HomeMy WebLinkAbout126 COMMERCIAL WAY - Building Permits I
• CITY OF COSTA MESA
BUILDING DIVISION
4
77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • vnwv.ci.costa-mesa.ca.us
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*. FOR INSPECTIONS CALL:(714)754-5626 11,/PERMIT NUMBER. E07-00908
PERMIT TYPE ELEC STATUS: ISSUED
DATE ISSUED: 12/17/2007
- - ISSUED BY: SOK
-
JOB ADDRESS: 126 COMMERCIAL WY CM. Suite/Unit:
Vicinity: •
. - -
SCOPE OF WORK: (1)MOTOR.T0,1-HP AND 1.SWITCH FOR THE INSTALLATION OF A PROPANE TANK AT"S AND G ROOFING".
REF: BX07-00178
" •
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. -
OWNER: CRANK,ORMA O 'Address: 145 THE MASTERS CIR Unit:
PHONE: .. City/State/Zip: COSTA MESA,CA
. .,
APPLICANT: CLEGGETT,KATHY , - Address: Unit: ..
•
PHONE: 562-430-7732 . City/State/zZip: •
CONTRACTOR: J CLEGGETT ELECTRIC , License No. 428285
Address: 2239 FAROLITO AVEUnit: - - PHONE: 562-430-7732 •
City/State: LONGBEACH,CA" Y ZipCode: 90815:. - - CELL:
ELECTRICAL PERMIT-FEES••
•
Electrical Plan Check Fee`L. .. $0.00 _
Electrical Permit Fee: '.$29:35:x.
Reinspection Fee
TOTAL FEES $78:85
•
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 authorized 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.
CODE I. INSPECTION TYPE, DATE INTIOALS CODES INSPECTION TYPE DATE MODALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing �y
200 Final Re-Roof 210 Final Electricalytg4/ Ct d
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
Or
WORKERS'COMPENSATION DECLARATION: 101 Owner ID verified by drive ❑Yes ❑ No AP te
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers'compensation insurance, as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
'olid 3700 of the Labor Code,for the performance of the work for which this
permit is issued. My workers' compensation Insurance carder and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
aumber.are:..- person is required to descend,will be made in connection with work authorized
err--S a f T—l)Al 4SL,3 by this permit,and that no building structure,scaffolding,falsework,or demolition
(This seneed not be completed 4pound ound is vaxredat core hundred (S100)or or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,pry
am
/'� (, 2,Art 2,Sec.341,Title B.California Administrative Code).
Policy Numbei:'•'.'rfo. o o in BE- 'pL o n
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
Applicant's Signature Date
the Labor Code,I shall forthwith comply with these provisions.
4<ry 1_ag1=+_ ,_ a' _/ 7- o '7 Division of Industrial Safety Permit Number:
+ -s1...0 )ueky,ds-=' ?Date:_ : ,J HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure),
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No
�fpf'Ci-cr.-7-L--el�fra ry8�ra 8. ,��c.1/ ��ja55 c-� v (Section 25533 of the California Health and Safety Code, with some
itS4' <s_ �'-"- /a -(7=0 '7 exceptions, requires registration with the Costa Mesa Fire Department by0.L�.s.r l' [ each business which at any one time has on hand a quantity of acutely
• i.arzoniracmraseratus. ..,,T_- - r'+.„rj9Date - hazardous materials equal to or greater than a weight of 500 pounds, or a
I ' a" .. ';,_o!.'n..: �'�"� volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097.Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Dale
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to en owner of properly who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own
8. (If"yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property,am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code:The contractors License Law does not apply to an owner of Signature Dale
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Signature/npof Legal Owner(st Date
Signature • Dale �C tri. ✓ I ."/'7—6 '7
3057-4613/071 _ 'l ��//nd`"' �(il / I ,
ELAnd/or Author a Applicant Ats 4 �Dale�
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CITY OF COSTA MESA
` BUILDING DIVISION
rt T ..'I' 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
a.f FOR INSPECTIONS CALL: (714)754-5626. ��
PERMIT NUMBER: ►' 8X07-00178
PERMIT TYPE B_MISC STATUS: ISSUED
APN: 42536111 DATE ISSUED: 10/25/2007
Zoning: ISSUED BY: BJK
JOB ADDRESS: 126 COMMERCIAL WY--CM .Suite/Unit:
Vicinity: PROPANE TANK _ • '' Primary Occ: Const Type :??
SQ. FT: 0 , • ,Valuation: - $2,200.00
SCOPE OF WORK: CONSTRUCTION OFA PAD FOR THE INSTALLATION'OFA 499 GALLON PROPANE TANK FOR"SG
WHOLESALE ROOF". i
•
OWNER: CRANK, ORMA 0.,1:[.'',„7 ,./,‘.5•/' Address:: 145 THE MASTERS CIR Unit
City/State: COSTA MESA,.CA' ,'•..r %1.r Zip Code: 92627-4640
Phone: . - .., y. -.
