HomeMy WebLinkAbout270 CECIL PL - Building Permitst
CITY OF COSTA MESA
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77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-0856 • www.costamesaca.aov
FOR INSPECTIONS CALL: (714) 754-5626
PERMIT NUMBER: P13-00041
PERMIT TYPE PLUM STATUS: ISSUED
APN: 42608318 DATE ISSUED: 03I14I2013
- ---- -- _ ISSUED BY: RMD
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JOB ADDRESS: 270 CECIL BLECM .�,, '�..'" ��Suite/Unit:-, .; �
Vicinity: "' ;. A . - _ ' � -�.
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SCOPE OF WORK: PLUMBING:PERMIT, TO;REPIPE ENTIRE HOUSE WITH PEX-FIPING WITH�FIXTURES; 1 BATH
TUB/SHOWER, 1 SHOWER, 1;L,AUNDRY;;I,KITCHEN SINK, 2 WASH BASINS, 2 WATER:. �` ��
CLOSETS, 1 WATER HEATE�R; 1�HOSE 818.� ����`��'� ��`��.
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OWNER: CAMPBELL; DAVID�B� I; � � �;� �'� r� "="Address ��- � 270 CECILPL ��� �.
PHONE: '� �, � - CitylState/Zip:'���COSTAMESA,CA
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APPLICANT: KINGLAND;'JOHNATHAN� . , , Addresr -� ' " � .
PHONE: 818-626-2997 � ' ' �:; �"� ^� _ , CitylSWte/Zip: � ' , ..
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CONTRACTOR: REPIPE 1 � ` "- ' ' `' ' ° License No.:927892
Address:14274 VENTURA BLSUITE507��� , PHONE:818-981-5016 "`� � . �
City/Slate:SHERMAN OAKS, CAZipCode:91403 � -- " -��, �� `r� � : *�'� �� ✓°��-y"�f""-�� CELL: � i'' -
ARCHITECT: ���`'�� ��,..�,� LicenseNo.PHONE `A" 'rF x �',, �-�.
ENGINEER: � ` �;�� �, , License No. PHONE: - - -: � , ,
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PLUMBING PERMIT FEE SUMMARY � ` ? � '
:� '
PLAN CHECK FEE: �'' $O.00yZ; ^� t''�' � < j
PERMIT FEE: � �`-$133:80 ':� �.._� „ � � � %� ,.r-;.
TOTAL FEES: �' ;�$133.80 ��� � �� ° ��"�`` �''�
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NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requiremenGs under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final approval must be obtained. Failure to obtain inspections and f nal approval will result in the expiration of this permit.
CODE M. INSPECTIONTYPE
1616 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Finel Demolition
UATE INTRIALS COOEp INSPECTIONTYPE
206 Final Mechaniwl
208 Final Plumbing
210 Final Eledrical
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupancy
DATE INfITIRLS
.� .2z.a.o/3 �
WORKERS' COMPENSATION DECLARATI�
I here6y affirm under penalty of perjury one of nm following declarations:
❑ I have and will maintain a certifcate of consent to self-Insure for workers'
wmpensation, as provided (or by section 3700 of the Labor Code, for the
p�ormance of the work for which this permit is issuetl.
I have and will maintain vrorkers' compensation insurance, as required by
seclion 3700 of lhe Labor Code, tor the peAormance of the vrork tor which this
pertnit is issued. My workers' wmpensa[ion Insurance carrier and policy
number are:X C
�Carrier:� 1 ��✓P� J �- � L' �-'r
(Ihu secibn ireetl rpl be ca^P�fetl i/Iha Pa^�^�is vah9E ef ine hwdred dotlers (ff001 dbssJ
Policy Number: �✓��- ��- l 7- 7 ji 3' ��
❑ I ceAify Ihat in the performance of the work for which this pertnit is
issued, I shall not employ any person in any manner so as to become subject
to the workers' compensation laws of Califomia, and agree that if I should
become subject to the workers' compensa[ion provisions of Section 3700 of
the Labor Code, I shall forthwith comply with these provisions.
p�L� 3-14�1_3
ApplipnPs SignaWre -Dale
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATfORNEI^SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(wmmencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and effecl.
