HomeMy WebLinkAbout522 STURGEON DR - Building Permits.
(714) 754-5273 • Felc (%14) 754-4856 • www.ci.costa-mesa.r�3L�1MBING PERMIT �% FAIR DRIVE, GOSIA MtSA, GA y1ti2ti
JobAddress: 522 STURGEON DR
Suite No
Viciniry:
Parcel Nunmber: 478032l9 �
Status: ISSUED
Applied: 10/16/2006
Issued: 10/16l2006
npplicant: AFFORDABLE WATER HEATERS AND PLUMBING IL�
Address: 24707 SAN FERNANDO RD ISSUED BY:
Phone: 661-259-7131
SANTA CLARITA, CA� Zip: 91321
owner. APPEL, ALBERT TR �
Address � � 3771-SEASCAPE DR � �
Phone: �
� , HUNTINGTON BEACH, CA Zip: 92649
Contractor: AFFORDABLE WATER HEATERS AND PLUMBING
Address: 24707 SAN FERNANDO RD
SANTA CLARITA, CA
CHANGE OUT WATER HEATER
ISSUE FEE
Backflow irrigati0n
Backflow Preventer
Bathtub.
Clarifier System
Connect (Ice,Soda,etc)
Dental Unils �
Dishwasher � ,
Drain, Floor ,
Drain, Rainwater
Drain, Roof .
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (t� outlets) �
Gas (Over 4 outlets) -
Gas Repipe �
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Auto )
�
n
AMT
823.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
80.00
$0.00
$0.00
$0.00
$0.00
50.00
$o.00
$0.00
50.00
�
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0�
0
o;
0
0
��:
Phone: 661-259-7131
Zip: 97321
License: 627368
SCOPE OF PERMIT
FEE SUMMARY
AMT
Laundry Tub / Washer $0.00
� Landswpe Irrigation $0.00
P-Trap $0.00
Pressure Regulator $0.00
� Process Piping (per 10 ft) $0.00
Receptors � $0.00
SepticTank ' - $0.00
Sewer Cap for Demo $0.00
SewerConnect $0.00
Sewer Private Line $0.00
Shower $0.00
Sink, bar $0.00
Sink, commercial - $0.00
Sink, Floor $0.00
Sink, kitchen $0.00
' Sink, service/mop $0.00
Spa (private) $0.00
Spa (public) 50.00
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
COMMENTS I SPECIAL CONDITIONS
Sump Pump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr Bkflow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toileq
Water Healer / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water SoRener
OTHER
VIOLATION
PIAN CHECK
REINSPECTION
AMT
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$12.30
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES: 535.80
2
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
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 pertnit shall automatically expire and become void if work is not commenced within 18p 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 Inapectiona end final approval must be obtained. Failure to obtaln inspections and final approval will result in the expirallon of ihis permit.
FOR INSPECTIONS CALL: (714) 7545826 j
2406C6 (6/00)
WORKERS'COMPENSATONDECLARAnON:
I hereDy eNlrtn untler penelry ot perJury ona ot the �ollowing tleclerations:
❑ I heve end will melnteln e certlflcate of consent to seN-Insure for workers' compensetion, as provided tor by sectlon 3�00 of ihe Lebor Code, for the pertormence ot ihe
work tor w�lch Ihis permlt Is Issuetl,
❑ I have and will melnteln workers' mmpensatlon insurance, as required by sectlon 3�00 oi ihe LeDw Code, lor ihe perfortnance of the work for whiU this pertnll is Issuetl.
My workers' compenysetlp/n Insurence car�ler �nd policy num6er ere: r C /'
Carrier. / /�Q— �-Q✓l�� PolicyNumber. �D�/7KS(17VI
(This section need not be cromp/eted it fhe permit is va/ue0 et one hundred tlallers ($700) ar less.)
❑ I certiy ihet in the pertormenca af the work �or which this pertnit is issued, I shell not employ any person In eny manner so as to become subject to t�e workers'
compensation lews of Celltomie, qhd agree that if I should become subject to the workers' compensetlon proWsions ot Section 3700 0l tha Labor Cotla, I shall forthwlth
comply wit� these provisions. ��
r-- _ — _ -� //
ApplicanfStgneWre: A(�yT oaca: !0 - /6 —�.t�
WARNING: FNWRE TO $ECURE W9 RS' COMPENSATIOfJ COVERAGE IS UNLFWFUL AND SHRL� SU9IECT rW EMPLOYEP TO CWMINAL PENALTIES AND dVIL FlNES UP TOONE HUNORED
THWSAND DIX.LME (5100,OW), ItTAOORION TO THE C�T OF GYkaPEN5AT10N, DAMAGES 0.S PROVIDED FOR IN SECTON 3lOfiOF THE LABOR CODE, IMEREST, AND ATTORNEI"S FEES.
