HomeMy WebLinkAbout935 VICTORIA ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, COS7A MESA, CA 92626
PLUMBING PERMIT
Job Address: 935 VICTORIA ST
Suite No
Vicinity:
Parcel Nunmber: 42244226
Applicant:
Address:
BENNETT, NEIL F
935 VICTORIA ST _. _____
�% j���Phone^ �949-650-5401� _�
COSTA MESA, CA� �� _-.;`j -Zip:, �92627 �'�,�.`�
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"ORI�ST-��� '\ � __ ' ._. _. _ -.- "_ �`\ !' \.
��Phone � 949;650 540t
dESA,LA��� � -� Zip 92627 \� \'��
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ISSUE FEE � �� � $23.50
Back(lowirrigation� $0.00
Backflow Preventer $0.00
Baihtub . ' $0.00
ClarifierSystem '� ��, $0.00
Connect pce,Soda,etc) ��� $0.00
Dental Units ' " �" �� $0.00
Di4liwasher- -_ . , � $0.00
Drain;,Floor � 50.00
Drain,Rainwater �\��.,`,, $0.00
Drain; Roof �., � ' �' _ $0.00
Drinking`�Fountain��, A �\,``$0.00
Ezpan`sioh Tank'� � � ' "" ""
Gas Earthquake Vaive
Gas (1-4 outlets) .,
Gas (Over4�outlets)r' � �
GasRepipe'�� �'
Gas Service , `.
Interceptors (Grease, Oiq�
Interceptors (Sand�Auto )�
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Phone �'
Zip :
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A WATER
Stalus: ISSUED
Applied: 06/262006
Issued: 06/26/2006
SUED BY: .�
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1SE AND NEW.CAUNDRY
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\% � FEE SUMMARY �A� `�� � �' � � � �,
QTY� _ _ - _ _ - . AMT. aTY . � ' r - AMT ', •.QTY
% ��'T�-Caundry,TubhWasher ,77 � $980� '�1 �-aT1 �� SumpPump � . .$0.00 ��i0,
0 �;r �iLandsoape'liriga6on l��/_' $000 ��0�;��� �SwimmingPool � ���� �'$0:00 �'�0!
0 � - P-Trap . - - - _ . _�$0.00 � � �-0 �.'Trap Primer ` -$0.00 � 0;
0� Pressure Regulalor $0.00 �� �0�� � Urinal �, , $0.00 i:0,
0�, Process Piping (per 10 ft) $0.00 (0� � Vacuum Brkr Bkflow(1-,4) ��$0.00 �- 0
0 ^ �'�-_' �Receptorsa;r- � � � --� � $0 OOv�jO�;� - „� Vacuum Brkr Bkflow(5+) . ,$0.00 , ,; 0
0 �,, -SepticTank=+ --->-$000�,0 �.. -r� WashBasin ��' I ( $0.00'_� 0
0" '� -Sewer Cap for Demo '__ _ SO 00 /� 0 -� Wash Basin Set � � $0.00 -'� i0
0 Sewer Connect $0.00 q 0 , Waste and Vent Sy'stem„ ��$0.00-•,' � 0
0� Sewer Private Line ��$0.00% 0 . Water Closet (Toilet) ^�-. $0.00 ��� 0
0 Shower .<.:$O:OOi!'0 NlaterHeatec%vent -�-�, ,$0.00 � 0
0 Sink,bar $0:00""'0 WaterPiping�(Instor�Rep.)���$0.00,� 0
0'� Sink,commercial�'�v�;x� $0.00 0 WaterRe-pipei �� ��� ,� 59.80� 1
0 Sink, Floor;F���t', `� ���.', $0.00 0 WaterSeivice $0:00 0
0 Sink kitchen:'.� �$000 0 Water,Softener '� �$0.00 0
0� Smk service%mop `$0 00 k 0 � OTHER�� !' �:�$0.00
$000�\� O�S�?�%'�-tt.`�Spa(privale)'/i. -�� � �� $000 .'/�0'��'K�'i ,^�..,�VIOI/ATION
; $D,00���0,> - �.� Spa (public) , � =` , �� $0.00 0 � ��-FLAN CHEC
:$0.00_ •0=.A.� _ .. , ':-'!, - � i: i%REINSPECT
'$OOOi .O�\ ' . � r, . .; � ����/ <//
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� �� '�' � � �/� COMMENTS / SPECIAL-CONDITIONS � �/ //�
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543.10
NOTICE: The work authorized by this permit shall comply with 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 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 pertnit to be considered legal, such work must comply with all applicable codes, and all
required Inspections and final epproval must be obtained. Failure to obtain inspections arW final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
24G6i6(6b0)
WORKERS'COMPENSAnON DECLARAnON: - ; .
I hereDy ettirm under penelty of perjury one of the tollowing decleratlons:
❑ I have and will malntein a certificale oi consent to self-Insure lor workars' compensetion, es providetl for by section 3700 0l tha Labor Code, br the peAormance of the
work br which thi5 pertnit is iuueC.
❑ I hava entl will main�ain workers' compensaiion insurence, es requlretl by sectlon 3700 of ihe Lebor Code, tor t�a perfortnance of c�e work for w�ich this pertnit is issuetl.
