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Home My WebLink About3105 MCKINLEY WAY - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 � CITY OF COSTA MESA � BUILDING DIYISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Job Address: 3105 MC KINLEY WY Suite No Vicinity: Parcel Nunmber: 14165263 Applicant: NOCK, RON ; ` � Address: 11612 KNOTT ST� � GARDEN GROVE , CA PLUMBING PERMIT Phone: 714 895-1246 Zip: 92841 %,.' � Owrier:'.�,�SELDOMRIDGE, ELSIEJANE � Address. TR , ' � � , ��,�� COSTA MESA,CA Phone: '; �� 3105 MCKINLEY WAY Zip: 92626 � � , 1Contracto�: _ � .Add�ess: NOCK PLUMBING �11672 KNOTT ST � � � GARDEN GROVE , CA j �\ � . �ArchlEng: / � �Address:, / � WATER HEATER CHANGEOUT. � � .;� 1'. . '��AMT ISSUE FEE � $22.00 i Backflow irrigafion $0.00 Backflow Preventer - $0.00 Bathtub - � , � $0.00 Clarifier Syatem,�� $0�00 Connectpce,Soda;etc) ��$0.00 Dental Units - �$0.00 Dishwasher - , $0.00� Drain, Floor � '�- �-$0.00 Drain, Rainwater � � ;$0.00 Drain, Roof � $0.00 Drinking Fountain $0.00 Expansion Tank $0.00 Gas Earthquake Valve $0.00 Gas (1-4 outlets) $0.00 Gas (Over 4 outlets) $0.00 Gas Repipe $0.00 Gas Service $0.00 Interceptors (Grease, Oil) $0.00 Interceptors (Sand Auto ) $0.00 QTY - Phone: 714 895-1246 Zip: 92841 License: 707775 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigalion $0.00 P-Trap $0.00 .�,�.Pressure Regulator � $0.00 �- � . �� Process Piping (per 10 ft) $0:00 . Receptors $0.00 - � � Septic Tank � $0.00 SewerCapforDemo $0.00 Sewer Connect ` - � $0.00 � Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen $0.00 Sink, service/mop �$0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 . 0 0 0 - 0_ 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 07/O6/1999 Issued: 07/06/1999 ISSUED BY: �r'_ � -,. ; � i� ��, , � i' : � AML Sump Pump� � � $0.00 Swimming Pool , � $0.00 _ Trep Primer " $0.00 , �Urinal� � � '.$0.00 - Vacuum Brkr BkFlow(1-4) , $0.00 Vacuum Brkr BkFlow(5+) , $0.00 Wash Basin - - $0.00 Wash Basin Set' � $0.00 Waste and Vent System $0.00 � Water Closet (Toilet) $0.00 Water Heater7 vent $11.00 Water Piping (Inst or Rep.) $0.00 Water Re-pipe $0.00 � Water Service $0.00 Water Softener $0.00 OTHER $0.00 VIOLATION $0.00 PLAN CHECK $0.00 REINSPECTION $0.00 TOTAL CALCULATED FEES: $33.00 QTY 0 0 0 0 0 0 0 0 0 0 i 0 0 0 0 C 1�� o `3II Gv NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulalions. (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 permit to be considered legal, such work must comply with all applicable codes, and ell requlred Inapections end flnal epprovel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545628 WORKERS'COMPENSAnON DECLARATON: �` I herehy ettirm under penalry of perjury one of lhe following tledaratlons: • ' ❑ I heve antl will melnteln a certificate of consent to self-Insure for workers' compensetion, as provided for by section 3700 of the La6or Code, for Ihe performance of the for which Ihis permit is issuad. I have and will maintein workers' compensation insurance, as raquiretl by section 3700 ot the Lebor Code, tor the peAortnance of tha work for which Nis permit is issued. My workers' compensation Insuren carne�r �and �l,iry n_umbar are: p (� ?� ��.O � Carrier.� G�•i2,%%� .F�� PolicyNumber: �""7 � (This secfion need nof be complete 7! the perm/f is velued et one hundred dollers ($100) or /ess.) � I certiy that in the pertortnance of tha work for which this pertnit is issued, I shall not employ any person in eny menner so as to become subjeci to the workere' compensation laws of Californie, and agree thet if I shoultl become subject to the workers' compensation provisions of Section 3700 of tha LaDor Code, I shall torthwith comply with these pravisions. Applicam Signeture: Date: WAHNING FAILURE TO SECURE WORKERS' COMPENSATION WVERAGE IS UNLAWFUL AND SHALL SU6IECT AN EMPLOVER TO CRIM1llNAL PENALTIES AND GVIL FINES UP TOONE HUNDREO T10USAN� OOILARE (5100.000). IN ADDITION TO THE WST OF WMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3]O60F