HomeMy WebLinkAbout583 TRAVERSE DR - Building PermitsCITY OF COSTA MESA � • • � .' -'
��'�pMF BYILDING D/VISION
it�� 77 FAIR DRIVE. COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us
� � FOR INSPECTIONS CALL: (714) 754-5626
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PERMIT NUMBER: E10-00135
PERMIT TYPE ELEC STATUS: ISSUED
APN: 41802205 DATE ISSUED: 06I16/2010
ISSUED BY: CAC
JOB ADDRESS: 583 TRAVERSE DR CM
vicinity: .
SCOPE OF WORK: UPGARDE SUBPANEL AND METER TO 200 AMP
OWNER: VAN CRAFTON, RICHARD
PHONE: 949-307-5997
APPLICANT: LIVE WIRE
PHONE: (949) 307-5997
Address: Unit
Ciry/State:
PHONE:
ZipCode:
ELECTRICAL PERMIT FEES
Electrical Plan Check Fee: $0.00
Electrical Permit Fee: $84.50
Reinspection Fee $0.00
TOTAL FEES $84.50
Suite/Unit:
Address: 583 TRAVERSE DR Unit:
City/SWte/Zip: COSTA MESA, CA
Address: 650 W MAIN ST Unit:UN1T D
City/State/zZip: TUSTIN, CA
License No.
CELL:
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NOTICE: The 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: 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.
CODEN. INSPECTIONTYPE OrITE INPTIALS COOEp INSPEC710NTYPE ORTE INTITIRlS
7616 Fized Syslem Final Fire Preven�ion 206 Final Mechanical
1266 Pool Spa Final 20B Final Plumhing L
200 Final Re-Roof 210 Final Electncal �p "l��/� 0��7�
201 Final BIocWRetaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site '�'~
204 Final Demolilion 250 Final Building�Occupancy
WORKERS' COMPENSATION DECLARATION:
I hereby affrm under penalty of perjury one of the following tleclarations:
❑ I have antl vnll maintain a certifcate o( consent to self-Insure for workers'
compensation, as provided (or by section 3700 0( the Labor Cotle. for the
pedormance o( the work for which Ihis permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by
sectbn 3700 of the Labor Cotle, for t�e pedormance of the work for which this
pertni[ is issued. My workers' compensation Insurance carrier and policy
number are:
Carrier.
(This sedqn need rpt Oe mmple(etl Af�e peimrt is valuetl af one �untl�ed tlolla�s (3100) or less )
Policy Number:
Gc�jl certify lhal in the peAormance of the wo�k for which this permit is
issued, I shall not employ any person in any manner so as lo become subject
[o the workers' compensation laws of Califomia, and agree Ihat i( I should
become subject to the workers' compensation provisions of Section 3700 of
the Labor Code, I ai orthwit omply with these provisions.
' Ap�llGan(sSlgnaWr �l�D e
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WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aNrm that I am licensed under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Cotle, antl
my license is in (ull forc/e a,n/d e ect.
@tc'#� �l ii'!J7 �Jass�n C ��6
�� ID�/G�/O
'Cont sSgnaWre � e-��la ��
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CONSTRUCTION LENDING AGENCY: G='�
❑ I hereby affrtn lha[ there is a construction lending agency for the
pertortnance of the work fa which this pertni[ is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Adtlress:
OW NER-BUILDER DECLARATIONS:
I hereby affrtn lhat under penalty of perjury lhal I am EXEMPT FROM THE
CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5,
Business and Pro(essions Code: Any city or wunry which requires a permit to
construct, alter, improve, demolish, or repair any simcWre, prior lo its
issuance, also requires the applicant for such permit to fle a signed statement
[hat he or she is licensed purSuaN to the pmvisions o( lhe Contractors
License Law (Chapter 9(commencing vnth Section 7000) of Division 3 of the
Business and Professions Cotle) or thal he or she is exempt lherefrom and
the basis for the alleged exemption. Any violation of Section 7031.5 by any
applicant for a permil subjects the applicant lo a civil penally of not more lhan
five huntlretl dollars ($500).):
❑ I, as owner of the property, or my employees with vrages as iheir sole
compensation, WILL DO THE WORK, and the strucWre is not intended or
offered for sale (Sec. 7G44, Business and Pmfessions Code: The Contractors
License Law does not apply to an owner of property who builds or improves
[hereon, and who does such work himsel( or herself or through his or her ovm
employees, provided that such improvements are not intended or oRered tor
sale. If, however, the building or improvement is sold within one year o�
completioq [he owner-builder will have the burden o( proving ihat he or she
did not build or improve for purpose of sale.).
