HomeMy WebLinkAbout3012 ENTERPRISE ST - Building Permitsf ... _
' BUILDING SAFETY DE? i'MENT ~
P. O. Boa No. 317 _y N° 1693 C
Costa Mesa, California //fthTwt / / /9-/3
Date
CITY OF COSTA MESA
CERTIFICATE OF OCCUPANCY _�j
Building Permit No.l/'Q ilectrriical Per it No 11/fiYi7 Plumbing Permit No36 93 /
Use of Building r'1f:�-d..a,2 — -.4.4 f ��-
_ GI /7
The building located at 3 0 A.? - 3 0 ""r24"./�A/��'�f ,y C- ;5✓'r`C
Legal DescriPdon•/A� l;CU.t36/2 eh/ 1- r /411/24)114 — 0te7i-i)_/
(See reverse side for Metes and Bounds)
has been inspected and found to comply with the provisions of all City of Costa Mesa Ordin-
ances applicable thereto for a Group -4 42- Occupancy.
ISS A TO: J 12994711,4„); b �Build�i/ng Official/ Q x/n
(Owner of Building) By //)_n7dt 0 M`0ar1/
CC: 0 Original—Owner 0 1st copy—Gas Co. 0 2nd ccopy—Edison(Co/ 0 3rd copy File
Form 206 S-B P lM 1-60
-'Y OF COSTA M )A
Development Services, Division of Building and Safety
CERTIFICATE\OF OCCUPANCY
This certificate is issued pursuant to the requirements of the2007 California Building Code,Section 110 adopted by
the City of Costa Mesa certifies that at the time of its issuance the building structure herein below described was
inspected and approved for occupancy as follows:
Building Address 301 2 Enterprise St, Bldg:Permit Number BC09-001 02
Use Warehouse/Offices (3,500 s,f, )
Group B/S2 Type of Construction V—B Fire Zone xxxxxxxxx Use Zone Cl
3012 LLC AMERICAN RESIDENTIAL
Owner of Building Tenant SR.nvtrPS COBPOPATP
Address 3012 Enterprise St. , Costa Mesa, CA
/ f _�
BUILDING OFFICIAL-Khanh Q. Nguyen, C.B.O. / •
Date 8-4-9
REQUIRED TO BE POSTED IN A CONSPICUOUS PLACE
- CITY OF COSTA MESA
o' BUILDING DIVISION
F09-00060
Fq �. 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
..1� FOR INSPECTIONS CALL:(714)754-5626
o.mm N`
FIRE SUPRESSION PERMIT
Job Address: 3012 ENTERPRISE STStatus: ISSUED
Suite: - Applied: 04/28/2009
Vicinity: AMERICAN RESIDENTIAL SERVICES Issued: 06/02/2009
Parcel Nunmber: 41822304 Zoning: MG MG
Applicant: SCHROEDER, ASHLEY
Address: 1325 N RED GUM ST
UNIT 14 Phone: 714-630-3916
ANAHIEM,CA Zip: 92806
Owner: CAL-GLASS FOR RESEARCH
Address INC
COSTA MESA,CA Phone:
3012 ENTERPRISE ST Zip: 92626
Contractor ACT FIRST FIRE PROTECTION
Address: 1325 N RED GUM ST
UNIT 14 Phone: 714-630-3916
ANAHIEM,CA Zip: 92806
License: 830883
SCOPE OF PERMIT
FIRE SUPPRESSION PERMIT FOR THE INSTALLATION OF 117 OVERHEAD FIRE SPRINKLER HEADS
FOR A 3,500 SF INTERIOR TI TO AN EXISTING WAREHOUSE,"AMERICAN RESIDENTIAL SERVICES
CORPORATE".REF#:BC09-00102
FEE SUMMARY
•
Plan Check: $227.01 Calc Valuation: $22,000.00
Permit: $349.25 Claimed Valuation: $22,000.00
Other: $0.00
Total: $576.26
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE I INSPECTION TYPE gAm INTRIAL$ CODE ii INSPECTION TYPE pA�,F, IN7111ALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final _ 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical /�
201 Final Block/Retaining Wall 212 Final Fire Prevention 7/20/01 ad
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 s license. 0 Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
O 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.
O 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 fnsurance carrier and poficy 0 1 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
Carrier
a u rig n CQ by this permit,and that no building structure,scaffolding,falsework,or demolition
L_ or dismantling Sec. thereof,will be more Administrative
thirty-six(Co feet high.(Chap. 3.2,Grp
fih's seCoa need neat ee--m((''npeMreddl�nle p^e_mra is/valued arwe hundred awrs(sroo)a�rav) 2.M2 Sec.341,Title 8.California Code).
Policy.Number: J&t W I24C9TO'
0 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 Apr1irant's Signature Date
Labor Code,I shall/rthvrith comply with these provision .
q
D00 021 Division Industrial Safety Permit Number:
Applionrs Signature to , 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? ❑Yes 0 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. Ia registration form for acutely hazardous materials? 0 Yes 0 No
�-y43.iCif" Class i - j wn (Section 25533 of the California Health and Safety Code, with some
U. exceptions, requires registration with the Costa Mesa Fire Department by
(� ,- f / . I Cr each business which at any one time has on hand a quantity of acutely
gtractorSSignawre v 1 Mfg... 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 Dare
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 ❑ 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(5500).): of the California Health and Safety Code).
❑ 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 Califomia
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 dries such work himself or herself or through his or her own B. (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 Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a conlractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ 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.
S.liana ire o •ga Owner s Date
305]afi 10/071
Signature Date ;I// , A( I )f. `'l O� �I Q 1
�.r,I eel :: ..... ._VIII �ii1611'.F�T
/ i./E75—DCO1153
JDDRESSOf+julumm: 3012 ENTERPRISE ST GMT: CITY OF COSTA MESA - BUILDING PERMIT DRE -,t,.
DN'NERSNANEIPaa*NCAL-GLASS FOR RESEARCH FLOOD : X 47 y PERM NO: E 086718
ADSS: INC , .
3012 ENTERPRISE ST PERMIT NO: E 086718 PLAN CHECK NO: N GOVT: N SUPP: Y
COSTA MESA, CA 92626
MPL.MangADORES& CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE; OTH
ARCHITECT ORDIG?IEEA: OD NO.: JOB DESCRIPTION : MISC ELECTRICAL WORK SQ FT: -
ARCN.OR 010.5 ADDRESS: UHT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: /
c0NTRACTORSNA1I: MARK EVANS ( 714 ) 227-5298
CONTiACTORSMAILRG 2575 SAN CLEMENTE DR COMMENTS : THE "CAL-GLASS FOR RESEARCH, INC. " MISC ELECT WORK, RE: #E86717
AooRESS: COSTA MESA CA UCNO.: 642829 *+E******Sid*itis**iE*****+Est**.E+t*********x**+rit******iE***St***+E******iE*****************
92626 wit 208 Z ONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby aftim under penally Of periury that I ern licensed under provisioner of Chapter 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in fun force end effect.
