HomeMy WebLinkAbout772 WESLEYAN BAY - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mese.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Viciniry:
Parcel Nunmber:
Applicant
Address:
Owner:
Address
772 WESLEYAN BAY
93768017
STEVEN SCHNIERER
2057 MANDARIN DR
COSTA MESA, CA
PIERCE, COURTNEY
772 WESLEYAN BAY
COSTA MESA, CA
ELECTRICAL PERMIT
Phone: 714-719-1689
Zip: 92626
Phone:
Zip: 92626
Contrector. BEL AIR COOLING AND HEATING
Address: 11861 CARDINAL CI
UNIT F , Phone: 714-534-8474
GARDEN GROVE, AC Zip: 92843
ISSUE FEE
Temp service test
Res. a/c package
New Res (i-2 units)
New Res (3+units)
Pool / Spa
Lighting FixLs
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to t000a
Service over 1000a
Motors to 1hp
Molors to 70hp
Molors to SOhp
Motors to 100hp
Motors over 100hp
Communication tlrops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
License: 710334
SCOPE OF PERMIT
INSTALL NEW A/C IN REAR OF PROPERTY. - -
523.50
50.00
50.00
50.00
50.00
$0.00
S0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
50.00
$72.30
$0.00
$0.00
50.00
50.00
so.00
$0.00
30.00
Quantity
0
0
0
0
0
0
0
0
0
0
0
0
�
0
0
0
0
0
0
0
FEESUMMARY
Temp Dist System / Lighting
Busway I100 R
Standing"Seclion
Misc Electrical Equipment
Transformers up to 1 kva/kw
.� . .....:..........up to 10 kva/kw
.................up to 50 kva/kw
...............:.up to.100 kva/kw
..................over 100 kva/kw .
Low Voltage Equipment
Low Volt Wiring System / Ckt
Misc. Conduit
Misc. Conductor
Circus ( gen or ride)
Circus (mech nde or lights)
Christmas Tree Stand
Pireworks Stand
Other Electrical Fee
Status: ISSUED
Applied: O6/02/2004
Issued: O6/02/2004
ISSUED BY: �
Quantity
$0.00 0
30.00 0
$0.00 0
$0.00 0
ao.00 0
$0.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
50.00
Investigation Fee $0.00
Plan Check Fee $0.00
Reinspectian Fee $0.00
NO710E: The work authorized by this permit shall comply vnth all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92•28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void it 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 Inspeetlons and (inal approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
zaas-aele�ao�
i
WORKERS'COMPENSA710N DECLARATON: ' �
I hereby affirtn under penalry ot perjury one oi Ihe lollowing declarations:
❑ I heva entl wlll maintain a certilicate ot consent to salFlnsure tor workers' compensetion, as provided tor by sedion 3700 of tha Lehor Code, for the paAartnance of the
wark tor which this Dertnit is issuetl.
�il have antl wlll maintain woAcers' compensation Insurance, as requiretl by section 3700 of the Labor Code, for ihe peAortnance ot the work for which Ihis pertnit is Issuetl.
My workers' wmpe ation Insurence carrier antl policy number ere:
�Certier: �t'Q'f"C. �Y� PolicyNum6er.Q�3^�i�3
(T1iis section need nof be cromplefe0 i! the permit is ve/ued et one hundred dollers ($100) or Iess.J
❑ I certity that in the pertortnance of the work for which c�is pertnit is issued, I shall noI employ any person in eny manner so es to 6ecome subject to lhe workere'
compensetion laws Califomia, and agre�at il I shoultl become subJect to t�e workers' compensation provisions ot Sectlon 3700 ot the Labor Code, I shell lonhwith
comply wilh thes r 's'o ^ — w,�
Applicen4SlgnaNre: ��/% _� Date: �a I ZIIJ-7
WARNIN(3:FAllURE SECURE WO ERS' WMPENSATION ppVERAGE IS UNLAWFUL AND SHQL SUBJECT AN EMPLOYER TO CPIMINAL PENALTIES AND dVIL FINES UP TOIXJE MIINDRED
THOUSANODOLLAHE(510p.000�.IN DITIIXJTOTHECOSTOFCOMPENSATION,OAMAGESASPROVIDEDFORINSEGTION3lO80FTHEL4BORCODE,INfEREST,ANDATTORNEY'SFEES.
