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Home My WebLink About291 CAREFREE LN - Building Permits� u � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 297 CAREFREE LN Suite No Vicinity: Parcel Nunmber: 43920309 Applicant CANDY NOCK Address: 11612 KNOTT ST SUITE 217 GARDEN GROVE, CA Owner: VAZIN, PAUL . Address 1245 E WATSON CENTER RD CARSON,CA Contractor: NOCK PLUMBING Address: 11812 KNOTT ST � SUITE 217 � GARDEN GROVE, CA WATER HEATER CHANGE OUT. ISSUE FEE BackFlow irrigation BackFlow Preventer Bathtub Clarifer System Connect Qce,Soda,etc) Dental 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 ) AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PLUMBING PERMIT Phone: (714)895-1246 - Zip: 92841 Phone: Zip: 90745 Phone: (714)895-1246 Zip: 92841 License: 707775 SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irtigation $0.00 P-Trap $0.00 Pressure Regulator � $0.00 Process Piping (per 10 fq $0.00 Receptors $0.00 .� Septic Tank ' $0.00 � Sewer Cap for Demo $0.00 Sewer Connect $0.00 � Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 � Sink, Floar _ $0.00 Sink, kitchen " �$0.00 Sink, service/mop� $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0, 0 0. 0 0 Status: ISSUED Appl ied: O5/24/2005 Issued: 05/25/2005 ISSUED BY: ��L� _-._� ` ,. i - / '" � . % �- ,. \ J" 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 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $12.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: 535.80 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 C NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis 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 1B0 days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for the work authorized under this pertnit to be considered legal, such work musl comply with all applicable codes, and all requlred Inspectiona and final epproval must be obtained. Failure to oblain inspections and final approval wiil result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zue�as (r�oo1 WORKERS'COMPENSATION DECLARAnON: � �� I hereby affirm under penalty of perjury one of the tollowing deciarations:�� ' , ' � '�� ' ❑•�I heve�,antl will maintain a certificate oi consent to self-Insure for workers' compensation, as provided for by section 3700 of Ihe Labor Cotle, for ihe peAormance of ihe ^ work far which this permit is issued. '� � � � � workers' compensa�/'on insurance, as required by section 3700 of Ihe Lebor Cotle, for Ihe peAortnance oi Ihe work for which Ihis perrnit is issuetl. �i Insura�c n'ar_ar)Q,ppllyynym6erara: 1 � i� V1� T I(IY I( t� P�y,�� I�j��-�'- np/e(ed it (he permi is valued at one hundred tlollars ($100) or /ess.J ti ❑ I certify that in the performence of the work tor w�ich this permit is issued, I shall not employ eny person in any manner so as to become subject to the worliers'� compansation laws of Calitomia, and agree Ihat if I should 6ecome subject to Ihe workers' compensation pmvisions of Section 3700 oi ihe Lebor Coda, I shall forihwith comply with th isions. �y' � � � ApPlicaqt $ig ure�J>l�� SC�� Datasm-... � %� �.r�,:.....� y rs�+s-,.