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Home My WebLink About910 DOGWOOD ST - Building Permits.0 (714) 754-5273 • Fex (714) 754-4856 • www.d.costa-mesa��TRICAL PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Viciniry: Parcel Nunmber: Appliwnt: Address: Owner: 910 DOGWOOD ST REAR OF PROPERTY 42252121 SLINGSBY, JON DEREK 910 DOGWOOD ST COSTq MESA, CA SLINGSBY, JON DEREK Address 910 DOGWO00 ST COSTq MESA, CA Contractor: OW N ER-BU I LD ER Address: ISSUE FEE Temp service tesl Res. a/c package New.Res (7-2 units) New Res (3+units) Pool / Spa Lighting Fizis Recepl Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1hp Motors l0 10hp Motors to 50hp MOlors to 100hp Motors over t00hp Communication drops Sub panel l0 200a Pole Light Pkg Sign Cirwits Temp Pwr Pole Intermed Pole IP RR Phone: 949-466•3905 Zip 92627-4161 Phone: Zip: 92627-4161 Phone: Zip: License: 000000 SCOPE OF PERMIT UPGRADE SERVICE.UP TO 200 AMPS. � 523.50 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 50.00 $0.00 50.00 $30.50 50.00 $0.00 50.00 50.00 50.00 50.00 $0.00 $0.00 50.00 50.00 50.00 50.00 50.00 Quantiry FEE SUMMARY Temp Dist Systam ! Lighting Busway/100ft � � Standing Seclion Misc Electrical Equipment Transformers up to 1 kva/kw ................up l0 10 kvalkw .................up to 50 kva/kw ...............:.up to 100 kva/kw .....over 100 kva/kw Low Voltage Equipment Low Voll Wiring System / Ckt Misa Conduit Misc. Conduclor Circus ( gen or ride) Cirws (mech�ride or lights) Christmas Tree Sland Fireworks Stand -� Other Eleclrical Fee Invesligafion Fee Plan Check Fee Reinspection Fee ISSUED BY: Status: ISSUED Applied: 09/082005 Issued: 09I082005 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 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 30.00 0 $0.00 0 $0.00 $0.00 50.00 $0.00 TOTAL CALCULATED FEES E54.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12•21•g2) EXPIRATION: This permit shall automatically expire and becoma void it work (s not commenced within 1 BO tlays, or if work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for tha work authorized under this permit to be considered legal, such work must comply wilh ell epplicable codes, and all required Inspeetions end final approvel must be obtained. Failure to obtain inspections end final epproval will result in the expiratlon ot this permit. POR INSPECTIONS CALL: (71Q) 7545626 206&48 (6W) WORKERS'COMPENSAnON DECLARATON:� ' . I hereby eHirm under penalry o1 per�ury one at the IWlowing dadaretlons: ' ❑ I �eve end will meintein e certificate of conseni to self-Insure tor workers' compensation, es provided br 6y section 3700 ot the Lebor Code, for the pertormence of the work for w�ich this pertnit is iAweE. ❑ I heve entl will malntaln workers' oompensatlon Insurence, es requlre0 by sectipn 3700 of the Labor Cade, for Ihe poAortnance of Ihe woAc for which Ihis pgrtnit is issuetl, My workers' compensatlon InSurance cerner ena policy number ere: Cerder: Policy Number. (77i1s sectlon need not be comp/eted �� he pemtit is ve/ued et ane huntlretl dollers ($100) or less.) ❑ I cenify Ihat in Ihe peAormence of the work tor which thLs pertnit is IssueO, I shall not employ eny person In eny mennor so es to become sub�ea to Ne workers' compensetlon laws of Celifom�a, and epree Ihet If I a�oulA become suD�act to the workers' compensetion provlslons af Sectlon 3700 of Ihe LeDor Cotle, I shell larthwlth wmply wi�h Ihese provisions. Applicant SlgneNre: � -�- ' Deto: WARNINO: FNLURE TO SEWRE WORIfERS COMPF�NSAiION ODVERAGE IS UNLNWFUL M!D SMALL'SUBIECf Ml EMPLOVER TO CRIMINAL PEN�LTES AND CML FlNES UP TO IXJE HUNDRED TTIOUSAND DOILRRE (5100,000), W ADtl�1 TO THE CO� OF OOh�E�!