HomeMy WebLinkAbout2113 CANYON DR - Building Permits(71y) 754-5273 • Fan (714) 754-4856 • www.ci.costa-mesa��sCTRICAL PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
Applicant:
Address:
Owner:
Adtlress
2113 CANYON CI
MALLON,CHARLES
Phone: 949-230-7030
Zip
UNITED PACIFIC DEV CORP, PACIFIC RIM INVESTMENT,
AND ANDREW INTERNATIONAL CORP
ORANGE, CA Phone:
3111 N TUSIN AV STE 220 Zip: 92865
Contractor. PACIFIC RIM COMMUNITIES BUILDERS INC
Address: 320 N HALSTEAD ST
ISSUE FEE
Temp service test
Res. alc package
New Res (i•2 units)
New Res (3+units)
Pool / Spa
Lighting Fixis
Recept Outle�s
Switches
Non Res Appl
Res Appl
Service to 200a
Service to 1000a
Service over t000a
Motors to 1hp
Molors fo tOhp
Motors lo SOhp
Motors to t00hp
Motors over 100hp
Communica�ion drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
SUITE 700
PASADENA,CA
Phone: 626-351-3600
Zip: 91107
License: 860453
ISSUED BY:
Staws: ISSUED
Applied: O7/03/2006
Issued: Ot/092006
SCOPE OF PERMIT
PLAN 2: NEW 2,535 S.F. S.F.D. WITH ATTACHED 450 S.F. GARAGE. WORK TO INCLUDE: 1,077
S.F. fOR 7HE iST FLOOR, 1,458 FOR THE 2ND FLOOR, AND iB S.F. FRON7 PORCH. 4 BEDROOMS
AND 4 BATHROOMS. REF.; 605-00097
ELECTRICAL TO INCLUDE: 2535 S.F. S.F.D. AND 1 LIGHT FIXTURE, 1 OUTIET, AND 1 SWITCH
IN THE A7TACHEO GARAGE.
S23.50
50.00
50.00
$141.96
50.00
50.00
51.10
51J0
51.10
50.00
50.00
50.00
50.00
50.00
$0.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
$0.00
Quantiry
2535
0
0
1
1
i
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
FEE SUMMARY
Temp Disl System I Lighting
Busway/100ft
Standing Section
Misc Electrical Equipment
Trensformers up to 1 kva/kw
................up to 10 kva/kw
.................up to 50 kva/kw
.................up to 100 kvalkw
..................over 100 kva/kw
Low Voltage Equipment
Low Volt Winng Sysrem / Ckt
Misc. Conduit
Misc. Conductor
Circus ( gen or ride)
Circus (mech ride or lights)
Chnstmas Tree Stand
Fireworks Stand
Other Electrical Fee
Invesligation Fee
Plan Check Fee
Reinspection Fee
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
50.00
$0.00
50.00
50.00
50.00
50.00
50.00
50.00
TOTAL CALCULATED FEES $168.76
COMMENTS I SPECIAL CONDITIONS
Quantity
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NO710E: The work authorized by ihis permit shall comply with all applicable handicap access raquirements under Calitornia statutes and related
requlations. (Ord. No. 92-28, § t, t2-27-92)
EXPIRA710N: Thls permit shall automatically expire and become wid if work is not commenced wllbin 180 days, o� it work Is suspended or abandoned
for a period of 7 BO days.
INSPECTIONS: In order for ihe work authorized untler this permit to be consldered legal, such work must comply wilh all applicable codes, and all
required Inapeetlona end flnel approval must be obtained. Failure to obtain inspections antl tinal approval will result in the expiration of this permit.
Fpp INSPEC710NS CALL: (714) 7545626
��+vro �aw�
WORKERS'COMPENSAnON DECLARAnON:
I hereby eHirm under penalty of perjury one of the following tlecleretlons:
❑ I heve end will main�ain a certiFicate oi consent to selbinsure tor workers' compensatlon, es provitled for by section 3700 of Iha Lebor Code, for t�e peAormance of the
work br which this pertnit Is Issued.