My workers' compensetlon Insurence ce�rler and policy number ere:
Cernec PoliCy Numbec
(Th/s secfion neetl not be completed i! the pemrit fs velued et ane hundred dollars (S/00J or Iess.J ' ' �
I iertify,that in the rma ol t work for which this permit is Issued, I shall not employ any pereon in eny manner so es to become subject to the workers'
V�crompensetlon s Cali ie, d agrea Ih t If I ahould become sub�ect to Ihe workers' compensetlon pmvisions ot Sectlon 3700 of the Lebor Cotle, I shall torthwilh
comply with Ihese ovl s. `
�ica'rt�SlgnAt�e: L..� oe�a�—_ -o1L- �a
WARNNKi��FAILURE TO SECURE WORKERS' COMPENSATION COVERAOE IS UNIAWFUL AND SNALL SUBJECT AN EMPLOYER TO CRIMINPL PENALilES AND GVIL FlNES UP TOONE MUNDRED
hKKJ$AND DOLLARE (5100,000). IN ADORION TO TME COST OF COMPENSATION, OAMAGES AS PiiOVIOED WR IN SECTION 3)OB OF THE IABOR COOE, INrEREST, ANO ATTORNEY'S FEES.
LICENSED CONTRAC70RS DECLARATION: ' � �
I hereby atfirm that I am Ilcensed under provislons ol Chepter 9(commencing with Sectlon 7000) ol Division 3 of the Business antl Professions Code, and my license is in tull
force end BftecL Lic. A qe5s M
Gontractofs Slgnature: Date:
CONSTRUC710N LENDING AGENCV:
❑ I hereby ettirm t�at there is a construction lendinp egency for Ihe pertormance of ihe work br which ihis pertnit is issued. (Sec. 3097, Civil Cotle).
Lenders Name: Lendefs Address:
Signatura: Date:
OWNER-BUILDER DECLARATIONS:
I hereby atfirtn �hat untler penalry ol perjury that I em E%EMP7 FROM THE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business antl Protessions
Code: Any ciry or counry which requlres e Dertnil to construct, alrer, improve, tlemolish, or repair eny sirucWre, pnor to its issuance, also requires the applicant for such permit
to tlle a signed statement ihat ha or she is Ilcensetl pursuant to the provislons at ihe Contrectore License Law (Chepter 9(cammenGng with Sectlon 7000) of DlWslon 3 ai the
Busine entl Pmfessions Cade) or Ihat he or s�e Is exempt Ihereirom end Ihe basis lar Ihe ellegetl exemption. Any vialation oi Sectlon 7031.5 by eny applicant tor a pertnit
suh� s the eppliwnt to e Uvll penalty af not more then flve hundred dollars ($500).):
il, as owner of the properry, or my employees with wages as their sole compensallon, WILL DO TT1E WORK, end ihe structure is not intentled or oflereC tor ule (Sec.
' 7044, Business entl Professions Code: Tha Contrectors License Law does not epply to en owner of properry who builds or improves iheraon, and who does such work
himselt or herself or ihrough his or her own employees, provitled thet such improvemenis are not Intended or otlered for sale. If, however, the builtling or improvemant Is
sold within ona year ot completion, Ihe owner-bulltler will heve the 6urtlen oi pmving that �e or s�e tlitl not 6uild or improve for purpose ot saleJ. -
❑ I, as owner ot the properry. am EXCLUSIVELV CONTRACTING WITH UCENSED CONTFiACTORS to construct Ihe project (Sec. 7044, Business and Pmfessions
Code: The co ctors Licen,se Lew does not eDVN �o en owner ol pmperry w�o builds or impmves t�ereon, end who contracis for such project with a contractoqs)
license p., i r to tp� Coyffactors License Lews.).
❑ lam
Business and Prolessions Code tor Ihis reason:
Date:
Owner.ID�venfi�d by drivers Ilcense. ❑ Ves ❑ No
Venficatian of Ownership by (type oi tlocument, i.e. - properry tau bill or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby canify Ihat no excavetion flve (5) or more teet in depth into which a person is required to descend, will be made in connection wiih work authorized by ihis
permit, and Ihat no bulltling structure, scattoltling, lelsework, or demolition or tlisman�ling Ihereol, will be more than thirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Califomia Atlminisiretive Code).
❑ As owner-6uilder, I will not employ anyone to tlo work which would require e pertnit from Ihe Division of Industrial Safety, es noted above, unless such pereon �es e
permil to do such work from the division.
