HomeMy WebLinkAbout464 OGLE ST - Building PermitsCITY OF COSTA MESA
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�'""'ES, BIIILDING DIVISION
i� ` � 77 FqIR DRNE, COSTA MESA. CA 92626 •(714) 754-5273 • Fax (774) 754-4856 • wvaw.ci.costa-mesa.ca.us
�. FOR INSPECTIONS CALL: (714) 754-5626
�`°'�°°°^°"` PERMIT NUMBER: E11-00042
PERMIT TYPE ELEC
APN: 42515303
JOB ADDRESS: �464.OG EL ST CM
Vicinity: REAR OF HOUSE
STATUS: ISSUED
DATE ISSUED: 03111/2011
ISSUED BY: RMD
Suite/Unit:
SCOPE OF WORK: ELECTRICAL PERMIT TO UPGRADE SERVICE PANEL TO 200A, SAME LOCATION (REAR OF HOUSE).
OWNER: KOWERT, MARIE FTR
PHONE:
APPLICANT: HANNA, MALAK
PHONE: 562-012-6666
CONTRACTOR: MATfHEW ELECTRIC
Address: 11846 HOLLYVIEW DRUnit:
City/State: LA MIR4DA, CA ZipCode: 90638
ELECTRICAL PERMIT FEES
Electrical Plan Check Fee: $0.00
Electrical Permit Fee: $54.00
Reinspection Fee $0.00
TOTAL FEES $54.00
Address: 464 OGLE ST. Unit:
City/State/Zip: COSTA MESA, CA
Address: Unit:
CitylState/zZip:
License No. 808433
PHONE: 562-803-9966
CELL:
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 ortler 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.
CODEN. INSPELiIONTYPE OATE INIITIAlS LO�EN INSPECiIONTYPE pATE INPTIFLS
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 20B 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
203 Final Sign 222 Final Site
204 Final Demolition 250 Final euilding/Occupancy
WORKERS' COMPENSATION DECLARA710N:
I hereby aKrm under penal[y of p�rjury one o( Ihe (ollowing declara�ions:
❑ I have antl will maintain a certificate of consent lo sel(-Insure (or vrorkers'
compensation, as provided for Oy section 3700 of Ihe Labor Code, for lhe
pedormance of the work for which this permit is issued.
❑ I have and vnll maintain v.orkers' compensation insurance, as required by
sectbn 3700 of the Labor Cotle, for Ihe peAortnance of [he wnrk for which this
pertni[ is issued. My workers' comPensation Insurance carrier and policy
nu�����J .F-�'"`^O
Carrier. n
(ihissect need tbem qeiedn�nepennrtuvalveaaionehuritliedtlo.xan(St00)oi�ess)
P,olicy,Number:
❑ I certify that in the peAorrqance o( Ihe vrork tor which this permit is
issued, I shall not employ any person in any manner so as to become subjecl
to the vrorkers' compensation laws of California, antl agree that if I should
become subject to Ihe workers' Compensation provisions of Section 3700 of
the Labor Code, I shall forthwith com Itiese provisions
/^�`c n ��_��y'� �3 �� 1
Apphqm's'Signature Oa�e'� ,
�-J
WARNING FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FWES UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS
PROVIDED FOR IN SECTION 37p6 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLqRqTION:
I hereby atfrm that I am licensed under provisions of Chapter 9(commencing
with Sec[ion 7000) of Division 3 of Ihe Business antl Professions Code, and
my license is in full force and eReCt.
L'ic..#- - � � Clas� s �� �� �
✓h n—�� L� ' '
�nVacbr's5ignaWre. i/ a "-"
CONSTRUCTION LENDING AGENCY:
❑ I hereby affirtn that lhere is a construction lendinq agency (or the
pedormance of the v.ork fa which this pertnit is issued. (Sec. 3097, Civil Code�.
Lender's Name:
Lender's Address:
SignaWre Oale
OWNER-BUILDER DECLARATIONS:
I hereby aKrm that under penalty o( perjury Ihat I am EXEMPT FROM THE
CONTRACTORS IICENSE LAW for the following reason (Sec. 7031.5,
Business antl Pro(essions Code: Any city or counry which requires a permit to
construct, alter, improve, demqlish, or repair any sWCNre, prior to its
issuance, also requires the applicant for such permit to 9le a signed statement
�ha� he or she is licensed purguant to the provisions o( Ihe Contractors
License Law (Chapter 9(commencing wilh Section 7000) of Division 3 0( �he
Business and Professions Code) or that he or she is exempt therefrom and
the basis for lhe alleged exemption. Any violation of Section 7031.5 by any
applicant for a permit subjects thy applicant to a civil penalry of not more Ihan
five hundred dollars (5500).):
❑ I, as ovmer of lhe property. or my employees vnth wages as their sole
compensa[ion, WILL DO THE WORK, antl the structure is not intentletl or
oftered for sale (Sec. 7044, Busi�ess and Professions Code: The Contractors
License Law does not apply to an owner o� property who builds or improves
thereon, and who does such work himself or herself or ihrough his or her own
employees, provided that such improvements are not intended or offered (or
sale. If, however, the building Or improvement is sold within one year of
completion, lhe owner-builder will have the hurden o( proving thal he or she
did not build or improve for purpose of sale.�.
