HomeMy WebLinkAbout3153 COLLEGE AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.Cl.COsta-mesa.Ca.us 77 FAIF DRIVE, GO57A MhSA, cA azeLe
Job Address: 3153 COLLEGE AV
Suite No
Vicinity:
Parcel Nunmber: 418�4603
Applicant:
Address:
Owner:
LORIGLOVER
DUNLAP, TIMOTHY L
Address 3153 COLLEGE AVE
COSTA MESA, CA
PLUMBING PERMIT
Phone: 714-524-7304
Zip:
Phone:
Zip: 92626
Contractor: COAST ROOTER PLUMING HEATING & AIR CONDITIONING
Address: 2737 S CRODDY
Arch / Eng :
Address:
SANTA ANA, CA
WATER HEATER CHANGE-OUT
ISSUE FEE
Backflow irrigation
Backflow Preventer
Balhtub
Clarifier System
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Ezpansion Tank
Gas Earthquake Valve
Gas (1-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oiq
Interceptors (Sand Auto )
AMT
523.50
$0.00
$0.00
$0.00
so.00
50.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
50.00
$0.00
50.00
$0.00
$0.00
$0.00
50.00
S0.00
QTY
Phone: (714)247-1474
Zip: 92704
License: 529727
Phone:
2ip:
License:
SCOPE OF PERMIT
FEE SUMMARY
AMT
Laundry Tub / Washer $0.00
Landscape Irrigation $0.00
P-Trap $0.00
Pressure Regulator $0.00
Process Piping (per 10 R) $0.00
Receptors $0.00
Septic Tank $0.00
SewerCapforDemo $0.00
Sewer Connect $0.00
Sewer Private Line $0.00
Shower $0.00
Sink, bar $0.00
Sink, wmmercial $0.00
Sink, Floor $0.00
Sink, kitchen $0.00
Sink, service/mop $0.00
Spa (private) $0.00
Spa (public) $0.00
�TY
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: 09/11/2000
Issued: 09/17/2000
ISSUED BY:
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brki Bkflow(1-0)
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 Sokener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
so.00
$0.00
512.30
$0.00
$0.00
50.00
so.00
$0.00
$0.00
50.00
$0.00
TOTAL CALCULATED FEES: 535.80 -
aTY
0
0
0
0
0
0
0
0
0
0
i
0
0
0
0
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, 12Q7-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspentled or abandoned
for a period of 180 days. �
INSPECTIONS: In order for lhe work au�horized under Ihis permi� to be considered legal, such work mus� comply with all applicable codes, and all
required Inapactlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration oi this permit.
FOR INSPECTIONS CALL: (774) 7545626
2Ai64fi (N00)
WORKERS' COMPENSA710N DECLARA710N: '
I hereby ettirm untler penalty of perjury one ot Ihe following daclarations:
❑ I heve end will malntain a certificate of consent to selt-Insure tor workers' compensation, as provided for by section 3700 ot the Lebor Code, tor ihe pertormence of the
wark for which Ihis permit is issuetl.
.
I have end will maintain workers' compenutlon insurance, as requiretl by section 3700 of the Labor Code, tor the pedortnance of Ihe work lor which ihis pertnit is Issuetl.
My worke� c^omqen tlon surance rrier antl poliry number are: r` p
Cerriec �[�, ��� Q�� PotiCy Number: ��U 8d �g
(This section n�ed na! be cromple(etl r/ the permit is luetl et one hundred dollars ($100) or less. J � " ��—
❑ I cenify ihat in the pertormance oi the work tor whlch this pertnit is issued, I shall not employ eny Derson in eny manner so as to become subject to the workers'
compensation lews of Celitomie, antl egree Net il I should become sub�ect to the workers' compensation provisions ot Section 3700 of the Labor Code, I shall forthwith
comply with these prav�isi°
Applicent Signature:�� ��-// / Dete: ��r / �
WARNINO: FAILURE T03EGURE WOP1(ERS' NSAT1dJ COVERAGE IS UNUWFUL M1D SHALL SUBIECT AN EMPLOVER TO CRIMINA� PENALTIES AND CIVIL FlNES UP TOONE HUNDRED
TTIOUSAND DOLtARE (5100,000�. IN ADDRION TO THE COST OF COMPENSATION, DAA4IGES AS PROVIDED FOR IN SECTION 310fi OF THE LABOR CODE, IMEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby ettirm that I em licansetl untler rovisions of Chapter 9(commencing wlth Section 7000) of Dlvision 3 0l Ihe Business�qd�rgfesslons Code, and my license is In tull
torce and eHect. Lic. M Cless k �� �
Contractofs5lgnawre: �� Date: �i�//iob
/ � —�—�
CONSTRUCTION LENDING AGENCV:
❑ I hereby attirtn that there is a cnnsiruction lending egency tor t�e pertormance of ihe work lor which �his Dermit is issued. (Sec. 3097, Civil Coae).
