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Home My WebLink About3146 CORK LN - Building Permits� .: (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 3146 CORK LN 14163404 Applicant: GUTIERREZ, HENRY Address: 3146 CORK COSTA MESA, CA Owner: GUTIERREZ, HENRY Address - 3146 CORK COSTA MESA, CA Contractor. OWNER-BUILDER Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+unils) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Motois over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Inlermed Pole ISSUED BY: Phone: 714-241-7542 Zip: 92626 Phone: Zip: 92626 Phone: Zip: License: 0 SCOPE OF PERMIT INSTALLATION OF A NEW A/C UNIT AND CHANGE-OUT OF A FAU IN AN EXSITING SFD. $23.50 $0.00 $54.50 $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 $0.00 $0.00 $0.00 Quantity 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY � Temp Dist System / Lighting Busway /100 ft ' Standing Section Misc Electrical Equipment Transformers up to t kva/kw ................up to 10 kva/kw . .................up to 50 kva/kw .................up to 100 kva/kw ' ..................over 100 kva/kw Low Volfage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductor � Circus ( gen or.ride) Circus (mech ride or lights) Chnstmas Tree Stand Fireworks Stand � Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 08/29/2002 Issued: 08/30/2002 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 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $78.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis 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 if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inapections and flnal epproval must be obtained. Failure to obtain inspections and final approval will result in tha expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 YLe :�.grt+.t:U'. WORKERS'COMPENSAnON DECLARAnON: � _ I hereby affirtn under penalry of perjury ona of Ihe following declarations: � .,� ❑ I have end will maintain a ceNiicete of consent to seH-Insure for workers' compensetian, es pravitled for by section 3700 ot Ihe Lebor Cade, br the peAormence ot the wark tor which Ihis pertnil is issuetl. ❑ I have aM will maintain workers' compensation insurance, as required by sectlon 3700 of the Lebor Cotle, tor Ne perfo�mance of the work for wNch Nis pertnit is issued. My workera' compensation Insurence carner entl pollcy number ere: Cerrier: Policy Num�er. ��(ThLLLis sec(ion need not be comp/eted i! fhe Oermit is va/ued et one hundred Gollars (5100) or less.) �I[l�l certity that in t�e peAormance oi the work for which Ihis pertnit is issued, I shall not employ any pereon in eny manner so as to bewme subject to the workers' ,� compensatlon lews at Celitornie agree that If I uld become sublecl lo Ihe workars' compensation provisions ot Sectiop 3700 oi th Lebor Code, I shell fort�wiih comply wi _Ih Ihese provlsions � / � � App�� / � U Z_ licant SlgnaWre: 1 SDete: _ _ _ WARMNai FNLURE TO SECURE WO fERS' OD NSATION COVERA UNLAWFUL PND SHALL SUBJECT AN EMP�OYER TO CRIMINAL ENALTIES D dVIL FlNES UP TOIXJE HUNDRED TFqUSAND �OLLARE (E100,000), IN ADDfTION E COST OF COMPENSA , DAMAGES AS PROVI�ED FOR IN SECTION 3)O60F TME LABOR CADE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: �. I hereby eflirtn that I em Iicensed under provisions oi Chapter 9(commencing with Sectlon 7000) of Divislon 3 oF the Business end Professions Cotle, end my Ilcense Is In tull li torce end eflect. Lic. q Cless A � Cantracrofs SignOture: Deie: ' CONSTRUC710N LENDINO AGENCY: ❑ I hereDy affirtn that Ihere is e construction lending agency for the pertormance of the work tor which Ihis pertnit is issued. (Sec. 3097, Civil Cotle). LenCels Name: Lender's Atltlress: Signeture: Date: OWNER•BUILOER DECLARA710NS: I hereby affirtn that under penelry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the tollawing reeson (Sec. 7031.5, Busineu entl Professions Cotle: Any ciry or wunry which requires e pertnit Io consWct, elter, improve, tlemolish, or repair any slrucNre, pnor to its issuance, also requires the epplicant for such permit to flle a signed stetement that he or she Is Ilcensed pursuant to the D�ovisions oi the Contredors License Lew (Chaptar 9(wmmencing wilh Sectlon 7000) of Divislon 3 ai the Business entl Prafessions Code) or thet he or she is exempt thereiram antl the �asis for ihe alleged exemption. Any violation o1 Section 7037.5 by eny appllcant for e pertnit sublects Ihe epplicent to e civil penalry ol not more than five hundred tlollars ($500).): ❑ I, as owner of the properry, or my employees with weges as t�eir sale compensallon, WILL DO THE WORK, end the swcwre Is not intentletl or oNeretl for sele (Sec. 7044, Business and Professions CoOe: 7Te Contraciors License Law does not apply to an owner of properry who builds or improves Ihereon, antl who tloes such work himself or herseli or Ihrough hIs or �er own employees, pravidad that such improvemenis ere not Intended or oMered for sele. If, hawever, ihe huiltling or improvement is l sold within one year ol wmple�ion, the owner-builder will heve the burden of proving that he or she did not build or improve lor purpose of sale.�. H1� I, as owner ot the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRAC70RS to construct the pmject (Sec. 70aa, Business and Pmtesslons T Code: The coNrectors License Law does not apply to an ownar of property who builtls or Improves thereon, and who contrects tor such project with e conhector(s) � license pursuant lo ihe Comractors License Lews.). ❑ lem Veritication oi Ownership by (type of Business enC Professions Cotle tor this reason: '— �Det�: — J` CJ ' U L � Expires: % ��%—b S I.e. - O�aPerty t� bill ar deed):�' DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFICATION: ❑ I hereby certify thet no excavation fve (5) or more feet in depih Into which e person Is required to descend, will be made in connection with work authorized by t�is pertni6 and that no builCing structure, scaHolding, falsework, or tlemolition or tlismantling thereof, will be more than thirty-sl: (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Ttle 8, Celifomia Adminlslralive Code). ❑ As owner-builder, I will not employ anyone to do work which would require a Dertnil from the Division ot Intlustrial Safery, as noted a6ove, unless such person hes e pertnit to do such wark irom the division. Signeture: Date: Division ot Industnal Safery Permit Number: CEHTIFlCATE OF COMPLJANCE AND AUTTIORIIATION OF EMAV: I certify under penalty ot perjury ihat I have reatl this application and state that the Iniormatlon given is correct. I agree to comply with flll stat laws and city ordinances relating Io building consWction, and euthorize representatives ot the Ciry of Costa Mesa to enter upon Ihe ebove-describe//�rty tor insDe t' pu ses. I agree not lo ocapy or allow occupancy ot any building authonzed by this pertnit until f�nal in� c�a � , � .a �` t Signawre ner(s � Date Md/Or Auihonzed Applicant Date CODE I, INSVECTIONTYVE PAIE L�LS 1618 Fixed System Final Fire Prevention 1268 200 Pool Spa Final Final Ra-Roof 207 Flnel Block/Retflining Wall 202 Final Fectory Fire Place 203 Finel Sign 204 Final Demolition GO�E I INSGECTION TYPE 206 Final Mechanical 20B Final Plumbing 210 Final Eletlrical 212 Flnal Flre Preventlon 220 Final Planning Approval 222 Final Site 250 Final Buildiny0aupency � L� v 1I�L4 (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT JobAddress: 3146 CORK LN Suite No Vicinity: FAU IN CLOSET IN HALLWAY Parcel Number: 14163404 Applicant GUTIERREZ, HENRY.