HomeMy WebLinkAbout353 WOODLAND PL - Building Permits(714) 754-5273 • Fau (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:
Applicant:
Address:
353 WOODLAND PL
42623102
VOLLMER, KENT
Owner: ORR, JOHN P
Address 1115 HIGHLAND DR
NEWPORT BEACH, CA
Contrecror. VOLLMER ELECTRIC
Address: 230 SOUTH EMPIRE
ISSUE FEE
Temp service test
Res. a/c package
New Res (7-2 units)
New Res (3+units)
Pool / Spa
Lighting Fixts
Recept Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over 1000a
Motors to 1 hp
Motors to 10hp
Motors to SOhp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
ANAHEIM,CA
Phone: 714-533-7614
Zip:
Phone: 949-650-7668
Zip: 92660
Phone: 714-533-7614
Zip: 92804
License: 463159
SCOPE OF PERMIT
ADD HOUSE METER FOR LAUNDRY ROOM AND OUTSIDE LIGHTING.
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
so.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$30.50
$0.00
$0.00
$0.00
$0.00
Quantiry
FEE SUMMARY
Temp Dist System / Lighting
Busway /100 ft
Standing Seclion
Misc Electrical Equipment
Transformers up to 1 kva/kw
................up to 10 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw
..................over 700 kva/kw
Low Voltage Equipment
Low VOIt Wiring System / Ckt
Misc. Conduit
Misa Conductor -
Circus ( gen or rida)
Cirws (mech ride or lights)
Christmas Tree Stand
Fireworks Stand
Other Electrical Fee
Imestigation Fee
Plan Check Fee
Reinspection Fee
Status: ISSUED
Applied: O6/27/2007
Issued: 06/27/2001
ISSUED BY: 1' �' `
Quantiry
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$O.DO
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES ESd.00
COMMENTS / SPECIAL CONDITIONS
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, 1241-92)
EXPIRA710N: 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 the work auihorized under ihis permit to be considered legal, such work must comply with all applicable codes, antl all
required Inspeetions end final approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (774) 754-5626
2446-06 (fi/00)
WORKERS' COMPENSATION DECLARATION: _
1 hereby aflirm under penalry of perjury one of the following decleretions: •
❑ I have and will maintein a certificate of consent to self-Insure br workers' compensetion, es provided for by section 3700 0l iha Labor Code, tor ihe pertormance of the
work for which this pertnit is issuatl.
❑ I have and will maintain workers' compensatio� insurance, as requiretl by sectlon 3700 oi lhe Lebor Cotle, for the pertormance of Ihe work for which this permit is issuetl.
My workars' cornqens�tloqinsurance cg�ris[pca.policy number are:
Cerrier:
(This se
or less.)
Policy iJumbar:
certify thet in the pertor ance o(th w rk fqr w c is permit is issued, 1 shall not employ any person in any manner so es to become subject to Ihe workers'
compensetion laws ot Cal or �Y� en eg e t he f I ould become subject to the workers' compensation provisions ol Sectlo 3700 oi the Lebor Cotle, I shall forthwith
complywiththeseprovi'�es. �_ ` ���/���
Applicant Signeture: Date: �-G �
WARNINO: FAILURE TO SECURE WORK PS' COMPENSATION CqVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENN.TIES AND CIVIL FMES UP TOONE HUNDflED
T}K)USPND OOLLARE (Et00,OW), IN ADDITION TO THE CQST OF COMPENSATION, DAMFGES AS PROVIDED WR IN SECTION 3106 OF THE LABOR CO�E, IPIrEREST, AND ATTORNEI"S FEES.
LICENSEDCONTRACTORS
I hareby aHirm that I am licen:
forca entl ettect Lic. N
ContractoYs Signeture: _
9(commancing with Snction 7000) of Division 3
CONS7RUCTON LENDING AGENCV:
❑ I hereby aHirtn that there is a construction lentling agency for the performance ot Ihe work tor which Ihis permit is issued. (Sec. 3097, Civil Code).
