HomeMy WebLinkAbout1260 BELFAST AVE - Building Permits -
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CITY OF COSTA MESA
;T'izrk.. BUILDING DIVISION
f°r -40 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us •
G - FOR INSPECTIONS CALL: (714)754.5626
, O
PERMIT NUMBER: E08-00390
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PERMIT TYPE ELEC STATUS: ISSUED
APN: 14104109 DATE ISSUED: 10/13/2008
ISSUED BY: KJB
JOB ADDRESS: 1260 BELFAST AV CM , Suite/Unit .
Vicinity: _ •
SCOPE OF WORK: SERVICE UPGRADE FROM:100 AMP TO 200 AMP.NO RELOCATE BY CONTRACTOR.
10/16/08:SUPPLEMENTAL PERMIT TO ADD 30 OUTLETS(NEW CIRCUITS), 1 LIGHT, 1 MISC FOR 220 RANGE'(50 AMPS) . .
OWNER: MARKS,RONALDA ' ' Address: 2231:1 1ST AVE Unit 1 .
PHONE: .. 6''', City/State/Zip. .LAGUNA BEACH CA ;• : •
APPLICANT: VASQUEZ-,:SAUL - • Address: 627 S SHELTON ST Unit "; • ' •
PHONE: 714-713-3124 ... .City/State/zZip:• -SANTA ANA,CA - '..'
CONTRACTOR: RIGHT WIRE ELECTRIC INC - - - " License No. 900961,;_; . .
Address: 627 S-§HELTON STUnit:. PHONE: 714-713.3124
City/State: SANTA ANA,CA "ZipCode 92703CELL: ,
ELECTRICAL PERMIT FEES '_ .
Electrical Plan Check Fee: .'. ' lli.$0.00 .
Electrical Permit Fee: $102 60
Reinspection Fee $0 00
TOTAL FEES $102 60; •
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 DA INnnALS CODES INSPECTION TYPE DATE INTRIAL¢
1616 Fixed System Final Fire Prevention 206 Final Mechanical
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1266 Pool Spa Final 208 Final Plumbing
200 Final Re-Root 210 Final Electrical ®a
201 Final Block/Retaining Wan 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 •
-;, s
WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive, license. ❑Yes ❑No
I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires:
0 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 o1 the work for which this permit is issued. ..
G\ I have and will maintain workers'compensation insurance,as required by ' '
ection 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: person is required to descend,will be made in connection with work authorized
S'-r.A T E �✓^f) by this pemrit,and that no building structure,scaffolding,falsework,a demolition
Currier? or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp
(This season need not be completed if the permrt is valued at one hundred dollars(SIM or less.)
2,Art 2Sec.341 Tate B,Drill/Ofnla Administrative Code).
Policy_Number:
\t— 0 As owner-builder, I will not employ anyone to do work which would
0 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 empl. 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' compe sation laws of California, and agree that if I should
become subject to . w./ ers'compensation provisions of Section 3700 of
Applicant's Signature Date
the Labor Code, - I f. hwith comply with these provisions.
( /�j
0-16 0 gli Division of Industrial Safety Permit Number:
ppN( Signature» Dated C! 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 ❑ 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 CONT- •CTORS DECLARATION: 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas
I hereby affirm th.t 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 f II force and effect. a registration form for acutely hazardous materials? 0 Yes ❑No
VLic:#� ( 0Q0/ Class#� — l 0 (Section 25533 of the California Health and Safety Code, with some
J, ).,`(6 _G7-</ exceptions, requires registration with the Costa Mesa Fire Department by
* each business which at any one time has on hand a quantity of acutely
C/ ractor'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)? ❑Yes ❑ No
Lender's Address: (Section 25534 of the California Health and Safety Code provides that the
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 cityor 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 (Sectbn 65850.2 of the California Govemment Code requires that the requested
that he or she is-licensedpursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits).
License Law(Chapter9(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 0 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).
0 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? 0 Yes ❑ No
thereon,and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for 8. (If"yes",attach certificate of compliance from the appropriate air pollution
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: l'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
city ordinances regarding Hazardous Materials and Emissions.' .
0' I, as owner of the property;am EXCLUSIVELY CONTRACTING WITH ,
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 contractors)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 stale laws and city
ordinances relating to building construction, and authorize representatives of
Business and Professions Code for this reason: • the City of Costa Me:: to enter upon the above-described property for
"- inspection purposes.4,rep not to occupy or allow occupancy of any building
authorized by this p: t ntil final inspection. ,
•
Signal fetal Ownegs) Date
Signature Date �/) 3
305]-C6(3/0]) / U/-I G-06
Qr:r,•fronzed Applicant Daley
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CITY OF COSTA MESA •
BUILDING DIVISION
f• y .rft• 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us
14F4 •
o.�• � FOR INSPECTIONS CALL: (714)754-5626
•
%o.mm PERMIT NUMBER: E08-00390
PERMIT TYPE ELEC STATUS: ISSUED
APN: 14104109 DATE ISSUED: 10/13/2008 •
- ISSUED BY: KJB •
•
JOB ADDRESS: 1260 BELFAST AV CM Suite/Unit
Vicinity: - - - -
SCOPE OF WORK: SERVICE UPGRADE FROM 100 AMP TO 200 AMP. NO RELOCATE BY CONTRACTOR:
•
OWNER: MARKS, RONALD A: ; Address: 22311.1ST:AVE' Unit -•
PHONE: City/State/Zip: = LAGUNA BEACH,CA
APPLICANT: VASQUEZ,'.SAUL - 'Address: ' _ 627 5 SHELTON ST Unit: •
PHONE: 714-713-3124 �� City/State/zZip: SANTA"ANA:CA, 7 g
•
—1.-r,00•.:37,4) •
CONTRACTOR RIGHT ELECTRIC INC`. -. - .. .. License No. : :.900961
'
Address: 627 S"SHELTON STUnd. PHONE, 714-713-3124 -- ; - _
City/State: SANTA ANA,CA ZlpCiide: 92703" - - CELL: ,
•
ELECTRICAL PERMIT'FEES "
Electrical Plan Check Fee $0.00
Electrical Permit Fee: •••'•,•: $54.00
Reinspection Fee
TOTAL FEES
•
•
•
•
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related
regulations.(Ord.No.92-28,§1, 12-21-92)
EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE'OF LAST INSPECTION.
