions: �
❑ I have and will maint9in e certificate of consent to self-Insure for workers' compensetlon, es provided for by section 3700 of the Labor Code, tor ihe pertormance oi ihe
work tor w�ich t�is pe�nit is issued.
❑ I have and will malnta(� workers' compensatlon insurenca, as requiretl by secGon 3700 of tha Labor Code, for the peAortnance of the work Por which this pertnit is issued. �
My workers' compen§ation Insurence carner antl policy number ere:
Carrier. Policy Number: _
(This SBctlon need nof be Comp/eted i( fhe permif is veluetl at one hundred dolle`s ($100) or Iess.J
❑ I certify that in the peRormance oi ihe work for which ihis pe�mit is issueQ I shall not employ any person in eny menner so as to become sublect to the workers'
compensation laws o1 Celifomia, end agree thet ii I should become sub�ecl to Ihe workers' wmpensation provisions of Section 3700 of ihe Lebor Coda, I shall forthwith
comply with Ihese pro�lsions.
Applicant Signature: Date:
WARNING: FAILURE TO SECUflE WORKERS' COMPENSATIpJ COVERAGE IS UNLAWFUL AN� SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED
THOUSMID DOLLARE (5100,000). IN ADDITION TO THE CQST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECiION 3]O60F THE LABOR CODE, IMEREST, AN� ATiORNEV'S FEES.
LICENSED CONTRACTOHS DECLARATION:
I here6y aHirm that I em licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of iha Business and Pmfessions Coda, and my license is in full
force and eflect. Lia A Class q
Gontrector's SignaWre: Date:
CONSTRUCTaN LENOING AGENCY:
❑ I hereby aNirtn ihat there is a consiruction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Gode).
Lendels Neme: Lendefs Address:
SignaNre: Date:
OWNER-BUILDER DECLARATIONS:
I hereDy afflrm ihat untler penelty ot perjury that I am EXEMPT FHOM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business and Professlons
Cotle: Any ciry or counry wnich requires e permit to cons�ruct, alte�, improve, demolish, or repair any structure, pnor to its issuance, also requires Ihe applicenl for such pertnit
to file a signed statement Iqet he or she Is licensetl pureuent to the piovisions ot ihe Contrectors License Law (Chepter 9(commencing with Sectlon 7000) oi Dlvision 3 ot the
eusiness end Professlons Gode) or Ihet he or she is exempt therefrom and the basis for the alleged exemption. Any violation oi Section 7031.5 6y any appliwnt for e pertnit
subjecis ihe applicant to a Civil penalry ot not more Ihan five hundretl tlollars ($500).):
❑ I, as owner ot ihe pmperty, or my employees with wages as �heir sole compensation, WILL DO THE WORK, and Ihe siructure is not inlentletl or oHeretl for sale (Sec.
7044, Business and P�o�assions Cotle: The Contractore License Law tloes not apply to an owner of propehy who builds or improves thareon, and who dces such work
himseH or herseN or th��gh his or her own employeas, provitled thet such improvemeMs are not intanded or oHared for sale. fl, however, iha 6uiltling or Improvement Is
�sold within one year o� completion, the owner-Duiltler will have the burden of proving that he or she did not build or improve for purpose of sale.).
1, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the projed (Sec. 7044, Business and Protesslons
Code: The comractor5 License Law tloes not apply to an owner of propeny who builds or Improves Ihereon, and who contracts tor such pmled wlth a coniractor(s)
license pursuant to the Coniractors License Laws.).
❑ I am ezempt der s.
Signature: Q
Owner I� veriFied by tlriver'b licen5a. Ves ❑
and Protessions Code tor this reason:
Date:
Driver's License No. Expire :r
Venticetion ol Ownership by (rype of document, i.e. - pmperty tax bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMR CER7IFICA710N:
❑ I hereby certify ihat n0 excava�ion tive (5) or more feet in depih into which a person is required to descend, will be made in connection with work authonzed by this
permit, and that no hUilding siructure, scaHolding, falsework, or demolition or dismantliog thereot, will be more than thiRy-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle 8, Calitomia Administrative Catle).
