The URL can be used to link to this page

Home My WebLink About3012 CLEVELAND AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIF DRIVE, COSTA MESA, CA 92626 Job Address: 3012 CLEVELAND AV S�,nlr No Vicinity: Parcel N�.;nmber. 14114138 Fp�:licant: HALAJIAN, VAL ,",ddress: Owner: YERKEY, HELEN R TR Ay'dress 856 FREMONT P,L � Hr DdET, CA Con,ractor ALAP ASSOCIATES GP Address: 7338 ETHEL � � Arcl; / Eng : 1ddress: ISSUE FE[ BackFlow irrigation BackFlow Preventer. Bathtub Clarifier System Connect Qce,Soda,etc) Dental Uni's Dishwasher Drein, Floor Drein, Rainr.ate: Drain, Roor Drinking FouNain Expansion Tonk Gas EarthGua�ke V�Ive „ NORTH HOLLYWOOD, CA PLUMBING PERMIT Phone: Zip: Phone: Zip: 92543-7107 Phone: 800-444-8865 Zip: 91605 License: 771905 Phone: ZIp: License: SCOPE OF PERMIT CtiANGE OUT WATER HEATER AMT 523.50 50.00 50.00 50.00 50.00 50.00 50.00 5D.00 SJ.00 50.00 50.00 50.00 `.�0.00 50.00 Qn 0 0 0 0 0 0 0 0 0 0 0 0 0 " FEE SUMMARY AMT Laundry Tub / Washei $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Seplic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 on 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Status: ISSUED Applied: 02/19/2003 Issued: 02/19/2003 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 (Toilet) Water Heater / vent Waler Piping (Insl or Rep.) Water Re-pipe Water Service AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related I regulations. (Ord. No. 92-28, § 1, 1241-92) IEXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for the work authorized under ihis pe�mit to be considered legal, such work must comply with all applicable codes, and all I � requlred inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446.46(8�00� . WORKERS'COMPENSATON DECLARAnON: I hereby eNirtn under penalty of perjury one ot the tollowing declaretions: � ❑ I have and wlll maintain e cenificate of consent to self-Insure for workers' wmpensation, es D�o�ded for by section 3700 of the Lebor Cotle, tor ihe paAortnence of ihe work tor w�ich Ihis pertnit is issued. � � .� I have and wlll maintein workers' compensation Insurance, as required by section 3700 of ihe Lebor Code, for the performance of the work tor which this pertnit is issued. - My work rs' wm ensatlon Insuf�� e wrrier entl policy number are: � Carner. �� `�� PmicyNumoer:WC2-i7crl3%SL// (This sectlon need nof be complered i/ the permit is velued et one hundred dollers ($100) or less.)„ , , . ❑ I certity that In the pertormence of the work for which this Dermit is issued, 1 shell not employ eny person in eny manner so as to become subject to the workers' compensation lews of Califomia, entl agrea ihat it I shoultl become sub�ect to the workers' compensation provisions ot Section 3700 of Ihe Labor Code, I shall forthwith comply with these proh}s'�ns. �, � // p 2 ApplicentSignature: �/� �Il`jl✓`ctf—.— Date: Z—!/�oJ WARNING FAIWRE TO SECURE WORKERS' CO'dPENSATION COVERAGE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED THOUSAND DOLLAFE (5100,000),IN ADDfT1IXJ TO iHE COST OF COMPENSATION, OAMAGES AS PROVIDED FOR IN SECiION 31W OF THE IABOR CODE, INTEPEST, FND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm that I am licensed under provisions oi C�apier 9(wmmencinq with Section 7000) ot Division 3 of the Business antl Professions Coda, and my license is in full force entl eflect. Lia a I O Class x �—?