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Home My WebLink About1830 WALLACE AVE - Building Permits > • CITY OF COSTA MESA BUILDING DIVISION >:i' "11 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER F tPERMIT 4. E05-01243 � (714)754-5273 • Fax(714)754-4856 • www.ci.coste-mesaftfTRICAL PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 743AWEEtOtW' IS3uO oAlasL2, Atst_ Status: ISSUED Suite No Applied: 11/29/2005 Vicinity: DUPLEX Issued: 11/29/2005 Parcel Nunmber: 42417401 Applicant: KNOLL, ROBERT In�� Address: 11611 GARY STREET Phone: 714-636-0463 ISSUED BY: GARDEN GROVE,CA Zip 92860 Owner: MC KENZIE, STUART TR Address 1205 W.BAY AVE. 1?` Phone: NEWPORT BEACH CA - ,.-_Zip --92661- 4Contractor::' OWNER-BUILDER Address:' .ls . • Phone: . • Zip: License:000000 , • SCOPE OF PERMIT' NEW SERVICE PANEL FOR IOUTDOOR ELECTRICAL. " . FEE SUMMARY Quantity . -, _ __ __ __ .. Quantity. ISSUE FEE - • $23.50 . - - ;Temp-Dist System/.Lighting $0.00 0 Temp service test $0.00 'Busway/100 k $0.00 0 Res.a/c package $0.00 - Standing Section $0.00 0 - . New Res(1-2 units) , $0.00 0 Misc Electrical Equipment $0.00 0 New Res(3+units) $0.00 0 ,_ Transformers up to.1 kva/kw $0.00`. 0 Pool/Spa $0.00 .._ -0 ' - • ..x--.up to 10 kva/kw- , $0.00 0 Lighting Fixts $0.00• : . Recept Outlets $0.00 0 "" - up to 100 kva/kw $0.00 0 , Switches .. $0.00 0 - over 100 kva/kw $0.00 0 Non Res Appl .. $0.00 0 Low Voltage Equipment $0.00 '0 Res Appl .. $0.00 0 Low Volt Wiring System/Ckt $0.00 0• Service to 200a , , $30.50 1 - Misc.Conduit $0.00 0 - ' Service to 1000a $0.00 0 , .• Misc:Conductor $0.00.- , 0 Service over i000a _ $0.00 0 Circus(gen or ride) $0.00; , 0 - , Motors to 1hp‘ . • $0.00 0 Circus(mech ride or lights) $0.00: .0 . Motors to 10hp- $0.00 ..0•., :, Christmas Tree Stand :_-I,..t .$0.00 0 Motors to 50hp . $0.00 -. 0 - - Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 . : Other Electrical Fee • $0.00' Motors over 100hp $0.00 Communication drops $0.00 0 , ,Investigation Feer $0.00_ • Sub panel to 200a . $0.00 - 0 . -.Plan Check.Fee: $0.00 Pole Light Pkg , $0.00• - - : ,0.' - -Reinspection Fee . Sign Circuits - $0.00 - ' 0 - ' Temp Pwr Pole $0.00 : 0- ;TOTAL CALCULATED FEES $54.00'_= Intermed Pole .,.COMMENTS/SPECIAL CONDITIONS • 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: 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 244646(6dm) DECLARATIONS 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,aeprovided 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 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: (This section need not be completed if the permit Is valued at one hundred dollars($100)or less.) rY'1. a rmhe performance of the work for which this permit Is Issued,I shell not employ any person In any manner so as to become subject to the workers' compensation laws of C fomia,and agree that if beco bject to the workers'compensation provisions of Section 3700 of the Laboi Code,I shall forthwith Comply with these pr si s. Applicant C�tura CDdtrs.2/— 2 . -U S WARNINOrFAILORE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOY2r1-rO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,000),IN