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Home My WebLink About1089 STONEBROOK LN - Building Permits • F - CITY OF COSTA MESA fe6 BUILDING DIVISION cf i •,, �Lg DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER PERMIT J 'neo uP03-00228 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 1089 STONEBROOK LN Status: ISSUED Suite No Applied: 04/08/2003 Issued: 04/08/2003 Vicinity: ISSUED BY: _AP Parcel Nunmber: 42201228 - Applicant: SZABO, KEVIN Address: • Phone: Zip: Owner: BENNETT, BETTY • Address 1089 STONEBROOK LN Phone: 949-533-6002 COSTA MESA,CA Zip: 92627-4039 Contractor: COAST ROOTER PLUMBING HEATING &AIR CONDITIONING Address: 2737 S CRODDY _ STE D Phone: (714)241-1414 SANTA ANA;CA Zip: 92704 License: 529127 Arch / Eng: - Address: / Phone: Zip: License: SCOPE OF PERMIT REPLACE WATER HEATER FEE'SUMMARY• • • AMT QTY - - vAMT 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 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 2448-46(8/00) DECLARATIONS 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. 121 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'compgnsation Insurance carrier and policy number are: .t� / �-y") , /, Carrier: �l T� r-b Policy Number: / /r'0 �/. V (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the pertorma =o the work for which thi permit is issued,I shall not employ any person in any manner so es to become subject to the workers' compensation laws of Califo is and agree at If�shou become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: ' i Date: 9—� o WARNING:FAILURE TO SECURE WORSE- 'LOMPENSA COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND fl' I ARE(S100.003),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 under rovisions of Chppt 9(com cin with Section 7000)of Division 3 of the Busine�5 annll-Prr�ss�GCode,and my license is in full force and effect.Lk.# X29127 ,Y Class# "✓✓<< W.Contractor's Signature: -r Date: y`2r(.)([ 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,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 quantify 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 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 0 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 5 Does or will the'applicant or present or future building occupant require for the work which is the subject of this application a_RPermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ID Yes u 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 ole school? ❑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 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: 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 pu •oses.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. ' L Signa r1 Le al Owner(s) f acf l / Date 'v • •n• •r rt prized Applicant Date CODE if . ' I•. - PATE INTRIALS CODE I INSPECTIONTYPE DATE RALE 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final PlumbingAdir 2® 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 ��rr Ci Y OF COSTA .._EA x.= ST FOR "'CU?A;:CY TRACT DO. I(%D /C/ DATE ‘- /5"-- 7 / LOT NO. -17 l' ADDRESS /any SLe Avoo l___ The developer of the above entitled tract desires to sell the above set forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (»c--sb-e-they) were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which vere imposed by the city at the time the final tract nap was approved. The city assumes no liability for the enforcement of the conditions necessary for approval other than those conditions protected by surety bond. The undersigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned uncompleted condition. 