HomeMy WebLinkAbout2730 SANDPIPER DR - Building Permits CITY OF COSTA MESA
oyaMt BUILDING DIVISION
tOnk, 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
. FOR INSPECTIONS CALL: (714)754-5626
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PERMIT NUMBER: E09-00117
PERMIT TYPE ELEC STATUS: ISSUED
APN: 13953123 DATE ISSUED: 05/29/2009
ISSUED BY: BJK
JOB ADDRESS: 2730 SANDPIPER DR CM Suite/Unit:
Vicinity:
SCOPE OF WORK: CHANGE-OUT OF A FAU WITH THE ADDITION OF NC AT AN EXISTING SFD. 1 FAU> 100K BTU, 1 COMP 3-15 HP
ELEC:NC PKG
OWNER: MC MANIGAL, BRUCE H TR Address: 2730 SANDPIPER DR Unit:
PHONE: City/State/Zip: COSTA MESA,CA
APPLICANT: DOMINGUEZ, ROY Address: 7600 GARDEN GROVE BL Unit:
PHONE: 714-901-0500 City/State/zZip: WESTMINSTER,CA
CONTRACTOR: A PLUS HEATING AND AIR CONDITION - License No. 763154
Address: 7600 GARDEN GROVE BLUnit: PHONE: 714-901-0500
City/State: WESTMINSTER,CA ZipCode: 92863 CELL:
ELECTRICAL PERMIT FEES
Electrical Plan Check Fee: $0.00
Electrical Permit Fee: $78.00
Reinspection Fee $0.00
TOTAL FEES $78.00
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: 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 final approval will result in the expiration of this permit.
CODE it INSPECTION TYPE DATE INTMALS CODE 9 INSPECTION TYPE DATE MURALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Foal 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
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers license. ❑Yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
El I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
ormance of the work for which this permit is issued. •
I have and will maintain workers'compensation insurance,as required by
�s n 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
Carriar.>.
by this permit,and that no building structure,scaffolding,falsework,or demolition
�
(This seaiDnn not be mm ted d`the peon:is valued at one hundred dotars($lee)or less) 2,Arty Sec.341,Title 8,California Administrative Code).
Policy:Number:ENS 7 FC) (i p---
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of
Applicant's Signature Date
the Labor Code. I shall forthwith comply with t =se provisions.
C', 9_Q 7y Division of Industrial Safety Permit Number:
Applkanl's Sign '-� J Data
/ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
h
Will the WAR NG: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. applicantor present sent or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑ No
($100,000). IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds.or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. �} a registration form for acutely hazardous materials? ❑Yes ❑ No
Eica#« et- Class# C � g (Section 25533 of the California Health and Safety Code, with some
4, -a7 exceptions, requires registration with the Costa Mesa Fire Department by
�_' each business which at any one time has on hand a quantity of acutely
ors, Sr 'Date. 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
CONSTRUCTION LEN r*I AGENCY: temperature and pressure).
CII hereby affirm there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes 0INo
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or County which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by Califomia
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
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 8. (If"yes",attach certificate of compliance from the appropriate air pollution
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec. 7044. Business and _
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon.and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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.
Signature of Legal Owner(s) Date
Signature Date9
3057-46(3/W)
An : r Authonzed Appl¢ � / �
CITY OF COSTA MESA
5 . BUILDING DIVISION
F• ' •';Qp 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
010141 FOR INSPECTIONS CALL: (714)754.5626
*oeRo fi
PERMIT NUMBER: M09-00047
PERMIT TYPE MECH STATUS: ISSUED
APN: 13953123 DATE ISSUED: 0512912009
ISSUED BY: BJK
JOB ADDRESS: 2730 SANDPIPER DR CM Suite/Unit:
Vicinity: CLOSET AND SIDE YARD
SO. FT: 0
SCOPE OF WORK: CHANGE-OUT OF A FAU WITH THE ADDITION OF NC AT AN EXISTING SED. 1 FAU > 100K BTU, 1 COMP
3-15 HP
OWNER: MC MANIGAL,BRUCE H TR Address: 2730 SANDPIPER DR Unit:
PHONE: City/State/Zip: COSTA MESA,CA
APPLICANT: DOMINGUEZ,ROY Address: 7600 GARDEN GROVE BL Unit:
PHONE: 714-801-0500 City/State/zZip: WESTMINSTER,CA
CONTRACTOR: A PLUS HEATING AND AIR CONDITION License No. 763154
Address: 7600 GARDEN GROVE BLUnit: PHONE: 714-901-0500
City/State: WESTMINSTER,CA ZipCode: 92863 CELL:
MECHANICAL PERMIT FEE SUMMARY
MECH ITEM FEE: $68.85
PLAN CHECK FEE: $0.00
INVESTIGATION FEE: $0.00
REINSPECTION FEE: $0.00
TOTAL FEES: $68.85
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No,92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE S. INSPECTION TYPE, DATE INTITIAL$ CODES INSPEC11ON TYPE DATE 1/4111
4.