LICENSED CONTRACTORS DECLARATON:
I hereby atfirtn that I am licensetl under p�ovlslons of Chapter 9(commencing wlth Section 7000) of Division 3 of ihe Business and Professlons Code, enA my license Is in full
CONSTRUC710N LENDING AGENCV:
❑ I hereby aflirm that �here is a consiruction lending egency br ihe pedormance of the work br which i�is pertnit is issuetl. (Sec. 3097, Civil Code).
Lender's Neme:
SigneWre: _
OWNER-BUILDER DECLARATIONS:
Lender's Address:
Date:
I hereby eHirtn ihet untler penalry ot perjury thei l em E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions
Cotle: Any ciry or counry which requires e permit to construc6 alter, Improve, tlemolish, or repeir eny strucWre, prior ta its issuance, also requires the eppllcaN tor such pertni�
to file e slgned stetement thet he or she is licensetl pursuent to the pmvisians ol the Contractors License Law (Chapter 9(commencing with Sectlon 7000) ot DlNsion 3 at ihe
Business end Pmfessions Code) or that ha or sha is eaempt Iherefrom and Ihe basis tor the elleged exemption. Any violetion of Section 7031.5 by eny epplicent lor a permi�
subjects the epplicant to e civil penalry of not more than five huntlretl Collars ($500).):
❑ I, as owner of Ihe proparry, or my employaes wlth wages as their sole compensation, WILL DO TME WORK, and the structure is not Intende0 or oNered tor sele (Sec.
7044, Business and Professions Code: The Contractors License Law does not appy to an owner ot property who builds or improves Ihereon. antl who tloes such work
himself or hersetl or Ihraugh his or her own employees, providetl Ihat such Improvemenis are not intandad or otfered tor sale. If, however, Ihe builtling or improvement is
sold within one year oi completion, the owner-builder will heve Ihe burden ot proving that he or she did not build or improve lor purpose oi sale.). '
❑ 1, as owner ol tha property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, 6usineu and Prolessions
Cale: 7Te contractors License Law Goes not apply to en owner ot propeny who Dullds or Impmves Nereon, and who con�rects br such proJect with a contractor(s)
license pursuant to ihe Contractors License Lews.).
❑ I am ezempt under sec.
Signeture:
Owner ID verified by tlriver's license. ❑ Ves
Vedlication ol Ownership by (type of Document, i.e.
Business entl Prolessions Code lor this reason:
❑ No Dnvels License No.
properry tax blil or tleetl):
oe�a:
Explres:
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 hereby certity ihat no excavation five (5) or more Fae� In depih into which e person is requi�ed to descend, will 6e made in connection with work euthodzed by this
permit, end (hat no buildinq stmcNre, scaHolding, falsework, or demolition or dismantling thereot, will be more than thirty-six (38) feet high. (Chep. 32. Carp 2, Art 2, Sec.
341, Tltle 8, Celifomla Adminisirative Code).
❑ As owner-bulltler, I will not employ anyona lo do work which would require e Dermlt irom ihe Division of Industnal Sefery, es noted above, unless such person has e
permii to do such work Iwm the division.
Signeture: Date:
Division ot Indusinal Safery Pertnit Number:
CER7IFlCATE OF COMPLJANCE AND AUTHORVJITION OF ENTRY: I certity under penalry ol perjury that I have reatl this application and stata thet the infortnatlon given is
correcL I egree to comply with all state laws antl city ordinences releting to bullding consWction, and authonze representatives oi the Ciry of Coste Mesa to enter upon t�e
above-described properly lor inspedion purposes. I agree no� m eccupy or aAow occupancy ol eny buildin9 au�horized by tNs pemut until tinel inspecqon.