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to consWct Ihe pmject (Sec. 7044, Business and
Pmfessions Code: The contractors License Law dces not apply lo an ovmer of
property who builds or improves thereon, and who cont2cts for such pmject with
a confracta(s) license pursuant to lhe Contractors License Lavrs.).
❑ I am exempt under sec.
Business and Professions Code for this reason:
3059-46�3/0])
Owner ID verifed by tlriver s license. ❑ Yes ❑ No
Driver's LicenSe No. Expires:
Verifcation of Ownership by (rype of documen[, i.e. - property lax bill or tleed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certrfy that no excavafion frve (5) or more (ee� in depth into which a
person is requiretl ro tlescend, will he made in connectbn with work authodzed
by Ihis pertnit, and that no building strucWre, scaHdding, falsewurk, or demolition
or dismantling thereof, will be more than thirty-six (36) feet high (Chap. 32, Grp
2, Arl 2, Sec. 341. Ttle 8, Califomia Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which woultl
require a permit from the Division of Indus[rial Sa(ety, as noted above, unless
such person has a permit to do such work trom Ihe division.
AOPliwnfs SignaWre �ate
Division of Industrial Safety Permit Number _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant need to file and
certify a Business Plan for emergency response to release or ihreatened
release o( a hazardous material? ❑ Yes ❑ No
(Section 25505 of the Califomia Health and Safety Code requires, with some
exceptions, tha[ a Business Plan be fled with the Costa Mesa Pire
Department by every business which has at any one time during a reported
year a quantity o! hazardous materials equal to or greater Ihan a weighl of
500 pounds, or a volume of 55 gallons, or 200 abic feet of compressed gas
al s�andard tempereture and pressure).
2. Does or will the applicant or present or future builtling occupant need to file
a registration form for acu[ely hazardous materials? ❑ Yes ❑ No
(Section 25533 0( the California Health and Safety Code, with some
exceptions, requires registra[ion wim the Costa Mesa Fire Department by
each business which at any one time has on hantl a quantity of awtely
hazartlous materials equal to or grea[er than a weight o( 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperaWre and pressure).
3. Does or wi0 lhe applicant or present or fuNre building occupant need to
prepare an RMPP (Risk Management and Prevention Program (or acWely
hazartlous materials)? ❑ Yes ❑ No
(Section 25534 0( the Califomia Health and Safety Code pmvides Ihat Ihe
Cosla Mesa Fire Department may require [he preparation, certifcation and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials wi[h [he Fire Department.
4. If an RMPP is presenHy required, has Section 25534 ot the Califomia
Health and Safety Code been fully complied with? ❑ Yes ❑ No
5. Does or will the applicant or present or future builtling occupant require for
the work which is the subject of this application a pertnit for such consvuction
or modificalion from the South Coas[ Air Quality Management Distric[ or from
any o�her air pollution con[rol district or agency? ❑ Yes ❑ No
(Sectbn 658502 of [he Califomia Govemment Code requires that ihe requested
infortnation be tumished on applications for non-residential builtling pertnits).
6. Will any part o( the faciliry to be construc[ed under this permit be within
1000 feet from the ouler boundaries of a school? ❑ Ves ❑ No
(If'yes", �he (aciliry must meet the requiremen[ of Sections 25534 and 42303
of Ihe Califomia Health and Safety Code).
