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Home My WebLink About954 DOGWOOD ST - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT .lobAddress: 954 DOGWOqDST Suite: Vicinity: RESIDENCE ANQ ATTACHED GARAGE Parcel Number: 42252130 Applicant: KING, JERRY D Address: 954 DOGWOOD ST COSTA MESA, Cq Owner: KING, JERRY D Address 954 DOGWOOD ST COSTA MESA, Cq Co n tra cto r: O W N E R- B U I L D E R Address: Zip: Arch : Address: Phone: Zoning: Phone: 949-645-0332 Zip: 92627 Phone: Zip: 92627 Phone: License: 0 Eng: Address: ISSUED BY: Status: ISSUED Applied: 09/12/2002 Issued: 09/12/2002 Phone: Zip: License: License: SCOPE OF PERMIT REROOF: T/O EXISTING COMP SHINGLES, REPAIR/REPLACE SHTG AS NEEDED, FELT PER MFGR'S SPECS, APPLY "30-YEAR COMP SHINGLES " 1700 SQ FT Plan Check: $0.00 Permii: $66.20 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $66.70 SETBACKS MAIN STRUCTURE Frant 0- 0 ACCESSORY Fmnt 0-0 PARKING Existin : 0 NOTES: Rear 0- 0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Lek 0- 0 Left 0- 0 Proposetl: 0 Calc Valuation: Claim Valuation Right 0- 0 Right 0- 0 $i,soo.00 St,soo.00 NOTICE: The work aulhorized by ihis permit shall compty with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automaticdlly expire and become void it work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. 1NSPECTIONS: In order for the work aufhorized undw lhis permit to be conside�ed legal, such work musi comply with a!I applicable cades, arM al! requlred Inspeetions and final approval must be obtained. failure to obtain inspections and final approval will result in the expiration of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 � WORKERS'COMPENSAnONDECLARAnON: � - I hereby ettirm under penalty of perjury one oi the following declaretions: ❑ I have entl wlll malnteln e certlticete ot consent to selt-Insure for workers' compensation, as providad for hy sectlon 3700 of the Lebor Cotle, tor the peAormence of ihe work for which this pertnii Is issued. ❑ I have entl wlll malntain woAcers' compensation insurence, az requiretl �y section 3700 of Ne Lebor Cotle, for Ne pertortnance of t�e work for whlch Ihis pertnit is issuetl. My workers' compensallon Insurance carder and policy num6er ere: Cafrier: Policy Number: (This section need nof be wmp/etetl il the permlf !s velued et one huntlred dollaro ($100) or less.) ❑ I cenily thet In the peAortnence at the work for which Ihis pertnil is iuued, I shall not employ any person in any manner so es to become subJect to the warkers' compensation laws of Celifomia, end egree thet If I shoultl become subject to Ihe warkers' compensation pmWsions o1 Sectlon 3700 ot the Lebor Cotle, I shall forthwith comply with t�ese provisions. AppliceN Signeture: Date: WARNINO: FAILURE TO SECURE WORKERS' CAMPENSATION COVERAGE IS UNIAWFUL AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENqLTIES AND CNIL FlNES UP TO ONE HUNDRED THOUSAND DOLURE (5100,000), IN ADDITION TO TME COST OF COMPENSATION, OAMAGES AS PiiOVIOED WR IN SECTIIXJ 3)O6 OF THE 1A00R CODE, INTEREST, M!D A170RNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I �ereby aNirm ihat I am Ilcensed under provisions ot Chapter 9(commencing with Sectlon 7000) of Division 3 of Ihe Business end Profeuions Cotle, end my license is in full force end BfleCL Lic. M Class M Comrectofs Slgnature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm that there Is a rnnstruction lending egency for the pertortnance of the work for which ihis pertnit is issuetl. (Sec. 3097, Civil Code). Lendels Name: Lenders Address: Slgnature: Date: OWNER-BUILDER DECLARATONS: I hereby eMirtn ihat under penelry oi per�ury Ihet I em E%EMPT FROM 7HE CONTRACTORS LICENSE LAW for iha tollowinq reeson (Sec. 7031.5, Business enC Professions Code: Any clry or counry which requlres a pertnit to construct, alter, improve, tlemolish, or repair any siructure, pnor lo its issuance, elso requires t�e applicant lar such permit to file e signed stetement ihet he or she Is Iicensed pureuant to lhe provisians at the Contraciore License Law (Chepter 9(commencing with Sectlon 7000) of DlWslon 3 of the Business enA Professions Cotle) or t�et he or she