Signature: Date:
Division of Intlustnal Setety Permit Num6er:
CERTIFlCATE CO LI E AND AllTT10RQA710N OF EMAY: I certity under penalry oi perjury that I have reatl this application and state t�at Ne intormetion given is
cort ct. 1 e to y ell stele I s antl city ordinances reletinp to building construction, antl euthorize representatives ot the CIry of Costa Mesa to enter upon the
abo - esc � etl rt r inspecti pnsas'1 egree not to occupy or allow occupancy oi eny building authorized by Ihis Dermit unlil final insµectio� �
��� —�Q (o •–
� S�gnat_�,re 0f.legal Owner(s} Date /
And/Or Authonzed ApD��wn� Date
COOE I, INSVECTIONTYPE ' Qd¢, �4$
1616 Fi:eC System Final Fire Prevention
1266
200
���
Pool Spe Final
Finel Re-Root
Finel Block/Retalning Wall
202 Final Fectory Fira Plece
203 Finel Sign
204 Final Demalition
COOE� INSYECTIONTYGE
206 Final Mechanical
208 Final Plumbing
210 Final Elecirical
212 Final Fire Pievention
220 Final Planninq Approval
222 Final Site
250 Final Builtling/Occupancy
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(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-meseEc��TRICAL PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 9$$ VICTORIA ST
Suite No
Viciniry:
ParcelNunmber: 42244226
Applicant: BENNETT, NEIL F
Address: 935 VICTORIA ST
COSTA MESA, CA
Owner: BENNETT, NEIL F
Address 935 VICTORIA ST
COSTA MESA, CA ' � �
Contractor: O W N ER-BU I LDER
Address: ' '
�
�.
Phone: 949-650-5401 ISSUED BY:
Zip 92627 ..
Status: ISSUED
Applied: 12/12/2005
Issued: 12/72/2005
Phone: � � � , -. . . � .. �
Zip:' �- 92627 .', , �- " -
THDRAw� � � � .
WI
Pno�ATE: � 22�b ��(,tol�D ts"+T `l��a
z�P: �tNY�CY
License:000000 � __�� ��
UBGRADE ELECTRICAC SERVICE UP TO 200 AMPS AND INSTALL CENTRAC HEATING:
^ FEE SUMMARY
Quantiry . , �uantity
ISSUE FEE � � � $23.50 � - � �. � � Temp Dist System / Lighting $0.00 0 � �'-
Temp service test �_ � 50.00 � � , - � Buswayl100 ft '� . 50.00 0 �
Res. a/c package ' $O:W �-� - �� � � - Standing-Section- '' " � � $0.00-� 0 � - ��
New Res (1-2 units) $0.00 0 Misc Eleclrical Equipment $0.00 0
New Res (3+unita) . ; $0.00 ' 0 Transformers up l0 1 kva/kw 50.00� 0� 3�
Pool / Spa , � � 50.00 - 0 �• � - ' .......:........up to 10:kva/kw $0.00 0 . �
Lighting FiMs � . � $0.00 �:� - r � Ot... •� � � � -- . � ::.....::.:.up to 50 kva/kw � 50.00 0�
Recepl Oullets �� $0.00 0�� � - ...........:.....up�to 100 kva/kw ' 50.00 0
Switches � - „ . $0.00 � 0 ..................over 100 kva/kw , $0.00 0
Non Res Appl $0.00 0 Low Volfage-Equipment $0.00 �-0 ' .
Res Appl � -^ �' $0.00 � 0 Low Volt Wiring System / Ckt �$0.00 .0
Service to 200a ��� �� � $30.50 1 Misc. Conduit $0.00 . 0 :- � � '
Service to 1000a � 50.00 0 � Misc. Conduclor $0.00: 0
Service over1000a ` � �-$0.00 �• 0 . �. CircuS (�gen or ride) $0.00� 0 . �
Motors to ihp , �$0.00 0 �"� Circus_(mech',ride or lights) $0.00 � 0
Motors l0 10hp � � - $0.00 �� ��0: ;,; ,� .. . �� .Christmas TreB,Stand $0.00� �0 ,
Motors lo SOhp $0.00 - � 0 g � � � . . Fireworks Stand "--- � $0.00 0
Mororslo100hp ' -. .$0.00 - 0 . � •.-0ther-Elecirical�Fee '-- �-$0.00�
Motors over 100hp � $0.00. - 0 ��� ' � - �� - - � '
Communication drops $0.00 �� � � 0. ' � , �. �, Investigation Pee� � $0:00
Sub panel l0 200a � � $0.00 -`� 0 ` • . . . �. �Plan CtieCk fee" ��'� . � " �$0.00 - '
Pole Light Pkg , $0.00. 0 .. . Reinspec[ioo Fee � ' � � $0.00 ,
Sign Circults � - $0.00 � �' �0 ��� • �� � �` - -
Temp Pwr Pole 50.00 0 TOTAL CALCUUITED FEES � E54.00 -
Intermed Pole $0.00 �" '� , 0 "� - � - - .. . �,. .- , �
COMMENTS./ SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shali compty w0h all applicable handicap access requirements under Calitomia 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 ii work Is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order tor the work authorized undei this permit to be considered legal, such work must compty with all applicable codes, and all
requlred Inepectiona end final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiratlon of this permlt.
FOR INSPECTIONS CALL: (714) 7545828
244&48 (fl/00)
WORKERS' COMPENSATION DECLARATION: ' . -�
I hereby affirm untler penalry oi perjury one of the following declarations: �
❑ I heve end will maintain e certiilcete of consent ro seN-Insure for workers' compensatlon, es pmvided for by sectlon 3700 ot iha Lebor Code, for ihe pertormance ot the
work tor which this pBrtnil Is issued.
