HomeMy WebLinkAbout909 MACKENZIE PL - Building Permits(714) 754-5273 • Fax (714) 754•4856 • www.cl.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
ViCfnity:
909 MACKENZIE PL
REAR OF HOUSE
Parcel Nunmber: 41805237
Applicant: STEVEN SCHNIERER
Adtlress: 2952 CENTURY PL
COSTA MESA, CA
Owner: HIDDEN, MICHAEL J
Phone: 714-546-1653
Zip 92626
Address 909 MACKENZIE PL
Phone:
COSTA MESA, CA Zip: 926262974
Contractor: DEPENDABLE GRAHAM AIR CONDITIONING
Adtlress: 2952 CENTURY PL
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool/Spa •
Lighting Fixts'
Recept OuNets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 7000a
Service over 1000a
Motors l0 1hp
Motors to 10hp
Motors to SOhp
Motors l0 100hp
Motors over t00hp
Communica6on tlrops
Sub panel to 200a
Pole Light Pkg
COSTA MESA, CA
Phone: 714-5461653
Zip: 92626
License:472690
SCOPE OF PERMIT
1 MOTOR TO 10 HP FOR THE INSTALLATION OF A NEW A/C UNIT.
REF#MOS00374
523.50
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
50.00
$0.00
$0.00
50.00
$12.30
$0.00
so.00
50.00
$0.00
E0.00
50.00
Quaniity
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
FEE SUMMARY
Temp Dist System / Lighting
Busway/100 k
Standing Section
Misc Electncal Equipment
Transformers up to 1 kva/kw
................up to 10 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw
..................over 100 kvalkw
Low Voltage Equipment
Low Volt Wiring System! Ckt
Misc. Conduit
Misc. Conductor
Circus ( gen or ride)
Cirous (mech ntle or lights)
Chnstmas Tree Stand
Fireworks Stantl
Other Electrical Fee
InvesUgatlon Fee
Plan Check Fea
Reinspection Fee
Status: ISSUED
Applied: 07I01I2005
Issued: 07/07/2005
ISSUED BY:
� � ,
�
� �'-" �'�
Quantity
$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
ao.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
50.00
50.00
NOTICE: The work authorizad by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12•27-92)
EXPIRATION: This permit shal� automatically expire and become void if work is not commanced wlthin 180 days, or ii work is suspended or aba doned
for a perlod of 180 days.
INSPECTIONS; In order for the work authorized under this permit to be considered legal, such work must comply with ell applicabl cod�nd all
required inapectlone and finel approval must be obtained. Failure to obtain inspections and final approval will result in ihe ezp(ration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2dd&d8�6U0)
WORKERS'COMPENSAnON DECLARATON:
1 hareby ettirtn under penalry of per�ury me W Ne fdlowing tlederetions: .
❑ I heva end wlll maimain a ceNlkate of conseN to setl-Insure tor workers' campensetion, es pmNded br by section 3700 of Ihe Lebor Cotle, tor Ne peAormanca of Ihe
�work iar wNch this pertnii is Issuetl,
�e a�M will maintain workers' campensation inw2nce, as required by section 3700 0l the Lebor Cotle, tor Ne pertartnance of the work for which Ws pertnit Is issued,
My workers' co�ensation Insy�apce caMer end policy number ere:
Pou` cy Numeer.� _�"74 IU(e% - ZOO_S
orleuJ `���w"
❑ I cetlify that in the pertormance of Ihe work tor w�ich this permlt Ls issueq I ahflll not employ any person in any menner so es to 6ecome suD�ect to the workers'
compensation laws oi C Iltomia, end agree thet il I should Eecome sub�ect to t�e workere' campensatlon provisions o1 Section 3700 of t�e Lebor Catle, I shall lonhwlih
comply wl�h �hese r i
Applkarh'Sfgneture:{� Date� 7 1 Q�
i .,. Y
WAfif5IN0: FAILURE TO ECURE WOfU S' COMPENS�TION COVERAGE I$ UNUWRIL AND SWHL SUBJECT AN EM OYER TO PENALTIES M10 CML RNES UP TO pJE HUNDRED
T110USAND DOl1ARE St00,00�, IN ADqTION TOTHE COST OF COMPENS�MIN, OMIAGES AS PiqVIDEO FOR IN SEGfION 31O80F THE R OOOE, IMEAEST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby eflirtn Ihal I em licensetl untler D�rpNsions ol Chepter 9(cammenclnp with Section 7000) ot Dldsian 3 obihe.Business entl Professians Catle, and my license is In full
�orce,endeN�ci,I.�a 7�I��c�t.3 L.c�easa� Gz�
Cc'n'ireciofa SI n� v � �
_._tr�'iY[ T� Deie: 7 L �.S
CONSTiiUC710N LENOING AGENCY:
❑ I hereby etfirtn that Nere is e consiruction lending egern.y tw the peAormance ot Ihe work for which this pertnit is issueC. (Sec. 3097, CivII Code).