❑ As owner-builtler, I will not employ enyone to do work which would require a pertnit from the Division ot Indusirial Safety, as noted above, unless such person has a
permit to do such work Irom �he division.
Signature: Date:
Division oi Intlustrial Safery Permit Number:
CER7IFICATE OF COMPLIANCE AND AIfTHORIZATON OF ENfRY: I certify under penalry of perjury that I have read this application and state that ihe information given is
correct. I agree to comply with all state laws and ciry ordinances relating to building consiruction, and authorize representatives of ihe Ciry of Costa Mesa to enter upon ihe
above-tlescribetl propeRy fo� inspection Duryoses. I agree not to occupy or ailow occupancy of any building authorized by this permit un�il final inspection.
GOUE �• INSPECTIONTYPE
1616 Fixetl System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Root
201 Final BIocWRetaini�g Wall
202
203
Final Fectory Fire Place
Final Sign
20d Final Demolitian
��
� �( 3�� a�
Date
INTITIRLS C9D� Y INSPECTION TYPE
206 Final Mechanical
20B Finel Plumbing
210 Final Elecirical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupency
2ALE
1'H�7
ixTmnis
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2710 ASHWOOD
Suite No
Vicinity: PLAN 3
Parcel Number: TPN00078
npp�icant PHILIPP, ROLAND
Address: 15326 ALTON PARKWAY
.IRVINE, CA
Owner:
Address:
Contractor:
Address:
MECHANICAL PERMIT
STANDARD PACIFIC HOMES
1565 W MAC ARTHUR
COSTA MESA, CA
OWNER-BUILDER
Phone: 949-789-7600 � . � �
Zip: 92618 �_ '. ' . .
Phone: 714-668-4300
Zip: , 92626
Phone:
Zip:
License: 0
ISSUED BY:
Status: ISSUED
Applied: 07/09/2001
Issued: 07/09/2001
SCOPE OF PERMIT
CONSTRUCT NEW SFR , PLAN 3- FOR STANDARD BACIFIC HOMES: 2972SFLIVING, 579SF �
- GARAGE, 20SF COVERED ENTRY; 133SFPATIO. -- �� �. .,' ; �'. �� '�
�, 2 FAU <100K BTU, 1 FACTORY FIREPLA�CE, 1 HOOD W/MECH EXHAUST'; 1. VENT FAN/SINGLE
� DUCT, 2 COMPRESSORS UP TO 3HP/100K BTU. REF: B01-00896;�� ,
�
' � ` � � � FEE SUMMARY : �! s ' ` � � ' ; '
, ... � .Quantiry ... _ . � �� ' � —�� ��' _ Quantity-
ISSUE FEE - - $23.50 Repair�/AltAbsorbtion Unit ` - � $000 -0 ;
Inst FAU <100 k BTU $29.60 2 Repair / Alt Refrigeration Unit ����, �$0.00 � 0"
Inst FAU >700 k BTU . $0.00 0 Ventillation System i, f; ; �$0.00--.% 0,"�:. -�
Repair / Alt CoolinglHeat "�. $0.00 0 Evaporative Cooler i`i/ ��.$0.00�� 0' �
Inst / Rep. Recess WaII Htr $0.00 0 ;-�: . .--: Commercial lncinerator � , � �� : $0.00 �0 � �
Refrig Sys <100 k-BTU � $0.00 0 , „F �; y ' � Domestic Incineraror ,� % �$0 00 ;-0 .�
i
Refrig Sys >100 k BTU $0.00 0 , Comoiessors / Absorotion Systems � . ,
,
Gas Piping � `, , ���\��$0 00 , 0 . � � ��i Up to 3 hp"/�100;k BTU,� � � � � ��$29 40 .2
Factory Fireplace �-�$1�0 65 1;; '�O ��a 3 To 15 hp / 500 k,BTU'''-'�'`���!r �� � $0.00' i 0
Hood w/Mech.Exhaust ". $10 65 1,- �,� �� q5 To30 h/ 1 000 k BTU�� �� 0 00� 0
/ � - - ei. P_ i /� � � $_ .
