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Home My WebLink About414 BUCKNELL RD - Building Permits��ia»sa-s2�s • Fax(�ia»sa-aess Job Address: Suite No Vicinity: CITY OF COSTA MESA BIIILDIN6 DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT 414 BUCKNELL RD INSIDE CLOSET ParcelNumber: �4'142203 Applicant: SMITH, MIKE Address: 01235 W COLIINS AV ORANGE CA owner: JONES, AVA JACK TR Address: 365 WAKE FOREST RD COSTA MESA, CA MECHANICAL PERMIT Phone: (714)997-1800 Zip: 92667 Phone: Zip: 92626 Contractor: DEPENDABLE AIR CONDITIONI Address: 01235 W COLLINS AV ArchlEng: Address: ORANGECA Phone: Zip: License: Phone: Zip: License: NUMBER T7 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: O6/07I7999 Issued: O6/07I1999 ISSUED BY: 92667 <�z690 EX�;.� s �, DATE � ��1'u�� •�,IO (/�'_ � �� SCOPE OF PERMIT FAU CHANGEOUT 8 INSTALL NEW A/C UNIT. ISSUE FEE Inst FAU <700 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 I Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> t0000cfm Floor Furnace Floor or Suspend Heater $22.00 $13.25 $0.00 $0.00 $0.00 $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 Gluantity FEE SUMMARY Repair I Alt Absorbtion Unit Repair I Att Refrigeretion Unit Ventillation System Evaporative Cooler - Commercial I nci nerator Domestic Incinerator Compressors / Absorption Svstems Uplo3hp/100kBTU 3 To 75 hp / 500 k BTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Uplo3hp 3To15hp 75 to 30 hp 3010 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee ' Reinspection Fee � TOTAL CALCULATED FEES COMMENTS I SPECIAL CONDITIONS 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 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 548.50 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, 12-21-92) ' EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended o� abandoned for a period of 180 deys. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with ell applicable codes, and all required Inapectione end final app�oval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnON DECLAAAnON: 'I hereby aHlrm untler Denalry of perjury one of the following tleclaretions: ' ❑ I heve entl will maintain a cartific��e of consent to selt-Insure for workers' compensetlon, as providad for by section 3700 of Ihe Lebor Coee, for Ihe pertormance of the work lor w�ich ihis Dermit is issuetl. � � I have end will maintein workers' Gompensation insurance, as required by sec�on 3700 of the labor Code, tor the peAortnance of the work for which this pertnit Is issued. My workers' compensetion Insurance carrier end policy num-bye—r �ere�: Q' �� n� I�� T� Cerrier: � l.�i-Q .lJ� L`1.� ��T h-+ `�+S , Policy Number. 1,/ (Thls sechon need not be comp/etetll! (he permit is veluetl et one hundred dollars ($100) or IessJ ❑ I cenih/ that in the peAormance of Ihe work for which i mq'� ssuetl, not employ any person in any manner so es to become subject to the workers' wmpensation laws ol Califomj3`a�tl a ree ihat if I d be 6a bjea orkers' compensetion provisions of Sectlon 3700 of the Lebor Cotle, I shell torthwith comply with these pra i ns. -7 c/r, Applicant Signat � Date: � / � / 7 WARNING: FAILURE TO SEGURE WORKERS' �M7ENSA IIXJ COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIA4NAL PENALTIES � GVIL FlNES UP TOONE HIINDRED 1Yi0USAND DOl1AAE ($t00,ODDJ, IN A[]DRIONTOTHE C06T OF COlAPENSATON, DAMAGES AS PROVIDED WR IN SECTION 3lOfi OF THE V�BOR CODE, INTEREST, AND ATTORNEVS FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm thet I am licensetl untler P�ovisi� torce antl eltect. Lic. A Contractors Sig Section 7000) of Division 3 of Ihe Business antl Professions Code, antl my license is in full _ Class x � 2 ('1 _ Date: �p � %— 9 q CONSTRUCTION LENDING AGENCV: ❑ I hereby ettirm that t�ere is a cons�Nclion lending egency for the pertortnance ot the work lar which this permit is iuuetl. (Sec. 3097, Civil Cotle). ' Lender's Name: Lenders Address: Signature: Date: OWNER•BUILDER DECLARA710NS: I hereby eHirm ihat under penalry oi perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, Business antl Profeuions Code: Any ciry or counry which requires e permit to consWct, alter, impmve, demolish, or repair any strucWre, puor to its issuance, also requires