The URL can be used to link to this page

Home My WebLink About3272 DAKOTA AVE - Building Permits(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us Job Address: 3272 DAKOTA AV Suite No Vicinity: Parcel Nunmber: � 13906703 Applicant NOCK Address: 11612 K �.uiivaciu�. rvo � (�! J ._, ! �li i � � �Aiidress. � 1.16 ) �"� ` .� % � SUI 7V� �:j�GAF 1t;;+' ��! ! JfJ�r�,,; u I �. Arch / Eng : G'�� v 4 t� Addres511 �� it�� C�� _. A��4„ a PLUMBING PERMIT i � � ��_r_-ra- ; �`"'-�-�.. I ��/� �: �ti "I� �1 Tf'� �—,::,\ r l ( � � �� l � J � � V'=�, {� � 1 ` Phone: (Z14) 895�1246 r . /��C : cfl�. l.--y �ziP:t__szsai'�J ` �^' r` `` ' �� \ i'-/,..i .�= �-;.f � _�, i.^.� C .��^..`. ��'.> � �.,� 1'v ��-_-�-..-._`'-` .__ _A.�-_ � � V �� // rnin univ�, �.vair mwn, �.�a amm Status: ISSUED Applied: 02/02/2004 Issued: 02/OZ2004 ISSUED BY: I • _�`\\\�\� / \ ��C��// > / Phone: 714-546-1907 �� CA `i,!` .ta 1?��` �oc a i''..� ``� �'„�\ :K'PLUMBING � �; /� � � °' � t' � � �� d-�`' , � �� t+ � 7KNOTT ST �' �v � ��,"9� '� i ��/�.�� ,i I > A .� ,-' - -� � r � � �. � �� E 277 f -aa f,� �� _ ' � Phane: (714) 895-120.6 - � /�,.��"�� /i `� ) r _ _ t� - r--` ' � ,..' ;�� t/ DEN GROVE; CA Zip: 92841 '�-v �i.� �� License' 707775 � � � �-__ =- -.= � . �y 7 �; - �� , ��L�.l'l iP'7.'11 � ilf°P �L''�t�7�°�r 1�1.��e�_ � --i �-- -- ,._ Phone� --- — ' � � �� i HEATER`CHANGE OUT. �\G\�,� ��r � � AMT. ISSUE FEE, �,\ C �$23.50 BackFlow irrigation v $0,00 BackFlow Pre`venter. $0 00 Bathtub - �`\C$0 00 Clarifier System � $0�00 Connect pce,Soda,etc)`��$0.00 Dental Units \ .�$�;00 Dishwasher �$0.00 Drain, Floor $0.00 Drain, Rainwater $0.00 Drain, Roof $0.00 Drinking Fountain $0.00 Expansion Tank $0.00 Gas Earthquake Valve $0.00 �,,`+��-OL,��• " 0 O oHMI^-G:l.lIT LaundryTub/Washer''Ja o$0.00� $0;,:-ved•+�:. Landscape,IRigation.�G,��" $0.00"0-'��`�-s� PTrap( G'i� � �,��$000 0 Pressure Re9ulatoc � . $0 00�� - 0 - -�/ Process Piping (per 10,ft) �$0 00, 0 j�,%� Receptors,��_° � � ° $0.00='`0 -�i' . `�4 : �� Septic Tarik = -" `_— 5�$0:00'=%0`� \ �' Sewer Cap fo'r Demo�---"$0.00 0�'� onnect � $0.00�0, � �, � nvste'Line_� �� $0.00 .-0\ / �,`'� J I !\� l r , �$0.00�0� ` - �l �� ii 1 Waste'anC Vent System Water Closet (Toilet) ��'J Water Heater / vent Water Piping Qnst or Rep.) Water Re-pipe Water Service $0.00 $0.00 $0.00 $0.00 $o.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced vnthin 780 days, or if work is suspended oi abandoned for a period of 7 BO,days.= - . �•, _�. ,- . , . INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such wo�k must comply with all appliceble codes, end ell required Inapectlons and final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2448-46I8�00) WORKERS' COMPENSATION DECLAppTION: ' -' . �: �, � . � � I hereby ettirm under penalry of perjury 6ne o� the following declarations: � .. . . . �� ❑ I h ve and will meintein a certificate of consent ro setl-Insure tor workers' compensation, es provided for by section 3700 of the Lebor Cotle, for Ihe pertormance of the ork tar which ihis permit is issuetl. I heve and will maintain workers' compensation insurance, as required by seclion 3700 ot ihe Labor Cotle, br the peAormance of ihe work for which Ihis pertnit is issuetl. My workers' compepsation Insurence carrier end policy numbe� ere: . � � Carrier: Policy Number: (This secfion neeU not be complefed il fhe Oarmif Is valued ef/q undred dWlars ($100) or less J . _. . . . ❑ I certity that in tha peAormence the � for which fi ermit is issuad, I