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Home My WebLink About2268 CORNELL DR - Building Permits(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: ELECTRICAL PERMIT 2268 CORNELL DR 41905404 Applicane JOHN CARDOS Address: 2279 CORNELL DR COSTA MESA, CAr � Owner.,' STURMAN, JUDE &'PAULA Address , '�." � � � ' COSTA MESA, CA � 2268 CORNELL DR Contractor: ; TROPIC ELECTRIC Address: 2279 CORNELL DR � � COSTA MESA, CA Phone: 949.548.0707 Zip: 92626 Phone: Zip: 92626-6349 ,-Phone: 949.548.0707 � Zip: 92626 License: 785862 Status: ISSUED Applied: 05/17/2004 Issued: OS/17l2004 ISSUED BY: � SCOPE OF PERMIT ; ELECTRICAL TO INCLUDE: UPGRADE SERVICE TO 200 AMPS AND�ADD 1 OUTLET UNDERNEATH PANEL. ISSUE FEE � � Temp service test • Res. a/c package �-�� New Res (1-2 units)� New Res (3+unils) Pool / Spa � � , Lighting,Fixts � . Recept Outlets Switches � � , Non Res Appl . Res Appl Service to 200a � Service to t000a � Service over � OOOa�. � Motors to 1 hp �� Motors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communicatlon drops Sub panel to 200a Pole Light Pkg Sign CircuiLs $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.10 ` $0.00 $0.00, $0.00 % $30.50 $0.00 . $0.00 $0.00 $0.00 $0.00 $0.00 $0.00. $0.00 $0.00 $0.00 $0.00 � . FEE SUMMARY ' , Quantity._.: . ., _--'_.. . - --- - . .�'�._ - -- Quantity � � - . � � � � - � � Temp DisESystem hLighting $0.00 0 � 0 0 0 0 1 0 _Q 0 1 �0 0 0 0 0 ' 0 0 0 0 Q - 0 Busway /100 ft $0.00 0 , . � - � � Standing Section .$0.00 0 �' � � � Misc Electrical Equipment $0.00 0' � � - TransformeFs up to 1 kva/kw $0.00 ,�0"" ' _ ' ' � ' � �'- ..up l0 10 kva/kw $0.00 � � " ' ' _ _' 0 �,��,;,-',' ........� :.,:up to 50 kva/kw $0.00 ,,,,,%0 _ �� ' . ., - - . .............:r..up4oA00 kva/kw $0.00. ; i 0 ,, , . , : .'� � ..................over100kva/kw�;. .$0.00'�� 0, • ' ' CowNOIWge EquipmenC �' . $0.00 0 . � Low Volt Wiring System / Ckt $0.00,� 0 � . - ,Misc.Conduit $0.00��' 0' ' � - . � - - ,Misc.�Conductor - $0.00 �'; 0 �"% ' Circus ( gen or ndep � _ - ' ; �. $0:00� , 0 � r; � � � - _ '� Circus (mech�rid'e or Ilghis) ' $0.00� , 0 i ,� Chdstmas Tree Stand � � � . $0:00 •'�0 '� � � � .Fireworks Stand ' � ' $0.00 � �, '0 � Other Electrical.Fee $0.00 �Investigation Fee � , -� $0.00 . - Plan Check Fee - � � " $0.00 � � _ � � Reinspectlon�Fee� $0.00 0 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and relatad regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRA710N: This permit shall automatically expire antl become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeetions and final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545626 2aasas �s�oo� i WORKERS'COMPENSAnON DECLARAnON: . I hereDy aflirtn under penalty of perjury one of the tollowing declaratlons: ' ❑ I have and will malntain e cenifiwte of consent to self-Insure for workers' compensation, es provlded for by section 3700 of ihe Lebor Code, for ihe pertortnence of Ihe work tor which t�is pertnit is issued. `�=Mave antl will maintain workers' compensation insurance, as required by sedion 3700 of Ihe Labor Code, br the pedormance of the work for which this pertnit is issued. My workers' pan tion Insur nce car er end pollcy number are: � -I �Gerriar.-'`a �� "� �PolicyNumber��'�p�-� (TliisaecNon need not be wmp/efed i! fAe permlf (s velued at one hundred dollars ($100) or less.) ❑ I certiry that in the pertormance of ie or`c tor which Ihis Dermit is issued, I shall not employ eny person in eny manner so as to become sublect to Ihe workers' wmpensetlon lews of Califo la n de t if 1 shoultl become subject to the workere' compensation provisions of Section 3700 oi the Labor Cotle, I shall torthwith camply with ihese provisio /-7� �ApplkenTSignetuie: �" Date:-�- fi —1 / � G� i WARf�HNG FAILURE TO SEC O FS' COMPENSATION CAVERAGE IS UNIAWFUL AND SHALL SUBIECT AN EMPLOYER40CRIMINQ PENALilES AND GVIL FlNES UP TOONE HUNDRED