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Home My WebLink About359 WOODLAND PL - Building Permits(714) 754-5273 • Fa�c (714) 754�4856 • w�w+.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber. 359 WOODLAND PL 42623103 Applicant: VOLLMER, KENT Address: Owner: ORR, JOHN P Address 1115 HIGHLAND DR NEWPORT BEACH, CA Contrador. VOLLMER ELECTRIC Address: 230 SOUTH EMPIRE ISSUE FEE Temp service test Res. alc package New Res (1-2 units) New Res (3+units) Pool I Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 7000a Motors ta 1 hp Motors to 10hp Motors to SOhp Motors to 100hp Motors over t00hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole ANAHEIM,CA Phone: 714-533-7674 Zip: Phone: 949-650-7668 Zip: 92660 Phone: 714-5337614 Zip: 92804 License: 463159 SCOPE OF PERMIT ADD HOUSE METER FOR LAUNDRY ROOM AND OUTSIDE LIGHTING. $23.50 $0.00 50.00 50.00 $0.00 $0.00 50.00 50.00 50.00 50.00 50.00 50.00 30.00 50.00 50.00 50.00 50.00 50.00 50.00 $0.00 $30.50 50.00 $0.00 $0.00 $0.00 Quantiry FEE SUMMARY Temp Dist System I Lighting Busway /100 ft Standing Sedion Misc Electriwl Equipment Trensfortners up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kvalkw .................up to 100 kvalkw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Cirws (mech ride or lights) Christmas Tree Stand Fireworks Stand Other EleUriwl Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applied: 06/27Q001 Issued: 0627/2001 ISSUED BY: KQL Quantity so.00 0 50.00 0 $0.00 0 $0.00 0 50.00 0 so.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 50.00 $0.00 $0.00 TOTAL CALCULATED FEES E54.00 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authonzed by this permit shall compty with all applicable handicap access requirements under Calitornia statutes and related regulations. (Ord. No. 92-28, § 1, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if wark is not commenced within 180 days, or if work is suspended or abandoned for a period ol 180 days. INSPECTIONS: In order for iha work authorized under �his permit to be considered legal, such work must comply with all applicable cotles, and all required Inspactions end 11na1 approvel must be obtained. Fallure to obtein inspections and tinal approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2a4&48 (8I00) WORKERS'COMPENSAnON OECLARAnON: I hereby aXirm untler penelry of perjury one oi the lollowing Oeclare�ions: ❑ I heve entl will meintein e certilicate of consent to self-Insure for workars' compensetlon, es provided lor by section 3700 oi the Lebor Cotle, for tha peAormance of the work tor which this pertntl Is Issuetl. ❑ I have antl will maintein vrorkers' compensatbn Insurance, as requirea by sectlan 3700 of t�e Lebor Cotle, tor the perfortnance of Ihe work for wNM this pertnit is issued. My workers' compensgilon Iqeurqnce carder endycy�cy number are; Carrier. One wless.) Pollcy iJum6er: NYY�ertify that in the peAo ance q(t e v ork a t� Ihis permit is issued, I shell not empla/ eny peroon In eny menner so as to become subl� �o the workers' '�� compensa0on laws ol Cel fo '6 e e ree tl t shoultl bewma subJect to t�e workere' compensetion provislons of Sactlon 3700 of the Lebor Code, I shall torthwith compty with these provi � ' � ^ — � � Applicant Slgneture: Dete: � WARNINO: FAILURE TO SEWRE WORKE COMPENSATION ODVEMOE IS UMAWFUL M1D $HML SUBJECT AN EMPLOVER TO CFIMIlU1 PENALTIES M1D CML FlNES UP TO IXJE HUNpqED T/qUSANO DOLURE (E100,000), IN ADDRION TO THE CQST OF Od.1PENSAiION, DAMNGES AS PROVIDED FOH IN SECTION 3]OB OF TME LABOR COOE, INTEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS I hereDy eMirm Ihet i am Iicen! lorce end eNect. Lic. a_ ConlrectorsSignaWre: _ 9(commendng with Section 7000) at Dlvision 3 of Ihe Buslness and Professi�6f� ��j tl my