HomeMy WebLinkAbout591 ANTON BLVD - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Jab Address: 591 ANTON BL
Suite:
Vicinity:
Parcel Nunmber:
Applicant:
Address:
!i[�FYii[�i
BURKE, LAURI
SIGN PERMIT
Zoning: PDC PDC
Phone: 714-630-8414
. , Zip>
Owner. SAKIOKA FARMS'%BRE/SOUTH COAST LLC
Address %EDWARD W COOK III" ,- � -
: LOS ANGELES, CA _' , Phone: - _' . „ .
- �5750 WILSHIRE BLVD � � " Zip: 900363697 �
Contracror: �,'CAREY SIGN GRAPHICS
Address: 2871 BLUE STAR �
_ i! j:
� " ANAHEIM CA
Arch/Eng�: . � '
Address: " � - ,
Phone: 714-630-8414
Zip:� 92806
License: , 376085
� , ' .
i
'- Phone: ' � �
Zip:
License:
Status: ISSUED
Applied: 10/15I2002
Issued: 10/15I2002
ISSUED BY:
� SCOPE OF PERMIT
- 'RELOCATE EXISTING FREE STANDING SIGN. CURRENTLY EXISTS IN APPROXIMATE CENTER OF
PROPERTK BY 555 ANTON. SIGN IS-BEING RELOCATED DUE TO CALTRANS WORK. NEXT TO NEW OFF
R,4MP. � _
. `
� , . FEE SUMMARY ` .
Plan Check: $72.31 -_ - Calc Valuation: 3a,eoo.00
$0.00 -
Permit: $111.25 Claimeii Valuation: Sa,aoo.00
SMIP Com: ° $1.01
Other: $0.00
�' . $0.00 �� � � .
Inspection: $0.00
�$0:00 °"�'�'' - . _
$0.00.'. �'�r� t`_ � "
Total: - `5184.57� � `��'� � � . . �
� � ;� _ . � PLANNING & ZONING
.. -,,
_�.J ' ' � . , .
NOTES: . - �.�, � . �. � ,
NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiremenis under California statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inapeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of this permit.
FOR INSPECTIONS CALL: (714) 7545626
24d&48I6/00)
WORKERS'COMPENSAnON DECLARArON: �
I hereby eMirtn untler penalry oi perlury one of ihe lollowing declaretians:
I hava entl wlll meintaln e canllicete ot consant lo sell-Insure��or workars' compensetion, es provided tor by seaion 3700 af t�e Lebor Code, for ihe pertortnence of the
work tor whlch this permit is Issuetl. :
ave anE will melntain workers' compensetion insurence, as requiretl by sectlon 3�00 of !he Lebor Cotle, for the peRortnance of the woB for which Ihis pertnit Is issuetl.
My warkers' campensation Insurance cerrier and poliq number are:
Certier. Policy Number:
(T�is secfion neetl nof be complefed i/ the permit is va/ued et one hundred dollers ($ f 00) or IessJ
❑ I certity the� In Ihe performence of Ihe work for which Ihis permit is issued, I shall not employ any person in any menner so as to 6ecome sublect to the workere'
campensation laws Celifornle, and egrea that it I s�ould become sub�ect to Ihe workers' compensation provisions of Section 37 0 af Ihe Labor Cotle, I ahall fotlhwith
comply with thes r vislons. �/,� /„�/ \""�
Applicent SipneNr . �-.�-�.� Dete: U �� U � i
' WAFNING: FAILUR SECURE WORKERS' COMPENSAT1qJ COVERAGE IS UNLAWFUL AN� SHALL SU9IECT Ml EMPLOYER TO CRIMINAL PE ES AND IVIL FlNES UP TOONE HUNORED
THOUSAND DOLLA (5100,OD0�, IN ADDITION TO THE COST OF COMPENSATION, DAAUOES AS PFOVIDED FOR IN SEGTION 3108OF THE LABOR CODE, IMEREST, AND AITOPNE`fS FEES.
LICENSED CONTRACTORS DECLARATION:
I hareby aMirm Ihat I am I' se ntlar rovisi ns of Chepter 9(commencing with Sectlon 7000) of Division 3 of Ihe Busi�ass a tl Professions Cotle, anA my license is in tull
torce entl eHect. Llc. p Cless N<�--
Contrecrofs Signawre: � Date:
CONSTRUCTION LE ING AGENCV:
❑ I �ereby eNirm thet Ihere is a constmction lending egency Por the peAormanco of ihe work br which this pertnil is issued. (Sec. 3097, Civil Code).