$/�Tlpl; MA�i/�E�S /S PRQJIU`D FOR IN SEGTON 31O80F TME UBOR OODE, IMEPEST, AND ATfORNEV'$ FEES, LICENSED COMAACTORS DECL�ATION: '"'� �' (+,'� I hereDy aHirm t�at I am Ilcensed under proNslons of Chepter 9(cammendng with Sectian 7000) ol Division 3 0l tho Business and Prolessions CaAe, end my Ilcense Is In full iOfCB 6fld BflBCL UC. p CI999 p Contractofs Signeture: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirm lhet Ihare is e Gonstruction lentling agency tor the peAormence ol ihe work lor which �his permit Is issuod. (Soc. 3097, Civil Code), Lentlor's NemB: Lendels AtlAre55: Signeture: Date: OWNER-BUILDER DECLARATONS: I hereby eHirtn Ihat under penalry oi perjury ihat I em E%EMPT FROM THE CONTRACTORS LICENSE LAW lor the tollowing reason (Sec. 7031.5, Business end Prolessions Code: My Gry or counry which reqUires e permit to construct, elter, improva, tlemolish, or repair eny structure, pdor to Its issuance, alsa requires the epplicaM br such partnit lo file e signed stetement thei he ar she Is IlcenseE pursuent to t�e provlsions of ihe Contradors License Lew (Chepter 9(commencing with Sectlon 7000) of Dlvision 3 of the Buslneu entl Professions Code) or ihat he or she is exempt therefran and the basis lor the alleged exemption. Any Wolatlan of SecUon 7031.5 by any appllcant tor e permlt sub�ects Ihe epplicant ta e civil pena�ry oi not more than frve hundred dollars ($500).): ❑ I, es owner oi the properry, or my employees with wepes es their sde compensatlon, WILL DO 7HE WORK, antl the structure �s not IntentleC or otteretl tor sale (Sec. 7044, Businass and Protessions Cotle: The Conirectors License law does no� appty lo an owner oi property who builds or improves thereon, end who Ooes such work �imself or hersetl or ihmugh his or her own emplayees, pravitletl t�at such impmvements ere not intended or oNered for sele. II, hawever, Iha building or imprwemem is soltl within one year oi comple�ioq the owner-bulltler will have the burden ol proving that he or she did not builtl or improve tor purpose oi sale.). ' � I. as wner of Ihe property. arri EXCLUSIVELY CONTRACTNG WITF1 LICENSED CONTRACTORS to construct t�e prolect (Sec. 7044, Business and Professions — C e: p e comrector�cen y'�oe� epply to en awner of propeny who builds or impmves thereon, end who contrects for such pmject with a contwctor(s) Cense ur5uent t0 t ay��s u e Lews.). Business end Pmlessions Code for this reeson: Ownar ID verllleq6y driver's fice ❑ Yes ❑ No Verilicetion ol OwnersND by ( e o1 daumenL i.e. - properry tex bill DIVISION OF INDUSTRIAL SAFETY FERMR CERTIFICATION: No. ❑ I hareby certity thet no exwvaGon frve (5) or more feet in depth into which a person is required to tlescend, wlll be matle in connection wlth work euthoAzed by Ihis pertnit, end Ihat no building stN��ure, scaHolding, lalsework, or demolition or tlismantling thereol, will De more Ihen thirry-six (38) feet high. (Chap, 32, Grp 2, Ah 2, Sec. 341, Ttle B, Calilomle Adminis�rative Gode). ❑ As owner-builtler, 1 will not employ anyona to tlo work w�ich woultl require e pertnit Irom Ihe