GO�E �. INSPELTIONTYPE
1616
1266
Fixed System Final Fire Prevention
Pool Spe Final
200 Finel Re-Roof
201 FIneI BIocWRetaining Well
202 Final Factory Fire Place
203 Finel Sign
204 Finel Demolition
�AIF 1I�9L5
COpE� INSPEC710NTYPE
206 Finel Mechanical
20B Finel Plumbing
210 Finel Electrical
212 Flnal Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Finel Building/Occupency
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(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
MECHANICAL PERMIT
JobAddress: %%2 WESLEYAN BAY Status: �SSUED
Suite No Applied: O6IO2/2004
Issued: O6IO2I2004
Vicinity:
Parcel Number: 93768017 ISSUED BY:
Applicant: STEVEN SCHNIERER
Address: 2057 MANDARIN DR
COSTA MESA, CA
Owner: PIERCE, COURTNEY
Phone: 714-719-1689
Zip: 92626
Address: 772 WESLEYAN BAY
Phone:
COSTA MESA, CA Zip: 92626
Contracror: BEL AIR COOLING AND HEATING
Address: 71861 CARDINAL CI
UNIT F
GARDEN GROVE, AC
Phone: 714-534-8474
Zip: 92843
License: 710334
SCOPE OF PERMIT
INSTALL NEW AIC IN REAR OF PROPERTY.
ISSUE FEE
Inst FAU <100 k BTU
Insl FAU >100 k BTU
� Repair / All Cooling/Heat
Inst / Rep. Recess Wall Htr
Re(rig Sys <700 k BTU
Refrig Sys >100 k BTU
' Gas Piping
Factory Fireplace
Hood w/Mech Exhaust
VAV BOx
Vent Fan / Single Duct
Appliance
Fire Dampers
Smoke Dampers
Insl or Relocate Appl Vent
Air Handlers < 10000cfm
Air Handlers > 10000dm
Floor Furnace
Floor or Suspend Heater
$23.50
$0.00
$0.00
$0.00
50.00
50.00
50.00
$0.00
$0.00
30.00
$0.00
$0.00
so.00
30.00
50.00
50.00
$0.00
30.00
so.00
so.00
Quantity
FEE SUMMARY
Repair / Alt Absorbtion Unit
Repair I Alt Refrigeratlon Unit
VenGllation System
Evaporative Cooler
Commercial I ncinera tor
Domestic Incinerator
Compressors / Absorption Systems
Uplo3hp/100kBTU
3To15hp/SOOkBTU
15 To 30 hp I 1,000 k BTU
30 To 50 hp / 1,750 k BTU
Over 50 hp / Over 1,750 BTU
Bailers
Upto3hp
3To15hp
15to30hp
30 to 50 hp
Over 50 hp
Other Mechanical Fee
�nvestigation Fee
Plan Check Fee
Reinspection Fee
Quantity
50.00 0
50.00 0
$0.00 0
$0.00 0
ao.00 0
$0.00 0
$0.00 0
50.00 0
$0.00 0
30.00 0
ao.00 0
$14.70 1
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES $38.20
NOTICE: The work authorized by this permit shall comply with all epplfcable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 9248, § 1, 1241•92) �
EXPIRATION: This permit shall automatically explre and become void Ii work Is not commenced wllhin 1 BO days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for tha work authorized under ihis permlt to be considered legal, such work must comply with all applicable codes, end all
required inapeetlona and final approval must be obtained. Fal�ure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2448d8 (8�00)
!
WORKERS' COMPENSATiON DECLARA710N: .
I here6y ettirm unAer penalry oi perjury one ot tne following dedaretions:
❑ I have and wlll maintein e cenificete of consent to sell-Insura tor warkers' compensetlon, as provided lor by seciion 3700 oi the Le6or Cotle, tor the pertormance at t�e
work for which this pertnit is issued.
�1
�I.have and wlll maintain workers' compensation inwrance, as require0 Dy sectlon 3700 of Ihe tahor Cotle, lor t�e perfortnance of t�e xrork for which ihis pertnit is issuetl.
