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HomeMy WebLinkAbout634 BAKER ST - Building Permits� . CITY OF COSTA MESA � BDILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER. E08-00094 PERMIT TYPE ELEC APN: JOB ADDRESS: 634 BAKER Vicinity: INTERIOR OF SUITE TO, SCOPE OF WORK: NO OTHER WORK AI OWNER: PHONE: APPLICANT: PHONE: � ,`'r ,',; * STATUS: ISSUED DATE ISSUED: 04101I2008 ISSUED BY: RMD - ' ' . ; :,:�:,,.� ST;�CM �-' �` ' � Suite/Unit:'�. EXTERIOR- � , � _ �', . ,' , . . . INSIDEEOF BIDG. TO EXTERIOR & REFEED EXISTING SUB',PANEIJLOAD TO REMAIN THE SAME. � ,� � s:ir'�. , �.� :. �+ �'Y.t�" � "�,�,: )'. ✓ �:'s`y �.��" -.�, ` -'�V„ � , ,_, ' . 4 � � .�-1 4\, � i i3, - `. VOI�: � .. ' ,�{. ____ ! . �,-�� i�... ; , _ _ _' City/Stete/Zip: � � . . ' .. ,. . �,=j - - � y. �: . _ LOGAN, DENNIS ! k " � � • Address � �. Unit..%� '� i ; - � � 949689-7.779,-� �'��� ��-``-; � City/State/zZip: '.. . � . , ' �_+ �', . :i.. �.-, '.^. -- .' . �. � `�,-. ,.'�: .- CONTRACTOR: DENNIS'LOGAN; E �ECTRIG " �• : . • .- , License No, 725011� ,; "', Address: 300 SANTA ISABEL Unik UNIT A �� - - � PHONE: 949-650�303 � Ciry/State: COSjA MESA,CA 2ipCode: 92627 . CELL: �- . �.' i . �'. ELECTRICAL PERMIT FEES Electrical Plan Check Fee:. ' . $42.25 Electrical Permit Fee: ���1�. - � :��,$84.50 ,�;_�- � Reinspection Fee �.$0.00- TOTAL FEES . ,� , . $126.75 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Calitomia statutes and reiated regulations. (Ord. No. 92-28, § t, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authonzed 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. L0� INSPECTIONTYPE 1618 Fized System Final Fire Prevention 1268 Pool Spa Final . 200 Final Re•Roof 207 Final Block/ReWining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolilion D� N RL CODEt INSPEGl10NTYPE 206 Final Mechanical 208 210 212 220 222 250 Final Plumbing Final ElecinCal P/�. Final Fire Prevention Final Planning Approval FinalSite Final Building�Occupancy D�7 INIIMLS � WORKERS' COMPENSATION DECLARATION: � I hereby aKrm under penalty of perjury one of the (ollowing declarations: ❑ I have and will maintain a certifiw[8 0l tAn58n1 lo self-Insure (or workers' compensation, as provided for by section 3700 of Ihe Labor Code, for t�e peRortnance o( the work for which [his permit is issued. ❑ I have and vrill maintain xorkers' Compen5alion insurance, as required by sectbn 3700 of the LaDor Code, for Ihe peAormance of the wnrk fa which this pertnit is issued. My w�rkers' wmpensation Insurance cartier antl policy number are: Cartier:� (Tha seUion need �al0a mmpleftH i/tM• pe�md'a vahlcd af wre �untlredWllars (5f 00) w less ) P�o/liCy�N'umber. r7 I Certify tha[ in Ihe pertormance of ihe work for which this permit is issued, I shall not employ any person in any manner so as to become subject [o t�e workers' compensaiion laws of Califomia, and agree that it I should become subject to the workers' compensation provisions of Seclion 3700 ot t or Cod� , I shall forthvn[h comply with these prov�is�io/ps�.� � •�—� Y / / / 0 5� A/py iwnl'sSignaWre �—dl� WARNING' AICURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLA FUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE IABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm lhat I am IicenseE under provisions of Chapter 9(commencing with Section 7000) o( Division 3 of the Business antl Professions Code, and my license is in full torce and e((ect. 'Lic. #T Class #� C d f ConlracmrS SiyuW re Da C/ .,.._--� CO T UCTION LENDING AGENCY: � I hereby affmn ihat thare is a cons[ruction lending agenq fw tha per(ama�e of ihe �wrk for wfiich this pertnit 5 issued. (Sec. 3097. Civil Code). Lentler s Name: Lenders Address: SigeaWre Dale OWNER-BUILDER OECLARATIONS: I hereby aKrm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business and Professions Code: Any city or county vfiich requires a pertnit to construct, alter, improve, demolish, or repair any slructure, prior to its issuance, a�so requires the appliwnt (or such permit to file a signetl statement that he or she is licensed pursuant lo the provisions ot the Contractors License Law (Chapter 9(wmmencing with Section 7000) o( Division 3 0( the 8usiness anE Professions Cotle) or that he or she is exempt lherefrom antl ihe basis for the allegetl exemption. Any violation of Section 7037.5 by any applicant for a permit subjects the applicant to a civil penalty of not more Nan five hundred tlollars ($500).): ❑ I, as owner of the property, or my employees with wages as meir sole compensation, WILL DO THE WORK, and the structure is not intended or oflered for sale (Sec. 7044, Business and Professions Code: The Contrectors License law dces not apply to an owner of property who builds or improves