HomeMy WebLinkAbout3033 BABB ST - Building Permits•oon�ssaem�ou+c: 3033 BABB ST u"T:
OWNENSNNIEIFpqWN: CAMERON, WILLIAM T FLOOD; X 47
,�oopEss 3033 BABH ST
COSTA MESA,CA 92626
,wx. Yuu+o �ooxEss:
urcxrtecr ox �an¢�:
AqCX.ON ENO.'9 /i00RE53:
uc. r�o.:
UNT:
camucTarsxu� NOCK PLUMBING (714)895-1246
cawm�croxswuiwc 11610 SEABOARD CIR
�ooxEss STANTON CA uew.: 511971
90680 uxr:
LICENSE� CONTRACTORS OECLRXRTION: I �ereby eRvm uMer pereYy d paijury iha� I am licanse] uMer povieiona ol Cheplm 8
(rommend�p wilh Sec�ion ]000) d Diviaion 3 0( Ne Buaineo eM PMeavana CoEe, eM my licerea is in lull brte eM eHad.
cmuc.No.:050386 �ic.cuss: C-36 ��c"o.: 5^1^1�9^71 f� EXP: /0�2/97
e: �% Z`I comrea«: '�i F� 1� �_U1'�+U
NEfl BUILDER DECLANATION: I heiaby elfi�m uMm penaly d perj�ry thel I em emnq liam iM CaMretlae licawa lew lar IM
dbx�q rMwn (Setlbn )031.5 Bue�wae ud Profeviona Cada: Any tiy a couM�/ whidi reVurea e%�mil to wnebud. ells. impo.e.
damd'eh, a repei ary sVucture, pior io av 6we�a, ebo iepuirea tM eppli�ant Iw auch peemu to fib e upnad eWamsm Nm M a eM
ia liwnaed Wnuent lo Ihe povinione d iM Conlreaon liwnee lew jCheqer 9(aanmmorq xnh Seqion 1000) d Div'vion 3 d �M
Busimm eM Prdeviona Code� a thel M or aha ie aremq �hsehom eM �ha bavie lar the elbpeE ewempion. My violetion d Setlion
]031.5 by eny ep0licent br a permil eubjea� ihe epplcem to e dvil penelry N rwl mae ihen 1'va hundred dollen �5500�).
� I, ea awner d IM proparlyor my mmployees vAh wegan es tMi eole mmpeneetion, xill do Ihe vro�lc, end �M eWciuro o ml iMeiMed
w dlereE M eab (Seciion )W0. Busi�was enE Proteaaione Cotle: The Conlreaon Lioerue lew Ems �at eppyto en amad p�operty
who buida ar in0�� ��reon, end w}w dma auN wark NmaeM a Mnetl w Mraph he «hx own emplv�aes, povidad �hm euch
imqvxments are nd inlentled a aHared Iw seb. X.Iwwever. IM Witl'uq a inpmanem u eoN wnhin me yaer W mmpluun. the
o.�«a�ad., wn nere ma w� a o��m ne o..no ab �a w�u « �mo� �« me wm� a�.1.
� I. m ovmer d iM pWaM. em sstluvNeN conlred'n0 wilh lioenead conbanon ro oonaVue iha pqed (Seaion IOM. Bwmsva W
Pmleseiam Goee: TM1a Conireawe license law Aoea iwt rodY W an ownar d MWeM who builda n imP�'m ihemm eM Wa
' convecn la such prol�a wilh e convmo�(s) I'ranaed punuent to the Conlredon Limme lax�.
❑ I em exampt under Section: B. 8 P.C., la thie reemn:
Deta�. Owner.
i eo n.�anv oen�N uw i em awere d e�e �m��i�e me nv��,emenn a cda«d. Heann.�a s.ren code sea�. zsws, ns�, .na
2559C, end IIW I«enY �� b+iki�p aaupen� v.ill / wil ml (arcb ma) naeE lo camply wi� seN pe�e mEee enE IM nqu"vemWe M
aV�ntammUiMimamadifreiiankwntMAi u�v�apaneMDimrca.RdmiolmwvfunePGkdiamuaaxemqhantlrse
a��.
WOHKEH'S COMFENS�TION DECL�FATION: I Mreby eifi�m uMer panelly d parjury one M ihe folbvnrp detleretbn�:
� IhevevMxilmeintenecerlil'ratadcoeuantlosall♦murelawaka%compenembn,myovidedforbySeaun3]OOdtMlebor
coee. �w �ha oaeom,aze d �ne xmk �ar wNcn mle oe�il u iseuee.