CITY Lie.NO.: / uC.cuLs9: C-10 Uc. lO.: 642829r. EXP: MAIN BUILDING • ACCESSORY BUILDING
owe" -7-3- 43 Contras«: M4.n.eil, Si lro�/ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
OWNER BUILDER DECLARATION:I hereby affirm under peraly of perjury that I em exempt from the Contractors License Law for the
. wip heasun(Sedon70Bu
3t.5 abea and Ptaeasm aCom: oly«m /enupe
«aywhiphres amntocanstmc,alter.improve. PARKING REQ: PROV: PARCEL: 41822304 ZNE: REF NO:
;;% -WIor repair any°truclure,prior to h issuance.also requires Any res the applicant for such pent to fie a signed statement Mat he or she Q
3ensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Denson 3 of the PLANNING NOTES>
/mess and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section >
.431.5 by any applicant for a permit subjects the applicant to advi penalty of not more than(we hundred dollars 00)). *******************************************************************************
ElI.aaowner d the proPeny«myempbyess with wagesas theesole compensation.win do Me work,and theabudure i not intended DEVELOPMENT SERVICES REQUIREMENTS
or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an Owner of property
who buids or improves thereon.and who does such work himself or herself or through his or her own employees,provided that such
improvements ere nil intended«dbredfor sate.n,however.ihsbundbg a improvement i end wilim«royearof mmPbton,the ZONING APPROVED BY DATE:
owner-0slder win have the burden d poring he«she did nil build«improvefor the P+rpoae d safe).
❑ I,as owner of the property.ant exclusively contrmi a with licensed conbacwn to construct the project(Suwon 7044.Business and
Professions Code:The Contractors License Lew does not apply to an owner of properly who builds or improves thereon and who BUILDING APPROVED BY : DATE:
contracts for such projects well a mmmdoes)licensed pursuant to the Contractors L cense Law).
❑ Iamexempt under Section: B.AP.C..for this reason: APPLICATION ISSUED BY: DATE: ` 3
************************************ * * ********************** - **
Dale: owe LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and
25534,and that I or any future building occupant,�iuTRtry °nwill I wit not(circle one)need to comply with said state codes end the requirements ler
a permit«mw
stnon or moddimionhom the Aaepernera District.Residential M
aial swion appEons ars cornet from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 472 75
•
DB1e: Applicant: 50% SMIP/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:l hereby affirm under penally of perjury one d the following declarations: ISSUE FEE 6 . 50
❑ 'have°Mwill mdntakacMiiulodowserut°aWimurebrwven'canpenW ,npov
ionidedf«bySedicn0a
310thalab« BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code,(«the performance of M.wank f« wo
which .puma issued.
TOTALS 472 . 75 6 . 50 0 . 00 479 . 25 479 . 25 . 00
❑ I have si
and we mntwm
an workers' mpenson ireurenoe.es required by Section 3700 d the Labor Code.fa the performance d the
work r«which this permit Is Issued.My workers'compensation insurance cards end policy number are:
Cartier: REVENUE DIVISION TOTALS--> COLLECTED: 479 . 25 OVER/SHORT: 00
Policy Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
2 Ms section need not be completed I the:semi is for one hundred dollars(S10V/«lest) 479 , 25
{rr�e,�3osliy that in the performancewhich
the work for this permit S Ivued,I than not enspence in any persany manner so es to
�S b°wm wbjed to the workers'canpen°etion laws d Cenbmia.and*Woe Mal n I°hook beoma vutjed to the wadMn' *******************************************************************************
compensation m
ion provisions of Section 3100 of the Labor Co ,I shall we with provisias.
Dere p\ - 2)-C1' aaent
Ao : r` fM '°�/ I N D I V I D U A L F E E B R E A K D O W N
n
warning;Few,b sown worn."'c°nperwdon coverage lsunlawful,and shall sailed anemployer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil grans u pto one hundred thousand dollars($104000),In midden to the cost of compensation,damages as provided for In
Secdon 3706 of the Labor Cods Interest,and aBDmore fess. ELE 9 SUB-PANEL 16 . 25 146 , 25
' CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there i a construction lending agency br lhe ELE 9 MOTOR/POWR APPARATUS 1 . 1 - 10 . 0 HP 11 . 00 99 , 00
pedomance of the work ler which thipeme isinlied(Serun 3097.Cb.C). ELE 7 MISC CONDUCTOR NOT LISTED REQ PERMIT 16 . 25 113 . 75
LENDER'SNMAENO BUILDING ELE 7 MISC CONDUIT NOT LISTED REQ PERMIT 16 . 25 113 . 75
LENDER'S ADORESSDERMIT ON FILE END OF FEES
.
I certify that I have read this application and state that the above information is correct.!agree to comply wee an city and county ordinances
and state laws relating to building construction and hereby authorize representatives of this dry to enter upon the abwsmentioned property
forinsPedlon purposes.MARK EVANS
f 81-23-1998/11:89 WV$479.25
I 9 'S-P T T:08 -8918627
6718
`�J Dye / Date: z3 �9 � I •D PERMIT_886718
s Signature d Owner/Agenddpplcant contradr
L.
pm.E 1 � /O CA 1
(5151-46 W P) White-Budding A Safety:Omen-File:Cantry-Appiorcai:Pink-Revenue:Goldenrod-Assessor
r
.-/
_ _ POOL SPA
CONSTRUCTION AND PLANNING r r•-' r
Date Inspector Date Inspector
APPROVALS Permit # APPROVALS Perm ir#
•
.k 1. TemporaryElectrical Service or Pole
52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, ❑ Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13, Roof Drains 64. Plumbing System - Final
14. Rough Plumbing - 65. Electrical-Final 61/Jlt'
15. Rough Electrical-Conduit" 66. Solar System-Final
16. Rough Electric Wiring , 67. Fencing& Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling ' 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning - FIRE DEPT.REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
1
21. Ducts, in Structure 70. Underground Hydro
22. Ducts,Ventilating ' ' 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical •
27. Frame and Flashing 76. Dry Standpipe Dt--4
28. Lathing& Siding , 77. FIXED SYSTEM FINAL '
29. Insulation' 78. FIRE PREV. FINAL D•-•<
30. Drywall Nailing . HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION W
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating& Air Conditioning
35. Final Gas Pipe-Test _ .
36. Hood or Canopy •
37. Final Factory Fireplace
38. Final Plumbing - •
39. Water Service-Final
40. Gas Service-Final
- 41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System .
45. Sound Attenuation ' 7
T
• 46. Handicap Regulations 1.