ADDmON 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 em licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code;and my license Is In full force and effect.Lk.a Class# Contractors Signature: Date: 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: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury t 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 conact,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 pur t to the pYavLsions 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 therejjppppmm•end the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant toe civil penally of not more than five hundr�d@oII ($500).):c ❑ I,as owner of the property,or my employees with wages as their stilaompensation,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 n ly to an owner of properly who builds or improves thereon,'and who does such work himself or herself or through his or her own employees,provided that such im ements 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.). 0 I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑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 end certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes ❑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,ore 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? ❑Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Flre 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 en RMPP is presently required,has Section 25534 of the California Health and Safely Code been fully complied with? ❑Yes ❑No _ 5 Does or willo the applicant or present a emeRiurn busting occupant y other for toe wonk which isi the subject this application aPPermit for such construction or•modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LJ 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 ❑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? ❑Yes ❑No 6 (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. en. $ignatur O Legal Date �� /7"2S-0 C nd( GAuthoal:ed Applicant ceDE 0 INSPECTION TYPE g, =ALS CODE INSPECTION TYPE. PATE MEW 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 20 Final Plumbing 200 Final Re-Roof 210 Final Electrical • 201 Final Block/Retaining Well 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 M 'til15054 FEEJtpECEIVED COS961 TA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely APPLICATISt3/44FeWr MESA hitut OR PRINT BUILDING BUILDING .TKA! PE/ �/' / ADDRESS •%-y� (>.-1 L.L-0 OP- COSTA MESA. CALIFORNIA For Office Use Only /J.� I /` �f _ RECEIPT NO. PERMIT N OWNER /Q'4C / chilf27J a CS®/t,Z%1 LES I J�._ .y� y I i Q°IY MAIL 7�J L-��IC_-LV REcr4t aY I DA,,ndr(D, I lr EL. i ADDRESS Ate' y X- 111l/ CITY COS 772 /L/A&SW- NO. Tat'ST �/ 9 4/00So LV r - ARCH -T TEL. COSTA MESA. CALIFORNIA OR E. EER NO. . FIRE- '/ ADDRESS /� ZONE TYPE 1/ " // GROUPry CONTRACTOR 7:4:211/A" /./ SeL'F-' IL-//C APPROVED f v�y_ATE if" (/I��/ ADDRESS,l-/ e....:.-/17&' L- /1 &' S Z I/NYG Y CITY CC. 5.-rfi -11'AiS4 ZONEB- IPL. 7 IUSEOI NEWS/YJq, , C z- NO.OF ` USE OP II LIC NO. /GO/ �///TE NO.