� I hew eM wil meiMen woMen' wmD�ion i�nurenca, m m9u"o-ed M Saeion 3)00 d tln lebor Cods. b �M V� d �M
wwk la whidi thia paemn u inueE. MY workms' epnpenWion imurarice umer erd pdiry numbar ero:
c��: GOLDEN EAGLE EXPIRES
PdryNumber: NWC� '�i'�f'�TZ1� 09/O1/96
(This sedion need rat 6e completM / �he qrmR is la one hunC�eJ Cdlars �S�oo) a bse.)
❑ I cenM �he� in �he pa�iwmence ol �he waM Iw whch �hie pemin ia ieauatl, I eMll iwl employ eiry pemon in eny menner eo aa lo
become aubl� �o Ihe xorkere' campemation lewe d Celilanie rea ihm il I MouM becoma waed lo IM waMro'
mmpanaeiion ans d 3]00 ot the labor Cada. l 1 ' h awn ee proviwone.
/'/�y�/�¢ � 9L, nva�: � o
Weminp: F�llun ro ascuro woRrsn'rompruetlon mv�reps l� �n4wNl, mtl ilW/ ubNct an enploysr to alMrol prWltla eM
clNl flnst W ro ons hinJrW tMvund dolMn lSfOq0001, In eMlltlon b fM ew! ol eomperwWn, Wmeq� u provhNd br In
Sxtlon 9108 0l tl�s La6or Cotls, Infxuf, arM attomori /su.
CONSTIiUCTION LENDINO AOENCY: I hereby elfirtn under paneXy d perjury �hel Ihem ie e canetiudion bMi�p epercy lor tlro
perlamence W ihe xvM far whid� thu pertnl is wsuetl (�1ion 309). Civ. C).
LENDEN'S NAME:
LENDEWS ADDNE55:
I eanily ihet I heva read Nb apptieetion eM 9ete ihm the ebove inlame�ian a merep. I epne lo oompy wilh ell ery ark muXy ad'v�enex
eM stme lews reletig m buikip construebn end Mreby eNlwrrze mpresenietivm d thu ary w emer upon tha ebave.memionad popaM
la impedion WN�%�
� RON NOCK
% �i
(5151�CB.W P) Whne-BuiNip d Selery; GreemFle; Cerery-Applran�; Pink-(iwenue; (3oldenmd-Aeaeav
CITY OF COSTA MESA — BUILDING PERMIT
PERM NO: P 078773
PERMIT NO: P 078773 PLAN CHECK NO: N GOVT: N SUPP: N
CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH
JOH DESCRIPTION : C/O WATER HEATER SQ FT;
CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /
COMMENTS: NO OTHER WORK AUTHORIZED BY THZS PERMIT
*x **��r�x x *�+�������*x�****������***�*�***�*�rx�**� �r�***�r�r**�r��***�*�+�******��*+��***
Z O N I N G R E Q U I R E M E N T S
S E T H A C K S
------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING ---------
FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
LEFT: FT IN RGAT: FT IN LEFT: FT IN RGHT: FT IN
PARKING REQ: PROV; PARCEL: 14113355 ZNE: REF NO:
PLANNING NOTES>
%
1E iE 3E iE iE 1E 1E �f IE iE �E �E �ElE IE iE iE 1E IElE iE if IE 16 if ik 1f 1ElE If iflf 161F 1k ik 1E IE IE iE �IE iE �E IE 1E 1E �E iE IE 1F jF 1[� iF iF iE iE 1E IE IE iE IE �E �E 1E iE 1E * iE dE �E if iF if 1t IE �E jE �E iE
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 APPROC�ED HY DATE;
BUILDING APPROVED HY : DATE:
APPLICATION ISSUED BY: I�/i� DATE: ��ii
iE1EiE1E1EiE1EiliE1E1E�lEiEifiEiElElEif'�FiEiETf3fTF3F3F{F�F7F�FiF�F�{FTFTF7FIF3F�F3F�i'F'iF7F�F�F'I��F{F���.'���{E�E'IEIEIElEjflflEiE l41f
LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT:N
HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
PERMIT 11.00
258 SMIP/NON—RES
PLAN
ISSUE FEE 22.00
BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
TOTALS----> 11.00 22.00 0.00 33.00 33.00 ,00
REVENUE DIVISION TOTALS--> COLLECTED: 33.00 OVER/SHORT: 00
BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
33.00
iE1EiEiEiElEiEiEiE�1E'N�1EiFiF�EiE1F1E1EiEiE1E1E16ififikiFikifiEiEif�iE1ElEiEiEfEfE�F'k1E1EiEiE1E1E1E1ElfjEiElfkiEiEiF1E1(�1EiEfEiEfEfE1EiF1E1EiE141E1EitiElFiEiE
I N D I V I D U A L F E E B R E A K D O W N
TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
PLU 1 WATER HEATEA AND/OR VENT 11.00 11.00
END OF FEES
�������
DATE ��� � • / �
/
�/
CONSTRUCTION AND PLANNINP � � .& SPA _
APPROVALS Permit � Date inspector APPROVAIS Permit # � Oate Inspecmr
t. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement '
3. Electricai ConduiT�Utiliry-Undrgrnd. 54. Forms '
-4, Electrical Conduit�'Undrgrnd. I 55. Electrical Bonding
5: Steel Reinforcement- 56. Rough Plumbing & Pressure Test
'6. �Electrical UFER G,rnd. 57. APPROVAL TO COVER�GUNITE C'
