HomeMy WebLinkAbout2498 HARBOR BLVD - Building Permits J
5382 F RECEIVED
COSTA MESA BUILDING DEPARTMENT i% / S'7,5F�
P.O. BOX 317 FINANCE DENT.
COSTA MESA, CALIFORNIA
CITY OF COSTA MESA
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT .
ADD EIS: 2 rye- R'202Y(‘'/t BUILDING
7
�(/) ,l�jC,O/STA MESA./CALIFORNINIA� /./� FOR OFFICE USE ONLY
OWNER /re K /� s7,9/4-- 4- deVi-l/ RECEIPT NO. PERMITcZ7
ECEISUED I
ADDRESS �- z� C' IRA//,C�R. aeva _ }' Y/� �(4J- 6°,TJej19.47
TEL. BUILDING r/ j� // .p /' //+� //��
CITY�"\� /' ,` N retro ADDRESS rA /VA-I\. Ay �� '+
ORc�yVEER/?7� �//�7�ae/Ay�ta/o. 1,J�7D-/ COSTA MESA. CALIFORNIA
ADDRESS 633w /y P�/R/G Are •/ ,bc FINE -
/�F /Csor/�p IIJJ ZONE / ` NO.OF TYPES GROUPJ M 6 w� Arc-NI O. [,(/ / // PLANS T
ADDRESS 7217 ...Ca—b....�/ of(n/ TN O./J'� S3 , APPROVED(•VEDATE J
LEGAL LOT // XVI" '' &
DESCRIPTION NO, YI,T' 2BL/O/C�K rI♦"Ac SIC}Ok��RRECTIONS
A.P.NO. / / ✓ [ vim^ D �11 J: ♦� ���/T � �p�11n�
SIZE .f. // NO.OF BLOCS. A,,�� ae !a i Y -�u/ I
OF LOT Iy /'/-Q� NOW ON LOT NV
USE OF .�J CITY Ot
( • II c, h' L.: I 1
EXISTING BLDG. hs'i' I/T • _ IT{ O j?I-?�r 11
SETBACK LINE FROM //YYY�" "J af/(�/jt� IKf//,•�./7—D— SUBJECT G. Der' . RE... I
CENTER OF STREET ('G O J %.:44-4-1
-/�/R/EEAR YARD� v
SIDE YARD RIGHT lje o ' %.: T .�— /O
DESCRIPTION OF WORK BY PLAN Tc /i! Di.Ti:
NEV ALTERATION ( ADDITION /O cc-.. _c
"7-1?/ -.",e.�� 4�
REPAIR MOVING DEMOLISH �j."/7 en, .e R Cc' / /e :75 ["?-7
BUILDING 54*' 7 SNO OF ` / / ,,4
SIZE ROOMS STORIES.R C.€1 ee��! 4/ 1/40-7�"� j
EXTERIOR WAL`n.. ROOF /
COVERING I'lt=Tj9--g- COVERING
USE OFNEW rgMo. /AK
Sn ee - /
BUILDING F_[ Y D /V /
7i0 .4io /*' Lc/ fl-d ed-4 •
/ aS ,psr !n/ 7'R-4v
II H REBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINAHGcC AND TE LAWS NEC INC ILDING C TRUC-
TION, r-�./(' / VALUATION
S 4.' PERMIT FEE $ roc
SIGNATURE OF
PERMITTEE .r••� CO' /' /J �. CO PLAN CHECK S L/
y
AUTHORIZED AGENT TOTAL FEE S /Y °' `9Nr
CITY OF COSTA MESA •
T�':`s=- BUILDING DIVISION .
A.
I.i r_ 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • fax(714)754-4856 • www.G.costa-mesa.w.us /,
�.,�� FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: E08-00363
PERMIT TYPE ELEC STATUS: ISSUED
APN: TPN00564 DATE ISSUED: 09/16/2008
' • - ISSUED BY: RMD •
JOB ADDRESS: 2498 HARBOR BL CM Suite/Unit: •
Vicinity:
SCOPE OF WORK: ELECTRICAL PERMIT TO RELOCATE EXISTING 60 AMP SERVICE PANEL BY 3 FEET LOCATED ON EXISTING BUS
SHELTER ON HARBOR BLVD AND FAIR OR. . -
OWNER: CITY OF COSTA MESA - ' Address: 'Unit
PHONE: _ City/State/Zip:_ '
•APPLICANT: N D ELECTRICAL CONSTRUCTION.INC Address: 2816 VIA AMAPOLA Unit: •
PHONE: 949-498-1799 - City/State/zZip: SAN CLEMENTE,CA •.
