HomeMy WebLinkAbout905 HYDE CT - Building Permits, CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
(714) 754-5273 • Fax (714) 754-4856
Job Address: 905 HYDE CT
Suite No
Vicinity:
Parcel Nunmber: 41806206
Applicant: RON NOCK
Address: 11612 KNOTT ST �
GARDEN GROVE . CA
PLUMBING PERMIT
Phone: 714 895-1246
Zip: 92841
�i� �
Owner:'�.MC CARTHY, FRANCIS BURKE
Address"-�TR , � - .
/�,, ' . COSTA MESA, CA Phone:
�v.,
!:��% � 912 POWELL� CT Zip: 92626
, �,i� - �
Contractor: NOCK PLUMBING
Address: 17612 KNOTT ST
GARDEN GROVE , CA
�Arch / Eng :
; Address:�
Phone: 714 895-1246
Zip: 92841
License: 707775
Phone:
Zip:
License:
� SCOPE OF PERMIT �
� , WATER HEATER. . � , .
ISSUE FEE
Backflow-irrigation -
Backflow Preventer
Bathtub � � � �
Clarifier System
Connect (Ice,Soda,etc)
Dental Units � �
Dishwasher �
Drain, Floor �
Drain, Rainwater .
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
Gas (1-4 outlets)
Gas (Over 4 outlets)
Gas Repipe
Gas Service
Interceptors (Grease, Oil)
Interceptors (Sand Aoto )
AMT
$22.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$o.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
FEE SUMMARY _
AMT
Laundry Tub / Washer $0.00
Landscape Irrigation $0.00
P-Trap ' $0.00
Pressure Regulator $0.00
-�. Process Piping (per 10 ft)- $0.00
' � Receptors $0.00
, SepticTank $0.00
, � Sewer Cap for Demo ' $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, ki[chen $0.00
Sink, service/mop $0.00
Spa (private) $0.00.
Spa (public) $0.00
an
0
0
0
0
0
0
0 =
0
0
0
0
0
0
0
0
0
0
0
COMMENTS / SPECIAL CONDITIONS
P99-00196
77 FAIR DRIVE, COSTA MESA, CA 92626
Status: ISSUED
Applied: 03I30/1999
Issued: 04/OS/1999
ISSUED BY:
SumpPump
Swimming Pool
Trap Primer
Urinal
Vacuum Brkr BkFlow(1-4)
Vacuum Brkr BkFlow(5+)
Wash Basin
Wash Basin Set
Waste and Vent System
Water Closet (Toilet)
Water Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
Water Softener
OTHER
VIOLATION
PLAN CHECK
REINSPECTION
AMT
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$11.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL CALCULATED fEES: $33.00
QTY
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
C
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void i( work is not commenced within 1 BO days, or if work is suspended or abandoned
for a period of 180 deys.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
requlred inspectione end final approval must be obtained. Failure to obtain inspections and final approval will result in Ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS'COMPENSAnON DECLARATON: . .
I hereby aflirm untler penalry of perjury one ol ihe following tleclarations: - '
❑ I have anC wlll malntain a certiticate of consent to selt-Insu�e for workers' compensation, es �provided for 6y section 3700 ot the LeDor Code, lor the pertortnence of the
work ior which Ihis pertni� Is issuetl.
� I have entl will maintain workers' compensa0on insurance, as required by sectlon 3700 ot the Lebor Code, for the pertormance of ihe wwk for which this permit Is issued.
My workers' compensation Insurance certier and policy number ere:
Carr�er. �n� /���1 � ��P� C.+'� Policy Num6er. �,1[/ /LX ��� 3V��7 _
(Thls sectlon need not be comp/eted ll the Oermit /s va/ued af one hundred dollars ($ f 00) or less.)
❑ I cenify ihat In the performance of the work tor which this pertnit is issued, I shell not employ eny person in eny manner so as to become subjact to ihe workers'
compensation laws oi Califomia, and egree thet if I should becrome sub�ect to Ihe workers' compensation pmvisions of Sectlon 3700 of the Labor Code, I s�all forthwith
wmply vnth these provisions. n
Applicant Signeture: 1 7� � Dete: � � � ' � �J
WARNING:FAILURETOSECUREWORKERS'� PENSATIONCOVEMGc FULANDSHPLLSUBIECTANEMPLOVERTOCNMINALPENALTIESANDCIVIIFlNESUPTOONEHUNDRED
THOUSAND DOLLARE ($100.000), IN ADDRION TO THE COST OF COMPENSATIIXJ, DAMACaES AS PROVIOED FOR IN SECfION 3]W OF THE LABOR CODE, IPREREST, AND A770RNEY'S FEES.
