HomeMy WebLinkAbout598 TRAVERSE DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa�c��TRICAL PERMIT » FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Sulte No
Viciniry:
Parcel Nunmber:
Applicanl:
Address:
598 TRAVERSE DR
EAST SIDE OF HOUSE AND UNDERGROUND
41802101
RAY,AMBURGEY
P O BOX 1164
NEWPORT BEACH, CA
Owner: RANNEY, CLIFFORD ALBERT
Address III TR
COSTA MESA, CA
598 TRAVERSE DR .
Contractor:
Address:
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+unils)
Pool / Spa
Lighting Fixts
Recept Outlets
Switches
No� Res Appl
Res Appl
Service to 200a
Service to t 000a
Service over 1000a
Motors to 1 hp
Motors l0 10hp
Motors to 50hp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
ELECTRIC RAY
POBOX1164
NEWPORT BEACH, CA
Phone: 949-645-0729
Zip 92659
Phone: 714-432-7833
Zip: 92626-3117
Phone: 949-645-0729
Zip: 92659
License: 480485 .
ISSUED BY:
Status: ISSUED
Applied: 0522/200�
Issued: 05/22/2007
SCOPE OF PERMIT
ELECTRICAL PERMIT TO RELOCATE SERVICE PANEL TO BE LOCATED ON THE EAST SIDE OF HOUSE
AND UPGRADE SERVICE PANEL TO 200A AND CHANGED FROM OVERHEAD TO UNDERGROUND SERVICE.
$23.50
$0.00
$0.00
$0.00
$0.00
$0.00
$o.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 '
$0.00
$0.00
$30.50
$0.00
so.00
$0.00
$0.00
4uantlty
0
0
0
Q
0
0
0
0
0
0
0
0
, � 0 .
0'
0
0
0
1
0
0
0
0
FEE SUMMARY
Temp Dist System / Lighting
Busway/100N -
Standing Section `
Misc Electrical Equipment
,� Transformers up to t kva/kw
, ................up to 10 kva/kw
.................up to 50 kva/kw
.................up to 100 kva/kw
..................over 100 kvaMw
Low Voltage Equipment
Low Volt Wiring System / Ckt
� Misc. Conduit
Misc. Conductor
Circus ( gen or ride)
Circus (mech ride or lights) .
Chrisimas Tree Sland . �
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Check Fee
ReinspeIXion Fee
Quantity
$0.00 0
$0.00 0
$0.00 0
$1820 1
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
50.00 " 0
$0.00 , 0
$0.00 0
$0.00 0
$0.00 0
$0.00
50.00
$0.00
$0.00
TOTAL CALCULATED FEES 572.20
COMMENTS / SPECIAL CONDITIONS
NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations. (Ord. No. 92-28, § t, 12-21-92) .
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In brder for the work aulhorized under lhis permit to ba considered legal, such work must comply with all applicabla codes, and all
requlred inepeetiona end final epproval must be obtained. Failure to obtain inspections and final approval will result in the expira�ion of this permit.
FOR INSPECTIONS CALL: (714) 7545626
2446d6 (8/00)
WORKERS' COMPENSA710N DECLAqp710N:
I hereby afFirtn under penalry of perjury one of the following declaretions:
❑ I heve end will maintain a certificatp of consent to selt-Insure for workers' compensation, es provided tor by section 3700 of the Lebor Code, lor ihe pertortnance of the
work tar which lhis pertni� is iuuetl.
❑ I heve entl will maintain workare' compensalion insurance, es required by seclion 3700 oi Ihe Lebor Code, tor iha perfortnance ot the work for which Ihis pertnit is issued.
My workers' compensatlon Insurance carner antl policy number ere:
Carner: Policy Number.
(This secfion neetl not be completed il the permit is veluetl at one hundred dollars ($100) or Iess.J
I certify that in the pertormance oi the work tor which this pertnit is issued, I shall not employ any person in any manner so es to become subject to iha workers'
-�-compensation law ornla, en egree thet if I should hecome su0ject ro the workers' compensation provisions of Sectlon 3700 of ihe Labor Cotle, I shall forthwith
complywiththes prohsi s.(/�,
Applicent Signature: �` ^ CDate: K—'�-"Z � o�
WqRNWGtFAILUflETOSEWREWORKERS'�MpENSATIONCOVE �EISUNL4WFULANDSHALLSUBJECTANEMPLOVERTOCRIMINALPENPLTIESM1DbViLFlNESUPTOONEHUNDRED
THIXISAND DOLLARE (5100,OW�, IN FDDITION 7p T}1E COST OF COMPEN ATIIXJ, DAMAGES AS PROVIOED WR IN SECTION 3�O60F TME LABOF CODE, INTER�ST, AND ATTORNEV'S FEES.
