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Home My WebLink About384 CLINTON AVE - Building Permits(714) 754-5273 • Fau (714) 754•4856 • www.Ci.COSta-m858.Ca.US 77 FAIH UHIVt, GUS I A MtSA, GA aZti2ti ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 384 CLINTON ST 42716116 Applicant: GANDARA, FRANK Address: Owner: RKB INVESTMENTS Address 380 CLINTON STREET COSTA MESA, CA Convactor: KENNETH G MELGOZA Address: ENGINEERING RESOURCES � ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) " Pool / Spa Lighting Fixls � Recept OuUels Switches Non Res Appl Res Appl Service to 200a � Service l0 1000a Service over 1000a Motors to 1hp Motors to 10hp Motors to 50hp Mo[ors [0 100hp Motors over'IOOhp Communication drops Sub panel l0 200a IRVINE, CA 27 MAUCHLY STE,209 Phone: 949-863-9901 X116 Zip: Phone: Zip: 92626 ' Phone: 949-450-0431 Zip: 92678 License: E76088 Status: ISSUED Applied: 12/16/2003 Issued: 01/07/2004 � . / , : s _� - ;' SCOPE OF PERMIT . ADDITION OF A 600A MAIN ELECTRICAL SERVICE AND REFEED EXISITNG PANELBOARD FROM NEW SERVICE TO 362 CLINTON ST. NO OTHER WORK AUTHORIZED WITH THIS ACTIVITY. $23.50 $0.00 50.00 $0.00 $0.00 50.00 $0.00 so.00 $0.00 $0.00 $0.00 $0.00 $62.15 $0.00 so.00 so.00 $0.00 $0.00 $0.00 $0.00 $30.50 Quantity FEE SUMMARY 7emp Dist System / Lighting Busway /100.fl . Standing Section . � Misc Electrical Equipment _... � Transformers up to 1 kva/kw ................uP to 10 kva/kw . ..........._....up to 50 kva/kw � .................up to 100 k'va/kw ..................over 100 kva/kw low Voltage Equipment Low Volt Winng System / Ckt , Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree SWnd - . �Fireworks Stand . Other EleCtriCaLFee , Inves6galion Fee Plan Check Fee Quantity � so.00 o, 50.00 0 - $1625 � 1 $0.00 0 $0.00 0 $0.00;,' 0 $0.00 0 so.bo 0 50.00 , 0 $0.00 0 $0.00 0 $O.OU 0 $0.00 0 $0.00 0 $0.00 0 30.00 0 $0.00 0 $0.00 50.00 $0.00 NOTICE: The work authorized by this permit shall comply with all applirable handicap access requirements under Calitomia statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized unde� ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetlona and flnal epproval must be obtained. Failure to obtain inspections and tinal approval will result in the axpiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 244&46(N00) WORKEflS' COMPENSATON DECLARATION: � I hereby alTirtn untler penalry ot Derjury one of tha tollowing dedarations: ❑ I have antl will maintain a cenificete oi wnsent b selt-Insure tor workers' rnmpensation, es provided for by sectlon 3700 of the Lebar Code, br the peAormance ot the work for which this pertnit is Issued. �� 1 have and wlll maintain workers' compensation insurer�ce, es requireC by section 3700 of Ne Lebor Code, for Ne perfortnence of the work tor which this pertnit Is issuetl. My wa rs' wm e lon/�n� urance ca`rr'i andQ� I' ^n ar � }�`n �}, /'��J� Certier. ��I �/-�'�.V � Y�VI . ' � Pdity Number. V 1 L% WV1 A/�_ (This section need n be comp eted the rmit is valuetl et e hundred dWlers ($f00) or less.) � 1 certiy ihat in the pertortnance of �he work for which t�is pertnit is issued, I shall nm employ any person in any menner so as to become subject to the workers' compensatlon lews of Califomie, tl egr ¢ that it I hould become subJect to Ihe workers' compensation provisions of Sectio 3700 of the Labor Code, I shall fotlhwith comply with Ih��.efo � i ps/ � �y�/ �/ �%% 1 Applicent Signature: "I / i1��i �� A� oate: r,,Ol lQ � WARNWG: FAILURE TO 5 CURE WOFiI(EiiS' COM N�ATION ODVEMGE IS UM.AWFUL AND SFIFLL SU&IECT M! EMPLOYER TO CRIMINAL PENALTIE ANO CML FlNES UP TOONE HUNORED TMOUSANDOOLLARE(51 ,000),INADDITIONTOTHEWSTOFCOMPENSqT10N,DAMAGESASPROVIDEDFORINSECilON3]O60FTHELABORCODE,INTEREST,ANOATfORNE1"SFEES. LICENSED