shall no� employ eny person in any manner so as to become sublect b the workers' compensation laws of Califomi , nd gr al't I Id become subject to the workers' compansation provisions of Sec lon 3700 c the Labor Code, I shall torthwith comply with these provisions. �I� ^ ��/ //� Applicanl Signature: / Date: — 1 O� WARNING: FAILURE TO SECURE WO KER p NSATI COVERAGE IS UNLAWPUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL INES UP TOONE HUNDRED TMOUSANDWLLAPE(5100,0OO�,IN DDITIOA�TOTHECOSTO MPENSATION,DAMAGESASPROVIDEDFORINSECTION3]OGOFTHELABOFCODE,INTEREST,ANDATTORNEV'SFEES. LICENSED CONTRACTORS DE I hereby aMirm ihat I am licensed force and eflecL Lic. q Contractofs Signature: _ with Section 7000) of Division 3 oi the Business and Pwfessions Code, and my license is in full qass q I 1 CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn ihai there is a construction lentling agency for the pertormance of the work for which ihis pertni� is issued. (Sec. 3097, Civil Cotle). Lender's Name: Lender's Address: Signeture: _ Date: OWNER-BUILDER DECLARATIONS: I hereby aHirm Ihat under penelty of perjury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a permit !o construct, alter, improve, demWisl�, a repair any 5lructure, pdor ro its issuance, also requires the applicant tor such permit to tile e signed slatement ihat he or she is licensed Dursuant to the provisions ot the Contractore License Law (Chapter 9(commencing with Section 7000) ot Division 3 of the Business and Professions Cotle) or thet �e or she is exempt therefrom and ihe basis for the elleged exemption. Any violation of Section �031.5 by any applicant for e pertnit sublects the applicant to a civil penalry o} not more ihan live hundred dollars ($500).): ❑ I, es owner ot Ihe properry, or my gmployees with wages es their sole compensation, WILL DO THE WORK, and �he siructure Is not intendetl or oHered for sale (Sec. 7044, Business and Professions Coda: The Coniractors License Law does not apply to en owner of property who huiltls or improves Ihereon, and who does such work himselt or herseN or �hrough his or her own employees, provided ihat such improvemenis are not in�ended or oflered for sale. If, however, the builtling or Improvement is sold within one year of completion, the ownerv6uilder will have the burden ot proving that he or she did not build or improve for purpose oi sele.). ' ❑ I, as owner of ihe property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consimct the pmject (Sec. 7044, Business and Profeulons Code: The contwctors License LaW does not epply to an owner ol property who builds or improves thereon, ena who coniracts for such project wlih e contractor(s) license pursuant to ihe Contractors License Wws.). ❑ I am e:empt under sec. SignaNre: � Owner ID venfietl by tlrivefs license. ❑ Ves ❑ No Business and Professions Cotle tor this reason: Verification of Ownership by (type of tloCument, i.e. - proparty tax bill or deed): DIVISION OF INDUS7RIAL SAFETV PEqM1T CERTFICATION: Drivefs License No. Date: Expires: � I hereby certify ihet no ezcavation five (5) or more feet in tlepth into which a person is requirad to descend, will be made in connection with work authorized by ibis pertni6 and that no building siructpre, scaHolding, falsework, or demolition or tlismaniling �hereof, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Tltle B, Calitomia Atlministredva Code). ❑ As owner-builder, I will not employ anyone �o tlo work which would require