HomeMy WebLinkAbout1638 BABCOCK ST - Building Permits f • " . S
CITY OF COSTA MESA
BUILDING DIVISION ,
I:y .A. 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
74. FOR INSPECTIONS CALL: (714)754-5626
.1.�
.071060 t9
PERMIT NUMBER: M07-00574
PERMIT TYPE MECH STATUS: ISSUED
DATE ISSUED: 12/17/2007
ISSUED BY: BJK
JOB ADDRESS: 1638 F BABCOCK ST CM Suite/Unit: F
Vicinity: UNIT F
SQ. FT: 0
SCOPE OF WORK: INSTALLATION OF A 70,000 BTU PROPANE FURNACE. NO OTHER WORK AUTHORIZED WITH THIS
PERMIT. .
OWNER: MANGELS, DELMAR B TR - Address: 8721 SQUIRES CIR Unit:-
PHONE: - - i City/State/Zip: HUNTINGTON BEACH, CA
APPLICANT: PARSONS, GORDON . _ Address: 2282 ORCHARD DR Unit: .. .,,,g -;
PHONE: 949-456-0064. City/State/zZip: NEWPORT BEACH, CA ' ',.' 1`,.
CONTRACTOR: ABC HEATING AND AIR CONDITIONING License No. 810481
Address: 22$ZORCHARD DRUnit: PHONE: 949-456-0064
City/State: NEWPORT BEACH, CA ZipCode: 92660. CELL:
MECHANICAL PERMIT FEE SUMMARY . '
MECH ITEM FEE: $38.30
•
PLAN CHECK FEE: - - $0.00
INVESTIGATION FEE: - $0.00
REINSPECTION FEE: $0.00 ;!-I THIS
TOTAL FEES: $38.30
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: 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 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.
CODE X. INSPECTION TYPE DATE INIIIIALS CODED INSPECTION TYPE DATE- ' `q•-W:INITIALS
[y
1616 Fixed System Final Fire Prevention 206 Final Mechanical ' t/.Q% 11N C .]
1266 Pool Spa Final 208 Final Plumbing - .
200 Final Re-Roof 210 Final Electrical
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 250 Final Building/Occupancy
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's . ❑Yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: Drivers License No. Expires:
O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensati n, as provided for by section 3700 of the Labor Code, for the
perfor rice 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 Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: 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
Carrier // or dismantlingthereof,will be more than thirty-six
(This section need not be rumple ed it the pent at one hundred dollars($100)or less) (36)feet high.(Chap.3.2,Grp
Policy Number:
3 �7 / 2,Art 2,Sec.341,Title 8,California Administrative Code).
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of
the Labor Code,I shall forthwith comply with these provisions. Applicant's Signature Date
attotrvDivision of Industrial Safety Permit Number:
App icanl's Signaturex_olf %C Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑No
($100,000), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons.or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑ No
Lic.# elan 8/ Class# C 20 (Section 25533 of the California Health and Safety Code, with some
oi#da4
/ 2 -�7-G,, exceptions, requires registration with the Costa Mesa Fire Department by
lli! each business which at any one time has on hand a quantity of acutely
Contractor's Signature Date 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued. (Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? CIYes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications fa non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
thereon,and who does such work himself or herself or through his or her own 8. (If'yes",attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
CII, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044,Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
Elam exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Signature of Legal Owner(s))� Date
Signature Date �j �K� /1-/,'-e7
3051-46(3/07) And/or Authorized Applicant LC Dale
t r.
Reliant
TESTING ENGINEERS
Date: August 22, 2007
Report distribution package of Field Inspection Reports and/or
Laboratory results on materials tested.
Job Name: Southside Towing
Job Address: 1638 Babcock
City: Costa Mesa, CA
Client Name: Ocean Air Ent. Inc.
You are receiving these reports at the request of our client. If you are not the correct
recipient or wish to discontinue to receipt, please contact Denise DeGroff at 714/556-
5867.
