HomeMy WebLinkAbout2718 ASHWOOD - Building Permits�
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 2718 ASHWOOD
Suite: (�pj' �Z
Vicinity: PLAN 3
Parcel Number: TPN00074
Applicant: PHILIPP, ROLAND
Address: 15326 ALTON PARKWAY
IRVWE, CA
Owner: STANDARD PACIFIC HOMES
Address 15326 ALTON PARKWAY
IRVINE, CA
Contractor: OWN ER-BU I LDE R
Address:
Zoning:
Phone: 949-789�1600 _ -
Zip: 92618 . . , .
�,
Phone: 949-789-1600
Zip: 92618
Phone:
ISSUED BY:
Status: ISSUED
Applied: O6/13/2001
Issued: 07/O6/2001
Zip: �License:�' 0 � ' � , �
Arch : BASSENIAN LAGONI : Eng: ,
Address: 2031 ORCHARD DR � Address:�
STE 100� Phone: 949-553-9100 - . Phone: '�
NEWPORT BEACH, CA ,
Zip: 92660 License: . � License: '
'. �� i "�; SCOPE OF P_ERMIT�. '� �..Y �
,, CONSTRUCT NEW SFR - PLAN 3� FOR STANDARD FAqFIC�HOMES: 2972SF LIVING; 579SF GARAGE, 20SF COVERED �
ENTRY AND 133SF PATIO.'REF: B00-01537 � � , �
- ' ' 1 . ��, _ - .
.
� � ' FEESUMMARY,', �' '�r � � � ' ��
Plan Check: � $316.19 � . -- _ . - , ; ^" - - �Galc Valuation i gzss;ezz:zs
' Permit: � $1,94575 � „^� Claim Valuation: ����1� � , , $o.00
SMIP Res: � � $26.99 ' . �;� ,
; l . f//„ ` .
SMIP�Com� �� '�, $0.00 - - ' ,
� /
Other �$0.00 _ � �� �� �� '
,�; ,
Inspection " $0.00 „c''� . �� � c� - �` � . � � �
L. �\ _
. . . _ � ".�� i
�� . 9 - / i
TOt81• $2 288 93� �� � �a. � � `.'-' ':>";s�r i�"� � „ �
' ' � � `�\V � ., ��� � u
� : ' ` ���\ _ ' �
� :��\ �:' ii �ti`�� �PLP
SETBACKS ` � ` � � ��� � ��� � -
' ; `�� - ,
MAINSTRUCTURE�Front�, i6-0%� �;/�Rear 21-0
. A�' � -'�; � �
1 ,
ACCESSORY Front 0 0,�. �� Rear �� 0-�0 �
�� � � _
PARKING Existin : 0�`� ' '- Required: �3' � �
NOTES: ` ` - - ---_
�, _ � .
_%/ ,. �
� ���,� � -��� ���� /%�l
NNING'BZONING��'� �� �G�;!��/
_ / i.� � �'i i' /
r
LeH =�5- 0( _� Right' j 5- 0 f� /
� -^ 1 A - � .'„ i .=
��'iLeft '� 0 0 ':��`_i� Right� �0�0�� "
. i l =�" i -i/
� �•- ProposeA:� �3 �'� ' �� �
„ `- ; ;�i '' _ _
`�'.� _
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statuies and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIRATION: This permit shall automatically expire and become void ii work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days.
INSPEC710NS: 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 /
zaas�as(doo�
WORKERS' COMPENSATION DECLARATION; — �
I hereby aHirm undar panelry oi peryury one of th� tollowing declarations: . �
❑ I have end wlll malntain a certificete of consent ro self-Insure for workers' wmpensation, es provided for by section 3700 of the Lebor Code, tor the pedortnanca of the
work for which this pertnit is issuetl.
❑ I �ave entl will maintain workers' compensaCion insurence, as requiretl by sectlon 3700 ot ihe Labor Code, tor ihe pertormance ot ihe woAc for which Ihis pertni� is issued.
My workers' compensation Insurence wrtlBr and policy number are:
Cerner: Palicy i4umber:
(This sectlon neetl not be comp/eted i! the Oertnlf �s va/ued at one hundred dollers ($f00) or less.)
❑ I certiy Ihat in tha pertortnance of the work for which this permit is issue0, I shall not employ eny pereon in any manner so as to become subject to the workars'
compensetion laws of Celifomia, end egre6 [hat if I should becoma sublect to lha workers' compensation provisions of Section 3700 of the Labor Code, I shall forthWith
cnmply with these provisions.
Applicent Signeture: Date:
WARNINO: FAILURE TO SECURE WORKERS' COMPENSFTION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVEP TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLURE (5/00,000), IN ADDITION TO THE �T OF COMPENSATIIXJ, DAMAGES AS PPOVIDED WR IN SECTIIXJ 3]O60F THE LABOR CODE, IMEflEST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eRirm ihat I am licensetl under provisions of Chapter 9(commencinq with Section 7000) of Division 3 ot the Business and Pmfessions Code, end my license Is in full
force antl eflecL Lic. k Class k
Contractors Slgnature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirm that ihere is e construction landing agency for the pedormance of the work for which this permit is issued. (Sea 3097, Civil Code).
