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Home My WebLink About300 BROADWAY - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 300 BROADWAY Status: iSSUEo Suite No Applied: O1I07I2005 fssue 0 Vicinity: ISSUED BY: Parcel Nunmber: 11725301 Applicant: COAST ROOTER PLUMBING HTG & A/C Address: 17390 MT CLIFFWOOD FOUNTAIN VALLEY Owner: MITCHELL, ARTHUR Address 1607 KENT LN NEWPORTBEACH,CA Phone: (714) 241-1414 Zip: 92708 Phone: Zip: 92660 Controctor: COAST ROOTER PLUMBING HTG & A/C Address: 17390 MT CLIFFWOOD FOUNTAIN VALLEY WATER HEATER CHANGE OUT. ISSUE FEE BackFlow irtigation BackFlow Preventer Bathtub Clanfier System Connect (Ice,Soda,etc) Den[al Units Dishwasher Drain, floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (t-4 outlets) Gas (Over 4 ouqets) Gas Repipe Gas Service Interceptors (Grease, Oip Interceptors (Sand Auto ) AMT $23.50 $0.00 $a.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 50.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 QTY Phone: (714) 241-1414 Zip: 92708 License: 529127 SCOPE OF PERMIT FEE SUMMARY Laundry Tub / Washer Landscape Irrigation P-Trap Pressure Regulator Process Piping (per 10 ft) Receptors Septic Tank Sewer Cap for Demo Sewer Connect Sewer Private Line Shower Sink, bar Sink, commerCial Sink, Floor Sink, kilchen Sink, service/mop Spa (private) Spa (public) AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bktlow(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 50.00 50.00 $0.00 $0.00 $0.00 30.00 $0.00 $0.00 50.00 512.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: 535.80 �N 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NOTICE: The work authorized by this permit shall comply vnth all applicable handicap access requirements under Catifomia statutes and related regulations. (Ord. No. 92-28, § 1, 72-21•92) EXPIRATION: This permlt shall automatically expire and become vold if work is not commenced within 180 days, or if work is suspended or abandoned tor a period ot 1 BO days. INSPECTIONS: In order for the work authorized under ihis permil to be considered legel, such work must comply with all applicable codes, and all requlred Inapectlone and final epprovel must be obtalned. Fallure to obtain inspections and final approval wlll result in the expiratlon of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaasJe �aroo� WORKERS'COMPENSAnON DECLARArON: I �ereby attirm under penalry ot perjury one ot the lollowing tloclaratlons: ❑ I have enC will meintain e certifiwte ot consent ta selt-Insure tor warkers' compensation, as provided tor by section 3700 of Ihe Lebor Code, tor the peAarmance of the �work fOf whith this permit i5 i55ue0. I have arM will meintain workers' compensa�lon insurance, as required by secUon 3700 d the Lebor Coda, for the peAortnanca of Vre work tar whkh thls pertnll is luued. My workers' compensatlon Insurance cerrier entl pollry num6er ere: �7/ (�, ,J Cartier. .�i'ifT� �iln/� Policy NumDer: I/V (/�� Zc�O / �is section need not be com0leted tl the permil is ve/ued et one hundred dallers (5100) or less.) I certlly that In ihe peAormance ot ihe work lar whic� Ihis partnit is Issuad, I shell not employ any person in eny menner so as to Decome su�ject to Ihe warkors' crompensatlon laws of Calltor a and eg=—ee that It should become subJect to t�e workers' compensatlon provisions oi Seaion 3700 of Ihe Lebar Catle, I ahall totlhwlth comply with thesa provisions. Applicent Signature: /1 ti Date: _�I7 U� WARNINQ:FNLURETOSECUREWORKE 'CAMP ATIONWVERAOEISUNUWFULM'DSHALLSU&IECTANEMP�OYERTOCRINJNALPE TIESANDCMLFINESUPTOONEHUNDRED TFIOUSAND OOLURE (5100.000�, IN A�DRtIXJ TO THE COST OF COMPENSAiION, DAMAGES AS PROVIDED WR IN SECTION 3%OB OF iHE LABOF CODE, IMEREST, PND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eMirtn Ihat I em rorce end ettect. Lic. N GomrectoYs SlgneWre: Chapter 9(commencing wilh Section 7000) ol DHtslon 3 ot the Business end Professions Catla, end my license is in full Cless p C f.