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
LICENSED CONTRACTORS to construcl lhe project (Sec. 7044, Business and
Professions Code: The contractas License Law dces not appty to an ovmer of
property who builtls or impmves lhereon, and who cont2cts for such prqect with
a contractor(s) license pursuaN to the Contractas License Laws.).
❑ I am exempt under sec.
Business and �Pro(essions Code for this reason:
Owner ID verifed by drive, _ �icense. ❑ Yes ❑ No
Dnver's License No. Expires:
Verifwtion of Ownership by (rype of document, i.e. - property tax bill or deed):
DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:
❑ I hereby certify that no excavatron frve (5) or more feet in depth into which a
person is required [o descend, will be made in connectbn with work authonzed
by this permit, antl that no building simcture, scaHddinq, (alsework, a demolition
or tlismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Gry
2, M 2, Sec. 341, Title B, Cali(omia Adminis[2tive Code).
❑ As owner-builder, I will not empby anyone to do wo�k which woWd
require a permit from Ihe Division of Intlustrial Safe[y, as noted above, unless
such person has a permit to do such work from the division.
Ap0licanfs SignaWre Dale
Division of Industrial Safety Permit Number:
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
1. Will the applicant or present or future building occupant neetl to file and
certify a Business Plan for emergency response-b release or threa[ened
release of a hazardous material? ❑ Yes ❑� No�
(Section 25505 of ihe California Health and Satety 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 quantiry of hazardous matenals 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 applican[ or present or tuture building occupanl need lo fle
a regisiration form for acutely hazardous materials? ❑ Yes ❑ No
(Section 25533 of the Califomia Health antl Safety Code, with some
exceptions, requires registration with [he Costa Mesa Fire Department by
each business which at any one time has on hand a quantity of acutely
hazartlous materials equal [o or greater than a weight of 500 pountls, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at standard
temperaWre 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 aculely
hazardous materials)? ❑ Yes ❑ No
(Section 25534 of the California Health and Safety Code provides Iha� Ihe
Costa Mesa Fire Department may require [he preparation, certification and
fling with [he Fire Department of an RMPP by businesses which are requiretl
to register acutely hazardous materials with the Fire Department.
4. If an RMPP is presently requiretl, has Sec�ion 25534 of Ihe California
Health antl Safety Code been (ully complied with? ❑ Yes ❑ No
5. Does or will the applicant or presen[ or (uture building occupant require for
Ihe work which is the subject of Ihis application a permit for such construction
or modifwtion from the South Coast Air �uality Managemen[ District or from
any other air polWtion control district or agency? ❑ Yes ❑ No
(Section 658502 of the Califomia Govemment Code requires that the requested
intormation be fumished on applications fa nornresidential builtling pertnits).
6. Will any part of the (acili[y to be constructed untler this permit be within
1000 feet (rom the outer bountlaries oT a school? ❑ Yes ❑ No
Q( yes", the facility must meet [he requirement of Sections 25534 and 42303
of the Califomia Health and Safery CotleJ.
7. If a permit from the South Coast Air Qualily Management Dis[nct or other
air pollution control distnct or agency is required for the work which is the
subject ot this application, have all of the disclosures prescribed by California
Health and Safety Code Section 42303 been made? ❑ Yes ❑ No
8. Qf "yes", attach certificate of compliance from the appropriate air pollution
control oKcer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
information given ahove is correct I agree ro comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read this applicalion and state that
the intormation given is correcL I agree to comply vnth all state laws and city
ordinances relating ro building construction, and authorize representatives of
the Ciry of Costa Mesa to enter upon the above-tlescribed property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit un[il (nal inspeclion.
SignaWreoflegalOwneqs) Date
SlgnaWre Dale `%h �_��_` f D _=�I_ _
305]-66�3/a�)
�PnO/orAW�onzetl'Applican� ��OBe
OWNER R. E. SNG�'�fiJNDSON DATE 7-211-5�
JOB ADDRESS 464 O�le BUILDING PERMIT NO. %212 �
GENERAL CONTRACTOR Owt�ar VALUE $ 1Z%.00
AP. A*o. LOT 13 TRACT jQ%9 FQ2E ZONE DESCRIPTION OF WORK Block Wal l Fanra
GpOUP 1'YPE ZONE PLAN NO.
1. .•ECTIONS DATE gUBCONTRACTOR _ __ P�RMITSISSUED
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COSTA MESA BUILDING DEPARTIiAENT
P. 0. BOX 317
COSTA MESA CALIFORNIA
C.L. OF STREET
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Type of R
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FOR APPLICANT TO FII.L IN
`-�'�_�,� .���'I G•.
I hereby acknowledge that I hav� read this application and state
that the above is correct and agree to comply with all City Ord-
inances and State Laws regulating building construction.
