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Home My WebLink About367 ROCHESTER ST - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 Job Address: Suite No Vicinity: • CITY OF COSTA MESA � BIIILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 367 ROCHESTER ST Parcel Nunmber: 42502171 Applicant: NOCK, RON Address: 11612 KNOTT ST CA GARDEN GROVE PLUMBING PERMIT - Phone: (714) 895-1246, . Zip: 92841 , . i_,i . � � ' - . Owner: :STANTON, RAMEY DEAN ,.,,�. � Address� - 367 ROCHESTER ST �COSTA ti1ESA, CA , � 'i Contractor:� Address: ArchlEng:' � Address, � i , NOCK PLUMBING 11672 KNOTT ST CA GARDEN GROVE WATER HEATER CHANGEOUT. ISSUE FEE Backtlow irrigation � Backflow Preventer Bathtub Clarifer System Connect (Ice,SoCa,etc) Dental Units ` � Dishwasher . Drain, Floor Drein, Rainwater � Drain, Roof � Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) Gas Repipe Gas Service Inierceptors (Grease, Oil) Interceptors (Santl Auto ) AMT 523.50 $0.00 $0.00 Stl.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 50.00 50.00 50.00 sv.00 50.00 50.00 50.00 orr Phone: Zip: 92627 �Phone: (714) 895-1246 Zip: 92841 License'. 707775 Phone: Zip: License: SCOPE OFPERMIT FEE SUMMARY AMT Laundry Tub / Washer 50.00 Landswpe Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 70 k) $0.00 Receptors , $0.00 Septic Tank $0.00 Sewer Cap for Demo ' $0.00 Sewer Connect $0.00 Sewer Private Line � $0.00 Shower 50.00 Sink, bar $0.00 Sink, wmmercial. 50.00 Sink, Floor $0.00 Sink, kiichen , 50.00 Sink, service/mop 50.00 Spa (private) $0.00 Spa (public) $0.00 Qrv 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS NUMBER P99-00484 77 FAIR DRIVE. COSTA MESA, CA 92626 Status: ISSUED Applied: OB/24/1999 Issued: 08/2411999 ISSUED BY: �Z� i SumpPump Swimmin9 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 so.00. $0.00 $0.00 50.00 50.00 $0.00 50.00 $0.00 $0.00 $0.00 572.30 $0.00 50.00 $0.00 $0.00 50.00 $0.00 . $0.00 50.00 TOTAL CALCULATED FEES: $35.80 � D }ti E�P ► i Z �� Qrr 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 u NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements u�ider California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21•92) ,. . EXPIRATION: This permit shall automatically expire end become void if work is not commenced within 780 days, or if work is suspended or abandoned for e period of 180 days. , INSPECTIONS: In order �or [he �+'ork authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred Inepeetlone and finel approvel must be obtainad. Failure to obtain inspections and final approval will result in tha expiration ol this permit. FOR INSPECTIONS CALL: (71d) 7545626 WORKERS'COMPENSAnON DECLARATON: � �� I hereby eflirm untler penely oi perjuryone at t�e lollowing tlaclaratlons: ❑ I heve end wlll meinteln e certificate of consent to se�Flnsure br workers' compensatlon, es provided for Dy sectlon 3700 0� t�e Lebor Cotle, for the pertormance of ihe wo for w�ich Ihi3 pertnit is issued. I have and will maintein wwkers' compensallon insurflnce, as requiretl by seaion 3700 oi Na LeDor Coda, for the pertortnance at Na work for whicli this permit is issueC. My workers' co�mp!e�ns.a.-t-io�n, In\suren,�ce- yca��rrier and polifydumber are: ��! ��r� Garrler: �� 61i1! GN F.