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Home My WebLink About2157 RURAL LN - Building Permits + - CITY OF COSTA MESA tBUILDING DIVISION >t DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER t. „v„ r/ti , PERMIT o MfltfflR5l (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 2157 RURAL LN Status: ISSUED Suite No Applied: 12/11/2003 Issued: 02/18/2004 Vicinity: Parcel Number: 42612129 ISSUED BY: AA Applicant: GUTIERREZ, JUAN Address: 5457 CRENSHAW BL Phone: 800-554-5858 LOS ANGELES CA Zip: 90043 Owner DESCHENES, SUSAN Address: 2157 RURAL LN Phone: 949 636-0600 COSTA MESA,CA Zip: 92627 Contractor: ADEE PLUMBING & HEATING Address: 5457 CRENSHAW BL Phone: 800-554-5858 LOS ANGELES CA Zip: 90043 License:240186 SCOPE OF PERMIT INSTALL DUAL WALL FURNACE MECHANICAL TO INCLUDE: 1 INST/REP. RECESS WALL HEATER. FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Repair/Alt Absorbtion Unit $0.00 0 Inst FAU<100 k BTU $0.00 0 Repair/Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $0.00 0 Ventillation System $0.00 0 Repair/Alt Cooling/Heat $0.00 0 Evaporative Cooler $0.00 0 Inst/Rep.Recess Wall Htr $14.80 1 Commercial Incinerator $0.00 0 Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0 • Refrig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems Gas Piping $0.00 0 Up to 3 hp/100 k BTU $0.00 0 Factory Fireplace $0.00 0 3 To 15 hp/500 k BTU $0.00 0 Hood w/Mech Exhaust $0.00 0 15 To 30 hp/1,000 k BTU $0.00 0 VAV Box $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0 Vent Fan/Single Duct $0.00 0 Over 50 hp/Over 1,750 BTU $0.00 0 Appliance $0.00 0 Boilers Fire Dampers $0.00 0 Up to 3 hp $0.00 0 Smoke Dampers $0.00 0 3 To 15 hp $0.00 0 Inst or Relocate Appl Vent $0.00 0 15 to 30 hp $0.00 0 Air Handlers< 10000cfm $0.00 0 30 to 50 hp $0.00 0 Air Handlers> 10000cfm $0.00 0 Over 50 hp $0.00 0 Floor Furnace $0.00 0 Other Mechanical Fee Floor or Suspend Heater $0.00 0 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 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 180 days,or if work is suspended or abandoned for a period of 180 days. 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 final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) • DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My yorkkers'compensation Insurance card and policy number are: Carder: ry/iz&J(ut' C" Policy Number: //b22-9‘:n — 2_(,�03 (This section need not be completed if he pe if is valued et one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree t t If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pr.• ) Applicant Signature: Date: 7g 2 — /re-6K WARNING:FAILURE TO SECU- •RKERS'COMPENSATION COVERAG UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5140,.•. ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE.INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Bus' ss and Professions Code,and my license Is in full force and effect.Lic.# 7 ! C) taco Class#("ZO a 36 -sc Contractor's Signature: bate: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the properly,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will 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 CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Drivels License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 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 connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the Califomia Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 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 materials? ❑Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed 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 materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing 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 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a_pPermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? lip Yes U No (Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the Information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. 