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Home My WebLink About1854 KENTUCKY PL - Building Permits CITY OF COSTA MESA o� Mt, BUILDING DIVISION F ggg' 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us n • FOR INSPECTIONS CALL: (714)754-5626 4°'°""`° PERMIT NUMBER: E10-00079 PERMIT TYPE ELEC STATUS: ISSUED APN: 13904112 DATE ISSUED: 05/07/2010 ISSUED BY: RMD JOB ADDRESS: 1854 KENTUCKY PL CM Suite/Unit: Vicinity: REAR OF HOUSE SCOPE OF WORK: ELECTRICAL PERMIT TO UPGRADE SERVICE PANEL UP TO 200A FOR A SFD,SAME LOCATION(REAR OF HOUSE). OWNER: FOX ROBERTA L Address: 1854 KENTUCKY PL Unit: PHONE: City/State/Zip: COSTA MESA,CA APPLICANT: LARA,JIM Address: 3857 BIRCH ST Unit:STE 302 PHONE: 949-294-4031 City/State/zZip: NEWPORT BEACH,CA CONTRACTOR: LARA ELECTRIC License No. 766020 Address: 3857 BIRCH STUnit: STE 302 PHONE: 877-336-9874 City/State: NEWPORT BEACH, CA ZipCode: 92660 CELL: ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $54.00 Reinspection Fee $0.00 TOTAL FEES $54.00 • 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: 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. CODE S, INSPECTION TYPE DATE IN1I11ALS CODE r INSPECTION TYPE ATF INTnIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof - 210 Final Electrical ON I" 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 drive a license. 0 Yes ❑No I hereby affirm under penalty of perjury one of the following declarations: Driver's 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 Insurance carrier and policy El I hereby certify that no excavation five(5)or more feet in depth into which a number are: 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 Carrier: 1 7.r5 C.0 MR or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp (roil section need not be completed d the rmd is valued at one hundred dollars($700)a'fess.) _ 2,Ari 2,Sec.341,Title 8,California Administrative Code). Policy-Number: W E N 00 3 D CO' -O")-- ❑ 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' compensation provisions of Section 3700 of Applicant's Signature Date the Labor hall ff hwith comply with these provisipns. C7/`'� / _,- Division of Industrial Safety Permit Number: Ap li�cant's,Signature �1e HAZARDOUS 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 0 No (5100.000). 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 fled 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 Lid,'# 6601-o Class;#. —/0 (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by . = 7S��ro each business which at any one time has on hand a quantity of acutely Comratlor's Signature .Date= 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)? 0 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 0 No I hereby affirm that under penalty of 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 California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished 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? 0 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). O I. as owner of the property, 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 O 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 Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that 0 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 until final inspection. Signature of L gal Owner(s) i Ogle Signature Date 6"^"1 577/ 1 a 3057-46(3/07) And/or authorized Applicant (--Date---"- W"natal' JOB ADDRESS yVVLW1S5' Kentucky Place BUILDING PERMIT NO. 26602 GENERAL CONTRACTOR A. .B. G truction Co. DESCRIPTION OF WO' Add den to res. SAP No. 139-041-12 LOT TRACT FIRE ZONE \'nLUE $ 3,000.00 INSPECTIONS _ Signature Date GROUP I TYPE V ZONE R-1 Soil PERMITS ISSUED Gas SUBCONTRACTOR I Date I Number I Signature Water Plumbing Rough Plumbing Prop. Swr. Line 0 House Con..0 _ Sprinkling System Miscellaneous Rough Heating and Air Conditioning /,fi— .9- eC7 Temporary Service or Pole Underground 0 Power 0 _ Rough Wiring tflr4- ",.24-C7 Looting and Venom p9 Trenches Forms CTI_ Steel Reinf. p APO- 3,_ji_G7 4. . , Att t'. /-4,24-4 y 4LYoo 4,1 Floor System 4/M ,._f6 _67 / Bond Beam 0 Steel Reinforce 0 SheathingiQiI4- 2.