❑ I heve and wlll melntein workers' compensetlon insurance, es required by section 3700 ot ihe Lebor Code, for ihe pedartnance of Ihe wark tor which ihis pertnit is Issued.
My workers' compensatlon Insurence cerAer end policy number ere:
Cartier: Policy Number:
(Th/s sectlon.neetl not be comp/eted 1! the permif Is velued et one hundred dollers ($100) ar less.)
/ �
i cen�y mac �n me venq��99nce f th ork lor which this pertnit is issued, I shell not employ eny parson in any manner so as to become subject to ihe workers'
�ompensatlon lawg.of Cplifoml �, a egree Ih sheW9iecome sub�ect b the workere' compensation provisions ol5ection 3700 of ihe Labor Code, I shell forthwith
comply wit� t�ese�provi§ions
App�ll�can�iSigneture:""- � ��Date:. .I�'-/��-S'
WAiiNING: FAILURE TO SE FE WORKERS' COMPENSATION COVEMGE IS UNLAW FUL AND SHALL SUBIEC� AN E VER TO CFIMINAL PENALTIES AND GVIL FINES UP TO ONE HUNORED
7HOUSAND OOLURE ($100,000), IN ADDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDE� FOR IN SECTIdJ 3�06 OF THE LABOF CADE, IMEREST, AND ATTOHNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby afllrtn Ihet I em licensed untler provlsions of Chapter 9(commencing with Seciion 7000) of Division 3 oi ihe Business and Professions Code, and my license is in full
force entl eNect. Lic. # Cless #
ContrectoYs SignaWre: Date:
CONSTRUCTION LENDING AGENCV:
❑ I hereby aNirm that ihere is a construdion lentling agency for ihe pedormence ot tha work for which ihis pertnit is issuetl. (Sec. 3097, Civil Cotle).
Lender's Neme: Lender's Address:
Signature:
Date:
OWNER•BUILDER DECLARATIONS:
I hereby affirm thet under penalty of perlury ihet I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Buslness and Professlons
Cotle: Any ciry or county which requires a pertnit to construct, alter, improve, demolish, or repair any struqure, prior to its issuance, also raquires the eppliwnt for such permit
to tile a signed statement thet he o� she is Iicensetl pursuant m the provisions of the Coniractors License Lew (Chapter 9(commencing wlth Section 7000) of Division 3 ot the
Business end Prolesslons Code) or that he or she is e:empt thereirom entl the basis tor t�e elle9ed exemption. Any violatlon of Section 7031.5 by eny epplicant tor e pertnit
sublecis ihe epplicant to e civil panalry of not more than five hundred tlollars ($500).):
❑ I, as owner of t�e pmpeny, or my employees with wages es thelr sole compensetion, WILL DO 7HE WORK, end the structure Is not intantletl or oHered tor sele (Sec.
7044, Business antl Professions Code: The Contrectors License Law tloes not epplY lo an owner of proDerty who builds or improves ihereon, and who dces such woAc
sell or herself or t�rough his or her own employees, providetl t�at such improvemenis ere not Intended or offered for sale. If, however, Ihe huiltling or impmvement is
sold within one yaer of wmpletion, the owner-builder will heve the burtlen of Droving ihat he or she did not build or improve for purpose of sale.). �
_I,ae�owner ot t�e pmperty, am E%CLUSNELY CONTRACTING WITH LICENSED CONTRAGTORS to construct the proiect (Sec. 7044, Business antl Pmfeuions
"y,.�CoderTlfe comrectors Llce se Law does not epply to an owner ol propeny who builtls or Improves Ihereon, and who wntracts tor such proiect with a contractor(s)
license__pyus�$nt toyfe �rectors �jense Lews.).
❑ iam
erifietl'by dnvers Ilcense.
ol Ownerehip by (type af
—� BuSiness and Professions Code lor this reason:
�D`al�" -F
Ves ❑ No ��y.Dr-iv-er�'s -Lic-en—se No �� ! �F�cp'i[e5; /6=/rY'�%
1� i.e. - pwperry tax bill or tleea). �"
DIVISION OF INDUSTRIAL SAFETV PEfSMRCERTIFICATION:
❑ I hereby certify Ihet no e:cavation five (5) or more feet in depih into which e person is required to descend, will be made in connection with wodc euthonzed by ihis
permit, entl ihat no building s�ructure, scaHolding, falsework, or tlemolition or dismantling thereot, will be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Tille 8, Celifomia Atlministrative Code).
❑ As owner-Duiltler, I will noI employ anyone to tlo work which would require e permit Irom the Division of Indusirial Sefery, as notad a6ove, unless such parson has e
permit to do such wark tram the division.
SignaNre: Date:
Division of IndusMel Satery Permit Number:
CERTIFlCA7E MP ANCE D AUTHORVJ1710N OF EMRY: I cenity under penalry of perjury that I have reatl this epplication and state ihat Ihe intortnation given is
correct. I ea com wit slate laws ntl ciry ordinances relating to building cons�ruction, antl authonze representatives of Ihe Ciry of Costa Mesa to enter upon the
above- escnb p�o i spection ses. I agree no� to occupy or allow occupancy oi any building auihorizetl by this permit until final inspection.
