HomeMy WebLinkAbout245 HANOVER DR - Building Permits(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 245 HANOVERDR
Suite:
Vicinity:
Primary Occ: R-3 Dwellings/ Cong Res <10 Type of Consiruclion: V-N
Parcel Number: 14139108 Zoning:
Applicant: JUDY GRIFFITH
Address:
Status: ISSUED
Applied: O6/21/2006
Issued: 06/21/2006
- Phone: 714-960-7052 ISSUED BY:
Zip: --
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Owner: MCGEE,DONALDA=: "� _ - . ,-
Address 245 HANOVER,DR � - ,_ . � . . _ _.
. . ' . . � Phone:. , ., ,..`
COSTA MESA, CA � � � � Zip: 92626 ' -�� � � � A
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Contractor. J K CONSTRUCTION. - �` ` '
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Address: 915 LAKE ST � . - � � � `' � � � � � ' ���' ��
� .�" ,"�" Phone: 714-404-9846CELL���, �,� <: ��\\,\
HUNTINGTON�BEACH, CA �'���jA� �/ i .A��
� Zip: 92648 �: %, ' . License: 450297 -�:A�\�' % ���•�
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Address: � _ Address: ��� ',, � • " �c.'
� Phone: ' - � - �. i ' . Phone:" .
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Cicense:
Zip: � � - � License:. •,.rj!� � ` ' - , ; , � ��
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' � . ` - -- " SCOPE OF PERMIT � ` ;-� . _- : '�
2 BATHROOMS REMODEL, REROOF 3000SF RESIDENCE W/COMP SHINGLES, MINOR ELECTRICAL;',MECH AND PLUMBING.._ '
� .� .
� � � FEE SUMMARY ��� ��� ' � � � ,'
Plan Check: $0.00 Calc Valuation: 820,000.,00
� Permit: $321.25 � � � � � "� �a' ' �' -'� �,<� � `�� �'T`�;;Claim Valuation: „ '� :' Szo,000.00 �
SMIP Res: $2.00 . _ . .. . . . _ _ ,_ , . _. . ,
SMIP Com: $0.00 � =" ,
Other: $0.00 ,
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Inspection: ' $0.00 --- -__ i, - r: . - �
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_ �/ _ ,
� Total: $323.25 � . � i � � �� �� � � t�,
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PLANNING&'ZONING �. : %
SETBACKS " - -_- � � � -
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MAINSTRUCTURE Front �0.0 Rear 00_ .� Left`�.�0-0 Right 0-0��� � -
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ACCESSORY Front �:0;0, _ Rear �- 0-0 , _ Left 0 0_ ti°` � -n Right , �0".�� , � -; �
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PARKING Existin : 0., . Required: �0� - , Pr000sed: 0 ��- � � /�.��
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NOTICE: The work authorized by this permit shall comply with afl applicabte handicap access requiremenis under Califomia atatutea and related
regulations. (Ord. No. 92•28, § 1, 72-21-92)
EXPIRATION: This permit shall allomatically expire and become void if work is not commence0 xdihin 780 days, or if work is suspended or abantloned
tor a period W 180 days.
INSPECTIONS: In order for the work authorized under this parmit to be considered legal, such work must comply with all applicable codes, an0 all
requlred Inapections end iinal apprrnal must be obtained. Failure to obtain inspections and tinal approval will result in the expiration ot this permit.
FOR INSPECTIONS CALL: (714) 7545828
zsee-�s (eroo)
WORKERS'COMPENSATION DECLARATON: � � - � ' �
I hereby ettirm untler penalry of perjury one of the following tleclarations: - ,
❑ 1 heve end will meintein e certificata ot consent to sell-Insure tor workers' compensetion, es provitled for by section 3700 of the Labor Cotle, for t�e pertormence of the
work tor which ihis pertnit is issued.
❑ I have and will maintain workers' compensation insurance, as required 6y section 3700 of ihe Lebor Coda, for the pertortnance oi t�e work For w�ic� this pertnit is issued.
My workers' compensation Insurence carrier antl policy numDer ere: •
Cerrier: / Policy Number:
(�TA/isye ction neetl nof be canple(ed il the permi! is valued ef one hundred dollars ($100) or /ess.)
(1 I certity ihat in ihe pe�c�mance ot t�e work for which this permit is issuea, I shall not employ any person in eny manner so es to become subject to the workers'
' compensation law:
comply with thes
Applicant Signature: �
WARNING: FNLURE TO
TVKKISAND DOLLARE (E1
LICENSED CONTR
I hereby aNirtn that I am
fo¢e and eHecL Lic. a
Contractors Signature:
CONSTRUCTON LEN(
i, and egrep
DECLARATION:
AGENCY:
to Ihe workers' compensation provisions oi Section 3700 of the Labor Cotle, I shalllorthwith
xiv / oace: / o • �-� — c� / J v
IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES MID GVIL FlNES UP TOIXJE HUNDqED
�TION, DAMAGES AS PROVIDED WR IN SECTION �W OF THE IABOR COOE, IMEREST, AND ATTORNEYS FEES.
9(commencing with Sect�00) oi Division 3 oi the Business
CIB55 M
.(/l � / Date: �—
end my license is In
❑ I hereby ettirm ihai Ihere is a construction lending agency tor the pertormance of the work for which ihis permi� is issuetl. (Sec. 3097, Civil Code).
