HomeMy WebLinkAbout341 RIVIERA DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
lob Address: 341 RIVIERA DR
Suite No
Vicinity:
Parcel Nunmber: 43914324
Applicant: FLOWERS, R.4NDALL
Address:
Owner: PFAFF, DONALD ALAN
Address � 2052 NEWPORT BLVD tl 224
COSTA MESA, CA
Contractor: CAL-COAST REPIPING INC
Address: 1371 TITAN WAY
BREA, CA
Arch / Eng : , �
Address:
ISSUE FEE
BackFlow irrigation
Backflow Preventer
Bathtub
Clarifer System �
Connect (Ice,Soda,etc)
Dental Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Dnnking Fountain
Expansion Tank
Gas Earthquake Valve
PLUMBING PERMIT
Phone:
Zip:
Phone:
Zip: 92627-7140
Phone: 800-649-7511
Zip: 92821
License: 636649
Phone:
Zip:
License:
Status: ISSUED
Applied: O6/1 V2004
I ssued: 06/11 /2004
ISSUED BV:
SCOPE OF PERMIT
COPPER RE-PIPE ENTIRE HOUSE-REPIPE ONLY, DOES NOT INCLUDE NEW PLUMBING FIXTURES.
FEE SUMMARY
AMT QTY AMT �TY
$23.50 - Laundry Tub / Washer $0.00 0 �- Sump Pump
$0.00 0 Landscape Irngation $0.00 0 Swimming Pool
$0.00 0 P-Trap $0.00 0 Trap Primer
�$0.00 0 Presgure Regulator $0.00 0 �� Urinal �
$0.00 0 Process Piping (per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4)
$0.00 0 Receptors . $0:00 0 Vacuum Brkr Bkflow(5+)
$0.00 0 Septic Tank $0.00 0 Wash Basin .
$0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set
$0.00 0 Sewer Connecl $0.00 0. Waste and Vent System
$0.00 0 Sewer Private Line . �$0.00 0� Water Closet (Toiiet)
$0.00 0 Shower ' � $0.00 0 , Water Heater / vent
$0.00 0 Sink, bar $0.00 0 " Water Piping (Inst or Rep.)
$0.00 0 Sink, commercial . $0.00 � 0 Water Re-pipe
$0.00 0 Sink,Floor $0.00� 0 WaterService
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$9.80
$0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
0
1
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28. § 1. 1241-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period ot 180 days. I
INSPECTIONS: In order (or the work authorized under this permit to be Consitlered legal, such work must comply with all applicable codes, and all
requlred Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
244fi3fi (6/00)
i
WORKERS'COMVENSAnON DECLARAnON:
1 hereby eHirtn under penalry of perjury one of the following tleclarations:
❑ I have antl will mainlain a certiticate of consent ta seli-Insure for workers' compensetion, as provided for by section 3700 of ihe Lebor Code, for the peAartnence of t�e
work tor which this permit is issued.
❑ I �ava antl will maintain workers' compensa6on insurance, as requiretl by section 3700 of the Labor Code, for the peAormance of tha work for which Nis pertnit is Issued.
My��(orkers'� pensatlon Insurance cerder anC policy number ere: a
Cerrier: TTd•^—, 1T� 1�^�,..� er O� Policy Number: �� 4 Z� � 1
(This secBon need nof be comp/etetl i/ the permit75 valued at one hundred dollers ($100) or less J '
� I certity that in the peAormance of ihe �Ic for which this pertnit is issued, I shall not employ eny person in any menner so as to become subjact ro t�e workere'
wmpenseUon laws of Calitomla, a 8�ae thet N I should Cecome subject to Ihe workere' cnmpensation provisions ot Sectlon 3700 of the LaEor Code, I shall fotlhwith
comply w'
Applicant Signature Date: � —� � '— �
WARNINO: FNLURE TO WORKE ' SATION Q�VEMGE IS UNLAWFUL AND SHALL SIIBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE HUNDRED
T11IX1SANDDOLLARE(E100,000),IN DfTIdJTOTHECQSTOFCOMPENSATION,DPMAGE$ASPROVIDEDFORINSECilON3lOfiOFTHELABORCOpE,INTEREST,ANDATTORNEI"SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eNirm that I em licensetl untler provisions of Chaptar 9(commencing with Sectlon 7000) of Division 3 oi ihe Busineu and ofessions Code, entl my license Is in full
m« ene enea. uc. — G3�� "l Class a� �
ContractorsSignetur\ � — Date: %-^f 1 —
T. —
CONSTRUC710N LENDING AGENCV:
❑ I hereby aHirtn Ihat there is a construction lentling agency for the pertormance ot the work for which Ihis permit is issuetl. (Sec. 3097, Civil Cotla).