LICENSED CONTRAC70RS DECLARA710N:
I hereby attirtn that I am licensed untler provisions of Chapter o lcommencing with Section 7000) of Division 3 oi Ihe Business antl Protessions Code, and my license is In tull
lorce end eHect. uc. x ��lO 7% i S Gass a C�'� �,
ConiredoYs Signature: Date: l�" S— �! g
� CONSTAUC710N LENDING AGENCV:
❑ I hereby aflirtn ihat there is a construction lending agency tor the pertortnance oi the work for which Ihis pertnit is issued. (Sec. 3097, Civil Code).
i LenOels Name: Lenders Adtlress:
I Signewre: Date:
OWNER-BUILDER DECLARATIONS:
I hereby aflirm ihat under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Buslness and Professions
Code: My ciry or counry which requires a permit to wnstruct, alter, improve, demolish, or re0air any struciure, prior to Its issuance, also requires the epplicant tor such permit
to tile a signed stetemem thet he or she is licensed pursuem to Ihe pmvlsions of ihe Contractors License Lew (Chepter 9(commencing wlih Sactlon 7000) oi Division 3 af Ihe
Business and Professians Code) or that he or she Is exempt theretram end Ihe basis for the ellegetl exemption. My Wolation ot Section 7037.5 by eny epplicant for e permlt
sub�ects the epplicant to e civll penalry of not more ihan frve hundred dollars ($500).):
❑ I, es owner of the prapeny, or my employees with weges as their sole compensetion, WILL DO THE WORK, and the structure is not intentled or oflered tor sale (Sec.
7044, 8usiness and Protessions Code: The Contractors License Law does not apply to an owner oi properry who builds or improves ihereon, antl who does such work
himself or herself or through his or her own employees, pmvitled that such improvements are not imended or aHerad tor sale. If, however, Ihe building or improvement is
sold within one yeer of completion, tha owner-builtler wi0 heve ihe burden of proving ihat he or she did not build or improve tor puryase oi sele.).
❑ I, es owner af the Oroperty, am EXCLUSIVELY CONTAAC7ING WITT1 LICENSEU CONTRACTORS to consiruct ihe project (Sec. 7044, Buslness end Professions
Code: Tha contrectors License Lew does not eppty to an owner oi properry who builds ar improves thereon, entl who contrects tor such pmject with a coniractor(s)
license pursuant to Ihe Coniractors License Lews.).
❑ I em exempt untler sec.
Signature:
Owner ID venfietl by dnvers license. ❑ Yes ❑ No
Business end Prote55ion5 Code tor ihis rea5on:
Venfication oi Ownership by (type of document, i.e. - properry tax bill or deed):
Driver'S License No.
Date:
Expiras:
DIVISION OF INDUSTRIAL SAFETV PERMIT CER7IFICATION:
❑ I hereby certity ihat no excevatlon tive (5) or more feet In tlepih In�o which a person Is required to descend, wlll he made in connection with work authonzetl by ihis
permit, entl that no builtling structure, scattolding, falsework, or demolition or dismaniling Nereoi, will be more then thirty-six (36) feet hlgh. (Chap. 32, Grp 2, Art 2, Sec.
341, Tltle 8, Calitomla Atlminisirative Code).
❑ As owner-buil0er, I will not employ anyone to do work which would require a permi� irom the �ivision of Industrial Safery, as noted above, unless such person has a
permit to do such wark irom the division.
Signature: Date:
Division of Industrial Satery Pertnit Number:
CEH'TIPICATE OF COMPLIANCE AND AUiHORIZATION OF ENTRV: I cerlify under penalry ot per�ury ihat I have read Ihis application and state that the information given is
wrtect. I egree to compty with all state laws end ciry ordinances relating to building consiruction, entl authonze representatives of the Ciry of Casta Masa to enter upon Ihe
ebove-described properry tor inspection purposes. I egree not to occupy or allow occupency oi eny building euthorized by this pertnit until finel inspection.