47. FINAL STRUCTURE & BUILDING H
48. FINAL PLANNING
n 17
49. Electric Release to Edison •
50. Gas Release to Southern California Gas Co
- 51. CERTIFICATE OF OCCUPANCY '
No. Date _ _ -
1111
•
•
CITY OF COSTA MESA '
.` BUILDING DIVISION
)•• � �,l77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754.4856 • www.ci.costa-mesa.ca.us
1.
e. OKA FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: BC09-00102
PERMIT TYPE: B_COMBO STATUS: ISSUED
Sub Type: COM ALT DATE ISSUED: 04117/2009
ISSUED BY: _3-(5
JOB ADDRESS: 3012 ENTERPRISE ST CM Suite/Unit:
APN: 41822304 Zoning:MG, ,
Vicinity: Primary Occ: B/S2
Const Type: V-B SQ. FT: 3500 Valuation: $150,000.00
SCOPE OF WORK: 3,500 SF INTERIOR TI TO AN EXISTING WAREHOUSE,"AMERICAN RESIDENTIAL SERVICES
CORPORATE". CONSTRUCTION OF NEW PARTITION WALLS TO CREATE NEW OFFICE AREAS, NEW BREAKROOM,AND
BATHROOMS. MECHANICAL TO INCLUDE:2 ELECTRICAL HEAT PUMPS,3 VENT FANS/SINGLE DUCT. ELECTRICAL TO
INCLUDE: 73 LIGHT FIXTURES,
83 OUTLETS,31 SWITCHES,2 SUBPANELS 1-225 AMP, 1-100 AMP SERVICE. PLUMBING TO INCLUDE: 2 FLOOR DRAINS, 1
LUNCHROOM SINK, 1 URINAL, 3 WASH BASINS,4 TOILETS,4 INSTA-HOT WATER HEATERS, 3 HOSE BIBBS, 1 BACKFLOW
IRRIGATION AND 1 BACKFLOW PREVENTER
009-00102
OWNER: 3012 LLC Address: 3012 ENTERPRISE ST Unit:
Phone: 714.327-0640 City/State/Zip: COSTA MESA,CA
APPLICANT: RULEY,CAMERON Address: Unit: :
Phone: 949-648-9358 City/State/zZip:
CONTRACTOR: License No.
Phone: Address: Unit:
Cell: City/State: ZipCode
ARCHITECT: License No. PHONE:
ENGINEER: License No. PHONE: 00
COMBINATION PERMIT FEE SUMMARY
Building Plan Check: $206.99 •:`rr'OM.1, AND
Building Fees: $1,273.75 ;i 1./CAL TO
Electrical Fees: $284.36
Mechanical Fees: $129.55 ''IzAINS, 1
Plumbing Fees: $219.50 ACKCi-LOtV
•
SMIP Residential: $0.00
SMIP Commercial: $31.50 C4-0r..1
Bldg Std Admin Fund $6.00
TOTAL FEES: $2,151.65
**Refer to fee receipts for all fees paid for project
tat. .
'NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
'regulations. (Ord.No.92-28,§1, 12-21-92)
iEX•,
PIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
.INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE! INSPECTION TYPE IIS INTmAL$ CODER INSPECTION TYPg DATE INTIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
Y P•'I''
1266 Pool Spa Final 208 Final Plumbing _
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention ' •-" 'S.
202 Final Factory Fire Place 220 Final Planning Approval 1)
203 Final Sign _ _ 222 Final Site t '1" ""�,�
204 Final Demolition 250 Final Building/Occupancy 7_Zo.-fit eV
WORKERS'COMPtNSATIOh DECLARATION: Owner ID verified by driver s license. ❑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.
0 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 I. uran . carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: i 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: —...J /ftaiii or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This section need not be•• !anter'✓the• is valued orone hundred rioters(S100forless.)
2,Ant Sec.341,Tile 8,California Administrative Code).
y Number:
❑ 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 lett to thempensation provisions o Section 3700 of Applicant's Signature Date
the aortft hwtth comply with these prov'sjoLTLn%
Division of Industrial Safety Permit Number:
Applicant's Signature Date 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 filed with the Costa Mesa Fire
ATTORNEYS 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? ❑Yes ❑No
Lit.# Class# (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
Contractor'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 affimi 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 ❑ 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? ❑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 UAW 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? ❑Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia 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? ❑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).
Q 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
control officer).
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 CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
• did not ild 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.
ENSED CONTRACTORS to donstrut(the project(Sec.7044,Business and
Professions Code:The contract License Law does not apply to an owner of Signature Date
property who builds or improves tereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License loos.). certify under penalty of perjury that I have read this application and state that
J the information given is correct. I agree to comply with all state laws and city
Q I am exempt under sec. tordinances 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
I inspection purposes. I agree not to occupy or allow occupancy of any building
1l authorized by this permit until final inspection.
wa ,.al Owner(s) a,te
ire
5057-46(3 7) / Date And/or Authorized Applicant Date
• CITY OF COSTA MESA
h1 BUILDING DIVISION
fi �; A( 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)7544856 • www.ci.costa-mesa.ca.us
IPPLa , FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: B09-00023
PERMIT TYPE B_ROOF2 STATUS: ISSUED
APN: 41822304 DATE ISSUED: 02/02/2009
- - ISSUED BY: KJB
JOB ADDRESS: 3012 ENTERPRISE ST CM • Suite/Umt ;
Vicinity:
Squares: 0 ° " ,Valuation: :$3,600.00
SCOPE OF WORK: REPAIR ROOF LEAKS.FOR A COMMERCIAL BUILDING.THIS IS NOT A'COMPLETE RE=ROOF. REPAIRS AND
PATCH ONLY. x ;� -
OWNER: CAL-GLASS FOR RESEARCH • Address: ' INC - • Unit: COSTA
MESA,CA
PHONE: ;,' / ,� - '-City/State/Zip: 3012 ENTERPRISE ST
APPLICANT: ROBERTS, DEAN Address: 24112 EL TIRADORA CR A-,,Unit, I:,-f ��
PHONE: 949454-0060 ' City/State/Zip: MISSION VIEJO,-CA •^•'••
••••
CONTRACTOR: ROBERTS ROOFING No. .699702-
Address: 24112 EL TIRADORA CRUnit: r •
PHONE: -' 949454-9060 .
City/State/Zip: MISSION VIEJO,,CA .•,92691 _, .. CELL:
ARCHITECT: I License No. - PHONE::.'
ENGINEER: -( License No, • PHONE:
FEE SUMMARY
Reroof Plan Check:
Reroof Permit Fee:
Reinspection Fee:
Bldg Std Admin Fund $1 00 •t ?A
TOTAL FEES $98.25
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODE I. INSPECTION TYPE DATE INTmALS CODEI INSPECTION TYPE DATE INTTT1AL$
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final • 208 Final Plumbing
200 Final Re-Root -7 'Z0• U 210 Final Electrical
201 Final Block/Retaining wan 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site .-
204 . Final Demolition 250 Anal Building/Occupancy `�
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive, _..,Tense. ❑Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
O 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):.
compens ion, as provided for by section 3700 of the Labor Code, for the
perfo me of the work fo?which this permit is issued. .
