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Home My WebLink About2513 FORDHAM DR - Building Permits(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 2513 FORDHAM DR KITCHEN (RECEPT) 14142428 Applicant: HAMPTON, MARK Address� 11822 MELODY PARK DR -" � � � �-- ` - CA .;� - ._ GARDEN OROVE ', � 'r � /. � Owner: / BROWNLEE;;THOMAS OWEN � Address i2513 FORDHAM-'� � � � ' COSTA MESA, CA Phone:� 714-539-9294 � Zip: 92840 Phone: Zip: 92626 Status: ISSUED Applied: Oi/10/2002 Issued: 01 /10I2002 ISSUED BY: - Contracror: ' HAMPTON ELECTRIC t Address: 3706 HOWARD AV _ . ' � , - . �� ' . . ' _,Phone: 714-539-9294 ' � , - " �, � . . LOSALAMITOS,CA � , � Zip: 90720 . � , . � �� , - - - � License: 698339 !' ` • SCOPE OF PERMIT . , - UPGRADE AN EXISTING PANEL�TO 200A AND INSTALLATION�AF A�220V DRYER RECEPT (& OTHER � - . � MISC RECEPT) IN AN�EXISTING SFD.'1�SERVICE TO 200A,-S�OUThETS �' _ -, . � NO OTHER WORK TO BE PERFORMED WITH THIS PERMIT. .-- � " � . � , , � , . ; i. � ' _ � � - �- '-FEE�SUMMARY� � � � � � � � � � Quantity • � �" Quantiry .� ' . ISSUE FEE $23.50 Temp Dist System / Lighting $0.00 0 � , Tenip 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 Elec[rical Equipment $0.00 '.0� , � � New Res (3+units) � , $0.00 0 - �� Transformers up to 1 kva/kw $0.00 `� � �0 � ' � C_, ' p .. ..........:..::'up to,70 kva/kw $0.00 �� 0 . Pool I S a � ;$0.00 0 -. Lighting Fixts � $0.00 , 0 . : � .................up l0 50 kva/kw. ._ $0.00 " � 0 , , � .:, Recept Outlets �$5.50 '� -�- � � 5 � .................up to 100 kva/kw $0.00" 0 � ' Switches . ` , �, $0.00. � , 0 . ,. � ..................over 100 kva/kw : $Q00 � � 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 � ' , $30.50 1 . . Misa Conduit � $0.00 0 � � � Service to 1000a � $0.00 0 Misa Conductor � $0.00 0, - Service over 1000a � $0.00 0� Circus ( gen or ride) � $0.00 - 0 � Motors ro 7hp , �� $0.00 � � - 0 . � Cirws (mech ride or lights) $0.00 � 0 Motors to 70hp �$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 Communication drops Sub panel to 200a Pole Light Pkg Siqn Circuits Temp Pwr Pole Intermed Pole $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 Investigation Fee $0.00 Plan Check Fee $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES E59.50 COMMENTS I SPECIAL CONDITIONS NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under Califomia statutes and related � regulations. (Ord. No. 9248, § 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 ot 180 days. � INSPECTIONS: In ordar for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all requlred inspeetions end final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of �his permil. FOR INSPECTIONS CALL: (714) 7545626 zaacra �r✓oo� WORKERS'COMPENSAnON DECLARAnON: T I hereby eNirm under penalry oi perjury one of the tollowing tleclaratlons: ❑ I heve Bnd will maintein 0 ceNficale of consent to 5elf-Insure for workers' compensetion, es provided tor by section 3700 of lhe Lehor Code, for the pertormance of the work tor which this pertnit is issuetl. ❑ I have and will maintain workers' compensa6on insurance, es requiretl by section 3700 of the Labor Cotle, for Ne peAortnance of the work for whic� Ihis pertnit Is Issued. My workers' compensatlon Insurance cartier an0 policy numDer ere: � Carrier: Policy Number: (This section need no( be complefed il !he pertnif is velued et one hundred dollars ($100) or less.) I certity thet in the pertormpnce o1 lhe w c for whi�^h this ertnit s issued, I shall not employ any person in eny manner so es to become subject ro tha workers' wmpensetlon