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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 Z'P Owner..�MC IVER;JOHN - i , i � � 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 /.. � � �• /� ,' � �,�A ,.:-� �� \ , , � , � :� , �'��:� ` � � i, ,'�._ � ' \� 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 �� I�L� - - -r ' _ _ _. -- � I r n- : � I -- - - - _ : _ _ 915 Sa�r,or�'�c� . ; _ _ - - - - -- - �- - - -- ---- -- . , . ; � � . , , � , , , --- -- — - —a--- - --- -- ----�-----�------ -- ---�-------- -- - �--- , , i ; - ----- ---� — � � , _. '------ � - - , -- , ; , . � \/ , q� � � �t' lara , ; . . ; . � . I �� . . . . . ; � . . ; . � � % i - ---�- ----'-- �---- - � - - - - - - - - ---�--- � i I � ' � ' . . i . , . . . � _ f . . i � i � I I i I . -------�-- -- �-�-- -�--- -----r --_---r--------------'--� --�--�----'-- . . , . . . i . . . . , , . � . . - . . --- — -- -- —�—� - bi°"-�-------- - R=�----- , , , ; , ; ; , , � ; ; ; , , - - - - ---- � — --, - - ---- �-----; ---�----�— � — --; ---- , � ; , _ � i , , , : . ; --- -__ , - ------- � A�'P �V ' � ; � . - - - --�- CITY OF OSTA MESA I ' � ' PLANNI G DIVISION � , � � - SUBJECT TO LDG. DEPT. REG i - ; j ; i , � � NOTE: ADDI NS, DELETIONS, ; � � � f i _ -_ �.OR.CORREC - j-_�� ' APPROV rD BY THE PLANNING DIV. � ! I � � i � / ; Sfi�e��; ' I I BY: �iU�ru.� _ DATE: 7 IS( °�f i I . � . � . i ' � ' I - -- - -+ -- I� 1 - -;-----'- -----+- -- I I ' � i : , ; � � , ; � . . . j i I i i � � . � . � � . r MECHANICAL PERMIT JobAddress: 915 SONORA RD Suite No Vicinity: Parcel Number: 14733120 - -. Applicant: STEVEM SCJMOERER � Address: - . � �- � � �' , ' " " . , . � Phone: 714-719-1689 ',. � � .: . - , . Zip: - " ' ' i �. � , , /. , i'� � . _ . . . -� - ' - � ., 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 �� / � - �'a/ �� � .\ , ` � , . � >� ' ..A .� � . . .,�-�� � j, � �� �� . _ . . . , � �..A . `. �1�,� � � �, � � � �` � . " � � � 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. . � " ' `� , _ . . ._ _ . _ � � -- ._ - : . - - , , i? 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: '4 � 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���