1 Sl:n. •re Of L ner(s) Date :rOr AuthoAL Applies. Date • •• INSPECTION TYPE PETE a ti CODE( INSPECTIONz- /a-°� TYPE A1l PATE INTITIAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical ,�'2t `09 RA/ 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy • • /S ?I? PLUMBING & . .__ SERVICE WITHIN MINUTES L7 t�.. - HEATING INC. • Main Office:5457 Crenshaw Boulevard • Los Angeles, California 90043 Phone:(213)296-8787 Fax:(213)299-8839 Agent Authorization to Obtain & Sign Permit (For Address Listed on This Authorization Only) • Juan Guti.eviez I authorize , to obtain and sign for a permit on the behalf of Adee Plumbing & Heating, Inc., for work to be performed at 2157 RwYaC Ln , in the city of Cotta Mesa, Ca. 92627 . This authorization is valid only for the address listed above. Sinc- Ja k Stephan m resident Adee Plumbing & Heating, Inc. Contractors State License Number 240186 AGeO(•Whn'IZauc .do. ..q•• ALINE TOLAN :,_me�ttyer Comm.11335519 '^ N S-f."E' NOTARY PUBLIC CALIFORNIA Irl MyCommJFipnf�hn.15 / 5,,2006 F COUNTY OF ORANGE . . c PerMit 1.103.2- ¶" '/BUILDING DEPT. .. 636 No. Broadway - . Application for Building Permit . . Santa Ana, California Phone: KI 2-6211 AND FOR A Certificate of Use and Occupancy Date dia-----e....--"-57/. __Z_ 7 SZP 1. OWNER'S NAME icaXe-eCt- S ;47---n-t..--e--CD ‘--- 6974-- -- - PHONE:.-AAL/ 7.- -2- 3 MAILING ADDRESS.., CITY d...,_,,--ea a 294,.......A.. Na me eider it2n4 / Ted2-44:1-4-1 . Name WIG-K---,4%t--/ ...--34-t-a-c• -cies— (Archi6 . (Contractor) te . Engi•eer) Address atrit...rar . Address City City e State . nitta State Lic. No. Phone 1. Lic. No. Phone.iftt--/1 -1.-- 7-- 3 -4 - PROPOSED USE: ,e,t_c_eAS .11 , Gar 2. JOB LOCATION I taS :111-16-A-04-4-itt112-1- 1-Okse-s1,-- ant.--t2172.., Qat-a-0.-c (House No.) (Name of Street) (Town or School District) 3. LEGAL DESCRIPTION: Lot 7 Block Tract / K - -e (Metes and Bounds Description-Use reserse side of form) 4. CORNER LOT ( ) INTERIOR LOT ( / ) THROUGH LOT ( ) SLOPE OF LOT ( h") CS• \ eb 6 6 5. SIZE OF BLDG.: Co 0 X 3 3 .AREA• C • 3 S.() SIZE OF LOT: 4.ca x".4 7..71,- AREA: ,a2-ten) Cf a- s.11,4s % l-l-i 6. HEIGHT OF BLDG • /$ CEILING HEIGHT• 51 / I, NO. OF STORIES / 7. NO. FAMILIES / Size of Smallest Bedroom: R 0 Size of Kitchen: 9 0 8. EXTERIOR WALL CONSTRUCTION• INTERIOR WALL COVERING (Frame, Stucco, Etc.) (Plaster-Drywall, Etc.) 9. SETBACKS: Front Yard from Center Line of Street 4-0 Nearest Side Yard 4°' Rear Yardc:2147 Distance in Feet Between Bldgs. on Same Lot 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 11. For (a) Footing: Width /g' Depth in Ground / Z- Width of Wall C Accessory Bldgs. and (b) Size of Studs: R. ..X..17 Spacing _i 4, "CC Material of Floor Similar Structures: (to (c) Size of Floor Joists-A (41 ‘" /Spacing "CC (d) Size of Rafters: .42Z.X. Spacing / 6) "CC 12. VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, paint- ing and sewage disposal $...tallegre 7.37-00ta-cp 13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA. APPLICABLE THERETO. Signed. -934-XAC--ttr ACICat-C.-- Plans Filed: //2/4"0 By. ae., S-- (Owner) /9 -, (A=Agent) FOR DEPARTMENTAL USE ONLY FEES: CH KING BY Bldg. Permit - $ ir(5.0 GROUP. r_JJ APPLICATIOSt„ . HEALTH Plan Check - $ 3. c ...14-- ro TYPE - -- ZONING.40 ' FIRE Total - - $ .2A__t_013 DIST. /2 MARSHAL Receipt No. - - _nee MAP....t.-.....-2' i,....--- PLANS A P SPEC'S it7. STATE Paid to - - ._e____.e_ SHEET NO. _p CORRECTI• 1 .-_?..•,.......;•?'.9.