Lentleta Neme: LerWefs Adtlress:
Signeture:
OWNER-BUILDER DECLARA710NS:
Oete:
I �ereby eNirm Ihet under penalry of per�ury Ihet I em EXEMPT FROM THE CONTRACTOHS LICENSE LAW for Ihe following reeson (Sec. 7031.5, Business end Prafesslons
Code: Any ciry or counry which requlres e permit to construct, eltar, Improve, tlemolish, or repair any sWclura, prior to i1s issuance, elso reqWres Ihe applicant Por such pertnit
to file a slgnetl statement that he or she is Ilcensed pursuant to the provisions ol iha Contractars Llcense Lew (Chapter 9(wmmencing wit� Section 7000) 01 Division 3 of Ne
Business end Protessions Code) or Ihat �e or she is exempt therefrom entl Ihe Dflsis for tha ellegetl e:emptlon. Any violation ot Section 7031.5 by eny epplicent for e pertnit
subJects the epplicant to a dvil penalry ot wt more ihan frva hundred dWlars (5500)J:
❑ I, es owner oi Ne properry, w my employees with wages es Iheir sde compensatlon, WILL DO 7ME WORK, and Ihe strucWre is not IntetWeE or oflered tor sale (Sec.
7044, Busineu antl Professions CoOe: The Coniraaors Llcense Lew tloes not eppty to an owne� of Droperty who builds or improves Ihereon, and who does 5uch work
himsetl or herself or Ihrough his or her own employees, prwided that suU imprwemems ere not imended or otteretl br sale. II, however, the Duilding or improvemem is
soltl within one year ol completion, the owner-builder will have the hurden ol pmving ihat he ar she did not Duild or improve tor purpose ot sale J. �
❑ I, as owner oi ihe properry, am E%CWSIVELY CONTAACTING WRH LICENSED CONTAACTORS to construct the projed (Sec. 7044, Business antl Professions
Cotle: The contractors License Lew tloes riot appty m an owner ol proparty who bullds or Imprwes thereon, and who contracis tor such pro�ec� with a contrectoqs)
license pursuenl lo ihe Conirectors License Laws.).
❑ I em exempt under sec. Business and Professions Catle for t�ls reason:
Signature: Date:
Owner ID venlied by drivefs license. ❑ Yes ❑ No Drivefs License No.
Verilicatian oi Ownership by (rype ol tlocument, i.e. - properry tex bill or deed):
E:pires:
DIVISION OF INDUS7AIAL SAFETY PEHMR CER7IFILATON:
❑ I hereby ceNty that no excavation INe (5) or more Ieei In depth into whlch e person Is requlred to descen4 wlll be made In wnnection wlth work euthoAzetl Dy thls
permit, antl ihat no building sWdure, scaflolding,lalsework, or tlemdition or tlismentling thereol, will be more than thirty-six (38) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Calitomia AtlminiSlretive Cotla).
❑ As owner-bulider, I will not employ enyone ta do work whlch would requlre e permit Irom Ihe Divislon ol IntlustAel Selery, es noted ebove, unless such person hes a
permit lo do such work Irom Ihe diNsian.
Signature: Dete:
Divislon oi IntlusiAal Safery Permil Number:
CERTIFlCATE OF COMPLIANCE AND AI7T}IOR¢ATION OF ENfRY: I certify untler penalry of perjury thel I heve reatl this epplicatlon end stete that the infortnetlon gNen is
cortect. I egree to mmpy wiN ell slete laws end dry ordinances relating to building construction, end euthoAze representatives of the Ciry ol Costa Mese to enter upon the
ebove-described property tor inspectim purposes. I agree nm to occupy or ellow occupancy of any buildinp euthonzed by this permi� until finel inspeclion.
CODE �. INSYECTIONTYPE PaIE I�LS
1618 Flxod System Finel Fire Preventlon
1288 Paol SDe Final
200 Finel Re-Hoof
201 Finel Block/Retaining Well
202 Final FeMory Fire Place
203 Finel Sign
204 Finel Demolition
CODE 1 INSPECTION TYPE
206 Final Mechanicel
208 Finel Plumbing
210 Final Electdcal
212 Finnl Flre Preventbn
220 Final Planning Appmval
222 Finel Site
250 Finel Building/Oaupancy
aw'
ii% • ����
(714) 754-5273 • Fex (714) 754-4856 • WWW.ci.Cos�a-meSa.��sCTRICAL PERMIT �� FAIR DFiIVE, GOSTA MESA, GA 92626
Job Atldress:
Suite No
Viciniry:
Parcel Nunmber:
Applicant:
Address:
Owner:
909 MACKENZIE PL
RIGHT SIDE SFD
41805237
BERG,PAUL
2175 AMERICAN AV
UNIT 1
COSTA MESA, CA
HIDDEN, MICHAEL J
Address 909 MACKENZIE PL
COSTA MESA, CA
Contractor. LIGHT HOUSE ELECTRIC
Address: 2175 AMERICAN AV
UNIT 1
COSTA MESA, CA
Phone: 714-434-9856
Zip 92627
Phone:
Zip: 92626-2914
Phone: 714-434-9856
Zip: 92627
License: 796052
SCOPE OF PERMIT
� CHANGEAUT OF AN ELECTRICAL SERVICE IN AN EXISTING SFD.
