HomeMy WebLinkAbout707 CENTER ST - Building Permits(714) 754-5273 • Fex (714) 754-4&56 • vnvw.ci.COSte-mOSa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
ELECTRICAI PERMIT
Job Address:
Suite No
Vicinily:
Parcel Nunmber:
Appliwnt:
Address:
707 CENTER ST
LIVING ROOM
42420409
KNOWLES, GREG
7tl7 CENTER ST
COSTA MESA, CA
owner: KNOWLES, GREG
Address 707 CENTER ST �
COSTA MESA, CA
Contractor: OWN ER-BU I LDE R
Address:
ISSUE FEE
Temp service test
Res. a/c package
New Res (1-2 units)
New Res (3+units)
Pool I Spa
Lighting Fixts
Recept Outlets
Switches
Non Res Appl
Res Appl
Service l0 200a
Service to 7000a
Service over t000a
Motors to 1hp
Motors to 10hp
Motors to SOhp
Motors to 100hp
Motors over 100hp
Communication tlrops
Sub panel to 200a
Pole Light Pkg
Sign Circuits
Temp Pwr Po�e
Intermed Pole
Phone: (949)631-0520
Zip: 92627
Phone: (949)631-0520
Zip: 92627
Phone:
Zip:
License: 0
SCOPE OF PERMIT
335 SQ Ff LIVING ROOM ADDITION IN AN EXISTING SFR.
2 FIXTURES, 9 OUTLETS, 4 SWITCHES.
R£F: B00-01627
823.50
50.00
$0.00
$0.00
$0.00
$0.00
$2.20
$9.90
$4.40
$0.00
so.00
$0.00
$0.00
so.00
$0.00
$0.00
$0.00
$0.00
$0.00
S0.0o
$0.00
$0.00
50.00
80.00
$0.00
Quantity
0
0
0
2
9
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
FEE SUMMARY
Temp Dist System / Lighting
Busway/t00fi
Standing Section
Misc Electrical Equipment
Trensformers up to 1 kva/kw
................up to 10 kvalkw
.................up to 50 kva/kw
.................up to 100 kva/kw
..................over 100 kva/kw
Low Voltage Equipment
Low Volt Wiring System / Ckt
Misc. Conduit
Misc.Condudor
Circus ( gen or ride)
Circus (mech ride or lighls)
Christmas Tree Stand
Fireworks Stand
Other Electrical Fee
Investigation Fee
Plan Check Fee
Reinspection Fee
Status: ISSUED
Applied: 12/05I2000
Issued: 12/052000
ISSUED BY:
Quantity
$0.00 0
50.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
80.00 0
$0.00 0
$0.00 0
so.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00 0
$0.00
50.00
$0.00
$0.00
TOTAL CALCULATED FEES E40.00
COMMENTS / SPECIAL CONDITIONS
NOTICE: The work authorized by this permit shall compty with all applicable handicap access requlrements under Califomia statules and related
regulations. (Ord. No. 92-2d, § 1, 12-21-92)
EXPIRATION: This permit shall eutomatically expire and become voitl If work Is not commenced within 180 days, or il xrork is suspended or abandoned
lor a period of 180 days.
INSPECTIONS: In order (or the vrork eulhorized under ihis permit to be considered legal, such work must comply with all applieabte codes, and all
required Inapeetiona end tinal approvel must be obtained. Failure to obtain Inspections and final approval will rasult in ihe ezpira�ion of lhls pertnit.
FOR INSPECTIONS CALL: (714) 754-5626
zaasae (a�no)
WORKERS'COMPENSATONCECLAHATON: '� �R
I hereby ettirtn unCer penalry ot perjury one of Ne following deGaretions:
❑ I have and wil� meimain a ceNficete ot conseN to sell-insure tw workers' compensetion, as provided tor by sectlon 3700 oi Ihe Lehor Code, far the pertormance ot Ne
work tor which this pertnll is issued.
❑ I have entl wlil maintein workers' compensetion insurarroe, es repuiretl by sectbn 3700 of the Labor Code, for [he peAortnance of t�e work tor which Nis permit L5 issued.
My workers' compensation Insurance camet entl pdky nUmbef ere:
Certler. Poliry Number:
(ih/s secf/on need nor De cromp/ered i! fhe permif Is velued ef one hundred dollers (S l00) or IessJ
❑ I cenify that in the peAormance of the work for which this pertnit Ls Issued, I shall not emplq any person In eny menner ao es to Decome suDlect �a �he workers'
compansation lews ol Celifomla, end epree Ihet It I should bewme sub�ect lo lhe workers' compensatlon provisions ol Sectlon 3700 0l the Lebor Cade, I shell forthwiN
tomply wlth these D�ovl5ion5.
Applicent Signature: Date:
WFRNINO: FAILUfiE TO SECURE WORKERS' COMPENSATION ODVEFiAGE IS UNIAWiUL AND SMnLL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND dVIL FlNES UP TOONE HUNDREO
hKK15PND DOLIARE (Et00,OW), IN ADOffION TO THE WST OF COMPENSATION, DMMOES /S PFOVIDED FOR IN SEGTION 3]08 OF TME IABOR CODE, IMEREST, AND ATTORNEYS FEES.
