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Home My WebLink About2408 CARLTON PL - Building PermitsY (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, GOSTA MESA, GA 92626 PLUMBING PERMIT JobAtldress: 2408 CARLTON PL Suite No Vicinify: Parcel Nunmber: 43933241 Applicane LITTLEFIELD, SCOTT Atldress: 24707 SAN FERfJANDO RD SANTA CLARITA, CA Phone: 661-259-7131 Zip: 91321 Owner: LANKFORD, WILBUR LEROY TR Address 315 LARKSPUR AVE CORONA,CA Phone: Zip: 926253312 Contracror AFFORDABLE WATER HEATERS AND PLUMBING Address: 24707 SAN FERNANDO RD SANTA CLARITA, CA REPLACE WATER HEATER ISSUE FEE Backflow irrigation Backflow Preventer Bathtub' Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tgnk Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oip Interceptors (Sand Auto ) AMT 523.50 50.00 $0.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 $0.00 50.00 $0.00 50.00 $0.00 30.00 50.00 50.00 QN Phone: 661-259-7131 Zip: 97321 License: 627368 SCOPE OF PERMIT FEE SUMMARY AMT LaundryTub/Washer $0.00 Landscape I«igalion 50.00 P-Trap $0.00 Pressure Regulator 50.00 Process Piping (per 10 fl) $0.00 Receptors 50.00 SepticTank 30.00 Sewer Cap (or Demo 50.00 Sewer Connect 50.00 Sewer Private Line 50.00 Shower 50.00 Sink, bar 50.00 Sink, commercial 50.00 Sink, Floor �50.00 Sink, kitchen 50.00 Sink, service/mop 80.00 Spa (private) 50.00 Spa (pub�ic) 50.00 Qn 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS I SPECIAL CONDITIONS Status: ISSUED Applied: 04/23/2007 Issued: 04I232007 ISSUED BY: Sump Pump Swimming Pooi Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toileq W ater Heater / vent Waler Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLA710N PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 50.00 50.00 50.00 512.30 50.00 $0.00 50.00 30.00 50.00 50.00 50.00 50.00 TOTAL CALCULATED FEES: $35.80 � 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiraments under California statutes and related regulations. (brd. No. 92-28, § 1, 12-21-92) EXPIRA710N: 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 Inspectlons and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 zanua616'00) ✓ WORKERS'COMPENSAnON DECLARATON: I hereby eHirtn under penalry of perjury one at t�e following deGeretions: ❑ I have end will maintain a ceNficate of consent to self-Insura tor workers' compense0on, es pmWtletl for by section 3700 ot the Lebor Cotle, tor Ihe pertortnance oi Ihe work tor whic� this permit is issuad. 1 have and will maintein workers' compensatlon insurence, es requiretl Gy sectlon 3700 ot ttia Lebor Code, tar Ne performanca of Ihe work lor which Nis pertnit is issuetl. "- My workers' compensation Insurence cerdar en0 policy number are: �_ _._ �7 •Certlei: � 7,Q.r�� ,PolicyNumber. 7�OJ�%��j�7Q6� (This section need not be compleretl i! the permit Is velued et one hundred dollers ($100) ar less.) ❑ I certity t�et in t�e pertortnance ot the work lor which thls pertnit is issued, I shall not employ any person in any manner so as to become sublect to the workere' compensatlon laws of Califomia, and agrea thet It I s�ou10 become subject to the workere' compensation provisions oi Sectlon 3700 of the Lebor Code, I shall fonhwith comply with these provisions. A!•� rApPiiwn� Signeture: �.Q1� F— �—Date: �-.i Z' O� `WAFNINCi: FAILURE TO SECURE RS' G�MPENSATION COVEqAGE IS UMAWFUL AND SHALL SUBIECT AN EMPLOYEP TO CFIMINAL PENALTIES PND CML FlNES UP TO ONE HUNOREp T/qUuRND Oq1ARE (E100,000), IN ADDITION TO TNE COST OF COfdPENSFTION, DAMAGES AS PqOVIDED FOR IN SECTION 37060F THE IABOR CODE, INTEREST, AND FTfORNEI"S FEES. LICENSED CONTRACTORS DECLARATON: I hereby eHirtn Ihat I em licensetl under provislons of Chapier 9(commencing with Section 7000) of Division 3 of tha.Business and Professions Gode, and my license is in full -forco entl eflect. Lic. a (o ��Clau k �.? b .Conirector's Signeture: f D� �- Dete: �f - J?