IICENSED CONTRACTORS DEClARA710N:
I hereby aHirtn�tha4ham IlcBnsetl under mvisio g of Chapter 9(wmmencing with Section 7000) of Division 3 of �he Business end Pmfessions Code, entl my license is in lull
torce end eHec4Lic. x% Gess x. I C 3,(
Copt�ectolsSigneture� �Date: � /D—�b �l�
CONSTRUCTION LENDING AGENCY:
❑ I hereby etlirm ihat thera is e construction Ie�tling egenry for the perfortnance ol t�e work for whic� ihis pertnit is issued. (Sec. 3097, CiNI Cotle).
Lender's Neme: Lentlets Address:
Signeture:
Date:
OWNER-BUILDER �ECLARATIONS:
I hereby eflirtn thet under penelry of perjury �het I em EXEMPT FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professlons
Code: Any ciry or counry which requires e permit to consiruct, alfer, improve, demolish, or repair any structure, prior to its issuance, also requires the applicent lor such permit
to file e signetl stetement thet he or she Is IlcensUtl pursuant to the pmvislons ot I�e Contrectors License Lsw (Chapter 8(wmmencing with Sectlon 7000) of Division 3 of the
Business entl Professions Cotle) or thet he or sha is eaempt Iherefrom and ihe basis tor Iha ellegetl e:emption. Any violation of Section 7031.5 by any applicant for a pertnit
subjacis ihe applicant to e civil penelry c� not more than five hundred dollars ($500).):
❑ I, es owner at the propeM. or my employees with wages as their sole compensation, WILL DO 7HE WORK, end the sWcture is not intended ar otteretl for sale (Sec.
7044, Business and Protessions Cotle: The Can�ractors License Law does noi aOPly to en owner of properry who builtls or improves thereon, and w�o tloes such work
himself or herselt or through his or �er own employees, provided that such improvements ere not Inlended or oHeretl for sale. If, hawever, ihe building or improvement Is
soltl within one year ot completion, the ownd�-builder will have ihe burden of proving ihat he or she tlid not build or improve tor Rurpose ot sale.).
❑ 1, es owner oi the property, em E%CLUSIVBLY CONTRACTING WITH LICENSED CONTRACTORS to con5trucl lhe project (Sec. 7044, Business entl Professions
Code: The comractore License Lew tloes na� eppry to en owner ot propeny who bulld5 or Improves thereon, entl who conlracts lor such pmjecl with a comrector(s)
license OurSuenl to the Coniractors License Lews.).
❑ I em exempt under sec. Business and Professions Cotle for ihis reason:
Signawre: Date:
Owner ID verified by dnvefs licensa. ❑ Ves ❑ No OriveYs License No.
Venfication of Ownership by (type oi document, i.e. - pmPerry tau bill or deetl):
Expires:
DIVISION OF INDUSTp1AL SAFETY PERMR CERT�FICATION:
❑ I hereby certity Ihat no excavetian tive (5) or more teet in deD�h into which a pereon is required lo descend, will be made in connection with work euthonzed by Ihis
pertnit, enC ihat no building structure, scaflalding, falsework, or tlemolition or tlismantling thereoi, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, 7lle 8, Calitornle Atlminisirative Cotle).
❑ As owner-bullder, I will not employ anyone to do work which would requlre e permit from ihe Division of Industriel Sefety, as notetl ebove, unless such person hes a
pertnit to do such work tram ihe divlsion.
Signature: Date:
Divislon of Industnal Setery Permit Number:
CERTIFlCA7E OF COMPLIANCE AND AIlfHORIXAnON OF EMRY: I certity under penalty ol perjury that I �eve reatl ihis epplication antl state that ihe Iniormetlon given is
correct I egree lo comply wlth ell stete lews end Gry ordinances rela�ing to Culltling construction, end authodze representetives of the City of Coste Mese to enter upon the
ebove-descnbed property for inspection puryoses, I agree not to occupy or ellow occupancy al eny building euthorized by this permil until final inspedion.