LICENSED CONTRACTORS DECLARATION:
I hereby nHirm I�et I em Iicensed under proNsions oi C�apter 9(commendng with Section 7000) of Divislon 3 of the Buslness entl Professions Code, and my license Is in full
force entl eHect. Lic. a qass a
Conlrectofs Sipnature: Dete:
CONSTRUCTION LENDING AGENCY:
❑ I here6y eflirm thet Ihere is e construction lending epency br ihe peAormence of the work for which Ihls pertnit is Issued. (Sec. 3097, Civll Cotle).
Lentlers Neme: LentleYs AOtlress:
Signature: Date:
OWNER-BUILDER DECLARATIONS:
I hereby eHirtn thet under penelry ot pe7ury thet I em E%EMPT FROM THE CONTRAC70RS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business entl Pratesslons
Code: Any clry or counry which requires a pertnit to construct, elter, Improve, tlemolish, or repair any sWCWro, pdor to its issuenca, elso requires the eOD���nt tor such permlt
ro ille e signetl stetement ihat he or she is Iicensetl pumuent to the proWsions ol Ihe Contrectors Llcense Lew (Chapter B(commencing with Sectlon 7000) ot Division 3 of the
Business end Prafessions CoOe) or tha� he or she is eaempt therelrom end the Desis for ihe allegad exemption. Any violetion ol Sectlon 7037.5 by any epplicent for e permfl
su 'ects the eppllcant lo a civil penaly oi not more then live hundred dollars (5500).):
I, es owner oi Ihe properry, or my employees with weges as their sole compensetion, WILL DO THE WORK, anOlhe siructure Is not IntenCetl or oNeretl for sale (Sec.
7044, Business and Protessions Cotle: Tha Contrectors License Law tloes not flppty to en owner of properry who bullds or Improves thereon, entl w�o tloes such work
hlmselt or herself or lhmugh his or her own employees, provitled thet such imprwemems ara not intentletl or olferetl tor sele. If, hawever, Ihe building or Improvement Is
sold within one year o1 campletion, t�e ownerbuiltler wlll heve t�e burden of pmving that he or she did not builtl or Impmve tor puryose at sale.).
❑ I, as owner of ihe properry, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ro construct t�e projad (Sec. 7044, Business end Professions
Cotle: The wniractors License Law tloes rrot apply to an ov.•ner ol property who builtls or improves thereon, antl who wntrects tor such project with e contradar(s)
Ilcense pursuanl the ConlmM� rs License Laws.)
❑ I em e:empt Aer sea i Business ana Protessions Cotle tor this reawn:
Slgnature: �Cw t� � Date: � —G
Owner ID verifletl by tldveYs licen �. ❑ Yes � No � DriveYs License No. 6cpires:
Verillcation at Ownership by (rype oi tlocument, l.e. - property tax bill or deetl):
DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION:
❑ 1 �ereby certtly that no excavetion tive (5) or more teet in Cept� into whlch e person Is requlred to descend, wlll be mede in wnnection wlih work euthoAzed by Ihis
permlL an0 that no bullding siructure, scattolding, talsework, or demolitlon or tlismaniling t�ereol, will Ce more than thirtysix (38) feet high. (Chep. 3.2, Grp 2. M 2, Sec.
341, Title 8, Celifomia Atlminislrative Code).
❑ As owner-builder, I will nat employ enyone lo tlo work which would reQulre e permit from ihe Division of Industrinl Selety, es notetl ebove, unless such person hes e
permit to tlo such work from the division.
Signeture: Date:
�Ivision ot Industrlal Safey Pertnit Number:
CERTIFlCATE OF COMPL1AryCE AND AIJTTIOFOATON OF EMAY: I certily under penalty oi perjury that I have read this epplication and stete that Ihe inlormation given is
correa. I e ke to wmpry wld Ystate laws a d dry ortlinances relating to bulltling conswction, and authodze representatives ot t�e Clry ot Costa Mesa to enter upon Ne
ebove-tle �rib roperty lar' speMlon purpos I e re ot to accupy ar ellow accupancy ol eny building authonzetl y thls permil until finel inspectlon.
�� . �na� �,� � l� - S�aG
SlgneWre Ot Legal Owner(s) Date
�� . . ' hl�. 1._
1618
7288
AncUOr Aut�adzed Appllcam
Fixetl System Final Fire Prevention
Pad Spe Final
200 Final Re•Roof
201 Flnel BIocWRelalning Well
202 Final Factory Fire Place
203 Final Sign
204 Finel Demolition
�g ��
COOE 1 INSPECTION TYPE
206 Finel Mechenical
208 Finel Plumbinp
210 Finel Electdcal
272 Flnel Fire Preventlon
220 Finel Planning Appravel
222 Final Site
250 Final BUIl01ng/Occupency
�g
S70
��
(714) 754-5273 • Fax (774) 754•4856 • www.ci.costa-mesa.BUILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92826
JobAddress: 707 CENTER ST
Suite:
Vicinity: LIVING ROOM
Parcel Number: 42420409
Applicant: KNOWLES, GREG
Address:
Owner. KNOWLES, GREG
Address 707 CEN7ER ST
COSTA MESA, CA
Contractor: OWN ER-BU I LDER
Address:
Zip:
Arch :
Address:
Zoning:
Phone: 949-631-0520
Zip:
Pho�e: (949)631-0520
Zip: 92627
Phone:
License: 0
Eng:
Address:
ISSUED BY:
Status: ISSUED
Applied: 10I09/2000
Issued: 12IOSI2000
Phone: Phone:
2ip: License: License:
SCOPE OF PERMIT
335 SQ. Ff. LIVING ROOM ADDITON. NO PLUMBING PROPOSED. .
Plan Check: $280.90
Permit: $432.15
SMIP Res: $2.86
SMIP Com: $0.00
Other: $0.00
Inspection: $0.00
Total: $715.91
SETBACKS
MAIN STRUCTURE Front 0. 0
ACCESSORY Front 0. 0
PARKING Existinq: o
NOTES:
Rear 0. 0
Rear 0- 0
Reauired: 0
FEE SUMMARY
PLANNING & ZONING
LeN 0. 0
Left 0- 0
Pro osed: 0
Calc Valuation:
Claim Valuation:
Right 0- 0
Right 0. 0
S2a,6a2.so
so.00
NOTICE: The work authorized by this permfl shall comply with all applicable handicap access requirements under Califomia statutes and related
regulations. (Ord. No. 92-28, § 1, 12-21-92)
EXPIRATION: This permit shall aUtomatically expire and become void il work Is not commenced within 180 days, or II work is suspended or abandoned
for a period of 180 days.
INSPECTIONS: In orUer for the work authorized under this permit to be considered legal, such vrork must comply with eli epplicable eodes, and all
requlred Inepections and finel app�oval must be ob�ained. Fallure to obtain inspections and final approval will result in ihe ezpira�ion af ihis permit.
FOR INSPECTIONS CALL: (714) 7545626
2468i8 (flN0)
WORKERS'COMPENSATON DECLARATOn. �
I hereby aflirm untler penelry oi periury one ot the following tleclarauons:
❑ I �eve end will maintain a certificate of conseni to seli-Insure for workers' compensetion, as provi0etl for by section 3700 of the Lebor Code, for t�e paAormance of lhe
work for w�ic� Ihis permit is issued.
❑ I have entl will maintain workers' compensation insurance, as requiretl by section 3700 of Ihe Lebor Cotle, lor ihe performanca of ihe woM for which Nis pertnil is issuetl.
My workere' campensatlan Insurenca carrier and pollcy number are:
Cerrier: Policy Number:
(This section nsed nat be camplereU i! the permit Is valued ef one hundred dollars ($100) ar less.)
� 1 certity that in the peAormance of the work for which this pertnit is issued, I s�all not employ eny person In any menner sa es to become suDlect to the workers'
wmpansailon laws o1 CelHomla, antl egree thet II I should become sub�ect to the workers' wmpensatlon proNsions o1 Sectlon 3700 of the Lebor Cade, I shall forihwlth
comply with ihe5e O�ovislons.
AppllcBnl SlBneture: Dete:
WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVEMGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYEP TO CPIMINAL PENALTIES AND CML FlNES UP TOONE MUNDRED
TYIOUSAND DOLURE (5100,000). IN ADDRIIXJ TO THE WST OF COMPENSATION, OMl4GES AS PROVIDED FOR IN SECfIqJ 3108 OF THE UBOR WDE, INTEREST, AND ATTORNENS FEES.
LICENSED CONTRACTORS DECLARATION:
I �ere�y ettirm t�et I em Ilcensetl untler provisions of Chapter 9(commencing wilh Section 7000) of Divislon 3 oi t�e Business and Prolessions Code, entl my Ilcense is In full
�OICB BOd BRBCI. LIC. A CI899 k
contractors signewre: oate:
CONSTRUCTION LENDING AGENCV:
❑ I hereby eflirtn that Ihere is e conswction lending eganty tor the peAortnance of the work br w�ich this Oermit is issued. (Sec. 3097, Civil Cade).
Lende/s Neme: Lentler's Adtlress:
Signature: Dete:
OWNER-BUILDER DECLARATIONS:
I hereby affirm that under penalry oi pe�ury ihat I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for ihe following reason (Sec. 7031.5, Buslness entl Professions
Cotle: Any ciry or counry which requires e permil b consWcL alter, improve, demolish, or repair any strucWre, prior to its Issuance, elso reQuires Ihe epplicam far such pertnit
to file e signed statemern ihat he or she Is Iicensetl pursuant to the provisions of the Contrectors Ucense Lew (Chepter 9(commencing wit� Secllon 7000) of DiNslon 3 ot the
Business and Professions Code) or thet he or she is exempt therefrom and the basis for the elleged exemptlon. Any violatlon of Sectlon 7031.5 by any epplicant for e pertnit
su jecis the applicant to e cMl penalry of not more than frve huntlred tlollare ($500).):
I, as owner of t�e property, or my employees with wages es their sole compensetion, WILL DO THE WORK, end the siructure is not intentletl or oHered for sale (Sac.
7044, Business and Professions Code: The Contractors Licensa Law does noi apply Io an owner ot property who builds or improves t�ereon, entl who tloes such work
himselt or herself or through his or her own employees, provitletl that such improvements are not intendetl or oMered for sale. If, howaver, the builtling or Impmvement Is
sold within one year ot completion, the owner-builder vnll have the burden of proving that he or she tlid not build or improve for purposa of sale.).
