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Home My WebLink About580 VICTORIA ST - Building Permitsi : (714) 754-5273 • Fax (714) 754-4856 • www.ci,costa-mesa. ELECTRICAL PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Viciniry: Parcel Nunmber: Applicant: Address: owner: 580 VICTORIA ST LANDON SMITH 3000 E CORONADO ST ANAHEIM,CA CITY OF COSTA MESA Adtlress ATTN: RECREATION ConVactor: Address: �� d-/ 5�� IZ�O�✓ ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting FixLs Recept Outlefs Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Motors to 10hp POUK AND STEINLE INC 3000 E CORONADO ST ANAHEIM,CA Phone: 714-632-1415 Zip: 92816 Phone: 714.754.5300 Zip: Phone: 714-632-1415 Zip: 92816 License: 576274 Status: ISSUED Applied: 07124/2003 Issued: 07/24/2003 ISSUED BY: (� S � 70 ��- � 2 t so �r-P�, SCOPE OF PERMIT ELECTRICAL TO INCLUDE: INSTALL 1 METER PEDESTAL. TWO METERS WILL BE INSTALLED ON PEDASTAL. 1 METER IS FOR THE LIEBOLT AND KETCHUM PARK ON MAPLE ST. ONE METER IS FOR TRAFFIC SIGNALS. METERS SHALL BE ADDRESSED AS FOLLOWS: 580 TS VICTORIA FOR TRAFFIC SIGNALS AND 576 GS VICTORIA FOR ELECTRICAL FOR PARK LIGHTING AND SPRINKLER SYSTEM. $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $62.15 $0.00 $0.00 $0.00 Quantity 0 0 0 0 0 0 0 0 0 1 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway/100ft Standing Section Misc ElecUical Equipment Trensformers up to 1 kvalkw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kvalkw Low Voltage Equipment Low Volt Winng System / Ckt Misc. Conduit Misa Conductor Circus ( gen or ritle) Circus (mech ride or lighls) Christmas Tree Stand Quantity 50.00 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 so.00 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements untler California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and bacome void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 tlays. 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 Inepections end 11na1 approvel must be obtained. Failure to obtain inspections and tinal approval will result in the ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2aa8-se 1�) WORKERS' COMPENSATION DECLARATION: I hereDy attirtn under penalty o1 perjury one ot the following declaratlons: �- � . ❑ I have antl will m9imain e certificate ol consent to sell-Insure lar workers' compensetion, as pmdded for Dy seclion 3700 0l the Lebor Code, tor �he perfortnence'of the work for which this perr�it is issuetl. ❑ I have antl will maintain workers' compensation insurence, es required by section 3700 of the Labor Code, for the peRortnance oi the work for which t�ls pertnit is issuetl. My warkers' comper�sa�ion Insurance carder end policy number are: - , Carrier. PWicy Number. (lhis section neetl not be cor�pleteU il Ne permi( Is velued et one hundred dWlars (5700) ar less.) ❑ I cartity t�at in the pertOrtnance 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 oi �alifomia, entl egree that il I s�oultl become subJect Io the workers' compensation provlslons o1 SectiOn 3700 0l the Labor Code, I shall torthwlth comply with these provisions. Applicant Signature: Oate: WAPNING: FAILURE TO SECUR� WORKERS' COMPENSATION COVERAGE IS UNLAWFUL MID SNRLL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE MUNDPED TFIWSAND OOLLFRE (5100,000�, IN ADDITIIXJ TOTHE WST OF ODMPENSATION, OAMAGES 0.S PROVIDED FOF IN SEC710N 31O80F THE LABOR CO�E, IMEREST, qND r1TTORNEV'S FEES. LICENSED CON7RACTORg OECLARATION: I hereby attirm ihat I am licensetl untler