� ftia"ve�end wiil mpintai workers' compensatio urence, es required by section 3700 of �he Lebor Codo, for the pedortnance af t�e work lor which �his pertnit is Issued.
�My wo ' �pens tlon I � ae cerrle d policy num6er ere: ��� ����—
�_. ��
'Gartier: �` ' Pd� ityNur�yqf:-
;$Aiis secfiai ed n t be omp/efed / Ne pemrit is velue0 et one hundred dallers (S/00J or /essJ ��
❑ I certify that in the p ortna F the work for which this permit is issue0, I shall not employ any person in eny manner so as ro becortie subject to Ihe workers'
compensetion laws f ali rnie, e t it I shou me sublect to Ihe workers' cnmpensatlon provislons of Secilon 3700 oi the Lebor Code, I shell forthwith
comply with Ihese r9 'sl ns.
App�IlcanfSlgnaWrei � - " D"alei "�� � �" Z 7 � b �
�:
;NIAFNINO."FNLURETOSECUREWORKERS' MPENSATIONCOVERApEISUNUWFULANDSHALLSUBIECTANE�CRIMINALPENALTIESANDCIVILFlNESUPTOONENUNOFED
T/KKJSAND OOLLAfiE (5100.000�, IN AODRIdJ TO THE COST OF COMPENSATION, DhNAGES AS PROVIDED FOR IN SECTION 31O60F THE LABOF COOE, IMEFEST, AND ATTORNEI^5 FEES.
LICENSED CONTRACTOR,6 DECLARATION:
I hereby eHirtn that I em licjn�ed under provisions ot
7000) ol Division 3 af Ihe Bu in�d Professions Cotle, and my license Is in full
��•'�Glass a,
- .OeIB_ ..__ __ 1 _ _ �% �
CONSTRUCTION LENDING AGENCV:
❑ I hereby aHirtn thet there is a consiruction lentling agenty for ihe pedormance of Me work for which this pertnit is issuad. (Sec. 3097, Civil Cotle).
Lendafs Neme: Lentlers AdGress:
SigneWre: Date:
OWNER-BUILDER DECLAfiATIONS:
I hereby aHirm t�at under penalry of perjury that I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor ihe tollowinq reason (Sec. 7031.5, Business and Profe55ions
Cotle: Any city or county which requires a pertnit to construc6 elter, impmve, demolish, or repair eny swcWre, pnor to its issuance, elso requires ihe epplicant for such permit
to file e signed stetement ihet he or sha Is Ilcensed pursuant ro the pmvislons ot the Contrectors tJcense Lew (C�epter 9(commencing with Sectlon 7000) of Dlvision 3 at Ihe
Bu5ine59 entl Pratessions Code) ar I�eI he or she is ezempt thereirom end Ihe basis for Ihe ellegetl exemption. Any violatlon of Seclion 7031.5 Dy any epplitent for e pertnil
sub�ects the applicant ta e clvll penelty c� not more Ihen five hunAretl Aollars ($500).):
❑ I, as owner of the property, or my employees wlih wages as thelr sole compensation, WILL DO THE WORK, antl ihe structure Is not intendetl or oflerad for sale (Sec.
7044, Business end Protessions Code: The Coniractors License Lew does not apply Io an owner of property who 6uilds or improves thereon, end who does such work
himself or herself or ihrough his or her own employaes, pmvided that such improvements are not intandad or oflered for sale. If, however, ihe building or improvement is
sold wit�in one year of completion, Ihe owner-builder witl have ihe burden of pmving that he or she did not build or improve for purpose ot sale.).
❑ I, es owner ot the property, em E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the proJect (SeC. 7044, Busine55 end Professions
Code: The contrec�ors License Lew tloes nat epply to an awner ot propetly who bullds or Impraves thereon, entl who comracts lor such prolect with e contractor(s)
license pursuent to the Contractors License Laws.).
