Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAbout1302 BAKER ST - Building Permits f �a
CITY OF COSTA MESA
• ����`
r BUILDING DIVISION
, 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
'4•• UPC§ FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: E09-00026
•
PERMIT TYPE ELEC STATUS: ISSUED
APN: TPN007220 DATE ISSUED: 01126/2009
ISSUED BY: RMD
JOB ADDRESS: 1302 BAKER ST CM Suite/Unit:
Vicinity: PUBLIC RIGHT OF WAY -
SCOPE OF WORK: ELECTRICAL PERMIT FOR THE INSTALLATION OF A 100 A METER PEDESTAL FOR AT&T, LOCATED ON PUBLIC
RIGHT OF WAY.
OWNER: CITY OF COSTA MESA . Address: Unit:
• •
PHONE: - City/State/Zip:
APPLICANT: OLIVAS,AL _ . Address: 1921 W 11TH ST Unit:
PHONE: 909-946-0905 City/State/zZip: UPLAND,CA
•
CONTRACTOR: VCI TELECOM License No. 765716
Address: 1921 W 11TH STUnit: PHONE: 909-946-0905
City/State: UPLAND,CA ZipCode: 91786 CELL:
•
ELECTRICAL PERMIT FEES
Electrical Plan Check Fee: $0.00
Electrical Permit Fee: $54.00
Reinspection Fee $0.00
TOTAL FEES $54.00
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/ INSPECTION Typg INTMAI.§ COPF/ INSPECTION TIFF 2AA1 IN1171ALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1006 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
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drve7SAEGnse. 0 Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Drivers 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.
.t- 0 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 m depth into which a
number are: person is required to descend,will be made in connection with work authorized
idfailit: Qby this permit,and that no building structure,scaffolding.falsework,a demolition
� ��r or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2.Grp
(Tiissecan need na be a completed pema valued oo)
d al one hundred thins(SIM 2,Art 2.Sec.341.Title 8,California Administrative Code).
Poul�cumber: {4,( 1AJC LI S'612&
❑ As owner-builder, I will not employ anyone to do work which would
0 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 A
the Labor ode,I shall
lfforthhwithly/comply withwthese provisions.v
Applicant's Signature Date
���. A- f -- 07 Division of Industrial Safety Permit Number:
A onf� reB1p� 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 full force and effect. fg�4a registration form for acutely hazardous materials? 0 Yes 0 No
6iork-- 7A- 7/A' Glas49CG- 7 (Section 25533 of the California Health and Safety Code, with some
6iexceptions, requires registration with the Costa Mesa Fire Department by
r-4-( , k- /— 26- 0'y each business which at any one time has on hand a quantity of acutely
iiaetolrSfgnatve 0 gr- 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 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 ❑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? ❑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? 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
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 taws.). 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.
¢4gnatur'of Lege _ (s) Date
Signature Date dere 21_ 7-'2r- 07
3057-46(3/07) •`� ''? mmreW cant at.
1 �
OUTDOOR E1Ac,1ROMC8 CAM=D•.TB,' TYPE FOOTAGE% y' " -+t 5 '. B )
, ,dP ,,. C , } vr,, , 1 CONSTRUCTION NLiTEB 1
TRENCH TYPE B" 300' ;� t E,I
• ASPH. CONC. 512' i'" ' �
;'1 '� {R I 1. MNIYIIY COVER FOR SIR(/CIifRE 36'BELOW EXISTING'
_' ` A. - •{.e.�`.+ .L �. T. GRADE OR 30' BELOW GUTTER FI.OWUNE
CONC. SW 40' : °�P". `i ^'
- aPV eT.:,. �'A-•• ♦ 2 ALL SUBSTRUCTURE INFDRMAlION SHOWN WAS TAKEN
� � CONC PAVING (CTRFFT) Mrr • :� _Lpi w x-s}4s-.r _r�^
VERIFY.RECORDS
AND PROTECT AN AS REQUIRED. TE
CURB AND GUTTER �'` •---� f ' '°` '�
ASPH (GRIND/OVERLAY) s 3. BEFORE EXCAVATING CALL
U.G. SERVICE ALERT I-(800) 22T-2600
110 1.L.Y DATA: • 4. ALL TRAFFrc NNTROf. Tri BE N ACCPPWA'cE WITH
\� ' SIZE KYe- LLSI. I DAD I - ;N - 31 `t.t. • THE CJ.U.T.C.0 WORK AREA PROTECTION NID
TRAFFIC CONTROL MANUAL
IXISr. 100 —� _ a:4r ..