is e:empt theretrom and Ihe basis lor the elleged exemption. Any violation oi Sectlon 7031.5 by any applicent tor e pertnit subjects Ihe epplicent to a clvil Oenelry of not mora then five hundred tlollars ($500).): � I, es ownar of the property, or my employees with weges as iheir sole compensation, WILL DO TME WORK, antl ihe struc�ure Is not intendea or oMereO for sale (Sec. 70da, Business enC Protesslons Code: The Contractors License Law dces not epply to an owner of property who builtls or improves thereon, and who does such woAc himsetl or hersell or ihrough his or her own employees, provided thet such improvements are not Intentled or oflared tor sele. If, however, the building or Improvement is sold wlthln one year of completion, the owner-builder will have the burden ot proving tha� he or she tlitl not build or improve for purpose of sele.). ❑ I, es owner of Ihe Oroparry, am EXCWSIVELV CONTRACTNG WITH LICENSED COMRACTORS to construct the project (Sec. 7044, Business and Prolessions Code: The contracbrs License Lew tloes not aOPly Io en owner ol property who bullds or Improves thereon, end who comracts for such project with a contractor(s) license pursuant to the Cantractors License Lews.). ❑ I am exemp Signature: Owner 10 verilietl by sec. Business antl Pmiessions Code for Ihis reason: IltenSe. —� 0 V05 ❑ No Drivefs Litense No. Venticatian oi Ownership by (type ol dxument, I.e. - Owperry tex bill or deed): oate: _ � 9�/ L— d�— E:pires: , DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenity ihat no excevetlon five (5) or more feet in depth Into which e person Is required to descend, wlll be made in connectlon with work authodzed by Ihis permi�, and that no building sWctura, scattolding, lalsework, or demolition or tlismantling Ihereof, wiil be more ihan ihirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Celllomle Administretive Cotla). ❑ As owner-huilder, I will not employ enyone to da wark which would require e permit irom ihe Division of Indusirial Safery, es noted above, unless such person has e permit lo do such work from ihe tlivision. Signawre: Date: Division at Industnal Satery Pertnit Number: CERTIFlCA OF COMPLIANCE AND AUiHORVATON OF EMRY: I cenity under penalry of perjury that I have reatl this apDlication antl state t�at ihe informatlon given is correct. I e to wmpty � Ith al tate laws end ciry ortlinences relatlng to builtling consiruction, end authorize representatives of the Ciry of Coste Mese to emer upon Ihe above-des d properry t r i ction purposes. I egree no� lo occupy or ellow occupency of any building authonzed by this permit un�il tinal inspection. D J�—iZ O L SI ure Of Legal Owner(s) Date AnNOr Authorized Applicant Date CODE �. INSPECTIONTYPE 1616 Fisetl System Flnal Fire Prevenllon 1266 200 Pool Spe Final Flnal Re-Roof 201 Final Block/Retaining Well 202 Final Factory Fire Place 203 FInaI5lgn 204 Final Demolition PAIE INTRULS LOOE� INSPEC710NTYPE 206 Final Mechenical 208 Finel Plumbing 270 Final Electricel 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Finel Building/Occupency QAIF It�ELfl CITY OF COSTA MESA BUILDIN6 p1VIS/ON DEVELOPMENT SERVICES DEPARTMENT PERMIT PERMI� P99-00175 ✓ (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: owner: Address 954 DOGWOOD ST 42252130 SNEED,DONALD KING, JERRY D 954 DOGWOOD ST COSTA MESA, CA PLUMBING PERMIT Phone: Zip: Phone: Zip: 92627 Contractor: DLS HEATING & AIR CONDITIONING Address: 8542 Lurthorn Dr ArchlEng; Address: Huntington Beach, CA Phone: 714 965-1990 Zip: 92646 License: 584220 Phone: Zip: License: SCOPE OF PERMIT , 9 LF OF 1/2" GAS LINE FOR NEW FURNACE INSTALLATION. (M98-00565 & E98-01258). ISSUE FEE BackFlow irrigation Backflow Preventer Bathtub Clarifer System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over a outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $5.50 $0.00 $0.00 $0.00 $0.00 $0.00 QTY FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landscape Irrigation $0.00 P-Trap $0.00 Pressure Regulator $0.00 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 SewerCapforDemo $0.00 Sewer Connect _ $0.00 Sewer Private Line $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial $0.00 Sink, Floor $0.00 Sink, kitchen . . $0.00 Sink, servicelmop $0.00 Spa (private) $0.00 Spa (public) $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS Status: ISSUED Applied: 03/22/1999 Issued: 03/22/1999 SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(74) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Service Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION TOTAL CALCULATED FEES: AMT $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 $0.00 $27.50 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 E%PIRATION: 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 180 days. INSPECT�ONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codas, and all requlred inspectlona end flnal epproval must be obtained, Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5628 WORKERS' COMPENSATION DECLARATION: I �hereby aflirm untler penelty ot perjury one of the following declaretions: � {� I heve and will maintain e certificele of consent to self-Insura for workers' compensation, as providetl tor Dy sedlon 3700 of Ihe Lebor Cotle, for the peAortnence of the work for which Ihis pertnit is issuetl. ❑ I ave end will maintflin workers' compe tion insurance, as �equired by section 3700 oi �he Lebor Code, for t�e pertormance of ihe work for which this pertnit is issued. I ty y�o�r sers'� coritRensation I�rence car�'er entl policy number are: � Policy Number: or less. J ❑ I certity thet In the perto nce oi t � 6rk f r which ihis pertnit is issued, I shali not employ any person in any manner so as to become subject to the workers' compensation lews of Celi mla, an ee tl t if 1 shoul�ecome subject to ihe workere' compensetion provisions of Sectlon 3700 of the Labor Cotla, I shall fonhwith wmply with these provisi s. . �+�7 Applicant Signeture: � Date: _�—� Z' // WARNING: FAILURE TO SECl1RE WORKERS' COMPENSATION CAVERAGE IS IINLAWFUL AND SHALL SU&IECT NN EMPLOYEF TO CFIMINAL PENALTIES MIO CIVIL FINES UP TOIXJE HUNDRED THOUSAND DOLLARE ($100.000), IN ADDITION TO THE COST OF COMPENSNTION, DAMAGES AS PROVIDED FOR M SECTION 31080F THE LABOfi WDE, INTEREST, AND ATTOqNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirtn that I em torCe end efleC�. Lia k_ Contractols Signature: with Section 7000) of Division 3 oi the 8usiness an�rof�,sig,[]s Code, and my license is in full � Class # C �� oa�e: _3`� 2 � i' CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm Ihat there is a consimction lending agency tor ihe pertormance of the work for which this pertnit is issued. (Sac. 3097, Civil Code). Lenders Neme: Lenders Addrass: Signature: OWNER-BUILDER DECLARATIONS: Date: I hereby aKrm thet untler penalty of perjury ihat I em EXEMPT FROM THE CONTRACTOflS LICENSE LAW for t�e following reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requlres e permit to consiruct, alter, improve, demolish, or repalr eny sWcture, pnor to its issuance, also raquires the eppllceN for such pertnit to flle e signed stetement ihat he or she Is licensetl pursuant ta the provisions of ihe Conirectors License Lew (Chapter 9(commencing with Sectlon 7000) ot Division 3 of the Business antl Professlons Code) or ihat he or she is eaempt therefrom and the basis for Ihe alleged exemption. Any violation of Section 7031.5 by any applicaM for e pertnit subjeqs ihe applicant to a civil penelry of not more than five hundred doltars ($500).): ❑ I, as ownar of Ihe properry, or my emD�oyees with wages as thelr sole compensation, WILL DO THE WORK, and Ihe structure is not intentled or oNered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not epply to en owner oi property who Duiltls or Improves Ihereon, and who tloes such work himself or herselt or through his or her own employees, provltletl that such Improvements ere not intended or otteretl for sale. If, howaver, ihe bulldinq or Improvement is sold within one year of complatioq ihe owner-builtler will have ihe burden of proving that he or she tlitl not builtl or improve for purpose of sele.). ❑ I, as owner of the property, em EXCLUSIVELY CON7RACTING WITH LICENSED CONTRACTORS to consiruct the pmject (Sec. 7044, Business and Professions Code: The contredors