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Home My WebLink About687 CENTER ST - Building Permits"' CITY OF COSTA MESA . BI/ILDING DIVIS/ON i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax p14) 754-4856 • www.ci.costa-mesa.ca.us r ` ".�m� FOR INSPECTIONS CALL: (714) 754-5626 � PERMIT NUMBER: E08-00011 PERMIT TYPE ELEC STATUS: APN: 42424104 DATE ISSUED: ' " � ISSUED BY: JOB ADDRESS: 687 CENTER ST CM - Suite/Unit: Viciniry: SCOPE OF WORK: UPGRADE T0,100 AMP, SERVIE AND-REPLACE SUBPANEL .. � '',C'`' , � : OWNER: PHONE: APPLICANT: PHONE: ISSUED 01102/2008 CAC �' �� - . ' _ � ' . KOSECKI, ROGER A� �, -_ ' � � �'Address: 687 CENTER ST' Unit: . 949-903-6218 . . � r ._� City/State2ip: COSTA MESA; CA � JENIFER DETCHMAN `- �' _' " � Address: 9408 VIA VICO CI Unit 714-879-5259 � - ' City/State/zZip: BUENA PARK, CA CONTRACTOR: A-1 ELECTRIC pISCOUNT SERVICE INC Address: 9408�VIA VICO ClUnit: PHONE: 714-679-5259 City/State: BUENA PARK, CA '� - 2ipCode: 90620� - � ,t `.., . „ : ELECTRICAL PERMIT FEES . Electrical Plan Check Fee: -_. � ' $0.00 Electrical Permit Fee: ' _ $84.50 Reinspection Fee $0.00 TOTAL FEES � $$4.50 license No. �' " CELL: 493623 �� -�i;�� (1' � j ., ,. .. � . !J I a NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related 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 authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval vrill result in the expiration of this permit. LODE/, INSPEC710NTYPE 1816 Fixed System Final Fire Prevention 7266 Pool Spa Final 200 Final Re-Roof 201 Final Blak/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolilion DRT INTITIALS OE INSPECTIONiYPE 206 Final MeUaniCal 208 Final Plum�ing 210 Final Electrical 272 Final Fire Prevention 220 Final Planning Approval 222 Final Slte 250 FinalBuilding/Occupanty DRTE INnn�is �/ Q�' �►� / .y„�.'+. ,< WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of Me following declaretions: ❑ I have and will maintain a certificate of consent to self-Insure for workers' compensalion, as provided for by section 3700 of the Labor Code, for the pedormance of the work for which this permit is issued. ❑ I have and will maintain workers' compensatan insuranca, as required by sec[ion 3700 of ihe Labor Code, for the pertortnance o( Ihe v.ork for which this pertnit is issuetl. My workers' compensation Insurance carner and policy number are: Carrier: (T�is secfun neetl rql �e cwndete0 Jthe permd u vaWedatOna huMreC d�Nars (Ef001 w less.) Policy Number: I certify that in the pedormance of the work for which this permit is i uetl, I shall not employ any person in any manner so as to become subject to the vrorkers' compensation laws of Califomia, antl aqree that if I should become subject to the vrorkers' compensation provisions o! Section 3700 of the Labor Code, I shall fo h�i t omply with these provisions. Appli ' Sig Wre e WARNING: FAILURE TO SECURE WORKERS' COM ON COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPIOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CADE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm that I am licensed under provisions o/ Chapter 9(commencing wit ' n 7000) of Division 3 of the Business antl Professions Code, and e s in tull force and effect. /� Class # ` — /� < _ 2 -a aWre a1 CONSTRUCTION LENDING AGENCY: ❑ I hereby affvm that there is a cons[ructbn lending agency fw the peAortnance of the xork for vfiich this permit is issued. (Sec. 3097. Civil Code�. Lender's Name: Lender s Atltlress: �� in � OWNER-BUILDER DECLARATIONS: I �ereby aKrm that under penalry o( peryury t�at I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for t�e tollowing reason (Sec. 7031.5, Business antl Professions Code: Any ciry or counly which require5 a permil to construct, alter, improva, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pertnit to fle a signed statement Nat he or she is licensed pursuant ro l�e provisions of the Cont2ctors License Law (Chapter 9(wmmencing with Section 7000) of Division 3 of ihe Business and Professions Code) or lhat he or she is eaempt lherefrom antl the basis tor the alleged exemption. Any violalion of Section 7037.