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Home My WebLink About960 DOGWOOD ST - Building Permits. CITY OF COSTA MESA os`""'F, BYILDING DIVISION it� . � 77 FAIR DRIVE, COSTq MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us F �. � FOR INSPECTIONS CALL: (714) 754-5626 e,m,o.moa' PERMIT NUMBER: P09-00077 PERMIT TYPE PLUM APN: 42252131 JOB ADDRESS: 960 DOGWOOD ST CM Viciniry: STATUS: DATEISSUED: ISSUED BY: Suite/Unit: ISSUED 0611812009 RMD SCOPE OF WORK: PLUMBING PERMIT FOR A WATER HEATER CHANGE OUT, SAME LOCATION. OWNER: PHONE: APPLICANT: PHONE: DOLAN, PATRICK TR BLOCK,ROBERT Address: 923 W 20TH ST City/Stale2ip: COSTA MESA, CA Address: CirylStatelzZip: CONTRACTOR: ALL STAR WATER HEATERS INC License No. 812894 Address: 30300 PUERTO VALLERTA PHONE: 800•727-0977 City/State: MENIFEE, CA ZipCode: 92584 CELL: ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: PERMIT FEE: TOTAL FEES: $0.00 $35.80 $35.80 NOTICE: The work authorized by lhis permit shall comply with all applicable handicap access requirements under Calitornia staWtes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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 inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiralion of this permit, 0� t INSPEC710N ME D�TF IN RL COQEI INSPEG110N ME D� NI iRIALS 1616 Fized System Final Fire Prevention 206 Final Mechanical 1288 Pool Spa Final 208 Final Plumbing �`�U,O�..�yy l�1�1 200 Final Re-Roof 210 Final Electnral J 201 Final Blotk/Re�aining Wall p12 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Appmval 203 Final Sign 222 Final Site 204 Final Demolition 250 Pinal BuildinglOccupancy WORKERS' COMPENSATION DECLARATION: I hereby aKrm untler penalry o( perjury one of the following declaration5: ❑ I have and will maintain a cenificate of conseN ro sel6lnsure (or vrorkers' compensation. as provitletl for by section 3700 of the Labor Code, for the pertormance o( the vrork for which �his permit is i5sued. �' I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code. for the pedormance o( the wurk lor which this pertnit is issuetl. My workers' compensation Insuran e carrier and policy number are: �� C�arri� / //L (' �jTNS sepin need rro1 Ea mmdeleC permf � va uetl al ane nuntlretl tlo0xrs (f 100) a lest ) Poli�cyNumber: �� — � ��i ��_ ❑ I certify that in the pedormance of the work br which this permit is issued, I shall not employ any person in any manner so as to become subject to the vrorkers' compensation laws of Calilomia, and aqree thal if I should become subject to the workers' compensation provisions of Section J700 of �6s6a9er8oder I shall forthwith comply vrith these provisions. � ��- l -1 � -D�'j AVW�a�n'SSyyiitwe.--t'^•.•.�• pm�y WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAI PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S (5100.W0), IN ADDITION TO THE CAST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn that I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business antl Professions Code. and my license is in full torce and e�tf!ect. /� Licr#---�—' � • � 7 Class#_ C� � � f�'"�-/ `'/-D�l' convxmr� s�y�am�e �,,,•._,_ . r�..