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HomeMy WebLinkAbout2113 FEDERAL AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • vnvw.ci.costa-mesa.ca.us 77 FAIR ORIVE, COS7A MESA, CA 92626 Job Address: Suite No Viciniry: 2113 FEDERAL AV LIVING ROOM/HALLWAY Parcel Number: 42245313 Applicant: Address: MECHANICAL PERMIT ISSUED BY: DEANGELIS, DON 14 SANTA CATRINA � Phone: (949)589-6592 RANCHO SANTA MARGARITA, CA Zip: 92688 Owner: ARNOLD, NATHAN R Address: 2113 FEDERqL AVE COSTA MESA, CA Contracror. COAST AIRE Address: 14 SANTA CqTRINA � RANCHO SANTA MARGARITA, CA Phone: Zip: 92627 Phone: (949) 58&6592 Zip: 92688 License: 355425 SCOPE OF PERMIT REPLACE A WALL HEATER IN AN EXISTING SFD. 1 INST/REP RECESS WALL HTR NO OTHER WORK AUTHORIZED WITH THIS PERMIT. ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair / All 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 Vent Air Handlers < t0000cfm Air Handlers � 10000cfin Floor Furnace Floor or Suspend Heater $23.50 $0.00 $0.00 $0.00 $14.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEE SUMMARY Repair / All Absorbtion Unit Repair / Alt Refngeratlon Unit Venfillation System Evaporative Cooler Commercial I n cinerator Domestic Incinerator Compressors / Absorption Svstems Up t0 3 hpJ 100 k BTU 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 to 50 hp Over 50 hp ONer Mechanical Fee Investigation Fee Plan Check Fee Reinspectlon Fee Status: ISSUED Applied: 12/11/2003 Issued: 12/11/2003 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 50.00 0 $0.00 0 30.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 NOTfC€:. The.work autborized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248,�§ 7, 72-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 7 BO days, or if work is suspended or abandoned for a period ot 180 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspectiona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CAIL: (714) 7545626 zas-ae �sroo� WORKERS' COMPENSAY�ON DECLARA710N: I hereby ettirm untler penalty oi periury ane oi the following tlecleretions: ❑ I �ave end wlll maintaln e cetlificate of consent to self-Insure tor workers' compensetion, as providetl for by section 3700 of the Le6or Code, for Ihe pertormence of Ihe work for which thi5 pBrmit is issuetl. ❑ I have entl wlll meintein woAcers' compensatlon insurance, as requiretl by section 3700 oi ihe Lebor Cotle, for ihe pedortnance oF the work for which this permit Is Issued. My workers' compenSatlon Insurence carrier anA policy numDer ere: Cerrier: Policy Num6er: (Thls section neetl not be c�np�eted' the permit is valued et one hundred tlollers ($f 00J or /ess.) �I�certlty ihat in the pe�a�a ot the work for which this pertnit Is issued, I shall not employ any person in any menner so es to 6ecome subject to Ihe workers' compensetlon Iflws a� Cali la, en gree that it I shoNA 6ecome suhject to the workers' compensatlon proNsions ol Sectbn 3 of the Wbw Code, I shall tonhwith tAmply wlth these �5' s. ) / Applicant Signeture: Date: �!/ / j'� � WARNING: FAILIIRE TO C E WORI(ERS' COIAPENSATION CpVERAGE IS UNUWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIM� NPLilES AND dVIL FlNES UP TOONE NUNDRED TFIOUSAND DOLURE (51 ,000). IN ADDITION TO THE COuT OF COMPENSATION, DAhNGES A5 PROVIOE� FOR IN SEC'fION 3]OB OF THE IABOq CO�E, IMERE51, AMD ATTORNEY u FEES. LICENSED CONTRACTOFS DECLARATION: I hereby aHirm that I am li� force end eHect. Lic. k � Coniractofs Signature: _ 9(commencing wit� Section 7000) of Divislon 3 of t�e Cless Dete: Cotle, and my license Is in tull CONSTRUCTION LENOING AGENCY: ❑ I �ereby aXirm ihat there is a constmction lentling agency tor the