— 07 CONSTRUCTION LENDING AGENCY: ❑ I �ereby eflirtn that there is e construction lending egency for the peAortnance of Iha work tor w�ich this pertnit is issuad. (Sec. 3097, Civil Gotle). Lenders Neme: Lendefs Adtlress: Signature: OWNER-BUILDER DECLAFiATONS: Date: I hereby ettlrtn that untler penaly of per�ury thet I em EXEMPT PROM 7HE CON7RACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, BuSiness flnd Profes5ion5 Cotle: Any ciry or county which requires a pertnit to construct, alter, improve, demolish, ar repair eny swcture, prior to its iuuance, also requires the applicant for such pertnit to ille e slgneC stetement Ihat he or ahe is Ilcensed purauant m the provisions ot ihe ContrectoB lJcense Lew (Chepter 9(commencing wit� Sectlon 7000) oi DiMsion 3 ot the Business entl Professions Code) or thet he or she is ezempt thereirom and the basis lor the elleged exemption. Any violetion of Section 7031.5 by any applicant for e permit sub�eCis ihe epplicant to a civil penalry of not more ihen live hundred dollars ($500) J: ❑ I, es awner of Ihe property, or my employees wlth wages es iheir sole compensa�lon, WILL DO THE WORK, end Ihe siructure Is not Intendetl or oHered for sele (Sec. 7044, Business and Professions Cotle: The Contrectors License Law does nol apply Io an owner of property who builtls or improves thereon, flntl who does such work himself or herself or Ihraugh his or her own employees, provided Ihet such Improvements are not Intended or oflered lar sale. It, �owever, the building or improvemem is sold within ane year ot completioq Ihe owner-bulltler wlll Oeve ihe burden of D�oving ihet he or she did nol build or improve for purpose of sale.). ' ❑ I, es owner of Ihe property, em EXCLUSIVELV CONTRACTiNG WITH LICENSED CONTRACTORS to construct the projeci (Sec. 7044, Busines5 and Professions Code: The conirectors License Lew tloes not apply to an owner of property who bullds or Improves thereon, and who contracis tor such project wlth a comrector(s) license pureuant to Iha Comraaors License Lews.). ❑ I em exempt undar sec. Business antl Pmfessions Cotle tor this reason: SignaWre: Date: Owner ID venfietl 6y tlriver's license. ❑ Yes ❑ No DAver'S License No. Venlicatian af Ownership by (type of tlocument, i.a. - property tex bill or tleed): Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATON: ❑ I hereby certity that no excavation tive (5) or more feet In Cept� into which e pereon is required Io descend, will be made in conneciion wit� work euthonzed by this permit, end ihat no building sirucWre, sceHoltling, felsework, or demolition or dismantling ihereot, will be more than thirry-slx (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle 8, Califomla Atlministrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit Irom ihe Division of Indusiriel Sefety, as noted ebove, unleu such person hes e parmit to do such work from Ihe tlivision. Signature: Date: Division of Industrial Safery Permi� Number: CER7IFlCATE OF COMPIIANCE AND AUfHORIZATION OF ENfAY: I certify under penalty of perjury ihat I have read this eppllcatlon entl state that the infortnation given is wrrect. I agrea to compty wlth all state laws entl dty ordinances relating to building consiructlon, anC euthonze represenWtives ol t�e City of Costa Mesa to enter upon the above-tlescribed properry for inspection purpases. I egree not to occupy ar allow occuDency ol any building authorized by this permit until final inspection. COOE 1. INSVECTIONTYPE Q�IE INTRIALS 1616 Fixed System Final Fire Prevention 1266 200 Pool Spa Final Final Re-Roof 201 Finel BIocWRetaining Well 202 Finel FaMory fire Place 203 Final Sign 204 Finel Demolition Date N -.�3- n7 Loe�a COOEI' INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Finel Fire Prevantian 220 222 250 Final Planning Approval Final Site Finel BuildingiOccupency aeg uffme�s • t ��ia� �sa-sz�a • Fax ��ia� �sa-aess • www.ci.cos�a-mesa.czg��LDING PERMIT JobAddress: ^c408 CARLTON PL Suite: Vicinity: HOUSE AND GARAGE Primary Occ: R3 Parcel Number: 43933241 AppiicanC MOUDEN, ALI Address: 14641 BROMLEY STREET Type of Construction: V-IJ Zoning: , WESTMINSTER, CA , - Owner. LA�� Adtlress 315 �� Address./�14641 Bf , � �' � ,,1/ A.WESTMI Zip: 92683'/ Arih : - �%�"' Address ��., �'� �� , .