�' � � Address: 3146 CORK-",o= -'_� '- � � � � � i / COSTA MESA, CA - � - i" . ; � _ �, Ownei:, °,GUTIERREZ;,HENRY Address:� � 3146 CORK �- �� COSTA MESA, CA Contractoc : OWNER-BUILDER Address: Status: ISSUED Applied: 08/29/2002 Issued: 08/30/2002 Phone: �. 714-241-7542 � - \ Zip: 92626 � � .� � ,. .. . -. � � � ;� � . �i � � - — ' � :� Phone: Zip: 92626 Phone: 'Zip. License: 0 . _ .. / :�� ` � _ ,,� � ,, ; �, � % � �, \ \'. ` ,, � J, � . _ _ . - � , v .. _ - � � SCOPE OF PERMIT � \ � . ,�� INSTALLATION OF A NEW A/C UNIT AND CHANGE-OUT OF A FAU_IN AN EXSITING SFD. , -, ��' i' .-Y - •- -� � - �i'"" ' � :� � . � �� — � �FFF CI IMMARY " .._..' ` "' � ♦ . . , . Quantity ISSUE'FEE . $23.50 � . Inst FAU <100 k BTU $14.80 1' - � Inst FAU >100 k BTU ' $0.00� -" 0 � - �" �-- -�- " - Repair / Alt Cooling/Heat $0.00 � � 0 - Inst LRep. Recess Wall Htr $0.00 0 Refrig Sys <100 k.BTU�„ , $0.00 0 Refrig�Sys>1001iBTU� $0.00 0 Gas Piping . $0.00 0 Factory Fiieplace � , $0.00 0 Hood w/Mech Exhaust � � $0.00 0 � -_ VAV Box � ' � � ' $0.00 0 � VentFan/,SingleDuct, � �`�,j$0.00._�O�,i�' -• , Appliance �� , �, $0.00 0'� , Fire Dampers � ` �', i� ' $0 00 0 � � _ ., Smoke Dampers, � �`- � ' ' ; $0 00` '0 �� _ ., � InstorRelocateApplVent�� ." $0.00 �--0-�`� Air Handlers < 10000cfm � -- $0.00� 0 � _ � - � � ; , AirHandlers> 10000cfrri � . , $0.00 , 0 . ' Floor Furnace � , , $0,00 0 � . �- Floor or Suspend Heater $0.00�.� 0. � � — i -rr , � � Quantity, � Repair7 Alt Absorbtion Unit �.$0.00" 0: � Repair/AltRefrigerationUnit .;� `$0.00_�0: Ventillatiori Sy'stem - � � �, $0,00 0� - \� � Evaporative Cooler �, � - $0.00 0 � ' Commercial Incinerator ' � ' $0.00� � 0 � Domestic Incinerator `/- � � $0.00'�� 0 . Compressors / Absorptian Systems � � - � Upto3hp/100kBTU � :$14.70` 1 ,�,� 3To15hp/SOOkBTU ,',"�"� ' $0.00 ;0 ; 15 To 30 hp / 1,000 k BTU � � $0.00 ,:0,� 30 To 50 hp / 1,750 k BTU �� $0.00' ��0' � Over50hp�/,Over1g750BTU,�� + $O.00.��iO Boilers � " - ' • � =�� , . � ;�, � ;Up to 3 hp _ �- -%�� ' $0.00 0 -3 To 15�hp �"%`� j> �,- i$0.00 0 15 �to 30 hp _. , ,.' � ;$0.00 0 30to50hp�- . ;��$0.00 0 Over 50 hp � . � �- i�$0.00 0 Other Mechanical Fee ��, �-- �� i � Inves6gation Fee . " , $0.00 Plan Check Fee .� , $0.00 Reinspection Fee . � - $0.00 ; SOTAL CALCULATED FEES $53.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handirap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced wi�hin 7 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requfred inspectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 eaco-ae �aw7 WORKERS' COMPENSATION DECLARA710N: � � 1 I hereby affirm untler penalry oi Derjury one of the following declarations: - - ❑ I have and will maintain e cenificate of consent to seN-Insure tor workers' compensation, es provided for by saction 3700 of Ihe Labor Cotla, for the pertortnance of the work for which this pertnit is issuetl. ❑ I have end will maintain workers' compensation insurance, fls required by secUon 3700 ot the Labor Cotle, for the pedortnance of tha work for which ihis pertnit is IssueC. My workers' compensation Insurance carner and poliry number are: Carner. Policy Number: /This section need not be comp/eted i! fhe permit is valued at one hunOred dollars ($f 00J or less.) �S I certih/ that in lhe peAormance of the work for which this pertnit is issueQ I shall not employ any person in any manner so es to become subject to the workers' wmpensation laws ol Califomia n agree mat if uld become suDject b the workere' compensation pmvisions of Sectlon 