)
3035 S.Harbor Blvd.
-. r STRUCTURAL STEEL Santa Ana.CA 92704
714/556-5867 • 714/556-5868
TESTINGTesting & Inspection Report
ENGG ENGINEERS
INSPECTOR CODE JOB NUMBER DATE M TWT FS 5
Welding & Fpnxy 07-1919- Aug 1. 07 V
JOB NAME BUILDI GOSHPD PERMIT I/DSA-APPS DSA-FILEI
Southside Towina — 6X0720040 f-- tukoi ten
• ADDRESS CITY GENERAL CONTRACTOR JURISDICTION
1638 Babcock Costa Mesa Randy & 949-400-4004 Costa Mesa
ARCHITECT ENGINEER SUBCONTRACTOR(B Any)
TMS Consortium
REQUIREMENTS: Limit of one job number,one permit number per sheet. Identify all work by type and SPECIFIC location.Non-compliant work must be
specifically identified.Communication(RFI,Sketch,etc.)voiding previous non-compliant Items must be listed,record conversations and communications
with project designers,building and permit granting authority officials,
HOURS
REGULAR 1.5X 2% TIME IN LUNCH TIME OUT
4hrs 5;30pm 7pm
❑ Re-Inspection ❑Show-Up Only ❑ Expenses
❑Shop i-d Feld fa Welding ❑Bolting 0 Sampling
❑Fireproofing ❑NDT(HRS)
p;r *x: - � '.'Ne3:9r a>y . a tF , ++-1„}
:[l 3 Zb s a: a t t e T s� -e° a 3 5 a a
s - mark , _ ".+ t.. ' t.- -ztic..- Tr 4 l�i'j _F
Observed the field welding of A706 reinforcing steel to channel door frames.
Epoxy reinforcing steel into existing concrete floor 41/2" min. embedment.
Work completed in accordance with the apporved plans and specifications on site..
; '
WELDER CERTIFICATION/EXPIRATION DATE WELDER CERTIFICATION/EXPIRATION DATE
Jason Gorgol AWS D1.1 2007
Electrode Used: 1/8" LoHi from hot box on truck
0 Additional Page (Page#)CM REPORT ❑Contains Non-Compliant Items
0 Does Not Contain
Certification of Compliance All Inspections based on minimum of 4 hours for work performed over 4 ho rs-B hours minimum.
I declare under penally of perjury that all of the above statements are True,and that of my own it Inspector is called to a project and no work is performed,a 2 hour minimu• charge wit be applied.
personal tmowledge the work during the period •- :red by this report has been performed and
installed M compliance wtth the approved ,:,: ificatiors and all ap' ::le codes r
Inspector's Name Ste he W ht Approved/Authorized by a
(PROJECT s PERINTENDENT)
Inspector's Signature a._ . .4
Inspector's License# OC1165 Submitted by
ACCOUNTING
•
CITY OF COSTA MESA
BUILDING DIVISION
A •
on m,, .• 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
FOR INSPECTIONS CALL:(714)754.5626
�e •
PERMIT NUMBER: BX07-00040
PERMIT TYPE B MISC STATUS: ISSUED
DATE ISSUED: 07/26/2007 •
ISSUED BY:
JOB ADDRESS: 1638 BABCOCK ST CM .Suite/Unit:
Vicinity: EXTRERIOR WALL - Primary Occ: Const Type •
:77
SQ. FT: 0 ' . .r Valuation: $2,000.00
SCOPE OF WORK: ENCLOSE EXT
F210R OPENING OPENED WITHOUT A PERMIT AT ZERO LOT
•
LINE. •
OWNER: MANGELS DELMAR•B TR _ :Address:: 8721 SQUIRES CIR Unit/
City/State: HUNTINGTON BEACH CA Zip Code: 92646
Phone:
APPLICANT: SHAMMA, RANDALL Address: Unit:
City/State: Zip Code:
Phone: • 951-272-1710
CONTRACTOR: TARIQ'M SHAMAL icense No. 277364
Address: 907 E CHASE DR . Unit: ,
City/State: CORONA;CA
Zip Code: 92881 Phone 951-272-1710 Cell:
ARCHITECT: License No.
