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HomeMy WebLinkAbout396 20TH ST - Building Permitsp M6 t , � o. ' -- : u �: "ka,•o.m�,M` CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fax (714) 754-4856 Job Address: Suite No Vicinity: 396 E 20TH ST Parcel Nunmber: 42623'I7'I nppucant: BANGERT, RUSS Address: Owner: THORLEY, JOHN P Address: 396 E 20TH ST COSTA MESA,CA Contrector: A.B.C. HEATWG 8 A/C Address: 2951 GRACE LN COSTA MESA, CA ArchlEng: Address: ISSUE FEE Inst FAU <700 k BTU Inst FAU >100 k BTU Repair/Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refng Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single DuIX Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > t0000dm Floor Furnace Floor or Suspend Heater MECHANICAL PERMIT REPLACE 7 WALL HEATER.' $22.00 $0.00 $0.00 $0.00 $7325 30.00 $0.00 E0.00 so.00 $0.00 so.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity Phone: Zip: Phone: Zip: 92627 Phone: Zip: 92626 License: 133298 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY 1 PER TNUMBER/ M98-00502�/ 77 FAIR ORIVE, COSTA MESA, CA 92626 Repair / Alt Absorbtion Unit Repair I Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercial I n ci nerator Domestic Incineretor Compressors / Absorption SVstems Upto3hp/100kBTU 3 To 15 hp / 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp I 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Upto3hp 3To15hp 15to30hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: 10I30l7998 Issued: t013017998 Quantity $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 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 535.25 EXPIRATION: This permit shall automatically expire and becoma void if work is not commenced within 180 days, or ii work is suspended or abandoned tor a period of 180 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicabla codes, and all required inapeetlona and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of �his permit. FOR INSPECTIONS CALL: (714) 7545826 WORKERS' COMPENSATION DECLARATION: � I hereby aRrtn untler penalry of perjury one ot the idlowing tledaretions: ❑ I have and will meintein a cenifiwte of consent to self-Insure lar workers' compensetlon, es provided for by section 3700 ot the Labar Code, for the peAortnance of the ��Q w"""ork tor which Ihis permil is iuued. �,p� have and will maintain workers' canpensation insurance, es required by section 3700 of Ne LeOor Cpde, for the peAortnance of tha work for whic� Nis pemut is iswed. �M wo com ns on Insurence canfe/reud� li numbar ere: (� n /'7�f � Cartier:Y� y / /�rr�.i PolicyNumb�7�J/��a// (Thls section need n e complefetl il Ne pe � s va/u f one �untl�ied tlallea (5700) or Iess.J /�— ❑ I certify that'Ifi thp petlortnence of t�e compansation la�4s of C,alifomfe, and e� LICENSED CONTRACTOR$ DECLARATION: CONredor's CONS7RUCTION L�NDING qGENCY: br whicti this portnit is issued, I s0all not orr ploy-eny-p on in eny menner so as to Cecome subject to t�e workers' et ff I shoultl becom ubject fo lhe workers' compensetiqn.pr ' ns ol Seclton 3700 of �he Lebor Code, I shell forthwith oa�a: G • b� COVERAGE IS UNUW FUL AND SMALL SU61EGf EMPLOYEH TO C INAL PENALTIES M1D CML FlNES UP TO ONE HUNDRED T OF COMPENSATON, OAMAGES AS PROVIDED FOq IN S THE IABOR COOE, INTEREST, AND ATfORNEI"S FEES. Section 7000) of Divislon 3 0l tho De�e: ❑ I hereCy aHirtn thet there is e wnstruction lendinq egenq far Iha peAormence ot iha work lor which t�is pertnit Is Issued. (Sec. 3097, Civll Cotle). Lentlefs Name: Signeture: _ OWNER•BUILDER DECLAqpTIONS: Lentlefs Atldress: Date: entl my Iicense is in full I hereby eNirtn