Lenders Name: Lender's Atldress:
SignaNre: Date:
OWNER•BUILDER DECLARATIONS:
I hereby aHirtn Ihat under penalry ot perjury that I em El(EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professions
Cotle: Any ciry or county w�ich requires e permit to construct, elter, improve, tlemolish, or repair any structure, prior to its issuance, elso requires ihe applicant for such permit
to file a signed stetement that he or she Is licensed pursuant to ihe provisions oi ihe Contractors License Lew (Ghapter 9(commencing with Section 7000) ot Division 3 of Ihe
Business end Professions Code) or that ha or she is exempt therefrom and Ihe basis for ihe elleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty ol not mola than tive hundred dollars ($500).):
❑ I, as owner of iha proparry, or my employees with wages as their sole compensa�ion, WILL DO 7HE WORK, and the structure Is not intended or oNeretl tor sale (Sec.
7044, Business antl Protessions Cotle: The Contractors License Law does not apply to an owner ot properry who builds or improves ihereon, and who tices such work
himseN or hersetl or through his or her own employees, provitled ihat such improvements ere not Intended or oHeretl for sele. If, however, ihe building or improvement is
�soltl wit�in one year ot completion, the owner-builder will heve Ihe burden of proving ihat he or she did not build or improve tor purpose of sale.�.
as owner of ihe propeRy, am E%CLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Businass and Professions
Code: 7he contwctors License Lew does not apply to an owner ol property who builds or Improves thereon, and who coMrects for such project with a coniractor(s)
license pursuant to the Contractors License �ws.).
❑ I am ezempt dar se .
Signature:
Owner ID venfietl b dnvers liCenSe. ❑ Y88 ❑
and Professions Code for this reason:
Verification of Ownership by (type at dacument, i.e. - property taz bill or tleetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
Drivefs License No.
Date:
Exp res:
❑ I hereby cartify Ihat no excavation live (5) or more leet in depth into whic� a person is required to descentl, will be made in conneciion with work euthonzetl by this
permit, end that no building stmcWre, scaflolding, falsework, or demolition or dismantling ihereof, will be more than ihitly-six (36) feet high (Chap. 3.2, Grp 2, Art 2, Sec.
341, Title B, Calitomie Adminisirative Code).
❑ As owner-buildar, I will not employ anyone �o do work which woultl require a permit from the Division of Intlustrial Sefety, as noted above, unless such person hes e
permit to tlo such work irom the division.
Signature: Date:
Division ot Industrial Salery Permit Number:
CERTIFICATE OF COMPLIANCE AN� AUTHORW710N OF EHTRV: I certity under penalry oi perjury that I have read this epplication and state that the information given is
correct. I agree to comply with ell state laws end city ortlinances relating to building constmction, and authorize representatives of the City of Costa Mesa to enter upon the
above-descnbed property for inspection purposes. � agree not to acupy or allow occuDancy of eny building euthorized by this permi� until finel inspec�ion.
CODE �. INSPECTIONTYPE
1616 Fixetl System Final Fire Prevention
1266
200
201
202
203
Pool Spa Final
Final Re-Rool
Final Block/Retaining W all
Final Factory Fire Place
Final Sign
204 , Final Demolilion
�
IMRIALS
� /( -� /°a��
Date
COUEN INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
272 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 , Final Buiiding/Occupency
p1TE INTRIALS
Sent 6y: SOUTHWEST I&T;
562 946 0026; Jan-2P-�2 3:12P�; Page 1/1
SOUTHWEST
Inspection & Testing, Inc.
January 28,2002
Buildir►g Official
City ofCosta Mesa
Department of Building und Safety
77 Fair Drive
Costa Mesa, Califotnia 9262fi
Cnnti��uuus b�sper:tinn c� ,Narerin(s T�•srin�;
�.��,����.�����,.���
IU82h Snuth Norw.ilk Blvd., S3nU� Fe Springc, CA 90fi70
(562)941-2990•(714)526-$441
FAX (562) 94b-U026
RC: Final inspecdon for the Mesa Verde Collectioq Costa Meys CA Tract 15882_
Building
60
61
62
32
33
34
Dear tiuiWing Ofiic�aL•
Petmit Number
$Q1-00897
B01-008&8
BO 1-0(l892
801-OQ899
HQl-0a889
601-0U7t98
BuiWingPertnit Numbec
35 B01-Q�893
36 BOL-008v6
37 B01•OOSS7
38 BO1-00895
39 BQl-(10841
40 Blll-00844
41 B�1-U�R9(1
Se�ud�west Inspection and Testing was retained by the Owne� to provide specie! inspection a�id enateriats usting in the areas that were
required by section 1 �Ol of the Uniform Building Code, approved pro}ect drnwings aud specificetipns, this wo�; was witnessed by the
folbwing special inspectots.