Lentler's Name: Lenders Address:
SignaWre: Date:
OWNER-BUILDER DECLARATIONS:
my license is in tull
I hereby eNirtn that under penalry of perjury thet I am E%EMPT FROM T}1E CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Profeulons
Code: Any ciry or counry which requires a permit to construct, elter, improve, demolish, or repair eny simcture, prior to its issuance, also requires tha applicant for such permit
to file e signed statement thet he or she Is licensed pursuant to the provisions ot the Contractors License Law (Chepter 9(commencing with Section 7000) oi Division 3 of Ihe
Business antl Professions Code) or ihat he or she is e:empt iherefrom and the basis for ihe alleged exemption. Any violation ot Section 7031.5 by any epplicant lor a permit
subjecis the applicent to a civil penalty of not more than five huntlred tlollars ($500).):
❑ I, as owner oi Ihe properry, or my employees with wages as their sole compensation, WILL DO THE WORK, and the siructure is not intentlea or offered for sale (Sec.
7044, Businass and Protessions Cotle: The Contractors License Law does not apply to an owner of property who builds or improves ihereon, and who does such work
himself or hersetf or through his or her own employees, provided that such improvemenls are not intended or ottered for sale. If, however, the building or improvement is
soltl within one year ot completion, the owner-builder will have the burtlen of proving ihat he or she did no� build or improve for puryose of sale.).
❑ 1, as owner of the property, am EXCWSIVELV CONTRACTINC WITH LICENSED CONTRACTORS ro wnstruct the project (SecJ044, Business and Professlons
Coda: The coNractors License Lew tloes not apply to an owner of pmpetly who bullds or impmves ihereon, antl who contracts for such project wlth a coniractor(s)
license pursuant to tha Con�ractors License Laws.).
❑ I am e:empt under sec. Business and Professions Code for ihis reason:
Signeture: Daie:
Owner ID verified by tlnver's licensa. ❑ Yes ❑ No Driver's License No.
Verilication oi Ownership Dy (type ot tlocumen6 i.e. - property taa bili or deed):
Expires:
DIVISION OF INDUSTRIAL SAFETV PEHMIT CERTIFICATION:
❑ I hereby certify thet no excavation five (5) or more feet in dep�h into which e person is required to descend, will be made in connection with work authodzed by this
permil, and ihat no builtlinq siructure, sca8olding, falsework, or demolition or dismantling ihereof, wiil be more �han ihirty-six (36) teet high. (Chap. 32, Grp 2, Ar12, Sec.
341, Title e, Califomia Administrative Code).
❑ As ownerv6uilder, I will not employ anyone to do work which would require a permit irom ihe Division of Industrial Setety, as noted ebove, unless such person hes a
permit to do such work from the tlivision.
Signature: Date:
Division oi Intlustrial Safety Permit Number:
CERTFICATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRV: I certiy under penalry of peryury that I have reatl this application and state that ihe information given is
correct. I agree to comply with) ell state laws antl city ordinances relating m builtling constmction, end authonze representatives of ihe Ciry of Cosla Mesa to enter upon Ihe
above-described properry tor �yspecti�n pury�ey!�I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection.
CODE �, INSPECTIONTYPE
1616 Fized System Final Fire Prevention
1266 Pool Spa Final
200 Final Re-Roof
201 Final BIocWRetaining Wall
202 Final Fectory Fire Plece
203 Final Sign
204 Final Demolition
D
i i
Date
ORTE I�J�L� COpE1 INSPECTIONTYFE
206 Final Mechanical
208 Final Plumbing
210 Finel Electrical
272 Final Fire Prevention
220 Finel Planning Approval
222 Final Site
250 Final Building/Occupancy
Pr1E� ��'r'
��ia� �sa-az�a • Fax (�ia) �sa-asss
CITY OF COSTA MESA
BIIILDING DIYISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
BUILDING PERMIT
JobAddress: 353 WOODLANDPL
Suite:
Vicinity: ATTACHED RES. FOR #S A, B, C 8 GARAGES.
ParcelNunmber: 42623102
Applicant: ORR, JOHN P
Address: 1115 HIGHLAND DR
NEWPORT BEACH, CA
Owner: ORR, JOHN P
Address 1115 HIGHLAND DR
Contractor.
