HomeMy WebLinkAbout915 SONORA RD - 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:
915 SONORA RD
14133120
Applicant: STEVEN SCHNIERER
Address:
. .Phone: 714-719-1689
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Owner..�MC IVER;JOHN -
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Addre§s � � 915 SONORA RD �- . .
. - COSTA MESA, CA
Conlrector:
AddreSs:
Phone:
Zip: 92626
' BEC AIR COOLING AND HEATING
Status: ISSUED
Applied: 07/15/2004
Issued: 07/15/2004
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11867 CARDINAL CI � � � +
� UNIT F � . - �Phone: 714-534-8474
GARDEN GROVE, AC �� Zip: 92843 "
� . � License: 710334
SCOPE OF PERMIT
, " REPLACE FURNACE IN HALL CCOSET, 70K BTU 8 A/C IN REAR YARD. � �
. ELECTRICAL TO INCLUDE: 1 MOTOR TO 3 HP . " "
�
-. -' � FEE SUMMARY �
�ISSUE FEE � " $23.50
Temp service test . ��, - $0.00
ReS,,a/cpaCkage� � $0.00
New Res (1-2�units) ; ��1 �� $0.00
New Res (3+uni[s)� ' � _. $0.00
Pool / Spa �, � '. � $0.00
Lighting Fixts� . ' � $0.00
Recept Oullets � $0.00
Switches � � � $0.00
Non Res Appl � �'- $0.00
ResAppl � ��,� $0.00
Service to 200a � ��� - $0.00
Service to 1000a �� ,� , $0.00
Service over 1000a \ . : -$0.00
Motors to thp , $0.00
Motors to tOhp �$12.30 �-
Motors to 50hp $0.00
Mo[ors to 100hp $0.00 �'
Motors over 100hp $0.00
Communication drops $0.00
Quantity , Quantity r'; . - ,
Temp Dist System / Lighting -� . $0.00 0 ='�� j ' � � ' �
Busway /100 ft' . ' $0.00 0��.; ," . � _ ," , .
Standing Section $0.00 '0�� f �
0 � " Misc Electrical Equipment $0.00 � �0; � ! - � � � � �
0 ;„'� ' �"-1 , Transforrn_ers up to 1 kva/kw $0.00 �� ,� 0 . ' - , .
0 . ; : � ` ` .............:cup to�10 kva/kw $0.00� o, "0 .� . , .
0 = ' :...::t..........uP,to 50 kva/kw =, _� $0:00:'/ 0 �` � � • .
.- a
.. � -.0 � � . � .................up to 100 kva/kw� �'-' $0.00' 0 �� - . .
0 , ' ............. ....over 100 kva/kw - $0.00 �' � 0 � '
„0 , Low Voltage Equipment �; ; $0 OOyL;� 0; �� �;
- �D; � ; � . ,.LowVoltWinngSystem�)Ckt-' $0.00- L,0 ��"
0� �,�� �"Misc.�Condu¢ -:='!�� ��$0,00jj 0%����
- `� 0� � - _ = Misc. Conductor� -`" ( �� .�`$0.00� � 0 /i i�
i� ��� 0�..'� .. ' Circus ( gen ar ride)� � '�, \ $0.00 � �0/
%,� 0 i�� - Cirws(mech�rideorlights) �' �$0.00 �� /0
1�. � � ' Christmas Tree"Stand- , ; $0.00./ 0
0 � _ � Fireworks StanA_ �` - � . ; i$0.00 0
� 0� � ` Other Electrical Fee j��:� $0.00
�� `_' _�, - _ -- ' . �
0 -- � -'� _,=tilnJestigation.Fee� $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)
E%PIRATION: This permit shall automatically ezpire and become void if work is noi commenced within 180 days, or if work is suspended or abantloned
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 �
requlred inspeetions 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) 7545626 ,
2446-08(&00)
WORKERS' COMPENSATION DECLARATON: ' r�� ' •
I hereby aHirm under, penalTy of perjury one of the following tleclarations: -
❑ I heve entl will meintein e certifiwte oi consenl Io self-Insure for workers' compensation, es provided for by sec�ion 3700 of the Labor Code, for the pertormenCe ot the
work for which Ihis pertnit Is iSsueA.
� I have end will maintain workers' compensation insurance, es requiretl by section 3700 of Ihe Labor Cotle, tor Ne parfomiance of the work for whicli this pertnit is Issuetl.