7. If a permi[ from the South Coast Air Quality Management Disiric[ or o[her
air polWtion contml dislrict or agency is required for Ihe vrork which is [he
subjecl o( this applicatioq have all of the disdosures prescnbed by Califomia
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. (If yes", attach certificate of compliance from the appropriate air polWtion
control oRcer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
infortnation given above is correct I agree to comply with all state laws and
city ortlinances regarding Hazardous Materials and Emissions.
SignaWre Date
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalry of perjury that I have read Ihis application and sta[e Ihat
the information given is correct. I agree to comply with all state laws antl city
ordinances relating to building construction, antl authorize representatives of
the City of Costa Mesa to enter upon ihe above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until fnal inspection.
��
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AntllorAUR�iIYEtl�APPIiUn�l. r��=ale
�oonessoFem�ano: 5�}3 TRAVERSE'DR uNT:
amew�wE�viu�axr�,REGO, ROBERT MICHAEL FLUOD; X 4'7
." �%GREGO, VICTORIA
Sfi3 TRAVERSE DR
COSTA MESA,CA 92626
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UCENSEU COMP>CTOqS DECLAP�TION: 1 M1emby el�im uMx peneYy d pe�ury tha I em Ikenwd uMr paieione d CMqar e
(canmerr�q wil� Seclion ]OOa) d Divnion a d the Budiru eM Vrtlmaion� Coda. eM mY Gcenm b in htl lacs eM eHerf.
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OWNEP BUILDEP DECLARATON: I Mnby elfirm �nMee peWy W parjvy ihd I em e�emq hdn tM Cameem licens Lew la IM
IMbv�nO �eason (Setlon 1W 15 &eiqtt end Profuaiau Goda: anY dY a awvXY x/ii[h �Wiurm a Po�i lo a�mbud. d1x.'vnprow.
Eemdeh, a rapvi arry etNctun, prior m es'veuenoe, eho rayuiree tM applimru Iv such pxmn to Rb e opred etaiement Me� M u sM
e lioenesd pu�eueM lo IM pweiom W tln Cantrmae L'wnnx lew ICheqa 9(�mmdnp wuh Sapun )OW) tl Divebn ] tl �b
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�oats M em ecW� �v a o� u�+�ne wN�m �o a ew w�M d nd mas �nen � e hmd�ed domn IssWO.
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waflmeAtareab�SecWn]OdJ,BuarcoeMPrdessionaCode:TheCamrmaelxemelewdmena toenowirordpope�ly
wlw Wids a inpovm IMeon, mW Mn doee vuW xwk IimeeM w henM a N�aql� hu a her own . pwNed �he� ach
impv.emmia ere nal inixdeE a dlemd t« eeb. tl. however. the buiNieq a inpwxnM b mtl xi�hin Yw d mmpMun. tM
owrier-0uiWr xill hevs �M WNen d prwiiq In w aha did rpl puiM a im lar Ihe pnpms d eeb)
❑ I. m ownar d iM propeM. � eaduarveN �mreainB'�h IicenuE conveci m conwua t i� �� ]aa. Bueinme erd
oleaian COEe: TM Caniradon lunse law doas nd eppty lo en d prupenY iMe impovea Ihereon aM who
w ct� Iw di pqae wdh e mMreqor(e) I'r<mad Wnuom io n re Lioam �r).
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25vN. ud Net I or eM' Mun EWOi^Y omqu� wiY / wil M(mcb one) nseA ro canNY wih eeiE etms ea ud tM nawmmwro br
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WOPI(Efl'S COYPEN9ATION DECLAN�TON: I hereby elfvm uMer penMy d par�uiy ar d the b0owi�p dedermum:
� I hew end r.il mdiuen e cMfctle d wnem io aetl�nun M wken' cpnqnetlion, o paidad Iv by Samm 3]00 d iM leEn
COEe. lrc �M pMmne'cs d Ne wk la wlich Nb pemb b ueued.
� I hew uM wil mei�u�n xwYan' wmG�ion i�mrerce. m nVui�ad M Satbn �100 d tla lebu Code. br �hs W�a�� d �M
wark lor wl�ich I�iv permn ie usueE. My warke�e' canpenae�bn insureze fa��ier enE pdiq number ara:
c�«:
Pdwy Number.