Fixed System Final Fire Prevention 206 Final Mechanical ,r
1266 Pool Spa Final 208 Final Plumbing _
200 Final Re-Roof 210 Final Electrical
201 Final Block/Reteining 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
WORKERS'COMPENSATION DECLARATIO Owner ID verified by drScense. 0 Yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensati n, as provided for by section 3700 of the Labor Code, for the
perfor ce of the work for which this permit is issued.
�
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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
f 1 by this permit,and that no building structure,scaffolding,falsework,a demolition
Corner: eC7 f..� or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp
(Thiss need not be completedthe permd is valued atone hundred dollars(5100)o,less.)
2,Art 2,Sec.341,Title B,California Administrative Code).
Policy'Number. /r��1 / rte-$ S
tr ✓ l 0 As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued. I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California. and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
Applicant's Signature Date
the LI.•.r Code, gall forthwith comply with these provisions.
O2.-67 7 Division of Industrial Safety Permit Number:
- Applicant's. Signat� , HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑ No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with same
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds. or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in
full force /�and effect. a registration form for acutely hazardous materials? ❑Yes CI No
5-51 Class,# ` —8 (Section 25533 of the California Health and Safety Code, with some
L T p exceptions, requires registration with the Costa Mesa Fire Department by
J each business which at any one time has on hand a quantityof acute)
Con ractg�.� e-- 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
CONST-UCTIONLENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? CIYes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑ No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
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 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by Califomia
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
thereon,and who does such work himself or herself or through his or her own 8. (If"yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: 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.
Signa of Legal Owner s) Date
Signature Date
3067!6(310 7) Andl^r Authorized AOpliS• Date-
AIR CONDITIONING & HEATING JOB ORDER FORM _ 1
Job Number: GA/T-an s DATE:
Job Name: LAc_L(cifkQc, _c, Contractor: A Plus Heating &A/C
Address: 62.30p', p — s—. Phone: (714) 901-0500
City: C�}-� w I 9.00,_ ZIP CODE: Cjan' Y0Fax: (714) 901-1958
Phone: 14-4 - SZ--I(o-(
-'CITY OF CDS A th etcpr D COUNTY OF ❑ HOA
RESIDENTIAL HVAC INSTALLATION
CONDENSOR INFORMATION FURNACE INFORMATION
Installation: (Circle One) (NEW REPLACE Installation: (Circle One) NEW REPLACE
Size (tons) 5 Tons Gas Pack r y' Type: DC7/' Q6 - (example XL80)
Type: XB13 XL14i Other if f,7 y Coil: S Tons
Make: TRANE Model #: 1-. _IT Yio VtrAcitne BTU: • f " , C 4 0
Sound Rating: Location: rI/Lz Location: a /par(( PROPERTY LINE
___-
A/C Hookup: V T 1,140,A01
r CK YARD j I 1 1 t
--1. .-- :-I_:- _._1....1Fri—Ft!I � -11 I--..