Address:
Zip:
Arch :
Address:
NEWPORTBEACH,CA
Phone:
Zoning:
Phone: 949-650-7668
Zip: 92660
Phone: 949�50-7668 �
Zip: 92660
Phone:
License:
Eng:
Address:
PERMIT NUMBER
� 699-00610 �
77 FAIR DRIVE, COSTA MESA, CA 92626
ISSUED BY:
Status: ISSUED
Applied: 05I04/1999
Issued: OSIOdl1999
Phone:
Zip License: Zip: License:
SCOPE OF PERMIT
REROOF: T/O; RESHEATH 2 LAYERS OF 15t1 FEL'n; REROOF WITH 25 YR COMP SHINGLE AND BACK PORTION OF
STRUCTURE BUR. SMOKE DETECTORS REQUIRED. �� -��
Plan Check:
Permit:
SMIP Res:
SMIP Com:
Other:
Inspection:
Total:
$0.00
$112.25
$0.55
$0.00
$0.00
$0.00
$112.80
SETBACKS
MAIN STRUCTURE Front 0- 0
ACCESSORY Front 0-0
PARKING Existinq: o
NOTES:
0
Rear 0-0
Rear 0-0
Required: 0
FEE SUMMARY
- ,
PLANNING 8 ZONING
' �� 'Left� �0-0
Left 0- 0
' � Proposed: 0
. ✓� ,
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0- 0
Ss,soo.00
$5,500.00
NOTICE: 7he work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
tor a period of 1 BO days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with ell applicable codes, and all
required Inapections end final approvel must be obtained. Failure to obtain inspections and final approval will result in the axpiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
WORKERS'COMPENSAnON OECLARAnON: .
I hereby efFlrtn unCer penelry of per�ury one ol tha tollowing declaratlons:
� I have entl will melntaln a ceNficete at consent to sett-Insure for workers' compensation, fls provide0 for by section 3700 of ihe Labor Code, tor ihe pertortnence of tne
wark tor whlch ihis pertnit Is issuatl.
❑ I have antl will maintain workers' compensaUon insurence, as required q� se�Yion 3700 ot �he Lsbor Code, for �he perfortnence of Ne work for which lhis pertnit is issuetl.
My workers' crompensalion InsurenCe Csrtler entl pollcy number ere:
Cerrier. Policy Number.
(This section neetl not be completetl/l Ne permit is velued ef one hundred dWlars (S I00) or IessJ
❑ I certiy t�at in the peAormence o1 Ihe wark far which this pertnit is issued, I shell not employ eny person In eny manner so es ta become sublec� �o Ihe workere'
compensatlon laws of Celifomia, end egrae thet it I should become sublect to Ihe workers' compensation provisions of Section 3700 oi t�e LeDor Code, I shall fanhwith
camply with these p�ovisions.
Applicant Signamre: Dete:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVEM�E IS UNUWFUL AND SW1LL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOIXJE HUNDRED
THOUSAND OOLLARE (E100.000), IN FDORIIXJ TO THE COST OF COMVENSATION, DAMAGES AS PiqVIDED FOR IN SEGfION 3]W OF THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES.
LICENSED CON7RACTORS DECLARATION:
I �ereby ettirm that I em Ilcensed under provislons ol Chepter 9(commencing with Sectlon 7000) ot Divislon 3 ot ihe Business end Protessions Cotle, and my Ilcense is In full
torce ena enect. uc. » class a
Coniractor's SlgnaNre: Dete:
CONSTRUC710N LENDING AGENCV:
❑ I hereby effirm thet there I5 e constructlon lending epency for iha pertormance oi the work for which �his permit Is issued. (Sec. 3097, Civil CaAe�.
Lender's Name: Lenders Adtlress:
Signature: Date:
OWNER-BUILDER OECLARATONS:
I hereby eNlrm ihat under penalry oi per�ury thet I am EXEMPT FROM THE CONTRACTOHS LICENSE LAW for the Following reason (Sec. 7031.5, Business and Professlons
Code: Any clry or counry which requires e permit to conswct, elter, improve, demolish, or repair any sWcture, prior to its issuence, elso requires the epplicant tor such permit
b file e slgned stetement thet �e or she Is licensetl Dureuem ro the prodslons oi Ihe Contractore LJcense Law (C�apter 9(commencing wlth Sectlon 7000) of Dlvlsion 3 ot the
Business antl Professions Code) or I�at �e or s�e Is exempt t�ereirom entl Ihe 6esis for Ihe elleged exemption. Any Nolation oi Section 7031.5 by eny epplicent tor e permit
sublects iha eppllcent to e civll penelry ot not mare than Ilve hundretl tlollers ($500)J:
❑ I, es owner of Ihe property, or my employees with wages es Iheir sole compensation, WILL DO 7HE WORK, end the structure Is not intended or otteretl for sele (Sec.