� ConiractorsSignaWre: � n1� /�c �i�--� Date: Z-1 r( �� Z CONSTRUCTION LENDING AGENCY: ❑ I hereby attirm that ihere is a consiruction lentling agency for the pertormance oi the work tor which this permit is issuetl. (Sec. 3097, Civil Cotle). Lentler's Name: Lenders Address: Signature: Date: I OWNER-BUILDER DEClARA710N5: I hereby attirm Ihat under penalry ot perjury that 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professlons Cotle: Any ciry or county which requires e permit to consiruct, alter, improve, demolish, or repair eny structure, prior to its issuance, also requires the applicant for such permit to file a signed statement ihat he or she Is Iicensetl pursuant to the provisions ot the Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business end Professions Code) or that he or she is exempt iheretrom antl the 6asis for the ellegetl exemption. Any violetion o� Section 7031.5 by eny epplicant for a permlt subjecis Ihe applicant to a civil penalry of not more than tive hundred tlollars ($500).): ❑ I, as owner oi the property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, end Ihe structure is noI Intended or oHeretl lor sele (Sec. 7044, Business and Professions Code: The Contractore License Law does not apply to an owner of property who builds or improves ihereon, end who tloes such work himself or herselt or through his or her own employees, providetl that such impmvemenis are not intended or oHeretl for sale. If, however, Ihe building or improvement is sold within one year ot comD�etion, ihe owner-builder will have the burden of proving that he or she did not builtl or improve for purpose oi sale.). ' ❑ I, as owner of t�e propertY, em E%CLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to construct tha prolect (Sec. 7044, Busine5s and Professlon5 Code: The coniractors License law tloes not apply to an owner of proparty w�o builds or improves iheraon, and who contracts tor such project with e contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. eusiness and Professions Code for this reason: Signature: Date: Owner ID verified by dnvers license. ❑ Ves ❑ No Drivefs License No. Eapires: Verification of Ownership by (type oi tlwument, i.e. - properry tex bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTFICA710N: ❑ I hereby cenity Ihat no excavation tive (5) or more feet in tlepth into which a person Is requiretl to descend, will be mede In connection with work authodzed by �his permit, and ihat no builtling siructure, scattolding, falsework, or demolition or dismantling thereot, will be more t�an ihirty-six (36) teet high. (Chap. 32, Grp 2, Ah 2, Sec. 341, Title 8, Celifomia Administretive Code). . ❑ As owner-builder, I will not employ anyone to do work which would requira a pertnit from the Division of Intlusinal Safety, es noted ebove, unless such person hes e pertnit ta do such work from ihe division. Signature: Date: Division of Industnal Safety Permit Number: CERTIFlCATE OF COMP4ANCE AND AUTHORIZA710N OF ENTRY: I certify under penalty of perjury Iha� I have read Ihis application end state that �he infortnation given is wrrect. I agree fo comply with ell s�ate laws and ciry ortlinances relating to building construction, and authonze representatives ot �he Ciry ot Costa Mesa to emer upon the ebove-tlescribed properry for inspection purposes. I egree not to occupy or allow occupency oi any building au�honzed by this pertnit until tinal ins0ection. Signature Oi Legal Owner(s) �� i� 2�ir�.. � � Antl/Or uthonzed Applicant COUE l INSPECT10NiYPE � 1616 Fixetl System Final Fire