HomeMy WebLinkAbout634 BAKER ST - Building Permits�
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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:
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STATUS: ISSUED
DATE ISSUED: 04101I2008
ISSUED BY: RMD
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ST;�CM �-' �` ' � Suite/Unit:'�.
EXTERIOR- � , �
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INSIDEEOF BIDG. TO EXTERIOR & REFEED EXISTING SUB',PANEIJLOAD TO REMAIN THE SAME.
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LOGAN, DENNIS ! k " � � • Address � �. Unit..%� '� i ; - � �
949689-7.779,-� �'��� ��-``-; � City/State/zZip: '.. . � . , ' �_+ �', .
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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: �- . �.'
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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
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ConlracmrS SiyuW re Da
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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])
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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¢'
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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'�'-` :.
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OWNER: OTERO, KELLY '
PHONE: - ' `
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APPLICANT: LOGAN, QENNIS
PHONE: 949 689-7779
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CONTRACTOR: DENNIS��LOGAN�1
Address: 300 S,4NTA ISABEL
City/State: COSTA MESA CA-?�
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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:
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:M* Suife/Unit x
RIOR
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)E�OF BLDG.�TO EXTERIOR & REFEED'EXISTING"
ISSUED
04l01/2008
RMD
EULOAD TO REMAIN THE SAME.
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P � �4qddress: P O.BOX 2542,:Unrt -
i'a ,;,.:�� _-?City/State/Zip: � HELENDALE CA '. __;j ��::.-.
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ECTRIC>'' A � .License No.` 725011' '
Inrt: UNITA _, , - :;:: PHONEi�' 949'650'4303 -�;.
ZipCode. 92627,-� CELL,�: r�: � , � ,�:
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� " $42.25
;u:$84 50
$0 00
$126 75; ;'"
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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
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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