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Home My WebLink About1994 CHURCH ST - Building Permits 4`0"14- CITY OF COSTA MESA to BUILDING DIVISION F1 ... .. .�. DEVELOPMENT SERVICES DEPARTMENT PE MIT NUMBER PERMIT 'ky,,,o erF 06-00527 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 1994 CHURCH ST Status: ISSUED Suite No Applied: 05/31/2006 Vicinity: THROUGH OUT HOUSE Issued: 05/31/2006 Parcel Nunmber: 42626413 Applicant: FLORES, GUS Address: 3241 E GAGE AVE ISSUED BY: 6- Phone: 323-583-4224 HUNTINGTON PARK,CA Zip 90255 Owner: CARTER, BRIAN R SR TR %BRIAN, R CARTER Address MARILOU S TAYLOR COSTA MESA,CA Phone: 133 E 20TH ST Zip: 92627-2246 Contractor: B B B ELECTRIC Address: 3241 E GAGE AVE Phone: 323-583-4224 HUNTINGTON PARK,CA Zip: 90255 License:419236 SCOPE OF PERMIT ELECTRICAL PERMIT TO CHANGE OUT 10 OUTLETS AND 1 SUB PANEL TO 200A. FEE SUMMARY Quantity Quantity ISSUE FEE $23.50 Temp Dist System I Lighting $0.00 0 Temp service test $0.00 Busway/100 ft $0.00 0 Res.a/c package $0.00 Standing Section $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0 Lighting Fixts $0.00 0 up to 50 kva/kw $0.00 0 Recept Outlets $11.00 10 up to 100 kva/kw $0.00 0 Switches $0.00 0 over 100 kva/kw $0.00 0 Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0 Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0 Service to 200a $0.00 0 Misc.Conduit $0.00 0 Service to 1000a $0.00 0 Misc.Conductor $0.00 0 Service over 1000a $0.00 0 - Circus(gen or ride) $0.00 0 Motors to 1 hp $0.00 0 Circus(mech ride or lights) $0.00 0 Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp. $0.00 0 Communication drops $0.000 Investigation Fee $0.00 Sub panel to 200a $30.50 1' - Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 , TOTAL CALCULATED FEES $65.00 Intermed Pole $0.00 0 COMMENTS/SPECIAL CONDITIONS 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: 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 Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6100) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'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 section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) -❑_I.certify that in the performance of the work f•r which this.:rmit'.issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of cC: - is :nd agr:' at If I sho a be • e subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith ----comply with these prov' �� ' Applib nt Signature: _ -.tate ( Date_, WARNING:FAILURE TO SECURE WORKERS'COMPENSATI• COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLI.ARE(5100,b00).IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of hapler 9( omm cing with Section 7000)of Division 3 of.the-Business and Professions Code,and my license Is In full force e'nd eNect CieTW" tClass#1 Contractors Signature: ci a Date lC '- / — O t I CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors 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 the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I.as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale,If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). 0 I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a 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 or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2.Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: I Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes ❑No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire 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 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to lite a registration form for acutely hazardous materials? ❑Yes 0 No (Section 25533 of the California Health end Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely 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 temperature and pressure). 