hKKISAND00LLARE�5100, ),IN DRIONTOTHECOSTOFCOMPENSATION,OAMAGESASPROVIDEDFORMSECilON31060FTHELABORCO�E,IfJrEREST,ANDATfORNEY'SFEES. LICENSED CONTRACTORS DECLARATON: 9(commencing with Section 7000) of Division 3 ot the Business and Profess�ons Code, antl my license is in full and CONSTRUC710N LENDING AGENCY: ❑ I hereby aHirtn that there is a construction lending agency for the pedormance of tha work for which this pertnit is issued. (Sec. 3097, Civil Code). Lentlefs Neme: LentleYs Atltlress: Signafure: oate: OWNER-BUILDER DECLARATIONS: I hereby aHlrtn Ihet under penfllry of perjury thai I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business entl Protessions Code: Any ciry or counry which requires e permit to consiruct, alter, improve. tlemolish, or repair any strucNre, pnor to its issuance, also requires Ihe aDP�icant tor such pertnit to tile e signed statement thet he or she is licensed pursuent to the provisions ot the Contrecrore License Lew (Chapter 9(commencing with Sectlon 7000) of Division 3 of the Business antl Professions Code) or ihet he or she is exempt therefrom flnd Ihe basis for the alleged exemption. Any violetion of Section 7031.5 by eny eDDlicant for a pertnit sublects tha applicant to e civil penelry of not more then five �untlreC tlollars ($500).): ❑ I, as owner of ihe property, or my empbyees with weges as their sole compensation, WILL DO T1E WORK, and Ihe siructure is not Intended or otteretl for sale (Sec. 7044, Business and Professions Code: The Coniraciors License Law does not apply to an owner ot property who builds or improves thereon, and who dces such work himself or herself or �hrough his or her own employees, provided ihat such improvements are not intended or ottered tor sele. If, however, ihe building or impmvement is sold within one year of wmple�ion, the owner-builder will have the 6urden ot proving that he or she did not build or improve tor purposa ot sale.). ' ❑ I, as owner ot the property, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Protessions Code: The conireciors License Lew does not apply to en owner of pro0eny who builtls or Impmves thereon, and who comracis tor such projact wit� a coniractor(s) license pureuam to the Coniractors License Laws.). ❑ I em exempt untler sec. Busineu and Protessions Code for this reason: SigneWre: Date: Owner ID verified by drivefs license. ❑ Ves ❑ No Drivers License No. Expires: Vanfication of Ownership by (rype ot tlocument, I.a. - property taz Dill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity that no excavatlon five (5) or more feet in depth into which a person is required to descentl, will be made in connection with work euthonzed by this pertnit, and that no building siructure, scaflolding, falsework, or demolition or dismantling ihereot, will be more ihan thirty-siz (36) feet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title 8, Calilomie Administrative Code). ❑ As owner-builtler, I will not employ enyone to do work which would require a permit from Ihe Division ot Indusirial Safery, es noted abova, unless such person has a pertnit �o do such wark from ihe division. Signature: Date: Division ot Indusirial Safery Permit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORIZATION OF ENTAY: I certity untler penalry oi perjury that I have read this application and state ihat ihe intormation given is correct. I egree to comply with a0 stete laws end ciry ordinances relating to building construction, antl authonze representatives of the Ciry of Costa Mesa to enter upon tne ebove-tlescnbed property for inspection purposes. I egree not to acupy or allow occupancy of any buildinq authorized by ihis pertnit until final inspection. COOE 1. INSPECTION TYVE 1616 1266 Fixed System Final Fire Prevention Paal Spa Finel 200 Finel Re-Roof 201 Final BIocWRetalning Well 202 Final Factory Fire Place 203 Finel Slgn 204 Final Demolition I lyi CODE� INSPECTIONTYPE 206 Final MeChanical 20B Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy PAg Ui�ki �Z �� ".'