LenCers Nama: Lendefs Atltlress:
Signeture:
OWNER•BUILDER DECLARATIONS:
Date:
I hereby aHirtn that under penelry ot perjury Ihat I em EXEMPT FROM THE CONTRAC70R5 LICENSE LAW tor the following reason (Sec. 7031.5, Business antl Professions
Code: Any ciry or counry which requires a pertnit to construct, alter, Improve, demolish, or repair any slrucNre, pnor to its issuance, also requires the appliwnt for suc� pertnil
to file e signeC stetemem that he or she is licensed pursuent to the provislons ot t�e Contracmrs License Lew (Chapter 9(commencing with Section 7000) of Didsion 3 of the
Business end Professlons Cotle) or that he or sha is exempt therefrom and the besis Por the alloged e:emption. Any violation of Section 7037.5 by eny epplicent for e pertnit
subjeds the epplicant lo e civll penalty ot not more lhan tive hundred dollars ($500).):
❑ I, as owner ot the properry, or my employees wl�h waqes as iheir sWe wmpensation, WILL DO THE WORK, and the structure is not intendetl or oRered for sale (Sec.
70a4, Business anC Professions Cotle: The Contractors License Law tloes not apply to an owner of property who builds or improves Ihereon, antl who does such work
himself or herseN or through his or her own employaes, provitled thai such impmvemems are not intended or otteretl for sale. II, however, Ihe builtling or impmvement is
soltl wit�in one year of wmpletion, the ownerbuilder will have the burtlen oi proving Ihat he or she tlitl not build or imp�ove tor purpose of sale.). �
❑ I, as owner of the proDerty, am E%CLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions
'Cotle: The canirectors License Law tloes not apply to an owner oi proparty w�o bullds or impwves thareon, end w�o contrects for such project with a wntrector(s)
license pursuant to the Contracbrs License Laws.).
❑ I am exempt under sec.
Signature:
Owner ID verified by drivefs license. ❑ Yes ❑ No
eusiness and Professions CoAe tor this reason:
Verificetion ol Ownership by (rype of document, i.e. - properry tat bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIGICATION:
DriveYs Liwnse No.
Date:
Expires:
❑ I hereby certify tha� no excavation tiva (5) or more feet in depth into which a person is required to descend, will be maCe in connection with work euthonzed by ihis
pertni�, end that no building structure, scattolding, ialsework, or tlemolition or tlismantling ihereof, will he more ihan Ihirty-six (3fi) (eet high. (Chap. 32, Grp 2, An 2, Sec.
341, Title 8, Califomia Adminisirative Code).
❑ As owner-builtler, I wiil not employ enyone to do work which would require a permit trom the Division of Indusirial Satery, es notetl above, unless such person hes e
permii to do such work from ihe division.
Signature: Date:
Division ol Indusirial Safery Pertnit Number:
CERTIFlCATE OF COMPLIANCE IWD AllT}10RII.ATION OF EHTRY: I certify under penalty of perjury that I have read Ihis application antl state ihet the iniortnatlon given is
correct. I egree to comply with ell state laws and ciry orEinances relating to 6uilding construction, and euthonze representa�ives of the Ciry ot Costa Mesa to enter upon ihe
ebove-descnbetl property fo�spection qurposes. I agree not to occupy or allow occupancy of any builtlinq authorized by this permit until fnel inspection.
