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Home My WebLink About2382 COLLEGE DR - Building Permits(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, WSTA MESA, GA 92626 Job Address: 2382 COLLEGE DR Suite No Vicinity: Parcel Nunmber: 14�48431 Applicant: SHIRLEY, NATHAN Address: 2804 HONLULU AV VERDUGO CI7Y. CA Owner: DIXON, NANCY RUTH Address 2382 COLLEGE DR COSTA MESA, CA Contractor: MASTERSERV INC Address: 2804 HONLULU AV Arch / Eng : Address: VERDUGO CITY. CA PLUMBING PERMIT Phone: (800) 806-7374 Zip: 91046 Phone: Zip: 92626 Phone: (800) 806-7374 Zip: 91046 License: 580017 Phone: Zip: License: Status: ISSUED Applied: 04/23/2001 Issued: 04123/2001 ISSUED BY: c/ f� � SCOPE OF PERMIT WATER REPIPE, REPLACE WATER HAETER, 1 WATER SERVICE. � ISSUE FEE BackFlow irrigation Backflow Preventer �� Bathtub Clarifier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drein, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 ouHets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 50.00 $0.00 50.00 50.00 50.00 50.00 $0.00 50.00 $0.00 30.00 50.00 $0.00 50.00 30.00 $0.00 50.00 $0.00 $0.00 Qrv 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY AMT Laundry Tub I Washer $0.00 Landscape Irrigation $0.00 P-Trap 50.00 , Pressure Regulator $0.00 Process Piping (per 10 R) $0.00 Receptors $0.00 Septic Tank $0.00 SewerCapforDemo $0.00 SewerCannect �$0.00 Sewer Private Line 50.00 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 i 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS I SPECIAL CONDITIONS AMT SumpPump - ' '50.00 Swimming Pool � ' i $0.00 Trap Pr,imer - - ' $0.00 Urinal' � / $0.00 Vacuum Brkr Bkflow(1=4) $0.00 Vacuum Brkr Bkflow(5+) $0.00 Wash Basin 50.00 Wash Basin Set 50.00 Waste and Vent System 50.00 Water Closet (Toilet) 50.00 Water Heater / vent 512.30 Water Piping (Inst or Rep.) $0.00 Water Re-pipe 59.80 Water Service $9.80 Water Softener 50.00 OTHER 50.00 VIOLATION 50.00 PLAN CHECK $0.00 REINSPECTION $0.00 TOTAL CALCULATED FEES: 555.40 QTY 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 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 ortler for the work authorized under ihis permit to be considered legal, such work must comply with all applicab�e codes, and all requlred Inepectione and tinal approval must be obtained. Failure to obtain inspections and tinal epproval will result in tha expiration.of this permit. FOR INSPECTIONS CALL: (714) 754-5626 244Bd8 (Br00) WORKERS'COMPENSAnON DECLARAnON: , I hereby attirtn under penalry of perjury one of the following declarations: ❑ I have antl will maintein a cenitcate of consent to self-Insure for workers' compensation, es provided for by section 3700 oi ihe Lebor Cotle, for ihe pedortnance of ihe work tor which �his permit is issueA. I have end will maintain workers' compensatlon insurenca, es required by section 3700 of the Labor Code, for the petlortnance ot the woB for which this permit is issued. My wo`rk�re�'j co pens�tion Insurance carrier and policy number are: Carner. 3eb�C� t lf��j ('�..w C� P r1 Policy Number. �c e'1U �-(,fijl <%( /��, (This secfion need not be cromple(e0 i! fhe permit is valued at one huntlretl tlollars ($100) or /ess.J �� wark for w h this permit is iesued, I shall not employ eny person in any manner � tha f shoulA becoma sub�ect to the workere' compansation provislons of C� i , -__�-�. _.