provisions of Chapter 9(commencinq with Section 7000) of Division 3 of Ihe 8usiness and Prolessions Code, and my license is in tull force and eHecL Lic. q Class a Contrectors Signawre: Date: CONSTRUCTION LENDING pGENCV: . ❑ 1 hereby affirm that there is a consiruction lending egency for the DeAormance ot Ihe work tor which this permil is issued. (Sea 3097, Civii CotleJ. Lender's Name: Lendor's Adtlress: Signature: Date: OWNER-BUILDER DECLAqpTIONS: I hereby ettirm that untler penelty of perjury thet I em EXEMP7 FROM THE CONTRACTORS UCENSE LAW for the following reason (Sec. 7031.5, Business end Professlons Cotle: Any city or counry whi�h requires e permit ro construc6 elter, Improve, demolis�, or repair any stmcture, Orior lo its issuance, also requlres the epplicant tor suc� permit to lile a signed statement that he or sha is Ilcensed pursuent to t�e provislons of the Gontrectors License Law (Chepter 9(commencing wilh Section 7000) of DiWsion 3 of ihe eusiness antl Professions Code) or that he or she is esempt Iherelrom end ihe basis for Ihe allegetl ezemption. Any violation of Section 7031.5 6y any epplicent 1ar e permit subjecis the applicent to a civil penalry of not more than five hundred dollars ($500).): 0 I, as owner of ihe properry, or my employees with weges es �helr sole compensation, WILL DO T1E WORK, and the struc�ure Is not Intendad or ottered for sele (Sec. 7044, Business and Professions Cotle: The Contractors License Law does not apply to an owner of property who builtls or impmves thereon, end who does such work himselt or harsetl or throug� his or her own employees, provitletl thet such improvements are not Intende0 or oNeretl for sale. 11, however, tha building or improvement is sold within one ysar ol �mplelion, the owner�bulltler will bave ihe burden ol provinq that he or she tlitl noi build or improve for purpose of sale.). ' ❑ I, es owner of �he property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTOHS la conslruct ihe project (Sec. 7044, Business antl Prolessions Code: The contracrore License Lew does not epply to en owner of property who 6ullds or improves ihereon, and who contrecis for such pmject with a cantractor(s) license pursuam to ihe Contractors License Lews.). ❑ I am eremp� under sac. Signature: Owner ID verifietl by drivers license. ❑ Ye5 ❑ No Business antl Piofessions Code Por this reason: Veriliwilon of Ownarship by (rype of daument, I.e. - pmperry tex bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: OriverS Licensa No. Date: Eapires: ❑ I hareby certity that no e:cavation live (5) or more leet in depih Into w�ich a person is required to descend, will be matle in wnnection with work euchorizetl by this permit, and thai no building swcture, scaflolding, falsework, or tlemolition or dismantling �hereof, will be more ihan thirty-six (36) feat high. (Chap. 32, Grp 2, An 2, Sec. 347, Title B, Califomia Adminis�ra�ive Cotle). ❑ As ownerbuildar, I will not employ enyone to do work which would require e perml� trom the Division of Indusirial Setery, es noted aDove, unless such person hes e pertnit to do such work trom ihe division. Signature: Date: Division ot Industrial Sefery permit Number. CERTIFlCATE OF COMPLIqNCE AND AUTHORIZATON OF EMRY: I cenity under penalry of perjury that I have read Ihis application and state ihat t�e intortne�ion given is correct. I egree to comply with ell state lews end cicy ordinances releting to building constmction, end au�horiza representa�ives of 1he City of Cos�e Mesa to enter upon