thereon, antl who dces such work himself or herself or through his or her own employees, provided ihat such improvements are not intended or oflered for sale. If, however, the building or improvement is sold within one year of compleGon, the owner-builtler will have the burtlen of proving ihat he or she did not build or improve for purpose of sale.). ❑ I, as owner of the properly, am EXCLUSIVELY CONTRACTING WITH 110ENSED CONTRACTORS to construct the project (Sec. 70M14, Business and Protessions Code: The conllactas License Law tices rrot apply to an owner of property who builds or improves tliereon, antl who coniracts for such project wilh a cont2c[w(s) license pursuant to lhe Contractors License Laws.). ❑ I am exempt untler sec. Business and Pro(essions Code for IhiS rea5on: SipnaWre Date ]OS]-06�0ro]) ;'.� Owner ID verified by dnve� .r� J Yes ❑ No Driver's License No. Expires: Verification of Ownership by (lype ot document, i.e. - property tax bill or deed): � DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certHy Ihat no ezcavatbn frve (5) or more feet in depth into wfiich a persm is required to descend, will be made in connection with work auUror¢etl by this pertnit, and that no builtling strucNre, scAfdding, falsewoAc, or demolition or dismantling thereof, will be more lhan thiAy-su (36) feel high. (Chap. 32, Grp 2, M 2, Set. 347, Title 8, Califomia AOministrative Code). ❑ As owner-builtler, I will not employ anyone to do work which vroultl require a permit from the Division of Industrial Safety, as noted above, unlass such person has a pertnit to Oo such vrork from the division. ApPlicanl's SignaWre Oale Division of Industrial Safety Pertnit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or (uNre building occupant need to file and certi(y a Business Plan for emergency response to release or t�reatened release of a hazardous material7 ❑ Yes ❑ No (Seclion 25505 of the Califomia Health and Safely Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business wt�ich has at any one time tlurinq a reportetl year a quantily of hazardous materials equal lo or greater �han a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at standard lemperature and pressure). 2. Does or will the applicant or present or fuWre building occupant need to Ole a registration fortn for acutety hazardous materials7 ❑ Yes ❑ No (Section 25533 0( the Califomia Health and Safety CoGe, wilh some exceptions, requires registration with [he Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazartlous malerials equal lo or greater Ihan a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feel of compressed gas at standard temperaNre and pressure). 3. Does or vnll the appliwnt or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)7 ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safety Code provitles that the Costa Mesa Fire Depanment may require the preparation, certification and (ling with ihe Fire Department of an RMPP by businesses which are required to register acutely hazartlous materials with the Fire Departmenl. 4. If an RMPP is presently required, has Section 25534 of Ihe Califomia Health anA Safety Code been fully complied wilh? ❑ Yes ❑ No 5. Dces or will the appliwnt or present or future building occupant require for Ihe work which is the subject ot this application a permit for such consWction or modificalion from the Sou[h Coas[ Air Quality Management District or from any other air polNtion control tlistrict or agency? ❑ Yes ❑ No (Section 65850.2 of ihe Califomia Govemment Code requiies tha[ ihe requested in(ortnation be fumished On applications for rqn-residential building pertnit5). 6. Will any part ot [he faciliry to be constructed under this pertnit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No Qf yes', the faciliry must meet the requirement of Sections 25534 and 42303 of lha Califomia Health antl Sa(ety Code). 7. I( a permit from [he South Coast Air Qualiry Management District or otlier air polWtion wntrol disMct or agency is required for the work which is t�e subject of this application, have all of the tlisclosures prescribed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. pf yes', attach ceAifiwte of wmpliance from the appropriate air polNtion, control officer). ' CERTIFICATE OF COMPLIANCE:.I certify that under penalty of peryury [�e information given above is co❑ect. I agree ro compy with�all state laws anC ciry ordinances regarding Hazartlous Matenals anC Emissions. . �. � SiBnature Date . CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certi(y under penalty o! perjury lhat I have read this appliwtion and sta[e that the informalion given is cortect. I agree to comply vrith all sWte laws and ciry ordinances relaling to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above�escribed property for inspection purposes. I agree not to occupy or allow occupancy of any building authorizetl by thi5 permit until final inSpeGtion. Si re ol Legal Owner(s� a�e ' Q nNprAut�arae�Ap0licanl � �0 t¢' . � � � • CITY OF COSTA MESA B1/ILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us PERMIT TYPE ELEC APN: 41822206 �P� JOB ADDRESS: � BAKER Vicinity: INTERIOR OF SUITE TO SCOPE OF WORK: RELOCATEME NO OTHER WORK AUTHORIZEDi'�'-` :. z ��`',� =' �� OWNER: OTERO, KELLY ' PHONE: - ' ` '�rt APPLICANT: LOGAN, QENNIS PHONE: 949 689-7779 4';i * t CONTRACTOR: DENNIS��LOGAN�1 Address: 300 S,4NTA ISABEL City/State: COSTA MESA CA-?