Prevention 1266 Pool Spe Final - 200 Final Re-Roof 201 Finel BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition Q� INTRIALS Date Z-( �t-�3 Date COUE� INSPECTIONTYPE 206 Finel Mechanical 208 Finel Plumbing , 210 Final Electncal 212 . Final Fire Preventlon 220� Final Planning Approval 222 Final Site 250 �Final BuildinyOccupancy 1j�j� INTIiIALg - L-o3 f3n� PflOJECTAODPESS: 3011 CLEVELAND AV OWNEN'SNPME: KRISTINA K,OLD�:N AOOflESS: 3Oli CLEVELAN�ll'iaV' � C.M. CA . AFCHI NGMEEF: pOUHESS: ^ uNir: V� � 9262� flEG.NO.: UNIT: ` PENMITTEE: NOCK PLUMHING ( 714 ) 895-1246 nooeess: 1 1610 S EAH OARD C I R STANTON CA 90680 IICENSE� CONTFNCTOB OECIABATION: I �ereby affirm Ihai I am Iicen5e0 untler pmvisions o� C�apler 9 �commencing with Section 7000) ol OiNsion 3 of ��e Business antl Prolessions Coae, an0 my license is in �ullforce antl eHeci. cirv uc-. 0� 0�� 51 19 7 c�ass: C 3 6,_� a� Z Signatme: t - — WOflNEFS' OMPENSpTI N OECLABATION: I �ereby altirm tnai I have a certifica�e ol consent to sel4insure e i¢ate o� Workers Compensa�ion Insuranre. or a cerUheO copy ihereoi (Section 3800. Lab. C�. roucrNo.: 1167992-93 EXP.URTE: O3/Oi%S�i comvaxr: STAT E � � Cerlihetl cop is hereh� lumishetl. � Certilied coOY i wilh Ihe city w in ivision. , �al y� z Applicanl: � PTIONFBOMWONKEflS'COMPENSpTIONDECIABATION: (Thisseclionnee0nalbecompletetlil�heperm� onehunOre0�S100�arle5s�. I cetli�y Ihat in I�e petlormance of Ihe work lor which �his pB�mit is issuetl, I shall not employ any Oe�son in any manner so as to become sublecl Io Ihe Workers' Compensa�ion Laws oi Calitomia. ��i Da�e'. Signa�ure: NOTICE:If. afler making tnis deUaration, you s�oWd become su�lect m the Workers' Compensa�ion O�ovisions o�the Lahor Cotle, you mus� (otlhwi�h compty wi�h suc� pmvision5 or �his permii shall be Oeemed revoketl. CONSTBUCTION LENOING PGENCY: I hereDy al�irm thai �here is a conslmciion lentling agency fo� �he periormance ol �he work for which �his permii is i=_SueA (Sec�ion 3097. Civ. C�. LEN�Efl: A�UXESS: OWNEB BWLOEB DECNHATION: I hereby affirm Ihai I am exempt from the Comracmrs' State License Law for Ihe followinA reason �Section 7031.5 Business antl Pmtessional Cotle: Nny ci�y of county which reQuires a permi� lo cons�mc6 al�er, improve, tlemolish, or repair any stmcture, prim lo i�s issuance. also requires �he applicanl for such permit to �ile a signed statement tha� he/she is licen5etl pursuant m ��e pmvisions o� lhe ConVacbrs' S�a�e License law (Chapter 9(commencing wi�h Sec�ion 7000) o� Oivision 3 oi the Business ana Pmiessions Code) or Ihal he/she is exemp� �here�mm and �he basis for Ihe allegetl exemption. Any viola�ion of Section 7031.5 by any apDlicani tor a Oermil 5ublec�5 �he applicani to a civil penalty ot nol more �han �ive hunaretl aollars (3500�. I, as owner of Ihe Dmpeny or my employees witn wages as Iheir sole compensalion. will do ihe work, antl ihe ❑ SlmcWre is no� inienaed or of�ered lor sale (Section 7W4. Business ana Pmlessional Code: The Coniractors' S�a�e License Law tloes not apply lo an owner ol a pmDeriy who builAs or improves lhereon, ana who tloes such work himsel(/hersel� or throug� his or her own employees. pmvidetl tha� such imp�ovemenls are not intentleA or afferetl for sale. I�, however the building or impmvement is saltl within one year oi completion, [he owner will have I�e 6urUen oi Dmving �e/she ditl not builtl or imOrove lor �he purpose o� sale). I. as owner ol ihe Omperiy, am exUusively conlrac�ing with licensetl contracmrs �o constmct the pmlect (Seclion 704a, Business ❑ and Pmlessions Code: TAe Coniractors' Slate License Law does not aDPy m an owner of pmpeny who huiltls or improves ihereon antl who comrac�s for such pmlecis witll a con[raC�a�s) license Dursuant ta the Contractors' State License Law). 