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Home My WebLink About583 PIERPONT DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.Ci.COsta-mesa.Ce.us 77 FAIR DFIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT � Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: 583 PIERPONT DR 41802405 COLE CONTORELLI Phone: Zip Owner: RAVEN, GREG '_ Address � 583 PIERpONT DR Phone: COSTA MESA, CA Zip: Contracror. CONTORELLI CONSTRUCTION Address: 30832 MARILYN�DRIVE � - ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+unils) Pool / Spa Lighting Fixts . Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a � Motors to 1 hp Mo[ors to 70hp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole LAGUNA BEACH, CA 926263108 Phone: 949-4993966 Zip: 92651 � License: 319552 SCOPE OF PERMIT ELECTRICAL SERVICE PANEL UPGRADE TO 200A, SAME LOCATION. 523.50 $0.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 i $30.50 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 so.00 50.00 Quantity 0 0 0 0 0 0 0 0 1 0' 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY � Temp Dist System / Lighling Busway /100 ft Standing Section Misc Electrical Equipmenl Transfortners up to 1 kva/kw .................up to 10 kva/kw .................up to 50 kva/kw .................up.to .100 kva/kw ' ....:............:over 100 kva/kw low Voltage Equipment Low Volt Wiring System I Ckt �Misa Conduit Misa Conductor Circus ( gen or ride) . � Cirws (mech ride or lights) Christmas Tree Stand � Fireworks Stand �Other ElecVical Fee Investlgation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 07/13/2005 Issued: 07/13/2005 ISSUED BY: Quantiry $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 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 . 0 . $0.00 0 50.00 0 $0.00 0 50.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $54.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-g2) EXPIRATION: This permit shall automatically expire and become vold if work is not commenced within 1 BO days, or if work is suspended or abandonetl tor a period of 180 days. . INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspectlona and tinel epproval must be obtained. Failure to obtain inspections and final approval will result in the axpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaaeae 16/00l WORKERS' COMPENSA710N DECLARATION: I hereby ettirm undar penalry of perjury one ol tha tollowing decleretions: ❑ I heve end will mainteln e certificate oi wnsent to self-Insure tor workers' compensetlon, es provided for by sectlon 3700 ot the Lebor Code, for iha peAortnence of the work for which Ihis permit is issued. ��1'�ha�ve entl will mainlain wwkers' canpensation insurence, es requiretl by sectlan 3700 of Ihe Lebor Cotle, for the perlortnence oi Ne work for which this pertnli IS Issued. Y�.Ay worker_s' compensation�urence cartier and polcy number are: me -- �: iPoliry Number.-�.1Jy� O bq — ZOO�j or Iess.J ❑ I certity ihet in the pe ance vork for which this pertnit is issued, I shall not employ any parson in any manner sa es to become subjecl to ihe workers' compensatlon I oi Ca�o e, and eg e Ihet If 1 should become suD�act to ihe workers' compensation provisions o1 Section 3700 of ihe Lebor Catle, I ahall lorlhwlth comply with t se provisi - ` r,��yrn.[ .es_r �e--�� oaia:� ?— �3 WAW NG^FA1 RETOSECUREWORKERS'COMPENSATIONCOVEMGEISUNUWFVLANDSHALLSUBIECTANEMPL�ER�`400RIMIISALPENALTIESANDpVILFlNESUPTOONENUNDRED THOUSPND OOl1ARE (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAM1NGES AS PROVIDED WR IN SECiIIXJ 37060F TIIE IABOR CODE, INfEREST, AND ATTORNEY'S FEES. IICENSED CONTRACTORS DECLARATION: I herehy afflrtn Ihel I em licensed under roNslons of Chepter 9(cammencing with Secllon 7000) oi DlNsion 3 o�}he Busine@s and Professlons Code, and my Ilcense is In tull Iorce�mN'ettacy,Lic. q � _ Clasg,+�f p� �J L— IZ7 I.'r.i{:� a ei:.< V-�ia Contr� goyM'l,J�tu�, e�1, D�le`:.� �^�'��0� CONSTRUCTION LENDING AGENCY: ❑ I hereby atlirm ihat Ihere is a construction lentling agency for the peAormance of ihe work for which this permit is issued. (Sec. 3097, Civil Cade). Lentlers Nema: Lender's AOdress: Signeture: Oata: OWNER-BUILDER DECLARATIONS: I hereby ettlrtn that under penalry of perjury that I em E%EMPT FHOM TTIE CON7RACTORS LICENSE LAW for �he following reeson (Sec. 7031.5, Business entl Protessions Cotle: Any ciry or counry which requires a pertnit ro construct, elter, improve, damolish, or repeir eny structure, prior to Its luuance, elso requires �he epplicant for such pertnit ta tile e signetl stetement ihat he or she Is Iicensed pursuant ta the provisions of Ihe Contrectors License Lew (Chapter 