� �AftORE TO SECURE WOFiI(ERS'COMPENSAT EMGE IS UNIAWFUL M'D SHALL SUBJECTA! Dq1ARE�5100,000),INADDITIONTOTHE TOF MPENSATION,pANAGESPSPROVIDEDFOqIN LICENSED� I here um �hel I am fo end eHecL Llc. q_ of Chapter 9(commencing with Sectlon 700 ision 3 of the B Ctass q ro become subjed to t�e workers' � 3700 of iha Lebor Code, I shall torthwith RIMINAL PENALTIES ANp CIVIL FlNES UP TOONE HUNDRED THE UBOR CO�E, IFIrEREST, FND NTTORNEYS FEES. Catla, and my license Is In tull CONSTRUCTION LENDING AGENCY: V ❑ I �ereby aHirm that ihere is a consiruction lentling agency lor Ihe OeAormance of t�e work for which this permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Signewre: _ OWNER-BUILDER DECLARATIONS: Lender'S Addre55: Date: I here6y aRirm that untler penalry of perjury thet I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW tor the lollowing reason (Sec. 7031.5, Business and Pmfessions Code: Any ciry or counry which requiraz e permit to construc6 alter, improve, tlemolish, or repair any stmcture, prior to its issuance, also requires the applicant tor such pertnit to lile e signed stetement that he or she is Ilcensed pursuam ro the pwvisians of Ihe Comractors Licanse Lew (Chapter 9(commencing with Section 7000) ot Divisian 3 ot the Business end Pmfessions Code) or that he or she is eaempt therefrom and the basis for the alleged exemption. Any violation of Section 7037.5 by any appliwnt for e pertnit sub�ects the appliwN to a civil penalry of not more ihan five hundred Oollars ($500).): ii li ' ❑ I, as owneqofdha properry, or my employees with wages as �heir sole compensation, WILL DO 7HE WORK, antl ihe structure is not intentletl or ottered for sale (Sec. 7044, Business and Professions Code: The Contractors LJcense Ww dces not apply to an owner ot property who builas or improves thereon, and who does such work himself or hers`elf onthrough his or her own employees, pmvided that such improvemenis are not intended or ottered for sale. If, however, ihe building or improvement is sold within one year oi comp�etion ;the owner-Duilder will have the burden of proving that he or she did not build or improve for purpose oi sale.). ❑ I, a5 owner ot the property, am.E%CWSIVELV CONTRAGTING WITH LICENSED CONTRACTORS to consiruct Ihe project (Sea 7044, Business antl Pmfessions Cotle: The coniraciors Licensa Law tloes not apply to an owner of property who builtls or Impmves thareon, end who contracis for such projec[ with a contractor(s) license pursuant to the Conirectors License Laws.). ❑ I em exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by dnve/s license. ❑ Yes ❑ No Dnvers License No. Ezpires: Venfication of Ownership by (rype ot document, i.e. � praperty taz bill or deed): DIVISION OF INDUSTHIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certily Ma� no excaveYon five (5) or more fee� in tlepih into which e person is �equired to descend, wiil be made in connection with work authorized by this permi�, and that no building siructure, scaHolding, falsework, or damolition or dismantling �hereof, will be more ihan Ihirty-six (36) feet high. (Chap. 32, Gry 2, An 2, Sec. 34 i, Title 8, Galifomla Administrative Code). ❑ As ownerbuilder, I will not employ anyone to do work which woultl require e permit Irom ihe Division oi Indus�riel Sefety, as noted e6ove, unless such person �as e permii �o tlo such work Irom the division. SignaWre: Date: Division of InGus�rial Safery Pormi� Number: CERTIFICATE OF COMPLIANCE ANo AUTHORVA710N.OF EMAV: I cenity under penelty of perjury that I have read this application antl state that the information given is correct. I egree to comply with all state laws end city ordinances rela�ing to building constmction, end euthorize rapresentatives ol the City of Costa Mesa to enter upon the ebove-described property lor inspection puryoses. I egree not �o occupy or ellow occupancy of any building amhorized by this permit until linel inspection. COOE 1, INSPECTONTYPE 1876 Fixed System Final Fire Prevention 7266 Poal Spe Final 