CONTRACTOR: N D ELECTRICAL CONSTRUCTION INC - - -License No. 779970
Address: 2816 VIA AMAPOLAUnit: PHONE: 949-498-1799 - -
City/State: SAN CLEMENTE,CA ZipCode: 92673 . CELL: •
•
ELECTRICAL PERMIT FEES.
Electrical Plan Check Fee: $0.00
Electrical Permit Fee: $0.00 -
Reinspection Fee $0.00 .
TOTAL FEES ..
•
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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. ,
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.
COM 0 INSP€OingU PE D.511 INTITIAt4 cOPE! INSPEC110N TYP@ MR IN11AL8
1818 Fixed System Final Fire Prevention 208 Final Mechanical
1288 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical 0 n p6--
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 -
WORKERS'COMPENSATION DECLARATION: . Owner ID verified by driver-....ense. 0 Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations:, Drivers License No. Expires: '
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: • -
section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. My workers' compensation In rance carrier and policy ❑ I hereby certify that no excavation five(5)or more feel in depth into which a
number are: `c�//-- .,o person is required to descend,will be made in connection with work authorized
�Garrier) rrol i` ^L Ul by this permit,and that no building structure,scaffolding.falsework,or demolition
(This senor need nrororoo1111 bemnpeted Rnepema b valued a me nwared dolars(SIMa less) or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2.Grp
V/ //-- 2,Art 2,Sec.341,Title 8.California Administrative Code).
Policy'Number: ICJ —0(o?
%..._____1 ❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' •mpen atio provisions of Section 3700 of Applicant's Signature Dale
the Labor Code,I ..I1 ' hwi�m`p/, 'th L•se provisions.
r— / e ..// `: 9 _/to_•op] Division of Industrial Safety Permit Number:
-Ap•i.. sSign.tune t �r� fHAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes ❑No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons.or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No
J
Licr#�i
10
Class# e —1 0 L (Section 25533 of the Califomia Health and Safety Code, with some
27 •L—ion S exceptions, requires registration with the Costa Mesa Fire Department by
r� each business which at any one time has on hand a quantity of acutely
u Signatur t----Dale 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
CONSTRUCTION LENDING AGENCY: �'�� temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097.Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: • . hazardous materials)? ❑Yes 0 No
;. (Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑No
I hereby affirm that under penaltlyof perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If yes', the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
0 I, as owner of the properly, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own
8. (If yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he.or she 'CERTIFICATE OF COMPLIANCE: I certify-that under penalty of perjury.the
did not build or improve for purpose of sale.). . information given above is correct. I agree.to comply with all state laws and
❑ I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and'Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code:The contractors License Law does not apply to an owner of . Signature 'Dale
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractors)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
El I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
. ordinances relating to building construction,and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes: I agree not to occupy or allow occupancy of any building
authorized by this permit un/f :nal lisp ti n. .Q
. Date
rL-i"!6 '.,DS)
Signature - Date
3057-46(3/07)
-An./. AUD oozed 'p n —pale
tPR0JECTAD0RESS: 2 UNIT: .'