My w ers�mp sep atlon Insurance carrier entl palicy number ere:
Cartier. hh�3 PolicyNumber: ��-�ig3
(7h15 secNon nee0 not be comp/e(ed i/ the permit is velue0 et one buntlretl tlWlars (5100) or Iess.J
❑ 1 certity that in the peAormenca ot t�e work for which this pertnit is issued, I shall not employ any person in eny manner so es to become sublect to ihe workerg'
compensatlon laws ot Califomia, antl agr e that tl I shoultl become subject to Ihe workers' compensation provisions oi Sectlon 3700 ot the Labor Code, I shell fort�with
comptywiththes ovis
Applicant Signeture�/c - Dete: �/�[�
WARNING: FAILURE T� SECURE W�j (ERS' COMPENSATION COVERAGE IS UNUWFUL AND SHALL SUBJECi AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE MUNDRED
TYIOUSlW D DOILARE (5100.000�. IN ADINiION TO THE ODSi Of COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3]O60F THE LABOR COOE, INTEREST, AND ATTORNEVS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm ihat I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code, antl my license is in full
tarce antl eHecL Lic. a %1(733�i Class s �' Zl7
ContradofsSignature: Da�e: '7'/Slj�
CONSTFiUCTION LENDING AGENCV:
❑ I hereby affirtn that there is a consiruction lending agency tor the Dertormance of Ihe work for which this pertnit is issued. (Sec. 3097, Civil Code).
Lender's Neme: Lendefs Address:
Signature: Date:
OWNER•BUILDER DELLARATIONS:
I hereby ettirtn thet under penelry of per�ury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, 8usiness end Professlons
Cotle: Any ciry or counry which requires e permit to construct, alter, Improve, demolish, or repair any strucWre, prior to its issuance, elso requires the epplicant for such permit
to ille e signetl statement ihal he or she is Ilcensed pursuent to lhe provisions oF the Contradors License Law (Chepter 9(commencing with Section 7000) ot DlNslon 3 ot the
Busineu end Protessions Code) or that he or she Is ezempt theretrom end the basis for the alleged exemption. Any violetion of Section 7031.5 by eny epplicant for a permlt
sub�ects ihe applicant to e civil penalry oi nm more Ihan tive hundred dollers ($500).):
❑ I, as owner ot the properry, or my employees wiih wages as their sole compensation, WILL DO THE WORK, and the siructure is not Intanded or oHeretl tor sele (Sec.
7044, Business entl Protessions Code: Tha Contradors License Law does not apply to an owner of properry who builtls or Improves thereon, and who tloes such work
himsetl or herself or through his or her own employees, providad thet such improvemenis are not intended or ottered for sale. If, however, ihe builtling or Improvement is
sold within one year oi completioq Ihe owneo-builder will have the burden of proving that he or she did not build or improva for purposa ot sale.). �
❑ I, es owner ot t�e property, am E%CLUSIVELV CONTRACTNG WI7H LICENSED CONTRACTORS to consWct tha projact (Sec. 7044, Business entl Professions
Cotla: The contrectors License Lew does not appry to an owner oi property w�o builtls or improves ihereon, antl w�o contracts tor such project wlth e contreaor(s)
. license pursuant to ihe Coniractors License Lews.).
❑ I am axempt untler sec. Business and Protessions Code for this reason:
Signature: Date:
Owner ID venfied by drivefs license. ❑ Yes ❑ No Drivefs License No. Expiras:
Verificetion of Ownership by (type of document, I.e. - pmperty taz bill or deetl):
DIVISION OF INDUSTRIAL SAFE7V PERMIT CERTIFICA710N:
❑ I hereby certify that no excavation live (5) or more feei in tlepih into which e pereon is required to tlescen4 will be made in connection with work authorized by Ihis
pertnii, and ihat no building siructure, scaHolding, talsework, or demolition or dismantling thereol, will be more than t�irry-six (36) teat high. (Chap. 32, Grp 2, An 2, Sec.
341, Ttle B, Celifomia Administretive Cade).
❑ As owner-builCer, 1 will not emD�oy enyone to tlo work which would require a permit trom the Division of Indusirial Safery, es noted ebove, unleu such person hes e
permit to da such work from the division.
Signature: Data:
Division oi Indusinal Safery Permit NumDer:
CERTIFlCATE OF COMPLIANCE AND AUTHORVJ1T10N OF EMAY: I cenity under penalry of perjury that I have read this a00�ication and state that the information given is
correct. I agree ro comply with ell state laws and ciry ortlinances relating to building consWction, end authorize representatives of the Ciry ot Coste Mesa to enter upon Ne
ebove-describad properry for inspection purposes. I agree not to occupy or allow occupancy of any building authonzed by this permit until tinel inspection.