Type of Installation: 4.) 1 Ili I rails . i s ' 1 IlTri r i 1 (Ern
.----4"--L-L- ,--i-,-Li I .-I- -i-i-; ; ;
New Ducts: (Circle One) ® NO -- I !-! r_ t.a I t f !II I ' I
; 1 I ILD v
How Many: j -- , --1---- .2 , I t , � i I ; I I .I i L. , I-I- 1 j $
PERMITS TO PULL: 4 CC,,=- _� 'l-L- I * '- 1
711 MECHANICAL APPROVED . Ir. -� �-, till i ! , i II11i i_LI_ i- I m
,®ELECTRICAL TOP _ Lr`; . 1 ` IT . I I i El
ll�i MESA - �. III I _ _ 4i ,
11 I -il 1t I
pe
PLANNiNr nTt• t,)T"lt 'L` .... 1 I I" .�:
l]PLUMBING SUPJF.CT TC ULU;. I•. . F: �• I L H I i H I I i 1 I
NOTE. ADDITIONS. DELETIONS, f1 Ii 1- I I I 1H ( I � I I-: 1
Need By: asapoR CORRECTIONS SHALL BE I I _ IFRONTYARDI ...L.I I I I A ; 1
APPROVED BY THE PLANNING DIV.
r PC
"OX "where A/C unit is located.
By: it�/�/ J Z�PFel "I I "where fence or gate is located, if any.
"- DATE:s /
Inspection Date: `• • rVSTA W TIfROM A/C TO SIDE PROPERTY LINE:p
DISTANCE FROM A/C TO BACK PROPERTY LINE: /
Notes:NZ C.a all HOMEOWNER'S APPROVAL FOR LOCATION OF A/C
' ) (MAKE NOTE OF A/C UNIT'S DIMENSIONS):
X aW,0417,
DATE: (-41/65
•
•
• CITY OF COSTA MESA
4ya) • BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT PERMIT NUMBER. .,;
%%valy" B99-00147
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
BUILDING PERMIT
Job Address: 2730 SANDPIPER DR Status: ISSUED W
Suite: Applied: 02/01/1999
•
Vicinity: Issued: 02/01/1999
Parcel Nunmber: 13953123 Zoning: R1 R1
Applicant: CROWLEY, KEVIN
Address:
Phone:
Zip:
Owner: MC MANIGAL, BRUCE H TR
Address 2730 SANDPIPER DR
Phone:
COSTA MESA,CA Zip: 92626
Contractor: GREATER PACIFIC ROOFING
Address: 01016 E. FIRST ST —-
-
Phone: 714/836-1966
SANTA ANA CA
Zip: 92701 License: " 621368
Arch : - Eng:
Address: Address:
Phone: Phone:
Zip: License: License:
SCOPE OF PERMIT
REROOF THE FRONT OF THE HOUSE, RESHEAT AND INSTALL CEDARLITE SHAKE(UNDER 6LB PER SQ). ROOF CERT
ATTACHED TO PERMIT.
FEE SUMMARY
Plan Check: $0.00
talc Valuation: - $6,835.00
Permit: $124.75 • - Claim Valuation: $6,835.00
SMIP Res: $0.68
SMIP Corn: , $0.00
Other: $0.00
Inspection: $0.00
Total: $125.43
PLANNING &ZONING
SETBACKS
MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0
ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0
PARKING Existing: 0 . Required: 0 Proposed: 0
NOTES:
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 bp 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 •
DECLARATIONS j fl
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ 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 workers'compensation Insurance carder and policy number are:
Carrier: Policy Number:
(This section need not be completed if the permit is valued at one hundred dollars($100)or less.)
❑ I certify that in the perfo nce 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 ifom and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
comply with these pr isio
Applicant Signature: Date: et /�99
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 DOLLARE($100p00),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed u r provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lic.# /" Class#
Contractor's Signature: 4 Jr' Date: a a
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 property,or my employees with wages as their sole compensation,WILL DO THE WORK,end 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. ❑Yes 0 No Driver's 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.
