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Home My WebLink About2241 ADAMS AVE - Building PermitsOWNER ATTYE—SMITH COh'IPA DATE 7_� fj_C(� JOBqDDRES3 221�1 Avalon BUILDINGPERMITNO. 3360 GEN�RALCONTRACTOR United.�rlestern Builders, IRC. VALUE $ 1,0��,32.�� L. 2Q BLOCK TRACT 23�1�.4 Sin�le I'BS. W�3t't,. gar INSPECTIONS Footing Trench Founqation Forms and Grade to G� Rough Framing Plumbing, Rough to Slab w�(.).� Plumbing, Rough Complete Temporary Pole Wiring, Rough Heating, Rough Heating, Final Sewer, Huus /�i, �Sewer, St. L .�g, In Out Plastering � Plum6ing, Final, Fixtures Compl� Plumbing, Final GasTest W iring, Final Occupancy FOFM y�0 3M 10�35 PERMfTSISSUED DATE SUBCONTRACTOH . DATE I NUMBER (714) 754-5273 • Fatt (714) 754-4856 • www.ci.costa-mesa.ce.BuUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 2241 AVALON ST Suite: Vicinity: Parcel Number: 41901105 � Applicant: RAMIREZ, PEDRO Address: 2241 AVALON ST � COSTA MESA;.CA" " � : � , Owner. RFIMIREZ, PEDRO �� Address ,2241"AVALON ST �� - � COSTA MESA,'CA �-, -,� � Contractor. OW N ER-6U ILDER � Address: ' � ' Zip: Arch : Address: Phone: Zoning: " � Phone` 949-654-3548 Zip: 92627-1619 . Phone: 949-654-3548 Zip: 92627-1619 � Phone: � License:� 000000 ' - " Eng: Address: ISSUED BY: Status: ISSUED Applied: 10/07/2003 Issued: 10/07/2003 Phone: �Zip: . ,� � ,-License: License: SCOPE OF PERMIT 7EAR OFF COMP. SHINGLES. 1 30�LB FELT AND 30 YEAR COMP'. SHINGLES. 2000 SF. FEE SUMMARY Plan Check: Permit: SMIP Res: SMIP Com: Other. Inspection: Total: $0.00 $8325 $0.50 $0.00 $0.00 $0.00 $83:75 Calc Valuation: gz,3oo.00 Claim Valuation: gz,soo.00 � 5ETBACKS. � � � � - � MAIN STRUCTURE Front 0- 0� Rear 0- 0 ACCESSORY ��Front �� 0-�0 " . . Rear 0-0 pARKING Existina:'�.0 . Required: _o NOTES: PLANNING & ZONING Left 0-0 Right 0-0 Lek 0- 0 Right 0- 0 Pro osed: 0 , NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access raquirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA7ION: 7his permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a p�riod of 180 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlrod inspections and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446d61�00) \ WORKERS'COMPENSAPON DECLARAnON: T � ' . � '� ' � � . y I hereby aflirm under penalry o� paryury one of the following declarations: ' ' ❑ I have end will melnlain e cenificete of consent to self-Insure for workers' compensation, es provitled for by section 3700 of ihe Lebor Code, for ihe pertortnanca of the work for which Ihis permit is issued. � ❑ I heva and will meintain workere' compensatlon Insurance, es requlretl by sedlon 3700 of tha Lebor Code, tor the pertortnance of the work for which this pertnit Is issuetl. My workers' compansellon Insurence carrier end policy number are: ' Carrier: Policy Number: (This sectJar neetl not be completed il the pertnit is valued et one hundred dollers ($f 00) oi less.) ❑ I cerlity ihet in the pertortnence of the work for which Ihis permit Is issuetl, I shall not employ any person in any manner so as to become subject to Ihe workers' compensatlon laws of Calitornia, antl egrea that if I shoulA 6ecome sub�ect to Ihe workers' compensetion provislons of Sectlon 3700 of ihe Lebar Catle, I shall forthwith comply wi�h these provisions. Applicent Signature: Dete: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION WVERAGE IS UNIAWFUL AND SHALL SUBIECT AN EMPLOYER TO CFIMINA� PENALTIES