License Lew tloes not apply to an owner of property who builds or improves thereon, and who contrects tor such proJect wlth e contractor(s) license pureuant to the Contradors License Laws.). ❑ I em ezempt untler sec. Signeture: Owner ID verifled by dnvefs license. ❑ Ves ❑ No Business and Prafessions Code tor ihis reeson: Verificetion of Ownarship by (rype of tlocument, I.e. - pmperty tae bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATON: DnveYS LicenSe No. Date: Expires: ❑ I hereby cetlify Ihat no excavetion Hva (5) or more faet in tlept� into which a person is requlred to descenq will be made In connection with work euthonzed 6y this pertnit, antl thet no building stmcture, scetfolding, talsework, or demolition or dismantling thereof, will be more than ihirry-siz (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Ttle e, Celifomla Atlministrative Cotle). ❑ As owner�builder, I will not employ enyone to do work which would require e pertnit trom the Division of Intlustnel Safery, as notea ebave, unless such person hes e pertnit ta do such wark from ihe division. Signature: Data: Division ot Industrial Safery Permit Numher: CERTIFlCA F�C.QMPLIANCE AND AUTFIORIZATON OF ENfAY: I certify under penelry ot perjury thet I have read this epplicetion entl stete that the Informetion given is corre gree ta co� ply with al stpte I q�s end ciry ordinences relating to building construdion, entl euthonze representetives of the City of Costa Mese to enter upon the a e-described prop rty for insp fbn ur oses. I agree no to occupy or allow occupancy of eny building authonzed by this pertnit until final inspection. aWra LegelOwner(s) le �•q �" z T/ And/Or Aut nzed App �cent Date COOE �, INSVECTIONTYVE 1616 Fl:ed System Finel Fire Preventlon 1286 Pool Spe Finel 200 Flnel Re-Root 201 Final BIocWRetaining Wall 202 Flnel Feclory Fire Plece 203 Finel Sign 204 Finel Demolition 2406IB GAg U�ALS yppE� ixsvecnoxttce 206 Finel Mechenlcal 20B Finel Plumbing 210 Finel Electdcel 212 Final Fire Preventlon 220 Final Plenning Approvel 222 Flnal Site 250 Final Bullding/Occupency GA7E It11I��ALS � p MF t � o, , _ : J: �bqPewR� d(% (714) 754-5273 • Fax (714) 754-4856 Job Address: Suite No Vicinity: - , �CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 954 DOGWOOD ST Parcel Nunmber: 42252130 Applicant: SNEED, DONALD Address: MECHANICAL PERMIT Phone: Zip: owner: KING, JERRY D Address: 954 DOGWOOD ST . Phone: COSTA MESA,CA Zip: 92627 Contractor: DLS HEATING & AIR CONDITIONING Address: 8542 Lurthorn Dr ., Phone: 714 965-1990 Huntington Beach, CA Zipi" 92646 License: 584220 ArchlEng: Address: ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair / Alt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <700 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 � 10000ctm AirHandlers> 10000cfin Floor Furnace Floor or Suspend Heater Phone: Zip: License: PERMIT NUMBER / M98-00565 � 77 FAIR DRIVE, COSTA MESA, CA 92626 SCOPE OF PERMIT INSTALLATION OF A NEW FURNACE IN THE ATTIC AND NEW 200 AMP PANEL. $22.00 $13.25 $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 FEE SUMMARY Quantity � , Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System 0 Evaporetive Cooler 0 Commercial Incinerator 0 � � Domestic Incinerator 0 Compressors / Absorption Svstems 0 Uplo3hp/100kBTU 0 - . 3To15hp/SOOkBTU 0 15 To 30 hp / 1,000 k BTU � 0 30 To 50 hp / 1,750 k BTU 0 Over 50 hp / Over�1.750 BTU 0 Boilers 0 Up to 3 hp 0 3To15hp 0 15to30hp � 0 3010 50 hp 0 Over 50 hp 0 Other Mechanical Fee 0 � Investigation Fee Plan Check Fee Reinspection Fee TOTAL CALCULATED FEES COMMENTS I SPECIAL CONDITIONS Status: ISSUED�� p-� Appl ied: 12/14/1998 l�Y/ Issued: 12/14/1998 quaotity $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 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 535.25 EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetions and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATON DECLARATION: � I hereby attirm untler penalry at perjury one ot the following declaretions: ❑ I heve end will meintein e certifiCete ot con5ent to 5etl-Insure fOr workers' compensation, es provided tor by seciion 3700 of the Lebor Code, for