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HomeMy WebLinkAbout729 CENTER ST - Building PermitsCITY OF COSTA MESA . � o "'F R BYILDING DIV/SION .. . ..;� i � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (774) 754-0856 • www.ci.costa-mesa.ca.us : °. � FOR INSPECTIONS CALL: (714) 754-5626 �fi� PERMIT NUMBER: E09-00212 PERMIT TYPE ELEC APN: 42420404 JOB ADDRESS: 729 CENTER ST CM viciniry: STATUS:' ISSUED DATE ISSUED: 08H912009 ISSUED BY: KJB Suite/Unit: SCOPE OF WORK: RELOCATE AND UPGRADE ELECTRICAL SERVICE TO 125 AMP. APPLICANT HAS CONTACTED EDISON REGARDING �... THE RELOCATION OF THE SERVICE. OWNER: WURR, STEVEN H PHONE: APPLICANT: WURR, CAROLE PHONE: 949•554•9098 Address: UniC City/State: PHONE: ZipCotle: ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $54.00 Reinspeclion Fee $0.00 TOTAL FEES $54.00 Address: 729 CENTER ST Unit: City/Sfate2ip: COSTA MESA, CA Address: 729 CENTER ST UniC City/StatelzZip: COSTA MESA, CA License No. CELL: v�'i��.�,�? �v . �. c�iNG -,�_t;��'�id7 NOTiCE: The work authorized by this permit shall wmply with all applicable handicap access requiremenfs under Califomia statutes and related re9ulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permil to be wnsidered legal, such work must comply with all applipble codes, and all required inspections and final app�oval must be obtained. Failure lo obtain inspections and fnal approval will result in the expiration of this permit:, CQOEI, INSPEC710NTYPE QAF� INPTIRlS SOOEt �NSPECTIONttPE U� INTRIRLS 1816 Fixed System Final Fire Prevention 206 Final Mechaniwl 1268 Pool Spa Final 20B Final PlumOing � b_ __ . , � 200 Final Re-Roof 270 Final Electncal � 201 Final BIocWRetaining Wall 212 Final Fire Preven�ion �— 202 Final Factory Fire Place 220 Final Planning Approval .y.:.. 203 Final Sign 222 Final Site - 204 Final Demolition 2$0 Final Building/Occupancy WORKERS' COMPENSATION DECLARATION: I hereb�y .arKrm under Denalty of perjury one of the following tleclarations: ❑ I'If2VC 20tl WIII Iil3int�in � CCrtifL3f0 Of GOnSCN 10 58161nsufe (O! WOlkefS' compensation, as providetl for by seclion 3700 of �he Labor Code, for the pedormance ol lhe vrork for which this permit is issuetl. ❑ I have and will maintain workers' cwnpensation insurance, as requiretl by section 3700 of the Labor Code, for the peAormance ot the work for which this pertnit is issued. My workers' compensation Insurance carrier and polity number are: Carnec (TNsteGonneetlrwteecrompleredn epe�mqisvaNedaf ne OieO�llars(St00)wless) n �� olicy Number. � V v 1/Vllr �_ cetlify Ihat in the peRormance of th work for which this pertnit is sued, I shall not employ any person in any manner so as to become subject to the workers' compensation lavrs ol Calilomia, and agree that if I should become subject to the vrorkers' compensation provisions of Section 3700 0l the La�r C,pde' I lh�l forlhwith� vrith these provisi ns. � SL�( �% -� -C� �IS'Sfflnelure 21 � WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAND DOLlAF2S ($700,000J, 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 affirtn that I am licensed under provisions of Chapter 9(commencing vnth Section 7000) ol Division 3 of the Business and Professions Cotle, and my license is in full force and ettect. Lic. # Class # Con�racmr's CONSTRUCTION LENDING AGENCY: ❑ I hereDy a(fum that there is a consWction IenCing agency for Ihe peRwmance W tl�e work fa which tMs permit is issued. (Sec. 3097, Civil Coae). Lentler's Name: Lenaer's Address: _ SignaWre OWNER•BUILDER DECLARATIONS: I �ereby aHirtn tha� unde! penalty O( pefjury Ihat I am E%EMPT FROM THE CONTRACTORS LICENSE LAW /or the follovnng reason (Sec. 7031.5, Business and Professions Code: Any ciry or county which requires a permit to construct, alter, impmve, tlemolish, or repair any stmcNre, prior to its issuance, also requires the applicaN for such permit ro file a signed statement lhat he or she is licensed pursuant to the provisions o( the Contraclors License Law (Chapter 9(commencing wilh Seclion 7000) of Division 3 of the Business and Protessions Code) or that he or she is azempt therefrom