HomeMy WebLinkAbout1645 MACARTHUR BLVD - Building Permits 5
wt CITY OF COSTA MESA /y. . �, BUILDING DIVISION
t' ' DEVELOPMENT SERVICES DEPARTMENT
r PERMIT P IT NUMBER
E98-00967
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
ELECTRICAL PERMIT
Job Address: 1645 MACARTHUR BL Status: ISSUED
Suite No Applied: 09/11/1998 •
Vicinity: Issued: 09/11/1998
Parcel Nuninber: 41511101 •
Applicant: GREER. JASON
Address: - _
' Phone: /71'4-978=7970 - -
• -: '.- Zip:
' r
i •
Owner: OSPAUDIO
- \-J \\�..�
Address ,5725,5,GARDEN GROVE'AV- - -- ��.•
71,',//'i , Phone: 909-947-946i r.:'SY ' \`R,\
'';ONTARIO CA ' . - Zip: 91761 ‘.A /� �,
/ / /-2 „y. /
Contractor: : POWER PLUS '
Addres:-''01372,VALENCIA AVENUE
• _ - ,, Phone_:,. _
/ TUSTIN CA - Zi 92680 r
P111 ..
'' --License: - 523596 .,
SCOPE OF PERMIT ` ,
. ' :INST 3 SUBPOLES AND 1 TRAILER HOOKUP. \ . .
y _FEESUMMARY' - r `,
- '•Quantity • / Quantity ' -
ISSUE FEE ' 522.00 -Temp.Dist System:/Lighting,, $0.00 0-' • • ; `
Temp service test r 50.00 - - ._Busway ft/100 ) / - -••_ _5e $0.00 0('
Res:a/c'package ' 50.00 - -- • - . Standing"Section ' - " $0.00 0,7' -
New Res(1-2 units)' $0.00 0 Misc Electrical,Equipment $0.00 0' r -
New Res.(3+units) $0.00 0 Transformers.uup to 1 kva/kw - $0.00 0' ; _ 1)
Pool/Spa-r 50.00 0 ---uptoil0kva/kw
Lighting Fixts •, 50.00 0 up to 50 kva/kw $0.00 ,/,‘1/ 0' '1 / •
Recept Outlets . - • 50.00 0 - up to 100 kvalkw $0.00%:''0 / ','- •
Switches , "50.00 0 - •• • over 100 kva/kw $0.00%„' 0 -
Non Res Appl. . SO'00 0 " Low Voltage Equipment $0.001 ' 0
Res Appl ' S0.00:, 0 _ ' - Low Volt Wiring System I Ckt .$0.00 0 '
Service to 200a ' $27.25 , ,• -l' , ' '--."Misc.Conduit. • • • .• $0.00, , 0 '
Service to 1000a ' S0.00 ' 0 ' .. -Misc.•Conductor' 7-.'::$0.00'-'„) 0
Service over 1000a - 50.00 '0. 'Circus(,gen or ride) ,7,--....'-'" $0000 ',-'/
Motors to 1 hp _ 50-00 -i0-. _,-, , - Circus(mech'ride or lights) $0.00 P `'07i/
Motors to 1Ohp . • 50.000- - '• , . Christmas'Tree Stand' ''('/'$0:00' /;0 j
Motors to 50hp . 50.00 - ' 0 Fireworks Stand • '$0.00 ,-;,• 0
Motors to 100hp 50.00 . ,'.0' Other Electrical Fee '
Motors over 100hp 50:00' , ' 0 , '
Communication drops S0.00 0 ' • Investigation Fee . " • $0.00
Sub panel to 200a 50.00 ' 0. ' Plan Check Fee . , - $0.00
Pole Light Pkg 50.00 0 Reinspection Fee- , $0.00
Sign Circuits 50.00 0 . -
Temp Pwr Pole 566.00 3 TOTAL CALCULATED FEES $115.25
Intermed Pole 50.00 0
COMMENTS/SPECIAL CONDITIONS
•
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned
fora period of 180 days.
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.