Ihe applicant for such pennit to file e slgned statemen� that he or she Is licensed pursuent to iha provisions of the Contractors License Lew (Chapter 9(commencing wlth Sectlon 7000) of Divlsion 3 oi the Business and Professions Cotla) or Ihat he or she is exempt therefrom and the basis br the elleged exempGon. Any violation ot Sectlon 7031.5 by eny applicant for a permli subJeMs the applicant to a civil penalty tl1 not more than tive huntlred dollars ($500)J: � I, as owner of Ihe pmperty, or my employees with weges as ihelr sole compensation, WILL DO THE WORK, antl the sirucWre is not Intended or oNered tor sale (Sec. 7044, Business and Protessions G�e: The Con�rectors License Law does not apply to an owner ot pmperty who builds or improves thereon, and who does such work himself or herself or ihrough his ol her own employees, provitled that such improvemenis ere no� Intended or oHered for sele. tl, however, the building or improvement Is soltl wl�hin one year of completion, t�e owner-bullder will have Ihe 6urtlen of proving thet he or she tlitl not build or improve for purpose of sele.). ❑ I, as owner ol Ihe property, am EXCLUSIVE�V CONTRACTING WI7H LICENSED CONTRACTORS to consiruct tha proJect (Sac. 7044, Business and Professions Cotle: The contrectors License Law does not eppry to an owner ot property who builtls or impmves thereon, and who cantrects tor such project with e contractor(s) license pursuant to �he Contractor5 License Lews.). ❑ I em exempl untler sec. Business and Professlons Cotle for this reason: SignaWre: ��'�'�� Owner ID verified by drivefs license. ❑ No Drivers License No. Venfica�ion ol Ownership by (type ot do6ument, i.e. - properry tax bill or deed): Date: Expires: DIVISION OF INDUSTRIAL SAFETY PEAMIT CERTIFICA710N: ❑ I hereby certity ihat no excavation fiva (5) or more feet In depth Into which e person is required to descend, will be made In connectlon with work authodzetl by this permlt, entl that no building structU�e, scallolding, lelsework, or demolition or tlismantling thereol, will be more t�an thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Californle Adminisireti�a Cada). ❑ As owner-builder, I will not employ enyone to do work which woultl require a permlt irom Ihe Divislon oi Indusirial Safety, as notetl above, unless such person has a permit Io tlo such work irom Ihe di�ision. Signature: Date: Division of Indusirial Safety Pertnit NumPer. CERTIFlCATE OF COMPUANCE AND AUTMORIZATON OF ENTRY: I cenify under penalry of per�ury that I have read this application and siate lhai the intormation given Is correct. I agree to compty with all s�ate laws flntl ciry ortlinances relating to building construciion, en0 euthonze representatives of Ihe Ciry ot Costa Mesa to enter upon t�e ebove-tlescnbed property tor inspection purposes. I agree not ta accupy ar allow occupancy of eny building authonzed by this pertnit un�il tinel Inspection. COUE �. INSPECTIONTYPE QAIE INTIiIRLS 7616 FixeC System Final Fire Preven�ion 1266 200 201 202 203 204 , 204&48 Pool Spa Final Final Re-Roof Flnal Block/Feteining Wall Final Factory Fire Place Final Sign Final Demolition Date � 7-9' 4 Date CODE 1 INSPECTION TYPE 206 Final Mechenicel 208 Final Plumbing 210 Final Eledncal 212 Final Fire Prevention 220 FinalPlanning Approval 222 Final Site 250 Final Buildinq/OccuDancy � CITY OF COSTA MESA BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT ��ia) �sa-sz�3 • Fax (»a� �sa-aess JobAddress: 414 BUCKNELLRD Suite No Viciniry: Parcel Nunmber: 14142203 Applicant: SMITH, MIKE Address: 01235 W COLLINS AV OR4NGE CA Owner: JONES, AVA JACK TR Address 365 WAKE FOREST RD COSTA MESA, CA Contrector. Address: ISSUE FEE Temp service lesl Res. a/c package New Res (1-2 units) New Res (3+units) Pool I Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1o00a Motors to 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole ELECTRICAL PERMIT Phone: (714)997-1800 Zip: 92667 Phone: Zip: 92626 DEPENDABLE AIR CONDITIONI 01235 W COLLINS AV ORANGE CA Phone: Zip: 92667 License: 472690 SCOPE OF PERMIT ELECTRICAL MOTOR FOR NEW A/C. REF: M99-00273. $22.00 $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 $11.00 $0.00 $0.00 $0.00 $0.00 80.00 $0.00 $0.00 $0.00 $0.00 Quantity FEE SUMMARY Temp Dist System / Lighting Buswayli00ft Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System I Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Eledrical Fee Investigation Fee Plan Check Fee Reinspection Fee PERMIT NUMBER T7 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: O6/07I1999 Issued: O6/07/1999 ISSUED BY: _�_ Quantity $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 $0.