AND CIVIL FINES UP TOONE HUNDRED iHOUSMIO DOLIARE ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMhGES A$ PROVIDED FOR IN SECTION 37080F THE IABOR CODE, IMEREST, AND ATTOFNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I em licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Profeuions Code, and my license is In full force and ettect Lia a Cless s Coniracrols SignaWre: Date: CONSTRUCTION IENDING AGENCY: ❑ I hereby aHirtn that ihere is a consWdion lending agency for the pedormance ot the work for which this permit is issued. (Sec. 3097, Civil Code). Lantler's Name: Lender's Address: Signature: Data: OWNER•BUILDER DECLARATIONS: I hereby alfirtn that under penalry oF perjury that I em E%EMPT FFOM THE CONTRAC70RS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business and Professions Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any strudure, prior to its Issuance, also requires the applicant for such pertnit to file e signed stetement that he or she Is Iicensed pursuent ta Ihe provislons ot the Contrectors License Law (Chepter 9(commencing with Section 7000) of Division 3 of the Busi ss antl Profeuions Code) or thet he or she is exempl theretrom and Ihe besis for the alleged exemption. Any violation af Sadian 7037.5 6y any epplicent for e pertnit su cts the epplicant to a civll penalry of not more than tive hundred dollars ($500).): I, as ownar W the property, or my employees with wages as their sole compensation, WILL DO THE WORK, entl Ihe slrucWre is not intended or oReretl for sale (SeC. 7044, Business and Professions Cotle: The Contrectors License Lew tloes not epply lo an owner of property who builds or improves thereon, and who does such work himself or herself or throuqh his or her own employees, provided that such Improvements ere not Intendetl or oNered for sele. If, however, the building or improvemant is sold within one year of completion, the owner-builder will have'the burden of proving thet he or she did not build or improve for puryose of sale.). � ❑ 1, as ownar of the property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct tha project (Sec. 7044, Business and Professions Cotle: The conirectors License Law does not apply to an owner oi property who builtls or Improves ihereon, end who contracis tor such pro�ed with e conirector(s) license pursuant ro the Contractors License Wws.). Cade far ihis reeson: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cartity thet no excavatlon five (5) or more feet in depth into which a pereon is required to descend, wlll be metle in connection with work euthorized by this permit, end that no building siructure, scaHolding, felsework, or demolitian or dismantling thereof, wlll be more than ihirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Californla AdmlNstretive Code). ❑ As owner-builder, I will not employ enyone to tlo wark which would require e pertnit iram ihe Division of Intlusinel Sefery, as noted above, unless such person has a permit to do such work from the divislon. SigneWre: Date: Division ot Industnel Safery Permit Number: CERTIFICATE OF COMPLIANCE AND AUTHOHIZATION OF ENiAY: I certify under penalry of perjury thet I heve read this epplication end stete ihat the information given is correct I eqree to comply wilh all state lews end ciry ortlinences relating to builtling construction, and authorize representetives of the City of Coste Mesa ro enter upon [he ebove-describ �perty for inspection urposes. agrae not to ccupy ar allow accupancy af eny building authorized by this ermit until final inspectian. f� � 1� �� io%/6, Sipp re Ot Legal O ne Date �.