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Home My WebLink About224 FLOWER ST - Building Permitss (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Viciniry: Parcel Nunmber: 224 FLOWER ST 42540406 Applicant: RUTH ZAHN . Address: - � �_i�-'� � /��r � /_�'�� . , , ' /� %.i , , �' % % " �`- �-� -� _ Owner �,-ZAHN, MEARL G TR � ,� � Address %,224 FLOWER ST: - ;;-'�. / ; .� i , � : �,. / � � � �. � , , COSTA MESA,.CA /-' . � %.. �� Cont2ctor: " % � Address: . , - � ; � �." „ �� ; l- _ � � , � % . . �,� ; z � , . ` � - , ISSUED BY: " : -� ,A Phone; � 949-546-3005 ,- .l � -�'�� Zip: Phone: Status: ISSUED Applied: 12/26/2002 Issued: 12/26/2002 - � � �� . �� .A � �� , , /-V`-'��-� i '� � ' \.,' '" \� -�„�'�� '� �� A � j . ._� �`�� . /�. A�-A� `�� . >�°'��' i . \ . ^ �' �\_�� Zip: 92627 � � V `� ,� ( � � � � \��,�� ,,��, . �• � . �� • � ��\ v _ - �, � �,..�. ��A,�. . . , , �, - ` � � ',At � �'. ` . � . , � � � _ � `'� � ,A -�� ' - 4.�� 1 '�'. -!Phone: �-��, � � - � ��' � ... . _ . Zip: - � , - - '. ;.� � �� i A �,� 1 -' } �� ;� .i License: - ' �.: � \��,� ,, � �. \ �� , ..: �i., ✓ . , ', � 200AMP SERVICE UPGRADE T ,`SCOPE OF�PERMIT �-� � }-^; ,��\ .� ' . - � � � � .. I , i � f ;� � "� - _ __ _ �� , I'� � l� i ` ', - , .. _FEE SUMMARY , � � ,�- r � � ��' i � r. ; � ': „-,, > % '�: „' ri, . i � �- �' ' , ', ��. �, �. , � Quanlity� _ _---- - - - - �C`- . - . - Quantity t --� 1 �'�� , �, ISSUE.FEE .� ' $23.50 "' - ' Temp Dist Syslem (Lighting "� $0.00 0 (/�" � � - l 1 � � Temp,seryice'test . $0.00 Busway /100 ft ` $0.00 0 �-�� / , �' , �.Res. a/c package'� '"�' $0.00 - Standiog Section , ` $0.00 Oi�-� - ' ��;' :1 New Res (1-2 units)� $0.00 0 Misc Electriral Equipment $0.00 Ori ;� -�� ,�,.� New Res (3+umts), . � $0.00 ' 0 Transformers up to 1 kva/kw $0.00 0� � , � �j !� t,' Pool % Spa\ �� ,� '- � �` $0.00 . 0 , r- , , ... .....up to 10 kva/kw .$0.00 lJJ 0 L� ` � j �� Li9hhng FixLs L � V��;$0.00 0 � ;�7.- °� � �......... �'.-:.up to 50 kva/kw $0.00,> ;'/0 �\.� �' .�� ., . �„ . � Recept Outlets � � c$0;00 0 ,�� ' -� .................up to`100 kva/kw $0.00�/ 0 � - Switches� `�.., ' - ��$0.00, � � , Q; '- :...:r.....::..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 / Ckb: !$0.00 ,j �0 � � � Service to 200a�� /'� $30.50 � ��-7 "� . ' � �Misa Conduit � , �i'�$0.00 �0 �/ �� Service to 1000a �A� ` , $0:00 � ' `0' ' " � Misa Conductor * : , $0.00 �� (,�0 � /�-�� Service over 1000a � � -�$0.00 " � �0 � ' � � Circus ( gen or ride)- � ; $0.00 . 0" � � Motors to 1 hp � �. � �, $0.00: �, � � � 0 � �Ciras�(mech-ride or lights) �, •, . $0.00 � � � 0 � -� Motors to 10hp ��"_ -$0.00-�; - .� : 0 � Christmas Tree Stand�, ' '�. (. $0.00 � . ! 0� Motorsto50hp .,��$0.00 � '�0 _ ', � ,F.ireworks'Sfand�_ " $0.00=',�0 Motors to 700hp $0.00.� � 0 " Other Electriral Fee , i -�$OAO' Motors over 100hp $0.00 ., � -. 0 - , � , � . ' _ - �j� , , � � Communicalion drops $0.00 ^ � 0, - - Investigation Fee - : $0.00 Sub panel to 200a $0.00 �0 � � ' . ; Plan Check Fee" �' - $0.00 Pole Light Pkg $0.00 0 � Reinspection Fee $0.00 Sign Circuits $0.00 0 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, 12-27-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a penod of 1 BO 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 Inapeetlona and final approval musl be obtained. Failure to obtain inspections and final approval will resul� in the expiration of this permit, FOR INSPECTIONS CALL: (714) 754-5626 2dd6�46 (fJ00) � WOqKEBS'COMPENSATION DECLARATON: � I hereby ettirtn under penalry oi perjury one ot the tollowing declarations: ❑ I have end will meinWin a certificate of consent to self-Insure tor workers' compensation, as provided for by section 3700 of the Lebor Code, for the peAormence of the work tor whic� t��s permit is Issuetl. . ❑ I heve and will maintain workers' compensetion insurance, as required by section 3700 