Coacrete ptacement was observed and comprc�sive svength samples were eagt by, Harry VJalker (OCEMA N0468), Eaick Saauch
(()CLMA No548) and Kenny Chupp {OCEMA #{ I 58). Comprossive strength samples weae picked up by Southwest and tested 'm oer
laborasory.' ASI wnrk was dwm in accordauce with the projoct pfans, speciGcations and workmerahip provisicros of the Unifocm Huilding
Code.
Stressing of Y:" post ten5ioned trndong wes pbserved by pai Oslermw (IL'.80 #1061525-81}, All work wa9 done in nccordance with fhe
project ylans, spceifications and worlananship provisirnra of the Uniform Suitdir� Code.
Based upon special inspaction and msteriaf9 usting wriuen reportv of ihis waxk, it is uur jwlgement that the in5pected wwk was pp�formed
to the hes[ uf our knowledge, in accordance with ihe appreved plan�, specificaiiuns �d appticsble workmanship pn.vision of the Uniform
BuildinB Code_
Rcviewed By:
lan R Waddell P,E�
Principal Gngincer
Fvr inspeCtion and
No.00642}g
exp,3—Zi-CQ
only, no design responsibiliiy
15wen.ca Impa�n:s auu8ed n.mmiJs �rewy blro�aom h'tlK r�no�¢: Civ �f �u a.gtka, (x�u. treq� p5.� cLy arsm Piep�.ca.
nw,sti rn iwa 76e ueommorc o+' wm saaw..
�o-�goz.-dt
FI11'AL GRA.�?ING CERTIFICATION
Projat Address• �� 4S A�OAu.�S
LolNumber. �tT��i9�cl� 41 "�i.t�L-T15m$z
Permil Number. � � — �� 3 �-
By Civil Engincer: �
I cettify to the sa[isfaaory campletion of grading in accordana w�ith the approved pleas,
specifications, local aad state codes: All.drainage derices rcquiru! by ttte gnding permit,
grading plaa and grading ordinana, havrbeen insf�lled. /�equa�e.provisions have ban made
foc drainage of wrfaa wacer fmm each building s��e. ''
The minimums are:
+ 296 Fal! from ctrucaires wi[hin 5 feet from euerior wahs.
1% Fall far asp6alc surfaces tnd �ndscaped aceas. '
0.5`X� Fall for concrue surtaces W apProvFd disposal areas_
The final monuments as showa on the mordeti tract map wrre sa. All finat grading eina-
cioas are within ± 1/lU of the designed clevacion '
Supervising Civil•Enginecr Reg. No. 3°sq'1�
(Si;iiawm) � ,.. . .
. ; �arc J_ I ( S�.oZ.
. . i'E :1 r . .
._ .i: �' � . . � . � . .. . . .
_ - - . ' �� - � � .
�
..��'� �_� w�.�.
`' "�
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DFIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicant:
2718 ASHWOOD
PLAN 3
TPN00074
PHILIPP. ROLAND
Address: 15326 ALTON PARKWAY
IRVINE, CA
Owner:
Address
Contractor:
Address:
STANDARD PACIFIC HOMES
1565 W MAC ARTHUR
COSTA MESA CA
OWNER-BUILDER
Phone: 949-789-1600
Zip: 92618 �
Phone: 714 668-4300
Zip: 92626
Phone:
Zip:
License: 0
Status: ISSUED
Applied: O6/28/2001
Issued: 06/28/2001
ISSUED BY: 1�
' . SCOPE OP PERMIT," - '
CONSTRUCT NEW SFR - PLAN 3- FOR STANDARD PACIFIC HOMES: 2972SF�LIVING, 579SF ,
GARAGE, 20SF COVERED ENTRY, 133SF PATIO. � - .
1 NEW RES (1 UNIT), 2 LIFHT FIXTURES, 3 OUTLETS, 2 SWITCHES, t MOTOR TO 1 HP. REF: ,
B01-00899 , � - '
i - -- - -- - < - - - :' - � - -� %
FEE SUM
ISSUE FEE
Temp service test
Res. a/c package�`
New Res (i-2 units)
New Res (3+units)
Pool / Spa
Li9hting Fix�s
Recept Outlets �
Switches �
Non Res Appl �`-�
Res Appl � �� �
Service to 200a
SeNice to 1000a
Service over 1000a
Motors to 1 hp
Motors to 10hp
Motors to 50hp
Mo[ors t0 100hp
Motors over t00hp
Communication drops
Sub panel to 200a
Pale Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
Quantity
$23.50
$0.00
$0.00 _, �
. $166.43 2972 . . ,
� '$0.00 0 �
$0.00. .i.--.'0�. '� ', ,
" $220��'; � 2`- , .
, i $3.30 �: `��i� 3 �
MARY. ,. -. �
, ,, �,
- � Quantity,`� � � �
Temp�DisYSystem7Lighting $0.00 �0�/,' � � .