VAV Box `�., � �, � '� $0 00 �0� � ; � � �� o , , 30 To;50 hp / 1 750�k-BTU�/� r $0.00 0
Vent Fan / Single Duct� </� j /�$7 25"� 7� �� � � �� C ��- � � � �
� � ��� � �� ' , � Oyer 50 hp / Over,1;750�BTU � � � $0.00 0
Appliance � �� � �.//,%$0'00. 0'�".; . ° Boilers; -y"i/,% /i,��i%/ .� �
Fire Dampers � � � .$0 00�� 0- ' - - - � U �to 3 h � ��� �" � �� � , , �
Smoke Dampers � �� -"$0 OO�i�O � - � �-, _ - - 3 To 15 hp, � ��� ��� � r � � ����. �� $0.00 0
Inst or Relocate Appl Vent ;�,$0 00 i 0 �, , -- 15 to 30 hp'��
Air Handlers < 10000cfm �-$0.00 ��0��' � - � '30 to 50, hp ��, ��% %,�"i'� $0.00 0
Air Handlers > 10000cfm ��$0.00 �;- 0, � ' � Over 50.hp� ' � ��J�-" $0.00 0
Floor Furnace §0.00., -0; - , _ - " Other Mechanical Fee � -'
Floor or Suspend Heater $0.00 �0 _ _ � . � �� �Inyestigation�Fee� � $0.00
� - ' ".`. ���Plan Check Fee $0.00
Reinspection Fee $0.00
TOTAL CALCULATED FEES 5111.05
COMMENTS / SPECIAL CONDITIONS
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, 72-21-92) ,
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 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
zans-as la�oo�
�
WORKERS'COMPENSAnON DECLARAnON: --
I hereby eHirm under penalry of perjury one of the tollowing declarations:
❑ I heve entl will meintein a certificate of consent to self-Insure for workers' compensation, as provitled tor by section 3700 oi the Labor Cotle, lor the performence oi the
wark tar which this pertnit is issuetl.
❑ I have end will meintain workeB' �pensation insurance, as required by section 3700 of Ihe Labor Cotle, for Ihe pedortnanca oi Ihe work for which this pertnit is issueG.
My workers' compensation Insurence carner antl policy number ere:
Carner: Policy iJumber:
(This section need not be canp/eted �� ihe permif is valued af one hundred dollars ($100) or less.)
❑ I certify thet in ihe pertortnance of the work for which this permit is issuetl, I shall not employ any person in any manner so as to become sublect to the workers'
compensation laws of Califomie, and egree that ii I should become subject ro the workere' compensation provisions of Section 3700 ot the LeDor Cotle, I shell �otlhwith
comply with ihese provisions.
Applicant Signature: Date:
WARNINQ: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SOBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED
TFIOUSAND DOLLARE (5100,000), IN ADtlmON TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]OB OF THE LABOR COOE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION: �
I hereby ettirm Ihet I em licensed under provisions of Chaptar 9(commencing with Section 7000) of Division 3 ot the Business end Professions Code, antl my license is in tull
Force antl eftect. Lic. u Cless N
Contraciors SignaWre: Date:
CONSTRUC710N LENDING AGENCV:
❑ I �ereby aNirm iha� Ihere is e Gonsiruction lending egency for the pedormance of �he work for which this permit is issued (Sec. 3097, Civil Code).
Lender's Name: Lenders Address:
Signeture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHirtn that untler penalry ot perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professlons
Cotle: Any ciry or counry which reqUires e permit to construct, elter, improve, demolish, or repair any structure, prior to its issuance, elso requires the applicant for such permit
to file a signed stetement t�et he or she is Iicensed pursuent to the provislons of Ihe Contractors License Law (Chapter 9(commencing with Section 7000) oi Division 3 of ihe
Business end Professions Coda) or Ihet he or she is exempt iherefrom and the besis for the alleged exemption. Any violation o� Section 7031.5 by any appliwnt for e permit
subjects the epplicant to a civil pena�ry o� �ot more than five huntlred dollars ($500).):
❑ I, as owner of Ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure Is not intentled or oflaretl for sale (Sac.
