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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 y� Z . aU Z Q ON am J7 J � Q W tt1 J m J Q UN Za w� aw WZ J p m Z J � W w � ZH W � N � � 0 r .3 � %99 aaio 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� h E"' Z (U. B. C. RECIIIREMENT) {yj YAPDSAPPROVHD � ACCESSORY BUIL�IN6 � � �. d �y q Ff. � V •, � :J �. � a 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