pedormance of the work for whic� this permit is issuetl. (Sec. 3097, Civil Code). Lendefs Neme: Lendefs Atltlress: SigneWre: Date: OWNER-BUILDER OECLP31AT10NS: I hereby affirm t�at under penalry of perjury that I am EXEMPT FROM THE CON7RACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Busineu end Professions Code: Any ciry ar counry wpich requires e permit to construct, alter, improve, tlemolish, or repair any sirucWre, D�a< <o Its issuance, elso requires the aD�licant lor such pertnit m file e siqned stetement tpat he or she is IicenseA pursuant to the provislons ot the Contractors License Lew (CheD�er 8(cammencing wilh Section 7000) ot Divislon 3 of the Business antl Professions Code) or Nat he or she is ezampt therefrom and Ne basis for the alleqed exemption. Any violetion at Sectlon 7037.5 by any epplicent far a pertnit subjects Ihe epplicent to e Givil penalry of not more than five hundred dollars ($500).): ❑ I, as owner ot the properry, or my employees with waqes es thelr sole compensation, WILL DO 7HE WORK, antl the structure is not Intentled or offeretl for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of properry who builOs or improves Ihereon, and who does such work himself or herself or tprough his or her own employees, provided ihat such improvemems are not intended or ofleretl for sale. If, however, the builtling or improvement is soltl wiihin one yeer os completion, the owner-builder will have tho burden N prwing that he or she ditl not huild or impmve for purpose of sale.). � ❑ I, es owner of the property, em EXCLUSIVELY CONTRACTING WI7H LICENSED CON7RACTORS to cons�ruct ihe project (Sec. 704a, Business end Professions Code: The contractore Licensa Lew does not epply �o en owner of property who buiids or Improves ihereon, entl who contrecis for such prolect with e contractor(s) license pursuaN to the Contradors License Laws.). ❑ I am axempt untler sec. Siqnature: Owner ID ventietl by tlrivef5license. ❑ Yes ❑ No Business end Professions Cade for this reeson: Verification af Ownership 6y (type of document, i.e. - properry tex bill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: DnvefS License No. Date: Expires: ❑ I hereby certily �hat no eawvation live (5) or more feet In depth into w�ich e person is required to tle5cend, wlll be made in wnnection with work euthonzed by Ihis permit, end thet no bu�ltling siructure, scettolding, talsework, or demolition or tlismanUing Ihereof, will be more ihen ihiny-six (3fi) feet hiqh. (Ghap. 32, Grp 2, Art 2, Sec. 341, 71tle B, Califomia Atlministrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a pertnit irom the Division of Industnel Sefery, as noted above, unless such person hes a permit to da such work ��om ihe division. Signeture: Date: Division of Indusiriel Sefety Permit Number. CERi1FlCATE OF COMPLIANCE AND AUTHORVATION OF ENTAV: I certiry under penalry of perjury thet I have reaU ihis eppliwtion and state that the inlormation given is correct. I agree to comply With ell sfete laws end clry ojr i9�nces relating to bullding construction, end euihodze represeniatives oi ihe Ciry of Coste Mese to enter upon Ihe ebove-described property to� inspecti urposes. I g( 6not to occupy or ellow occupancy of any building authonzed by Ihis permit until final inspection. n 1 r i el O er(s) !