� �,%'" �,,, � Zip: . OFF � Plan Check:� Permit: SMIP Res: SMIP Com: - Other: Inspection: ' � i"c" 'VILBUft LEROY TR �VE�- �� , - , � � , � ' �� % / _ �OFING��'" _. -STREET/,'��- � i� . Phone: 714-721-4149 � " Zip: - 92683 77 hAIH UHIVh, 1:V5 � A Mt.�'A, l:H 8[tiZti ISSUED BY: Stalus: ISSUED Applied: 08/16/2006 Issued: 08/162006 i . \ �hone_ ,� "' � - � � � _. : � Zip: . 92625-3312i ��-,-- � _ ` �' � �.- '� , %\ -� �, \ � .� .,,;. ., _, � � .;A i• Phone. 714-721-0149 � �� -j ,��V�� -��' �.i ;�� _ � �� j, ., � License: 860452 � � " �� ' Eng: Address: Phone: . . �. , , , License: „ �.--� � � , .-i <i , _` , _ - - � Phone: � : _ , - License: � � - - SCOPE OF PERMIT � . -; � MATERIALS, WSTALL 1 LAYER OF 30# FELT AND REROOF W!3 TAB 20 Y�AR COMP SHINGLES ON ATTACHED HOUSE OX 29 SQUARES: REPAIR AND REPLACE SHEATHING AS NEEDED. -� � � , - \ G� ,,,-c;r: -r, y ;•- FEESUMMARY $0.00 � � • � - -.� r � � �� 'Calc Valuation: . � ga,2oo.00 $11125 " - _ _ _. - � $0.50 $0.00 $0.00 $0.00 Claim Valuatron: � �..,, _ � ` Total:' `.. $111.75 �� - �_ � � �� P-LANNING & ZONING SElBACKS� �� ' � � .y MAINSTRUCTURH.Fron2`�0-�0 Rear �,.'0.0�� . Left 0=0��-,. � � � _.-_ ACCESSORY � Front 0 0�� '�Rea} � 0-0 � LeR 0-0 � ��-�. �. _ � \��A � � �-. PARKING�'��Existina:� 0� ��Reuired: 0�. Proposed: 0 V� ` �, � �.�� '� i� � �. /�' �� . � � � � ., ��.�� . � : � -- - �, �� f , �\ � _ . Right 0=0 ,' , i `� � - "� -" Right ��0=0 . - < ' . ; i / � / , j� �� ' sa,2oo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and relaled regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This pertnit shall automatically expire and become void if work Is not commenced within i80.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 Inspeetlona and flnel approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CAt,L: (714) 7545626 zaases �eroo� WORKERS' COMPENSA710N DECLARATION: ' - � I hereby eHirtn under penalry oi perjury one ot lhe following declarations: ❑ I have entl will melntain e certificete of consent to self-Insure for workers' compensation, es provided for by seclion 3700 oi ihe Labar CoCa, tor the pertortnance of �he �'�rk br which this pertnit is issuetl. $ I�have'eiM will meintain orkers' compensatlon � urance, as requiretl by section 3700 ot the Lebor Code, tor Ne peAortnance of the work for which this pertnit is IssueO. �M� rkers' comp ion I urance carner d policy numb§r'ere: �� y� Cemer: �i ��( F,o'� Policy Numbec---.. L i � O� (This sectron need n 6e comp/eted lllhe pe/mit is valued at one hundred dollars ($100) ar less.) ❑ I cetlify Ihat in ihe pertortnance of �he work for which this pertnit is issuad, I shell not employ any person in any manner so as to become subject to the workers' compensation laws of Califomla, end epr that if 1 s uld Gecome sub�ed to the warkers' compansation provisions of Section 3700 ot ihe r Code, I hall fotlhwlih complywiththgseprovisions. / ^ ,.� �„ /� //� �Applican�'t'Signalure � .pg�� 6 , �/� �� b WARNING: FAILl1RE TO SECURE W MPEN ION COVERAGE IS UNIAWFUL AND SHALL SUBJECT AN EMP�OYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO IXJE HGNDRED TIqUSAND OOLLARE (5100,000), IN AO TO THE COST OF COMPENSATIIXJ, DAMAGES AS PPOVIDEO FOR IN SECTION 3lOe OF THE LABOR CODE, IN�EREST, AND ATTORNE'fS FEES. LICENSED CONTRACTORS DECLARATION: I he�eby;eHirm.ihet I am licensed ung9r provjsip CONSTRUCTION LENDING AGENCY: ptGha r 9(commencing with Section 7000) of Divislon 3 of the.Busineu end � � rrie..e u..l _ ❑ I hereby aflirtn that there is e construction lending agency tor ihe peAormance of ihe work for which this permi� is issuetl. (Sec. 3097, Civil Cotla). LendeYs Name: Lendafs Address: SignaWra: OWNER-BUILUER DECLAfiAT10NS: Date: license is in tull 1 hereby aHirtn thet untler penelry af per�ury thet I em E%EMP7 FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business end Professions Code: My ciry or counry which requires e pertnit to wnsiruct, alier, improve, demolish, or repair any structure, pnor m its issuance, elso requires Ihe applicant for such pertnit to flle e signed stetement thet he or she Is Ilcensed pursuant to tha pmvisions of ihe Contractore License Lew (Chepter 9(cammencing with Section 7000) oi Divislon 3 of the Business and Professions Code) or thet he or she is axempt thereirom end the basis lor Ne elleged exemption. Any violetlon of Section 7031.5 by eny epplicant for e pertnil subjects the applicant to e civil penalry of not more ihan five hundred dollars ($500).): ❑ I, es owner of Ihe properry, or my employees with wages as their sole compensallon, WILL DO T}IE WORK, and the structure Is not Intentled or oflerad tor sale (Sec. 7044, Business end Professions Code: Tha Coniractors License Law does not apply to an owner of property who builds or improves ihereon, end who does such wotk hlmsaN or hereeN or through his or her own employees, provitletl ihat such improvements are not intended or oflered tor saie. It, however, Ihe building or improvement is sold within one year of completion, ihe owner-buildar will have the burden oi Droving ihat he or she did not build or improve for Ourpose of sele.). ' ❑ I, as owner of the properry, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construa the pro�ect (Sec. 704d, Business and Professlons Coda: The conirectors License Lew does no� epply to an owner ol property who bulitls or Improves tharaon, and who conirects lor such proJect with e contrector(e) Ilcense pursuem to the Contreaore License Laws.). ❑ I em esemp� untler sec. Business end Professions Code for this raeson: Slgnature: Date: Owner ID verified by driver's Ilcense. ❑ Yes ❑ No Drivels License No. Evpires: Vedficetion oi Owners�ip by (type of document, i.e. - property tax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTFICATION: ❑ I hereby cenify that no excavetion tive (5) or more feet in depih into which a person is required to descend, will be made in connection with work euthonzed by this pertnii, end lhat no huilding strucWre, scettolding, lelsework, or demolition or tlismantling ihereof, will be more than thirty-sla (38) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Celifomla Adminisirelive Code). ❑ As owner-bullder, I will not employ anyone to do work which would require e permit trom the Division of Industriel Safery, es notetl above, unless such person hes e permi� to do such work from the division. Signatura: Date: Division of Industriel Safety Permit Number: CER7IFICATE OF COMPLJANCE AND AUTNORIZATION OF EMAV: I certity under penalry of Derjury that I heve read this epplicelion antl stete that t�e infortnation given is correct. I agree to comply with ell s�ate laws end ciry ordinances relating to builtling constructioq end authodze representatives of the City ot Coste Mese to enter upon ihe above-described properry for inspection purposes. I agree not to occupy or allow occupancy of eny building euthorized by this permit until finel inspection. Legal CODE t. INSPECTIONTYPE 1616 Fized System Final Fire Prevention 1266 Paol Spa Final 200 Finel Re-Rooi 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Finel Demolition ��r Applicent - ➢�E 1t�EL�4 ➢� E N-7�i � COOEt INSPECTONTYPE 206 Finel Mechanlcal 208 Finel Plumbing 270 Finel EleCiricel 212 Finel Flre Prevention 220 Final Plenning Approval 222 Final Site 250 Finel BuiltlinglOccupency Job Address: Suite No Vicinity: Parcel Nunmber: Applicant Address: Owner: Address 2408 CARLTON PL 43933241 E'J ELLIS JR Phone: 310-838-0408 Zip: LANKFORD, WILBUR LEROY TR 315 tARKSPUR AVE CORONA,CA Phone: Zip: 92625-3312 Contractor: ORANGE COUNTY SERVICES INC DBA GEORGE BRAZIL PLU Address: 3801 LENAWEE AVE Phone: 310-253-5229 CULVER CI7Y, CA Zip: 90232 License: 679898 SCOPE OF PERMIT INSTALL CLEANOUT ON SEWER LINE NEXT TO HOUSE ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect Qce,Soda,etc) Dental Units Dishwasher Drein, Floor Drain, Rainwater Drein, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) � Gas (Over 4 outlets) Gas Repipe Gas Service Interceplors (Grease, Oil) Inlerceptors (Sand Auto ) AMT $23.50 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Lti 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEESUMMARY AMT LaundryTub/Washer - $0.00 Landscape Irrigation � 50.