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becanw wbpu �o �M xorFere' camperuuion bwe d CelXorttie, erW epise Net H I MwM bacome wbjw lo IM waMeri
eomD���ion W�iom d Sedion a)oo d ine lebor Coae. I kutl fonhwilh wmDN with Uva p�w�oeu.
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chU nna �p ro aw nuWrM MouuN Ovllan (SfOq000A N MUtlon ro M ce�l ol w�lbM1 ds�npq u provW W ror In
S�ctlon �106 0l IM LMor Code, Infw��4 ���msyL Isu.
CONSTIiUCl10N LENDINO AGENCY: I hmeby et��m unAer perotty d pmjurv �lu� tMn u e owwrwian bdinp epency br Iha
perlamvra d tM xork la v,fiitli ihe q'mi e ewed (�� �. Civ. GI.
LENOEN'S NAME
LQIDEN'S AODNESS:
Iceni�Y�hetlM1awmMlhbMdiratianaMnmetlelNe iMomatbnocortetl.IW�sslocwnVNwuhellmYendcauM'ad'vimw�
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(5151J6.WP)
Rnk-Revenua: GdtlenoFAvaeev
C.T.'CY UF C05TA MESP. — BUII,DING PERM7'C
PERM NU: B OFf2202
PERMZT NO: B 082202 PLAN CHECK NO: N GOVT: N SUPP: �I
CONSTRUCTION TYPE: V—N PERMIT TYPE: STR P�RFOSE: OTF�
JOB DESCRIPTION : T/OFF RESHEATH & REROOF W/COMP, SHINGLES SQ FT: 2,800
CLAIM C�ALUE: 2,800.00 CALC—VALUE: 2,800.00 GROUP OCC: R-3 /U-1
COMMENT'S; SMUKE DETECTORS ARE RE�UIRED IN EVERY BEDROOM & HALLWAY
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Z O N I N G R E Q U I R E M E N T S
S E T B A C K S
--------- MAIN BUILDING ---------- --------- ACCESSORY BUILUING ---------
T: F'f IN REI�R: FT IN FRNT: FT IN REAR: FT IN
T: FT' IN RGHT: FT IN LEFT: PT IN RGHT; FT IN
RKING REQ: PROV: PARCEL; 41802205 ZNE: REF NO:
ANNING NOTES>-
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iE i! iF iE iE iF iE if if 1E k iF jtiF 1F ik iE if iF iE iF iF f6 iF fE iE iE ik iF if iE ik fE iE fE 1! k iE fE iE fE iF IE fE iF fE iE iE 1E iF i� IE iE 1E iElE fE iE iE if iF fE iE iE 1F 1E iF iE iE fF iF fE # 1E iF fF it
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
/„� '
NING APPROVED'BY DATE:
ILUING APPRUVEU �Y : DATE: (�
PLICATIGN ISSUED BY: DATE• �� 1�
iFiFiEiEiEiFIFiE1E1E1ElE�iFM1Fif'k!(�i('!E'if�{fTFTfiFif�FTfTF3FTFifiF�f ifiFiFTf�FifTF�fSFTFiFTfTF'fFTF3F1killkiEi(�if'iFiFiE1f 1fi('
GALIZATION:N F E G S 0 M M A R Y STRUCTURAL S GMENT;Y
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
RMIT 74,75 ,50
SMIP/NON—RES
NG—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
--- > 75.25 0,00 0,00 75.25 75,25 .00
REVENUE DIVISION TOTALS--> COLLECTED: 75.25 OVER/SAORT; .UO
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
74,75 ,50 ---�
ff 1E fE �)E')F 1f �F 1E iE iE iE 1E� 1t 1f 1Elf iE'lf' if 1f� iF 1E iE jE 1f 3ElE if IE �E iE 3f 1E If 1f'IE 1f 1E' 1f iE 14 iE 1f iE 9E IE 1E if-iF 1ElE 14 iE 1f if iE 1E i! 1k 1Elk fE 1k k fF jE iE 1E iE iE iE 1f 1f 1E iElf iE if #
1. N D I V I D U A L F E E B R E A K D O W N
I��
�
QTY
28�0
L E S C R I P T I O N
REROOF BY VALUE RESIDENTIAL NOZONE
END OF FEES
EXPIR�D
DA'i'E � �
UNIT COST TOTAL COST'