// g-7// Y LDEGAL GALIP/1/1;A(c re ,o a- C4,3 SIZE +��) / L NO. OP DLO'OS.. (/ / y/ OF LOT /^ •-' 4l / / NPW ON LOT '� A.P.NO. l 1 Y — / D / — / USE OF YARDS EVES - EXISTING BLDG, /6---:50)C- tt" APPROVED //rygq ALLOWED • - - SETBACK UNE FROM C (/ ere, �_ss, - CENTER OF STREET L-/ 0 REAR YARD / FRONT FT. _! IN. SIDE YARD I LEFTI �/-F/- % /RIGHT R.SIDE / y FT. IN. DESCRIPTION OF WORK _ . NEW I ](��j L.SIDE FT. IN. N\ II ALTERATION I II ADDITION I REAR a /�)7 o IN./ REPAIR I II MOVING I V DEMOLISH APPROVED/// / /� DATE n - v- Y/� BUILDING ,JJn 41 NO. OF 7L/ / h/�j� SIZE l/r ROOMS ( STORIES / HOLD FOR SPECIAL UR,EME 4 3 EXTERIOR WALL INURING {� COVERING Jfl:(({] I COVERING Ate-- / USE OF BUILDING AND WORK TO BE PERFORMED I ---tiz—ter---a c--2--/-,. .1- 174-e-0--p-, ` . Qt 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 ALL CITY ORDINANCES ANO STATE LAWS REGULATING ){�/ BUILDING CONSTRU/CT/tON. ` VALUATION / 0 I ` SIGNATURE OF J/reptel_ e 05 PERMIT FEE $ PERMITTEE J 40, 4" / �/ �C� $ J 6o� !L PLAN CHECK 57 4 AUTHORIZED AGENT { 2 ;/t rCre, z r'i(� • TOTAL FEE --- i ` `\ - ' 2639 C• NOV 22-66 00 968* ****63.00 ,COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92326 . 4. For Applicant to Fill in Completely APPLICATION FOR PERMIT I; JYPE OR PRINT BUILDING BUILDING - I 3}f�.4 ,rk( �/t/ Ave. For Office Use Only � ADDRESS - - / ICL ..4-c.) .. ! - RECEIPT NO. P RN NO. / j•' COSTA MESA, CALIFORNIA C - R 1 DhY DATE RECEIVED IESU OWNER /a,. CSOLC - *r' // -b21'-ii ��.2'-Lf ., BUILDING MAILADDR - - • ADDR. 70 - '.••..e G. - ..G/C7 FIRE' J • ZONE TYP • T' GROUP �- ' i f CITY r,"QPud/, .t`� �el Tilt: b7-3 4 / 9TECT TEL 5-3 7 :ra: DATE//•-2 t 4. l IGINEER .$�../....,,......... N. / ,� ZONING -t--E-9......:10 ADDRESS /067 6 N w+e"4T/✓! .t/il%.F>C ZONE O.or BE OF Ncw.- APLANS •UILDIN CONTRACTOR GU /r�• o - / LEGAL ADDRESS /0064 //.1r/�//f/f2i•43� DESCRIPTIO tbT//.- - � D CITY C ../Or-Z745," C r2gi c -, A.P.NO. Wim" 1 o •_ ? 't NOTE: NO EAVE OVERHANG SHALL BE LESS THAN LIO.TTE . NO. /722• , Np J/7�7(/ C_ . 30'TO SIDE&REAR P.L // , EAVES . SIZE(tor LOT /2ci) / Y' C2 //I NOW ON LOT ALLOWED f U.B.C.REQUIREMENT) YARDS APPROVED YARDS APPROVED USE T 6 MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (PROM C/�Lp S�T�eR) _ FRONT Leann--0--P pt. F R. 'ID CI i in Rr. DESCRIPTION • - WORKFT. ALTERATION ADDITION III'. REAR PT. Pr. .:. REPAIR 1111 MOVING III PPP=.:. M NANCE BLDGS. ACCESS.SLOGS. F BUILDING NO.OF .: VAR,# DATE SIZE 7A-2 7 ROOMS STORIES .' C.V.P.# APPROVED , EXTERIOR WALL I ROOF ' AFF�tqV „J //,, COVERING COVERING :; eY R Y, 0' . DATE 1/— Y,--66 '' USE OF BUILDING AND WORK TO BE PERFORMED p, cu/.P.4-(i/Jz'i,rE /0S,fi— 9 QST et SO.FT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATOR _ TNR AMOUNT SHOWN UNDER VALUATION IS FOR THE 2 • AND STATE THAT THE ABOVE.IS CORRECT AND AGREE TO COM. - PURPOSE Or ESTASLISHINS A PERMIT FEE ONLY. . PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGUIATING - VALUATION ..... PERMIT FEE E • . . t :..v' h..