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors - � $0.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 SewerConnect $24.65 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial � $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, servicelmop $0.00 Spa (private) $0.00 Spa (public) $0.00 Qrv 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 COMMENTS I SPECIAL CONDITIONS Status: ISSUED Applied: 12/27/2006 Issued: 12/27/2006 ISSUED BY: - 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 (Toileq Water Heater / vent Water Piping (Inst or RepJ Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION , AMT $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 30.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: 548.15 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia 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 it work is suspended or abandoned for 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 Inspections and tinal approval must be obtained. Failure to obtain inspections antl final approval will result in the expiration of this permit. FOfl INSPECTIONS CALL: (714) 7545626 244fi-46I6�00) WORKERS'COMPENSAnON DECLARAnON: I horeby aftirm under penalty oi perjury one of ihe lollowing declarations: ❑ I have antl will maintain a certificate of consent to self-Insure for workers' wmpensation, as provided for by section 3700 of ihe Labor Cotle, tor ihe pedormanca ot the �work for which Ihis Oertnit is issuetl. I have and wii� maintain workers' compensation insurance, as requiretl 6y section 3700 of the Lebor Code, lor the pedortnance of the work tor which this pertnit is issuetl. My workers' om/pe�nsaY n Insurance carrier end policy number are: L L� �/ D/ Carrier: f7T� F'v N D � Policy Number. t�v '�iW � O� � �O (This sec(ion need not 6e completed il fhe permit is valued at one hundred dollars ( 100) or IessJ ❑ I cenity that iq Ihe performance of ihe work for which this permit is issuetl, I shell not employ any person in any manner so as ro become subject to the workers' compensatioq laws of Califg{rya, d �e � 1 shoul o e subject to the workers' compensation provisions oi Saction 3700 of the Labor Code, I shall fortOwith comply with these provi �6s� . � `2 r 2^ J / � Applicant Signature: Data: _ k /� a r ` WARNING FAILURE 705ECURE WORKE ' COMPENSATION COVE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINA� PENALTIES AND CIVIL FINES UP TOONE MUNDRED THOUSANDDOLLARE(8100,000),INADDI TOTHECOSTOFCOM SATIQV,DAMAGESASP{iOVIDEDFORINSECTION3]O60FTHElAffi]RCADE,If�TEREST,ANDATTORNEV'SFEES. LiCENSED CONTqACTORS DECIARATION: I hereby aRirm [hat � am licenspd ' s of Chapter 9(commancing with Section 00) of Division 3 of ihe Business �p JP�a$yions Cotle, and my license is in full fome and eNect. Lia # �'J Class k L (0 .--1 ContrecroYs Signatu�e: - � Date: _�'�� CONSTRUCTION LENDING AGENCY: ❑ I hereby aMirm that there is a consiruction lending agency tor the pedormance of the woM for which Ihis permit is issued. (Sec. 3097, Civil Code). Lantler's Name: Lender's Address: � Signeture: OWNER•BUILDER DECLARA710NS: Date: 1 herohy aNirm that under penalty of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions Cotle: Any ciry or c0unty which requires a permit to consimct, alter, improve, tlemolish, or rapair any stmcture, pnor to its issuance, also requires Ihe appiicant lor such pe�mit to file a signetl statOment ihat he or she is licensed pursuent to the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business