The URL can be used to link to this page

Home My WebLink About3022 COLLEGE AVE - Building PermitsCITY OF COSTA MESA BUILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(71d) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR lNSPECTIONS CALL: �714) 754-5626 PERMIT TYPE ELEC APN: 14116205 JOB ADDRESS: 3022 COLLEGE AV!CM Vicinity: SVS AT REAR SFD � �- � PERMIT NUMBER: E09-00031 STATUS: ISSUED DATE ISSUED: 02/03/2009 ISSUED BY: BJK SuitelUnit:- - � � SCOPE OF WORK: UPGRADE AND RELOCATIOIJ OF AN ELECTRICAL SERVICE AT THE-REAR OF AN EXISTING SFD. 1 SVS TO 200A OWNER: NORTHCUTT, MARSHALL J PHONE: , AGpLICANT: FREDERICK C. SHUMAKE, �. PHONE: 949-645-4N2 � � i . CONTRACTOR: FREDERICK C. SHUMAKE . Atldress: 181 CECIL STUnit PHONE: 949-645-4172 City/State: COSTA MESA, CA � ZipCode: 92627 ELECTRICAL PERMIT FEES Electrical Plan Check Fee: Electrical Permit Fee: Reinspection Fee TOTALFEES $0.00 $54.00 �0.00 $54.00 Address: 3022 COILEGE AVE Unit: City/Slate/Zip: COSTA MESA, CA Address: 181 CECIL S7 Unit: Ciry/State/zZip: COSTA MESA, CA' License No. 586675 CELL: NOTICE: The work authorized by this permit shall comply vnth all applicable handicap access requiremenLs under Califomia sWtutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) FXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authonzed under this pertnil to be considered legal, such vrork must comply with all applicable codes, and all required inspecdons and final approval must be obtained. Failure to obtain inspections and final approval will resull in the expiration of this permit. yy� ixsvEcnoxrme pdg xi nnus 400Et iusvecnoNttrE p�g i nn n��s 1816 Fized System Final Fire Prevention ZO6 Final Mechanical � �288 Pool Spa Final ZOB Final Plumbing 2pp Final Re-Rool 210 Final Electncal Z� y� 201 Final BbcWRetaining Wall 212 Final Fire Prevention Z02 Final Faclory Fire Place 220 Final Planning Approval z03 Final Sign 222 Final Site 204 Final Oe�rolition 250 Final BuildincyOccupancy WORKERS' COMPENSATION DECLARATION: I hereDy aff�rm under penalry of perjury one of [he (o�lowing tleclaretions: ❑ I have antl will maintain a certi(rate of consent to self-Insure for vrorkers' compensation, as provided for by section 3700 ot the Labor CoCe, for the peRormance o1 the vrork tor which this permit is issued. ' � � I have and will maintain aorkers' compensation insurance, as required by sec n 3700 01 the Labor Code, for the peAormance of the vmAc for which this permil is issued. My vrorkers' compensa�ion Insurance carner and policy numberare: /� C�� n Camer? __�� l..D�'�rii � tiu�A�'� (T�iS seciqn neetl rq1 De �cnm�pl/e/(edFt�e �mrt is valuetl al o� hvnOiN tldlars (SiGi�) a less ) Polity Number. _ _ �!�/' �� I ceNify ihat in the pertormance of the vrork !or which lhis permit is issueQ I shall not employ any person in any manner so as to become subject to the workers' compensation laws o� Califomia, and agree that i/ I should become subject to the vrorkers' compensation provisions o( Section 3700 ot 1pel�be Code, I shall forth � omply with these provision . Z 3 D Apqica ' ' ature pa�e y WARNING FAIWR TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLIARS ($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 aKrm Ihat I am licensed under provisions of Chapter 9(commencing vnth Section 7000) oF Division 3 of the Business and Professions Code, and my license is in /full (orce and eftect. lic. # /O Class # _C � � Z O Canvadofs ign ture-- Oat ,— CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrm that there is a consWction lending agency tor the peAormance of [he v.ork (or which this pertni[ is issuetl. (Sea 3097, Civil Code�. Lender's Name: Lender's Address: OW NER-BUILDER DECLARA710NS: I herehy aKrm that under penalty of perjury that I am EXEMPT FROM THE CONTRAC70R5 LICENSE LAW for the following reason (Sec. 703L5. BUSine55 and Pro(essions Cotle: Any ciry or counry which requires a permil to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement that �e or she is licensed pursuant to the provisions o( the Contrectors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code) or [hat he or she is exempt [herefrom and the basis for the alleged exemptioa Any viola[ion o( Section 7031.5 by any applicant for a pertnit suDjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of ine property, or my employees with wages as their sole compen5a[ion, WILL DO THE WORK, and the StNCWre i5 not in[entletl of oHeretl for sale (Sec. 7044, Business an0 Professions Code: The Contracrors License Law does not apply to an owner of propeny who builds or improves thereon, and who dces such vrork himself or herself or ihrough his or her ovm employees, provided that such improvements are nol intended or oRered tor sale. If, however, Ihe building or improvement is sold within one year of completion, the owner-builCer will have Ihe burden of pmving that he or she did not build or improve for�puryose of sale.). , ❑ I, as ovmer ot the property, am EXCLUSIVELY CONTRACTING WITH UCENSED CONTRACTORS to constNct the project (Sec. 7044, Business and Professbns Cotle: The cont2clors License law does not apply to an ovmer of propeAy who builds w improves thereon, and who contracts fw such project with a cmtracta(s) license pursuant to the Contractas License Laws.). ❑ I am ezempt under sec. Business and Professions Code (or Ihis reason: 3057161107) Ovmer ID veri�ed by drive� _.,�ense. ❑ Ves ❑ No Dnver s Lieense No. Expires: Verification o( Ownership by (type of document, i.e. - property taz bill or deea): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certdy that no ezcavation frve (5) or more leet in depth into which a person is required lo descend, will be made in connectbn with vrork authonzed by ihis permit, and that no building structure, sc�ldding, falsewnrk, a tlemolition or dismantling thereof, will be more than thirty-six (36) (eet high. (Chap. 32, Gry 2, M 2, Sec. 341, Ttle 8. Califomia Atlministralive Code). ❑ As owner-builder, I vnll not employ anyone to do work which vrould require a permit from the Division of IndusMal Safery, as noted above, unless such person has a permi[ [o do such vrork (rom the division. Applicanfs SignaWre Date Division o( IndusMal Safery Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant neetl lo fle and certify a Business Plan tor emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Seclion 25505 0( the Cali(omia Health and Safery Code requires, wi(h some exceptions, that a Business Plan be fled with the Costa Mesa Fire Depanment by every business which has al any one time during a reported year a quantiry of hazardous materials equal lo 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 (uture building occupant need to fle a registration form for acutely hazartlous materials7 ❑ Yes ❑ No (Section 25533 of the Califomia Health an0 Safety Code, with some exceptions, requ'ires registration with the Costa Mesa Fire Depariment by each business which al any one time has on hand a quantity of acutely hazardous malerials equal to or greater than a weigM of 500 pounds, or a volume o! 55 gallons, or 200 cubic feet of compressed gas at standard temperature antl pressure). 