Lenders Name: Lender's Address:
Sipnature:
OWNER-BUILDER DECLARATIONS:
Dete:
I hereby affirtn thet under penalry of perjury ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor t�e following reason (Sec. 7031.5, eusineu end Professians
Code: Any city or county which requirea a permit b construct, alter, Improve, demolish, or repair any structure, prior to its issuence, elso requires the applicent for such pertnil
b Nle a signetl statement t�et he or she Is Ilcensetl pursuent to the provisions of the Contrectors License Lew (Chapter 9(commencing with SecUon 7000) of Division 3 of the
Business end Professlons Code) or ihet he or she is exempt theretrom anA t�e besis for the allegeA e:emption. Any Noletion ot Section 70.31.5 6y any epplicent tor e pertnit
sub�ecis the epplicent to e civil penelty of not more than tive hundred dollaro ($500).):
❑ I, es owner of t�e property, or my employees with wages es Iheir sole compansation, WILL DO THE WORK, and the slructura is not InlenOetl or otlered tor sale (Sec.
7044, Business and Professions Code: The Contractors License Lew does not apply to en owner of properry who builds or improves thereon, antl who does such work
himsetl or herself or through hls or her own employees, provided ihat such improvemems ere not imentled or oNeretl lor sale. tl, however, ihe building or improvement is
soltl within one.yeer ot,completion,.ihe owner-builtler will have ihe 6urtlen ol proving that �e or she did not build or improve tor purpose of sale.).
\ tn H �- 1 Ilo.
❑ I, es ownar ol the'property; em E)(CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS lo consiruct Ihe prolect (Sec. 7044, Business end Protessions
Code: The contrectors License'Lew.does not'epply to en owner of Droperty who builds or impmves thereon, en0 who contracts br such projed wich a contredor(s)
license pursuant to the CoNrectors Clcense..Lews.).
❑ I am ezempt untler sea — Business end Prolessions Cotle for Ihis reason:
Slgnature: � �"� �� Date:
Owner ID venfied by driver5licen5e. ❑ Ye5 ❑ NO Dnvers LicenSe No.
Verllicetlan of Ownership by (type ol document, I.e. - proDerty tex blll or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
Expires:
❑ I here�y ceritly Ihat no excavellon five (5) or mare leet in depth into which e pereon is requireA to tlescentl, will be mede In connectlon vrith work authorizetl by Ihis
permit, antl that no builtling structure, scafloltling, lalsework, or demolilion or dismantling ihereof, will be more than Ihirry-sia (3fi) feet �igh. (Chap. 32, Grp 2, An 2, Sec.
347, TINa 8, Calilarnia Adminislretive Cade).
❑ As owner-bullder, I will not employ enyone to do work which would requlre e permit trom the Division of Industnel Satety, es notetl ebove, unleu such person has a
pertnit to da such work from the division.
Signature: Date: `
Division o1 Indus�rlel Selety Pertni� NumbBr:
CERfIFlCATE OF COMPLIANCE AND AUfHORVATION OF ENTAY: I cenity under penelry oi perjury ihat I have reatl t�is application en0 state that the informatlon given is
cortect. I agrea lo compty wit� all siate laws end ciry ordinences relating lo bulltling wnswction, end euthonze representetives at the Clry of Costa Mese to enter upon Ihe
ebove-descnbed properry for inspeIXion purposes. I egree not to occupy or ellow occupancy of eny building euthorized by this peimit until fnal inspectlon.
GO�E I, MSPECIIONTYPE
7818 FIxeO System Final Fire Prevention
1266 Pool Spe Final
200 Final Re-Raol
201 FInaI8locWReteining Well
202 Final Fectory Fire Place
203
204
Final Sign
-Final Demolilion
�g
�¢ COpE� INSPECTIONTYPE
206 Final Mechanical
208 Final Plumbing
210 Final Electncal
212 Finel Fire Prevention
220 Final Planning Approval
222 Final Site
250 Final BuildingiOccupancy
p7.\i .iw_c9
(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAL PERMIT
Job Address:
Suite No
Viciniry:
Parcel Nunmber:
Applicant
Address:
591 ANTON BL
41050101
BURKE, LAURI
Phone: 714-630-8414
Zip:
,:.
