HomeMy WebLinkAbout2125 ORANGE AVE - Building Permits a 1110
CITY OF COSTA MESA
A O5 ,p BUILDING DIVISION
Fyesmi•.�.' 77 FAIR DRIVE,COSTA MESA, CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
,.. arca j FOR INSPECTIONS CALL: (714)754-5626
PERMIT NUMBER: E10-00208
PERMIT TYPE ELEC STATUS: . ISSUED'
APN: 42613116 DATE ISSUED: 08/31/2010
ISSUED BY: BE
JOB ADDRESS:e2,?23"ORANGE'A1/'4CM'-t 'S Suite/Unit:
Vicinity: SIDE OF TiOUSE
I
SCOPE OF WORK: NEW 200 AMP SERVICE CHANGE OUT IN EXISTING SFD.ADD 4 RECEPTACLE,2 SWITHCES,AND 2 LIGHT FIXTURES.
OWNER: ESTES,JIMMY S TR - Address: 2125 ORANGE AVE •Unit: `.
PHONE: - City/State/Zip: COSTA MESA,CA
APPLICANT: MATT ,. Address: 4770 VON KARMAN AV "Unit:
PHONE: 949-222-0999 " ' City/State/zZip: "NEWPORT BEACH,CA
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CONTRACTOR: E.I.E. ELECTRICAL " • License No. 678825
Address: 4770 VON KARMAN AVUnit: . • ' PHONE: 949-222-0999
City/State: NEWPORT BEACH,CA ZipCode: 92660 - - CELL: .
ELECTRICAL PERMIT FEES
Electrical Plan Check Fee: $0.00
Electrical Permit Fee: $62.80
Reinspection Fee $0.00
TOTAL FEES $62:80
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%. INSPECTION TYPE DATE INTITIALS CODED INSPECTION TYPE DATE IN711IALS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing /'�
200 Final Re-Roof 210 Final Electrical x 12--i 3- 1D nil�Lka
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
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. ❑Yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License Expires Z//9/i
❑ 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
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 ❑ 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
r, nR z M R e n le IGw U Roto by this permit,and that no building structure,scaffolding,falsework,or demolition
Carrier: P) or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(flus sedan need not be completed the penn9 is valued at one hundred dollars($100)or less.)
2,Art 2,Sec.341,Title B,Califomia Administrative Code).
>e---Policy Number: L.SO SOUL((o5' 00
❑ 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 Code,I shall forthwith comply with these provisio s. Applicant's Signature Dale
cif & 51 I 'O Division of Industrial Safety Permit Number:
1" r I Appli^ranfs(9gnatnR �– O Date 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 ❑No
(5100,000), 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 inofullpforce and effect. x. a registration form for acutely hazardous materials? 0 Yes 0 No
k Lic.# (O O O2 S Class# C ^ 0 (Section 25533 of the California Health and Safety Code, with some
g) ' 1O exceptions, requires registration with the Costa Mesa Fire Department by
` leach business which at any one time has on hand a quantity of acutely
Contractor's nature 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)? ❑Yes 0 No
(Section 25534 of the Califomia 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 0 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
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building permits).
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 Califomia
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑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
❑ I am exempt under sec. the information given is correct. I agree to comply with all slate 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 Leg wner(s) Date
Signature Date x p� aC g�is(/�D
3057-46(3)071 Andlor Authonzed A nt ale
E '
- r l
February 4, 1969 . -
•
•
• Mr. ',JamesIler . .
3011 Royce .Lane }:? ,' .:. ' •
: • ' Costa •Mesa,, California"
Dear Sir ::; - ,
It :has been'noted ,that -certainaalterations and%or repairs ,are
being 'made •onrthe structure-.owned ib •you,:locate'd,`at 2125 Orange a- .
Avenue within the City. of--Costa Mesar
May=I point=Oat.that-'Section`391 -+of the Uniform Building '
'Code, reads as•.follows:
•
"No• person;. firm, or •c poration•_shall erect,_`construct,
enlarge, alter; •repair,`• vel. -improve,, remove, 'convert,.
or demolish`"rany building :structure" int-the city, or•_ .
-cause: the' sem o, be`;done,; without first 'pbtaining a -• -
separate boil ,permit'.for each such-building or, -
structure;from a Building Official. " .
,It- is bur•desire "it t you contact this'office at. Your earliest
convenience concerning this- matter in'order:,that an equitable solution
may be, found `
IfJ I may be' of any assistance •toH you, please contact this office.
:yours very truly, -
DEAN DORRIS 1
- ,. Deputy .Building.-Official. '
DD•dh.- a - - s
4. 1
J M .} v• ^
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OWNER E,STES, STA4fiC S. DATE 4-29-69
JOB ADDRESS 2125 Orange Avenue BUILDING PERMIT NO. 30187
GENERAL CONTRACTOR 4.ue -:i ,e DESCRIPTION of WORK Exterior Alteration to Res.
to. 318-071-12 LOT(por) 262 TRACTNpt.HRts FIRE ZONE VALUE $ 125.00
.CTIONS Signature Date ,GROUP I TYPE V ZONE R-2
SD" SUBCONTRACTOR PERMITS ISSUED
GAS Date
Number Signature
WATER Plumbing
ROUGH PLUMBING
PROP. SWR. LINE n HOUSE CON. El
SPRINKLING SYSTEM
MISCELLANEOUS
ROUGH HEATING AND AIR CONDITIONING
TEMPORARY SERVICE OR POLE
UNDERGROUND ❑ POWER fl
ROUGH WIRING Heating and Vent.
TRENCHES ❑ FORMS fl STEEL REINF. ❑
FLOOR SYSTEM
BOND BEAM n STEEL REINFORCE n
SHEATHING.
FRAME AND FLASHING
LATHING — IN ❑ OUT I`"I t/� tta—SA.o76 4,
PLASTER, BROWN COAT
-TURAL, FINAL Electric
,NG. VENT., REFRIG. AND A.C., FINAL
PLUMBING, FINAL AND GAS TEST •
ELECTRIC, FINAL MM
BUILDING, FINAL ^n'�' (O3/. 69
O.-.0i a7 APR 29-69�A-52001539 vteen**5.00
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626
APPLICATION FOR BUILDING PERMIT
For Applicant to F71 in Completely
BUILDING - /�t - REC Wf�BV DAL,RE V DA IS4VD
ADDRESS= Pea \ / ��.' �fK / ( Lo
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in CC LIC.NO. LIC. NO. MAIN BUI DING ACCESSORY BUILDING
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SIZE / NO.OF BLDGS.
OF LOT hD 5I NOW ON LOT ,/ FRONT FT. FT.
USE OF fttfFFFF ,r
EXISTING BLDG: ,.fJ�• �'rirfat /' B.SIDE FT.
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fn /G' X to'/ ' BY APPROV Ep//' // DATE 1— �( a 6r
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VI hereby acknowledge that I have read this application and state
D that the above information is correct and agree to comply with
CC all laws regulating building construction, and I shall not employ
any person in violation of the workman's compensation laws of
fA the State of California. co
Z I hereby certify that I am properly licensed as a contractor under SQ. FT. 6
the State of California Business and Professions Code, Division 3, ' THE AMOUNT SHOWN UNDER VALUATION IS FOR
Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: iii
am exempt f . the provisions of the State of California Business VALUATION
and Profe ons ode, Division 3, Chay tT •'. 07
/ c 6 I vF PERMIT FEE $ j
Signatu /^ ^/ �t�/ m
Permittee•�� i//- /_ (/- $ /026-----
f}' ✓ PLAN CHECK $ E
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Authori d Agent / —5---- a
TOTAL FEE $