LICENSED CONTRACTORS DECLARqTON:
I hereby aNirm ihat I.am licensetl under provisions of Chapter 9(commencing with Section 7000) ot Division 3 /oi ihe Businessl�nd Professions Code, and my license is in full
force and eHecL LIa.A � � (ciess N, l' — � �
ContradofsSignawre: � � Date:- S-2z—a"'�
CONSTRUCTION LENDING AGENCV: �
❑ I hereby aHirm that ihere is a construction lending egency for Ihe peAortnance o11he work for which t�is permit is issued. (Sec. 3097, Civil Cotle).
Lentler's Name: lender's Address:
Signeture:
OWNER-BUILDER DECLARATIONS:
Date:
I hereby ettirtn ihat under penelry oi perjUry Ihal I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Buslneu end Profeuions
Co�e: Any city or counry which repuires a pertnit lo construct, alter, Improve, demolish, or repair eny strucWre, pnor to its issuance, also requires ihe appliranf for such permit
to tile e signetl slatement Ihet he or s�e is licensed pursuent to the pmvisions oi the Conlrectors Llcense Law (Chapter 9(commenting with Section 7000) 01 Division 3 ot Ihe
Busineu and Professions Gode) or ihat he or she is exempt therefrom and the basis for ihe alleged exemption. Any violetlon oi Section 7031.5 by eny ap0licent for a pertnit
su6jecis the appliwnt to a civil penelry of �ot more than five hundred dollers ($500).):
❑ I, as ownar ot the property, or my amployees with wages es thelr sole compensation, WILL DO 7HE WORK, antl the structure is not intended or oHered for sala (Sec.
7044, Business and Protesslons Cotle: The Conlractors License Law tloes nol apply to an owner ot property who builds or improves ihereon, and who does such work
himself or herseH or ihrough his or her own employees, providetl that such improvemems ere not intended or ottered tor sele. If, howaver, ihe building or improvement is
soltl within one year oi completion, ihe owner-buiider will heve the burden of proving thet he oi she did not build or improve tor purpose ot sale.). '
❑ I, es owner of ihe properly, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Protessions
Code: The contractors Llcense LeW does not epply lo an owner oi property who 6uiltls or Improves ihereon, and who contracis tor such project with a coniractor(s)
license pursuant to ihe Contractors License Laws.).
❑ I am exempt untler sec. eusiness and Professions Code tor this reason:
Signature: Date:
Owner ID verifietl by dnvers license. ❑ Ves ❑ No Driver's License No.
Vedficelion of Ownership by (type ot document, i.e. - pmperty tez bill or deed):
Expires:
DIVISION OF INDUSTRIAL SAFETV P�RMIT CERTIFICATION:
❑ I hereby certify �hat no excavetion five {5) or more tee� in dep�h into which a person is required to descend, will be metle In connection with work eulhonze0 by ihis
permit, and ihat no building structura, scaftolding, talsework, or demolition or dismantling ihereof, will �a more Ihan thiny-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Ttle B, Califomia AdminisiratiVe Cotle).
❑ As ownerbuilder. I will not employ anyone m do work which would require a pertnit trom lhe Division of Industrial Sefery, as notetl a6ove, unless such pereon has e
permi� �o do such work irom the diVision.
Signeture: Date:
Division of Intlusirial Safery Permit Number:
CERTIFICA7E OF COMPLIANCE AND qUfHORIZATION OF ENTRY: I cenify under penalty ot perjury that I have reatl this application and state that the information qiven Is
correct I agree �o comply wl�h all state laws antl ciry ordinences releting to building constmc�ion, antl authonze representatives of the City ot Costa Mesa to enter upon Ihe
ebove-described property tor inspection puryoses. I agree not to occupy or allow occupancy oi eny buiiding authorized by Ihis permit until finel inspection.
