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Home My WebLink About2156 PUENTE AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT JobAddress: 21Sfi PUENTEAV Suite No Viciniry: Parcel Number: 42217148 npp�icant: CLARK, WILLIAM Address: Owner: TOMLIN, CLARENCE O. Address: 2156 PUENTE COSTA MESA, CA Contractor. SOCO AIR CONDITIONING Address: 6892 CARNELIAN � ALTA LOMA CA � Arch / Eng : Address: REPLACE2 WALLHEATERS. Quantity ISSUE FEE Inst FAU <700 k BTU Inst FAU >100 k 8TU 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 Vent Air Handlers < 10000cfm AirHandlers> 10000cfm Floor Furnace Floor or Suspend Heater $23.50 $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 $0.00 $0.00 $0.00 $JA.Be' Z9.G O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 ISSUED BY: Phone: 909-944-1340 Zip: Phone: Zip: 92627 Phone: (909)944-1340 Zip: 91701 License: 333239 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercia l I ncin e rator Domestic Incinerator Compressors / Absorption Systems Upto3hp/100k6TU - 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 Up to 3 hp 3To75hp 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 Status: ISSUED Applied: 12/26/2000 Issued: 12/26/2000 Quantity $0.00 0 $0.00 0 50.00 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 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 s9e+s� 53 • /O NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned , for a period of 180 days. INSPEC710NS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all I requlred inspectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 244G46 (6�W) WORKERS' COMPENSAnON DECLARAnON: �� 'w 1 hereby ettirtn under penalry of perjury one of the following declarations: � ' ❑ I have antl wlll maintein a certificate ot consent to self-Insure for workers' compensation, as providetl for by section 3700 ot the Labor Code, for the pertormance of the work for which this permit is issued. ❑ I have antl will maintain workers' compensation insurance, as required by section 3700 of the LaDor Code, for ihe pedonnence of the work for which Ihis pertnit is Issued. My workers' compensatlon Insurance carner antl pdicy number are: Carrier: Policy Number: (fhis sec(ion need no! be cromplered il the permif is valued af one hundred dollars (5700) oNess.) ❑ 1 ceniy that in the pertormance of the work for which this permit is issued, I shall not employ any person in eny manner so as lo become subject to the workers' compensation laws oi Calitomia, anC egrea t�at tl I shoul become sub�ect to the workers' compensation provisions of Section 3700 ot tha Labor Cotle, I shall forihwith comply with these provisions. �7 — G G ApplicantSigneture: /.(� � /� Q,c oe�a: /� —,�co G WARNINO: FAILURE TO SEC E WORKER ' COMPENSATION COVEPAGE IS UNLAWFUL nND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE MUNDRED TFKKISAND DOLLARE (5100.000�, IN ADDITION TO TME COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION �O60F THE LABOR WDE, IMEREST, AND FTTORNEY'S FEES. LICENSED CONTRACTORS DECLARA710N: I hereby ettirm that I am licensetl untler provislons of Chapter 9(cofrpnencing with Section 7000) of Division 3 of the Business and Professions Code, antl my license is In full lorca entl eflecL Lic. N // Class x Contractofs SignaWre: ��,�� ^ ./Z/1 ,n Date: /� � �_ — C /i CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm Ihat there is a consiruc�ion lending agency for ihe De�ormance of the work for which this permit is issuetl. (Sec. 3097, Civil Cotle). �� Lentlefs Name: Lenders Address: SigneNre: Date: OWNER-BUILDER