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Home My WebLink About425 ANTON BLVD - Building Permits_ .. ' � - CITY OF COSTA MESA BUILDING DIVIS/ON � i` � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.w.us �.�� FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER.' E08-00327 PERMIT TYPE ELEC APN: 41044117 JOB ADDRESS: 425 A ANTON BL CM Vicinity: CONSTRUCTION TRAILER SITE STATUS: ISSUED DATE ISSUED: 08I08/2008 ISSUED BY: YH Suite/Unit: A SCOPE OF WORK: INS7ALL TEMPORARY POWER POLE FOR "ENCLAVE" ' OWNER: ROY K SAKIOKA INC Address: 14850 E SUNFLOWER AVE Unit: PHONE: City/State/Zip: SANTA ANA, CA APPLICANT: MCGUIRE, BRANDY PHONE: 714 765•7563 523596 Address: City/State: Address: Unit: CirylState/zZip: SR BRqY CORP DBA POW ER PLUS TEMP UTILITY SERVICE 1005 N EDWARD CTUniC ANAHEIM, CA ZipCode: 92806 ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $47.00 Reinspection Fee $0.00 TOTAL FEES $47.00 License No. PHONE: 800-863-2525 CELI: .3.% < NOTICE: The work authorizetl by this permit shall comply with all applicable handicap access requiremenLs under Calilomia stalutes 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. INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply wilh all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiradon of this permit. COQE t, idsrEenox rme o� x n� �Qo� ixsrernox ttve aq� IN7ITIALS 7818 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final . 208 Final Plumbing 200 Final Re-Root 210 Final ElectriWl ��.1.�� 207 Final BIocWRetaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning ApDroval 203 Final Sign 222 Final Site 204 Final Demolition 25o Final euilding/Occupancy WORKERS' COMPENSATION DECLARATION: � I hereby aKrtn under penally of perjury one of the oiiovnnq declarations: ❑ I have antl will mainlain a certi(cate of wnsent to sel(-Insure for vrorkers' compensalion, as provitle0 tor by sec[ion 3700 of the LaDor Cotle, (or the peAormance of the work for which this pertnit is issued. I have and will mainlain v.orkers' canpensation insurance, as required by section 3700 01 the Labor Coda, fa t�e peAarmance of Ure �+ork fa whic� this permit is issued. My wvrkers' wmpensation Insurance wrtier and policy number are: ,Q�j7 Cartier b%1� 1"l� � ��/�� (Tnoyeconr�eNndDeoornpMM-lm7e�p5cmrvI-k, aimemnmedeorais(f�00)aressJ PolicyNumber: �.�li�! ''i'�v�) _ ❑ I certify that in the peAortnance of the work for which this permil is is5ue0, I s�all not employ any person in any manner so as to become subject b tha workers' compensation laws of Califomia, and agree thal if I should become subjact to the workers' compensation provisions of Section 3700 of lha bor Co0 , I s all fo � hwilh compl wilh these provisio s. � � � � A I ' Sign0lure e WARNING: FAI E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S ($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 aKrtn lhat I am licensetl under pmvisions of Chapter 9(wmmencing wilh Seclion 7000) of Division 3 0l ihe Business and Pro(essions Code, anC my license is in full force and eflecl. Lic. # Class # % /rJ Con 's S'g Wre � CONSTRUCTION L NDING AGENCY: ❑ I hereby affvm that Ihere is a construction lending agency for the peAormance of the v.ork ta wfiich tHs permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: OWNER-BUILDER DECLARATIONS: I here6y aKrm that untler penalry ol peryury Nat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe lollowing reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a pertnil to wnstruct. alter. improve, demdish, or repair any sWcture, prior to its issuance, also requires the applicant tor such permit to file a signed statement that he or she is licen5etl pursuant to Ihe pmvi5ion5 of Ne ConlraCtors License Law (Chapter 9(commencing with Section 7000) of Division 3 0l Ihe Business and Professions Cotle) or that he or she is exempt Nerefrom antl the basis (or the alleged exemption. Any violation of Section 7031.5 by any applicant for a pertnit subjects the applicant to a civil penalry of not more than five huntlred dollars ($500).): ❑ I, as ovmer ol Ihe property, or my employees with vrages as t�eir sole compensation, WILL DO THE WORK, and tha s�ructure is not intended or offered !or sale (Sec. 7044, Business and Pmfessions Code: The Contractors License Law tices not apply to an ovmer of property vAio builds or improves thereon, and who does suc� wvrk himself or herself or lhrough his or her ovm employees, provitletl that such impmvemenls are not intended or offered for sale. If, however, the building or impmvement is sold vrithin one year of completioq Ihe ovmer-builtler will have the burden of proving Ihat he or she did not builtl or improve lor purpose of sale.). ❑ I, as owner of the proDerty, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construcl