FOR INSPECTIONS CALL: (714)754-5626
ir
DECLARATIONS (-1
WORKERS'COMPENSATION DECLARATION: •
I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
work for which this permit is Issued.
have and will maintain workers'compensation insurance,as required by 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 number are:
Cartier: Policy Number. CO Oe S7//Uc -
(This section need not be completed 11 the permit is valued at one hundred dollars($100)or less.)
❑ 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,and agr that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
hese provisions. , / /J/
Applicant Signatur . - �c Date: / 7/ S.
—
WARNI • E TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
AND DOLLARE($100.000).IN ADDITION TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license is in full
farce and e ct.Uc.$ /_.'c 2, lrr0 Class k Q
ntracto ature: • l -r- Date: /11- Cs-
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.(Sec.3097,Civil Code).
Lender's Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors 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 the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec.
7044.Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or Improvement Is
sold within one year of completion,the owner-builder will have the burden of proving that 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 construct the project(Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: •
In I hereby certify that no excavation five(5)or more feet in depth into which a 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 or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2.Art 2,Sec.
341,TItle 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely 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 temperature and pressure).
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the 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.
4 II an RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application aaermit for such construction or modification
from the South Coast Alr Quality Management District or from any other air pollution control district or agency? U Yes U No
(Section 65850.2 Of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Cade).
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No
8 (If yes",attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of 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.
i.ne ro-6 =(s)_ -/� l Late/2�
r •nd/Or.. orize• icant _/ Date
._�...__--
CODE L Df$PECTON TYPE DATE 21/MALS CODE I INSPECTDNTYPE DATE ICAL5
1818 Fixed System Final Fire Prevention 206 Final Mechanical
1288 Pool Spa Final _ _ 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical � LS- -91
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
2446-a
j:.-,5wy CITY OF COSTA MESA
I- 1.) .
BUILDING DIVISION
:t. DEVELOPMENT SERVICES DEPARTMENT
PERMIT PE IT NUMBER
E98-00966
(714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626
ELECTRICAL PERMIT .
Job Address: 1645 MACARTHUR BL Status: ISSUED
Suite No Applied: 09/11/1998
Vicinity: Issued: 09/11/1998
Parcel Nunmber: 41511101
Applicant: GREER. JASON
Address:
` Phone: . 714-978-7970 . • _
• Zip: - '
/ /
Owner ()SC-AUDIO PRODUCTS
Address 1725 GARDEN GROVEAV', - ., . " -. '-+C-,
Phone 909-947-9467 '. ' • -
ONTARIO.CA.' - Zip: 91761 A.?''' ' // i Av�V.>v
Vmoi �`:�:A
t ,• N.- „ /
•‘ //Y i ,S\ `\
Contractor: ,' POWER/PLUS Nn`.yam ' NI,A
Address: " X01372 VALENCIA AVENUE •5k ':-,.
. . Phone" : ,
/ TUSTIN CA • ,Zip:-92680' • -" ' r
I •
License 523596K. x
_ \_
SCOPE OF PERMIT '
IN_ST,1 200 AMP TEMP POWER POLE. N \ , . •
' _ .yai� . �
FEE SUMMARY=.
, "Quantity • '1 Quantity , - ''s'
ISSUE FEE r '• 522.00 , ,/ ---Temp Dist System/Lighting, $0.00 0 / : - v ,
Temp service test , 50.00 - - - - r• .Busway/100,ft' r $0.00 0 Y
Res:a/c package - 50.00 - - -- - Standing Section - - • $0.00 0/ •
New Res(1-2 units). 50.00 0 Misc Electrical Equipment $0.00
New Res(3+units) ' 50.00 0 Transfoimers.uup to 1 kva/kw $0.00 Ay : 1
Pool/Spa, 50.00 0 -upto';10 kva/kw $0.00 /0 .'