Phone
ENGINEER: TARIQ M SHAMMA License No. 1275
Phone •
951-272-1710 •
FEE 8UMMARY -
Building Plan Check: ..$45.01
Building Permit: $69.25 •
.Electrical Permit: • $0.00 •
SMIP Residential $0.00
•
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION.
INSPECTIONS: ,In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
CODES. INSPECTION TYPE M.Th INTITIAL$ CODE* INSPECTION TYPE DATE INTITIALS
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/Retaining Wall 212 Final Fire Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site p p
204 Final Demolition 250 Final Building/Occupancy p —p -07 ticast-
• -
•
WORKERS'COMPENSATION DECLARATION: Owner ID verified by driv ase. ❑Yes ❑ No
I hereby affirm under penalty of perjury one of the 1..._,dng declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance 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 Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a
number are: person is required to descend,will be made in connection with work authorized
by this permit,and that no building structure,scaffdding,falsework,or demolition
cCamer: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This sedan need not be mmdeted tithe permit is valued at one hundred dollars($100)or less.)
2,Art 2,Sec.341,The 8,Califomia Administrative Code).
Policy Number:
�,.{_ ❑ As owner-builder, I will not employ anyone to do work which would
.q, I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above, unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the.division.
to the workers' compensation laws of California. and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of
Applicant's Signature Date
.e Labor Code,I shal 'th comply with these provisions.
I 1Division of Industrial Safety Permit Number:
to;/.4.•1._•.. 1 -2..40__ 0
Applicant ignature - 'Date_ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No
($100,000), IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑No
c##- 3 Class# to 1 (Section 25533 of the California Health and Safety Code, with some
C. exceptions, requires registration with the Costa Mesa Fire Department by
a .' '0 AIM-'Sada ` -7 �O '07 each business which at any one time has on hand a quantity of acutely
Contractor's ignature Date-- 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? IDYes ❑ No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes ❑No
issuance,also requires the applicant for such permit to file a signed statement
(Section 65850.2 of the Califomia Government Code requires that the requested
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 information be furnished on applications for non-residential building permits).
Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes ❑No
applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the California Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by Califomia
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No,
thereon,and who does such work himself or herself or through his or her own
8. (If"yes",attach certificate of compliance from the appropriate air pollution
employee's, provided that such improvements are not intended or offered for control officer).
sale. If, 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 CERTIFICATE OF COMPLIANCE: I certify that under,penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code: The contractors License Law does not apply to an owner of Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection_
sir satur-of Legalese..?(s) Date
•
Signature Date �� ... 0� '' ,r: IIi4..ri 1 -21'---071
3057-06(3/07)
‘And/or Authorized ApPItoam l Date
•
f o1-ow4O
J i`o:�ccr. .
TMS Consortium ,�.�e--2'' a.; Job No: 0-0 Ir
Structural Engineers-Civil Engineers ;W' •s. #1, ,,�- Date'