My workers' compen^sation Insurenca carrier and policy number ere:
'Carrier: ��'Q�G rUY�d Po�icy.N�mee�_OI3—ODCX1483
,(Thls section need not be completed i! ihe permitls valaetl et one hunered dW/ers ($700) or less.) �__ �
❑ I cenity that in the peAormance ol the work lor which this permit Is issued, I shell not employ eny person in eny manner so as to become subject to �he workers'
wmpensation lews,q� Celifomia, end egre hat It I s�oultl become su6�ec� Io lhe workers' compensatlon proNslons at Sectlan 3700 ot the Lebor Catle, I shall forthwith
comply with.ihw�.h, / Ncyn
AppRce In Sign�eture��ed� _ Dato;_ �O`Zl�
WpRMNG�FAILURE SECUREWO ER5WMPENSATIONCOVERAGEISUMAWFULM'DSNALLSUBJEGfANEMPLOVERTOCRIMINALPENALTIESANDCMLFlNESUPTOONEHUNDRED
TKK15M10 DOLLAHE (5100.000),IN ADDITION TO TNE WST OF COMPENSRTION, UMMGES AS PHWIUED WR IN SECTION 3]C80F THE UBOR COOE, IMEREST, AND ATfORNEV'S FEES.
LICENSEU CONTHACTORS DECLARATION:
I hereby aflirm that I am Ilcensetl untler D�9Wsio
CONSTAUCTION LENDING AGENCY:
of C�apter 9(commenUng wIN Sectlon 7000) ol DlWslon
end my license is In tull
❑ I �ere�y eHirtn t�at t�ere is e conshuction lentling agency for Ue peAormance ot the work for which this pertnit is issuetl, (Sec. 3097, Civil Code).
Lentlefs Name: Lendefs Adtlreu:
Signature:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby aHirm thet untler penelry oi perjury Ihet 1 em EXEMPT FROM TME CONTRACTORS LICENSE LAW for the lollowing reason (Sec. 7031.5, Business entl Protesslons
Cotle: Any ciry or counry which requires a pertnit to canstruct, elter, improve, tlemolish, or repair eny strucWre, O�ar to its issuence, also requires the applicant for such permit
to ille e signed stetement that he ar she is licensed pursuent to the provisions oi the Contraciors LJcense Lew (Chepter 9(wmmencing wlth SecUon 7000) ot Division 3 oi the
Business end Professions Code) ar that ha or sha is axempt therelrom antl the besis lor Ihe elleged exemption. Any violetlon of Section 7031.5 by eny epD����� �or e pertnil
sub�ects the applicant to e.civil penalry of not more than tive �untlretl tlollars ($500).):
❑ I, es owner ol t�e property, or my employees with wages as thelr sole compensatlon, WILL DO 7HE WORK, end the structure is not IntentleA or ottered tor sale (Sec.
7044, Business end Prolessians Code: The Cantractors License Law does not apply to an owner of property who builCs or improves lhereon, and who dces such work
himseN or herself or Ihrough his or her awn employees, provided that such impwvements are noI Intentletl or oNered lor sele. If, hawever, the building ar improvement is
sold within one year ot completion, the or,nerbuilder will have the burden of proving that he or she tlld no� build or improve for purpose ot sale.). '
❑ I, as owner of the property, am E%LLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to conslruct the prolect (Sec. 7044, Business end Protesslons
Cotle: The contrectors License Law does not appty to an owner o/ propeny who builds or Improves ihereon, antl w�o comracts tor such project wlth e contracror(s)
license pursuant to ihe Contractors License Laws.).
❑ I em exempt under sec.
Signature:
Owner ID venfietl by dnvers licensa. ❑ Yes ❑ No
Busineu end Pmlessions Cotle for this reason:
Venficetion af Ownarship by (type of document, i.e. - property teu bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON:
Drivefs LitenSe No.
Deta:
Expires:
❑ I �ereby cenity Ihat no excavetion tive (5) or more feet in deplh into which e person is required m descend, wlll be metle in connection wl�h work euthodzed by ihis
pertnll, and that no building structure, scattoltling, falsework, or tlemolitlon or tlismantling ihereot, wlll ba more ihan thirty-six (36) leet hig�. (Chep. 3.2, Grp 2, Art 2, Sec.
