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Home My WebLink About2424 SANTA ANA AVE - Building Permits • • , CITY OF COSTA MESA oy � BUILDING DIVISION > ••' r 1 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER .3, 4i. PERMIT +m41. P05-00820 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 2424 SANTA ANA AV Status: ISSUED Suite No A205 Applied: 10/31/2005 Issued: 10/31/2005 Vicinity: A205 Parcel Nunmber: 93489005 at- Applicant: JORGE HORNA ISSUED BY: Address: 17390 MT CLIFFWOOD Phone: 714-241-1414 FOUNTAIN VALLEY Zip: 92708 •• Owner: BAIRD, ARTHUR F TR jr ��,; Address 1091 SALINAS AVE Phone: 714-751-1645 r1 14 ' COSTA MESA,CA Zip: 92626-1612 Oy► r Contractor: COAST ROOTER PLUMBING HTG AND AC Address: 17390 MT CLIFFWOOD Phone: 714-241-1414 FOUNTAIN VALLEY Zip: 92708 License: 529127 SCOPE OF PERMIT CHANGE OUT OF WATER HEATER FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 _0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen • $0.00 0 ' Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $35.80 COMMENTS I SPECIAL CONDITIONS • L ! f! 1 La _. 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)754-5826 - 2446-46(6/00) • DECLARATIONS WORKERS'COMPENSATION DECLARATION: . I hereby affirm under penalty of perjury one of the following declarations: _ 0 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 ha 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 rkers'compensation Insurance carrier and po'icy number are: terriether STC11 L COI41/2 t(cc \_ her: /7C Esc-- ao y er section need not be completed if resat Is valued et one hundred dollars($100)or less.) aiip- ❑ I cerci, hat In the performance of the work for which this permit is ued,I shall not employ any person in any manner so as to become subject to the workers' +•mpensa laws of California,and agree that If I shou•beco,•-subject to a workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith COP•• with t ase provisions. _ r C Ap•' :nt Signatu ��stit . ...eft ate: l0 ��0, • I , • •-E TO SECURE WORKERS COMP TION•• ri �.I'E IS UNLAWFUL SMALL SUBJECT CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100.0))),IN ADDmON TO E COST OF COM' SATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE.INTEREST,MD ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I he I am licensed under provisions of Chapter 9(commencing with Section 7000)of Divi ' Business and Professions Code,and my license is in full f.y - r. ,:•. - .a sem/ 3 11 Cla a l - 3 ‘. • tract Signal e: / _ e: /n-3/ CON LENDING AGENCY: - "I ❑ 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,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 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. 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 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 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? 0 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 •r 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 ❑No future __cu .__ ____._ _ 5 Does or willo the applicant Air or present or emen buildingso from at requirer for the work which is the subject of this application a ertnit for such construction Or motliiication from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes �No (Section 65850.2 of the California 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 ❑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 Yes 0 No ___ __t _._ _.._ ____ _...._..............................__._.__...._.._...._ _._ __.___._. 8 (If yes-,attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penally 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.`"•" 7"2 j' T� Fes+= 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 spection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ��— ., • ,..•:1 ner(s) to And/0 •.. •,•y .... -. Date ODE t INSPECTION TYPE , PAIL MALI LOAF( INSPECTION TYPE PATE g$1TRALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical ,.cp 1266 Pool Spa Final 208 Final Plumbing a-2Y�V l 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 Bullding/Occupancy ADDRESS a BMLONO: 2424 SANTA ANA AV tMT: A-205 CITY OF COSTA MESA — BUILDING PERMIT e 413 - 06/ 5 / oNQ1EWeAuTI,ptOgH?t BACK MESA HOA PERM NO: B 086951 ADDRESS: 2424 SANTA ANA AV C .M. CA 92626 PERMIT NO: B 086951 PLAN CHECK NO: N GOVT: N SUPP : N APPL.WRAC ADORERS CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH ARCHITECT OR ENGINEER: LIG NO.: JOB DESCRIPTION : REROOF W/1 LAYER COMP . OVER EXIST. SQ FT: 1 , 300 ARCH.OR END'S ADDRESS: SMT: CLAIM VALUE: 500 . 00 CALC—VALUE: 1 , 300 . 00 GROUP OCC: R-1 / CONTRACTOR'S NAME RELIABLE ROOFING ( 714 ) 964-6441 camAcmnumwC 20351 MEANDER LN COMMENTS: EXIST. 1 LAYER OF COMP. ADDREssH. B . CA fit NO: 347940 *****>Ex***x*sr*****-K-**>E* N:r ***>t***********x******K******** tit*x**>E******* **x ** 92646 uNT: ZONING R EQUIR EMEN TS LICENSED CONTRACTORS DECLARATION:I hereby Slim under penaly of nodule that I ant licensed under Provisions • Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in IW force and of z.. cTry ..: 138567 LJC.cuss: C 39 LICA'. 34 940 /EXP'I /98 MAIN BUILDING ----- ACCESSORY BUILDING Contractor: _I FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN �,_,� LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN OWNER DER DECLARATION:I hereby affirm under penalty of perjury that I ani exam: IF ' .radon .... .Law for the laic d reason(Sean 7031.5 Buaineas and Professions Cade:Any city or county which requires a permit to constrict alter,improve, P ARK I NG REQ P RO V: PARCEL: 93489005 Z N E: REF NO: de , -h,or repair any structure,prior to its esuuence,also requires the applicant for such permit to Ne a signed statement that he or she .