CQ�E �. INSiECTION TYPE
1616 Fixed Sysiem Final Fire Prevention
1266 Pool Spa Final
200 Final Ha-Root
201 FInaI BIocWRetaining Wall
202 Final Fectory Fire Place
203 Final Sign
204 Final Demolition
PdIE 1liL�J944
Date
7��s1
Date
COOE 1 INSPECTION TYPE
206 Finel MechaniCel
208 Final Plumbing
210 Final Elecincal
212 Final Fire Prevention
220 Final Planning Approval
222 Final Site
250 FinalBuilding/Occupancy
PAIE
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CITY OF OSTA MESA I ' � '
PLANNI G DIVISION � , � �
- SUBJECT TO LDG. DEPT. REG i - ; j
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� NOTE: ADDI NS, DELETIONS, ; � � � f i
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' APPROV rD BY THE PLANNING DIV. � !
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MECHANICAL PERMIT
JobAddress: 915 SONORA RD
Suite No
Vicinity:
Parcel Number: 14733120 - -.
Applicant: STEVEM SCJMOERER �
Address: - . � �- �
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' " " . , . � Phone: 714-719-1689 ',.
� � .: . - , . Zip: - " ' '
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owner ,'.MCdVER,JOHN . _
Address: ' � 915 SONORA RD_ "" ' � �
� i � � - Phone:
� COSTA MESA; CA Zip: 92626
Contrecror. '7 BEL`AIR COOLING AND HEATING
Address: 11861'CARDINALCI � .� - ,
� UNIT F . . P.hone: 714-534-8474
' GARDEN GROVE, AC � 'Zip: 92843
� � ' , � _ � License:710334
Status: ISSUED
Applied: 07N 5/2004
Issued: 07/15/2004
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� . " � � � SCOPE OF PERMIT �` � � _.
,� , = REPLACE FURNACE IN HALL CLOSET,-70K BTU & A/C IN REAR.YARD. ' . . � ,
�� � MECHANICAL TO INCLUDE: 1 I ST FAU2100K�BTU AND�7 UP,T0�3�HP/100K BTU. . � " ' `�
, _ . . ._ _ . _ � �
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FEE SUMMARY „ ,
. . � - �uantity , „ .� � - ���� . _ Quantity.� ,
ISSUE FEE $23.50 "- "— _ -" - Repair / Alt Absorbtion UNt � � $0.00 0 � '
Inst FAU <100 k BTU �� 514.80 1 '" " ` Repair /-Alt Re(rigeration Unit ,� .$0.00 0�
Inst FAU ?100 k BTU ., � ,, $0.00 0 Ventillation System t �- � . $0.00 - 0 ; ��
Repai�/Alt Cooling/Heat, $0.00 0 Eyapora6veCooler -- ��'� $0.00 0-
Inst / Rep. Recess Wall Htr ;, $0.00 0 Commercial Incinerator l� ' $0.00: � O/ �
Re(ri S s <700 k BTU ` � ` - �`' �
g y �, � $0.00 0 . Domestic Incinerator ,. .. ; ;�� $0.00 , 0 .