�.� Date: �J. � ('� � CONSTFiUCT10N LENDING AGENCY: ❑ I horeby eHirm lhat there is a construction lentling egency lor the pertormanca of Ihe work tor which Ihis permit Is issuetl. (Sec. 3097, Civil Cotle). Lendefs Neme: Lendefs Address: Signature: Date: OWNER•BUILDER DECLARATIONS: I hereby eflirtn that under penelry of perjury t�et I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for Ihe following raason (Sec. 7031.5, Buslness end Protessions Cotla: Any ciry or wunry which requires e permit to construcl, alter, improve, tlemolish, or repeir eny strucWre, pnar to I�s Issuance, elso requlres tha epplicent lor such permit to file e signed stetement thet he or she Is IlcenseA pursuent ta Iha proNsions ol the Contractore lJcense Lew (C�epter 9(commenGng with Sectlon 7000) 01 Division 3 of t�e Business antl Prolessions Code) or that he or she is exem0� �herelrom end the basis for ihe elleged ezemption. Any violation ot Section 7037.5 �y eny epplicant tor a pertnit subjects the aOPlicant to e dvil penalry of not more lhen tive hundred dWlers (3500).): ❑ I, es awner of the Oroperty, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, en0 t�e structure is not intentletl or oMeretl lor sale (Sec. 7044, Busineu and Professions Code: The Contractors License Lew does not appty to an owner of property who builds or imprwes thereon, antl who tloes such work himself or herselt or through his or her own employees, provided Ihat such improvements ere not intentletl or oflered lor sale. If, however, ihe building or imprwement is soltl within one yeer ot completion. the owner�builder will heve the burden of proving thet he or she did not build or improve for purpose ol sale.). • ❑ I, as owner ot t�e pmperry, em E%CWSIVELY CONTRACTING WITH UCENSED CONTRACTORS to conswcl the project (Sec. 704a, Business end Protessions Cotle: The conlreClors LicenSe Lew Coes not epply Io an owner 01 property who bulld5 or improves Ihereon, end w�o conlracls lor such pro�eCi wlih e contrector(s) license Oursuent to ihe Contractors License Lews.). ❑ I em exem0� undar sec. Business end Professions Code lor ihis roeson: Signature: Date: Owner ID ventied by drivefs license. ❑ Yes ❑ No Dnver's License No. Vedfication of Ownership by (type ol Document, i.e. - propeny lez bill or tlead): Expires: OIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenNy Iha1 no ezwvalion tive (5) or more teet In depth into which a person is requiretl to descend, will be made in connection with work euthorized by Ihis permil, and Ihat no builtling siructure, scaHoldlnp, telsework, or demolitlon ar dismantling Ihereol, wlll be moro ihen ihirry-six (36) feat high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Celilomia Atlminisirative Code). ❑ As owner��uilder, I will not employ enyane to do work which would require a permit trom the DiWsion ol Indusiriel Sefery, es noted ebove, unlass such person hes e pertnit to do such work tmm Ihe division. SignaWre: Date: Divislon ol Industnal Safety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENfTiY: I certily under penalry ol Oorjury that I �ave roatl this eppliwtion entl state thet the inlormetion given is wrrea. I egree t c ply with all stete laws end clry orOlnences relating to building consWction, and euthodze representatives ol the Ciry ol Coste Mesa ro enter upon Ihe ebove-descnbed�rty for ins0ection purpases. I