- ENGINEER Date4i) VERIFIED CAL . / , • PERM4) '•se!DSO . HUL _..., cArcout±yrot_ntr Net • • DATE / 11/----- .,_ - 5M-7-50 • '''' • .- Qt. METES AND BOUNDS DESCRIPT. _t - ' Flo 210 310 as slo 610 Litanthil --- atm blkairikb ilial 1111111111111 _ I 111111111111111111 I -e? I Ill 111111111111 1111111111111111 EiliWiii Ilinibill --,- 1 pmpum fig ii ommumvp: 1 1111111 I 1 I I ill I I HUHN MI I I i 1 Phil I Or I - 11 IMI rilliMMIN IIMEMMIN 111 III Il IIIIIIIIII III III II 11111 III 11111110111111111111 111111111111 IIIIIIMECHOMMO Ea= 111111EIMEERE tWNER MURLIN, Lane DATE 5-16-63 JOB ADDRESS 2157 Rural Lane BUILDING PERMIT NO. 191453 GENERAL CONTRACTOR Tor Construction • VALUE $3,700.00 o AP No11S-032-09 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Add Bath Fam.R A INSPECTIONS Signature DATE GROUP I TYPE V ZONE R-2 to Res. Soil /11-15 C-2-1-63 PERMITS ISSUED Gas SUBCONTRACTOR DATE NUMBER • Water 44-1 5 res--G3 iriel Rough Corn. Refrig. 0 Air Cond. ❑ e Rough Heating Rough Plumbing /lam S SOI,/-63�< z /s�ey * ii `J-, o-,3 SX3of. Miscellaneous Prop. Swr. Line 0 House Con. 0 St. Swr. 0 Sprinkling System Construction Pole Underground 0 Power 0 Rough Wiring __ t6 kiec/ afi 1---.Q7-43 /71/o Trenches 0 Forms 0 Steel Reinf. 0 Floor System Act_ ,, r-.2-1 -- CS Bond Beam 0 Steel Reinforce f�'-' Sheathing 9.44 2-7.G3' Frame and Flashing —3'.,-feA Lathing— In 0 Out p 6 1 (-7 Plaster, brown coat 9_/`y J(. y 6-,.e-o-...,-.:.ret--1 Cf q�,iG •o �-a-l2w Refrig. ❑ Air Con. 0 Final / Heating, Final Plumbing Fixtures, Final A_ 9/7-49 Final Gas Test Electric Fixtures, Final Mo i 11-1P , Building, Final /F•'a ‘ '‘. OCCUPANCY • Form BU4-6M-3-63--5-B P 1 Olc1 - •cis 19453 COSTA MESA BUILDING-SAFETY DEPARTMENT d E E R E C E i .J P.O.BOX 317 COSTA MESA,CALIFORNIA MAY 1 6 1963 PORI: nlnnln ny For Applicant to Fill In Completely APPLICATION FOR' .ERMFFE DE . TYPE OR PRINT BuILDING,:Y OF COSTA MESA For Office Use Only BUILDING / 7 f tG'#9R2_ / _�9 A-C_ C ADDRESS / / RECEIPT NO. PERMIT NO. COSTA MESA, CALIFORNIA• ```//�__//////Y/--- OWNER 24/1/ e /% 0,4 ,2//V l///U/��`` /`]�J L!1'_ `a`^/J L/_i MAIL BUIL S ED • ADDRESS FIRE Ca /4/ TEL. ZONE TYPE GROUP CITY CO.f - / !SSA — NO. �I ,r-/I APPROVED �� •�l vie j/ /-+� ARCHITECT TEL. BY DATE �J OR ENGINEER NO. ONING ADDRESS y ZOIJ6. I NO.OR I USE OF NEW TS J ts+ o r .),p PLANS BUILDING LV Ri 1/I' CONTRACTOR 6�/( On.�s/�( p C 770.1' LEGAL- /- 7 / �� S ADDRESS / / 7T ,e,..,,�QO� J/ DESCRIPTION �• * • ` /fI a CITY CO`r/ /J ^ ,4'*SAL A.P.NO. �� + 03 Z — O� �q / NOTE: NO EAVE OVERHANG SHALL BE LESS THAN STATE /737/o U/ NO Ail P 7 y 77 90' TO SIDE @ REAR P.L. LIC.NO. EAVES OSIZFLE OT n.AO �I /„9....7.� .CI NOW ON LOTS ALLOWED (U. B.C.REQUIREMENT) YARDS APPROVED YARDS APPROVED USE OF Q�P� //�� 1 MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (, SETBACK LINE FROM 37/ (FROM G//yLRPEE7) r FRONT/I„-FT./1 `�Xr FT. CENTER OF STREET / REAR YARD SIDE YARD I LEFT `� I b„I RIGHT 5 _ -./ R.SIDE S/,RFT. .r FT. DESCRIPTION OF WORK L'.SIDE ' M' �.'i.& ��/f� FT, NEW ALTERATION ADDITION X REAR 7/ Fr. I -n. III DISTANCE BET. BET.MAIN @ .� REPAIR MOVING DEMOLISH _MAIN BLOCS. ACCESS,BLOCS, BUILDING NO.OF VAR. DATE � - SIZE ROOMS STORIES C.U.P.* APPROVED / EXTERIOR WALL I COVERING USE BTPROVg //I�/IAi DATE ��6 el—I-- COVERING I�YR,�/,CiCI� USE OF BUILDING AND WORK TO E PER RMHD Ate Iv i9/3T� ricfpi/2f- �f i3 N / 5BQ.FT. L� . 5 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ATION THE AMOUNT SHOWN UNDER VA ATION I F THE £ AND STATE THAT THE ABOVE IS C•-"•,••CT AND COM. PURPOSE OF ESTABLISHING A PERMIT F ONLY. 0 PLY WITH ALL CITY ORDINANC-�1J•J'TAT[ /� LATINO r VALUA ON m BUILDING CONSTRUCTIO, Ar •• /'''' N PERMIT FEE $ /J/ g SIGNATURE OF / / �T PERMITTE . r S U O 2 O/e .ONS LCT/OI0” S L E 'J�J. /7/� 0 AUTHORIZED AG T V/L'C, / TOTAL FEE $Gam) �✓