� Signeture Ot Lagel Owner(s ��te �� q
��� � l
AnNOr Authonzed Applicant Date
CODE �, INSGECTONTYPE
1816 Fixed System Final Fire Prevention
1266
200
201
202
203
Pool Spa Final
Finel Re-Roof
Finel BIocWRetaining Well
Final Fectory Fire Place
Final Sign
204 Final Demolition
2d46 a8
j10jE INfIfIRLS
COpE I INSPECl10N TYPE
206 Final Mechenical
208 Final Plumbing
210 Final Elecirical
212 Final Fire Prevention
220 Final Planning Approvel
222 Final Site
250 Finel Building/Occupancy .
QljE IMIMLS
�tnc'r ~o, 10445 DA1.L August 28, 1980
i.a: ?:o. 6
nDDR?SS gp5 Hvde Court, osta Mesa, CA 92626 _
Devclopm.:�.�C Services Dep:i;t.acnt
Planninz; Division
Ci[y of i;osta P;osa
77 'rair �)ri��e
Costa :1esa, CA 92626
Attention: `ir. Paul Dudlcy
Dear Ttr. Dudley:
Please be aware that the undersi�ned are aware [hat a certificate of occupancy
on the e referenced lot and unit is bcing requested prior to the entite
trac and ts strects c rvnon areas Ueing completed and accep[ed by the
Ci o osta Nesa. ��
,�i!i�,s�� `I't—`.—E�
BY
BY
StGNATUEtE OF DIVELOPI�R A1'll/OR
tIUTIiORI'LED REPF..FS[?•iTAT?UC)
IG�:�,TU]tE OF I.ENUh:
RECEIVED
SER p41980
.�'- �:. �
` .�
,�
rttnCT �:o, 10445
�
i�,�.t.i, August 28, 198Q
I.O; t:0. 6 .
ADDR'_'SS q05 Hy��CQurt, ��Mesa, CA 92626 _.___.
Developr..ent Services �)ep.i�tc.rn[
Plannint; Division
Cicy of �.osta D;c:�
7) r�ir �rive
� Costa !tesa, CA 926?6
Attention; Nr. Paul Dudlcy
� , � Dcar hr, Dudley: � . �
Please be aware that [hrunJcraigned are avare �hat a cereificate of occuRancy
on the pbvqe referenced lot and unit is bcing rr.qucs[ed prlor to the eg ire
trac �and its atreMs c�V�non areas bcin� completeJ and accepted by�` the
C1 /o ,osta Atesa. � ��
L` .� �:�-�-u��'.
.- �--s-
, BY ' .� .a.:
:;...
� , NATURE OF P CllA,,t� . ' � . .
.
BY' ��� _ •--•�:c�
(SIGivAYIJRE OF DEVELOPCR A\D/OR
� FUT1i0RI'LED REP SEN.TATII'f•.)
9 Y /> �:ei _. i : �,��_—�
- •SIC::.`�TiJRF. OF L�:vER)�a� ����
:
1
SJECT pODflESS: 9 O S $Yb E CT
OWNEfl'SNAME: DOAN, TIEN V
nooxess: g 0 5 HYD E C T
COSTA MESA,CA
ANCHIENGINEEN:
nooness:
UNIT:
92625
FEG.NO.:
uxir:
PEpmiTTEE: BILT—WELL ROOF AND MATERZ (719)739-1288
aoosess: 3310 VERDUGO ROAD
LOS ANGELES CA 90065
LICENSEU CONTHACTOB �ECLABATION: I hereby af�irm Ihal I an� IicenSeA untler pmvisions oi C�ap�er 9(commencing wilh Section
7000� of Div;sion 3 ol Ihe Business and Pmfessions Cotle. ana my license is in lull torce antl eilect.
cirruc.: 0390,6 STATELIC.: ejSBOOS — C 39 E:{P; OS/95
Oaie: � 1� Signa�ure: _
WOFNEFS' COMPENSP710N OECNPFTION: I AereDy alfir h a certitica�e of consent m self-insure or a certilicate of Workers'
Compensaiion Insurance or a certi�ied copY Ihereof (Section 00. Lab. C)
roucrna.: W937102969 E%P.OP7E: Q%/S3/99
COMPNNY: CAL COMP
7 Ceni�ie0 copy is �ereb Wrnishetl. �, Cetlifietl coOY is fileG �Mr1 �ry Bu ' g Division.
�aie: Applicant: / ''�
E7(EMPiION FBOM WOflMEflS' COMPENSATION OECIAPRTION: ' ion nee4 no� be compleletl i� ihe permit is ior one hunared (5100) or tess�.