9(commencing wilh Section 7000) of Dlvislon 3 of the 8usineu end Professions Code) or Ihet he ar s�e I5 exempt Iherefrom and the basis for Ihe elleged axemption. Any violetion of Sadlan 7037.5 6y any applicant for e pertnit su6Jects t�e epplicant to e cMl penfllry of not more then five huntlretl tlWlars ($500).): ❑ I, es owner oi t�e properry, ar my employees with we8� as their sda compensation, WILL DO THE WORK, end the structure is not Intendetl or oHered for sale (Sec. 7044, Business antl Professions Code: The Coniractors License Law tloes not appy to an owner of property who builds or improves ihereon, and who Ooes such work himself or herselt or Ihrough his or her own employees, provitletl that such improvements are not intended or otfere0lar sale. Ii, �owever, the builtling or improvement is sold within ona year of completion, ihe owner-builder will have the burden ol proving that he or she did not builtl or improve for purpose of sale.). • � I, es owner ol the property, am EXCLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to construct t�e pro�ect (Sac. 7044, Business end Professions Code: The contrectors License Lew tloes not epply to an owner of propeny w�o bullds or Improves thereon, ena who conirects tor such project with e contrector(s) license pursuent to the Contractars License Laws.). ❑ I em ezempt under sec. Business and Prolessions Code for Ihis reason: Signsture: Dste�. Owner ID vedfietl by tlnvels license. ❑ Yes ❑ No Drivers Licensa No. Vedticetlon o1 Ownership by (type of dwument, I.e. - pmperry teu bill or deed): Expires: DIVISION OF INDUSTRIAL SAFETY PERMR CERTFICATON: ❑ I �ereby certify ihat no excavation (rve (5) ar more �eei in depth into which e person is required lo descenQ will be made in conneclion wiN work euthorized by Ihis pertni�, and Ihat no building slrucWre, scaflolding, falsework, or tlemolllion or tlismantling Ihereof, will be more t�an �hirry-si: (38) teet high. (Chap. 32, Grp 2, An 2, Sec. 341, Title B, Califomia AOminisiretive Cotle). ❑ As owner-builder, I will not employ enyone to do work which would requlre a pertnit from the Division of Indusirial Sefery, es notetl ebove, unless such pereon hes a permit to do such work irom the division. SigneWre: Date: Division oi InduSiriel Sefery Permi� Number: CERTIFlCAlE OF COMPLIANCE AND AUTHORIZA710N OF ENiHY: I cetlify untler penelry oi perjury that I have read this epplication antl state t�at ihe informetlon given is conect I egree to comply with ell stete laws end Ury ortlinances relating ro bullding conslruction, and euthorize reD�esenle6ves of ihe Clry of Costa Mese to enter upon Ihe ebove-de�5G�i4aQ proper�Jurrtrspeet�o^ Purposes. I agree not to occupy or ellow occupancy oi eny building authorized by this permii until finel inspection. CODE �. INSFECTIONTYPE PdIE Ii�Lfi 1616 Fixed System Final Fire Preventlon 1266 200 201 202 203 Pool Spa Finel Finel Re-Root Finel BIocWRelaininq Well Final Factory Fire Place Flnal Slpn 204 Finel Demolltlon COOEt INSVECTIONTYPE 206 Final MechaniCal 20B Final Plumbing 210 Final Eleqncal 212 Final Fire Preventlon 220 Final Planning Apprrnal n2 250 Final Site Finel BuiltlinyOccupency ��'��' �. : �.1 JIII. �/ i � /..�1 (714) 754-5273 • Fax (714) 754-4856 77 FAIR DFNE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: ApplicanC Address: Owner: Address ELECTRICAL PERMIT 583 PIERPONT DR a�sozao5 LYLE COOTER 1580-0 N BATAVIA ORANGE,CA KACHATURIAN,ERNESTJR 583 PIERPONT DR COSTA MESA, CA Phone: p14) 9743004 Zip: 92867 Phone: Contractor. TOTAL COMFORT SPECIALISTS Address: 1580-0 N BATAVIA ISSUE FEE Temp service tes[ Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts ' Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over t000a MMors to 1hp Motors to 10hp Motors to SOhp Morors to t00hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Si9n Circuits Temp Pwr Pole Intermed Pole ORANGE,CA Zip: 92626 Phone: (714) 9743004 Zip: 92867 License: 676628 SCOPE OF PERMIT ELEC7RICAL FOR NEW A/C UNIT. REF:M00-00267 $23.50 $0.00 $54.50 50.00 50.00 $0.00 $0.00 $0.00 50.00 $0.00 50.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 50.00 Quantity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................uP to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kvalkw Low Voltage Equipment Low VOIt Wiring System I Ckt Misa Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee investigation Fee Plan Check Fee Reinspection Fee S�atus: ISSUED Applied: 07/14/2000 Issued: 07/14/2000 ISSUED BY: V Quantity $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 so.