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all
required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit.
c EP. INSPECTION TYPE DATE INTITAL$ CODE/ INSPECTION rep • DATE INITIALS
1818 Fixed System Final Fire Prevention 206 Final Mechanical •
1266 Pool Spa Final 208 Final Plumbing
200Final Re-Roof ` `/ / 210 incl El-
2011 Final Block/Retaining of Wall //� =,Fina -revention •
202 Final Factory Fire Place / 220 Fine •fanning Approval
203 Final Sign 222 Final Site • -.
204 Final Demolition 250 Final Building/Occupancy
p r✓
WORKERS'COMPENSATION DECLARATION: .... Owner ID verified by drive._ncense. ❑Yes 0 No
I hereby affirm under penalty of perjury one of the following declarations: , Driver's License No. Expires:
•
0 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.
��ll 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: person is required to descend,will be made in connection with work authorized
me _, • by this permit,and that no building structure,scaffdding,falsework,or demolition
or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp
(This section need not be completed the pend is valued al one hundred dollars($100)or less)
2,Ad 2.Sec.341,The B,Califomia Administrative Code).
PolicyNumber:
❑ As owner-builder, I will not employ anyone to do work which would
❑ I certify that in th' performance of the work for which this permit is require a permit from the Division of Industrial Safely,as noted above,unless
issued. I shall not emp. :ny person in any manner so as to become subject such person has a permit to do such work from the division.
to the workers' com.-••ation laws of Califomia, and agree that if I should
become subject to : •rkers' compensation provisions of Section 3700 of
the Labor Code, I s• o with comply with these provisions. —/ Applicant's Signature Date
/0 //`�2/O y Division of Industrial Safety Permit Number:
•T.nit signawrel C_ ale_ r O 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.# "LO Class# L- (6 / (Section 25533 of the California Health and Safety Code, with some
(S1/ exceptions, requires registration with the Costa Mesa Fire Department by
tIll each business which at any one time has on hand a quantity of acutely
o a o' ig tare /�ty3/ 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
CONSTRUCTI 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)? 01Yes 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? ❑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 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 fcr 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 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 Seddon 42303 been made? ❑Yes ❑ No
'thereon,and who does such work himself or herself or through his or her own
employees, provided that such improvements are not intended or offered for 8. (If"yes",attach certificate of compliance from'the appropriate air pollution
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: fcertify•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
city ordinances regarding Hazardous Materialsand Emissions. -
❑ I, as owner of the property:am EXCLUSIVELY CONTRACTING WITH - -
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
01 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_r' '_final inspection. _
Signature al Owner(s) /D� / rl
Dale
- Signature - Date /O �_//
3057-46(3/07) , - /(� /
N• Audrz-,Applicant_J c—Dateeerrr d
e • pggnn
COSTA MESA BUILDING DEPARTMENT - 9i g' St
P.O. BOX 317
COSTA MESA. CALIFORNIA ^II .✓- ..
FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT
BUILDING BUILDING
ADDRESS 1260 Belfast Avenue
COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY
RECEIPT NO. PERMIT NO.
OWNER COLLEGE MESA COMPANY r+ (3_9
MAIL RECEIVED BY DATE RECEIVE DATE ISSUED
ADDRESS P:O. -Box 2277, 'Brookhust Station /_,.. .49,..-S---4 sE gX958
BUILDING
CITY Anaheim TEL
ICE 3-3161 ADDRESS
ARCHITECT
ITE
ORENGINEER Bulot, Quigley Oand Clark NO. RE 7191 COSTA MESA. CALIFORNIA
FIRE
ADDRESS 1102 W. 17th St. , Santa Ana ZONE
ZONE NO.OF TYPEGROUi
CITY LIG. / E PLANS. /a/ r
CONTRACTOR The Hale Company NO. 7350
_ •
ADDRESS 1777 W:Lincoln,AnaheiWS: ICE 3-3161 BYPROV D DATE
LEGALCORRECTIONS
DESCRIPTION NO. 150 BLOCK TRACT 2671
Plan 3-AR • I
A.P.NO.
SIZE NO.OF SLOGS.
OF LOT 66 x 100 NOW ON LOT None r
USE OF
EXISTING BLDG. I
SETBACI. LINE FROM 501311 —
8
CENTER OF STREET O REAR YARD
SIDE YARD RIGHT 1. LEFT 10'
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION
REPAIR MOVING IyI DEMOLISH
BUILDING 12221 -Liv. NO.OF '
SIZE 44.(11 -Car. ROOMS 5 STORIES 1
EXTERIOR WALL ROOF
COVERING Stucco COVERING Compo
USE OF NEW
BUILDING Singh dwelling w/att. garage
°
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL
CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC•
TION. COLLEGE MESA COMPANY VALUATION PERMIT FEE $ 30.00
SIGNATUR FBy: The Hale Company,Gen. artneL
T•T _
/e//: 1 PLAN CHECK S 15.00
//{/7//- s 12,599
TOTAL FEES 45.00