❑ I, as owner of the pmperty, am EXCLUSIVELV CONTAACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Profeuions
Cotle: Tha contractors Licensq Law tloes not appy to an owner oi pmperty who bullds or Improvas thereon, and who contracts for such pmject with a conirector(s)
license oursuant to Ihe Contra[tors License Wws.).
❑ I em exemp�untler sec. Busine55 end Profe55ions Cotle tor Ihis rea5on:
Signature: � �Q-���w— �.Q _.
Owner ID verified Dy dnvaYs IicAase. ❑ Ves ❑ No Dnvefs License No.
Venfiration of Ownars�ip Dy (type ot document, i.e. - property ta: hill or Eeed):
DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION:
Date: �-- '�/
Ezpires:
❑ I hereby certify Ihet no excavatlon five (5) or more teet In deplh Into which e person Is required to descend, will he made in conneciion with work euthorizetl by Ihis
permit, antl that no builtling siructure, swNoltling, talsework, or tlemolitlon or dismantling thereol, will be more then thirty-sia (36) teet high. (Chap. 32, Grp 2, Ar12, Sec.
341, Tlile 8, Celitomia Atlministrative Cotle).
❑ As owner�builtler, I will not employ enyone Io do work which woultl reqWre a permit fmm the Division of Indusirial Safety, es noted ebove, unless such person hes a
permit to do such work from the division.
SigneWre: Date:
Division o� IndusMal Safety Pertnit Number:
CERTIFlCATE OF COMPLI CE AND AUTHOR 710N OF ENTRV: I certity under penalry ot perjury that 1 have read Ihis application end stete that ihe intortnation given is
correct. �ree to comply w�h I state laws a city ordinances releting to building wnswction, end authodze representatives of Ihe Ciry of Costa Mesa to enter upon the
above- es ad property f spedion purpos . I egree not to acupy or allow occupency ot any building euthonzed 6y this pertnit until finel inspection.
La' S^d0
Signeture OI Legal Owner(s) Date
AnNOr Authorized AOPlicant
40oE �. INSPEC710NTYPE PAIE I�ELfl
1618 Fixetl Sysiem Finel Fire Prevention
1266
200
201
Pool Spe Finel
Finel Re-Rool
Finel BIocWRetelning Well
202 Final Fectory Fire Place
203 Finel Sign
204 Finel Demolltlon
CODE 1 INSPECTION TYVE
208 Final Mechanical
20B Final Plumbing
210 Finel Electdcal
212 Finel Fire Prevention
220 Final Plenning Approval
222 Final Site
250 Finel Building/Occupency
/��
(714) 754-5273 • Fex (714) 754-4856
Job Address:
Suite:
Vicinity:
CITY OF COSTA MESA
BUILDING DIVISION
DEVELOPMENT SERVICES DEPARTMENT
PERMIT
707 CENTER ST
HOUSE 8 GARAGE
Parcel Nunmber: 42420409
Applicant: MUNOZ, FRANCISCO
Address:
Owner: DAY, DEAN
Address 707 CENTER 5T
COSTA MESA, CA
BUILDING PERMIT
Zoning:
Phone:
Zip:
Phone:
Zip: 92627
Contrador: ANGELO TERMITE CONSTRUCTION
Address: � 26062 MERIT CI
' 107 � - Phone: 71434&1999
LAGUNA HILLS, CA
Zip: 92653 License: 404423
Arch :
Address:
Zip
Phone:
License:
Eng:
Address:
Zip:
77 FAIR
.
�
PERMIT NUMBER
" 699-00578
COSTA MESA, CA 92626
Status: ISSUED
Applied: 0427/1999
Issued: 0412711999
�SS�E� BY: .. �. L
Phone:
License:
SCOPE OF PERMIT
LEGALIZE REROOF - TIO, FOR THE HOUSE AREA, REPLACE EXISTING DAMAGEO RAFTERS AS REQUIRE�, REPLACE
DAMAGED SHTG W/ NEW 7/16” SHTG AS REQUIRED, ADD 2 LAYERS OF 15 # FELT, ADD NEW 20 YR COMP SHINGLE
ROOF. REPLACE FASCIA W/ NEW 1X6 FASCHIA. GARAGE AREA, REPLACE APPROX 14 OF EXISTING RAFTERS AND ADD
ALL NEW SHTG & FASCHIA, INSTALL 20 YR COMP SHINGLE ROOF.
2600 SF TOTAL AREA.
Plan Check: $0.00
Permit: $99.75
SMIP Res: $0.50
SMIP Com: $0.00
Other: $99.75
Inspection: $0.00
Total: $200.00
SETBACKS
MAIN STRUCTURE Front 0. 0
ACCESSORY Front 0- 0
PARKING Existi"a: o
NOTES:
Rear 0- 0
Rear 0- 0
Reauired: 0
FEE SUMMARY
Calc Valuation: Sa,7oo.00
Claim Valuation: Sa,�oo.00
PLANNING & ZONING
Left 0-0 Right
LeR 0-0 Right
Proposed: � 0
0- 0
0- 0
NOTICE: The vrork aulhorized by this pertnit shall camply with all epplicabla handicap eccess requirements under Celifomia statutes and retated
regulations. (Ord. No. 92•28, § 1, 12-21-92)
EXPIRATION: This pertnit shall automatically expire and beeome 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 aut�orized under ihis permit to be considered legal, such work must comply with ell apP�icable codes, and all
requlred Inepeetions end (Inal approvel must ba obteined. Failure to obtein Inspections end linal epprovel will result In iha ezpiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
µrO#iKERS' COMPENSATION DECLAFiATION: .