— And/Or Authorized Applicant Date CODE t. INSPEL710NTYVE ' 1616 Fized System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof � 201 Flnal Blcek/Retaining Well 202 . Final Factory Fire Place 203 Finel Sign 204 Final �emoli�ion ' P9iE INTffiALS � � COpE� INSPECTIONTYPE 206 Finel Mechanical 20B Finel Plumbing 210 Finel Eledtical 212 Finel Fire Preventlon 220 222 250 Final Plenning Approval Final Site Finel Building/Occupency P9IE It�LS i AOP��ant to fill in a11 spaces excevt those within heavy borAer Iines ana sign all approoriate Geclarations. CITY OF COSTA MESA C 'NISTRU�C)TION PERMIT . l �\Project Address Za� �CV ��`� S� - Applicant's Mail{"{(��g, A�d�dre/s�s� J�tl4� .u� Ow�er's Name ��N_/TI�/��-S Phon SD-��T9 Address 5�� ArchlEng. License No. Adilress — Contractor's Name Phone Address Imailing) City LicenSe No. LICENSED CONTRACTOR DECLARATION 1 her affirm that I am licensetl untler provisi drter�cing witb sectio�Ci�tiu'c 3 f�b 55 ntl Pr f I C tle antl mY l c i Il f ^ Licens CI License No. oate�� c�g �.,y.a WORKERS' COMPENSATION OECLARATION � hereby affirm that I have a certiticate of consent to self-insure or a certiticate �F Workers' Compensation Insurance, or a certifietl copy thereof (Section .800, Lab. CJ ' - Policy No. _ Company eCertifietl copy is hereby furnishetl. Certifietl copy is filetl with [he [ity Builtling Division. Date Applicant EXEMPTION kROM WORKERS' COMPENSATION DECLARATION (Thissection ne;etl not be completeG if the permit is for one huntlred ($100) or less). I certify that �n the pertormance ot tne work for which tllis perm�t is issuetl, I shall not employ any person in any manner so as to beco. me Subje<t to the Workers' Compensation ws of CaliforrW �! • Date � Si nature 1_\A.- //p� ��v — 9 �--�+�. NOTICE: , af e making his tleclaration, you shoultl become subject to the Workers' Compensaiion provisions of tM1e Labor Cotle, you must forthwith comply with such provisions or tbis permit snall be tleemetl revoketl. CON57RUCTION LENDING AGENCY 1 hereby at(irm Ihac [here is a consVucNon lentling agency for the pertormance O( the work for which thi5 permit i5 i55uetl (Section 3097 Cfv. C.) Lentler's Name Lentler's Atltlr@ss OWNER BVILDER DECLARATION ' I hereby aitir'r� �hat I am exempt from the Contractor'S License Law for the following reason (Section ]031.5 Business antl Professional Cotle: Any city or county which �¢qW�es a p2rmit to Const�uGt, alteq improye, tlemolislt o� �¢pdi� any structure, prior to its issuance, also requires the applicant for such permit to file a signe� statement that he/she is licensetl pursuant to the provisions of the Gontrac[ors License Law (Chapter 9(commentlng with Section 7000) of -^ivision 3 of tM1e Business antl Protessions Cotle) or that he/she is exempt 2^, >:-.'refrom antl the basis tor Ihe allegetl exemption. Any violation of Section �t�i1.5 by aqy applicant tor a permit subjects tne applitant"to a civil ''ebd ot not mOre than tive huntlretl tlollars (y500). I, as ownar of the property or my employees with wages as [heir sole compensation, will tlo the work, antl tne structure is not intentletl or-offeretl for sale (Sec[ion 7044, Business antl Professional Cotle: The Contractor's LicenSe l.dw qoe5 not