the ebave-described property for inspection purposes. I egree not to wcupy or ellow occupancy of any building authorized by this permit until finel inspection. SignaWre Ot Legal Owner(s) Date Antl/Or Au�horizetl Applicant CODEt� INSPECTIONTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Rooi 201 Final BIocWRetaining Well 202 Final Facrory Fire Place 203 204 Finel Sign Final Demolition Qe� u�aia COOEI INSPECTIONTYPE - 206 Finai Mechanicai 208 Final Plumhinq 210 Final EletMcal 212 Final Fire Prevention 220 Final Planning Approval 222 FinalSite 250 Final BuilOing/Occupancy •PAIE ItRIDlLS � (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 v��,��Ty: Parcel Nunmber: Applicant: Address: 2150 MAPLE ST v 7(D TPN00133 LANDON SMITH 3000 E CORONADO ST ANAHEIM,CA owner: CITY OF COSTA MESA Address ATTN: RECREATION Contracror. POUK AND STEINLE INC Address: 3000 E CORONADO ST ANAHEIM,CA ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Nan Res Appl Res Appl Service to 200a Service to 7000a Service over 1000a Motors to 1hp Motors to 10hp Motors l0 50hp Mators l0 100hp Motors over 700hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Status: ISSUED �C yLy�,�-..� q � Tj _�� APPlied: 07/24/2003 Issued: 07/24/2003 ISSUED BY: � Phone: 714-632-1475 Zip: 928�6 Phone: 714.754.5300 Zip: Phone: 714-632-1415 Zip: 92816 License: 576274 SCOPE OF PERMIT ELECTRICAL TO INCLUDE: INSTALL 1 METER PEDESTAL $0.00 $0.00 $0.00 $0.00 $D.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $62.15 $0.00 $0.00 $0.00 §0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section 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 100 kva/kw Low Voltage Equipment Low Volt Winng Syslem / Ckt Misc. Conduit Misa Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity 50.00 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 $0.00 $0.00 $0.00 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremerns under Califomia statutes antl related regulations. (Ord. No. g2-28, § 1, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 780 days. or if work is suspended or abandoned for a period of 1 BO days. � INSPECTIONS: In order to� the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approvel must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446<fi (fi/00) WORKERS' COMPENSATION DECLARATION: � I hereby eHirm under penalry of perjury one of the bllowing tleclaretions: ❑ I have and will maintain a certificate of consent to selFlnsure tor workers' compensation, as provitletl for 6y section 3700 ot the Le6or Code, for ihe pertormance ot ihe / work for which this permit is issued. �] JI heve and wiil maintain workers' compensation insurance, as requiretl by section 3700 of ihe Labor Cotle, for the pertortnance of ihe work for which Ihis permit is issuetl. My workars' compensation Insurenca carriar and policy number are: � ., \ Carner:�� —'CH�J�LIOtV_�r�IS+C4.JLt- PoliCyNumber WGZ'��"O05bq%� (This section need nof 6e comp/ete '/ fha permif is valued at one hundred dollars ($100) or less.) ❑ I certify Ihet in the pertormence of ihe work (or wmpensation laws of Califomia, antl th comply with ihese pravisions. �Applicanl Signeture: WARNINQ: FAILtIRE TO SECURE S' COMPEN$q THOUSANDOOLLARE�S100, ,INA ITIIXJjOTHE�q LICENSED CONTRACTORS DECLARATION: t hereby alfittn thaf 1 em licensed force and eflect. Lic. a Comractors SignaNre: _ dffFis permit is issued, I shall not employ eny person in any manner so as to become subject to the workers' shoultl 6ecome subject to t�e workere' compensation pmvisions of Sec6on 3700 0l the labor Code, I shall forthwith "--�'"\ ".