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Home My WebLink About312 FLOWER ST - Building Permits(714) 754-5273 • Fau (714) 754-4856 • www.ci.costa-mesa.��sCTRICAL PERMIT » FAIR DRIVE, COSTA MESA, CA 92626 Job Address: $'IZ FLOWER ST Status: ISSUED Suite No � Applied: 10/15/2003 Vicinity: . Issued: 10/15/2003 Parcel Nunmber: 11725404 Applicant: SUCKOW, DERICH RAYMOND Address: 312 FLOWER ST _ , , COSTA MESA,�CA Phane: 949-3053708 Zip: 92627 ISSUED BY: Owner: , SUCKOW, DERICH RAY-MOND AND SUCKOW KELLY LYNN � � ` . - � �. �. . Address � , 312 FLOWER ST � - " � . � ' � � � , � . . . . , . �� - ' Phone: � . � . . �. , , � - COSTA MESA, CA Zip: 92627 � � � � - • � Contractor: OWNER BUILDER Address: Phone: Zip: . .. License: 000000 _. _ _ _ . ... SCOPE OF PERMIT _,_ SERVICE UPGRADE TO 200 AMP. RELOCATE SERVICE ALSO. NO OTHER WORK AUTHORIZED BY SHIS PERMIT. ' '-- - - - . .. , . . . ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) - Pool / Spa Lighting Fizts� Recept Outlets Switches Non Res Appl; �' Res Appl Service to 200a Service to 1000a ` � Service over 1000a Motors ta 1hp � Motars to 10hp Motors to SOhp Motars to 100hp Motors over 100hp Communication drops Sub panel to 200a $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00, $0.00 $0.00 $0.00 $30.50 $0.00 $0.00 $0.00 � $0.00 �� $0.00 $0.00 $0.00 $0.00 $0.00 Quantity 0 0 0 0 0 "0_ , 0 0 1 0 0 0 0 "' 0 0 0 0 0 FEE SUMMARY Temp Dist Syslem / Lighting Busway /100.ft . Standing Section, ' Misc Electrical Equipment .�� Transformers up to 7 kva/kw ,« -:': ' �'�' ..:.....:...:...up to 10 kva/kw = � �' ' � .................up to 50 kva/kw '- .................up to 100 kva/kw,- T . .........:........over 100�kva/kw � Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit ' Misa Conductor � Cirws ( gen or ridey ' , ' Circus (mech ride or lights) , Christmas Tree Stand � , Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Quantity $0.00 0 $0.00 0 ��-� $0.00 0' � � � . $0.00 0 ', � . $0.00 .'�0 � � $0.00 ��0 � . $0.00," % � 0 $0.00" 0 ' $0.00- 0 � $0.00 0 $0.00' �-0 � $0.00 0 $0.00 0 , $0.00-" , 0; "� $0.00�, -0, � � $0.00 ,�0 $0.00 0 $0.00 $0.00 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremeMs under California statutas and related i 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 woik is suspended or abandoned for a period of 1H0 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 Inspectlons and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (7t4) 7545626 246646 (6/00) WORKERS'COMPENSAnON DECLARA�ON: '� � I hereby aXirm under penalry of perjury one a� the following declarations: ❑ I have entl will mainiain a certificate o� �nsent to self-Insure tor workers' compensation, as provided for by section 3700 of the Labor Code, for Ihe pertormance of the work for which Ihi9 pertni� is issuetl. ❑ I have end wiil meintain workers' compensation insurance, as requiretl by section 3700 of ihe Lebor Cotle, for the perfortnance of ihe wo for which Ihis pertnit is issued. M workers' w ens tlon Insurance /r/ner antl oli numbar are: }y '%�� Cerrier:Y � �(�r P � PolicyNumber: �J � �l �(This ction need not be compleretl i1 t permif �s velued at one hundred dollars ($100) or less.) certity that in the pertormance oi the �+'ork tor which this pertnit is issued, I shall not emplgy eny person in any manner so as to become subject ro the workers' compensation lews oi Califami grea that It s Id becoma subject to the workers' compensation pmvisions of Saction 37jjj111000 of Ihe Labor Code, I shall fonhwith complywiththeseprovisions. • �h / ,� � Applicant Signature: Dete: V � � � WAfiNING: FAILUFE TO SECUFE WOPKERS' COti1PEN5AT1 COVEMGE IS UNIAWFUL AND SW1Ll SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED THOUSANDOOLIARE�5100,OW�,INAD0ITIONTOTMECO$T COMPENSATION,DAMFGESASPROVIDEDFORINSECTION31060FTHELABORCODE,INiEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATON: I hereby aXlrm Ihat I am licensed under pro�isions of Chapter 9(commencing with Section 7000) of Division 3 of Ihe Business and Professions Code, and my license is in full force antl eHect. Lic. q Cless # Contrector's SlgnaNre: Date: CONS7RUC710N LENDING AGENCV: �' ❑ I heraby aHirtn that there is a consirud�on lending agency for ihe peAortnance oF ihe work tor which this permit is issuad. (Sec. 3097, Civil Code). Lender's Name: Lender's Atldress: Signeture: Date: OWNER-BUILDER DECLARATONS: I hereby attirm that under penelry ol perjury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business antl Professlons Cotle: Any ciry or county which requires e permit to conswci, alter, improve, demolish, or repair any sWdure, prior to its issuance, elso requires the app��caot tor such permit ro flle a signea statement ihat he or she is Ilcensed pursuent to the provisions oi ihe Contractors License Lew (Chepter 9(commencing with Saction 7000) of Division 3 of ihe Business and Professions Catle) or ihat �e or she is exempt theretrom and the 6esis tor the elleged exemptian. Any violetion of Section 7031.5 by eny applicent For a partnit subjects the epplicant lo e civil penalry of n0� more than five hundred dollars ($500).): ❑ I, as ownar of the property, or my employees with wages as iheir sole compensation, WILL DO THE WORK, antl t�e structure is not intentle0 or offered for sala (Sec. 7044, Business and Professions Code: The Coniractors License Law does not apply Io an owner of property who builds or improves thereon, and w�o does such work himselt or hersetl or through his or her own employees, providetl that such improvements are not intended or oNered tor sele. It, however, ihe building or improvement is 1,., �soltl within one year of completion, the �+'ner-builder will have Ihe burden ot proving that he or she did not build or improva for Durpose ot sale.�. ' �as owner of iha property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct the projact (Sec. 704d, Business and Professions Code: The contractors License Lew does not appty to en owner ol propetly who builds or impmves ihereon, and who conirac�s tor such project with e contrector(s) license Dursuanl to ihe Coniractors Li�ense Lews.). ❑ I am exempt under se SignaWre: Owner ID verified by ddvef5liCenSe. Vedfication of Ownership by (type af _ Business and Professions Code for this reason: • Date: ❑ No Drivefs License No. Expires: i.e. - proparry tax bill or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFICATION: ❑ I hereby cetlity that no excavation five (5) or more feet in depth into which e person is required to descend, will be metle in connection with work authonzed by Ihis pertnit, and ihat no 6uilding structure, scaHolding, falsework, or demolition or disman�ling thereof, will be more than Ihirty-six (36) feet high. (Chep. 32, Grp 2, Ah 2, Sec. 341, 71t1e 8, California Adminisirative Gode). ❑ As ownerbuilder, I will not employ anyone to tlo work which would require a permit from the Division of Indusirial Satety, as noted above, unless such person hes a permit Io tlo such work Irom the division. Signature: Date: Division ol Industnal Safery Permit Number. CERTiFlCATE OF COMPLIANCE AND AUTMORIZA710N OF EMAV: I certity under penalty of perjury ihat I have read this applica�ion antl state ihat the intortnalion given is correct I agrea to comply with all state laws antl ciry ortlinances relating to builCing construction, entl authorize representatives ot the Ciry of Costa Mesa to en[er upon ihe ebove-described prope or i�ction o I egree not to occupy or allow occupancy of any building authorized by t's permit niil finel inspection. /o /S%�� Signa¢ e0 LegalOwner(s) �Ce'te AnNOr Au�hor�ied ADDIi W n� Daie •� . . ' hl�._�'. 