:. Busway /100 R $0.00 ; %,0; , -'
� �+�,� �_ � Standing Section $0.00 - ; % 0 ,
= MiscElectncal.Equipment $0.00'������0 ' '
- Transformers up�to•1 kva/kw� $0.00j%' 0 � � .
. _� �.
. . .................up to 70 kva/kw,�:',-:a-'•';$0.00� � �. � � �. .
�� � . : ... ..:.....up to 50 kvalkw . =;$0.00 0 � ,
, . . .. . . , i A , . , ,
, , � _ ,� � :up to 700 kva/kw��,%'�$0 00;-� � ,0 i .
�','/� $220� � �2�A' � . - : over`100 kvalkw� $0�00 ���0� � � -
,$0�00�;: 0��� _ , i �/
�$0.00 r... p�.:�_ .
,so:oa�%;;io ,
�,$0.00��.. , p ,.
� - $0.00-� �--� 0 ' .
$475 � 1
$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
�� Low VOltage�Equipmenti � $0.00, � O,i� '
' _ Low-Volt Wiring;Syste`m / CkL,�%$0.00�� , 0-. - ��
Misc.Conduif _, ��'$0.00 �;�0 -
, Misa Conductor � �. \ � � t $0,00 : 0
'Circus ( gen or ride) �, � �� ,$0.00 ; 0
, .Circus(mechride,oulights).-�'i;'$0.00 0
� ' `Christmas 7ree Stantl � � ",', �-$0.00 0
Fireworks Stand„� , =' �. � $Q00 0
- , Other Electrical Fee $Q00
Investigation Fee $0.00
Plan Check Fee $0.00
Reinspection Fee $0.00
TOTAL CALCULATED FEES $202.38
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 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 legal, such work must comply with all applicable cotles, and all
required Inspections and final approval must be obtainetl. Failure to obtain inspections and final approval will result in the ezpiration ot this permit.
FOR INSPECTIONS CALL: (714) 7545626
2446-46 (N00)
WORKERS'COMPENSAnON DECLARAnON: �
I hereby affirm under penalry oi perjury ona of ihe tollowing declarations:
❑ I heve entl wlll maintain a certificete of consent ro self-Insure br workers' compansation, as pmvided tor hy section 3700 ot Ihe Labor Code, tor the pedortnance of the
wofk for whiCh ihi5 pefmit i5 i55ued.
❑ I have and will maimain workers' compensation Insurence, as requiretl by section 3700 oi the Lebor Code, lor ihe perfortnance o� ihe work tor which Nis permit is issued.
My workers' compensation Insurance carnar antl policy number ere:
Carner: Policy Number: _
(This sectlon need not be crompleted i/ the permit is valuetl at one huntlretl tlollers ($100) ar /essJ
❑ I certify that in the pertormance of Ihe work for which ihis pertnit is issue0, I shall not employ flny person in any manner so as to become subject to the workers'
compensetion lews of Califomia, antl egrae that Ii I should become sublect to the workers' compensation provisions of Sectlon 3700 ot the Lebor Code, I shell forthwith
comply with these D�a�sions.
Applicant Signature: Date:
WARNING FAIWRE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFOL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
THOUSAND DOLLARE ($100,000), IN AODITION TO TME COST OF COAIPENSATION, DAMAGES AS PROVI�ED FOR IN SECTION 31060F THE LABOR CODE, INrEREST, AND AiTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hareby aHirm ihat I am licensed under proVisions ot C�apter 9(commencing with Snction 7000) ot Division 3 ot Ihe Business and Professions Cotle, antl my license is in full
lorce and ettect. Lla A Class q
Coniractor's Si9neture: Da�e:
� CONSTRUCTION LENDING AGENCY:
��� ❑ I heraby eflirm that there is a consiruc(on lending agency for the peAormance of the work for which this permit is issued. (Sec. 3097, Civil Cotle).
��, Lenders Neme: Lender's Adtlress:
Signa�ure: Date:
OWNEF-BUILDER DECLARATIONS:
I hereby aHirtn that under penalty of perjury lhat I am E%EMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or county which requires e permit to constma, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the epplicant tor such permit
to file a signed statement Ihat ha or she is licensed pursuent to the provislons of ihe Contractors License Law (Chapter 9(commencing wlth Section 7000) of Division 3 ot the
Business end Prolessions Gode) or ihat he or she is exempt iherefrom and the basis for the allegetl exemption. Any violation of Section 7037.5 by any applicant for e permit
subjacts the applicant to a civil panalry of no� mora ihan five hundred dollars ($500).):
❑ I, as owner of ihe properly, or my employees with waqes es their sole compensation, WILL DO THE WORK, and Iha structure is not intended or oHefed tor sale (Sec.
7044, eusineu antl Profeuions Code: The Coniractors License Lew tloes not apply to an owner of property who builtls or improves Ihereon, and who does such work
himself or hersetl or ihrough his or her own employees, provided Ihat such improvemen�s are not intended or oHered for saie. If, however, Ihe builtling or improvemeN is
sold within one year of completion, the owner-builder will heve ihe burden of proving ihat �e or she did not build or improve for purpose ot saie.).