Ihet under penalry at perjury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW lor the following raeson (Sec. 7031.5, Business antl Prafessions Cotle: Any ciry or counry whlCh requires a permlt to consiruct, altar, Improve, tlemolish, or repalr eny stmcWre, pdar to Its issuance, elso requires the eppliceN tor such permit to file e signed statemenl ihe( he or she Is licensed pureuent ro t�e provl5ions of �he Contrectors Licensa Lew (Chapter 9(commencing wit� Sectlan 7000) oi Divlsion 3 0l the Business end Pmfessions Cpde) or that he or she is exempt therefrom entl the basis tor the elleged exemptlon. Any vlolatlon of Section 7031.5 by any applicant tor a permit sublects the epplicant to e civA penalry oi not more then Me hundred dollare ($500).): ❑ I, es owner of the properry, ar my emD�%'ees with weges es t�elr sola compensatlon, WILL DO THE WORK, entl the strucWre Is not inientled or oflared for sele (Sec. 7044, eusiness end Profeuions Cotle: The Contractors Llcense Lew does not epply to en owner of property who builds or imOroves thoreon, end who does such work himseN or herseli or t�rough his or �er awn employees, proNdetl that such improvements are not intenEetl or oHeretl for sala. If, however, Ihe bullding or Improvement is sold within ane year of completion, Ihe ownervbuiltler will �eve the burden of proving thet he or she dltl not bufltl or improve for purpose o1 sale.). ❑ I, as owner of iha property, am EXCLUSIVELY CONTRACTNG WITF1 LICENSED CONTRACTOqS to consiruct ihe project (Sec. 7044, Business and Professions Code: The wntractors Licensa Lew does not apply to en owner of property who builds or improves ihereon, entl who con�rects tor such pwject wlth e con�ractor(s) licensa pursuanc m Ihe CONractors License Lews.). ❑ I am ezempt untler sec. SignaNre: Owner ID verified by driver'Slicense. ❑ Yes ❑ No Busineu and Prolessions Code tor this reason: Venficetion oi Ownership by (type ol dacument, i.e. - pmperty tex bill or deed): Drivars License No. Dete: ExpireS: DIVISION OF INDUSTRIAL 6AFETY PERMR CERTIFICA710N: � I hareby certity t�et no e:cavatlon tive (5) or more leet in Oepth into which e person I5 requlretl ta tlescenQ wlll be mede In connectlon with work aut�orizetl by this pertnit, and t�el na building structure, scaHoltling, lalsework, or tlemolillon or di5mentling thereot, wlll be moro then ihirry-Six (38) feet �igh. (Chep. 32, Grp 2, Art 2, Sec. 347, Tii7e 8, Calltomla 4pminlstrethre Code). ❑ As owner-builder, I wlll not employ anyone to do work which would require e pertnll trom the Divislon of Intlusirlal Safery, es notetl eDove, unless such persan hes a permit to Co such work Irom t�e tliNsion. Slgneiure: Da�e: Dlvision ol Indusirial Sefery Permll Number: CERTi CAlE OF COMPLIANCE AND AIJIHORRA710N OF EMAY: I certily untler penalty of perjury �he� I have read this epplicaiion end stete ihat ihe information given is corte I egree to�wm Iy�with ell stet ews end ciry ordinance elatlng to building consiruction, end euthodze represe tetives ofJ� Ciry ot Costa Mesa to enter upon the eb -described pro /Aies� � purposes. I agree no occu or ellow occupancy ol eny builtling au ed '�K9Ftil fln�gp�e� %/' 7d' r � ` Rlnnmimn�f.N narlsl Da�9 LODE �. INSVECTIONTYVE Qe¢ I�IS 1618 Fixetl System Finel Fira Prevention 126fi Pool Spe Final 200 Final Re-Rool 201 Finel BIocWRetaining Well 202 Final Fectory Flre Place 203 Final Sign 20d FinalOemolition 26a8d6 COUE 1 INSPECTION TYPE 206 Finql Mechenicel 208 Finql Plumbing 210 Final Electdcal 212 Final Fire Prevention 220 Flnel Planning ApO�a�al 222 Final Sita 250 Finel BuIINng/Ocapency I IShiOc . ' �� �