HomeMy WebLinkAbout923 NEWHALL ST - Building Permits(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
923 NEWHALL ST
SHOP FOR DELPHI DISPLAY SYSTEMS
42439102
Applicane GRAHAM, FRED
Address: 2952 CENTURY PL ' �
- -Phone: 714-546-1653
COSTA MESA; CA �'; � ' Zip: 92626
�
�' �
/�. Y,' �. � . - _
Owner. '�TRICO RENTS � " -
Address���201�PAULARINOAVE -
. , �� ; Phone:
�:
.- COSTA MESA, CA Zip: 92626 .
" . . . . �:.i ,.
Contractor: - DEPENDABLE GRAHAM AIR CONDITIONING
Address: � 2952 CENTURY PL . .
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)-
New Res (3+units)
Pool / Spa
Lightiny Fixts � �
Recept Outlets � �
Switches
Non Res Appl �'
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to 1 hp
Motors to 10hp
Motors to 50hp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
� „-Phone: 714-546-1653
COSTA MESA, CA� ' � � � � � � Zip: 92626
�. ' `� � License: 472690
Status: ISSUED
Applied: 01 /15/2002
Issued: 01 /15/2002
ISSUED BY: �
�:
i
�� SCOPE OF PERMIT � � �
ELEC PERMIT FOR ELECPORTION FOR THE INSTALCATION OF A 165,000 BTU SUSPENDED SHOP `
HEATER FOR "DELPHFDISPLAY SYSTEMS." 1�MOTORT0�1 HP; 1�CONDUIT, 1 CONDUCTOR. �
REF: M02-00013 ,
NO OTHER WORK WITH THIS PERMIT. - "
� ' _ . �
"� FEE SUMMARY„%� - �
�_ ._ �
$23.50
$0.00
$0.00
$0.00 0
$0.00 0
$0.00 0 .
$0.00 � ' ---'- 0
, $0.00 0
$Q00 , . 0
$0.00 ' -0
$0.00 0
$0.00 0
$0.00 0
. $0.00 �' 0� ,
$4.75 1
$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
Temp Dist Syslem / Lighting
Busway /100 ft �
' � .Standing Section
- � ' Misc Electrical Equipment
' � � Transforme�s up4o 1 kva/kw
� ' ................up to 10�kva/kw -
_---
� . .................up to 50 kva/kw
� ...........:.....up to 100 kva/kw
. " ..................over 100 kva/kw
" Low Voltage Equipmenl
� Low Volt Wiring System / Ckt
Misc. Conduit
Misa Conductor
. Circus ( gen or ride) �
- Circus (mech ride or lights)
Chrislmas Tree Stand
� Fireworks Stand "
- Other Electrical Fee �
Investigation Fee
Plan Check Fee
Reinspection Fee
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
$78.20' 7
$7820 „ 1
� �$0.00 : -"0
$0.00- " 0
$0.00 0
" $0.00 0
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES E64.65
COMMENTS / SPECIAL CONDITIONS
0
NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 9248, § 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 1 BO 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
required inspectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiretion of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
2d48a8 (&00)
WORKERS' COMPENSATION DECLARATION: �
I hereby aflirtn under panalry of perjury one of the tollowinq dedarations:
❑ I heve end will melntein a certificete of rqnsent to selGlnsure for workers' compensation, es providad for by saction 3700 of the Lflbor Code, for the peAormance ot the
�work for which Ihis pertnit is issuetl.
I have antl will maintain workers' compensaGon insurence, as reduired by section 3700 of the Lahor Cotle, for �he pertoimance of the work for which thls pertnit is issued.
My workers'yp mp satlo� I"ns�u"rance caMer"entl" ppII� m"ber are�: �,...�/� �/��� �J Q
ca��a�: Zv l< I L� N"V Y l?21 LI r1 � 1.II S� �'�I � l �F�� �" Palicy Number. W��� 1� Z� /•
(ihls secf/on need not be comp/eted il the permi( is valued a! one bundretl dollers ($100) or less.)