Lender's Nama:
Signature: _
OWNER-BUILDER DECLARA710NS:
Lenders Address:
Data:
I hereby aHirtn thet under penalry ol perjury that I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business end Professions
Cotle: Any ciry or counry which requires e pertnit to consWct, elter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicent for such partnit
to fila e signetl stetement Ihat he or she is licensed pursuant to the pmvisions of ihe Contrectors License Lew (Chapter 9(commencing with Sectlon 7000) of Divislon 3 of Ihe
Business and Profe55ions Code) or that he or sha is exempt therefrom end Ihe besis for the ellegetl examption. Any violation of Section 7031.5 by eny epplicant tor e permil
subjecis ihe epplicant to a civil penalry of not more then five hundred dollers ($500).):
❑ I, as owner of Ihe property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the strucWre is not intended or oMeretl for sele (Sec.
7044, Busineu antl Protessions Cade: The Contractors License Lew does not apply to an owner ot property who 6uilds or improves ihereon, and who does such work
himself or herself or through his or her own employees, provided ihat such improvements are not intended or oMeretl for sale. Ii, however, ihe builCinq or improvement is
sold within one year of complation, the ownar-builder will have the burden ot proving that he or she did not build or improve tor purpose of sale.).
❑ I, as owner of Ihe pmpeny, am EXCLUSIVELV CONTRACTNG WITH LICENSED CONTHACTORS to construa the project (Sec. 70ad, Business and Professions
Cotle: The comractors License Law Aoes not appry to en owner ot propeny who Duilas or improves thareon, and who contracts lor such project with e contrector(s)
license pursuant to the Contractors License Laws.).
❑ I em exempt under 58t.
Signatura:
Owner ID verified by drivers licensa. ❑ Ves ❑ No
Business and Protessions Code lor Ihis reason:
Verification ol Ownership by (rype of document, i.e. - property tax bill or daed):
DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFICATION:
Drivels License No.
Date:
Expires:
0 I hereby certify iha� no excavation fve (5) or mora teel in depth into which e person is required to descend, will be matle In connection with work authorized by this
pertnit, and that no building sirucNre, scaflolding, talsework, or demolition or tlismantling ihereot, will be more than thirty-six (36) teet high. (Chap. 32, Gry 2, Ar12, Sec.
347, Tttle 8, Califomia Administrative Coda).
❑ As owner-Duilder, I will not employ anyone to do work which would require e permit trom the Division of Industnal Safery, as noted ebove, unless such person hes e
permit Io do such work trom Ihe tlivision.
SignaWre: Date: �
Division of Indusirial Sefery Permit Num6er:
CERTiFlCATE OF COMPLIANCE AND Al7THORVA710N OF ENTRY: I cetlity under penalry of perjury Ihet I have read this application an0 state Ihet the iMortnation qiven is
conect. I egree to compty wlt� ell state laws and city ortlinances releting to bullding consiruction, antl authorize representetives of the Ciry oi Costa Mesa to enter upon Ihe
above-describetl property for inspection purposes. I egree not to occupy or allow occupancy of any building authonzetl by Ihis permit until tinal inspection.
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RISPECTONTYPE
Fixetl System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Rooi
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 � Final Demolition
�jF� R L
GODEt INSPECTIONTYPE
206 Final Mechanical
20B Finel Plumbing �
210 Final Eleciricel
212 Final Fire Preventlon
220 Final Planning Approval
222
250
Final Site
Finel Building/Occupancy
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(714) 754-5273 • Fax (714) 7%-4856 • www.ci.costa-mesaELECTRICAL PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
JobAddress: 245 HANOVERDR Status: ISSUED
Suite No . Applied: 06/21l2006
Vicinity: � Issued: O6/21/2006
Parcel Nunmber:
14139108
npp�icant: JUDY GRIFFITH �
Address: ISSUED BY: �-
Phone: 714-960-7052 .
. . ; �,Zip_ . .,- .. -. _ � - ,
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Owner. MC GEE,.DONALD A� � � � �� �' / � , � _,
Address 245 HANOVER DR � �, , , . _ � � � � � � `� � i �'�:�-�A
, � , � � � � Phone: -- ----
COSTAMESA,�CA � - ; - ."Zip: _ 92626
- `. � .- - - , - -
Contracror: J K CONSTRUCTION
Address: 915 LAKE'ST - �' �
� HUNTINGTON BEACH, CA
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Phone: 714-404-9846CELL `�A ������ V�„
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Zip: ' ; 92648 � � �: �, '.
License:450297 _ • � � �
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� � � �SCOPE OP PERMIT,, �, � � � � � '�
2 BATHROOMS REMODEL, REROOF 3000SF RESIDENCE W/COMP SHINGLES, MINOR ELECTRICAL, MECH �
"AND PLUMBING, REPLACE 4FIXTURES, 80UTLETS, 2SWITCHESAND'1CONDUIT, RE:BO6-00996.�•�� .�
. _ ., _ . . � � �'
- . FEESUMMARY �, ; ';, �
Quantity . ` Quantity � .'