antl Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pertnit subjects the applicent to a civil penalty of not more ihan fiva hundred dollers ($500).): ❑ I, as owner ol ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, and Ihe stmcture is not intendea or otteretl tor sale (Sec. 7044, Business and Professions Cotle: The Contractors License Law tloes not apply lo an owner of property who builds or improves thereon, and who does such work himselt or her5elf or Ihrough his or her own employees, provided ihat such improvemenis are not intended or ofleretl br sale. If, however, the building or improvement is sold within o� year of completion, the ownerbuiltler will have lhe burtlen of pcoving that he or she tlitl not buitd or impmve tor purpose ot safeJ. ❑ I, as owner of the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consWct the project (Sea 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property w�o builds or improves thereon, and who contrects for such project with a coniractor(s) licensa pursuant to tha Contractors license Laws.). ❑ I am eaempt under sec. Business and Pmfessions Cotle for this reason: Signawra: Date: Owner ID verified by driver's license. ❑ Yes ❑ No Oriver's Licanse No. E:pires: Verification of Ownership by (rype of daumen6 i.e. - property tax bill or daetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavation five (5) or more feet in depih into which a person is required to descend, will be made in connection with work authorized by Ihis permi�, and iha� no building siructure, scattolding, (alsework, or tlemolition or dismamling thereof, will be more Ihan thirty-siz (36) feet �igh. (Chap. 32, Gry 2, Ar12, Sec. 341, Title 8, California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safery, as notetl above, unless such person has a permit to tlo s�ch work fmm iha division. SignaWre: Date: Division of Industrial Satary Permit Number. CER7IFICATE OF COMPLIANCE AND AUTHORIIA710N OF ENTRV: I certify under penalry of perjury that I ha�e read this application antl state Iha� �he information given is correct. I agree to comply with all state laws and city ortlinances relating to building wnstmdion, end authorize represen�atives of ihe City of Costa Mesa to enter upon the above-descriDed propeAy for inspection puryoses. I agree not to occupy or allow occupancy of any building authorized by ihis permit until final inspection. COOE�, INSPECTIONT'LPE 7616 Fixetl Systsm Final Fire Prevention 1266 Pool Spa F(nal 200 Final Re-ROoi 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Finai Demolition fljJ� IN�RIAI¢ CsQp�1 INSPECTIONT�'PE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Finel Fire Preven�ion 220 Final Planning Approval 222 Final Site 25o Final Builtling/Ocwpancy QPj� INRiIRL$ —_ .' � i �7\�� 0 CITY OF COSTA MESA BUILDING DIV/SION DEVELOPMENT SERVICES DEPARTMENT PERMIT ✓ P98-00372 PERMIT NUMBER (714) 754-5273 • Fa�c (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: Suite No Vicinity: 2408 CARLTON PL 2408 & 2410 CLARLTON DUPLEX Parcel Nunmber: 43933241 App�icant: LANKFORD, WILBUR LEROY TR Address: 136 EAST YALE LOOP IRVINE,CA Phone: Zip: 92604 Owner: LANKFORD, WILBUR LEROY TR Address 136 EAST YALE LOOP IRVINE,CA Contraetor: Address: ArchlEng: Address: Phone: Zip: 92604 Phone: Zip: - License: Phone: Zip: License: SCOPE OF PERMIT 2408 & 2410 CLARLTON (DUPLEX) REPLACE EXISTING SEWER LINE FROM THE HOUSE ABOUT 5' OFF OF THE HOUSE AND 75' OF LINE, 15' FROM MAIN SEWER CITY LINE. ABS 4" PIPING AND 1 CLEAN OUT IN BACK OF 2408 CLARLTON ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifier System Connect pce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas EaAhquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oip Interceptors (Sand Auto ) AMT szz.00 $0.00 so.00 $o.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 ctrr FEE SUMMARY AMT Laundry Tub / Washer . $0.00 Landscape Irrigation $0.00 P-Trep $0.00 Pressure Regulator 50.00 Process Piping (per 10 k) $0.00 Receptors $0.00 Septic Tank 50.