of the Labor Code, for tha peAormance of Ihe work for which this pertnit Is iuuetl. My workers' compensatlon Insurence carrier and policy number ere: Carrier: Policy Number: (This sectlon need no� be campleteC i! the pertnit is velued et ane huntlred dollars ($100) or less.) ❑ I certify Ihet in the pertortnence of the work for w�ich this pertnit is issuetl, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of CelifOmie, end egree Ihat tl I should 6ecome sub�ect to Ihe workars' compensation provisions oi Section 3700 ot ihe LeDot Code, I shall fotlhwlih comply with Ihese provisians. Applicent SlgneNre: Date: WARNINO: FAILURE TO SECURE WORKERS' COMPENSATIqJ COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED TLqUSAND DOLLARE (5��). IN AODIiIIXJ TO THE CQST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 31060F THE LABOR CODE, IMEREST, ANO ATiORNE1"S FEES. LICENSED CONTqACTORS DECLARATION: I hereby attirtn Ihat I am licensed under provisions oi Chapter 9(commencing with Section 7000) ot Division 3 of the Business end Professions Code, antl my Ilcense is in tull torce and eXect. Lic. B Class a Contractor's SigneWre: Dete: I CONSTRUCTION LENDING AGENCY: � �❑ I hereby affirm that there is e constructlon lending agency for the peAormance of Ihe work for whic� Ihis permit is issuetl. (Sec. 3097, Civil Code). Lenders Neme: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATONS: I hereby eMirtn that untler penalry of perjury that I am E%EMPT FROM THE CON7RACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business entl Professlons Cotle: Any ciry or county which requires e pertnit to wnstruct, alter, improve, demolish, or repeir any swcture, prior to its issuance, elso requires Ne epplicant for such permit to file a signed stetement Ihat �e or she is Ilcensed pureuent to the pmvisions oi tha Contrectors License Law (Chapter 9(commencing with Sectlon 7000) ot Division 3 of ihe Business entl Professlons Code) or Ihat he or she is exempt thereirom and the besis tor the alleged exemption. Any violatlon of Section 7031.5 by any applicant for a permit subjects the applicant to e civil penelry of not more ihen five hundred tlollars ($500).): � I, es owner ot Ihe property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, and the sirucNre is not imentletl or offerad tor sele (Sec. 7044, Business end Professlons Code: The Contractors License Law does not appty to en owner of property who builtls or improves ihereon, antl wBo does such work himself or herseN or Ihrough his or her own employees, provided that suc� improvemenis are not Intended or oHered for sale. If, however, the building or improvement is sold within one year oi completion, �he owner-builder will have the burden of proving ihat he or she ditl not build or improve for purpose ot sale.). � ❑ I, es owner oi Ihe properry, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions CoOe: The contlectors License Law tloes not apply to en owner oi property who builds or improves ihereon, and who comracts for such project with a contremor(s) license pursuan� to the Coniractors License Laws.). / �7 ❑ I am exem �t n er se � Business and Professions Cotle tor this reason: — I!i/Z(�� Signature: /Il .lt � � I .n�-/i � Date: � Ownar ID verltietl by d��ers license. ❑ Ves ❑ No Drivels License No. Verlfiwtlon of Ownership by (rype of tlocument, i.e. - properry tac hlll or deed): DIVISION OF INDUSTRIAL SAFETY PEHMIT CERTIFICATION: ❑ I hereby certity Ihat no excavation tive (5) or more feet in depih Into which a person Is required to descen4 will be made in connection with work euthonzed by this permiL antl that no building structure, scaHolding, lelsework, or tlemolition or dismantling Ihereot, will he more Ihan ihirry-six (36) feet high. (Chap. 3.2. Grp 2, Art 2, Sec. 341, Title e, Caliiomia Adminisiretive Cotle). ❑ As owner-builder, I will