807 E.Chase Drive ," I "ia t2,, '" BY:1 • ..
Corona,CA 92881 �,s l ='"IRS s i.ci 'I /
(951)272-1710—Fax(9519)272-0787 sa9.7/7 p t Page: 4k. --7 8-f Z
• E-mail TMSConsortium@sbcgloba1.net t, --ic;re. :'
Vr
F A., o.—;<, r
. A7 _
I-- I _J I ! 11 I ' 1 I i ii I . i I
j i 1 '047 ! I
iii ' ll { ! J -
i 1 r I 'I ! 11 `r ! 'K— 1
i I r 1 i - I i i I —1 1 �sl t1 C{ o$ S'3
1 I
( -i--i 1 1 1 I 11 4 . i 1 i i t I,
!' 1 1 j r I 1 1
1 ��4- $ BAR-_ __I I I '11� tiL 1,(Oo0.Ys }Zsik_
t 1 1 `` 4___1._, 1 , -�r--! , 1 �130�
Ti` �.r•.ss t1 1 .. ... ,•I1 1 1 '_im� ' �_I I I I_ ! — >_TO �r
u i 1 1 I 1 r 1 i 1 e_ c.NAN�
pdaQ � i 14,;(4,1t,,,^
I Vod..).A3 � I l�1 _I 1 i i i I 1 ! I `i I�i
j i I i ! i ; i I L i!. :1 j ! I I l 1 1taNtl
_ _ i 1 , I , T_, I , f I h
v lJ i j -�i--j �Z O�
!`1 DCI 1 1 I _ilH 1 1 i ! !_._5i,ye//lj'Ica ,
i 1 I t am ' 1 1 -i I1 .i
,uv�C.=- ' �m cn +� 1 i P`l'.,y'bp i 1 -_I_ 1h. jr� lll�!� 0 , !
1 I _1_ i I _ 1:JI I. - J I
—d1Y! Use' c.1 • 1 ` I I • 1 j
1 i' i I i • I 1 1 i I - I ! I�` ZYl1
11 li 1 1 j I j 1 I i 1 1 7 x
1 1 ? 1 1 IIhy: (j
--1 1 I 1
1 y 1 1 1 • 1 i I 1 1 1 1 1 1 • 5
1 -
47:• vigour
TE�.. 1 t I f --C--&-e1--ter'-4411,--s) ' t/2 !' i.av l.n ;,.-:i1.q
L 4 1 1 I i 1s 1 t I • i lio, fi ' li kl 1 {751 l�slp i •l-•—! in
( I ( j f L flXPiii- b J J • I')
I 4 1 1 1 *Ni 1 `17 I
I
`i i I ; 1 1 r 1 I 1 1 I I y��, -j-��*���C%i 1
1 I i - i ? I ; I I I 1 i i i ! :1 +1% 1 ; -1
. • _� I _ ;' i . 1 J ; . 1 I i I 1 I i ! 1 1�"i _ 1 1
•
a ,C' .IC. iL 5 ,
TMS Consortium i \ EXPIRES 3,31-0 .Job No: ..-.-
\*
Di�
Stream'Engjneers-Civil Engineers ��` 6-(\- A'f Date: o'7
807 E.Chase Drive •
s? � \P' I 1
Corona,CA 92881 • . - — '
(951)2724710-Fax(9519)272.4787 Page: -
E-mail TMSConsordurn®sbcglobaLnet • .
__-a.- -t 1 t i
IMIMMIIIPM i' . I I ' i i i : i i ` I I i i i l �
` I .. I k '—' - t f I 1 I '' = i •r : � e'er
•• �~ i I i •
I � 1 I .i ` ' ' 1 li ` { C/ `kin 1 nit
{ 1_4._ I i _i 1.
.I. .� i 5�,,tia�.e13
' imam y#1 !I �d
ft
i s 0 AS 21,1-•.'
r i 1H
F-i— I j. � ,.Il, .l ' 1 f 1 •
7.1 ii 1 i ! 1 J
�. i I � 3, J i I i i I 1
• I I
i r :=_—; I
' ` - j ' ! Hai i
1 ? f I II 1 A
r —, 1 7.'0
1 , 5.1 ,iy-- I . 1 1 1 , T I I • i ,
I t l - 1 V I i i 1 ! Awn. ! : : i 4 &`0951-2/
' i_ 1 , . 1 ;_I I I '• • 1 I 11 i i 1 : 1 I -f1 , 1
I i I ' s •,.M« t ; , .• .!7�' �
I , Q ISII ♦ I r>/? ., I. 1 i:/
� I--r-'I---moi
,
C _
"c , , , I
i ;,1111,2A-;
. y
£0/£0 39Vd SWI LBL0-ZLZ-LSE £a :LL L003/93/L0
CITY OF COSTA MESA
BUILDING DIVISION
ft- _ ,. : l� 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
4. • FOR INSPECTIONS CALL: (714)754-5626•
PERMIT NUMBER‘7-00575
PERMIT TYPE ELEC STATUS: ISSUED
DATE ISSUED: 06/12/2007
ISSUED BY: RMD
JOB ADDRESS: 1638 E BABCOCK ST CM` • Suite/Unit: : E
Vicinity: STORE FRONTAGE
SCOPE OF WORK: UPGRADE SERVICE PANEL FROM 100A TO 200A FOR"CLOSETS UNLIMITED";UNIT E.