Sigb...ure: Date:
Division of Industrial Safely 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 California 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 dudng 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 tile 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 whidh 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 permit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? p Yes ❑No
(Section 65850.2 of the California Government Code requires that the requested information be fumished 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? ❑Yes 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California 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 California Health and Safety Code Section 42303 been made? 0 es 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• •perty for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
I-rSignetur Legal Owner(s) late
• I
nd/Or •uth• zed Applicant Date
CODE E. INSPECTION TYPE DATE IN1mALS CODE INSPECTION TYPF 9AlE MA'S
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final /� 208 Final Plumbing
/y p /
200 Final Re-Roof J'/ 9"( / 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
2446-46
ADDRESS OF BOROWO: 2730 SANDPIPER 'DR WIT: CITY OF COSTA MESA - BUILDING PERMIT
OMIERSNAMEwmm4: MC MANIGAL, BRUCE H TR FLOOD : X 38 PERM NO: P 082172
ADDRESs: 2730 SANDPIPER DR
COSTA MESA, CA 92626 PERMIT NO: P 082172 PLAN CHECK NO: N GOVT: N SUPP : N
546-6398
APDL.MAILING ADDRESS: \ . CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: ALT
WCKRECTORE/MlIEER: GENSLER & ASSOC uc.No: C JOB DESCRIPTION : WATER REPIPE SQ FT:
MCROREND:sAODRESS: 4675 MACARTHUR BL WIT: 350
N.B . CA 92660 CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 /
cowuci rcsiwt& COAST VIEW PLUMBING ( 714 ) 957-4087
CaImACTORSMAIIwo 633 PAULARINI AV COMMENTS : ZX
ADOREss:COSTA MESA CA =No, 516246 *IF atatx**at1E ***iE*ie********* FSE*************************SERE**SFIF** ******x**iax*at*Sr1Ei<-
92626 get Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I em licensed under provisions of Chapter 9 SETBACKS
(commencing with Section 7000)d Divban 3 d the Business and Professions Cods.and my license S in Ind force and effect.
tcLuc.No. 044043 uc.cLAss: C 36 uc.No.: 516246 EXP: 02 /98 ----- MAIN BUILDING ACCESSORY BUILDING
aye //��qq�� ((�� fy FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
�` Deter: \/1�Oh)'`''( I Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
�6WRER BUIL ER DECLARATION:I hereby affirm under penally d perjury that I am exempt from the Contractors License Law for the
following reason(Section 7031.5 Busies*and Professions Code:My city or county which requires epenni tocanseud.eher,improv+. PARKING REQ: PROV: PARCEL: 41047102 ZNE: REF NO:
demolish,or repair any structure.prior to its essence,afro requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES>
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with section 7000)d Division 3 d the
Business and Professions Code]or that he or she S exempt therefrom and the basis for the alleged exemption.My violation of Section > (, t
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not TWO than fire hundred dollars 155001). *******************************************************************************
❑ I.es owner athe promMY0/myemployeeawtheir sole compensation.will do the work.and theslmdintended D EV ELOPMEN T S ER V I C E S'% REQUIREMENTS
or altered for sale(Section 7044.Business and Professions Code:The Contradon license Law does not apply toanOwner of remedy
who bolds«inproee thereon.and who does such work himself or hand or through his or her own employees,provided that such r-
imprwpnennarerid intended a offered forsale I.however.the Witting orinprurerenthodd within ansYear a completion.We ZONING APPROVED BY -- DATE:
owror-0ulder will have the burden d proving he or she did not build or improve for the purpose of sale).