a permit from the Division ol Indusinal Safety, es notetl a6ove, unless such person has a permit to do such work irom the divisian. Signature: Date: Division oi Intlustrial Safery Permit Num6ar. CERTIFlCATE OF COMPLIANCE AND AUTHORVJITON OF E V: I certity under penalry ot perjury that I have read ihis epplication and state t0at the infortnation given is correct I agree to comply with ell state laws and ciry ortlin s rela�ing to building conslruction, and authorize representatives of the City of Costa Mesa to enter upon Ihe above-described property tor inspection puryos�s. I aqree yt to occupy or ellow acupancy of any building euthonzed by this permit until final inspection. COOE A, INSPECTIONTYPE � 76�6 Fixetl System Final Fire Preveniion 1266 Pool Spe Finel . 200 Finel Re-Rooi 201 � " Final Block/Flatainin9 Well� � , 202 Final Factory Fire Plece 203 Final Sign 204 � Final Demolition � � � ' ' PSIE . INTRIALS . QQpf� INSYECTIONTYPE 206 Final Mechanical 208 Final Plumbing , 210 Final Elacincal 212 Finel Fire Prevention 220 � � Final Planning Approval 222 Final Site ' �� ' 250 FinalBuilding/Occupancy PAL€ . IN�L,4 Y • � � 4 '/ ♦ � . . l . (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3272 DAKOTA AV Suite No Vicinity: HALLWAY (CLOSET) Parcel Number: 13906703 Applicant: SIMONS, Address: 3272 DAKO AHdress: �/ ' l l V I�� OTHER l� f n I �I l'-� ji��,i ISSUE FEE O Inst�FAU�<100 k BTU � � InsCFAU >100 k BTU\�� Repair�/ AIt,Cooling/Heat Inst/'Rep. RecessWall�Hfr Refng�Sys <700 k�BTU Q Refrig Sys >100 k BTU\\� Gas Piping, �J / �_ Hood w/Mech�Exhaus_t�7 \ VAV Box �U� , 1� Vent Fan / Single�Duct D Appliance Fire Dampers\ � Smoke Dampers Inst or Relocate AppfVent � Air Handlers < 10000cfm� Air Handlers > 10000cfm c� Floor Furnace ��., Floor or Suspend Heater CA ILDER $O.oO �:0 $0.00 0 $0:00 0 $0�00 0 $0;00 0 $0.00 0 $0.00 0 $0.00 0 MECHANICAL PERMIT Status: ISSUED Applied: 11/25/2002 Issued: 11/25/2002 ��n, ISSUED BY: � — �-�� Ph`o� -546V907 � Zip:'-92626 � � 0'�00�� j � �� O� � Phone: Zip: 92626 �� V �� ` �� `` � o,�I��e e Q � P es ao ,qihoner � C''�. °�.-Zip. ��°°,. /�, � License:000000 ' �� SCOPE OF PERMIT � ,N�EXISTWGSFD-- — � W�IJT�H�HIS�ER�MIT��]jJ}�(�V lLlt Ay FEESUMMARY �� -� ,-� �'l Repair /�Alt AbsornGtion; epaiP%Alt Refrigeratio Venti�lation�System Evaporative Cooler . Commercial�lncinerator Do'mestic �Incinerator ,,,,.,,, �q,.��,�_.Compressors/Absomti -�„' '� o n`�Up;to3hp/100kBTU �% ' 3-To>15.hp,/ 500 k BTU ��'9oa �. �" �,�°� �� 15 To�30lip7:.1 ,g pd opd c.��6 �30 To SO.Fip-/`i' pQ '�i' O�J�� Over50hp/�O� �Q �o �op �GBOilEfS=�' �0 v �� o° a � o � G�Up:to�3 hp o e �� ,� a o 3To'G15�,hB% 7 0 `'"-;-,�`_-_�15to30:hp�..,--'� 0� 30�to�50'hp C0��/ Over,50�hp1� `0 t / �� Other Mechaniql Fee OUv �� Investigatlon!Fee� �� Ian�Check Fee� BTU � . $0.00 BTU",.� � $0;00 i�$0.00 � CsO.� D ao.00 � �D so.00 $0.00 � „�� o.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES $38.30 0 E� NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis 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 it work is suspended or abandoned for a period of 180 days. - �� INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all applicabla codes, and all requlred Inspectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiretion of ihis permit. � FOR INSPECTIONS CALL: (714) 7545626 II 240&O6IN00) WORKERS'COMPENSAnONDECLARATON: �' I hereby aHirm under penalty of perjury one of tha following decleretions: . ❑ I heve end will maintein a certificate