I 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: / f L \ person is required to descend,will be made in connection with work authorized
Carrier: �]1LCh�r by this permit,and that no building structure,scaffolding,falsework,or demolition
(This sections no!be comae ed arae permx is valued at one hundred dpaars(atee)or less.) 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).
Policy Number: 31200-a a79.$ ZC'Oti
0 As owner-builder, I will not employ anyone to do work which would
O 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
subject to the workers' compensation provisions of Section 3700 of
the Labor ode,I S forthwith comply with these provisions.
\.. Applirvm's Signature Date
�y 22 O1 Division of Industrial Safety Permit Number:
` .
Appicatl's Signature vote 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
($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 fulll}force/� and effect. a registration form for acutely hazardous materials? 0 Yes 0 No
Lic.jt ` ) Class# C-sat (Section 25533 of the California Health and Safety Code, with some
(\ 2xceptions, requires registration with the Costa Mesa Fire Department by
�� 2 ' Octceach business which at any one time has on hand a quantity of acutely
Cot4act r s Signature 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)? 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 Govemment 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? ❑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).
❑ 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? D Yes 0 No
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 8. (If Yes",attach certificate of compliance from the appropriate air pollution
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:q 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
property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions.
0 I, as owner of the . •
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.
nature OLegal Owners) Daleq(
Signature Date a •
S-ale(/ °
305]d6(3/W) And/or Aulh nzed Applicant '
• CITY OF COSTA MESA •
ow�"�Ftq```@@@ BUILDING DIVISION
F1"' ,l 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
4. •
FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: BX09-00052
PERMIT TYPE B_MISC STATUS: ISSUED
APN: 41822304 DATE ISSUED: 03/04/2009
Zoning: MG, ISSUED BY: RMD
JOB ADDRESS: 3012 ENTERPRISE ST CM- - Suite/Unit:
Vicinity: PARKING LOT . ,'Pamary Occ: �` Const Type :??
SQ. FT: 0 Valuation: ' ; ' $12,500.00
SCOPE OF WORK:
IMPROVEMENTS TO PARKING LOT. NEW CONCRETE WALK WAY TO•AN EXISTING ENTRY, UPGRADE PARKING TO COMPLY
WITH '
ACCESSABLILITY AND NEW CURBS FOR PLANTERS.
•OWNER: CAL-GLASS FOR RESEARCH Address:: INC Unit COSTA
MESA, CA - -
City/State: 3012 ENTERPRISE ST- Zip Code: 92626._
Phone:
APPLICANT: RULEY„CAMERON ii' Address: -- Unit:
City/State: . , .. . Zip Code:
Phone: 714-327-0640 - - .
CONTRACTOR: OWNER-BUILDER - License No: . 000000.- .
Address: Unit:
City/State:
Zip Code: . Phone Cell:
ARCHITECT: _ License No. - '
Phone _ .
ENGINEER: License No. -
Phone ,
FEE SUMMARY
Building Plan Check: i$14$.11
Building Permit: `$223.25 '
Electrical Permit: _ ..
SMIP Residential $0.00
SMIP Commercial $2.63 •
Bldg Std Admin Fund $1.00
TOTAL FEES $371.99
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 P. INSPECTION TYPE DATE IN'TTIALS CODES/ INSPECTION TYPE DATE INTITIALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Electrical
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 ,'ZDter
WORKERS'COMPENSATION DECLARATION":— Owner ID verified by drieslicense. es ❑ No 9-9-71- 1 r�;
I hereby affirm undbr penalty of perjury one of the following declarations: Dnve3ssa.�
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,a demolition
Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This section need not be completed ft the pean'is valued at one hundred dollars(5100)or less)
2,Art 2Sec.341 Title B,Califomia Administrative Code).
Polis tuber:
0 As owner-builder, I will not employ anyone to do work which would
r --Ir•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 gopl¢anf5 Signature - Date
the Labor Co e,I shall forthwith comply with these provisions.
—3/C/Og Division of Industrial Safety Permit Number:
_Applicant's Signaturebate 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 ❑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? ❑Yes 0 No
Lic.# Class# (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
Contractors 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)? ❑Yes ❑ 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? ❑Yes 0 No
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 Duality 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 ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment 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 ❑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).
❑ 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 ❑ 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 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
❑ 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.
'WO� /,/p'n lure of Legal Owner(s) Date
ySignawre Date+ / // _3/977 9
3057-46(3107) -1
Andlor Authorized Applicant-
PROJECT ADDRESS: 3012 ENTERPRISE ST UNIT. CITY OF COSTA MESA - BUILDING PERMIT PERM NO: F 062621
OWNER'S NAME:
ACAL-GLASS FOR RESEARCH
DOfless: INC PERMIT NO: F 062621 PLAN CHECK NO: 01963-93 L GOVT: N SUPP: N
3012 ENTERPRISE ST
COSTA MESA,CA 92626 CONSTRUCTION TYPE: PERMIT TYPE: FIR PURPOSE: OTH
ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : BACKFLOW RETROFIT SQ FT:
ADDRESS: UNIT:
PERMITTEE. CLAIM VALUE: 3, 800 . 00 CALC-VALUE: GROUP OCC: /
FIRE CONTROL TECHNOLOGY ( 213) 861-6666
ADDRESS: 9102 FIRESTONE BL R COMMENTS: THE "CAL-GLASS FOR RESEARCH INC "
DOWNEY CA 90241 ***3F+lir*********3t3rTr****3F*3rar**3t3t+r*****aE(e*3E**43FxsF3F+Fkr******3t3F**3rx***********+Fa6+E*)Fat*
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions ol Chapter 9(commencing with Section Z ONING REQUIREMENTS
' 7010)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. SETBACKS
CITYte: ., --% STATE uc.:619 4 61 .67e- G ���
Date:_✓-Jnr,t�b ,'�_ _ Signature:� �/ � MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby auirm that I have a certificate of consent to sell-insure or a certificate ol Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
Compensation Insurance.or a cedified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POUCYN0.:W2710241 EXP.DATE: 07/01/93
COMPANY:CA COMP INS_ CO PARKING REQ: PROV: PARCEL: 41822304 ZNE: REF NO;
J Cedilied copy is hereby furnished. Certified copy is filed with the cityBuildingDivision. PLANNING NOTES>
•7
.. DateJW •' IPs Applicant: �i49 plc, *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Thissection need not be completed if the pliant¢for one hu Bred(5700)or less). DEVELOPMENT SERVICES 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 Canfomia. ZONING APPROVED BY DATE;
Date: Signature:
NOTICE:If.alter making this declaration.you should become subject to the Workers Compensation provisions of the Labor BUILDING APPROVED BY : DATE: --�-.—.�—
CTRUTIO must DING comply with such firm tiat this permit shah beendingdeemed revoked.fL 1 ( ' F E _ t L L 1T r n
CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; j#`F1 \�i�F1 elf iii DATE; 1 T l `•E3LF S
which this permit is issued(Section 3097.Gv.C). ********************************* * *** *** ************************** * ***
LENDER: **************************************** **************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law fpr 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 63.00
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 7000)of Division 3(lithe Business 6 5 Z 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 40. 95
any applicant for a permit subjects the applicant to a civil penalty of not mare than live hundred dollars(6500). ISSUE FEE
I. as owner of the property or my employees with wages as their sole compensation, wily do the work. and the BUILDING-DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'Stale License Law TOTALS----> 63 .00 0. 00 40 . 95 103. 95 103. 95 . 00
does not apply to an owner of a properly who builds or improves thereon,and who does such work himselUhersell or through
his or her own employees,provided that such improvements are not intended or offered for sale.II,however the building or
1 • improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 63. 00 OVER/SHORT• 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN-CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 63. 00
❑ and Professions Code: The Contractors'Slate 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).l am aware **.yF***************.*.*.*.*.*.*.)E**.***********.****.IE****at**************.**************.***
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E . BREAKDOWN
❑ I am exempt under Section: B.8 P.C.