the pertormence ot Ihe work tor which lhis permit js Issuetl. � I have end will meintaln wnrkers' compense�ion insurance, es requiretl by section 3700 oi tha LaDor Cotle, for the peAortnence ot the work tor which �his permit is issuea. My workers' compen5a�lon Insurente Cerrier and p0licy number ere: Carriec Policy Number: (TTis section need nof be completed il fhe pe !t lued et one hundred dollars ($ f 00) or less.) ❑ I certity thet in t perto ence of th o f r which ihis permit is issued, I shall not employ any person in any menner so as to become sublect to the workers' wmpensation ws of Cel ornia, entl gi t if I shauld 6e ome subject to Ihe workers' compensatlort provisions ol Sectlon 3700 ot ihe Lebor CoOe, I shell forthwith comply wilh IheSe rOviSi 5. � / z�� y Applicen�gneture: Date: WARNINCa: FAILURE TO SE E WORKERS' COAIPENSATION �17VEMGE IS UNLAWFlIL PND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALiIE$ M1D GVIL FlNE$ UP TOONE HUNDRED T/IOUSPND OOLLARE �5100,000), IN qDDRION TO THE C0.ST OF COlAPENSATION, DAMAGES AS PROVIDED FOR IN SECfION 3�06 OF THE UBOR WDE, IMEREST, AND ATiORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHirm that I am licen d under provisiF� of Cheptor 9(commencing with Section 7000) ot Division 3 of the Business and Pmfessiuns Code, end my license is in full force end ettect. Lic. n� / // i Class a Coniratlor's Signature: Date: i li \,i CONSTRUCTION LENDING AGENCV: ❑ I hereby ettirtn that Ihere is a construction lending egency for the peAortnance of ihe work tor which this permit is luuetl. (Sec. 3097, CIWI CaAe). Lenders Name: Lenders Addreu: Signeture: Dale: OWNER-BUILDER DECLARA710N5: I hereby ettirm that under penal�y ol per�ury thet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the lollowing reason (Sac. 7031.5, Business and Professions Cotle: Any ciry or counry which requires e permit to construct, elter, improve, demolish, or repalr eny swcture, prior fo its issuence, also requires the epplicant for such permit to lile e signetl statament Ihat he or she is Ilcensetl pursuent to the proNsions of the Contrectars License law (Ghapter 9(commencing with Seciion 7000) oi Divisian 3 ot the Business entl Profeuions GodO) or ihat he or she is exempt �herefrom and the basis tor the alleged exemption. Any violation of Section 7031.5 by any epplicant tor a pertnit sublecls Ihe applicant to e civ�l penelty of not more than fiva huntlretl dollars ($500)J: ❑ 1, es owner of ihe property, or my employees with we8es es their sole compensation, WILL DO THE WORK, antl Ihe structure is not Intended or oHared for sale (Sec. 7044, Business and Protesslons Coae: The Contractors License Lew tloes not apply to en owner ot properry w�o builtls or Impmves thereon, end who does such work himsalf or herself or through hls or her own employees, provided that such improvemems ere not intended or offeretl br sele. If, however, the bullding or Improvemant Is soltl within one year of completlon, the ownerbuilder wlll heve the burden ot proving ihat he or she tlitl not build or improve lor purpose ot sale.). ❑ I, as owner of the properyy, em El(CLUSIVELY CONTRACTING WITH IICENSED CONTRACTORS to constmct the project (Sec. 7044, eusiness entl Protassions Code: The contrectors Lltense Lew does not epply to an owner ot property who builds or improves thereon, and who contrects for suc� projeci with a contractor(s) license pursuant to tha COMrectors License Laws.). ❑ I am exempt under sec. Business antl Professions Code for this reason: Signature: Date: Owner ID verifietl by tlrivefs licgnse. ❑ Yes ❑ No � Orivers License No. Vedlicetion oi Ownership Dy (rype ol dxument, Le. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY VERMR CERTIFICATION: Evpires: ❑ I �ereDy certly thet no ekcevellon five (5) or more feet in�depih into which e person is required to tlescend, wlll be made in connectlon with work eutharizetl by this parmit, end thet na building structure, scaHolding, lalsowork, or tlemolition or dismantling thereot, will be more ihen lhirty-siz (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, 71tle 8, Celitomia Administrative Cade). ❑ As owner-builder, I will not employ enyone to do work which woultl require a pertnit trom the Division of IndusMel Selery, es notetl ehove, unless such person has a pertnit to do such wark from the tlivisian. Signature: Date: Division ol Intlustrial Safery Permit Number. CE CATE OF COMP CE AND AUTHORVA710N OF ENTAY: I certity under penalry of perjury that I have read t�is application and siate ihet the infortnation given is ect. gree to comp � ell state laws and city ordinences relating to building construdion, and euthonze representatives of Ihe City ot Costa Mesa to enter upon ihe ve-des nbed prope y�u�iy}spection puryoses. I agree not to occupy or allow occupancy of any Duilding authonzetl by this pertnit until tinal insDection. COpE �. INSPECTIONTYPE �g 1�6i t616 Fixetl System Final Fire Preventlon 7266 200 Pool Spa final Final Ra-Root 201 Final BIocWRetaining Well 202 Finel Factory Fire Place 203 Final Sign 204 Final Demolition 24A646 �n�n o !z ly-y� Data LOOF� INSPECiIONTYPE 206 Final Mechanical ZOB Final Plum6ing 210 Final ElBctncel 212 Final Fire Prevenlion 220 Finel Planning Approvel 222 Final Site 250 Final Building/Occupancy �.1 Inl: �� ri, (714)754-5273 • Fax(774)754-4856 CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT JobAddress: 954 DOGWOODST Suite No Vicinity: Parcel Nunmber: 42252130 npp�icant: 5NEED, DONALD Address: ELECTRtCAL PERMIT � Phone: Zip: Owner: KING, JERRY D Address 954 DOGWOOD ST Phone: � COSTA MESA,CA Zip: 92627 Contractor: DLS HEATING 8 AIR CONDITIONING Address: 8542 Lurthorn Dr ISSUE FEE Temp service test Res. a/c package New Res (7-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 7000a Motors to 1hp Morors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole Phone: �714 965-7990 Huntington Beach, CA Zip: 92646 License: 584220 PERMIT NUMBER E98-01258 77 FAIR DRIVE, COSTA MESA, CA 92626 SCOPE OF PERMIT INSTALLATION OF A NEW FURNACE IN THE ATTIC AND NEW 200 AMP PANEL. $22.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 50.00 $0.00 $0.00 $27.25 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEE SUMMARY Temp Dist System / Lighting BuSwayl100 R Standing Sedion Misc Eledrical Equipment Trensformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kvalkw ..................over 100 kvalkw Low Voltage Equipment Low Volt Wiring System / 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 Reinspedion Fee status: ISSUED �,� Applied: 1211411998 Issued: 12/14/1998 Quantity $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 $0.00 0 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES §49.25 COMMENTS / SPECIAL CONDITIONS EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 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 inspectlona and tinal approval must be obtained. Failure to obtain inspedions antl final approval will result in the expi�ation of this permit. FOR INSPECTIONS CALL: (774) 7545626 WORKERS' COMPENSATION DECLARATION: 1 hereby affirm untler penalty of perjury one of ihe following declarations: ❑ I have and will meintain e certificele of consent to self-Insure lor workers' compensation, as pmvided tor by section 3700 of ihe Labor Code, lor t�e pertormence of the work tor which this permit Is issueC. ❑ I have antl will meintein workers' compensetion insurence, as required by section 3700 of ihe Labor Code, tor the peRortnance of ihe work tor which ihis permit is issued. My warkers' compansetlan Insurence cerrler entl policy number ere: Cartier. ' Policy Number. (lhis section need nat b ip/e(etl il the ermlf �p valued et one hundred dollers ($100) or less.) � I certiy that in a peAc mance o the v rllc for which Ihis permit is issued, I shall not employ any person in any menner so as to become sublec� Io iha workers' compensation laws of C Illornla, � re Ihat It I should ecome su�ject to the workers' compensatlon provislons of Sectlon 3700 0l the Lebor Code, I shell torthwith comply with thes provi ans. r' c Applicam Si9nature: Date � � Z� 7—/� WAHNING FAILURE TO SECURE WORKERS' COMPENSATIqJ COVEMGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVEP TO CRIMINAL PENALTIES AND CIVI� FINES UP TO ONE HUNDRED T}IOUSAND DOUARE (5100.0OO�.IN ADDITION TO