3. Does or will the applicant or present or (uture building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No iSection 25534 ot [he Caliiomia Heal[h antl Satery Code provides Ihat the Costa Mesa Fire Department may require the preparalion, certification antl filing with ihe Fire Department of an RMPP by businesses which are required to register acutely hazardous materials wilh the Fire Department. 4. II an RMPP is presently require4 �as Section 25534 0( the Cali(omia Health and Sate[y Code been fully complied with? ❑ Yes ❑ No 5. Does or will the aDP��ant or present or �umre builaing occupant require for the work which is the subjecl o( lhi5 application a permit for such consiruction Or modification (rom the South Coast Air Quali�y ManegBmenl Dislricl or (rom any other air polWtion control district or agenry7 ❑ Ves ❑ No (Section 658502 of �he Cali(omia Govemment Code requires that Ihe requested inlortnation be fumishetl on applications (a non-residential builtling pertnits). 6. Will any part ot the facility to be constructed untler this permit be within 1000 feet from the outer boundaries o( a school? ❑ Yes ❑ No Qf'yes", [he faciliry must mee[ Ihe requiremeM of Sec[ions 25534 and 42303 of the California Health and Safety Code). Z If a permit From the South Coast Air Quality Management District or other air pollution conhol district or agency is required for Ihe vrork which is the subject of this applicalion, have all of the disclosures prescrihed 6y California Health and Safety Code Seclion 42303 been made? ❑ Yes ❑ No 8. Qf'yes", attach certificate of compliance from the appmpnate air polWtion control officer�. CERTIFICATE OF COMPLIANCE: I�certify-thal under penalty of perjury the information given above is cortect I agree to comply with all state laws and ciry ordinances regardinq Hazardous Materials and Emissions. ,,, SlgnaWre ' Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certity under penalty of perjury that I have read this application and state that the information given is cortecL � agree to comply with all state laws antl ciry ortlinances relating to building construction, and authonze representatives of the City of Costa Mesa to enter upon ihe above-descnbed property for inspection purposes. I agree not to occupy or allow occupancy of any building auihorized by this permit until Mal inspec[ion. SignaWreolLegal rtler(s� a�e / Z 3 0 MtlbrAWM10 e NppliWnt O le OWNER CROWE. RICHARD E. DATE 4-9-70 JOB ADDRESS 3022 Colleee_Drive'. BUILDING PERMIT N0. 31569 ROUGH PLUMBING PROP. $WR. LINE � HOUSE CON. � SPRINKLING SYSTEM MISCELLANEOUS ROUGM HEATING ANO AIR CONOITIONING TEMPORARV SERVICE OR POLE UNOERGROUN� � POWER � ROl/GM WIftING TRENCHES [� FORMS � S7EEL REINP. FLOOR SYSTEM BONO BEAM � STEEL ftEINFORCE � SMEATHING FqqME AND FLASHING LATHING — IN � OUT � PLASTER,BROWN OAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. AND A.C., FINFL PLUMBING, FINAL ANO GAS TEST � �� ELECTRIC, FINAL 'a J VALUE SUBCONTRACTOR �� '� I 569 C05TA MESA BUILDING•SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 Z . nw, cwj 2 Z Q ON d m J � J N p] J J m Q UN Z a W � p_ W WZ J Q m Z J � W W O= Z � w � N � � � rata 48.00 11AR 31-70cpsn�� 974� **** APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEI ED B DA E R EIVED DAT.E ISSUED BUILD�NG ',�+- 3 d „ O ADDRESS 3d�a C��L�ot y�� / ' � OWNEP R/cNARO E• CRo G A.P. N � b �p S P qs N. MA I L BUILDING ADDRESS 3O.i�l COLLCCG� ST P�DDRESS �DY�� TEL. TRACT 3 LOT � BLOCK CITV GOST/9 'S NO �5�306 � CprySTpUCTION W LENDEFl BRANCH i OWNER ADDRESS � VALUE ARCHITECT dqV�D E• t39RKKI9H/E TEL.J / S $�� OR EN INEER Y .