Lendefs Name: Lender's Atltlress:
Signature: Date:
OWNER-BUILOER DECLARATIONS:
I hereby aflirtn thei under penalry oi Derjury ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business enG Professions
Code: Any ciry or counry which requires a permit b wnsWci, alter, Impmve, demolish, or repair any sWcture, prior to its issuance, also requires the epplicant for such pertnit
to file a siqned stetement ihat he or she Is Ilcensed pursuant to the provisions oi ihe Contrecmrs Licanse Lew (Chapter 9(commencing with Section 7000J of Division 3 of the
Business antl Professions Code) or ihat he or she is exempt therefrom and Ihe basis tor the alleged e:emption. Any violation of Section 7037.5 by any eppllcant for e pertnit
subiects the applicant to a civil penalry of not more than live huntlred dollars ($500).):
❑ I, as owner of ihe properry, or my employees with wages as Iheir sole compensation, WILL DO 7HE WORK, and the structure is noI intended or oHeretl for sale (Sac.
7044, Business and Prolessions Coda: The Contractors License Law dces not apply to en owner ot property who builds or improves thereon, and who tloes such work
himselt or herself or ihrough his or her own employees, provided ihat such improvements are not intended or oHeretl for sale. If, howevar, the builtling or improvemeni is
sold within one year of completion, Ihe owneo-builder will heve the burden of proving that he or she did not build or improve tor purpou ot sale.).
❑ I, as owner oi ihe propetly, em EXCLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS ro construct the project (Sec. 7044, Busineu antl Profession5
Code: The contractors License Law does not epply to an owner ol property who builtls or improves Ihereon, antl who wntrac�s tor such project wit� a contractor(s)
license pursuant to ihe Contractors License Laws.).
❑ I em exempt under sec. Business and Pmfessions Code tor this reason:
Signature: Da�e:
Owner ID verifietl by tlnvers license. ❑ Ves ❑ No Driver's License No.
Veriticatlon of Ownership by (type ot dwument, i.e. - pmperry ten bill or tleed):
DIVISION OF INDUSTAIAL SAFETY PEflMR CER7IFICA710N:
Ezpires:
❑ I hereby certity �hat no azcavation five (5) or more feet in depih into which e person is required to descenq will be metle in connection with work authorized by this
permit, antl thal no building sWdure, scaflolding, falsework, or demolition or tlismantling ihereof, will be more then �hirry-sia (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
347, Tltle 8, Callfomia Adminisirative Code).
❑ As owner-builder, I will not employ anyone to do work which would require e permit fwm the Division ot Intluslrial Sefety, es notetl ebove, unless such person hes e
permit to tlo such work irom the division.
SigneWre: Date:
Division of Industnal Sefary Permit Num6er:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF EMfiV: I certify under penalty ot perjury that I have read this application and state Ihat the information given Is
correct. I agree to comply with ell siete laws entl ciry ortlinances releting to huilding consWctlon, end authodze representatives of the Ciry oi Cwta Mesa to enter upon ihe
ebove-described propetly tor inspection Durposes. I agree not to occupy or ellow occupency of any building euthorized by this permit uNil finel inspection.
�-�i e Ot legal Owner(s) Date
�� �7-/%�
Antl/Or Authonzed Applicant Date
CODE �. INSPECTIONTYPE
1616 FixeC System Finel Fire Prevention
1266 Pool Spe Finel
200 Final Re-Foof
201 Finel Block/Reteining Well
202 Final Factory Fire Pleca
203 Finel Sign
204 Final Demolition
PA1E Iti�4S
COOE� INSPECTIONTYPE
208 Flnel Mechanlcal
20B Finel Plumbing
210 Finel Elecirical
272 Finel Fire Prevention
220 Final Planning Approval
222 Finel Slte
250 Final Builtling/Occupency
PAg 1t�L$
DATE
:JOB ADDRESS 3153 CoL1eRe Avenue BUILDING PERMIT N0. 31799
GENERAL CONTRACTOR p�.ner-Builder DESCRIPTION of WORK Patio Cover
AP No. 930_5�to-�tt L0T �t TRACT 4954 FIRE ZONE VALUE g 4au nn
GAS
W ATER
ROUGH PLUMBING
PROP. SWfi. LINE � HOUSE CON. �
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGH HEATING ANO AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNOERGROUN� � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL RE
FLOOR SYSTEM
BON� BEAM ❑ STEEL REINFORCE [
SHEATHING
FftAME AN� FLASHING
LATHING - IN n OUT [-]
PLASTER, BROWN COAT
STRUCTURAL, FINAL
HEATING. VENT.. REFRIG. ANO A.L. FII
SUBCONTRACTOR
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COSTAMESABUILDING-SAFETYDEPARTMENT MAY-6-7G�t,15�O0 i93 c,,**¢**S.�O
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
Por Applicant to Fill in Completely
-/ RECEIVEDBV DATERECEIVED D TE/ISSUED
BVILDING ��s3 Co/e ��v� �_�� D ��1{7 — O
ADDRESS ._/
� Z.S ^•�0�� 1 IN , PERM,fJ O
OWNER A.P. NO. — / / n �
AODRES53�s3 �'o//Q �.'Jv�' ADDRIESS 3/� � �C `^�"
/� TEL. — TRACT LOT � BLOCK
CITV S GZ ,C+S(•G� NO. o'(/
CONSTRUC710N � /O �— W
LENDER /Y
BRANCH � � ��/ •
OWNER /yKy� �
ADDRESS VALUE
ARCHITECT TEL. S � $
OR ENGINEER N
FIRE
ADDRESS ZONE�� TVPE GROUP
— ^ APPROVED
CONTRACTOR BV DATE
ADDRE55
TEL. ZO NO.OF USE OF NE
— PLANS v BUILDING
CITV NO.