Owner SAKIOKA FARMS %BRE/SOUTH COAST LLC
Address %EDWARD W COOK III • :. � --
� ' LOS ANGELES, CA � � --� Phone:
, � .5750 WILSHIRE BLVD Zip: 90036-3697
� . , �,;;°
�, ,
Convactor. CAREY SIGN GRAPHICS _
Address: 2871 �BLUE STAR
•� ' . � Phone:'_714-630-8414
� - iANAHEIM CA. � -�. �i�" _.: Zip: 92806 � �'
-��License:. �376085 � �
�
Status: ISSUED
Applied: 10/15/2002
Issued: 10/15/2002
ISSUED BY:
SCOPE OF PERMIT
� ' , �-�� RELOCATE METRO CENTER SIGN. REF: S802-00130. 1 SIGN CIRCUIT. �� �, �
- - `FEE SUMMARY � . " -_ _
y
��. ISSUE FEE �
Temp service test � � "
Res. a/c package- '
New Res (1-2 units) �
New Res (3+units) � �
Pool / Spa , , .
Lighting�Fixls �,�
Recept Outlets
�Switches � �
Non Res Appl -
Res Appl
Service to 200a
Service to t000a
Service over 1000a �
Motors to 1 hp �
Motors to 10hp
Motors to 50hp �
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole light Pkg
Sign Circuits
`1 Quanlity
$23.50 � '
ao.00 - -
So.00
so.00 0
ao.00 0
$0.00 0
• $0.00 '. 0
�, $0.00 -, 0
50.00 0
50.00 0
50.00 ; 0 ,
$0.00 , � �_� : 0 . '
$0.00 ` 0�' � �' '
- "$0.00': � �' �r�0 �-
$000 � `-'0--
$0.00 t �` �0--� �-
� $0.00 �' -, 0 �� . �
$0.00.; ��0-_ - -
$0.00 � - �0�
�' �. $0:00., �.. .. 0 . � � ,
$0.00�':>_� 0'.; ,�; -��'
$0.00 -� �:. `0 . . -. �
$24.60 � . �t' , ,
Temp Dist System % Lighting
' Busway /100 ft� ' ' �
Standing Section -
Misc Electrical Equipment
Transformers up to 1 kva/kw
................up to 10.kva/kw
.................up to 50 kva/kw
...................up to 100 kva/kw
'.. : .............over 100 kva/kw
Low Voltage Equipment
Low Volt Wiring System / Ckt
Misa Conduit .� . .
Misa Conductor
Circus ( gen or ride)
Circus (mech ride or lights)
-Christmas Tree Stand.
Fireworks Stand
Other Electrical Fee
Investigation Fee �,' �
Plan Check Fee .
�Reinspection Fee -
Quantity
$0.00 0
$0.00 0
so.00 0
50.00 0
So.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
$0.00 0
$0.00 0
$0.00
$0.00 ,
$0.00
$0.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1. 1241-92)
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 au�horized under ihis permit to be considered legal, such work must comply with all applicable codes, and all
required Inapectlons and final epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
2448�48(8�00)
WORKERS'COMPENSAnONDECLARAnON: �
I hereby aMirm untler penelty of perjury one of the following tlecleretions:
I have entl will meintaln e cenilicale of consent to satl-Insure for workers' compensatlon, es p�ovided for by sectlan 3700 oi ihe Labor Code, �or the pertormance at ihe
work tor whlch thls permit is Issuetl.
I �ave entl wlll melntain workere' compensetlon Insurence, es requireA by sectlon 3700 oi the Lebor Code, lor the pertortnance ot Ne work for which this pertnit Is issued.
y warkers' compensation Insurence carner antl policy number ere:
Cartiec Policy NumCer.
(Thls sectlon neetl no( be comp/etetl it the permit is valuetl ef one hundred dollars ($100) or less.)
❑ I certity Ihet in Ihe perto qnce ol the work for which Ihis pertnil is issueq I shell not employ eny person In eny manner sa as to become subject to tha workers'
compensetlon laws oi �16rnle, end agree that If I should become sub�ecl lo ihe workers' compansation provislons ot Section 37 0 ot Ihe LeDor Cotle, I ehell forthwith
comply with Ihese pro r6nq _ �� P��� ��
Ap011cant Slgneture: ���'� Date: �
WARNINQ: FAILURE TO URE WORKERS' COMPENSATION COVERA�E IS UNLAWFUL AND SHW.L SUBIECT AN EMPLOYER TO CRIMINAL PENN.TIES AND qVIL FlNES UP TOONE HUNDRED
THOUSPND DOLUFE (5100.000), IN ADDRIIXJ TO THE COST OF Q�MPENSATION, �AMAGES AS PiiOVIOED WR IN SECTION 3]OB OF THE LABOR OODE, IMEREST. AND ATTORNEI"S FEES.