❑ I certity that in the peAormance oi the work for which this pertnit is issueQ I s�all not employ any person in any manner so as to Cecome subject to the workers'
compensation laws ot Califomia,,¢nd a ree Ihat i should become sublect to the workers' compensatlon provisions ol5ection 3700 of the Labor Cotle, I shell forthwit�
comply with these p�ons. 11 .
Applicam Signawre: �I ��� ) ; (t ,r/WL Date: I /I J �O a—
WARNINO: FWLURE TO SECURE WOHKERS' COMPENSATION COVEPAGE IS UNLAWFUL AND $HALL SUBIECT AN EMPLOVER TO CRIM1UNAL P NALTIES AND CML FlNES UP TOONE HUNDRED
T}K%15AND DOLLARE (5100.000�. IN ADDfTIdJ TO THE COST OF COMPENSATION, DAMnGES AS PROVIDED FOR IN SEGTION 31O60F THE IABOR CODE, IMEREST, AND ATTOFNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I here0y aNirtn that I am
torce antl eflecL Lic. a_
CONrecbfs SignaWre:
Chapter 9(commencing with Section 7000) oi Division 3 of the Business and Professions Cotle, and my license is in full
Class k � " c3 0
. Data: I. I(S O r}�'
CONS7RUCTION LENDING AGENCV:
❑ I hereby eMirtn Ihat Ihere is a construction lending agency for Iha peAormance of ihe work tor which this pertni� is issuetl. (Sec. 3097, Civil Code).
Lenders Neme: Lender'S Atlaress:
Signature:
OWNER•BUILDER DECLARA710NS:
Date:
I hereby aNirm thai under penalry of perjury Ihat 1 am E%EMP7 FROM 7HE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, eusiness entl Professions
Cotle: Any ciry or counry which requires a pertnit to wnswct, alter, improve, demolish, or repair any slrucWre, prior to its issuance, elso requires the epplicant for such pertnit
to tile a signetl statement Ihet he or she is Ilcense0 pursuem to the provisions of tha Contradors License Lew (Chapter 9(commencinq with Section 7000) ot Dldslon 3 ot the
Busineu end Professions COCe) or that he or she is ezem0� �herelrom and ihe basis for the allaged ezempiion. Any violation of Section 7037.5 by any epplicant tor e pertr+.
subjects the epplicant to e civil penalty ot not more than tive hundred dollars ($500).):
❑ I, as owner ot Ihe property, or my employees with weges as Iheir sole compensation, WILL DO THE WORK, entl ihe structure is not intentled or ofleretl for sele (Sec.
7044, Business entl Professions Code: The Contractors License Law tloes not apD�Y �a an owner of properry who 6uilds or improves thereon, and who does such work
himsell or herselt or ihrough his or her own employees, provided that such improvemenis are not intended or oMeretl for sale. If, however, ihe building or improvement is
soltl within one year of wmpletion, the owner-builder will have �he burden ol proving ihat he or she did not build or improve for purpose oi sale.).
� I, as owner of the property, am EXCLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to construct the projecl (Sec. 7044, Business end Profeuions
Code: The cantrectars Llcense lew does not appry to en owner ot property w�o �uiltls or Improves thareon, and who wmracts br such project wlth a comrector(s)
license pursuant to the Gontractors License Lews.).
❑ I am ezempt under sec. Business and Pmfessions Code tor ihis reason:
Signature: Date:
Owner ID verified by drivers license. ❑ Yes ❑ No Dnvers License No. Expires:
Verlficetion ot Ownership by (rype ot document, i.e. - properiy tax bill or deetl):
DIVISION OF INDUSTRIAL SAFETV VERMR CERTIFICATION:
❑ I hereby certify that no excavation flve (5) or more feei in tlept� inro which a person is requiretl to descend, will be made in connection with work authorized by t�is
permit, and that no building structure, scaHolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title B, Celitornia Adminisirative Cotle).
❑ As owner-huiltler, I will not employ enyone to do work whic� would require a pertnit from the Division of Industnal Salery, as noted ebove, unless such person hes e
pertnit ro do such work trom the division.