3 Does or will the applicant 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 the California Health and Safety Code provides that the 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. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LJ Yes Ul No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of 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 L:•al Owner(s) Date � /, co ,6 C__ TAn r AffihorizerrApplicanl---_ `ate CODE* INSPECTION TYPE PATE INITIAL$ CODEINSPECTION TYPE Q,ffi INRMLE 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical .7 O(� 1/414-1.41 201 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 MHT 131yb( OWNER BROCK, S. -P. hunt 1 J 1957 DATE 3-1-57 • JOB ADDRESS 1944 Church BUILDING PERMIT NO. #4503 GENERAL CONTRACTOR Owner Bidre VALUE $ 170.00 AP118-012-3 LOT BLOCK TRACT Fence GROUP TYPE ZONE FIRE DISTRICT 4557 . . PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR / ( DATE NUMBER Footing Trench U y( Foundation Forms and Grade to Garage (/'411 Rough Framing _ Plumbing,Rough to Slab — -4,/ear ' Plumbing,Rough Complete s 1 7 0 .s /� ,/�J - ✓ Temporary Pole ..e se ...• j !L Wiring, Rough // 1 r , ft Heating,Rough , '401. 0"-eV"',9.4rHeating, Final <,`/r ,K - V '_ ) ,,/ Sewer, House Sewer,St. A , .. bili R , ,Q ' 1 7d 6 -- J i 'G ‘7‘.." Septic Tank or Cesspool r_.21''' / , ri//(/ /1 Lathing, In Out /f, ,,f!' Plastering Plumbing,Final,Fixtures Complete Plumbing,Final Gas Test Wiring,Final _ Occupancy FORM 210 3M 10-55 1 h 503 OWNER BRCCK, S. DATE 14-11-60 JOB ADDRESS 1944 Church Street BUILDING PERMIT NO. 11762 GENERAL CONTRACTOR Coral Pools VALUE $ 2,500.00 AR No. 118-013-11 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Pvt. Swim Pool INSPECTIONS DATE I GROUP J TYPE III ZONE Rh Underground Soil U.G. Water SUBCONTRACTOR PERMITS ISSUED Underground Gas DATE NUMBER Overhead Water,rra�nd Gas Rough Heating/a-041a Z y-*-r-Q.o ii`i/-6c .? Rough Plumbing 7,,/tan, 4-/. -co p 3 P Miscellaneous 4 O Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring /R.,.v-,�-cn/ '/moi/-6o iafind Trenches Forms Steel ,Mw 4-i r-6 e Floor System Steel Reinforce Chimney Re-Rod Bond Beam Sheathing Frame and Flashing Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final Electric Fixtures, Final tr-r Fil -JJ G� Building, Final F .T ibt 1-)7 !0 0 OCCUPANCY Form 210-5M-11-59S-8 ! 11762 COUNTY OF ORANGE BUILDING DEPT. �� .' 636 No.Broadway Permit N Santa Ana,California Application for Building Permit Phone:KI 262ll AND FOR A Certificate of Use and Occupancy Date April 21.---13.52 I. OWNER'S NAME Mr....&...Mra.....a...-P.....Brook PHONE:EpaG.o.n..5BZ9J MAILING ADDRESS ).0.....E9X...7.34_ CITY Cpsta..,Meaa Name Owner Name .S.....P.....BrQCk (Architect or Engineer) (Contractor) Address Address same City City C.oata..Mesa State State 1 Lic. No Phone Lic. No...8480.0......B1 Phone.Bea...58.7.4.JK � t� _ PROPOSED USE• Dwelling �/�-�/-$—/ 2. JOB LOCATION /94/ Church...St. Coata....Me.sa (House No.)/ (Name of Street) (Town or School District) • 3. LEGAL DESCRIPTION: Lot....12...N..25.t 14 Block Tract. _10.86 (Metes and Bounds Description—Use reverse side of form) 4. CORNER LOT ( X ) INTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( ) House 1300 5. :SIZE OF BLDG • 5Q X 65 . Damsase 484.........,......SIZE OF LOT-..8Q...X._137 AREA:appr.....10960- 6. HEIGHT OF BLDG - 14' CEILING HEIGHT- 8' NO. OF STORIES 1 7. NO. FAMILIES 1 Size of Smallest Bedroom:...12=3...X...13.-6 Size of Kitchen 10 X..11-6... 