1818 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Foot 201 Finel BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition QSjE INfffIALS CODEI INSPECTONTYPE 206 Final Mechanical 208 Final Plum6ing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final euildincyOccupancy PAIE Iti�ELS C''.it�y o� C''.oa.ta ��eda 'su,%�� Du�iaiocs OWNER-BUILDER VE�.IFICATION - ,. A city or county, which �is required to give no[ice pursuant to Section 19830, shall attach [o such notice, and, as a condition precedent to issuing a building permit, require the completion and require the retum of, an owner-builder verifica[ion. Attention Property Owner: An 'owner-builder' building permit has becn applicd (or in yuur name and bearing your signature. Please complete and retum this information in the envelupe provided at your earliest opportunity tu .rvuid unnecessary dclay in processing and issuing yuur building parmiL No buildine oennit will be issued unul this verification is received. I. I persnnally plan to pruvide thc yo labor and ma�erials fin construction of the proposed property improvement. ❑ Yes�No � � 2. I(have/have noq signed an application for a building permit (ur the prnposed work. 3. I h:rvc cuntracicd with thc Name Addretis Phonc ( ing persun (lirm) to providc the proposcd conswctiun: City — Contractur's Lic. No. 4. ( pinn lo provide portiuns o(the work, but I havc hired the following person to coordinaie, supervisc and providc the major work: Namc Addretis Phone ( City — Contractor's Lic. Nu. 5. 1 will provide some of �he work but I have contracled (hircA) �he following persons ro provide the work indicated: Namc IM2-Efi (REV.9I98) Address Phonc 7'ypc of Wbrk ?aO�S rtt KtCtIVED 4PR a 3 :1964 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O. BOX 91� C06TA MEBA. CALIFOHNIA � CITY OF COSTA -MESA For Applicant to Fill In Coinplefely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING. � ,'J � For Office Use Only BUILDIN6 OWC• / ADDRESS / . RCC[I'TNO. PEpMITNO. / COSTA MESA, CALIFORNIA - � a�J�(� PlC61V D Y O�T[ [C61V D A 18 U D G �- � oWNER c� �ia ,� BUILDINO MAIL � % �� e ` ADDRE58� ADDRE59 f �j TEL.� ZONB � TYPE � GROUP CITY + ' ' / NO._ ' , APPROVHO ARCHITECT � �— TEL. � BY DAffi ORENGINEER NO. . ,_� ' ZONINCi - AO�RESS ' Z 8 NO.OF UB80FNEY/ � PLANB �- BUILUINO CONTRAGTOR . � %J� ' /J� � . LEOAL 1'� O I ADDRES3 2 f+ �' � DEecR�vt'ION CITY `'fi lL� G'C�G A. P. NO. . '�� '� V STATE ,.i�C NO�� ///� b�� 90"rTO8�IDE8REARPHLN6SHA BEL 9THAN LIC. NO. 5¢E � I No.oPe�oos. ALLOWED � (11.B.C.REQUIREMENT) OF LOT NOW Orv LOT YARD9APPROVED YARDSAPPROVED USE OF - ' L, MAIN BUILDIN6 AGCESSORY BUILDIN6 EXISTING BLDG. . L% (FROM C/LHTREET) SETBACK LINE FftOM � � FRONT FT. � 'R� CENTEp OF BTREET REAR YAR ' BIDBYARDI LEFT R16HT ✓ R.81DE F'f. ' DESCRIPTION OF WORK ' �. aioe Fr. F-r. NEW ALTERATION AODITION RPJ1R FT. ' �Fi�— DISTANCE BET. � BET. MAIN 8 � REPAIR MOVIN6 - ^— DEMOLI6N MAIN BLDG9. ACCESS. BLOG9. BUILDINO NO.OF �^ � VAR..}k DATE 512E � ROOMS 6TpRIE9 C.U.P.# APPROVfiD EXTERIOR WALL r ROOF APPROV6O I ' COVERING 'COVERIN6 � BV v � � USEOFBUILDING p�ORKTOBEpERFORMED �� /G L . Ll1 Cc. / � � . •. S . , ' . B�YL. . � , �� sa. -�r.'�� . .�.Q I XEREBY ACKNOWLED(iE THAT � HAVE pp�O THIH APPLIGTION TX6 AMOIINT BHOWN UNO¢R VALIIATION IB FOR TH8 ANO eTATE THAT THE ABOVe Ie COqRECT AND A�REB TO COM. PUFPOSE OF EeT/.BLIHHINO A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINA CEB AND BTATB VALUATION � BUILDINO CONBTF CTIO . • PERMITTE E OF �� ' � '� PERMIT FEE $ �_ ., � $ S �� . < < AUTHORIZED A6ENT . � , CR--�� " TOTAL FEE