ISSUE FEE
Temp service test
Res. a/c package
New Res (t-2 units)
New Res (3+units)
Pool I Spa
Lighting FiMs
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to t000a
Service over 1000a
Molors to 1hp
MOlors to tOhp
Motors to 50hp
Molors to 100hp
Motors over 100hp
Communicalion drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
1 SERVICE TO 200A
NO OTHER WORK AUTHORIZED WITH THIS PERMIT.
$23.50
$0.00
so.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
80.00
$0.00
$30.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
80.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Quantiry
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
FEE SUMMARY
Temp Dist System / Lighting
Busway/t00N
Standing Section
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 kvalkw
Low Voltage Equipment
Low Volt Wiring System / Ckt
Misa Conduit
Misc. Conductor
Circus ( gen or ride)
Circus (mech ride or lights)
Chrislmas Tree Sland
Fireworks Stand
Other Eledrical Fee
Invesligation Fee
Plan Check Fee
Reinspection Fee
ISSUED BY:
$0.00
$0.00
so.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
so.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
50.00
$0.00
$0.00
TOTAL CALCULATED FEES 554.00
nnuucure i c�non���
Status: ISSUED
Applied: 08/102006
Issued: 08/10/2006
Quantity
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 9240, § i, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 days. �
INSPECTIONS: In order for ihe work authorized under �his permit to be considered legal, such work must comply with all epplicable codes, and all
required Inapeclions end tinal approval must be obtained. Feilure to obtain inspections and final approval will result in the expiration oi this permit.
FOR INSPECTIONS CALL: (714) 754-5626 �
244Bd8 (fl�00)
WOAKEHS' COMPENSAnON OECLAFiAnON: .
I here�y eMirm under penalry of perjury one of t�e following tleclaretions: � �
❑ 1 heve end will maintein a cenificate of consent to self-Insure tor workers' compensatlon, as providetl for 6y sectlon 3700 of ihe Lebor Catle, for the pertormence ot the
work for which thl5 Dermit is issuetl.
❑ I have anG will maintain workers' compensation insu2nce, as requiretl by section 3700 ot ihe Lebor Cotle, for t�e pertwmance of the work for which Ihis pertnit is issued.
My workers' compensation Insurance cerner antl policy number are: .
Carrier:
et one huntlretl tlallars ($f 00) oNess.J
Policy Number:
�\ I certify that in the pertormanc ot t�e work for which this permit is issued, I shall not employ any person in eny mannar so es to become subject to Ihe workers'
compensation lews at Celif �', and agree [hat it I should become subject to Ihe workere' compensation provisions of Sectlon 3700 0l Ihe Lebor Cotle, I shall forthwith
comply with these provisi � c/ ,1 /
Appl` I_cent Signature:�`' Date>•- D��V 1 Q�
WARNING'FAILURE TO SECU W6 (EFS' COMPENSATION COVEFAGE IS UNLAWFUL rW0 SHALL SUBIECT rW EMPL VER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED
TMOUSAND DOLL4RE (5100, ), IN A�dTION TO THE COST OF COMPENSATIqJ, DMAAGES A$ PROVIDED FOP IN SECTION 31O80F THE LABOq COOE, IMEFEST, AND ATTOFNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm thet I am licensetl under provisions of Chapter 9(commencing with Sectlon 7000) of Oivision 3 obihe� usiness end Professions Code, antl my license is in tull
force entl eflecV�c'. N. 2 Class� G- � O
�ntractors Signamre: Date-'� S! i/(9 � O(O
� i—
I
CONSTRUCTION LENDING G Y:
❑ I hereby aHirtn ihat t�ere is e consiruction lending egency for Ihe peAormance of Ihe work tor which ihis permit is issuetl. (Sec. 3097, Civil Cotle).
Lentlers Neme: Lenders Atldress:
Signeiure:
OWNER-BUILDER DECLARA710N5:
Date:
I hereby eHlrm thet under penelty of perjury Ihat I am EXEMPT FROM THE CONTRAC70R5 LICENSE LAW for the following reeson (Sec. 7031.5, Business end Pmfessions
Cotle: Any ciry or counry which requires a permit to consWct, alter, improve, demolish, or repair eny structure, prior to its issuance, elso requires Ihe applicani for such pertnit
Io lile a signetl stetement Ihet he or she is Iicense0 pursuent to Iha provislons of the Contrectors License Law (Chapter B(commencing with Section 7000) ot Division 3 of the
Business and Prolessions Code) ar Ihet he or she is exempt theretrom and the besis for the alleged exemption. Any violatlon of Section 7031.5 Dy eny applicant for a permit
subjects the applicant to e civil penalry of not more than five �undred dollars ($500).):
❑ I, as owner of the properry, or my amployees with wages es �helr sole compensation, WILL DO THE WORK, and tha stmctura Is not intended or oHered for sale (Sec.
7044, Business antl Professions Code: The Coniractors License Law does noi apply to an owner of propeny who builtls or Improves thareon, entl who does such work
himself or herself or through his or her own employees, provitlatl that such impmvements are not intended or oNaretl for sele. If, however, ihe building ar improvement is
sold within one year ot completion, ihe owneo-builder will have the burtlen of proving that he or she did not build or improve br purpose ot sale.).