appty t0 an oWn¢r of a prope�Ty who builtls or iTplove5 thereon, antl Who tloes such work himself/herself or throu9h his or her own employees, provitletl fM1at such improvements are not mtentletl or ofteretl for sale. If, howeyer, the builtling or imP�ovement is soltl wlthin one year of com- pletion, the oWner will have the burCen of proving he/she tlitl not builtl or im- ve torthe purpose of sale). as owner pt the property, am exclusively contractfng with I(censetl <on- � ctors to construct the project (Section 7044, Business antl Professions Cotle: Tne Contrac[Or's License Law tloes not apply to an owner of property who builtls oI improves tlleleon. antl who contldCts tof SUth oloiect5 with a C.on- trac or(s) license pursuant xo me ConVactor's License Law). I am aware thai pr / of theiv Worker's Compensati�y jps nce shoulq be provitletl [o me. I am exempt untler Section �� 1� B.,& P. C. fo� this �eason Date Owner I hereby certity that 1 have reatl this application antl state that the above Information is correct. I agree to complY with all tity antl county ortlinances � dnd state laws �elating io builtlin9 constrUction, antl he�eby authorize rep�e- 5entdtive5 of this city to enter upOn th¢ dbove-mentionetl p�operty fo� inspection pur es. Si9nature Date S^2^� 9 Drivers' Licenge or 55 � � '� >�� Or.t-O I rL � 1 � 2� � TYPEOFCONSTRUCTION NEW ADD ALTERATION ❑ GONVERSION ❑ DEMOLISH � OTHER �ESCR�TIO[y OFYJORK/l�E OF BLDG. y��A(i{� REPAIR TVPE OF PEHMIT U GRADING� IJ FOUNDATION LJ STRUCTVRAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SQ.`F(T. OCCUPANCV � CONSTRUCTIONTVPE�y � VAIUATION$ �7-A'1 ZONE GRADINGCU.VOS. ACRES Remarks� Sink Preventer Irrigation ng Fountains Drains Sinks Interceptars Kitchen Sink Lavatories P-Trap Roof Drains Reinspaction Fee ShOWCIS Service Sink Sewer Cap Sewer Connection Solac Collectors Solar Piping . v imming Pool w/Spa U�inal Ouilets Water Clout Waie ater Water Service Auto-Wash � Leundry Tra'ys $15 laue Fee Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhausc System � Multiple ❑ �Firepl/Fact. Blt iC60 # � � yc� Heating System & Ducting 00.100,000 BTU 0100,000 BTI Reinspac[ion Fee � $15 0865-46, rev. S/88 White - Builtling: Canary - Applicant; Pink - Accounting; Goltlenrotl - A55esSor Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑6100,OOOBTU ❑100,000 System Repair/Alteretion Fire Dampers Registers , Issue Fee y FEES A.P. # , � S Main Buildi E T Fronl B Rear �A C Right - SLeft Ping. Ref. # Planning Notes: ELECTfl�CAL Automatic Washer� Transformer ❑ 15-50 KW ConstructionPoleSub. ❑ 50+KW Cooking Unit Meter ❑up to 100amps Dishwasher � Meter ❑over100amps Dryers ❑Gas ❑Electric Fan F.A.U. � Fixtures Device Bozes Outlets Switches Garbage Dispoul Generator �0.5 KW �5-15 KW 2one Sub Panel Motors �0-1 HP O i•% - 8 InaSoiar �9-75 HP �16-15+ Microwave � Pole Light S�gn Standing Sections Trash Compactor � Rainspection Fee !$15 I I Issue Fee $ 3 DEVELOPMENTSERVICESREQUIREMENTS: 2oning Approved By FEES Building Approved By �!�-_.� /�� u FEES $ 3 1 N G R E � M T S. SUMMARYt}F FFF(B BUILDING PERMIT $ :O�J SMIP S • �0 ' �� PLAN CHECK $ � �.� PERMIT P.LUMBING $ � Q�� ISSUANCE $ PL,4N CHECK 25% $ ENERGV P.C' $ ELECTRICAI $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ � TOTALFEE $ � PLAN CHECK 25% $ %%.,�5- ,_' " " . -1-L?:c: ' _ Ur.iC: �(i!�.>-.,tc '�S�'.. ..' � POO SP;A J CONSTRUCTI�N AND PLANNING `'�v APPROVALS Permit# Date Inspector :qppROVALS PermiY#� � .