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 $0.00 0 $0.00 0 $0.00 so.00 $0.00 $0.00 TOTAL CALCULATED FEES 578.00 COMMENTS / SPECIAL CONDITIONS NO710E: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Calitornia 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 180 days, or if work is suspended or abandoned for a period of 780 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 required Inspectiona and final epproval must be obtained. Failure to obtain inspec�ions and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 754•5626 WORKERS'COMPENSATONDECLARATION: I hereby ettirm untler penalry at per�ury one of the following declarations: ❑ I have end will meintain a cenificate ot consent to self-Insure for workers' compensetion, es provided Por �y sectlon 3700 of ihe Lebor Code, for the pertormanca of the work for which t�is permit is issued. . �"' I have antl will maintain workers' compensatlon insurance, as requlrea �y sectlon 3700 0l ihe Lebor Cotle, for the peAortnance of ihe work for which this pertnit is issued. My workers' compensation Insurence carrier antl pollcy number are: Carner: �'�t�ICA-rf /VIOTDiifS'r— � PolicyNumber: �%ZCo3,fJ��6U� (This section need wt be cromp/etetl il (he pelmit /s va/ued et one hund�ed dollers ($100) or less.) ❑ I certify that in the peAormence of Ihe work for which ihis permit is issuetl, I shall not employ eny person in any menner sa es lo become subject b the workers' compensation laws ot Calitomia, and agree that Ii I should becrome subject to tha workers' compensation provisions of Section 3700 of Ihe Labor Cotle, 1 shall fotlhwith comply with thesa provisions. �7 ,I Applicant Signeture: 1�� Date: / � 'T '» WARNING: FNLURE TO SEWRE WO RS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIEGT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDRED THOUSAND DOLLARE (5100,000), IN ADDITION TO THE WST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN $EGT10N 31O60F THE IPBOR COOE, IMEREST, AND ATTOFiNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm Ihat I am IicenseQ under provisions ot Chepter 9(commencing wilh Sec�ion 7000) of Division 3 of the Business antl Professions Cotle, and my license is in full force and eHed. Lic. M �`� ��i ��i _ Class a /' /J o Contraaors Signemre: Date: '9 1�-/ JD CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirtn thel there is a construction lending agency for the pedormance of Ihe work for which this permit Is issued. (Sec. 3097, Civil Code). Lender's Name: Lendefs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm thet undar penelty of perjury ihat I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions Cotle: Any city or counry which requires a permit to construct, elter, improve, tlemolish, or repair eny structure, pnor to its issuance, also requires ihe applicant for such pertnii to file a signetl steiement ihat he or she is licensed pursuan� to �he provisions of ihe Conirectors License Lew (C�apter 9(commencing wl(h Section 7000) of Division 3 of �he Business antl Professions Code) or Ihat he or she is exempt iharefmm and t�e basis for Ihe allegetl exemption. Any vlolation of Section 7031.5 by any appliwnt for a pertnit subjects Ihe ap0�icant to a ciWl penalty ol noi more Ihan five hundrad tlollare (5500).): ❑ I, as owner of Ihe propeny, or my employees with weges es iheir sole compensation, WILL DO TME WORK, and Ihe structure is not inlentled or otterad for sale (Sec. 704d, Business and Professions Cotle: The Contractors License Lew tloes not epply to en owner of property who builds or improves thereon, and who tloes such work himsel( or herselt or through his or her own employees, provitled ihat such improvements are not intentled or oRered for sala. If, however, ihe builtling or improvement is sold wiihin one year of completion, t�e owner-bulltler will have the burden of proving Ihet he or she did not builtl or improve for puryose oi sale.). ❑ I, as owner of the property, am E%LLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS to cons�ruct the project (Sec. 7044, Business antl Professions Cotle: Tlie contreclors License Lew does not apPly to en owner of property who builtls or Improves thereon, antl who contracts for such prqect with a contractor(s) license pursuant to the Contracrors License Laws.). ❑ I am exempt untler sec. Business entl Professions Code lor Ihis reason: Signature: Date: _ . Owner ID verified by driver'S liCense. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type ot document, i.e. - property tax 6ill or tleetl); DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certiy that no excavellon tive (5) or more feet in aepth into whic� a person is requlred to descend, will Oe matle in connection with work authorizetl hy �his permit, end ihet no building stmcNre, scefloltling, falsework, or demolition or dismantling ihereol, will he more than Ihlrty-sia (36) feat high. (Ghap. 32, Grp 2, Art 2, Sec. 341, Title B, Celifornia Administrellva Code). ❑ As owner-6uiltler, I will not employ enyona to do work which would require a permit from Ihe Division of Intlus�rial Safery, as noted ebove, unless such person has a permit to tlo such work from ihe division. SignaWre: Date: Division of Industrial Satery Pertnit Number: CER7IFICATE OF COMPLIANCE AN� AI7THORVATION OF ENTRV: I certify under penalry of perjury ihat I have read ihis application and state Ihat ihe infortnation given is correcL I agrae to comply with all stete laws and city ordinances relating to building constmction, antl aui�orize represen�atives of the Ciry ot Costa Mesa to enter upon the ebove-descnhed properry tor insDection purposes. I agree not to occupy or ellow occupancy ol any building au[horized by this permit until linal inspection. SigneNre OI Le9al Owner(s) Date �%i _ �% � � � 0 And/OrA h zed Applicant —� Date CODE �, INSPECTIONTYPE 1676 Fi:otl System Finel Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Well 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition 2448-<8 QAjE 71��$ 4QQ� INSPECTIONTYGE 206 Final Mechanical 200 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy OATE ��7 IMRIRlS � . . CITY OF COSTA MESA � BI/ILDING DIVISION > � � DEVELOPMENT SERVICES DEPARTMENT � - PERMIT PERMIT UMBER •� � ' 698-01398 (714) 75a-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 � BUILDING PERMIT �obAddress: 583 PIERPONTDR Suite: Vicinity: Parcel Nunmber: 41802405 App�icant: DAVE MCEUEN Address: Owner: KACHATURIAN, ERNEST JR Address 583-PIERPONT DR . -. � Zoning: R1 R1 Pfione: " " ` . Zip: / �;' i � . ` -Phone:_ " - - �,_ � / �COSTA MESA,CA � . - � ' Zlp: 92626 - %'�i �',�� \ % "- _ Contraclor. THE ROOF,ING 8PECIALISTS Address: 218 E 18TH�ST ,% �� %% • � .��-� Phone: , 774-722-8846 i�; � ! ��. � . � � : � COSTA �MESA, CA Zip 92672 � -� - � . �; � License: 734088 Arcb/Eng: ` - �•-� , .. i Address: � ' � �" -' � � i i � � ' � ' , � �,'Phone:. _ - . _ � � - ' � � Zip: - . License: � . i Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: SCOPE OF PERMIT T/OFF SHEATH & REROOF 2300SF RESIDENCE W/COMP SHINGLES. $0.00 $99.75 $0.50 $0.00 $0.00 $0.00 $100.25 SETBACKS MAIN STRUCTURE �Front 0• 0� � ACCESSORV Front 0-0 - - PARKING Existinq: 0 NOTES: Rear 0- 0 Rear 0. 0 Required: 0 FEE SUMMARY , _ � , j' i i -- , / , �. PLANNING & ZONING ' ' , ��Left� �0-0 Left 0- 0 , Proposed: 0 Status: ISSUED Applied: 08/06/1998 Issued: 08I06/1998 . .� :� ' _ ,. � "V'�� . , � , . / � ' �� . �`� ;� ' Calc Valuation: Claim Valuation: , � Right � 0- 0 - - Right 0. 0 sa,ass.00 $4,485.00 ��Q�� '(i� yy I ) �� \ 9A� EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a penod of 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 required inapeetlona and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS' COMPENSATION DECLANATION: I hereby affrtn untler penelry of perjury me of the tollowing decleretions: ❑ I heva end will melmain a certificete of consent to seli-Insure tor warkers' compensation, es pravided tor by section 3700 of ihe Lebor Cotle, for ihe pertortnenca ot the work lor whlch lhl5 pertnil is Issued. ❑ I have and will melntain workers' compensaUon insurflnce, as required by seclion 3700 ot tha Labor Code, for Ihe peAortnance of Ihe work For which Ihis pertnit is issued. My workeB' compensation Insurence cartier antl policy number ere: Certier. % Policy Number. (This secflon neeC not De comp/eted /l Ne permit is va/ued ef one hundred dollars ($100) or /essJ ❑ I certily ihat In the ortnance 1 the work f vhlc this perm I Is sue , shall not employ any person in eny mannejjj eo es lo become subject to the workers' compensetlon lew of Celifo la, e egree ihel if Id beco � subJe l0 1 e workers' compensation provislons o�c�n 3700(ot the Lebor Code, I shell fanhwith comply with ihes provislons. i � C� / �Applicant Signeture: � Dete: � WARNING: FAILURE TO 5 URE WO 5' OMPENSATION COVERAGE IS UN WFU AN� SHALL SUBJECT AN EMPLOVER TO CRIMINPL PENALTIES AND dVIL FMES UP TOONE HUNDRED THOUSANDDOLLARE�E100, W� OITIONTOTHECOSTOFCOMPENSATION,D OESASPROVIDEDWRINSEGTION37080FTHEL4BORCO�E,IIJrEREST,PNDATTORNEYSFEES. LICENSED CONTRACTOPS DECLARATION: I hereby ettirm thet I em lice der provisions of Che ter 9(commencing with S Ion 7000) oi Division 3 of the Business antl Professians Cotle, flnd my license is in brce end ettect. uc. a �% � Class a 3 � Contrectors Signeture: Date: — 4 Y CONSTRUCTION LENOING AGENCY: ❑ I hereby eMirtn Ihet Ihere is a