❑ I.its owner dthe property.amexclusively contracting with hemmed contractorstoconstructheproject(Section7044.Businessard BUILDING APPROVED BY : "-. DATE:
Professions Code:The Contractors license Law does not apply to an owner of property who builds a improves thereon and who
contracts for such projects with a ccetrador(s)licensed pumrant to the Contractors License Law). ^ ( rev '
❑ lern exempt under Section: B.dP.C..for this reason: APPLICATION ISSUED BY : �,_' DATE: '® 1
**********************lir*************** ^"************************** • • • **
Deter: Owner: LEGALIZATION :N F E E SUMMARY STRUCTURAL SEGMENT: N
I do hereby certify that I am aware d and ddentand the reqdramraas of Cauonii Heath and Soley Code Sectbs 25505,23533,and
2553x,and Or lawnyhure buiMvhpompem wii/wit rid one) comply with said pees codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC I FIRE SMIP/RES GRADING
a permit for construction or modifcaticn born the Al t anagemed Didnd.Residential construction appicalions an exempt from ghee
w
profonn. PERMIT 8 . 75
Date: Applicant: 25% S M I P/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d pansy one d the following decimations: ISSUE FEE 22 . 00
❑ Rube and MNmaintain acertificate dconsent toself-insure for workers'canpensationas provided for bySection3700of the Lab« BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
code.f«thepedomanadtnewwkf«w.dhlnsprmb * esaee. TOTALS----> 8 . 75 22 . 00 0 . 00 30 . 75 30 . 75 , 00
)3 I have end MI maimen workers'cornpensattt insurance,as required by Section 3700 of the Labor Code,for the performance d the
work for which this permit is issued.My workers'compensation insurance airier and policy number are:
Caner: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 30 . 75 OVER/SHORT: . 00
Poky Number: 01.i96000002b4 04 /01 /97 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This fleece need not be competed 1Va pemd is for one hundred dollen 131021«less.) 30 , 75
❑ I ce Mal in the performance d the work for with this permit b®rd,I shall r es ll nemploy any person in any manneea to
subject to the workers'conpesaion laws d California.and agree that ilshoulbecamesubjed to thewwlan' *******************************************************************************
innns ggf Stan 3700 d the labor Cole.I shall Irthwnh comply with M»oprovisions. IND IV IDUAL F E E BR EAKDOWN
Dale:' V/95 App-
y TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
cicivi line re. to mows w thous nd dollars
01 40raW la maid,t and coat)subject•n tloroysr to esralepo provideddfor and Q
Sec Brea rig to one Labor Co thousand wlYn acme sf M addition b the coat of romPers•tbR rapes as In
Section 3105 of the Labor caw,Interest,arta•tromey'•yera PLU 1 WATER RE-PIPE 8 . 75 8 . 75
CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES
performance d the work for which this parent S issued(Section 3087,CM.C).
LENDER'S NAME:
LENDER'S ADDRESS:
I certify that I have read this application and stale that the above information is coned.I agree to comply with all thy and county ordinances
and slate laws relating to building construction and hereby authorize represensthws of this city to enter upon the ebove.mentionsd property
for inspection purposes.MARSHA FL ICK
83-25-1997/11:17 AN/$30.75
,/3„ 1 , y I . Print Name �j//meq T:082172
pahai,ii/,LI`o Das: �O}I p'ERMIT:082172
Spneture d• .. VA•• a
(5151.46 WP) White-Buldeg A Safety:Green-Ale:Canary-Appicant:Pink-Revenue:Goldenrod-Assessor
CONSTRUCTION AND PLANNING POOL & SPA
APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. a 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd,
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final •
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Roush Electrical-Conduit • 66. Solar System-Final '
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
21. Ducts, in Structure • 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas O Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe -
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREY. FINAL .
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test •
36. Hood or Canopy
37. Final Factory Fireplace �\\
38. Final Plumbing 3-Z4)_(79 /104".41.
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System -
45. Sound Attenuation •
46. Handicap Regulations -
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING •
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Date
VVY1vr.dt £'1r�5R Vt.[L,r, ULULG,. , _WU• llt11.EaT
JOB ADDRESS 2730 Sandpiper Dr. BUILDING PERMIT NO. 269111
GENERAL CONTRACTOR Mesa Verde Bldrs. , Inc. DESCRIPTION OF WORK Res.Watt.Gar.