7044, Business end Protesslons Cotla: The Gontrectors Ucense Lew tloes not epply ta en owner of property who builds ar improves thereon, antl who tloes such work
himself or herself or through hIs or her own employees, provlded that such improvements are not intended or oflered for sele. If, hawever, Ne builtling or impmvement is
sold within one yeer of completion, Ihe owneo-bulltler wlll have the burden of proving that he or she tlid not build or improve for purpose of seleJ.
�I, es owner ol the properry, em EXCLUSNELY CONTRACTING WITH LICENSED CONTRACTORS ro construd the pwjed (Sec. 7044, Business entl Pmfessions
Code: The,Qontrectors LJcense Lew does not epply to en owner of property who builUs or Improves thereon, and who cantrec�s for such pro�ect with a contracror(s)
license py/�uaM to the Contrectors License Laws.).
ll
sec.
by tlrNals Iicense. ❑ Yes ❑ No
Business end Protessions Code for this reason:
Date:
Drivefs License No. Expires:
of Ownershlp by (rype ot document, I.a. - properry tez blil or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATON:
❑ I hereby certliy that no excavation flve (5) or more teet in depih Into w�lch e person Is requlred to descend, will be mede In connection with work auihorizetl by Ihis
pertnit, entl that no building struc�ure, scattolding, felsework, or demoliilon or dismantling thereof, wlll De more than thirty-six (38) feet high. (Chep. 32, Grp 2, Art 2, Sec.
341, Tule B, Califomle Administretive Code).
❑ As owner-6uilder, I will not employ anyane to do work which would require a permit from tha Division ot Industnal Safery, es notetl above, unless such pereon has e
pertnit to tlo such work trom the tlivLsion.
Signature: Date:
Divislon ot InduSMel Satery Permit Number:
CERTI CATE O OMPLIANCE AND AI7THORIZATON OF EMRY: 1 cehify under penelry of perjury that I heve read Ihis applice�ion end stete that Ihe informatlon given is
cor ct. I agree o py It�ll state laws end ciry ordinences relating to building wnswction, end authodze representatNes oi t Ciry of Costa Meu to enter upon the
e-describe � eny lo edion purpases. I egree not to occupy or allow occupancy of eny building autho�izetl by t�is ertnit u 111 tinal Inspecllon.
�p� ��
Sianature O1 Leoel Ownadsl Date
CODE 1. INSPECTIONTVGE
1676 Fixetl System Final FIre Prevention
1266 Pool Spa Final
200 Finel Re-Roof
201 FIneI BIocWRetelning Well
202 finel Fectory Fire Plece
203 Flnal Slgn
204 Final Demolition
2446-48
PAIE lt�➢dL6
� �
cooe. ixsvernoxnae
206 Final Machanical
208 Final PlumGing
210 Finel Elecincal
212 Flnal Fire Preventlon
220 Final Plenning Approvel
222
250
Final Sita
Finel Building/Occupency
PAg It1.IID�4$
�I� I� PAIO
^.PR 7_��-7Ccnsn001508�� **�2�4.�5
y CO OT BOXE 200 CIODIA M SAFCA I ORNAIA 9 626 T
APPLICATION FOR BUILDING PERMIT
For Applicant to Fill in Completely
RE IVED V ERE EIVED DATEISSUED
a�����N s� �', ooa ana Piaoe � ° -a'�-7�
ADDRES
�/ S ^ '%�7-�— PERMIT N .
OWNER W A.P. O. ' I'
BUILDING /� �(���, �
ADDRE55 •I 1� t St. AODRES5,3���j��y d-C_ G�C�-Irs"t/�
4-U CITY CiOS{�.fl r1P.88 No`b 2- 90 T�+C � aLOT�a/ BLOCK
ZQ CONSTFUCTION W DD P
O N LENDER
a m
J � BRANCH _J
J N OWNER
a W ADDRESS
m J � VALUE J %% /Y
Jm ARCHITECT TEL S 5✓��"/—
a OR ENGINEER N .