498 HARBOR BL CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 070448
OWNER'S NAME: CITY OF COSTA MESA
ADDRESS: 77 FAIR DR PERMIT NO: E 070448 PLAN CHECK NO: N GOVT: Y SUPP: Y
C.M. 92628
CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE; OTH
ARCH/ENGINEER: REG.NO.: .itJF VESC'RIITION L INSTALL, ELECT. SERVICE TO BUS SHELTERS SQ FT:
ADDRESS: UNIT:
CLAIM VALUE; CALC—VALUE: GROUP OCC : B-2 /
PERMITTEE:
ADDRESS: N2$16 EliEKT&Tj,�POLA ( 714 ) 498 1'? COMMENTS• POWER TO BUS SHELTER FOR LIGHTING SUPPLEMENT TO E67062
SAN CLEMENTE CA 92673 ********4*****>t,+«*********+r****************4*********** k***********************
LICENSED CONTRACTOR DECLARATION: I hereby allirm that I am licensed under provisions al Chapter 9(commencing with Section Z ONING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITYLIC.: 960254 STATE M.:523613 CLASS: C-10 EXP: 10/95
Dale:—/ Z--LrS —IC-- signature:—
MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN
POLIcrND.: 1066062-94 EXP.DATE: 01 /01 /95
COMPANY: STATE FUND PARKING REQ: PROV; PARCEL: 00000000 ZNE: REF NO:
': Certified copy is hereby furnished. ® Certified copy is Med with the city Building Division. PLANNING NOTES>
^Date: IZ... Z3 4t. Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Tlis sectiml need not be completed if the permit is for one hundred($700)or less). DEVELOPMENT S. E R V I C E S REQUIREMENTS
I certify that in the performance 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 California. ZONING APPROVED BY DATE;
Date: Signature: •
NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE_:
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
it
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: , DATE: ia4�°
which this permit is issued(Section 3097,Civ.Cl. ************************** * M*********************************** #* * * **
LENDER: ************************** * ***** ********************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SECMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Lawlor the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 1850
,
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she Is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 71100)of Division 3 of the Business 5 0; SM I P/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). ISSUE FEE 4 , 50
I. as owner of me property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered far sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTAL S————> 0 . 00 0 , 00 0 . 00 0 ,00 . 00 ,00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale.II,however the building or REVENUE DIVISION TOTALS--> COLLECTED• , 00 OVER/SHORT: ,00
orthe purpose improvement iso1 d sold sale).within one year of completion,the owner will have the burden of proving nelsne did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN—CHECK
for
I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
❑ and Professions Code: The Contractors'Stale License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware *****************************************************************Jot-*************
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN
❑ I am exempt under Section: 8.8 P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: PN11er: ELE 1 SERVICES BELOW 600 V 5 BELOW 201 AMP 18 , 50 •
18 , 50
I do hereby certify that I am aware of and understand the requirements al California Health and Safety Code Sections 25505,25533.and END OF FEES
25534 and that I or any future building occupant wilvill not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above'mentioned
property for inspection purposes. 01 00173711-00173711 TOT .00DATE: 12/20/94 TIME: 09:59
A)ate: /L^2%"'Y( Signature:
Driver's License or Social Security,#:
1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CONSTRUCTION AND PLANNING POI. . SPA
APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Sery?e or Pole,r„ 52. Pool & Equipment Location
C-
2.uSoil Pipe-Undrgrnd. •-• l'' - 53. Steel Reinforcement
,1' t•,
E. . Electrical Conduaiility-C7ndrgrnd+N 54. Forms
r
4.' lectrical Condui^'dlr)drgrnd. I D 55. Electrical Bonding
01 r4 1.6.°Steel Reinforcer? ? ' "�'�; 56. Rough Plumbing & Pressure Test •
•'?i$:oElectrical UFER G11O. ••1 57. APPROVAL TO COVER-GUNITE
hn7 v'F, „
r Fptings tn1 rt-1.
q.. - 58. Electrical Conduit•Undrgrnd.
-78: Foundation r, 59. Gas Pipe, 0 Undrgrnd.,Test
1-t nt •-1
9: Water Pipe-UndrgPnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Linei& Ho.L3e Condattion 62. Backwash & Receptor-Final
...312. Sewer Cap cr q. 63. Heater & Vent-Final
13. Roof Drains 7• '? 64. Plumbing System - Final
I-•
14. Rough PlumbinC `1' -. 65. Electrical-Final
15. Rough Electrical:Conduit-. 66. Solar System-Final
16. Rough Electric\Rjring ;�, 67. Fencing & Access Approval
17. Rough Wiring Sig'o 68. APPROVED FOR PLASTERING
18. Rough Electrical;T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT
.-, r P"-. n•C• • r., h. a •-• C• •1-,w E- • V'
20.t'Roujh Factory F-4lace I cant •,t"7 • O c) rrt t r•APPRVVA gj`7'_Perf-$4it # _3
21.1-.1.Ducts,in.;Stroctur .. I •• •• 1a_. -. a: C: -+ • 1 '70. U3ndergPJUAtt l-l',4 ro •
t 1.47.1
71 4
22..Ducit, V¢htili;tint•• i `)- • <I ; : P1ii. ProducGp<�i11 Cit• s O'Oil
1 C -3• I 1.1 • a L. CJ F+ r < ,7(J Y'g t
23. 'laas
'.pea ot_gh& test i t•1<_: a n1 c' �r Oi .• '-' roOdrrn tral•� H
U 4 0- Undergrol_'' Flt'
24.t'RooTFraming. „.? E ,Yhl O ti N ' 6 `'734_JndergrnStor thank 47 Gas 0d?