❑ I em exempt under sea Business end Professions Code for this reason:
Signature: Date:
Owner ID veniied by drivefs Ilcense. ❑ Ves ❑ No Dnver's License No. Expires:
Verification oi Ownership by (type ol dxumen�, i.e. - pmperty tax bill or deed):
DIVISION OF INDUSTRIAL SAFETV VERMIT CERTIFICATION:
❑ I hereby cartity that no excavation five (5) or more teet in depth into which e person is required to descenq will be made In connection wi�h work authorizetl by �his
permit, and that no builtling structure, scaHolding, falsework, or demolitlon or tlismantling thereot, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, An 2, Sec.
341, Title B, Califomia Administretive Code).
❑ As owner-bullder, 1 will not employ anyone to do wark which would requlre e permit from the Divislon of Industriel Sefery, es natetl ebove, unless such person has e
permit to do such work Irom t�e division.
Signature: Date:
Division of Indusirial Safery Permit Number:
CERTIFlCA7E OF COMPLIANCE AND AUfliORIZATON OF EMRY: I certity under penalry ol perjury Ihet I have read this epplication antl state t�el lhe Informe�ion given Is
wrrect. I egree Io comply with ell slate laws entl city ordinences relating to bullding construction, and eulhorize representatives of I�e Ciry of Coste Mesa to enter upon the
above-descn�ed properry for inspection purposes. I egrea not to occupy or ellow occupency of any building euthorized by this permi� unlil finel inspection.
GOUE I, INSPECTIONTYPE
1616 Fixetl System Flnal Fire Prevention
1266 Poal Spe Finel
200 Finel Re-Ro01
201 FIneI BIocWRetaining Well
202 Finel Factory Fire Place
203 Finel Sign
204 Finel Demolition
QdIF. INiIfIALS
COOE� INSiECTIONTYPE
206 Final Mechanical
208
210
212
220
�� �
Flnal Plumbing
Flnal Electrical
Flnal Flre Preventlon
Final Planning Appmval
222 Final Site
250 Final Builtling/Occupancy
Date
.uu. .9
� �:W
(774) 754-5273 • Fax (714) 75a-4B56 • www.ci.costa-mesaELECTRICAL PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suile No
Viciniry:
Parcel Nunmber:
Appliwnk
Address:
Owner.
Address
Contracror.
Address:
ISSUE FEE
Temp service test
Res. alc package
New Res (7-2 units)
New Res (3+units)
Pool I Spa
Lighting Fixts
Recepl Outlets
Switches
Non Res Appl
Res Appl
Service to 200a
Service to t000a
Service over 1000a
Motors to 1 hp
Motors to 10hp
Motors l0 50hp
Motors to 100hp
Motors over 100hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Pole
Intermed Pole
2113 CANYON CI
42203204
CHARLES MALLON
3111 N TUSTIN AV
STE 220
ORANGE,CA
Phone: 714-637-3298
Zip 92865
UNITED PACIFIC DEV CORP, PACIFIC RIM INVESTMENT,
AND ANOREW INTERNATIONAL CORP
ORANGE, CA Phone:
3111 N 7USIN AV STE 220 Zip: 92865
PACIFIC RIM COMMUNITIES BUILDERS INC
3111 N TUSTIN AV
STE 220
ORANGE,CA
Phone: 714-637-3298
Zip: 92865
License: 680027
ISSUED BY:
Status: ISSUED
Applied: 01/032006
Issued: 01I09/2006
SCOPE OF PERMIT
PLAN 2: NEW 2,535 S.F. S.F.D. WITH ATTACHED 450 S.F. GARAGE. WORK TO INCLUDE: 1,077
S.F. FOR THE 7 ST FLOOR, 1,458 FOR THE 2ND FLOOR, AND 18 S.F. FRONT PORCH. 4 BEDROOMS
AND 4 BATHROOMS. REF.; BOS-00097
ELECTRICAL TO INCIUDE: 2535 S.F. S.F.D. AND t LIGHT FIXTURE, 1 OUTLET, AND 1 SWITCH
IN THE ATTACHHD GARAGE.
