HomeMy WebLinkAbout2313 PLACENTIA AVE - Building Permits(714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
Job Address:
Suite No
Vicinity:
Parcel Nunmber:
2312 PLACENTIA AV
ADJACENT TO CORP YARD
TPN00139
ELECTRICAL PERMIT
Applicant: PERALTA, JAIME _ -
Addr _ , ' _ - . , .. � � - _
Status: ISSUED
Applied: 08/30/2001
Issued: 08/30/2001
ISSUED BY: �
ess. ii�.' - . - . - - -
il ��' � ' � Phone: 949-475 `8950
�7 ' � ? �_ '��
` Zip: ^ �
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Owner:/ SFRINTPCS, - - � � ���i '.� ,��
Address � / 683 CHABOT DR " � � ' ' � , �_ ��
� c
� �' SUITE 100 � i;;. � Phone_ �� �V�. ��� � � � �'
✓ > ��
� - � PLEASNATON CA � Zip: 94588 � �� ��� �,- ,
- . - ', _ . �; `
Contractor.
Address:
'MAUDLIN-DORFMEIER
3240 N MILLBROOK
FRESNO, CA' � -
� �.
,
• ' . �.
- - . . � . . ' . � �'`.
,;-ph e: 559-252-4600 , . ' , � � � l
� _ ' Zip: �93702 . � � � � . �
_. , - � �
License: 448522 �� . �' \ i�� �
SCOPE OF PERMIT , . _
� , � REF:B01-00976. �ELECTRICAC FOR MONOPINE CONSTRUCTION. MONOPINE�.IS ON CITY GOLF COURSE .
. ADJACENT TO THE CORP YARD. ELECTRICAL TOiNCCUDE: 1 LIGHT FIXTURE, 1 OUTLET, 1 , ,
, SWITCH, 1- 100 AMP SERVICE, 1 COMMUNICATION DROP; 1 SUBPANEL, 1 TRANSFORMER TO "
, 10KVA, MISC. CONDUIT. , , , �
- ' �-'`,-h`� - , '� / �� ,
i, , • '
ISSUE FEE
Temp serJice test
Res: a/c package
New Res (t-2 units)� �
New Res (3+units)
Pool / Spa
Lighting Fixts�` �
Recept Outlets �,
Switches � �
Non Res Appl ' �
Res Appl
Service to 200a .
Service to t000a
Service over 1000a
Motors to 1 hp
Motors to 10hp
Motors [o SOhp
Motors to 100hp
Motors over t00hp
Communication drops
Sub panel to 200a
Pole Light Pkg
Sign CirGuits
Temp Pwr Pole
Intermed Pole
Quantity . �
$23.50 Temp Dist System�l Lighting
$0.00 Busway /100 ft � �
� $0.00 �7 ,Standing Section
�, i0.00 0 - ' �� �� � � Misc Electrical Equipment
$0.00 0 - Trensformers up to 1 kva/kw
� $0.00 ., 0 . _`���! � , � ................upto�l0kva/kw _
' $7.10�� ��-'�� 1` � ; � � ...:.............upto50�kGa/kw`
i�$1.10. �_ . 1 - q" �,: -"........_.......up to 100 kva/kw
� $1.70 �� ���: � .�1 ..................over 100 kva/kw
�" . $0.00 � � � 0 � Low Voltage Equipment �
, $0.00 - -0 . Low Volt Wiring �SystemJ Ckt
. . , $30.50 - 7 � � � Misa ConBuit �
� .$0.00 . b � � Misc. Conductor
� ��$0.00 ��_ �' 0 � , . , � , Circus ( gen or ride)
�$0.00' �0 - Circus(mechride�,orlights)
$0.00 � 0 � � Christmas Tree Stand �
$0.00 ��- - - 0 , � ' � '� �Fireworks Stand - '
50.00 ��-� 0 � . . Other Electrical.Fee � �
$0.00 0 � � � ' - - - �„ , - . -
$1.00 1 ' - Investigation Fee
$30.50 1 Plan Check Fee
$0.00 0 Reinspection Fee
. Quantity.�
50.00 0 '
$0.00 0
$0.00 0.
