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
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PLOT PLAN
Show location and distances from
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