I cetlily thai in the pedormance ol the work lor which this permit is i6suetl. I shall noi employ any person in any manner so as to become
subleci �o I�e Workers' Compensa�ion Laws of Califomia.
�ale: Signature�,
NOTICE: If. afler making Ihis tleclaration. you shoultl become su�lecl to ihe Workers' Compensation provisions of ihe Labor
Cotle. you mu5i lo�hwilh compty with such pmvi5ions or Ihis permi� shall �e Oeemetl revoke0.
CONSTPUCTION LENOING FGENCY: I hereby alfirm iha� there is a constmctian lending agency for ihe pedormance of Ihe work for
w�ic� ihis permii is issued �Seciion 3097. Crv. C�.
LENOEfl:
pDDHESS:
OWNEfl BUILDEfl OECUINATION: I hereby allirm Ihal I am exemp� �wm the Comracmrs' State License Law �m the Followinp reason
(Seciion 7031.5 Business and Pmfessional Cotle: Nny city o� [Ounry which reQuires a Oe�mil to wns�mct, alter, improve, tlemolish, Or
repair any s�mcture, prior Io i1s issuance. also requires Ihe ap0lican� �or such permi� b file a signetl s�a�ement Ihai hGshe is licensed
purSuaN to �he provisions a� I�e Contracmrs' Slate License Law (ChPV�er 9(commencing with Seclian 7000) oi Division 3 0� �he Business
anE Pm�essions Cotle) or �hat helshe is exempt therefrom and ihe basis �or the allegetl exempiian. Any violation ol Seclion 7031.5 by
any applicant lor a De�mil suUlecis the aDPlicani Io a civil penalry o� noi more Ihan tive hunOred aollars �5500).
I. as awner o� Ihe pmperry or my employees with wages as their sole compensa�ion, will Oo ihe woB, and �he
❑ slmclure Is nol imentled or oilered lor sale (Seciion 70dd, Business an0 Pmfessional Cotle: The Con�ractors' State Litense �aw
Ooes not apply to an owner ol a pmperty who builtls or improves t�ereon, and who does such work Aimself/herself or NrouAh
his or her own employees, provided Ihat such improvements are not intendetl or oifered for sale. A, however ihe buil0inp or
impmvemenl is soltl within one year of comDletion. ihe owner will have ihe burtlen of O�oving Ae/s�e Aid not bui10 or impmve
lor ine Durpose of sale�.
I, as owner of the pmperty, am exclusively contracling with licensea contractors to consimct the D�olec� (Sec�ion 7044, Business
❑ ana Pm�essions CoOe: The ConVactors' Stale License Law Joes no� appty ro an owner a� pmpeM wAo builOs or improves lhereon
antl wha contracts for such prolecls with a conlracior�s) license pu�suanl �o �he Contractors' S�ale LicenSe Law). I am aware
that proot o� t�eir Worker'S Compensalion insurance should be Omvidetl lo me.
� t am eKemp� un0er Section: B. 8 P. C.
for Ihis reason: .
�aie�. Owner.
i do hereDy certily ihat I am aware oi ana understantl Ihe requiremenis of Calitomia Nealih and Safery Cotle Sections 25505, 25533, and
25534 antl ihat I ar any iWure builaing occupant will/wiil not (circle One) neea lo comply wi�n saia slate coaes anJ ihe reQuiremenis for a