Refng Sys >700 k BTU �, A �� $0.00 0 .,_ - - ""Compressors / Absorption Systems U,`� � �� / % : �
Gas Piping �. �� $0.00 0 ���%�°�ry' � Up to 3 hp / 100 k BTU %,%i $0.00 '.0 /
Factory Fireplace ��� , $0.00 0 .. � . 3 To 15 hp`% 500 k BTU � j% '$O.00i�� 0'
Hood w/Mech Exhaust ^, � $0.00 _ . 0 - � 15 To 30 hp / 1,OOO�k BTU - � , /�, �� � � � $0.00' .0
VAV Box � �. � � � $0.00 0 � � � �" � �', � 30 To 50 hp / 1,750 k BTU�. �'/%' - ` $0.00 - 0
Vent Fan / Single Duct �".' $0 00 0 " -- �'Over 50 hp /-Over 1 750 BTU,�r �� �. $0:00� 0
Appliance �� � �, �' $0 00 � �-0 �� � � � . "- � ` ' Boilers ' " � � �i�i /,� ��% j i i' �
Fire Dampers � " . � $0 00 �� -0� ` _ � ' �- Up-to3 hp .. - ' � , ;�,�!..1<� i 470 1
Smoke Dampers�V� � � � : �$0.00� -, 0� - � � � ° , 3 To 15�hp>�"�- "� �c � °��'' 1 � �$$0.00 0
Inst or Relocate Appl Vent � �` � � $0 00 �- 0 � - � - 15 to 30�hp _ � � /�� $0.00 0
Air Handlers < 10000cfm V�- $0 00' � 0 ' � 30 to 50 hp �. ��, `�` ��� $0.00 0
Air Handlers > 10000cfrn � $0 00 : 0 , ', - -. � � Over 50�hp , ' ` �% � $0.00 0
Floor Fumace � $0.00 0 �� � � � � � Other Mechan cal.Fee ' �� � �
Floor or Suspend Heater �$0.00� .�0- . � �_ , Investlgation Fee i:- �.-� $0.00
� - , Plan Check Fee � i��i � $0.00
- � �._y'.--- - - �ReinspectiodFee '� $0.00
-- _�.-i.�i,_
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, 72-21-92)
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
requlred Inapeetlone and final approval must be obtainetl. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
2448-0B (B/00) .
WORKERS'COMPENSAnON DECLARAnON: -
I hereby effirm untler penelry af perjury one oi ihe following declaretions:
❑ I �eve end wlll malntaln e certificate of consent to self-Insure for workere' compensation, as provided tor by section 3700 of the Lebor Code, for the pedortnence of the
work lor w�ich thls pertnit is issued.
� I heve entl wlll main�ain workers' compensetion in5urance, es required by 5edion 3700 of the Labor Code, for �he pertortnance of Ihe woAc for which Nis pertnit is issuetl.
My workers' c mpens on Insuranca carner and policy number ere:
Carner. ���2� �� V`C� Policy Number: C`i �3 UL�']C`ti���i
(Thls sectton need nof be comp/eted il the permltls veluetl at one huntlretl dollare ($100) or less.)
� I certify thet in the pertortnance of the work for which this permit is Issued, I shall not employ any person in eny menner so es to become subjed to the workars'
compensetlon lews p, alHamia, and egree th tl I shaula become subJect to ihe workers' compensatlon provislons of Sectlon 3700 of the Lebor Code, I shell forthwith
comply with ihes>�fo isions.
Appllcenl Signature� I! - Date: 71151
WARNINO: FAILURE T SECUFE WORif ' C/.NAPENSATON COVERAOE IS UNUWFUL AND SHALL SUBJECT PN EMPLOYER TO CRIM NAL PENALTIES AND CIVI� FlNES UP TO ONE HUNDRED
T1N%ISPNDDOLLAR (5100,000),INADDITIIXJTOTHE00.STOFCOMPENSATION,DAMAGESASPROVIDEDFORINSECfION3]O60FTHELABORCODE,INTEREST,AN�ATTORNEI"SfEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHirm that I am licensed under provisic
force end eflecL Lla a_-i��
Contrectors Signeture:
of Chapter 9(Commencing with Seclion 7000) of Division 3 of the Business and Professions Code, end my license Is in full
Class k L' 2C`7
�� Date: 7� IS�fKi ..
CONSTRUCTION LENDING AGENCV:
❑ I hereby aHirtn that ihere is a construction lending aqency tor the DeAormance of Ihe work tor which this pertnit is issued. (Sec. 3097, Civil Code).
Lentlels Neme: Lander's Address:
Signeture: Dete:
OWNER-BUILDER DECLARATIONS:
I hereby eHirm thei under penelty oi perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW far the following reason (Sec. 7037.5, Buslness and Protesslons
Code: Any ciry or counry which requires e Dermit to construct, elter, improva, tlemolish, or repair any structure, prior to its issuance, also requires the epplicant for such permit
to flle e slgne0 stetement that he or she is licensed pursuent ta Ihe provisions ot ihe Cantractors License Lew (Chapter 9(commencing with Section 7000) of Dlvision 3 of the
Business entl Profeuions Gode) or that he or she is e:empt therefrom entl the basis tor the alleqed exemption. Any violeilon of Seclion 7031.5 by any epplicant for e parmit
sub�ects Ihe applicaM to e civil panalry of no� more ihan five hundred dollers ($500�.):
❑ I, es owner ot ihe properry, or my employees with weges as their sole compensatian, WILL DO 7ME WOqK, and Iha structura Is no� Intended or oHeratl for sale (Sec.
