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Home My WebLink About257 COSTA MESA ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 257 COSTA MESA ST Suite No Vicinity: Parcel Nunmber: 42628102 Applicant: NOCK, RON i' Address: 11fi12 KNOT.T ST- . SUITE 17 ' GARDEN GROVE, CA � Owner: TUITE, MAUREEN A Address 257 COSTA MESA ST COSTA MESA, CA Contractor: NOCK PLUMBING Address: 11612 KNOTT.ST� Arch / Eng : Address: GARDEN GROVE, CA WATER HEATER CHANGE OUT. ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifer System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $o.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 QTY PLUMBING PERMIT Phone: 714-895-1246 Zip:. 92841 � Phone: Zip: 92627 Phone: (714)895-1246 2ip: 92841 License: 707775 ' .. _ Phone: Zip: 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 70 ft) $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, 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 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS Status: ISSUED Appl ied: 01 /03/2002 Issued: 01/03I20o2 ISSUED BY: � C/ -� 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 Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES: 535.80 �TY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (OM. No. 92-28, § 1, 12-21-92) EXPIRATION: This peimit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned tor a period of 1 BO 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 Inspectlons and final epproval must be obtained. Failure to oblain inspections and final approval will result in the ezpiretion of this permit. FOR INSPECTIONS CALL: (714) 7545626 26Wa8(8�00) WORKERS'COMPENSAnON DECLAHAnON: � I hereby aHirtn under penalty of perjury one ot the following tleclarations: � ' . � ❑' I have and will maintain a certificate of consent to sel4lnsure for workers' compensation, es provided tor by section 3700 of the Lebor Code, for the pedormance of tha work for which this permit is issuetl. �I have and will maintain workere' compensation insurance, as required by section 3700 of the Lebor Code, for the perfortnance of the work for which ihis pertnit is issued. My workers' c pensation Insurance rner antl policy number ara: Q4 �) Cartier. � /n PolicyNumber: _�i(%��3C� G dd (/his section need not be completed i! the permit is valued et one hundred dallars (8100) or less.) ❑ I cenity Ihat in the pertormanca of the work for which Ihis permit is issued, I shall not employ any person in any mannar so as to become subject to the workers' compensation laws of Califomia, agree that it I uld become subjea to the workers' compensation provisions of Sac�ion 3700 0l Ihe Labor Cotle shall lorihwlth comply with these provisions. � Q'� Applican� SignaWre: Date: % � � WARNING FAILURE TO SECURE WORKERS' COMPENSATION fAVERAGE IS UNLAWFUT AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND QVI� FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000�, IN ADDITION TO THE CAST Of CAMPENSATION, DAM4GE5 AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CADE, INTEREST, AND ATTOFNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aRirm �hal I am licensed under pmvisio force antl eHect. Lic. N Contractor's Signature: with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full Class N �'� � 7 Date: � — � CONSTRUG710N LENOING AGENCY: ❑ I hereby aNirtn that there is a construction lending agency for ihe pertormance of the work br which ihis permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lender's Address: Signatuie: � Date: OWNER-BUILDER DECLARATIONS: I hereby attirtn ihat under penalry ot perjury Ihat I am EXEMPT FROM THE CON7RAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to constmc6 alter, improve, tlemolish, or repair any simcNre, prior to its issuance, also requires Ihe applicant tor such permit lo tile e signed stetement that he or she is Ilcensed pursuent to ihe provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) ot Division 3 of the Business antl Professions Code) or that he or she is exempt therefrom and the basis for the alleged axemption. Any violation of Section 7031.5 by any applicant for a pertnit sublec�s ihe epplicant to a civil penalry of not more than five hundred tlollars ($500).): ❑ I, as owner oi ihe property, or my employees with wages as lheir sole compensation, WILL DO THE WORK, antl the strucNre Is not intended or oHeretl for sale (Sec. 7044, 8usiness and Professions Code: The Coniractors License Law dces not apply to an owner of property who builds or improves iheraon, and who dces such work � himself or herself or through his or her own employeas, provided ihat such improvemenis are not intended or oflered tor sele. If, however, the builtling or impmvement is soltl within one year of completion, the owner-builder will have �he 6urtlen of proving Ihat he or she did not build or improve for purpose of saleJ. �. ❑ 1, as owner of t�e property; am EXCLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to consimct Ihe project (Sec. 7044, Business antl Professions Cotle: The conirectors Gcense Law