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Home My WebLink About1792 MONROVIA AVE - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: 1792 MONROVIA AV Suite No Vicinity: ELECTRICAL SERVICE Parcel Nunmber: 42406101 Status: ISSUED Applied: 03/28/2005 Issued: 03/30/2005 Applicant: MCRANDALL, BRIAN ISSUED BY: Address: 419 MAIN ST. _ - - HUNTINGTON BEACH;CA- -Phone: 714-969-0613 ; UNIT 366 Zip 92648 Owner:' MONROVIA AVENUEPARTNERS-LTD Address. %MC CRAY, JOHN W 3199 AIRPORT LOOP DR COSTA MESA, -CA , Phone: �- UNIT A-11 Zip: 92626 4 Y Contractor: WEST COAST POWER & LIGHTING OA l Address: 419 MAIN ST. - 1 HUNTINGTON BEACH, CA - -Phone: 714-969-0613 - - UNIT 336 Zip: - 92648 ' License: 830256 _ SCOPE OF -PERMIT RETURNING ELECTRICAL SERVICE TO ORIGINAL -STATE FOR "THE STONERY". - Quantity ISSUE FEE $23.50 - Temp service test $0.00 , Res. a/c package $0.00 0 - t New Res (1-2 units) $0.00 0 New Res (3+units) $0.00 0 Pool / Spa $0.00 0 Lighting Fixts $0.00 0 Recept Outlets $0.00 0 Switches -$0.00 0 Non Res Appl $0.00 0 Res Appl $6.00. 0 - Service to 200a $0.00 0 Service to 1000a $0.00 _ 0 Service over 1000a - $0.00 0 Motors to 1hp $0.00 0 Motors to 10hp $0.00, 0 Motors to 50hp $0.00 0 Motors to 100hp , ' $0.00 0 Motors over 100hp $0.00_ 0 Communication drops $0.00 - �`-- 0 Sub panel to 200a $0.00 ' - __'0 Pole Light Pkg $0.00 0- - Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 FEE SUMMARY - Quantity , - - Temp Dist System Lighting $0.00 0 - - - Busway /100 ft $0.00 0 Standing- Section $0.00 0 - Misc Electrical Equipment $0.00 0-". Transformers_ up to 1 kva/kw $0.00 0 , .................up to 10 kva/kw $0.00 0 ..- :.::............up to 50 kva/kw $0.00 ; ..0� ' .......... "...:.up to 100 kva/kw $0.00. ; .',-0 -„ .- 100 kva/kw $0.00,:. g ...................over - Low Voltage Equipment- ,. _- $0.00 % 0 - Low Volt Wiring System / Ckt''"" -$,0.00 0 it - ,Misc. Conduit "$0.00-" 0 Misc.'Conductor -' $0.00' 0 - - Circus ( gen or ride) $0.00 -- /, o - - Circus (meth ride or lights) ,-. $0.00 - - 0 - Christmas Tree StandA ,$0.60 0� - Fireworks Stand - $0.00 0' - Other Electrical Fee ' $0.00 �Irrvesligation 'Fea ` j/ $0:00 _ - Plan Check Fee $0.00 _ Reinspectidr%Fee--�'� - $49.50 TOTAL CALCULATED FEES $73.00 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 errs -aa �aw� DECLARATIOMS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 Lzork for which this permit is issued. rpave and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which mis permit is issued. My workers' compensation Insurance carrier and policy number are: :C'am �J f f6T F �✓n/Q PdGcy NDmber.F� % 3/7�6�7—�IX'J4/ ;&his sacf/on need not bB oomplefed it the permit is valued atone hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit Is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become sub] t to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with these�� 1 cant Signature: rcu.�—, //L� -fie_"--'_. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (sioo.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION X06 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm tpffilarrillicensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 opbe.Business and Professions Code, and my license is in full force and efface Lic,fl 1.7v� Class,R�% G L � Contractomcto sr�gnart-G'e.e zYy/ Date: CONSTRUCTION LENDING AGENCY: ❑ 1 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 count/ 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 Cade) 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).): ❑ 1, 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. 44 70, 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. It, 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.). ❑ 1, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Cade: The contractors License Lew 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.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑ Yes ❑ No Drivers 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 6, 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: 1 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? ❑ 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 file a registration form for acutety hazardous materials? ❑Yes ❑ No (Section 25533 of the California Health and Safety Cade, 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 antl Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Cade 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. _........_.........._....................................... .........iff_._..................................a'n..................C'o'......i-e-o'n-..................................................... ............................................................................................. 4 If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑ No ._.....................__.........._.......op' l......................................ildi..........._.._..................................................................................................................................._-__._................._..__........._....................................tion... 5 Does or will the applicant or present or future building occupant require for the work which Is she sub act c This a�p lication appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? (JV es LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ................................................................................................................................................................................................................................................................................... 8 Will an ............................................................................................ y part of the facility to be constructed under this permit be within 10001eet from the outer boundaries of a school? ❑Ves ❑ 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? ❑ Yes ❑ No ............