HomeMy WebLinkAbout939 CAPITAL ST - Building Permits(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
,lobAddress: 939 CAPITALST
Suite No
Vicinity:
Parcel Number: 42238405
Applicant:
Address:
Owner:
PARSONS,GORDON
2282 ORCHARD DR
NEWPORTBEACH,CA
WRIGHT, DONNA L
Address: 939 CAPITAL ST
COSTA MESA, CA
Contracror. ABC HEATING AND A/C
Address: 2282 ORCHARD DR
NEWPORT BEACH, CA
CHANGE OUT WALL FURNACE
MECHANICAL PERMIT
ISSUED BY:
Phone: 949-456-0064
Zip: 92660
Phone:
Zip: 92627
Phone: 949-456-0064
Zip: 92660
License: 810481
SCOPE OF PERMIT
MECHANICAL TO INCLUDE: INST FAU<100K BTU
ISSUE FEE
Inst FAU <100 k BTU
Inst FAU >100 k BTU
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 < �OOOOc(m
Air Handlers > 10000cfm
Floor Furnace
Floor or Suspend Heater
$23.50
$14.80
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
50.00
$0.00
Quantity
FEE SUMMARY
Repair / Alt Absorbtion Unit
Repair / Alt Refngeration Unit
Ventillation System
Evaporative Cooler
Commercia l I nci nerator
Domestic Incinerator
Compressors / Absarption Syslems
Upto3hp/100kBTU
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
Upto3hp
3To15hp
15to30hp
30 to 50 hp
Over 50 hp
Other Mechanical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Status: ISSUED
Applied: 04/09/2003
Issued: 04/09/2003
Quantiry
$0.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 0
50.00 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
$0.00
$0.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 180 days.
INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
zms-as �eroo�
WORKERS'COMPENSAnON DECLARAnON:
I hereby ettirm under penalty of perjury one of the following tleclaratlons:
❑ I have antl will maintain e certificate of consent to self-Insure for workers' compensetion, as provided for by sectlon 3700 of ihe Labor Code, tor the pertormence of the
wofk lor which this pertni� is Issued.
I �ave end will m����ain workers' compensation insurance, as required by sec�ion 3700 of the Lebor Code, for ihe perfortnance of the work for which ihis pertnit is Issued.
My workere' compensatlon Insurenca carder antl policy number are:
Carrier. ��__� ��. �.✓� Policy Number:
(Triis secfion need rw� ba campfefed it the pertnit is veWed af one hundred tlollare ($700) or less.j
❑ I certity Ihat in tne peRortnance oi the work tor which this pertnit is issued, I shall not employ any person in any menner so es to become subject to ihe workers'
compensation laws ol Celifomia, and agrea that If I should bacome su6ject to the workers' compensation provislons ol Section 3700 of the Lebor Cotle, I shall forthwith
comply with the5e pmyv��/qps^-'� c.,.
Applicant Signatura: _1 ` �7/�" � � Date: / � � � �'�
WARNING: FAIWRE TO SECURE WOiU(ERS' �MPENSATION COVERAGE IS UNL4WFUL AND SMAIL SUBIEGT M' EMPLOYER TO CRIMINAL PENA�TIES AND CIVIL FINES UP TOONE MUNDRED
THIXISAND DOLIARE (5��.�I.IN ADDITION TO iHE COST OF Q7!.1PENSATION, OAMAGES AS PHOVIDED WR IN SECTIIXJ 3]08 pF iHE IABOR CWE, IMEREST, AND ATTOFNEI"S FEES.
LICENSED CONTRACTOFS DECLARATION:
I hereby aMirm t�at I am Ilcensed under provisions ot Chapter 9(commencing with Sec�lon 7000) of Division 3 of the Business and Professions Coda, end my license is in tull
farce and ettect. Lic. a � Class M G'2 d
Comractofs SignaNrB: _ �i�.,-,E�+ � i 'L— Date: �l — � �J
CONSTRUCTION LENDING AGENCV:
❑ I hereby a�rtn tPat ihere is a consiruction lending egency tor Ihe pedormance of the work tor which this permit is issued. (Sec. 3097, Civll Code).