�� W.A�B�Nf3"FA�COPE TO SECURE RKERS' COMPENSATION COVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMPLOVEP TO CRIM�NAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED TFiOUSAND OOLLARE (5100,000�, IN ADDITION TO THE C0.5T OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECfION 310fi OF THE LABOR CODE, IMEREST, AND ATTORNE`fS FEES. LICENSED CONTRACTORS DECLARATON: I hereby aHirm that I am licensed�ynjjgr-prqviaj�lrs of Chepter 9(wmmencing with Section 7000) of Division 3 of ihe Cotle, end my license is in full CONSTRUCTION LENDING AGENCV: � ❑ I hereby aHirtn that there is a construction lending agency for the pedormance of Ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lendefs Name: _.... . Lender's Adtlress: SigneWre: _ OWNER-BUILDER DECLARA710NS: Date: I hereby aHirtn ihat under penalry of perjury �ha� I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or wunty which raquires a permit to consWct, alter, improve, demolish, or repair any strucWre, pnor ro its issuance, also requires the appliwnt for such permit b tile a signed statement Ihat he or she is licensetl pursuent to the D�ovlsions ot Ihe Contractors License Law (Chaprer 9(commencing with Sectlon 7000) ot Division 3 of the Business and Professions Code) or that he or she is axempt thereirom and the basis tor the allegetl exemption. Any violation of Sactlon 7031.5 by any applicant tor e pertnit subjecis ihe applicant to a civil penalry of not more ihan liva hundred dollars ($500).): ❑ I, as owner of Ihe pmperty, or my employees with wages as their sole compensation, WILL DO THE WORK, and the stmcture is not intendetl or oflerad for sale (Sec. 7044, Business and Protessions Code: The Contractors License Law tloes not apply to an owner ot property who builds or improves thereon, end who does such work himself or hersetl or ihrough his or her own employees, provitletl that such improvemenis ere not intentletl or oNeretl for sele. It, however, Ihe building or improvement Is sold within one yeai of completion, the owner-builtler wiil have iha burden of proving that he or she did not build or improve tor purpose of sele.). � � I, as owner ot the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consWct the project (Sec. 7044, Business antl Profeuions Cotle: The contractors Licensa Lew tloes not appty to an owner oi pmpeny who builds or improves thereon, and who contracis tor such project with a contrectoqs) license pursuant to the Contractors License'Laws.). ❑ I am exempt under sec. �' Business and Professions Code for ihis reason: Signature: - Date: Owner ID verified by drivers license. ❑ Yes ❑ No Driver's License No. Expires: Verification oi Ownership by (�ype oi document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTFICA710N: ❑ I hereby cenify that no excava�ion five (5) or more teet in tlepih into which a person is required to descentl, will be matle in connection with work authorized by ihis permit, and that no building slmcNre, scattolding, falsework, or demoli�ion or tlismantling ihereof, will be more than ihirry-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle 8, California Atlministrative Code). . ❑ As owner-builtler, I will not employ anyone b do work which would require a permit irom the Division oi Intlustriel Setety, as noted above, unless such person hes e permit to do such work from the division. Signature: Date: Division ot IndusMal Safety Pertnit Number. CER7IFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I