lews oi Cel lorn , ena e e Ih�t I shoi bec e sub�ect to the workers' compensetion provislons of Sectlon 3700 af Ihe Labor Cotle, I shall lorihwith wmply with ihese pr rjsi ns - / ApPlicam Signeture: Date: `�l0 � v Z WARNINp:FAIWHETOSECU WORK "COMPE IIXJ V RAGEISU FULANDSHALLSUBJECTANEMPLOYERTOCRIMINALPENALTIESANDCIVILFlNESUPTOONEHUNDRED TMOUSANODOLLARE(5100,0OO�,INADDfT1IXJTOTHECOSTOF PENSAiiON,DAMAGE5A5PROVIDEDFORINSECilON37080FTHELABORCOOE,IlJrEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby eftirm that I em torce end eHect Lic. N_ ConlractoYs SlgneWre: of Chepter 9(commencing with Section 7000) of Division 3 of Ihe 8usiness end Prof ions Cade, entl my license is in full Class k C— � � Date: / - ! O ^ d'Z CONS7RUCT10N LENDING AGENCV: ❑ I hereby aHirtn that Ihere is a conslruction lending egency for ihe peAortnance of iha work tor w�ich ihis permit is issued. (Sec. 3097, Civil Code). Lendefs Name: Signature: _ OWNER-BUILDER DECLARATIONS: Lenders Address: Date: I hereby atfirm thet unGer penelry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions COCe: Any ciry or counry which requires e permit �o construct, alter, improve, demolish, or repair eny sirucWre, prior to its issuence, also requires ihe epplicant tor such permit to flle e signed stetement thet he or she Is Iicensetl pursuant to the provisions oi the Contradors License Lew (Chapter 9(commencing wit� Sedion 7000) of DiWslon 3 of t�a Buslness and Professions Cotle) or t�et he or sha is exempt therefrom and Ihe basis for the elleged eaemption. Any violatlon of Section 7031.5 Dy eny flpplicant for e perm�' sub�ecis Ihe eppliwnt to e civil penalry o1 not more than tive hundred dollars ($500).): ❑ I, as owner af the properry, or my empioyees wlth wages as their sole compensation, WILL OO THE WORK, end Ihe sirucNre Is not intendetl or offered for sale (Sec. 7044, Business and Protessions Code: The Contrac�ors License Law does not apply to an owner of property who 6uilds or improves thereon, end who does such work himselt or herseN or ihrough his or her ov.•n employees, providatl that such improvements are not Intended or oflered tor sale. It, however, ihe building or improvement is sold within one year ot completion, Ihe owner-builder will heve �he burden ol proving that he or she did not builC or improve tor purpose ot ule.). ❑ I, es owner ot the properry, em EXCLUSIVELV CON7RACTNG WI7H LICENSED CONTRACTORS to construct ihe project (Sec. 7044, Business end Professions Code: Tlie coniractors License Lew does not epply to an owner of property who 6uilds or improves Ihereon, entl who contrects for such project with e contrector(s) license pursuent to ihe Contractors License Lews.). ❑ I am exempt under sec. Signature: Owner ID venfie0 by tlnver's license. ❑ Ves ❑ No Business antl Professions CoAe tor this reason: Vedticetion of Ov+nership by (type oi tlocument, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATON: Onvefs LicenSe No. Date: Ezpires: ❑ I hereby certity ihat no excavetion five (5) or more teet in depth into whlch a person is required to descend, will be made in connection with work euthorizad by this permit, antl that no building strucNre, scaflolding, talsework, or Cemolition or Oismantling ihereol, will be more ihan Ihirry-six (36) feet high. (Chap. 3.2, Gry 2, Atl 2, Sec. 341, TiUe B, Celifamia Adminisirative Cotle). ❑ As owner-builtler, I will not employ enyone to do work which would requi�e a pertnit from the Division oi Indusinal Satety, es notetl above, unless such person hes e permit to da such work tmm the division. Signature: Date: Division ot Indusinel Safery Permit Numbar: CERTIFlCATE OF COMPLIANCE AND AUfHORVATION OF ENiRY: I certify under penalry oi perjury Ihai I have read this epplication an0 state Ihat Ihe intortna�ion given is wrtect. I agree to comply with ell state lews and city ordinances relating to bullding construction, antl authonze re0resentatives of the Ciry oi Costa Mesa to enter upon t�e above-described property for inspection purposes. I egree not to occupy or allow occupancy of eny building authonzed by this permit until finel inspection. COpE I. INSPECTIONTYPE Q��, f�" 1616 Fi:ed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Root 201 Final BIocWRetaining Well 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition Dete /- l0 -OZ_ Data CO�E� INSVECTONTYPE 206 Final Mechanical 20B Final Plumbing 210 Final Electriwl 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy OW NER Costa Mesa Estates oArE �-12-�6 � _ JOB ADDRESS 2Jr13 Fordham Drive BUILDING PERMIT NO. 26%6 GENERALCONTRACTOR Roven-Spiegel Co VALUE $ 11��•�0 i 7b BLOCK TRACT27�O Single Res w/att gar GROUP j& J TVPE V ZONE � FIRE DISTRICT 2698 PERMITS ISSUED INSPECTION$ DATE SUBCONTRACTOR DATE NUMBER FootingTrench �ii��-- 3' Foundation Forms and Grade to Garaae ✓ %�/�- '� �Z ��.i,a/ to Slab Plumbing,RoughComplete YV(�S I%d//9/Sl� IC�l2c2,,.�.� �Gv lil'-�,f'-,� I/ 2n/ � Pole ?ou9h �i�/�/iJ I If/ �I•Gv-�YLL�ABive.�-�.�-{�1/a�l /i�_i6-J�I 3�-Y/� �' Rough %{'I t�° S / /9/..{' �. , G/F,� �'.a,_ /�ot� 9–.J[.� .�/ / .C` (�7 — � �. s� St. L 'g, In Out � P. :ring Plumbing, Final, Fixtures Comptete �,S Plumbing, Fin.al GasTest � �4LL s Wiring,Final FEB 2 Occupancy Ft„ 2 6 FORM 310 3M IO�iS � • �1Costa Mesa Building Department APPiICATION FOR PERMIT � � I� .. 1N EAST 20th STREET n�•(�Q - B U . D N G � �y1 COSTA MESA� CALIFORNIA /L[)JO ' FOR APPLICAN� TO Y+'YI.L IN FOR OFY+'YCE USE ONLY Recelpt No. _ Permit No. �naaress ��/� ' �//'/> 2�L .�Z� 7 � Costa 08&� riallfOPII18, Rece�ved by I Date Rec'd. Date Issued NearesY �'/ � �ti.�i� �'Z �� CrossSt.� �'v Building Address Owner ��J�- ,�- !%C/�- ��Ti�'%�j Costa Mesa, California � Mail r� � /;� l Add�ess .Jti"� l��'� �� Nearest � � C�CF� Te�� e ) Cross St. City � � � No��l%� Zone I No. of I Type Group Arohitecto�0// ��J Lic.� � Plans Engineer yLF No. Apphoved Addreu �l�(�i��C��✓ �L�/�� G�%di� �/L��% b Date COY��tECTIONS F�/ / c�cy ��o. � — — contracmr�c0UC�1/ Jl%/E(iL%G�J No. 7 tl,�i J Address J� J� CUi a/ �m%�%i �.p n�C ,,�� De cription I No. ,�� I Block � � Tractz7�l D �� l� i� ��. —� E� ��t�1� (Attach Metes and Bounds) � � - / 1 X//J/f � I No. of Bldgs Size of Lot a�- Q�'�' Naw o� �ot A D � 1�2 +^ n^ _ Set6ack Line from �O f� _ Rear Vard ,j�,j „ F �� I� � Center of Street Side Vard Sx � (� � DESCRIPTION OF WORH New I kl plteretion I I Atldition I Repair I I�Moving I I Demolish I Building /� No.of / Size '/�iy/X 6 v Rooms (:� SYories � Exterior Wall Roof �¢-f� — Covering G�i�LaU Covering -�jr/jy�GLc APPR,Q�1f�n,S' Use of New // Building � l-f� l(,�C/ YL{��'�� Foundation Location Inspector � Forms, Materials, ' � � �-CZ Under-Pinning Frame: Fire Stops, Bracing, Bolts I hereby aclrnowledge that I have read this Application and state that the abwe is correM end agree to rnmply Lath. Int with all City Ordinances and State Iaws regulating building construction. ,�� Lath. Ext. siynatureor ��T�-/Z'��1y �j�T�Er Permittee Plaster, Int Authorized Agt. -L�7x�j1`i ,�� plaster, Ext. Valu�ation P �mit Fee $ �- � Masonry Reinforced $ /�,��/,�/ G�b Plan Check $ � Bond Beam ��"� � Total /� Fee $ '/� � FINAL FORM 204 S-BP 2M 6-55