� CCIQO.✓yOfLM7/p FIRE �— ADDRE55 ZONE TVPE'A GROUP c APPROVED /'/'/�: � 7� 7D CONTR�+CTO CL��F BY /✓ DATE / / ADDRESS � TEL. ZON j NO.OF USE OF NEW � PL,qN$ BUILDING CITV NO. . STATE C�TV �'ARDSAPPROVED YARDSAPPROVED IIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLOGS. (FROM C/L ST EET) OF LOY NOW ON LOT ROM � FT. USE OF EXISfING BLDG. F SIZE OF NO. OF / NEW BLPC.. ROOMS STORIES L. SIDE � (O FT. _ FT. E%TERIOR WALL ROOF /� � /� COVERING COVERING REAR i/� FT. � / T. ` USE OF BUILOING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN & G/✓% 6 MAIN BLDGS. '�� ACCESS. BLDGS. VAR.51E OATE C.U.P.� APPROVED nvaR o � —3/- D I haruby ecknowladpe that I have reatl thia applicetion antl state thet thB abOve intormaUon Is corract entl epree [O cOmply with all laws reguletinp builtlinp concttuctlon, and I sha�� ot employ ony p¢r6on In v�olatlon of the workman'a compenmtlon lawc of tha State ot Celitomie. :/ m 1 heraby certify [het I am prOPerly Ilcan�eG ef a cO�tractor untler �7� SQ. FT. o the Stete ot Californie Buainev antl Profauions Cotla, Divisicn 3, TNE AMOUNT SHOWN UNOER VA�VATION IS FOR ' Chepter 9, entl the[ sueh Iicenses ere In full (orca entl atfac[, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: ¢ am ezamPt from the provlsio�f al NeStnm of Californle eusinan VA�VATION entl Profesaions Cotla, Divislon 3, Chaptar 9. �� G (�i N PERMIT FEE S � SIB�atura ot ��'yj��, /- �p / v m Permlttae /I/�WR� �� • - S SSO\ PL,AN CHECK $/C/ / 0 E � `o Authorised Apant � LL TOTAL FEE 5 / �% �GE COUNT�BUICbING DEPARTMENT � . ' 636 North Broadway � , SANTA ANA, CALIFORNIA • FOR APPLICANT TO FILL IN BUILDING AODRE55 � SCHOOL DIST. ORTOWN Cqsta Mesa cRosssr. Baker Street OWNER X& W Homes, Inc. AODRE55 $002 Central Avenue arr 6arden Grove Tr,o'LE 9-2158 ENGINEERT �RBL1y0t ineer NO.I+I B�ZSZ1 ADORE55 1910 $arbor Blvd.� Costa Mesa CONTRACTOR Th� Aale Compar�o 9.46053 ADDHE55 8002 Central Avenue� Garden Gr. LEOAL I ��T I .m.�i DESCRIPTION NO. BLOCK TRACT �.�•tr A. P. �,a. See attached metes and bounds SIZE OF LOT 7O X ZZS I NOW ON IOT� �� USE OFl e^^ __ I NO. OF I NO. OF OF X REAR REPAIR I I MOVING I � OEMOLISH $ZIEDING ��0 ROOMS 6 STORIES 1 EXTERIOR WALL ROOF iJ �t COVERING S�UCCO COVERING ,1OOU USE OF NEW BUILDING Single family dwelling orith attached �ara�e. I HEREBV ACKryOWLEDGE TMAT 1 HAVE READ THIS APPLICATION ANO STATE TMAT THE ABOVE IS CORFECT AND A6REE TO COMPLV WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. $IGNATURE OF �' �� CO�`IPANY PERMITTE A HORIZED erman . ' a e P.��i. r-Es s 2'L.00 VALUATION �� p��H CHecK f 3�00 $ /✓'�Q ^' TOTAL , .,...—^ .... FEE � Z�J�OO . rE _ e APPLICATION FOR PEP:MI7� ��ILDING � 1 FOR OFPICE USE ONLY REGEIPT NO. PERMIT NO. 77�i/ �0�/733 BV I DATE REG'D. OATE ISSIiED f3-g :,53 3-A--.�� , a�nns � OATE � _ / CORRECTIONS `.x�J:rvtteJ`v� ^`' .��.. . .. , . . APPROVAL$ : LOCATION C' MATERIALS, � _ � � J -- ---- - -� . - ` � - _- . :� . , ; � STREET� � - - PLOT PLAN ` ' ` ' �- . Show location and distonces from property line and beriveen buildings. �