2�.. Footings - � v 58. Electrical Gonduit-Undrgmd. •i
8. Foundation �� 59. Gas Pipe, O Undrgrnd., Test � .
9. Water Pipe�Undrgmd. � $0. Backwash �inei; P+Trap, � U,ndrgrnd.
10. Struczural Fioor SYstem : 67. APPROVAL TO DECK� . ;
71. Property Sewer Line & Nouse Confiection 62. Backwash & Receptor�Pinal ,
72. Sewer Cap ' 63. Heater & Vent-Final t
13. Roof Dra�ns . B4. Plumbing System - Finai -
]4. Rough Piumbing ) 65. Electrical�Final
75. Rough Electricat-Condu(t . 66. Solar System-Finai
16. Rough clearic Wiring � 67. Fencing & Access Approvai .
1�. RoughlNiringSign '" 68. APPRpVEOFO�t�PLASTERING :
.18. Rough Electricai-T Bar Ceiling 69. POOUSPA SY&TEMS FINA
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMfiNT
20. ,Rough Factory Fireplace - - • APPROVALS. Permit #
21. Ducts, in Structure . . -. _ - - � _ 70. �IJndc�rgrour�id Hydro �
22. Oucts, Vencitating . .. - -. . 7}, Product�PipingrO�Gas �Oit
23. Gas Pipe-Rough & Tkst . -' 72, Underground F,fush � �
24, Roof Framin9. . . . '- " ' � 73: Undergrnd.Stora�eTank L�Gas CbOil
25. RooiSh�athing - - ' � � - ' 74, Overhead Hydro ��
.
26. T�Bae Ceiling (Str�eturaq & Monacoat - - 75. Dry Chemical - � _ _
27. Frame and FlaShing , _ _ � .' 76. Dry Standpipe`� - - - -
r c:
28. �Lathing&Siding�i� ' - � ._ �� • 7�7t FIXED�YSTEMFINA�L
29. Insulatiorj - ' � � „ 78;_FIRE.PREV. FINAL - - '�.
30. Drywall Nailing ":,� . � � • � �HEAITH DEPT,REQllIF}EMENT
31. Plaster Brown.Coat, ; ' " 79:`FINAL WSPECTION . -
, ,.
32. Electrirai,Power MeterFinal � � , � S0: POOD CERTIFICATE IS�UED �='
33. Final Ele'ctric ' _ ' - Notes: p�� _ _
' 34. Finat� Heating & Aii �ondi[ionir�g� - , . „ . -�� "� � .
� 35. final Gas Pipe•Ten = - ' . - � ' �
36. Hoodor Canopy Y _ ' - � ^ � �� . � , -
37. Fina� Factorv F���lace , -- ' � _
38. Final Piumbing , � ' = � I ,,, , z �
39. Watet Service-Final • � � ` .` � • �
+-
40. Gas Service-Final ; � '� � � - . T
41. Solar pomesticFinal • • " �
� 42. 8ackflow Preventer . ' ' - _ ,._, � .
43. Backflow Irrigation -� - - �
44. Landscape I�riqation System .. - µ- � �' ,
45. Sound Attenuation ' �- ' - -
46. Handicap Regulations � - � -
47. FINAISTRUCTURE&BUILDING �
48. FINAL P�ANNING
�49. Electric Release to Edison . . � -
50. Gas Release to Southern Caiifornia Gas Co `� � . '
51. CERTIFICATE OF OCCUPANCY ,
No. Date
Applicant to till in all soaees eaceo� tnose witnin heavy Eoraer Iines an0 sign all appropriate aeclarations.
CITV OF COSTA MESA CON T CTIO PERMIT
� .
Project Address ' _
Applicant's Mailing Address -
Owner's Name Phone - r•� o
Address �
Arch/Eng. License No.
Address
Contractor's Nam - �� S
Address (ma'�'�g� ��( � 7
Ciry License No �/�`J
LICENSED CONTRACTOR �ECLARATION
1 hereby af}irm lM1at I am licensetl untle� p�ovi5iOn5 ot Cha�tet 9(commencinq
wi[h section 7000) ot Division 3 of [he Bu5ine55 antl Prof¢SSionS Cotle, antl
my license is in full r ntl e(fe<t.