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $22.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $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 1 0 0 0 0 0 0 0 0 COMMENTS I SPECIAL CONDITIONS Status: ISSUED Applied: OS/14I1998 Issued: OS/1411998 . .r � 't7 '�, � �i � � , � 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 I vent Water Piping pnst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT $0.00 $0.00 $0.00 30.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $8.75 $0.00 $0.00 $0.00 $52.75 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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. � INSPEC710NS: In order tor the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapaetlona end ilnal approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECUIRATION: I hereby eHirtn under penalty of perjury one of ihe following tlecleretions: ❑ I heve end wlll meinlaln e certiticete of consem ro selt-Insure tor workers' compensetlon, as providetl for Dy sectlon 3700 ot the Lebor Code, for the peAormence ot the work for w�ic� Ihis permil is luued. ❑ I have flnd wlll meintein workers' compensation insurance, es required by section 3700 oi ihe Lebor Code, for Ihe perfortnance ot the work for which ihis pertnit Is issued. My workers' compensation Insurance carrier anA policy number ere: Cartier. Policy Number. (7hls secNon nestl not be comp/etetl il the peimit is ve/uetl et one �undred dollars ($100) or less.) ❑ 1 cenify thet In the paAortnance of the work tor which this Oertni� is issued, I shall not employ any person in any menner so as to become subject to the workera' wmpensatlon laws of Celitomia, end egree that II I should become sub�ect ro the workers' compensation provlsions ol Section 3700 ot the Labor Code, I shell fotlhwlth comply with t�ese provlslons. Applicant Slgnature: Date: WARNINO: FAILURE TO SEIXIRE WORKERS' COMPENSATION WVEfUGE IS UNLFWFUL AND SHALL SU9IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TO IXJE HUNDRED TIqUSAN� DOl1ARE (5100,OW), IN ADDRION TO THE G0.5T OF COMPENSFTION, �PANCaES AS PROVIDED FIXi IN SECiION 37080F THE IrBOR CO�E, INTEREST, AND ATTORNEVS FEES. LICENSED CONTRACTORS DECLARATION: I hereby eflirtn Ihet I am licansed under pmvislons of Chapter 9(commencing with Section 7000) of Divlslon 3 of the Business end Professions Cotle, antl my license is in full force and etlecL Llc. N Class N ConUector's Signeture: Dale: CONSTRUCTION LENDING AGENCY: ❑ I hareby efNrtn thet there Is e consiruction lending egency lor the pertortnence of tha work for which Ihis pertnit is issued. (Sec. 3097, Civil CotleJ. lendels Nema: Lendefs Address: SignaNre: Date: OWNER-BUILDER DECLARATIONS: I hereby etfrm t�et under penelry ot perjury thet 1 em E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe fallowing reeson (Sec. 7031.5, Business flnd Prolessians Cade: Any ciry ar caunry which requires a permit to construd, alter, improve, demolish, ar repair any struciure, pdor �o Its issuence, also requires the flpplicant for such pertnit to fle e signed stetemeN that he or she Is Ilcensetl pursuent to t�e provlslons ol t�e Contrectors License Lew (C�apter 9(commencinp with Seqion 7000) of DlWsion 3 of iha Business end Prafesslons Cotle) or that he oi she is exempt �hereirom and the basis ior ihe alleged exemption. Any violatlon ot Sedian 7031.5 by any epplicant lor a permlt s �ects the epplicant to a civll penalry of not more then five hundred dollars ($500).): � I, as owner oi t�e properry, or my employees wlt� weges as t�air sole compensatlon, WILL DO TME WORK, end the sirucWre is not Imended or oHeretl tor sele (Sec. 7044, Business entl Protessions Coda: The Contrectors License Lew does not apply to an owner of properry who builtls or improves thereon, and who tloes such work himself or herself or ihrough his or her own employees, provitletl thel such improvemenis ere not Intentletl ar otteretl tor sele. It, however, ihe