STATE CITV VA:�DSAPPROVED VARDSAPPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
SI2E NO.OF BLDGS. (FROM C/L STREET
OF LOT NOW ON LOT qpM F. FT.
USE OF
EXISfING BLDG. FT. FT.
SIZE OF NO. OF
NEW BLDG. ROOMS STORIES L. SIDE FT. FT.
EMERIOR WALL ROOF �I'
COVERING COVERING REAR FT. � FT. �
USE OF BUILDING AND WORK TO BE PEIiFORMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLOGS.
l= �D � Ov � r C UpP, qW APPROVED
APPROVED �
I hereby acknowledpe that I hava reetl this application entl stata
ffiet ihe above informefion is corract end apree m wmply wiN
nll lews regulating b�ilding constructlon, entl 1 shall not employ
nny person In violation of ihe workmen's compansation lews of
Ne S[ate of Celifarnie. �
I �ereby cerUty t�at I am pro0arly licensetl as a conttac[or untler 50. FT. o
the State of Callfornlo Businesa entl Ptofeisions Cotle, DIvlslon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR j
Chapter 9, end Ihet Suth licensas oro in tull torce antl effect, or I THE PURPOSE OF ESiABLISHING A PERMIT FEE ONLV: m
Bm 0xemp[ from tho provl510n5 Of the Sleto of Calitornia Business �
ond Professlons Cotle, Division 3, Chepter 9. VALUATION �
oPERMIT FEE S O �
Sieneturaot ���j� �f�� r/__/ .rGN . l �/• (�� '
^ m
Parmittee l� / L�� T�'K'� 5��—I- o PLAN CMECK S �� E
/ `o
LL
Authorizetl Apent TOTAI FEE $�. D
,, - , - . G271 v
COSTA MESA BUILDINGSAFEfY DEPARTMENT
P. O. BOX 917 COgTp ME9A� CALIFORNIA
For Applicant to iill In Completaly
TYPE OR PRINT
ADDRE55 3 ,5 3 (A,_,_Eq e�v�
COSTA MESA, CALIFORNIA
■ MAIL
� Levabas No �
Via Oporto. N�t Bch
ADDRESS BOX 2066
��n. Santa 11T18
STATE �[
LIG. NO. 20(X1 6
5'zE 20 x 8
OF LOT
USE OF
� wanvvenn z2
DESCRIPTION OF WORK
OP
uan ut eu i�u�nG wno WOfiK TO BE P6RFORM6D
Co s ruction of n�� occ anc�
with ��J'� construction gsrages
�I HER88Y �CKNOWL8O08 TNAT � HA;B^8AD TNIB APPLICATION
•NO 9T�T¢ TXAT TNH �60VH �g COHHECT �ND AOPlB TO COM-
PLY WITM ALL CITY OPOIN�NCqg AND 8TAT8 LAWB q80YNTINO
Bl11LDIN0 CON8THt1CTION.
SIGNATUREOP �\A I I
■ AUTHORIZfiD
LHO�L
FEF� f�ECEIVED
P1af�NAt�AD�T.3 1964
na�i��.%�r����P@�
BUILDING
For Office Usa Only
ZONING n �
NO. OP II9H OP N6
I�l-�- Ol(-'�
EAVE OVERHAN6 BHALL BE LHSB THAN
YARDSAPPROVED
MAIN BUILDING
BET
VAR. S�
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Z
(U. B. C. RECIIIREMENT) {yj
YAPDSAPPROVHD �
ACCESSORY BUIL�IN6
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BET. MAIN Q �
ACCE59. BLDOH. �
DATE I I� / V��� O
APPROVHD Q
DATH � I � � / �
. _
�.� %08a. �. �/ 3 9
TH8 AMOUNT 9MOWN YNOBR VALUAT�ON IB POR TNe
PURP08H OP 88T/�BLIBNINO • PeRMIT F88 ONLY.
.UATION I _ L�L��-
$ /3,G