3700 of Ihe Lebor Code, I shall forthwith camply with these provisions � Appficani'Signa`Wre: Deta� � �—U � � !r— v WARNING FAILURE TO SECURE W RKERS' PENSA ION CA UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FWES UP TOONE MUNDRED TFIOUSAND OOLLARE (5100, WO�.IN RION T THE COST OF COMPENSA ION, DAMAGES AS PROVIDED FOR IN SECTION �W OF iHE L4BOR CODE, IMEREST, AND ATTORNEVS FEES. LICENSED CONTRACTORS DECLARA710N: 1 hereby aHirm that I am licensed under provislons ot Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professions Code, and my license is In full force ana ettect. Lic. u Gass a Contrecrofs Signature: Date: CONSTRUCTION LENDING AGENCY: ' ❑ I �ere6y attirtn ihat Ihere is a consiruction lending agency for Ihe pedormance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Atltlress: Signawre: � Date: OWNER-BUILDER DECIARATIONS: I hereby attirtn thet under penelry ot perjury that I am E%EMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe tollowing raeson (Sec. 7031.5, euslness end Professions Cotle: Any ciry or counry which requires a permii to construct, alter, impmve, demolish, or repair any stmcture, pnor to its issuance, also requires the eppliwnt for such pertnit to file e signed statement lhet he or she is licensed pursuant to the provislons of the Contractors License Lew (Chapter 9(commencing with Section 7000) of DlNsion 3 of the Business and Professions Code) or that ha or she is eaempt therefrom and the basis tor ihe allegetl exemption. Any violation ol Saction 7031.5 by any epplicant tor e permit subjects tha eppliwnt to a civil penalry of not more than five hundretl dollars (5500).): ❑ I, as ownar of the pmperry, or my employaes with wages as their sole wmpensation, WILL DO THE WORK, antl ihe sWCNre is not intended or oHeretl tor sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to en owner of property who builds or improves Ihereon, and who Coes such work himself or �erself or through his or her own employees, pmvided that such improvemenis are not intended or oNered tor sele. It, howevar, the builtling or improvement Is soltl within one year ot completion, the owner-builder will have ihe burden of proving that he or she ditl not builtl or improve for purpose of sale.). �,� I, as owner of the properry, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The wmractors License Law tloes not apply to an owner ot proparty who �uilds or impmves i�ereon, and who comracts for such project with a comraaoqs) license pursu to the Contreciors License Laws.). ❑ I am ezem r sec. usiness antl Professions Code for this reason: ignatureu � {Date:� � .�i Q — � Z -� e-��es:r //-/O -o S_ Owner ID ven tl by tl rs license. � No Driv�� s Ci�No. � Veniication of Ownarship by (type of doc e, i.e. - property taz bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION: ❑ I hereby cenify Ihat no exwvation tive (5) or more feet in depth into which a person is requiretl to tlescenQ will be made in conneciion with woB euthorized by Ihis pertnit, and that no builtling sWCWre, scattolding, falsework, or demolition or tlismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, An 2, Sec. 341, Title 8, Califomia Atlministrelive Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit from ihe Division of Intlustnal Safery, as noted ebove, unless such person hes e pertnit to do such work irom the tlivision. Signature: Date: Division oi Intlusinal Safery Pertnil Number: CERTIFlCATE OF COMPLIANCE AND AIJTMORVA710N OF ENTTiV: I certify untler penalty of perjury that I have read this application antl state ihat the Information given is wrrect. I egree to c with all stete laws and ciry ordinances relating �o building