� . L�a„ CONSTRUC710N LENDING AGENCY: ❑ I hereby aKrm �hat Ihere is a construction lentling agency for the per(wmance of the �.ork fp wfiich this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Atldress: Sigiuwre OWNER-BUILDER DECLARATIONS: I hereby aKrm thal untler penally of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW lor the lollowing reasOn (Sec. 70J7.5. Business and Professions Code: Any city or counly which requires a permit to consWct, alter, impmve, demolish, or repair any structure, prior to its issuance, also requires the applicant 1or such permit to file a signed slatement Ihal �e or she is licensetl pursuant to the provisions of the Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 0( Ihe Business and Prolessions Code) or ��al he or she is exempt therelrom antl the basis for the alleged ezemption. My violation ol Section 70J1.5 by any applicaM for a permit suDjects Ihe applicant lo a civil penalty of not more than five hundred dollars (5500�.�: ❑ I, as ovmer of the property, or my employees vrith wages as their sole compensation, WILL DO THE WORK, and the structura is not intenCetl or oRered for sale (Sec. 7044, Business and Professions Code: The Contracrors License Law tloes nol apply to an owner of property who builEs or improves Ihereon, and who does such work himself or hersell or throu9h his or her ovm employees, provided that such improvements are not imended or offered lor sale. If, however, the building or improvement is sold wilhin one year ol completion, the owner-builder vrill have the burden of proving Ihat �e or she did not builtl or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CON7RAC70RS to wnstruct the projea (Sec. 7044, Business and Pro(essbns Code: The cmtractors License Law dces not apply to an avner of property who builds or improves lhereon, and wfio contracts for such project with a cmtractw(s) license pursuant to the Contractors License Laws.�. ❑ I am exempt under sec. Business and Professions Code tor this reason: SiB�aWre Da�e ]09-a6(3/0]) Owner ID verifed by driver's license. ❑ Yes ❑ No Dnver's License No. Expires: Verifcation of Ownership by (type o! document, i.e. - property lax bill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby ceni(y that no excavalion frve (5) a more feet in depth inro which a person is requiretl to descentl, will be made in connection vrith vrork autfrorized by lhis permit, and tha� no building sirucWre. scafldding, falsework, a tlemolition or dismantling thereof, vnll be more ihan Ihirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Califomia Administrative Code). ❑ As owner-builtler, I will nol employ anyone to tlo work which vroultl require a permit from the Division of Industnal Safery, as noted aDove, unless such person has a permit lo do such vrork Irom the division. Appbcanl's Signalure Division of Intlustrial Safely Permit Number. _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Win the applicant or presem or IuWre builtling occupant need to file and certify a Business Plan for emergency response to release or threatenetl release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safery Code requires, with some exceptions, that a Business Plan be filetl with the Costa Mesa Fire Depanment by every business which has at any one lime tlunng a reported year a quantity of hazardous materials equal to or greater than a weight of 500 po�nds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperawre and pressure). 