7044, Business end Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work
hlmsell or herself or through his or her own employees, provided that such improvements are not intendetl or oHered lor sale. If, however, Ihe building or improvement is
soltl within one year oi completioq Ihe owner-builder will have the burden ot proving that he or she did not build or impwve tor purpose ot sale.). �
❑ I, es owner ot the property, am E%CLUSIVELV CONTRACTING WITH LICENSED CONTAACTORS to construct the prolect (Sec. 7044, Business end Professions
Cotle: 7Te contwctors License Lew does not eppry to an owner of pmperty who builds or Improves ihereon, and who coNrecis tor such project with a coniractar(s)
. lirsnse pursuent to the Contractors License Lews.).
❑ I am exempt under sec. Business antl Professions Cotla tor ihis reason:
Signetura: Data:
Owner ID verified by dnvers license. ❑ Ves ❑ No Drivefs License No.
Vedflcatlon of Ownership by (type af dacument, I.e. - property tax blll or tleed):
DIVISION OF INDUSTRIAL SAFE7Y PERMIT CERTIFICATION:
Expire5:
❑ I hereby certiy that no excavation five (5) or more fee� in depth into which e person is required to descend, will be made In connection wiih work authonzed by Ihis
permit, and thet no builtling siructure, swffoltling, talsework, or tlemolition or dismantling ihereof, will be mora ihan thirty-six (36) feet high. (Chap. 3.2, Grp 2, Ah 2, Sec.
341, Tltle B, Califomia Adminisiretive Cotle).
❑ As owner-builtler, I will not employ anyone to do work which would require a pertnit from the Division ot Indusirial Satery, as noted ebove, unless such person has e
permit to do such work from Ihe division.
Signetura: Date:
DiWsion of Indusirial Safery Pertnit Number:
CERTIFICA7E OF COMPLIANCE AND AUiHORIZATION OF ENTRY: I certify untler penalty of perjury ihat I heve read this epplication and state ihat ihe infortnation given is
correct. I egree to comply with all state laws end ciry ordinances relating to building constmction, and authorize representatives of the Ciry of Costa Mese to enter upon the
ebove-described properry tor inspection puryoses. I agree not to occupy or allow occupancy ot any building authorized 6y �his permit until finel inspection.
COUE 1. INSPECTIONTYPE
1616 Fixed System Final Fire Prevention
1268 Paol Spe Final
200 Final Re-Root
201 Final Block/Retaining Wall
202 Final Factory Fire Place
203 Final Sign
204 Finel Demolition
�g
�
INTRI�LS
�I �S'� Date
Data
COUE� INSPECTIONTYPE
206 Final Mechanical
20B Finel Plumbing
270 Final Electricel
212 Final Flre Prevention
220 Final Planning Approval
222 Final Sita
250 Final Building/Occupency
1
(714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address: 915 SONORA RD
Suite No
Vicinity:
Parcel Nunmber: 14133120
Applicant: RUIZ, DENNIS :
Addresr. ' .
PLUMBING PERMIT
Phone: 714-240-0741
Zi{i:
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Owner: MC NER, JOHN
�Address 915 SONORA FiD
COSTA MESA, CA
Phone:
Zip: 92626
Contractor: ' MIKE KILBRIDE, LTD _ --
Address: PO BOX 3341 . ' � ' �
Arch / Eng :
Address:
ISSUE FEE
BackFlow irtigation
BackFlow Preventer
Bathtub
Clarifier System
Connect Qce,Soda,etc)
Den[al Units
Dishwasher
Drain, Floor
Drain, Rainwater
Drain, Roof
Drinking Fountain
Expansion Tank
Gas Earthquake Valve
. � Phone: 714�12-1025
NEWPORT BEACH, CA Zip: 92659
License: 738400
Phone:
Zip.
.1_� -� - -� ' License:- -
SCOPE OF PERMIT
PLUMBING TO INCLUDE: SEWER CONNECTION.