19 tr BY iV24,r „, — — ffPurchaser CITY ,OF -COSTA AK* M NMPc. BY Developer and/or authorized JV:i 1 $ X97°1 representative RWI � BY Lender CI'rY OF CULL. MEUA I(L'QUELPI' UCCUI'1d!C'Y TRACT NO. LA PL: LOT NO. • • ADDRESS The developer of the above entitled tract desires to sell the aboveset forth lot prior to the time that the tract has been completed and its streets accepted by the City of Costa Mesa. The undersigned, by executing this agreement, acknowledges that (he-she-they) • (wee or were) advised that this tract has not been given final inspection nor has it been accepted by the City of Costa Mesa as having complied with the conditions of approval which were imposed by the city at the time the final tract map was approved. The city assumes no liability for the enforcement of the conditions necessary ' for approval other than those conditions protected by surety bond. • Theundeisigned agrees to indemnify and hold the city harmless from any claim resulting in damage or personal injury to the undersigned by reason of the aforementioned .uncompleted condition.' The undersigned acknowledges that this agreement is made solely for the benefit of the city and does not inure to the benefit of the undersigned or any of them. . BY PPu •. e'• RY PA Y BY / � Developer a r or authorised repreeentat' e GREAT WESTERN BY s ' . r , • LgA •FJILSHIkE BOULEVARD BLVLRLY HILLS, CALIF. 90211 aA�rW w O CITY OF pO$TA MESA • BUILDING SAFETY DEPARTMENT • POST IN CONSPICUOUS PLACE • i ON THE JOB q7g T 1I@� .. t A.P. NO. - t • t 1.i• • t-: ••A • TRACi/3018 fl BLOCK r . NEW ADO ALTER REPAIR MOVING DEMOLISH ' ' • -• II ; vis . mu) rot SPECIAL KEQU • li t SETBACKS . . Front Yd _ 8r6"Side Yd.R 0 Lilt__ Rear 61 Side Yd.R L Rear BUILDING INSPECTION RECORD TO KEEP BUILDING PERMITS VALID, WORK MUST BE COM- _ MENCED WITHIN 60 DAYS WITH ROUTINE INSPECTIONS AT. .- LEAST EACH 120 DAYS THEREAFTER UNTIL COMPLETED. . STRUCT -AL INS7PL� DATE ' - Trenches S • Forms i ��!��-rtrA� NI Mi�n Floor System ,i.-�f�allarill • Steel Reinf Weal C , - e ` Sheathing �Yre'-�s/�'�) �a i •' Frame and Flashing ■�7��A-MEIZIFIA • - ' • : Insulation Y✓ reit ICEIM :. Lathing VOW w'arfinalli . { Dry Wall Nailing 1/1.05i}T1113Tal Plaster,BrownCoat //:�' a • SoundoundAttenuation In. `.. • Handicap Regulation . ... . -: FINAL M 3-.../1-1y . PLUMBING i Soli ,4/ •►71rr/�.•'lf i Underground Water ' e2 rfa a`terr4 I Rough Plumbing `fit 1 y ' li Prop.Sewer Line and House Conn •2i�q� j Sweet Sewer Conn. 'rf 211//-4,. _ Water Service .1,/12 • Sprinkling System ' Gas Test at • FINAI rJ�i� •• JI�I HEATING,AIR-COND.AND RE RIG 'ATION I Refr. Lines,Pressure Test /�n . I •' Ducts, Underground �W�aa9prf��r.2�s�__--``�..''a I MO Ma ' Ducts,in Structure er71i,,�palai [�Li "i • Ducts,Ventilating �//p�� y • • Rough Heating and Air-Cond. ✓fl,/ L'W' ,i% FINAL r'/,.j 3.-it-7p ELECTRICAL Temporary Service or Pole (p{y'� — ', Underground 'e //'?C 7e`o , • Power Meter _ . Rough Wiring r .�!� / -r c.," FINA /'• -375 4 �c/ 1 Do not occupy this project until final i tion has t been made and occupancy h een roved I Building Final 7'311 Special Requirements j Occupancy " 7' 79-7, • NOTICE /y 24-hr. notification required when the job is ready for inspection. You must furnish_PERMIT-NUMBEF and the JOB ADDRESS FOR EACH RESP,ECTIMEIINSP, TIION:ACA4l._5 OZ.73, r:...- ,:::•c9 ... - •tI pr. int. IORATAll TIMES OWNER. THE GREGORY CO. DATE 3_378 JOB ADDRESS 1089 Stone Brook lane BUILDING PERMIT NO. 45346 GENERAL CONTRACTOR Same DESCRIPTION of WORK Res _ any-- AP No. LOT 77 TRACT TDB FIRE ZONE VALUES Iy5pg00_ INSPECTIONS Signature I( Date TYPE v GROUP R S ZONER� SOIL IPE$MITS ISSUED Date Number GAS SUBCONTRACTOR I I Signature WATER L `` ''// ROUGH PLUMBING ! dr y-O Tea PROP. SWR. LINE HOUSE CON. �) /a- 7 �' a SPRINKLING SYSTEM t t • �a-q-� 61755 MISCELLANEOUS J ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE ' UNDERGROUND ❑ POWER fl • ROUGH WIRING i--� HOa a Va }.• {J{,�} TRENCHES FORMS a STEEL REINF. f1�%r4 FLOOR SYSTEM^ BOND BEAM L J STEEL REINFORCE n K� SHEATHING FRAME AND FLASHING LATHING — IN El OUT n PLASTER. BROWN COAT STRUCTURAL, FINAL Electric _ HEATING, VENT., REFRIG. AND A.C., FINAL^ PLUMBING. FINAL AND GAS TEST I I ELECTRIC, FINAL BUILDING, FINAL if 7-3 -Lt r .. 45346 r" 3911 ( /05/78BUILDING-SAFETY _ _/ 1'16.96 . COSTA MESA BUILDING-SAFETY DEPARTMENT n\JII'(n� P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely —Use Ink Only RECEIVED BY DATE RECEIVED BUILDING �/ / OATS ISSUED _ADDRESS/ Sn�( e Se*c LN ',En OWNER .the gregory company „,.,40.