�I, as owner of Ihe property, am E%C WSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct ihe project (Sec. 7044, Business antl Professions
Cotle: The coniractors License Law daes not apply to an owner of property who builds or improves thereon, end who contracts lor such project with a contractor(s)
license pursuant to the Contractors License Lews.).
❑ I am eze der se . Business and Professions Code for this reeson:
Signature: ��__ � Date:
Owner ID verifietl by tlnver's license. ❑ �es No Driver's License No. Expires:
Verification of Ownership by (type of document, i.e. - property tax biil or deatl):
DIVISION OF INDUSTRIAL SAFETV PERM�T CERTIFICATION:
❑ I hereby cenify ihat no excavation five (5) or more feet in dep�h into which a parson is required lo descen4 will be mede in connection with work authorized by this
permit, and thet no 6uilding sWcture, S�eflo�ding, falsework, or demoli�ion or tlismantling theraot, will be more Ihan �hirry-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec.
341; Title 8, Calitarnia Atlministrative Gada).
❑ As owner-builtler, I will not employ anyone to do work which would require a permit irom ihe Division of Indusiriel Safety, as noted above, unless such parson has a
permit to do such wwk f�om the divisian.
Signature: Date:
Division ot Industnal Satety Pertnit Number.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATtON OF ENTRV: I cenity under penalty of perjury �ha� I have read ihis application and state tha� �he information given is
correct I agree to comply with all state law5 end ciry ortlinances relating to building constmctioq and authorize representatives of the Ciry ol Costa Mesa to enter upon the
above-described property for inspection puryoses. I egree not to occupy or allow occupancy of any building authorized by ihis permit until final inspection.
Sign e Of 69 ner
ntl/Or Aut ed pplicant
COOE I, INSPECTIONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Finel BIocWRetaining Well
202 Final Factory Fire Place
203 Final Sign
204 Pinal Demolition
�ALF INTRIALS
SODE 1 INSPECTION TVPE
206 Final Mechanical
208 Final Plumbing
210 Final Electncal
272 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Buildinq/Occupancy
29IE
2-H-0Z
iNTmn�s
(714) 754-5273 • Fan (714) 754-4856 • wv+w.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
MECHANICAL PERMIT
JobAddress: 2718 ASHWOOD
Suite No
Vicinity: PLAN 3
Parcel Number: TPN00074
Applicant: PHILIPP, ROLAND
Address: 15326 ALTON PARKWAY
IRVWE, CA
Owner: STANDARD PACIFIC HOMES
Address:
Contractor
Address:
1565 W MAC AR7HUR
COSTA MESA, CA
OWNER-BUILDER
Phone: 949-789-1600 .� . ..
Zip: 92618 _ �
Phone: 714-668-4300
Zip: _ 92626
Phone:
Zip: .
License: 0
ISSUED BY:
Status: ISSUED
Applied: 07/09/2001
Issued: 07/09/2001
� " � � _ SCOP_E-OF PERMIT - �` ��
- CONSTRUCT NEW SFR -, PLAN 3- FOR STANDARD BACIFIC HOMES: 2972SFLIVING, 579SF �
� - - GARAGE, 20SF COVERED'ENTRY, 133SF'PATIO. � r `� %�, (.' ,� '. ��;' �� '� , i
��, 2 FAU <100K BTU, 1'FACTORY-FIREPLACE,�7� HOOD,W/MECH-EXHAUST;�I,VENT FAN/SINGLE ,'J
,'"� DUCT, 2 COMPRESSORS UP TO 3HP/100K BTU. REF: BOb00899 },� ' ' � �
. , i
r» �
' � �_ _ __FEESUMMARY-- �r -= f � " ;'
� _ --- �
� _ ' Quantity — - . - , �� �. -- ��'`� Quantity �
ISSUEFEE �23.50 Repal�%AIt�AbsorbtionUnit f�j;�$O.OQ���O % �
Inst FAU <100 k BTU � $29.60 2 Repair /-Alt_Refrigeration Unit ���'
Inst FAU >100 k BTU � � -� j� , ; $0.00 �-�0 1�,- ,�
$0,00 0 Ventillafion_3ystem ,�j ! -$0.00�: 0/���. ;�
RepairFAlt Cooling/Heat��- $0.00 0 EvaporativeCooler i!/`/ ,.:$0.00` 0.�
Inst / Rep. Recess Wall Htr - $0.00 0 �-• •� '�""`�' Commercial Incinerator � r-� i,% �$0:00� 0�
,,:,�..�. .. - / 1 r ,
Refrig Sys <100 k�BTU $0.00 0 � �.;�M .. }., . � � Domestic Incinerator ,-�% � �$0.00 ' 0 .�
Refrig Sys >100 k BTU�, '�>. $0.00 0 - ,.,; Compiessors / Absorption Svstems; �' i'-�' ,`
Gas Piping �' v ,� �_�$0 00 0 � Up to 3 hp`/�100�k�BTU;,.fi .. ��� j�`�$29.40"� 2
�.� -
Factory Fireplace �$10 65 1 `#;��' � _ -� � ' � 3 To 15 hp % SOO�k.BTU'�=y�/� ' � $0.0,0"�� 0
Hood w/Mech�Ezfizusl ,� �. $10 65 �1 �� � � � .� _� � 15 To 30 hp./ 1 000 k BTU� ���t� §0.00� 0
VAV Box �.� (;� $0�00 0�,-� - � s ,30 To 50 hp / 1 750 k BTU �' j�$0,00 0
Vent Fan / Single Duct � �$7 25�`� �� � > � -' � 9 , ��Over 50 hp / Ovei.1;750�BTU � ✓ � � � /"'$Q00 0
_� / '�� ti,,` � ,1
Appliance �. � '- ,.. � $0 00.� 0 ^�,� - c �. _ .Boilers- � �_=r'!��/ /���-��� /�! /
FireDampers '��`\ V�.$0.00;.0 - _
Smoke Dampers �- - � � 50.00' �i 0. � � ; �.