lhe projecl (Sec. 7044. Business and Prolessions Code: The wntractors Licensa Law dces not aDPN �o an owner o( property who builds or improves lhereon, and who contracts fw such project with a contraclor(s) license pursuant to tM Contractors License Laws.). ❑ I am exempt under sec. � Business and Protessions Code tor tnis reason: J09�a6(3/0)� Ovmer ID verifietl by dmE .. ❑ Yes ❑ No Driver's License No. Expires: Verification of Ownership by (type of document, i.e. - properly Ux Dill or tleed�: DIVISION OF INDUSTRIAL SAFEN PERMIT CER7IFICATION: ❑ I hereby certify that no exwvation frve (5) or mwe feet in tlepN into vfiich a person is required lo descend, vrill be made in connection with work authorized by this pertnil. and that no building 5truclure, st�ldding, lalse+�wrk, o tlemdition or tlismantling mereof, will be more than thirty-su (36) teet hiq�. (Chap. 3.2, Gry 2, M 2. Sec. 341, Title 8, Califomia Administrative CoOe). � A5 owner-builder, I vrill nol employ anyona to do vrork which would require a permit Irom the Division of Intlustrial Safery, as noted above, uNess such person has a permit to do such vrork Irom the division. Appli�'nN's SignaWre Dab Division of IndusUial Safely Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or preseN or future building occupant need lo file antl certily a Business Plan for emergency response to release or threatenetl felease OI a haiafdous malerlal? ❑ Ye5 ❑ No (Seclion 25505 0! Ihe California Health antl Sa(ety Code requires, wiN some exceptions, thal a Business Plan be filed vrith �he Costa Mesa Fire Department by every business whic� has at any ane time Curing a reported year a quantity of hazardous matenals equal to or greater than a weight of 500 pounds, or a volume ot 55 gallons, or 200 cubic feet of wmpressed gas al standard IemperaWre antl pressure). 2. Dces or will lhe applicant or present or fuwre building occupant need to fiie a regisiration form (or acutely hazartlous materials7 ❑ Yes ❑ No (Section 25533 0( the Calitomia Heallh and Safety Cotle, wiN some exceplions, requires registration wilh the Costa Mesa Fire Department by each business which at any one time has on hand a quantiry of acutety hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic (eet of wmpressed gas at standartl temperature and pressure�. 3. Does or will Ihe applicant or present or (uNre building occupant need to prepare an RMPP (Risk Management antl Prevention Program lor acutely hazardous malerials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safery Code provides that the Costa Mesa Fire Depanment may require the preparation, certification antl fling with the Fire Department of an RMPP by businesses v+hich are required to register aculely hazardous matenals wit� Ihe Fire Department. 4. II an RMPP is presently requiretl, has Section 25534 of t�e Califomia Health antl Safely Code been fully wmplied wilh7 ❑ Yes ❑ No 5. Does or will Ihe applicant or present or future builCing otcupan� reduire (Or the work which is the subject of this applica6on a permit lor such conSWction o� modificalion Irom Ihe SouN Coast Air Qualiry Management District or from any other air pollution wntrol district or agency? ❑ Ye5 ❑ No (Section 65850.2 of the Cali(omia Govemment CoUe requires that the requeste0 infortnalion be fumished on applications for narresiOential buildirg permits). 6. Will any part of the facilily to be consirucled under Ihis permil ba within 1000 feel from the outer bounCaries of a school? ❑ Yes ❑ No (If'yes", the (acility must meet the requirement of Sections 25534 and 42303 ol the Califomia Health and Safety Cotle). 7. II a pertnit (rom the Soulh Coast Air Qualily Management DisMct or other air polNtion wntrol dislnct or agency is requireC for the work which is the subjecl of this application, have all of the tlisclosures prescribed by Califomia Health and Safety Code Section 42303 been matlel ❑ Yes ❑ No 8. QI'yes", attach certificate of compliance from the appmpriate air polNtion coNml officer). CER7IFICATE OF COMPLIANCE: I certify ihat under penalty ot perjury the inlormation given above is cortect. I agree to comply with all sWte laws and city ordinances re9arding Hazardous Materials and Emissions. Wte CERTIFICATE OF COMPLIANCE AND AU7HORIZA710N OF ENTRY: I cerGfy under penalty of perjury lhat I have reatl this appliwtion antl state that the infortnation given is wrtecL I agree to wmply with all sUte lav5 and City ordinances relating to building wnstruction, and authorize representaGves af the City of Cosla Mesa lo enter upon the aboveCescribed property for inspeclion purposes. I agree not to occupy or allow oCtupanty of any DUiltling aulhorized by Ihis permit until final inspection. gnalureolLega wQn (s � ^ le � � N ` (l Ma OMu mn I� a Dale