//5--36,0-/L. PEn yyyy BUILDING /J ' ADDRESSMAIL 3187-g airway ave o ADOR ESS/Q�Y �� QN� Q�/G( CITY costa mesa NOL 751-385 I TRACT " no R LOT 77 BLOCK CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOLISH LENDER X BRANCH OWNi,R the gregory company ADDRESS a$$$$ W/att gar 4.590V.00 ARCHITECT harrison/lorenzine.L.751-385 OR ENGINEER NO. FIRE ADDRESS 3187-g airway ave ZONE TYPE V GROUP I&J APPROVED CONTRACTOR gregory construction co BY DATE ADDRESS 3187-g airway ave F.� pE IA. NO.ypNO.OF USE SEW CITY costa mesa Nj51-3840 L-rf117LANSZ BUILOIMjy , (a E+ STATE 205!181 CITY 008179 YARDS APPROVED YARDS AP OVE LIC. NO. V 7 LIC.NO. MAIN BUILDING ACCESSORY BUILDING 9.1 SIZE NO.OF BLDGS. (FROM C/1�$TREET) °0. OF LOT 427t X992t INOW ON LOT O FRONT CG'S FT. (0 FT. < USE OF EXISTING BLDG. R SII*F C) FT. FT. U,., F Separate permits are required for L.SIDE C) FT. FT. W electric,plumbing and heating work. �n - REAR ` I•'- FT. FT. (.., USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& QMAIN BLDGS. ACCESS BLDGS. n VAR. DATE / `] IL ii y�I u.--e...�.�„-._. C.U.P.#� APPROV •moi (Q > att. ched garage Rr' r '_IIY FATE, O0/7i a m • HOLD FOR SPECIAL REQUIREMENTS oI hereby acknowledge that I have read this application and state N W„ that the above information is correct and agree to comply with m an all laws regulating building construction, and I shall not employ Z any person In violation of the workman's compensation laws of m w•T' . the State of California. 3 I hereby certify that I am properly licensetl a :contractor under 1690 SO. FT. 512 garage N the State of California Business and 'r• ss Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 3 Chapter 9 - • :t such license- ,{I •rte and effect,or 1 THE PURPCGE OF ESTABLISHING A PERMIT FEE ONC': m ie am axe ••t from t e provision o t - ' of California Business •o and Pr• esslons Co'e, • , 3 C p . VALUATION PERMIT FEE E v m bp PLAN CHECK $ //3,76- m Signature • O Permittee ' $ (./1'10^ TAX $ 2 f/! A U An” JKgiNa _ TOTAL PAID $ n .. GUSIA MtSA MAIN GttP.ICUn ' fl4L4 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O:BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCT[JRAL PERMIT75a00 7p For Applicant to Fill in Completely— Use Ink Only RECEIVED BY DATE RECEIVEDICK 1 BUILDING ,�C,� DATE ISSUED"' ._ ADOREss /O�'�(C 7267 0000 'i 5346 I s 53. 4 PERMIT NO. MAIL A.P.NO. , MAIL BUILDING /f ADDRESS ADDRESS/Of TEL. TRACT LOT BLOCK CITY NO. I CONSTRUCTION NEW' ADD I ALTER(REPAIR I MOVING DEMOI ISH LENDER I / BRANCH ,�/y�/�j / & >AO OWNER— / ,� lI /. ADDRESS QER,:, / VA , .49 ARCHITECT TEL. USE/ ESa& ./ ' $ OR ENGINEER NO. FIRE ADDRESS A ZONE T 'E GROUP APPROVED CONTRACTOR BY DATE ADDRESS TEL. ZONE NO.OF USE OF NEW CITY NO. PLANS BUILDING -F'. STATE CITY YARDS APPROVED YARDS APPROVED LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING W SIZE NO.OF BLOCS. (FROM C/L STREET) 0. OF LOT I NOW ON LOT FRONT FT. FT. Q USE OF on EXISTING BLDG. B,SIDE FT. FT. TA E= -1 Separate permits are required for L.SIDE FT. FT. G electric,plumbing and heating work. • REAR FT. FT. W USE OF BUILDING AND WORK TO BE PERFORMED 01 DISTANCE BET, BET.MAIN& G MAIN BLOCS. ACCESS.BLOCS. /191.4, 'Orr VAR.41' DATE lin E s C.U.P.# APPROVED APPROVED 0.1 IX _Y ,.QATE IY. Q I hereby acknowledge that I have read this application and state 0 o. ya that the above Information is correct and agree to comply with m 04 all laws regulating building construction, and I shall not employ i Z any person In violation of the workman's compensation laws of - o rrT7W.. the State of California. m 3 I hereby certify that I am properly licensed as a contractor under SQ. FT. 'IA the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR w Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: — am exempt from the provisions of the State of California Business /76104and Professions Code,Division 3,Chapter 9. VALUATION PERMIT FEE $ vgi m PLAN CHECK S Signature of 0 0 Permittee $ TAX § a .E Authorized Agent U TOTAL PAID $