Signature: Date:
Division ot Industrial Safery Pertnit Numbar:
CERTIFlCATE OF COMPLIANCE AND AIffHORIZA710N OF ENTAV: I certiy under penalry of perjury that I have reatl ihis epplication and siate t�at ihe information given is
correc�. I egrae to comply wit� ell state laws and ciry ordinances relating to buildinq construction, end amhonze represematives oi the Ciry ot Costa Mesa to enter upon ihe
above-descnbed property for inspection purpases. I egree not to acupy or allow occupancy of any building euthorized by this pertnit until final inspec�ion.
/� Sig ture Of Legal Owner(s) Date
b �/�� �d�
AnNOr Authonzed Applicani —� Date
COUE I. INSGECTIONME
7678 Fixed System Final Fire Preveniion
1266
200
201
202
203
204
Pool Spa Final
Final Re-Root
Finel BIocWRetelning wall
Final Factory Fire Place
Finel Sign
Final Demolition
D�TE I�Ak$ �PE2 MSPECTIONTYPE
206 Final Mechanical
208 Final Plumhing
� 210 Final Electncal
212 Final Fire Prevention
220 Final Planning ApOroval
222 Final Site
250 Final Builtlingi0aupancy
2tE II�E4fi
�� �
�/.�il �
June 19, 2006
CITY OF COSTA MESA
P.O. BOX 1200 • 77 FAIR DRIVE • CAIIFORNIA 92628-1200
DEVELOPMENTSERVICESDEPARTMENT
BUILDING DIVISION
COURTESY NOTICE OF PERMIT EXPIRATION
Trico Rents
201 Paularino Av
Costa Mesa CA 92626-3313
PERMIT NUMBERS
FOR:
PROJECT ADDRESS
E02-00033
Electrical for Suspended Shop Heater
923 Newhall St, 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
office 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 July 3, 2006.
If you have any questions, please contact the Building Division at 714-754-5273,
between 5:00 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 ane Weidenkeller
Office Specialist II
cc: Dependable Graham Air Conditioning
2952 Century PI
Costa Mesa CA 92626
Building Division (714) 756-5273 • Code Enlorcement (714) 754-5623 • Planning Division (714) 754-5245
FAX (714) l%-4856 • TDD (714) 754-5244 • www.ci.costa-mesa.ca.us
. ' . R
(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 923 NEWHALLST
Suite No
s� �e��,:
Vicinity: D LPHI DISPLAY SYSTEMS
Parcel Number. 42439102
Applicant GRAHAM, FRED, j,,, '
Address: 2952CENTURY_PL'� _� .
r' „ �
COSTA.MESA.�CA\ . . '
�,
' �
owner: . "� TRICO'RENTS- -
Address � �201,PAULARINO AVE ,
� COSTA MESA; CA
MECHANICAL PERMIT
Status: ISSUED
Applied: 01/15/2002
Issued: 01/15/2002
ISSUED BY: �
, , _
�. `
:� '� "`��
� �� Phone: 714-546-1653 .� ., _� � �
' Zip: 92626 ' �� �`� ��
� - - . . - � � � � ` �`� � -.� •
, �
_ , � � \. � -�A�.�
-`�� _ i �`. ,
� � '/
Phone: � ; � � � � �
Zip: 92626 � � . , .
., . . .. . � . � . .
Contractor: DEPENDABLE GRAHAM AIR CONDITIONING ,
�
",
Address: 2952�CENTURY PL - � _ � � - � , .' ' � �,
� . - � , � � �� P,hqne: 714-546-1653 � - ,. . '
" � COSTA MESA, CA - � - � Zip: 92626 � � ` � �- �
- � �, �� � License:472690 ; _ ,' \ ,
. ��
� � � SCOPE OF PERMIT �� � '
" MECH PERMIT TO INSTALL ONE 165,000 BTU SHOP SUSPENDED HEATER FOR "DELPHI.
