HomeMy WebLinkAbout1252 WATSON AVE - Building Permits •
4` l CITY OF COSTA MESA
Oil _ ---
BUILDING DIVISION
F
• z, ` DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER
4 P PERMIT J E03-00324
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(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
ELECTRICAL PERMIT
Job Address: 1252 WATSON AV Status: ISSUED
Suite No Applied: 04/28/2003
Vicinity: REAR SFD Issued: 04/28/2003
Parcel Nunmber: 14115517
Applicant: SPRAGUE, RYAN ISSUED BY: ���
Address: 1252 WATSON AVE
Phone: 714-721-2053
COSTA MESA,CA Zip: 92626-2745
Owner: SPRAGUE, RYAN &ADRIANA
Address 1252 WATSON AVE
Phone:
COSTA MESA,CA Zip: 92626-2745
Contractor: OWNER-BUILDER
Address: -
Phone:
Zip:
License: 000000
SCOPE OF PERMIT
CHANGE-OUT OF THE ELEC SERVICE IN AN EXISTING SFD. 1 SERVICE TO 200A
NO OTHER WORK AUTHORIZED WITH THIS PERMIT.
FEE SUMMARY
Quantity Quantity
ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0
Temp service test $0.00 Busway/100 ft $0.00 0
Res,a/c package $0.00 Standing Section $0.00 0
New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0
New Res(34-units) $0.00 0 Transformers up to 1 kva/kw $0.00 0
Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0
Lighting Fists $0.00 0 up to 50 kva/kw $0.00 0
Recept Outlets $0.00 0 up to 100 kva/kw $0.00 0
Switches $0.00 0 over 100 kva/kw $0.00 0
Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0
Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0
Service to 200a $30.50 1 Misc.Conduit $0.00 0
Service to 1000a $0.00 0 Misc.Conductor $0.00 0
Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0
Motors to 1hp $0.00 0 Circus(mech ride or lights) $0.00 0
Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0
Motors to 50hp $0.00 0 Fireworks Stand $0.00 0
Motors to 100hp $0.00 0 Other Electrical Fee $0.00
Motors over 100hp $0.00 0
Communication drops $0.00 0 Investigation Fee $0.00
Sub panel to 200a $0.00 0 Plan Check Fee $0.00
Pole Light Pkg $0.00 0 Reinspection 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)
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 this permit to be considered legal, such work must comply with all applicable codes, and all
required Inspections 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
2446-46(6/00)
DECLARATIONS 1 1 I
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit Is issued.
❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is Issued.
My workers'compensation Insurance carrier and policy number are:
Carrier: Policy Number:
(This section need not be completed it the permit is valued et one hundred dollars($100)or less.)
721- I certify that in the perform:. :of the work for which this permit is Issued,I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of orn:,and agree that If I should become subject to the workers'compensation provisions of Section 3 of the bor Code,I shall forthwith
comply with these pr-. s.
�;r••� O-3
Applicant Signature: ►1� !/��/�// Date: v _
WARNING:FAILURE TO SEC WO" •.:' PENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND Dm I ARE($100,000),IN ADDI ION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LAfOR CODE,NTEREST,AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full
force and effect.Lie.# Class#
Contractor's Signature: Date:
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code).
Lenders Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its Issuance,also requires the applicant for such permit
to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such Improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). •
I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pur . t to the Contractors License Laws.).
❑ I am e : . ec. Business and Professions Code for this reason:
SiwneID ''�f �
' xpires: `Cr 9
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this
permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every
business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of
compressed gas at standard temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire
Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department.
4 If an RMPP is presently required.has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or prosent or future building occupant require for the work which is the subject of this application apermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? D Yes DI No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If yes',the facility must meet the requirement of Sections 25534 and 42303 of the Califomia Health and Safety Code).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes ❑No
8 (If yes',attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the Information given Is
correct. a• :e o comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the
above-d- pert f I pection p rposes.I agree not to occupy or allow occupancy of any building authorized by this per until fin inspection.