�ic. tt�f Z 1 Y 9 � Class # �- j 6�
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;-Cono-actore signature --'oate
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a consWclion lending agency for the
peAortnance of the work for which ihis pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
OWNER-BUILDER DECLARATIONS:
I hereby affvm that under penalty of perjury that I am EXEMPT FROM 7HE
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Protessions Code: Any city or counry which requires a pertnit lo
consiruct, alter, improve, demolish, or repair any structure, prior to its
issuance, also requires the applicant for such permit to fle a signed statement
that he or she is licensed pureuanl to ihe provisions of ihe Coniractors License
Law (Chapter 9(commencing with Sec�ion 7000) of Division 3 of the Business
and Professions Code) or that he or she is exempt therefrom and the basis for
the alleged ezemption. Any violation of Section 7031.5 by any applicant for a
pertnit subjects the applicant to a civil penalry of not more than five hundred
dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL 00 THE WORK, and ihe structure is not intended or
offered for sale (Sec. 7044, Business and Pmfessions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
ihereon, and who does such work himself or herself or ihrough his or her own
employees, providetl that such improvements are not intended or oHered for
sale. If, however, ihe building or improvement is sold within one year of
completion, the owner-builder vrill have the burden of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRAC7ING WITH
UCENSED CONTRACTORS to consWct Ne project (Sec. 7044, Business and
Professions Code: The contractors License Law dces not appy to an owner of
properry who builds or improves Ihereon, and who coniracts for such prqecl with
a contrador(s) license pursuant to the Contractors License Laws.).
❑ I am exempt under sec.
Business and Professions Code for Ihis reason:
305]�48�y07)
i
Owner ID venfied by ; license. ❑ Yes ❑ No
Driver's License No. Ezpires:
Verification of Ownership by (type of document, i.e. - property taz bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: j
❑ I hereby certify that no excavation five (5) or more feet in depth into which a
person is required to descend, will be made in conneclion vrith work authorized
by this pertnit, and that no building structure, scaffolding, falsevrork, or demolition
or dismantling thereof, will be more fhan [hirty-six (36) feet high. (Chap. 32, Grp
2, M 2, Sec. 341, Title 8, Califomia Administrative Code). I
� As owner-builder, I will not employ anyone to do work which would
require a permit from the Division of Industrial Safety, as noted atiove, unless
such person has a permi[ to do such work from the division. �
I
ApplicanfsSigneture Date �
i
Division of IndusMal Safery Permit Number. �
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I
1. Will ihe applicant or presen[ or future building occupant need to fle and
certify a Business Plan (or emergency response to release or threa[ened
release of a hazardous material? ❑ Yes ❑ No ,
(Section 25505 of ihe California Health and Satety Code requires, with some
exceptions, that a Business Plan be filed wi[h the Costa Mesa Fire�Department
by every business which has at any one time during a reported year a quantity
o( hazardous materials equal to or greater than a weigh[ o( 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperature and pressure).
2. Does or will the applicant or present or future building occupant need to file
a registration form for acutely hazardous matenals? ❑ Yes '❑ No
(Section 25533 0/ the Calitomia Health and Safety Code, I with some
exceptions, requires registretion with the Costa Mesa Fire Department by each
business which at any one time has on hand a quantiry of awtely hazardous
materials equal to or greater than a weigM of 500 pounds, or a volume of 55
gallons, or 200 cubic feet of compressetl gas at standard temperature and
pressure). '
3. Does or will the applicant or present or future building occupant need to
prepare an RMPP (Risk Management and Prevention Program for acutely
hazardous matedals)1 ❑ Yes ❑ No ,
(Section 25534 ot the Calitomia Health and Safery Code provides that the
Costa Mesa Fire Department may require the preparation, ceAification and
fling with the Fire Department of an RMPP by businesses which:are required
to register acutely hazardous materials with the Fire Department. �
4. If an RMPP is presently required, has Section 25534 0� the Califomia
Health and Safety Code been fully complied withl ❑ Yes ❑ No
5. Does or will the applicant or present or future building occupant require for
the work which is the subject of this applicatlon a pertnit for sucti consWction
or modification fmm the South Coast Air �uality Management Dishict or from
any other air pollution control distnct or agency7 ❑ Yes ❑ No
(Section 658502 of the Califomia Govemmenf Coae requires Nat the requestetl
in(ortna6on be fumished on applications for non-residentlal building pertnits).