-oare: %— 25—�� COVEPAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FMES UP TOIXJE MUNDRED � COMPENSATION, OAMAGES AS PROVIDED FOR IN SECiION 31O80F THE LABOii COOE, INTEREST, AND ATTORNEV'S FEES. wiM Section 7000) of Division 3 of the Bosiness and Professions Code, and my license is in (u(1 Class # � ! • 1 !7 1 — Date: i �Z �� CONSTRUCTION LENDIN6MENCY: ❑ I hereby a%irm �ha� there is a construction lending agency for the peAormance of ihe work for which this permi� is issued. (Sec. 3097, Civil Code). LentleYs Name: Lentler's Adtlress: Signature: _ Date: OWNER-BUILDER DECLARATIONS: I hereby flNirtn ihat under penalry of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (SecJ031.5, Business end Professlons Code: Any ciry or counry which requires a permit to consimct, alter, improve, demolish, or repair any strucWre, pnor to its issuance, also requires Ihe applicanl for such permit to file a signetl statement Ihet he or she is licensgd pursuent b �he provisions oi ihe Conirectors License Law (Chapter 9(commencing with Section 7000) oi DiNsion 3 oi the Business and Professions Code) or thet he or she is exempt therelrom and the basis for the alleged exemption. Any Woletion oi Section 7031.5 6y any applicant for a permit subjecls ihe epPlicent ro a civil panalty of not more than five hundred dollars ($500).): ❑ 1, as owner of Ihe properry, or my employees with weges es their sote compensation. WILL DO 7HE WORK, and ihe siructure is not intended or otfered for sale (Sec. 7044, Business and Pmfessions Code: The ConVactors License Law dces not apply to an owner of propeny who builds or improves thereon, and who does such work himself ar herself or through his or har own employees, pmvidad that such improvemems are not imended or ottered for sale. If, however, Ihe building or improvement is sold within one year of completion, the ownprbuilder will havethe burden of proving that he or she did not build or improve tor purpose ot sale.). � ❑ 1, as owner of the pmperty, am E%CLUSIV�LY CONTRACTING WITM LiCENSED CONTiiACTORS to consiruct the project (Sec. 7044, Business and Professions Cotle: The comracbrs License law does not appry to an owner ot propeny who builds or impmves thereon, and who comracts tor such project with e contrector(s) license pursuant to t�e Contracbrs License Laws.). ❑ I am exempt untler sec. Signature: Owner ID venfied by tlnvers licanse. ❑ Ves ❑ No Business antl Prolessions Code for this raason: Veniication of Ownership by (rype oi documem, i.e. - pwpeny tex bill or deed): Onver'S License No. Date: Expires: DIVISION OF INDUSTRIAL SAFETV VERMIT CEp7IFICA710N: ❑ I hereby certity ihat no excavation five (5) or more feet in depih into which a person is requiretl to tlescend, will be made in connection with work au�horized by this permit, entl that no builtling sirucWra, scaHolding, telsework, or tlemolition or dismantling tharaof, will ba more than thiry-six (36) feet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341, Title 8, Calitomia Administrative Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require a permit irom ihe �ivision of Intlustrial Safety, as noted ebove, unless such person hes a permit to do such work irom the divisian. Signawre: Date: Division of Indusinal Safery Permit Number: CER7IFlCATE OF COMPLIANCE AND AIITHORIZpTON OF ENTAY: I certih/ under penalty of perjury that I have read this application and state Ihat the information given is correct I