$0.00 0
$0.00 0
$72.30 . � 1
�$0.00' 0 � -
$0.00 - � 0
: $0.00, , , 0� -
$0.00 0
$0.00 0 - ,
$�1820 7
�� $0.00 �„0-�
�� $0.00�.'�,�0
.-$0.00, '" 0
50.00 0
' $0.00 0
$0.00
$0.00
$0.00
$0.00
$0.00 , 0
$0.00 0 TOTAL CALCULATED FEES b'I19.30
$0.00 0
COMMENTS / SPECIAL CONDITIONS
NO710E: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calitomia statutes and related
regulations. (Ord. No. 9248, § 1, 12-21-92)
EXPIRATION: This permit shall automatically expire and become 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 ihe work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all
requfred Inepections and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
zaaere �aroo�
�
WORKERS' COMPENSATION DECLARATION: '
I hereby ettirm under penalry of perjury one o11he following tleclarations:
❑ I heve entl wlll�malnteln e certlficete of consent b self-Insure tor workers' compensetlon, es provided for by section 3700 ot the Lebor Cotle, for the peAormence of the
work for whlch Ihis pertnit Is Issued.
❑ I heve end wlll malntain workers' compensatlon Insurence, es requlred hy sectlon 3700 of ihe Lebor Code, for the peAortnance of ihe work for whlch Ihis pertnit Is issued.
My workers' compensation Insurence cerrier entl policy number ere:
Certier:
(fh/s secNon neetl not
❑ I Certily Iha� In Ihe per
compensetlan lews o1
comply with thesa pro
Applicent Sipnature:
WARNINO: FAI E TO
TMOUSAND E100
Policy Number:
the permit Is vel et one huntlretl dollers ($100J or /e55J
�f (he rk lor ch Ihis Oertnil I5 issued, I shall not employ eny pereon In eny manner so as to ecome sub�ect to tha workera'
end t I I should become sub�ecl to Ihe workers' compensetlon provislons of Sectlo 700 at the ebor Code, I shell fanhwlth
Date: a OI
' MPENSATION COVEfiAOE IS UNLAWFUL AND SHAL� SUBJECT AN EMGLOVER TO CRIMINAL ENALTIES AND CIVIL FlNES UP TOONE HUNDRED
]N OTHECOSTOFCOMP�NSATION,UAMAGESASPqOVIDEDFORINSECTIIXJ3]OfiOFTHEUBOqCO�E.IPlrEREST,ANDATTORNEV'SFEES.
LICENSED CONTRACTORS DECLARATION:
I hereby aHlrtn Ihet I flm licensed un r proNsi ter 9(commencinp wilh Sectlon 7000) of Divislon 3 ot the Business antl Profess'ons Code, and my license Is in full
farce entl ettect. Lic. 8 Class a
Contractofs Signeture: Dete:
CONSTRUC710N LEND G AGENCV:
❑ I �ereby affrtn th there is e construction lentling egenty for the peAormance ol Ihe woAc for w�ich this pertnit is issuetl. (Sec. 3097, Civil Cotle).
Lentle/s Neme:
Signature: _
OWNER-BUILDER DECLARATIONS:
Lentlefs Atltlress:
Date:
I hereby aflirtn thet under penelry ot per�ury that I am EXEMPT FROM TliE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions
Cotle: Any city or county which reQuires e permit to construct, elter, Improve, demolish, or repeir eny siructure, prlor to its issuance, also requires the eppliwnt for such permit
to Ole e slgned statement thet he or ahe is Iicensetl pursuant to the proNsions M ihe Comractom License Lew (Chepter 9(commendng wlth Sectlon 7000) of DlNslon 3 of lhe
Business entl Professions Code) or that he or she Ig ezempt therefrom enA the basis for ihe fllleged exempUon. My vidation oi Section 7031.5 �y any epplicant tor a perm�'
subjects the applicent to e dvil penelry ot not more t�an frve huntlretl tlallers (8500).):
❑ I, as owner af ihe properry, or my employees wlih wages es �helr sole compensatlon, WILL DO TME WORK, end the strudure is not Intended ar afferetl for sale (Sec.