Inst or Relocate Appl Vent � ,� �; .50.00��� 0- ,' s�
Air Handlers < 10000cfm - $0.00 0 � ' � ,
Air Handlers > 10000cfm ��`$0.00 �, �0 ._ ,
Floor Furnace $0.00 0�� � ' .
Floor or Suspend Heater $0.00 0'--; �� "
-- _- Up-to 3:hp � ���., �� , �' � -'i / $0.00 0
- - - '3'To 15 hP : --'�� � � ;/ � %' / $0.00 0
� -15�to 30 hp � i � � � � ' ,, ��-! - $0.00 0
' �30 to�50 hp-; �� J i" �' $0.00 0
--Over§O,hp-��� -�?� ,- g0.00 0
� � � � �Other Mechanical�Fee �_ -'
- InveStigationfee--" $0.00
� _ .' "� � Plan Check Fee $0.00
Reinspection Fee $0.00
TOTAL CALCULATED FEES $111.05
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. 92-20, § 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 inspections and final approval must be obtained. Failure fo obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2aasas (s�ao�
WORKERS'COMPENSAnON DECLARAnON: '�
I hereby eHirtn under penalry oi peryury one ot Ihe tollowing declaretions:
❑ I have and wlll maintain a certificate of consent m self-Insure tor workers' compensation, es pmvided lor by section 3700 of the Labor Cotle, lor the pertormance of the
work lor which ihis permlt is issued.
❑ I �ave antl will maintain workere' compensation Insurance, as required by section 3700 of the labor Code, for the padortnance of ihe work for whic� this pertnit is Issued.
My workers' compensation Insurance carner antl policy number ere:
Garner: ' Policy iJumber:
(fhis section need not be complered i/ the perm/� is valuetl at one hundred dollars ($100) or Iess.J
❑ I certiy Ihat in ihe pedormance oi the work for which Ihis permit is issued, I shall not employ any parson in any manner so as to become subject to Ihe workere'
compensation lews of California, end agree thet ii I shoultl �ecome sub�act to the workers' compensation provisions oi Sectlon 3700 of ihe Labor Code, I shall ionhwith
comply with Ihese provislons.
Applicant Signeture: Da�e:
WARNIN(1: FAILURE TO SECURE WORKERS' COMPENSATIqJ COVERAGE IS UNLAW FUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENPLTIES AND CIVIL FINES UP TO ONE HUNDRED
TIKKISAND DOLLARE (510p,000), IN AODITION TO THE COST OF COMPENSATION, DAMAGES A$ PFOVIDED FOR IN SECTION 3]O6 OF THE LABOq CODE, IfJrEREST, AND ATTORNE'f5 FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirtn t�at I am licensetl under provisions of Chapter 9(commencinq with Section 7000) ot Division 3 of the Business and Professions Code, antl my license is in full
force end eHect Lia s Class A
ContractoYs SigneWre: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirm Ihat there is a construction lending agency for the pertormance of Ihe work tor which ihis permit is issuetl. (Sec. 3097, Civil Code).
Lendafs Nama: Lender's Address:
Signature: Date:
OWNER•BUILDER DECLARATIONS:
I hereby aHirm that untler penalry of perlury thet I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires a permit to constmct alter, improve, tlemolish, or repair eny siructura, pnor to its issuance, elso requires the applicant for such permit
to file e signetl statement that he ar she is Ilcensetl pursuent b the provisions of the Contractors License Lew (Chapier 9(commencing with Section 7000) of Divislon 3 oi the
Business and Professions Code) or Ihet he or she is exempt theretrom end the basis tor ihe allegetl e:emption. Any violation of Saction 7031.5 by eny epplicent for a pertnit
subjects the applicant to a civil penalty of not more ihan five hundred dollars ($500).):
❑ I, as owner of the property, or my employees wiih wages as their sole compensation, WILL DO THE WORK, antl the structure is not intentletl or oflerad for sale (Sec.