•
•
OWNER: ' MANGELS,DELMAR B TR Address: 8721 SQUIRES GIB Unit: '
PHONE: - City/State/Zip: HUNTINGTON BEACH,CA
APPLICANT: BALLARD, DAVID Address: _415 SANTA ANA AVE Unit:
PHONE: 949-642-3670 ! - City/State/zZip: NEWPORT BEACH, CA
•
CONTRACTOR: DAVID BALLARD ELECTRICAL CONTRACTORS INC' License No. 780450
Address: 415 SANTA ANA AVEUnit: - • • PHONE: 949-642-3670
City/State: NEWPORT BEACH, CA ZipCode: 92663 CELL:• .
ELECTRICAL PERMIT FEES
Electrical Plan Check Fee: $0.00
Electrical Permit Fee: $54.00
Reinspection Fee $0.00' •
TOTAL FEES • $54.00
•
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: 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 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.
CODE/. INSPECTION TYPE pAluF INTMALE CODES INSPECTION TYPE, DATE INTITIALE
1616 Fixed System Final Fire Prevention 206 Final Mechanical
1266 Pool Spa Final 208 Final Plumbing ,p
200 Final Re-Roof 210 Final Electrical 8/317
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 250 Final Building/Occupancy
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivt ,se. 0 Yes 0 No
I hereby affirm under penalty of perjury one of the tu,,,.wing declarations: Driver's License No. Expires:
❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed):
compensation, as provided for by section 3700 of the Labor Code, for the
performance 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 Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a
number are: l� jSj,a�' l person is required to descend,will be made in connection with work authorized
e� by this permit,and that no building structure,scaffdding,falsework,or demolition
Carries <� / or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This section need not be completed f the pend is valued at one hundred Collars($500)or less)
_ 2,Art 2,Sec.341,Title 8.California Administrative Code).
7 R
Policy Number: // 4 (a ID
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless
issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' compensation laws of California, and agree that if I should
become subject to the workers'compensation provisions of Section 3700 of
the Labor Code,I shall forthwith comply with these provisions. Applicant's Signature Dace
Division of Industrial Safety Permit Number:
Applicant's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION:
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and
IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑ No
($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some
PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire
ATTORNEY'S FEES. 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
LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas
I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure).
with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file
my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No
/ .
a_16.-#1-� �� C� Class.# (Section 25533 of the California Health and Safety Code, with some
( exceptions, requires registration with the Costa Mesa Fire Department by
U
�� - /� �� each business which at any one time has on hand a quantity of acutely
"1- / coh ctor's gni 0-ie) 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
CONSTRUCTION LENDING AGENCY: temperature and pressure).
❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to
performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely
Lender's Name: hazardous materials)? ❑Yes 0 No
(Section 25534 of the California Health and Safety Code provides that the
Lender's Address: 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.
Signature Date
4. If an RMPP is presently required, has Section 25534 of the California
OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑No
I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for
CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction
Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from
construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No
issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested
that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the
Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within
the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes ❑No
applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303
five hundred dollars($500).): of the Califomia Health and Safety Code).
❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other
compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the
offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California
License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No
thereon,and who does such work himself or herself or through his or her own
8. (If"yes", attach certificate of compliance from the appropriate air pollution
employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of control officer).
completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify.that under penalty of perjury the
did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and
•
0 I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH
city ordinances regarding Hazardous Materials and Emissions.
