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Home My WebLink About2142 COLLEGE AVE - Building Permits� '� • CITY OF COSTA MESA • BlIILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • v�ww.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT TYPE ELEC ��~�� APN: 41917102 �j� 5 � � � OAT� JOB ADDRESS: 2142 CqLLEGE AV CM Vicinity: REAR SFD PERMIT NUMBER: E09-00123 STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: ISSUED O6I0912009 BJK SCOPE OF WORK: ELECTRICAL PERMIT TO CHANGE-OUT SERVICE AT THE REAR OF AN EXISTING SFD. 1 SVS TO 200A OWNER: TAUANUU, BENJAMIN PHONE: APPLICANT: PEREZIADO, VICTOR PHONE: 7'14•632•6608 CONTRACTOR: V J CONSTRUCTION Address: 141 S AIICE ClUnik Ciry/State: ANAHEIM,CA Address: 2142 COLLEGE AV Unit: City/State/Zip: COSTA MESA, CA Address: 141 S ALICE CI Unit: City/State/zZip: ANAHEIM,CA PHONE: 714-632-6608 ZipCode:� 92806 ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $54.00 Reinspection Fee $0.00 TOTAL FEES $54.00 License No. 887080 CELL: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenls under California statutes and related regulalions. (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 under this permit to be considered legal, such work must comply with all applicable codes, and all required inspeclions and final approyal must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CQpE /, INSPECTION TYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Final Re-Roof 207 Final8lock/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition �A ,T INTI71AL5 COOE9 INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy ORTE INTITIRLS WORKERS' COMPENSATION DECLARATIO' I hereby affrtn under penalty of perjury one of Ihe following declarations: ❑ 1 have and will mainlain a certifcate o( conSeM to selbinsure (or workers' compensation, as provitletl for by section 3700 of the Labor Code, for the pertormance of the work (or which this permit is issUetl. ❑ I have antl will maintain v.orkers' compensation insurance, as required by section 3700 of the Labor Cotle, for ihe per(ortnance of the v.ork tor vfiich this pertnit is issued. My workers' compensation Insurance carrier and policy number are: Carrier: (Tnis sMbn need rrot be mmde�� fhe peimrt is valuee er one nundietl tldl�rs (51 W) w less ) Policy Number: , y� I certiry that in the peAormance o( lhe vrork for which this permit is �- issued, I shall not employ any person in any manner so as to become subject to the worke ' compensa ion laws o! California, and agree Ihat if 1 should become su � ct to the kers' compensation provisions of Section 3700 of the Labor o, s II fo hwiM comply with Ihese provisio s. ApWiwm's ignalure Date . WARNING: FAILURE TO SECURE 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 aRrm Ihat I am licensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 0( the Business and Pro(essions Code, antl my license is in full force and eflect. // Lic: #- � Class # O'«6 6 -O� 0 Go ractorsSignaWe Dale.� LONS7RUCTION LENDING AGENCY: ❑ I hereby aKrtn that there is a constructbn lentling agency for the perfortnance of the v.ork fa which this pertnit is issued. (Sec. 3097, Civil Code). lerWeis Name: Lentler's Address: Signalure Dale OW NER-BUILDER DECLARATIONS: I �ereby affrm that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business antl Professions Cotle: Any ciry or counry which requires a permit to consWct, alter, improve, demolish, or repair any strucWre, Drior 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 o! 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 exempl t�erefrom and Ihe basis !or the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjecls the applicant to a civil penalty o( not more than fve hundred tlollars (5500).