7044, Busineu antl Protessions Coda: The Contractors License Law does not apply to en owner of property who builds or improves thereon, and who tloes such work
himself o� herselt or ihrough h�s or her own employaes, provided that such improvements are not Intended or otteretl for sale. It, however, the builtling o� improvement is
sold within one year of compleiion, the owner-builder will have ihe burden of proving ihat he or she tlid not build or improve for purpose of sale.).
�I, as owner of the properry, am EJ(CLUSIVELV CONTRAC7ING WI7H LICENSED CON7RAC70RS ta wnstruct the project (SecJ044, Business end Protessions
Code: The coniractors License �ew tloes not apply ro an owner of property who builds or improves ihereon, and who coniracts tor such project wi�h e coniractor(s)
license pursuent to tha Contrectors License Laws.).
❑ I am exempt und�c. _]�Y_p__�__/ �JL
SignaWre: �1./( �� �J,
Owner ID venfied by d' ers license. ❑ Ves ❑ No
end Professions Cotle for this reason:
oa�a: i
Drivers License No. Exdirer s: —
Veritication at Ownership by (type af tlocumen[, i,e. - pmperty ten Gill or deed)�.
DIVISION OF INDUSTRIAL SAFET�' PERMIT CERTIFICATION:
❑ I hereby cehify Ihet no axwvation five (5) or more feet in depth into which a pereon is required to descend, will be made in connection wilh work authorizetl by Ihis
permit, and �hat no builtling slNCNre, scafloltling, falsework, or demolition or dismantling Ihareof, will be more ihan thirty-sis (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle B, Califomia Adminis�rative Cotle).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division ot Indusirial Safery, as notetl above, unless such person has e
permit to do such work irom tne tlivision.
Signature: Date:
Division ot Industrial Safery Permit Number.
CERTIFICATE OF COMPLIANCE AND AUh10RRAT10N OF EMRY: I cenity under penaly of perjury that I have read ihis epplication and state ihat ihe information given is
correct I agree to comply with all state laws and city ortlinances relating to building constmction, antl authonze representatives of the City of Costa Mesa to enter upon the
ebove-described property tor inspec�ion puryoses. I egree not to occupy or ellow occupancy of any builtling authorized by this permit until finel inspec�ion.
CODE I. INSPECTION TYPE
1616 Fizetl System Final Fire Pre�ention
1266 Pool Spa Final
200 Final Re-Roof
201 Finel BIocWRetaining W all
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
UATE M RL
� /� ^ Date
M
���� Date
COOE� INSPEGTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Elecirical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 FinalBuilding/Occupancy
� �
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
PLUMBING PERMIT
Job Address: 2710 ASHWOOD
Suite No
Vicinity: PLAN 3
Parcel Nunmber: TPN00078
Applicant: PHILIPP, ROLAND
Address: 15326 ALTON PARKWAY
IRVINE, CA
Owner: STANDARD PACIFIC HOMES
Address 1565 W MAC ARTHUR
COSTA MESA, CA
Contractor: OWNER-BUI LDER
Address:
Arch / Eng :
Address:
Phone: 949-789-1600
Zip: 92618
Phone: 714-668-4300
Zip: 92626
Phone:
Zip:
License: 0
Phone:
- Zip:
License:
ISSUED BY:
Status: ISSUED
Applied: 07/09/2001
I ssued: 07/09/2001
SCOPE OF PERMIT
CONSTRUCT NEW SFR - PLAN 3- FOR STANDARD PACIFIC HOMES: 2972SF LIVING, 579SF�� �.� ", ��!
GARAGE, 20SF COVERED ENTRY, 133SF PATIO. 3�BATHRUBS, 1 DISHWASHER, 1 EXPANSION TANK," -
1 GAS (7-4 OUTLETS), 2 GAS OUTLETS (OVER4), 1 LAUNDRY TUB/WASHER, 1 PRESSURE �
REGULATOR, i SEWER CONNECT, 1 SHOWER, 1 KITCHEN SINK, i SERVICE/MOP SINK, 1 WASH
BASIN, 2 WASH BASIN SETS, 3 WATER CLOSETS, i WTER HEATER, 1;WATER�SERVICE. . �
REF: 601-00896 -, � � � - � . - ' . - �
ISSUE FEE
Backflow irrigation
Backflow Preventer
Bathtub
Clarifer System
Connect (Ice,Soda,etc)
DeMal Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
i. . .