for tors reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: FIR 63 FIRE EQUIP FEE ( FROM BLDG VAL TABLE) 1 . 00 63 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant will/will not(circle one)need to comply with said slate Codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt Iron
these provisions. I
Date: Applicant: r,
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 I.- C ra
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. /J� ///7 - :1
Date:�E/ri e- ••%p . � _ Signature: //!��{ 'N $ 01 00141057-00141057 TOT 63.00
Driver's License or Social Security �C/ DATE: 06/16/93 TIME: 09:21
ii
1641-46 White-Building:Green-Code Enlorcemenl:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor .
CONSTRUCTION AND PLANNING Pt & SPA �.
APPROVALS Permit# ,Pate Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Servicr Pole
Servicer 52. Pool & Equipment Location
2. Soil Pipe•Undrgrnd, 53. Steel Reinforcement
3.•Electrical Conduit Utility-UnTrgrnd. 54. Forms >
4. Electrical Conduit-Undrgrndt• 55. Electrical Bonding
.5. Steel Reinforcement 56. Rough Plumbing& Pressure Test
' 6. Electrical OF EB Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings - 58. Electrical Conduit•Undrgrnd. ,•
8. Foundation . , 59. Gas Pipe, ID Undrgrnd.,Test •
9. Water Pipe-Undrgrnd. .+• 60. Backwash Lines,P-Trap, O Undrgrnd.
10. Structural Floor System61. APPROVAL TO DECK
11:. Property Sewer line & Housetonnection i• 62. Backwash & Receptor-Final
12. Sewer Cap ' • . r 63. Heater & Vent-Final ,.-''
13. Roof Drains /" 64. Plumbing System - Final
14. Rough Plumbing `� - - 65. Electrical-Final /-
15. Rough Electrical-Conduit ';P 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20.-Rough Factocy Fjreplace • _ - ' ` `APPROVAtS: -'-Perepit# ;
21: Duets, in-Structuarl • - - - • • " '.70. Underground Hydro
22. Ducts, Ventilating • - .: s71. Product;Piping O GSs Q,Oii
23. Gas Pipe•Rough& Test , ' f 72. Underground Flush: > - 7_1�S_1w�
" •
24: Roof Framing " , '73. :Undergrnd.Storbge'Tank L7 Gas 0 Oil
25. Roof Sheathing - • . • - - 74.-Overhead Hydro -
26. T-Bar Ceiling (Structural) &ivtonocoat - 75._Dry Chemical .- '
27, Frame and Flashing - 76. Dry Standpipe
, 28. Lathing& Siding'__ L:'• - • .I .. 1", 77..77. FIXED SYSTEMPINAL. - ``
29. Insulation - • I ;- . 78. FIRE PREV. FINAL , 7.1Zr3 w '
T30. Drywall Nailing �` - HEALTH•DEPT. REQUIREMENT
31. Plaster Brown Coat. - I -79.'FINAL INSPECTION
32. Electrical Power Met€i-Final •- •80. *FOOD CERTIFICKTE ISSUED
33.-Final Electric : . . - Notes: - ,
34. final Heating& Air Conditioning --•` - - i
. . .
-
35.-Final Gas Pipe-Test, . _ . - -
36. Hood or Canopy • • [ - '
37. Final Factory Fiieplace_• - i - ' I '
-
•
38.-Final Plumbing ' • I •.� -
•
39. Water Service-Final. • ! `
40. Gas Service-Final r
-.41. Solar Domestic-Final ' - j j -
42. Backflow Preventer. • - I � .
43. Backflow Irrigation ' , - -
44. Landscape Irrigation System. - -
45. Sound Attenuation - r '
46. Handicap Regulations -
47. FINAL STRUCTURE & BUILDING i
48. FINAL PLANNING I 17•
49. Electric Release to Edison - I 1 _
50. Gas Release to Southern California Gas Co I r 'I
51. CERTIFICATE OF OCCUPANCY + , ' -
No. Date
,.ADDRESS Op9MLD010: 3012 ENTERPRISE ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT g -18 - OO® Li L
sporsNAMEIF lO4m CAL-GLASS FOR RESEARCH FLOOD: X 47 PERM NO: E 086717
ADDRESS: INC
3012 ENTERPRISE ST PERMIT NO: E 086717 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA, CA 92626
APPL.PURIM ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH
ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : SERVICE UPGRADE SQ FT:
ARCH.OR EMI ADDRESS: WIT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: /
CONTRACTOR'SNAME MARK EVANS ( 714 ) 227-5298
CONTRACTORS MAILING 2575 SAN CLEMENTE DR COMMENTS: THE "CAL-GLASS FOR RESEARCH, INC . " SERVICE UPGRADE
ADDREStCOSTA MESA CA UtHO. 642829 ***********at**Rt*:ESE*jt******stat**RtiERc**RERE:tRE*************RE**********tt**Brat****Rc***RE**
92626 sr: 208 ZONING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby diem under penally of perjury that I am licensed under provisions of Chaster 9 SETBACKS
(commencing with Section 7000)of Division 3 of the Business and Professions Code.end my license is in full force and effect.
CITY UC.NO.: LIC.MASS: C-10 uc.Nq): 612829 . EXP : MAIN BUILDING ACCESSORY BUILDING
O('Z3 R $ Cenbada �N/�N�E �jn,/ FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
owe: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
• ')WNER BUILDER DECLARATION:I hereby affirm under penaly of perjury that I am exempt from the Caardos License Law for the
reasonAnyconstruct PARKING REQ: PROV: PARCEL : 41822304 ZNE: REF NO:
demolish,o ee repany structure.prior to its issuance.also requires the applicant toch supermit to fib statement signed sement that he or she PLANNING NOTES>
is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of DHeion 3 of the
Business end Professions Code(or has he or she is exempt therefrom and the baso for the alleged exemption.Any violation of Section > . .