construction lentlin9 egency for Ihe peAortnance of the work for which Nis permit Is Issuad. (Sec. 3097, Clvll Code). Lendefs Name: Lentlefs Atldress: � Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirm that undar penelty oi per�ury that I am E%EMPT FROM TME CONTRACTORS LICENSE LAW for Ihe following reesan (Sec. 7031.5, Business end Professlons Code: Any ciry or county which reQuires a permit to consiruct, alter, Improve, demolish, or reDelr eny siructure, prior to Its Issuence, elso requlres ihe applicant for such permit ta file e signed stetemeN Ihet he or she is Iicensetl pursuent to ihe provislons ot the Con�rectors Licensa Lew (Chapter e(commendnp wlth Saction 7000) of Divisian 3 at the Business end Pmtesslons Cotle) or Ihet he or she is axempt therafrom end the besis for the allegetl exemption. Any violatlon of Sectlon 7031.5 by any applicant tor a pertnit sub�ecis the applicant to e civil panalry M not more than fve hundred dollare ($500).): ❑ I, es owner ot lhe property, or my employees with weges es t�eir sole compensetion, WILL DO TT1E WORK, entl the sirudura Is nat Intenaetl or oNered tor sale (Sec. 7044, eusiness end Professions Cotle: The Contractors License Lew does not epply to an owner of property who builds or improves ihereon, and who does such work himsalf or herself or ihrough his or her own employees, provitletl thet suc� Improvemenis are not intended or otteretl tor sale. If, however, the builtling or improvement Is sold wlthin one year of completion, ihe owner-builder wlll have the burtlen of proving ihat he or she ditl not bulld or improve tor purpose of sale.). ❑ I, as owner ot the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the projeci (Sec. 7044, Business antl Professions Cotle: The contrectors License Lew does no� epply to an owner of propeny w�o builtls or improves ihereon, and who wntrecis for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Signeture: Owner ID venfied by dnvers license. ❑ Yes ❑ No Busineu antl Profeuions Code for this reason: Vedficatlon of Ownershlp by (type at document, i.e. - property tex bill or deed): Dnver's License No. Date: Expires: DIVISION OF INDUSTRIAL SAFEfY PERMR CERTIFICATON: ❑ I hereby cetllly that no encavetian Me (5) or more feet in depth Into which e person is requiretl to tlescenq wlll be mede in connectlon with work euthorized by this permit, end ihat no building structure, scaHolding, falsework, or demolition or dismantling Ihereof, will be more t�en ihirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Celliornie Administretive Cada). ❑ As owner-bullder, I wlll not amplay enyone to do work which would requlre e permit irom �he Division of Indusiriel Sefery, as notetl above, unless such person hes a pertnit to do such work from ihe Civision. Signature: Date: Dlvision of Indust�ial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUiHORVA710N OF ENRiY: I cenify under penalry of perjury Ihat I have reetl ihis epplication end state that the information given Is correct. I agree to comply with all state laws and ciry ordlnences relating to huilding construction, and fluthonze reDresenteiives ot Ihe Ciry ot Costa Mesa to enter upon the above-tlescribed pmperty for inspectlon purposes. I agrea not to occupy or allow occupancy of any building auihonzed by Ihis pa mit until tinal inspection. n� ^ Slgn ture f galOwne�(s) / �a�e/ � � �A� tl lice _��— . Dete COOE 1. INSPELTONTYPE 1616 Fixed System Flnal Fire Prevention 1266 Pool Spa Finel 200 Finel Re-Raot 201 Finel BIocWReteining Wall 202 Finel Fectory Fire Place 203 FinalSign 204 Finel Demolitlon 2b68Je �¢ ��$ �2 INSPECTONTYPE 20fi Final Mechenical 208 Final Plumbing 210 Final Electrlcal 212 Final Fire Prevention 220 Final Planninp Apprwel 222 Final Site 250 Final Builtling/Occupancy CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fax (714) 754-4856 JobAddress: $S$ PIERPONTDR Suite No Vicinity: Parcel Number: 41802405 npp�icant: COOTER, LYLE Address: 1580-4 N BATAVIA ORANGE,CA Owner: RAVEN, GREG 8 LAURA Address: 583 PIERPONT DR COSTA MESA, CA MECHANICAL PERMIT Phone: (714)974-3004 Zip: 92867 Phone: (714) 825-0033 Zip: 92626 Contractor: TOTAL COMFORT SPECIALISTS Address: 7580-4 N BATAVIA Arch / Eng : Address: ORANGE,CA Phone: (714) 9743004 Zip: 92867 License: 676628 Phone: Zip: License: PE IT NUMBER r/Qj�j 1 7� FAIR DRIVE, CO�QQ�z�$92626 Status: ISSUED Applied: O6I30/2000 Issued: O6/30/2000 ISSUED BY: SCOPE OF PERMIT CHANGEOUT EXISTING FURNCACE WITH NEW 60K BTU FURNACE, AND INSTALL NEW 5-TON A/C UNIT. ISSUE FEE Inst FAU <700 k BTU Inst FAU >100 k BTU Repair / Alt Cooling/Heat Inst / Rep. Recess Wall Hlr Refrig Sys <700 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan I Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 10000dm Floor Furnace Floor or Suspend Heater $23.50 $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 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Repair / Alt Absorbtion Unit Repair I Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercial I ncinerator Domestic Incinerator Compressors I Absorption Svstems Uplo3hp/700kBTU 3 To 15 hp I 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Wer 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp 15 to 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS / SPECIAL CONDITIONS Quantity $0.