t Tr
F PROP. 100 8 1 8% " 5. 'THIS PROJECT REQUIRES IXCAVATKIN. CONSTRU:.NON
a y _ran,' „ ct ? . WILL UTILIZE AND IMPLEMENT ALL BEST MANAGEMENT
VOLTAGE DROP 1.825 ` d� L ..r�• � tw +' PRACTICES (BYE'S) AS REQUIRED TO ENSURE COMPUN CE
PRI. DRC. FELLER 12KV SUB: HAMILTON n rr."- I q 2Yfr w 16,31t •ib. � �, -')' WDH SBC POUCY LETTER ISSUES FEBRUARY 21, 2003 BY
f' A- T 1% err t t '•y I rya1' i--T 2 T- ENVIRONMENTAL MNIAGEMDR CONCERNING STORM WATER
[ e i P"r TIO N P is' .,-.A.. 1'SF '� .3 PERMITTING AND STORM WATER POLLUTION PREVENTLN
• �i ] .1'(^l+2 ,'i .. Y^+aG n7' ,>r *L'ti ,7 T yL PLANS (S7VPPPe) AND N ALCOiEDANCE wTTH THE CIFAN
WRIT 1` ,.a•,...,yn,,V. ti'...at'2 r- , �j:t iu, v.. •Lri' js•• +""NC PATER ACT (IDBS) b FPA RRDANC WI THE tE N
` .aL ..WPM=i11�MT1� � (�LOW F' 1990 AS MODIFIED BY THE PHASED RULE N 1999'
f RECORDS NOR:I wowl or wow slaillUTUT i
•
RETIECT ALTA.CCMITTG WC WRAC WIG
U U U j CORRECT MINUET RECCES
Existing structures shown on this
PLANODE
DETAIL. Cf C/F drawing contain energized cable
and equipment. Entering strut—
(N.T.S.) I ture or breaking thru wall to be
done ONLY under supervision of
PROFILE - Edison Co. personnel.
4 C — - --m'CA
NOTE: -VAULT INSTALLED IN 2006
MIN. dICT01�fA STo NOT SHOWN ON INV. MAP.
-TLM SHOWS NO LOAD, CREW
•
m TO VERIFY AND UPDATE.
• C/F I J PKWY jIf C
•
GRDUNDUN- �,. N I _ I L W S/W NOTORIA ST
„rt, V.D.=1.B2S }}}
�''.- OUST. 1-3' (122') . . " LM ea A;
to V495 TO VRAD/MTR R - \
IN: 3-1/C, 2-I/0 h I-/[COP 7•, 110
EPL I t 1
FEED 0 VADLT=1,535' I I I Q
FEED 0 PED=836' /I v
EPL MAX=3,330' I
E N
NEW SAI I� \`
�/�
I
CUTTER GRADE /
1 I '3NN;N;ti:3 NEW VRAD/MTR m ,LEJ
T !'ICING
� I (NO SCALE) I ( I � \\\
1
• 2 I _ I PEDESTAL CO: 6382915 6 ~ ' , FFSTIY�IRIJ UNDERGROUND?2'"
3"+ f3• IN. 1 11111? 100V 1P 3W O 1-800_�-/_2800
so I _1h� I IN: 1-ZMTR tOB
ft Car DSA
.n. I For ng DaU US le You
I� v ...,r. I..NTS" 2 Working Dore Before You Dig
I I �I . r _ ,. '` N ATT CONTACT:CH� SE
714-2AE OTTE 193FRAJ START DATE 09/24/07 TH • E
Q v AL NO.
I o © I , 1 °OSTRILI IPMY NO[ 4 alAWERNN IPIAMER DROORE D.W0.
nammulumn -C BION I r `/ . I I • I ` 1 •
3.7-HMT BEACH Moe 889-421-JSES7 •RINE 909-37S-I 6633-2152 7-2243 ,
CUSHION V V FOREMAN N0. P/E 1 mon=MM NM MOWS aLL£ onto N0. SLW0. 7- Na
I'"G° I J 33 i�-0 I BBB EZ 66B
TYPICAL CONDUIT BANK SECTION 2'X1-S -1D,_ 3' L� cap ,N N.. I BY-PASS M COSTING _ R„ MPA Na ABBDOAIED ILO. AL Ha 1
SHOWING G DIRECT BURIAL la 1-50KVA 12KV 120/240V IP 3W 5N N_ CCM DIAN2 ro.,�. 11.A4 ,�..OAD
SIMILAR CONSTRUCTION FOR 2-25KVA Izxv I20/240v IP 3W -' •
1TL@COOISTRUCTION T PRO✓ELOCATO0 SPE�'lJ
• FEWER CONDUIT -40 E�;; -2
2 CONDUITS MAX. o o N _t PAR/DS 10/15/07 1075 77CTUR/4 37. PSR 6992915
Del: Fe.. ./2[/05 PAR/TH 09/24/07 (COSTA MESA)
I REV. APPROVED BY DATE OWED BY DRAWL BY DATE SHUT MC M0. NN��{{NP�P�et --
WO DEED: MEOW OXON OOIPANY I ar� £572241