/ �n
ne Le er(s) Date )
And/Or Authorized Applicant Date
CODE r INSPECTION TYPE DATE I[4ffielk CODE1 INSPECTION TYPE DAIS ecrir is
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Foolina Spa Final 2081Final Plumbing
ge, /1^
200 Final Re-Roof 210 Final Electrical f
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
OWNER College Mesa Co. DATE 9/21/55
•
JOB ADDRESS 1252 Watson Ave. BUILDING PERMIT NO. 1883
GENERAL CONTRACTOR Hale Co. VALUE $ 8,000.00
LO, 128 BLOCK TRACT 2341
•
GROUP I TYPE V ZONE Rh FIRE DISTRICT #1907
PERMITS ISSUED
INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER
Footing Trench aZ S1/1"n:CS 3
Foundation Forms and Grade to Garagein /a 9 =S
Rough Framing ...-- — a,
Plumbing,Rough to Slab )1✓ •"_!✓�I -/L .-1,/
Plumbing,Rough Complete Oh 1- 3 ‘-...54 ,zz4,., . , .J - 17._ 510 0 3 `-'
Temporary Pole "-Yd.-AO
Wiring, Rough QJK1 2 - 3- 5/ /Wirt /- 3-E{„ /7.:2_ L.....-/
Heating,Rough i ,A/ed
Heating, Fina�1l 1 /.✓r�.,7-0.n?.,-J /4 ,-h -S c- .3-/.33 '
. Sewer, House/�����Sewer,St. Qi't1 (tom,/_ do• //-,.2,3-55- .. ..5-9 9.
S :Tank o Cesspool _ y r/
L. .ng, In 7---/d -3 E'Outn rre't -.ft.
Plastering St 37 S6
Plumbing,Final,Fixtures Completeoni 5-7-6-6
Plumbing,Final Gas Test /5 ot9.6I.20, r- 7-at
Wiring,Finalti jy. AA
Occupancy l/ e A...0' i.• )1
L•n.....9111 r LI 1 Gnn 1 ,'.r.
• Costa Mesa Building Department APPLICATION FOR PERMIT
111 EAST 20th STREET 1907 BUILDING 1
COSTA MESA, CALIFORNIA
d FOR OFFICE USE ONLY
FOR APPLICANT TO FILL IN Receipt No. 1 Pgrmit N .
- Building /f O�j'
Address 1959 Ratgnn Awn
Costa Mesa, California Recef Date Redd. /y�Date Iss /
Nearest SFP 1 0 125 t• I 1--S
Cross St. Cull psi" St • Building
Address
Owner College Mesa Company Costa Mesa, California
Mall
Address 8002 Central Ave., Nearest
• Tel. Cross St.
City Garden Grove No. Le.9-2158 Zone y� l No.of I Type / l
I// Group -y
Architect or Lie. /r Plans
Engineer Davis & Quigley No. C-1790 Approved
by Date
Address 43 Malaga cove plaza,Palos Verde. • CORRECTIONS
y
tractor The Hale Company No. a°' 3422
Address 8002 Central Ave.,Garden Grove
Description
Legal
I Lot 128 I Block i Tract 2341
(Attach Metes and Bounds)
No.of Bldgs �0')f F j� 1
fs
Size of Lot 6290 I Now on Lot None J/JlL� U 1
Use of I No.of I No.of � ir� •� 700
Existing Bldg. Families Rooms .. [C Gr
Setback Line from r Rear Yard 301 , r0 0 1 1Q55 Z
Center of Street 52 Side Yard •J" y
DESCRIPTION OF WORK C r
New I X I Alteration I I Addition I Yt i i QF ll I S 11' tow
Repair I I Moving I I Demolish I •
Y7' i
Building No.of
Size 1.181 Rooms 5 Stories 1 -
r 'erior Walt I Roof —
_ ;ring S1;1tCco Covering pock APPROVALS
tne of New Foundation Location Inspector Date
Building Single family riirel ling with Forms,Materials,
attached garage. Under-Pinning
Frame: Fire Stops,
Bracing,Bolts
I hereby acknowledge that I have read this Application
and state that the above is correct and agree to comply Lath.Int
with all City Ordinances and State Laws regulating
building construction. Lath.Ext
Signature of HALE COI Plaster,int;/
Authorized Agt. _ _ Plaster,Ext
SILVIA LARDNER
Valuation Permit Fee $ 020, OQ Masonry Reinforced
0 0 0Plan Check $ £r 00 Bond Beam
$ V) Total
Fee $ g4, 00 FINAL
rnfM 204 S-TIP 2M 6-55
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PLOT PLAN
Show location and distances from
property line and between buildings.
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