does not epply to an owner of propeny who bWltls or improves thereon, and who coniracts for such project with a contractor(s) licensa pursuant to the Coniractors License Laws.). ❑ I em exempt under sec. �"- Business and Professions Code for this reason: Signature: Dete: Ownar ID veri(ied by dmer's�license. ❑ Ves ❑ No Orivers License No. Expires: Veritication of Ownership by (type of documem, i.e. - property tax blll or deetl): DIVISION OF INDUSTRIAL SAFETY PEflM1T CERTIFICATION: ❑ I hereby certify �hat no excavation five (5) or more taet in dep�h into which e person is required to tlescentl, will be made in connection with work authorized by Ihis permit, and Ihat no building structure, scafloltling, talsework, or demolition or disman�ling thereof, will be more Ihen Ihirty-six (36) teet high. (Chep. 32, Grp 2, Art 2, Sac. 341, Title B, California Adminis�rative Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require e permit from the Dlvision of Industriel Safety, as noted ebove, unless such person has e pertnit to do such work Irom ihe division. SignaNre: Date: Division of Indusirial Safery Permi� Num�er. CERTIPICATE OF COMPLIANCE AND AUiHORIZA710N OF ENTRY: I certify under Denalty of perjury that I have reatl this application and state ihat ihe intormation given is correct. I agree to comply with all sta�e laws end ciry ordinances relating to 6uiltling construction, and authonze representatives of Ihe Ciry o� Costa Mesa to enter upon Ihe above-descnbed property for inspection purposes. I egree not to occupy or allow occupancy of eny building authorized by this permit until finel inspection. Signature Ot Legal Owner(s) f� �ele�d 1_� �Z�L�� A - Authorized Applicant ' Date GO�E �, INSPECTIONTYPE 7616 Fi:etl System Final Fire Prevention 1266 200 201 202 203 204 Pool Spa Finel Final Re-Roof Final Block/Retaining Wall Final Factory Fire Place Final Sign Final �emolition . [I/yj� IN(ITIALS CO�E 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 ..Final Building/Occupancy Q6g 1[�lLfl � f w W � F N � o. � . ,/ COSTA MESA BUILDING DEPARTAAENT P. 0. BOX 317 COSTA. MESA CALIFORNIA . C.L. OF STREET ' _�iPROP._ r 10 FT. FOR 60 F,T.,, S1 � � � � � � � 50 FT ��g IW �a i� �a NE _ LLEY QR P OF Qti- f=.»e� � 6 J ' �,h '. � ll ��I CJ e �,� � �/ PROP LINE J 1 C. L. OF FT. 61N. FOR –i FT. STREET � � � .' I I .. LIN � � i -i l= a a �� ' � u V ; ��- L !�- � •I F � U F a :� m V � � z J a H w w � F- N � O J ci � FT ! � 60 FTl ST. ' I ,. �_.:� ------� MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------ MAXIMUM 6 FT. FENCE MAY BE PLACED� ON SOLID LINES I 6529 I FOR APP BUILDING ADDRESS � :� . �� .��0�,Q�� j4 _ ,j/:1�/J d� �/-" `�U � Tofrar.�uv DEPT.,, Mail Addiess �"`° � `^�""� /�"`'`'ti`� � City � �'k- Ph. No. � Contractor �� Ph. No � Address City Lia No: ' State. Lic. No. : �—j Size of Lot � 3 X/OJ'� AP No. / I�� 3 �` /�S // Setbacks: C/L Street � �� „Z� Rear �% Side Yard - Right (p'i �/ Left ' f Type of Fence � ' �' � I hereby acknowledge that I have read this application and state that the above is correct and agree to comply with all City Ord- inances and State Laws regulating building construction. Signature �� /�� O of Permittee � �� _ VALU FOR OFFICE USE ONLY _ 2S'-S'b Permit Fee Plan Check TOTAL FEE USE REVERSE SIDE FOR DETAILS �, 5� 9 Date Issued 3--zS-S� Q �� w $ J $ 2_ � owNER HEINSII., George DATs 3-25-58 JOB ADARESS 25% Costa Mesa St, BLIILDING PERMIT NO. GS29 E E ONTRACTOR Owner�uilder VAL[IE $ 60•00 P. o.� - LOT TRACT FIRE ZONE DESCRIPTION OF WORR Wire Fernce GROUP TYPE ZONE PLAN NO. I'"�ECTIONS I DATE I SUBCONTRACTOR coat C PERMITS FiK99 OWNER ADDRESS 1"'PECTIONS c L. DATE BUILDING PERMIT NO. VALUE DESCRIPTION OF WORK SUBCONTRACTOR I DATE I NUMBER � ., a e . . .. y, : . • �.,.,, 5839 ' COSTA �A BUIIDING DEPARTMENT P. O. BOX 31] _ __ COSTA MESA, CALIFORNIA _ FOR TO FILL IN BUILDING a S�% „ eZ S 9 L°• CesT ADDRE55 COSTA MESA. CALIFORNIA OWNER MAIL ADDRESS � CITv ARCMITECT OR EN-'NEER ADDRe�d �i CITV NO.�� LIC. NO. �� [ce� LOT �J DESCa1PTION NO. /� 7 BLOCK TRAC A.P. NO. /� � � I f � SRE �� I�� I MO. OF ELDGS. OF LOT w NOw Oe �Or use oF p E%ISTING BLOG. SETB/�CK LINE FROM �� c[vi[n ov sia[[T REAR YARD NEW REPAIR BUILDING SIZE EXTERIOR WA COVERING USE OF NEW (� I , RIGHT �OS LEFT �� DESCRIPTION OF WORK � A�TEFATION ADDITION MOVING DEMOLISM S` x �• ROOMS STORIES LL��C,e CO�VERING Ce tiR � FEE RECEIVED�� " � � � � �r; �.., �. s 7 � FINANCE DEPT.p �, APPL(71I�Al3f�s'I�'O'RS'PERMIT � BUILDING � FOR OFF�C�. USE ONLY RECEIPT NO. PERMrt NO/. � (O � RECErvED BY Df�TE RECEIVEO DiTE 195UW �.�, r � /Yi —_i—.0 �O — % �1 COSTA MESA,�CALIFORNIA FIRE ZONE 20� NO.OF TVPE PLGNS ��f 1 / v /PPF�VED BV DATE r CORRECTIONS �V • �� CITY OF TA MESA SUBJECT TO G. DEFT. REG. BY � DAT I HEHEBV OGKNOWLEOGE TNRT I NAVE RE1D TMIS �PPLIC�TION 1N0 / V STPTE THnT TXE RBOVE IS CORRECT GNp AGPEE TO COMPLY WITX �LL CITY ORDIN�NCES �NO $T�TE L�WS MEGUL�TING BUILOING CONSTXUC� norv. VALUATION SIGNATURE OF PERMiT FEE S 3 � PERMITTEE � / iI/ 7� PLAN CHECK S � '� $ T AUTHORIZED AGENT TOTAL FEE 5 ��.— �sMi