7044, Business and Professions Code: The Contradors License Law tices not apDly to an owner ot propeny who builds or improves thereon, and who does such work
himsalf or herself or through his or her own employees, provided ihat such improvements are not intendetl or oflered for sale. If, however, ihe builtling or improvement is
�sold within one year o1 completion, the owne�-builder will have the burden of proving ihat ha or s�e did not build or improve tor Durpose ot sale.).
I, as owner of Ihe propetly, em EXCLUSIVELV CONTRACTING WITH LICENSED CON7RACTORS to wnstmct the projed (SecJ04d, Business and Protessions
Code: The coniractors License Lew does no� apply to an owner of property who builds or Impmves thereon, and who coniracts for such projact with a coniractor(s)
license pursuent to ihe Contractors License Laws.).
❑ I am exampt �r sec. Business and Professions Cotle for this reason:
SignaNre: � .� /1 n Date:
Ownar ID venfie�vers license. Yes ^❑ Drivefs License No. Ea �ires:
Verificetion af Ownership by (type af dacumem, i.e. - property taz bill or tleed): _
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby cartify thet no excevetlon five (5) ar more feet in depih into which a person is require0 to descend, will be made in connection with work au�horized by this
pertnit, and that no building structure, scaflolding, falsework, or demolition or dismantling ihereoi, will be more ihan thirty-six (36) teet high. (Chap. 32, Gry 2, Ah 2, Sec.
341, Ttle 8, Calitomia Atlministrative Cotle).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Indusirial Safety, as noted above, unless such person hes a
permit to tlo such work from ihe division.
SignaWre: Date:
Division of Intlusinal Satery Permit Number:
CERTIFICATE OF COMPLIANCE AND AUTHORVATON OF ENTRY: I certify under penalty of perjury thai I have read Ihis application and state ihat the infortnation given is
correct. I agree to comply with all state laws antl ciry orCinances relating to building construction, and authorize representa�ives ot ihe City of Costa Mesa to enter upon Ihe
ebove-descnbed property for inspection puryoses. I egree not to acupy or allow occupancy of any 6uilding authorized by ihis permit until final inspection.
Sig Ot g wn�r(s)
Q
AnNOr Auth nzed A icant
CODE t. INSPECTIONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Finel
200 Final Re-Root
201 Finel Block/Reteining Wall
202
203
204
Final Factory Fire Place
Finel Sign
Final Demolition
PAI€ MIIDSLS
CODE� INSVECTIONTYGE
206 Final Mechanical
20B Final Plumbing
210 Final Eledncal
212 Final Fire Prevention
220 Finat Planning Approval
222 Final Site
250 Final Building/Occupancy
1111
�... � •
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
PLUMBING PERMIT
Job Address: 2718 ASHWOOD
Suite No
Vicinity: PLAN 3
Parcel Nunmber: TPN00074
Applicant PHILIPP, ROLAND
Address: 15326 ALTON PARKWAY
IRVINE, CA
Owner: STANDARD PACIFIC HOMES
Address 1565 W MAC ARTHUR
COSTA MESA, CA
Contractor: OWN ER-BU ILDER
Address: � �
Arch / Eng :
Address:
Phone: 949-789-1600
Zip: 92618
Phone: 714-668-0300
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 (i-4 OUTLETS), 2 GAS OUTLETS (OVER4), 1 LAUNDRY TUBNJASHER, 1 PRESSURE �
REGULATOR, 1 SEWER CONNECT, 1 SHOWER, 1 KITCHEN SINK, 1 SERVICE/MOP SINK,"1 WASH
BASIN, 2 WASH BASIN,SETS, 3 WATER CLOSETS, 1 WTER HEATER; 1 WATER SERVICE. - ,
REF: BOt-00899 �' � � , ' �
ISSUE FEE
Backflow irrigation
BackFlow Preventer
Bathtub
Clarifier System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Draiq Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas EaAhquake Valve
Gas (7-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
AMT
$23.50
$0.00
$o.00
szs.ao
$0.00
$0.00
$0.00
$9.80
$0.00
$0.00
$0.00
$0.00
$9.80
$0.00
$6.15
$2.20
$0.00
$0.00
$0.00
$0.00
QTY
, - FEE SUMMARY
AMT
Laundry Tub / Washer $9.80�
Landscape Irrigation $0.00
P-Trap � $0.00
Pressure Regulator $9.80
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
QTY '
t
0
0
1
0
0
0
0
1
0
1
0
0
0
1
1
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
Water Closet (Toilet)
Water Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water Softener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
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
$0.00
QTY
0
0
0
0
0
0
1
2
0
3
1
0
0
1
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requ�iremenis under CalioFEa statUTes'and related
EXPIRATION: This permit shall automatically expCOM ENTS /. PEC AL ONDITI S in 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
requlred 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
2406-48IC✓00)
WORKERS' COMPENSATION DECLARA710N: - -
I hereby aMirm under penalty ot perjury ona of t�e following declarations' �
❑ 1 have and wlll maintain a ceniilcate of consent to self-Insura tor workers' compensatlon, as provided for by section 3700 of Ihe Labor Code, tor ihe pertormence of the
work for which this permit is issuetl.