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundretl dollars ($500).): ❑ I, as ovmer of lhe property, or my employees vnth wages as Iheir sole compensalion, WILL DO THE WORK, and the structure is not intentletl or otfered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner ot property who builds or improves thereon, and who does such vrork himsett or herself or lhrough his or her ovm employees, provided lhat such improvements are not intendetl or oRered for sale. I�, however, t�e building or improvement is sold within one year of completion, the ovmer-builder will have the burden of proving thal he or she did not builtl or improve for purpose of sale.�. ❑ I, as owner of ihe properry, am E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to constn�ct Ihe projecl (Sec. 7044, Business and Professbns Cotle: The contractors License Law dces not apply lo an ovmer of property who builds or improves thereon, and who contracts for such project vrith a contracta(s) licensa pursuant b the Contractors License Laws.). ❑ I am exempt under sec. Business antl Professions Code for this reason: 305]-A6�3I0]) Owne driver's lic.. ./iJ Yes ❑ No iver's ' o. xpires: — — /L Verification of Owners�ip by pype of tlocumeN, i.e. - p perly tax bill or deed):. DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATION: ❑ I hereDy ceAAy that no excavation frve (5) or more (eet in tleplh into wfiich a person is required to descentl, will be made in connection with work authorized by this permit, and that no building structure, scaHdding, falsework, or demolilion or dismantling Ihereof, will be more than thirty-s� (36) feel high. (Chap. 32, Grp 2, M 2, Sec. 341, Ttle 8, Califomia Atlminisl2tive Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Intlustrial Safety, as noted above, unless such person has a permit to do such vrork lrom the division. Appliranfs Signawre Oa�e Division of Industnal Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or fuWre building occupant need to file and certify a Business Plan for emerqency response to release or threatened release of a hazardous matanal? ❑ Ves 0 No (Section 25505 of the California Heallh and Safety Code requires, with some exceptions, Ihal a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time tlunng a reported year a quantity of hazardous ma�enals equal to or greater than a weight of 500 pountls, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard IemperaWre and pressure). 2. Does or will the applicant or preseN or future building occupant neetl to fle a registration form for acutely hazartlous materials? ❑ Yes ❑ No (Section 25533 0! the California Health and Safety Code, with some exceptions, requires registration with the CosW Mesa Fire Department by each business which at any one time has on hantl a quantiry of acutely hazardous materials equal to or greater than a vreight 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 appliwnt or present or tuNre building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 0l the California Heallh and Sa(ety Code provides that the Costa Mesa Fire DeDartment may require the preparation, certification and filing vrith the Fire Department of an RMPP by businesses which are requiretl lo register acutely hazardous materials with the Fire Department. 4. If an RMPP is presenlly required, has Sec[ion 25534 of the Califomia Heallh antl Sa(ety Cotle been fully complied vrith? ❑ Yes ❑ No 5. Does or will t�e applicant or present or future building occupant require for the work which is Ihe subject of this appliwtion a permi� for such wnsWclion 0� motlificalion from lhe Soulh Coast Air Qualily Managemen[ Di5Mc1 or from any olher air pollution wntrol tlistrict or agency7 ❑ Yes ❑ No (Sectbn 65850.2 0( the Califomia Govemment Code requires itiat the requested information be fumishetl on applications for rron-residential building permits). 