egree not to accupy or allow occupanty of eny huilding euthorized by this permit until final inspection. Legel COOE I. INSVECTONTYPE I616 Pixetl System Final Fire Prevention 1268 200 201 202 203 204 Pool Spe Final Final R�Roof Final BIocWRetaining Well Final Fac�ory Fire Place Final Sign Flnel Demolition PAIE �/ Date �-F� (7� Date IMRIALS LOUE1 INSPECTIONTYPE 206 Final Mechanical 20B Final Plumbing 270 Finel Eleciricel 212 Flnel Fire Prevention 220 Final Planning Approval 222 Finel Site 250 FIneIBuilCing/Occupancy PAIE It{�LS b � s i ppO�CTRDOHE55: '3OO BROADWAY 'OWNEP'SNAME:�T MITCHELL noosess:1607 KENT AV NEWPORT BEACH CA RPCMIENGINEEF: � 714 � 548-3i�79 ROOHESS: NEG.NO.: UNIT: UNIT: � PENMITTEE: LEE ROOFING ( 714 ) 642-7223 aooxess: 1653 SUPERIOR COSTA MESA CA 92627 IICEN5E0 CONTNACTOB DEUANRTION: 1 �ereby allirm I�al I am licensea under Drovision5 0l C�ap�er 9(commencing wilh $ection 7000� ol Orvision 3 0l �ne Business antl Prpleuions Cotle. ana my license is in full lorce anG eifecl. aTruc.:02875J sT"TEuc.:34968 cuss:C . �aie: 7 L Signature: _ _ _ / WONREBS' COM NS fION OECLANATION: I �ere�y a�lirm I�at ave a certifica�e ol [onsent to sell.insure or a certiticate ot Workers Compensation Insurance. or a cerufie0 copy Ihereol (Section 3 . Lab. C). roucrNo.:1300948-93 E .oare:06/30/94 cornraxr:gTATE FUND ❑ Cenilietl toDY is hereby lumished. �] Cenifiea copy is hlea ' ne ciry Atli ��sion. Oate: 7 � Applicam: E%EMPTIO fl0 WOBflENS' fAMPEN5FT10N OECIAMTION: (T 5¢C�ion need nal ¢ tom01¢feE il Ihe permil is lor ane hunOreU (5700) or I¢55). I c¢tli�y Ih I in Ihe pedormant¢ oi Ihe work �or whic� I�is pe ii is i55ue0, I S�all no� employ any persOn in any manner 5o as �o beCome su�lecl m the Workers' Compensalion Laws of Califomia. �aie: 9gnamre: NOTICE:I�, aRer making Ihis Eeclarali0n, you s�oultl Gecome subject m t0e Workers' Compensation provisions o� t�e Labor CoOe. you mu5i forl�wii� tomply wil� Suth O�ovi5ion5 or Ni5 p¢rmii 5iwll be Oeemetl revake0. CONSTHUC710N LENDINC AGENCY: I �ere0y affirm t�at there is a construction lending agency for ihe performance ai t�e work for wnich tnis permn is issue0 ISeuion 3097. Gv. C1. LENOEfl: ADOHESS: OWNEfl BWL�Efl UECIAXATION: I �Creby a��irm �hai I am eKempl imm t�e CanVactar5' State License Law for the lollowing reason (Seclion 7031.5 Business an� Pmlessional CoOe: Any ci�y ol counry whic� repuires a permit Io cons�mct, aller, imD�ove, tlemolish, or repaii any simtlure. priar to i�s issuance, also reQuires ihe apDlicanl lor such permil Io lile a signetl slaiement ��at he/s�e is Iicense0 pursuant Io I�e provisions ol ��e ConVac�ors' Slate License Law (Chapter 9 �commencing w�th Section 7000) oi Oivision 3 of Ihe 8usiness an0 Pro�esvans Cotle) or I�al Mls�e is eKNmpt ��eretmm an0lhe basis lor Ihe allege0 exemp�ion. Any viola�ion of Seciion 7031.5 Uy any applicanl for a Oermi� SUEj¢c�s Ihe applicant to a tivil penalty o� n01 mOte I�an five �untlr¢d A011ars (5500). I, as owner ot ine pmveny or my employees wilh wages as their sole compen5alion, will tlo the work, antl the ❑ slmctwe is nol intenCea orollereA �or sale (Section 70GA, Business antl Prolessional Coae: The Contrac�ors' State License Law does nol aODly �o an owner ol a prbperiy who builds or impmves Illereon, antl who doe3 5uch work himsel�/hersell or Illroup� his Or her own emDl0yee5, pmvided �ha� 5uth impmvemmis are noi in�endetl or oIi¢reE fOr Sala II, howev¢r I�e building or imOrovemenl is SoIU wilhin one yedr ol completion. Ihe owner will �ave Ihe burtlen o� pmvinA �e�she Aitl no� buila or improve lor Ine purpose ol sale�. I, as own¢r o� Ihe DmPeriy, am eKclusively mnlrac�ing with IicenSeU coniractorslo constmct�he prole�� (Section 7044, Business ❑ antl Pmlessions Coae: ihe ConVacbrs' S�ale License Law Ooes nol apply to an owner ol pmpetlY wtio builtls or improves t�ereon an0 w�o coniratls Ior suc� pmlects with a conlracloqs) license pur5uant �o �he ConVacloB' Slate License �aw). I am aware �� D�aol ol ��eii WOrkefS CampPnsation insurance SAOWU Oe pmvided Io me. � I am exemp� untle� Seciion: 8. 