%-�2-�.65
Si nafure O}legal Owner(5) - ��-----�-"'
And/Or Autharized Applicant Date
COpE �. IXSPELTIONTYPE Qdg �$
1616 Fiaed Systam Final Fire Prevention
1266
200
201
202
203
Pool Spa Final
Final Ra-Raot
Finel BIocWReteining Wall
Final Factory Fire Place
Final Sign
204 Finel Demolition
CODE� INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
270 Final Eleclrical
212 Final Fire Preveniion
220 Final Plenning Approval
222 Final Site
250 Final BuildincyOccupancy
P�IF. IrmnA�s
(714) 754-5273 • Fex (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
MECHANICAL PERMIT
Job Address: 935 VICTORIA ST
Suite No
Vicinity:
Parcel Number: 42244226
Applicant: BENNETT, NEIL F
Address: 935 VICTORIA ST
n 949- 5
COSTA MESA, CA - � 9262
Owner: BENNETT,�NEII F ` " � ' , �
Address: 935 VICTORIA ST -� �
� � . . �.. Phone:� � -.
� ,COSTA MESA, CA �- �. �� � � � Zip: 92627
Contredor.` OWNER-BUIGDER
Address: � ,. �
Phone: .
Zip:
License: 000000
�
ISSUED BY:
�
SCOPE OF PERMIT
��,� UPGRADE ELECTRICAL SERVICE UP TO 200 AMPS AND INSTALL CENTRAL HEATING.
MECHANICAL TO INCLUDE: 1 ALT/REPAIR COOLINGIHEATING AND 1 FAU <t00K BTU.
ISSUE FEE
Inst FAU <100 k BTU
Insl FAU >100 k BTU
Repair/Alt CoolingMeal
Inst / Rep. Recess Wall Htr
Refrig Sys <700 k BTU
Refrig Sys >100 k BTU
Gas Pipin9
Factory Fireplace
Hood w/Mech Extiaust
VAV Box � � - �
Vent Fan / Single Duct
Appliance
Fire Dampers � .
Smoke Dampers �
Inst or Relocate Appl Venl
Air Handlers < 10000c(m
AirHandlers> 10000cfm
Floor Furnace
Floor or Suspend Healer
FEE SUMMARY
Quantiry
$23.50
$14.80' 1 "' _-�
$0.00 0
$13.70 1 .
$000 0
$0.00 '0-:__`.'.... . ._ . .
so:oo 0
$0.00 0
$0:00 0
$0:00 0
$0.00 0
$0.00 0
50.00 0
$0;00 0
$0 00 .� 0' ...- . .
$0.00 0
50.00 . 0
$0.00 .0 ; _
$0.00 0 "
$0.00 . 0 , ' �
• �: :
s
. Repair / All Absorbtion Unit
Repair / Alt Refrigeration Unit
Ventillation System -
Evaporative Cooler
Commercial Incinerator .
Domesticlncinerator ���
Compressors / Absorotion Svstems
Upto3hp/t00kBTU
3 To 15 hp / 500 k BTU �
15�To 30 hp�/ 1,000 k BTU >�..
30 To 50 hp / 1,750 k BTU �
Over 50 hp / Over 1,750 BTU --
Boilers
Up to 3�hp�.�
3T015hp-,; . -
15to30hp
30 to 50 hp
Over 50 hp . "
Other Mechanical Fee �
Investigation Fee -
Plan Check Fee . �
Reinspection.Fee ,
' ' TOTALCALCULATEDFEES
COMMENTS / SPECIAL CONDITIONS -
Slalus: ISSUED
Applied: 12/12/2005
Issued: 12/12/2005
r
�uantity
$0.00 0
$0.00 0
$0.00 0
$O.UO 0
$0.00 0
$O.OD 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
50.00 0
30.00
$0.00
$0.00
E52.00
I NOTICE: The work authodzed by this permit shall comply with all applicable handicap access requirements untler Califomia statutes and related ��.
' regulatlons. (Ortl. No. 92-28, § 1, 1241-92) � I
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 tor ihe vrork authorized under this permit to be considered legal, such xrork must wmply with all applicable eodes, and all I
requlred Inspeetlona and finel epproval must be obtained. Failure to obtain inspections and final approvai will resuit in the ezpiretion of thla pertnit.
FOR INSPECTIONS CALL: (714) 754-5626
i..._.�:■c,,..n�
WORKERS'COMPENSATIONDECLARAnON: .
I hereby eXirm under penelty of perjury one of the tollowing tleclaratlons:
❑ I heve antl wlll meintein e certificate oi consent to self-Insure lor workers' compensatlon, as provideA for by sectlon 3700 of the Lebor Cotle, for ihe pertormance ot the
work for which this pertnit Is issuetl.
❑ I �eve entl wlll maintaln workers' compensatlon Insurance, as requiretl by sectlon 3700 ot the Lebor Cotle, forthe pedormance ot the work for which this pertnit is issued.
