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
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°. � 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��.�,�?
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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.''-.'
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Costa Mesa,'California
Nearest p���g gglBEC
Cross St.
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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.
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--� D�Rec'd. Date Issued �
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No.of I Type ' i Group �/
Plans •�k
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CORRECTIONS
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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
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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