Legal Owner(s)
mzed - Iicant'------
COpE �. INSPECTIONTYPE Q� INiRIALS
1616 Fixed System Final Fire Prevention
1266
200
Pool Spa Final
Final Re-Roof
207 Final Block/Retaining Well
202 Final Fadory Fire Place
203 Finel Sign
204 Final Demolition
COOE 1 INSPECTION TYPE
206 Final Mechanical
20B Final Plumbing
210 Final Electncal
212 Final fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final Building/Occupancy
PSIE IeimuLS
� � /�
170 �
2'L.1J
Southern Ca/ilornia Edison Company _ ��
P. O. BOII R30T
SANTA ANA. CALIfORN1A 9R)0)
Atlas Builders
2432 ::ewport Boulev2rd
Costa :4esa, California 92626
Re: Carage Encroachnent
Ger. t lenen :
Deceraber 15, 1971
Southera California Edison Comoany, a corporation, as holder
of 2n easement recorded in Eook SOOE, p2�c 244 of Official Records,
Orange Coun b�, California, has no objection to the encroachnent o£ a
garaoe, cai[hin the area affected by said ease�ent, upon the express
con3ltions:
1. T`nat no portion of any sacii garage st�all exceed fourteen
(14) feet in height;
2. That no portion of any such garage shall be r.earer than
eight (8) feet, measured horizontally,.to any existing wire or coaductor
of said Southern California Edison Corpany; and,
3'. That the oc7ner or o�•rners of said aUove described real
property, for suci� oc�ner or owners and for his, its or G:�eir heirs,.
er,2cutors, administra[ors, successors and assi;ns, si1a11 and by the
acceptance of tnis instrur„er.t, do release, indemnify and hold hatr,iless
said Soutnern Califoniia E3ison Co:�pany from and against all loss, dam2ge,
injur,�, liability and/or er.pense w?iich said Soutllern Calif.ornia Edisor.
Connany may sustain, incur or become liaUle for, resulting in any manner
from tt�e presence within said aase-ent area of any portion of any suc�t
garage.
Verv truly yours,
�„�, �: _r
,�"- :�,., � � f
L. E. S::I1?-:
District Supzrintendent
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OWNER
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PROP. SWR.LI
SPRINKLING 5`
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ROIIGN MEAiING
UNOEFGROUN� � POwER
AOUGH WIRING
TRENCHES IJ FORMS
FLOOR SYSTEM
SMEPTHING
FR4ME AND FLASNINL
Lo"'�NG — I� (
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 82626
For Applicant to Fill in Completely — Use Ink Only
ADORESS �/ � ��n ✓ c KS.• d /r .
CITV �
ppN$TRU
LENDER
BRANCH
AOORES'
ARCN�Tf
OR ENGI�
ADDRES
TEL.
NO.
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SrzE NO.OF E
OF l0T NOW ON
USE OF
E%15Y�NG BLDG J�S �il � r c Y
Separate permits are required !or
electric, plumbing and heating work.
USE OF BUILDING AND WORK TO BE PERFORMI
I �areby ecknowled0e t�at I hova raetl thif appllcation nnd rtate
Mat the ebove Information fs eorrect antl aBrae to comply with
all IeWs repuletlnB builtlinB �onstructlon, antl I shall not amplay
any perwn In vloletlon of Me workman'� compensatlon laws of
Ma SLaie oi CelNomia.
I heraby eertify i�at I am properly Iicenaetl es a contrectot untler
tha Stata of Celifornle Busineaa entl Profouione Gotlo, Divlelon 3,
ChepTar 9, end that cuch Iicanses era in full �orca enA aftect, or 1
em exompt trom Mo provisionf of thu Stata of Callfornia B�sineu
en0 Protaubns COCa, Oivialon 3, Chapter 9.
Sipnaxura ot%!��� /
Permittee � 1���7� �"�"DO�n
Autharizatl Apant
19" � 6/01 /78�•: , .. >,: _„ I,Q�.50 TL'
APPLICATION FOR STRUCTURAL PERMIT
A.P. NO. ]
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INSPECTIONS
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COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely
AD'DRESS )S � � /C-�U("TcSC �
OWNER J O!�'f N' V. S� �C- C-
MAIL (^�� C_
ADDRESS ..J
/'�// TEL. y7 j
CITV `OS% �'Y /'/CT/�• NO. Q / Cj ,
CANSTRUCTION �,/ a � `
LENDEfi
BRANCH �
ARCHITECT TEL.
OR ENGINEER NO
ADOiiESS /
CONTRACTOR �L�v "�/U/ C. /„% CY�I.
