HomeMy WebLinkAbout3354 NEVADA AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
,lobnddress: 3354 NEVADAAV
Suite No
Vicinity: KITCHEN
Parcel Number: 13957113
Applicant: TAUFER, NANCY
Address: 3354 NEVADA AVE
COSTA MESA, CA
MECHANICAL PERMIT
Status:
Applied'
Issued:
ISSUED
03/18I2003
03/18/2003
Phone: 714-429-0414
Zip: 92626-2022
Owner: TAUFER, BRADLEY S AND NANCY
Address: 3354 NEVADA AVE
COSTA MESA, CA
Contractor: O W N E R-B U I LD E R
Address:
Phone:
2ip: 92626-2022
Phone:
Zip:
License: 000000
SCOPE OF PERMIT
LEGALIZE GAS PIPING PREVIOUSLY INSTALLED. .
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >100 k BTU
Repair / Alt Cooling/Heat
Inst / Rep. Recess Wall Htr
Refriq Sys <700 k BTU
Refrig Sys >100 k BTU
Gas Piping
Factory Fireplace
Hood w/Mech Ezhaust
VAV Box
Vent Fan / Single Duct
Appliance
Fire Dampers
Smoke Dampers
Inst or Relocate Appl Vent
Air Handlers < 70000ctm
AirHandlers> 10000cfm
Floor Furnace
Floor or Suspend Heater
523.50
$0.00
$0.00
$0.00
50.00
50.00
$0.00
$6.15
30.00
50.00
50.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
50.00
50.00
Quantity
FEESUMMARY
Repair / Alt Absorblion Unit
Repair / Alt Refrigeration Unit
Ventillation System
Evaporative Cooler
Comme rcial I nci nerator
Domestic Incinerator
Compressors / Absorption Svstems
Upto3hp/100kBTU
3To75hp/SOOkBTU
75 To 30 hp / 1,000 k BTU
30 To 50 hp / 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
Invesligalion Fee
Plan Check Fee
Reinspection Fee
Quantity
50.00 0
50.00 0
$0.00 0
50.00 0
50.00 0
50.00 0
$0.00 0
50.00 0
50.00 0
50.00 0
50.00 0
90.00 0
so.00 0
30.00 0
50.00 0
$0.00 0
$0.00
so.00
$0.00
TOTAL CALCULATED FEES $29.65
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void ii work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspectlons end final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this pertnit.
FOR INSPECTIONS CALL: (714) 7545626
2M648 (flYW)
WORKERS' COMPENSATION DECLARATION: � '
I hereby eNirm untler penalry oi perjury one of the following decleratlons:
❑ 1 heve end will mainteln a cenificate of consent to self-Insure lor workers' wmpensation, as prodtletl for by sec�lon 3700 0l ihe Lebor Code, tor ihe performance of Ihe
work tor which this pertnit Is issueE. .
❑ I have and will maintain workers' compensation insurance, es reQuired by section 3700 of �he Labor Cotle, for t�e pertortnance ot ihe work for which this pertnit Is issuetl.
My warkers' compensation Insurenca carrier and palicy num6er ere: ,
Certier. Policy Number.
A(�Tbis section neetl nol be comp/eretl i/ the permit is ve/uetl et ane tl tlollars ($f 00) or less.)
�p� I certity thet in t�e perto ance of Ne work for w'ch thi p 1 Is Issued, I shall not employ any person in eny manner so as to become subject to [he workers'
�` compensetlon laws i al omia, entl egree t at If I su ect to the workars' compensation provisions ot Sec on 37 0 of Ihe Labor Cotle, I shell torthwilh
comply with Ih se o sio �50 (/ � Y�� ��
Applicant Signature: V Date: �
WARNINO: FAILURE TO SEC RE W RKERS' COMPE AT COVERAGE IS UNLAWFUL AND SHALL SUBIEGT AN EMPLOVER TO CRIMINAL PENALTIES ANO pVIL FlNES UP TOONE HUNDRED
TMWSAND DOLURE (5100,000), IN ORION TO WST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEGTION 3]O60F iHE LABOR CODE, IMEREST, AND ATTORNEI^S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby altirm that I em Ilcensetl untler provisions of Chepter 9(commendng with Sedlon 7000) oi Divislon 3 of the Business antl Pmfessions Cotle, end my liconse is in tull
force anC eHect. Lic. q Cless M
Comrector's Signature: Dete:
CONSTRUCTION LENDING AGENCY:
❑ I hereby eNirtn that there is a consiruction lending agency br ihe Dedormance of lhe work to� which this pertnit is issued. (Sec. 3097, Civil Code).