not employ enyone to do work which would require e pertnit from Ihe Dlvision oi Industnal Setery, as noted abova, unles5 such person hes e pertnit to do such work from ihe division. Signature: Date: Division of IndusMal Sefery Permit Number. CER71FlCA7E OF COMPLIANCE AND AUTHORVATION OF ENTAY: I certify untler penalty of perjury �hat I have read this application end sta�e Ihet ihe infortnation given is correct. I agree Io co�nply wlth ell state laws and city ortlinances rela�ing �o bullding construction and eut�onze representatives oi ihe Clry of Coste Mesa to enter upon the ebove-describad prop�rty tor inspection purposes. I agree not to occupy or allow occupa�y ny building auttrorizetl by lhis pertnil uniil tinaf inspaction. CODE �. INSFECTIONTYPE �jF IMRIRLS 1618 Fi:ed System Final Fire Prevention 1266 200 201 202 203 204 Pool Spa Fine� Final Re-Root Final BIocWReteining Wall Final Factory Fire Place Final Sign Final Demolitian ��/�!/�� ueta � � Date COOE I INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elec�ricel 212 Final Fira Prevention 220 Final Planning App�oval 222 250 Final Site Finel Builtling/Occupancy PAIE IiiIIII�L$ F W W K F N a o. COSTA MESA BUILDING DEPARTMENT '�', P. O. 80X 317 ? COSTA MESA CALIFORNIA � C•L. OF STREET " _�iPROP. UNE �----- ,---- , 10 FT. FOR 60 FT. STREET iw �a lo� � n. LLEY QR PR /� � 3r-_fb � _1iPROP. LINE____ C.L. OF STRE si LI Q � N � '�` ttl W F�� r,r, ��7 �: '- J j_7 _ -'J `O l ^ � C � U � � N w w rc f- N LL O J ci ' 60 F ST. �� E'E RE EiV ' 9 i — ------ e�'. �/ S r,INANCE DEPT. CITY OF CO' TA ME MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------ MAXIMUM 6 FT. fENCE MAY BE PLACED ON SOLID LINES n ,_ � � I�_"__58�5� I 1 FORv'APPLICANT TO FII.L IN BUILDING ADDRESS � � � ^�-�`-�-��`*'�� Mail City Lic. No. �SIaL� Lic. No. ------------- ��--- _ �� Size of Lot �� X/.2 S� AP No. �n ) Setbacks: C/L Street C/� Rear "�� ' Side Yard - Right (2 // Left Type of Fence ,H'' �=e,-c--•r-L -!�'�- i n-�r „� ��^ ! \7 Q I hereby acknowledge that I have 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. Signature ��,� � �j J i of Permittee -� l� -�� +'�—�-f _ VALUATION FOR OFFICE USE ONLY Yermit No. �./ � / � e -.�_o—� �� -,3 _ s� .� Permit Fee $ d � Ci _ � I Plan Check $ TOTAL FEE $ � � �� U,SE REVERSE SIDE FOR DETAILS I r .. r �,- J �: ��c�g COSTA MESA BUILDING-SAFETY DEPARTMENT P. O. BOX 917 COSTA ME9A. CALIFORNIA For Applican# fo Fill In Completely TYPE OR PRINT su��oiNc ..2 � �, ADDRESS COSTA MESA. CALIFORNIA OWNER ma�� - nn ./ t' `r-'1 A1 F E REC�� NOV 1619$V - FINANCE ��fi, CITY OF COSTA M��A APPLICATION FOR PERMIT BUILDING For Offiee Use Only RECEIPT NO. PV [�11T�0:� BY I DAiE RgGE1Y�D` I �LrTE�{�SUEfJ GONTRAGTOR �W �?GN � uf F APPROVED V� Vr HY �ATE � � AODRE55 �2�M � ONING ZONE I NO. OF I lI6E OF NEW �, GITY - PLANS BUILDING 3TATE TEL. Leaw� —�y� �^ �� LIC. NO. NO. oeece�vr�oN �� / 1\�O � SIZE � � NO. OF BLDGB. �[ w�. OF LOT �Q' S Now ox LOT I q, p, NO. �' Y-' �/ . USE OF YAROS EVES EXISTING BLOG. G APPROVED ALLOWED 68TBACK LINH PROM (CENTER LINE 8TJ CENTER OP e'RtEET REAR YARD FRONT FT. IN. SIDE YARD I LEFT I RIGHi R. SIDE �� FT. I IN. DESCRIPTIOM OF WORK L.SIDE FT. IN. N I IALTERATION I II/DOITION I REAR O'FT. � IN. REPAIR - I IIMOVING I IIDEMOLISH I gYPROVED ' � / DATE �— V — BUILDING �j � � NO. OF SIZE /SO D ROOMS ' STORIES �7� E%TERIOR WALL ROOF COVERING H COVERING D%��J USE OF BU DING AND WORK TO BE PERFORME ` nQ i V ' r ' 4 ev 1 HEREBY ACKNOWLEDGE THAT 1 NAVE READ THIB APPLIGTION }�{E AMOUNT BHOWN UNDER VALIIATION IB POR THE AND BTAT¢ THAT THe ABOVE 16 CORRECT AND AGREE TO COM- - PUPP08E OF EBTABLIBNING A PEqMIT FEE ONLY. PLY WITH ALL QlY OqDiNANCEB AND eTATE LI�We pULATINO Bu1LDIN6 cox TiuGT1oN. VALUATION i (� , O�+ . � SIGNATURB OF � 06 PERMIT FEE $ S/ PERMITfE i I OO `.� �' 4 ` a - $ � PLAN CNECK � AUTHORIZED AGEN7 -�''� � O TOTAL FEE LL