Divlsion of Induslrlel Sefery, es nated ebove, unless suc� person hes e permit to tlo suc� work irom Ihe tlivlsion. SigneWre: Date: Divlslon oi Intlusirial Safery Permit Number. GOUE I. INSPECTIONTYPE 1618 Fixed System Final Fire Prevention 1288 Pool Spa Finel 200 Flnel Re-Rool 201 FIneI BIocWRetalning Wall 202 Final Fectory Fire Place 203 Final Sign 20a FlnalOemolition Q� �@ 1CtpE� INSPECTIONTYPE 206 Final Mochanlcal 208 Finel Plumbing 210 Finel Elocidcal 212 Finel Fire Preventlan 220 Final Plenning Approval 222 Final Site 250 Finol Bullding�Occupancy PAIE i�lfl x a-�5-os vo� GENERAL CONTRACTOR �.No.ii5-49i-2o INSPECTIONS OCCUPANCY pU6 g 196E� �T FIRE ZONE I DATE I GROUP J -�--I SUBCONTRACTOR BUILDING PERMIT N0. VALUE S 195.0C) CYPE V ZONE R-1 PERMITS ISSUED Form 210—SM-11�59 S-B P � 1917Fi ' 129.3� C�OSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 8f7 COBTA MHBA. CALIROi2NIA For Applieanf fo Fill In Complefely TYPE OR PRINT MESA, CALIFORNIA r . . n. � o O n yl.Q/r. n o S T. n,s �a � /�,., TEL. �"'/x�St No. TEL. CANTRAGTOR � CC�/I�� — �O /� � —.� � ADDRESS CITY 6TATE TEL. LIG. NO. NO. SIZE n� � � O NO. OF BLDGB. OR LOT � O NOW ON LOT esEe°.:,.. e..... G�/i �f» ��` ■ BBTBACN lJNB PROM DESCRIPTION OF WORK 7/O / �/�✓ NO. OF / o -< <� ROOMS WALL IROOF COVERING 11�q INGu�o WORK TO BE PE �irnrd �ti�nn� I H611HBY ACKNOWLeDGC THAT I XAV6 REAO iN18 APGIJGTION AND BTAT¢ TM�T TH6 ABOVB IB CORRECi AND AaREC TO COM- PLY WITH ALL CITY OImINANCHd AND HTA'R LAW9 REOULATINO BUILDINO CONBTIiUR10N. L n BIGNA7URH OP �� .. _�\t� S.enl'f C: ( PHRMITTEF ' —'-- —" l AUTHORIZED AGHNT FIRE � EE K�.CE1V t�,�� s-a�-�° FINANC � �AP�F�� APPLICAT(OA FOR �PERMIT BUILDING For Office Use Only ATE IBSUED , -JG-G� CASTA MESA. CALIFORNIA IVED �� / -� u •�� e DATE o ZONING NO. OP U8H OR N8W � I �UNB y �UILDINO � IC8NT6P UNC BT.1 APPROVHD � ' �( y � - 2-O EVES ALLOWED FT. IN. S—_FT. � IN. �� FT. IN. � �✓ FT. IN. �� l ..._� �- 2�-1 rJ TXE AMOUNi BHOWN UNOeH VALUATION 19 FOP TNH PUPP088 OP e8TA9LI8HIN0 A PeRMIT F8E ONLY. VALUATION / /,•�� PERMIT FEE S �— S � X PLAN CHECK S � '� iOTAL FEE ARANGE COUNTY BUILDING DEPARTMENT 636 Norfh Broadway ' � - SANTA ANA, CALIFORNIA FOR APPLICANT TO FILL IN NEAREST Cft055 ST OWNER MAIL ADDRE55 aTr E ADORE55 � WILSHIRE BIVD. TEL. RlY HIllS N�� C N & MCKERRAGHER rTio � S O E. 4JALNUT ST. , PASA EVPORT VISTA CO.no� C ADDRE55 �(jx� Ytb�i WI LEGAL DESCRIPTION LOT NO. (ATTACH METES & BOUNDSI NO. OF NO. OF iG. F�niL�Es ROOMS DESCRIPTION OF WORK COVERING STUCCO � COVERIN� USE OF NEW �AYt• BUILDING RESIDENCE I HEREBY ACKNOWLE'JGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULNTING BUILDING CONSTfiVCT10N. SIG�N pTURmE OF NEMPORT VI STA C0. APPLICATION FOR PERMIT � B � I � � 1 � V FOR OFPICE USE ONLY RECEIPT NO. PERMIT NO. ys�� si� � RECEIVED BY DATE OF APPL. DATE ISSIiED I��-T /� -1� -S� /�/Z.3�s Gl / c � -.�-�( � IUILeDING c� � . SCHOOL DIST. OR TOWN NEAREST 20NE NO.OF TVP M � � PLAN6 I 7/ � .It_ SETBACK LINE�@C�EA CENTER OF 5T. REAR VARD J' -A SIOE YARD APPROVED � nn/hY-' APPROVALS 'ION: LOCATION INSPECTOft [ d5, MATERIALS, �j/�� / ; ER-PINNING %',✓'l NG� 'IRE STOPS. �J� / � :ING. BOLTS // /�/ �� '` / $ 483o.Q0 P. G. E y� MASONRY / "� '/ FEE /Y BOND BEA s ( VALUATION •C � FINAL .n FEE '/f J -lo '� i9-�i3 3 � : , i _ •J : . iv1' '.(; )�.', _ ' . ' '-:'� -.�'F.`.`if: _ .. � . 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