Licens la Li ns No
�ate ' Siqnature
WORKERS' COMPENSATION DECLARATION
� hereby atfirm thai I have a certiticate of consent to selt-Insure or a certificate
Workers' Compensation Insuranre, or a certitietl copy thereof (Sectlon
0, Lab.' r/,1y_ /% p c� ' .r_ � N �/
licy N6. i—//'/�� o� Company <) NA�IU
ny �,.ertifietl copy is hereby furnishetl.
YJ cert; ie o 5 tiled with the cit �I�tl�' / �,%o��/ �
Dace '�� ApplicantY��ai/' i ��i� — — �---�
EXEMPTION FROM WORKERS' COMPENSATION DECLARATION
(This section neetl not be completetl if the permit is �or one huntlretl (E300) or
less).
I certify that in tM1e performance of the work for which this permit is issuetl, I
shall not employ any person in any manner so as to become subject to the
Workers' Compensation Laws of Californid.
Date Si9nature
NOTIGE: If, after making this declaration, you shoultl become subject to the
Workers' Compensation provisions ot the Labor Cotle, you must forthwith
comply with su[h p�ovi5iOn5 or this permit shall b2 tleemetl �evoketl.
CONSTRUCTION IENDING AGENCV
I hereby affirm lhat there is a construction lentlin9 a9ency for the performance
of th¢ work for whith thi5 permit is issuetl (Section 3097 Civ. CJ
Lentler's Name
�entler's Atltlress
OWNER BUILpER DECLARATION
1 hereby atiirm lhat I am exempt trom the ContractorY �Icense Law for tne
following reason (Section 7031.5 Business antl Professional CoOe: Any city or
county which requires a permit to const�uGt, alte�, Imp�ove, tl¢Tolish o� �epdir
any structure, prior to itz issuance, also requires the appli<ant for such permit
to file a signetl statement that M1e/she is licensetl pur5udn[ to the p�ovisiOns�ot
the Contractor•5 License Law (Chap[er 9(commencing with Section 7000) of
Division 3 of fhe Business antl Professmns Cotle) or that ne/she is ezempt
^from antl Me basis tor the alleqetl ezemplion. Any violation of Section
..5 by any applicant for a pe�mit Subjecls the aOPlicdnt to a civil
�Ity o( not more Man five huntlretl tlollars (5500).
LI I, as owner of ine property or my employees with wa9es as their sole
compensation, will Oo the work, antl tne struc[ute is not Intentletl or oiferetl
for sale (Section �044, Business antl Professional Cotle: The Contrac[or's
License Law tloes not apply to an owner ot a property who builtls or improves
lhereon, antl who tloes such work himself/herselt o� Nwugh his or he� own
empioy ees, orovitletl that such improvements are not intentlea or ofieretl for
Sal¢. If, howeveq the bulltlin9 or Improvement Is soltl wlihln One year o� com-
pletioq [he owner will havE the burtlen of prOving he/sne tlitl not builtl ot im-
prove tor the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with Ilcensetl con-
tractors to construct Ihe projecf (Section 7044, Business antl Professions Cotle:
The ConVactor's License Law tloes not appry to an owner of property who
builtls or improves lhereon. antl wno ton[�acts fo� such o�oieCts witn a con-
tractor(s) Iicense pursuani to ine Contractor's Licensa Law). I am aware that
proot ot their Worker's Compensation insurance shoultl be provitletl to me.
❑ I am exempt untler Section B. & P. C. for this reason
Date
I h¢reby certify that I
intormation is mrrect. I
dflC� SLdI2 IdWS IC�d�lp9 �
Sentatives of this city
InSpettion pur s.