341, Title B, Celilomia Atlministretive Cotle).
❑ As ownerbullder, I wlll not employ anyone to do work which would require a permlt fmm ihe Divislon of Indusirial Selety, es notetl ebove, unleu such persan hes e
permit to do such work Irom the division.
Signature: Dato:
Divislon ol Industnal Sefery Permit Number.
CERTIFlCATE OF COMPIIANCE AND AI7T}IORPJITION OF ENTAV: I cehify under penelty of perjury fhel I have read Ihis epplicetion end state that t�e Infortne�ion piven is
correci. I egree to comON `^'��h ell stete lews end dry ordinances relating ro building constructlon, antl euthodze representatives of the Ciry ol Casta Mese to enter upon the
ebove-described O�opeM �or inspection purposes. I agree not to occupy or ellow occupency oi any building authodzed by Ihis permit until linel inspectlon.
CO�E I, INSPECTIONTYiE
1616 Fixetl System Final Fire Prevention
1288 Poal Spe Finel
200 Flnel Ra-Roof
201 Final BIocWRetaining Well
202 Finel Fettory Flre Place
203 Flnal Sign
204 Final Demolitlon
Z
p�¢ fyjQ��y �f,d INSPECTIONTVPE
206 Finel Mochenical
20B Finel Plumbing
270 Flnel Eloctricel
212 Finel Flre Preventlon
220 Flnal Plenning Approval
222 Final Slte
250 Final BulltlingiOccupency
Dete
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GOSTA MESA BUILDING-SAFETY DEPA T T APdLICrLTION FOR STRUCTURAL PERMIT�
� P.�O. BOX 1200 COSTA MESA, CAIIFORNIA 92626
R C V BV P RMIT '
For Applicant to FID in Completely - Use Ink Only $� No .�
BUIIDING A . NO��'�9/�Qp�f' ���"' `O ���
ADDRESS Tract 10626
BUILDIlYG !� ^
°eNANT�R M.D. Janes Co., Ii1C. ADDRE55 p
UNIT OR
ADORE 5 2950 Airway Ave., D-9 SPACENO.
TR.NO. LOT BLK.
cirv Costa Mesa No� 979-3376
CONSiRUCT�ON � ADD LTER REPA10. MOVING DEMOLISH
LENDER NOt selected �
BRANCH N/A /� �
OWNER ���� C_O�-
ADDRE55 N/A VALUE
ARCHITECT . _ TEL USE _ S
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ADDRESS 3Fi4fi Campus Di.� N.R_
CONTRACTOR owner
ADDRESS A
TEL.
CITV e NO. e
STATE CITY
LIC. NO. e LIC. NO. A
OF LOT Sj0 � X 334 � NOW ON LO�T
USE OF
EXISTING BLOG. N�A
Separate permits are required for
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PEFFORMED
I M1ereby acknowletlpe tM1et I have reatl ihis epplicaiion antl rteie
ihat the abova information is correct antl aBree t0 comply wlth
all laws regulatin0 buildinB �onsvuction, antl I sha11 not employ
any person in violation of the workman's compengation laws of
the State of Calitomia.
1 hereby cettify that I am pro0erly licensatl as a contractor untler
Me State of California Buziness entl Professionz Cotle, Division 3,
Chapter 9, antl that such licenses are in tull torre antl ¢ttect, or I
am exempi from the rovisions of the Stete of California Bysiness
antl Protessions Cod Div'rci 3, Chapter 9.
Signature of
Permlttee
o` 8�17/79
�+uthorizetl Agent e
""� 3
20NE
APPKOVED
APPROVE�SETBACKS
PWNNING ACTION
VAlVAT10N
SSa�
DATE
9
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I%r APPROVED���O-
7 _
/ n � //t_e
P
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T. j `i�'
C\
SHOWN UNDER VA�UATION IS FOR m �
IF ESTABLISHING A PERMIT FEE ONLV: �
PERMIT FEE E � �
N
m
PLAN CHECK § Sd �. � o
` TAX y LL
i-; ;
y,, . .
TOTAL PAID $ �� g /:/ �_
(1 � •
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