ISSUE FEE $23.50 � Tem Dist S stem / Li h6n $0.00 0 � `'
� r ' -r� ;,-v ._^ P Y 9 9� �.A � � t . -, �
Temp service test $0.00 �� � � � � , � � , BuswayJ100,ft � F � ; ,A�' �� $0.00 0 � ; � . -
Res. alc package $0.00 � ' "- - � Standing:Section ' ' � ' . . $0.00 0 „ . ,
New Res (7-2 units) $0.00 0 Misc Eleclrical Equipment r $0.00 0 �. , ,. ` � ' ' ,
New Res (3+uniis) 50.00 0 �� Transformers up to T kva/kw ' $0.00 0. �,, �, � `
Pool I Spa $0.00 , 0 .;up to 10kva/kw ' $0.00 0 � , �
Lighting Fixts � $4.40 . 4� _ . _ ..... �...up to 50 kbe/kw. `".; $0.00 0 ' r - .. , ' '
, .,, . . ; „ .�
ReceptOutlets . $8.80 .. 8 . ...:�......._....uptot00�.kva/kw �.- $0.00 0 �`.� � '� ��
Switches $220 2 .............. �...over 100 kva/kw $0.00 0 ,� i � ' '
Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0` ', '�
Res Appl " � $0.00 ' 0 Low Volt Widng System / Ckt �� $0.00 0 ; � � _ �j ;
Service to 200a � $0.00 � 0 Misc."Conduit� ' � $1820 �'1� ,' , .
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Service to 1000a � � $0.00 0 ..-Mjsa Conductor $0.00 ; �0,� j � , , � .
Service over 7000a � . $0.00 � 0 -- ���Cirous�( gen or ride) , $0.00 �;,,0 �- , . �
Motors to 1hp .� $0.00 0 ''' � � Clrws�(mech ride or lights) $0.00� �i ' 0 � „ ,
Motors to 10hp � $0.00 0 „ ;�;� ' � Chrisimas Tree`Stand $0.00-��' 0 - .
Motors to 50hp� � $0:00 � �_, - 0. � - � -� Fireworks Stand �;,:.�� s;.;,,;,:-�-�-, $0:00-' 0`>�' j, � '
Motors to 100hp $0.00 0 � � � '" . � Olher Electrical Fee - ." � -- � ' ;$0.00 `- �
Motors over 100hp $0.00 ' = 0 " , - - �� ' -,�'�-� %,�� '
Communication drops . $0.00 '- . � 0 � � Investigation-Fee � - - � $0.00' � ' '
Sub panel l0 200a $0.00 � � -� 0 � � ' � Plan Check Fee - $0.00-� ,�,
Pole Light Pkg ' $000 - � 0-- � " Reinspection Fee- -- � $0 00 , � �• /�
Sign Circuits � - - $000' � � 0� � ---�`_ `: � : �'� �A �� �/� '
Temp Pwr Pole '`�$0.00 � �i 0` � TOTAC CALCULATED FEES�357.10� �
Intermed Pole � . � 50.00 � 0 �� � � / � . - , �. � � � � " " "
- COMMENTSdSPECIALCONDITIONS''. "
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
I EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
I for a period of 180 days.
INSPECTIONS: in order for the work authorized under Ihis permit to be considered legal, such work must comply with all applicable codes, and all
requlred Inapeetiona end }lnel epproval must be obteined. Failure to obtain inspections and final approval will result in ihe expiration ot this permit.
FOR INSPECTIONS CAIL: (714) 7545626
CL::��i� •;. ni
WORKERS'COMPENSAnON DECLARATON: � � � ' - � '
I hereby aflirtn under penalry ot perjury one of the following deGarations: •
❑ I have anC will maintein e certificate ol cronsent to selt-Insure for workers' compensation, es provided for by section 3700 of the Labor Code, for the peAortnance oi the
work for which Ihis permit Is issued.
❑ I have antl will maintein workers' compensation insurence, es required by section 3700 ot the labor Cade, Por t�e pertortnance oi the work tor w�ic� Ihis pertnit is Issued.
My workers' compensatlon Insurance carnar antl policy number are:
Cerrier: � Policy Number:
(This section need not be cample(eU i/ the permit is velued et one hundred dollers ( 00) dr less.) �
❑ I cetlify that in
compensation
comply with th
Appliwnt Signeture:
'� WARNING: FAILURE TI
TlIOUSAND DOLLARE
�
�
LICENSED CONTRRCI
I hereby attirm that I am
torce and ettect. Lic. q_
Contractors Signature/
CONS7RUCT10N L
❑ I hereby aHirm
Lenders Name:
Signature: _
of the work for whichJAisqertnit is issuetl, I s�all not employ any person in any manner so as to bacome subject to the workers'
i, and e Ihat If I sp uld become sqbject to Ihe workers' compensatlon provisions ot Section 3700 of the Wbor Code, I shall tort with
���r/J ��✓� % oa�a: � — -�— r �- � �' �
{i5' COMPENSATIf� ERAGE IS UNUWFUL AND SHALL SU61ECi AN EMPLOVER TO CRIMINAL PENALTIES M1D GVI� FlNES UP TOONE HUNDPED
'ION TO THE C0a'iOF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIIXJ 3]O60F THE IABOR ODDE, IMEREST, ANO ATTORNEV'S FEES.
DECLARA710N:
9(commencing wiih Sect%i �'7000) oi Division 3 oi the Busine55
i _ / Class k _
� Date: �=
Code, antl my license is in full
ING AGENCV: �
Ihere is e consiruction lentling agency for the performance of the work tor which ihis permit is issued. (Sec. 3097, Civil Code).