❑ I, as awner ot the proDerty, em E%CLUSIVELV CONTRACTING WITM LICENSED CONTtiACTORS to consiruct Ne proJect (Sec. 7044, Business end Professions
Cotle: Ttie contrectors License Law does not epply lo an owner ol property w�o builtls or improves thereon, entl who contracis lor such project with e coniractor(s)
license pursuent to the Contractore License Laws.).
❑ I am exempt under sec. Business antl Professions Code for lhis reason:
Signeture: Oate:
Owner ID venlied by tlrivers license. Yes ❑ No DriveYs LicenSe No. Expires:
Verification of Ownership by (type of d umen , i.e. - property tax Gill or deetl):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby ceriify �hat no excavetion five (5) or more teet in tlepth into which e person is required to descend, will be made In connectlon with work euthorized by Ihis
permit, and that no building sWCWre, scattoltling, talsework, or demolition or tlisman�ling �hereof, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Atl 2, Sec.
341, 71Ue 8, Celifornie Adminisiretiva Catle).
❑ As owner�builtler, I will not employ anyone to do work which would require e pertnit Irom ihe Division ol Industriel Safe�y, as noted ebove, unless such person has e
pertnit to tlo such work irom the tlivision.
Signature: Date: .. .
Division of Intlustrial Safary Permit Number:
CERTiFlCA7E OF COMPLIANCE AND AUfHORIZATiON OF EMRV: I cenity untler penalty ol perjury that I have read t�is application and state that ihe information given is
correcL I agree to comply wiih ell stete laws and city ortlinances relating to builtling consiruction, antl authonze represenlatives of ihe Ciry of Costa Mesa to enier upon the
ebove-described propetly tor inspettion purposes. I egree not to occupy or ellow occupancy of eny building euthorized by this permit until final inspection.
CODE t.
1616
1266
200
Fi:ed System Final Fire Prevention
Pool Spe Final
Finel Re-Roof _
201 Final BIocWRetaining Wall
202 Final Factory Fire Place
203 FinalSign
nr• ' _
PAIE It�645
COUE I INSPECTION TYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electncal
212 Final Fire Preventlon
220 Final Planning Approval
222 Final Site
204 Final Damolition . . . ..: 250 . Final Building/Occupanc,y
Date
�:� u_
4°��31- ,�I�
0
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
.lobAddress: 909 MACKENZIE PL
Suite No
Vicinily: CLOSET AND REAR YARD
Parcel Number: 41805237
npplicant: STEVEN SCHNIERER
Address: 2952 CENTURY PL �
COSTA MESA, CA � .
Owner: HIDDEN, MICHAEL J
Address: 909 MACKENZIE PL
COSTA MESA, CA
MECHANICAL PERMIT
Status: ISSUED
Applied: 07/01/2005
Issued: 07/O1I2005
r i.
ISSUED BY: �-r�
Phone: 714-546-1653
Zip: .92626 � �
Phone:
Zip: 9262G2914
Contractor: DEPENDABLE GRAHAM AIR CONDITIONING.
Address: 2952 CENTURY PL
COSTA MESA, CA
Phone: 714-546-1653
Zip: 92626
License: 472690
SCOPE OF PERMIT ,
REPLACE FURNACE 90 K�BTU, INSTALL NEW A/C IN REAR YARD 3.5HP. '
WORK TO INCLUDE: INST FAU T0100 K BTU AND 1 3 TO 15 HP/500 K BTU.
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >100 k BTU
Repair / Alt Cooling/Heat �
Inst / Rep., ReCCss Wall Hv
Refrig Sys <�00 k BTU �
Refng Sys >'100 k BTU .
Gas Piping
Factory Fireplace
Hood w/Mech Exhaust
VAV Box
Vent Fan / Single Duct
Appliance -
Fire Dampers , . ,
Smoke Dampers � � �
Inst or Relocate Appl Vent �
Air Handlers < 10000cfm .
Air Handlers > 10000cfm
Floor Fumace
Floor or Suspend Heater
Quanlity
$23.50
$14.80 1
$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�
SO.W 0
$0.00 0
$0.00 0
$0.00 0
FEE SUMMARY
Repair / Alt Absorbtlon Unit
Repair! Alt Refrigeration Unit
Ventillation System
Evaporative Cooler
� .-, ' Commercial Incinerator ,
. ' Domestic Incinerator ..
� � - Compressors / Absorption Systems
" Upto3hp/.100kBTU .
3To�5hp/SOOkBTU -
"� 15 To 30 hp / 1,000 k BTU
� 30To50hp/1,750kBTU" - "
Over 50 hp / Over 1,750 BTU
. . Boilers � '
� Up to 3 hp
3To15hp
- . 15to30hp ,�
30 to 50 hp
; Over 50 hp .
Other Mechanical Fee
Investigation Fee
PI2n Check Fee
Reinspeclion Fee
�uantity
50.00 0
50.00 0
$0.00 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
$14.70 1
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
$0.00
$0.00
NOTICE: The work authonzed by ihis 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 automa[ically expire and become void if work is not commenced within 180 days, or if 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 applicable codes, and all
requlred Inspeetlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of lhis permit.