200 Finel Re-Roaf 201 Finel Block/Retaining Well 202 Finel Factory Fire Place 203 Finel Sign 204 Final Demolition QdjE� �yt� EQQ[� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Finel Flre Preventlon 220 Final Planning ApOroval 222 Final Site 250 Finel Building/Occupancy W�lq � !L'i0�ldFj �� AOG��ant to 1111 In all spacas axeaot ihosa wilnin heavy borEer Iinas ana siqn all avPropriate tleclarations. CIT / OF COSTA MESA CONS RU ION PE �T PE MIT NO. �1 TRACT NO. LOT NO. UNIT NO. A P,� 2one Project Address �f _ �� L/ � S Main Building: Accessory Building: AppliCan�'S Mailing f2R f TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E FrOnt Z ❑ CONVERSION ❑ DEMOLISH ❑ HER T O Ow�••'�Nam,,[q�,/ �,,�� Phone • � S IPTION�O` W�J�I��F B D� � �` A Rear N Adtl�ss r "�✓`� � ` Afch/Eng. LicenseNo. TYPEOFPERMIT GRaoIN�OUND TIOw STaUCTURA� I C R�ght N Addrei5 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECMANICAL' $' �ef� R Contractor's Na one ❑�O7tiER Ping. Ref. � Parking Req./Providad E Address (mailing) PROJECT DESCRIPTION Sq. PT. OCCUVA �' Planning Notes: M CONSTRUCTION TVPE VAIUATION S� T CiryLicenseNo. �%��.'� ZONE GRADINGCU.VDS. ACRES $, LICENSED CONTRACTOR DECLARATION _ I M1ereby aflirm Ihal I am Iicenzetl untler provision5 of Charte� 9(commencing Remarks: wlth sectlon ]000) of Div on 3 of lhe Business antl Pro/e5sions otle, antl my Ilcense is In fw1 force , ELECTRICAL FEES Licens i ss �� i nse No. � / Auromatic Washer Transformer ❑ 15-50 KW Date Signature � PLUMBING FEES WORKE 5'C M SATIONDECIARATI ConStructionPoleSub. ❑SO+KW ;3 9ereby altirm lhat 1 have a certificate of wnsent to selt ure or a certifiwte Ba� Sink Show2r5 - �"-� Workers' Co tion Insurance, or a ertlBetl co tnereof (Section Cooking Unit Meter ❑up to 700 amps ,�`a�op � ��.a-7 BackFlow Preventer Service Sink � ( � Dishwasher Meter ❑over100amps aoiicy r�� Comp _�� BackFlow Irrigation $ewer Cap . Certi ' copy's nereby fumizhetl. � � Dryers ❑Gas ❑Elettric Sub Panel er ' y z $E with tne city Builbli".+/� Bathtubs Sewer Conn2Ction Date � Apolicant � � fan Motors �0.1 HP �1 X- 8 EXEMPT N F0.0M W00.KER5' COMPENSATION DEC RATION ClerifiCfs $olar Cqll¢ctofs iess�s section neetl nol be completetl it the permit is tor one hunaretl (E100) or Dishwasher Solar Pipin9 . f.A.U. Inc. Solar �9�15 HP � 16-15+ I certify lhal in lhe Oertormdnce oi tha work fOr whiGh thii pGrT4 is issuetl, I FixtUr¢5 shall not employ any person (n any manner so as to become subject to the Dfinking FOuntBins Solar Tank Microwave Worker5' Comp¢n5dtlon Ldws of CalitoTia. D¢ViL¢ BOx25 oate 5iqnature Floor Drains Swimming Pool w/Spa Pole Light � NOTICE: II, alter maktn9 tnis tleclara[ion, you zhoultl become sub7ect to the Outlets Ran e Worker5' COmpenShciOn pfovisions ot th¢ Ldbor Cotle, you mu5t IOrthwith FIOOf $if1k5 Ufifldl 9 comply with such provisions or this perml[ snall be tleematl revokea. CONSTRVCTION LENDING AGENCV GasSefvic.e Outlets WaterCloSEt SWitChes Sign I hereby alBrm tM1at tbere Is a con5truction lentling agency (or the performance ot tno work tor wnlch this permit is issuetl (5ection 3097 Clv. C.� Interceptors Water Heater Garbage Disposal Standing Sectians Lentler's Nama Lentler's Adtlress Kitchen Sink Wa[er Service Generator �0.5 KW �5-15 KW Trash Compattor OWNER BUILDER DECLARATION I hereby aHlrm Ihat I am oxempt trom the Contractor's Litense Law lor t�e LavatOriCs AutO�Weih tollowing reason (Socllon 7031.5 Business antl Protessional Cotle: Any city or county whiGh roqulres d Oetmit t0 cOnstruct, alteq ImprOvO, UemollSh o� repair P—T�Bp LeuOdry Tf0y3 any sVucture, prbr to ilz IsSuance, also reqWres tha applicant for suc� parmit - to file a signetl itatement that �e/she is Iicensetl Oursuant la the ProviSions of RoOf Dtains .