Signature _�
Drivers' License or 55 �
Owner
have reatl tnis application antl state that the above
agree to comply with all City dntl coun[y ordinanc¢5
o builtling con5t�uction, antl he�eby authO�iie repre-
to ente up n the above-mentionetl Property for
7 O
� ^ Date oZ � � � O
.__.._..� ...._.. -_ —
A.P. #
5 Main Building:
TVPE Of CONSTRUCTION NEW A�D ALTERATION REPAIR E
❑ CONVERSION ❑ DEMOLISH ❑ OTHER � T Front
DESCRIPTION OF WORK/USE OF BLDG. A Rear
TVPE OF PERMIT ❑ GRADING FOVNDATION STRUCTURAL I C Right
K
❑ TENANT ❑ ELECTRICAL PLVMBING ❑ MECHANICAL S LCft
❑ �OTHER Ping. Ref. #
PROJECT DESCRIPTION 5�. FT. oCCVa.aNCV Planning Notes:
CONSTRUCTION TVPE VALUATION $
ZONE GRADINGCV.VDS. ACRES
Remarks:
Sink
Preventer
Irrigation
Clarifiers
Dishwasher
Drinking Fountains
Floor Dreins
Floor Sinks
Gas Service Outlets
Interceptors
Kitchen Sink
Lavatories
P—Trap
Roof Orains
Reinspection Fee � $15
Duct- Under Ground
Duct - Structural
Duc[ - Ventilating
Exhaust System ❑ Multiple ❑
Firepl/Fact. BIL iC80 #
Heating System & Ducting
❑0-100,000 BTU � 100,000 BT
Reinspection Fee � $15
0865-46, rev. 5/88 White - Builtling; Canary - Applitant; Pink - Accounting; Goltlenrotl - Assessor
ShOWerS
Service Sink
Sewer Cap
Sewer Connection
Solar Collectors
Solar Piping
Solar Tank
Swimming Pool w/Spa
Urinal
Water Closet
Water Heater
Water Service
Au[o-Wash
Laundry Tra'ys
Issue Fee
Hoodor Typel ❑
Canopy Typell ❑
Refrigeretion System
❑0-100,OOOBTU ❑100,000
System Repair/Alteretion
Fire Dampers
Registers
Issue Fee
FEES
Zone
Accessory Building:
Parking Req./Provided
ELECTRICAL
Automatic Washer Transformer ❑ 15-50 KW
ConstructionPoleSub. � � SO+KW
Cooking Unit Meter ❑up to 100 amps
Dishwasher � Meter ❑over100amps
Dryers ❑Gas, �Electric Sub Panel
Fan Motors DO-1 HP 01 %- 8
F.A.U. � Inc.Solar �9-15 HP �16-75+
Fixtures Microwave
r.'
Device Boxes ' Pole Light
Outlets Range
Switches Si9n
Garhage Dispoul Standing Sections
Generator �a5 KW �5-15 KW Trash Compactor
� Reinspection Fee �$15 ' � luue Fee
$ 3 DEVELOPMENTSERVICESREQUIREMENTS:
2oning Approved By
FEES Building Approved By — ,�.,,
$ 3
SUMMARV OF FEES
BUILDING PERMIT $ SMIP
PLAN CHECK $ � PERMIT
PLUMBING $ � ISSUANCE
PLAN CHECK 25% $ ENERGV P.C.
ELECTRICAL $ GRADING
PLAN CHECK 50% $ MICROFILM
MECHANICAL $ TOTAL FEE
PLAN CHECK Z5% $
O
N
I
N
G
R
E
Q
M
T
S.
FEES
$ 3
O1 OD02?DO1—G0023001 i��'!" S.Ua
DATE: 12/21/SE TI17E: Oi:;u
CONSTRl1CTION AND PLANNING POOI - CPA
APPROVALS Permit # � Date Inspector AppROVALS Pe�„��t # Date Inspector
1. TemporarY Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement �
3.:Electrical Conduit Utility-Undrgrnd. 54. Forms �
4.�Electrical Conduit-Undrgmd. 55. Electrical Bonding
5. Steel Reinfqrcement '. 56. Rough Plumbing & Pressure Test �
6.{ Electrical UFER Gmd. � 57. APPROVAL TO COVER-GUNITE
7.;Footings � � � 58. Electrical Conduit-Undrgrnd. ,
8.'Foundation � . 59. Gas Pipe, O Undrgrnd., Test '
i
9. Water Pipe-I�ndrgrnd. , , 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Stcuctural Floor System ' 61. APPROVAL TO DECK
11. �Property Sewer Line & House Connection � � 62. Backwash & ReceptorFinal
12. Sewer Cap � 63. Heater & Vent-Final
�
- 13. Roof�Drains '. 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electriral-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 FINA�
19� Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit #
1
21! Ducts,in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil
23. Gas Pipe�Rough & Test 72. Underground Flush
24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil
25. Roof Sheathing 74. Overhead HYdro
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 79. FINAL INSPECTION
32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test �
36. Hood or Canopy
37. Final Factory Fireplace
38. Final Plumbing - 27� �f�
39� Water Service-Final '