' DISPLAY SYSTEMS. -, - , - � - , - , - � - , . y, -; �, �
' �NO OTHER WORK WITH THIS PERMIT. ` - � - �
Quantiry
ISSUE FEE $23.50 � - ' -
InsfFAU <100 k BTU � $0.00 '0 �
Inst FAU ?100 k BTU $0.00 0
Repair/Alt Cooling/Heat $0.00 0
Inst / Rep. Recess Wall Htr $0.00 0
Refrig Sys <100 k BTU . $0.00 0
Refrig Sys >100 k BTU , $0.00 0
Gas Piping $6.15 1
Factory Fireplace � � $0.00 0
Hood w/Mech Exhaust , $0.00 . 0 -
VAV Box . " $0.00 0 -
Vent Fan / Single Duct , $0.00 , 0
Appliance � - $Q00 ���0 -
Fire Dampers , � , $0.00 0 � �
Smoke Dampers � � $0.00 - 0
Inst or Relocate Appl Vent �$0:00 . 0
Air Handlers < t0000cfrti � �$0.00 : 0 '
Air Handlers > 10000cfm �� � $0.00' � 0
Floor Fumace � $0.00 �0
Floor or Suspend Heater �$14.80 1 �
FEE SUMMARY
"-- '- �Repair/AItAb'sorbtionUnit
� ' � Repair/AltRefrigerationUnit
Ventillation System
� EJaporative Cooler �
Comme rcia l I ncine retor
Domestic Incinerator
. . �. Compressors / Absomtion Systems
$0.00
$0.00
$0.00
80.00
$0.00.
- $0.00
, Up to 3, hp / 100 k BTU - $0.00
, " 3 To 15 hp / 500 k BTU � $0.00
15 To 30 hp /.1,000 k�,BTU �'� � $0.00
' - 30 To 50 hp / 1,750 k BTU � $0.00
, � . Over 50 hp / Over 1,750 BTU �' ' � $0.00
� Boilers . . � ,
Up to 3 hp _ � . - ; ; $0.00
, , 3 To 15 hp . , , �$0.00
�- 15to30.hp , �%�' $0.00
30 to 50 hp � ' $0.00
� - Over 50 hp.. � ' ' �' " $0.00
' Other Mechanical Fee - � , �
, . Investigation Fee , $0.00
Plan Check Fee - � $0.00
. Reinspection' Fee � $0.00
TOTAL CALCULATED FEES
COMMENTS / SPECIAL CONDITIONS
544.45
�Quantity
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. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 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 Inspections and final appro�al must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714) 75M5626
2446-bfi (N00)
WORKERS' COMPENSATION DECLARATION: — -
I hereby attirm under penalry ot perjury one of the following declarations:
❑ I heve end will maintain a certificate ot cansent to self-Insure for workers' compensation, as provitled for by saction 3700 ot �he Labor Code, for the peAortnence of ihe
work tor which thi5 permit i5 i55ued.
� I heve antl will maintain workers' compensa6on insuranca, as requiretl by section 3700 of Ihe Lebor Code, for the peAortnanca oi the work for which this pertnit is issuetl.
My workers' wmpensa4 n Insurance cartler entl policy number are: /� ¢t n
cema�: Z�Ri�h I�rnC2cc�( —�n5�✓�-�t�n�cz— � PolicyNumber. �C �-1 � tJ Z7-/
(Thls secf/on need no( be comp/ereU i/ the perm/t is valued ef one hundred dollars ($100) or less.)
❑ I certify thet in the pertormance of the work lor which Ihis pertnit is issued, I shall not employ any person in eny manner so as to become subjact to the workers'
compensatlon laws of Califomia, and egree thet tl I shoulC become sub�ect to [he workers' compansation provisions of Seqion 3700 of the Labor Code, I shell fotlhwit�
comply with Ihese Dr ons.
ApplicentSigneture: �G(�/ CN/��1%vYY� Date: ��/S,Q �--
WAPNINO: FAI�URE TO SECUFE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU9)ECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED
T}KRISAND OOLLAFE (5100,000). IN AODIiION TO THE COST OF COMPENSATION, DPMAGES AS PROVIDED FOii IN SEGTION 3lW OF THE LABOR ODDE, INTEREST, AND ATTOiiNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby effirtn lhat I em licensetl untlerp rovisions ot Chapter 9(commencing with Section 7000) ot Division 3 of ihe Business end Protessions Code, and my Ilcense is In full
�orce end enect. uc. a � 7 li�./o �l C�ess a G—ii Ci
Contrector's Signawre: �n� � , � i nnn Dete:
CONSTRUCTION LENDING AGENCY:
❑ I hereby aHirtn Ihat there is a consiruction lentling agency for Ihe pertormance of the work for which ihis permit is issued. (Sec. 3097, Civil Cotle).