AP No. LOT 61i TRACT623f FIRE ZONE VALUE $ 37,305.00
INSPECTIONS Signature Date GROUP I & J TYPE V ZONE RI
sornl ft— SUBCONTRACTORI PERMITS ISSUED
Gas Date I Number I Signature
Water L Plumbbbiinggg
Rough Plumbing r1 ';� // 'et 0' 773/ i • -2/•G
Prop. Swr. Line 113-Souse Con. �' J�L ��I�dYO inet
pis �� _ i
Sprinkling System
Miscellaneous
Rough Heating and Air Conditioning
Temporary Service or Pole
Underground 0 Power 0
Rough Wiring R 749.6-7 Heating 9nd V�j°t. �/
Trenches ® Forms la Steel Reinf. 0 ,f, 49 f-P'67 7if./ILL�/1 2../lf.lie.[OJ.r4 -l`J 4;57
Floor System '1.9W S-„-47,� �/ /
Bond Beam 0 Steel Reinforce 0
Sheathing 4.,0 7-T-6/7
Frame and Flashing nisu 1_,g,47
Lathing — In ® Out m Or& 9-l--47
Plaster, Brown Coat ICN* 9.--e-6.•
Structural, Final , TI etrir� 7--/i47
/i47 Q173/,
Heating, Vent., Refrig. and A.C.,�m81rt2t /�/.-Q� F e
Plumbing, Final and Gas Test �" �
Electric, Final
Building, Final /p -47
-
26941
-
PAID 158.5
COSTA MESA BUILDING-SAFETY DEPARTMENT APR 25 67�I{001271 ** 5
P.O.BOX 217 COSTA MESA.CALIFORNIA
For Applicant to Fill In Completely APPLICATION FOR PERMIT
Lot 64 TYPE OR PRINT Tract 6237 BUILDING, -� - For Office Use Only
BUILDING 27� --�'�n
ADDRESS ���-���'/���////��777 "" RECEIPT NO. 2(41T}A.1
COSTA MESA, CALI ORNIA //P/�� P/y Ajq �v D /pP//� �^``$
R[cV(_J D/J D'4,f-/,= 7 9/747
Mesa Verde Builders Inc. //
OWNER VINN pLXBffi!4SINIEI4SS*XiME.
BUILDING
MAIL ADDRESS
ADDRESS 2850 Mesa Verde Drive �// n n
CITY Costa Mesa No' 0395- ZONE TYPE • GROUP OX�9'^
AP t' TECT TEL. 54� APPROVED
AP
DATE vvv
OI 7�EER Kaltenbach NO. 8046
AI ss1823 E. 17th St. Santa Ana i [ NO or ZONING orNEw
Mesa Verde Builders lnc . / I PLANI2 I BUILD{No
CONTRACTOR XREKIT/banaitaithedGiejpe9(2clagX,
LEGAL /„� T / ^�
„ 3
ADDRESS
2850 Mesa Verde Drive DEgCRIPTION w �/� !/
CITY Costa Mesa A.P.NO.
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE 8187318 TEL 549-0395 3011TOSIDES REAR P.L
O - EAVES
F LOT 6 X /0 C I NO.OF BLDOS 0 ALLOWED (U.B.C.REQUIREMENT)
NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG.
(FROM C/L STREET)
SETBACK LINE FROM FRONT
CENTER OF STREET REAR YARD ' FT. FT.
SIDE YARD I LEFT I RIGHT R.SIDE lcP FT. FT.
DESCRIPTION OF WORK ' L.SIDE S FT. FL
.., X ALTERATION ADDITION REAR 3IFT. (5 FT.
.:v DISTANCE BET. BET.MAIN e
REIR MOVING DEMOLISH —
MAIN SLOGS. ACCESS.BLOCS.
BUILDING NO.OF VAR•# DATE
SIZE ROOMS STORIES C.U.P.# APPROVED
EXTERIOR WALL,. ROOF Shake APPROVE O/� OL
COVERING Lot UC C OI COVERING Shingle BY j./CL(1,.. DATE' /�e6'7
USE OF BUILDING AND WORK TO BE PERFORMED p
New Residence �lp_3
/JsQ.Fr. 4 75SII
I HEREBY ACKNOWL DOE THAT I E READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS t••RRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G
PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING
BUILDING CONSTR•UUCTION./� n VALUATION PERMIT FEE $ /D.J S0 j
SIGNATURE OF YVI Yw �j��� A.�[/AI.)AI'A _ L_ 7JB
PERMITTEP /��^^�/ ,•�IiP/,^'volY, $ 5/ a�A� PLAN CHECK $ J ��/7 p
(} w
AUTHORIZED AGENT TOTAL FEE $ /5—A2-5").