7044, Business and Professions Cotle: 7Te Contractors License Lew does not apply to an owner of properry who 6uilds or imprwes thereon, end who does such woAc
himselt or herself or Ihraugh his or her own employees, provided ihat suc� Improvements are not Intended or aHared for sale. It, however, ihe building or improvement Is
sold within one year ol complotion, the owner-6uilder will heve Ihe burden oi proving that he or sha did not build or improve for purpase oi sale.).
� I, as owner of ihe properry, am E%CLUSIVELV CONTRACTING WIT}1 UCENSED CONTRACTORS to canswct the project (Sec. 7044, eusiness and Protesslons
Code: The comractors License Law does not eppy to en owner of pmperty w�o bullds or Impmves thareon, and who crontraqs for such proled with a contreqor(s)
license pursuenl to the Contractors LJcense Lews.).
❑ I em exemp� under sec.
Signature:
Owner ID verifiad by dnvers license. ❑ Yes ❑ No
BuSin&55 end Prof8551on5 COde tor thi5 re9son:
Verifiwtion of Ownership by (rype of tlocumenL i.e. - properry tex bill or deed):
DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFILATION:
Onver'S License No.
DetB:
Expires:
❑ I hereby certlly thet no excavatlon fve (5) or more feet in depih Into whic� e person is requiretl to descend, will be made in connection with work authorize0 by this
pertnit, entl that no bullding siructure, scettolding, falsework, or demolltion or dismentling ihereof, will be more than t�irry-slx (38) feet high. (Chap. 32, Grp 2, Art 2, Sec.
341, Title 8, Celifomla AGminlsiretNe Code).
❑ As owner-bullder, I wlll not employ enyona to do work whlch would raqulre e Dermit Irom the Divislon of Industrial Safery, es noted ebove, unless such pereon has e
permit to do such work from t�e tlivision.
Signature: Date:
Division of Industriel Safery Permit Number:
CERTIFlCATE OF COMPIJANCE AND AUfHOR1ZATON EMRY: I certify under penalty oi perjury Ihat I have read this"application and state that tha Iniortnatlon given is
correct. I egree to comply with ell state laws e ciry nences relating to bulltling wnslruction, anA euthonze representatives ot the Ciry of Costa Mesa to enter upon the
ebove-descnbed properry tor inspgction pu s. I e not to occuDY or ellow occupanry ol eny builAing auihorized by this pertnit until final insDection.
GOOE 1. '
1616 Fised tem Finel Fire Prevention
1266 Pool Spe Final
200 Final Re-Roat
201 Final BIocWReteining Wall
202 Flnal Fectory Fire Place
203 Finel Sipn
204 Flnel Demolition
�
U � V �I
� ' oate
� eooe� ixsveenoNme
206 Final Mechanical
20B Final Plumbing
210 Flnal Electrical
212 Flnel Fire Preventlon
220 Final Planning Approval
222 Final Site
250 Final Builtling/Occupency
PL� Itii�4@
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(714) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626
BUILDING PERMIT
,lob Address: 2312 PLACENTIA AV
Suite:
Vicinity: ADJACENT TO PARKING LOT
Parcel Number: TPN00139 Zoning:
Status: ISSUED
Applied: O6/27/2001
Issued: 08/30/2001
Applicant PERALTA, JAIME __ ISSUED BY:
Address: " _��. i�.' - ' -� -- .
� �,i:� � _ '-.. �
;.i/���� _. - _�Phone: - 949-475-8950�� -- '_ .
.-' i . Zlp: � _��,.
ii � .
/,-� t \
Owner. SPRINT.PGS�� ' � �� - � � � � � �' �;��
i
Address 4683 CHABOT�DR � / - _ - � ��� , ��
! '. %. � -, �� ` ` � . . - P-hone: 949-623�5572 �� _�- . � ` _ - ' ���A�'.
��
' iP.CEASANTON;"CA"�'.'�" "- - Zip: 94588 - ��: `-\
,� _ ,.� - '. .-. " // - � .�V�•,
Contiactor `MAUDLIN-DORFMEIER � �`� �., � � ����'��
�Address:, 3240 N-MILLBROOK ��;- ; �,A�� ,
i
- / ;' : / Phone:. �-559-252-4600 ' �� � � ' �
i •� �
� _ ' � � FRESNO; CA -: , � � `
\
Zip: ' 93702;/ • License:;:.448522 � , , , -'�� �-
�:�.:�� � - . . .