40oE �. INSPECTIONTYPE
1878 Fi:ed System Flnal Fire PrBvention
1266
200
20t
202
203
204
Pad Spe Final
Finel Re-Roof
Finel BlockJRetalning W all
Final Fectory Fire Place
final Sign
Final Demolitlon
INi1Ml5 f�Qf� INSPELTIONME
206 Final Mechanical
208 Final Plumbing
210 Final Electriwl
212 Flnel Fire Preventlon
220 Finel Planning Approval
222 Finel Sile
250 Finel Builtling�Occupancy
, _ Date
� I�I�
• C
�
�I
��
�oncssaam�ouio: 522 STURGEON DR UNT:
avrhwsaweivaowr+: APPEL, ALHERT TR FLOOD: X 47
woness: 3771 SEASCAPE DR
HUNTINGTON BEACH,CA 92649
841-1669
, APPL. NAll1NG d00PE5S:
ARCNRECTOHfAfiNEEN:
uc.ra:
NCN.OIi EN4'S AD�XE55: UNT:
wem�cTarsrur�: �312�SNMCK�INLEY ( 714 ) 549-2725
CONf11AttORSM411NG COSTA MESA CA 587704
�no�ss: 9 2 6 2 6 uc rio.:
UNT:
LICENSEU CONfPACTOflS UECLAPATION: I Mreby eHirm uMer pene4y W perjury ihet I em Icansed unEar W�+iau ol Cheqer 9
(cwnma�rq Milh SeMion ]OD�) d Diviaion � d IM Busi'was vW P�desaiwia COAe. eM mY Iw�ma u in lull lace enE etletl.
cmuc.r+o.:051149 uc.cuss: C39 uc.No.: 58/770 EXP: 10/96
oma: `�l -/ — 9 6 co�vaa«: �%v�f ,. i-
OW NER BUILDEF DECIAflATION: I Mreby �im under penetly d parlury Ihet 1 em aRemq Imm Ihe Contredon licenw Lew for IM
Idbwip reawn (SeUian )oJt.s Busiwsa vd Proleuion+Code: Am ciy o couniy xfiich �uirea e permn io oonalnc�. el�x. imwove.
Cemoleh, or repei eny st�uciure, prior ia ns asueiwe. ebo requires iM epplirant lor wc� peimn �o fila e cgned Nmamant Nei M a eM
�s iKe�aee w�� �a �ne wwh�ore d�n� comreao�s ucenae iaw Icneq.. a I�ma��a ..nn sm�, �oaol a o�.�a�� a d�b
Buaimsf enE Fdeseime Codel « Ihel M a Me is ezamq IMreham eM IM bnvia lw Ne elbpaC exempon. My videlian d Sed'qn
]0'J1.5 by any epplifent for e permit subpqe �he eppliceni to e civil penelry W� mwa Ihen live hundred dollere �5500�).
❑ I.mowierdlMCWaMamYemDbY�awfhwa9eamthe�wbwmVe�xlion.wiilEo�MxorlteMlMelu�i�eerolmleMeC
orolleredlorsale�SeclionJ006,BusineasenE ProlassionaCOEe:TheComrenonLicensalawdoeawiepptytoen oxnerdpropony
wlw buids a inpovae iMrean, aM xtn doea euM xvrklimadl w Mnetl a Nraph he a Mr am emplvyeea, qwideE Ihel euch
' pwsmems are rd inteMeE a dlereE 1« eab. M, hawavar, tha buiMi�p w mpovemen� ia sdtl within me yeer d mmqelian, ihe
ow�wr-0uiHer xilllwe tM WNen d poviip ha w eM1e tlid iw buik or impova lar tM WN�e d mb�.
❑ I, m awn.r d �M WooeM, em eaauaveM wmreaFO �mn IicenseA cmtrecmn io connrua ihe wd� (Seeion ]aa, Bueirisa eM
Proleaiona COEe: TM Goniradon licanae law Eoee nol appy lo en oxnar d propeM ��+ida or'unpwn tMreon vd wfa
eonireets la wdi peqeas wn� a oaqreav(e) Icemed punuani io �M Conireqwa Lkenae law).