Lender's Address:
Date:
OWNER-BUILDER DECLARATIONS:
I hereby ettirtn Ihet under penalry of perjury Ihat I em E%EMPT FROM TME CONTiiAC70RS LICENSE LAW for Ihe following reason (Sec. 7031.5, 8usiness end Professions
Cotle: Any ciry or counry which requires e permit to construct, alter, improve, tlemolish, or repair eny structure, Prior to its issuance, also requires the appliwnt for such pertnit
to lile a signetl stetemem ihat he or she Is Ilcensatl pursuent b the provisions of the Cantradors License Lew (Chapter 9(commencing with Sectian 7000) at Division 3 of ihe
Business and Profeulons Cotle) or that he or she is e:empt thereirom and Ihe besis for ihe elleged exemption. Any violation of Section 7031.5 Dy eny ep0�icant for a permit
subjects the eppliwnt to a civil penalry ot not more ihen five �undretl tlollars ($500).):
❑ I, as owner ot tha pmperty, or my employees with wages as thelr sole compensation, WILL DO THE WORK, and ihe structure is not intentletl or oHered for sele (Sec.
7044, eusiness and Professions Cotle: T1ie Contractors License Law does not apply to an owner of property who builtls or improves iheraon, and who tloes such work
himself or herself or Ihrough his or her own employaes, provided thet such improvemanis are not intended ar oHered lor sale. If, howaver, ihe building or improvement is
sold within one year ol completion, ihe owner-builder wi0 have ihe burden of D�o�ing that he or she did not build or improve for purposa of seleJ.
❑ I, es owner ot Ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTOHS to conslruct Ihe prolact (Sec. 7044, Business and Professions
Code: The contractors License Lew does not apply to an owner oi properry who builds or Improves ihereon, antl w�o contracis br such pro�ect with e contractoqs)
license pursuant b the Contractors License Laws.).
❑ I am exempt under SBc. Business an0 Prof855ion5 Code for thi5 rea5on:
Signature: Date:
Owner ID verified by tlriver'Slicense. ❑ Ve5 ❑ No Drivefs License No.
Ventication oi Ownership by (type of tlaument, i.e. - properry tax bill or deed):
Expires:
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby cenity thet no eawvetion five (5) or more feet in depih into whlch e person is required to descend, will be metle in connection with work euthonzed Dy ihis
permit, antl that no building siructure, swttolding, falsework, or demolition or tlismantling thereoi, will be more then ihirty-si: (36) teet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle e, Califomia Administrative Cotle).
❑ As owner-builder, I will not employ anyone to do work which would require e permit irom Ihe Division ot Industrial Safery, as noted above, unless such person has e
pertnit to do such work fmm the division.
Signature: Date:
Division of Indusirial Safety Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AUh10RVJ1T10N OF EMFiV: I cenity under penalty ot perjury that I have reaA this ep0liwtion and state Ihat the information given is
conact. I agree to comply with all siate laws end ciry ortlinances relating lo buliding cnnsWdion, antl euthodze representatives of t�e Ciry oi Costa Mesa to entar upon the
above-Cescribed pmperty for insDection purposes. I egree not to wcupy or allow ocapancy ot any building authodzed by this pertnit until linal inspedion.
16�xe0 System Final Fire Prevention
1 66 Pool Spa Final
200 Finel Re-Rooi
207 � Fine181ocWRetaining Wall
202 Final Factory Fire Place �
203 Final Sign
204 � Final Demolition
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1111 _ .
/ / ` / Date �
l� �_ 7
Date
CODE• INSPELTIONTYPE � , D�TE ��
206 Final Mechanical �
208 Final Plumbing
210 Final Elactricel
212 Flnal Fire Prevention
220 Final Planning Approval
222 Final Site
250 � Final Building/Occupency
�
(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
MECHANICAL PERMIT
JobAddress: 245 HANOVERDR
Suite No
Vicinity:
Parcel Number: 74139108
o.pp�icant JUDY GRIFFITH
Address: �"� � �
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Owner: MC GEE, DONALD A'�
Address: %246,HANOVER�DR - � �
COSTA MESA, CA
Contractor: �J K CONSTRUCTION
Address: 915 LAKE ST -
iPhone:
Zip: .
-Phonei
Zip:
Status: ISSUED
Applied: 06/21/2006
Issued: O6/21/2006
ISSUED BY: .�
714-960-7052' �
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- ' � Phone:;�714-404-9846 CELL '" �� � � �
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� , HUNTINGTON BEACH, CA Zip: �92648 � ��� � , . � � � '
' License:450297 � .,. � .. A� � •
SCOPE OF PERMIT ,. "
2 BATHROOMS REMODEL; REROOF 3000SF RESIDENCE W/COMP SHINGLES, MINOR ELECTRICAL, � �
MECH AND PLUMBING:, REPLACE�1 FAU, RE:B06-00996� - � _ �_ =� � , � �: � , , , ,' _
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >100 k BTU
Repair / Alt CoolingMeat
Inst I Rep. Recess Wall Hir
Refrig Sys <700 k BTU
Refrig Sys >100 k BTU
Gas Piping
Faclory Fireplace
Hood wlMech Exhaust
VAV Box
Venl Fan I Single Dud ���� �
Appliance
Fire Dampers � �
Smoke Dampers -
Inst or Relocate Appl Vent
Air Handlers < t0000cfm
AirHandlers> 10000cfm
Floor Furnace
Floor or Suspend Heater
- FEE SUMMARY ' '
., Quantiry V �_ . '�, ��-Quantiry;�.