Iicense is in full Cless a �r/ �%� gb�j /J / � Date: — a %— 0 t CONSTRUCTION LENOING AGENCY: ❑ I here6y effirtn Ihat there is e construction lending apenty lar Iha peAormence ol the work lor which �his permit is issued. (Sec. 3097, Civll Coda). Lendels Neme: Lantler's AtlCruss: SigneWre: Dete: OWNER•BUILDER DECLARATIONS: I hereby eHirm ihat unAer penelry ot perjury thei l em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for lhe following reason (Sec. 7031.5, Business flnd Professions CoGe: Any city or counry which reqWres e permit to consiruct, elter, improve, tlemdish, or repeir eny sWcture, prior to its Issuance, also requires the epplicant for such permit to file e signetl statement Ihat �e or sha is licensetl pursuent co Ihe pmNsions oi the CoNrectors License Lew (Chepter 9(commencing with Section 7000) ot DiNsion 3 ot ihe Business and Professlons Cade) or Ihat he or she is exempt therelrom and the besis for tha ellaged exemption. Any violation oi Section 7031.5 by any applicant for a permit subjects Ihe eppllcflnl Io e Uvil penelty of not more then INe huntlreA tlollers ($500).): ❑ I, as owner ol ihe properry, or my employees wiN weges as t�eir sole compensa�ion, WILL DO THE WORK, antl the sWcture is not intended or ottered for sale (Sac. 7044, Business antl Professions Cotle: The Con�rectors Llcense Law tloes not epply to en owner of pmpeny who �uilds or impmves Iherean, and who Coes such work himself or hersetl or through his or her ov.•n employees, provitletl Net such improvements ara not Intended or oflered for sale. If, however, the building or improvemem is 5old within one year of completi0n. the owner-builtler will have t�e burden ot pmving that he or she did not build or improve for purpose ot sale.). ❑ I, as owner ot the properry, em E%CLUSIVELY CONTRAC7ING WI7H LICENSED CONTRACTORS to construct the prolact (Sec. 70d4, Business end Prolessions Code: TOe coniradors Ucense Law does not appty to an owner ol property who bulltls or Improves Ihereon, and who wn�racts lor such prqed with e contractor(s) license pursuent to Ihe ConlreCiOrs LicenSe WwS.). ❑ I am exempt untler sec. Business and Professions Cotle for this reason: Signature: Date: Owner ID venfied by drivefs lltensa. ❑ Ves ❑ No DrlveYs Litensa No. Vedlication of Ownership Dy (rype af tlocument, i.e. - property tex bill or tleetl�: Ezpires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby cenity ihat no excevation five (5) or more teel In dep�h Into whlch e person Is required to descend, wlll 6e metle In connection with work euihonzetl by Ihis permit, end Ihat no building sWcture, scattoltling, felsework, or tlemolition or tlismantlinp Ihereof, wlll be more ihan t�irty-six (38) leat high. (Chap. 32. Grp 2, An 2, Sec. 341, lltle B, Calllamle Atlministretive Code). ❑ As owner-builder, I will not employ en}rone Io do work which would requlre e Oermlt Irom the Division of Indusiriel Selety, es notetl ebove, unless such person �es e permit to tlo such work Irom tha divislon. SignaWre: Date: Division ot Indusidal Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVJITION OF ENTRY: I certity untler Denalry ol perjury that I �ave read this application and state that Ne infortnetla� given is correct. I agree compty witn all ate laws end tlry ordinances relating to builaing consiruction, and authodze representatives ot tne Ciry ot C0.Sta Mesa ta enter upOn t�e ebove�describe ro erty tor i ion purposes. I agree noi Io occupy or ellow occupenty ol any building authonzed by t�is permit until final inspection. 