[� f� � Policy Number. �J W G �'�� `—C`-7 D � (Th/s secNon neetl nof be camp/eted l7 rhe pertnUls ve/ued et one hunCred tlollars ($f 00) or /ess.J ' ' ❑ I certity that In thd pedormance of Itie work for whic� Ihis permlt is issued, I shall not employ eny person in eny manner so es to become subject to the workers' compensetlon lews of Califomi�hat II I sh��subject to the workers' compensation provisions af Section 37p0 ot tAejebor Code, I shall torthwith comply with ihese provisions. /� /� � � � Appllcem5ignature: I J� / Dale: WARNINO:FAILURETOSE�UREWOfiK RS'COMPENSATIONOOVERAGEISUNLAWFULANDSMALLSUBJECTANEMPLOVERTOCRIMINALPENALTIESANDpVIL NESUPTOOfJEHUNDRED THOUSAND �OLLARE (5100.�1. �N ADDRION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTION 3]OB OF THE IABOH CODE, INfEREST, AND ATTOFiNEVS FEES. LICENSEO CONTRACYORS DECLARATION: I hereby etfirtn Ihat I em licensetl under provisions of pter 9(commencing with Sec�lon 7000) ol Divislon 3 of ihe Business and Profe3�Iq�s Cotle, end my Ilcense is In full lorce and elfect. lJc. a �� Class M �• S�P Contrectofs Slgnewre: o� �. G7 Date: � 7sri ��i CONSTRUCTION LENtl�NG AGENCY: ❑ I hereby eftirtn that t�ere Is a construction lentling epenry lor the peAartnance oi the work lor which this pertnit Is issued. (Sec. 3097, Civll CoOe). Lentlef5 Neme: LBntlefS Atltlress: Signeture: Dete: OWNER-BUILDER DECLARATIONS: I hereby eHirm Ihei untle� penaly af perjury t�ei l em EXEMPT FROM THE CON7RACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Bu9iness end Professions Cotle: Any ciry or county which requires e permit to consWcL altar, impwve, tlemolish, or repair any siructure, prior to its issuance, also requlres the applicant tor such permit Io fila e slgned statemenl the� he or she is licensetl pursuent to the provisions of [he Contractors Licensa Lew (Chepter 9(commencing with Section 7000) of Division 3 of Ihe Buslnass antl Professions Cotle) or that ha or she fs exempt iherelrom antl the basis for the atleged exemptlon. Any violailon ot Secllon 7031.5 by any appllcant lor e permit sub�ects the epplicent to e civil penalry of not more then five huntlred dollars (5500).): ❑ I, as owner af t�e property, or my employees wit� wages as Iheir sola compensation, WILL DO TNE WORK, end the structure is not Intantled or otteretl for sale (Sec. 7044, Business end Professions Code: The Contrectors License Lew does not apply to an owner of property who builtls or improves thereon, anA who does such work himselt or herself o� �rough his or her own employees, pwvided that such improvements ere not imentletl or oHered for sale. If, howaver, the building or improvement is sold within one yea� of completion, �he owner-builder will have the burtlen of proving thel ha or she did not buiia or improve for purpose at sale.). ❑ I, as owner ol the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construcl Ihe project (Sec. 704d, Buslness antl Professions Code: The conirectors License Law does not apPly to an owner ot proPerty who bulltls or improves iheraon, and who contracts for such projact with a contractor(s) license pursuant to lhe Comractors License Laws.). ❑ I am exempt untler sec. Business entl Professions Coda for this reason: Slqne�ure: Date: Owner ID verilied by dnvers license. ❑ Ves ❑ No Drivels License No. Veritication of Ownership by (type ot document, i.e. - p�operry lae bi6 or deeA)�. DIVISION OF INDUSTRIN� SAFETV PERMIT CERTIFICATION: Expires: ❑ I hereby ceNfy t�a� no excavetlon tive (5) or more teet in tlepth imo whlch e person Is requlred to tlescend, wlll 6e matle �� connectlon wilh work aut�odzed by this permit, antl that no building structura, sceMOltling, talsework, or demolition or tlismantling Ihereol, wlll be more Ihen thirty-six (38) feet high. (Chflp. 