� OWNER SHFR[d00D FOREST�Dh'ViI�PERS #3 DATE 5_23_r� � JOBADDRES3 2268 Cornell Drive BUILDINGPERMITNO. I�SO9S GENERAL CONTRACTOR L7.C10 Constr. �OI'P� VALUE $ ].1�88(1.00 LOT jA BLOCK TRACT 9RI�r. Rac t.r/n++. an». GROUP I Bc J INSPECTIONS -Y Footing Trench � Foundation Forms and Grade to G Rough Framing i Plum6ing, Rough to Stab = i P�um6ing, Rough Complete Temporary Pole Wiring, Rough Heating, Rough - � Heating, Final dJ Sewer, House � � Sewer, St. Septic Tank or Cesspool Lathing,ln Out �, Plastering Plumbing, Final, Fixtures Comple� Plumbing, Final GasTest /d"� Wiring, Final Occupancy ` FORM 210 3M 10-v5 I�Zri=7 ZONE RI1 FIR SUBCONTRACTOR I— PERMITS ISSUED I NUMBI . *,, , � 5�33 1' . �OSTA MESA BUILDING DEPARTMENT P.O. BOX 31� COSTA MESA. CALIFORNIA FEE RECEIVED ��.,�,��--�y� �,..g� FINANCE DEPT. /�(�TI1 I�I C C II . �'I� V� �/�/Jlll 1\ILJII FOR APPLICANT TO FILL IN APPLICATION FOR PERMIT BLIILDING 2268 Cornell Drive BUILDING ADDRE55 COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY � ' RECEIPT NO. P OWNER MAIL PECEIVED BY OtTE RECEIVEO E 5 E nooREss 3404 Via Lido �VI� �� Ti rE euILnING � CITY y�QW ort Beach NoHar. 7171 ADORE55 nacHiTecr ��c. COSTA MESA. CALIFORNIA oR ENGINEERR3 mond Levanas No. C747 FIR nooaess 4 Z�1 ia orto N. B. zoN i 'L1LLO CORSti• CITV LIC ��E / p�4N5 T�PE GROUP CONTRACTOR Or oration �o: 6434 %� • 3404 Via Lido N. B?E�.Har. 7171 �+PPROVEo AO�RESS � NO. BV DATE "�"` Ap CORRECTIONS OESCRIPTION NO. IH BLOCK TRACT ��2J A.P. NO. SIZE 6G�Xl�Z �o.ore�ocs. O , OF�LOT. NOW ON Loi USE OF EXISTING BLOG. SETBACK LINE FROM - C[NTea OF siRE[i SO � REAR YARD Zi� 5' 5' SIDE YAR� RIGHT �EFT ' DESCRIPTION OF WORK NEW X ALTERAT�ON ADDITION REPAIR MOVING DEMOLIS S�ZELOING 14�� 9. ft. ROOMS p STORIES i E%TERIOR WALL WOOd ROOF COVERING COVERING USE OF NEW Dwellino BUILDING b �� I NEFEBY ACNNOWLEOGE THAT I MhVE REhO THIS APPLiCnTiON nrvO ST4TE THAT TXE ABOVE I$ CORRECT AND AGflEE TO COMPIY WITM PL� . CITT OR�INANCES /�ND STATE LAWS REGULFTING BVILUING CONSTRUC- riorv. VALUATION �/ PERMIT FEE $ p�— SIGNATURE OF PERMITTEE $ )� Q�� pLAN CHECK $ � �' � � AUiHORiZED AGENT TOTAL FEE $ � L eMr OWNER IR��IN, DELMAR DATE aos nnnREss 2268 Cornell Dr, BUILDIP GENERAL CONTRACTOR Owner Bldx', VALUE nP. xo. ll -133-0 LOT TRACT FIRE ZONE DESCRIPTION INSPECTIONS I DATE I GROUP TYPE SU6CONTRACTOR OCCUPANCY 12-3-59 ,MIT NO. Form 210-5M-11-59 5-B P ��. 11�6•j '' i', :L'��i�`� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 317 COSTA MESA. CALIFORNIA fOR APPL/CANT TO F/LL /N COMALETE[Y TYPE OR PRINT BUILDING �1 /� G 0 YN C� Y. ADDRESS .G (G COSTA MESA, CALIFORNIA OWNER n6l MAr .ZYv/ �.1, � �ARGHITEQ --- LIC. OR ENGINEER NO. S LEGAL I LOT / G I l�/� � s DESCRIPTION NO. O BLOCK - ��•S' /.�- IO /r L�-J I HOW ON LOTg e�or.Iv�� C/D1FN�F ]G�YAG SETBPCK LINE FROM CENTER OF STREET REAR VARD DESCRIPTION OF WORK ✓ I IIALTERATION I IIAODITI BUILDING . NO.OF SIZE ROOMS EXTERIOR WALL IROOF COVERING COVERING USE OF 6UILDING AND WORK TO BE F �� %� �%L o � liGv�% ii�X��i � %� FT.,�G oG i ' �11 HEPEBY ACKNOWLE�GE THAT 1 HAVE REAO THIS APPLIC�T�ON AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- pLY WITH ALL CITY OROINANCES ANO STAT AWS REOULATINO 6UILpING CONfS�TR.OQION. (� � SIGNATURE O�_L�. \ 1 _ .� n �n �.. � AUTHORIZED AGENT � �EE RECtiV'ED � �z-�-� APPLICA��SFL7 f{Ep,E RM IT l,iir r�u IR P�L JR BUILDIIVG foR officF usF oHcy RECEIV�D�_ I D�OCE'rE�ED�%� Il/.��// ,i / 1/C• ILDING � a� �� h.� e;� �,- DRE55 COSTA MESA, CALIFORNIA ' iF . �1 � W7/J�1' _ iOVED � � � DATE ONING � .� � IP ANS ' I BUEILOING� 20VED � / I '\ ��TF � I (CENTER LINE ST.� FRONT G� -�� . IN. O IN. �- rv THE AMOUNT BHOWN UNOEA VALUATION I6 FOR THE PURPOSE OF E9TABLISHING A PERMIT FEE ONLY. .UATIO � �L.t/ /� /� ' � PERMIT FEE $ � : —^ �� l/ i — PLAN CHECK S —_ �� TOTAL FEE $ ��