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 533.00 COMMENTS / SPECIAL CONDITIONS 7 ��1 ITtJ --- �� .rrC.. - D -�,r-��c.r�,�51�a � % NOTICE: The work euthorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-92) - EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for e period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapecllona ehd final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS'COMPENSAnONDECLARAnON: I hareby affirm under penalry oi perjury one ol ihe following tleclarations: - ❑ I heve antl w�ll maintain e certificete of consent to self-Insure tor workers' compensetion, as provided lor by section 3700 of ihe Labor Coda, tor the pertormenca of ihe work for which this permit is issued. � I have entl wlll maintain workers' compensatlon insura ce, as requirad by section 3700 of Ne Labor Code, for Ihe peAortnance of the work for which this permit is issued. My w^ork`e�Is'' compensatio Insuren��tt er ay�}(y poli number are: (� ��(� ��' �^ Cerrier. \ "Xl��.%�{ . ^ � • POIicyNumber. v � (Thfs section neBd not be comp/eted i! fhe pe�mi! Is velueU at one huntlred dollers ($f 00) or less.) ❑ I certiy thet in the pertortnence ol Ihe work for 'ch permit uued, I shall not employ any pereon in any manner so as to become subject to the workers' compensetion laws ot Celifomia entl eg�§§§�� the f I h I eco bject to ihe workere' compensation pmvisions ot Saction 3700 ai Ihe Lebor Coda, I shall forihwith comply with Ihese �ns. /J // /' �y q C% Applicant Signat �L��L� i - _ � Dete: _ (Of / V ! / WARNING FAILURE TO SECURE WORKERS' CAMPENSATION COVERAOE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES ND CIVIL FINES UP TOONE HUNDRED THOUSANO DOLLARE (E100.000�, IN ADOITIIXJ TO THE COST OF CAMPENSATION, DAMhGES AS PROVIDED F-0R IN SECTION 370fi OF THE IABOii CO�E, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereb attirm that I am licen§eQ dejr �ro,Yi�5lpn,5�of Cha ter 9 commencln9/�+I Section 7000 of DIviS�on 3 0l the Busineu and Professlons Cotla, antl my license is in full force end etfect. Lic. a 't'} ��LLn`� Ci p /) // � qass # f` 7.�_ Contractofs Signat � _ Date: .�i— 7— i CONSTRUCTION LENDING AGENCY: ❑ I hereby eHi� ihat there is e construction lending egency for the pertormence of the work for which this permit is Issued. (Sec. 3097, Civil Catle). Lender's Name: Lenders Address: Signetura: Dale: OWNER-BUILD8F7 DECLARATIONS: I hereby affirtn ihAt under penalty of perjury ihat I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or wunry which requires e permit ro construq, alter, improve, demolish, or repair any siructure, pdor to its iuuance, also requires the applicant tor such permit to tile e signetl st8�ement Ihat he or she Is Ilcensed pursuant to the provislons ot the Conirectors License L.aw (Chepter 9(commendng with Sectlon 7000) of DivlSion 3 of the Business entl Prtl�essions Cotle) or ihat he or she Is exempt therefrom antl ihe basis for ihe alleged axemption. Any violation ot Section 7037.5 by eny epplicant for a permit sub�ects Ihe epplicant to e civll penalry ot not more then five huntlretl tlollars ($500).): � I, as owner o� the propeny, or my employees with wages as iheir sole compensation, WILL DO 7HE WORK, end the structure is not Intentletl or otteretl for sale (Sec. 7044, Business antl Protessions Cotle: The Conirectors License Law does not apply to an owner oi properry who builtls or improves thereon, end who tloe5 such work himself or herseN or through Tis or her own ampioyees, providetl tha[ such improvemems are noi inian0etl or otiered tor sale. If, however, ihe 6uilding or improvement is sold within one year of completion, the owner-builder will have ihe burden of proving ihet he or she did not builtl or improve for purpose oi sale.). ❑ I, es owner a� Ihe property, em