egree to compty with all stete laws anq ciry ordinances rel to building consWction, and authonze representatives of Ihe Ci�y of Costa Mesa to enter upon the above-descnbetl propetly for inspection puryoses. I agree not up r allow wcupency of any huilding amhorized by this permit until tinal inspection. COUE �. INSPECTONTYPE 1676 Fizetl System Final Fire Pi 1266 Pool Spa Final 200 Final Re-Rooi 201 Final 81ocWRetaining Wail 202 Finat Facrory Fire Place 203 Finel Sign 204 Final Demolition 7— 25—a�e Date �NTRIRLS 4QQ�� INSPECTIONiYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electrical 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy r�s�u61un,4F9 g�13•o3 �� `7 QV v • v� ..... L "(. PflOJECT AODFESS: OWNEfl'SNO�ME: COPLEY/CO�LO— NYrCATV •_ nooxess:. ,p�„�E ' ',�eu,!ly ,SBo tJ � c-far �-°� ANCHIENGWEEH: BEG.NO.: nooaess: unir: � uxiT: PEXMITTEE: DEKORTE ELECTRIC ( 714 ) 361-8406 aooeess: Z�zS VIA CASA LOMA SAN CLEMENTE CA 92672 LICENSEO CONTBACTOP OECLAflFTION: I �ere�y affirm Ihai I am lic¢nse� under provisions o� ChaO�e� 9(commencing wit� Section 7000� o� �rvison 3 0l Ihe Busine5s an0 PmleSsions CoOe, anA my license is in �ull Iace antl e�l¢ci. ciTruc.: 51602 $7TRTFIIC.:SS93O�{ cuss: C— 0 Date: � S J " [_�— Signature'. _��_��-�� WOflRENS' COMPENSATION OECUINATION: I hereby aflirm Ihai I have a ceriificate f consen� l0 5 Il�insure or a cerli�icate at Workers' ComOensaiion Insurance, ar a renifie0 copY ��ereo� (Section 3800. Lab. C�. POLICY NO.: E%P. DRTE: COMPpNY: ❑ Cetliliea copy is Aere�y IumiSAetl. ❑ Cetlifie0 coDY �5 liletl wilh t�e ciry BuitAing Division. Jale: AODlfcant: E%EMCTIONFAOMWOHKENS'COM7ENSATIONDECIAflRTIQN: (T�isseclionneeGno�UecamDlereOi�lAepermi�isforone�unarea�3100�arless�. I tetlily that in I�e Oe�ormante oi Ihe wOrk lor which this Oermii is issued, I S�all noi ¢mploy any person in any mann¢r so a5 io 6eCome suelatly}y� he worker� mqpensation Laws al California. / (� Date� U�� 1� Signaiure: L��'C1 � NOTICE: IL.alter making Ihis tledara�ion, you shoultl �ecame subje� Compensa�ion pmvisions of �he LaDor COAe. you must �otlhwilh complV wilh such pmvisions or Ihis Oe�mi� shall Ce Eeemetl revokea. CONSTNULTION LENOING RGENLY: I �e(e�y aliirm �hai ��ere is a[OnSlmCliOn lentling agency br ��e p¢dOrmance ol �he wo(k �or wnicn inis oermli.is issuea (Seclion 3097. Civ. C�. LENDEP: aooeess: OWNFB BUILUEB OECLANRTIDN: I �ere0y aifirm t�at I am exemp� imm t�e Coniracmrs' State License law for the following reason (Seclion 70�7.5 Business antl Pmiessional Code: Any ci�y ol coun�y which repuires a permit ro con5�mci, alie�, imD�o�e, demolish, or repair any slmciure, prior lo ils issuance. also requires the aODlican� lor suc� permi� lo �ile a signe0 s�a�ement t�at he/she is Iicense0 DurSuani�ol�e pmuisions oll�e Coniraclod Slaie License Law(Chapler9(commencing with Section 7000)o�Division 3 of�he Business anG Pmlessions Cotle) or t�ai �e/she is eeem0� ��erelmm and ��e Gasis lor ihe allege0 exemption. Any Nalatian ol Section 70.31.5 by any aDPlicant lor a permit sublects the apDlicant lo a civil penalry ot nol more Ihan live huntlreU 4ollar5 ($500�. I, as owner of Ihe OmOeny or my employees wit� wages as ineir sole compen5aiion, wiil tlo ��e work, anA Ihe ❑ suuctureis notinten0ea arolleretlfor5ale�Section 700a. Buvness antl ProlessionalCotle: T�e Contractor5' State License Law daes no� appry to an Owner of a D�ap¢rIY w� OmIGs ot im0�ovei Ihereon, antl who EoeS suCh work himsell/heRell or tAmugtl �is or �¢r own employee5. pmvitleA ��ai