8. EXTERIOR WALL CONSTRUCTION- S.t11eco INTERIOR WALL COVERING Piaster (Frame, Stucco, Etc.) (Plaster-Drywall, Etc.)S.D.9. SETBACKS: Front Yard From Center Line of Street. l1 t f r • ne D "--' Nearest Side Yard.....10 t Rear Yard:..47..,6 Distance in Feet Between Bldgs. on Same Lot li 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 11. For (a) Footing: Width..1 r 2" Depth in Ground....12" Width of Wall 6" Accessory 1 X6 sub Bldgs. and (b) Size of Studs 2X4 Spacing 16" "CC Material of Floor } -X �+ -F4z" Similar Structures: (c) Size of Floor Joists 2 X 6 Spacing 16" QC "CC • (d) Size of Rafters• 2 X 4 Spacing 24" OC "CC , 12. VALUATION OF PROPOSED WORK: Including all lab. .lumbing, electrical wiring, heating, fire sprinklers, painting and sewage disposal $ /..1 0 Lc 13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE`') THERETO. Signed . • Plans Filed1/1" *ail (Owner) • b By. (Authorized Agent) FOR DEPARTMENTAL USE ONLY . FEES: / ,, G BY Bldg. Permit - $ al f GROUP / t APPLICATION.. .. �..�t�+(1HEALTH Plan Check - $.. r TYPE FIRE ZONING MARSHAL Total - $ L 2... Q DIST. / (/� / PLANS AND Receipt No. - ./ ZQ MAP.... , SPEC'S STATE Paid to - 1 SHEET NO CORRECTIONS ENGINEER Date 4.S..L ti rte VFRIFTFT) CM lg. t sECTORPERM/IEl DATE ili If 1-. . . ‘.: / / P A .. *, , / . 5 M-13.5t v/f" METES AND BOUNDS DE PTION: I 10 3!0 3b 41� SIO 60 FENCE PERMIT w APP. !/ 4557ttf �� q e FOP, ANP.CICANT TO FILL IN —43r. i, BUILDING ADDRBtS '" II / . . ..... /� STREET ooh• IA�/ ✓ _ _ w _ _ il E0 e 1 ? Mail A.G a3SSE,_ r 101for 60° St: •2° far Sa° Sto-1 City ‘ 47( a . `o - $f4 e e e a •� . . . . .' e o � 1 Contracture Address I/ � :777. . . . . . 4, f7-1-7 City Lic, `o. 'h. Co. 1 o e . . . . . Size of a x/37Afl -R R--o/,�^-f Q thy---- o E-- 0 Setbacks: C tree��__�$'_Rear '7' I ' if f of op. Sides Yard a Right C}" Lefi27 I I _ y 1 ' UI TypeofFence 4i- - _ 'f .4,. 4 --- - - I hereby acknowledge that I have read - r j' E. this application and state that the F Cyrt ALLEY OR PROP. Li Cr w ` above is correct and agree to comply w I- ora ; �.�=„ry, aw . - el -1 w q with all City Ordinances and State w I 4 ' ` w 1 w Laws regulating building construction. `� I � I rn A F O I Signature leSsraa I :4,--C Lt 1 `/{/Y- it- 4°7' / 2 ;2at Agent t N2 - - /4 son F .i I I FOR OFFICE USE ONLY ' J ((�� . /060 �I o z° I 1 Pe: �. t N., 1 rya - ___ : —_ Fa0 Z 10P / ° . Date Is s7_ �- y a O VALUATION Permit Fee $ .,2 • 4•-_:_e-.Li j p d >., I /0 CO41 I C Plan Check �b . ° II ....�u i EI V ED 7D - __TOTAIL.,FEE _-.$ a. Q FINAIV OPT' Max, 1t1 fence - •r. czk.-tce., tines Mare 61 fence pn7.— bay. Olaf:eel on so7td 1-117,1,.c. ♦i v --___r=� 11762 FEE RECEIVED . COSTA MESA BUILDING-SAFETY DEPARTMENT 4/ /6 oVck P. O. BOX 917 COSTA MESA. CALIFORNIA • FINp�AFFNCE. DEPT. For Applicant to Fill In Completely APDL?�ATIONeFOR'MT TYPE OR PRINT BUILDING BUILDING ADDRESS / 5' r170e c// IC r (^ COSTA/J// MESA.E/ CALIFORNIA ForOfficeUse Only OWNER S . (✓(l o c/� I RECEIPT NO. I PERMIT_N9.21 N RECEIVED BY D�A� RECEIVED D TE ISSUED el ss /141 ctwitcH3r I >" //- U� i/-ii -GO IT CY �s /!�' /+(6SAUILDING NO. :/7,Q int ADDRESS ARCHITECT .2 EbKe TEL. COSTA MESA. CALIFORNIA OR ENGINEER /.." NO. ADDRESS . 40 kM6-61 '&s FIRE C q ZONE TYPE • GROUP CONTRACTOR.. do /I C POU LS ABY PPROVED DATE 4,,0)/2 { ADDRESS 3 4Z SO AIN s r ' 4ONIONNING S NO.OPp/- I USE OF NEWM, b no CITY 9'7//2(" . �! T> v` .-C 11 I PLANE_^/.. BUILDING /(-i .(J LIC.TNO. c NO/.,/(.� S'733 OA DESCRIPTIOAL la ry4-Oak lT I /GU SIZE O F LOT W O. i I X / 3 7. 47 G I N O W°L.:Lt.,'LOTS < A.P.N O. I/I,o/a - // USE OF / / YARDS EVES EXISTING BLDG. line'tfl.i..S' - - - APPROVED ALLOWED SETBACK LINE PROM r (CENTER UNE ST.) // -{p�- CENTER OF STREET REAR YARD FRONT /4 FT. 10 i/ IN. (ARIDI LEFT I RIGHT R.SIDE j) FT. l IN. DESCRIPTION OF WORK L.SIDE 11 FT. IN. �/ 6 I NEW I X II ALTERATION I II ADDITION I REAR .3 FT. [// / IN.L II MOVING I DEMOLISH I APPROVED Ccs j /�I DATE -T-'L/-p REPAIR 1..� / / BUILDING NO. OF 812E ILS y3 0 ROOMS STORIES SD EXTERIOR WALL I ROOF COVERING COVERING USE F BUILDING AND WK TO BE PEWORMED (/VA /C ASU//M CrL. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONETRUf$ION. VALUATION n e SIGNATURE OF -`J J �j �Or O PERMIT FEE $ `[/. R PERMITTEE �C e_ d-CI n S PLAN CHECK $ S .' r 9 AUTHORIZED AGENTE d' TOTAL FEE $ ,5^ 1-0 n �‘