certity under penalty ot perjury ihat I have read ihis epplication and sta�e ihat the infortnation given is correct I agree to comply with all state laws and city ordinances relating to building consimction, antl auihorize representetives of t�e City of Coste Mesa to enter upon ihe ebove-tlescnbed property for inspection puryoses. I a9ree not to occupy or allow occupancy of any builtling authorized by ihis permit until finel inspection. COOE �. INSPECTION TYPE ' ' " ' ' pdIF ' ' INDIIOL@ 1616 Fi:etl System Final Fire Preventibn " 1266 200 201 202 203 204 Pool Spa Final Finalfie-Roof � Final BIocWRetaining Wall Final Factory Fire Place Final Sign Final Demolition COOE� INSVECTIONTYPE ' :� 206 Final Mechanical 208 Final Plumbing 210 '' Final Electrical 212 Final Fire Prevenlion 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy ' ' P9IE INTIf11LS 3-ta -09 Qn� PN0.IECT AOOflE33: OWNEN'SNRME: KVST ASSOC. RDOflESS: iZS DAKER#261—E CM CA92626 "/].41668-9016 RflCH/EN01NEEfl: ROOflE35: PEO.NO.: uxiT: t� UNR: � PEflMITTEE: CHARLES SANDERS INK. ( 7.14 ) 630--1913 RDOflE35: 1 q q 1 RED GUM ST J ANAHEIM CA 92806 IlCENSED CONTMC70B OECIAMTION: I �ereby allirm Ihat I am licensad untler provisions of ChaD�er 9(wmmencing with Section 7000) o� OiNsian 3 ot I�e Buslness antl Pro�essions CaEe, anG my license is in lulllarce anE eflect. cmuc.:0 7 94 srnreuc.:332798 �c ss: —20 /�� oate: � L F s�pnatura: ,e� WOBKENS'COMP§�N�S9ATIONOE$�CIAMTION: NI�ere�yaflirmlhatlhaveacMificaieolcons¢ntroSelbin5ureoracenlfiwtealWorkeri Pot1CY N0. n�•� r,� �r5 V�I� f�� J�eal (Sectio� 3800,TFab.L j/ 2�/ 9 O V coMr�xr:OHIO CASULTY � Certif¢A capy is he Gy fumiSAeE. � CetlifieU copY is file th ��a ciry Bull 'np Di ion. Date: � ` � ApDliwnt: �� , IXEMYf10N F NERS' COMPENSR110N OECIANITION: (�lus stttion nee0 nol be compelN il pce ce�� b Ia ane AuMreE (f100� w less�. I Cenity Ihat in t�e Oe�ormance ol t�e wark for wNc� lhis permil i5 issueG. I Shall nm emDloy any p¢rson in any manner so aSlo DeCome suDl�� o t�e Workers' Compensation Laws oi Calilomu. Oate: SiAnature: NO710E: II, aRer maknA �his tleclaration, you SMuIE hecame suCject ta t�e Warkers Compensatlon Drovislons ot t�a Labor CoOe. you must laM1hwlth compy wit� 5uU provLUons or iNs permit stwll Oe OeemeE revakeE. CONSfXUCT10N 1FN01NG �GENCY: I �emby aRirm t�ai them is a constmction IenOing a0ency for t�a peAormance ol t�e xrod tor wnich this permrt is issue� �Section 3097. Civ. C). lENOER: RUOflE33: CITY. OF COSTA MESA — BUILDSNG PERMIT' PF_RM NO: M 04529(J PERMIT NO: M 045218 PLAN CHECK NO: N GOVT: rl SUPP: ;'. CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPUSE: T]EW JOB DESCRIPTION : AIR COND. ADD TO G40371 SQ FT: CLAIM C�ALUE: 800.00 CALC—VAI�UE: GROUP OCC: R-3 /M-1 < COMMENTS: ADD AIR COND 'TO #G40371 *�****�***x****�**+t-***�*��+t�*******��**�e�**+��rt**x**�e***�*�r�**�*�+r�*+�*x**x�r��* Z O N I N G R E Q U I R E M E N T S �S E T D A C R S . ------------ MAIN BUILDING ---------- -------- ACCESSORY ➢UILDING --------- FRNT: FT IN REAR: FT 7:N FRNT: FT IN REAR: FT IN LEFT: FT IN RGAT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 43920128 ZNE: REF NO: PLANNING NCSTES> > ' �E �F 1E 3E iF aE'lE iE iE ff iE !E iE 1E 1E iE k iE 3E jE if 1E iE 3E if iE iE iE iE iF if i! iF 1E!! if f! iE �E k�)E if