AMT
$23.50
$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
FEE SUMMARY
QTY � AMT QTY
- � Laundry Tub / Washer $0.00� 0 -
0 Landscape Irtigation $0.00 0
0 � - P-Trap ' $0.00 0
� � . � Pressure Regulator $0.00 0
0 Process Piping (per10 ft) $0.00 0
0 Receptors $0.00 0
0 Septic Tank $0.00 0
0�- Sewer Cap for Demo $0.00 . 0
0 Sewer Connect $24.65 1
0 Sewer Private Line $0.00 0
0 � Shower � $0.00 0
0 , ' Sink, bar $0,00 - 0
0 Sink, commercial � � $0.00 0
0 Sink, Floor $0.00 0
Status: ISSUED
Applied: 01/22/2003
I /2 2 3
ISSUED BY:
�- SumpPump �_
Swimming Pool
Trap Pnmer
Urinal
Vacuum Brkr BkFlow(1-4)
Vacuum Brkr Bkflow(5+)
Wash Basin
� Wash Basin Set
Waste and Vent System
Water Closet (Toile[)
Water Heater / vent
Water Piping (Inst or Rep.)
Water Re-pipe
Water Service
AMT
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
QTY
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NOTICE:. The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations, (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
tor a period of 1 BO days.
INSPECTIONS: In order for iha work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspectlons and finel approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration ot this permit.
POR INSPECTIONS CALL: (714) 7545626
246fi-I6 (fVW)
WORKERS'COMPENSATON DECLAFiArON: . . .
I hereby attirm under penalry of peryury one oi the following tleclarations: •
❑ 1 have end will maintain a certificate oi wnsent to sel4lnsure tor workers' compensation, es pmvided for by section 3700 of the Labor Coda, tor the pertormence of the
work tar which Ihis permit is issuetl.
;� �I have and will mainWin workers' compensation insurance, as requiretl by section 3700 of the Lebor Code, for Ihe pedormanca of I�e work For which this pertnit is issuetl.
_ My workers' compensation Insurence carder end poliry number are: r�
Carrier. � J"f1�� �IiN�i PolicyNumber.. ��C �.T.�S_-U�—
(This section need nof be comp/e(etl i! fhe permit is valuetl af one hundred dollars ($ f 00) or /e55J .
❑ I cehify Ihat in the pe rtnance of the work lor which ihis pertnit is issueQ I shall not employ eny person in any manner so as to becoma subject to iha workers'
compensation laws o ifomia, antl egree that' houlC become subject to the workers' compensation provisions of Section 3700 oi ihe Lebor Cotle, I shell fonhwith
comply with �hese pr isi 5. '
cAppliwnt Slgnetura: Deta: � l f��f ��
WARNING:FAIIUHETOSECUREWORKERS'COMPENSATIONCOVERAG NLAWFULANDSHALLSU6IECTPNEMPLOVERTOCFIMINALPENALTIESANDGVILFlNESUPTOONEHUNDRED
T}IOUSAND OOLLARE (5100.000). IN ADDITIIXJ TO THE COST Of COMPENSATIIXJ, DAMAGES AS PROVIDED FOR IN SECTIIXJ 31O60F THE LABOR CODE, INiEPEST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirtn that I em licensetl under provisions of Chapter 9(commancing with Seciion 7000) ot Division 3 ot the Business and Pmfessions Code, end my license is In tull
force and etfect Lia M S �O Class x C-� U
Contrector'sSignawre: �wnn.✓� � -.Date:� 03
GONSTRUCTION LENDING AGENCV:
❑ I hereby aHirm ihat there is a conswction lending agency tor tha pertormance of the work for which this permit is issued. (Sec. 3097, Civil Code).
Lenders Name: Lenders Adtlress:
Signature:
Dale:
OWNER•BUILDER DECLARATIONS:
I hereby attirtn thai under penalry ot perjury that I em E%EMPT FROM THE CONTRAC70RS LICENSE LAW for ihe following reason (Sec. 7031.5, Business entl Professions
Code: Any ciry or counry which requires a permit to wnstruc6 alter, improve, tlemolish, or repair eny swcture, prior to its issuance, also requires t�a appliwnt for such permit
ro file a signed statement that he or she Is licensed pursuant to tha provisions of the Conirectors License Lew (Chapter 9(commencing with Section 7000) ot Division 3 of Ihe
Business and Protessions Code) or Ihet he or she is exempt theretrom entl the basis For the allegetl exemption. Any violetion of Sectlon 7031.5 by any epplicent for e permit
sub�acts the eppliwni to e civil penalry of not more than five hundred dollers ($500).):
❑ I, es owner of Ihe properry, or my employees with wages es iheir sole compensation, WILL DO T}fE WORK, antl the siructure is not intendetl or otteretl for sale (Sec.