$23.50 Repair/AltAbsorbtion�Unit ',; $0.00 0'�
$0.00"0 � ''% ���'�` ' "I'Repair/AltRe(rige�ationUnit �$0.00 �0 ����
$1820� �- -7 - . - -�� . �' _ _ .. �.Ventillation.Syatem L. � �� �'�, ��$ODO 0 � �
$0.00 0 - Evaporative Cooler � ; , $0.00 _ : 0'
$0.00 0 . Commercial'Incineretor i �,"$0.00 0 �
$0.00 0 , Domeslic Incinerelor � -i '$0.00 0 .
$0.00 --0- - -- . % � �• � `�, � �Comoressors'/ Absomtion Svstems "
$0.00 "0- ' -- ' -' " � Up to�3�hp /,100 k BTU - ! �'� $0.00 � �0 ' � '
$0.00 " 0 � - � "� � 3 So 15 hp / 500k BTU '� ,� $0.00 0
$0.00 0 . 15 To30 hp / 1,000 k BTU ' $0.00 -� 0,.
$0.00 0 30 To�50�hp / 1,750 k BTU� y��,',� $0.00-,, 0,`
$0:00 0 Over 50`hp / Over 1,750 BTU �' �$0.00 � 0�; �
$0.00 0 Boilers i�'�.' �` ���
$0.00 0 '1---Up to 3 hp � ' $0.00 0 " '
$0.00 0 ; ,�f,��y�:'' � ��3To15hp - - '-$0.00 ��0.
$0.00 0 � ' 15�to30hp� � ��; ' $0.00-"�0
�. $0.00 0 . - � � ; 30 to 50 hp'>: _.. ; . . � , % -' _ $0.00 ;� 0
� ,
' 50.00' �0°� � ,- Over50hp^' � .` `. -j-,� , $0.00 = 0
$0.00 0 , ., Olher Mechanical Fee ". � . '
�;,
$0.00 � 0 � � ' 'Invesligation Fee - �., „ %$0,00
� � _ „ � � �Plan Check Fee -,� �-� � ' " ,�$OAO
, , , , � � _ � -�� Remspection Fee�, � � � � �,��''/ , ./$0.00
� -��TOTALCALCUL'ATEDFEES� %�54170
_ -. , � � `. _ _ _ ,� A t/ /� � �
�COMMENTS I SPECIAL CONDITIONS � j%�'�
. �
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: �n order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inapeetlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiratlon of this permit.
FOR INSPECTIONS CALL: (714) 7545628
2E4&48 (fl/00)
WORKERS'COMPENSAnON DECLARAnON: - � � � � �
I hereby ettirm untler penalry of perjury one of t�e fdlowing tleclarations: . ,
❑ I have end will maintain e certificate ot consent to self-Insure tor workers' compensation, as provitletl tor by section 3700 ot the Labor Code, tor the pertormance of the
work for which Ihis pertnit Is issued. '
❑ I have antl will maintain workers' crompensetion insurance, as requiretl hy section 3700 of the Lebor Code, tor the pertortnance of t�e work for which this permit is issued.
My workers' compensatlon Insurence wrner end policy number are:
Carner: Policy Number. /
(This sec(ion need nof be canp/eted i( the p9rtnit is veluBd af wle hundred dollar5 ($i oi less.) �
❑ I certity Ihat in the Aortnance ot Iha work for which this pertnit is issueQ I shell not employ eny person in eny manner so as to become subject to the workers'
wmpensallorylaws o alitornia, antl e�g�ree that tl I o IQ become subject ro the workers' compensation pmvisions oi Section 3700 of the Labor Cotle, I shall forihwith
� Applican�:
WARNING: I
hKK15rW D
�
�
UCENSED CBNTRAC'
I hereby aHirm Ihat I am
force and ettect. Lic. a
Coniractofs SlgnaWre:
CONSTRUCTIONLEND
❑ I hereby affirm ihat
Lenders Name:
Signeture:
DECLARATION:
�w--/� / oe�a: ( —.�— / — U C v
COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HIINDPED
OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3)W OF THE LABOR CODE, INTEREST, qND ATTORNEY'S FEES.
with Section O) of Division 3 of the eusiness and
Class a
Date: /� —
Code, entl my license is in
AGENCY: /
a is e construction lending agency for the Oertormance of the work for which this pertnit is issued. (Sec. 3097, Civil Code).
Lenders Atldress:
Date:
OWNER-BUIIDER DECLARATIONS:
I hereby aNirm ihat under penelry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7037.5, Business and Protessions
Code: Any ciry or counry which requires a pertnit to construd, alter, improve, demolish, or repair eny sWcture, pnor to its issuance, elso requires the appliwnt for such permit
to file e signed statement that he or she is licensed pursuant to ihe provisions ot ihe Contrectors Licensa Law (Chepter 9(commencing with Sectlon 7000) 01 Division 3 of the
Business and Prolessions Code) or ihat he or she is exempt therefrom antl the basis for the elleged examption. Any violation of Section 7031.5 by any appliwnt for e pertnit
subjects ihe epplicant to a ciNl penalry of not more than five hundretl tlollars ($500).):
❑ I, as owner of the property, or my employees with waqes as their sole compensatlon, WILL DO THE WORK, antl Ihe structure is not intendad or oHeretl tor sale (Sec.