2. Does or will the applicant or preseM or future builtling occupant need to file a registration form for acutely hazartlous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safery Code, vrilh some exceptions, requires registration with the Costa Mesa Fire Departmem by each business which at any one time has on hantl a quantity of awtely hazardous matedals equal to or greater than a vreight ol 500 pounds, or a volume of 55 gallons, or 200 cubic feet ot compressetl gas at sUndard temperature and pressure). 3. Does or will the applicant or pre5ent Or fWure building occupant need to prepare an RMPP (Risk Management and Prevention Program for awtely hazardous materials�? ❑ Yes ❑ No (Seclion 25534 of Ihe California Health antl Safety Code provides that the Cos�a Mesa Fire Department may require the preparation, certifiwtion and filinq wilh lhe Fire Department of an RMPP by businesses which are requiretl to register acutely hazartlous matenals with the Fire Department. 4. If an RMPP is presently requiretl, has Section 25534 of the California Health and Safety Code been fully complied with7 ❑ Yes ❑ No 5. Does or will �he applicant or present or tuture builCing occupanl require for the vrork which is the subject of this application a permit for such consWction or modifcation from the South Coast Air Quality Management District or from any other air pollution control tlistrict or agencyT ❑ Yes ❑ NO (Section 658502 ot the Califomia Govemment Cotle requires that the requested infortnation be fumished on apPlications for rao-residential building pertnits). 6. Will any part of the tacility lo be constructetl untler this pertnit be vrithin 1000 feet Irom Ihe outer bountlaries ol a school? � Yes ❑ No (If yes", Ihe laciliy must meel Ihe requirement o( Sections 25534 antl 42303 of Ihe Calilomia Health and Safery Code). 7. If a permit from the South Coast Air Ouality Management Dislrict or other air polWtion control dislrict or agency is reQuired for the work vfiich is Ihe subject of Ihis application, have all of Ihe tlisclosures prescribed by Califomia Health antl Salety Code Section 42303 been matle? ❑ Yes � No 8. pf yes", altach certificate of compliance from the appmpriate air polNtion wNrol oKGer). CERTIFICATE OF COMPLIANCE: I certify that under penalry of perjury the information given above is correct I agree lo wmply with all state laws and ciry ortlinances regarding Hazardous Matenals antl Emissions. SlgnaWre Daie CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury that I have read this application and state that the information given is correcL I agree to comply with all state lavrs and city ordinance5 relating to building construction, and authorize representative5 of the City of Costa Mesa lo enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until Mal inspection. usrmme oi Legai Owner(s� Date - ('v - -d AiMIM�RVMort[e0'F7P�R3nf""� T Udt��.1 t JOB ADDRES: ��t GENERAL CO � AP�lo.115_t . 'Ih`%,-'�+,{�i,a'CTIONS s`d1��' � Ga5 WnTER AOUGH PLUMBID PFOP. SWR. LII. SPRINKLING SV! MISCELL4NEOU1 ROUGM NE�TING TEMPOR�RV SEf 11N�ERGflOUN� � FOUGH WIRING TRENCHES FLOOR SVSTEM BOND BEAM n SHEATNING FRAME ANO Fl.o ..�.. ac mn�. 