TNE CQST OF COlAPENSATIIXJ, DANAGES AS PROVIDED FOR IN SECTION 3IO60F iHE 1J�80R ODDE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACT CLARATION: /^��n I hereby eHirm thai l em icense under provisio of�r 9(comm9ncing with Section 7000) of Division 3 of Iha Business entl Professior,s Code, and my license is in full forca end eflect. Lic. x _ � Class a _. CONSTRUCTION LENDING AGENCY: ❑ I �ereby aHirtn that Ihere is a construction lendinq agency for the performance oi the work for w�ich I�is Dermit is issueC. (Sec. 3097, CIWI Code). Lendefs Name: Lender's Atldress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eNirtn ihet under penelry of perjury lhat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Businass end Professlons Cotle: Any ciry or counry which requires e permit to construci, alter, improve, tlemolish, or repair any structure, prior to its issuence, also requires Ihe applicant for such permit to lile a signaC statement that he or she Is Ilcensed pursuent to the prodsions of Ihe CONrectors License Lew (C�apter 9(commencing with Section 7000) of Division 3 oi t�e Business and Prolessions Code) or t�et he or s�e is exempt Iherefrom and the basis for the alleged axemption. Any violatlon ot Saction 7031.5 by eny epplicant tor a pertnit subjecis the epplicant to e civA penelry oi not more than five hundred dollars ($500).): ❑ 1, as owner of the pmpeny, or my employees with weges as t�eir sole compensation, WILL DO THE WORK, and the strucWre is not Iniended or oHered for sele (Sec. 7044, Business antl Professions Cade: The Contractors License Law does not apP�Y to en owner of properry who builds or improves thereon, end who tloes such work hlmseN or hereelf or through his or her own employees, provided ihat such Impmvemanis are not intendetl or oflered for sale. It, however, ihe bulltling or Improvement is soltl within one year ol comple0on, the ownervbuiltler will have ihe burden ot proving that he or she did not bulld or improve tor purpose ol seleJ. ❑ I, es owner of the property, em EXCWSIVELV CONTRACTING WITH LICENSED CON7RAC70RS to consWd iha projed (Sec. 7044, Business and Protessions Code: The conirac�ors License Lew does not epply to en owner ot properry who builtls or improves thereon, entl who contracts lor such pro�ect with a coniractor(s) license pursuant to ihe Connactors License Lews.). ❑ I em ezempt under sec. Signature: Owner ID venfied by drivers license. ❑ Ves ❑ No Business and Professions Code tor �his reason: Verificelion ot Ownership by (Iype of dwumenL i.e. - prOperty tau bill or deed): Dnvers License No. De�e: Expires: DIVISION OF INDUSTRIAL SAFE7V PERMR CERTIFICATION: ❑ I hereby certify that no ezcavation five (5) or more faet In tlepth into which a person is requlred to descend, wlll be mede in connectlon with work euthorized 6y this permit, and that no bullding swcture, scaflolding, talsework, or Uemolition or dismentling ihereoi, will be more ihen thirry-si: (36) feet hiqh. (C�ep, 32, Grp 2, Art 2, Sec. 341, Tltle B, Celllomle Atlministretive Cotle). ❑ As ownerbuilder, I vrill not employ enyone to do work which woultl require a pertnit trom Ihe Division of InEusMel Safery, es noteC ehove, unleu such person �es a permit to tla such work from the tlivision. Signature: Data: Division ot Indusirial Satery Pertnit Number: CEHTI . TE OF COMP ANCE ANU AUTHORIZATION OF ENTAV: I certify under penalry of perjury ihat I have reed this epplication end state thet the infortnetion given is correct. I a ree to com�wit II state laws end ciry orUinances rela�ing to building construction, end euthorize representatives of Ihe City of Costa Mesa to enter upon the �aDove-desc ed D�operJy to n pe�t on purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until tinal inspection. GOOE 1. INSPECTONTVPE 1616 FixeC System Finel Fire Preventlon 1266 Pool Spa Final 200 Final Re-Roof 207 Final BIocWRelalning Wall 202 Final Fectory Fire Plece 203 Final Sign 204 Final Demolition 2048�4fi ate �. / � /�/'9 oe�a peg It�LS CODEI n+svernoxTrae 206 Finel Mechenlcel 208 Finel Plumbing 210 Final Elecirlcel 212 Final Fire Prevention 220 Finel Planning ApD�a�el 222 Final Site 250 