25. Roof,She�thin [ILl ?• N , pl P7 on r+
9 o;.t ¢ v i t V coy • �74.r.Overhead HydroO
... . ..• r1 -. • -•
26.--T-806Ceiling 1Structurall &:A� oat 4 h7 C; b•' • 75CFDryChen ^al :7 • "' 1 '
?).,Frame a0.d )Flashir' 7! - 77 • , , 6l t.1<. r a, o4
H.
g otr.7; a c• >. m'• • 76. Dry Standpipe F-7)
- :/.' t f, • C' ni
-28. Lathing& Siding")} of ! ?5= a: r 3: 77.E FIXED S�^��cctE NALt ' '
)29. Insulation �:'• (^ -- • . 78.FIRE PREY. FINAL • :: c:
'30. Drywall Nailing `i• 11 H E+ - Na •
Fi f flial. t EPTfREQUIREIIENT
-31. Plaster 8mrywpCow n'tr • N h i • INAL I<`pP_ECTIftIN • ,
z
- .,- lectricaPPolver MbteFHilal t i 1J' v i "'.1 ;: 000 CESRTTI
,82IFI tE IS3I D , `l
711 a
1.33.-FinA Electric_. 'l'a nj 5 . /4 'r li • .�' .•tett:• '--i "7n7 a '31 0 n!
/.7 - - " -. .....-‘4--€413....._a__________i -..--";
•1'4.(£inat Heatinc& Air,Corlt#ition11 lobs t 4 . a: •'.1 C-131: 1 _. C'
r t7' 1-4 7• 1 rla to PL 1-47-13314 ;:. • t '33 1-in ,t!I F^:: I 71
r 71 77 • 3 10 4,: '''1 '11.:. a n' '
35.�7•`,inal'GasPip -Te (, `r .. iI7; a 37.
ft c: - - , HI 1
a36. florid oriCanopy -:• C7 I n C) , (1 • t Y: 333 nc' S ;."
0a Cl 17;n, 0 • • • M 7:b • hj f•h1
_37. ' in4I:FaEtory FireplCe 7 F,F pa * 01
n' i
c ;N a -
-38• . FinaIiPl61f1bing 73* moo) , 0 a • - <: 1.1 e 71 0
'39. Water Service-Find1 ; t t 7; p + :•. t 1 `; , r1: .
., t
405 Gas Servi.,e-Final .+ N <:n'n' _[ • rn i + - c la aN 4
rn it,• -,a.,t. m • jl • , F. • c- a. t .