_........._....................._.........................................................................................................................................................................................................................................................................................................................- B (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 penally 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 -da d property for inspection pure as. I agree not t cupy Or allow Occupancy of any building authorized by this permit until final inspection. Signature Of Legal Owners) Date And(Or Aumorizac! _Appl—qt CODE r. INSPECTION TYPE PATE INITIALS CODE r INSPECTION TYPE gINTITIAL 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 Final Block/Retoining 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 5 a PROJECT ADDRESS: UNIT: ., 1]WNER'SNAME: 1792 MONROVIA AV ADDRESS: MCCRAY, C JOHN 3199-A AIRPORT LOOP DR #1 COSTA MESA, CA 92626 ARCHIENGINEER: 540-4058 REG.NO,: ADDRESS: UNIT: PERMITTEE: JONES, LARRY D (714)650-3170 ADDRESS: 2002j`6 POMONA AV q'7 "7 LICENSED CONTRACTOR ED EGRAN'Mfiy affirm That am licensed under pro isioFs'01 ChptAr 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. CITY LIC TE LI CLASS: )' 23 6L�168 "XP; 05/95 Date: _ natpre: WORKERS COMPENSATION DECLARATION: hereby amrm th 1 hav c ¢ale consent to sell -insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800. L C). POLICY NO.: EXP. DATE: COMPANY: ❑ Certified Cozy is hereby furnished. ❑ Certified copySA wtth�thee City Building Of Date: `, C / Applicant: f/ lam/ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This sectionrd nolbe completed it the permit is for one hundred 15100) or less). I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the WorkersCompensation Laws of California. Date. Signature: NOTICE: If. after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance at the work for which this permit is issued (Section 3097. 1 Q. LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Cone: Any city of 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/she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/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 (5500). 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 (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/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 will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ID and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s) license pursuant to the Contractors' State License Law). I am aware that pmol of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section: B. 8 P. C. her this reason. Date. Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant will/will not (circle one) need to comply with said state cones and the requirements for a permit for construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. Dale: Applicant: I hereby certily that I have read this application and stale that the above information is correct. I ordinances and stale laws relating to building construction and hereby authorize representatives of 11 properly nspechon Our uses. Date: Signature: Driver's License or Social Security a: to comply with all city and county Ip enter upon the above mentioned 164L46 While—Bwldma: Green—Cotle Enforceri Canarv—Applicant: Pmk—Revenue: Goldenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 06904 i PERMIT NO;!E 069042 PLAN CHECK NO; N GOVT; N SUPP; N J CONSTRUCTION TYPE; PERMIT TYPE; ELE PURPOSE: OTH JOB DESCRIPTION TURN -ON EXISTING METER SQ FT; CLAIM VALUE; CALL -VALUE: GROUP OCC: B-2 / iCOMMENTS: xNO STRUCT. PERMIT ON FILE rNO OT+HER�r WORK PERMITTED #B*#Tx HIS PER**T#*�# Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REQ; PROV: PARCEL: 00000000 ZNE; REF NO; PLANNING NOTES> D E V E L O P M E N T _ S, -E. R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY C DATE: BUILDING APPROVED BY Y'' DATE: APPLICATION ISSUED BY: �� y DATE- LEGALIZATION;N F/E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 18,50 50% SMIP/NON-RES PLAN ISSUE FEE 15.00 BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 18,50 15,00 0,00 33,50 / 33,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 33.50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 33,50 #7Ele!!!6####'klE#!E#iE#aEi:lElElf#IE#if###!E#1Elf jE iE if i(#1E ie#iE##!fi(If iE 3flE#iF jk####*1E!(lFk*li lF#iE#iE####iF'NIF#1(. 3E .N. I N D I V I D U A L F E E B R E A K D O W N TYPE QTY ELE 1 D E S C R I P T I O N SERVICES BELOW 600 V & BELOW 201 AMP END OF FEES UNIT COST TOTAL COST 18,50 18,50 v 131 00168623-00168628 Ti T 33.50 DATE: 0f/29194 TInE: 11:48 CONSTRUCTION AND PLANNING APPROVALS Permit # Date i Inspector POO SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service'or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utiiity-Undrgrnd. 54. Forms - 4. Electrical Conduit-Uncrgrntl 55. Electrical Bonding 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. r'� 57. APPROVAL TO COVER-GUNITE 7. Footings 58, Electrical Conduit-Undrgrnd. B. Foundation ., f 59. Gas Pipe, ❑ Undrgrnd., Test 9. Water Pipe-Undrgrnd. 10. Structural Floor System 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap - �� 63. Heater & Vent-Final 13. Roof Drains . 64. Plumbing System - Final 1 14. Rough Plumbing , 65. Electrical -Final 15. Rough Electrical-Conduit 66. Solar System-Final 16, Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit 20. Rough Factory. Fireplace 21. Ducts, in Structure 70.'Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑ Gas Gl Oil j( 23. Gas Pipe-Rough & Test Roof Framing 72. Underground Flush 73, Undergrnd. Stor age Tank Deas ❑Oil 25. Roof Sheathing 74. Overhead Hvdro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 32. Electrical Power Meter-Final 33. Final Electric jj�879. �- 7`�/: �I y t / FINAL INSPECTION 0. FOOD CERTIFICATE ISSUED Notes: 34. Final Heating & Air Conditioning 35, Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42, Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date