• pursuant to the provisions d Me Contractors License Law[Chapter 9(commencing with Suction 7000)a Division 3 d the PLANNING NOTES> 4' isiness and Professions Code)or that he or she is exempt therefrom end the basis for the alleged exemption.My violation d Section > r 231.5 by any applicant foe a permit aMeds the applicant to a civil penalty of not more then five hundred thaws)55001). ***-*************************************************************3k****r!F********3E O I,as owner of the property or my employees with wages es their sole companion,will do the work,and the structure l not intended D E V E L O P MEN N T SERVICES R V I C E S R E Q U IR EMEN T S or allured for sale(Section 7044,Business and ProfessionsCode:The Contractors License Law does not apply loan owner a property Q who bolds or improves thereon.and who does such work himself or Mosel or through his or her own employees,provided that such rase«onium we hnet intended ecr dptvfoorrgsale.If,howevverr,tte building g er ironve for heWrnsm�e of sale). p��'� ZONING APPROVED BY DATE: // ❑ I.as owmer a the properly,an,esdueivero contracting with ease td contractor to crwud Me"eel (Section 7044.Business and BUILDING APPROVED BY : DATE: Professions Code:The Contractors License Law does not apply to an owner of property Mho builds or improves thereon and who contracts for such projects with a aagrmor(s)licensed pursuant to the Contractors License Law). ❑ lamexempt under Section: B.APc.,for this reason: APPLICATION ISSUED BY : DATE: �` ********************************************************************-.*s..3.******* Done: owe: LEGALIZATION: N F E E SUMMARY , STRUCTURAL SEGMENT:Y I do hereby certify that I am aware of and understand the requirements of Calldnia Health and Safely Code Sections 25505,25533.and 25534,and that I or any future building occupant will/wit not(circle one)need to comply with said state codas and the requirements for a permit for construction or modification from the Arr QualityManagement District.Residential construction evolcetionsareesama from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 43 . 00 ..- . 50 Data: Applicant SMIP/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dedande s: ISSUE FEE . ❑ Ihave and MNmaintain atartrate amnsenttoself-insure for workers'compensation,asprovided for bySection 3700ofthLabor BUILDING—DIV— PERMIT ISSUE PLAN—CHECK TOTAL . PAID DUE Cade,for OM wince 01 the work for which this permit a issued. 'v cIhaveandMlmantanworkrs'compensationinsurance,asrequitedbySection3700ofteLaborCode,fortheperformanceoftM TOTALS > 43 . 50 0 . 00 0 . 00 43 . 50 43 . 50 . 00 •• work for which this permit is issued.My workers'compensation Insurance wrier and policy number are: Carrier: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 43 . 50 OVER/SHORT: . 00 Policy Number: 7x5—QRTTNTT1 '\7q 01 /01 /99 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK :section need not be completed I the permk is for one hundred dollars(S too)«fou) 43 . 00 ;50 `y I certify that in the performance a the work for which the permit is issued.I shall not employ any person in any man J r so as to ore subject to the workers'oompen:aon owe d Callorne.and agree to l I Souk . . subject lo I. •... .' ******************************************************************************* rfl-4n provisions Section 3700 of the Labor Code,I s .i ' h come with ,. . ;lona. / INDIVIDUAL F E E B R E A K D ,O W N Ao secure orkwi compensation coverage la unlawM,and shall ne.. ro itne peneltluand TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ne hundred thousand dollars($104000A M addition to tiro coat of comPene tlon dam ge,as prorated for In don 3706 of the Labor Code,Interest,and attorneys lea SFR 1300 REROOF BY VALUE RESIDENTIAL NOZONE 1 . 00 1 , 300 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty a perjury that there is a construction tending agency for the END OF FEES performance a the work for which the permit is issued(Section 3097,Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read the application and dee that the above information is coned.I agree to comply with e9 city and county ordinances • and state laws natig to building construction and hereby authorize representatives of this city to eater upon the abwa.metioned property for inspection purposes.ERIC B OL OT I N • 82-12-1998/84:33 PM/$43.58 5 Pd ,//, e ; •i;; RCPT0:81-8819648 I I .61 Date. q/].i�� PERMIT:886951 sig : a.. _ I•.,, . .� / (5151-48.WP) White-&vldig A Safety;Green-Fle;Ca nary-Appirem;Pink-Revenue;Goldenrod-Assessor • CONSTRUCTION AND PLANNING POOL 'A • Date Inspector Date Inspector q APPROVALS Permit# APPROVALS Permit # i)i. Temporary Electrical Service or-Vole- ‘.52. Pool & Equipment Locatio - I 2. Soil Pipe-Undrgrnd. -.i 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd.. 54. Forms _. - - _ 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding c , 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., 9. Water Pipe-Undrgrnd. , 1%* 60. Backwash Lines, P-Trap, Undrgrnd. 10. Structural Floor System • - `7 61. APPROVAL TO DECK C 11. Property Sewer Line & House.0/ section 62. Backwash & Receptor-Final ✓ 12. Sewer Cap � . 63. Heater & Vent-Final ) 13. Roof Drains 64. Plumbing System - Final__/1;.--1 14. Rough Plumbing >-1 9 9 65. Electrical-Final f 15. Rough Electrical-Conduit " 66. Solar System-Final .' is 16. Rough Electric Wiring 67. Fencing& Access ApprgyaJ. .� 17. Rough Wiring Sign 68. APPROVEDFOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA 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 ❑Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 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 PREV. 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 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer J -C3 .-q9 - O� 4 ifad"- F1 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations _ 47. FINAL STRUCTURE & BUILDING 3 Gf 6z,use • 48. FINAL PLANNING ! , 49. Electric Release to Edison _ = 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date