permii for cansimction ar motlihcation imm Ihe Air Oualily ManagFmen� DistricL ReSiAeniial conslmc�ian apP�icaiions are exempt imm
Ihese provisions
�ale: Applicanl:
I �ereby t¢riity Ihal I have reaa �his applicalion ane S�a�e Iha� Ihe abOve
ortlinances antl s�a�elawsrelalingio Duiltling constmclion antl hereby autP
pmpetly for inspec'an pur se=� �
oate: Signamre:
I aAree �o comply wiih all ci�y and counry
his ciiy Ia en�er upon ��e above�mentione0
Driver's License or Sociai Secumy a: �� �
164La6 White—Bwltlmg: Green—Cotle EnbrcemenC Wnary—APPlicanl; Pink—Revenue', Goltlenmtl—Assessor
CITY OF COSTA MESA — EUILDING PERMIT PERM NO: H 068003
PERMIT NO: B 058003 PLAN CHECK NO: N GOVT; N SUPP; N
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH
JOB DESCRIPTION : T/OFF 6 REROOF WITH COMP. 6 BUR IN BACY. SQ FT: 1,100
CLAZM VALUE: 1,100.00 CALC—VALUE; 1,100.00 GROUP OCC: R-1 /M-1
COMMENTS: SMOKE DETECTORS ARE REQUIRED IN EVERY BEDROOM 6 HALLWAY
�c***f��*���*�:-***�*�t*r�r**�-�c**+:����t�***ft��r*****�tt+Ex-ac�i�**�+E***�tx���t�*+�-�r.�tt-r?*;�at�+t�*��*i�*ar
Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
--------- -- MAIN HUILDING ---------- -------- ACCESSORY BUILDING --------
FRNT: FT IN REAA: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN
PARHING REQ: PROV; PARCEL; 41808206 ZNE: REF NO:
PLANNING Nt�TES> ,
�
i61F fE i(- iE # iF # ih iF 9E 1E if !F_iE 1e iF iE ik iE iF 1E iE 9(� it ik i! if 1ElElE jE iE i!� 1E iF �k # iE 1E i! �lF if iElFlf iE iE il ih iE 9f �f iF if if'1E if k iF'k iF k iE iF if iE iF i! �E 1E ic iE it iE # iE dE iF
D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N�T 5
20NZNG AFFRt�VED' BY . t]ATR-
bUILL�ING APPR�VED BY : PATE: '
APPLICATION IS3UED BY: ��,� DATE: '%���1(
i!�?ti�j4i�-1��iFiE�N�MiE)FiE�Y.'�3EiEiEitiFiti(iE�c-���rTe�ii-Teir�cil�irir�iiriFir'�,. n•ii Tx#;hiriFit��tirit�eiEit�tiE#dFiE9Ett?Fif3EiE�x'it ti+� it ir %?f
i4 # if # IE fi* IE �K if !F i( iF i[� iflf� i' iF iE �X �# 1E iE iE i4 #-I(- i! if iF IF iE k iF iF iE iF iF ir iE iE iE iE iE iE iF if iE If iE fc iE iElE iF iE iE iE iE if' #?F 3f 3E iF ik fE i(-ic iE i(� fF iE iE if i!- # iE 3E
LEGALIZATION;R1 F E E S U M M A R Y 5TRUCTURAL SEGMENT;Y
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 27.00 .50
SMIP/NON—RES
PLAN
ISSUE FEE
B[IILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 27.50 0,00 0.00 27,50 27.50 .00
AEVENUE DIVISZON TOTALS--> COLLECTED: 27.50 OVERiSHORT: .00
BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
2%,�� .5�
iE # iElE iE it iF?E !f iE i(� iF k iF IE #' iE ih i(� jE iE iF-IE �lE iElE �it il�lh iE 1E iF iE ik iE it iF ib iE iE!! if iE it # i! fE te iE it iE iF }E 1E �E 1! fE i: iF �k * ic iF it # 9! if tiE ic iE iE fE?E �1(- # ii iE 3E 1F
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C A 2 P T I O N UNIT COST TOTAL COST