V Q FIRE
W� ADORE55 20NE TVPE GROUP
aw
APPROVED
JO CONTRACTOR R• Sewell BV DATE
m Z �
J � ADDRESS bO ' �
W w ZO E NO.OF /p USE OF NEW� Q7,�T•
�= CITY NOL %� P�-p'� /' BUILDIN w
Z F-
wO STATE CITY o VARDSAPPROVED VA SAPPROVED
�� IIC. NO. 2 81 ��C. NO. 1 V MAIN BUILDING ACGESSORV BUILDING
� O (FROM C/LSTREET)
S12E NO.OF BLDGS.
OF LOT ]. }[ ],'LO NOW ON LOT Q RONT DFT. ��� �
USE OF
EXISfING BLDG. F
H SIZE OF NO. OF
Z NEwBLDG. ROOMS 6 STORIES Z LSIOE SFT. FT.
a EXTERIORW l,� ROOF SR]�,I1R 0&
�% COVERING�LUCCO COVERING GOn7 • REAR � FT. FT. �
J USE OF BU�LDING AND WORK TO BE PERFORMED OISTANCE BET. BEf. MAIN &
a MAIN BLDCS. ACC65. BLDGS.
a
a garage. � � P. E -70 APPROVED `3'—� �70
0 ��/J� �7
F APPR D a l%^ � 7'v` / �
y
Z 2 a-
0
UI heraby acknowladpe that I have reetl this application antl state L REQU7.^,EME,ITS
� that the above informa[ion is correc[ antl aprea to comply with
� all laws re8ulating builAinB �o^str�ction, antl I shall not employ
� any person in violeUon ot the workman's compansallon laws of
y the State ot Californle. m
zI hereby certify Mut I em properly licensetl es a conPecmr undor S�. FT. �� o
tha State of Cal{fornle Business antl Professions CoCe, Divtsicn 3, THE AMOUNT SHOWN UNDEfl V AL TION IS FOR
Chepter 9, a�tl that such licenaes ara In ��II forca antl effect, or I THE PURPpSE OF ESTABLISHING A PE IT FEE ONLV: ¢
em ezempt irom the provistons of theState of Celiiornla Businass VA�VATION SO
entl Professions Gotlo DIvlSion 3, Chaptar 9. / �
PERMR FEE 5 V�) �
SIB�at�re of //f / �i m
Parmittee '`�� ���� � �-/^�x� S, f�J ��D, PIAN CHECK 5 17 O�� o
/�
Authorized A ent LL
a TOTAL FEE 5 � � �
City of Costa Mesa
Building SafeTy DepaMment
r. o. eo. av
Cwlo Moa, Californio
CERTIFICATE OF OCCUPANCY N� 2722 C
The Building locafed at ����C.@� �4C0 �
has been inspected and found to comply with the �provisions of aIl�City of Costa Meso Ordinances appliwble thereto
for a Group � � �1 Occupancy.
Use of Building �'�� �� �`� �s � �
Legal Description �2�''���
� ($ee revene tide for Metes and Bo�nd�)
Building Permit No. ��9 Elecirical Permii No. y�u+5 Plumbing Permit No._ �%'e�_
Floor Load Signs have been installed as Room Capacity Signs have been instaled as
required vnder Sec. 2308 U. B. C. . req�ired under Sec. 3307 (1) U. 8. C, _
17050. CERTIFICATE OP OCGUPANCY. (a) No apartment ho�se, hotel, or lodging house shpll be used or occupied
until the owner or operator has been issued a valid certificate of occupancy by the enforcement agency.
(b) A new certificate of occupancy shall be obtained whenever there is a change in:
1) Occupancy classification of a building or portion thereof
2) The number of aparfinents or guest rooms
3) Ownership
If Group H Occupancy, number of apartments ond/or guest rooms as required �nder Sec. 17050.1 (d), California
Adminisirative Code, Title 8, Chapter 9, Article 8.
Number of apartments g and/or guesT rooms
ISSUED TO: ' Building Official
�B�? � ' yy c�Q°Lr�/L1'V /.� r �%� �
Date_ �ctotxer 16, ]�7'ID
This Certificafe of Occupancy SHALL BE posted in a conspicuous place on fhe premises and SHALL NOT BE removed
except by the Building Official of fhe City of Costa Mesa under Sec. 306 (e) U.B.C. eon„ suss—�as—��-e3--s-s e