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 527.15 1 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 565.45 NOTICE: The work authonzed by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a penod of 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 Inspectlona end flnal approval must be obtained. Failure to obtain inspections and final approval will result in tha expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLARAnON: ' ' I hare6y aHirtn under penalry of perjury one oi the following declaretions: ❑ I have end will maintain e cetlificete of consent to self-Insure lor workers' compensation, es provided for by section 3700 ot the Labor Cotle, for Ihe pertortnance of the work fo� which this permit Is issued. I have antl will maintain workers' compensation insurance, es requlretl by section 3700 of Ihe Lebor Code, lor the peAortnance ot the work lor which this pertnit is issued. . My workers' compensalion Insurence carrier and policy number ere: � Carrier: �! ��-A—i✓'�J/.1- policy Number: W� 3 n`��y� � (This section neetl not be comp�eled ll fhe permit is velued et one huntlred dallars ($100) or less.) ❑ I certify ihat in the peAormence ot the work for which this permit is issued, 1 shall not employ eny person in any manner so es to �ecome subject to the workars' compensation laws of Gelifomia, end agree th If I should become subject to ihe workers' compensation provisions of Sectlon 3700 of ihe Lebor Coae, I shall torthwith comply with these provisions. 7 Applicam Signawre: Date: � S- D E%� WARNING FAILURE TO SECURE `^10RKER5' COMPENSATION COVERAGE IS UNL4VlFUL AND SHALL SUBJECT AN EMPLOYER TO CflIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (5100,000�, IN ADDITION TO THE COST OF COMPENSATION, DMMGES A$ PROVIDED F-0R IN SECTION 3]W OF THE LABOR WDE, IMEREST, AN� ATrORNEV'S FEES. LICENSED CONTRAC70RS DECLARATION: I hereby aflirm that I am licensed under provisions oi Chapter 9(commencing with Sedion 7000) of Division 3 of the Business end Professlons Code, and my license is in full force entl ettect. Lic. N Lf t2� i�-/' 3 l Cless a C�O Coniractofs SlqnaWre: �''� Date: L 34 ✓q CONSTRUCTION LENDING AGENCV: �❑ I hereby aHimi tha[ [herU is a crnsWdion lending agenty br ihe peAormance of ihe work for which ihis permit is iuued. (Sec. 3097, CiNI Code). Lentler's Name: Lenders Atltlre55: Signature: Date: OWNER•BUILDER DECLARATIONS: I hereby aHirm ihat under penalry of perjury Ihat I am EXEMPT FROM TNE CON7RACTORS LICENSE LAW tor �he tollowing reeson (Sec. 7031.5, Business and Professions Cotle: Any city or county which reQuires a pertnit to conslrucL alter, improve, demolish, or repair any structure, pnor to its Issuance, also requires the epplicam for such permit to file a slgned statement that he or she is licensetl pursuant to the pmvisions of �he Comrectors LJcense Lew (Chapier 9(commencing with Section 7000) oi Division 3 ot �he Busineu end Professions Code) or ihat ha or she is exempt therefram and the basis tor the alleged exemption. Any vlolation of Section 7031.5 by eny epplicant for a permil sub�ects the applicant to e civil penalty ol not more than five huntlretl tlollars (5500).): ❑ I, es owner of the propehy. or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the structure is not intentletl or offered for sale (Sec. 7044, Business and Proiessions Cotle: The Coniractors License Lew does not apply to en owner of property who builtls or improves thereon, end who does such work himself or herself or ihrough his or her own employees, provitled that such improvements are not intendetl or offered tor sale. If, however, the bulitling or improvement is sold within one year of completlon, ihe owner-builtler will have the burtlen of proving ihat he or she did not build or improve fo� purpose of sale.). ❑ 1, as owner of the propdrty, em E%CWSIVELV CONTRACTING WITH LICENSED CONTRACTORS to constmct Ihe pmject (Sec. 7044, Business and Protessions Code: Tha conVactors 4icanse Law tloes not apply to an