DECLARA710NS: I hereby e%irtn Ihat under penalry ol Der�ury ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business end Professlons CoOe: Any city or county which requires a permit to construct, alter, improve, demolis�, or repair any structure, pnor to its issuance, also requires the applicant for such permit to file e signe0 stetement ihat he or she is Iicensed pureuant ta the pravisians oi the Contractors License Lew (Chapter 9(commencing with Section 7000) of DlNslon 3 oi the Business end Professions Code) or that ha or she is exempt therefrom and Ihe basis for the alleged ezemption. Any violation ol Section 7031.5 by eny epplicant for a permit subjecls ihe epplicant to e civil penalty of noi more ihan five huntlretl dollars ($500).): ❑ I, as owner oi Ihe property, or my employaes with wages as their sole compensation, WILL DO 7HE WORK, antl the structure Is not iniended or ottered tor sale (Sec. 7044, Business and Protessions Code: The Contractors License Law does not apply lo an owner of properry who builds or improves ihereon, and who does such work �imself or herself or Ihrough his or her own employees, provided that such improvements ara not intentled or oHeretl for sale. If, however, the building or improvement is sold within one year of completioq the ownerDuilder will have ihe burden of proving that he or she did not builtl or improve for purpose of sale.). ❑ I, a5 owner ot the property, am E%CLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Professions Cotle: The contractors License Law tloes not epply to an owner of pmpeny who builds or Impmves ihereon, antl who conirects tor such project wit� a contractor(s) license pursuam to the Comractors License Lews.). ❑ I am e:empt untler sec. Business and Protessions Code tor this reason: Signature: Date: Ownar ID venfietl by tlrivefs licensa. ❑ Yes ❑ No Drivers License No. Eapires: Venfication of Ownership by (rype of documen6 i.e. � property tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity Ihat no excavation five (5) or more feet in tlepth into whlch e person is required to descend, will be made In connection with work aut�onzed by this pertnit, antl that no Duiltling structura, scattoltling, falsework, or tlemolition or dismantlinq theraof, will be more Ihen ihirty-six (36) feet high. (Chep. 32, Gry 2, Art 2, Sec. 347, T10e 8, Califomla Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require e pertnit trom Ihe Division of Intlustnal Safety, es noted above, unless such pereon hes e permit ta do such wark irom the tlivision. Signeture: Date: Division of Industnal Safery Pertnil Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I certity under penalry of perjury that I have reatl ihis epplica�ion and state that ihe intormation given is correcL I agree to comply with all state laws end ciry ordinances relating to builtlinq construction, antl authonze representatives ot the Ciry ot Costa Mesa to enter upon the above-describetl property lor inspection puryoses. I aqree not to occupy or allow occupancy of any building authonzed by ihis permit un�il final inspection. Si et e Oi L al Owner(s) Date �� r�.Cy`� � 7 - 02 c� -�,-s AnC/Or Authorized Applicant Date CODE I. INSPECTION TYPE 1616 Fixed System Final Fire Prevention 12fi6 Pool Spa Finel 200 Finel Ra-Root 201 Plnal Block/Reteining Wall 202 203 Final Fectory Fire Place Final Sign 204 Final Demolition �� COpE♦ INSPECTIONTYPE 206 Finel Mechanical 208 Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy .�2 ! -0( � LOT �� 9CTIONS �� -Ocation � Forms J� Main Drain Steel Reinforce Elec. Bond Approval to Cover Underground Electric _ Gas Piping Test Filtering System Lines _ Backwash Lines and Recep. Electrical Final Heater and Vent Final _ Fiirer $ystem Final Nash and Recep. Final Fencing Final Approval for Finizh _ 1 �1 �=_(L_= BUILDING PERMIT NQ � ��gE,r. DESCRIPTION of WORK .7acuzzi $pa 7RACT FIRE ZONE VALUE $ Si nature Date GROUP TYPE ZON C� '�% SUBCONTRA�CTOR PERMII Dore _,� N C. C 7-�$•7C� Electric � Plumbing - r C. 7-1$-Z � , n w i _^x� _ n _ � 4��05 � COSTA MESA BUILDING-SAFETY DEPARTMENT ' P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only ADDRESS Z/5 (/��E OWNEF � � � MAI l ADDRESS � � / ! t • CITY /'Yf /!J.* /`%G�� NOLf��`/ BRANCH ADORE55 ARCHITECT TEL. CONTRACTOR � '� ADDRESS TEL. CITV NO. F STATE CITV �i LIC. NO. LIC. NO. W SIZE NO.OF BLDGS. 0+ Of LOT NOW ON LOT a USE OF ,.�.� EXISiING B�DG. y � Separate permits are required for � electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMED ' — — - . } � Lil QI hareby acknowlatl8e that I have �eatl ihis application end state y� thac the ebove Information is correct antl agrea to comply with a all laws regulating builtlin0 conrtruction, and I shall noi employ z any person in violaiion of the workman's compansation laws ot ;� the Stete of Californie. 3 I hereby certlty tha( I am p�ope�ly Iicensed as a coniractor under the State of Califarnla Businass and Professions Catle, Oivisio 3, Chapter 9, antl thaS such licenses are in full force end effe o am exempt from t�e provisions of the State of California us ess end Professions Cotla, qirixf0tv3, Chepte� �� ABeni � y'. .� 9602 7/17%78 10�.50 TL APPLICATION FOR STRUCTURAL PERM[T � � RECEIV / DATERECEIVED ..,.z��o��.. � A.P. NO. BUILDING ADDRES: � TR i BLOCK APPROVED " V gy DATE ' � O ZONE�/NO.OF USEOFNEW �uZ�� PLAN$ � BUILDING VARDSAPPROVED VARDSAPPROVED MAIN BUILDING ACCESSORV BUIIDING (FROM C/L STREET) FRONT �T. FT. FT FT. '7 /1 � DISiANGE BET. BET. MAIN MAIN BLDGS. AOCESS. BI VAR.#E DATE � /¢ � THE AMOUNT SHOWN UNDER VALUATION THE PURPOSE OF ESTABLISHING A PERMIT FEE VALUATION PERMITFEE $ O Pi.qN CNECK E � $ /Q O� TAX E �. TOTALPAID $ ' -Costa Mesa Building Department .: 17T EAST 20th STREET ' .� � COSTA MESA� CALIFORNIA FOgt APPLICANT TO F'ILL IN Building � ,/ Address �Jj lp ' �.(p_,.r�T., � Costa, Mesa, California ■ Cross St. No. of of � �R�.J E � c, ny Use of N Rooms Lic. No. City Lic. No. No. of Bldgs. Now on Lot O No.of No.of Famflies Rooma APPLICATION. FOR'Y�,�.._ �-2�� BUILDtNG � FOR Og`k'ICE USE ONLY i .. _ _.ReCeipt No. _ permit No. , 1 1 I � �,' / Received by- Date Rec'd. Date Issue�d � - y�i'� - SSJ Building ' - ' Address Costa Mesa, California Plans I � CORRECTIONS Addition I � ar � " � � , � �• � Demolish I - � � �- Stories APPROVALS Foundation Location� Inspector I Forms, Materials,�� Y UndervPinninn tv I hereby acknowledge that I have read this Application `�"" "'" � and state that the above is correct and agree to comply �� with all City Ordinances and State Laws regulating Lath. Ext. building construction. c� Signatureof Plaster,lnt. � Permitte rF Plaster, Ext. Authorized A t. Masonry Reinforeed,� Valuatlon ermit Fee $,�.�. o o - � $ �> �0 �, Plan Check $ c O Bond Beam ,� Total . Fee $ oi �. p� FINAL c FORM 2O4 G-H 2M 5-54 � 2 D r OWNER HUNNY INV. CO. JOBADDRESS 2156 Puente $t. � DATE BUILDING PERMIT NO. CaENERALCONTRACTOR S. V, Hunsaker VALUE $ 9�OOS�CO i 82 BLOCK TRACT p3g� Single Family Dwelling_ GROUP I TYPE V ZONE Ry. FIRE DISTRICT ZZ>CJ PERMITSISSUED INSPECTIONS DATE I SUBCONTRACTOR I Footing Trench Foundation Forms and Grade Tem 2a'j�14 u-_`l�oi��'.,_ IR. Heating, Rough Heating, Finat �Lv Sewer, House �/ Sewer, St. Seotic Tank or Cesspool 3- i ig, In Ou � �/ yo J, i �ring '� ' `.a. Jr r . Plumbing, Final, Fixtures Compiete f li�� / Plumbing, Fin.al Gas Test � ti'� f-- _.J �� f� ,� v� � � �ii� Wiring, Final / — / — OccupanCy � j.