My workers' compansation Insurence cerriar and policy number ere:
Carrier: Policy Number:
(Th/s ctlon need nof be com/p//efed711he pertn/f /s ve/ued ef one hundred dollers ($100) ar /essJ
I certity ihel in the p 6r�riance�th ork for wh{ch this permit is issued, I shall not employ eny person in any menner so es to become subject lo ihe workers'
compensatlon I ot Q�bllto egree iha (I should becoma sub�ect to the workers' compensatlon provislons of Sectlon 3700 of the Labor Code, I shall fonhwith
comD�Y with these pr ision /
ApplicantSigneNre: � Dete: /�/�—O�
WARNINQ: FAILUFE TO SECURE WORKERS' COMPENSATION CAVEMOE IS UNUWFUL AN� SMALL SU&lECT PN EMPLOYER TO CiiIMINAL PENALTIES AN� CIVIL FlNES UP TOONE HUNORED
T}i(%1SAND DOl1AFE (5100,000), IN AODRION TO THE COST OF COMPENSATIIXJ, DMMGES AS PROVIDED FOR IN SEGTION 3)OB OF THE LABOR COOE, IMEREST, ANO ATfORNEVS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aMirtn that I am licensed under provisions of Chapter 9(commencing with Section 7000) at Division 3 oi Ue Business antl Protesslons Catle, end my license is in full
torce end eflect. Llc. a Cless #
CONrector's Signeture: Date:.
CONSTRUCTON LENDING AGENCV:
❑ I hereby ettirm that there is e construciion lending agency for the peAormance of the work for which Ihis pertnit is issueA. (Sec. 3097, Civil Code).
Lender's Name: Lender's Address:
Signeture:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby eMlrm that untler penalry ot perjury that I am EXEMPT FROM THE CONTiiAC70RS LICENSE LAW tor the following reason (Sec. 7031.5, Business end Professions
Code: Any ciry or wunry which requires a pertnit to construct, elter, Improve, tlemolish, or repair any strucWre, pdor to its iuuance, also requires the applicant tor such pertnil
to lile e signad stetement that he or she Is IlcenseO Dursuant to the pmWslons of Ihe Gontractors License Lew (Chepter 9(commencing with Sectlon 7000) ot Division 3 of the
Business end Profeulons Code) or that �e ar she Is ezempt therefrom end the basis tor the elleged eaemption. Any violatlon af Sadion 7031.5 by any epplicent for a Dermit
sub�ecis ihe epplicent to a civll penalty al not more then tiva hundred dollars ($500).):
❑ I, es owner ol ihe properry, or my employees with wa9es as their sole compensation, WILL DO TME WORK, end the siructure Is not Intendetl or offered for sale (Sec.
7044, Business and Professions Cotle: The Conirectors License Law tloes not apply to an owner of properry who builtls or impmves thereon, and who tloes such work
hir� selt or herself or ihrough his or her own employees, proNded that such improvements are not Iniended or offered tor sale. H, however, the building or improvement is
a51d within one year ol completion, the owner-builtler will have the burden o� proving that ha or she did not build or improve lor purpose of sele.). '
Ly �I, es owner oi Ihe prapery, am E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to conSUutt tha project (Sec. 7044, Business end Professions
Catle: TTe canjt $ctors en�y Lew do65 not apply t0 an owner ol property who bulid5 or Improves t�ereon, antl who coniracis tor such project wl�h a coniractor(s)
licen5e py[ea89f to ih apj{ectors License Lews.).
❑ I em exempt nder 4c.
Signeture:
Owner ID verifietl by tlnvefs licen5a.
VedBCetlon ol Ownership by (rype ot
Business end Prolassions Code tor ihis reason:
Ves ❑ No
1A.i.e. - properry tex bill or deed):
OIVISION OF INDUSTRIAL SAFETV VERMR CERTFICATON:
Onvers LicenSe No.
Date:
Expires:
❑ I hereby certity ihat no excevation five (5) or more leat in depth into which e pereon is requiretl to Cescen4 wlll be mede In connection with work authorized by this
pertnit, and �het no building structure, scaHolding, lalsawork, or demolition or dismantling thereoi, will �e more ihan ihirry-six (36) teet high. (Chap. 3.2, Grp 2, Art 2, Sec.
341, Ttle B, Celifamis Adminlsiretive Code).
❑ As awner-builder, I will not employ enyone to tlo work whic� would require e pertnit from the Division of Intlustnal Sefery, as noted above, uNess such person has e
permit to do such work Irom Ihe division.
Signeture: Date:
Division of InduStriel Sefery Pertnit Number:
CERTIFlCATE OF C PLl E D AUTHOH¢ATON OF ENiAV: I cenity under penalry ol perjury that I heve read this appliwtion entl state thet Ne informatlon given is
wrrect. I egree mply h stete laws tl ciry ortllnances releting to building consiruction, antl euthorize representaiives ot the Ciry ot Costa Mesa to enter upon tha
ebova-de ; etl ope r i ection p es. I egree not to occuOY ar ellow occupancy of eny building euthonzed by this permit until linel inspaction.