❑ I have and will maintain workere' compensation insurance, es required by section 3700 ot the Labor Cotle, for ihe perFortnance ot the work fa which this pertnit is Issued.
My workers' compensation Insurence carner and policy number are:
Carrier. Policy ivumber:
(This section need not be com0�efed i/ the permif is velued et one hundred tlollars (5100) ar less.)
❑ I cartify t�at in ihe pertortnance of Ihe work for which this pertnit is issued, I shell not employ eny pereon in any manne� so as to become subject to the workers'
compensetion laws oi Calitornie, and egree that Ii I should become sublect to ihe workers' compansation provisions of Section 3700 of t�e Lebor Cotla, I shall torihwith
comply with these provisions.
Applicant Signeture: Date:
WARNINO: FAILURE TO SECURE WORKERS' CAMPENSATION WVERAGE IS UNLAWFUL AND SHALL SUBJECT PN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
TTIOUSAND DOLLARE (5100,OW). IN AODRIIXJ TO THE COST OF COIAPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]W OF THE 1A80R CODE, IMEREST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirm ihat I am licensetl untler provisions of Chapter 9(commencing with Section 7000) ot Division 3 oi ihe Business and Professions Code, and my license is in full
force entl eftect. Lic. x Cless a
ComractoYs SignaWre: Date:
CONSTRUCTION LENOING AGENCY:
❑ I hereby aHirm ihat there is a constmction lendinq agency for Ihe performance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code).
LentleYs Name: Lendefs Atldress:
SignaNre: � Date:
�v
OWNER-BUILDER DECLARATIONS:
I hereby ettirm thet under penelry of perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for tha following reason (Sec. 7031.5, 8usiness and Protessions
Code: Any ciy or counry which requires a pertnit to construct, elter, improve, demolish, or repair any structura, pnor lo its issuence, also requires the epplicant for such pertnit
to file a signetl stetement ihat he or she Is licensed pursuent to the pmvisions oi the Conirectors Llcense Lew (Chapter 9(commencing with Sedion 7000) of Division 3 of Ihe
Business end Pmfessions Code) or Uat he or she is exempt therefrom and tha basis tor Ihe alleged exemption. Any violation of Section 7037.5 by any epplicant for a pertnit
subjects the applicant ta a civil penalry of not more than five hundred dollars ($500).):
❑ I, as owner ot the property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, antl ihe strucfure is not inlendetl or otteretl for sale (Sec.
7044, Business antl Protessions Code: The Contractors License Law dces not apply to an owner of pro0erty who builds or improves thereon, antl who tloes such work
himseN or herself or through his or har own employees, provided that such improvemenis ere not intendad or ofleretl for sale. If, however, t�e building or improvemem is
�/ sold within one year ot completion, ihe owner-buildar will have the burden oi proving Ihat he or she did not build or imD�ove tor purposa ot sale.).
W I, as owner ot ihe properry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct ihe projacl (Sec. 7044, Business and Professions
� �Cotle: The contracrors License Law does not apply to an owner of property who builds or Improves thereon, and who contrects for such project with a coniractor(5)
license pursuant to the Contractors Licensa Laws.).
❑ I am evempt
Signature: _
Owner ID verified I
sec.
license. �Ves ❑ Na
Venficatian ol Ownership by (rype ol document, i.e. - properry tex bill ar deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Professions Code for this reason:
Date:
Dnver'S Litense No. Expires:
❑ I hereby cartify that no excave�ion five (5) or more teei in depth into which e person is required to descend, will be made in conneciion with work euthonzed by ihis
permit, and ihat no building structure, scattolding, falsework, or demolition or tlismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec.
341, Tl�le B, California AOministrative Code).
❑ As owner-buildar, I will not employ anyone to tlo work which woultl require a permit from the Division ot Industrial Sefety, as noted above, unless such person hes a
permit ta do such work irom the division.
Signeture: Date:
Division of Intlus�rial Safety Permit Number:
CERTIFlCATE OF COMPLIANCE AND AIITHORIZATION OF ENTAV: I certify unde� penalty of perjury that I have read this appiication antl state that ihe infortnation given is
correct. I agree to comply with all state laws end ciry ordinances relating to Guilding construction, and authonze represeniatives of the Ciry of Costa Mesa to enter upon the
ebove-descnbed propetly for inspection purposes. I egree no� to occupy or ellow occupancy of any building authorized by this permit until final inspection.
CODE I, INSPECTIONTYiE QLiTE IMITIALS
1616 Fixed System Final Fire Preven�ion
1266
200
201
202
203
Pool Spa Final
Final Re-Roof
Final BIocWRetaining Wall
Final Factory Fire Place
Final Sign
204 Final Demolition
COpE1 INSPECTONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electrical
212 Final Fire Prevention
220 FinalPlanning Approval
222 Final Site
250 Final Building/Occupancy
DA� INTRI�LS
� O .. � 1