FOR INSPECTIONS CALL: (714) 754-5626 �
24a&a6 (NW)
WORKERS'COMVENSAnON DECLARAnON:
I hereby atlirtn under penalry of perjury one of Ue following declarations: �
❑ I heve entl will mainteln e certllicate ot consent to seN-Insure for workers' compansatlon, �s provitleoitor by section 3700 ot Ihe Labor Code, br Iha peAortnence of Ihe
�_work tor w�ich this pertnit is Issued.
�Fhave end will malntein workers' compensation insurance, as requireG Dy sectlon 3700 ot Na Labor Cotle, tor Ne pertortnance of ihe woM lor whkh Ihis pertnit is issuetl.
My workers' compensation I�syrance carrier en0 policy number are:
Cern�.�' �-�-n�'e'�-vr.cl Po�y:Num�'o`er:�-YI7410(07- ZOO'�'
(Thls section need nof be completetl i/ the permit is velued ef one huntlred dollars ($100) or less.)
❑ I certity Ihet in ihe pertortnance of ihe work tor which this permit Is Issue4 I shall not employ any person in eny manner so es to become subject to t�e workers'
compensetlon lews o1 Celifornla, antl egree ihet If I should become sub�ect to the workers' compensetion provisions of Section 3700 of the Lebor Code, I shall fotlhwith
comply with ihe � is
ApPfc�,nl:SYgnettiie: Data_— 7/ 1'O �
�. J��'
WARNINCilFN'LUfiE SECURTO EWOHRERS'COMPENSATIqJWVERA�EISUNLAWFULMIDSHALLSU61ECrANEMPLOYERTOCRIMiNALPE TIESANDCMLFINESUPTOONEHUNDRED
TLiOII�SAND DOLLARE (5100,000), IN ADDITIIXJ TO THE CQST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECiION 3]W OF 1HE IABOR ODDE, IPREREST, AND ATTORNEVS FEES.
LICENSED CONTRACTORS DECLApATON:
untler p�ovisions of Chepter 9(wmmendng with Section 7000) of Division 3 ot Ihe Business and Prafessions CoOe, flnd my license is in tull
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirtn that t�ere Is e consWction lending agency Por the peAormance o11he work for which ihis permit is issued. (Sec. 3097, Civil Cade).
Lender's Name: Lender's Atltlress:
Signature: Dale:
OWNER-BUILDEH DECLARATIONS:
I hereby etllrtn ihel under penelry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Buslness and Professlons
Cotle: Any city or counry which requires a pertnit ta construct, eltar, improve, demolish, or repeir any structure, pnor to its issuance, elso requires the applicant for such permit
to file a signetl statement Ihat ha or she is Iicensed pursuant to the proNsions ol Ihe Contractors License Lew (Chepter 9(commenGng with Sectlon 7000) of Division 3 of t�e
Business end Professlans Code) or t�at he or she is eaempt therafrom entl tha Dasis for the ellegetl exemption. Any violatlon oi Sectlon 7031.5 by any epplicant for a Oertnit
subJacis ihe epplicant to e civil penalry of no� more Ihan five hundred dallers ($500).):
❑ I, es owner oi �he properry, or my employees wilh wages as their sole wmpensetlon, WILL DO THE WORK, and the siructure Is not intentletl or otlerad tor sele (Sec.
7044, Business end Professions Code: The Contractors lJcense Law tloes not eppty to an owner of property who builCs or improves thereon, anC who does such work
hlmself or herselt or through his or her ov.•n employees, provided �het such improvements ere not intended or ottered lar sele. It, however, the builtling or improvement Is
sold within ane yeer at completion, the owner-builder will heve the burden ot Droving �het he or she did no� build or improve for purpose ol sele.). �
❑ I, as owner ot the property, flm E%CWSIVELY CON7RAC71NG WITH LICENSED CONTRACTORS b construq the D�oject (Sec. 7044, Business entl Professions
Code: The contrectors License Law aoes not appty to an owner ot praperty who �uilds or impmves thereon, entl who contracts tor such pro�ecl with e contractor(s)
litsnse pursuant to the Contractors License Laws.).
❑ I am exempt under sac. Business and Professions Code for ihis reason:
Signeture: Date:
Owner ID verilied by drivers license. ❑ Yes ❑ No Drivefs Licanse No. ExD��es:
Vedficetlon of Ownership by (type of dacument, i.e. - property tex blll or tleed):
DIVISION OF INDUSTRIAL SAFETV PEHMIT CERTIFICATION:
❑ I hereby certify that no ezcavatlon tive (5) or more feet in depth into which a person is required lo descend, wlll De matle in connection with work euthonzed by this
permit, and that no building strucWre, scaHolding, falsework, or demoll�ion or dismantling thereof, will be more than tNrty-si: (38) leet high. (Chap. 32, Grp 2, An 2, Sec.
341, 7111e 8, Celilornie Adminisirative Code).
❑ As ownar�builder, I will not employ enyone to do work w�ich would require e parmit from the Division of Industrial Safery, es noted above, unless such person hes a
permit to tlo such work trom the division.
SignaWre: Date:
Division ot Industrial Sefery Pertnit NumDer:
CERTIFlCATE OF COMPLIIWCE AND AUfHORIZA710N OF ENTAV: I certily under penalty of perjury Ihat I heve read thls epplication end state thal the infortnation given Is
cortect. I egree to comply with all stete laws end ciry ordinances releting to building construction, end euthorize reD�esentetives of the Ciry ol Coste Mesa to enter upon the
ebova-descnhetl properry for inspection Purposes. I egree not to occupy or allow occupency of eny building authonzed by this permit unlil finel inspection.