construciion, and euthorize representatives of Ihe Ciry of Cosia Mesa to enter upon t�e above-described p r inspection ases.l agree not to occupy or allow occupancy ot any huilding emhorized by this permit until final inspection. �_7../ � 3 � — O Z- �g�a� a i a� oa�e �— AnNOr Authonzed ADPlicant Date COOE �. INSYECTIONTYPE 1676 Fixetl System Final Fire Prevention 1268 Pool Spa Finel 200 Final Re-Foof 201 Final BIocWRataining Well 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition CODE� INSFECTONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final ElecMcel 212 Final Pire Prevention 220 Final Planning Approval 222 250 Final Site Final BuildinyOccupancy � � � �� o� �� %�e4.�t au�� ividia�2 OWNER-BUILDER VERIF[CATION A city or county, which is reyuired to give notice pursuant to Section 19830, shall attach ro such notice, and, as a condition precedent ro issuing a building permit, require the comple[ion and require the retum of, an owner-builder venfication. Attention Property OWner. An 'owner-builder' building permit has been applied for in your name and bearing your signature. Please complete and return this infortnation in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your building pemtit. No buildine oertnit will be issued until [his verification is received. I. I personally plan to provide the maj r labor and materiafs for conswction o( the proposed piopeRy improvement. � Yes � No ( 2. ave ave not) signed an application for a building permit for t roposed work. 3. 1 have contracted with the following person (tirm) to prov/i1de the pJropIo\sed conswction: Name � I e rn n�2 �� `R U �� l i I�OZ'lGl� Tl � t✓�4 4. AddreSs � N z S� G �r w�e�� v� D r. c�cy Mm�r�.G�� /( o Phone (5Z3) 7L�o - Z(�Do Contractor's Lic. No. 7 ZSfyS_ "T 1 plan to provide portions of the work, but [ have hired the following person to coordinate, supervise and provide the major work: Name Address Phone ( Ciry _ Contractor's Lic. No. 5. I will provide some of the work but 1 have con[rac[ed (hired) the following persons [o provide Ihe work indicated: Name 1012�a6 (REV.A98� Address Phone Type of Work , � GENERAL CONTRACTOR ] AP No. LOT INSPECTIONS OCCUPANCY [OMES, ]NC. Dn'rE N04 3 n i96i BUILDING PERMIT NO. o Residential Bldg. Corp. vni.uE S 15,155.00 TRACT �+356 PIRE ZON� DESCRIPTION OR WORK Re5 Signature DATE' GROUPI$�J TYPE \T T 7.ONE � �i SUI3CONT12ACTOR .-pFRT w/att.gar. R-1 — '"°` � R��o . -- --- F RECEIVED ' � I 833� �; � -�� a��a COSTA MESA BUILDING•SAFETY DEPARTMENT Lot 89, Tract 4356, P E T, P. o. BOX g,� COBTA MEBA. CALIFORNIA CITY OF COSTA MESA For Applieanf fo Fill In Complefely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING ADORESS 3! y� �Y'1 ��+� , COSTA MESA. CALIFORNIA FOr Offite US@ �D��l REGEIPT NO. MlT�f10. OWNER Aarbor Hall o£ Fame Homes Inc. �.3 MAIL REC6IVEg rB�Y DA�e R 6IVlD I DATE I99UHD aooaFss P_0. BoX 2066- -� ' fC� I //—.�C , k�{- NOV ^ n �nr� nD�l St. 2131 So. Artesia Santa.Ana- ■ STATE � S6T0ACK LINC FROM S�y � No: xz 9-2204 IN�,..c.v,Netnoe.Q ILEFT �5� IRIGHT J� DESCRIPYION OF WORK BUILCING � SIZE � EXTERIOR WALL I HEREBY ACKNOWL ANO 9T�TE THAT TI PLY WITH ALL CITY BOILDIN6 CONBTRW SIGNATURE OFi+1 ■ AUTHORIZED AGENT NO. OF 1 COSTA MESA. CALIFORNIA ncc �/ c,woud� APPROVED ZONING � NO. OP — I U9E OP NE�M� � Furvs yrr0U1LDING CG �ece� YARDS EVES APPROVED ALLOWED 1 (CBNTHP LINB 9T.) FRONT s Y FT. — �_ — R. SIDE FT. S� — L. SIDE FT. REAR � �� 'fY FT_ ' 1 HAVE PEAD TH19 APPLIGTION IS CORRECT AND ACRE6 TO COM- �HE �o/�Y�H �� ji—�. _- y�D d/ NGISNOER VALUATION IB FOP TH¢ PIIIiPOBE OF EBTABLISHING A PERMIT FEE ONLY. VALUAT ON pERMIT FEE $��'— N � �J� �.SS o $ l�% /i rl�I PLAN CHECK $ � aS-� �� 2 J TOTAL FEE � y