FinalBuiltling/Occupency DATE JOBADDRESS 9K�i nngcann�l Straat BUILDINGPERMITNO. ��K� GENERALCONTRACTOR Q�,mar Rl�ir_ VAWE $ 9(1(1 OO + _ AP 115-381-10 �oT �� BLOCK TRACT 1 �l En osP oar�ort. for �C�r�P GROUP J TVPE p ZONE R� FIREDISTRICT �'�A� PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE I NUMBER Footing Trench %d�� b � Foundation Forms and Grade to Garag! �Rough Frpming �" Plumbing, Rough to Slab Plumbing, Rough Complete Heating, Final 5ewer, House Septic Tank or Lathinq,ln Plumbing, Final, Fixtures Plumbing, Fin.al GasTest Wiring, Final Occupancy FORM 210 3M 10�•v5 3251 rosta Mesa Building Department �IPPLICATION FOR PERMIT "� P.O.Bo:3�� 3�gp gUILD1NG � COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN Receipt No. Permit No. iare�s 9�' �i I ,3� S % �iO3i8� CS$� Ci3��OPRIa Received by Date Rec'd. Date Issued_ :arest �ry/ ��,`�r� � - � a 6 -J �ossSt. �/( �fv/w �-�n • Building � „ _ , . , , , Address Arohitect or Engineer Address Contrector I Address � Costa Mesa, California Nearest Tel.�P � t� Cross St. No.J�/�p S�I.� Zone I No.oT I Type Group Lia � Plans No. Approved hv Date l:G}I Legal Lot I Description No.o� 7 7 Block � Tract� (Attaeh Metesand Bounds) �/t-�— �� p No. of Bldgs size of Lot �,Q"f I�'% cL aj Now on Lot l�seof I No.of I No.o} Existing Bldg. Families Rooma Setback Line from (� , i Rear Vard ..� Demolish Exterlor Wall � �� r Roof Covering Wc:v" Cove Use of New/,i � �-,P O,/��d Buildina �.huUs�`� JC/ I hereby acknowledge that I4iave read thts ApplicaUon and state that the above is correct and agree to comply with all City Ordinances and State Laws regulating building construction. , Signatureof � , /i/ Permittee W Authorized Agt Valuation Permit Fee $ O� •�' �I �%� / Pian Check $ �' $ pC_.Ci Total � � Fee $ � APPROVAi,C Foundation Location Inspector Forms, Materials, Under-Pinning Frame: Fire Stops, Bracing, Bolts Lath. Int Lath. Ext Plaster, Int Plaster. Ext - � � Date Street j+ • `� Cf COST� 1� � � ,,,,�z.s-_.:PD�,Es,: ?�� .,�.;,,..,n � ' .t, . . ` `. , � � � PLOT PLAN Show Iocation antl distances trom property line and between buildinya _' i =WRANGE COUNTY BUILDING DEPARTMENT � � � 636 North_Brocdway ✓` SANTA ANA, CALIFORNIA . � ' FOR APPLICANT TO FILL IN BUILOING q54 Dogwood ADDRE55 scr+oo� oisr. C06T�& M88& OR TOWN NEAREST Re ublio is0e• CRO55 ST. OWNER CHINOOK HOHES� (NC. MAIL ILSHIRE IVD. ADDRE55 cirv BEVERIY HILLS ryp�' CR. 51i36� ARCHITECT OR TEL. / ENGINEERCAIN & MCKERRACHER No. SY. O�{ 91 ADDRESS��O E, WALNUT ST. PASADENA TEL. � � coNTrtacTORNEMPORT VISTA CO.rvo. CR . � ADDRE55 p WILSHIRE BLVD.� BEV.HIIIS LEGAI DESCRIPTION LOT NO. Z7� BLOCK �� 2 (ATTACH METES 8 BOUNDSI TRACT P US NO. OF BLDGS. SIZE OF LOT �� SQ��T I NOW ON LOT O USE OF NO. OP NO. OF EXISTING 9LDG. I Fwviues ROOMS DESCRI?TION OF WORK NEW I X I ALTERATION I I AO�ITION I NO.OF WALI COVERING USE OF NEW BUILDING e^ 1 HEREBY ACKNOWLE'JGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH AL� COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF NENPO T VI CO. PERMITTE AUTHORIZED V s 4830.0o P. �. , APPLICATION FOR PERMIT � ., . Y � I � D � .� V/ FOR OFFICE USE ONLY RECEIPT NO. PERMIT NO. .352.� ��S'% ° E�G`EI�VE�D BY DATE OF APPL. OATE ISSI�ED 71T71/ /�� —S3 n�v. s iss3 SCHOOL DIST. �/� � OR TOWN � lV NEAREST CRO55 5T. 20 NO. F TV I/ PLANS I l SETBACK LINE�@Sy.1 CENTER OF REAR VARO 'S' SIOE V VALUATION , � /� —� I FINAL � FEE CQ APPRO TION: LOCATION 1 MS, MATERIqLS, )ER-PINNING � FIRE STOPS, / .QNG. BOLTS J/ EXT. =R. I NT. :R, EXT. VRY REINFORCED wreu 1 - O — � 2 D — r OATE �I �_ _ $TREET � ,..... �. � '. .. ' ;. �• ;� I . . . . .. . . ., . '.. � _.; ..: ": . . '.� . . . ; ,... . _ . ��OC�_:��:[ �lx ' . � _. _ • ,..n ' �. .£:?S :Jt'itJ�•",1 . ., :� _..:J � . . ..:li... _, -. .C'/� - ' �I::'.'I � `� .. ..i. � 1 , ."... ' . ,'J. 1.�. , _...'.V� . . �'___..Y:. • .c.i�.:'�_�-..:i. �_IIIA�_'!i.' _._ 1'.- ". . . . . i ".,L . ... i, I �. .,_ .- f. .... - .7�� :.i �i�� 7..��,.�-��.. ., .. '.J11...Y:-� �. YJ.. �::1.�7_ I�:i � • . I � . . -. . , . . • �� 'L_` . - _, ,. . . _ . X . , . � ' ° . _. . _ ' � _ � . . � . . . � b°:I::l � - . ' _ _'. 11,1 " _ . 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