HomeMy WebLinkAbout249 OGLE ST - Building Permits1 j
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Job Address: 249 OGLE ST
Suite No C003
Vicinity:
Parcel Nunmber: 42520405
Applicant:
Address:
Owner:
NOCK PLUMBING
11612 KNOTT ST
SUITE 217
GARDEN GROVE, CA
ROBSON. ERNEST S JR TR
Address 28095 CALLE VALDES
Contractor.
Address:
Arch / Eng :
Address:
ISSUE FEE
Backtlow irtigation
BackFlow Preventer
Bathtub
Clanfer Syslem
Connect pce,Soda,etc)
Dental Units
Dishwasher
D2in, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas EaMquake Valve
MISSION VIEJO, CA
NOCK PLUMBING
11612 KNOTT ST
SUITE 217
GARDEN GROVE, CA
WATER HEATER CHANGE OUT.
AMT
523.50
30.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
PLUMBING PERMIT
Phone: (714) 8951246
Zip: 92841
Phone: 949-646-1605
Zip: 92692
Phone: (714)895-1246
Zip: 92841
License: 707775
Phone:
Zip:
License:
SCOPE OF PERMIT
FEE SUMMARY
QTY AMT
Laundry Tub / Washer $0.00
0 Landscape Irrigalion $0.00
0 P-Trap $0.00
0 Pressure Regulator $0.00
0 Process Piping (per 10 ft) $0.00
0 Receptors 50.00
0 Septic Tank 50.00
0 Sewer Cap for Demo $0.00
0 Sewer Connect 50.00
0 Sewer Private Line 50.00
0 Shower $0.00
0 Sink, bar $0.00
0 Sink, commercial $0.00
0 Sink, Floor $0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Status: ISSUED
Applied: Ov02/2004
Issued: 02/02/2004
ISSUED BY:
SumpPump
Swimming Pool
Trap Primer
Unnal
Vacuum Brkr BkOow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toileq
Water Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$12.30
ao.00
$0.00
50.00
QTY
0
0
0
0
0
0
0
0
0
0
1
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, 72-21•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 ihis permit to be considered legal, such work must comply wlth all applicable codes, and all
requlred Inspeetiona end finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit.
FOR INSPECTIONS CALL: (714) 7545626
za+e�ae �eroo�
WORKERS' COMPENSATION DECLARATION: ' � . �
I hareby aHirtn under penalry of perjury one oi ihe following declarations:
❑ I h �e and will maintain e certificate ot consent lo self-Insure for workere' compensetion, as pmvided for by section 3700 of ihe Lebor Code, lor the pedormance of ihe
rk for which this pertnit is issued.
I heva and wlll maintaln workers' cwnpensation insurance, es requiretl by section 3700 0l Ihe Lebor Code, for the pertortnance of Ihe work Por which Ihis permit is Is5ue0.
My workers' compansetlon Insurence carrier antl policy number ere:
Carner: Policy Num6er
(This secfion neetl no( be complefed i! Ihe permif is valued et one Aundred dallnrs ($100) or less.)
❑ I certity that in Ihe pertormence of the work for which this permit i issued, I shall not employ any person in eny manner so as lo become subjact to the workers'
compensatlon laws of Califom(�, end e ree that ould beco e subJect to lhe workers' compensatlon provislons o� cY n 3� ol/he Labor ode, I shall lonhwlth
comply wiih these provision ! '
Applicent Signature: I Dete:
WTIIOUSPNDF�DOl1ARE(SSOD,OOO�1NADDRRONTO ECOS�COMPENSATION,DAM4GSASPROVDEDWRNSECTION3]O60FTHE �CODE,SMEREGSTLANDATiORNE`fSFEESDRED
LICENSED CONTRACTORS DECLAHATION:
I hereby eMirm that I am licensed tl r provisic
larce end eHecL Lic. N
Gonlreclofs Signature:
CONSTRUC710N LENDING AGENCV:
Chepter 9(commencing with Section 7000) of Dlvislon 3 oi the Business and Profeysions C� e, end my license is in full
Cless q _ �
� Date: �_. !A . '
❑ I hereby aHirm �hat there is a consiruction lentling agency for Ihe performance ol the work for which Ihis permit is issuetl. (Sec. 3097, Civil Code).