3.2, Grp 2, An 2, Sec. 341, 71t1e B, Celilam�a Atlministretive Cotle). ❑ As owner-bullder, I wi�l not employ anyone to Ao work which would require a permli trom Iha Divislon of Intlustrlel Safery, as noted ebove, unless such person has e permil lo do such work �rom the tlivislon. Slqnamre: Date: Divislon of Induslrial Se�ety Pertnit Number: CER7IFlCATE OF COMPL�N�ICE AND AUTHOROATON OF ENTAV: I certity untler penalry of perjury that I have read Ihis epplication antl stete that the infortnation given is wrrecL I agree to compty wlih all stete laws end dry ordinences relating to building canstructlon, entl authodze reD�esentatives of Ihe Ciry ol Coste Mesa to enter upon the ebova-descnbed pmperry �or inspeaion purposes. I egree not to occupy or ellow occupancy of any builtling authodzed by Ihis pertnit until linal inspectbn. Signeture Oi Legal Owner(s ate _ 3a � � And/Or Authodzetl'AppliCam Det COOE11. INSPECTIONTYPE � j�„ PAiF 1[�Lfl 1818 Flxetl Systam Final Fire Preventlon 1268 200 201 202 203 204 24a&48 Pool Spa Final Final Re-Root Final BIocWRete��g Well Final FeCtory Flre Place Final Sign Final Demolition COOEY INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Finel Fire Preventlon 220 Finel Planning Approval 222 250 Flnal Site Final Building/Occupanry PSIE 1N�lALS ��/�I`S.. � — ',• (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 3051 ROYCE LN Suite: Vicinity: KITCHEN AND DINING ROOM Parcel Number: 14116323 Applicant: JONATHAN L HARTSHORN Address: 321 CARRIAGE DR SANTA ANA, CA Owner: LEADBETTER, DANIEL G Address 3051 ROYCE LN Zoning: R1 R1 Phone' 714-434-3621 Zip: 92707 Phone: COSTA MESA, CA Zip: 92626-2738 Contractor: HARTSHORN WOODCRAFT AND CONSTRUCTION Address: 321 CARRIAGE DR Phone: 714-434-3621 SANTA ANA, CA Zip: 92707 License: 841837 Arch : Eng: Address: Address: Phone: Status: ISSUED Applied: i2/O6I2004 Issued: 72/O6/2004 � ISSUED BY: Phone: Zip: License: License: SCOPE OF PERMIT REMOVE EXISTING, INTERIOR, LOAD-BEARING WALL TO BE REPLACED WITH POSTS AND BEAMS LOCATED IN THE KITCHEN AND DINING ROOM. REPLACE EXISTING DOOR WITH A WINDOW IN THE KITCHEN. . Plan Check: $54.11 Permit: 583.25 SMIP Res: $0.50 SMIP Cam: $0.00 Other: $0.00 Inspection: $0.00 Total: $137.86 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Exislina: o Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0-0 $2,500.00 $2,soo.0o 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, 12•21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a penod of 180 days. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapeetlona and final epproval must be oDtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 �µ� �� WORKERS'COMPENSATION DECLARAnON: .. � - I hereby afrirm under panelry ot per�ury one oi t�e tollowing declarations: � ❑ I heve and will melnteln e certilicate of consent to self-Insure tor workars' wmpensetlon, es provided for by sectlon 3700 of the Lebor Cotle, for Ihe performence of the' work tor whlth thl9 DBrmii is Issued. ❑ I heve entl wlll malntein workers' compensetion Insurance, es required by seMlon 3700 of the lebor Cotle, for Ne peAormance oi Ne work for whiU ihls pertnit I5 Issuetl. My workers' compansatlon Insurence carrier end poliry number are: Cerrier: Policy Number: (Thls sectlon need nof be completed i/ the permit is valued af one huntlretl dollers ($100) or less.) �„�, I cenity t�al In Ihe pertortnance oi Ihe work for which ihis permit is issueq I shall not emplay eny person in eny manner so as to bewme suD�ect to Ihe workers' compensetlon laws of Californla, arM egree that if I should become subjecl to t�e workero' compensation provisions of Section 3700 of the Lebor Coda, I shell fonhwith compty with these p ovi ' Aea_i � � sigoei�re: _ , . _ 6�� /2 �0 6 � o�i i. _. .