and the basis lor the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalry of nol more than five huntlred dollars ($500).): ❑ I, as ovmer ol lhe property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intentled or oftered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law tloes not apply to an ovmer of property who builds or impmves thereon, and who does such vrork himselt or herself or thmugh his or her own employees, provided that such improvemems are not intendetl or offered for sale. If, however. the building or improvement is sold wilhin one year of completion, the owner-builder will have the burden of proving that he or she did builtl or improve for purpose of sale.). I, as ovmer ot the property, am E%CLUSIVELY CONTRAC7ING WITH LI NSED CONTRACTORS to conslruct the project (Sec. 7044, Business and Professbns Code: The contractors License Law dces not apply lo an owner ol property who builtls or improves thereon, antl vfio contracts for such projecl with a contracta(s) license pursuant to the Contractors License Lav+s.). ❑ I am exempt under sec. Business and Professions Code for lhis reason: ����� SpreWre , ��Date�• 305]<6(3Nl) � Owner ID verilied by Oriver's license. ❑ Yes ❑ No Driver's License No. Exp/ires: Verification of Ownership by (type of document, i.e. - proyerty lax bTil or tleed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certify that no excavation (rve (5) or more feet in depth into which a person is required lo descend, will be made in conneclbn wi�h work authorizetl by this permit, and Ihat no building sWCNre. scaf(dding, falsework, or demolition or dismantling Ihereof, vnll be more than ihirty-six (36) (eet high. (Chap. 32, Grp 2, M 2, Sec. 347, Ttle 8, Cali(omia Administrative Code). ❑ As ovmer-builder, I will not employ anyone lo do vrork which vroultl require a permit (rom the Division o( Industrial Salety, as notetl above, unless such person has a permit to tlo such vrork from the tlivision. Applicanl's $ignature Daie Division ol Intlustrial Safety Pertnit Numbec HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 7. Will the appliwnt or present or fuNre building occupant neetl to file and certify a Business Plan tor emergency response to release or threatenetl release of a hazardous matenal? ❑ Yes ❑ No (Section 25505 of the Calitomia Health antl Safery Cotle requires, with some exceptions, that a Business Plan be filed with Ihe Costa Mesa Fire Depariment by every business which has at any one time tlunng a reported year a quantiry of hazartlous materials equal lo or qreater than a v.xight of 500 pounds. or a volume of 55 gallons, or 200 cubic (eet ot compressed gas at stanaartl lemperature antl pressure). 2. Does or will ihe applitant or presenl or future building occupanl nee0 to file a registralion fortn for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Health and Salety Cotle, with some eaceptions, requires regislration with the Costa Mesa Fire Department by each business which al any one lime has on hantl a quantity of acutety hazardous materials equal to or greater than a weigM of 500 pounds, or a volume o( 55 gallons. or 200 cubic feet of compressed gas at stantlartl temperature and pressure). 3. Does or will the applicant or present or (uture builtling occupant need ro prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of Ihe Califomia Health antl Safety Cotle provides Ihat Ihe Costa Mesa Fire Department may require the preparation, cetli�wtion an0 filing with the Fire Department ol an RMPP by bu5ines5es which are requiretl lo register acutely hazardous matenals with the Fire Department. 4. If an RMPP is presently required, has Section 25534 ot me Calitomia Health and Safety Cotle been fu�ly wmplied with? ❑ Yes ❑ No 5. Does or will the applicant or present or tuture building cecupant require for lhe work which is Ihe subjeC[ of thi5 application a permit for SUch con5�ruclion or motlificalion (fom the SOuth Coasl Air Quality Management District or from any other air pollution control dislrict or agency? ❑ Yes ❑ No (Section 658502 of Ihe Calilomia Govemment Cotle requires that tha requested infortnation ba fumished on applications ta noo-resitlential building permits). 