� /� �� ! AnNOr Authonzed Applicent ' Date COUE �. INSVECTIONTYPE PAIF, Uil�si$ 7616 Fixetl System Flnal Fire Preven�ion 1266 200 201 202 203 Pool Spe Finel Final Re-Roof Flnel BIocWRetaining Well Finel Fetlory Fire P�aCe Final Sign 204 Final Demolition COUE I INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electricel 272 Final Flra Preventlon 220 Fina� Planninp Approval 222 250 Finel Site Final BuifdingfOccupency PAg I�LS ,�•/� 0.3 �}r � , , - 9'78� �p`w v,—t�� �-���- COSTA MESA BUILDING-SAFETY DEPARTMENT ' P.O.BOX 31] COSTA MESA,CALIFORNIA fOR APPL/CANT TO f/[L /N COMPLETELY TYPE OR PRINT ARCHITECT O" VGINEER COSTA MESA. CALIFORNIA R NO. LIC. NO. �=EE �ECti�lED �-� - s `I u t�, FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING fOR Off/CE USE ONLY C�,1^ n I PECEIPi NO. I JPI l lYl "\ • ICEIVED BY �( OATB RECEIVED DATE IBSUED __%� �7I '�_ 7_-5 % � %.,,7-.c COSTA MESA. CALIFORNIA ADDRESS ZONING LEGAL I LOT �/ I I� � ZONE � I NO. OP � I UBE OF OESCRIPTION NO. BLOCK TRACT PLANS BUILDII A.P. NO. ,7 � �3 � � BYPROVEO�����ll r� ��,•rh r onr SIZE no.or eiocs. yqRDS / V EVES OF LOT 7� �l l Z� Now ON �Oi I REQUIRED ALLOWE USE OF ICENTER LINE ST.) E%ISTING BLDG. 0 N't � FRONT FT. SETBI�CK LINE FPOM � � ceN�ea ov sraeer ') REAR YARD �� R. SIDE FT. / SIOE YAfED LEFT !�' RIGHT �O • G' �. SIDE FT. DESCRIPTION OF WORK �s � REAR N' I II ALTERATION I X II AOOITION I REPAIR I II MOVING II DEMOLISH I `/�/ BUILDING �• NO.OF SIZE V O ROOMS STORIES � EXTERIOR WALL IROOF COVERING COVERING USE OF BUILDING AND WORK TO BE PERFORMED f'Av o...r�' 1�Ylda�a 1 N�O . : a- ,� �ed v�� � :r, �- G a1 ti re o c-.� - ' .° /� . � � 1 HEPEBY ACNNOWLEDGE THAT I HAVE HE1D THIS APPL�CATION AND STATE THAT THfi /�BOVE 19 COFRER AND �GREE TO COM- THH AMOUNT BNOWN IINDER V/�LUATION IS FOH THE PLY WITN ALL CITY RDINANCEB AND TATE W NEGULATING oUHPOBE OP E9TABLISXINp A PERMIT FEE ONLY. euamr+c coHar orv. VALUATiON 51GNATURE � PERMIT FEE S �� PERMIiTEE $ /� /��. PLAN CHECK $ � J i AUTHORIZED AGENT � TOTAL FEE $ /� � ORANGE COUNTY BUILDING DEPARTMENT 636 Nr�h Broadway , , ' — SANTA ANA, CALIFORNIA FOR APPLICANT TO FILL IN aoo E'Ss 2113 Faderal SCHOOL DIST. OR TOWN NEAREST cRoss sr. Vi r.tnri a R+ _ OWNER OSAGE HOMES INC. MAIL 9363 w��sH�RE BLVD. ADORE55 Ct7v BEVERIY HI LLS rvo �R. 52F�6� ARCHITECT OR �IQ /��Q' ENGINEEFj"e1N R MrJ�aaerHaw NO.SV_ h ADDRE55'Z��O E. �/ALNUT ST.. PASADENA 'ONTRACTOR NEMPORT VISTA CO.t�o � CR. 14 6i ADDRE55 ,(�� � 6 4J1lSHIRE SLYD. HE ItlS DESCRIPTION I NOT p� BLOGK I TRACT �� fATTACH METES & BOUND51 NO. OF BLDGS. SIZE OF LOT 7O X � � O NOW ON LOT O USE OF I NO. OF I NO. OF EXISTING BLDG. FAMILIES ROOMS CENTERKOF'ST EE�TM� .SS �Y: _ SEDE YARDlO � � DESCRIpTION OF WORK NEW I J( I ALTERATION I I ADDITION I REPAIR I ( Mqy�NG I I DEMOLISM I sae �v� �o.r�. RooMs � EXTERIOR WALL ROOF GOVERING $TUCCO COVEI 'SE OF NEW UILDING RESIOENCE R APPLICATION FOR PERMIT ��' ����� FOR OFFICE USE ONLY � L�Si � �� � � �UILDING . �A ADDRE55 l%` SCHOOL OIST. NEAREST I/ .`' � •_ CRO55 ST. /�yv��� ZONE NO. OF TYPE/ ///% / PLANS I �/ /U/ I/ APPROVED BY CORRECTIONS 1 HEREBY ACKNOWLEDGE TMAT 1 HAVE READ THIS FORMS. M/ APPLICATION AND STqTE THAT THE ABOVE IS CORREGT �1NDER�PIN AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FFAME: FIRE 5' BRACING. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH. INT. SIGNATUREOF NEMPORT VIS CO. �ATH.E%T. PERMITTE PLASTER, INT. AUTHOHIZED AG . PLASTER, EXT. VALUATlON $ I�8�Q�� PERMIT FEE $/q MASONRY REIN PLTN CHECK $ `�/ BOND BEAM FEEAL $ I / FINAL 3M 9�90�99 � o I a � 2 D r . /�. � i'3 - � . Ji � , Q ■ PLOT PLAN Show location and distances from property line and between buildings. \ - >. .�::i ,,-�:�:: ��..... ..�,: _,�t._�., . . f-. . � c__i�. v_:,_„_. �;. . _ . , . ,_r:�n ; �::, �� .� i �.J � q�......r.�.� �.- r�• _.. .: .:(f.� �. .l_ ..�.^.1�� T..C�H�i ._ ` � � ' _ I " Y ' c . .. � � . 3 � I I . J : : . � . . r-r r :. ' f f ., • � _� ' x f . r-. . _ .� , � . , ���:» � • - -_ccii ^ .._, c,. , �y a � �J, • ?�1:3:I':� � L,) A�'_I�' T�,O'.bl�.l J ..0