441. Solar Doym;7 estic-Fiia) :5; i,: '" ; `` ; 3 0 ;,• n• - - C
1
42.t8acklowPreventpn. r• r: a f ; ; tt; 5-.• + C! :-
9
m ..- .,• 1 0a-1,.: • b+ , , III i11i1 • F,
{ a n 0:W • r1 O,
43. Backflow Irrikatiop., j: • 7• , 4 nj t •
144. Landscape Irrigation Systemm•,7O m• • n1 t:) r) :ls .• 7: N 01 a:Ca • 11)
... .Th r.. ,.w r• ht ,:. cr i a 71 •j' }• (10. t t. r,
45. and tte atiEi 7,r n' • >- E r : • f• i-+ 1.-
/
VI 1l:• t
tom q �y �• .. + n1 n7 1177 t 1-• C H• • 1
r1
:O6. Handicap•Regalations r1 Ci r n r. s :? "• 4
.. . <• • : t' rn 0 a •
47.:PINR1L STRUCTUF;E& BUI:OING , ti ) n) _:
48.:61NtL PLANNING• I F.F. •• in • • 01 N r'
49.'Eledtiic Release tolson .17; 1 -7
Ptd I i ' '. nT i •c1 •
.50.'Gas'Release to Soutl•ern Califo10F
rnia,Gas Co ; ? I • • . C! • Om 1
1 r a • a .. S C.C1 Cl • ni
:51. CERTIFICATE OF OCCUPANCY i a • S ra roc) * - _
No. Date
/
PROJECT ADDRESS: UNIT:
OWNER'SNAME: 2498 HARBOR BL CITY OF COSTA MESA - BUILDING PERMIT PERM NO; E 067062
ADDRESS: CITY OF COSTA MESA
,� 77 FAIR DR PERMIT NO: E 067062 PLAN CHECK NO; N GOVT: Y SUPP: N
I
C.M. 92628 ,
CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH
E 4flGN/ENGINEER: MONO.: JOB DESCRIPTION : INSTALL , ELECT, SERVICE TO BUS SHELTERS SQ FT:
ADDRESS: UNIT;
PERMITTEE: CLAIM VALUE: CALC-VALUE: GROUP OCC; B-2 /
ADDRESS: N D, ELECTRIC (714 ) 498-1799
N.D.
VIA AMAPOLA COMMENTS- POWER TO BUS SHELTER FOR LIGHTING
SAN CLEMENTE CA 92673 ********4******************************************************************************4**********************************************************************LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section
70001 et Division 3 of the Business and Professions Code,and my license is in Wn force and effect. Z ON I NG REQUIREMENTS
523613 Iy
SETBACKScar Lit: 0 54 STATE tic. FLASS: C z v
Date: O -5e< Signature:_ /_
MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm Chau have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
Compensation Insurance.or a cert0ied copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
P9ucYNa.: 1066062-94 EXP.OATS: 01 /01 /95
COMPANr STATE FUND PARKING REQ: PROV: PARCEL; 00000000 ZNE; REF NO:
I Certified copy is hereby furnished. cl Certified copy is Pled with the city Building Division. PLANNING NOTES>
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Date: —(0�� `,.�,C Wicant: *******************************************************************************
EXEMPTION PROM WORKERS'COMPENSATION DECLARATION: (This section need Prof be completed if the permit is for one hin Bred(57007 or fess). DEVELOPMENT S E-"R V I C E $ R E Q/� U I R E M E N T S
I artily that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become r - iC
SAW to the Workers'Compensation Laws of California
Date signature: ZONING APPROVED BY v+. DATE;
NOTICE:if,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY ;
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. 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(Section 3097.Civ.Cl. APPLICATION ISSUED B Y: ..%.i DATE:
***********************W*W*******4e4* as r * .*****TE**aa***************" ;s- '**
LENDER; ********************************169E************************************ ** *****
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL EGMENT:N
OWNER OUILOER DECLARATION: thereby affirm that l am exempt from the Contractors'Slate License Law ter the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of County which requires a permit to construct,alter,improve,Demolish.Or PERMIT
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed 12 . 5 4
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 70001 of Division 3 of Business 5(1)% SMIP/NON-RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dotars(SSOO), ISSUE FEE 15 .00
I. as owner of the property or my employees with wages as their sole compensation. wit do the work, and the BUILD ING—DIV-> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
o structure is not intended or offered lot sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTAL S----> 0 . 00 0. 0 0 0. 00
does not apply to an owner of a progeny who builds or improves thereon,and who does such work himself/herself or through0. 00 , 0 d 0 a
his or her own employees. provided that such improvements are not intended or offered for sale.It,however the building or
improvement is sold within one year of completion,the owner will nave the burden of proving he/she did not build or improve REVENUE DIVISION .TOTALS--> COLLECTED: .00 OVER/SHORT: ,00
Mr me purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business
U and Professions Code: The Contractots'Slate License Law does not apply to an owner of property who buitd50r improves thereon
andwhocontracts forsuchorOleclS with aconnractora}ticensepursuan'tome Conttacle's'State Lkense Law).I am a ware ** * ***** **** ***.