� I em eRamp uMm Seciim: B. 8 P G..la Nie raewn:
De�e: O�mer:
i ao nareny cenM �� �� e.�.a w�d unearsw�a me �cw�ememe a ceiaomie Heenn ene smery coae seaims zssos, zssa�. e�w
255�4. eM Mm I rc anY Mure Wikvp aapent xill / wil na (rircb me) roW to cwnply wYh veid e�e mdm vd iha iayuinmanv lar
eoermnfamnsvuctianamod'RraiianhanlMRr ue�ere9e���0utiid.Reakm�ielcm&iuUionMGf�iamenuemV�lmm�hese
o�a: novi��
WOFKEN'S COMPENSRTION DECL�P�TON: I hereEy effrm uMer perehy d parjury aro d Ihe Idbwi�p dedere�'an:
❑ �na.<m,awmaimv�.cena�eacanumioa.n:�m,nro..wd:canva+��.e+aw�d.a�aWsea:ana�aodin,�.tc.
Coda. iw iM peAmnarica d iM xmk la wlich the parmn ie iaued.
�] � nere d,e xi� mevven wM1e9• oomro�:M ��,re�oe. m ma�wa W sea:n a�ao a me �ae« coee. �ar me ro�«menoe a in.
WOfk IIX WAICII IM1I9 CBlT11918SIMA. MY WClFBIt ��� ��.��m., em vdwv ��mne, aa: E X P I R E S
c�,:
Policy Numbec — Q 1� � 1� 9 7
Rn;.:..ea� �e �wr aa �o�,vbrad i rn> c�� e h. e,�. n�,a,ad dwe,s rs,aol w�o.�
p i�nav m� m aa �nameM< a ine.ax ro, w,rn m�s w�� n m.�.e, i.wi �,a .�,dm .�v w� �.�v m��� .o .+�o
e«oma wd«i m iha w�kees• eanro�� b•, a eda«�:e. d,a aQn. u�t n �.nwm nacm�e wqea �o �n. waken•
COIII�IB1190�N11 �lON9qll9 M SBC110113)W W IM1B IdEIX COEB. I BIIBII ��OlIjM1,W�II� �1 Mflpiy y\Ih�� po�/��y/n
De�e: � � �S�/ RPWiram: 7"CA�.f L�
—�
WaminD� NNun ro�ecun waiken'rompaustlon toveip� Is unkMu( md �NII ub/ect en wTployx ro eAMiul pen�Mu �iM
clNl flnw up ro om �imEretl tRo�aeM dolYn (S10QOU0/, M�Otlltlon ro Ms cw� 01 compeiuetbn, tlamspa u qovMM br In
Sxtlon ]1P6 0l tln LaEorCOJe, /nNnat, eM ertomsy i tsu.
CONSTHUCTON LENDING PGENCY: I hereby etFrm uMar penetty d paipuy ihel Ihere o e oonstiutlbn bndiip apmry fa iM
cert��. d ina � �«.n� me oema o a.�e Isea� aos�. cN. cl.
LENDEN'S NRME:
LENUEF'S RDDRE55:
I cenAy thm 1 hme reed thc eppliraion ud ama thei Na ebove iNametion e cmm. I epiee io mmpy xith ell my xd ooumy ad'menoea
eM stele lawa reW iq lo Wildvq crosvunim and hmeby einhorae reprasante�ivea d �hia dry io enter upon the ebv.e�memonatl D�WM
�°"nspBtliO"D'"°°'°' MIKE CALTON
PmtN
� ` 4���sG
sre�� d o,.,,adMa�vnvo�uco�vw« - --
o�,:
(5151d6 WP) Whne-Build'vq d SeletY: �reerFb: Cer�ary-AppYcent: Fnk-Perenue: GoldenmaA4aeaxr
CITY OF COSTA MESA — BUILDING PERMIT
PERMIT N0: B 076975 PLAN CHECK N0: N
CONSTRUCTION TYPE: V—N PERMIT TYPE; STR
JOB DESCRIPTION : T/OFF STH 6 REROOF W/COMP SHINGLES
CLAIM VALUE; 6,400.00 CALC—VALUE: 5,400.00
PERM NO; B 0'76975
GOVT: N SUPP; N
PURPOSE: OTH
SQ FT: 6,400
GROUP OCC: R-3 /U-1
COMMENTS: REROOF 32005F RESIDENCE W/COMP, SMOKE DETECTORS REQUIRED PER 94UH
�,��*�*��**����****�*����**�����*���*������,����*,�,�*�**�,�����i��D��l`��R_
Z O N I N G R E U I R E M E N T
------------ MAIN BUILDING _____S_E—T B A—C_K_S_—_ ACCESSORY B���IR E D___
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV: PARCEL: 41803219 ZNE; REF NO:.