owner of pmperty who huilds ar improves thereon, and who contracts for such projecl with a coatractor(s) license pursuant to the Ga��actors Licanse Laws.). . ❑ I am Bxempt under sec. SignaWre: Owner ID venfied by driver's license. ❑ Yes ❑ Na Business antl Professions Code br this reason: Ventication ot Ownership by (type ot document, i.e. - pmpeny tax bill or deed): DIVISION OF INDUSTRIAL SNFETY PERMIT CERTIFICATION: Drivels License No. Date: Expires: ❑ I herehy certity ihat no excavation five (5) or more teet in depih Into which a person Is requiretl to descentl, will he made in connection with work authorizetl by thls permit, and that no builtling simcture, scattolding, falsework, or demolition or tlismantling ihereol, will be more Ihan ihirry-siz (36) teet high. (Chep. 32. Gry 2, Art 2, Sec. 341, Title 8, Califomia Administrative Code). ❑ As owner-builtler, I will not employ enyone to tlo work whic� would require a permit from the Division of Intlustrial Sefety, es notetl above, unless such person has a permit to do such work ffom ihe division. Signawre: Date: Division ol Industrial Satery Pe�� Number: CERTFICATE OF COMPLJANCE AND AUTHORVATON OF ENTSiV: I cenity under penalry of perjury that I have raad this epplication antl state that the information given is correct I egree to comply with all state laws and ciry ordinances relating to building constmction, antl aut�orize representatives of Ihe City of Costa Mesa to emer upon the ebove-described property tor inspection puryoses. I egree not to acupy or allow occupancy ol any �ulitling aut�orizetl by Ihls permlt until final inspectian. CQDE �. INSPECTIONTYPE 1616 Fixetl System Final Fi�e Prevention 7266 Pool Spa Final 200 Final Re-Roof 201 FIneI Block/Relaining W ell 202 Final Faclory Fire Plate 203 Final Sign 204 Final Demolition zane+s ��¢, IMIi1RL5 Date � �O o 0 --�7 Date COUE I INSVECTION TYPE 206 Final Mechaniwl 208 Flnel Plumbing 210 Final Electricel 212 Flnal Flre Prevention 220 Finel Plannin9 Approval 222 Final Site 250 Finel Builtling/Occupanry � Project �essJ.. P.pplicant's Mailing Owner's Name Address �� IT Applicant to till in all s0aces exceD� tnose within Iteavy EorEer lines antl sign all aporo0riate tleclarations. PERMIT NO TRACT NO LOT NO. UNIT NO -Arch/Eng�- /��/yl�l/�/i9/" �icenseNo. Address Contrattor's Nam L • Phon�� Address (mailing) � � �� City License No. � ' LICENSEp CONTRACTOR � CLARATION ' I nereby aftirm tnal I am licensetl untler Orovislons of Cnarter 9(mmmencing with section ]000) of Division 3 of the Business and Professions Gotle antl my Iicense is in tu rce antl eftect. � Ucgnse Clazz License Da[e O � Si9nature WORKERS' COMPENSATION DECLARATION hereby aifirm that I nave a certificate ol consent to self-insure or a certiiicate Workers' Compensalion Insu�ance, or d certiti¢tl cOpy tner¢ot ($ection .800, Lab. C.) Poli�y No. Company eCertifietl copy is hereby (urnishetl. � Certltietl copy is tile0 with the city Builtling Divislon. Dafe Applicant E%�MPTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl no[ be Completetl it tne permit is for one huntlratl (E100) or less), 1 cerNfy that in the periormance oi the wo f r�which thi erm�t is issuetl I Shaq not employ any porson in any ma ¢r o 5[o � c�su0ject to [�e Workery ' Compe Lq� taws ot Calitor Date !D —/� �/ Si9nature ' NO710E: If, aiter making lhis tleclara ion, you shoul me subject [o the Workers' Compensation provi5ions ot the �.ibo� Co , you mu5[ �orthwith Corqply �with such prOvi5lon5 or this pe�mlt Sh 1 be tleemetl revoketl. CONSTRUCTION LENDING AGENCV � 1 hereby atfirm that tM1ere is a con5[ruction lentlin9 agency tor [he perlormance Ot the work tOr which thi5 Permit is issuetl (Settion 3097 Civ. C.) Lentllr's Name � Leqtler's Atltlre55 OWNER BUILDER DECLARATION I hereby atfi�m that I am exempt trom the Gontractot'S License Law for the ' followin9 reason (5ection 7031.5 6usinezs antl Protessional COEo: Any city or I coUnty which reQuires a perml[ to con5truct, alte�, improve, tlemolislt or repaii I anv at.urtu.n n in. tn Its issuance._ also reauires the aoolicant fo� such oe�mit i5ion 3 ot [he BUAness antl Yrole5Won5 Coae) or [na[ ne/sne rs exemp[ �etrom antl tpe basis tor the alle9etl exemption. Any violatiOn ot 5ection I1.5 by any applicant to� a pe�mit 5ubject5 the appliGant f0 a civil �alty ot not more than live huntlretl tlollars (E500). ' I, as owner of the property o� my employees with wages as th¢ir sole ipensation, will tlo the work, antl tne structure is not intenCetl or ofteretl sale (Seciion ]044, Buziness an0 Protessional Code: The COMractor's en5e Law tloes not appry to an owner of a properry who builas or improves