CONTRACTORS DECLARATON: I hereby aHirm that I am torce and eHecL LJc. q ContreMofs Signature 9(commencing with Section 7000) of Division 3 ot the Busineu an�+ Pra��y ons Code, and my license is in tull oia� « �"r IU � Date: �L /1 / / CONSTRUCTION LENDING AGENCV: ❑ I hereby aMirtn Ihat Ihere is e construction lending egency for Ihe pertormance of the work for which Ihis permit is issuetl. (Sec. 3097, Civil Cotla). LenAels Name: Lenders Atltlress: Signature: _ Date: OWNER•BUILDER OECLAflA110NS: I hereby aHlrtn thet under penalry o1 perjury Iha� I em E%EMPT FHOM TXE CON7RACTOHS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counry which requires e permit to construc4 alter, improve, tlemolish, or re0air any structure, pnor to its issuance, also requires the ap0licant for such pertnit ta tile a signetl stetement that he ar she is licensetl pursuant to the provlslons at the Cantractors Ucense Lew (Chapter 9(wmmencing with Section 7000) of DlNsion 3 of the Business end Pmfessions Code) or that �e or she is exempt therefrom antl ��e besis for the ellagetl esemption. Any Nolallon of Sectlon 7031.5 by eny epplicant br e permtl suDjects the applicant io a civil penalry af not more than Me �undred ddlars (5500).): « nu11 -- ❑ I, as owner.of Ne p(operty; or,my employees with wages es lheir sole compensation, WILL DO THE WORK, antl the structure is not Intentletl ar aReretl tor sale (Sec. 7044, Business end$rofessions Cotle:�The Coniractors License Law does rrot apply to an owner of properry who builds or improves Ihereon, end who does such work himself or herseli oi �fiiough tiis oy,her o`wn employees, provitled that such imprwements ere not Intended or otfered lor sale. If, hov.•ever, iha building or Improvement is sold wilhin one year of comple�ion,�ihe�er-builder will have the burtlen of proving that he or she tlitl not build or improve for purpose of sale.). • ❑ I, as owner of iha properry, am EXCLUSIVELV CONTRACTING WI7H LICENSED CONTBAC70RS to construct the pmject (Sec. 70a4, Business entl Professions Code: The comrectors License.Law,Coes not appty to en owner oi property who builds or improves thereon, and who contracts tor such pmject with e contractor(s) license Dursuant to the Comraaors Licensa Laws.�. ❑ I am exempt under sec. Signature: Owner 10 verifietl by tlrivefs license. ❑ Ves ❑ No Businew antl Professions Code for this reason: Venticetion of Ownership by (type o1 tlaumenL i.e. - O�aOerry te�c bill or deed): DIVISION OF INDUS7RIAL SAFETY PERMR CENTFICA710N: Dnver's Licensa No. Date: E:pires: ❑ I hereby cenify t�at no exwvation (Ive (5) or more teet in depth inro which e person is raquired to tlescenq will be made in connection with work aut�orized by this permit, and Ihat no building siructura, scaHolding, talsework, or demolition or Cismantling thareol, will be more than thirry-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Califomia Adminisiretive Code). ❑ As owner-bullder, I will not employ anyone to tlo work which would require a pertnit from t�a Division of Intlusinal Salery, as nated ebove, unleu such person hes e pertnit to do such work from the dlWslon. Signature: Date: Division ot Industnal Sefery Permit Number: CEHTIFlCATE OF COMPLIANCE AND AUTHORIZATON OF ENTRY: I certity untler penalty oi perjury ihat I have reatl this application and state that the Infortnetlon given is correct. I agree to comply with all stete laws and ciry ortlinances ralating to bulltling conslructlon, end euthonze represantatives of the Clty of Casta Mesa to enter upon Ihe ebove�descnbed property for inspaction purposes. I agrae not to occupy or allow occupancy ot eny building authorized by Ihis pertnil until Final inspection. COOE �. INSPEL110NTYYE 1616 Fued System Final Fire Prevention 1266 Pool SDe Finel 200 Final