PLANNING NOTES>
��
iE 1F 1E iE 1ElE 1f if iE 1E iE 1E iE 1ElE�iE iE iE 1E 1f jE 1E 1E jE 1E 1E if iElf 1f !k 1ElElf iE iE iE 1E �E 1E 3E iE dk jF 1! iE 3E 1F 1f 1k if ik 1E IF iE if IE iE iE iE 1E 1f 1E 1E 1F IE iE IE iF�f iF 1E iE 3E iE iElE 3E 1E
D E V E�L O P M E N T S E R V I C E S R E Q U I R E M E N T S
ZONING APPROVED BY DATE: "
HUILDING APPROVED BY : DATE:
APPLICATION ISSUED BY: Z}}}{—
iE if if iF ik fE 1F if iE if iFlE 3f If fE iE if if IE ik 1E 1F
LEGALIZATION:N F E E S U M M A R Y
BLDG PMT PLUMBING ELECTRIC MECHANIC
PERMIT 90.00
PLAN
ISSUE FEE
HUILDING—DIV—>
TOTALS---->
PERMIT ISSUE PLAN—CHECK
90.64 0.00 0.00
FIRE
DATE: �' I I1,�
iflEiEiElEiFik1E �EiE
STRUCTURAL SEGMENT:Y
SMIP/RES GRADING
64
SMIP/NON—RES
TOTAL PAID DUE
90.64 90.64 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 90.64 OVER/SHORT: .00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
90.00 .69
*�**��**�*��*�****�*���**+�*��t*it���**��*���**�***********it*+r*��*ir�+�************+�
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
SFR 6400 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 6,400.00
END OF FEES
..i .
CONSTRUCTION AND PLANNING POOL & SPA
qPPpOVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
1. TemPorary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipa-Undrgrnd. 53. Steei Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Elect�ical Conduit�Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plum6ing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE �
Z F000ngs 58, Electrical Conduit�Und.gmd,
8. Foundation 59. Gas Pipe, O Undrgrnd., Test '
9. Wate� Pipe�Undrgmd. 60. Backwash Lines, P-Trap, O Undrgmd.
10. Stru�tural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Cqnnection 62. Backwash & Receptor-Final
12. Sewer Cap '
63. Heater & Vent�Final .
73. Roof Drains 64. Plumbing System � Final '
14. Rough Piumbing • 65. Electrical�Final .
15. Rough Electrical-Conduit 66. Solar System�Finai
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rou9h VJiring Sign 68. APPROVED FOR PLASTERING
18. Rouc3h Electricai�T Bar Ceiiing 69. POOUSPA SYSTEMS FINAL
19. Rough Heating & Air Conditionin9 FIRE DEPT. REQUIftEMENT
20. Rough Factory Fireplace ' - APPROVALS Permit #
21. Duccs, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping �Gas ❑Oil
23. Gas PiPe-Rough & Test 72. Underground F�ush
24. Roof Framing 73. Undergrnd.StorageTank OGas L1011
25. Roof Sheathing � L-�/ �p �('�(�' 74. Overhead HYdro
�
26. T�Bar Ceiling (Structural) & MonOcoat 75. Dry Chemical
27. Preme and Flashing 76. Dry Standpipe
28. Lathing & Siding . 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Naiting HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Me[er-Final 80. FOOD CERTIFICA7E ISSUED
33. Fina� Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Finai Factory Flrepiace
38. Finai Plumbing �
39. 6Vate� Service-Final �
40. Gas 5ervice-final
47. Solar pomestic-Final
42. Backflow Preventer �
43. Backfiow Irrigation �
44. Landscape irriGation System
45. Sound Attenuation
46. Hand�cap Regulations �•
47. FINAL STRUCTUAE & BUILDING Y-S^q(Q �(,.i��
48. FINALPLANNING .
49. Electric Reiease to Edison
50. Gas flelease to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCV
No. Date
2E551
COSTA MESA BUILDING-SAFETY DEPARTMENT
V.O. BOX 120� COSTA MESA, GALIFORNIA 0262E
�
JAN 30-6 00 879 �** � 128.25