Lendar's Neme: Lender's Adtlress:
SigneWre:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby ettirtn that under penelry ol perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe fallawing reason (Sec. 7031.5, Business and Professions
Code: Any ciry or counry which requires a pertnit to consiruct, alter, impmve, Aemolish, or repair any sWcture, prior to its issuance, also requires Ihe epplicaN tor such pertnit
to file e signed stetement thet he or she Is licensed pursuant to Ihe provisions ol tha Contrectors License Lew (Chapter 9(commancing with Section 7000) oi Dlvlsion 3 of the
Businoss end ProfeSSionS Code) or thet he or 5ha i5 exempt iherefrOm and the besis for the alleged ezemption. Any violation of Sectlon 7031.5 by any aOPlicent tor e permit
su6jects t�e applicant to e civll penelry oi not more than five huntlretl tlollars ($500).):
� I, as owner ot the property, or my employeas with weges es their soie compensatlon, WILL DO THE WORK, and ihe sWcture is not Intentletl or oNeretl foi sele (Sec.
7044, Business and Professions Cotle: The Coniracbrs License Law does noi apply to an owner of propeny who builds or improves Ihereon, antl who tloes such work
himselt or herself or thwugh his or her own employees, provided that such Improvemenis are nol Intended or oHered for sala. It, however, �he builtling or Improvement is
sold within one year ot completion, ihe owner-builder will have ihe burden of proving thet he or she did not build or improve for Durpose ot sale.). '
❑ I, es owner of the property, em EXCLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions
Code: The cnntraaors Ucense Lew does not epply to an owner ot pmpeny who builds or impmves thereon, entl who contracts tor such project with a contrecior(s)
license pursuant to ihe Contractors Licanse Laws.).
� I em exempt under sec.
Signature:
Ownet ID venfied 6y tlnvets license. ❑ Yes � No
Business and Professions Code for this reason:
Verilicetion af Ownership by (type of document, i.e. - properry tex bill or deed):
Dnvefs license No.
Da�e:
Ezpires:
DIVISION OF INDUSTRIAL SAFETY VERMIT CERTIFICATON:
❑ I hereby certify that no excavetion five (5) or more Ieel in tlepih into which e person is requireG to descend, will be made in connectlon with work authorizetl by Ihis
pertnit, and that no 6uilding swcWre, scaHolding, falsework, or demolilion a tlismantling thereof, will be more ihan Ihirry-six (36) feel high. (Chap. 32, Grp 2, Atl 2, Sec.
341, Ttle 8, Califomia Administrative Code).
❑ As owner-builder, I will not employ enyone to do work which would require e pertnit from the Division of Intlustrial Salety, as notetl aDove, unless such person hes e
permit to do such work from ihe division.
Signature: Date:
Division oi Industnal Sefery Pertnit Number:
CER7IFICATE OF COMPLIANCE ANO AUTHORIZA710N OF EMRV: I certify under penalry ot perjury ihat I have read this application end state Ihat ihe information given is
correct. I egree to wmply with all stata laws entl ciry ortlinances relating to building construction, and eulhorize representatives ot Ihe Clry oi Costa Mesa to enter upon Ihe
ebove-tlescribed properry tor inspection purposes. I egree not to acupy or ellow acu0ancy ot any building au�horizetl by this pertnit until linel inspection.
COOE �. INSGECTIONTYPE
1616 Fized System Final Fire Prevention
1266 Pool Spe Finel
200 Final Re-Roof
201 Final BIocWRetaining Well
202 Final Factory Fire Place
203
204
Final Siqn
Final Demolition
7�¢ y4pF�e INSPECTIONTYPE
206 Final Mec�anical
208 Finel Plumbing
210 Final Elecirical
212
220
Final Flre Prevention
Final Planning Approval
222 Flnal Site
250 FinalBuiltling/Occupancy
P�IF Itii�LS
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