7044, Business and Professions Code: The Contractors License Law does not apply Io en owner of properry who builtls or improves Ihereon, and who tloes such work
himself or herselt or ihrough his or �er own employees, provitletl that such improvements are not intended or ottered lor sale. If, however, tha building or improvement is
sold within one year of completion, ihe owner-builder will have the burden oi proving tha� he or she did not build or improve for purpose of sale.).
❑ I, as owner of Ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CON7RACTORS to construct Ihe prolect (Sec. 7044, Business and Protessions
Code: The contractors License Lew does not apply to an owner of pmperty who builds or improves thereon, entl who contracts tor such project with e contractor(s)
license pursuant to ihe Conlractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for Ihis reason:
Signatura: Date:
Ownar ID verilied by dnvef5license. ❑ Yes ❑ No Driver's License No.
Verilication of Ownership by (rype of tlocument, i.e. - property taz bill or tleetl):
Expires:
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
❑ I hereby cenify that no eacavetion five (5) or more feet in tlepth into which e person is required to descend, will be made in connection wilh work euthorized by Ihis
pertnit, and ihat no builtling siructure, scaHolding, falsework, or demolition or dismantling Ihereof, will be more then ihirty-six (36) feet high. (Chap. 32, Grp 2, Atl 2, Sec.
347, Title e, Calitomia Atlminlstrative Code). �
❑ As owner-builtler, I will nat employ anyone to do work w�ich would require a permit from �he Division at Intlustrial Sefery, es noted ebove, unless such person has e
permit ro do such work From the tliNsion.
Signature: Date:
Division of Industnal Safety Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTMORIZATION OF ENiHV: I certity under Denalry of perjury that I have read this application end stata that the intormation given is
correct. I egree ro compty wit� ell state laws an0 ciry oMinances relating to huilding construc[ion, antl euthorize represeniatives ot ihe Ciry o1 Costa Mesa to enter upon ihe
above-tlescn6ed properry for inspeclion purposes. I egrea not to occupy or allow occupency oi any building euthonzed by this pertnit until fnel inspaction. �,
Signatu lDwne((s) / / [�eta � /
%`J � n � �/ — ( �
� Antl/O rized Apphcant —� Date
1266
200
207
202
203
20
INSPECTIONTYPE '
Fi:etl System Final Fire Prevention
Pool Spa Flnal �
Final Re-Rooi
Final Block/Retaining W ell �
Final Factory Fire Place
Final Sign
Final DamoliilonM
�
INfIfIALS . fy�Fj INSPEGTIONTYVE
206 Final Mechanical
20B Final Plumbing �
210 Final Elecincel
212
220
222
• 250
Final Fire Prevenlion
Final Planning Approval
Final Site �
Final Builtling/Occuparity
�_ � 1111_
` i �` . �► 1
(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mese��sMBING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 245 HANOVER DR
Suite No
Vicinity:
Parcel Nunmber: 14139106
npp�icant: JUDY GRIFFI7H
Address:
Phone:
� � Zip:
�'
Owner: MCGEE,:DONALD.A' -
Address 245 HANOVER DR� '
COSTA MESA, CA . �. � -,
' ` �-� :> ''- � '
Comracror: J K CONSTRUCTION
Address: 915 LAKE ST.'
� HUNTINGTON B�ACH, CA
Phone:
. -- Lp
Status: ISSUED
Applied: 06/21/2006
Issued: 0621/2006
ISSUED BY: �
714-960-7052- - �
/' t r.' �: � . \
�� � :, ��,
, �„ � ': �
� � ,\
�� � ��� \
92626 �� � •. �A - \
��.
�, t :,A
':���i �✓ �`:,�
� �\�, � '1\ ti,
��:� � , �
Phone:�'714-404-9846CELL . �
Zip: .92648 � ` :���`- . � " .
License: -450297 ' -- .. .^�, �� '
i' � � , �. - ' . . , ,
. ..�--�. . .. , , . . . - � . . � - . .
�. _,. _SCOPEOF�PERMIT_' -%_ � , ,._ � ` :`. � �,��.
2 BATHROOMS REMODEL, REROOF 3000SF RESIDENCE W/COMP SHINGCES, MINOR'ELECTRICAL, MECH
AND PIUMBING. REPLACE iBATHTUB/SHOWER, 2P-TRAPS, 1 SHOWER,-3WASH'BASINS; iWATER � '-. �\ �
HEATER,RE:606-00996 � � • -,,, � ,
� � � �_r �' , , �o.
AMT
ISSUE FEE $23.50
Backflow irrigation 50.00
Backflow Preventer $0.00
BatMub ' $9.80
ClariFierSystem � �.� $O.OQ
Connect Qce,Soda,etc) � $0.00
Dentai Units ' $0.00
Dishwasher , $0.00
Drain; Floor � $0.00
Drain, Rainwaler - � $0.00
Drain, Roof $0.00
Drinking Founlain , ,$0.00
Expansion,Tank $0.00
Gas Earthquake Valve $0.00 .
Gas (1-4 outlets) $OAO���
Gas (Over 4 outlets) $O.DO '
Gas Repipe � , $Q00
Gas Service $0.00 ,
Interceptors (Grease, Oil) $0.00 �
Interceptors (Sand Auto ) � $OAO
FEE SUMMARY �
�TY � � � ' � � � -� . � ' - ' �AMTI QTy ; �,�� �� .., 1 -AMT �
0
0
t
0
0
0
0
0"
0
0
0
0
0
0
0.