THE LABOR CODE, IMEREST, AND AiTOFNEY'S FEES. LICENSED CONTRACTORS DECLARATON: I hereby aHirtn that I am licensed undar nrovisi� lorce and ettecL Lic. x % Contractors Signature: with Section 7000) of Division 3 ot the Business and Professions Cotle, and my license Is in full _ Class N /; �J L- � Data: '�i—'�—%_ CONSTRUCTION LENDING AGENCY: ❑ I hereby aRirm that Ihere is a construction lending egency tor ihe pedortnance of Ihe work for which this pertnit is issued. (Sec. 3097, Civil Cotle). Lentler's Name: Signature: _ OWNER-BUILDER DECLARATIONS: Lendefs Atldress: Date: I hereby afflrm ihat under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sac. 7031.5, Business end Protessions Code: Any ciry or counry which requires a pertnii �o construct, alter, improve, demolish, or repair any s�ructure, pnor to its issuance, elso requires the applicent tor such permit to tile a signed statement that he or she is licensetl pursuant to the pmvislons ot tha Contractors License Lew (Chapter 9(commencing with Section 7000) o� Division 3 of Ihe Business antl Professions Cotle) or t�at he or she is exempt iherefrom and the basis for the alleged exemption. Any violetion of Section 7031.5 by any epplicant for e permit sub�ecis lhe aDPlicant to a ciNl panalry ot not more than five huntlred Eollars (5500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WOFK, and the siructure is not intended or otteretl for sale (Sec. 70a4, Business and Protessions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, antl who does such work himself or herself or through his or her own employees, provitled that such Improvements are not intendetl or oftered for sale. Ii, however, ihe building or improvement Is sold within one year of completion, the owner-builder will have the burden ot proving ihat he or she did not builtl or improve for purpose oi sale.). ❑ I, as owner oi the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business end Pratessions Code: The comrectors License Law does not appry to an owner of pro0erty who builds or improves ihereon, end who contreds for such project wiih a contrecbr(s) license pureuant to Ihe Coniractors License WwsJ. ❑ I am exempt under sec. Business and Professions Code tor this reason: SignaWre: Date: Owner ID verified by tlrivefs license. ❑ Yes ❑ No Driver's License No. Expires: Verification ot Ownership by (type oi tlocument, I.e. - pmperty tau bill or deed): __ DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICA710N: ❑ I hereby certify that no excavation five (5) or more teet In depih into which a parson is requiretl to tlescentl, will be made in connection with work authonzetl byIhis pertnit, antl ihat no building structure, scaflolding, falsework, or tlemolition or dismantling thereof, will be more ihen Ihirry-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle 8, Califomia Adminislrative Code). ❑ As owneo-Duilder, I will not employ anyone to do work which would require e pertnit tmm the Division of Intlustrial Safery, as notetl ebove, unless such pereon has a permit to do such work from ihe division. Signature: Date: Division of Industnal Safety Pertnit Number: COOE I. INSVECTIONTVGE ' p0j$ IMIfIRLS 1616 Fixed Syslem Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Rooi 201 Final BIocWRetaining Wall 202 Finel Fectory Fire Placa 203 Flnel Sign 204 Finel Demolition 2<48-46 CO�Et INSPECTONTYPE 206 Final Mechanicel 20B Final Plumbing 210 Final Electncal 212 Final Fire Preventian 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy IL1i� I /: • i� (714) 754-5273 • Fax (714} 754-4856 • www.ci.costa-mesa.�i 4LDING PERMIT 77 FAtR DRIVE, COSTA MESA, CA 92626 Job Address: 3105 MC KINLEY WY Suite: Vicinity: FRONT OF HOUSE Primary Occ: R3 Parcel Number: 14165263 Applicant: KEARNEY, TIM Address: 3105 MC KINLEY WAY COSTA MESA, CA - - Ownec KEARNEY, TIM Address 3105 MCKINLEY-WAV COSTA MESA, CA � p : Contracmr. OWNER-BUILDER : Address:.* -, - - � � .,-�-:.ZiP: ' . . � . Arch : .,,, .. - P,ddress: _ .