40. Gas Service�Final ��� �
41. Solar pomestic-Final ,
42. Backflow Preventer , ��"
43. Backflow Irrigation , ;� .
44. Landscape Irrigation System � ��' ;�
45. Sound Attenuation
'46. Handicap Regulations
47. FINALSTRUCTURE&BUILDING
4R. Soer.ial Requirements Completed
49. Electrie Release to Edison '
50. Gas Release to Southern California Gas Co _ . y
51. CERTIFICqTE OF OCCUPANCY '
No. Date , ,
7,ot 9 - Tract 4z92
;� � �,�ilJ�
COSTA MESA BUILDING•SAFETY DEPARTMENT
P. O. BOX 877 COBTA MBBA. CALIPORNIA
For Appiicanf fo Fill In Complefely
TYPE OR PRINT
COSTA MESA. CALIFORNIA
�e % DeveloT�ent Co:,I�
i55 P�centia Avemie
vport Beach rE'
, g.�. Soll
1555 Placentia 9venvs
Nerroort Beach
61195 Ho: � 6-3227
�1 I � t.M t 1 I I NO. OP BLDGB. O
■ USE OF
.96TBACK LIN6 PROM �7 �1
i I LEFT 6� O�� I RIGHT 6�
DESCRIPTION OF WORK
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1
ROOF KOCK
COVERING
K TO BE PERFORMED
Ly Residence and
Plan No: -
1 X6PE6Y ALKNOWLEDG! THAT 1 XAVE HGD THIB MPLIWTION
AND eTATe TH/�T THH ABOVE IB COM6Ci ANO A6R6E TO COM-
PLY WITX AlL CITY OROINANCE9 AND BTATE LAWB REOULATING
BUILDIN6 CON9TRUCTION.
SIGNATURE OF � /1 ��a OO
■ AUTHORIZED AGENT
FEE RECEIVED
� SEP 271961�
fINANCE OEPT.
APPLICATIONYFdR PEIiMIrMESA
BUILDING
For Office Use Only
REC8IPT NO. PEI
a.
COSTA MESA. CALIFORNIA
ZONING
ZONE�I/ I NO.OF � I U96 OF NEW l�
n PLANB BUILDIN6 (V/V
ea�e,o.�„u .��' � T/C y L
NO.
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A. P. NO.
YAROS EVE6
APPROVED ALLOWED
(CL'MCR LINH BTJ
FRONT 3 � FT. ~^ IN
R. SIDE � FT. • IN
L. SIDE � FT. ` IN
f
REAR / FT. IN
AoPPROVED ��1�� ^ �rr� g"/Z6
n _
THE AMOUNT BHOWN UNOEP VALUATION IB FOR THE
PURPOB¢ OP EBTABLI9HING A PERMIT FEE ONLY.
//�1J�'3ao_ . . __
$" � PLAN CNECK
.' �� 41915
COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626
For Applicant to Fill in Completely — Use Ink Only
BUILOING �
ADDRESS
OWNER LC- � �
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CITV ��`
CONSTRVCTION
BRANCH
ADDRESS
ADDRESS
CONTRACTOR
ADDRESS
CITV �
STATE
LIC. NO. 2
SIZE
OF LOT
USE OF
TEI.
NO.
TEL,
TEL. �
NO.
CITV
LIC. NO.
NO. OF BIDGS.
NOW ON LOT
Separate permits are required for
electric, plumbing and heating work.
VSE OF BVILDING AND WORK TO BE PERFORMED
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APP I A �ON FOR STRUCTURAL PERMIT
REC 1 DATE FECEIVED DATE IS
i
�' PERMIT NO.
A.P. NO.
BUILDING �j�
ADORESS � �/ � �
TRACT7�.L � LOT � BLOCK
FIRE
ZONE
APPROVED
USE OF N
VARDS APPROVED I VAROS APPFibA/ED
MAIN BUILDING ACCESSORY BMILDII
DISTANCE BET
MAIN BLDGS.
VAR. �
C.U.P. #
APPROVED /
MAIN
I hereby acknowledge that I have read this application antl scate
that the abova intormation is correct and agree to comply with
all laws re8ulating b�ilding const�uction, antl I shall not employ
any person in violation of the workman's compensation laws of
the State ot California. �
I hereby certify That I am properly Iicensed as a contrector untler OSQ. FT. �
ihe Stete of California Business entl Professions Code, Division 3, THE AMOUNT SHOWN UNDEfl VALUATI
Chapter 9, antl tnat such licenses are in full force antl etfact, or I THE PURPpSE OF ESTABLISHING A PERMIT
em ezempt trom the provisions of the State of Calitornia Business VALUATION PERMIT FEE $
antl Professions Cotla, Division 3, Chapter 9
� PLAN CHECK $ �
Signeture of /�
Permittee $ � TAX $
AuihorizedAgent /1 TOTHLPHf� $
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JOB ADDRESS
GENERA� C01
A,�, ",�. 141-]
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I�:";,.'��?`��;::T I ON S
is�r
GAS
W ATER
ROUGH PLUMBIN(
PROP. SWR. LINE
SPFINKLING SYS
MISCELLANEOUS
ROUGH HEATING ANO AIR CONDITIONING
TEMPORARY SERVICE OR POL
UNOERGROUNO � POWER
ROUGH WIRING
FLOOR SYSTEM
BONO BEAM [� STEEL REINFORCE
SHEHTHING
FqAME AND fLASHING
LATMING - IN .f�(j OUT
PLASTEF.BROWN COAT
H, 3, VENT., REFRIG. r1ND A.C., FINFL
PWMBING, FINAL 4N0 GAS TEST
ELECTRIC, FINAL
BUILOING, FINAL '
SPECIAL REQOIREMENTS
5-4-7h
BUILDING PERMIT N0.