�Date � Inspector , 1. Temporary Electrical Service or Pole '�,} 52. Pool & Equipment Location � t � 2. Soil Pipe-Undrgrnd. ; `� ^ 53. Steel Reinforcement ; �?` 3.. Electrical Condui{ Utility-Undrgrnd. �� 54. Forms � 4.';Electrical Condul��Undrgrnd. 4 r- 55. Electrical Bonding � .,' 5...Steel�Reinforcement �' " 56. Rough Plumbing & Pressure Test � r-: 6. Elecfrical UFER Gmd. ( 57. APPROVAL TO COVER-GUNITE �' i-' , � 7t Footings f' r T 58. Electrical Conduit-Undrgrnd. - �' - 8� Foundation ,� �i � � 59. Gas Pipe, � Undrgrnd., Test !� . ' 9.�'Water Pipe-Undrgrnd. ' � � , �, � 60. Backwash Lines, P-Trap, 0 Undrgmd. • .�� 10. Structural Floor System � � „L 61. APPROVAL TO DECK • �� .� 11. Property Sewer Line & House Connection � 62. Backwash & Receptor-Final � t . 12. Sewer Cap `'' 63. Heater & Vent-Final 13. Roof Drains � i 64. Plumbing SYstem - Final ; 14. Rough Plumbing � 65. Electrical-Final "� � 15�. Rough Electriral-Conduit , , 66. Solar System-Final � � - , �t6. Rough Electric Wiring . ; 67. Fencing & Access Approval �17. Rough N/iring Sign 68. APPROVED FOR PLASTERING 1'8.' Rough Electrical-T Bar Ceiling " 69. POOUSPA SYSTEMS FINAL �19. Rough Heating & Air Condi{ioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace'�� APPROVALS Permit #� �21. Ducts, in�Structure ��,+' 70. Underground Hydro � , 22. Ducts,�Ventilating � � � 71. Product Piping OGas ❑Oil ' � 23. Gas Pipe-Rough & Test �'.' ," 72. Onderground Flush � 24. Roof Framing '. � � 73. Un.dergmd.StorageTank OGas+OOil _ 25. Roof,Sheathing � ' . � 74.�OJe'rfiead Hydro ' .•;. 26. T-Bar Ceiling (Structurall�&rMonocoat 75; Dry Chemical , 27. Frame and flackia� ' j 76. Dry Standpipe ' � 28. Lathing & Siding �'� 77. F,IXED SYSTEM FINAL 29. Insulation ��. �' . 78.�FI�RE'PREV. FINAL 30. Drywall Nailing t L� ', HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ' y' 79. FINAL INSPECTION ' ' 32. Electrical Power Meter-Final' ' 80. FOOD CERTIFICATE ISSUED �, � � �� ` 33. Final Electric ' � Nbtes: � 34. Final Heating & Air Conditioning . . 35. Final Gas Pipe-Test � �C .�36. Hood or Canopy � �. . 37. Final Factory Fireplace-, � / � � '� . 38. Final Plumbing ( ~ - f�� "' 39. Water Service-Final � , ;'•;� 40. Gas Service-Final • ' 7 � 41. Solar pomesticFinal . %' • r.,; 42. Backflow Preventer� ` /� � ' -' �. /_ 43. Backflow Irrigation � '- � � , � � � • � '`1 44. Landscape Irriqation System . � � y . �� /(• 45. �Sound Attenuation ' • ' � '� � � � ' s , .+ : 46. Handicap Regulatio�s , �.� 47. FINAL STRUCTURE & BUILDING Lj � � ' 48. Special Requirements Completed _ �� , 49. Electrie Release to Edison ' , 50. Gas Release to Sout6em Celifornia Gas Co � � � �!� , 51. CERTIFICATE OF OCCUPANCY ", �, � No. Date � ' .�� ` . 2 �w�� s _ . . � APPRO��..� '� � ! ; — ---- - � --i – �-- �- --'----- - s iy� � '- � – � � i � os a'i sa� `� i � �. � .� _�� _, �� BY ��/L� i i i � �ATE � 1 i9� �� \ � ,i � � i , � I ' �THESE PLA�NS'MUST BE ON JOSIAT ALL�TIMES�MaK[ � I` I , NOfHANGES;WIiHC}UTPRiOf(F.Fr"�OYAIIQfIDEPT. � � ,-, � j i � � , , � I i I � I I i I ' , '' iHE�,ISSUANC�E OR GRANTING OFiA CERMIi 02 APPROVAL i ! � � PLANS AND SREGHCAT�ION�S SHALI NUi�B"r. �::N�STRUED TO dE A I � I ' � PERMI7 FOF, C1ft�AN e��q?ROVAL iU, �.AP!1'. `�:+:�! �'TION �Of �.NV � �MMyyy ' THEPROVI610�SOf1HlSl0�'e{NO�PkK;��li�'�F.CS�IMINGT,O /�� i ' � AUTHpRIi{! TO Yfbl.''i:. 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