- Zip: . �. . Phone: 'License:�_, ' Type of Construclion: V-N Zoning: R1 ,::. ��Phone:, 714d51-8661 - "Zip: - 92626 . . ,... Phone: 714-751-8661 Zip: 92626 Phone: License: 000000 Eng: Address: Status: ISSUED Applied: 09/16/2005 Issued: 09/162005 ISSUED BY: V `". J ' . . - -Phone: � ' � License:� SCOPE OF PERMIT . REMOVE EXISTINGROCK-FASCIA ON FRONT OF HOUSE AND RESTUCCO. �� ' "�� ... . , , . . , , M , '� . . FEE SUMMARY Plan Check: $0.00 Calc Valuation: $soo.od Permik ` $23.50 ' Claim Valuation: Ssoo.00. � SMIP Res: .� $0.50 = � SMIP, Com . � $0.00 � � � � Other�=� $0.00. ' Inspection: $0 00 Total: $24:00 PLANNING 8 ZONING SETBACKS MAINSTRUCTURE Fronf � 0-0 ACCESSORY Front 0-0 PARKING Ezistina: o Rear : 0- 0 , � �� Rear 0- 0 Re uired: 0 Left 0- 0 . �� Left 0- 0 � - Pr000sed: � 0.' - � Right 0-.0 - Right 0-0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. g2-28, § 1, 12-27-92) EXPIRATION: Tbis permil shall automatically expire and become void if work is not commeoced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. �NSPeCTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapectlon8 and final approval must be obtained. Failure �o obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaas-ae (s�ool WORKERS'COMPENSAnON DECLARATON: I hereby eflirtn under penalry oi perjury one of iha tollowing tleUaralions: ❑ I have entl will maintein a certificete of consent ro self-Insure for workers' compansation, es provitletl for by section 3700 of ihe labor Code, for the pertormance of ihe work 1or wNc� Ihis pertnit Is Issued. ❑ I heva end will maintein workers' compensa�on insurance, as requireA by section 3700 of the Labor Code, for the peAortnance of the work for which ihis pertnit is issuetl. My workera' compenselion Insurance carrier end policy number are: Cerrier: WFRNINO: FAILURE TO SEWRE TVIOUSAND DOLLARE (5100.000I, Policy Number: veluetl af one hundred dallers ($100) or less.) worK for which this permit is issueA, I shell not employ eny person in eny manner so as to become sub�ect to the workers' 3gree l�at" I shoNC become sublect ro the workers' compensation proWsions of�tlon 3700 oi ihe Lebor Cotle, I shell totlnwith � oaie:.—�% ��r./o—.$' MPENSFTIIXJ COVE E IS UNLAWFUL AND SHFLL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED �THE�^T�FCOM SFTION,OAMAGESASGROVIDEDFOFINSECilON3/O60FTHELABORCODE,INTEREST,ANDAT70RNEY'SFEES. LICENSED CONTRACTORS DECLARATON: 1 hereby eMirtn Ihet 1 am Ilcensed under pmvisions of Chaptar 9(commencing with Section 7000) oi Division 3 ot the Business antl Professlons Cotle, and my license is in tull iorce entl eHect Lic. M qass N Contrector's Signeture: Date: CONSTRUCTION LENDING AGENCY: ❑ I here6y attirtn ihat there is a conswction lending agency for the peAormance of lhe work for which Ihis pertnit is issued. (Sec. 3097, Civil Code). Lenders Neme: Lentler's AGdress: SipneWre: Date: OWNER-BUILDER OECLARATIONS: I hereby eHirtn that under penalry of perjury tha� I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor tha tollowing raason (Sec. 7031.5, Buslness antl Protesslons Code: Any ciry or county which requires a permit to construct, alter, improve, demolish, or repair any structure, pnor to its iuuance, elso requires the epplicant for such permit lo tile e signed stetement ihat he or sha Is IlcenSad pursuent ta the pravisions of �he Conirectors Licensa Lew (Chepter 9(commenGng with Sectlon 7000) of Division 3 ot the 8usiness flnd Protessions Catle) or Ihet �e or she Is e:empt thereirom antl Ihe basis for Ihe ellegad exemption. Any vloletion af Sectlon 7031.5 by eny eppllcent for e permit sub ts the eppllcant ta e civil penalry of not mo�e than fve huntlretl tlollars ($500).): +.GI, as owner oi Ihe property, or my employees with wages as thelr sole compensatlon, WILL DO THE WORK, entl iha strucNre Is not intended or oHereC for sele (Sec. 7044, Business and Professions Cotle: The Coniractors License Law does not apply to an owner of property who builds or improves