7031.5 by any epdicentlaapermil su4ats the appfranlneavil pendtyof red mos then Me hundred ddWa RSW1). **aE*******************************.*.********************************************
❑ I.m awrerdthepmpaty«myernpge®itihtwegm aatheiedaoanp.matgn,wiDdo Newk,adde muawnembHeneed D E V E L O P M E N T Si.E R' V I C E S R E Q U I R E M E N T S
or offered fo sae(Section 7044,Business ad Proessions Code:The Contractors License Laww does m aptly toen owner o proper y _
who buada a inprwes thereon,rd wag does shill work tinsel a hash a Morph b a her own employees,provided that each
improvements aremimendndadlered to eek.9.however.the building oknprasrnemeadd withinone yeatdoompmion.the ZONING APPROVED BY -t DATE:
owner-00:1er will have the burden of proving he or she did not bond or improve for the pupoee d sale).
k ❑ I,asowner dtIybPmPeny,emexduwely oomrsctigw4tlimneedoontrmaero aonmrutmepmpd(Sector JD4.Busineaeand BUILDING APPROVED BY : '� 't
Professions code:The Carkdan License leve too m appy to an corm of PnopertY pug bhalde a impwee thereon and who ••r - DATE:
contracts for each projects with a contractor(e)[named pursuers m the Contractors License law). /v "" DATE: I ?:(11!,..*:
❑ laroexemptundeSetion: B.AP.C.,for twreasa,: APPLICATION ISSUED BY: L7 /�.T
,w f: *******************************.*a#.**it***** ** *********************** **
Dale: LEGALIZATION:N .F"/E%E SUMMARY STRUCTURAL SEGMENT:N
I do hereby cantly that I am aware of and udastad the rpdremaro d CaMania Neseh and Safety Code Sections 25505,p55+3,and
25534.end that I or any tenure building occupant will/wil no.(dmk oris)need to campy will said awe codes and the requirements for
apermit laconstaationor modification from the A:Wamgement District.Residential mmmdionappicatiananexempfrom these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 88 . 00
Date: App&am: 50% SMIP/NON-RES
PLAN
WORKER'S COMPENSATION DECLARATION:I hereby Mrm oder panne),of perpvy one of the followhg ddeniae: ISSUE FEE 22 . 00
o Ihems and dlmalntenacaNndwmantled BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
Code.tot ddthe aissued.
TOTALS----> 88 . 00 22 . 00 0 . 00 110 . 00 110 . 00 . 00
❑ I have and wit mental.workers'oompereetion insurance,as required by Scion 3700 of the Labor Code.for the performance of the
work for which this permit'e issued.My workers'compensation insurance miner and poky number are:
Carrier: REVENUE DIVISION TOTALS--> COLLECTED : 110 . 00 OVER/SHORT: . 00
Policy Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
(This section need not be competed r the pert a for one hundred dares/5100)or less) 110 . 00
I oenh that in the pedomunce of the work for which this permit is issued.I shall not employ any person la em manner so as to
become subject to tM wits'anncenaation laws o California.apThan d agree I should balmy subject to the trackers' *******************************************************************************
compensation provisions of Section 3700 of the laor bCode,I shallfProviProvision,.h comply with Provision,.
Date: O1 -Z'3- Lill Applicata: �,ypfi1( C-,' INDIVIDUAL F E E BREAKDOWN
Wanting:Failure to secure workers'compensation coverage la unlawful,and shell subject an employer to criminal lrsneiss and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil Dns iq to one hundred thousand dollen(Si 00.0201 k ssi/on to the cost of coneruafkn p
damage as Provided for In
Section mA
ana7as.f .Laearcaelntsnm ». p
sls .n attorney's ELE 1 SERVICES BELOW 600 V 6 201- 1000 AMP 55 . 50 55 . 50
cON5TRUCTON LENDING AGENCY: I hereby sfmn under penally o periny that then is a conewen lading agency for to ELE 2 STANDING SECTION 16 . 25 32 . 50
performance of the work for which the perms is issued(Sedan 3097.Civ.C).
END OF FEES
LENDER'S NAME:
LENDERS ADDRESS:
I certify that 1 have read this application end dada that the above information is correct.I agree to comply with all city and county ordinances
and stale laws ralatkg to building construction end hereby authorize representatives of this Bry n enter upon the above-mentioned property
for inspection purposes.MARK EVANS 81-23-1998/11:89 AM/f118.88
cc VP NaAe � RCPT8:B1-8818626
Q � 3i -VjA�✓/ Data:O) '2'3--n W) PERMIT:086717
Signature of Owner AgenvApptmnucornrda
(5151a6.WP) White-Building A Safety:Green-File:Carry-Appicanl:Pink-Revenue;Goldenrod-Assesm
1. 1
j CONSTRUCTION AND PLANNING Pt--L & SPA
fr APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
• 2. Soil Pipe-Undrgrnd. .. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 1GS/55i_154. Forms
4. Electrical Conduit-Uhdrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical LIFER Grnd. 44w 9i 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines,P•Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater& Vent-Final _
13. Roof Drains 64• Plumbing System • Final
14. Rough Plumbing 65. Electrical-Final
•
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing&Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
•
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT •
20. Rough Factory Fireplace APPROVALS• Permit 4
21. Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Produdt Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd.Storage Tank ❑Gas ❑Oil
25. Roof Sheathing 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & 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 HEALTH DEPT. REQUIREMENT
31. Plaster Brown.Coat // 79. FINAL INSPECTION
32. Electrical Power Meter•Final 21/814I ' ' 80, FOOD CERTIFICATE ISSUED
4 33. Final Electric X11 1 Notes:
34. Final Heating& Air Conditioning `f"
35. Final Gas Pipe-Test
36. Hood or Canopy _-•_ •
37. Final Factory Fireplace --_
38. Final Plumbing
l
39. Water Service-Final .
40. Gas Service-Final
• 41, Solar Domestic-Final
42. Backflow Preventer •
43. Backflow Irrigation
44. Landscape Irrigation System
. 45. Sound Attenuation • �-
J,
. 46. Handicap Regulations
;
47. FINAL STRUCTURE & BUILDING 1--
48. FINAL PLANNING / I1 A_ g
49. Electric Release to Edison /1Gp y F • i"
50. Gas Release to Southern California Gas Cod 1v 1w
51. CERTIFICATE OF OCCUPANCY
No. Date
ADDRESS OF WILDING 3012 ENTERPRISE ST u"TI CITY OF COSTA MESA — BUILDING PERMIT
a ONNERS"AMEIFQCSm: CAL—GLASS FOR RESEARCH FLOOD : X 47 PERM NO: B 075096
"Nu'' INC
3012 ENTERPRISE ST PERMIT NO: B 075096 PLAN CHECK NO: N GOVT: N SUPP: N
CA4d[S Lwj pCA 92626596-7250
CONSTRUCTION TYPE: 1—FR PERMIT TYPE: STR PURPOSE: ALT
ARCHITECT ORENGMEER: UC.No: JOB DESCRIPTION : T/OFF & REPLACE W /CAP SHEET BUR SQ FT: 10, 500
ARCH.OR EMI ADDRESS: WIT:
CLAIM VALUE: 10, 500 . 00 CALC—VALUE: 10, 500 . 00 GROUP OCC: B-2 /
WNTNACTOR'SNALM: HE IDT ROOFING CO ( 714 ) 997-9729
Ca4TRACTORSMMIING 544 N EARLHAM COMMENTS : 100 SQUARES CAP SHEET ROOFING
DDRESS
AORANGE CA see 04 471812 *************** ******************-****************************************SE***3E
* 92669 DMT: Z ON ING REQUIREMENTS
LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty al perjury that I am licensed wider provisions of Chapter S S E T. B ACK 5
(commencing with Section 7000)a Divnion 3 d the Business and Professions Code.and my Spence is in(u4 force and aped.
• CITYUC.No.: 0403 �T set n. C39 sec'" 471812 EXP: 12/95 MAIN BUILDING ACCESSORY BUILDING
n Da.: t'-Yf-- `j co,a,a, ) FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
" "� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
NC/ OWNER BUILDER DECLARATION:I hereby affirm itch pansy of perjury that I an extant than the Caaradas Limn.Law for the
lolfowip reason(Section 7031.5 Bugloss and Profession Code:Any try or canny which requires a permit to construct.alter.improve,
PARKING REQ: PROV: PARCEL: 41822304 Z N E: REF NO: . _
demolish, repay any suo b udure.pres issuance.e.also requires the applicant nor such pend to Be a signed statement gW he or she
' a
is licensed pursuant to the provisid the Contractors License Law(Chaster 9(commencing with Seam 7000 d Marion the > -
n 3 PLANNING NOTES
Business and Professions Code)or that he or the is exempt therefrom and the base for the aoeoad esemptm.Any violation of Section .). I
7031.5 by any applicant far apermit subjects the applicant toe dvi penalty dnot more than fns hundred dollars l$5000. **************iE****************************************************************
❑ Las awns tithe properly or my employees well wages as the cls mmpervam,wit do the work,and the structure a not intended
or offered for sale(Secifon 7044.Business and Profession,Cede:The Contractors License Law does nit apply m an owner of property D E V Ek: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
who beide or improves Thereonintended,and who does such work tamest a hermit or throat*.ha a her own emplyees.Provided that such V'
improvements
wwiit°haavve burden proving he or she did noor offered for sale.It however.t 5*or improve forpft heBitlplapose a saailee)hin°r"year of`°m°Ielo°'the ZONING APPROVED BY DATE:
❑ I.as owner of the properly.am esaheb/ly canlrmi g with licensed contractors to construct the projed(Section 7044.Business and •
Professions Code:The Contractors Licensenot Law does napply to an owner of properly who butts or improves thereon and who BUILDING APPROVED BY : DATE:
contracts for such mesas with a corarda(s)licensed panrant to the Contractors License Law). i >
Le
❑ Iamexempt under Sectm: B.&PC..frthe reason: APPLICATION ISSUED BY: DATE: /-2.,
Dale: Owner: ************************************************ *********** **
I do hereby certify that ad that l am aware d understand the requirements Ceilana
Heath and Safetymand Code Sea ,25505.25533. LEGALIZATION:Y F E E SUMMARY STRUCTURAL SEGMENT:Y
25534.end that I or any future building occupant will/will not(ams one)need to corn*with said pate nodes and the requirements for
aper foronshdmormobfWmhanthe AlmKErananeperrwnDistrict Residenelcanatruaionappiraioraare exempt hem these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
provisions. PERMIT 252 . 00
Dale: Applicant: SM I P/NON—RES
WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of the e al the followindeclarations:wigdeclarations: PLAN 2 . 21
❑ IAwe aW
d ailmaainacenifraa
econeerdtoselfor compensation.ueas
n, providedfobySeaion3700oftheLabor ISSUE FEE
o �l
oforthepedotn
onnenceeww(owtm .re
Sidi is issued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
Iendtheworkers' 3700 TOTALS----> 254 . 21 0 .00 0 . 00 254 . 21 254 . 21 . 00
work la which this permit is issued.My workers'odnperaaion insurance cardia and potty number are:
Cartier: RTATP EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 254 . 21 OVER/SHORT: . 00
Policy Number: 285-95UMI.TSO$ 01 /01 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
(This section need no be completed I the perm.a for one hundred dame j$twl Or WO 252 . 00 2 . 21
o I candy that in the perlamace of the work for which IM pennd is issued,I shall not employ person in any manor so as to
becace sublad to the workeatn la"°CaMda,aand We.pW i I shalt/ anbMe wa
a to thken' *******************************************************************************
ion provoking rs'canprovoking of Send Section 3700 the Labor Colt CoI shell form •h campy with
/�
coryl L��v� e— M/ IND IV IDUAL F E E BREAKDOWN
Dal°: I V QC Appcarp: A /1 V/r 1
Warning:Failure to stun waters'conpenndoncvveraeM
ge ill and alWi*Woe an layer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
civil fines up to one hundred thousand dollars($f04000A hi edNtbn to the cost of corran nsatla4 damages se provided for In
Section 3706 of the lessor Code.interest,and attorney's fees. SFC 10500 REROOF BY VALUE COMMERCIAL NOZONE 1 . 00 10, 500 . 00
CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perpay that there is a construction lending agency for the END OF FEES
performance of the work(or which this puma is issued(Section 3097,Cb.C).
