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Home My WebLink About500 BRIGHTON SPRINGS - Building PermitsOWNER M. D JOB ADDRESS 50 GENERAL CONTRA AP No. 115-12i- II CTIONS 50._ c.s W ATER JANES COMPANY, INCORPORATED ROUGM NEAiING �NO �IR CONOITIONING TEMPOAARY SEAVICE OR POLE UNOERGROUNO � POWER �_ ROUGN WIRING y TRENCHES FORMS STEEL RE FLOON SVSTEM BONO BE�M I,� STEEL REINFORCE � SXE�iNING FR�ME �NO FLISMING L<THING — IN (�{./ OUT CL�STER. BAO�VN C01T, STP��riUA�L, FIN�L HI G. VENT., FEFRIG. �Np �.C., FII PLb...91NG_ LIN�L AN� G15 TEST I� DATE ��-29-79 SUBCONTRACTOR •- CITY OF COSTA MESA � ° BUILDIN6 p1VISION � � � DEVELOPMENT SERVICES DEPARTMENT � . F9R-OO.F39 �� PERMIT PERMIT NUMBER (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: 500 BRIGHTON SPRINGS SEE DESCRIPTION. Parcel Nunmber: TPN98074 App�icant: KATHER, SCOTT Address: Owner: BRIGHTON SPRINGS HOA Address 500 BRIGFITON SPRINGS ' COSTA MESA, CA . Contractor: AQUALINE POOL SERVICE Address: PO BOX 9694 ISSUE FEE Temp service test Res. alc package New Res (1-2 units) New Res (3+units) Pool I Spa Lighting Fixts Recept Outlets _ Switches Non Res Appl Res Appl Service to 200a Service to 7000a Service over t000a Motors to thp Motors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole FOUNTAIN VALLEY CA Phone: Zip Phone: . -Zip: 92626 Phone�'.714-742-9597 Zip: ��92728 , � � �. License:515862 -�"' status: ISSUED C� � Applied: O6/09/1998 Issued: 06/09/1998 ' SCOPE OF PERMIT STATE HEALTH AND SAFETY CODE SECTION 116049.1 PUBLIC POOL GFCI INSPECTION. � $22.00 , $0.00 80.00 $0.00 $0.00 $0.00 $0.00 $1.00 $0.00 $0.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0:00 $0.00 $0.00 $0.00 $0.00 Quantity FEE SUMMARY Temp Dist System / Lighting Busway/t00ft ' �� - Slanding'Section �'� � - Misc Electrical Equipment � Transformers up to 1 kva/kw ................up to 10 kvalkw .............:. up to 50 kva/kw ..........-..:..up to 100 kva/kw ..................over 100 kva/kw . Low Voltage Equipment Low Volf Wiring System / Ckt Misc. Conduit . Misc. Conductor � Circus ( gen or ride) " � Circus (mech ride or lights) , � � Christmas Tree Stand - � Fireworks Stand � � Other Electrical Fee . Quantlty $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 ' $0.00 0 $0.00 0 $0.00 ' 0 $0.00 0 $0.00 0 $0.00 0 $o.00 o " $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspedion Fee . $0.00 TOTAL CALCULATED FEES $23.00 COMMENTS / SPECIAL CONDITIONS EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must wmply with all applicable codes, and all required inspactlona end flnal approval must be obtained. Failure to obtain Inspeclions and final approval will result In ihe expiration of this permit. FOH INSPECTIONS CALL: (714) 7545626 ! WORKERS' COMPENSATION DECLARATION: I hereby effirm untler penalty of perjury one M the tWlowing deGeraUons: � ❑ I heve an0 wlll maintflln e certficete N consent to setl-Insure for workers' compensetion, as proviCetl for by section 3700 oi the LeDor Code, for tlie pertormence of the work for which ihis pertnll is issued. ❑ I have arM will meintein workers compense6on insurance, es repulretl Dy sectlon 3700 ot Ne lebor Code, for the peAortnence of ihe xrork for whlch this permi� is issueC. My woiicers' compensetion Inwrflnce cartler antl poliq numDer ere: Cartier. . Policy Number. (Thl�ectlon need naf be comp/efetl i! the permit is valued ef one huntlred dollars ($100J or less.) 1Q I certify that in the pertortnance of the work far w�lch this pemOt is Issue4 I shall not employ any pereon in any manner so es to Decome subject to the workers' compensetlon laws of Cal' omla, antl� Ihet should become sub�ect to the workere' compansation provlslons o1 SecUon 3700 of the Lebor Catle, 1 s�all lorthwith comply with Ihese prov' ns.