thereon, antl who tloes such work hlmself or herself or Ihrough his or her own employees, provided that such improvements are not intended or oHered far sale. If, however, the building or Improvement Is soltl within one year ot compleUon, the owneo-builtler will have Ihe burden of proving Nat he or she did not huiltl or improve tor purposa oi sale.). • ❑ I, ag owner oi the property. em El(CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The comreciors License Law does not eppty to an owner ot proDerty who builds or improves thereon, and who contracts for such pm�ect with a contractor(s) license pur5uent to the Contrador5 Lite�Se LewS.). sec. Owner ID venfieA 6y drlver's li 5e. ❑ Ves ❑ Verlficetlon oi Ownership hy ( e oi document, i.e. - pra Business enA Professions Code for this reason: bill or deetl): CERTIFlCATE OF COMPLIANCE AND AUTHOf7�TON OF ENfRV: I certify under penalry oF pe�ury that I have read ihis flppllcation and s�ate thet the information given is corract. I egree to compty wiih all stete laws and ciry ordlnances relating to builtling consiruction, end eut�orize representatives of t�e Clry oi Costa Mesa to enter upon the ebove-de�fsibed prope or In ,p ion purposes. � egree not to occupy or ellow occupancy oi any 6uilding authonzed by this pertni� until f%i ;1 insp%e �ion. � --, 9/'�oJa�' SIgC�re O(Lepal� er(s)' Date COOE �. INSPECTONTYPE PAIF � 1N�IEL�. 1616 Fixed System Final Fira Pravention 1268 Pool Spe Finel 200 Finel Re-Rooi 201 Flnel Block/Reteining Well 202 Final Factory Fire Place 203 FinelSign 204 Final Demolition CODE 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elec�riCal 212 Fina1 Fira PravOMion 220 Final Planning Approvel 222 Final Site 250 Final Building/Occupancy pl.tl� � OS u W7.14 DESCRIPTION OF FIRE ZONE Date � GROUP J SUBCONTRACTOR � Date or R r, i / ,� 24533 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 12110 � COSTA MESA, CALIFORNIA 926PE For Appllcanf to F711 In CompleTely TYPE OR PRINT BUILDINO �j C ADORESS J 6 COSTA MESA. CALIFORNIA OWNER LO�iI•S 4"if�!/IR�%s/CL� r YGTOACR LIHt IROM � use oR CITY OF Cf�5TA MES�1 PRWPRA'Fl�M`fY1R PER BUILDIN(i . FIRB �,1� 4 - ��/t NO. =ON! V ORC � � APPROV[D NO. '1. BY DATB ' � � � ZONINf3 ZO NO.OI UY[OIN[W � �LAN� �� GuiLDiXi I � l v ' ° — I 1� �.p . _ . . . L[oAt.�.�.. L%i'/ � '! /� L DESCRIPTION OF WORK r �1 XEPR9Y I�CKNOWL6DOf TMAT 1 MAV6 RHAD TXIB APPLIWTION AXU 6TAT6 TNAT TX6 AGOV6 1� CORR6GT AtID AOp88 TO COM. PLY WITH ALL CITY ORDINANC�! AND YTAT{ LAWp RiGULATINO BUILDINO CONBTRUC�ON. � AVTHORIZiDAG[NT YAROH MPROV ED MAIN BUILDINO v�.7i c, u. r. # �rrRovso —co5a— c�� NAN6 SHALL BE LE88 THAN YARDS MPROVfiD ACCEG90RY BUILDINO owre TX6 I�MOUNT 9NOWN UNU6R V/�IYATON ►YRPOBH OP [BTApL1/HIN6 A PERMIT VALUATION � ' PERMIT FEE a�v2� TOTAL FEE S 1;. a w � � k � Wq G k is�e� � TA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COBTA MEBA. GALIFORNIA For Appliean� fo Fill In Complefely TYPE OR PRINT � � DRESS 10 n1cKi.n.( e !d%a COSTA MESA. CALIFORNIA OF 1'ING BLOG. 1CK LINC FROM WALL TEL. INO. OF BLDGB. NOW OH LOT '!SS REAR YARD �O' S- I RIGHT S " fION OF WORK ERATION I 'II ADDITION I �ING I II DEMOLISH I NO. OF ! ROOMS O STORIES 7 I ROOF //! / O !.l . FcE RECEIil�D flNEtiivLt 9DtN3. CITY OF COSiA MESA APPLICATION FOR PERMIT eui�Diw� For Office Use Only HECE�PT NO. Pj�IY�T � L IiECEIVED/�Y OATE RECEIVED �ATE IBBUEO /�c� I; c6 � 8 1963I fst� 1� i96: ILDING DRE55 � COSTA MESA. CALIFORNIA APPROVED ZONIIdG ZONE NO. OF ^� f19E OF NEWS ��/ I vL/.N6 ` BIIILOING w/9 LE6AL �� /� �y � /Q DEBCRIPTION K � A. P. NO. . YARDS EVES APPROVED ALLOWEO fCENTlR LINE 8T.) FRONT �'� — FT. �� e �...� � .._ — 30 � — 'YO � REBY ALKNOWLQDGE THAT 1 HAVe RWD THIB A LIWTION THE AMOUNT 6HOWN UNOER Vn 8TAT6 THAi TNE ABOVE IB CORRECT AND AGREE TO COM- pURPOBE OF E8TA9L18HINc A WIiH ALL CI �INANCEB AND BTAi¢ LAW P6G LATING DIN6 CON6T U ION. VALUATION ANRE PERMIT I I ITfE $ � {/��J PLAN CFi IORIZEO AGE i � TOTAL F 1 � �"1 3 O 1 IS FOR T� MIT FEE ONLY. O. � D %• ✓'rd