7044, Business end Professions Code: The Contractors License lew dces not apply lo an owner of property who builtls or improves thereon, and w�o tloes such work
himsell or herself or through his or her own employees, providetl �hat such improvements are not iniended or offered lor sale. If, �owever, ihe building or improvement is
sold within one year oi completion, the owner-builtler will hava the 6urden ot proving ihat he or she did not build or improve for purpose of sale.). '
� I, as owner of the pmperty, am E%CWSIVELV CONTRACTING WITH LICENSED CONTRAC70R5 to consiruc� the projact (Sec. 7044, eusiness end Protessions
Code: The contreciors License Law tloes not apply to en owner of property who builds or improves thereon, and who contrads lor such project with e wntractor(s)
license pursuam to the Contracmrs License Lews.).
❑ I am exempt under sec. Business and Professions Code tor this reason:
Signature: Date:
Ownet ID veniied by drivef5license. ❑ Yes ❑ No DnvefS Licensa No.
Verification oi Ownership by (type oi tlocument, i.e. - property tax bill or tleed):
Expiras:
DIVISION OF INDUSTRIAL SAFETY PEflMfT CERTFICATION:
❑ 1 hereby certify that no excavetion fiva (5) or more teet in depth into which a person is required to descend, will be made in cannection wit� work authonzed by ihis
permit, and that no building simcture, scaflolding, talsework, or demolition or dismantling ihereof, will be more ihan ihirty-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec.
341, Title B, Califomla Atlminlstrative Code). _
❑ As owner-builder, I will not employ anyone to do work which woultl require e pertnit from the Division of Industnel Safery, es noted above, unleu such person has a
permit to do such work from the division.
Signawre: Date:
Division ot Indusirial Safery Parmit Numhec
CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRV: I certify under penalry of perjury ihat I have read this application and state t�at the intormation given is
correcL I e9ree to comply with all state laws end ciry ortlinances retating to building construction, antl authorize representatives of the Ciry ot Costa Mesa ta enter upon ihe
ebove-described property for inspection puryoses. I agree not to occupy or allow occupancy of any building euthorized by this permi� until final inspection.
^� � SignaWre Of Leg wner(sl // 1�a�
�.�� �3
— . And/Or Authorized AoolicaN . ate .
COOE 1. INSGEGTIONTYPE
7676 Fixetl System Final Fire Prevention
1266 Pool Spa Finel
200 Final Re-Rool
201 FInaI BIocWRetaining Wall
202 Final Factory Fire Place
203 Final Sign
204 � ' Final Demolition '
'-0
�
�MRIALS
COUE� INSPECTIONTYPE �
206 Final Mechanicel
20B � Finel Plumhing
210 Final Electncal
212 Finel Fire Prevention � �
220 Final Planning Approval
222 Final Site '
250 Final Building/Occupancy
D�TE I�Li
1 a3-o3 �/
3�/�65 "
OWNER
JOB ADDRES:
GENERAL CO
v AP No, 1�
� INSPECTIONS
RONALD E.
DATE ��� 2 9 1964
BUILDING PERMIT NO. 22 T-
vtu.vE � 950. o0
DESCRIPTION OF WORK Add Pa.tiO
J TYPE N
SUBCONTtie1CTOR
R]
� � s�s
(.>OSTA MESA'BUILDING-SAPETY DEPARTMENT
' P. O. BOX 91] COHTA MEHA. CALIFORNIA
For Applicant to Fill In Complefely
TYPE OR PRINT� �
ADDRE55 ` ��J
� COSTA MESA, CALIFORNIA - '
AARCHITECT �
OR ENGINEER
5
6ETBACK LINE FROM - �
CENTER OP BTREET REAR YAR� �f
. J / Ji
SIDE YARD LEFT� / � � - RIaHT �
DESCRIPTION OF WORK '
NEW _ ALTERATION _ ADDITION
BUILDING NO.OP
SIZE ROOMS
EXTERIOR WALL ' I ROOF
GOVERING " COVER
USE O£ HUIL;DING AyD WORK TO BE
1 XEREBY AGKNOWLEO�B TXAT t HAVE N2A� THIe APVLIGTION
ANO 6TATE THFT TH6 A90V6 19 CORRECT AND AORfiE i0 COM.
v�v w�iM wLL cITY OPDINANCE9 AND BTATQ I�W9 P80ULATINa
BOILOINO CONSTPUCTI �� �I
� _ l� �
SIGNATURE OP � �j
PERMITTEF LLi�`�'�-�� I,
V � ��
AUTHORIZED AGENT .