0 M R CON�ITIONIMG E OR POLE FOWER � 4M5 STEEL REINF. STEEL REINFORCE I—I LFTMING — IN r I OUT PLASTER. BROWN COnT $i^^�TUFnL, FINAL F. �G, VENT., REFftIG. PLUMBING. FIN4L ANO GAS BUILOIN0. FIN4L IRE unit r ly �w SUBCONTRACTOR PERMI , �8! � 3 �i i �=1' ��= :.-u�::oo �! . i 9-7 '�:,:. �0199. .,,.0 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 AP LI ATION FOR BUILDING PERMIT For Applicant to Fil/ in Completely RE EI �V DATE flECEIVED DATE ISSUED BUIIDING � �� /G� (L AODRESS i 1 PERMIT NO OWNER ML'. & hlXs. Pete WingeY A•P•N�. � — � MAII BUILDING Z . ADDRESS 960 Po OOCl .St.. � P.O�RESS 960 DQ OOCZ .St.. d U CITV (,`OSt.3 Mesa No�646-251 TRACT 3 Q LOTZ']$ BLOCK ZQ CON5TRUCTION W O N LENDER Glendale Savin S X am � � BRANCH Lon Beach, �N OWNER �. & Mrs. P. Win er m � ADDRESS 5535 Stearns, Lon Beach VALUE J m ARCHITECT TEL. S Bedroom $ �� a OR ENGINEER N . U N FIRE wa 20NE �VPE GROUP � ADDRE$$ �f a w /' APPROVED JO CONTRACTOii a zon Construction BY � DATE � m �� ADDRESS 16082 Gold Circle, w W TEL. �ON NO.OF USE OF NEW Z F c�r�Hurt ington Beach No. 846-209 a�ar�s BUILDING � STATE CITV //J ^� �'ARDSAPPROVED VARDSAPPqOVED y 2 LI0. NO. ZS9HS9 LIC. NO. (QL G� MAIN BUIIDING ACCESSORV BUILDING �� SIZE NO.OF BLOGS. (FROM C/L ST T) OF I.OT NOW ON LOT 1 ROM FT. VSE OF � � EXISTINGBLDG. DW01�.1r1 SI F . Z N'EWBLDG. L� ROOMS 1 STORIES L.SIDE FT. FT. a EXTERIOR � ROOF � V COVERI � OVERING S- N�� REAR FT. J USE OF B ILDING ANP H'OFi TO BE PERFOFM D DISTANCE BET. BEf. MAIN & a bedYooln f=L1 �1 MAIN BLDGS. ACCE55. BLDGS, c� a � �\ O SC�iJ IVC I�/Y C.VP.�W APPROVED � yAPPROVED _ I�, p STATE �f � �, '��' V I hereby acknowlatlBe tpet I hava reatl thia epplication antl stete � [he[ th0 abOve InfOrmat�On is corret[ end apree io comply with � � oll lews regulating builtll�8 �onsvuc[Ion, entl I shell not amploy � I `_ � ony person in violatlon ot the workman's compansation lewe of 1/ j y thu State of Cnlifornie. !l m � � z I heruby certify that I am ProPerIV Ikancatl os e contractor untlar ��SQ. FT. O Mo State of Celifornle Businass entl Profesaions Code, Dlvisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR` ^ Chaptar 9, antl that such licenses ere in tull force and eifect, or I THE PURPp6E OF E5TABLISHING A PERMIT FEE ONLV: � � am uxempt trOm the pro��siOns of tha $tato ot California Buslneas � � nntl Professions Co iv�sion 3, Chep 9 V ALV ATION � (`�, /� �� PERMIT FEE S D `� j Sipnature of � , v �� / / /j� � �/ m Permlttee ZJ1 5 � � PL,AN CHECK $ � E I� O` o Authorizetl Agant / � LL TOTAL FEE 5 OWNER SIEMS, W. E. � DATE B—ZO—S�1 JOBADDRE89 96o Dogwooa 5t. BUILDINGPERMITNO. �163 GENERALCONTRACTOR S. J, COOk & SOIl VALUE $ Z2BO,OD �' - 278 a�OCK rRncr 1712 Gara�e & Encl. Carport GROUP ,T TVPE V ZONE RZ FIRE DISTRICT ��171 PERMITS ISSUED INSPECTION$ DATE SUBCONTRACTOR I DATE I NUMBER Plumbina. Rouoh to Slab � � Pole Sewer 1 :ring Plumbinp. Final, Ffxtures Wirinp.Final , F'orm 'LIO C H 1M 1&68 ,' �osta Mesa Building Department APPI.ICATION FOR PERMIT � � � 111 EAST 20th STREET �. �� g_�_� L.D,I,.N G_ .