1.00 '1,800.00
83-27-1997/18:34 Atl/f75.25
RCPTq:B1-AB04821
PERMIT:082202
�
�CONSTRUCTION AND PLANNING P00 aPA
f APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector
7. Temporary Electrical Service or Pole 52. Pool & Equipment Location �
2. Soif Pipe-Undrqrnd. 53. Steel Reinforcement
3. Elecirical Conduit Utility�Undrgrnd. 54. Forms
4. Electrical Conduit•Undrgmd. ' 55. Electricai Bonding
5. Steel Reintorcement 56. Rough Plumbing & Pressure Test
� 6. Electrical UFER Grnd. � ' S7. APPROVAI TO COVEfl�GUNITE
7. Footings 58. Electricai Conduit�Undrgrnd.
8. Foundation 59. Gas Pipe, L7 Undr9rnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, � Undrqrnd.
10. Structural Ploor Sysrem 61. APPROVAI. TO DECK
11. Property Sewer Line & House Connection . 62. Backwash & ReceptorFinal �
12. Sewer Cap . 63. Heater & Vent-Final
73. Roof Drains , � 64: Piumbing System - Final
14. Fiough Piumbing ' 65. Electrical-Final
'S5. Rough Elettrical�Conduit ' 66. Solar SYstem-Final
t6. Rough Eiettric Wiring � 87. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED POR P�ASTERING
18. Rough Elettrical�T Bar Ceiling 69. POOUSPA SYSTEMS PINAL
79. Rough Heating & Air Conditioning . FIRE.DEPT. REQU�REMENT
20. Rough Fac2ory Fireplace , , APPROVALS Permit #
27. Ducts, i� S2ructure ' 70. U�derground Hydro
22. Ducts, Ventilating � � 71. Product Piping O Gas C Oil
23. Gas Pipe-Rough & Test ' -' 72, Underqround Flush
24. Roof Fram�ng " 73. Undergrnd. Storage Tank O Gas ❑ Oil
25. Roof Sheathing � Ct/_�� ��,✓df 74. Overhead Hydro
26. T-Bar Ceilin9 IStructurall & Monocoat � 75. Dry Chemical -
27. Frame and Flashing . 76. Dry Standpipe
28. lathing & Siding - : 77. FIXED SYSTEM FINAL '
29. Insulation - 78. FIRE PREV. FINAL
30. Drywall Nailing . � HEAITH DEPT, pEQU1REMENT .
31. Plasrer Brown Coat � 79. FINAL INSPECT70N
32. Electrical Power Meter�Final � 80, FOOD CERTIFICATE ISSUED �b�
33. Final Electric ' ' Notes; - �
34. Final Heating & Air Conditioning . .
35. Final Gas Pipe-Test �
36. Hood or Canopy . ' ' -
37. Final Factory Fireplace - ' -
38. Final Plumb�ng � ' � - ,
39. Water Service-Final � •
40. Ga: Service�F�nal ' � .
41. Solar pomesticFinal . � �-
42. Backflow Preventer
43. Backflow Irrigation �
44. Landscape lrrigation System ,. " �
45. Sound A[tenuation � � . .
46. Handicap pegulations ,
47. FINAL STRUCTURE & BUILDING '
48. FINAL PLANNING -
49. Electric Release to Edison � "
50. Gas Re�ease to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No Da[e
,...� ML� A.
JOB ADDRESS
vna� V GV V7
BUILDING PERMIT NO.
OF WC
SUBCONTRACTOR
, - ' 24585
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BO%9f] C09TA M66A, CALIFORNIA
For Applicanf fo Fill In Completely
TYPE OR PRINT
BUILDIN6 � �
ADDRESS
COSTA MESA. CALIFORNIA
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PERMITFEB $ '� j
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