—/ �1 Fnrm 'l10 G-H 1500 1-55 i Costa Mesa Building Department ��--, �,' ,'; - P. O. Box 3!7 25�? ; ' � ''� COSTA MESA, CALIFORNIA , . FC FOR APPLICANT TO FILL I1V � t� t, -- 6ui�aiog d�/Jr ,L. �'�-`---` —1 ;. Address Costa Mesa, California �%�.-s� bY I� �g eC or � Address � G� � � �/� Costa Mesa, California •� 3 ;, �G��/%� - 'NearesS Cross St. % �4j �� i� No�� ' Zone � No.of TYPey�/ f Lia l Plans I J1� - No. �Approved� Dati by -�— CORRECTIONS �T c�ty uo. �s�-s No. �.. _ . . . _ /, i�./ i Lot No. � B X 60 � No. ot ��d9� � ' Size of Lo! ��:/ Mow on Loi l�se of No. of No. of / I, ExistingBldg. �pNL I F,amilies �� Rooms V � Setback Line from r�� Rear Vard `J- �� I Center of Street J�! 3ide Yard (o �� DESCRIPTION OF WORH New I& I Alteretion I I Addition I . Repair I I Movirtg � I Demafish I Building.. �n.:. „ No. of Wall� Buiiding %��pG'/f /i(/ �'�L j� �y�F Foundation locat�o� �-!� Forms, Materials, Under-Pinning 9� � �� .� � Frame: Fire Stops, �! Bracing, Bolts I here6y acknowledge that I ha e read this Application and state that the above is correct and agree to comply Lath. Int. with all City Ordinances and State Laws regulating building constQ�Ct3Dn. Lath. Ext. Signature %!////+�� , Perm�e�c�w"��*i�C � V�-!�� Plaster, 1'nt. �; -ed Agt. plaster, Ext. \ Permit Fee $ _� — Masonry Reinfarcetl \�.[:ha..4 C . -� A%.s @ PLOTPLAN �v IocatlOn and distanees from .. �,.�y une and between bulldino� ' , � ' 6:. P` OL DAT� BUILDING PERNia. _ DESCBIPTION OF WORK FIRE ZONE VA SUBCONTRACTOR .' — 2528 C�iSTA MESA BUIID�NG-SAFETY DEPARTMENT P.O. BOX 7200 � C08TA MESA, CALIFORNIA 9ffi26 For Appllcant to Fill ►n Comp/eroly TYPE OR PRINT ILIILDIN6 ."")/�/O �/JCA�TL= S/ � �DDRESS L l COSTA ME3A, CALIFORNIA .....__ %� /`7,'-7—..,n„ % , . . o Mwi� srze OF LOT ' USEOP EXI3TIN , YCflACK S c� � '1 I No. oP � i!T S RIOFfi' DESCRIPTION Of WORK I..w_._...�I✓ I .�� TOl61 � 1✓!1 `, 1 NEpEBY ACKNOWL6O06 TXA1 1 MAV[ RfAD TNI'. AND 6TAT8 TNAT TH[ AGOV6 • CORRlCT �ANO A PLY WITN ALL CITY O OI f� AND �TA¢ U1W BUILOINO CON9TR�N /I 81GNATUREOM �� PERMITT6 �. ///I 6.F.l� 1 jf AVTNORIZiO AGHNT 0 C.� \ CITY 0� CvS�A m FEB 10 1966 for Offfce Use Only Rat[IA'Xo. I S IBBUHD � �L%_ er �� P(��i DATEL'/lJ-bip/ � ZONIN6 ZOj� NO. o� UY[ OR n ' ' �/�� U�NI �/ lU�LDINO �Q�r�I � A 7 y� n� �'� ouc n�mox LlJ I � � / � � 3 � ' / � �,. P. No. i i 5='�6 /-/ 6 HOTH: NO 6A OV[RHANO SHALL BE LEBS THAN 80' TO 8106 0 RBAR P. L EAVEB ALLOWBD <U.B..G.REQUIRBMENT) YARDHMPROVHD YAROSAPPROV6D MAIN BUILOINO AGCE880RY BUILCINO VAR• � d- 23 � Rr. BQT. MAIN Q ! ACCESY. BLD68. DATE MPROV@D p he.� J -/// _. � 'IM6 AMOUNT 9HOWM UNDHP VALUATION PURP08[ Or LBTABLIBNINO A PEPMIT VALUATION PERMIT FEE : �,//�� - � TOTAL FEE OWNER TOML2N� CT,ARENCE O. / DATE "j-29-5b JOB ADDRES3 2156 Puente BUILDING PERMIT NO. 25(12 . GENERALCONTRACTOR OpiII@P - VAWE $ j3,Q.00 R9 ' BLOCK TRACT 91A7 Rlnrir �n7all INSPECTIONS Footing Trench i Foundation Forms and Grade to Rough Framing Plumbing, Rough to Slab Plumbing, Rough Complete Temporary Pole . Wiring, Rough 4eatina. Rouah . , Sewer, House Sewer, St. Septic Tank or Cesspool I ��g, In Out 1 .ring Plumbing, Final, Fixtures Complel Plumbing, Fin�al Gas Test Wiring, Final Occupancy FORM 210 3M �O�v3 ZI ZONE RLl DATE SUBCONTRACTOR -30-<6 PERMITSISSUED I NUMBER 11