-/ � �'/ C��/' Applicant Signeture: � AI�/ Dete: �� r^( JS WMNINO: FAILURE TO $ECURE WORKERS' COMPENSATION CAVERAOE IS UNLAWFUL AND SMALL SUBJEGT AN EMPLOYER TO CRIMINAL PENALTIES AND GVI� FlNES UP TOONE HUNDRED TlKK1SAND DOl1ARE (5100,000), IN ADIXTION TO TME W5T OF COMPENSATON, DAMAGES 0.S PROVIDEO FOR IN SECiION 3]OB OF TME LABOR CODE, INfEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: 1 hereby eHirtn thet I em licensetl under provisii force and ettect LJc. a �a !� Contrectofs Slgneture: 9(commencing wlth Section 7000) af Divislon 3 ot the Business ef1tl Pyr fessions Cada, end my license Is In tull � Class q C_ C1 � Date: � � LONSTRUCTION LENDING AGENCY: . ❑ I hereDy e�flrm Ne� Ihere is e wnstruNon lending egency for �he pertortnence oi t�e work fOr whit� Ni5 pertnit i5 issued. (Sec. 3097, Clvil Cotle). Lenders Neme: . Lendefs Addrass: _ _ ___ _ . Signeture: OWNER-BUILDER DECLARATIONS: Date: I hereby ettirtn t�et unAer penelry oi perjury ihet I am E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe fdlowing reason (Sec. 7031.5, Bu5ine55 and Profession9 Code: Any ciry or counry which requires a pertnit to construM, elter, improve, demolish, or repair any structure, prior to ils issuence, also requlres the applicant for such permlt ta file e slgned stetement ihet �e or she is Iicensed pursuent to ihe D�ovislons of t�e Coniradors Llcense Lew (Chapter 9(commencing with Section 7000) of DlNsion 3 at the Business entl Proiesslons Code) or that he or s�e is exempt therefrom and ihe besis for ihe elleged ezemption. Any violatlon of Sectlon 7031.5 by any epplicant for e pertnit sub�acts ihe epplicant to e civil penelry ot not more Nan flve hunOretl tlollars ($500).): ❑ I, es owner ot Ihe property, or my emplayees wlih weges as ihelr sole wmpensatlon, WILL 00 THE WORK, end ihe structure is no� inlentleC or otteretl tor sale (Sec. �044, Buslness end Professions Code: The Contradors License Lew tloes not apply ro an owner oi property w�o huilds or improves Ihereon, enC w�o does such work hlmself or �erself or through �is ar her awn employees, provlde0 that such Improvements ere not Intendetl or oXaretl for sele. If, however, Ihe bullding or improvement is soltl within ane year of completion, the ownerbulltler will heve the burden of proving thet he or she did not bulld or improve for purposa of sale.). ❑ I, as owner of the properry, em EXCLUSIVELY COHTRACTING WITN LICENSED CONTRACTORS to construct tha pro�ecl (Sec. 7044, Business and Professions Cotle: The contrectors License Lew tloes not apply to en owner of properry who builds or Improves Ihereon, and who contrects for such project wlth a conirector(s) Iicense pursuant to the Contractors License LewsJ. ❑ I em exempt under sec. 8usiness en0 Protessions Cotle for this reeson: Signature: Date: Owner ID veritletl by tlnvefs license. ❑ Yes ❑ No Drivefs License No. Vedflcallon of Owners�lp by (rype of dxument, I.e. - property tau bill or tleed): Explre5: DIVISION OF INDUSTRIAL SAFETY PERMR CERTFICATION: ❑ I hereby certlly that no e:cevetlon ilve (5) or more feet In depth into w�ich a person is required to descend, will be mede In cronnecllon with wark authorized by Ihis pertnit, end thet no building structure, scaflolding, falsework, or tlemolltlon or tlismentling Nereoi, wlll be more ihen thirty-six (38) feet hiph. (Chep. 32, Grp 2, An 2, Sec. 341, Title B, Celifomle Atlministrative Code). ❑ As owner-6ulltler. I will not employ enyone to da wark which would requlre e pertnit trom ihe DlNsion oi Intlustrlal Safery, as notetl ebove, unless such person has a pertnit to tlo such work trom the division. SigneNre: Date: Division ollndusirlel Sefery Permlt Number: CEHTIFlCATE OF COMPLIANCE AND AIJfHORQATION OF EHTAY: I certify under penalty of perjury thet I have read �his applica�ion end state that ihe information given Is corred. I egree to comply with all state lews and ciry ordinances reletlng to building consWction, end eut�arize representetives of the Ciry ot Costa Mesa to eNer upon tha ebove-tlescribed property for inspeclion purposes. I egree not to occupy or allow occupancy ot any builtling aut�oAzed by this permit until final inspection. �/� I neture Of Legal Owner(s) ^�^_ ^�Dete [ ' `� y x _ AnNOr Authodzetl Applicant Date cooe �. ixsvecnoxTrve 1616 Fixed System Finel Flre Prevention 1266 Pool Spa Final 200 Finel Re-Roof 201 FIneI Block/Retaining Wall 202 Flnel Fectary Fire Plece 203 Flnal Sign 20C Flnal Demoli[ion 2448�6 � II�lS j`,pp[j IXSVECTONTYPE 206 Flnel Mechenical 208 Flnal Plumhing 210 Finel Electdcal 212 Final Fire Preventlon 220 Flnel Plenning Apprwel 222 Finel Site QAff U�dLS mc� , .