Lendels Name: Lentler's AAdress:
Signature: Date:
OWNER•BUILDER DECLARA710N5:
I hereby eflirtn thet under penelry ot perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW For the tollowing reeson (Sec. 7031.5, Business entl Professions
Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any structure. pnor to its issuance, elso repuires tha applicant for such pertnit
to file a signed stetement that he or she is Ilcensed pursuant to the provisions ot �he Contradors Llcense Lew (Chapter 8(commencing with Section 7000) oi Dlvision 3 of ihe
Business entl Professions Code) or that he or she is e:empt therefrom entl the basis for Ihe allegad exemption. Any violation of Seclion 7037.5 6y eny applicent for e permit
subjects the epplicant to a clvil penalry oi not more �han five hundretl dollars ($500).):
❑ I, es owner ot Ihe properry, or my employees with wages as their sole compensetion, WILL DO TME WORK, end the sirucWre Is not intentletl or offered br sale (Sec.
7044, Business and Professions Code: The Con�ractors Licensa Law does not apply to an owner of property who builds or improves ihereon, antl who does such work
himsell or herself or Ihrough his or her own employees, providetl �het such improvements are not intendetl or oHered lor sale. If, however, the 6uiitlinq or improvement Is
�sold within one yeai oi completion, ihe owner-builaer will heve the burden of proving ihat he or sha did not builtl or improve for purpose of sale.). '
I, es owner of Ihe pmpetly, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to wnstmct the prolect (Sec. 7044, Business antl Protessions
Co�e: iTa c treciors License Lew s not apply lo en owner ol property who bulltls or improves thereon, entl who contracts br such project with a coniractor(s)
licensa pu nt to Ihe Comr br i se Lews.).
❑ I a e: t e c Business and Professions Code for this reason:
SignaWre: � �(�. Da :
Ownar ID verilied y dnvers li e. � Yes ❑ No Drivars License No. ExOires: 7-20 "�7
Verificatlon ol Owdership by (rype of document, i.e. - property tvc blll or deed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby cartlty �ha� no excavation live (5) or more teet in depth into which e person is required to tlescend, wlll be made in connection with work authorizad by this
pertnit, and that no building sifucture, swftolding, talsework, or tlemolition or dismantling thereol, will be more ihan thirry-six (36) teet hiq�. (Chep. 32, Gry 2, Art 2, Sec.
341, Title 8, Califomla Atlministrative Code).
❑ As owner-builder, I will not employ anyone to do work which woultl require e permit irom ihe Division ol Industriel Satery, as noted ebove, unless such persan has e
permit to do such work irom the division.
Signature: Oate:
Division of Intlustnal Salety Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORI2ATON OF ENiAY: I certity under penalry of perjury that I have reatl t�is appliwtion antl sWte that the informetion given is
correct. egrae to comply g th all ate laws and ciry ordinances relating to building construction, and authonze representatives of t�e Ciry of Costa Mesa to enter upon the
ebo s- cribed pro ert br psp cti� po es. I egree not to occupy or allow occupency of any building authorized by this per it untii finel inspection.
� 3T��lo�
Sigi re Ot Legal Owner(s) Date
i
AnNOr Authonzed AOPlicent Oate
COOE I. INSPECTIONTYPE
7616 Fixetl Sys�em Final Fire Prevention
1266 Pool Spe Finel
200 Finel Re-Root
201 Finel BIxWReteining Wall
202 Final Factory Fire Place
203 Final Sign
204 Finel Demolition�
Q�jE INTRULS
CODE 1 INSPECTIONTYPE
206 Final Mechanical
208 Final PlumGinp
210 Final ElecMcal
212 Finel Fire Prevention
220 Final Planning Approval
222 FinalSite
250 Final Building/Occupancy
,/ 'OA�TE _ � ��$
�[l� �
e
(� °� �� i?�e�a �ati� �u�iaci �
OWNER-BUILDER
VERIFICATION
A ciry or county, which is required to give notice pursuant to Section 19830, shall attach to such notice, and,
as a condi[ion precedent to issuing a building permit, require [he comple[ion and require the reWm of, an
owner-builder verification.
At[en[ion property Owner: -
An bwner-builder' building permit has been upplied for in your name and bearing your signature.
Please complete and return this information in ihe envelope provided at your earlies[ opportunity to avoid
unnecessary delay in processing and issuing your building pennit. No buildine permit will be issued until this
verifica[ion is received.
I. I personally plan to provide the m�jor labor and materials for conswction of the proposed
property improvement. ❑ Yes �„ No
Z. t(have/have not) �� ����"�a� an applicafion for a building permit for
the proposed work.