ADDRESS Z Q ,I L /(/C(.�/Qp�T ^�' �" ��'
TEL. S—Y J
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LIC. No. z � 7 y y y LICyNO. /�i L ��
51 Z E / � NO. OF Bl :.
OF �OT (p�, Z/ X I�U I NOW ON LOT Z
USE OF %�
EXISTING BLDG. /�- rS i Oc 2c. c-- E �-2 •
SI2E OF � T�� NO.OF ( STOfilES /
NEW BLDG. IJ X L( ROOMS
EXTEPIOfi WAIL ROOF . ��' C
COVERING S?'� C C � COVERING
USE OF BUIL�INq AND WORK TO BE PERFORMED
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APPLICATION FOR BUILDING PERMIT
RECfp}V V D TE CEIVED DA=E i$SUE
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A.P. NO /
BVILDING �� Rj 'T�^' �^' ^n �
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TRACT��O ( LOT Q� BLOCM
OWNER
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APPROVED
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VAFOS APPI70VED
MAIN BUILDING
(FROM GL STREET)
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ATE v
USE OF NE
BUILDIN -
YARDS APPRO ED
ACCESSORV BUIIDING
!/
O FT.
3 ���.
FT.
FT.
BET. MAIN &
ACCESS.BLDGS.
DATE
APPROVED
� ._ [.� _'—I�
I hereby acknowlaqge that I have reatl chis application antl zte[e �� �� '
that tbe above inta�mation is correc[ and agree to comply wtth
all laws reBulatinB builtling cons[ruction, antl I shall not employ
any person in viola�jon of the workman's compensstion lews of �`-�' �
�
Me Stare of Califor�ia. � �
I hereby certify ffia� I am properly licensetl as a contractor under
SQ. FT. o
tbe Stere of Calitornia Businass antl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALVATION IS FOR �
Chapter 9, antl tha[ such licanses ere in full force entl effect, ar I THE PVRPO6E OF ESTABLISHING A PEFMIT FEE ONLV: m
am examp[ (rom the Orovisions of the Stare of California Business ¢
antl Protessions Cotle Division 3, Chapcar 9.
VALUATION FV y
PERMIT FEE 5 / �
SIB^atura of % �// �
�y� m
Permlttee $/�"q � PLAN CHECK $ // T—� E
, �.�vp, s� LL
Au[horizetl ABont
TOTAL FEE $
vnavc.n py�„7H �;ny
JOB ADDEiESS S
GEN�RAL CONTRACTC
P- Vo.
1. ,�ECTIONS
Soil
Gas
Wates
fiough Plumbing
Prop. Swr. Line L0 House
UA1G
�UP Ig�T TYPE V ZONE
SUBCONTRACTOR I PERMIT:
n.,�., i nr,�.,
24�91
CdSTA MESA BUILDIrvG-SAfETY DEPARTMENT
P.O.BOX 9l] COHTA M6HA.CALIPORNIA
For Applicanf fo Fill In Completely
TYPE OR PRINT
BUILo1N6 � �n
ADDRE53 1\
COSTA MESA. CALIFORNIA
SIZE / O \ r-y-� I No.
OF LOT ({i V�/ NO�
USE OF ��
E%ISTIN6 BLD6.
BCTBwcK LINB FROM � O RE�
CENTEq OR eTHEHT
SIDEYARDI LEFT - � I RIGHT
DESCRIPTION OF WORK
BUILDIN6
SIZE
EXTERIOR
NO. OF
ROOM9 BTOR
ROOP � „�p i
COVERINO W ��r"C
RK TO B� PERFORM6D
%ti/V\ C1' OI �\
S2 C
I HEREBY A<KNOWLE008 TXAT 1 XAVH RHAG
AND BTATE THAT X8 �BOVB 18 CO PECT AI
PLv WITH ALL CI OROINANCEB A 6T�T8
BUILDINOCONBTF ION.
SIGNATURE OF
PERMI7TE
AUTHORIZED A6ENT
APPROVED
C'� `' OF COSTA MESA
AUG 19 1965
ZONIN(i
no, o� uee
rune _ � auu
YAR�S APPROVED
MAIN BUIL�IN6
��VAR. #
C. U. P.
cwreiesueo
G 2 0 196�
' (/2 Gc-t� � U 7
:�",t'J
BHALL BE LE69 THAN
YAROSAPPROVfiD
ACCESSORY BUILDINO
I.l3i�
i
APPL�CATION iX6 AMOt1NT BHOWN IINOBR VALl1�TION 19 POR THB
E8 TO COM- PUflP096 OP HeTABL19HIN0 A P¢qMIT FE8 ONLY.
eauLwT�No ypLUATION OB /
J PERMIT FEE G
i
s � g�i ��
r 4.� <