8 P. C. lor t�is reason: oxie: owner: I do nere�y wnify ihai I am aware ol and underslan0lhe requiremenis o� Calilomia Heallh and Salely Code Sections 25505, 25533, ana 25574 and ��at I or any fulure huilaing occupanl willlwill not (circle one) neetl ro compty wiih SaiG s�a�e codes and the reQuiremen�s for a permil for conSlmc�ion or modilicaiion Imrq Ihe Nir Ouality ManaAemenl �rstrici. Residenlial consiructian applicaiions ar¢ exempi Irom Ihese provisions. Da�e: AppficanL _ I �e�e0y t¢mfy �hal I hav¢ ieaC this applica�i0n antl Siale Ilul I�e ot0inancM an0 siale laws �ela�ing Io Ouilding fqn9mction ane �erel Oroperly loi insp///qqq:::Iia/n purp05es. �ale: 4L/�/.� Si9naWr� i �river's ,cens�loi Sacial Securily x: �� A. I aA�ee to camply with all cily ana county ol t�is city to enler upon ihe above�mentionetl i6at�a6 Wbite—Bmltling; Green—Coa@ Enbrcemenl: Canary—Ap0licant: Pink—Revenuo; Goltlenroe—Aaessor CITY OF COSTA MESA — BUILDING PEAMIT PEkM NO; B 062864 PERMIT NO; B 062864 PLAN CHECK NO; N GOVT; [•l SUPP; N CONSTRUCTION TYPE; V—N PERMIT TYPE; STR PURPOSE; ALT JOH DESCRIPTION ; COMPO SHTNG. OVER 2 EXIST, COMP SHING. �Q FT; 2,000 CLAIM VALUE: 2,000,00 CALC—VALUE; 2,000,00 GROUP OCC: R-3 / COMMENTS: SMOKE DETECTORS REpUIRED PER THE 1991 EDITION OF THE��-y� r�� xx�r***�x****�*�t*��**�e*****xi��tz�t��r*rt�*�xrtx*+��r�r��t*x+r#**�****�� k�S�# Z O N T N GS ERTEBQAUCIKRSE M E N T S � �EQUIRED ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAk: FT IN FRNT: F'f IN REAR: FT IN LEFT; FT ZN RGHT; FT IN LEFT: FT IN RGHT; FT IN PARRING REQ• PROV; PARCEL; 11725301 ZNE: REF NO; PLANNING Nt51'ES> �� ff iE 3F iE i! iE k 1F i! i! i!!t k 1E i!'.# ik iE if ik iF k i! iE itlE iF 3F if if if k if if ff iF jt i! iF iF iF fFit if k iE jfiF IE iF iE if iE if fk iE iF 3E i(� i(� iE iE iE ik iF K- if iF �!F Ik iE �E 3E iE i(� iE if iE 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 20NING APPROVED BY DATE; BUILDING APPROVED BY : DATE; APPLICATION ISSUED BY: � DATE: �� iF'IfiflEiElEihiElE�lEiflf#FiEiEiEfEiFiEifiEif F . �l 1fiEiFiE'lEi('ififlFH' iEiF iEiEiEiflFiFiEififikklklFif3kiEfEiFifkiP�kiElffEikiFiEikklF�tiEkikikkiEitiEiFiEif�EiklfiEifi .��iEiliEiElFiFi6ifiFiFi(-iflEl4ikifkkif�l6kiEiEiE3EikifX•�1f LEGALI2ATION;N F E E S U M M A R�]% STRUCTURAL SEGMENT;Y HLDG PMT PLOMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 45.00 ,50 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 95.50 0.00 0,00 45.50 45.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 45.50 OVER/SHOA7'; .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 45.00 ,50 1ElElklf i! if iF iE k iF iE if iF iF if �E k iElP fk iF k fk iE 1F iE iE 1ElE if iE ik if if iElE iE iE if iF iF ihlF i4 �IE iF iF iE �E iE IE k iEih if IElFii� ii iE ff i! ik �k 1E 1E 1k iE # fE iE !E if iF iE k iElE it I N D I V I D U A L F E E B R E A K D O W N TYPE QTY SFR f,2000 �;z D E S C R I P T I O N UNIT COST REROOF HY VALUE i�SIDENTIAL NOZONE 1.00 �END OF FEES EXPIRED ��n�619 �RSQ�CtiOili �� ' � -� :;:,� � A.Ar _—. { IJM W E , G !'