FOR OFFICE USE ONLY
7- �N-S�
VALUATION
j� � = Permit Fee
Plan Check
TOTAL FEE
-� MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------ "
�I MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES USE REVERSE SIDE FOR DETAILS
'7`�12
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JOB ADDRESS 464 O�le Street BUII.DING PERMIT NO. 26�131
VERAL CONTRACTOR Q��ep-$1dT_ _ DESCRLPTION OF WORK ^^ Add^F&il1.ILri.tO ReS.
Date
or
SUBCONTNACTOR
.� •, .� 2643I
'� COSTA MESA BUILDINCrSAFETY DEPARTMENT
P.O. 90X 72M COSTA MESA� CALIFORNIA D262E
For Appl)cant ro F711 In ComplaHly
TYPE OR PRINT
uui�o�Na ST
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COSTA MESA, CALIFORNIA
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ArPLICATION FOR PERMR
BUILDINIi
For OHic� UH Only
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ANO BTAIE THAT TM[ AlOYi 19 CORpBCY I1ND A0116[ M COY. WAPOli 01 i!}�OLIlNINO A PEpY1T P86 ONLY. �
PLY WITH ALL CITY ORDINANCf� A RAil L�W/ p[OYLATINa yALUATION
BUILDINOCON���TION. ' /�,O/� �
816NATUR! OP � PQ�7MIT FEB L ��
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OWNER �'I"YIr1DSON� R. E. DATG 8�7-62
JOB-AllDRESS !�!} OaIP��_ BUILDING PERMIT NO. 17'j�
GBNLRAL CONTftACl'OR S&iitn Ano Tant R 6wnino Cn_ VALUT .n hCl1 rn
AP No.]1 _(_Q LOT TRACT FIRE 7.ONP D�SCRIPTION OP WORK�
INSPliCTIONS I Signaturel DATP GROUP -�n TYPE I{/ 7.ON�
v d � SUBCONTI?AC7'OR llA•iE� l
wat
3uilding, Final E, � H i-i�
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�ORM HI16. 5M - ].61
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COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 917 COBTA MEBA. CAL�FORNIA
For Applicani io Fill In Complefely
TYPE OR PRINT
BUILDING i � 1 . n _ [` T
� AR EGT
1 87'ATE
COSTA MESh CALIFORNIA
0
� BHTBACK LIN6 FROM
BUILDING • � �� �
SIZE '
EXTERIOR WALL
COVERWG EK
USE OF BUILDING AND W�
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FEE RECEIV�D �
AUG 2 7 :1962 �
fINANCE DEPT.
CITY OF COSTA MESu
APPLICATION FOR PERMIT
BUILDING
For Office Use Only
RECEIPT NO. P6HMIT NO.
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4 � fCBNTHR LINB BTJ�
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OF WORK
TO BE
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I HERfiBY ACKNOWLEDGB THAT I XAVB R6AG TH19 �PPLIGTION yHg AMOUNT BHOWN UNDER VALUATION 18 FOR TN¢
AND 6TAT6 THAT iHH ABOVE I6 CORRECT AND AGREH TO COM- pYRP096 OP 88TABL19HING A PERM�T FEE ONLY.
PLY WITH ALL CITY OIiDINANCeB AND BTATB uWe RBDULAT�NO
OUILDINO CON9TRUGTION. (� VALUATION
ll
SIGNATURE OF `y ��t PERMIT FEE $ •O�
PERMITfE � O
r S So�O PLAN CHECK 5
AUTHORIZED AGENT �'V � 5,0�
TOTAL FEE
1
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COSTA MESA BUILDING DEPARTMENT
� P. O. BOX 31�
COSTA MESA, CALIFORNIA
FOR APPLICANT TO FILL IN
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COSTA MESA. CALIFORNIA
MAIL
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FI�!ANCE DEPT.
CITY (?� C(ISTA �^ESA
APPLICATION FOR PERMIT
BUILDING
FOR OFFICE USE ONLY
XECEIPT NO. PERMIT NC
9V I DwTE
COSTA MESA. CALIFORNIA
DATE
CORRECTIONS
. �� .
I HEREBV iCl(NOWLEOGE TMPT I MRVE RERO THIS 4PPLICiTION <NO
STATE TXLT THE F90VE IS COHRECT RN� 4GREE i0 COMPLY WITX 4LL
CITY ORpINLNCES PND STATE L4W5 REGULATING BVILOING CONSTRUC�
riorv. VALUATION
SIGN UR OF PERMIT FEE $
PER ITTEE
'^ � I +7 �^ � � PLAN CHEGK 5
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yOMI
OWtaER K. W. KOLL CAN5IRUCTION CO. DATE 1Z-3-57
JOB ADDRESS 1�64 Ogle Street BUILDING PERIWT NO. (�1�2 �
GENERAL CON'I'RACI'OR K. W, Koll _ VALUE $ 13,T68.00
AP. ho. LOT 13 TRACT 3Z%9 FIRE ZONE DESCRIPTION OF WORK Reside�e H�Htt g?"-
GROUP I& J TYPE V ZONE �1 PLAN NO.
INSPECTIONS I DATE I SUBCONTRACTOR I DATE PERMITSNUM
Pinal Gas