� i. �� g � � Electrical Plan Check Electrical Permit Fee: Reinspection Fee TOTAL FEES FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER E08-00092 STATUS: DATE ISSUED: , , r e ISSUED BY: .. .. ,., r .. ; , :M* Suife/Unit x RIOR c btt" )E�OF BLDG.�TO EXTERIOR & REFEED'EXISTING" ISSUED 04l01/2008 RMD EULOAD TO REMAIN THE SAME. f: � i'4 } P � �4qddress: P O.BOX 2542,:Unrt - i'a ,;,.:�� _-?City/State/Zip: � HELENDALE CA '. __;j ��::.-. f._ � � r i: r _ . _- '��i - ',�a2 � s ' Address �- Unit .':�, ,. � � City/State/zZip s . �` � _ ECTRIC>'' A � .License No.` 725011' ' Inrt: UNITA _, , - :;:: PHONEi�' 949'650'4303 -�;. ZipCode. 92627,-� CELL,�: r�: � , � ,�: -: �. __ , .. -_ r4�. { , . . . . .. -. . .._. ._ ', s ,y S _ E :. � " $42.25 ;u:$84 50 $0 00 $126 75; ;'" � .. NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenls under Califomia 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 authonzed 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 obfain inspections and fnal approval will result in the expiration of this permit. CO�E t. INSPEC710NTYPE 1816 Fixed System Final Fire Prevention 1266 Pool Spa Final . 200 Final Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition ORTE IN7171ALS COOE/ INSPECl10NTYPE 206 Final MechaniCal 208 Final Plumbing 210 Final Elecirical P/A 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy DATE IN71ML5 /: � i /�r�.� _ ' r � WORKERS' COMPENSATION DECLARATION: I hereby a�rm under penalty o( perjury one of the fol owing declarations: ❑ I �ave and will maintain a certificate of wnsent to self-Insure lor workers' compensation. as provided for by section 3700 of the Labor Cotle, for lhe peAormance of lhe vrork for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by seclion 3700 of the Labor Code, for the pertormance of the woAc for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Cartier: (71iis seppn neetl rot be cwnpletMllhe permE is valuetl al one �urMre00dlars (f100) akss ) Policy Number: ❑�I certify that in the performance of ihe work for which this permit is issueG, I shall not employ any person in any manner so as to become subject to the workers' compensa[ion laws of California, antl agree thal if I should bewme subject to the vrorkers' compensaUon provisions of Section 3700 of t� r Cotle hall forthwith comply with these provisi ns. y r e t� ' ' Applic 1's Signalure . ale . � WARNI : AILU E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLA UL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Code, and my license is in full force and effect .. ` Lic. # � Class # C % � _!� Comroctor's5ignaWre - �Dte'" CONS CTION LENDING AGENCV: ❑ I hereby affirm lhat there is a cons[ructbn lentling agency (or lhe pertortnance of tha work for wfiich this pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lentler'S Atldress: SignaWre Dale OWNER-BUILDER DECLARATIONS: I hereby aKrm that untler penalty of perjury that I am EXEMPT FROM THE CON7RAC70RS LICENSE LAW (or the following reason (Sec. 7031.5, Business and Professions Cale: Any city or county which requires a permit m wns[ruct, alter, improve, demolish, or repair any sWcture, pnor to its issuance, also requires the appliwnt (or such pertnit to file a signed statement [hat he or she is licensed pureuam to lhe provisions of the Contractors License Law (Chapter 9(wmmencing with Section 7000) o( Division 3 of the Business anC Pro(essions Code) or that he or she is ezempt iherefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjecis Ihe appliwnt to a civil penalty of not more ihan five hundred dollars ($500).): ❑ I, as owner of the pmperty, or my employees with wages as their sole compensation, WILL DO THE WORK, and ihe structure is not intended or oRered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law tices not apply to an owner of property who builds or improves thereon, and who dces such work himself or herself or through his or her own employees, provided that suc� improvements are not intentletl or offered for sale. If, hovsver, the building or