SFR 1100 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 1,100,00
END OF FEES
ui ooi639s7-00163958 Tl.IT 27,5[I
DqTE: 07/13/94 TIFIE: 12:57
a
w� CONS7RUCTION AND PLANNING POOL ., aPA �
APPROVALS Permit # Date Inspector qPPROVALS Permit # Date lnspector
7. Tempo�ary Electricai Servic jr-Pote 52. Pooi & Equipment Location �. �
2. Soil Pipe-Undrgrnd. ;� '�� _ 53. Steel Re(niorcement �:�
i_
3. Electrica� Conduit Ulility-Unc(rgrnd. :^ 54. Forms -" /�. �
�
4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding
5. Steel Fteinforcement 56. Rough Plumaing & Pressure Test
i
6. Electrical UFER Grnd. 57. APPftOVAL i0 COVER�GUNlTE
7. Footings . �8. Electrical Conduit�Undrgrnd.
8. Foundation ��� �� � 59. Gas Pipe, O Un�rgrnd., Test � t
9. VJater Pipe-Undrgrnd. i'� � .� � 6p. Backwash linet, P�Trap, �] Undryrnd. � I
10. Structural Ploor System t'� '� i' 61. APPROVAL TO DECK ;�; �
1 7. Property Sewer line & House�Connectio! ' 62. Backwash & Receptor�Final � �,
� �--
12. Sewer Cap 63. Heater & Vent-Final S-
73. Roof Drains 64. Plumbing Sys,em - Final
14. flough Plumbing 65. Electrica6Finai •
15. ftough Elecvicai-Condurt 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approvai /• I
17. Rough W��ing Sign � 68. APPROVED FOR PLASTERING ��
18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTE ;-1S FINAL
19. Rough Heating & Air Condirioning FIRE DEPT. REQUIREMENT
20. ftough Factory Fireplace APPRQVALS Permit �
21. Ducts,in Structure 70. Underground Hydro
22.Ducts,Ventilating - 77,productPipingf�Gas C�OiI
23. Gas Pipe-Rough & Test 72. Underground �lush
24. Roof F�aming 73. Underyrnd.StorayeSank �Gas ❑Oif
I 25. Roof $heathing �..Z�.L(C� /�_ ii 7q, pverhead Hydro
YM�D�
26. T�Bar Ceiling (Structura�) & Monocoat 75. Dry Chemical
27. Frame and Flashfng 76. Ory Standpipe
28. Lathing & Siding 77. FIXEO SYSTEM FINAI
29. Insulation - 78. FIftE PREV. FiNAL
i 30. Drywa�l Naiting HEALTH OEPT. REQUIREN7ENT
37. Plaster Brown Coat 79. PINAL INSPECTION
� -
� 32. Electrical Power MeterPinai 8Q. FOOD CERTIFICATE ISSUED
33. Final Eleciric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe�Test .� l
36. Hood or Canopy �'
37. Final Factory Fireplace
� 38. Final Plumbing
� 39. Water Service�Finai
40. Gas Se�vice-Final
47. Solar pomesticFinal
42. Backflow Preventer . •
43. Backflow Irrigation
44. Landscape Irriqation SYstem �
45. Sound Attenuation � �
i46. Handicap Regulations �
47.. PiNA4 STRUCTURE & BUIIDING 17 G� Gfy�L �
f
46. FINAL PLANNING �
49. Electric Release to Edison -•
� \
50. Gas Rsiease to Southem Califomia Gas Co �
51. CERTiFICATE OF OCCUPAtSCY
No. Date
CITY OF COSTA MESA '
° B!/ILDING DIYISION �
; _ � DEVELOPMENT SERVICES DEPARTMENT � E98-00736
� � PERMIT PERMIT NUMBER
.��F
(714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address: 905 HYDE CT
Suite No
Vicinity:
Parcel Nunmber: 41808206
Applicant: THRAILKILL, ALLEN
Address:
status: ISSUED '
Applied: 07/14/1998
Issued: 07/14/1998
Phone:
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Owner: MC CARTHY; SHIELA � • ' ji ; � � � , � -
Address 905 HYDE CT � ' ' `-� � � � �
- ' _ . _ _/' �, A �VA�'� .
; ..... , . __Phone : . ; - < �." . ,V `-A �`.
� COSTA MESA,CA ` . � Zip.� 92626 �� � �� `` � % �, � � ��
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Contractor. SUNDOWN�LIGHTING INCORPOR �' �'� � �����
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Address �. 00012 MAUCHLY � �" '�' �
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. , '; � Phone:�.714582-6255 �.-��:\ . � ,
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.� . - �IRVINECA . 2ip�'�92718 � . - _ �� � � �- �����,
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� � - ; ;License -°��479877, : I � � '��
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ISSUE FEE
Temp service test
Fies. alc package
New Res (1-2 units)
New Res (3+units)
Pool I Spa
�Lighting Fixts -
Recept Outlets � �
Switches
Non Res Appl
Res Appl ,
Service to 200a'
Service l0 1000a
Service over 1000a�
Motors to t 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
Intertned Pole
� . C. _ -��-'., . . _ _ .'.
�� � . ' _' ' � ' SCOPE OF PERMIT �- ' , � i� ,
� : :� � � - . �_ ;�, � � ,
STATE HEAITH AND SAFETY CODE SECTION 116049.1 PUBLIC POOL GFCI INSPECTION��, '�,� ' ��
. \ � •
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� _ , �FEE SUMMARY��',. ;: (, � , ��:" � � , .
;r r
.... U J •: ; .
Quantity _ '� ' ".. -- - . ; . _ .. . Quantlty .
. $22.00 , Temp Dist System%,Lighting $0.00 0 .