iE if iE itlf ik if iE 3E if �f if # iF iE iE rt it iF iF if iE 3E 1! �1E iElf iE iE iF ib i! iE fF if if if D E V E L O P M E N T S E R�V I C E S R E Q U I R E M E N T S ZONING APPROVED BY : ________�___ DATE: BUILDING APPROVED HY : APPLICATION ISSUED BY:��}� iEiEiFikfEikifiEiFifi:iEiEiEiEiEiEifiEiEifif iF3@iE�3F �f aE iF ff * fFlE fk 1E if fE �E 3f iE iE ff fE iE IE iE iF 1E 1E if lf 3f 3f iE 1F if ikiE iE if LEGALIZATION:N F E E DATE: DATE: O (� � ��**�**��*�r �'�r��+� iE iE !E fE 3E 3E 16 iE if if rt iE ik jf iFiE N k ik iE If !k iE 1E iE iE iE 1E iE iE iE k 1F it iE iE iE iE �E �k U M M A R Y STRUC.TURAL SEGMENT:N OWNENBUILOENOECUM710N: I�erebyaffirmthatlamexemD��omt�eCant2ctors'Sute�icenselawtortne�wowinpreason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRAD7NG � (Section 7031.5 Business and Protessional CoUe: My ciry ol counry which reQuires a permit to construct, alter, improve, tlertrolish, or P ERM I T 9, � � repair any stmcmre, Drior ro iis iuuance, also requir¢s the aDPllcant lor sucA permil to lile a siAneE s�atement that AeJs�e I5 Ilcensed z$$ S M I P/ NUN —R ES � pursuant to ihe o��sions al the Comractors' SWte Licensa Law ICnapter 91�mmencinp witA Section 700U) al Divisbn 3 al Ine Buvneu p LA N an0 Professions Cade) or fAat tWs�e is exempt tAerelmm and Ihe bazis lar Ihe alle0e4 eKemO�ion. My Wolation of Section 7031.5 6y . . any aODlicant lor a permit suhlecis t�e aOD��nt to a civil penalry of not more [�an live �unEmG dollars (f50U). I S SUE FEE 4. 5 U ' i, as wmer o� tne propeM ar my em �oyees wite waoes as me�r wle compensation, wlll Aa the wonc, ana me DUILDING—UIV—> PERMIT ISSUE PLAN—CFIECK TOTI�L PAID DUE ❑ sirunure is not intenaea ar onerea lar uie (�ectbn 70aa. Busineu anU Prolessionai Coee: The Contractors' State Liunse Law TOTAL S----> , 9. 0 0 9, 5 n �. � � 13 . 5 0 1 3. S 0 . 0 � daes not apON �o an owner oi a Dmperty w�o builds or Impmves ihereon, an0 who Goes sucA work �imseli/Aarsell or tAmuOh his or �er own employees, pmviEeA that such impmvements are not inten0ea or ofleretl for sale. If, however the buildinp or R E V ENUF U I V I S ION TOTAL S--> COLL EC TED : 1 J, S � OV ER / SHORT : ' . 0 0 'imD�%'emwtamlOwl�inoneyearotcampletian.I�eownerwillhaveNehurEenalprovinqOe/s�e4itlnol0uil0orimprove � HLDG PMT PLUMAING ELFCTRIC MECHANIC FZRE SMIP/TOT GRADING FLAN—CHECK for the Durpose al sale�. I, as awner of �na properry, am exclusively coniractinp with Iicense0 caniractors to constmct the pmle�t (Saction 7044, Business �' �' S� � ❑ anOProfessionsCoOe: TheContractors'StateLicenselawEoeSnotaOPytaanownerolproperty wlw0u�10.sorimProvesiherean #�******�********************************************************************** anA wAa wnlracis for such pmlects wit� a caniracror�s) license pursuant ta the Cantractars' State License Law�. I am awara that D�aof of their Workar's Compensation insurance s�oultl Ge pmhOeU lo me. I N D I V I D U A L F E E B R E A K D O W N � I am exempt unAer Section: B. d P. C. tormisreason: TYPE QTY D E S C R I P T I O N ONIT COST TO'CAL COST Uate: Owner. I Eo �ereEy cenity that I am aware al anG unAentan0 t�e repuiremen�s ol Califomia Healih anA Satery CoAe Sectians 25505, 25533, and 25534 anU lhal I or any IUNre builtlinA accupant wilVwlll not (circle one) neetl lo comply wit� saitl