6. Will any part of the facility lo be conslructed under [his permit be within 1000 feel Irom the outer boundaries of a school7 ❑ Yes ❑ No Qf yes". the facility must meet the requiremenl of Sections 25534 antl 42303 of the Calilomia Health and Safery Cotle). 7. If a permit Bom lhe South Coast Air Qualiry Management District or other air pollution conlml tlistrict or agency is requireC for the work wliic� is the subject of t�is application, have all ol the disclosures prescribed by Califomia Heallh and Safety Code Seclion 42303 been made? ❑ Yes ❑ No 8. (If'yes", aUach certifiwte of compliance from the appropnale air pollution control officeq. CERTIFICATE OF COMPLIANCE: I certify that untler penally of perjury the inlormation given aDove is correcl. I agree m compy with all state laws and city ordinances regarding Hazartlous Materials and Emissions. Sgnawre Date CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalty of perjury that I have read this application and slate that the information given is cortect. I agree lo comply with all state laws and city ordinances relating to builtling construclion, and authorize representatives of Ihe Ciry of Costa Mesa to enter upon the above-0escribed property for inspection purposes. I a9ree not to occupy or allow occupancy of any building authorized by this permi� until fnal inspection. Signawreorlegoi neqs) Date � — �Dal Z . a t,wj �— Z 2� ON am J � J N Q W 0] J m J Q U N Z a W � aw WZ J Q m Z J � W W O Z � w� N � � � �2688 FE8-1-71CPo5�00 061 0*****9.�� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely I RECEIVEDBV DATERECEIVED DATEISSUED BUI�DING � /1'n `��Y 'Sy � _ % ADDRESS L r "�r �% �4T� (] OWNER Q�Y� /1� / Q P�� A.P. NO. �D //—O PE�/lJlJO MA I L ^^ BUILDING ADDRESS "�j�� I�� 1DDRE55 TEL. LO /i BLOCK CITY a �tiw a No. O CONSTRUCTION .1�ti�� W LENDER BRANCH OWNER ADDRESS �/ r VALUE �.V OR ENGINEER W IIGCGSSI�✓ TEL. S � S /w• � FIRE ADDRESS //��Y��IIu' ZONE TVPE ROUP �/ APPROVED r� CONTRACTOR I1� W � IS (/I'� � BV TE I�/ ADDRESS � �OD �-J�p Qi �� W �� /J CITV��j� TEL.SpjOGLb ZO �O� FLP'NS � BUILOINNEr� ��- rv- jyL{4 ��. NO. -�r/^�V� STATE CITY �'AFlDS APPROVED VAflDS APPROVED LIC. NO. � S j�' I� LIC. NO. MAIN BVILDING ACCESSO Y B ILDING SIZE NO.OF BLDGS. (FROM C/L STREET) Oc Lor NOW ON LOT RONT FT. USE OF /7�/ T /�T EXISTING BLDG. SIZE OF NO.OF NEWBLOG. ROOMS STORIES L.SIDE FT. FT. EXTERIOR WALL ROOF COVEFING COVERING REAR FT. � USE OF BUILDING AND WOFK TO BE PERFORMED DISTANCE BET. BET. MAIN & �/�. _ C• � .•� J MAIN BLDGS. ACCE55. BLDGS. / � VAR. iW DATE S��J/"Ac� (/J�G �u-J C.U.P.q}s APPROVEnD APPROVE •/� .� f O� I heraby acknowledpe thet I heva reatl t�ia epplicetion antl stete thet [ha a0ova info�mation ia cOrrect antl apr9e t0 eomply wlth all lews repulatinB builtlinp conftruction, entl I zhell not amploy ony pereon in vlolation of 2h¢ workmen'c compensation laws of the Slata of Californla. I �aroby certHy Met I am proparly Iicanfetl az a contractor untler SQ. FT. Ma Stem of California Business entl Profossiona Coda, Dlvisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR C�epter 9, end that such licensea are In full fofce antl affact, or I THE PURPO6E OF ESTABLISHING A PERMIT FEE ONLY: am exempt from � rovisions of Ne Siata of Celifornie Businesa VALUATION ontl Profeuion6 otle D Ision , Ch ter . PERMIT FEE $ Sipneture of I, �// / /y �\�� ry/�``�"-�i Parmittaa " " 'L 5 /// �.�/� \ PLAN CNECK $ `� / (ll/ � Autnorizea Apent \ TOTAL FEE 5 �.�� ER TAT.RFRT� Walter M. DATE 2-1-71 ADDRESS 6A7 CPntar Gtrr�Pt BUILDING PERMIT N0. AP No. _p LOT TRACT INSPECTIONS Si nat� SOIL GAS WATER ROUGH P�UMBING PROP. SWR. LINE � HOUSE CON. � SPRINKLING SYSTEM MISCELLANEOUS ftOUGH HEATING ANO AIR CONDITIONING TEMPOfiARY SERVICE OR POLE UNOERGROUND � POWER � ROUGH WIftING TRENCHES � FORMS � STEEL REINF. FLOOR SVSTEM BONO BEAM STEEL REINFORCE SHEATHING FRAME ANO FLASHING LATHING — IN OUT PLASTEF, BROWN COAT STRUCTURAL, FINAL NEATING, VENT., REFRIG. ANO A.C., FINAL PLIIMBING. FINAL ANO GAS TEST rI F1R3�i�7��:LL�lri77