6. Will any part of the facility to be wnstructed under this pertnit be within
7000 fee[ from the outer boundaries of a school? ❑ Yes � No
(If yes', the facility must meet the requirement of Sections 25534 and 42303
o� the Califomia Health and Sa(ery Code). ;
7. If a pertnit from the South Coast Air Qualiry Management DistriM or oNer
air pollution control district or agency is required for lhe work�which is Ihe
subject of this application, have all ot the disclosures prescribed by Califomia
Heaflh and Safety Code Sec[ion 42303 been matle? ❑ Yes �❑ No
8. (If'yes", atlach certificate of compliance from the appropriate air pollution
contml officer). '�
CERTIFICATE OF COMPLIANCE: I certify that under penalry bf perjury the
information given above is correct. I aqree to comply with all state laws and
ciry orUinances regarding Hazardous Materials and Emissions. �
SgnaNra oate,
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry ot perjury that I have read this application and state that
the intormation given is conect. I agree to comply with all state' laws and city
ordinances relating to building consWction, and authorize representatives of
Ihe Ciry of Costa Mesa lo enter upon [he above-descnbed property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this pertnit until final inspection.
SignaW�reofLegalOwneqs) � / �ata
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COSTA MESA BUILDING-SAFETY DEPARTMENT
JU:`d 22-70cysrOQ2313�� *+:*
� P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
ForApplicant fo fillin Completely qEc i eo sv DATE RECEIVED
DATE ISSUE+D/
ADIDRE55 2 Q Cecil P1. ����_ � ��z1—/d
OWNER David Cam bell �4.F. NO. � O�� � P I �/
MAIL ADDflE S �LrO CeCil P�.•
ADORESS Z O Cecil P1•
CITV St.S MeS9. NOLSWH—Z4H �S� L T BLOCK
CONSTRUCTION W ADD A P
LENOER UYL�CYlOWYS �
BRANCH
OWNER Davld Cam bell
ADDRESS �/�.
ORENGINEEFlT@�i'dUlt. � ' NOL �L� ZH SE P� Swimming PoolLU$ 2 �62•
^ FIRE
ADDRESS 1 Q 1 Pros eCt. � Santa ,t�n`�1 ZONE TVPE ' GROUP
APPROVED /_ ey
CONTRACTOR Sir Pools B�' ATEa� f.
ADDFESS 101 N. Parker
TEL. ZO NO.OF USE OF N
PLANS BUILDIN
c�T� Oran e N�.538-0068 -
STATE CITY �'AiiDSAPPROVED VARDSAPPROVED
���. No. 230261 LIC. NO.zOSI. MAIN BUILDING ACCESSORV BUILDING
SIZE NO.OF BLDGS. (FROM C/L STqEET)
OF LOT NOW ON LOT FRONT FT. � • FT.
USE OF
EXISTING BLDG. FT.
SIZE OF NO. OF
NEWa��. 375 ROOMS STORIES L.SIDE FT. ' FT.
EXTERIOR WALL FOOF
COVERING COVERING. REAR FT. FT.
USE OF BUILDING AND WOflK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLDGS.
VAR.� DATE
PT. Swimmin Pool c.u.P.# APPROVED
A�Ro�Eo _ a a - �o
I hereby acknowledee that I have reetl this application and state
that tha above intormation is correct antl agree to comply with
all laws regulating builtlin8 construction, antl I shall not employ ,
any person in violation of the workman's compensation laws of
the State of Califomia.