•9;,+ TOTAL PEE 5 (G 26392 NOV 22-66 00 969* *****3.00 COSTA MESA BUILDING-SAFETY DEPARTMENT • P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620 - u For Applicant to' Fill In Completely APPLICATION FOR PERMIT /� PE OR PRINT BUILDING auILDIN -/ ,,,,....s.--/ For Offko Use Only ADDRESS c l/ 4.(G1� J Jly��/'\\ ��//�� RECEIPT NO. PEBRTTIGLS2 COSTA MESA, CALIFORNIA ii.��//VVVV rr A[ a CEIVED DATE ISSUED OWNER /3 ,�1. 50..ec lit //-a1-w i, -a -66 MAIL BUILDING ADQREBS T 7 CdQP�r A�i0 / ADDRESS / /y /�,/_(` TEL` 73 FIRE TYPE GROUP a' CITY( rit,e/,/ .-4% /fide NO. iiLYJ l TEGT L APPROVED S IGINEER //0' AZ-we TSOd�77/ PDATE 1 ADDRESS /0 6 G 1p�.�.e7�� r�i� ' ZONING /��, ``` 20�/[r') NO.OF USE OP NEW ,�j CONTRACTOR 6�/:K/9//7i /' /Jf'FR0 J -�/PLANS - BUILDINGIN //jatc ADDRESS /06 L� G �,f.S7i11/`l..r,,fsea 1ONN ��. 6 / yy?�� CITY u,1- -o77� Ct ;Pa L- A.P.NO, `/4 — /0 SI— 6 / NOTE: NO FATE STATE -�y .-.� T-� TSL i ? 7 O HO•TO H D8 a REAROVERHP ANO SHALL BE LESS THAN LIC.NO. 7..,.Tl�1 SP NO, ✓///C7/ SIZE I NO,OF BLOWS. ALLOOWED (U.B.C.REQUIREMENT) OF LOT NOW ON CAT USE OF YARDS APPROVED TAROS APPROVED UMAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM CA.STRE I,) SETBACK LINE PROM FRONT , IT CENTER OP STREET REAR YARD SIDE YARD I LEFT I RIGHT R.SIDE PT. DESCRIPTION OF WORK L.8108 FT FT. N �_I ALTERATIONS ADDITION REAR Ff. PT. ` DISTANCE BET. BET.MAIN& REPAIR - _I MOVING DEMOLISH VXT. MAIN ELDOB. • ACCESS,BLDGS, BUILDING NO.OF VAR.# DATE SIZE ROOMS STORIES C.U.P.# APPROVED EXTERIOR WALL I ROOF APPR V COVERING COVERING eY �!l of DATE ( 7- )-`(OcJ USE OF UI LOINS AND WORK TO BEPERFORMED i -oi/P ®Cc2eff7. e,y4/ y'�C Ceepn c c../(2 il,c/ 0,,,e_ A� N ;,,a,, /�,izeefi C/.0/7 SQ.Fr. — S�{ I Hann ACKNOWLEDGE THAT.) HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POR THE O AND STATE THAT THE ABOVE.18 CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT TSE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION �7 ol SIGNATURE OF M /�&� PERMIT FEE 5$ 3 PBRMITT81 �WWS� 8 GfS� / T/ PLAN CHECK S w° AUTHORIZED AGENT _ ® TOTAL FEE $ !J OWNER ULbUEL, B. Ii. 1/211r- 11-cU w JOB ADDRESS MaxIgerakcocEatiscer - 1830 B Wallace Ave. BUILDING PERMIT NO. 26391 GENERAL CONTRACTOR Guaranteed Homes DESCRIPTION OF WORK res over garage att to ex res AP No. 116-104-01 LOT TRACT FIRE ZONE VALUE $ 12,1150.00 INSPECTIONS Signature Date GROUP I&J TYPE V ZONE R2 \G S' S 1-30-64 SUBCONTRACTOR PERMITS ISSUED s 2-12- \•((iDate � Number I Signature Water j.z,'-,.' i /2._-(e6,n Plumbing �J RoughPlumbing 1 2,5:Z: im-. -7� q .01 1 Elf �'�` t Prop.p. Swr. Line ❑ House Con. Sprinkling System Miscellaneous Rough Heating and Air Conditioning / /V,l-5 2.--(0C Temporary Service or Pole Underground 0 Power 0 Rough Wiring 4 L.[;-6C. Heating and V t. Trenches Q Forms.® Steel Reinf. 0 1?1$1 ,/_DC_C-c „ �� i�,��,_J/l 4 Floor System Bond Beam 0 Steel Reinforce 0 Sheathing frre rt-ir -66 Frame and Flashing 061 /p_i5__66 Lathing— Inp Out- ip,� ,y .�./-66 Plaster, Brown Coat �„y%.� ,_ v_ 67 Structural, Final ` l� FJ ctrie Hooting, Vent., Refrig. and A.C., Fin •� 76" u 47 4)f.� .Li /,7-4 -(e 22,6/7 I ')ing, Final and Gas Test B— ( J6^!7 / F.±.;.:rrio, Final -4) -('Cr CT Building, Final /�J� -(647