COOE 1. INSPEGTION TYPE
1616 Fixed System Final Fire Pravention
1266 Pool Spa Final
200 final Re-Root
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Final Demolition
OpTE INi1TIAL5
Date
i� 4
Date
COOEt INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Eleciricel
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
V:11 .1 11.
l�l �' ,:VI
The Original Copper Repiping Specialis►s
�I Ji��A
3��
V\S� qS `� r1My���S�tp���\ng��
Date: �a' I y -06
To: (;i�U 0� CO,S'fL�. lllP.SC�. /
Re: Permit # PDy - p0�-J �(� Issued: V� "� �- �
Dear.• �(,�l'(' �%C�L�- I,�i� i� P/1 kL ��Pr/
Our client Mr./ rs. /�P f i �� l,(f el � S informed us on: � oi " I��0(0
That your recor s show that this construction project, taken place on.• (O -//-04
And inspection was set via phon e on �-ll � 0�{ inspection took place. Owner
Provided inspector access to the roject and communicated results via phone and
scheduled wall repair on ��2y �D�-{ . Approval tags are retained by owners.
Enclosed pre copies of cons[ruction documents that may be helpful to you in closing
this matter.
by Victoriv L. Morillo. General Manager
Vlm: nn
O�� Corporate Office: 1371 iitan Way . Breq CA 92821 • 1800) 649-7511 . p141578-5089 Fax
Lic FC36-636649
�,�
The Original Copper Repiping Specialis�s"
(800) 649-7511
U NC36-636649
Date: �C - �� - �� �
Owner Name: /(.(�(NDl� l.C���LL-S
Tenant Name:
ProjectAddress: 3�! /�l��iE,�¢
CitY: �S�- I�-�ESF}-
> � 69.
' LA�'SI IryPN(1
�'cn�,:' ns� � �
RESIDENTIAL JOB ORDER
EstimatorName: �L1-i1,�:Dj� �t-UU)�QS
Phone #: 17ty- ) �� .S50D
Phone #: ( )
T.G.R.P.: �,'� •-G�
us: �cvN� Uls;�1--
v�r� C�t�tiCve D�DC�
Ca�f�,u ���. -
C,�� � a-flu�
� E k.�� ��ti �- �� t�
_ z
� � n r l��_ � � _� -
Yes
Signed Contract ❑
AM Walk-Thru w/Customer ❑
Contract Change Order C)
Existing Deficiencies(Photo Taken) O
)ob Prep 81 Safety Req�irements ❑
Valve Tags 8t Stickers LI
Yard Signs U
Contract Completed , U
Wall Rep3ir Minor/Reg/Excessive ❑!nt
No
❑
U
IJ
U
iJ
�
❑
LJ
UExt
E/G Reconnect Location:
PM Walk-Thru w/Customer ❑ ❑
Lein Release/Permit Infomiation ❑ ❑
Shut-0ff Valve identified to Cust ❑ ❑
Payment Collected ($ ) ❑ ❑
Door Locked/Keys Returned ❑ U
Caused Deficiencies ❑ C]
Add'I Work Required ❑ ❑
Consult w/Plu�nbing Foreman ❑ Q
I, the Owner / Tenant, of the above property have completed an inspectfon with the Foreman and have
examined the work performed and find everything to be [o my satisfaction a[ this time.
X
Owner 1 Tenant Signature
X
Date
x x �''ll-� `f
Foreman Signature Date
White (Replpe Crew) - Yellow (Patch Crewj
ihe Originaf Copper Repiping Spe�ialisls"
!J
I �t iy
���
,
(800) 649-7511
"/ Uc#C36-636649
Date: �P - ;�y -�
Owner Name: if-'�.! ! �., ;�;�- �.<.'� �: '��
Tenant Name:
Project Address: '' � ' /� i !%'c r'.,F;
City: C��i; ��� r ;�' � �1- �,�-
REPIPE NOTES:
_ ......r-
1,5D
Yes
Signed Contract U
AM Walk-Thru w/Customer ❑
Contract Change Order ❑
Existing Deficiencies(Photo Taken) CI
Job Prep 8z Safety Requirements ❑
Valve Tags 8t Stickers !J
Yard Signs ❑
Contract Completed LJ
Wall Repair Minor/Reg/Excessive ❑Int
No
❑
❑
CJ
LI
l_I
❑
C]
lJ
OExt
,.ay.