I hereby certlfy thet I am proparly licensetl as a contractor untler SQ. FT.
the State of California Business antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in tull force antl effect, or I THE PVRPOSE OF ESTABLISHING A PERMIT FEE ONLV:
. am enempt from the provisions of ihe State of California Business VALUATION �j 'J
ana Protessions Coae rvision , Chapter 9. PERMIT FEE 5 O� ✓� ��
SiB�atura o7�y�e� ,_ / /� /j
Permlttee �/�V $ �% D%� � PWN CHECK $ � "
n�cno.�:ea aea�� P l a TOTAL FEE $� L� S�
�3y.5
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COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. HOX 3f7 C08TA MHBA. CALIFORNIA
Fo� Applicant fo Fill In Complefely
TYPE OR PRINT
ADORESS Z %O CeC� I �/G
COSTA MESA. CALIFORNIA
owNeR20TH CEN TURY HOMES. I NC.
MA�L NEWPORT BOULEVARD
ADDRESS �L Z
CITY C+O6TA ry�[6A� CiALiF Not18938
OR ENGI EER MEL LOWE Not�e938
Ao o R E 56 2�} 2 N E W P 0 R T B 0 U L E V A R D
CONTRAGTOR2O T H C EN T U R V H 0 AA E S � I N C•
annwree ili�i'� NEWAORT BOUIEYARO
�T�rNo.2�1+-667 No: �l 8 9388
SIZE � NO. OF BLO09. O
OFLOT�35�2�x5� rvowON�or
USE OF N 0 N E
EXISTING BLDG.
56L9AC% LINH FROH
DESCRIPTION OF WORK
I X IIALTERATION IIAO�ITIO
ICO ERING�ED^���TICOVERII
U&E OF BUIL�ING AND WORK TO BE
1 HBPEBV ACKNOWLP8�8 THAT 1 HAVE R6AD THIB APPLIGTION
AND BTAT¢ THAT THE ABOVH 18 CORflER AND AGREE TO COM-
PLY WITH ALL CITY O��NANC¢9 AND BTATH LAWB HE6ULATINO
BUILDIN� CON9TR�0� �^ � � �
11
81GNATURE OF Y 1� % l I.._
� AUTHORIZED AGENT
FEE RECEIVED
NOV 3 1989
FINANGE DEPT.
CITY OF COSTA MESA
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
R6CEIPT NO. � � fRRMIT'�MO�
H RECEIVED OATE
�� —/O � �liY ]
BUILDING
COSTA MESA. CALIFORNIA
FIRE
BY (Ly/LJ.j, DATE ///�L� •
� a Y
ZON{NG
ZONEn NO. OP USE OF NEw S nf
/f —� I PLANB � BUILDINO �/ �}. �
¢+/
�fio„� /�n /.i 3� v �p� /'� T�'L
oescaivriorv
sev„ //6 — /CO — 6fj'
(CENS@R UNE BT.1
FRONT 'S v
R.SIDE �
REAR S 3� �
APPROVED
ev �v�id�
NOLD FOR !
L . j v(LG�(�J
`i3� � a� /�d o "�
TXE �MOUNT SHOWN UNDER VAL
PYRP088 OF 69T/�BLI6HING F E
VALUATION
PERMIT FEE
$ /� � �D �'
l/�3
18 FOR TME
FEE ONLY.
.�"� �
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5/ �
_ , . .�. 29797
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
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HAR —4-69-�hSA�O 063 48.00
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Complefely
RECEI B DATE RECEIVED DA�jTE ISSUED
AOIDRESS � Q- � � �� _� d� '�
� (� PERMIT O.
OWNER e A.P. NO. ' J
MAIL /o !� ADDRIE S� �
ADORESS � ` I"��
TEI. RACT LOTLyy BLOCK
CITY NO. �^
CONSTRUCTION W �+
LENDER Y
��
BRANCH �
� OWNER /G% /^ r Q.rSE°
ADDRESS
ARCHITECT TEL. S .e / VAW$ l��00.��
OR ENGINEER Q 1.1% AJ J
FIRE J /�
ADDRE55 ZONE o� TYPE GROUP �f'
CONTRACTOR
U� WNC 2 �U�,C%G' BVPROVED DATEJ-%-b
AD�RESS �
TEL. Z� NO.OF USE OF N �
PL4N$ � BUILDIN
CITV - NO. �
STATE � CITV f YAFDSAPPFiOVED VARDSAPPROVED
LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING
512E / NO.OF BLDGS. (FFOM C/L 5Tq�/��T 1
OF LOT p��C - NOW ON LOT RONT 'FT. FT.