improvement is sold wilhin one year of completioq the ovmer-builder will have Ihe burden of proving Ihat he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTRAC70RS to construct lhe project (Sec. 7044. Business and Pro(essions Code: The coniractors License Law dces nol apply to an amer of property who builds or improves [hereon, and who contracts for such project with a contracta(s) license pursuanl lo [he Contractors License lavrs.). ❑ I am exempt under sec. Business antl Professions Code for this reason: t . Owner ID verifietl by drivei n � Ves ❑ No Driver's License No. Expires: Venfication of Ownership by (type o! document, i.e. - property lax bill oi deed): DIVISION�OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: '. ` ❑ I hereby certify ihat no excavatbn frve (5) or more feet in tlepth into which a person is required to descend, will be made in connection vrith v.ork authorized by ihis pertnit, antl that no building sWc[ure, scaffdding, falsev+ork, a demolition or dismantling thereof, will be more ttian thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Administ2tive Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a permit lrom the Division of Industnal Safety, as noted above, unless such person has a permit to do such work from the division. Applicanl's Signalure Division of Indus�rial Sate[y Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: t. Will the applicant or present or tuture building occupant need to �le and certity a Business Plan for emergency response to release or threatened releasa of a hazardous material7 ❑ Yes ❑ No (Seclion 25505 of the California Health antl Safety Code requires, with some exceptions, ihat a Business Plan be filed with [he Costa Mesa Fire Department by every business which has at any one time auring a reported year a quantity of hazardous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, oi 200 cubic feet of compressed gas at standard tempereWre and pressure). 2. Does or will the applicant or present or (uture builtling occupant need to fle a regisiration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of lhe Califomia Health and Safety Code, with some exceptions. requires registration with �he Cos�a Mesa Fire Department by each business which at any one [ime has on hand a quanti[y of acutely hazardous ma[erials equal �o or greater than a weigh� of 500 pounds, or a volume of SS gallons, or 200 cubic feet of compressed gas at standartl temperature and pressure). 3. Does or will the appliwnt 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 ihe Califomia Health antl Safety Cotle pmvitles that the Costa Mesa Fire Departmen[ may require [he preparetion, certifcation and filing with the Fire Department o( an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Califomia Health and Sa(ery Code been fully complietl with? ❑ Yes ❑ No 5. Does or will Ihe applicant or present or future builtling occupant require for the vrork which is the subject of this application a permit �or such construc[ion or motlifcation from the South Coast Air Dualiry Management District or from any other air pollution con[rol disMct or agency? ❑ Yes ❑ No (Section 658502 0( the Califomia Govemment Code requires that the 2quested information be (umished on applications for non-residential building permits). 6. Will any part of the facility to be consWcted under this permit be within 1000 feet from the outer bounCaries of a school? ❑ Yes ❑ No (If yes", the (acility must meet the requirement of Sections 25534 and 42303 of the Cali(omia Health and Safety Code). 7. If a permit from lhe Soulh Coast Air Quality Management Dis[rict or o�her air polWtion conirol district or agency is required for the vrork which is the subject of [his application, have all of the disclosures prescribed by Calitomia Healih anE Safety Code Seclion 42303 been matle? ❑ Yes ❑ No 8. Qf 'yes", attach certificate of compliance trom the appropriate air polWtion control oKcer�. . . CERTIFICATE OF COMPLIANCE:.I certify that under penalty of perjury the information given above is cortecL I agree to comply wiN all state lavrs and city ordinances regardinq Hazardous Materials and Emissions. � �� SignaWre Oate . CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this appiication and state that the information given is conect. I agree to comply with all state laws and city ordinances rela[ing to building cons[ruction, and authonze representatives of the City of Costa Mesa to enter upon the above-descnbed property for inspection purposes. I agree not to occupy or allow occupancy o� any building authorized by [his permi[ until final inspection. . aWreofLegalOwner�s) — D� pe', . SlgnaWre Dale � � /O fi 305]-0fi (3101) — ' . � A ' An rAulM1onzearlppli['anl Da yy