E%CLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to construct ihe prolect (Sec. 7044, Business end Professions Cotle: The �ntractors License Law tloes not apply to an owner of property who 6uiltls or improves �hereon, and who coniracis lor such proJect with a coniractor(s) license pursuant to the Coniractors License Laws.). ❑ I am exemp� under sec. Business antl Professions Code for this reason: Signature: Owner ID verified by tlrivefs license. ❑ Ves ❑ No Drivers License No. Verification of Ownership by (type of daument, i.e. - property tax blll or deed): Date: Explres: DIVISION OF INDUSTRIAL SAFE7Y PERMIT CER7IFICA710N: ❑ I hereby ceAlfy that no excava�ion flve (5) or more feet In depth into which a person is requlred to descend, will ba mede in connection with work authorized by this permit, entl Ihat no builtling stmcture, scaflolding, talsework, or demolition or dismantling ihereof, will be more ihan thirty-six (36) Feet high. (Chap. 32, Gry 2, Atl 2, Sec. 341, Title B, California Atlminlsiretive Code). ❑ As owner-bVlltler, I will not employ anyona to tlo work which would requlre e permit irom the Division of Intlustrial Safery, as notetl eDove, unless such person has a permit to do such work from �he division. � Signature: Division of Indust�al Satery Pamnt Number: Da�6: CERTIFICATE OF COMPIIANCE AND AUfHORIZATON OF ENTRY: 1 certity untler penelry ot perjury that 1 have reatl this application entl state lhat lhe intormation given is correct. I egree to comply with all slete lews antl city r ances releting to bulltling constmction, and authorize representa�ives ot ihe Ciry of Coste Mesa to enter upon ihe above-descnbed pwperty tor Inspeftieq�poses. I��not to occupy or ellow occupancy of any bullding euthorized by this permit untll flnal Inspection. CODE I. �y$PESi.➢4N�E � 1616 Fiaed System Final Fire Pwvention 1266 Pool Spa Final 200 Final Re-Roof 201 Fina181oGWRetaining Well 202 Final Fectory Fire Plece 203 Final Sign 204 Final Demolition 2d4&a8 � � 7 _ �g oa�a 9 Date CO�Et INSVF.CTIONTYPE 206 Final Mechenical 208 Final Plumbing 210 Final Electrical 212 Finel Flre Prevention 22o Final Planning Apprwel 222 Final Site 250 Final Building/Occupancy Pdg OW NER COSTA MESA ESTATES '� JOB ADDRESS 1�14 ��cY.nell Road GENERALCONTRACTOR Roven-Spiegel Co LOT lO GROUP I & J INSPECTIONS Footing Trench Foundation Forms and Grade to Ph Ph Te Wi Heating, Final . 8ewer, House �A� S� V Septic Tank or Cesspool Lathing,ln Plastering Plumbing, Fin�al� Fixtures Plumbing, Fin,al GasTest Wiring, Final Occupancy FOHM 210 3M 10�•vS B TYPE V e DATE � H 7 ' DATE `+—iZ—�6 BUILDING PERMIT NO. 2610 ii �nn nn 2750 Single xes w/att gar ZONE R'� SUBCONTRACTOR 0�4- �icT 2632 PERMITS ISSUED I NUMBER Costa Mesa Building artment APPLICATION FOR PERMIT � � • COSTA M SA CALI�.�..� ��NIA 2f32 B U i��D l N G ' �'• FOR OFFICE USE ONLY � FOR APPLICANT TO �II.L IN I Rrrpini No_ I Pn'mi} N Mesa, Owner [.:.�J �j I�- /Y G��fi ��jT�"j Mail �� 3�!-�.T� Address � CitY /LO h , /i��S 11� No' �//Cs Architector�/ � / Lic. Engineer �7n `%(.LG ('%��• No. Addresa SPL�.P,(v/// /✓b�% 5/�i��%i9' �d � �!'il=f =C C� �i (,Ui j!'� l—i'/�•�t Lot Nu. �D Block 7ract�l�a // No. of Bldga SizeofLot�7�SX%lji/•2] NowonLot Useoi ' I No.of I No. Existing Bldg. Famllip Roo SetbackLinefrom / RearYard �3/ Center of Street `rC+ '� Sfda Vard � DESCRIPTION OF WORH New I� I Alteratlon I I Additlon Repair I I�Moving I I Demolish Building / No.of 3ize �'�X b o Rooms � Stories Exter(or Wall I Roof Coverina /�/�(/Cl�� Coverina /ii/✓G- Date C_ Costa Mesa, rvo.oi I �YPcI� Plans CORRECTIONS APPROVAI.S Foundation Location Inspecto�, Forms, Materials, Under-Pinning Frame: Fire Stops, I hereby acknowledge that I have read Uus Application and state thak the abme iS coi'reM end agree to mmply Lath. Int. with all City Ordinances and State Laws regulating building mnstruction. Lath. Ext Perm ttee�f ��`�T/� /��E<>fi- �Ti9iC% Plaster, Int Authorized Agt �l/!� Plaster, Ext Valuation Pe it Fee $ o�— ��' Masonry Reinforoed �1� �� Plan Check $ / � gond Beam $ I�..GYj(� �. Total Fee Z � FINAL RM 204 S-BP 2M 6-55 ' Date Issued c/_ /�- �� O A PLOT PY.AN Show locatlon and dishances from property line antl between buildings. ' ti ,.,� � � cosr '�{'D�ESa °�,�u . ��,,; ��z nr