3. 1 have contra+cte'd/
Name W
Address
Phone ( ) _
thc following person (Crm) ro provide the proposed construction:
City —
Contractor's Lic. No.
4. I plan to provide portions of the work, but 1 have hired the following person [o coordinate,
supervise and provide the majur work:
Namc
Address _
Phone ( )
City _
Contrac[or's Lic. No.
5. I will provide some of the work but 1 have contracted (hired) the following persons [o
provide the work indicated:
Namc
1M2a6 (REV. 958)
Address
Phone Type of Work
OWNER APOLLO DEVELOPMENT DATE 4-20-70
JOB ADDRESS 3354 Nevada Avenue BUILDING PERMIT N0. 31683
GENERAL CONTRACTOR Same DESCRIPTIONofWORK Residence W/AtCached Garage
AP No. _ LOT 4n TRACT 6694 FIRE ZONE VALUE $ 26_69R_00
GAS
WATER (
ROUGH PL
SPRINKLING SVSTEM
MISCELLANEOUS
ROUGN HEATING ANO AIR CONDITIONING
TEMPORARV SERVICE OR POLE
UNOERGROUN� � POWER �
ROUGH WIRING
TRENCHES � FORMS � STEEL REINF.
FLOOR SVSTEM
BOND BEAM ❑ STEEL REINFORCE ❑
SHEATHING �
FRAME ANO FLASHING
PLASTER
SUBCONTRACTOR
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
pa;e �
A:°P7_7_-70�MStiOO1295+F ***14�.��
APPLICATION FOR BUILDING PERMIT
For App/icant to Fill in Completely
FiEC D OA E FECEIVED D E ISSUED
BUILDING 3354 Nevada Avenue J ��%�d �i�?d-7v
ADDRE55
PERM �T NO.�
OWNER Apollo Development Corp. A.P.No. �'I^is?.i
MA�L BUILDING
aooaess 1104 E. 17th Street ADDFESS 3354 Nevada Avenue
TEI. TRACT 6694 LOT BLOCK
aTv Santa Ana No. 547-9673
CONSTRUCTION
IENDER U. S. National Bank
X
eAnNCH Main Office
OWNER A ollo Develo ent Cor
ADDRESS 190 S. Broadwa San D'e O VALV&�
ARCHITECT TEL. S Residence
ORENGINEER Kermit Dorius N 675-1164 /
FIRE
ADDFESS 3111 2nd Ave. Corona Del Mar ZONE TVPE GROUP
APPROVED
CONTRACTOfl Apollo Develo ment Cor , ev DATE
ADDRESS 1104 E, 17th St.
TEL. ZO NO.OF ^ / USE OF NEW
cirv Santa Ana No� 547-9673 � P'�4"'' Y BUILDING
LIC. NO. ZSZS�FI uc�No. 1690 vMAIDN BUILDOINGD ACCE SO:iV BVOILDING
SIZE NO.OF BLDCS. (FROM C/� STREET)
OF LOT SO X LOO NOW ON LOT -- ROM . FT. FT.
USE OF
E%I5TING BIDG. " T FT.
NEWBLDG. 1JSZ S.F. ROOMS $ STORIES 1 L.SIDE V FT. FT.
EMEFIOfl WALL er ROOF
COVERING P ans GOVERING WDOCI Shin �,C REAR FT. FT.
VSE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
MAIN BLDGS. ACCESS. BLOGS.
CORSiIllCt REW residence W1CI7 C.0 P� APPROVED
attached garage. a�Roveo D
I horeby acknowledpe thet I have raetl this appllcation entl state
that the ebove intormetian is correet antl aBrea to comply with
all lows ragula[lnp builtling conatruction, antl I shall not employ
any person in violation of Mo workman'6 compeneation lawa of
tha Smta ot Calitomle. � q L1 �
I heraby cartity that I am proparly IlceneaG ae a connactor untlar � ��• FT /� '
the Siata of Celifornla Businesa antl Profeasions Cotla, Dlvlsicn 3, THE AMOUNTSHOWN UNDER VALUATION IS FOR
Chapter 9, enG thet such licenaaa are In full force antl eftact, or 1 THE PVRPOSE OF ESTABLISHING A PERMIT FEE ONLV: �
om ezempt from the pr Islons at Ne State o( Celifornia Business °
nntl ProfaulonaCotle, islon 3, Chap 9. VALUATION 9�n o °
PERMfT FEE S �
sienomre or f ij� /'j� U o
Perminae ' %� � - qCC �(/fcJ PLANCHECK$ /��U� E
f
/ u
Au[horizetl Apant TOTAL FEE 5 // ��