COOE�. INSPECTIONTYPE PAIE 1�IIID9LS
1676 Flxetl System Finel Fire Prevention
1266
200
201
202
20.3
204
Pool Spa Finel
Finel Re-Rool
Final BIocWRetelning Wall
Final Faclory Fire Place
Final Sign
Flnel Demalltlon
COpE� INSYECTIONTYPE
206 Finel Mec�enical
208 Final Plumbing
210 Final Electrical
212 Final Flre Prevention
220 Finel Planning Approval
222 Finel Site
250 Flnel Bulldinp/Oxupancy
Ma� 1<�s�z,-e�
CITY OF COSTA MESA
PLANNING DIVISIOD
SUBJECT TO BLDG. DEPT.
NOTE: ADDITIONS, DELE ONS,
OR CORRECTIONS SHAL BE
APPROVED BY THE PLANNI G DIV.
2a �
�
N
June 2, 2006
CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR DRIVE • CAIIFORNIA 92628-1200
DEVELOPMENTSERVICES DEPARTMENT
BUILDING DIVISION
COURTESY NOTICE OF PERMIT EXPIRATION
Hidden Family Trust
909 MacKenzie PI
Costa Mesa CA 92626-2914
PERMIT NUMBERS:
FOR:
PROJECT ADDRESS
E05-00696, M05-00374
Install FAU 8 A/C
909 MacKenzie PI., Costa Mesa
Our records indicate the above listed permits were obtained for property improvements or
alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4
Expiration, permits are valid for 180 days from the date of such permit, or the date of your
last inspection for the project and additional fees will be required to finalize expired permits.
According to our records, the permits listed above have not had an inspection for a period
exceeding 180 days. If you have a signed inspection card indicating an inspection was
conducted within 180 days from the date of this letter, please contact this o�ce so we may
correct our records.
If you need to request an inspection please call our Inspection Request Line at
714-754-5626. If you wish to request an extension, requests must be made in writing
addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances
and listing an estimated date of completion. If you do not have an approved final inspection,
your permits will expire on June 12, 2006.
If you have any questions, please contact the Building Division at 714-754-5273, between
8:00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. The accuracy of
records affecting your property is our goal and we appreciate your working with us to resolve
this matter.
Sincerely,
Mary Jane Weidenkeller
Office Specialist II
cc: Dependable Graham Air Conditioning
2952 Century PI
Costa Mesa CA 92626
Building Division (714) 75d-5273 • Code En/orcement (774) 754-5623 • Planning Division Q14) 754-5245
FAX(774)754-4856 • TDD(714)754-524d • www.ci.wsta-mesa.ca.us
r
r,
.
(714) 754-5273 • Fax (714) 754-4856 • www.ci.cosla-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
Job Address: 909 MACKENZIE PL
Suite:
Vicinity: RESIDENCE AND ATTACHED GARAGE
Parcel Number: 41805237
Applicant: LIVINGSTON, KURT
Address: 751 SESAME ST
CHULA VISTA, CA �
Owner: HIDDEN, MICHAEL J
Address '909 MACKENZIE PL �
COSTA MESA, CA �
Contractor: DOO-RITE CONSTRUCTION
Address: 751 SESAME ST
CHULA VISTA, CA
Zip: 91910
Arch :
Address:
Phone:
Zoning: R1 R1
Phone: (909)678-1330
2ip: 91910
Phone:
Zip: 92626-29'14
Phone: (909)678-1330
License: 673031
Eng:
Address:
Status: ISSUED
Applied: 06/23/2003
Issued: 06/23/2003
ISSUED BY:
Phone:
Zip: - . License: License:
SCOPE OF PERMIT
REROOF RESIDENCE AND ATTACHED GARAGE: T/O EXISTING COMP,ROOF, REPAIR/REPLACE SHTG AS NEEDED, 1 LAYER 30# FELT,
APPLY "40-YEAR ELK COMP SHINGLES." 80 SQUARES
Plan Check: $0.00
Permit: $111.25
SMIP Res: $0.50
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $111.75
SETBACKS
MAINSTRUCTURE Front 0-0
ACCESSORY Front 0- 0
PARKING Existina: 0
Rear 0- 0
Rear 0- D
Reauired: .0
FEE SUMMARY
PLANNING & ZONING
Lek 0- 0
Le(t 0- 0
Pr000sed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Righl 0- 0
sa,soo.00
$4,500.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § t, 12-21-92)
EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days. �
� INSPEC710NS: In order for the work authorized under this permit to be wnside�ed legal, such work must comply with all applicable codes, and all
requlred Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2446-4fi(N00)
WORKERS'COMPENSAnON DECLARAnON:
I hereby aHirm untler panalty of perjury one of tha following declarations:
❑ I heve antl will melntain a cetlifir,yte of tonsent ro selbinsure fOr workers' compensation, es provided for by seclion 3700 of the Lebor CoOe, for tha pBAormance of ihe
_, /work for which this permit is issUetl.
b i,heve end will maintain workers' compensation insurance, as required by sec�ion 3700 of ihe Labor Code, tor tha pedormance of the work �or which Ihis pertnit is issued.