LICENSED CONTRACTORS to construct the project(Sec.7044, Business and
Professions Code: The contractors License Law does not apply to an owner of . Signature Date
property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I
a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that
ID
exempt under sec. the information given is correct. I agree to comply with all state laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for
inspection purposes. I agree not to occupy or allow occupancy of any building
authorized by this permit until final inspection.
Score of Legal (A //� /j/n�
Signature Date d% `//
3057-46(3/07) /.
o Auth6ized pphtahl ate
• 23500 FEE RECEIVED
'COSTA MESA BUILDING-SAFETY DEPARTMENT
P.O.BOX 317 COSTA MESA.CALIFORNIA AWES TTN��g iMM���.��pp
For Applicant to Fill In Completely CITYAPPLICrrOIV'FOR PERMIT
TYPE OR PRINT BUILDING
BUILDING // For Office Use Only
ADDRESS ,/43g mese[ �f- 6-1 RECEIPT NO. [R IT SD.Da
COSTA MESA. CALIFORNIA �/� — jJ,`,
// //�� - �o REVD BY D/ 2-2 BIve°CC yl' eU O
r.
OWNER QI4iQ0 b/ !/ see '
REVD
/2 l/ / �(/G/L
/- / /, / BUILDING .1/ �j6. - A � �,
ADORQB/8f/(r p J&,6eo t.( -57 ,..// q ADDRESS b 7FIRE 1,�I� L7 /�,.si
CITY /Q: S //7e3/.t NOY/d _//d9 ZONE * 1h�\1'//r��PE ` GROUP ['J'yI�
APPROV lv /f(( l�1 �/n G�/d//
ARCHITECT TEL. BY VV It rr�T DATE L6 fp JC
OR ENGINEER&UNC(• .4;i434AF? NO.
Z NING
ADDRESS �� 1' I
•N� j NO.OF 9 USE OF NEW
CONTRACTOR % 6AL/CrVa'--- PLANS BUILDING
LDEEGARL IPTION 0\7 8 Let ? I 1941471.-
------
ADDRESS 9 ✓A
.-
ADDRESS
(,/, /'
A.P.NO. 1//V - 3ou —3 /Y
CITY
NOTE: NO EAVE OVERHANG SHALL BE LESS THAN
STATE LIC.NO. ""~- TO. —_ 90"TO SIDE S REAR P.L.
SIZE EAVES I No,OF BLOCS, ALLOWED (U.B.C.REQUIREMENT)
OF LOT NOW ON LOT
YARDS APPROVED YARDS APPROVED
USE OF ' / MAIN BUILDING ACCESSORY BUILDING
EXISTING BLDG. J L l.�
(FROM C/L STREET)
SETBACK LINE FROM FRONT PT. FT.
CENTER OF STREET REAR YARD
SIDE YARD LEFT I RIGHT R.SIDE ,IIT FT.
DESCRIPTION OF WORK L.SIDE PT. FT.
NEW —
ALTERATION K ADDITION REAR PT. FT.
DISTANCE BET. BET.MAIN S
REPAIR MOVING DEMOLISH MAIN BLDGS. ACCESS.BLDQ9.
VAR.# DATE
BUSIZE
DING/2Y2. 2 ROOMS 1 STORIES r C.U.P.# APPROVED 7
EXTERIOR WALL ROOF APPROVED AA I - / ly
COVERING I COVERING BY �/1 / /D�PE� ��p-1j/
US F BUILDING AD WORK TO BE PERFOR Dr.t Ci
Pl/•
/,Pay ;LI(// N
SQ.FT. m
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. O
PLY WITH ALL CITY ORDINANCES AND STAT[LAWS REGULATING VALUATION �'
BUILDING CONSTRUCTIO ea a f H
4PERMIT FEE 5 J
SIGNATURE OF m
PERMITTEE `L- $ 7•OO PLAN CHECK $ A
AUTHORIZED AGEN '/E
TOTAL FEE 5