823.50
30.00
so.00
5141.96
50.00
50.00
51.10
$1.10
$1.10
$0.00
$0.00
$0.00
50.00
50.00
50.00
SO.OD
50.00
50.00
50.00
50.00
50.00
50.00
50.00
$0.00
50.00
Quantiry
2535
0
0
1
i
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
FEE SUMMARY
Temp Dist System / Li9hting
Busway/100ft
Standing Section
Misc Elecirical Equipment
Transformers up to 1 kva/kw
................up l0 10 kva/kw
.................up to 50 kva/kw
.................up l0 100 kva/kw
..................over 100 kva/kw
Low Voltage Equipment
Low Vol� Wiring System / Ckt
Misa Conduit
Misc. Conductor
Circus ( gen or ride)
Circus (mech ride or lighis)
Christmas Tree Stand
Fireworks Stand
Other Electriwl Fee
Invesligation Fee
Plan Check Fee
Reinspection Fee
$0.00
$0.00
50.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
50.00
$0.00
50.00
$0.00
50.00
$0.00
$0.00
$0.00
TOTAL CALCULATED FEES E168.76
COMMENTS / SPECIAL CONDITIONS
�uantiry
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become void ii work is not commenced within 180 days, or if work is sus�
for a period of 180 days. /
and related
orabandoned
INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, antl all
required Inspections and final approval must be obtained. Failure to obtaln inspections and final approval will result in tha expiration of this pertnit.
FOR INSPECTIONS CALL: (714) 754-56^a6
zae�ae (e�oo)
WpRKERS' COMPENSATION DECLARATION: � _
I hereby aHirm under penelty of perjury one of the tollowing tleclara�ions:
❑ I heve and will melntain e cenificete of consent to self-Insure br worke�s' compensatlon, es provided for by section 3700 ot the Lebor Code, for tne pertortnance ai Ihe
work for which Ihis permll is issuetl. . • •
,� I have antl wlll maintaln workers' pensation insurance, as required by secUon 3700 of ihe LeOor Cotle, lor the pertormanca ot the work lor whiU this permit is issued.
M workars' com�%ensetlon Insura carder and i number are: Q �7 /
Carfier:Y �—�,�T' � � ry Policy Number. /O � I J 7
(This sect�d not be completed i t e perm�Ns valuetl ef are hundred dollers ($ f00) or /ess.J
❑ I cenity that In t�e ortnance of lhe work br which this pertnit is Issued, I shall not employ eny person in any manner so es to become subjecl to Ihe workers'
crompensation laws Celil v eM egree t�at if I sh ,pecome sub�ect lo Iha warkers' compensatlon provisians ol5ection 3700 0l the Lebor Code, I shall lort�with
compywiththese si s. � �
qpplicam Signeture: Y Date: I— q—� G
WARNINO: FNIURE TO SECURE WORF(ERS' COMPENSAiION COVEpAGE IS UMAWFUL PN� SHAL� SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES ANO CML FlNES UP TO ONE HUNDRED
THOUSFND DOILAHE (5100,000� IN ADOITION TO THE C0.ST OF COMPENSATIIXJ, DAM4GE5 0.5 PROVIUED FOH IN SECTION 3IOB OF THE IABOR COUE, �MEREST, AND ATTOqNE1^S FEES.
LICENSED CONTRACTORS DECLARAiION:
I ha�ehy aflirm lhat I am
loroe enG eflocl. Lic. q_
CoNrector's Signalure:
7000) of Division 3 0l Ihe Business�+ tl Prol@ss,ions Cotle, and my license is In tull
Ciess a !F Y S
Date: ' — 0
CONSTRUCTION LENDING AGENCY:
❑ I horoby aMirm �hat ihere is e consimction lending egency for �he pedormenca of the work for which this permlt is issuetl. (Sec. 3097. Civil Cotle).