Lenders Name: Lendets Address:
Signature: Dete:
OWNER-BUILOER DECLARATONS:
I heraby effirtn that under penalry ot perjury that 1 em EXEMPT FROM THE CON7RACTORS LICENSE LAW tor t�e tollowing reason (Sec. 7031.5, Busine5s entl Professions
Code: Any ciry or counry which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuence, elso requires the epplicant lor such pertnil
to file a signed statement that he or sha is Ilcensed pursuant to the provisions ol tha Contrectors License Lew (Chepter 9(commencinq with Sectlon 7000) oi Divislon 3 of the
Business end Professions Code) or ihat he or she Is exempt therefrom and the basis tor the alleged e:emption. Any violation oi Section 7031.5 by any appllcant for e permit
subjects the epplicam ro a clvil penalry of not more than five hundred dollers ($500).):
❑ I, as owner oi �ha properry, or my amployees wi�h weges as Iheir sole compensation, WILL DO TFfE WORK, and the structure is not intended or oflered lor sale (Sec.
7044, Business dnd Professions Code: The Coniractors License Law does not apply �o an owner of property who builtls or improves thereon, and who does such woM
himself or herset� or Ihrough his or �er own employees, providetl �hai such improvements ere not Intended or oHeretl for sale. Ii, however, the bullding or improvement is
sold wilhin one year ot completion, ihe owner-builder will have the burden ot proving �hat he or she tlid not build or imDrove for purpose of sale.). �
❑ I, as owner of ihb pwperty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct Ihe prolect (Sac. 7044, Business and Profassions
Code: The contracmrs License lew does noi appy to an owner of prapeny w�o builds or improves Ihareon, and who contracts lor such pro�ecl with a contwctor(s)
license pursuant to the Contractors License LewsJ.
❑ I em exempt under sec. Business end Professions Coda for t�is reason:
Siqnature: Data:
Owner ID venfied by d��els license. ❑ Yes ❑ No Drivefs License No. Expires:
Verifiwtion of OwnersNp by (rype oi tlocument, i.e. - pmperry tax bill or tleed):
DIVISION OF INDUSYN�AL SAFE7Y PERMIT CERTIFICATION:
❑ I hereby certity tnat no excavation tive (5) or more feet in depih into which a pereon is required to descend, will be made in wnnection with work authodzed by this
pertnit, and ihat no building structure, scaRolding, falsework, or Oemolition or dismantling thereof, will be more ihan thirty-six (36) feet high. (Chep. 32. Grp 2, Art 2, Sec.
341, Tnle B, Califomia Administrative Cotle).
❑ As awner-buildef, I will not employ enyone to do wark which would require e pertnit from ihe Division ol Intlus�nel Sefery, as noted above, unless such person hes e
permit to tlo sucn work tram Ihe division.
Signature: Date:
Division of Industnal Sa�ery Pertnit Number:
CERTIFlCA7E OF COMPLIANCE AND AUTHORQATION OF EMAV: I cenify under penalry ot perjury that I have read this application antl staie ihat the infortnation given is
wrtect I egree to comp�y with sll state laws and ciry ordinances relating to building consimction, antl aut�odze representatives ol the Ciry ol Cwta Mesa to enter upon the
ebove-described prope�y for inspection puryoses. t egree not to occupy or a41ow occupency of eny building autfiorized by tbis permiV uMil tinal inspaction.
SignaWre OI Legal Owner(s) Oate
���f.�s �/'�-- 5- �- 9-d�
AnNOr Authorized Applicent Date
COUE �. INSPECTIONTYPE
1616 Fixetl System Finel Fira Prevention
1266 Pool Spa Finel
200 Finel Re-Roof
201 Finel BIocWR��eining Well
202 Finel Fattory Fre Plate
203 Finel Sign
204 Finel DemolitiP�
QBj� f�¢ �j INSPECTIONTYPE
206 Final Mechanicel
20B Final Plumhing
210 Final Electdcel
212 Finel Fire Prevention
220 Final Planning Appro�al
222 Final Site
250 Final Building/Occupancy
PdIF 1NI�lLS
►�-�v-o3 ni
CITY OF COSTA MESA
CALIFORNIA Y2828 P.O. BOX 1200
FROM TME OFFICE OF TME DEVEI.OPMENT SERV ICES DEPARTMENT/
BU ILDING SAFETY DI V ISION
February 6, 1980
TO WHOM IT MAY CONCERN:
RE: 939 Capital Street
Corrective measures need to be taken at the above address,
as follows:
1.
2.
3.
4.
5.
6.
7.
8.