I �ereby eHlrtn untler penelty of perjury one oi �he follawing tledaratlons: '
❑ I have end wlll meintain e certificate of consent to setl-Insure for workers' compensation, es proNded lor by aecqon 3700 of Ihe Lebor Code, tor the pertortn�ce of IhY
WO11( �Of Wh�Ch Ih13 PBfRlll 191SSUBd.
❑ I heve anG wlll melntain workers' canpensatbn insurence, es requiretl by section 3700 ot the Lebor Code, tor the peAortnance o1 Iha work for xTkh Nls peimit ls iswed.
My workers' campensatioryL05yrance cartier antl poliry number are: �7 ^ (�`@
CBMef: �% �%� T �%^�� • PoIICyNumber: �J' QC1 �'i� � � GO
(Tbls secflon need not be complete0 il the permitls valuetl et one huntlretl tlollars ($700J or less.) �
❑ I certity t�at In the pedormence ot the work for which this pertnit Is Issued, I shall not employ eny person in eny menner so es m become subject lo tha workera'
compensetlon laws af Celifomla, rW egree thet II I ahoultl become sub�ect to the workers' compensetlon provlslons of Secti n 3700 of the Lehor Cotle, I shell fanhwith
complywi�hthesa 'Blons. 'e �
ApplicentSigneWre: iR/w� �'i /� oa�a: 'y�7 �aa/9�
WARNINO: FNLURE TO SECURE WOfU�RS C�OMPEN9 TION C OE I$ VMAWFUL ANO SWLLL SUBIECT AN EMPLOVER TO CHIAUILLL VENPCTIES lWD CML FlNES VP TO ONE HUNDRED
T7i0U$AND DOLLARE (5100,000). IN AOOrt10N TO THE 605T OF CO�MENSATION, DMMCE5l5 PRONDED FOR IN SECTION 31080F TNE UBOR COOE, INiERE5T, AND ATTORNEVS FEES.
LICENSED CONTRACTORS DECIARATION:
I hereby eMirtn Ihat I em Ilc s d tler provislons of Chepter 9(commenCing wlih Section 7000) ol Dlvision 3 of the,Busir�eu end rotess3ions Code, flnC my Ilcense Is In full
force and ettect. lic. a 3�d s�"ya3 Cless # C�
Conirectals Signatura: � d.i✓ � vr'L, Dete:
CONSTRUC710N LENDINO AGENCY:
❑ I hereby eHirm �het there is a constructlon IenCing epency br the peAortnance of the work for whic� ihis permit Is Issued. (Sec. 3097, Civll Code�.
Lendefs Neme: Lendefs Address:
Signeture: Date:
OWNER-BUILDER DECLAfiAT10N5:
I hereDy eNirm Ihet under penalry ot perjury that I am EXEMPT FROM THE CONTAACTORS LICENSE LAW lor the lollowing reason (Sec. 7031.5, Business flntl Professions
Code: Any ciry or counry which requires e pertnit to construct, elter, improve, tlemolish, or repair eny strucNre, pdor to ILa issuance, also requires the epplicant for such pertnit
to fila e signetl stetemem [hat he or she is licensed pureuent ro Ne proNsions o1 Ihe Contrectors License Lew (Chapter 9(commendng wlth Section 7000) M Divislon 3 ot the
Busineu antl Pmtessions Cotle) or Nat he w she Ls exempt t�erefrom enC Ne basis for the allegeC exemptlon. Any violatlon ot Sectlon 7031.5 by any appllcant Por e pertnil
sub�ecls the epplicanl lo e civil penalry at nol more Uan Ihre huntlreA Cdlars (5500).):
❑ I, es owner of Ihe pmperry. or my emplqrees vrith weges as their sde compensation, WILL DO THE WORK, entl the sWnure is not InterMed or offered tor sele (Sec.
704a, Buslness end Professions Code: The Contreaors License Lew does not appty to an owner at properry who builGs or improves thereon, end who tloes such work
himself or herseH or Ihroug� his or �er own employees, proNded that such improvemen4s ere not Intended or otteretl tor sale. It, havever, ihe buliding or improvement is
sold withln one year oi campletian, the owner-DuilAer will have the burAen of praving ihat he or sha did not build or Improve for puryose al sale.).
❑ I, es owner of the properry, am EXCLUSIVELV CONTRACTING WITH UCENSED CONTRACTORS to construct the proJect (Sec. 7044, Business entl Professions
Cotle: The contrectors Licensa Lew does not appty to en owner of praperty who builds ar Improves Ihereon, and who contrects tor such pro�ect with a contractor(s)
Ilcense pursuam to the Contrectors Ucense Lews.).