LICENSED CONTRACTORS DECLAHATION:
I hereby aMlrm Ihet I am
lorce and eflect. Lic. N_
Contrectors Signeture:
CONSTRUCTION LENDING AGENCV:
ot Chapter B(commencinp with Section 7000) ol Divislon 3 ot Ihe B
Class a
Oate: _
Cotle, an0 my license is in tull
❑ I �ereby efllrm ihet t�ere Is a consiructlon lending a9ency lor ihe peAormance oi Ihe work for which this permit is issued. (Sec. 3097, CiNI Code).
Landers Name: Lentlels Atltlress:
SigneWre:
OWNER-BUILDER DECLARATIONS:
Date:
I hareby aHirtn thel untler penalry oi perJury Ihat I am EXEMPT FROM TME CONTRAC70RS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professlons
Code: Any city or counry which requiros e permit to construct, elter, improve, demolish, or repair eny stmcWre, prior to its issuence, also requires the applicant for such pertnit
to tile a signetl stetement that �e or she Is Ilcensetl pursuent to the provislons oi the Contrectors Ucense Lew (Chepter 9(commandng with Section 7000) ot DlWslon 3 of the
Business end Prafessions Code) or thet he or she is axempt therelrom entl tha besis tor tha elleged e:emption. Any violetion oi Section 7031.5 by any aOP�icant for a permit
subjects the epplicent to e civil penalty ol not more ihan live hundred dollars ($500).):
❑ I, es owner ol the properry, or my employees with wages as their sole compensetian, WILL DO THE WORK, entl ihe sWIXure Is not Intended or ottered for sale (Sec.
7044, Business antl Profe:
himselt or hersetl o� ihrou{
sold within one year�o��o�
❑ I, es owner oi the propeny
Code: The contrectors�Uc�
license pursuent to Ihe Co
� I em exempt under,sec. _
Signature: '
>ions Code: Tha Conirectors License Law does not apply to en owner of property who Duiltls or improves Ihereon, and who does such work
i hls or her own employees, pravided that such improvements ere nol Intendetl or oHereO for sale. If, however, the building or improvement Is
pletlon, the ownervbuiltler will hava the burtlen oi proving ihat ha or she did not build or improve for puryosa of sale.).
em'E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the projact (Sec. 7044, eusine55 end Prolessions
ise�Lew does not aDPN �o an owner ol property who builds or Improves thereon, antl who contrects Por such projact with e contrector(s)
Business and Protessions Coda tor t�is reason:
Owner ID veritietl by tlAveYs license. ❑ Vesn�.� No Driver'S License No.
Verlfication at Ownership by (type of document, i.e.�-�properry tax bill or deetl):
Date:
Eapire5:
DIVISION OF INOUSTRIAL SAFETY PERMIT CERTFICATION:
❑ I hereby certlfy that no excavatlon flve (5) or more teel in depih into which e person is required to descend, will be matle in wnnection wlth work authodzed by Ihis
permit, antl that no builtling structure, scattoltling, felsework, or tlemolition or dismantling thereof, will be more than thirty-six (36) leet high. (C�ap. 32, Grp 2, Art 2, Sec.
341, Ttle B, Calilarnla Atlministretive Catle).
❑ As owner-bullder, I will not empioy enyane to do work which would require e permit fmm the Division of Intlusidal Sefery, es noted ebove, unless such pewon has e
permit ro tlo suc� work irom the Civislon.
Signeture: Date:
DiWsion of Intlusiriel Sefety Permit NumDer:
CER7IFlCATE OF COMPLIANCE AND AIfTHORIZATON OF ENTRV: I certity under penelry of perjury �het I have ree0 this eDPlication en0 state Iha� ihe iniortnation given is
wrrect. I agree to comply with all stete lews end ciry ordlnences relaling to Oulltling conscruction, end euthodze representativas of ihe Clry of Costa Mese to enter upon Ihe
ebove-deunDetl D�operryJe( inspection purposes. I egree not to occupy or allaw occupanty of any building euthonzed Dy Ihis permit until tinel inspection.
GOOE �. IXSPEC710NTYPE
1616 Flaed Sysiem Final Fire Preventlon
1288 Pool Spa Final
200 Final RB-Rooi
201 Finel BIocWRelalning Well
202 Finel FaCtory Fire Place
203 Final Sign
204 Finel Demolition
[ � /.� � (�e.�--
Date
Qsjf, �$ f�Qj� INSPECTIONTYVE
__ _. _ 206 Finel Mec�enical
208 Finel Plumbing
270 Finel Electdcel
212 Flnel Fire Prevenllon
220 Finel Planning Approvel
222 Final Site
250 Finel Building/Occupancy
veie �