__'�. COSTA MESA, CALIFORNIA • i - -- FOR AP�LICANT TO �ILL IN � FOR OFFICE USE ONLY ; � . RecetptNo. PermibNo.. naarc� q6.a �o�Woop ST � � d �4 ��_ Received.by Date Rec'd. Date lisued ' Costa Mesa, California , -- S, � Nearest � - �� y `�'' Cross St. �� p U��'� �' Building I� .. Address � ' � o`""" W'� � l� M S ' Costa Mesa, California � Mail r7 Address �6 1 E•I� �-G nlOL[A Nearest � . ' . Co L?A 1�'(C—J' 04 Tel. CrossSt. � . City No. Zone ,Kn ' No. of Type I Group Architect or Lic. /` P�a^$ ✓ � Engineer No. Approved ' b ' � Date Address � CORRECTIONS ['�/� c�� cnY uo./6 8� Contreetor S�.Yi (�JOlG M No. . nddress %(3 ��-%�GE^�Z[A Ct �. ' i i DesCription � No. a� e I Block I Tract �7/ L , (Attach Metes and Bounds) ' No. of Bldga' . Size of Lot I Now on Lot � Use ot 7� No. oi I No. of � A Existing Bldgl�w<< � ' ^� � I Families I Rooms - — - ,n Setback L�ne from ( Rear Vard - � -- " " � � Centero(Street 97 SideVard ¢� y DESCRIPTION OF WOREi � --^��-�-a�-54 � New I y I Alteration I I Addition I � j�p� �— Repair I � Moving ( I Demolish I � ' _' v ^ Buildinga�/x �� No.of Size Rooms � Stories � Exterior Wall Roof 0�q p Oi Ccvering �EOY(00.� I Covering $�(kGLtr S APPR.�V�n� Use oT New Foundation Location Inspector Date Building ��Q��(�}"f'C, �t¢.L'}�'-��, � Forms,Materials, Ci//PiAQ.Li �/(GLU.�./?.0 Under-Pinning Frame: Fire Stops, Bracing, Bolts Lath.lnt. I hereby acknowledge that I have mad this Application nnd state that the above is correct and agree to comply Lath. Ext. with all City Ordinances and State Iaws regulating — building construction. Signature of Plaster, Int. Permittee � Plaster, Ext. Authorized Agt. Masonry Reinforced Valuation Permit Fee $ / $ �� Vr �' TotalCheck $ � . 0 O Bond Beam Fee $ / . � � FINAL Vorn� 'L04 GH 1Df 12-53 • 0 c o J C • . ' _ C . J . . � " O a a` � � � �i n ' - ga ' ' ' _0 _ . , m � , 1 ' I�-IT f� _—�tlb : - rv � r . 4�Uy� 9h � 4 II�M1 5 :� -S � -6��Cli�� " � .�� PLOT PLAN Show Iocation and distances from � property, line and between� buildfngs. !�. . � '�: . . !• • . . 9 c � e ORA�IGE COUNTY BUILDING DEPARTMENT � • � 636 North Broadwoy SANTA ANA, CALIFORNIA - FOR APPLICANT TO FILL IN SCHOOL DIST. OR TOWN NEAREST CRO55 ST. OWNER CH11 MAIL ADDRESS�(; WILSHIRE tlLVD. cirv BEVERIY HIIIS rvo� CR. 593� ARCHITECTON S� MCKERRACHER NOL SY• F)LFS O E. WpLNUT ST., PASADENA TEL. �IENPORT VISTA CO:No. CR. 5�� i WIlSHIRE BLVD. BEV.HILlS DESCRIPTION I lOT NO. ZJ�+ BLOCK � J� Z (ATTACH METES @ BOUND51 TRACT SIZE OF LOT PLUS NO. OF BLDG3. 7ZOO SQ�FT. NOW ON LOT t15E OF NO. OF NO. OF E%ISTING BLOG. FnmiLIES ROOMS DESCRIPTION OF WORK CONTRAGTOR APPLICATION FOR PERMIT � B��'�� FOR OFFICE USE ONLY RECEIPT NO. PERMIT NO. ,� �Z� S � � % � BY DATE OF APPL. OATE ISSIiEO l/ ir—� r3 No� 5 ��5 SETBACK LIN REAR VARD APPROVED . CENTER OF ST CORRECTIONS 0 n � z s r ROOF USE OF NEW BUILOING APPROVALS FOUNDATION: LOCATION I PEC 1 HEREBY ACKNOWLE7GE THAT I HAVE READ THIS FORMS, MATERIALS, APPLICATION ANO STATE THAT THE ABOVE IS CORRECT UNOER-PINNING AND AGREE TO COMPIY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS. � AND STATE LAWS REGULATING BUIIOING CONSTRUCTION. BRACING, BOLTS .�.� IATH. ItJT. SIG�NA�TURTE OF NEVPORT VI S�TA% CO. _ LATH, E%T. � AUTHOHIZED $ 4s3o.00 eP � E VALUATION / � �) f FEE /C - FINAL %/, t /�(� , i-�y.p ^v' .i. . . .. . . . . . .. ' . :, . • _. . � 1'. . . ' � '� ' ' 7 � '� �� i . - � . . ' . . . . .J.. ''.. �..�•r- r. . . ' . , {"�., �� ' . �kti .._ r�"" . _..7_:� .:I:-:- . . .�i;, . �CJ �'. 1.1'_ �. . r� � . _. . _ _ �.. . _ . ,.. I � . Y'. ' . l i � ._ . ' .. . � T :7_ . .. li ( � . �_ ` .... _ ..J� .� :t�.� ' �..'J-� . �. :.1. 14..'.'� . . 3'Ii.'.:.. I,. , � . ...1_ r . , , .. ,