-I(-67 I Frame and Flashing i.4, .2 -7-y-67 Lathing — In al Out 1.--2-7-67 /OW 3-3- 67 Plaster, Brown Coat • 40519 3-i5"--6, I Structural, Final Electric Heating, Vent., Refrig. and A.C., Final O, 3-Z/-67 /1.5 . f�,�11/N , . -- nag/NZ: Plumbing, Final and Gas Test 0 Electric, Final _fl*j Y,-f-C7 Building, Final in 5-47 rir 2E6U� 'z 6*7 99 iI�'_ � i COSTA MESA BUILDING SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIAORNIA92626 - For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING 4/3/Y/ O For Ofiico Us. Only woo ena.�2 $'4 � �C� 7 / RECEIPT NO. PERMIT HO. COSTA MESA, CALIFORNIA 2440 OWNER Jn,A h /Vie) O r -- / /1 s— Rti !/7/Eq Y DATERECEIVED _ DAA[iglu.. / v-6.; / el17/- a �f, pe /� / BUILDING eryf�Gk Tarn /6' £ it /124Tcc7(7 PN ADDRFIRE 2 CITU ED,Y TA l 'L grt. 2-.6/ ZONE Cl //f�jJTYP Y.Q GROUP �"/r�J`y ARCHITECT rj TEL ^ '�`.,. APPROVED ��./ DATE/1/ _(� �NOINE[R ..,4: 1l.? /C �-jS/ek NO• a/- ickie ZONING ADDRESS //)- -&U K4 PiIJyo !!Pte.. ZONE yKl I I NO.OF I ESR of N[w, PLANS SUI LDIN O CONTRACTORA AF{('e 4/v Thz c Toy H DGARLlmoN yy 34 yd ADDRESS !/la PAl,A fAfo /fAG e, CITU l (7 J T 7/ tel.-. A.P.NO. /3 q- b '7` / - 1 .2- `_4t / (KGY� NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIC.TE NO. �� 7 / L 7 NNO.$ 80•TO SIDE B REAR F L. SIZE I NO.OF BLOCS. ALVES LOWED (U.B.C.REQUIREMENT) OF LOT NOW ON LAT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING B • • - (FROM C/ STRET)E SETBACK LINE FROM FRONT OPT. T" PT. CENTER OF°TRW REAR YARD SIDE YARD I LEFT t RIGHT R.SIDE ) FT. PT. DESCRIPTION OF WORK LL on !' FT. i ALTERATION ADDITION I REAR �Cl FT. FT. DISTANCE BET. BET.MAIN& REPAIR MOVING DEMOLISH MAIN SLOGS. ACCESS.SLOGS. BUILDING NO.OF VAR.* DATE SIZE ROOMS STORIES C.U.P.# APPROVED '/ -1 7 / EXTERIOR WALL I ROOF COVERING APPROVED 71 DATE 7"--o2 COVERING USE OF BUILDING AND WORK TO BE PERFORMED B, 01 � c X447 , }} /� _ W2BBQ.rT. I HEREBY ACKNOWHE B THAT.' NAVE READ DOE APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE N AND TE 'NAT THE ABOVE IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS RE ULATINO VALUATION N. BUILDING CONPTRU 81GNATURyT/W Qt PERMIT FEE $ /LlW PBRMITTBE !'_ A (<7.414; J C��^� a 3 OM / PLAN CHECK S 6/QO w ` /car o AUTHORIZED AGM' / /^p,' - . . . ., a ... , ....,. . . TOTAL FEE .FJ `+ ' DO "' FEE RECEIVED 12032 __ci i�MAY 2 6 1960 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P. O. BOX 317 COSTA MESA. CALIFORNIA CITYCITYVn� i- COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS 1854 Kentucky Place COSTA MESA. CALIFORNIAFor Office Use Only PERMIT NO. I9f OWNER Vermont Avenue Land Co. , Inc. RECEIPT NO. r4^ IISUled MAIL Rem I 1 A5 E7yf!/I DMAY 11 7 ADDRESS 419 E. 17th St. REL bc} 196 I CITY Costa Mesa NOLs 8-115S ABDDRESSUILDING ARCHITECT OR LATERCarlson & MiddlebroTa COSTA MESA. CALIFORNIA / ADDRESS Garden Grove - FIRE - ZONE TYPE I/ GROUP (y 7 CONTRACTOR Dike & Colegrove, Inc. APPROVED BY DATE ADDRESS 419 E. di7th St. ZONING ZONE HO.OF USE OP NEW 811161. Am. CITY Costa Mesa R-1 I PLAHB 2 I BUILDING w/ att gar, L.IC TNO.E 167293 TNO. Li 8-1159 DESCRIPTION L. LEGAL Lot 44, Tract 3648 SI nor 501 X 851 I NO. OP BLTBnone Now ON LOOT A.P.NO. none USE OFnone YARDS EVES EXISTING BLDG APPROVED ALLOWED It, /a SETBACK LINE PROM 551 I (CENTER LINE ST.) CENTER OF STREET REAR YARD 2O /+FRONT . Ca FT. ` A/IN. SIDE YARD I LEFT 7' I RIGHT SIM R.SIDE /0 FT. IN. DESCRIPTION OF WORK 7 L.SIDE FT. IN. NE' I XII ALTERATION I II ADDITION I REAR a 0 FT. IN. REPAIR I II MOVING I II DEMOLISH I APBYPROVED W. L. D. DATE 5-13-60 SIZE DIN` 365 sq.ft. ROOMS 6 STORIES 1 .4P/1"/ EXTERIOR WALL ROOF C COVERING At lleCO I COVERING comp. USE OF BUILDING AND WORK TO BE PERFORMED Single family residence and attached garage. Plan 10A I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OP ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION SIGNATURE OF Dike & Colegrove, Inc. PERMIT FEE $ 34.00 N PERMITTER a_ �j/�J�' $ 14,179.00 PLAN CHECK $ 17.00 R. AUTHORIZED AGENT / V��—_ TOTAL FEE 5 51.00 0