�� 16 TOTAL COST 2,000,00 01 001422D1—M142?02 Tr_�T 45,�� DATE: 0?tD?193 7IME: 09:�� " POv� & SPA � CONSTRUCTION AND PLANNMG � APPROVALS Permit # Bata Inspector qppROVAIS Permit # Date Inspector � i, Temporary Electrical Service or Pole - 52. Pool & Epuipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement • , 3. Electrical Conduit UtditY�Und�9rnd. 54. Forms 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding 5. Steei Reinforcement 56. Rough Plumbing & Pressure Test � 6. Electrical UFER Grnd. 57. APPROVAI TO COVER-GUMTE 7. Foot�ngs 58. Electrical ConduirUndrgmd. ' 8. Foundation - •% 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgmd. -� �� 60. Backwash Lines, P-Trap, � Undrgrnd. 70. Structural Fioor System 61. APPROVAL TO DECK ll. Property Sewer Li�e & HouseiConnectior ' gQ, Backwash & Receptor-Final 72. Sewer Cap � .•� 63. Heater & Vent-Final 13. Roof Orains 64. Plumbing System � Final . 14. Rough Plumbing ' 65. Electricai-Final � 15. Rough Electrical-Conduit � � 66. Soiar SYstem-Finai 16. Rough Electric 4Viring 67. Fencing & Access Approval � � 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Electiica7-T Bar Ceiling 69. POOIISPA SYSl�EMS FINAL 19, Rough Heating & Air Conditioni�y PIRE DEPT. REQUIREMEN? 20. Rough Factory Firepiace � APPROVqLS Permit �'k i 21. Dutts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Pipin9 O Gas OOiI 23. Gat Pipa-Rough & Test � � 72. Underground Flush 24. Roof Praming � 73. Undergmd.StorayeTank OGas ❑Qii 25. Roof Sheathing �3� G� 74. Overhead Hydro ' 26. T�Bar Ceiling (Structurai} & Monocoat 75. Dry Chemical 27. Prame aod Flashing 76. Dry Standpipe ' �" 28. lathing & Siding � � 77. FIXED SYSTEM FINA� � 29. Insulation � 78. FIRE PREV. FINAL 30. Drywall Naiting � ( � HEALTH DEPT. REQUIREMENT '-- 37. P!aster Brown Coat � �� 79. FINAL INSPECTION ... . 32. Electrica! Poever Meter-Final � i � 80. FO00 CERTIF�CATE ISSUED � 33. Finai Electric . i i� I Notes: i - 34. Final Heating & Air ConditionY ig i j � 35. Finai Gas Pipe�Test � j � 36. Hood or Canopy E j� p'� � - 37. Finai Factory Fireplace � m ete I�_E-� � � �� ( f�� _ Pect " 38. Pinai Piumbing � �+ -� I � - ------- -i-:. � �,- . _ 39. Water Service-Final i i �_ _ 40. Gas Service-Final � 41. Solar pomestic-Finai � � 42. Backflow Preventer � . � 43. Backflow lrrigation I 44. landscape Irriqatio� System A5. Sound Attenuation I 46. Hardicap Regulations -� 47. FINALSTRUCTURE&BUILDING � ' 48. FINALPLANNING I 49. Electric Retease to Edison � 50. Gas Release to Southern California Gas C4 � 51. CERTIFICATE OF OCCUPANCY No. Date I 0 r CITY OF COSTA MESti GILIFORNIA 9262&72f10 P.O. BOX 12IX/ DEVELOPMENT SERVICES DEPARTMENT September 19, 1994 Dear Costa Mesa Property Owner: In reviewing past permits, we find that work has been done on your property located at 300 Broadwav. Permit No. B62864, for a roofing permit. The permit is valid for 180 days from issuance or your last inspection, per Section 303 (d) of the 1991 Uniform Suilding Code. Should we not hear from you within 10 days, your permit will expire as stated herein and additional fees will be required to finalize the permit. Failure to final a Building Permit could possibly impact the future sale of your property. To activate the above permit, please follow these steps: 1. Telephone (714) 754-5626 or 754-5627. 2. Request an inspection; state address, permit number, and type of inspection. 3. Be sure to have working smoke detector's as required per Section 1210(a) of the 1991 Uniform Building Code. 4. Have an adult present at the property at the time of inspection to provide us access. Should you have any questions regarding this process, please contact me at (714) 754-5273. Thank you for your cooperation. Sincerely, Y landa Huapaya Permit Processing Specialist 77 FAIR ORIVE Builaing Drvision (7ta) 754-5273 • CAOe Enlorcemenl (77<) 754-5623 • Planning Division p1d) 754-5245 FAx pia) 5567508 . TDD P�a) 75e�52aa