AMT'% QTY
$23.50
$0.00 0.
$0.00 0
$29.40 3
$0.00 0
$0.00 0
50.00 0
$9.80 1
50.00 0
$0.00 0
$0.00 0
so.00 0
$9.80 1
$0.00 0
$6.15 1
$2.20 2
$0.00 0
50.00 0
$0.00 0
$0.00 0
FEE-SUMMARY"';
. .���. � � .AMT
Laundry Tub / Washer " $9.80
- I.andscape Irrigation $0.00
, P-Trap - � $0:00
' Pressure Regulator 59.80
- Process Piping (per 10 ft) _ $0.00
Receptors $0.00
Septic Tank „ , $0.00
Sewer Cap for Demo - $0.00
Sewer Connect $24.65
Sewer Private Line $0.00
Shower $9.80
Sink, bar $0.00
Sink, commercial $0.00
Sink, Floor $0.00
Sink, kitchen $9.80
Sink, service/mop $9.80
Spa (private) $0.00
Spa (public) - $0.00
�
�
: �, 'i' .� ' � �. "
QTY-' � �_ ' - ,,
1 , -Sump Pump�� �
�`
-0 �t ` � Swimming Pool
0 � � Trap Primer
�1� ' �Urinal '
0 . : `Vacuum Brkr Bkflow(i-4)
0 � � - Vacuum Brkr Bkflow(5+)
0 Wash Basin
0 Wash Basin Set
1 Waste and Vent System
0 Water Closet (Toilet)
1 Water Heater / vent
0 Water Piping (Inst or Rep.)
0 Water Re-pipe
0 Water Service
1 Water Softener
1 OTHER
0 VIOLATION
0 PLAN CHECK
REINSPECTION
NOTICE: The work authorized by this permit shall comply with all applicable handicap access
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$9.80
$19.60
$0.00
$29.40
$12.30
$0.00
$0.00
$9.80
$0.00
$0.00
$0.00
$0.00
ao.00
QTY
0
0
0
0
0
0
1
2
0
3
1
0
0
1
0
0
ielated
� COM ENTS / EC L CONDITIONS
EXPIRATION: This permit shall automatically exp in 180 days, or if work is suspended or abandoned
for a period of 1 BO days.
INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codas, and all
required inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit.
FOR INSPECTIONS CALL: (714) 7545626
_ //
2ad6-461W00)
WORKERS'COMPENSAnON DECLARApON: � �-
I hereby aHirm under penalry of perjury one o� the tollowing decleretions:
❑ I have and will maintain e certificate ot �nsent to self-Insure for workers' compensation, es providetl for by section 3700 ot the Labor Code, for ihe pedormence of the
work tor which ihis permit is issue0.
❑ I have and will maintain workers' compB�setion insurance, as requiretl by sectlon 3700 ot ihe Labor Code, for the partormance of ihe woAc for which this permit is issuetl.
My workers' compensation Insurance carrier antl policy number are: .
Cartier: Policy iJumber:
(This section need not be completed illbe permit Is velued et ane hundred dallars ($100) or less.)
❑ I cenify ihat in the peAortnance of ihe work for which this pertnit is issued, I shall not employ eny person in any manner so as to 6ecome subject to the workers'
compensation laws of California, and 68ree that If I should become sublect to ihe workers' compensatlon provislons of Section 3700 of the Labor Code, I shall forthwith
comply with ihese provisians.