reon, antl who tloes such work himself/horself or throu9h hls or her own ployees, prOvitletl lhat su[h impravements are n0[ intentletl or ofteretl for L H, howeve�, the builtling cr imOrovement is sold within one year oi com- [ion, [he owner will have the burtlen ot provMg he/she tlitl not builtl or im- va lor the purpose of sale). I, as owner ot the property, am exclusively contracting wiih Iicemetl con- :torsto construct the project (Section 7044, Business ana Protessions Coae: • Contractor's License law tices not appry to an owner of property who Itls or improves the�eon, dntl who mnt�act5 tor such pmjects with d Con- otor(51 license pursuant to tne Contractor'S License Law). I am aware that �o/ of IM1eir Worker'S COmpensation iniurance shOultl De provitl¢tl to me. I am ezempt unUer 5¢c[lon B. & P. C. for this r¢ason Date Owner Slynature /,�!j/� Dr��ers' L�cense or 55 � CMF 0865-46, rev, 4/84 QlSill'� TYPE OFCONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ,4P #, DESCRIPTION OF WORK/USE OF BLDG. 5 Main Buildi E TYPE OFPEqMiT GRADING FOUNDATION STRUCTURAL T Front ❑ TENANT �CiRIC ❑ PLUMBING ❑ MECHqNICAL B R¢ar ❑ OTHER A PROJECT DESCRIPTION 5 FT OCCUCA V C Right K CONSTRUCTIONTVPc_�'�.n.LI1GTIpNS /��_ g Left ZONE GRADINGCV.V�S. ACRES p�ng.Ref.# Remarks: Planning Notes: 3ar Sink 3ackflow Preventer Backflow Irrigation 3athtuhs Clarifiers Dishwasher Drinking Fountains Floor Drains Floar Sinks Gas Service Outlets Interceptors Kitchen Sink �avatories P—Trap . Roof Drains Reinspection Fee $15 Boiler Dua - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑0�700,000 BTU O 100,000 BT Reinspectian Fee � $15 W hite - Builtlin9: Canary - APplicanq Pink - ACGountin9: GoltlenrOtl - A55es5or Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Warer Clout Water Heater Water Service laue Fee Hood or Type I ❑ Canopy Type I I ❑ Refrigeration Sys[em ❑0-100.00OBTU ❑100,000 System Repair/Alteration Issue Fee FEES $ 3 FEES $ 3 Automatic Washer Construttion Pole Sub. Cooking Unit Oishwasher - Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Dispoul Generator �0�5 KW C Fee 0012 10/II/84 Zone Accessory Bui ETTTL---EC---7RICAL � Transformer ❑ 75�50 KW ❑ SO+KW 5KW $75 Meter LJup to 100 am'ps Meter ❑over 100 amps Sub Panel ' Motors00-1 HP �1'h-8 Inc.Solar �9-75 HP �16-15+ Microwave � Pole Light Range Standing Sections Trash Compactor luue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By �' 17.OQ TL FEES $ 3 SUMMARV OF FEES , � BUILDINGPERMIT $ ID•l�O SMIP $ '� PLAN CHECK $ �•� ' PEfiM1T PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ � MICROFILM $ MECHANICAL $ TOTAL FEE $ �%•�� PLAN CHECK 25% $ Z O N I N G R E Q M T S. � CONSTRUCTION AND PLANNING ' - POG_ .� SPA APPROVALS Permit # Date � Inspector �AppROVALS Permit # Date Inspector Temporary Electrical Service or Pole 52. Pool & Equipment Location .� � _. Soil Pipe-Undrgmd. ' � ., ' 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgmd. '� 54. Forms - 4. Elecfrical C6nduit-Undrgmd. 55. Electrical Bonding ' . 5. .Steel' Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE , � � 7. Footings , . 58., Electrical Conduit-Undrgrnd. 8. Foundation . , � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. � � 60. Backwash Lines, P-Trap, � Undrgrnd. , i 10. Svuctural Floor'System � � 61. APPROVAL TO DECK � i l. Property Sewer Line & House Connection - i 62. Backwash & Receptor-Final _ � 12. Sewer Cap - � 63. Heater & Vent-Final � . 13. Roof,Drains - � 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar SYstem-Final - i6. Rough Electric Wiring . 67. Fencing & Access Approval 17. Rough Wiring Sign . 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - 20. Rough Factory Fireplace- APPROVALS Permit# ' 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing � - 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structurall & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation� 78. fIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat �� 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric . Notes: O L�fT c�� 34. Final Heating & Air Conditioning �� 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace ' . 38. Final Plumbing 39. Water Service-Final . 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation . 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations �' �y �pj � � ��, - 47. FINALSTRUCTURE&BUILDWG _ �-- . p (r'8�('a �- �- 48. Special Requirements Completed 49. Electric Release to Edison � • 50. Gas Release to Southern Califoinia Gas Co 51. CERTIFICATE OF OCCUPANCY . . No. Date ' 2� 2 '"N 30-67 00 861 #�** 112.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1100 COSTA MESA, GALIFORNIA YZ626