Re-Rooi 207 Final Block/Retaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition QajE MTf IAL.f 5 �Qj1f� INSPECTIONTYPE 206 Final Mechaniral 208 Final Plumbing 210 Final Electricel 212 Finel Fire Praventlon 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupency p� � (714) 754-5273 • Fax (714) 754•4856 • www.ci.costa•mesa.ca.us ii rAin unrve, �va iN mcar, �r amco BUILDING PERMIT Job Address: p0� CLINTON ST Suite: 3p Viciniry: Parcel Number: 42716116 Zoning: npplicant: NAGY, JACKIE Address: 1111 QUAIL ST . " " Phone: 949-074-0221 X27 NEWPORT BEACH, CA Zip: 92660 owner: RKB INVESTMENTS � � � � Address , 380 CLINTON STREET . . Phone: COSTA MESA, CA � Zip: 92626 Coniractor: IUCAS GENERAL CONTRACTING CORP Address: 1111 QUAIL ST Arch : Address: Phone: 949-474-0221 NEWPORTBEACH,CA Zip: 92660 License:' 758785 Phone: ISSUED BY: Eng: CHRISTINA R SILVA Address: 4400 CAMPUS DR Status: ISSUED Applied: 01/OS/2004 Issued: 03/10/2004 Phone: 949-752-1612 NEWPORTBEACH,CA . Zip: License: 92660 � License: C37201 ., SCOPE.OF PERMIT CONSTRUCT INTERIOR DEMISING BLOCK WALL TO DIVIDEEXISTING UNIT 2 AND CREATE UNIT 3 FOR STORAGE ONLY. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $254.31 $391.25 $0.00 $5.25 $0.00 $0.00 $650.81 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0= 0 PARKING Existin : o NOTES: FEESUMMARY Rear 0- 0 Rear . 0- 0 Required: 0 PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: Szs,000.00 Claim Valuation: Szs,000.00 Righl 0- 0 Right 0- 0 , NOTICE: The work authorized by this permit shall comply with all applicable handicap accass requirements under Califomia 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 1 BO days, or if work Is suspended or abandaned for a parlod of 180 days: INSPECTIONS: In order for the work authorized under this permlt to be consideretl legal, such work must comply with all applicable codes, and all ! required Inapections and finel approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ol this permit. FOR INSPECTIONS CALL: (714) 754-5626 2468J8 (flN0) WOHKERS' COMPENSATION DECLARATION: � ' I heieDy ettirm untler penalty ot per�ury one o� the tollowing declarations: , ❑ I heve and will maintein e certiflcata of consent to self-Insure for workers' compensatlon, es providetl tor by section 3700 ot Iha Labor Code, for ihe pedortnance of the w rk for whlch [hi5pertnit is Issuetl. n have and will maintai rke s' compe�sation insur ce, es required�section 3700 of Ihe Lebor Code, for the peAortnance ot the work tor which Ihis pertnit is Issued. My workers' compe� n ur e c rti end poli y ber ere: Cartier. ! Policy Number. (This secf/on need not be efe '! the permit is velued t one hundred da (8100) or less.). . ❑ I certify t�at in t�e peAormence oF the work tor which t�ls permit is issued, 1 shall not employ any pereon in any manner so as lo hecom subject to the workers' compensation laws o1 California, and agree that If I shoul c ubject to Ihe workers' compensation provisions ol Se ion 3700 0l he Lebor otle, I shall fotlhwlth camplywiththese ions. f Applitant SignaturB: Date: WARNINO: FAILURE T ECUR KERS' COMPENSATIqJ CAVERAO IS WFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL P NALTIE$ CIVIL Fl S UP TOONE HUNORED TIOUSAND DOLLARE , �), IN ADDITION TO hIE COST OF COMPENSA N, DAMAGES AS PROVIDED FOR IN SECTION 3]Ofi OF THE LABOR CODE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS OECLARATION: I here6y aHirm that I am Ilcensetl under proNsions of C�apter e torce end eHacL Lic. # Contractor's SignaNre: _ - = with Sectlon 7000) of Division 3 at the Business antl Professions Code, end my license is in tull Class » � Data: �i'� 1 � ! � / CONSTRUCTION LENDING AGENCY: ❑ I �ereby aHirm that there is a construction IenOing agency for Ihe peAormance ol ��e work