' My wo ers' com ensation In rance wrrier and policy n r are: �/ /' ��'{ ��
Carner: ��l � Si��G /� r�7�e_= Lp Policy Number: �X�cv '�� r II �9 �
(This section need not be com0�eted 7/ fhe rmit is valued et one hu red dollars ($ f00) or IessJ
❑ I cetlity ihet in ihe perfortnance of the work For which this permit is issued, I shall not empioy eny person in eny menner so as to bacome subject to ihe workers'
compensation laws ot Eelifornia and egrea that If I should becoma sub�ect to the workers' compensation provisions of Section 3700 of Ihe Labor Code, I shall forthwi[h
complywit�these vision. _
Applicant SignaNre: � �� Date: �T L 7�03
WARNING: FAILURE TO S URE WORKEqS' CQNPENSATIIXJ COVERAGE IS UNL4WFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINA� PEN/yTIES AND pVil FINES UP TO ONE HUNDPED
THOUSAND DOLL4RE ($100,OW), IN ADDITION i0 THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CAOE, INTEREST, AND ATTORNEY'S FEES.
LICENSED CON7RACTORS DECLARATION:
I hereby eflirm that I am licensed untlpr provisions ot Chapter 9(commencing with Section 7000) ot Division 3 of the Business anQ.j'rofes �ons Code, and my license is in full
force antl eHect. Lia q i Cless n �S (
Contrector's5lqnaWre: �( Date: � `%�"L�
CONS7RUC710N LENDING AGENCV:
❑ I hereby aHirm ihat there is a constmction lending agency for �he pedormance of ihe work br which this permit is issued. (Sec. 3097, Civil Code).
Lentler's Name: Lender's Address:
Signature: Date:
OWNER-BUILDEH DECLARATION$:
I hereby aHirtn tha[ under penairy oi perjury ihat I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business antl Professlons
Code: Any ciry or counry which requires a permit to construct, alter, impwve, demolish, or repair any stmcture, pnor to its issuance, also requires the aD��icant for such pertnit
to file e signed statement ttiat he or she•is.licensetl pursuant to ihe provisions of ihe Contracbrs License Law (Chapter 9(commencing with Section 7000) of Division 3 ot Ihe
Business antl Professions Co'de)Lor thet he or she is exempt therefrom antl the Uasis For the alleged eaemption. Any violation of Section 7031.5 by eny applicant for a permit
subjecis ihe applicant to a civil penalty ot not moia than tive hundred dollars ($500).):
• {.c �:-_
❑ I, as owner of ihe property, or my employees wuh wages as their sole compensation, WILL DO THE WORK, antl ihe stmcture is not imended or ottered for sale (Sec.
7044, Business and Profession5 Code: The Coniiactors License Law dces not apply to an owner of propetly who builds or improves thereon, and who does such work
himseN or herself or ihrough his or her own employees, providetl t�at such improvemems are not imendetl or ottered for sele. II, however, ihe building or improvement Is
soltl within one year of completioq the owner-builder will have.ihe burden of proving that he or she did not build or improve tor puryose of sale.). �
e
❑ I, as owner of ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construcl Ihe project (Sec. 7044, Business and Protessions
Code: The con�rectors License Lew tloes not epply to an owner of property who builds or Improves thareon, and who contracis for such project with a contrector(s)
license Oursuant to the Contraclors License Laws.).
❑ I em exempt under sec. Business end Professions Cotle tor this reason:
Signature: Date:
Owner ID verified by dnvers licen5e. ❑ Ves ❑ No Drivers License No.
Verification of Ownership by (type of tlocument, i.e. - propeny taz bill or dead):
Expires:
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby certiy ihet no excavation five (5) or more feet in depth into which e person is requirad to descend, will be made in connection wi�h work euthonzed by this
permit, and that no building strucNre, scaHolding, talsework, or demolition or disman�ling �hereof, will De more ihan thirty-siz (36) feet high. (Chap. 32, Grp 2, Ar12, Sec.
341, Title B, Catifomia Atlminisirative Code).
❑ As owner-builder, I will not employ anyona ro do work which would require e permit from the Division of Indusirial Safety, as noted above, unless such person has a
permit to do such work from the tlivision.
Signature: Date:
Division of Indusirial Safery Permit N�mber:
CEFi71FICA7E OF COMPIIANCE AND AUTHORIIATON OF EMAV: I certity under penalty of perjury ihat I have reatl this application antl state Ihat ihe intormation given is
corract. I agrae to comply with ail stete laws end city ordinances relating to builtling consiruction, and authonze representetives of the City ot Costa Mesa to emer upon �he
ebove-tlescnbed propeny for inspection purpwses. I egree not to occupy or allow occupancy of any building authorized by this permit until tinal inspection.
Signaiure Of Legal Owner(s) Date
O,/ �/ l�- �Jlr 3
And/Or quNorized Applicant Date
40oE �. INSPECiIONTYPE
1616 Fiaed System Final Fire Prevention
1266 Pool Spa Final
200 Finel Re-Roof
201 Fina181ocWRetaining Wall
202
203
204
Final Factory Fire Plece
Finel Siqn .