�he Contractor'S License Law (GM1apler 9(cammencing wlth 5octlon ]000) ot �ision 3 01 thu Business antl Protessions Cotle) or tnal he/she is exompt painspection Fee $15 laue Fee § 3 •atrom antl tbe basii for tha alle9etl exempUon. AnY ��olatlan o1 Sectlon 11.5 by any appliGant for d Pe�mit Su�jects t�! appllcant to a civil enalty ol not mo�e lhan live huntl�etl tlollars (E500). OEVELOPMENT SERVICES REUUIREMENTS: � I, as ownar of Ihe pro0arty or my employeez witn wa9oz as their sole Reinspeetion Fae $15 Issue Fee $ 3 �' ' compeniatlon, will Co tne work, antl lhe structure is not IntonCetl or otferetl Zoning ADProved By Date (or sale (Sactlon 7044, Business ana vrofessional Cotlo: The Contractor's ' MECHANICAL FEES � Buildin8 APP�oved By License Ldw tloes not apO�Y to an owner of a property who builtls or improves Date lhereOn, antl who GOes such wo�k him5etl/hBrSClt o� thrOugh Itis or ho� own HOOd O� TypC I ❑ - %,PP��tiOO ISSUBd By— , Det employm5, prOvlOeU that suCh improvuments ara not intentlotl or otfa�etl for BOiI¢� , sam. If, however, tne bulltling or Improvement is soltl within ona year oi <om- CanOpy Type I I ❑ SUMMARV OF FEES pletlon, lbo Owne� will hav¢ Ihe burden Of Provin9 h0/5M1¢ tlltl nOt buIIG o� Im- DuCt - Und¢f GfOUnA � prove tor the purooso ot zaie). iBUILDING PERMIT $_%`l, �• oi1 SMIP $�, "� ❑ I, as owner ot tne property, am exclusively contratting wltn Iiconsetl ton- Duct -Structural RefrigeratiOn System , pLAN CHECK $ PEFMIT Iractor5 t0 consl�uct th¢ project ($eclion 7044. Business antl Profe55lan5 COtle: The Contractor's Liconse Law does not applY to an ownar of property who Duct- Ventilating ❑0-100,OOOBTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builtls or Improves lnereon. ana wno contrac[s tor su<h orolects wlth a con- tractor(sl hcenso purivan[ to [ne Convacrors Licenso Law). I am aware [hat Exhaust System ❑ MWtiple ❑ System Repair/Alteratian ?L11N CHECK 25% $ ENERGV P.C. $ ptoof oi tnelr Worker's Compensation inzuranca shoultl be provitloa to me, . "ELECTRICAL $ GRADING $ ❑ I am oxempt unaer Section e. & P. C. ror this reason FirepVFact. BIL ICBO dk Fire Dampers - MICROFILM $ •PLAN CHECK 50% $ Date Owner Heatin9 System & Ductin9 Registers - 1 nereby cerNry tnat 1 nave reatl tnis apo��ailon antl state thal tne above ❑4100,OOOBTU�100,000B MECHANICAL $ TOTALFEE $ � •S� IntormatiOn Is c0/�ect. I ag� o Comply with dll clty ana countY orAlnances PLAN CHECK �$96 $ antl state laws relatin9 �o ui construction, antl h¢reby authoriz¢ re0re- 5enldtWeS ot [hiz b t f the abov¢-TentiOnetl pqOP�ty iOr inspection purposes. V . Signature Oate� - Rei�saeceo� Fee St5 �swe Fee $ 3 �� Dl Q0014(i7d—�0014077 TUT 72.SU Drivers' License or SS � 0865-46, rev. 5/88 White - Building; ountin9; Goltlenrotl - Assessor DRTE� �9��i/.9iFi jjiiC: LrJ%53 , . '. "CONSTRUGTION AND PLANNING � PO! SPA APPRO�ALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector .- 1. Temporary Electrical Service or Pole'�� _� 52. Pool & Equipment Location y-2. Soil Pipe-Undrgr�A. •"' ' 53. Steel Reinforcement 3.�;Electrical Conduit Utility�Undrgrnd'.• 54. Forms 4.,Electrical Conduit�U� drcgrnd. � 55. Electrical Bonding . 5.,Steel Reinforcement '. 56. Rough Plumbing & Pressure Test ,�' : 6. El�cvical UFER,Grnd.� � 57. APPROVAL TO COVER�GUNITE �� ' e . i�7.'Footings � � 58. ElectricalConduit-Undrgrnd. � � 1� '•8. Foundation �'' I. � % 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrg'rnd. + 60. Backwash Lines, P-Trap, O Undrgrnd. ' 10.'S,tructural Floor System �._ � 61. APPROVAL TO DECK '� 11 ' Property Sewer Line & House Connection : 62. Backwash & ReceptorFinal 12. Sewer Cap �-, ' . 