0
0"
0
0
� Laundry Tuti / Washer � "' � �$0.00 ' 0` " � ' "� Sump Pump � . $0.00 ,0
Landscape Irrigation $0.00 �0� - Swimming Pool �- , $0.00 0�
P-Trap- $19.60 2> ' Trap Primer " � ,-- $0.00 ' 0
„ � Pressure Regulator, - _ $0.00�_, �0';�� � Urinal , ,� � $0.00 '0
--�-„Pro'cessP-'rping.(peC10ft),,�$0.00-j�0?_�i_,._'j VacuumBrkrBkflow(�7'4)� -$0.00'y0
�. � Receptors= . , 80.00' 0� - . ' Vacuum Brkr Bkflow(5+), ' $0.00 `� 0
� SepticTank �$0.00 �� 0 WashBasin i�� � ' $29.40 �. 3
Sewer Cap for Demo ,-$0.00,�- 0 , Wash 8asin Set'/, ? � �- $0.00 , 0
Sewer Conned ��$O.00f -0 � Waste and Vent System , 50.00 � 0
Sewer Private Line "$0.00 ' 0 Water Closet (Toilep;, - �� �$0.00 % 0
Shower -- $9.80 1 Water HeateN�venC' , $12.30 1
Sink,bar,�,_;.'%�,:, � ' -„$0.00 0 WaterPipin9�(Instor.Rep.) $0.00 0
Sink, commercial '$0.00 0 Water Re-pipe �� • 50.00 0
Sink„Floor $0.00;'`_; 0 Water'Se'rvice ;� �,$0.00 0
_ , -'Sink; kitchen , _ ' $0.00,'r';0�� � ,_,_.;?-::�- Water Softener; � i. �"$0.00 0
� `� Sink, service/mop� . � , $0.00 0" . " OTHER �' � ' �$0.00
Spa (private) ' �- � - � $0.00 - 0 � ; VIOLATION� � ` . � $0.00
, -. Spa(public)�- � . . $0.00 0� . =�. PLAN'CNECK: - � $0.00
- � � � � REINSPECTION ", � 50.00 D
� . ' � _ ._ ,c. _ , � ���•/> l � � /
" " � TOTAL CALCULATED FEES: E�04.40
-�1 , �" -- - - � .,-. �A �%/ /i.�'�
, l.
" ��"'
,i
NOTICE: The work authorized by this parmit shall comply with all applicable handicap access requirements under Calitomia statules and related
regulations. (Orcf. No. 92-28, § 1, 12-21-92)
E%PIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 1 BO days.
INSPECTIONS: In order tor the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, antl all
requlred Inspectiona and flnal approval must be obtained. Failure to obtain inspections and final epproval wiil resuit in the expiratlon of this permit.
FOR INSPECTIONS CALL: (714) 7545626
�3wi�iiiv
WOFiKERS' COMPENSATION DECLARATION: � � � � • �
I hereby alTirm un0er penalry of perjury one of the tollowing tleclaretions:
❑ I heve end will malntain e certlticate oi consent to self-Insure tor workers' compensation, es provitled tor by section 3700 of the Labor Code, tor the pertormance of the
woM tor which Ihis permit is issuetl.
❑ I have and will maintain workers' compensetlon insuranca, as required by section 3700 of the Labor Cotle, tor Ne pertortnance oF Ihe work for which this pertnil is issued:
My workers' compensalion Insurance carner end policy number are: ,
Carner: � Policy Number. �
(This section need not be cromplered i! the permit is valued af one hundred dollars ($ J or less.) ��
❑ I certiry that in tha peAortnance of the work for w�ich this permit is issueQ I shall not employ any person in any manner so es to become subject to the workers'
compensation laws oi C�lif rnia, entl agree Ihel il I�shoul hec � e subject to the workers' compensation provisions of Saction 3700 at iha Labor COCe, I shall forihwith
comply with Ihese provYsion . ' / / �
�Applicant Signature: �� Date: / '7 � �/ '� (� �
WARNING: FFILURE TO SEC E ORI(� S' COMPENSAi1 ERAGE IS UNLAWFUL ANO SHALL SUBJECT rW EMPLOYER TO CRIMINAL PENALilES AND GVIL FlNES UP TOONE NUNDRED
T/qU$PNDDOLLARE�S10D0091.INADDITIONTOTHECOS OFCOMPENSATION,DAM4GESASPfiOVIOEDFORINSECTION3]OBOFTHEUBORCODE,INTEREST,ANDATTOfiNEY'SFEES.
�
LICENSED CONTRACTORS DECLARATION:
I �ereby affirm that I am lic ns d under pmvisions of Cha ter 9(commencing with Section 000) of Division 3 of Ihe Business an Professions Cotle, entl my license is in full
force antl eflect Lic. » �'1 � Class N �
Goniractor's SigneWre: � Date: l ��- — G �
7'
CONSTRUC710N LEND G AGENCV:
❑ I hereby attirtn that there is a consWction lending agency for the pedortnance of tha work tor which this permit is issued. (Sec. 3097, Civil Code).
Lendefs Name: . . . Lenders Address: _ ..