� �c,�, �-DC CO MESA BUILDING-SAFETV DEPARTMENT , P.O. BOX 1200 COSTA MESA, CALIFOflNIA 92626 � � For Applicant to Fill in Completely — Use Ink Only BUILDING�jt��) ��'C� �� ADDRESS CJ�/ OWNER OR � TENANT � MAIUNG �'pO �I�A/ ADDRESS y CITV � .�/� N�L.�� CANSTRUCTION f � ki d Q y y rTr F C W F Q C .d � �^ .d a W a � � G z `� 3 BRANCH ADDFESS ARCHITECT TEL. ADDRESS CONTRACTOR � ADDRESS TEL. CITV NO. STATE GTV IIC. NO. LIC. NO. SIZE NO.OF BLDGS. OF LOT I NOW ON LOT USE OF EXISfING BLDG. Separate permits are required for electric, plumbing and heating work: USE OF BUILDING AND WOFK TO BE PERFORMED I hereby ecknowledge thet I heva �eetl this appllceSion and s[ete ihet th¢ above intormeilon is corract antl agrae to comply wlth all laws reBulating building consvuction, antl I shall not amploy any parson in violaSion of the workman's compensetion laws o� the State of Celitornla. .. I hereby certlfy ihat I am properly Iicensed as a conttactor under the Stete of Californie siness antl Professions Cotle, Division 3, Chapter 9, and that su licenses are In full farce entl effect, or I am exempt trom tha ovisions of e Stata ot Celitornia Business and Professions Cotl , tvisi n 3, apter 9. Signatura ot Permlttea or Authorized Agan ate �-j697 10/29/79 � -73.13 � APPLICA?ION FOR STRUCTURAL PERMIT �— PERMIT N� - 49053 - A.P.NO. I �I�, RJ BUILDING R' � ADDRE55 (J(� UNIT OR SPACE NO. NEW I ADD APPROVEDSETBACKS ACTION � BLK. � _ -� . s-s�. R 'MOVING DEMOLISH $ DATE[D �ZS`p� DATE //'�� APPROVED (� P � i u V SQ. FT. �m`+ 7 THE AMOUNT SHOWN UNDER VALVATION IS FOR m THE PURPOSE OF E5TABLISHING A PERMIT FEE ONLV: � VALUATION PERMIT FEE $ �� T L n PLAN CHECK $ 2.Q /� o �� n fY� �� S � /'yJ/ �� TAX $ „� �� U TOTALPAID S%�./ Z �a9� sii�iqn rra5r. rt �1 COSTA MESA BUILDING-SAFETY DEPARTMENT APPL ATION FOR STRUCTURAL PERMIT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 REC PERMIT � � O For Applicant to Fill in Completely — Use Ink Only ADIDRES�JC/�� S� A.P.NO. �/ I 3�� BUILDING � OWNER OR ADDRESS TENANT UNIT OR MAILING � �^ . SPACENO. ADD0.E55 /<.t�/ TR.N�� OT BLK. TEL. �J� CITV � NO. %d NEW ADD LTER REPAIR MOVING DEMOLISH CONSiRUCTION I/,� LENDER /(_i�A.� BRANCH OWNER �S � ADDRESS � � VALUE ARCHITECT TE J/ L USE � OR ENGINEER � 1� ADORESS � 20NE � TVPE GROVP APPROVED CONTRACTOR OOI S� BV DATE ADDRESS �L � CITV � NOL� ��!/ STATE CITV APPROVEDSET C LIC. NO. U LIQ NO S� � SI2E NO.OFBLDGS. (FROMC/LST T) OF LOT NOW ON LOT ONT FT. USE OF / EX15fING BLDG. Separate permits are required for E T. electric,-plumbing and heating work: AR FT. USE OF BUILDING AND WORK TO BE PERFORMED P�qNNING ACTION [.QJ! 6 a � — /!/ � �`� AVPRpVE — 3' APPRO �/? _Q Q V I heraby acknowlatlpe ihai I have rea0 this epplication antl state ffiat the ebova Information is correct and aB�ee to comply wlih ell laws reBulatln8 Ouiltlin8 conrtruction, and 1 shall not employ any person in vlolation of the workman's compensatlon laws of the State ot Califomta. I heroby ca�tify that I am D�oparly licensetl es a contractor untler SQ. FT. the Steta ot Calltornia Business antl Profassions Cotle, Divbion 3, TME AMOUNT SHOWN UNDER VALVATION IS FOR Chepter 9, and thet such licanses ara in full forca entl etfect, or I THE PURPOSE OF ESTABLISHING A PERMIT FE ONLV: am exampt irom tha provlsl ns of the Steie of Calltornla Business VALUATION antl Ptatessions Cotle, Divisl 3, Chapter 9. PERMIT FEE E , Q� / PLAN CHECK $ O .Q�' Sip^ature of ,^O�O TAX E O� s Parmlttea $ u� � or A�thorizatl Agant Date � TOTAL PAID E �'