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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 �.I711��1un/1!�1 � ��%z. �eS�e�ct� ��Y P� �ce.�� P� G (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 � 1ti� _� `J _> : ? 75F�42��I4�5�6�'f9/ �j'sz�s`J',:'"�38��0 �z� �l �iEi� �� v g, 70 7z/ �y .... . _ i i . := i T � 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 F � � a ¢ ► � T F O u� F Q A .d Q > i' .� a w a � a Z 5 3 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 �i . ✓ I%r APPROVED���O- 7 _ / n � //t_e P � m L' 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 � • • (� � / "% ;_