1 am aware Ihal D�ool of their WorkeYs Compensalion insurance shoultl be pmvided �o me. � I am e�empt wder Section: A. 8 P. C. lor ihis reason: Da�e'. — Owner: I tlo hereby cenify I�at I am aware ol antl understand Ihe reVuiremen�s ol California Heal�h and Sa�ery Code Seciions 255Q5, 25533, and 2553a an� thal I or any fulure 6uilamg occupanl will/will no (circle one) nee0 �o comply wilh Sald slate cades antl ihe requiremen�s fOr a permit for connmction or modi6catmn Imm Ihe Nu Ouality Management Disiric�. Residen�ial conSlmciion apDlicalions are exempt imm these pmvisions. �a�e: AppliCanl'. I heceby cer�ity �hzt I have reatl �his applicaiion antl s�a�e Ihat Ihe above inlormalion is correci. I agree to comply wiN all city antl counry ortlinance5antl5lalelawsrelatinglobuildingtanSlmCiionandhere� orizer¢prese mesoit�iscitytoenleruDont�eabove�mentioneU pmpetly for insp Iion purposes. r�'� Signature: �� nver's �icense or Socia� Securiry ,� I6aL46 Whiie—Buildmg�, Green—Cotle Enlorremen�; Canary—ApplicanC, Pink—Revenue: Goldenrotl—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERP9IT NO: P 066149 PLAN CHECK NO: N CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU JOB DESCRIPTION ; WATER HEATER REPLACEMENT PEP.M NO: P 05619G GOVT; N SUPP: N SQ FT: PURPOSE: OTH CLAIM VALDE: CALC-VALUE: GROUP OCC: R-3 / COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT �r�r*x�**��rx*�**+r*+r****+c�***�r**x*�ri�****•a�*x+r�r**�r*i�***�*�t�r�r+�*+t****+c-**x�***�r*�**u�w�r�t** 2 O N I N G R E Q U I R E M E N T S � 5 E T B A C K S ------------ MAIN SOILDING ---------- --------- ACCESSOAY BUILDING --------- FRNT; FT IN REAk; FT IN FRNT: ET IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN PARKING REi� • PROV; PARCEL: 42630417 ZNE; REF NO: PLANNING NC5TE5> � .. it iE iF iE iE iE if iE iE jE it iE iF if iF iE iE iE iE �E iE iE it 4 if #�1E iE?f f: if i! it iF iF iE iE if �F if iE iE if if jt �E if iE �)E iE iF iE 1E iE iE iE iE iE?E if it fE jf iE iE #' iE if i! 1F iF if if iF it �1E if aE k 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 ZONING APPROVED BY DATE: BUILDING APPROVED HY : DATE: AFPLICATION ISSUED BY; ~� DATE: Z�Z�I l *x�r****��r+�*****��*** *****+��c***��3t��{<�� 3E �M jE jc if ik if if #'. if iE 1f iE 1E jElE if 9f iE iE iE if iE jE iF # if fE iE if iF jE jf if iE iE iR 1E k 1E �E if !f iE if 1E if iE iE iF iE iE iE iE 1E fE dE If it iE jF iE iE i! iF iF if if aE iE or iF iE iE if iE if iE iE LEGALIZATION:N F E E �jS U M M�A R Y STROCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 7,00 258 + " SMIP/NON-RES PLAN -- ISSUE FEE i0.00 ` " BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 7,00 20.00 :=,0.00 , 27.00 27,00 .00 REVENUE DIVISION TOTALS--> COLLECTED;�. 27.00 OVER!SAOAT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANd� -�'FIAE SMIP/TOT GAADING PLAN-CAECK 2%.�� -'�.r "�i iE iE if iE if it jf if iE iF ih iF iF iF it iE 1f iE if �E it if iE ii� iE if if iE if iE iE if i! iE k if iE it iE 9E iE iF'iE k if 1F if iE iE iF iE iE iE if % jE iE iE iE iE if if iE if �lf �Y 1E iR �M iE iE iE iE iF �lf if jE iE i�- I N D I V I D U A L F E E. ' B R E A Y, D O W N . � TYPE QTY D E S C R I P T I O N ' UNIT COST TOTAL COST �� PLU 1 WATER HEATER AND/OR VENT :' ' 7,00 7.00 END OF FEES i — I, 1 - Oi O�i553?9-001`5339 T 4 T 2�.00 " ' ��iTE: 02/23/94 TIME: 09:56 r CONSTRUCTION ANDPLANNING APPROVALS Permit # 1. Ternporary Electrical Service or Poie 2. Soil Pipe�Undrgmd. 