Signature:
OWNER•BUILDER DECLARATIONS:
Date:
I hereby aNirtn thal under penfllry of perjury thai I am EXEMPT FROM THE COMRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Busineu entl Protessions
Code: Any ciry or county which requires e permit to conswct alter, improve, demolish, or repair any siructure, prior lo its issuance, elso requires the applicaN for suc� permit
to flle e signed Slatement lhat he or she is Iicensed pursuant to the pmvisions of ihe Conlrectors License Lew (Chepier 9(commencing with Sectlon 7000) of Division 3 of the
Business entl Professions Code) or Ihet he or she is exempt therefrom end t�e 6asis for the allegetl axemption. Any Nolation of Section 7031.5 by any applicant for a pertnit
subjects ihe epplicant to e civil penalry of not more Ihan tive hundred dollers ($500)J:
❑ I, as owner of the properry, or my employees with wages as Ihair sole compensation, WILL DO THE WORK, antl t�e structure is not intended or oHered for sale (Sec.
7044, Business and Professlons Code: The Contractors License Lew dces not apply to en owner of propeny who builds or improves thereon, end who does such work
himsetl or herseN or through his or her own employaes, pmvided that such improvements are not intentleC or ottered tor sele. If, however, ihe building or improvemeM is
sold wit�in one year of completion, Ihe owner-builder will have the burden ot proving that he or she did not build or improve tor purpose of sale.).
❑ I, as owner of the property, am EXLLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business entl Professions
Cotle: The contwctors License Lew does not epDly to an owner ot property who hullds or Improves Ihereon, end who coniracis lar such pmjed with a contractor(s)
license pursuant to ihe Coniradors Licensa Laws.).
❑ I am exempt under sec. Business antl Protessions Code for this reason:
Signature: Date:
Owner ID veniied by drivers IicenSB. ❑ Yes ❑ No Drivefs License No.
Varification of Ownership by (type of document, i.e. - property taz bill or tleetl):
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION:
Expires:
❑ I hereby certify Ihat no excavation five (5) or more feet in depth into which a person Is required to descend, will be made in connection wilh work euthonzed by this
parmit, antl ihat no builtling siructure, scaflolding, falsework, or tlemolition or tlismantling ihereof, will be more Ihan thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
347, Ttle 8, Calilamia Administretive Code).
❑ As owner-builder, I will nol employ enyone to tlo work which would require e permit from t�e Division ot Intlustrial Safety, as noted ebova, unless such person hes e
pertnit to do such work From the tlivision.
Signature: Date:
Division ot Industnal Satery Permit Number.
CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I certify under penalry of perjury thai I have reaC ihis eppliwtion and state that Ihe intormation given is
correct. I agrae to comDly with all slate laws and city ordinances relating to building consiruction, and euthonza representatives of t�e Clry of Cosla Mesa to enter upon �he
ebove-described propeAy for inspection purposes. I egree not to occupy or ellow occupancy of any building euthorized by this pertnit until final inspection.
200
201
202
203
204
Fixetl System Finel Fire Prevention
Pool Spa Final
Final Re-Root
Final BIocWRelaining Wall
Final Factory Fire Place
Final Sign
Final Demolition
L�AIF.
l L� - fi/- v (7 �
Date
INTITIpLS �QQE � � INSPECTION TYPE Qbg �t�yg
206 Final Mechanical Cy c�
208 Final Plumbing 1– C) '�i(n �
210 Final Electnwl
212 Final Fira Pravention
220 Final Planning Approval
222 Final Site �
250 Final Building/Occupancy � �
-OWNER COI
JOB ADDRESS
GENERAL CO]
AP. No.
GROLIP T— &
ECTIONS
or construction
:T 3187 FIRE ZONE
V ZONE R1
I DATE I
DATE
VALUE $ 11,200,00
DESCRIPTION OF WORK Res, w�att, gar,
PLAN NO. 5723
SUBCONTRACTOR PERMITSISSUED
DATE I NUMBER
,. : �
-+ ; - S`�23 •
COSTA MESA BUILDING DEPARTMENT
P. O. BOX 31'J� � .
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
BUILDING _i _ .. _
COSTA MESA. CALIFORNIA
OWNER
MAIL
ADDRE55
IAF CCT
Of .NEER
��E RECEIVED
SEP 1 3 195i�
FINANCE DEPT.
CITY OF COSTA PAESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
aE�E���—�,i � q �� E�7 � SEP � �5 tg
TEL. BUILDING
NO. K I ADDRE55
���' COSTA MESA. CALIFORNIA
NO.
BY
LEGAL ILOT
DESCRIPTION NO.
A.P. NO.
SIZE /O
OF LOT p
USE OF
E%ISTING BL�G.
SETBACK LINE FFOM
NO.OF 0LOG5.
NOW ON LOT
VARD
SIDE VARD � RIGHT LEFT
DESCRIPTION OF WORK �
NE1 X ALTERATION ADDITION
REPA�R MOVING DEMOLISH
BUILDING NO.OF
SIZE I �i� ROOMS STORIES
EXTERIOR WALL ROOF
COVERING COVERING -
USE OF NEW TACH ED
BUILDING RFSI�EN�CE ��".
'
I MEFEBY ACKNOWLE�GE THPT I HAVE RETO THIS APPLICATION ANO ,
STATE THLT THE ABOVE�I$ CORRECT RNO AGREE TO COMPLV WITN RlL
CITY OR�INPNCES FND STATE LA�NS FEGULFTING BUILOING CONSTRUC
T�o�, yA�UATI ON
SIGNATURE OF -_ _ _ _ _ r�. _.. ni _ I.
$ ���2��♦
CORRECTIONS
PERMiT FEE $
PLAN CHECK $
TOTAL FEE $
Z ��
� �G �
l
�� — yBMF