6. Will any part of Ihe (aciliry to De constructetl untler this permit be within 1000 feet from Ihe outer bountlaries of a school? ❑ Yes ❑ No (II'yes". Ihe (acility musl meet the requirement o( Sections 25534 and 42303 of the Calitomia Health and Salety Cotle�. 7. If a permit from the South Coast Air Quality Management DisMct or other air polWtion conlrol dislrict or aqency is required (or the work which is the subject ot this application, have all of the disclosures prescnbeC by Califomia Health and Safety Code Seclion 42303 been made? ❑ Ves ❑ No 8. (If'yes", attach certificate of wmpliance from the appropriate air pollution wntrol oKcer�. CERTIFICATE OF COMPLIANCE: I cenity that untler penalty of perjury the intormalion given above is correct. I agree to comply wilh all state laws and city ordinances re9artling Hazardous Materials and Emissions. SignnWre Oa�e CERTIFICATE OF COMPLIANCE AND AU7HORIZATION OF ENTRY: I certify untler penalry of perjury that I have read this application and stare mat the information given is correcL I agree to comply vnth all state laws and city ordinances relating lo building consWction, and authorize representatives of the Ciry of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building auihoriz d�y Ihis permit until final inspeclioa � V/ C�� L�^--� l Wrod.Legel� r�" .Da�2 An0/or Aul�onze0 AOWi�an� Oate osta Mesa Building Department _ �.-111 EAST 20th STREET �� �� �,iQ�� COSTA MESA� CALIFORNIA :•'- ������ ' FOR APPLICAN� TO FILL IN � Building r'i . LCS�E.'S �iSCp.''-.' ' Costa Mesa,'California Nearest p���g gglBEC Cross St. ow„e�Cilff4fdiey XauchY3oma�e o4Cssrage ` Mail �Q(� ��a� lTE� && Addreu o:orrCR P�I�esa No�'b.i8=SB�F City . Architect�a����'���� No. Engineer •ddress13151''ausss$53flwEd.,a�.00 AL�9Eo� _�ntracto�OaB$C`�p gt $CAB N�pY Liw 2�� Address lb6 �0 1�@� St. mCoo�� Meo� De crotion I No. I Block � rract���5 (Attach Metesand Bounda) No. of Bldgx a SizeofLot 6� 8 ��Q NowonLot Useoi I No.of _ I No.ot Existing Bldg. `�o"'� Famfiles' 4 Setback Line from p Rear Vard Q� Cnnte�ofStreet �� SidnVa�d ir Repair I � Movi� I I Demo�ish I Building K2Z No.ot Size /�,+ ¢h Y l�' 4-" Rooms 5 Stories 1 terior Wall aBT. _ � Roof ;��,,,�„ 1 =CB� �CXFS�6 I herehy acknowledge triat I have read this Application and state that the above is crorrect and agree to comply with all City Ordinances and State I.aws regulating building construction. 8ignatureof Permittee , (�' Authorfzed Agt. `I�� Q� \ �] }q �� � � Valuation Permit Fee $ �,� Plan Check $ $ g��(�Q Total b Oi Fee $ � rnou �na r_u nu a...a APPLICATION FOdZ PERMPi' BUILDdNG ' eived by ng Approved c ur�r�iu�: ua� uNLY _ Receipt No. Permit No. I '%�I d .�z9 . --� D�Rec'd. Date Issued � 6 -a�es4 7- �=.� "' �Q �- �� ��' st esa, California '"� ,C�.� �Z�4� No.of I Type ' i Group �/ Plans •�k � � Date � s�/ CORRECTIONS � � ��� � - Iyde � . • '�r�i�.v�� APPROVALS iundation Loeatfon Inspecto Forms, Materials, Under-Pinning •ame: Fire Stops, Bracing, Bolts ith. Int. Plaster, Eut. Masonry Reinfarced Bond Beam —r. lf�t�� � Show locatlon �andi(Elatances f�om.ti. �tl���:'6} r �CriiU ��-r properfr-fiite anil between buildings F>.?, r.�.i � - ,� . . • _ ` r � � . .. 1 .� �. .. . . . ., . _ . .o .. ..1, " .� � _ . . .. � - �� . ' • i• ' . . ' I � ! 11 ..1n . . . `� ' . ' 1 . . I . . , i O. . � . ♦ , r . _ :' . ' . J. � I 4 1 I�� . � .� . � ♦ . - r - .�._ . /• 'r�.. . rl � ' . .. , . �i: - ` � - , � _ . . . �'..- � �� � " � e � . ,. . . . � --- - -'------..�-.-:- �--- ---- . . - , - , ( . .-t. - - . - ... _ -, .. . , �. � � � � , . . . � . ' ; ' . , , � �. . . .• . _ .. . ' � : ,- ' �.-s,:^.� i ,n�, � � - � , ._._ .. _ '. _' _._ ' _. .._ "__ _ ... _ i. " ` . . . . . , . . . . . �i . .� � . � 1, , i 1 'l\• ! _. \I 1 1 I�,� ���11 J! . I�i .. _ . I _,L _' i � ' , ' i 1 � , , • . , .;,' _ . �'7 �,: _` - • . _ _ - �-� . .-- -- - --- - -- - - - - — - - -- --- - .., .'.. . na APR 2 1 1960 AP. No116-0l�0-16 LOT BUILDING PERMIT N0. SUBCONTRACTOR I PERMITSISSUED OCCUPANCY Form Y10—SM—Ii-59 SB P -� ZZ003