❑ I am axempt under sac. Business and Professions Cotle tor Ihis reeson:
Slqneture: Date:
Ownar ID verllletl Dy tlrivafs license. ❑ Ves ❑ No DriveYs License No. Expires:
Verificatlon of Ownership by (rype oi daument, i.e. - Droperry taz bill or deed):
DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTFICATON:
❑ I �ereDy cenlly Ihat rw axcavatlon INe (5) or more teet in depih inta whlch a person is requlred to descend, wlll be made in connectlon wlth work authorizetl by tNs
permlt, en0 thet no building struMure, scattdtling, talsework, or demolition or dismantling thereof, will be more than ihirty-six (36) teet Ng�. (Chap. 32, Orp 2, Art 2, Sec.
341, Title 8, Celtlomla AdminisireWe Cade).
❑ As owner-builtler, I wlll no1 employ enyone to Go work which would require a pertnil trom ihe Divlsian ol Intluslrial Sefery, as notetl ebova, unless such person has e
pertnit to do suc� work trom the divisian.
SignaWre: Date:
Divlslon af Industrfal Sefery Permit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHOR¢A710N OF EMAY: I certify under penalry of per�ury thel I hava reed this epplication entl state that t�e infortnetion given is
cortecl. I egree to comply with ell state laws end Gry ortlinences relatlng to building conslrudion, end euthodze representetives of Ihe Ciry of Coste Mese to enter uDon the
ebove-describetl property for Inspaction purposes. I egree not to occupy or allow occupancy of eny building euthorized by Ihis pertnit until final inspealon.
ia^urif Lepal Owner(s) �/�/�� Dete
e .4
OrAuthodzedApplicflnt �— Date
CODE �. INSPECTION TYPE
1616 Fixed System Flnal Fire Preventlon
7288
200
201
202
203
Pool Spa Finel
Finel Re-Raof
Flnal BIocWRetaining Well
Final Fectory Flre Plece
Flnal Slgn
204 Final Demolillon
240Bd8
� It�
-s � _�q .�"
CODEI ixsvecnoxrrae
206 Finel Mec�anical
20B Finel Plumbing
210 Finel ElecMcal
212 Flnal Fire Preventlon
220 Flnal Plenning Aoprwal
222 Finel Slte ,
250 Final Building/Occupency
PAIE
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(714)754-5273 • FaxI714)754-4856
CITY OF COSTA MESA ,
BIIILpIN6 DIYISION
DEVELOPMENT SEFiVICES DEPARTMENT
PERMIT
ELECTRICAL PERMIT
Job Address:
Suite No
Vicinity:
707 CENTER ST �
LEFT SIDE OF HOUSE
Parcel Nunmber: 42420409
npp�iwnt: KNOWLES, GREG
Address: 707 CENTER ST
�, ,
COSTA MESA: CA:. � � , '
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ST � �� ';
Owner: -KNVW(
Address � 7o7.CEN'
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.Phone: (949)631-0520 - '
Zip: 92627 , , -
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NUMBER
77 FAIR DRIVE, COSTA MESA, CA 92626
status: ISSUED
Applied: 05/2611999
Issued: 0526I7999
ISSUED BY: �
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Phone: (949)631-0520 _ ���'� -� � �� , �� . \
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2ip: 92627 '�A�•\-. < .� ����.
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Phone:
' -Zip:
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' �icense:
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i ^�� \ % _ ' � `� , SCOPE OF PERMIT �� � ` • `�
+ ��`. i UP,GRADE EXISTING ELECTRICAL METER TO 125 AMPS. � �� '
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� -" FEE SUMMARY " ' "� \ ' ' ! .
L .
� �` Quantity , ,� -� QuanNty' i � - �� �
��, ��ISSUE FEE � _ $22.00 , � �,;�.,� , Temp Dist System / Cighting , 80.00 0 ' �- .--� _ i ' ��� �
� �Temp service test „ $0.00 � - �� Busway A 00 ft, � , � ' � `� - $0.00 0 � . ; ', � �
Res. a/c package , 50.00 - - - -Standing Section� $0.00 0 � �
New�Res (7-2 units) , ., $0.00 0 Misc Electrical Equipment $0.00 0' �. �- y' i
� New Res (3+units) $0.00 - 0 Trensformers up to 1 kva/kw . $0.00 0, � � ", � ' :. �� ,�
Pool LSpa � 50.00 � 0 ...............:up to 10 kva/kw 80.00 0�, �
, „ �
Lighting Fixts � ' � '', �. 30.00 0 . . . .................up to 50 kva/kw I $0.00 � 0' .: ' � ' /
Recept Outlets� , � �����. �, $0.00 0, � � ...............up to 100 kva/kw , $0.00 %0� L -�� / ,�, "�
SWlttlie5�� ��,,/ ����`$0.00 °" .0 � .::.....:.........Over700kva/kw '30.00 :%=0 .,,�� ����
Non Res Appl = - E0.00 0 . _ � Low Voltage Equipment ' $0.00 ; �%;'0 j, �� �
Res AppI�U�� � � � ` 50.00 0 � ' - Low Volt Wiiing System I Ckt � ' , $0.00 � 0 �, ` , : ;, i�
Service to�200a `�� � 327.25 � 1 ; ' - � � Misc. Conduit� �. SO.OP 0 " �
Serviceto1000� $0.00`' �-0. .MisaConductor "�. '� $000 0 = `"
Service over 1000a� �' S0.00 �_ � 0 � . , ,� �Cirws ( gen or ride) � 30.00 � �- 0� �i�
Motors to 7hp A��� _ � $0.00 , -0 , _ Circus (mech ride or lights) ", $0.00 ' = 0 � - i
Morors fo 10hp � ��� � $0.00 �� �0 =� � ��_ � ' Christmas Tree Sland . . � $0.00� � � 0 i, '�/
Motors to SOhp � \\� ' � $0.00 �i . 0 " � , � � � - . �. Fireworks Stand , -$0.00 i ,0� -�
Motors to t00hp � � $0.00 = - � � .0 Other Eledriwl Fee , � E0.00 ' �j
Motors over 100hp �' - $0.00 �; , , 0 � , , . '�
� �
Communication drops �' �50.00, 0 ' �_ � � -Investigation Pee , $0.00 � ,= "
Sub panel to 200a $0.00-- 0' �� � Plan Check Fee � � -�- ,50.00 �
Pole Light Pkg $0.00 �-, � �� 0___ `- � , ��� Reinspection Fee -�-�'. �, : §0.00
Sign Circuits 50.00 � 0� . �� �
Temp Pwr Pole 50.00 0�- �" ��- .,- TOTAL CACCUCATED FEES 549.25
Intermed Pole $0.00 0
COMMENTS / SPECIAL CONDITIONS
NOTICE: The work authorized by this pertnit shall comply with ell appliceble handicap access requirements under Califomia statules and reiated
regula�ions. (Ord. No. 92-28, § 1, 12-21•92)
EXPIRATION: This pertnit shall automatieally expire and become void if work ia not commenced within 180 days, or if work is suspended or abandoned
far a period of 180 days.