tor which this pertnit is issued. (Sec. 3097, Civil Cotle). Lenders Name: Slgnature: _ OWNER-BUILDER DECLARATIONS: Lendefs Address: Date: I hereDy eNirm Ihet under penalry ot perjury that I em EXEMPT FROM THE CONTHACTORS UCENSE LAW for ihe following reason (Sec. 7031.5, 6usiness and Professlons Cotle: Any city or county which requires e pertnit to consiruct, alter, improve, tlemolish, or repeir eny strucNre, prior to its issuance, also requires the applicant for such permit to file a signed statement that he ar she is Ilcensed pursuent ta Iha provisions oi the Coniradors lJcense Law (Chepter 9(commencing with Section 7000) of Divlsion 3 oi the Busineu end Profeuions Code) or that he or she Is exempt therefrom and the basis for Ihe alleged exemption. Any vlolation ot Section 7031.5 by eny epplicant iar e pertnit sublects the epplicent to e civil penalry ot not more then tive �undretl dollars ($500).): ❑ I, as owner ot ihe propeM1y, or my employees wl�h wages es t�elr sole compensetlon, WILL DO THE WORK, end Ihe structure is not IntentleA or oNeretl for sele (Sec. 7044, Business anA Professions Cotle: 7Tie Contractoro tJcense Law tloes not apply to an owner of properry who builds or improves thereon, and who does such work himselt or herself or Ihrough his or her own employees, provitletl �hat such improvements ere no� Intended or oHered tor sale. If, however, Ihe 6uilding or improvement is soltl within one year of completion, the owner-builder wlll have Ihe burden ol provinp ihet he or she did not build or improve for purpose oi sele.). ' ❑ I, es owner of ihe prOperry, em E%CLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS lo construct ihe prolect (Sec. 7044, Business end ProFession5 Code: The contractors License Law tloas not epply to en owner ol proparty who bullds or Improves ihereon, and who coniracts for such pro�ect with e comractor(s) licanse pursuent ta iha Contractors Licensa Lews.). � I em exempt under sec. Business and Professions Cade for this reason: Signawre: Date: Owner ID verified by drivers license. ❑ Yes ❑ No Drivets License No. Venfication of Ownership by (rype of tlocument, i.e. - pwpeny tac bill or tleed): Ezpires: DIVISION OF INDUSTRIAL SAFE7Y PERMR CER7IFICATON: ❑ I hereby certity thet no ezcavatlon tive (5) or more feet in tlepth into which a person Is requlred to tlescentl, will be mede In connectlon with work authonzed by this permit, and that no building swcNre, scaflolding, talsework, or demolition or Aismantling thereoi, will he more than thlrty-six (36) feet high. (C�ap. 32, Gry 2, Art 2, Sec. 341, Ttle B, Gelflomla Administrative Cotle). ❑ As owner-builder, I will not employ enyone to tlo work which would require e permit trom Ihe Divisian of Indusiriel Satety, as noted ebove, unless such persan hes e permit to tlo such work from t�e tlivisian. Signature: Date: Division af Industrial Satery Pertnit Number: CERTIFlCATE OF COMPIJANCE AND AUTHORPJITON OF ENTRY: I cehity under penalry ot perjury that I have read this application and state that the infortnatlon given Is correct. I egree lo comply wlth ell steie laws and clry ordlnances relating to building construction, antl euthonze representatives of the City of Coste Mesa to enter upon the ebove-descnbed propeny lor inspection purposes. I egree not ro occupy or allow occupancy ot eny building euthorized by Ihis pertnit until final inspection. 40DE t. INSiECTIONTYVE 1616 Fi:ed System Flnel Fire Prevention 1266 Pool Spe Flnal 200 Final Re-Rooi 201 Final BIocWRetaining Wall 202 Final Fecrory Fire Place 203 Final Sign 204 Final Demollllon QdjE MTRLILS . �j INSVECTIONTYPE 206 Finel Mec�anical 20B Final Plumbing 210 Finel Eleciricel 212 Finel Fire Preventlon 220 Final Plenning Approval 222 Final Site 250 Flnal Bulltling/Occupancy