state coaes ana t�e requiremenis lor a permit for consimction or modificatlon trom ihe Fir uality Manapement Disirict. Nesitlential consimctlon applications are exempt irom mese orodsions. , Da�e: ApDlican�: I here6y certiry ihat I have rea0 this apD�ication an0 state t�at I�e above intormation is correct. I apree to cnmpry vnth all ciry and counry oMinances anU stah laws relatinp ro buil0inp construction anA �ere�y authonze reD�esenta�ves t�is ciry to enrer upon �he a6ove�mentione0 propeM �or ins ection urqposes. // Date: � Z I SipnaWre: �/�' `"'�"✓�+ (!i—� ��G orivei s �icense o Saiai Securiry x: � 1fi41d6 ' W�ite—BuilEirio: Green—CaEa Enforcemenk Cenery—Apolicant; Pink—Favanue: GOIEanroE—Aaaeawr MEC 1 REFRIGERATION SYSTEM <= 100 IC BTU/H 9.00 9.00 END OF FEES O1 00�48795-00043795 T G Y' 13.Sff UATE: 12/01/89 TSHE: 16:19 ' CONSTRUCTION AND PLANNING PO. S SPA - APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector �� 1. Temporary Electrical $ervice or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3'-Electrical Conduit Utility-Undrgrnd. 54. Forms � 4.,Electrical Condu�it-Undrgrnd, .- � 55. Electrical Bonding � 5-�Steel Reinforcement - 56. Rough Plumbing & Pressure Test - " 6.'`,Electrical UFER Gind. 57. APPROVAL TO COVER-GUNITE � � � 7. Footings -. 58. Electrical Condui[-Undrgrnd. '� 8. �Foundation � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. � 60. Backwash Lines, P�Trap, O Undrgrnd. . 10. Structural Floor System 61. APPROVAL TO DECK � � 11. Property Sewer Line & House Connection � 62. Backwash & Receptor�Final 12. Sewer Cap ' 63. Heater & Vent-Final � 13. Roof Drains ' • 64. Plumbing System - Final 74. Rough Plumbing . ' 65. Electrical-Final ' 15. Rough Elect�Ical�Conduit � 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 16. Rough Electrical�T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' 19. Rough Heating & Air Conditioning � FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace _ -. , APPROVALS - Permit # 21. Ducts, in Structure . ,; _ 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test _ , ' 72, Underground FILsh 24. Roof Framing .. , 73. Undergrnd. Storage.Tank O Gas ❑ Oil 25. Roof Sheathing � _ 74. Overhead Hydro 26:� T-Bar Ceiling (Structuraq & Monocoat 75. Dry Chemical . 27. Frame and Flashing �'- • 76. Dry Standpipe 28. Lathing & Siding �� ' � _ � � . 77. FIXED SYSTEM FINAL - , 29. Insulation . _ � ' .� 7$�,; FIRE PREV. FINAL ' - 30. Drywall Nailing� �,�� , • HEALTH DEPT. REQUIREMENT 31. Plaster Brown Cdai ' ' 79. FINAL INSPECTION � 32..Electrical Power MeterFinal � . 80.' FOOD CERTIFICATE ISSUED - 33. Final Electric • ��ti Notes: � 34. Final Heating & Air Conditi0ning -7 4o L� . -• .- 35. Final Gas Pipe-Test � � . ; ^�� - ' 36. Hood or Canopy . - . '' , - . . 37. Final Factory Fireplace ' ' � 38. Final Plumbing � � - 39. Water Service�Final � - '�40. GasService�Final � � ' ' � ' 41. Solar pomestic-Final � . • . � .. 42. Backflow Preventer � - ' ' - 43. Backflow Irrigation . � � ^ � 44. Landscape Irriga[ion Systeri� � - . - , - 45. Sound Attenuation � . � � � �� 46: �Handicap Regulations - ' 47. FINALSTRUCTURE&BUILDING � .�_ � . � � 48. FINAL PLANNING �� 49. Electric Release to Edison � . � 5�. Gas'Release to Southern Catifornia Gas Co �' . � 51. CERTIFICATE OF OCCUPANCY ' No. Date