New roof needed. Old roof bare in spots, leaks thru
about four spots throughout house and around flashing.
All sinks and tubs have bad drainage backing up almost
all the time.
7ub rusting out and leaking.
Shower breaking up - needs replacing.
�loor coverings throughout house need replacing because
of age and leaking roof, and plumbing.
pr-ywall around leaks needs to be replaced. �
Exterior and interior should be repainted because of the
chipping paint and bare wood.
Rear exterior doors broken.
9. Posibility of termites. I found piles of sawdust.
10
Kitchen counter tops need trimming to properly fit stove.
Respectfully submitted,
Da..� � � ��
Dave Schuyler
Building Safety Inspector
DS:nh
77 FAIR DRIVE (714) 754-5273
Cl r Y OF CUSTA MESA
CALIFORNIA Y2626 r.0. �OX 1200
PROM TME OFFICE OF TME DIRECTOR OF BUIlDINO BAFETV
Project Adaress �%3 � (_'y�L��.
Project Narre
Owners Name
�ners Address
Owmers Telephon
1� �'l�(/t2Gi G'lh�l �'rr��T
�3 �1 �'��/��. cij'J
e � ��—�f�'S 3
F�rntit #--�
�yPe L�
City Use Qily
I ,����3��rac,h � �er, Contractor, �►gent (strike out all
except one) do hereby attest that ertq�loyrt�ent of any person, or persons, is not
anticipated at the time of seeking the above-referenced permit. In the event that
any �xrson, or persons, are e�loyed under the provisions of this pennit, Z shall
imrndiately cause a valid Certificate of Worlarens Carq�ensation to be filed with the
Costa Mesa Building Division.
I agree to deferd at rty own mst, and to irclertu�ify arrl hold hannless, the City,
its of�ioers, agents and/or �loyees, from ard against, arry and all liability,
damage, costs, losses, claims and expenses, howscever caused, resultirg directly
or indirectly fran, or aorviected with the inrprovarent iuxler this permit.
I further state that I have cead and fully imderstarr3 the i�lications and re-
sp�nsibilities of the above statements, and wi11 ca�ly with all provisions o£ the
Contractors State License Iaw found under the Business arrl Professions Code,
Division 3, (hapter 9, of the State of California.
•,%6'.��'C��O(�� ,,,/�L�3�.
Print Name
_�
��;��� ��c�h'�.f�
�i tu �e `
CMF 0777i6
OWNER
JOB ADDRESS
DATE
ING PERMIT N0.
_05 LOT 35 TRACT 183 5 FIRE ZONE VALUE $ 950.00 _
� SUBCONTRACTOR
G AS
WATER � � Plumbin
ROUGH PLUMBING �
MISCELLANEOUS
ROUGH HEATING AND AIR CON�ITIONING
UNDERGROUND U POWER
FOUGH WIRING
BONO BEAM ❑ 5T
SHEATHING
FRAME AND FLASMING
PLASTER
HEATI�
PLUMB
� � .�b`J37 . .. �.-_ _ antu �. . ''
� ^ , 7 �.. 0 �,�•.. : .;:: 1,..5C
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CAIIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
. For Applicant to Fi!l in Completety
�� REC�I�BV D TE RE IVED DA E ISSUED
//�)�. i /�
ADDRESS �C.0 � V d
� l � �/ y PERMIT NO.
� OWNER � �. ' �� j A.P.NO.IIS'-OJ��S v�^.
Z . p
ADORESS � /� (J �� AD R1E 5 � y C!'T PI I� ��
�- U CITV �� U PS NO�. S�/� TRACT U� LOT �S BLOCK
Z
2 Q CANSTRUCfION W AD A P
O� LENpER
d m
J � BRANCH e ¢ �
J N OWNER ��1
m J ADDRE55 VAWE p-(/
'm ARCHITECT TEL. S �S '�
J a Ofl ENGINEER N
V N FIRE
Wa ZONE TVPE GROVP
K ADORESS
aw ,/
W Z APPROVEDr
J O CONTRACTOR O�I" /YF/� C/Q�/ BY / DAT �
�J � ADDFESS �6 .2O �'/ � ,��/ �^ /`/I/C�, � n�
W w TEL.Sy ZONE �J NO.OF �y USE OF NEW �=(/�-E
�= CITV eQj`� P.4� NO. 2/(/O (�'I PLAN$ G BUILDING � Lf
Z F-
—� STATE CITV YARDSAPPROVED VAPDSAPPROVED
(%j CL LIC. NO. IS���O IIC. NO. MAIN BUILDING ACCESSORV BUILDING
�� SIZE NO.OFBIDGS. (FFOMC/ISTREET) /j�
OF lOT NOW ON LOT ROfYT FT. G � FY,
USE OF G
EXISTING BLDG. F,
F SIZE OF NO.OF �
Z NEWBLOG. ROOMS STORIES L.SIDE FT. � ✓FT.