of consent to self-Insure for workers' compensation, es provitled for by section 3700 of the Lebor Cotle, for the pertormance of the work for which this pertnit Is issuad. ❑ I have and will maintaln workefs' compensatlon insurance, es requiretl by section 3700 of Ihe Labor Coda, for Ihe perfortnance oi Ihe work tor which this permil is issued. My workers' compensation InSurence carner and policy number ere: Cerrier: Policy Number: (lhis secfion need not 6e completed i� the permit is valued at one hundred dollars ($100) or less.) ❑ I certify that in Ihe peRormance of tha work for which this Dermit is issued I shall not employ any peroon in eny manner so es to become subject to the workers' compensation laws ot Calitornia, end egree Ihat If I shoultl become subject to the workers' compensation provislons oi Sectlon 3700 of the Labor Code, I shall forthwith comply with thesa provisions. Applicent Slgneture: Date: ' WARNING: FAILURE TO SECURE WORICERS' COMPENSATION COVERAGE IS UNL4WFUl AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRE� THOOSAND DOLLARE (E100,OW), IN ADOITIIXJ TO THE COST OF COMPENSATIQ4, DAMAGES AS PROVI�ED FOR IN SECTION 3108 OF THE LABOR CADE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTOFS DECLARATION: I hereby attirm that I am licensatl untler provisions of Chapter 9(commencing with Section 7000) oi Division 3 of the Business antl Professions Cotle, and my license is in full force entl e%ect. Lic. e Class # i Contracbr'S Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aNirm ihat ihere is a Gonsiruclion lending agency for the performance of the work foi whlch this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lenders Address: Signeture: Date: OWNER-BUILDER DECLARATfONS: I hereby aHirtn Ihat under penalry oi Perjury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business ane Protessions Code: Any ciry or counry which requ��es a permit to wnstruct, alter, impmve, tlemolish, or repair any strucNre, prior Po its issuance, also requires �he appllcant for such permit to tile a signed statement ihat he ar she Is Ilcensed pursuent to ihe provlsions of the Contrectors License Lew (Chapter 9(commencing with Sectian 7000) of Division 3 of the Business and Professians Code) or ihat ha or she Is exempt tharefrom end Ihe basis tor tha elle9ed exemption. Any violation of Seclion 7031.5 by any epplicant for a pertnit su6� s ihe epplicant to a civil pena�ry of not more than tive hund�ed tlollers ($500).): I, as owner ot the property, or my employees with wages as thalr sole compensatlon, WILL DO THE WORK, and the structure is not Intended or olferetl for sale (Sac. �044, Business antl Professions Cotle: The Coniractors License Law does not apply to en owner of property who builds or improves Ihereon, and who tloes such work himself or herself or Ihrough his or her own employees, provi0ed ihet such improvements ere nol Intentletl or oflered for sale. H, however, ihe building or improvement is sold within one year ot comple�ion, the owner-builder will heve the burden of proving ihat he or she ditl not build or improve tor purpose oi sale.). � ❑ I, as owner oF the property, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS ta construct the project (Sec. 7044, Business and Professions Code: The contractors License Lew does not apply to an ownar oi property who builds or Improves ihereon, antl who coniracis for such project with a contrector(s) license pursuant to the Contreobrs License Laws.). ❑ I em gy�pt nder sec. Signature: �kv-p--�. Owner ID veritied by tlnvers license. Business and Prqfes9ions 2otle for �his reason: No DriveYs License Veriticetion of Ownership by (type oi tlocument, i.e. - propeny tax blll or deed): DIVISION OF INDUSTRIAL SAFET' PERMIT CER7IFICA710N: Expires: ❑ I here6y cenify that no exwvetion five (5) or more feet in depth into which a person is requlred to descend, will be made in connection with work euthonzetl by this permit, and that no huiltling siructure, scattolding, falsework, or demolition or dismantling Ihereof, will be more then ihirty-six (38) feet high. (Chap. 3.2, Gry 2, Atl 2, Sec. 347, Tltle 8, California Adminis��ative Code). � ❑ As owner-builder, I will not employ anyone to do work which would require e permit irom t�e Division of Industriel Sefety, as noted ebove, unless such person hes e parmit to do such work Irom the division. Signature: Date: Division of Intlustnal Satery Permit Number. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I cehify untler penalty oi perjury that I have read ihis epplication and state that the infortnation given is correct. I egrae b comply with�(I state laws entl city ordinances relating o Guilding construction, and authonze represen�atives of Ihe City of Costa Mesa to enter upon the a�bJ�yv¢-described property %to�/, in{y�ecUan purposes.;,!q�/g(ee not toy�g�ycy'Vpy o Ilow occupancy of any building authorized by this permit Nuntil fhinal inspection. lL /.�sin�C �(/� F�t��1�d'�lA� U�.l.M/ 1. t..^nx.. n �7%d�%N ��U . U"�Oa-' Signature Ot Legal Owner(s) '� Date And/Or Authorizetl Applicant COOE t, �NSPECTIONTYVE 7616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final BIocWRetaining Well 202 Final Factory Fire PlaCe 203 204 Final Sign Final Demolition 0 �� COUEi INSPECl10NTVPE 206 Final Mechanical 20B Final Plumhing 210 Finel Elecincal 212 Final Fire Prevention 220 Final Planning ApprOval 222 Final Site 250 Final Building/Occupancy J�-1�-C'� Q�IL Lot 70 - Tr 3722 �� COSTA MESA BUILDING-SAFET.Y DEPARTMENT P. O. BOX 9f7 CO6TA ME6A. CALIFORNIA For Applie6nf fo Fill ln Complefely � TyPE OR PRINT AOO E's"s 3272 Dakota Avenue - � COSTA.MESA. QALIFORNIA , K & E Development Co.,I � �555;:PLACENASIA��AVE- ' TEL., ;-cw^rmii—oncRElf—r.�.---Na"�� ' ICT TEL. NEER ' " NO.' ' OF LOT 6Q � SO%�'o0 use oF EXISTING BLDG InNF BETBACK LINC FPOM GO f CENTeR OP BTREeT � SIDE YARD ILEFT' S� IF DESCRIPTION OF C �.�EE RECEIUED . � o �� 3-�6 0-� �' FINAN E DEPT. AI�PCICATISN��F�R PERMIT BUILDIPIG . For Offiee Use Only ' RELEIPT NO. PERMIT NO. FIRE ZONE APPROVED ZONE R-1 / .��.�� LEGAL �� DEBCRIPT NO: OP BLA09:o . er COSTA MESA. CALIFORNIA .TVPE {/ GROUP.��-/ DATE ZONING IP AN8 2 I BIIILDINO E��/ att YARDS APPROVED 20' (CENi¢R LIN! � FRONT �bit ' R.SIDE REAR ' APPROVED EVES BUILDING pU�. Ur . NO. OF ' - , SIZE �. '1'8 1 � ROOMS ' T STORIES ' � � EXTERIOR WAC�{:( . ROOF Rock - � COVERING `JTUCC ICOVERING � USH OF BUIL�ING AND �✓ORK TO B8 PERFORMED . SI�NGLE FAMILY RESIDE � ' -� and Attached Garage • � Pkan`-7—C ". ' i HEREBY ACKNOWLCDGE TXAT 1 MAVE PC�D �TH�6 APPLIGTION � T�{g AMOUNT BHOWN IING¢R VALUATION 16 FOP THE AND eTATE THAT TH8 p�OVE 18 LORR¢CT AND A6NE6 TO GOM- pUPP08E OF EBTABLIBXING A PERMIT FEE ONLY. PLY WITH NLL Citt ORDINANCE9 RND 6T�1TE LAWe R80ULATING Burt�INa cONeTRucnoN. ^ - . VALUATION - d'C PERMIT FEE $ � � 81GNATURE OF � `�� / / '7 � N PERMITTE � //�. /.�'� � ' �p u� /�/ ' . - - " $ � PLAN CHECK $ d .4UTHORIZED AGENT ' ' � � .r p TOTAL FEE d