\ %r%— ��Q 5
. innaturn Of L aal Ownerfsl � Date
AnNOr Authorized Applicent Date
CQOE I. �xsveenonTrve
1816 Fizatl System Final Fire Prevention
1266 Pool Spa Final
200 Final RB-Raat
201 Final BIocWRetaining Well
202 Final Fectory Fire Place
203 Final Sign
20G Final Demolltion
P6IE It�dL£
oe
CODE I INSPECTION TYPE
206 Final Mechenical
20B Finel Plumbing
210 Finel Elettncel
212 Final Fire Preventian
220 Final Planning Approval
222 Final Site
250 Finel Building/Occupancy
�
3 �3 -o� 1
(714) 754-5273 • F� (714) 754-4856 • www.ci.costa-mesa.ca.us
BUILDING PERMIT
Job Address: 9S5 VICTORIA ST
Suite:
Vicinity: RESIDENCE AND CARPORT
Parcel Number: 42244226
Applicant: BENNETT, NEIL F
Address: 935 VICTORIA ST
COSTA MESA, CA
Owner BENNETT, NEIL F
Address 935 VICTORIA ST
Contracroc
Address:
Zip:
Amh :
Address:
COSTA MESA, CA
Phone:
Zoning:
Phone: 949-650-5401
Zip: 92627
Phone:
Zip: 92627
Phone:
License:
Eng:
Address:
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 08/20/2001
Issued: 0820/2001
ISSUED BY: �
Phone:
Zip: License: License:
SCOPE OF PERMIT
TEAR OFF OLD ROOF AND AND COVER WITH 30 YEAR COMP PER MFG. SPECS.
Plan Check: $0.00
Permit: $83.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $83.75
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existinq: o
NOTES:
Rear 0-0
Rear 0- 0
Required: 0
FEESUMMARY
PLANNING 8 ZONING
Lek 0- 0
Lek 0- 0
Proposed: 0
Caic Valuation:
Claim Valuation:
Righi 0-0
Right 0- 0
sz,25o.00
s2,2so.00
NOTICE: The woik authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically explre 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 tor the work authorized under this permit to be considered legal, such work must comply with ali applicable codes, and all
requlred Inepectiona and tinal 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
2sO8i8 (fl�00)
WORKERS'COMPENSAnON DECLAFiAnON:
I hereby eNirm under penalty ot perjury one ol the following decleretlons:
❑ I heve end will mainteln e ceNNcete ol consent to sefl-Insura lor workers' compensatlon, as provitletl for by sectlon 3700 0l the Labor Code, for t�e pedormance of the
work for which Ihis parmit is issued.
❑ 1 have entl will mainlaln workers' compensation Insu2nce, a5 required by sectlon 3700 of ihe Labor Code, tor the peAortnance oi the work lor which this pertnit is Issued.
My warkere' campensetlon Insurence cerder end policy number ere:
Carner:
nof be complefed 1! fhe permit is veluetl a(
� Palicy Number:
or less.)
'19/ I certify ihat in the peAormence oi e w {k for w�ich ihis permit Is issued, I shall not employ eny person In eny manner so as to become sublect to the workers'
7� campensetlon lews of Cel inle d (ee thet II I shoultl become suD�act to tha workers' compensetlon provislons oi Sectlonyyy 00 of the Lebor Cotle, I shall tonhwlth
comptywiththese� sr ^ /� /� �
Applicant Slgneture: Dete: u�
WARNINO: FAILURE TO SECl/RE WORKER, COMPENSATION COVEMOE IS UNIAWFUL AND SHr1LL SUBJECT AN EMPLOVER TO CRIMINAI PE TIES AN CML Fl ES UP TOONE HUNDRED
THOUSAND OOLURE (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED WR IN SECTION 31O60F THE LABOF CO�E, IIJrEREST, PND ATTOFNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I here6y aHirtn that I em licensed under pravisians ot Chapter 9(wmmencing with Sectlon 7000) oi Division 3 at the Busineu entl Prolessions Catle, entl my licensa Is in full
forca end eHecL Lic. p Cless x
Contrectols Signature: Dete:
CONSTRUCTION LENOING AGENCY:
❑ I �ereby aBirtn that there is e construction lending egency far ihe pedormance of the work fo� which Ihis permit is Issued. (Sec. 3097, CiNI Code).
Lendefs Neme: Lendefs Address:
Slgnature: Data:
OWNER-BUILDER DECLARAT10N5:
I hereby eNirm that under penelry ot per�ury thec I em EXEMPT FROM THE CONTRACTORS LICENSE LAW lor ihe tollowing reason (Sec. 7031.5, Business end Professions
Cotle: Any ciry or counry which requires a pertnit to consiruct, elter, improve, demolish, or repair eny siructure, pnor to its iuuance, alsa requires t�e epplicant tor such permit
to file e signed stetement Ihat he or she Is Iicensed pursuant to the provislons ot ihe Contredors License Lew (Chepter e(cnmmencing with Section 7000) 01 Dlvlsion 3 ai the
Business end Professions Cotla) or that he or she Is e:empt therelrom end the basis lor t�e elleged exemption. Any violation at Sectlon 7031.5 by eny epplicant for e perm�'
subjec e appllcant to e clvll penalry ot not more then five hun4reC tlollars ($500).):
I, es awner of the properry, or my employees with we9es as their sole compensa�lon, WILL DO TME WORK, entl the structure Is not intended or otlered tor sele (Sec.
