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Home My WebLink About341 VISTA BAYA - Building Permits(77a) 75a-527s • Fax (7�a) 75a-ae56 • www.ci.costa-mesa.geL@1MBING PERMIT �� rniH oHrvt, cusin mtsn, cA azozo Job Address: 341 VISTA BAYA Suite No Vicinity: Parcel Nunmber: 42604144 Applicant: DOMONIC SHARPE-BRASH Address: 274 BRENTWOOD ST COSTA MESA, CA Owner: F'H Address 341 �. �', '� �'�. ��.'., Contractor. DSB�;I Adtlress .��274 BF �� COSTF _E irrigation . Preventer _ pental Units , pishwasher � � prain, Floor. � praiq Rainwater � Drain Roof;si Drinking Fountain Y��'� 6xpansion Tank -- ° Gas Earthquake Valve Gas (7-4 outlets),;� Gas (Over 4 outlets), Gas Repipe ' . Gas Service "" Interceptors (Grease Oil Interceptors (Sand Auto ; ST iA, CA r � Phane:�,.949-574-202� F ti .. ,: � ".,��Zip 92627. .� �*��. Kp , .r �h�` � .. �� AY 7 � �- � �`Phone �Ei.� �`�.. ��.. � �,� ` Phone: _' 949-5 -20 Zip. ��92627 . Cicen : 64 5 . � ` �� « 4 � . �,��5 • P.E � .ERMIT 3 H_d fll ITI FTS1 Fl1R. f•1 � F.EEfS a - �� : � 7T .�'�� „ ' � . 50 V l� ndry /.Was 00 ��,0�,�� ; � ��•Can e Irri 'o 00 ' 0 '• ap 00 "0 , Pres Reg oi 00 � 0 cess � g (p 00 ,' _,0 � � Re prors 00;�� , 0 �§e � ic Ta �� 00`- -�.0 •. erC pfo � n 00 �b. ��" Sewer onnect 00 %�'..� er Pn e liae 00 Sho 00 ,. ---` 0 Sink, bar ,: 00a� 0 Sink, commer al'' 00 ' 0 � Floor , � ;1�� 1i •:�,... . , .. . Smk. henl � _ ,,� ��:�0.� 'C�.�` � ,p� � >.0 �,0� � , o . ^ 0 0 4 '.. <0 0 0 0 A� 0 � p� �0 ; , �� :„az'' �- .. •�' �� -",,,�',.. - ��, . ,. � ��.. Slatus: ISSUED Applied: 72/02/2005 Issued: 12(02I20�5 �vL t �. 1 3r ,. ��" z �:;'" � ['¢r � k�. i erv4 i�'., �{` i ' � �5�,,:i �n� "S Z � �_, t .. ,� .ma.. �; x,+�` d�".. � ��, � i t � �, r :, : �Et,'AMT --- QTY 'ump� •$0 00 �:-. 0 iing:Pool - $0 00 •`: 0 nmer i � ' $0 00 . 0 �F�� " .: $0 00 :� 0 n-BrkrBkflow(1<i) � $0.00' 0 n BrkBkOow(5+,)' % n . $0.00 �. 0 3asin? � � � $0:00. 0 3asin'Set,.� :� $0.00 0 and,IVentSystem �'� $0.00 0 �lo's'et (Toilet) �`�� $,O.QO 0 Heater/vent '' -.$0.00 0 Piping (Insi or Rep ) �',$0.00 0 Re-pipe � ',$0.00 0 3ervice , K, �'��$0.00 0 Softener � a��•- $0.00 0 2 ��:., - $0.00 �ION "�a - $0.00 :HECK ��'` 50.00 PECTION ' $0.00 0 :ULATED FEES: 529.65 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Cali(ornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) - EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 190 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, antl all raqulred Inapections and final approval must be obtained. Failure to obtain inspections and final approval will result in the axpiration of this permit. FOR �NSPECTIONS CALL: (714) 754-5626 rC4g-{$(S�Op) WORKERS'COMPENSA710N DECLARATION: . � I hereby eNirm under penelry of perjury one of the following declarations: ❑ I hava and will maintain a certificate of consent to 5elf-Insure for wOrkarS' Compen5etion, es provided for by section 3700 of Ihe Lebor Cotle, for Ihe peAormance Of ihe work tor which this permit is issuetl. �1 ❑� I have end will,melntaiu workers' compensetion insurance, es requiretl 6y section 3700 of t�e Lebor Cotle, for the pertortnance of Ihe work for which t�is pertnit Is Issuetl. t�My w'rkars'compensetion Insurenca carner antl pollcy numbar ere: ==c,� Camer � _ iyy.Nnmber. (Ih7ysec`tion nee0 nof be complefed I! the permit Is velued et one huntlretl dollers ($100) or Iess.J �+� '� I certih/ Ihat in the pertortnance of th o c for which this,¢ it is issu , shall not employ any person in any manner so es ro become sublact ro the workers' wmpensallon lews of Califp ia; e i� e�ea that H I sho i ecome su e t to ihe workers' campensetion provisions of Sectian 3700 of the Lebor Code, I shell fort�with com y with thesa pmvis' il�,q � �] ice� �.Si9n—e�e: � /L•.-" Dat`e'. .