U EXTERIOfl WALL ROOF
COVERING COVERING REAR FT. FT.
J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN &
a MAIN BLDGS. ACCESS. BLDGS.
a
Q �/y.p� VAF. vW DATE
O // E ��L � ` C.V.P.q� APPROVED
~ � CdI� / Q �. APPFOVED / . ) � 1" ' �'S'�
VJ w
Z
O
VI hareby acknowlatlge tha[ I have reed this appiieation entl smto
� thet ihe above informetion is corract antl agree to comply with
� oll laws reButating builtlinB construction, antl I shall not employ �
ony Oe�san in viola[lon o( Iha warkman's comp¢nzatiOn lawa Ot
y xhe Smte of Cnlitomie. \ T(V(
zI hereby carUfy t�o[ I am proparly licensetl as a conKactor untler SQ. FT. - O O
tha Sta[e af Culitomiu Businass und PrOtessions Cotle, DlvlsiGn 3, THE AMOUNT SHOWN UNDEF VALUATION IS FOR �
Choptor 9, and [het su<h liCentas are in full force entl affect, or I TME PUFiPO6E OF ESTABLISHING A PERMIT FEE ONLY: m
nm exempt from tlia provisiOns Of the $tate of Collfornla B�slnoss ¢
VALUATION , n m
und Protessions Cocie, Division 3 Chopter 9. PERMIT FEE $ /�� [�"f/ �
]
SiB�nture of m
Permlttee / $ ��Q �O P�,4N CHECK $ � E
0
Authorizetl A ont LL
TOTAL FEE 5
�r '
�.
., .�� 5182
, COSTA MESA BUILDING DEPARTMENT
P.O. BOX 31�
COSTA MESA. CALIFORNIA
FOR APPLICANT TO FILL IN
a���o,�� q 3 .
nooaess
OWNER �� (�, C
MAIL
ADDRE55 D
CITY �
ARCHITECT �
OR ENGINEER
ADDRE55 �
LEGnL LOT
DESCHIPTION NO.
A.P. NO.
S�ZE ^ 3 �
OF LOT (p
USE OF
EXISTING BLOG.
SET6/CN LINE FROF
NEW
REPAIR
BUIIDING
SIZE
E%TERIOR
COVERING
USE OF NI
=L S�r.
A MESA, CALIFORNIA
�J
X �C
TEL.
NO.
LIC.
NO.
QTY LI0.
NO.
C l� NO. OF atocs. �
a �� riow oN �or
REAR YARD
C / �
RIGHT `] LEFT ��
DESCRIPTION OF WORK
ALTERATION ADOITION
MOVING II DEMOLISH
I�///j NO.OF /
j'- b RQOMS S STORIES
L1 /lICCO COV�ERING D�%��
FEE RECEIVED
MAY 21 1957 �' � ,
FINANCE DEPT.
APPLI��TQVR1'�R'�ERMIT
BUILDING
FOR OFFICE USE' ONLY
RECEIPT NO. PqM�I� rq
l �U
RECEIVEO BY DPTE RECEIVEO DwTE ISSVF
. _ -, •r,7AY 31
BUILDING
ADDRE55
COSTA MESA. CALIFORNIA
BY OATE
CORRECTIONS
I HEflEBY .�CNNOWLE�GE THAT 1 NRyE RERO THIS A LIC4T10 tNO
STnTE THAT TNE A90VE IS CORRE<T qN0 nGXEE TO COMPLV W1TN nLL
CITY OFOINnNCES RND ST� E L4W5 FEGULFTING BVILDIN ONSTRUC�
T���' `/'f� VALUATI ON
SIGNATURE OFJ PERM�T FEE S � ��
PERMITTEE [%�/_ � S
/O �� PLAN CHECK S ��c. --
5
FUTHORIZED AGENT TOTAL FEE S 3 G '� �eMi
v