__. WARNINO: FAILURE TO SECORE WORKERS' COIdPENSAiION COVERAGE IS UMAWFUL ANO SHALL SUBIECT Ml EMPLOYER TO CRIMINAL ENAL IES AND qVIL FlNES UP TOONE HUNDRED THOUSAND DOLURE (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES PS PROVIDED FOR M SECTION 3)OB OF THE LABOF CODE. INfEREST, AND ATTORNE`fS FEES. LICENSED CONTRACTORS DECLARATION: I hereby eNirm Ihat I em Ilcense� ur��er pfpyjsl's of Chapter 9(commencing with Section 7000) of Division 3 o�the Business �nd Protesslons Code, end my Ilcense Is in lull CONS7RUCTION LENDING AGENCY: ❑ I here6y aHirtn thal Ihere is a construction lending agency tor Ihe pertormance of ihe work tor which t�is permit is issued. (Sec. 3097, Civil Cotla). Lender's Name: Lender's Address: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby aHirtn thet untler penelry ot perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business entl Prolessions Code: Any ciry or coun�y which requires e permit to construct, elter, improve, demolish, or reDair any structure, pnor to its issuance, elso raquires Ne epplicant lor such permit to lile a signed statement thet he or she is licensetl pursuent to the pmvisions of the Cantrecrors License Law (Chapter 9(commencing with Sectlon 7000) oi DlNslon 3 of t�e Business entl Profeuions Code) or Ihat he or she is eaempt tharelrom antl the besls for the alleged exemption. Any violation ol Section 7031.5 6y eny applicant tor e pertnit suD�ects the epplicent to e ciNl penelry ol not more than five hundred dollers ($500).): ❑ 1, es owner ol ihe property, or my employees wlth wages es thelr sole compensatlon, WILL DO THE WORK, antl the structure Is not intentled or o%ered lor sale (Sec. 7044, Business and Protessions Code: The Coniractors License Law does noi epply to an owner oi properry who builds or improves thereon, entl w�o does such work himself or herself or ihrough his or her own employees, provided ihat such impmvemenis are not intendetl or oHaretl for sele. If, however, the builtling or Improvement Is soltl within one year of completion, the owner-builder will heve the burden of proving that he or she did not build or imOrove for purpose of sale.). ' ❑ I, as owner ol ihe pwperty, em EXCLUSIVELY CONTRACTiNG WITH LICENSED CONTRACTORS to wnstruct the project (Sec. 7044, Business and Pmfesslons Cotle: The contrectors Llcense Law does not appty to an owner of propeny who builtls or Impmves ihereon, end who contrects tor such project with e conirector(s) license pursuent to the Contractors License Lews.). ❑ I am exempt under sec. Business entl Professions Code for ihis reeson: SignaNre: Date: Owner ID verilied by tlriveYs license. ❑ Ves ❑ No Oriver'S LiCen9e No. Vedlicetion of Ownership Dy (type ot document, i.e. - property tax 6111 or deetl): Expires: DIVISION OF INDUS7RIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenify Ihel no excavetion tive (5) or mora feet in depth into which e person Is requlred to descend, will �e made in wnnection with work euthodzetl by this permi�, antl that no building strucWre, scallolding, talsework, or demolition or dismentling thereof, will be more ihan thirty-si: (36) teet high. (Chap. 32, Grp 2, AR 2, Sec. 341, Title 8, Celifomia Adminisirative Code). ❑ As owner-builtler, I will not employ enyone to do work which woultl require e permlt trom Ihe Division of Industrial Safery, es noted above, unless such person hes a permit to do such work Irom Iha division. SignaWre: Date: Division of Intlustnel Sefery Permit Number: CERTIFICATE OF COMPLIANCE AND AUTMORVA710N OF ENTAY: I certify under peneliy of perjury thel I have read Ihis application and steie Iha� Ihe infortnation given is correct. I agree to comply with all state lews end city ortlinances relating to bullding construction, end authodze representatives oi the Clly of Coste Mesa to enter upon ihe above-descnbed property for inspec�ion Ouryoses. I a9ree nof m occupy or ellow occupancy of any building authorized by this permit until final inspection. CODE �. INSPECTIONTYPE 1616 Fixetl System Finel Fire Prevention 7268 Pool Spe Final 200 Final Ra-Root 201 Finel BIocWRetaining Well 202 203 Final Factory Fire Place Finel Slgn 204 Final Demolition PdIE ItIIIDlLfl 4oDEt INSVECTIONTYPE 206 Finel Mechanical 20B Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 222 250 Final Planninq Approval Final Site Final Building�Occupency PLtl�RihIL1FY s� �; or v SUBCONTRACTOR � �:� 27485; COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1P00 COSTA MESA, GALIFORNIA BZ620 Por Appltcanf to Ftll In Completaty TYPE OR PRINT COSTA MESA. CALIFORNIA �AME y sr-.� � ro , /212..5— T/Lllr.f� 81ZE � q � No, oI �LOa�. OF LdT G C JaI XOW oN USE OP EXISTIN� BLDO. 2 E/ Y6T0ACK LIN[ II10M ceHrert o� crn[R R[AR Y D a'. BIDHYARDI LtPT u� � RIOHT �7� DESCRIPiION OR WORK ROOF L196 Or ! �o 1 HER6BY ACKNOWLBDOS THAT I H�Ve RHAD TNte APPLICATION AND 6TAT8 THAT TX6 AGOVH IY GOPR6CT�AND AOpH6 TO COM• PLY WIiX ALL CITY OHDINANG�Y AND YTAT[ I.AWY R[OYLATIXi BU�LOINO CONBTRUC�ION. / SIGNATUR80P �� / '% %� PERM17Tfis A//Lo��G/�... AUTHORIZiD AG6�' / .G '� a:. i � � °.r} .:�� 2.3-67r,��sn�� 7 i �� - ... .. '/".�i" APPLICATION FOR PERMR BUILDINf3 for Offlce Use Only naceirt no. ri � _ 1' �3 APPROV[D � � � / _`/ EY DATH �o /O ZONIN(i SO NO. O/ a� � YY[ O! N[W � lLAIY fi OUILDINY I DtYCRIRION � �� LU 1 �I b /LG.G.�T / A. P. NO. u��— � NOTl: NO HAV6 OV [RNANO SHALL BE LE88 THAN 90' TO HID6 S RBAR P. L 6AVEH ALLOW[D .(U.B..C..REQUIRHMENT7 YARDBAPPROVHD YARCSMPROVfiO MAIN BUILDINO AGGHSSORY BUILDINO vwR. �i o�re ,� ��. �. � � r i � � �. Q' � 0 TX6 IIMOUNT lMOWN UNOBR VAlUAT10N 19 FOR TXB j PYPPOB[ OP t/TABLI9NIN0 A PERMIT PE8 ONLY. 5 VAWATION �� o � PERMIT FEE I p ^ �� o ' �`5 `�'%,LI D �'7 w � TOTAL FEE S C V� l�—��`'' c�'iL. _ r, y�l S. , 0 . ' ._. - -. ,..'' :,-� .. '.y b �� %��-�-� �' - �� r ��-� r �� - -- � . . .. _ V `^� ✓„-��,"' "'" f " _. _ " ' •�.1,: ' _ _ _ ' ' _ . 9' ' — , '}i . .;�r':.-_ I..a.:v.--'..�...:"_t�r....'_.::1 i ' ' '.._ . .__ _. __." _ �.'_ �;_ � _ � ' � ��- �,i,� �2 /8 !u,c-c�a.. `° ,., �,. ,.. � � - -- - -- �. - - ,- -- - - .__ . .; ,_ .. - — .__ . � _ _ -- :�.,-- -- ----- -- - _ - . ';:..•.,..�� ;_.; . . �_._-- --�._ � - -- -�— =---- - - � . - - - -- - — - --- - . - - - -- - -- - . . . . .- - - ,,,-.,--- - - --,-- : - - - - ; ..,:__ � :_'.. . �, -;r', , : - ..... r - --- - - -. _ _ .,.,�� ,._ ,. . • =�: ;;�:" —�-:��_ - '--'`=="== •-- - � . • � . �-,... . - . � ,-�•-,_. . --...., _ .. --- — --- ��. :,-_.. � - - --_ - - _ .. � ._ " _ _ _ _ ' _ ' _ ' _ _ L . _ � . ' � _ _ "___. _ _ . . ` __ .". __ _J- __.-�-�� __ " . . . . � � ..� . _I _______ .. .`. . _ _ __ .. _'. - . _ . ' .7 : . �' ' '_"' '_ • ._I T -'- 1'. ' _ _ _' _' •' _ _ ' _ • ' . _ . v._ � ..... __ ' " ' _"__ _ ._ ' 'N: 1 ! � . .. ' . . . . 1 ; _ "_. ' .'_' _'_. ___ .` ' . _ '"' _. ' _ ' _ '_ � _,. l_ i • J, _ _ . . . _ __ __ ___ • C. .. . . � . .R'. ! �/:i . f.-... . , �.1� .. ___.�. __ ._ . . _.� � ' . , - • 1 . � . � ' , . �_ " . ..�. _ . _ � .. . . f .