Suc� improvemenis art noi in�¢n0¢d or otteretl �or sal¢. I�, frowever IAe �uilAing or improvemenl is sala wil�in one year of tomple�ion, Ihe owner will have ihe UurOen of pwving he/s�e Aid not huild or impmve , Iot ine Owpose af saie�. ' I, as owner ol ��e ptopeny. am eKCWsively coniracting wiih IicenseA coniractors to constmtt ihe prole�� (Sectian 7044, Business ❑ an0 Pmfessions CoOe: The ConVacmrs' Stare License Law Aoes nol a0�ly lo an owner of O�oDeny wha bml0s ar improves Uereon antl w�o coniracts foi such prolecis wit� a coniraclor�s)license pursuanl �o ��e CanVacPorS' Slale License Law�. I am aware Ihat pmol o� Iheir Worker'S Compensation insurance should be Dmvidetl Io me. � 1 am exempl under Seclion: B. 8 P. C. lor l�is reason: Dale: Owner. I Oa nereUy cenity I�at I am awar¢ of and unAers�antl the repuiremenls ol Califomu Healih an0 Safety Cotle Seclions 25505, 25533, anA 255JE anE Ihal I or any fulure Uuilding occupant wiiUwitl nol (cirUe one� need lo comply wi�h saiU 5lale fAdes antl Ille requiremenis for a permil lor consimction or mo0ilicalion irom Ihe Fir Oualiry Management Dislric�. ResiOential consimction apDlicalions are exempl iwm IM1eSe Drovisi0nt �a�e: AOPlicanl: I hereUy certilythal I havereao Nis ap0licalion ane statethai t�e aboveinlorma�ionis correc�. I agree to comply wilh all ciiy and county ordinances antl slale laws relaling lo �uiltling consimclion antl �ere�y aWhoriie represenla�ives oi I�is ciiy lo enie� upon Ihe above�men�ione� properly �or in5peciio� n purp05e� /�� oate� �� Signalu�e: _L / orivers I.icense or Socia� Securiry x� 16<L<6 �M1'hi�e—Bwltling: Green—COOe Enlo¢emenl: Canary—Appfcanl Pink—Revenuo: GoldenrOE—Assessor , � � � *' CZTY OF COSTA MESA — HUILDING PERMIT PERM NO; E 053652 PERMIT NO: E 053652 PLAN CHECK NO; N GOVT; Y SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION ; POWER PEDESTOL S(j FT; CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / COMMENTS: NO STRUCTURAL WOAK BEING DONE ******�t�t�t*�r�t*�r**�t*�t**a ***��r****x��r*****�r�t**********�t*�t�e*�e*�t�r******�t�r�t�t**�t�t�r*�r�r** Z O N I N G R E Q U T A E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL: 42220102 ZNE: REF NO; PLANNING NZSTES> . i *��e***�r■�r�r■*�r�****�*�**�r*�r�*+e**�e*�t�t�t*�t**�t**�t*�t�e��t*,e�r�*�r�t*��r*x�r+t**�t�t�t*«�t�t�t*�t�t�t� D E V E L O P M E N T .S E R V I C E S R E Q U I R E M E N T S 20NING APPROVED BY DATE; BUILDING APPROVED BY ; ' ' DATE; APPLICATION ISSUED BY; DATE; iFMifkMaFiF�fMikkM�f�kitkifif�fiF�kiF itkifMMitiFifM = OL'A�D�1 if�f�FMIFM�FlfifM�f�fkiFMM�F3F�fif�fiFiliFif�FiFiF�f3f�fkif�fikiFlflkklf3fif 3fifiF�fiFiFkififlEiFififiF3fk1F�t3fiEif�FiFiFiFiFMlF3FifiFlfiFiflE LEGALI2ATION;N F.-�E E S U M A R Y STRUCTURI►L SEGMENT;N PERMIT BLDG PMT PLUMBING ELEiTR 0 MECHANIC FIRE SMIP/RES GRADING �Ot SMIP/NON—RES PLAN ISSUE FEE 15,00 HUILDING—DIV—> PERMIT ISSU PLAN—CHECK TOTAL PAID DUE TOTALS----> 0.00 0,�0 0.00 0.00 ,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: .00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK iF iF if if if jt iF�f �f it k ik 1F it �F IF1f ik 1f if if if if M 1f if k 1f k if'lFif if if iF it �f k iF �F �f 3f if 1f'1f 1Flf if �k if'If if �f iFif M k�1f IF iF iFif iF M'If iF ik3F If if if if k 1F iF if 1f'1F �F I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 16.50 18.50 END OF FEES ��-�� / �� ^ �� \ �� .i:'r. . .� ,� " , .. ' CONSTflUCTION AND PLANNING APPROVALS Permit # i. Temporary Electrical Servi�2 or Pole J � PJ 2. 