4g ure Ot Owner(s) ��_ �Oatp U1 Antl/Or Authonzed AppliCenl � Da CQOE �, INSVECTIONTYVE 7616 Fixetl System Final Fire Preventlon 1266 Pool Spe Finel 200 Finel Ro-Roof 201 Flnel BIaWReiaining Wall 202 Flnel Factory Fire Place 203 204 Final Sign Final Demolition Pdg ItIIQI�L@ u¢e COOE� INSPECTIONTYPE 206 Finel Mechenical 20B Finel Plumbing 210 Finel Electrlcal 212 Flnel Fire Prevention 220 FIn01 Plenning ApprOval 222 Final Site 250 Finel Builtlinp/Occupancy P� U� 1 I , • � I�*. City of Costa Mesa Building Safety Deparfinenf P. O. Box 317 Cot�a Mma, Californio CERTIFICATE OF OCCUPANCY N° 2723 C The Building located at 1� ��^n ��'`*^y i7ri1tB A.0 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group � 8� Occupanry. Use of Bu�lding ��' �� gi��'`A` '�$ � � Legal Description �'�� , . (Ssa revane side for Mafes and Bounds) Building Permit No. �� Electrical Permit No. �� Plumbing Permit No. �� Ploor Load Signs have been installed as Room Capacity Signs have been instaled as required �nder Sec. 2308 U. B. C. . required under Sec. 3301 (7) U. B. C. _ 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or occupied until the owner or operotor has been issued a valid certificafe of occ�pancy by the enforcement agency. (b) A new certificate of occupancy shall be obtained whenever there is a change in: 7) Occupancy classification of a building or portion thereof 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, numbei�'of apartments and/or guest rooms as required under Sec. 17050.1 (d), California Adminisirative Code, Title 8, Chapter 9, AHicle 8. N�mber of apartments 3 ond/or guest rooms ISSUED TO: x,r.:; ; :q ..:,.,�+.+.� Building Official bY ��Di��S'./%p1�2 Date Oe4..ot�.+r 16� 3974. Ti�is Certificafe of Occupancy SHALL BE posted in a conspicuous place on fhe premises and SHALL NOT BE removed except by fhe Building Official of the City of Costa Mesa under SBC. 3OG �8� U.B.C. Farm BU34-iM-11-83--S-H P ;� � /G� tiPR 2!t-7C�n5�001509� *�*20l1.�5 � COSO. BOXE 200 CIOSDTIA M SAFCA 1 ORNAIA 9 626 T APPLICATION FOR BUI LDING PERMIT ForApp/icanttoFillinCompletely REC�IVE v o TEF@CENED r,eTF,�� BUILDING — '� �a ADDRESS35 �- wo d an P � �/g^ li�' OWNER .d A.P.NO. --� MAIL BUILDING A�DFESS I � 1 ADDRESS .�" a U rEL,. ' i CITV Costa Mesa MOl! 2� 9� A T F- Z Z Q CpNSTRUCTION W A D O N LENDER am J � BRANCH J N OWNE �'i m J ADDRESS _j m ARCMITECT TEL. a OR ENGINEER N U N FIRE w K ADORE55 ZONE TY d W W Z /aPPA�VED �o CONYRACTOR R. Sewell eV m Z J � ADOFE55 W W TEL. ZONE NO.OF � ZF CITY NO. P�'� w� STATE CITV VAROSAPPROVE� ? O IIC. NO. 'Z 8 LIC. NO. MAIN BUILDING SIZE NO.OF BLDCaS. O ( RONf C/L OpFTT�L OF LOT 1][ 12O NOW ON LOT USE OF � EXISTING BLDG. � SIZE OF NO.OF / z NEWo��. 3 99 # ROOMS �-V STORIES z L.SIDE T.L a EXTERIOR WALL FOOF Sh n 1.8 BC V COVBRING 1 COVERING FEAR 'FT~ J USE OF BUILDING ANO WOFK TO BE PERFORMED DISTANCE BET. � MAIN BLDCS. a �j a garage• CURP.i-G��p � ~ APF ED N � z C� k O VI hereby acknowletlpe that I have reatl this aDP�icaHon antl smte HOLD FOR � thot �he abova intormation is correct antl apree to comply with � all lews regulating buildinB conctruc�ion, nntl I shell not amploy F any parson in violation Of ifio workmen's compensatiOn laws of y [hu Stete of Calitornia. � � zI herebVi certify ffiat I am Oroperly licansatl as a contracmr under SQ. F the Stata ot California Business entl Protessions Cotla, Divlsicn 3, THE AMOUNT SH Chapter 9, antl that such licanws ere in full torce antl effact, or 1 THE PURPOSE OF E om exompt from tha provisions of Ma Stota of California Business VALUATION nntl Profassions Cotla, Dlvision 3, Chapter 9. Slpneture Of / �D � PermiRea � A� �� T� i/L , /�,n[ ' Aotho/Izetl Apant `� 51 l � /LSpT�/� BLOCK �� VAWS / /J J� .7 � GROUP DATE USE OF NEW 3 JNIT: BUILDING (yi/AIT,��rAl VARDSAPPROVED ACCESSORV BUILDING BET. MAIN & ACCESS. BLDGS. DATE N'PFOVE� 7j —,�-- nerc �/ � Z�G�.— ��V�- !N UNDER VALUATION IS f ABLISHING A PERMIT FEE ON PERMIT FEE 5 I�" • S PIAN CHECK 5 � �� 0 i TOTAL FEE S � � m 0 � ¢ m J m