$O.W �, Busway /100 R fl � - $0.00 0 �
$0.00 .. �-- "��1'�=:>r"`:'StanHing�Section"r�_%-,_," $0.00 0 � . ,
' ;� $0.00 � � 0� -� - ---Mi'sdElectrical�Equipment� 1i $0.00 0,�-�.
$0.00 0 � - ' Transformers up to 1 kva/kw $0.00 0,� � ' ' � -
�' $0.00 0 ._..........�uptol0kva/kw $0.00 0; ;� �,-
' $0 00 0 � �up.to�50 kva/kw ` $0 00 '0 ' �
tt ,
i;
` $1.00 1 ..........-':.up�to�700kva/kw $0.00 ;�p.� . .:�,��
` ,'
�.' „$0.00 0 ._ ...............over 100 kva/kw $0.00 y �� 0 , �' ' �- .'
. $0.00 � 0 :'.LowVoltageEquipment $0.00�;- ,'0 � - � ,
� $0.00 0 . � - Low Volt Wiring System / Ckt $0,00 � � -" 0 . ,
� �'�$0.00 0 . � � � ���'�Misc. Conduit, $0.00�' 0 " . '
� so:oo;, o , : ; ,;; rr,+,''�.,M�S�=cor;d��io� . ;so;oo o �
.$0.00,'� "� ' 0 , ' _ �' � Circus ( gen�or;ride) � .-_� ��$0.00 -. 0 � '
',$0.00 �. 0 � `� , ; Ci�cus (mech nde or hghts)- � - $0.00� � , 0
� $0.00 � � 0� �-,_, < � � - � ' Cfiristmas Tree Stand_� .: ��'� $0.00 �; '0, �: v � '
$0.00 � 0 � - ._. �.,, ��� � ': Fireworks Stand ', . , , $0.00 , D
; $0.00 0 � ' ' - � Other Electrical Fee , - $0.00 � �' � �
$0.00 0 � � - � ,
$0.00 � � 0 _ _ investigation Fee - $0,00 �,
$0.00 0 - . - Plan Check Fee.'- ` $0.00"�
$0.00 0 , Reinspeclion,Fee � " � , $0.00
50.00 -0 . . ' � . . , .
$0.00 0- . , ' - � TOTAL'CALCULATED FEES E23.00 �
� $0.00 0 - . , • - �.
COMMENTS / SPECIAL CONDITIONS
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 ihe work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
i required inspectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe ezpiration of this permit.
�I FOR INSPECTIONS CALL: (714) 754-5626
WORKERS' COMPENSATION DECLARA71�
I hereby effirm under penalry ot perjury one M the following declaretions: .
❑ I have entl will meintein e centlicare o1 cansent to self-Insure tor workers' comDensetlon, as pmvided for by sectlon 3700 of t�e Lebor Code, tor the pertormence of the
work for whiCh this pertnit is IssueA.
0 arW wlll meintain workers' compenselion insurence, as required by section 3700 ot the Lebor Code, for tha perfomiance ot the wwk ta which Ihis pertnit is Issued.
M workers�' p–e/ess_lion %I�su�ran�j rtier end li number ere: /' 7 � / /
Certier.Y 3�/./7L/' '�'/� Policy Number. v�� /l�l(% ((i (l � Z
(ihls secUon nee�af be completed !! Me perm/f!s velued et one hundretl dallars ($100) or /ess.)
❑ I certify that in ihe pertortnance of ihe work for which this permlt Is issuetl, I shell not employ eny person in eny manner so as to Decome sub�ect to t�e workers'
campensatlon laws of Celitomle, end egree Ihet H I should become subject to Ihe workers' campensation proWslons of SecUon 3700 of the La6or CoCe, I shell farthwith
compty with �hese r ion ��/� � , / //
Applicent Signature: �� � ( � f^fA/�l. Data: �'--�� �7 —�X
WPANINO: FNLURE TO SECURE WORKERS' COMPENSA COVERAGE IS 11NLAWFUL AND SHALL SU&IECT lW EMPLOVEP TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE NUNDRED
THOUSAND OOIJ.ARE (E100,000), IN ADDITION TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECfION 31080F TME LABOR CODE, IMEREST, AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATON:
I here6y ettirtn thet I em
force end etfect. lJc. a_
Contrectors Signature:
Chapter 9(commencing with Section 7000) ot DiNsion 3 of the Business pnd Professions Code, and my license is In tull
Class a �—
� o'�T Date: % / — 7�
CONSTRUCTION LENDING AGENCV:
❑ I �ereDy affirtn ihat Ihere is a wnswctlon lending egency tor the pedortnance of ihe work for which this pertnit is issued. (Sec. 3097, Civil Code).