INSPECTIONS: In order for the work authorized under this pertnit to be wnsldered legal, such work must comply wflh all epplicabla codes, antl all
requlred Inepeetlone end final epprovel must De obtalned. Failure to obtain inapections end finel epproval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: Q14) 7545828
. . ti
WORKERS'COMPENSATON DECLARAnON: � �
I hereby ettirtn under penalry af perjury one ot Ne lollowing tledaration4:` ��,'�� �.
❑ I heve entl will malnlain e cenllicate of consent to sell-insureior workers' compensalion, es proviCetl br by sectlon 3700 oi ihe Lebor Cotle, For the peAortnance of the
work for which Ihls permit Is issued. - ' �' - �
❑ I have and wlll meinteln wwkers' compensetion Insurance, es requlretl by section�3700 of Ne Labor Cotle, tor the pertortnance ot Ne work for which this pertnit Is Issuetl.
My workers' compensation Insurance carrier and policy number are:
Cerder. Policy Number.
(Thls SecNon need nof be comple(ed l/ NB permit /S ve/ued Bt one hundred dW/ers ($100) or /eSsJ ' ��� '
❑ I certify Ihat In the peAormence ol the work for which Ihis pertnit Is issued, I shell not employ eny person in eny manner so es to become sublect to Ihe workers'
compensation laws of Calilomia, end agree thet il I should becwne subJect to Ihe warkers' compensetlon provislons of Senlan 3700 oi the labor Cotle. I shall toMwith
comply wlth these provlslons.
Appllcan� Slgne�ure: Dete:
WARNINO: FAILURE TO SECURE WORKERS' COMPENSATION WVEMOE IS UNL4WFUL PND SHALL SUBJECT AN EMPLOVEF i0 CRIMINAL PENALTES AND CML FlNES UP TO ONE HUNDRED
THOUSANO DOLLARE (5/00.000). IN ADDRION TO THE W5T OF COMPENS4TION, DAMAGES AS PROVIDED FOR IN SECTION 3]OB OF THE LABOR COOE. IMEFEST, AND ATiORNEVS FEES.
LICENSEDCONTRACTORS�ECLARATON:
I hereby ettlrtn ihat I em Ilcensetl untler proWsions of C�flpter 9(commendng wlth Secilon 7000) at Divislon 3 of the Business end Professlons Code, entl my Iicense is in full
IOrCB 0nC BNBct LIc. p CI099 M
Conirectofs Slgnature: Deta:
CONS7RUC710N LENDING AGENCV:
❑ I hereby eflirtn thet Ihere Is e wnstruction lendinp epency tor the pedortnance of the work tor which this pertnit Is issued. (Sec. 3097, Cidl Cade).
Lentlers Name: Lendels AAtlress:
Signalure: Dete:
OWNER-BUILDER DECLARATIONS:
I hereby atlirtn that under penalry of perjury ihet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, Business and Professions
Code: Any city or county which requlres e pertnit to construct, elter, improve, demolish, or repair any structure, pnor to Its issuence, also requires the epplicant tor such permli
to tile e signetl stetement Ihat he or she is licersed pursuant ta Ihe provisions o1 the Contractors License Lew (Chepter 9(commendng with Sectlon 7000j of Dlvlsion 3 ot Ue
Business and Prolessions Coda) or Ihat he or she is eaempt theratrom end Ihe besis lar Ihe elleged exemptlon. Any violation of Section 7031.5 by any epplicem tor e pertnit
su eC�s Ihe applicent �o e CINI panelry of not more ihan tNe hunAred Aollare (E500).):
I, es owner ot t�e property, or my employees wlth wages es their sole compensation, WILL DO THE WORK, end ihe structure is not Intendetl ar otteretl for sale (Sec.