LENDER'S NAME:
LENDER'S ADDRESS: /
Iaerldy la have read dmoacomad once that the ebwevdormetbnaoma.lapse to coney with at thyb and mInceddvaraes /V/
and stale laws relati g to building conalWice and hereby authorize representatives of this dyer enter upon the above-mentioned propend
for inspection Purposes
MARK ,EZDT 01 00194092-0L194593 TACT 2;¢,1.1
""Name DATE: it.invG5 7I .E: 1-:3i;
,v roDae: 143 QC
Signature of r/AgenUAppmwGaaaaur
(5151.4e.WP) White-Building 8 Safey:Green-Ale:Canary-Applicant Pink-Revenue;Goldenrod-Assessor
CONSTRUCTION AND PLANNING PG_ - & SPA
APPROVALS Permit - Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or'Pole 52. Pool & Equipment Location • •
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
4. Electrical Conduii'Uridrgrnd. 55. Electrical Bonding -
• -5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test
'6. Electrical UF ER Grnd. 57. APPROVAL TOCOVER-GUNITE -
:7. Fodti nes - - 58. Electrical Conduit-Undrgrnd. -
-• 8. Foundation •• 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P:Trap, 0'Undrgrnd. j
10. Structural Floor System - 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. SoWer Cap - . 63. Heater & Vent-Final
13. Roof Drains `
64. Plumbing System - Final
14. Rough Plumbing" • 65. Electrical-Final -
15. Rough Electrical-Conduit - 66. Solar System-Final
16. Rough Electric Wiring - 67. Fencing & Access Approval.
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING -
18. Rough Electrica6T Bar Ceiling' 69. POOL/SPA SYSTEMS FINAL
• 19. Rough Heating& Air Conditioning _ FIRE DEPT. REQUIREMENT
20. Rough Factory Firepjace - APPROVAL ,_, - Permit# '
21. Ducts, in Structure . • • - _ • - 70. Undergiound Hydro
22. Ducts. Ventilating - „ 71. Product f?iping OGas 0Oil
23. Gas Pipe-Rough &Test ' '` 72. Underground Flush• ' •
24. Roof-Framing :73. Undergrnd.StorageTank 0 Gas 0 Oil
25. Roof'Sheathing - 1i-q--Qcc 62,4-- 74. Overhead Hydro • -
26. T-BarCeiling (Structural) & M000coat - _. 75. Dry Chemical - -
27. Frame,and Flashing- - !t r • r 76. Dry Standpipe •
28. Lathing & Siding _ ` i ,,°ry , '' 77: FIXED SYSTEM FINAL ',
29. Insulation • '" 78. FIRE PREV. FINAL
'30. Drywall Nailing HEALTH DEPT. REQUIREMENT
. •.ix
31. Plaster Brbwn Coat 4. - - 79. FINAL INSPECTION •
32. Electrical Power Mut-Final • , ' 80_.FOOD CERTIFICATE ISSUED .,
r
33. Final Electric :. :, , „ • e •: • Notes: - - •
:34. Final-Heating& Air Conditioning - r'1
35. Final Gas•Pipe-Test- .. '
:36. Hood or Canopy t • - I . - --
37. Final Factory Fireplace --
I -
_ 38. Final Plumbing u - 2 L.- .
'39. Water ten-rice-Final ' .. ' _ -•
40. Gas Service-Final - - .
41. Solar Domestic;Final• .- , , - - -
42. backflow Preventer '' - _.
43. Backf low Irrigation
44. Landscape Irrigation System _• _ c •• - _ - •
-
45. Sound Attenuation ' - - ;
46. Handicap Regulations
47. FINAL STRUCTURE& BUILDING 11.6-IC *Al'48. FINAL PLANNING I- .
49. Electric Release to Edison , F. .
50. Gas Release to Southern California Gas Co • r
51. CERTIFICATE OF OCCUPANCY • •
No. Date
- F RECEIVED
., i 17683 AUG 2 1 1962
COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT.
P. O. BOX 917 COSTA MESA. CALIFORNIA CITY OF COSTA MESA
For Applicant to Fill In Completely APPLICATION FOR PERMIT.
TYPE OR PRINT �' .BUILDING
ADDRESS �jp( 3- 3o 18 rtrAtiv‘el AUP
6COO/•SS`TA MESA. CALIFORNIA For
For Office Use Only �T�(j
OWNER
5A/ /�#/ I#4#�1.e /we I RECEIPT NO. I /9C-'//VG•
MAIL /j�QO /'/_- - I�C� ,(� RECEI BY DAT1MIECEIVED/ DApTE ISSUED
ADD/R/ESS-OT^/`,(/a�J��tr -E'fU//Q AOC- [ D i�'�h J ›"f Tv)-
CIT✓ ��S/Jf aA NEL 0444 BUILDING
H�� / rr, �y ADDRESS o/r-3n i,P a Zer . ..-.1112
AF EC7 OR ...GI EER/^j�Q Q' G�(/Jjp�(,,,NO�Jt 'TQ COSTA MESA. CALIFO: •
ADDRESS 3 /9S'�/� FIRE �I (1---
/ \J
�jJ/` ,/ /,�/ �),}� T._ ZONE /TSE `I GROUP
CONTRACTOFCg / /4/C/Pf,49 ran.. APPROVED
Q /�y� �j /�/� BY DATE 6 z
ADDRE A a //Il�y�t///rf/. ZONING
F.-5
` /� /JJ/�'� ZONAE NO.OF USE OP NEWrnVf_Cre,/;(-
CI ��j'i� /544 e/rn���/�ffn//jam /.I-/ IPLA�N(S La I BUILDING 54,,eto NF
IS-It. f�o2� HoJ///d;� -DEESCR ��7 % ...5 \G13 GG+.
DESCRIPTION /
SIZE NO. OF BLOCS. _ (� O q
OF LOT /V/ 'X ��� NOW ON LOT "-O A.P.NO �r/ --D p Z -'Q[9 % 0/
USE OF ......,— YARDS EVES
EXISTING BLDG. APPROVED ALLOWED
SETBACK LINE FROM I.
F
(CENTER LINE ST.)(/
CENTER OF STREET �� REAR YARD Coal FRONT / 2. FT. IN.
3
SIDE YARD I LEFT 3a' I RIGHTJ) t R.SIDE 2.. FT. IN.
_ DESCRIPTION OF WORK L.SIDE 3FT. IN.
NEW I / II ALTERATION I II ADDITION I REAR 6 z FT. IN.
IIAPPROVED /
REPAIR MOVING I I DEMOLISH I BY �B DATE /�/�Z-
BUILDING ( FNO. OF r (DO
SIZE ^X/�r ROOMS / J STORIES / mtg./
FO SPEC(A I >`Q • Ltvlcl.j
EXTERIOR��`WA!!!LY /��ti9fy ROOF
l/'. �'IC� /, ��i. .7
COVERING Q COVERING (rR '�/ -q� 4M'Y ��Kl 4 la..a�
USE OF BUILDING AND WORK TO BE PERF MED
�/�f/�1� $67/94,- *Ca- x4,, n( d-cf
/0,13 40 . mit. - -
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 OF ESTABLISHING A PERMIT FEE ONLY.
PLY WITH BUILDING ALL CITY ./-AM/e AND ST LA GULATING VALUATION
SIGNATURE OF/ fi/t ii. PERMIT FEE $ 7-r i O N
PERMITTED / l�/f/ �// kre/y/ R
/�' $ /// 2�" y PLAN CHECK $ 646��*-
AUTHORIZED -GE 4/l,, J. /7 -is
/� //f /,O( 7-:: 0
TOTAL FEE - E
0