Lentlers Name:
Signature: _
LendBfs Addre55:
Date:
OWNER-BUILDER DECLARA710NS:
I hereby elflrtn Ihet under penalry of perJury that I am E%EMPT FROM THE CONTAACTORS LICENSE LAW tor the following reason (Sec. 7037.5, Business end Professions
Gotle: Any ciry or counN which requlres a permit to construct, alter, Improve, tlemolis�, or repair any structure, pdor to Its Issuance, also requires tha epplicant for such permit
to tile e slgneG stetement thet he or she is licensed pursuant to the proNsions of the Contractors Licensa Lew (Chepter 9(wmmenUng with Section 7000) of DiNslon 3 of ihe
Busineu end Professions Cotle) or ihet he or sha is axempt therefrom antl Ne basis for the allegetl eaemption. Any videtion ot Seclion 7031.5 by any epplicant for e pertnit
subjecLa Ne apD�icant ro e dvil penelry ot not more Ihan five hundred dollers ($500).):
❑ I, es avner of the O�operty, or my employees with wages as their sole compensatlon, WILL DO TNE WORK, end t�e structure is not intentled or ofFered for sale (Sec.
7044, Business end Protessions Cotle: The Contrectors License law does not epply lo an owner af praperry w�o builtls or improves ihereon, entl who does such work
himseN or herself or through his or her own employees, providetl that such improvements ere not Intentled or oflerad for sale. If, however, ihe building or improvement is
sold within one year o1 completlon, t�e owner-bulltler will have ihe burden ot proving ihat he or she did not builtl ar Improve for purpose of saleJ.
❑ I, es owner of Ihe properry, am EXCWSIVELV COHTRACTING WfT}i LICENSED CONTFiACTORS to construct ihe O�oject (Sec. 7044, Business antl Professions
Code: The coniredore License Lew tloes not epply to an owner af properry who builds ar impmves ihereon, antl who wnirects for such project wiih a contractOr(s)
Ilcense pursuant to ihe Contractors License Laws.).
❑ I am eaemp� under sec. Business and Pratessions Code tor �his reasan:
Signeture: Date: �
Owner ID verifietl 6y drivels license. ❑ Ves ❑ No Drivers License No. Ezpires:
Vedficatlon of Ownership by (rype of tlocument, i.e. - properry tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CEPTIFICATION:
❑ I hereby ceNty that no excavetlon tive (5) or more feet in depih Into which e person is required to descenQ will be matle In connectlon with work authorizetl Dy Ihis
pertnit, end ihat no bullding sWdure, scattolding, ialsework, or demolition or dismentling thereof, will ba more than Ihirty-six (36) feet �iqh. (Chap. 32, Grp 2, Art 2, Sec.
341, Title e, Cellfomia ACmInlStretNe Cade).
❑ As owner-builder, I will not employ flnyone to Co work which would require a pertnit trom ihe Division oi IntlusMal Satery, as noted ebove, unless suc� person hes a
pertnit to tlo such work trom Ihe division.
SignaWre: Date:
Divisian of Industrial Sefety Pertnit Numbar:
CEHTIFlCATE OF CAMPLIANCE AND AUTHORQATION OF EHTRY: I certify under penalty of perjury that I have read this epplication end state thet tha informetion given is
correct. I egree to comply with all stete lews and ciry ordinances relating to builtling construction, and authorize representetives of the Ciry oi Casta Mese to enter upon the
above-Gescribed property for inspadion purposes. I egree not to occupy or allow occuDancy of any builtling euthorized by this pertnit until final inspeciion.
n Wra Of Lega er(s
�/I�LO �A� A
MdlOr AUNonze Applicant
jd11PEJ, INSPECTION TYVE
1616 FixeC System Finel Fire Prevention
1266 Pool Spe Final
200 Flnel Re-Roof
201 Final BIocWReteining Wall
202 Final Factory Flre Place
203 Final Sign
204 Finel Demolitlon
2d48d8
�� ��
�
� Data
7-/ �- 1 �
Date
CO�E 1 INSPELTION TYPE
206 Finel Mechanical
208 Final Plumbing
210 Final Electricel
212 Final Fira Prevention
220 Final Planning Approvel
222 Flnal Site
250 Finel Building/Occupency
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