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Home My WebLink About2196 MINER ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 2196 MINERST Suite No Viciniry: Parcel Number: 42220301 Applicant: LORAYENULONIS Address: 422 JENKS CI CORONA,CA Owner: WYLIE,MIKE Address: 2196 MINER ST COSTA MESA, CA MECHANICAL PERMIT Phone: 714-996-4300 Zip: 92880 Phone: 949-514-0202 Zip: 92627-2523 Contractor: ALLIED PLUMBING - HEATING - AIR CONDITIONING Address: 422�JENKS CI . CORONA,CA Phane: 714-998-4300 ' - Zip: - 92880 � � License:610780 . SCOPE OF PERMIT REMOVE AND REPLACE 60K BTU FAU ISSUE FEE Insl FAU <100 k BTU Inst FAU >100 k BTU Repair / Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping � Factory Fireplace Hood w/Mech Exhaust � � VAV Box Vent Fan / Single Duct � � � Appliance Fire Dampers Smoke Dampers - Inst or Relocate Appl Venl � Air Handlers < 10000cfm � AirHandlers> 10000cfm � Floor Fumace - ' Floor or Suspend Heater � - Stalus: ISSUED Applied: 11/01/2004 Issued: 11/01/2004 ISSUED BY: ' ' ' FEESUMMARY Quantity� - - - � - � Quantity $23.50 $14.80 � S0.00 0 50.00 0 50.00 "0 S0.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 50.00 0 50.00 0 $D.00 . 0 $0_00 0 50.00 0 $0.00 0 50.00 0 - $0.00 0 $0.00 0 $0.00 0 Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit � , Ventillalion System � � Evaporative Cooler � Commerciallncineralor � Domestic Incinerator Compressors / Absorptian Sysfems Upto3hp/t00kBTU 3To15hp/500kBTU � •'�.15 To 30 hp / 1,000 k BTU ,;,�.� - 30 To 50 hp / 1,750 k BTU �� . . Over 50 hp'/ Over 1,750 BTU � � Boilers � - -. . � �Upto3hp � � ,� 3To15hp � 15to30hp . - " 30 l0 50 hp , , � Ovec50hp �� - Other Mechanical Fee Investigation Fee ` _ - Plan Check Fee � Reinspection Fee $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 30.00 0 ,' $0.00 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $38.30 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 1 BO days, or it work Is suspendetl or abandoned for a period ot 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 inapectlons and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2aase lwao� WORKERS' COMPENSATION �ECLARATION: � - � r� : - _ ' I here6y aifirm under penelty ot pdryury one of the following tleclarations: ' ' ''�� ' �� ❑ I heve end will maintain e cohi�icate oi consem b self-Insure for workers' compensetion, es provitletl tor 6y section 3700 of ihe Labor Code, for Ihe perfortnance of the work for which ihis permit is issued. I have entl will maintain worKere' compensation insurence, as required by section 3700 of the Lebor Code, e pertorcnance of ihe work for which this permit is issUed. . y kers' compensation I urance carrier and�policy number ere: ' ,\ q Carrier: %`: il � G� �X � C(Z/�--- Policy umber: W�' Z-'1 �R�i �— Q � This ion eed not be complefed il the permlf is velued at one hundred dollers ($700) ar less.) , ❑ 1 certity ihat in ihe pertormence of the work for which this permit is issuetl, I shall not employ any person m any manner so as to become subject to ihe workers' com�pcQ9tl�law�of Califo�nia, end agree that If I should become subjecl to tha workers' compensation provisions of Section 3700 otihe Labor Cotle, I shall toNhwith WORKERS' QbMPE1JSATION CAVERAGE IS UNLAWFUL AND SHALL SUBJECT AN IN APDITION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN : LICENSED CONTRACTORS DECLARATION: I h aftirm at I am �icensedi ��der provisic for nd e ect. Lic. A ^'r �� ntrect Ys SignaWre: - � � + , n L of Chapter 9(commencing with Section 7000) ot Dele: � � � )VER TO IMINAL PENAI F THE LABOR IX of e Business and Pn �5#� i� i ANO CIVIL FINES UP TO ONE HUNDRED INTEREST, AND ATTORNEY'S FEES. Code, and my license Is in full CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm Ihat Ihere is a cons�ruction lentling agency for ihe performance of �he work for which �his permit is issued. (Sec. 3097, Civil Cotle). Lendefs Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirtn that untler penelty of perjury I�eI I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business and Professlons Code: Any ciry or counry which requires e permit to constmct, alter, Improve, demolish, or repair any strucwre, prior to its issuance, also requiras the applicant for such permit b tile a signed statement ihat ha Cr sha is licensed pursuem to the provisions ot the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business end Professions Cotle) or that he or she is eaempt therefrom and the basis for the alleged ezemption. Any violation of Section 7031.5 by any applicant for a permit subjects Ihe applicant to a civil penalry of not more Ihan five hundred tlollars ($500).): ❑ I, as owner of the property, or my employees with wages as Iheir sole compensation, WILL DO THE WORK, and ihe structure is no� intended or otteretl for sale (Sac. 7044, Business and Protessions Cotle: The Contractors license Law does noi apply �o an owner of properry who builds or improves ihereon, and who does such work himselt oi herself or ihrough his or her own employees, provided tha� such improvements are not intended or oHeretl for sale. If, however, ihe building or improvement is sold within one year of comp�etion, tha owner-builtler will heve the burden of proving that he or she did not build or imDrove for purpose of sale.). ' ❑ 1, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSEO CONTRACTORS to construct the project (Sec. 7044, Business antl Professions Code: The contractors License Lew does not apply to en owner ol property who builds or impmves ihereon, and who coniracis for such project wlth a contractor(s) license pursuant to ihe Contracbrs License LawsJ. ❑ I am exempt under sec. Business and Pmfessions Code br ihis reason: Signature: Date: Ownar ID verified by dnver's license. ❑ Ves ❑ Na Drivers License No. Expires: Verification of Ownership by (rype ot tlaument, i.e. - pmpeny tax bill or deed): DIVISION OF INDUSTRIAL SAFBn' PERMIT CERTIFICATION: ❑ I hereby ce�ity ihat no excaVetion five (5) or more feet in depih into which e person is required to descend, will be made in conneciion with work authonzed by Ihis pertnit, antl Ihat no building S�NCWre, scaHoltling, felsework, or demolition or dismantling t�ereof, will be more than ihirty-six (36) fee� high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ti�le B, Calitornia Administretive Cotle). ❑ As owner-builder, I will no� 0mploy enyone to do work which would require a permit irom ihe Division of Industrial Satery, as noted above, unless such person has e permit to tlo such work irom the division. Signature: Date: Division of Industrial Safety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF EMAY: I cenity under penalry of perjury ihat I have read ihis epplication and state that the infortnetion given is correct. I agree to comply with all state laws end ciry ordinances relating to building construction, antl authonze representatives ot the Ciry of Costa Mesa to enter upon the above-de5cribed propeRy tor inspe��ion Duryoses. l agree not to xcupy ar albw acupanCy of any building authorized 6y this permit until final inspection. Legal COUE L INSPECTONTYPE — 1616 Fized System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Wall 202 Final Factory Fire Place 203 204 Final Sign Final Damolition ' PA7F 1ti�19LS �� COOE� INSPECTIONTYGE 206 Final Mechanical 208 Final Plumbing 270 Final Electrical 212 Final Fire Pravention 220 ' Final Planning Appro�al 222 Final Site 250 Final Builtling/Occupancy PAiF. � ��-IQ�C�i