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Home My WebLink About180 BUOY ST - Building PermitsCITY OF COSTA MESA BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 - www.ci.costa-mesa.ca.0 FOR INSPECTIONS CALL: (714) 754-5626 J'Pa PERMIT NUMBER. E08-00267 STATUS: ISSUED PERMIT TYPE ELEC DATE ISSUED: 0710112008 APN: 42619305 ISSUED BY: YH JOB ADDRESS: 180 BUOY ST,CM ' Smte/Unit Vicinity: SCOPE OF WORK: UPGRADE METER TO 100'AMP_ " Address: 180BUOYST,� Unit - . OWNER: FINE,CARL TRUST .CitylState/Zip: COSTA MESA CA PHONE: 949 646-1993 - ' - - - -"Address Unit rpt APPLICANT: PUIG KATHY Nu : /zZlp.City/State PHONE: fid .License No:: 302863 CONTRACTOR CAMPBELL ELECTRIC PHONE: 714-962-5312 Address: 19511. ROCKLAND LNUmt. - - - - - ZipCodet 92646 - .I City/State: HUNTINGTON BEACH, CA _ - CELL: - - I ELECTRICAL PERMIT FEES Electrical Plan Check Fee $0.00 Electrical Permit Fee: _ $54 00 _ Reinspection Fee $0 00 TOTAL FEES $54-00 h all applicable handicap access requirements under California statutes and related NOTICE: The work authorized by this permit shall comply wit 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 authonzed be obtained. Failure to obtainit to be n nldered spectlonsal such work must and final approval will result nmply tthellexpirratonl of tthhis permit all required inspections and final app pyo' ltli{t n.�SS pAh wrmAl CODE INSPECTION CODE r, INSPECTIONVEE 206 Final Mechanical 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re -Root 201 Final Block/Retaining wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition 206 Final Plumbing 210 Final Electrical / A- 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Oceupancy - II WORKERS' COMPENSATION DECLARATIOP ' I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the. pe 0,mance of the work for which this permit Is Issued. I have and willmaintain workers' compensation insurance, as required. by =sec n 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: _1 cTZ (This section needs nal beWrrtdeletl Jthe PermR is valuetl atone hucaddre0 opllars ($100) w less) / Policy Number: t/4y) ❑ 1 certify that in the performance 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 subject to th rkers' compensation provisions of Section 3700 of the Labor Code, s I f rthwith comply with these provisions. % -I Apph 's S ure Dates WARNING: FAILURE TO CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed 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 and effect. Lia # Class # e/' w % ( 0 Gomractor's Signature Date CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signature OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve. demolish. or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement 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 Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)0: ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (Sec. 7044, Business 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, provided that such improvements are not intended or offered for 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 did not build or improve for purpose of sale.). ❑ 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 property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ lam exempt under sec. Business and Professions Code for this reason: Signature 3057-46(3107) Owner ID verified by drive. _ acense. ❑ Yes []No Drivers License No. Expires: Verification of Ownership by (type of document, i.e. - property tax bill or deed):' DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, volt be made in connection with work authorized by this permit, and that no building structure, scaffolding, falsework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec 341, The 8, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of industrial Safety, as noted above, unless such person has a permit to do such work from the division. Applicant's Signature Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous malarial? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business 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 cubic feet of compressed gas at standard temperature and pressure). 2. Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely 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 temperature and pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (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. 4. If an RMPP is presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6. Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No (If "yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7. If a permit from the South Coast Air Quality Management District or other air pollution 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 and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If "yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under'pehalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. ' CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of 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 Le ner(s) Date j� / 2, , 7 UY And/or A ho fed AP lit' Date F OWNER 5BERWOODFOREST DLV. DATE 3-13-57 JOBADDRESS 180 Buoy -street BUILDING PERMIT NO. #4663 GENERAL CONTRACTOR Lido Construction VALUE $ 12,304,00 LOT L BLOCK TRACT 3106 Res. watt. gar. GROUP I & J TYPE V ZONE FIRE DISTRICT L576 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED NUMBER TDATE Footing Trench A4)— _% Foundation Forms and Grade to Garage_ Rough Framing Plumbing, Rough to Slab '1,� vw�y I �'-j3-S.7 Plumbing, Rough 9 Complete P Temporary Pole �— Wiring, Rough APR 2 1957 VCB Heating, Rough }'YI e S ;7 IF,;? a S' Heating, Final S ,�^./ W �-`4—f Tewer, House 0 Sewer, St. Septic Tank or Cesspool ,n LIA a c., ( n '/ ' /•S' J'% O / �O Lathing, In Out ` Plastering_ i�i .� /—i % _ Plumbing, Final, Fixtures Complete k)1 Plumbing, Final Gas Test 5/ / "s J Wiring, Final n MAY 1,3 1357 VCB _ FORM 210 3M 10.50 4576 COSTA MESA BUILDING DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN FEE RECEIVED - FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING COSTA MESA CALIFORNIA FOR OFFICE USE ONLY JJ RECEIPT NO. nTE /r,' n OWNER? G DO A / /IG EV. 4 yr MAIL RECEIVED BY DATE RECEIVED DATE ISSUED NiAR 3195 ADDRESS iN CN .�-'+m-.> - f�s" 1 TN �J CITYNG / O. SI'� ADDRESS OIG NITECTGIIEE V/Q 45 NO.� y COSTA MESA. CALIFORNIA FIRE ADDRESS J /i1G/J 1VD, FINE /f LCITY LIC J ZONE NOT' PLANS TYPE GROUP CONTRACTOR C r NO. EO I/- � APPROVED ADDRESS 1. ` / / ^/^ O/4 BY DATE LEGAL LOT `O / 6 CT N I- o ESCR I PTION NO. BLOCK TRACT / A AV kp ll� A. NO. SIZE No. of BLocs. .. C.i iSTa Rl" CITY O� OF IT O L NOW ON LOT U _ ; I• USE T' LUG. UtYT. REG. G BLDG. EXISTING ECT SETBACK LINE FROM �JLl CENTER OF STREET REAR YARD / / SIDE YARD RIGHT-5-�- LEFT UY Cii DESCRIPTION OF WORK NEW ALTERATION 1 11 ADDITION REPAIR MOVING DEMOLISH 1 /5 /1 NO OF r SIZE 1- ROOMS STORIES EXTERIOR WALL Sfc, ROOF �j f COVERING L) CG COVERING UC'� USE OF NEW BUILDING l ff- r CKNOWLEDGE THAT 1 HAVE-READTHIS APPLICATIONJAND THE ABOVE IS CORRECT AND�AGREE TO COMPLY.WITH ALL NCES AND(jjSTATE LAWS REGULATING BUILDING CONSTRUC- VALUATION PERMIT FEE T /J �y� /f �j� E OF /%�i(.�%)/JJ,V/yy}'�(` LAR � • PLAN CHECK S % _ D AGENT/ f �. TOTAL FEE $� T f