5`iJ'Pipe-Undrgrnd. rp ' � . ^. _.. .a . ��*ctrical Condajj't�lity�Elndrgrnd. Date Inspector p�ppROVALS Permit# Date Inspector 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms � �(}i`Electrical Condqyt�Undrgrnd.� 55. Efectrical Bonding� -- �b: Steel Reinforcei:ien� 56. Rough Plumbing & Pressure Test .^. ^ � �, _ �' � j � Electrical UFE�j r'r�tl. �� 57. APPROVAL TO COVER-GUNITE � . l � I Footings il��[" w 58. Electrical Conduit-Undrgmd. d -. 4 -1� `�"'Et, Foundation �`� `�' 59. Gas Pipe, O Undrgrnd., Test �' Q+ Water Pipe�Und�rgflld. � 60. Backwash Lines, P�Trap, O Undrgrnd. � 10. StrSctural Floor S`rystem 61. APPROVAL TO DECK . 11. Property $ewer Line^& Ho,oSe Connection 62. Backwash & Receptor-Final � 12. Sewe\ Cap `� 63. Heater & Vent-Final c, o 13. Roof Drains �n 64. Plumbing System � Final 14. Rough Plumbiri� �• 65. Electrical�Final 15. Rough Electrical'�Conduit 66. Soiar SYstem-Pinal 16. Rough ElectrinLNiring 67. Fencing & Access ApProval 17. Rough Wiring S�n 68. APPROVED FOR PLASTERING 18. Rough ElectricBDT Bar Ceiling ' 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT Cf'r-' � i-' �.0 . �! F IO � O.i,ftough ctory F'treplace i i�;n a-+ � �� trr +, PPR ,VAt6ioC�er,a�it # � -' i , u c. 21.�uc�S, i Str u "K i`"t" ''CS x `� `7 '7* x 5 �"" a r,7 �-. �. ��K i•••• NS M S J r+x x. 0. �dergYS�jH�ro X 'y2.rDuGIy, V,vitijating,::. i �S � � S �S�K � i,71. Produc . ing C[��7Qus O!Oil y,- .� . �. - `- � 23.�Fas�iP �oyQh &'iest i as � ty � � �� x' 2. Undergro.�il FI�(� r �,,-�, ' 24.pf�o � Frgrxiin5� Ow ' E-�F �^F * � O o" �* a S73SVUndergmd! Store�erTank �� Gas ❑ Oil � 25. RopySlithing ti% � N Y!-1 tn O Nxx �aG�Verhead'Hydro�E" �" � F v O > N �k '�' � 26,ti. -Bgg Ceiling (Stn�n�ural) &�nnacoat x� cp � t�x x 75D'Dry Chemical y ..>. F. � N 27 �Frame and Flashi4�}c'F '� �� "r ^* �R 76�""bry Stan,N�y e�� ' S ''� a �v � c >+ U7� r 'S� c..:t� i: '28.`'Lathin Sidin �: � ;m " 7 'r s � ``H �. 9;§ 9��'. '-�L;:. cc :� �� ••x.x 77cFIXEDS-1'43�EA+�57NAL,r c� v:K O �-+ •: •• = :k t*! * ^ ^ x cu �29. Insulati�ri ,�* S �, � �, 78'�FIRE PREV. Flf{J�L ;K �� rr30. Drywalliiyailing a;�y � w-. �r �� N l#EAL�h�EPY,f REQ:IJiIR�viENT '�31. Plaster Q,F w Co�x � � r ; � '" * 79.�FINAL I Po£-CTI�N � h �' v N �- 6 '� � F F � '� T' r32.5Electriczt�Power �erFinali , i- f y.�0{�.FOOD C�RQIFI,f,Fc��'E IS60�D �o - ' � ' a a �`-'�--•-'�- ' 3.'�in�Eleciri ^F � i Q' ,� ` '�N�s: r+' �� .•. o � »' i �H tin1 .,T1 V' F'1 � �`34 �.fin� Heatin F�r�,Col�.�itioj�� n ,� � +� v;�v �•S :15 x S Q 35 ^FinSP Gas Pip�-T�4tY "m . :1 r , I �. :• t^.o+� o:l h7S �� tr C [r-1 :H � r .. ,0. � .. K � �,36. Hoa� or Canopy � � ��,..�... 4, t,-� ,�fl7.�'Sin�Ttl FaMory Firep�ece� � S4 `� � tr, �$. Fin�Plum6ing M �n� j �� ,.�.i ;R � ^39. Wa4at Service�Final�� i sn * i .2 1 m40. Gas Service-Final y: h ,eCr�r S x ta � �11. Solar pomestic-Fina! � ii` •• .r. ps f"b2.-`�Backflow Preventer,'� ="' �J w � iJ x. �y - 43. Backflow Ir ation�� xSS A� r �4. Landsc��je I�ipatiop Systerr�d� j� ,� x �„ o v ?]15.CSound %�tterIIvatioriic �+ H '.� :t � �- t= (- � 546 E'Handiw" R �Iati�Ss � 5 �% [a • • xo t� � .. S t�o H � o . r.• �• �, e » * :. � 47.�F1f�9.L STRIJ�TU�E & 0U� • DING x I I � x n� � r' I Y. 48 �kll�iL PLA�JNINC� i FF x N I I i� t a c49.oEle�ic Release to Edison i w � !v +. Q ;`�raO.aGas.Release to Sou�em Cati�grrli� Gas Co x � ( : x_ r:,� �',$1. CERTIFICATE OF.;OCCUPF�N � � x � n No. Date H .l lA U ri2 tTl � �. � x po ocu x C 63� dr`s �Lo r+ x *' Q/ k , � F r: G r+ �: F � O o-' i � • nT?.:i C., rv S:� * N O s �� Y, . :-ib ••H R ao s a: .� � C� :Y O • F3� x• , O / I