�: ❑ I, as owner of the property, or my employees wilh wages as their sole compensation, WILL DO THE WORK, and Ihe struclure is not intended or oHered for sale (Sec. 7044, Business anA Protessions Code: The Comractors License Law does not appty to an ovmer of propeny who builds or improves thereon, and who does such vrork himsel( or herself or through his or her ovm employees, provitled thal such improvements are not intended or offered for sale. If, however, the building or improvement is sold vnlhin one year of completion, the owner-builder will have Ihe burden of proving Ihat he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CON7RACTING WI7H LICENSED CONTRACTORS ro construcl the project (Sec. 7044, Business antl Professbns Code: The coniractors License Law dces not apply to an owner of pmperty who builtls or impmves thereon, and who contracts for such project with a contractw�s) license pursuant to the Cont2ctors license Wws.�. ❑ I am exempt under sec. Business and Professions Code for this reason: Slgnowre 305]<fi (3/O)) • + � Ovmer ID verifietl Dy tlriver's license. ❑ Yes ❑ No Driver's License No. Expires: Verifcation o( Ovmership by (type ot document, i.e. - property laz bill or deetl): �IVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify Ihat no excavation frve (5) or more feet in depth into which a person is requiretl to descend, vnll be matle in connectbn with work authorized by this permit, antl that no builtling sWcture, scaffdtling, falsework, a demolition or tlismantling thereof, will be more lhan thirty-six (36) feet high. (Chap. 3.2. Grp 2, Ari 2, Sec. 341, Ttle 8, Califwnia Administrative Code). ❑ As owner-builder, I will not employ anyone to do vrork which vrould require a permit from Ihe Division of Intlustrial Safety, as noted above, unless such person has a permit ro tlo such vrork from the division. AOPb[anl's Signature Date D'rvision o7lndustrial Safety Permit Mumbec _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applicanl or present or fuNre building occupant need to file and ceAify a Business Plan for emergency response to release or threatenetl release of a hazardou5 matenal? ❑ Yes ❑ No (Section 25505 of the Cali(omia Health and Sa(ery 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 dunng a reported year a quantity of hazartlous materials equal to or greater than a weigM ot 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressetl gas at slandard temperaWre and pressure). 2. Does or will the applicant or present or future building occupanl need ro file a registration form /or acutely hazar0ous materials? ❑ Yes ❑ No (Section 25533 of Ihe Califomia Health and Sa(ety Code, wi[h some ezceptions, requires regislration with Ihe Costa Mesa Fire Departmenl by each business which al any one time has on hand a quantity of acutely hazardous materials equalto or greater Ihan a weight o! 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 (uWre building occupant need to prepare an RMPP (Risk Managemen[ and Prevention Program (or acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health antl Safety Cotle provitles [hat the Costa Mesa Fire Department may require the preparation, certification and filing with Ihe Fire Department o! an RMPP by businesses which are requiretl lo regisrer acutely hazardous materials with Ihe Fire Department. 4. If an RMPP is presently required, has Section 25534 of the Califomia Health and Safety Code been fully complietl with? ❑ Yes � No 5. Dces or will the applicant or present or future builtling occupant require for the vrork vfiich is the subject of this application a pertnit for such construction or modification fmm the South Coast Air Quality Managemen[ Dislrict or (rom any olher air pollution control disMct or aqency? ❑ Ves � No (Section 658502 of the Califomia Govemment Code requires Ihat Ihe requestetl infortnati0n be (umished on applicalions (or non-residential building permits). 