Applicant Signeture: Dete:
WARNING: FAILURE TO SECURE WOPKERS' COMPENSATION CAVERAGE IS UNUWFUL AND SHALL SU8IECT AN EMPIOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED
T110USAND DOLLARE (5100,000), IN ADDITION TO TME COST OF COMPENSATION, DAhL1GES AS PROVIDED FOR IN SECTION 3]O60F iHE IABOR CADE, IMEFEST, AND ATfORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirtn Ihai I am licensetl under DroVisions ot Chapter 9(commencing with Section 7000) oi Division 3 0l iha Business and Protessions Code, and my license is in full
torce and ettect Lia N Class N
Contrectofs Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirtn Ihat there is a construct�on lending agency for the performance of ihe work for which this pertnit is issued. (Sec. 3097, Civil Code).
Lentlefs Name: Lendets Adtlress:
Signature: Date:
OWNER•BUILDER DECLARATONS:
I hereby atflrm that under penalty ot perjury [hat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7037.5, Business and Professions
Cotle: Any ciry or counry which requires a pertnit to consiruct, alter, improve, tlemolish, or repair eny structure, pnor to its issuance, also requires the applicant for such permit
to file a signetl statement Ihat he or she is li�ensed pursuant to Ihe provisions of the Conirectors License Lew (Chapter 9(commencing with Section 7000) of Division 3 of the
Business end Profeuions Code) or thet he o� she is eaempt theretrom and the basis for Ihe alleged exemption. Any violetion of Section 7031.5 by eny appliwm for a permit
subjects ihe epplicant to e civil penalry of no� more ihan Five hundred dollars ($500).):
❑ I, as owner oi ihe property, or my employees wlth wages as their sole compensation, WILL DO THE WORK, end Ihe siruc�ure Is not in�entle0 or ottered for sale (Sec.
7044, Business and Professions Coda: The Contractors Licensa Law does not apply to an owner of property who builds or improves ihereon, and w�o tloes such work
himself or herself or [hrough his or her own employees, provitletl that such improvemenis ere not intendea or oNered tor sale. If, however, the building or impravement is
sold within ona year of completion, the owner-builder will have ihe burtlen ot proving Ihat he or she ditl no� build or improva tor purpose of sale.).
I, as owner of the properry, am EXCLUSIVELY CON7RAC71NG WI7H LICENSED CONTRACTORS to construct ihe projecl (Sec. 7044, Business and Professions
. Cotle: The comractors License Law tloes not appry to an owner ot pmperty who builds or Improves thereon, end who contrects for such project with a comractor(s)
license pursuant to the Contractors LiGense Laws.).
❑ I am exemp under
Signature:
Owner ID venfietl by tlnver's license. ❑ Yes
Business antl Pmfessions Code for ihis reason:
Date:
Driver's License No. Ezpires:
Venfication of Ownership by (type ot document, i.e. - property tax bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certily that no excavation tive (5) or more feet in depih into which e person Is required to dascend, will be made in connection with work authonzed by Ihis
permit, and ihat no building structure, scalloltling, falsework, or demolition or dismamling thereof, will be more than thirty-six (36) feat high. (Chap. 32, Gry 2, Art 2, Sec.
341, Ttle 8, Califomia Administretive Gode).
❑ As owner-builder, I will not employ anyone to do work which woultl require e permit from the Division of Intlusirial Safery, as noted ebove, unless such parson has a
permri to tlo such work trom the tlivisio�.
Signeture: �ate:
Division of Industrial Satery Permit Num6er:
CERTFlCA7E OF COMPLIANCE AND AIJTNORIZA710N OF ENTRV: I certily under penalty of perjury Ihat I have read this applica�ion and state that the information given is
correct. I egree to comply with all state IawS and city ordinances relating to building constmciion, antl au�horize representatives of Ihe Ciry of Costa Mesa to enter upon ihe
above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building euthorized by this permi� until final inspection.
� Sign re Ofkegal O,yvq¢I�(�� � � 3 Ulte
� f Y
And/Or Authoriied Applicant � �� D te
COOE I. INSPECTION TYPE
1616 � Fixed System Final Fire Preveniion
1266 Pool Spa Final
200 Final Re-Roof
207 Final BIocWRetaining Wall
202 Final Factory Fire Place
203
204
Final Sign
Final Demolition
2TE U17IIlALfl
�
COOEN INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Elecirical
212 Finel Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
pATE INTRIRLS