Lendefs Name: �entler's Atltlress:
Sipneture: Date:
OWNER-BUILDER DECLARATIONS:
I hereby ettirtn Ihet unGer penalry oi perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professlons
CoOe: My city or counry which requires a pertnit to consiruct. alter, impmve, demolish, or repair any sWcture, prior to its issuance, elso requires the epplicant for such permit
to flle a slBnetl stetement that he or she is Ilcensetl pursuem to the provisions of ihe Contradors License Lew (Chapter 9(commencinq with Section 7000) of Dlvision 3 ot Ihe
Business end Professi0n5 Code) or that he or she is exempl therefrom and the basis for the allegetl exemption. Any violetion of Section 7031.5 by any applicant for e pema,
subjects the ep0licant to a civil penalry of not more ihan tive huntlretl tlollars ($500).):
❑ I, as owner ol the property, or my employees with weges es thelr sole compensation, WILL DO THE WORK, entl Ihe structure Is not intentled or oHeretl for sale (Sec.
7044, Business and Protessions Code: The Contractors License Law tloes not apply to an owner of pmperry who huiltls or impmves thareon, and who does such work
himsell or hereelt or Ihrough his or her own employees, provitled that such improvements are not intended or oflerea for sale. tl, however, the building or impiovament is
sold within ona year ol completion, ihe owner-builtler will have the burden ot proving ihat he or she tlitl not build or improve tor purpose ot sale.).
❑ I, es owner ot ihe property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business end Protessions
Cotle: The contredor5 License Law tloas nol apply Io an owner of pmperty who huilds or improves ihereon, entl who coniracis lor such project with e contreCtor(s)
license pursuant to the Contractors License Laws.).
❑ I em exempt under sec. Business and Professions Code tor ihis reason:
Signature: �ate:
Owner ID veritied by drivers license. ❑ Ves ❑ No Orivers License No.
VedficaUon ot Ownership by (rype of daument, I.e. - property tax bill ar deetl):
Expires:
DIVISION OF INDUS7RIAL SAFETY PERMR CERTIFICA710N:
❑ I �ereby certity that no exwvation tive (5) or more teet in depth into which a person is required to descend, will ba mede in connedion with work authorized by this
pertnil, end that no builtling structure, sceMdding, talsawork, or demolition or dismantling thereot, will be more than thirty-six (36) teet hiqh. (Chap. 32, Gry 2, Ar12, Sec.
341, T1Ile B, Calitomia Adminisirative Cotle).
❑ As owner-builder, I will not employ anyone to tlo work which would require a pertnit irom ihe Division of Indusinal Sefery, es natetl above, unless such person hes e
pertnit to do such work from the division.
Signature: Date:
Division of InCustnel Sefery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF EMRY: I cenify under penalry of perjury that I have read Ihis epplication antl state tha� ihe infortnation given is
correcL I egree to comply with all state laws and ciry ortlinances relating to 6uilding construdion, and authorize represeNatives ot the Ciry ot Costa Mesa to enter upon the
abova-descrlCetl properry tor inspection purposes. I agree not to occupy or allow occupancy of any buildinq authorized by �his permit until final inspection.
G��gn ra Of Legal Owner(s) ///� /O Da�
-� �;
Antl/Or Aulhorized Applicant � Date
COOE I. INSPECTONTYiE
1818 Fixed System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Root
201 Final BIocWRe�aining Wall
202 Final Factory Fira Place
ii 203 Final Sign
' 204 Final Demolition
DRTE INTRIALS
C 0 � INSPECTIONTYPE
206 Final MeC�anlcal
208 Finel Plumhing
210 Finel Electncal
212 Final Fire Prevention
220 Final Planning Approval .
222 Final Site '
250 FinalBuiltling/Occupancy
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