�a.tSF �,vNc
jS+.... iE� -- .
RESIDENTIAL JOB ORDER
%.
Es[imatorName: ��.�AJ:'�`✓ ���_�;Xi<� =v�
Phone #. /� ^ • _ '"�� : ,
.� i i'T � ll.� i: (� `: .J I_i`a
Phone !�: ( )
T.G.R.P.: p;':r-r -��,,�
C�S: 1�! J�,T� I� (L' 1� G--
Yes No
E/G Reconnect Location:
PM Walk-Thru w/Customer ❑ ❑
Lein Release/Permi[ Information ❑ ❑
Shut-0ff Valve Identified to Cust O ❑
Payment Collected ($ ) ❑ ❑
Door Locked/Keys Returned ❑ ❑
Caused Deficiencies O ❑
Add'I Work Required O ❑
Consult w/Plinnbing Foreman U ❑
I, the Owner / Tenant, of the above property have completed an inspection with the Foreman and have
examined tlie work performed and find everything to be to my satisfaction at this time.
X
Owner / nt Signature
t-
X
�, .
foreman ign r
Whlte (Replpe Crew)
X -
Date
X � �� b
Date �
Yellow (Patch Crew)
OWNER DOYLE
JOB ADDRESS
G�,N�xai, cOv'1�itnc;Tos Doyle & $hields Dev.Co.,
House
Fotms
Gas Test
Final
C�
DATE
13UILDING PliRriI[T NO
v�,uE s 16,Z9o�oo
DL;SCRIPTION OP WORK ue� ..,/e++ ...
SUBCONTRdC7'UK
.: . e 9�-----
COSTA MESA BUILDING-SAFETY DEPARTMENT
P. O. BOX 817 COBTA MEBA. CALIFORNIA
Far Applicam to Fill In Completely
TYPE OR PRINT
eu��oiNa
wooREss � �Jl.�
COSTA MESA. CALIFORNIA
TEL.
F RECEIVED
�� 3 1963
FINANCE DEPT.
nPeuca�D%1 �frtG��i1rMESA
BUILDINCi
For o�;�e u:e onry
REC81i NO. I PEflMIT NO.
no.
0
A. P. NO. �
�f PoOTE: NO EAVE OVERHAIJ6 SHALL BE LESS THAN
pR G��OZO 90"T091DEBREARP.L.
, raAVES I!LL 6. f._ RF�IIIRFMF
xo.oreLoae. ALLOWfiD
OFLOT �.�.3 X 73�SV �'NOWON T �� ' YAR�3APPROVED
USE OF � MAIN BUILDIN6
EXISTING BLOIi.
f FROM C/L STREET)
6ETBACK L�Ni FROM
CENTEROFSTXE6T �()� REARYARD -- FRpNT � FT.
91DE VARD I LEFf � RIOHT '� R. SIDE O F'f.
DESCRIPTION OF WORK �. s�oe ��.
NEW
I X IIALTEwAT10N AODITION REAR
OISTANCE BET.
6 DEM LI8H MAIN BLD08.
NO.OF . VAR.#
ROOM4 6 8T RIES Z C. U. P. #
I ROOF Sii�NSLF APPROV „
1 HEqEBY ACI(NOWLEOOQ TXAT 1 XAVB READ TMIB APPLICATION
Arvo BTwTE TXwT TN6 ABOV6 IH CORR6CT AND AOREB i0 COM.
PLY WITH ALL CITY ORDIryANC88 ANO 9TATH LAWY ReODUTING
BUILOINO CONflSRIlCT10N. _ _
e AUTHORIZED AGENT
TH6 AMOUNT BNL
PURP08H OF t8'
VALUATION
� l���g� �
YARDSAPPROVED
AGGESSORY BUILDING
OATE
a
�
�f�d `�� "
a
INOER VALUAT�ON 18 FOR TH¢ g
3MIN6 A PERMIT FEE ONLV. Q
��/ � m
PERMIT FEE $ `� �� j
�7 ro m
pLANCHECK $ �/ i
C
.. � OlI 4