� ,�.
Arch :_ ' . , � � � i . � . � En9. � .. - . _ .
Address:� � , :; 1 .� ; . .., Add�ess: � ' �- �� _ �
, � � � , . : � . ,- : P-hone: _- � � � -- . Phone: . _ . .
, . // - _ . " . "' .r . �.
�Zip: . . , ' � -License: `�License:
- SCOPE OF PERMIT
,' INSTALLATION OF A 52' HIGH MONOPINE AND SIX (6) �EQUIPMENT-CABINETS ENCLOSED WITHIN APPROXIMATELY
288 SF OF AN�B' HIGH CONCRETE BLOCK WALL ON CITY-OWNED PROPERTY. �� � ���'� �- �
REF: ZA-Ot-06 . . ..`� . ' ,
- ' - ., .. �._ �� ' , .
�
� ' � , � FEE SUMMARY . _ �
Plan Check: $41876 � �' Calc Valuation: '
Permit $64425 Claim Valuation:
SMIP Res: $0.00
SMIP Com: � $10.50 ,
�.�Othef:�' $0.00 , ;r;,�"'-�`„ '
Inspection: $0.00 � � � '' ' �' ';'�
. , _ t: ,, i; __ _ .: . .. -
Total: $1,073.51 - �_„ ,, � � " , ' � � � � �
; \ �/.
� � � � � . �, PLANNING & ZONING � � �
SETBACKS � � ` � , , . - , , /'
MAINSTRUCTURE Front��0-0 � .;, Rear �0-0 Left 0-0';S RighL- 0-0. %
ACCESSORY Front 0- 0� � Rear 0- 0 � Left 0- 0 � � RighE �' 0- 0
PARKING Exlsting: 0 ��-Reauired: ., 0; - Proposed: .-;o. � . "
NOTES:
$50.000�.00
sso,000.00
NOTICE: The work authorized by this permit shall comply with all applicable handicap access raquirements under Calitornia statutes and related
regulations. (Ord. No. 92-28, § 1, 1241-92)
EXPIRATION: This permit shall automatically expire and become 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 authorized under this permit to be consideretl legal, such work must comply with all appliceble codes, and all
required Inspeetlons and final epproval must be obtained. Failure to obtain inspections and final approval will result In the expiration of this permit.
FOR INSPECTIONS CALL: (714) 754-5626
.,� ia�,�
�.d
WORKERS' COMPENSATION DECLARATION:
I hereby e�rtn under penalry of perjury one of tha tWlowing deGara6ons:
I hav ntl will meintain a certificate of consent ro self-Insura tor workere' compensatlon, as proNtled for by sedlon 3700 oi the Lebor Code, lor the peAortnance of the
for which Ihis pertnit I5 i uetl. /"�
1 have and will mein2£yvwk s' co p� �nce, es reQuirgtl bj sectlon 3700 of Ne LeOor CoOe. for Ihe 7eAortnance ol the wark for which Ihls Geimit is issued.
n�ty workers' compe �j{�er end Iiry number a�e: �
Cartier:
❑ I cerUfy Ihet in Ihe perfortnence of the
compensetlon laws ot Caltlomia, en
compty with ihese provlsions.
Applicent Signature: a
WARNINO: FAILU O SE
TlIOUSANDDOLLARE(5100,000),IN OfT10NT{
LICENSED CONTRACTORS DE
I hereby elfirm that I am licensetl
force and etfect. Lic. M.
CONSTAUCTION L
❑ I�erebyaffrtn
Lentlefs Neme:
Signature: _
far
��:ii
Policy Number:
�ntlred dlers (81001 ar less.)
�It is issued, 15hall not employ eny person in eny manner so es to become sub�ect to the workers'
wme sub�ect ta the workers' compensetion pmNslans ot Sedlon 3700 i the LeDor Cotle, I ahell torthwith
oa�a: S�3a/d /
IS UNUW FUL AND SHALL SUBIECT rW EMGLOVFA TO CRIMINAL PENALTIES AND GVIL FlNES UP TO dJE HUNORED
\TION, DMMGES AS PipVIDED FOH IN SECiION 3108 OF THE LABOF CODE. IMEREST, AND ATTORNEI^S FEES.