„** * * *********** *.******.***,*.******.********************************
that proof of their Worker's Compensation insurance should be provided to me. IND I V ID UAL F E E BREAKDOWN
U I am exempt under Section: B.&P.C.
for this reasonr
TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner:
I do hereby cenily that I am aware of and understand the requirements of California Heallh and Safety Code Sections 25505,25533,and ELE 2 FIXTURES, LIGHTING 1 $T 20 EA. , 75 1 , 50
25534 and that l or any future building occupant wiitlwdl Pro (circle one)need to comply with said state codes and Me requirements for a ELE 1 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT .03 . 04
permit for construction or modification from the Air natty Management District.Residential construction applications are exempt from ELE 1 M I SC CONDUIT NOT LISTED REQ PERMIT 11 ,00
11 , 00
those pravision5,
END OF FEES 01 00160304-00160304 TOT .00
Date: Apptcanl DATE: 05/10/94 TIME: 11:59
I hereby certify fiat I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and stale laws relating to budding Construction and hereby authorize representatives of this city to enter upon the above'mentioned
properly for inspection purposes.
�-(t 414 =-~-
Date: Signature:
Driver's License Or Social Security t
1641.45 Wtnte-Buitdrng:Green-Code Entorcemene Canary-Applicant:Pink-Revenue:4oldonrod-Assessor
iPOt. a SPA
iC.a..IUSTRUCTION AND PLANNING
I
APPROVALS Permit# Date Inspector APPROVALS Permits Date Inspector
1.•Temporary Electrical Service'er Pole 52. Pool & Equipment Location
II� 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' • i
{ 3 Electrical Conduit Utility-Undrgrnd. _ 54. Forms _ __�
illli 4. Electrical Conduit-Jndrgrnd.i, T. 55. Electrical Bonding
1
5. Ste& Reinforcement 56. Rough Plumbing& Pressure Test 1
G. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE I
+ - ---- ---I
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, O Undrgrnd.,Test -1
9. Water Pipe-Undrgrnd. ',2 / - 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System ..ii-. i \ 61. APPROVAL TO DECK i I
11. Property Sewer Lino & House Connection 62. Backwash & Receptor-Final • . i
I
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains ! 64. Plumbing System - Final
I
14. Rough Plumbing 65. Electrical-Final
15 Rough Electrical-Conduit 66. Solar System-Final i
III •
-~
16. Rough ElectricWiring r 67. Fencing & Access Approval
17. Rough miring Sign 68. APPROVED FOR PLASTERING
18. Rough Elect.ica6T Bar Ceding 69. POOL/SPA SYSTEMS FINAL
19 Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
•
20. Rough F,ictory Fireplace APPROVALS Permit t
21. Ducts, H Structure - __�-� -�
70. Underground Hydro
22. D.._-s, Vr•nt'latinc -�
71. Product Piping Gas 0��
_ H
23. Ga. Pipe-Rough &Test - 72. Underground Flush-
_ _ .--
24. Roof Framing. - 73. Undergrnd.Storage Tank 0 Gas : 04
25. Root Sh_athing ' 74. Overhead Hydro It
rib. 'T-Bar Ceiling IStructurall & 'Monocoat 75• . Dry Chemical I _ }--
27. Frame aca Flashing76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL
29. Insulation 78.- FIRE PREY. FINAL � '
-33. Drywall 7tailing HEALTH DEPT. REQUIREMENT '
1
31. Plaster Brown Cort - 79. FINAL INSPECTION II I '
1 ----` i-=-}--- --- -�
32 Electrical Power Meter-Final . 80. FOOD CERTIFICAI-E ISSUED 1
33. Final Electric /9. 131 Notes:
34. Final Heating& Air Conditioning ' I
35. Final Gas Pipe-Test -
._ --------
;36. Hood or Canopy -- ---- --1
37. Final Factory Fireplace l
.
.-38. Final Plumbing
39. hater Service-Final •
t 40. Gas SerceFinal �- 1
v,
r41. Solar Domestic-Final
42. Backflow Prevanter - T ,
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations ,
-^ - --i
47. FINAL STRUCTURE & BUILDING j
48 FINAL PLANNING
49. Electric Release to Edison -J
50. Gas Release to Southern California Gas Co . - -
51. CERTIFICATE OF OCCUPANCY
No. Date •
1