USE OF
EXISTINGBLOG. �p�n S FT
SIZE OF NO. OF �
NEWBLDG./ 6 �qOOMS STORIES L.S�DE FT. FT.
EMERIOR WAL ROOF D�Fetr
COVERING VN�° COVERING REAR � FT. FT.
USE OF BUILDING AND WORK TO BE PERFORMED OISTANCE BET. BET. MAIN &
MAIN BlOGS. ACCESS. BLOGS.
VAR.3W DATE
� C.U.P.# APPROVED
�`r� � � APPROVED
I haraby ecknowlatlBa Met I have raatl thia application antl stete
that Ne a0ove informotion is corract end aprea to eomply wlt�
ell Inws reBuletlnB buildin0 conatruction, and I shall not amploy
eny parwn in violation of the workmen's compensallon law� of
tha Smta ot Celitornia. �
I hereby cert(fy [hat 1 em proparly Iicensetl as a contractor untlar �O SQ. FT.
[ne SSe[e of CalHornle Businaas antl Profassiona Cotle, Dlvisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR
Cheptar 9, Bnd the[ �uCh Iicenfea are In full forca anE effeet, or I THE PVRP06E OF ESTABLISHING A PERMR FEE ONLV:
am axampt from the provisiona of the Stete ot Cal(fornia Businecs
antl Profeasions Cotle, Dlvlsion 3, Cheptar 9. VALUATION O O
�� PERMRFEE $ ��'
Sipnotur�nf�-/T / '^+ /M � _ � � / �
Po�mlttoe %�� ifn..ts �/ cix�v ^ S�� �I� b :'LAN CHECK $ �� r 0 O
AuchorizatlAgent � /jO
TOTAL FEE $ p-
OWNER ��� ��gpgD DATE �_�_69
JOB ADDRESS a�n re.., i vi o,.A BUILDING PERMI7 N0. ao747
`501 L
GAS
W ATER
ROUGH PLUMBING
PfiOP. $WR. LINE � HOUSE CON. �
SPFINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CON�ITIONING
TEMPORARY SERVICE OR PO�E
UNDERGROUND � POWER �
ROUGH WIRING
TftENCHES FORMS � STEEL REINF. �
FLOOR SYSTEM �
BOND BEAM STEEL R��NFORCE
SHEATHING
FRAME AND FLASNING
LATHING - IN OUT
PLASTER,BROWN COAT
STRUCTURAL, FINAL
HEATING, VENT., REFRIG. AND A.C., F L�
PLUMBING, FINAL AND GAS TEST � i
ELECTRIC, FINAL
BUILOING, FINAL
SUBCONTRACTOR
OWNER �pgg�� DAVID DATE 6-22-70
` JOB ADDRESS 270 Cecil Place BUILDING PERMIT N0. 31983
' ' ---- -- -- --- -----._ ___
�N AP No.
�INSPEf
�soi�
GAS
PROP.
SPRIN
MISCE
118-163�15 LOT
ONS
MB N
. LINE � HQU E CON.
: SYSTEM
EOUS
TING ANO Alk CONDITI(
UNOERGROUND POWER
ROUGH WIRING
TRENCHES � FORMS STEEL REINF.
FLOOR SYSTEM
BOND 9EAM STEEL PEINFORCE [s}�
SHEATHING
FRAME AND FLASHING
LATHING - IN ❑ OUT n
PLASTER. BROWN COAT
HEATING, VENT
PLUMBING. FIN
BUILDING, FI
ANO A.C., FINAL
� TEST rI
IRE ZONE VALU
GROUP i TYPE
SUBCONTRACTOR