builtling or Improvement Is sold wit�in one year o1 campletion, the owner-builder wlll have the burden of proving that he or she tlitl not bulld or improve for purpose oi sele.). ❑ I, es owner ot Ihe property, flm EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTOFiS to construct Ihe proleci (Sec. 7044, Business antl Protessions Code: The contre�ors License Lew doys not epply to an owner of property who bulitls or improves thereon, entl who contracts lar such pro�ect with a contrector(s) license pursuam j0 ihe Cont�tors Lirpyis� Lews.). � ❑ I am ew Signeture:� Owner ID 4eri Verificatlan oi DIVISION OF INDUSTRIAL SAFETY PE_$ ❑ I hereby certily Ihat no excavaflo� pertnit, entl that no bullding structure, 341, Title 8, Calitomia Administrative � Business and Pmfessions Gode tor this reason: No Drivefs Ucense No. � �erty lex bill or deed�: Date: Expires: re feet In tlepth into which e person is requiretl to descend, will ba matle In connecllon with work euthoAzetl by ihis felsework, or tlemolitlon or dismantling Nereof, will be more then thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. ❑ As owner-builtler, I will not employ enyone to tlo work which woulU require e permit irom Ne Divislon of Industrlel Salary, es noted above, unless such person hes a permit to do such wark from the division. Signeture: Division of Industrlal Sefery Permit Number: Date: CER7IFlCATE F COMPLI (ICE AND AUTHORIZATION OF ENTHY: I certiy under penelry of perjury thet I have read Ihis epplication end stete that the infartnetion given is correct. I egr to compl Ah ell ate ews and ciry ordinances relating lo building construction, antl authorize representelives of the City ot Costa Mesa to enter upon the aboye-d eC pr or ins �tlo purpose . I agree not to occupy or allow occupancy ot any bullding autliorized by Nis permit unlil tinal inspeIXion. � � Sig ure Of Legel Owner(s) Dete AnNOrAuthodzetlAppllcanl ��//�%�� Dete CODE �. INSPECTIONTYVE 1616 Fixetl System Final Fire PrevenUon 1266 Pool Spe Final 200 Final Re-Roof � 201 Finel 81ocWRetaining Wall 202 Finel Fectory Fire Place 203 Final Sign . 20G Finel Demolition 2146<B � � cooe� wsvecnoNTvae 206 Final Mechanicel 20B Flnel Plumbing 210 Final Elecirlcal 212 Final Fire Prevenoon 220 Final Planning Apprwel 222 Final Site 250 Finel Buildinp/Occupancy � um. E COUNTY BUILDING DEPARTMENT � 636 North Broadway . - SANTA ANA, CALIFORNIA FOR APPLICAN�/[�, TO FILL IN BUILDING 6jU/�� I w I,r..� �� /1 nooaEss �( 1 v P I U�d e_- __m � SCHOOL OIST. n ORTOWN �(/�� Y�t�G! NEAREST caoss sr. ,Q,��, ��.�"�� OWNER �� I %Y • ~r�l�'�'�4� -ti� ��+•�'?-bL` Gl�, a a�xr AD RESS �� Gt !M�``�� N'� fK _R J!��. CITV IRLIA�' ��ww�+l.. ND` U` �� /� AftCMITEGT OR TEL. ENGINEER ADDRE55 AODRESS LEGAL DESCRIPTION LOT NO I BIOCK (ATTACH METES @ BOUNDS� • I L1 �./ n TRACT T 7 /�. SIZE OF �OTICiG X� V V I NOW ON LOT USE OF cW��J'NAA I NO. O�O. E%ISTING BLDG. � � FnwIL ROO! DESCRIPTION Of WORK NEW I�C I ALTERATION I ( AODITION eu��oiNC�� '1 No. oF ` I SIZE � 7'�{� i% ROOMS I bl STORIES WALL AL�- ROOF /a. , � �. COVERING,NAYYffI.O COVERING USE OF NEW � �[p�yv BUILDING � — ��y ' -,a .ne _;. ,_ .>. .� I HEREBV ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATE YHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF � I �� Y�� __ PERMITTEF � i Y AUTHORIZED AGT. / N• �l �� VALUATION " �� R APPLICATION FOR PERMIT Bui��iN� FOR OFFICE USE ONLY FECEIPT NO. PERI 3 0 99 �s BV I DATE OF AP L. I DATE SCHOOL oIST� f/ ��'�_ OR TOWN /�rJ NEAREST �L CRO55 SL � Qt/y�.Cp. � �O Z�� NO. OF TY� I GROU�� I PLANS I I / � SETBACK LINE ROM CENTER OF ST. r REAR YARD SI�E Y?RO � APPROVED � BY OAT CORRECTIONS ' � .LP. � /�'�fr ./�,.�.;�.a� V A-.�_ �....._�� C/�...f... /.r r� ep _ � U . I' � '�' o j �x �� ,�...�-, s/�- ,�..._ D n r / � ��i� d��i�Q� >,�MAT�ERIA�L�� I�� '�� i-PINNING RE STOPS. �N y, y't SJ NG. BOLTS P. Q S X � a� MASONRY I FEE ' O � BOND BEAM FEE �: Q. � CI �' FINAL 1 0 N 1 A m m i -, � � � , ' � t ; e I � , S. � , t ' ' .s ,(