70a4, Business antl Professions Cotle: The Contractors License Lew tloes not apply to an owner of Oroperry who builds or improves thereon, and who does such work
himself or herselt or t�rough his or her own employees, proWdetl thet such Improvements ere not Intended or oflered Por sale. N, howaver, the building or improvement is
sold wilhin ona year oi compleiion, the owner-builder will heve the burden ot proving ihal he or she ditl not build or Improve for purpose of sale.).
❑ I, es owner ol ihe D�aDerry. am EXCWSNELY CONTRACTING WITH LICENSED CONTRACTORS to conSWct the proJect (Sec. 7044, Buslness and Professions
CoOe: 7he contrecrore Llcense Lew does not appty ro en owner ol property w�o builds or Improves Ihereon, antl who contrads for such project wit� a coniremor(s)
Ilcense pursuam to the Contr ctor cense Lews.).
❑ I am exe Pt u a. Business and Professions Code tor this reason:
SigneNre: Date:
Owner ID vBrifleC by tlrivers license. ❑ Yes ❑ No Driver5 LiCen50 No. Expires:
Veriticetlon ol Ownership by (rype af tlocument, i.e. - propeny tax bill or daed):
DIVISION OF INDUSTRIAL SAFETY PERMI7 CER7IFICA710N:
� I hereby cenify thet no excavatlon five (5) or more feei In depth into which e person is required to tlescentl, will be made In connectlon with work euihoAzeC by Ihis
pertnit, end that no builtling siructure, scaHolding, falsework, or demolilion or dismentling Iheraot, will be more than thirty-six (38) leet high. (Chep. 32, Grp 2, Ar12, Sec.
341, Title 8, Celitomia Atlministretive Code).
❑ As owner-builder, I will not employ enyone to do work which would requlre a permit Irom ihe Division at Indusirial Salery, as notetl ebove, unless such person hes e
permit to do such work irom the division.
Signature: Date:
Division af Industrial Safery Permit Number:
CERTIFlCATE OF COMPLJANCE AN��TNOHIZATION OF EMRY: I ceM1ify under penelty of perjury ihet I heve reatl ihis epplication antl state I�eI �he informalion given is
wrrect. I egree t pty w ell s laws end ciry ordinences relating to building wnsiructlon, en0 euthodze representatives oi ihe City ol CaSte Mese to enter upon the
ebove- s' ope� ins tion purp .sBSr a�e not to occupy or ellow occupency oi eny building authorized by this pprm�`nti Ti�nell nspeciion.
Y D/O V
Signature Of Legal Owner(s) � Dat
And/Or Authorized Applicant Date
CODE t, ixsveenoxnve
1676 Fized System Final Fire Prevention
1266 Pool Spe Finel
200 Finel Re-Roof
207 FIneI BIocWRetalning Well
202 Final Fectory Fire Place
203 Finel Sign
204 Final Demolitlon
•.1 .1111"'
{}:I/11• �1'f
cooe� n+svecnoxnae
206 Finel Mechenicel
20B Finel Plumbing
210 Finel Elecirical
212
220
Flnal Fire Preventlon
Finel Plenning Approval
222 Finel Site
250 Final BulldingiOccupancy
Pdg It�IALi
SUBJECT PROPERTY INFORMATION
1) Praperty: 935 VICTORIA ST, COSTA MESA CA 92627-4064 C035
APN' 422�42-26
County: ORANGE, CA Tax Rate Area: 15006
Census: 636.01 Prop Tax: $1,823.74
Map Pg: 31-61 Delinq Tax Yr:
New Pg: 888-G2 Exemptions: HOMEOWNER
Phone:
Owner: BENNETT NEIL F
Mail: 935 VICTORIA ST; COSTA MESA CA 92627-4064
SALES INFORMATION
LAST SALE
Transfer Date: 06/22/93
Sale Price/Type: $165,500 UNKNOWN
Document #: 417603
Document Type: GRANT DEED
1 st TD/Type: $156,700
Finance:
Junior TD's:
Lender:
Seller: MOORE DONNETTA M
Title Company: GATEWAY TITLE CO.
Transfer Info:
SITE INFORMATION
Improve Type:
Zoning:
County Use: 1
Bldg Class:
Flood Panel: 06059C-0046E
Phys Chars:
Legal
Comments:
L194 TR1872IN
PRIOR SALE
oansns
1312100510
Lot Size:
Lot Area:
Parking:
Park Spaces:
Site Influence:
72 X 100
7,200
Use: SFR
Total Value: $162,000
Land Value: $123,590
Imprv Value: $38,410
Assd Yr: 1997
% Improved: 23%
Bldg/Liv Area:
# Units:
# Bldgs:
# Stories:
$/SF:
YrbIUEff:
Total Rms:
Bedrms:
Baths(F/H):
Fireplace:
Pool:
Bsmt Area:
Construct:
Flooring:
Air Cond:
Heat Type:
Quality:
Condition:
Style:
Other Rooms:
1,235
$134.01
54
7
4
2
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