K Room over Gar.
VALUEi 11.100.00
SUBCONTRACTOR
CITY OF COSTA MESA
STp'"FS,, BlIILDING DIVISION
i�� 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 •�wwi.ci.costa-mesa.ca.us
� � FOR INSPECTIONS CALL: (714) 754-5626
��"°°°"°°s PERMIT NUMBER: E11-00001
PERMIT TYPE ELEC STATUS: ISSUED
APN: 14113355 DATE ISSUED: 0110312011
ISSUED BY: KJB
JOB ADDRESS: 3033 BABB ST CM
vicinity:
Suite/Unit:
SCOPE OF WORK: SERVICE UPGRADE TO 100 AMP. NO RELOCATION OF SERVICE
OWNER: CAMERON, WILLIAM T Address: 3033 BABB ST Unit:
PHONE: City/State/Zip: COSTA MESA, CA
APPLICANT: GURROLA, RICK
PHONE: 800 660-8072
CONTRACTOR: POWELL ELECTRIC CONTRACTORS
Address: 5625 W. WASHINGTON BLVD.Unit:
City/State: LOS ANGELES, CA ZipCode: 90016
ELECTRICAL PERMIT FEES
Electrical Plan Check Fee: $0.00
Electrical Permit Fee: $54.00
Reinspection Fee $0.00
TOTAL FEES $54.00
Address: Unit:
City/State/zZip:
License No. 631836
PHONE: 800 6603076
CELL:
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia 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 order for the work authorized under this permit to be considered legal, such work must comply wilh all applicable codes, and all
"required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will resWt in the expiration of this permit.
CODEN. INSPEGTONTYPE OATE INTITIALS CODE� INSPECPONME DATE INTITIALS
i6t6 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Roof 210 Final Eieciriwl
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 25o Fina1 Building/Occupancy
WORKERS' COMPENSATION DECLARATION:
I hereby affrm under penalty qf perjury one of Ihe following.tleclarations:
❑ I have and will maintain g certificate of consent to self-Insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the -
peAormance of the work for which this permit is issued.
❑ I have and will maintain Workers' compensation insurance, as required by-
section 3700 of the Labor Coqe, for the peAortnance of the vrork (or which this
pertnit is issued. My workerg• compensation Insurance carrier and policy
number are:
Carrier: �.� c� �l� iL ✓� T ' L �–tJ $v � •
(7hrssecLonneed�rofbemmple� nmepermrtisvaNedafonen�nd.edabnars(StLn/wless�
Policy Number $f.L1C' / U / �1 � Z—
❑ I certify that in [he pertormance 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 s� �e to ihe workers' compensation provisions of Section 3700 0(
the Labo Cod , I shall erthwifh comply vnth these provision .
_ �
Apoliwn SignaWre Dale
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINE3 UP TO ONE HUNDRED THOUSAND DOLLARS
($100,000), IN ADDITION TO 7HE COST OF COMPENSATION, DAMAGES AS
PROVIDE� FOR IN SECTION 3706 OF THE LABOR CODE, IPfTEREST, AND
ATTORNEY'S FEES.
LICENSED CONTRACTORS DECLARATION:
1 hereby aKrm that I am licenged under provisions of Chapter 9(commencing
with Section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force antl effect.
Lic. # / F 3 C class # �'�
�
Comracor' nature ale
CONSTRUCTION LENDING qGENCY:
❑ I hereby affirtn Ihat ihere is a consWction lentling agency for the
pertortnance of the work (a wfiich Ihis pertnit is issued. (Sec. 3097, Civil Code).
Lender's Name:
Lender's Address:
Date
OW NER-BUILDER DECLARATIONS:
I hereby affrm Iha� under penalty of perjury that I am EXEMPT FROM THE
CON7RACTORS LICENSE LAW (or the following reason (Sec. 7031.5,
Business and Professions Cotle: Any city or county which requires a permit to
Constmct, alter, improve, tlemolish, or repair any slrucWre, prior to its
issuance, also requires the applicant for such permit to fle a signed statemen[
that he or she is licensed pursuant to the provisions of the Contracmrs
License Law (Chapter 9(cortlmencinq with Section 7000) of Division 3 of the
Business antl Professions COde) or tha[ he or she is exempt therefrom and
[he basis for the alleged exemplion. Any violation of Section 7031.5 by any
applicant for a permit subjects the applicaN to a civil penalty of not more than
fve hundretl dollars (5500).):
❑ I, as owner of the property, or my employees with wages as their sole
compensation, WILL DO 7HE WORK, and the structure is not intended or
oKered for sale (Sea 7044. 6usiness 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, pmvidedthat such improvements are not intended or oftered for
sale. If, however, the building or improvement is sold within one year ot
completion, the owner-builder wi11 have the burden of proving that he or she
did not build or improve for purpose of sale.).