6. Will any pah of Ihe (acility to be wnstructed under this permit be within 1000 (eet from the outer bountlanes o( a school? ❑ Yes ❑ No Q('yes", the facili[y must meet the requirement of Sections 25534 antl 42303 ot the Califomia Heallh and Safety Code). 7. If a pertnit from Ihe SOWh Coast Air �uality Management DisMct or other air pollution control tlistrict or agency is required for the v.ork which is the subject of this application, have all of the discbsures prescribetl by Califomia Health antl Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf yes", attach cenificate of compliance from the appropriate air polNtion conlrol oKcer). CERTIFICATE OF COMPLIANCE: I certify that untler penalty of perjury the information given above is covecL I agree ro comply with all state laws antl 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 infortnation given is correct. I agree to comply with all state laws antl city ordinances relating to buildinq construction, and authorize representatives of the City o( CosW Mesa to enter upon the above-described property (or inspection purposes. I agree not to occupy or allow occupancy of any building authorizetl by lhis permit until final inspeclion. lur 1 gal meqs) Date 6-d9-oQ' And/Or ANhonz Apdiranl Dat¢ .. �OWNER DIKE & COLEGROV�. INC. DATE 5-e-57 /OB ADDRESS 211�2 Collete Avenue . BUILDING PERMIT NO. ��1�99h � GENERALCONTRACTOR OWSIEP_BZdI' VALUE AP. No. LOT Q TRACT 3pp'jPIRE ZONE DESCRIPTION OF WORK Res. w�att. gar. GROUP T R .T TYPE V ZONE RL PLAN NO. L01�� INSPECTIONS I DATE I $UBCONTRACTOR I DA� coat Final Gas Tu[ � '�9 `� ��3 COSTA MESA BUILDING DEPARTMENT P. O. BO% 31] COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN eui�oiNc OWNER MAIL ADDRE55 IARCHITECT OR ENGINEER LEG/L DESCRIPTION A.P. NO. COSTA MESA. CALIFORNIA TEL. QTV LIC. •nv� NO. NO.OP BLDGS. USE OF . E%iSTING BLOG. SET9ICK LINE FPOM CENtER OF $TREET I REAF YARO 2 � SIDE YARD RIGHT t LEFT � DESCRIPTION OF WORK NEW q�TERATION ADDITION REPAIR MOVING DEMOLISH BUILDING NO.OF SIZE ROOMS STORIES E%TERIOR WA�L. ROOF ,� e a BV FEE RECEIVED r��►�� fIN NCE DEPT. CITY OF COSTA MESA APPLICATION FOR PE.RMIT BUILDING FOR OFFICE USE ONLY �.� i ��o`�� i mHi COSTA MESA, CALIFORNIA $T4TE TMRT THE /�BOVE IS CORRECT �ND I.GFEE TO COMPLY WITH RLl CITV OROINRNCE$ eN� ST�TE L�WS REGIILATING BUIIDING CONSTNUC� T�� /� ��— VALUATION SIGNATURE OF (� PERMITTEE • `� � .. AUTHORIZED AGENT CORRECTIONS 5 11�26�.� PERMIT FEE S P�AN CHECK S TOTAL FEE 5 OWNER KENNEllY. FRED -A. � AUG 1 0 1961 DATE AP. No.11S—� INSPECTIONS OCCUPANCY ve T1iACT FIRE ZONE DESCRIPTION OF WORK B10Ck W311 ' DA7E I GROUP TYPE ZONE — ---I SlJ6CONTRACTOR I _ �'ERMITS ISSUED Farm 210—SM-17-59 5-B P . 1Z899 �- a.2��9 .��w` . COSTA MESA BUILDING-SAFETY DEPARiMENT P. O• BOX 917 C08TA MEBA. CALIPORNIA For. dpplieanf fo Fill In Compleiely COSTA MESA CALIFORNIA ■ MAIL ■ SIZE � 88T9ACK YNR INON / TEL. NO. OP BLDOB. pESCRIPTION OF WORK iR Wp.U- I ROOF �G COVERING BUILDING AND WORK TO BE PHRFORMED FIRE ZONE APPROVED ZONE LEOAL F EE RECEIV ED �� 61960 FIN��1�� OEPT. CITY Of COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO. � P�QAMIJ�!(9.� � CASTA MESA. ZONING NO.OF IIeE OF N[w ILANB �� BUILDING L , �3��. 7 j7�— �c3 �o� D � YAROS EVES APPROVED (C6NTHR LINB 8T.1 APPROVED %� �� X • j x � 1 HHRBCY A�NNOWLED08 '�HAT 1 XAVB flEAD TH18 MPLIGTION TMe AMOUM BHOWN UNO6P V�LUATION 19 POR TH8 AND BTAT! TNAT TH8 ABDVE 18 CAPREGT ANO A3RH8 TO CAM- pURPOB¢ OF ¢BTABLIBHINO A PERMIT FEE ONLY. PLY WITN ALL CITY OPGINAN�B ANC HTATB LAWB Ii80ULATINO eu1LDINo CON9Tp 6N. � VALUATION � SIGNATURE �F PERMIT FEE PERMITTE ,� Q,(J S/ %� PLAN CHEGK 5 O AIITHOHI2ED ACENT � 60 