3. Electrical Conduit Utility-Undrgmd. � 4. EleciricalConduit-Undrgmd.� 5. Steel Reinforcemenc , 6. Electrical UFER Grnd. 7. Footings B�Foundation 9 T.Water Pipe-Undrgrnd. 10. Structurel Floor SYstem 71. ProPerty Sewer �ine & Ho�se Connection ?2. Sewer Cap 53. Roof Drains 14. Rough Plumbin9 15. flough Electrical-Condu�t � 16. Rou9h Electric Wiring 17. Rough Wiring Sign ' 78. Rough Electrical-T Bar Ceiling 19. Rough Heating & Air Cond;•tioning 20. Rough Factory Fireplace 21. DuCts, in Struct�re 22. Ducts, Ventilating 23. Gas P�Pe�Rough & Tes: 24. Roof Framing 25. Roaf Sheathing 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and F!ashing 28. Laihing & Siding 29. Insulation 30. Dry'wall Nailing 31. Plaster Brown Coat 32. Electrical Power l+4eter-Final 33. Final Electric 34. Final Heating & Air rCond�tioning 35. Finai Gas PiDe�Test 36. Hood or CanopY 37. Finai Factory Pirepiace 38. Final Plum6ing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Barkftow Preventer 43. Batkflow Irrigation 44. landscape Irrigation Sy:tem 45. Sound Attenuaiion 46'. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 46. FINALPV},NNWG 49. E�ectric Release to Edison 50. Gas Release to Southern Catifornia Gas G 51. CERTIFICATE OP OCCUPANCY' Dace I I POC SPA I Date Inspecior qppROVALS Permit # Date Inspector 52. Pool & Equipmen: Location 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Pium6ing & Pressure Test 57. APPROVA� TO COVER�GUNITE 58. Electrical ConduirUndrgrnd. 59. Gas Pipe, � Undrgrnd., Test 60. Backwash Lines, P�Trap, C Undryrnd. 61. APPROVALTODECK 62. Backwash & Receptor�Final 63. Heater & Vent-Finai 64. Pfumb'�ng System - finat 65. Electrical-Finai 66. Solar SVstem-Final 67. Fe�cing & Access A�proval 68. APPROVED FOR PLASTERING 69. POOUSPASYSTE�?%�SFiNAL. ----{{{--- FIRE DEPT. REQUIREMENT t APPROVALS Permit # I 70. Underground HYdro 71. Produc! Pipiny � Gas C Oil 72. Under9round FWsh 73. Undergr�d. Storage Tank G� Gas ❑ Oii 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEAI FiNAL 76. FIftE PREV. FINAL HEALTH DEPT. REQUIREMENT J9. PINAL INSPECf10N � 80. FOOD CERTIFICATE ISSUED Notes: � ! r: LdT�9 TRACT � . i �2s� COSTA MESA BUILDINGSAFETY DEPARTMENT ' P. O. BOX 317 COBTA MEBA. CALIFORNIA For Applieanf fo Fill In Complefely TYPE OR PRINT ■ ARGHITBCT COSTA MESA CALIFORNIA �V" Jnn.� TEL. NO ��_ i. 6-3227 NO. OP BLD�9. LINQ IROM ,�/ � J J �/ �P 8TR[eT REAR YARD Q ,RD I LEFT l7 � I RIGNT �/ DESCRIPTION OF WORK NO. OF GARAGE. F E RECEIVED JAN 31l962 FINANCE DEPT. APPLICATION��OR PER�MIT MfSA BUILDING For Office Use Only RECE�M NO. � PERAyITR[i{}��,_ BY COSTA MESA. 188UEO ZONIIdG ZONE�_ � I puN9 � ( BUILD�NO E W/ h�-� LEOAL �o% % i� t�j y�s onecvmnnv � (GENT¢R LINe BTJ SI — FRONT R. SIDE 3 L.SIDE � REAR z'� — AAVPROVED ��d A 1 XEPGBY ACKNOWLCD66 THAT 1 HAY6 READ TH19 MPLIGTION THE AMOUNT BHOWN UNDHR VALUATION IB FOR TXE ANp 8TAT8 THAT TH6 ABOVE I6 COPPEGT AND A6R6¢ TO COM- pURPOH6 OP, EBTA0L19HING • PERMIT FEE ONLY. PLV WITH ALL CITY ORDINANCEB AND BTATF UWe'P¢GULATINO BUIlDINO CONlTItUCT10N. � VALUATION �Jp BIGNATURE OF � ��L / �D PERM17 FEE $ J O � PERMI7TE . $ /e��j / GJ QPLAN CHECK $ �/ � AUTHORIZHD AGENT � I^� "' e � 7