❑ I, as owner of the proparty, am EXCLUSIVELY CONTRAC7ING WITH
LICENSED CONTRAC70RS to construct the project (Sec. 7044, Business and
Professions Code: The contractors License Law dces not appty to an owner o(
property who builtls or improves thereon, and who cont2cts for such project with
a contractor(s) license pursuant tothe Contrectors License Laws.).
❑ I am exempt under sec.
Business and Professions Code Ior this reason:
SignaWre Date
305]a6 �3I0])
Owner ID verified by driver's license. ❑ Yes ❑ No
Dnver's License No. Expires:
Verification of Ownership by (rype of document, i.e. - propeAy tax bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ I hereby certify that no excavation frve (5) or more feet in depth into which a
person is required to descend, will be made in connec�ion vrith work authonzed
by this pertnit, and Ihat no building stmcture, scaffdding, falsework, or demoli[ion
or dismanUing thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp
2, Art 2, Sec. 341, Ttle 8, Califomia Adminis[2live Code).
❑ As ovmer-builder, I will not employ anyone to do work which would
require a permit (rom the Division of Indushial Safety, as noted above, unless
such person has a permit ro tlo such vrork from the division.
Applicam's Signa W re
Division o( Industnal Safely Permit Number: _
HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
t. Will the applicant or present or future building occupant need to fle and
ceAi(y a Business Plan (or emergency response to release or Ihreatened
release o( a hazardous material? ❑ Yes ❑ No
(Section 25505 0( the Califomia Health and Safety Code requires, with some
exceptions, that a 8usiness 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 cu6ic feet of compressed gas
at standard temperature and pressure).
2. Does or will the applicant or present or fuWre building occupant neetl to file
a regisUation fortn for awtely hazardous matenals? ❑ Yes ❑ No
(Section 25533 of [he California Healih and Safety Code, with some
exceptions, requires registration wim the Costa Mesa Fire Department by
each business which at any one time has on hand a quantity oF acutety
hazardous matenals equal to or greater than a vreight of 500 pounds, or a
volume of 55 gallons, or 200 cubic feet of compressed gas at slandartl
temperaNre and pressure). '
3. Does or will the applicant or present or future builtling occupant need to
prepare an RMPP (Risk Management and Prevention Program (or acutely
hazardous materials�? ❑ Yes ❑ No
(Section 25534 of the Califomia Health and Satery Code provides ihat the
Costa Mesa Fire Department may require the prepara[ion, certification and
filing with the Fire Department of an RMPP by businesses which are requiretl
to register acutely hazardous malerials with the Fire Deparlment.
4. If an RMPP is presently required, has Section 25534 of the Califomia
Health and Safety Code been (ully complied with? ❑ Ves ❑ No
5. Does or will the ap0licant or present or (uNre building occupant require for
�he work which is lhe subjecl o( lhis application a permit for such conswction
or motlifca[ion fmm the South Coasl Air Qualiry Management District or trom
any other air polWtion control district or agency? ❑ Yes ❑ No
(Sectbn 658502 of the Califomia Government Code requires that the requested
information be fumished on applications for noo-residential building permils).
6. Will any part o( lhe facility [o be constructetl untler this permit be within
1000 feel from Ihe ou[er boundaries of a school? ❑ Ves ❑ No
pf yes", the facility must meet lhe requirement of Sections 25534 and 42303
of the California Health and Safery Code).
7. If a permit from the South Coast Air �ualiry Management Districl or other
air polWtion 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 antl Safely Code Section 42303 been matle? ❑ Yes ❑ No
8. Q( "yes", attach certificate of compliance from the appmpriate air pollution
contml oKcer).
CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
in(ortnation given above is conect I agree to comply with all state laws and
city ordinances regarding Hazardous Materials and Emissions.
�a�e
CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
certify under penalty of perjury that I have read lhis application and state that
the information given is correcL I agree to comply with all state laws and ciry
ordinances relating to building construction, and authonze representatives of
the City of Costa Mesa lo enter upon the above-described propeny tor
inspection purposes. I agree not to occupy or allow occupancy of any building
authorize/d b�y this ermit until fnal inspection.
/ /Signal re o Legal Owner�s) �ale �
(C ✓
An4lorAuthOnzeO ppl¢ant ' O e �