APPLICANT: HART,GARY r a% ;i ,' •.. Address: ''535 S MELROSE AVS ,'-Unit ,% - •
•
City/State: PLACENTIA,.CA '- 7,) ; --- . - Zip Code: 92870 ,
Phone: 949-795-2250 ' ;i/ f I .,
CONTRACTOR: SUBURBAN PROPANE - _ .- License No. -5722767 '0'Address: 535 MELROSE AVENUE -lint': -- • - -
City/State: PLACENTIA,CA' '' - - - -
Zip Code: 92870, Phone ' 714-993-9400 - Cell:
•
ARCHITECT: - License No. , -
Phone
ENGINEER: SAMUEL KNOWLES : .- . License No, C8077
•
Phone 626-282-5173 ' ' _ -
FEE SUMMARY .
Building Plan Check: " :-.
• Building Permit: -$83.25
Electrical Permit-, c'' ' •
$0.00
SMIP Residential:,,, - - $0:00 --
SMIP Commercial , 'i - $0:50 ' _ •
$0.50TOTAL FEES ' • • ' $137.86 : •: ' r
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California 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 authorized 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:
CODE S. INSPECTION TYPE DATE IN11ALS CODE; INSPECTION TYPE DATE INTmALS
1816 Fixed System Final Fire Prevention 206 Final Mechanical
12667 Pool Spa Final 208 Final Plumbing
200 ' Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
204 Final Sign222 Final Site
204 Final Demolition • 250 Final Building/Occupancy
i r
WORKERS'COMPENSATION DECLARATION. Owner ID verified by drive. 0 Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
O I have and will maintain a certificate of consent to self-Insure for workers' 'Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued. •
RI I have and will maintain workers'compensation insurance,as required by
section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
by this permit,and that no building structure,scaffolding.falsework,or demolition
Cartier: e NSF., It ^]a,F or dismantling thereof,will be more than thirty-sbc(36)feet high.(Chap.3.2,Grp
(This serum need not be completed d the perm(is valued at one hundred dollars($100)or less.)
2,Art 2,Sec.341.Title 8,California Administrative Code).
Policy Number: am 7-(3 I1- S07f75 - 0/7 /3oS
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers' compensation provisions of Section 3700 of
the Labor ode,I shall forthwit mply,,w with these provisions. Applicant's Signature Date
,r�j Division of Industrial Safety Permit Number:
A lican t e X10 HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. Department by every business which has at any one time during a reported
year a quantity of hazardous materials equal to or greater than a weight of
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons.or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code,and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes 0 No
Lic.# 7 2 7 7 G. -7 Class# (j D (Section 25533 of the California Health and Safety Code, with some
exceptions, requires registration with the Costa Mesa Fire Department by
/O -p7 �"/J � each business which at any one time has on hand a quantity of acutely
�(:o ro�Yyrs tgnatore Date hazardous materials equal to or greater than a weight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? 0 Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: Costa Mesa Fire Department may require the preparation, certification and
filing with the Fire Department of an RMPP by businesses which are required
to register acutely hazardous materials with the Fire Department.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No
thereon,and who does such work himself or herself or through his or her own
8. (If"yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
•
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors license Laws.). certify under penalty of perjury that I have read this application and state that
0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction,and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Signature of Legal Ovmer Date
Signature - Date fO n S-b
a n
3057-46(3/07) dlor tho4 Ap cant Date
.
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DIVISION OF BUILDING SAFETY
C!T`/ OF COSTA MESA
\1'PRO\ FD
_Date i
Th set of 01, ,,e tications !�.:�T oe kept on the lot a all times and it is unlawful to
make any Chd�a dii aii0ns J� Samc Without Wallen permissun irpf the )NISIon Ot BU'
and Saten ossa Mesa
The stampin -nis Dian ano soeciticalions SHAL� NOT be new to per^ r, Or
!o be an approval
of the violation of any Drop's ons of any City of Costa Mesa Ordinance ani c, State law.
Thele plans and permit shall expire by limitation and become null and void If the building or
work is not commenced and maintained active per UBC §303 (d) within 180 days of issuance•
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DIVISION OF BUILDING SAFETY
C!T`/ OF COSTA MESA
\1'PRO\ FD
_Date i
Th set of 01, ,,e tications !�.:�T oe kept on the lot a all times and it is unlawful to
make any Chd�a dii aii0ns J� Samc Without Wallen permissun irpf the )NISIon Ot BU'
and Saten ossa Mesa
The stampin -nis Dian ano soeciticalions SHAL� NOT be new to per^ r, Or
!o be an approval
of the violation of any Drop's ons of any City of Costa Mesa Ordinance ani c, State law.
Thele plans and permit shall expire by limitation and become null and void If the building or
work is not commenced and maintained active per UBC §303 (d) within 180 days of issuance•
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