�--. � % — { — � S W�INO: FAILURE TO SEIXIRE WORKERS' COMP SSATION COVERAGE IS UNLAWFUL ANO SHAL� SUBIECT Ml EMPLOY2F'TO-CRIMINAL PENALTIES AND GVIL FlNES UP TO ONE HUNDRED T11IX1SAND OOILARE (5100.000), IN ADDITIIXJ TO E COST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SEGTON 3IO60F THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby effirtn tha�.l am.l�lceon�sed u e/r p,raY isia s.of C epter 9/(co�mmencin ith Section 7000) of Division, af.the,Business an Pro^fe�ssions Code, and my Ilcense is in full IOfCeO� ..L�C..M✓'� � �fA�� / �C�� 7 —J �-� ntractors Signatu[e. � __ h., �/A�:�i+ Date: f /7 �1 J—�' 1 i ,�. � ��r �—. ' . f CONSTRUCTION LENDING AGENCY: ❑ I hereby aflirm that there is a consiruction lending a9ency for ihe pertormance ot Ihe work for which Ihis permit is issued. (Sec. 3097, Civil Cotle). Lenders Name: LentleYs Atltlress: Signature: OWNER-BUILDER DECLARA710NS: Date: I hereby aHirtn the� under penalry ot perjury that I am E%EMP7 FROM 7HE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Protesslons Code: Any ciry or wunry which requires a permit to construct, alter, improve, tlemolish, or repair any structure, prior to its issuence, also requires Ihe applicant tor such permit to file a signed statemenl ihat he or she Is Iicensed pursuant to ihe provislons of lhe Cantredors License Law (Chapter 9(commencing wilh Sectlon 7000) oi DlWslon 3 0} Ihe Business and Professions Code) or Ihet he or she is exempt theretrom entl the basis for Ihe elleged exemption. Any violation of Seclion 7031.5 by any appllcant for e pertnit sublects ihe epplicant to e civil penalry of not more then flva huntlretl tlollars ($500).): ❑ I, as owner of the property, or my employees with wages es their sole compensation, WILL DO THE WORK, and the structure is not intended or otteretl for sele (Sec. 7044, Busineu antl Professions Code: The Coniractors License Lew does not apply to en owner of property who builds or improves thereon, and who tloes such work himsetl or herself or ihrough his or her own employees, provided ihat such improvements are no� intendetl or oHered for sale. If, howaver, the building or improvement Is sold wiihin one year ot completion, tha owner-builder wilF�ave Ihe burden ot proving ihat he or she tlid not build or improve tor purpose ot sale.). � ❑ I, es owner of Ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to cons�ruct ihe projec� (SeC. 7044, Business end Profession5 COCe: TTa contractors License Lew tloes not apply to an owner ol propeny who builas or improves ihereon, antl who coniracts tor such pro�act with e comractor(s) license pursuant to the Contractore l.icense Laws.). ❑ I am exempt under sec. Businass and P�ofessions Code for �his reason: Signature: Date: Owner ID verified by drivefs license. ❑ Yas ❑ No Drive(s LJcense No. Vedlication of Ownership by (type ol daument, i.e. - property ta�c bill or tleed): Expires: DIVISION OF INDUSTRIAL SAFE7Y PERMI7 CERTIFICATION: ❑ I hereby certify that no excava�ion five (5) or mora teet in depih into which a person is required to descend, will be mede in connection wilh work euthorizetl by ihis permit, and ihat no builtling siructure, scaHolding, talsework, or demolition or dismantling thereof, will 6e more than ihirry-six (36) teet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Tiile B, Califomia Administrative Code). ❑ As owner-builtler, I will not amploy enyone to do work which would require a pertnit from the Division of IndusMel Sefery, es noted above, unless such pereon hes e permit to do such wark irom ihe division. SignaWre: Date: Division of Industrial Satery Pertnit Number: CERTIFlCATE OF COMPLJANCE AND AIJTHOROA710N OF ENTRV: I cehify under Denalry of perjury ihat I have reatl ihis epplication and state Ihat the infortnation given is correct. I egree to comply with ell stele laws and ciry ordinances relating to building construction, entl euthonze representatives ot ihe Clry of Costa Mesa to enter upon the ebove-described prope(jy tor inspectionyuryoses. I egree qbt to occupy oyallow occupancy ot any building euthorized by this permit until finel inspection. ['j]��iE']]jlll�']i�� 1816 FixeC Sysiem Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRe�aining Well 202 Final Factory Fira Place 203 Final Sign 204 Final Demolition � PdiE IMRIALS COOE 1 INSFECTION TYPE 206 Finel Mechanical 208 Finel Plumbing 210 Final Eleclrical 212 Final Fire Prevention 220 � Final Planning Approval 222 Final Site 250 . , Final Building/Occupency ��