63. Heater & Vent-Final • r 13. Roof �Drains � - 64. Plumbing System - Final � •� 14. Rough Plumbing � " 65. Electrical-Final 15. Rough Electriral-Conduit 66. Solar SYstem-Final .16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough,Wiring Sign 68. APPROVED FOR PLASTERING ,18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 79. Rough H�ating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Duc[s; in•Structure 70. Underground Hydro 22. Ducts, V�ntilating 71 . Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing � � 73. Undergrnd.StorageTank �Gas ❑Oil 25. Roof Sheathing I 74. Overhead Hydro 26. T-Bar Ce�ling (Sfiuctural) & Monocoat 75. Dry Chemical 27. Frame'and Flashing 76. Dry Standpipe 28. Lathing &:Siding 77. FIXED SYSTEM FINAL 29. Insulation 78, FIRE PREV. FINAL i 30. Drywall Nailing - f, HEALTH DEPT. REQUIREMENT 31. PlastelBrown Coat ; ' 79. FINAL INSPECTION 32. Electrical Power Metei-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric % Notes: � 3 Q� � 34. Final Heating & Air Conditioning I� Z(� l Q 35. Final Gas Pipe-Test Q� 36. Hood or Canopy 37. Final Factory Fireplace � 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41 . Solar pomesticFinal 42. Backflow Preventer • 43. Backflow Irrigation 44. Landscape Irriga[ion Sys[em 45. Sound Attenuation 46. Handicap Regulations • ' 47. FINAL STRUCTURE & BUILDING �� 48. Special Requirements Completed 49. Electric Release m Edison . 50. Gas Release to Southern Catifornia Gas Co • , � 51. CERTIFICATE OF OCCUPANCY ' No. Date � OW NER Costa Mesa Estates DATE 4-12-56 JOBADDRESS 2382 College �T'1V8 BUILDINGPERMITNO. Z6IS GENERALCONTRACTOR �ven—Spiegel Co VALUE $ 1�-�LOO.00 LOT 9> BLOCK TRACT 275� Sin�le Res W�8t,t �dT' GROUP I& J TVPE V ZONE �= FIRE DISTRICT 2717 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER Footing Trench Foundation Forms and Grade to Rough Framing Plumbing, Rough to Slab Plumbing, Rough Complete Temporary Pole Wiring, Rough Heating, Rough Heating, Final - Sewer, House (P � Sewer, : Septic Tank or Cesspool Lathing,ln OutX Plumbing, Final, Fixtures Con Plumbing, Final GasTest/,s- Wiring, Final Occupancy FORM 210 3M 10�•vS .� �Costa Mesa Building Department �F•�. �" 117 EAST 20th STREET . COSTA MESA� CALIFORNIA FOR APPLICANT TO FILI. IN Addre,sa �^ �� /' � Jit7�✓ Costa Mesa, C� ' ornia Owner `- �' S i H� �' %�'�j�q-� �=57 Mail �,� Address S�S� �v�-+ -.� Z"° ' / —�� Tel: C.Ity '�"5 � HG-£G�S d-� N0� ArohiteCto LiC. Enaineer-�io1�GF �/✓G-� No. Add ress ��1/K' ia Address � �� - ��`��' Legal Lot Description No. � Block �(Attach Metesand Bounds) �' t ry N o. Size of Lot �J� � ��(� No� Use of I No. Existing Bldg. Fan Setback Linefrom / Re CenterofStreef �SC� "� Si New Rooma O APPLICATION FOR PERMIT � BUILDtNG ' FOR OFFICE USE ONLY Receipt No. Permit N ��9.( � I �-�� -s� I � Costa Mesa, California Plans I // COR�ECB'IONS Repair ( ��Moving � � Demolish � . Building�jx <<� No.of Size Rooms � Stories � Exterior Wall Roof /- ' — coveriny S�Ue�.� I covering �i/✓G� APPROVAI,S Use of New � �// � i� ,p� Foundation Location Ins ector Buildin4 / �'7�fl�,/CGC-�� ..-f,�/CY.�.'�/� P � , Forms, Materials, � G(� `j� ,��— Under-Pinning i'' Frame: Fire Stops, Brecing, Bolts - I hereby acknowledge that I have read this Application and state thak the above is correM and agree to comply Lath. Int with all City Ordinances and State Laws regulating building constxuction. Lath. Ext. Signatureof ' Permittee �� /9 ��'�T��i Plaster, Int. Valuation Fermit Fee $ �,2..�'� $/� � e1�� Plan Check $ l r Total �� Fee Date O T � 2 D r PLO� PLAN Show Iocation and dlstances from property line and hetween buildings cosrr /� ��Z i �'��PD 3il.y i: :' :'' (�Z.n�J NE54