Lender's Nama: Lender's Address:
Signelure: Date:
OWNER-BUILDER DECLARATONS:
I hBreby attlrm Ihat unAer penalry af perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business end Professions
Code: Any ciry or caunry whlU requires e permfl to cansWci, elter, improve, tlemolish, or repalr eny slmcWre, pnor to its issuance, also requires t�e aOP���nt for such pefmit
to Ille e signed statemam thet he or she is licensed pursuant to the provlslons ot t�e Contracmre License Lew (Chapter 9(commencing with Section 7000) ol Division 3 oi the
Business entl Pmfessions Cotle) or that �e or 5he is eaempt therelrom and the basis for the elleged exemption. Any violatian of Sectian 7W 7.5 by eny appllcent tor a permit
sublects the epplicant ta e civil penaly of not more than five hundred ddlars ($500).):
❑ I, as owner oi the property, or my employees with wages es their sole compensation, WILL DO THE WORK, and ihe strucWre Is not intended or oHered tor sale (Sec.
7044, Business and Professions Code: The Contradors License Law does nol apply lo en owner of property who builds or improves Ihereon, and who does such work
himself or herselt or through his or her own employees, pmvideG thei such improvements are not Imentletl or oflered lor sale. If, however, Ihe building or impmvemeN is
sWd within one year ot compleGon, the ownarvhudder will have the 6u�den ot proviag that �a ar sha tlitl not build ar improve far purpase ol sale J. -
� I, as owner Oi Ihe propeny, em E%CLUSNELY CONTRACTING WITH LICENSED CONTRACTORS to consimct t�e pmject (Sac. 7044, Business antl Professions
Code: The comraaors License Law does not appty to an owner of pmpeny who 6uilds or impmves thereon, and who wnirects for such prolect with a comractor(s)
licen5e pursuent to the Cantractors License Laws.).
❑ I am exempt under sec.
Signature:
Business and Pmlessions Code for this reason:
Owner ID verifietl by tlriver's license. ❑ Ves ❑ No Driver's License No.
Verilicetion of Ownership by (type oi document, i.e. - properry tex bill or deetl�:
Date:
Explres:
DIV�SION OF 1N0U5TR1AL SAFE7Y PERAl1T CER7lFICA1tON:
❑ I hereby cortiy thet no exca�ation tiva (5) or more feat in dep�h inlo which e person is requiretl to tlescend, will be made in connectlon wit� work euthorizetl by this
permit, end ihal no builtling slructure, scatloltling, falsework. or tlemolilion or tlismentling Ihereof, will be more then /hirty-sls (36) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Callfomla Atlminis�retiva Catle).
❑ A5 owner-bulltler, I will nol employ anyone ro tlo work which would require e Oermit Imm the Division at Industrial Sefety, es noted ebove, unless such�person hes e
permil to tlo such work irom Ihe tlivision.
SigneWre: Date:
Division ol Intlustriel Salety Permit Number:
CER7IFICATE OP COMPLIANCE AND AUTHORIZATION OF EMAY: I certity under penelty of perjury that I heve read this applicetion entl s�ate thai the infortnation given is
corre��. I eqree to compty with ell steta laws end ciry ordinances relating to bulldinq construction, end authorize representatives ol the Ciry of Costa Mesa to enter upon t�e
ebove�deseribed property tor impection puryoses. I agree noI to occuDY a� a��ow �Pa^�Y ol any building euthorized by Nis permit u�tll linel insDection.
^ Signature galOwner(s) Date
Y � �� �� Q�
Au onzed Applitant a
�f�, INSPELTIONTYPE
Q•'II�
1266
200
201
202
203
204
Fized System Final Fire Pr
Pool Spe Finel .
Finel Ro-Rool
Final BIacWReteining Well
Final Fectory Fire Placa
Final Slgn
Final Domoll0on
IIffIDEL$
CODE 1 INSPECTION TYPE
20fi , Final Mechgrrieel�
208 � Fin I Plum ' g �
210 Fin I Electdcal
212 Fin Fire Prevemi
220 Fina Planning prOval
Final te
250 Final Building/Oaupancy