. FEE REGEIVED
'�i�a�c�'���r.
APPLICATIONF FORS P�RN(R'"A
BUILDING
For Office Use Only
, RBCHIP� NO. PERMIT NO
� 2z�76
NO.Op q USEOFNEW
�, / PLAN9 y lUILOINO
NOTE:
yy r���bo..
—� �
IANG 8HALL BE LE33 THAN
L.
fU.B.C.REQUIREMENT)
YARDSAPPROVEO
MAIN BUILDINt3 ACCESSORY BIIILDING
)MGL6TRE �-
JT ��— �
DI6TANCE BET
MAIN BLDGS.
VAR. 3t
C. U. P. }j ,
6ET. MAIN d
ACCE55. BLI
OATE
a�a. r �. -
TNE AMOUNT BHOWN UNDER VALUATION IB FOR TH8 £
PIIRPO6E OF EBiABIIBHIN� A PEFMIT FEE ONLY. 0
VALUATION '/� � N
• PERMIT FEE $ !7 p
$. %< m
�J Q' ' PLAN CHECK $ - 0
/ �� •
TOTALFEE S (Q
Joa AnnxEss y17 Sonon
GENERAL CONTAACTOR
AP No. LOT
INSPECTIONS
coat
OCCUPANCY
0
TRACT �bV FIRE ZONE
DATE I GPOUP
y!
naTE 3-1z-62
BUILDING P�RMIT NC
VALUE $ i8� JsO�o
DESCRIPTION OP WORKx
J TYPE V 7.ONE
R1
i
A'"
:;-�-� �s � ��� �;EGEIIsED
� MAR 7�ss2 �t 59 - Tract 4260
COSTA MESA BU�LDING-SAFETY DEPARTMEIVT
P. o. aoX 9�� GOBTA MEBA. CAL�FORNIA FINANCf_ DEPT. P� 4So-D
Y UF COSTA MESA
For Applicant fo Fill In Completely APPLICATION FOR PERMIT
TYPE OR PRIN7 BUILDING
BUILDING
aooREss 15 Sonora Road
COSTA MESA. CALIFORNIA For Office Use Only
RECEIPi NO. PERMIT NO
IAOORESS JSOO B.COa$t
■ ARCHITECf
& TEL.
CONTRAGTOR MaCCo CoT oration �
ADDRE55 �"CO E.Coast Highz•ray
c�rv Corona DelPiar Calif.
LIC.TNO. - JVSOS�SB–�. NO. �R 3�µ22
61ZE /� /'�� No. o� eu
f1F I f1T � LGVT S�F � I NaW N LI
USE OF
HXIBTING BLDG. TJOI18
68TBACN LINH PPOM c
ceniex oF aixeei V� i' REAR YARD 2
SIDE YARD I LEFf �� I RIGNT S�
DESCRIPTION OF WORK -
.��..� I�i II .� r�o.r�...� I II ennminn�
x50 � 10 ��
EXTERIOR_ AL � I1CCO`ROOF
COVERIN nn o- RII
USE OP BUILDI G AND ORK TO B8
i O P'!� I'Jt 'V 1.iP �l
w/attache3 g�rage
BY
COSTA MESA. CALIFORNIA
FIRE
ZONING
ZONE I NO. OF I UeE OF N8W S y �
�� I PLANe �- 6UILDINO �/2�
e��,."e�„�„W Laf .� 9 i.4 v z. 6 0
YARD6
APPROVED
(CBNTlR LINB BT.)
' CQf1NT � � �
1
I HER6fiY ACKNOWLEDaE THAT 1 HAVE RBA� TM�B APPLIGTION
AND 9TATE THAT TH8 IIBOVE Ie CORRELT ANO AGRlE TO COM-
vLY WITH ALL CITY ORDINANGE9 AND BTATE LAWB RE6ULATING
BUILDINO CONBTRUCTION.
s�cNwruaE oFpqesa Del 22ar Development Co.
� IN.
—^ IN.
IN.
IN.
,TE ZI2�I�Z
1739 s.F.
sr2ee �� 460 S.F,
overed Porch 108 S.F.
THE AMOUNT BHOWN IINOER VALl1AT10N 16 FOR THE
PURPOB6 OF EBTABLIBHING � PERMIT FEE. ONLY.
$ 1H�960e�`0 I PLAN
, AUTHORIZED KO`QT�'L(/v�kG(/y�`�'��� � �
70TAL FEE $ 5���