Lighting Fixts ' r 50.00 0 up to 50 kva/kw $0.00 2;10' -- i
Recept Outlets N';50.00 0 up to 100 kva/kw $0.00 7/70 - . )
Switches - ; ‘50.00 0 over 100 kva/kw $0.00%,-/ 0
Non Res Appl .50'.00 0 Low.Voltage.Equipment $0.00', 0
Res Appl $0.00 0 . Low Volt Wiring System/Ckt ..$0.00 0 ,
Service to 200a S0:00 ,-• _ 0' Misc.(Conduit'„ . -:$0:00 v 0
Service to 1000a ' 50.00 - 0 Misc.,Conductor_ ` - 7,';
;;$0.00 ', .0 '
Service over 1000a• 50.00 0 . Circus(gen or ride)- t ' . $0.00 -/0 '-
Motors to 1 hp 50 00,, - 0 . ' , "Circus(inech ride or lights) $0.00'. '1-/ 0
Motors to 10hp '50.00 •' 0 ' . . • ,Christmas Tree Stand' _ ''%$0.00' - 0
Motors to 50hp . S0.00 - 0 Fireworks Stand ',$0.00 '7"0'
Motors to 100hp 50.00 , . 0 Other Electrical Fee ' .' $0.00 " '
Motors over 100hp 50:00 . 0
Communication drops 50.00 0 Investigation Fee '•"$0.00
Sub panel to 200a 50.00 • 0 Plan Check Fee ' ' $0.00
Pole Light Pkg 50.00 0 Reinspection Fee, $0.00
Sign Circuits -50.00 0 - -
Temp Pwr Pole 522.00 1 TOTAL CALCULATED FEES $44.00
Intermed Pole 50.00 0
COMMENTS/SPECIAL CONDITIONS
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 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.
FOR INSPECTIONS CALL: (714)754-5626 g
a
DECLARATIONS • \1 - • (. )
WORKERS'COMPENSATION DECLARATION: .
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate Of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the
w for which this permit is issued.
I have and will mai 'n workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued.
My workers'comp,n/1,'asons Incur carrir/ /� be,,rr are: ///i
Cartier: Policy Number / V V 5-•
(This section need not be completed if the permit is valued et one died dollars($100)or less.)
❑ 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'
corn...rsation laws of California, d a that if I should become subject to the workers'compensation provisions Section 3700 of the Labor Code,I shall forthwith
wf these provisions. Gam/ / n
Applicant Signa re: ' Date: ( ✓ ` / -]
.• .. ALLURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND rrx I ARE($103CCOL 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 affirm that I am licensed under rovl ons of pier 9(commencing with Section 7000)of Division 3 of the Business and Professions Code, my license is in full
force and Lic.0 Class p
ra Ignature: Date: 9--// —C
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.(Sec.3097,Civil Code).
Lenders Name: Lender's Address:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions
Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors 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 the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars($500).):
❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec.
7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work
himself or herself or through his or her own employees,provided that such Improvements are not intended or offered for sale.If,however,the building or improvement is
sold within one year of completion,the owner-builder will have the burden of proving that 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 construct the project(Sec. 7044, Business and Professions
Code:The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Code for this reason:
Signature: Date:
Owner ID verified by drivers license. 1j Yes 0 No Driver's License No. Expires:
Verification of Ownership by(type of document,i.e.-property tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation five(5)or more feet in depth into which a 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 or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2.Art 2,Sec.
341,Title 8,California Administrative Code).
❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a
permit to do such work from the division.
Signature: Date:
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 threatened release of a hazardous
material? 0 Yes 0 No
(Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons,
or 200 cubic feet of compressed gas at standard temperature and pressure).
2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No
(Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any
one time has on hand a quantity of acutely 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 temperature and pressure). ,
3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)?
❑Yes ❑No
(Section 25534 of the California Health and Safety Code provides that the 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.
4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No
5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LI No
(Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No
(If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). •
7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this
application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 es 0 No
8 (If yes,attach certificate of compliance from the appropriate air pollution control officer).
CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances
regarding Hazardous Materials and Emissions.
Signature: Date:
CERTIFICATE OF COMPLUWCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is
correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of 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.
i nature Of Legal Owner(s) nay / Q�
Or Authorize writ Date
C71QEJ, wsPECTDN TYPE OATS IIMAL$ =Et INSPECTION TYPE DATE =Alai
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1286 Pool Spa Final _ 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical 6- 115-99
el
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
2446-46