7044, Business end Professions Code: Tha Conirectors Llcense Lew does not aOPh �o en owner of property who builds or Improves Ihereon, and who does such wark
himselt ar herself or through his or her own employees, providetl that such impmvements are not intendetl or ottered tor sale. Ii, however, Ihe buliding or ImpmvemeN is
sold within ona year of completion, t�e ownerbuiltler will have the burtlen of proving that �e or s�e tlitl not bui10 or improve tor puryose ot saleJ.
❑ I, as owner of the D�aGBnY. em E%CLUSIVELY CONiAACT1NG WRH LICENSED CONTRACTORS to construct the projacl (Sec. 7044, Business antl Professions
Cotle: The cantracmrs License Law does not appty to an owner ot pmperry who builds or improves thereon, end who contreMs lor such project with a camractar(s)
license pursuant to the Contrenors license Lews.).
❑ lam
Slgnelure:
Owner ID
sec.
Business entl Professions Cotle for t�is reason:
drivers lidense. � ❑ Ves ❑ No Drivefs License No.
Vedticatlon of Ownership by (type ot document, i.e. - properry terz blll or deetl):
DIVISION OF INDUSTRIAL SAFETV PERMR CEFiTIFICATION:
Date:
Expires:
❑ I hereby cently Ihat no excevetlon five (5) or more teet In tlepih into which e person Is requlretl ta descend, will ba made in connectlon wlth wark eulhorizetl by thls
permit, and t�at no bullding structure, scattdding, felsework, or demolitlan or tlismantling thereoi, wlll be more then thirry-six (38) teet �Igh. (Chap. 32. �ry 2, Art 2. Sec.
341, Title B, Calllomia Administretive CoOe).
❑ As owner-bulltler, I will not employ enyone m tlo wark which would requlre e permlt from the Divlslon of Industdal Sefety, es notetl ebove, unless such person has a
� pertnit to do such work from ihe tlivision.
Signeture: Dete:
Dlvlsion of Intlus�riel Selery Pertnit Number:
CERTIFlCATE OF COMPLIANCE AND AUTHOFiOATON OF EHTRV: I certity unCer penalry oi perjury that I heve reatl this application and state that the infortnetlon given is
cortect. I egr to comply Ih all state law entl dry ordinences relefing ro bullding conswction, antl euthodze represenlaHves ol the Ciry ot Costa Mesa to enter upon Ihe
e6ove-des ^tl p,r^ope�rt-y fo spection pu se��ree not to occuDY or allow occupency of any bullding euthodzetl by thlsCpertnit u�lipel Ins ion.
`J�C./ J ` fl
Ignature Ot Legel Owner(s) � Date
AnNOr Auihorized Applicant
GOOEI, INSPEGTIONiYPE
1818 Fixed System Flnal Fire Preventlon
1266 Pool Spe Final
200 Final Re-Roof
201 FIneI BIocWRetaining Well
202 Flnel Fectory Fire Place
203 Finel Sign
204 Final Demollilon
2u&46
�[E �'J[{j��$" '� �S(jI f,,,[ INSiEtTIONTVPE
208 Finel Mechanicel
20B Finel Plumbing
210 Finel Electdcal
212 Flnel Fire Preventlon
' 220 Flnel Plenning Approvfll
222 Flnel Slte
' GAg ItI�L9
� �
250 Finel BuIlding/Occupenry
� ��sta Mesa Building Department��w y'
'� 111 EAST 20th STREET �;� g�tf�
• '' � i .
"� COSTA ME&A, CALIFORNIA
FOR t3PPLICANT TO FILL IN
Building r- C@IIteS $YyeE;
Addresa
COS� C88�� C8,�017ll8,
Nearest
Cross St. FOIIlOA3II SQPe@�
OwnerClffcfivteyRaae�Ho�nEeagOr o`�'�
care� 1bb i:at�k Iit� S&o
C.ifv
1;oe`aa P1�esa N;: Li�=5S4&
.e.ddress13E515eutec'kF3flvdoslAe H.ngeH�
LTole5ein & Saao City Lio. Z�8
,atractoY^ No.
o.ddress 166 E:e L9Y,� 38, �CoO''+.a AResa
MeYes
►1�
G
Repair � � Movin � � Demolish �
Building 'X ' 'No. oi
Size �(.,�¢h y I r.A�� Rooms cJ Stories �
erior Wall }�qBY� I RoM ��yk
.e�ina pla � Geve�inn
I hereby acknowledge that I have read this Appiication
and state that the above is crorrect end agree to comply
with all City Ordinances and State laws regulating
building construction.
Signature M �
Permittee
Authorized Agt. ��Qs� cr(� � J��y n iG Yl�6C:Cl 4�i-
Valuat}o� -Pe�mit Fee $ � 3._
Plan Check $
$ ��J VU Feea' g 2..6i ��
fORM 204 0-H 2M e-8<
APPLICATION FOR PERMIT
BUILD,LNG '�
FOR OFFICE USE ONLY
Reeeived
�0-22��� %'
�lo��o: ' Date���
CORRECTIONS
APPROVALS
Forms, Materialz
Under-Pinning
�ame: Fire Stops,
Bracina. Bolts
Lath. Int.,
Lath. Ext.
Plaster, Ext
Masonry Reinforoed
Bond Beam
Date
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Show locatlon and distancee from � . . � . . ' • •
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