Finel Demolition
P�7E IMRIALS
�/ /�
, •�� ��%I�J_/�� I
COpE� INSPECTIONTVPE
206 Final Mechanical
208 Final Plumbing
210 Finel Electrical
212 Final Fire Prevention
220
222
250
Final Planning Approval
Final Site
Final Building/Occupency
PSSE Irrtm�LS
December 15, 2005
CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR �RIVE • CALIFORNIA 92628-1200
DEVELOPMENTSERVICES DEPARTMENT
BUILDING DIVISION
COURTESY NOTICE OF PERMIT EXPIRATION
Hidden Family Trust
909 MacKenzie PI
Costa Mesa CA 92626-2914
PERMIT NUMBERS:
FOR:
PROJECT ADDRESS:
803-01065
Re-roof
909 MacKenzie PI., Costa Mesa
Our records indicate the above listed permits were obtained for property improvements or
alterations at the above address. Per the 1997 Uniform Building Code, Section 106.4.4
Expiration, permits are valid for 180 days from the date of such permit, or the date of your
last inspection for the project and additional fees will be required to finalize expired permits.
According to our records, the permits listed above have not had an inspection for a period
exceeding 180 days. If you have a signed inspection card indicating an inspection was
conducted within 180 days from the date of this letter, please contact this o�ce so we may
correct our records.
If you need to request an inspection please call our Inspection Request Line at
714-754-5626. If you wish to request an extension, requests must be made in writing
addressed to Ed Petros, Chief of Inspection, at the above address, detailing circumstances
and listing an estimated date of completion. If you do not have an approved final inspection,
your permits will expire on December 30, 2005.
If you have any questions, please contact the Building Division at 714-754-5273, between
8:00 a.m. and 4:30 p.m., and a staff member will be happy to assist you. The accuracy of
records affecting your property is our goal and we appreciate your working with us to resolve
this matter.
Sincerely,
����.�
Ma Jane Weidenkeller
Office Specialist II
cc: Doo-Rite Construction
751 Sesame St
Chula Vista CA 91910
Building Division (714) 754-5273 • Cotle Enlorcement (714) 754-5623 • Planning Division (714) 754-5245
FA%(714)754�4856 • TDD(714)754-52d4 • �wni.ci.costa-mesa.ca.us
June 24, 2005
CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200
DEVELOPMENTSERVICES DEPARTMENT
BUILDING DIVISION
Mike Hidd�n
909 Mackenzie PI
Costa Mesa, CA 92626
Re: Free Standing Patio Standards
Dear Mr. Hidden,
I apologize for promising to send you city standards for a free standing patio. The handout
sheets we have are only for attached patios. Free standing patios must have pfans and
architectural calculations to be reviewed by our Plan Check Engineers. I am enclosing a
copy of the handout for the attached patio cover in case it will help you.
Sincerely,
/ i � J��1�'-(��L�����
Mary Jane Weidenkeller
Office Specialist II
Building Division (714) 754-5273 • Code Enforcement p14) 754-5623 • Planning Division p14) 754�5245
FA%pta)754�4856 • TDOpt4)754-52aa • ww�v.ci.costa-mesa.ca.us
_ • 25428
COSTA MESA BUILDING-SAFETY DEPARTMENf
P.O. BOX 1200 � COSTA MESA. CAIIFORNIA Y262E
For Appllcant to FIII In Completoly
TYPE OR PRINT
BUILDINO
ADDRESB Mack nzie P]ac
COSTA ME3A, CALIFORNIA
� STATE
THL.
OF LOT 6O X ZOO � Now'H ���
USE OF
EXISTIN6 BLDO.
e¢rewcK uni �eor (1
ceNTen OR aTRitT � RiAR YARD 2l �
87�6 YARDI l[Ff � R16Hi �
DESCRIPTION OF WORK
'1 HCRHBY ACKNOWL6pOt TXAT 1 MAVt RfAD TN�� AIPLIC
wno erwre rHwr n�e AEOV[ 1� WRRIGT�ANO /�ORB TO
PLY WITX ALL CITY ORDINANCtD AND OTAT[ LAWY q{ YL
BUILOINO CONBTqYGT10NA. /% //.
61(SNATIIGR(l� LL/� /1% / /
AO[NT
�
CITY Of C����l �I���
MAR 23 1966
�r
BUILDINCi .
FOr Offlee Use Only
ZONIN(i -
q0. O� UO[ OI N[
�LANt � lYILOINO�� � 1
/ /1.6e
GL�_ '
�CJ
I! OV [RHANO SHALL EE LE88 THAN
YARDD MPROV HD
MAIN BUILDINO
vwR.#
YARD8 MPROV ED
ACCEi80HY BIIILDIN6
DATH
MPROV D � �� 7���
er . (.�"�1� owTa ��
� a
w
�
� BO. Rr. L* � �
0
THt AYOUHT BNOWM UNDBR VALUATON 16 ROR TH6 j
•YPPOG6 OI HBiABLi8N�M0 • PBRM�T P88 ONLY. f
VALUATION /�� �O �
(Y
,/�7 ,( PERMITPEE �
i JVJ /Y ,1 � G�.
/ TOTAL FEE S � O