(cammencing with Seqion 7000) at D'Msion 3 of the Business enO Professions Code, end my Ilcense Is in full
Cless q
Date:
e construqion lentling egency for the peAortnanca of the work for w�ich t�is permit Is luuetl. (Sec. 3097, CMI Code).
Lender's Address:
Date:
OWNER-BUILDER DECLARATONS:
I hereby attlrtn Ihet under penalry of perjury t�at I em EXEMPT FROM THE CONTRACTOHS LICENSE LAW for the following reeson (Sec. 7031.5, Business end Professlons
Cade: Any ciry or counry which raquires a permit to conswct, elter, impmve, demolish, or repeir eny sWCNre, prior to its luuance, also requires the applicant tor such pertnit
to file e slgnetl statement that he or she is Ilcensetl pursuent ta the provisions of Ihe Contrectors Ucense Lew (C�apter 9(commencinp with Secllon 7000) of DlNsion 3 01 t�e
Business end Professions Code) or t�at he or she Is exempt t�eretrom antl ihe basis for Ihe elleged e:emption. Any Woletlon of Seqlon 7031.5 by eny aDP���ent for e perm�'
sub�ects lhe applicant to e Gvil Denalry of not more Ihan flve hundred tlollars ($500).j:
❑ i, as owner ot the pmperty, or my empiqrees with weges es ihelr sole compensatlon, WILL DO THE WORK, antl the sirucWre Is not IntentleC or oHeretl for sele (Sec.
7044, Business anE Protessions Code: Tha Contractors LJcense Law Ooes not epply to en owner of property who builds or Improves thereon, and who Ooes such work
himsetl or hersetl or through �is or her or.n employees, D�oddetl t�et such improvements ere not intended or oMered Por sele. If. howaver, t�e DUIIOIng or Improvement is
sold within one year of completion, ihe owner-builtler will �ave ihe burden ol proving that he or she did not build or improve for purpose of sele.).
❑ I, es owner o11he propeM. em EXCLUSIVELV CONTAAC7ING WITF1 LICENSED CONTpACTORS ta construct tha project (Sec. 7044, Buslness end Professions
Code: The contractors License Lew does no� epply to an ownar of property who bullds or improves t�ereon, end who contracis lor such projact wlih e comrectar(s)
license pursuam to Ihe Contwctors License Lews.).
❑ 1 em exempt under sec. Business enA Professions Code for Ihis reason:
Signature: Date:
Owner ID venfied by drivers licensa. ❑ Ves ❑ No Drivets License No.
Verllicatlon of Ownership by (rype ot Gocument, i.e. - property len blll or AeeA):
DIVISION OF INDUSTAIAL SAFETV PERMR CERTIFICA710N:
Espires:
❑ I �ereby certify that no excavetian five (5) ar more teet in tlepth inio which e person is required to descend, will be mada in connectlon wlth work euthoAzed by this
permit, antl that no building structure, scaHoltling, talsework, or demalition or dismantling Ihereof, will be more than t�irry-six (36) faet �ig�. (Chap. 32, Grp 2, Ar12, Sec.
341, Tifle e, Celitomla AdministratNe Code).
� As owner-builder, I will not employ anyone to do work which woultl requlre e permit trom the Division at Industnel Sefery, es noted ebove, unless such Derson �es e
pertnit to tlo such work irom Ihe division.
Signature: Date:
Divlslon ot Industnal Safery Permit Number:
CEFiTIFlCATE OF COMPLIANCE AND AtJTHORIZATI N OF ENTRY: I certity under penalry of perjury that I have reed lhis epplication flnd state Ihat the intortnetlon gNen is
wrrect. I egree lo comply with ell stete laws end cl ortlinances reletlng to Oullding constructlon, end euthodze representetives oi the Ciry ol Coste Mesa to enter upon the
above-descnbetl pmperty lor ins0ectian yQrp9y§s gree nat to occupy or ellow occupenty ot eny 6uilding euthonzed by Ihis permit until final inspection.
CO�E I,
1618 Fix System Finel Fire Pravention
1268 Pool Spe Finel
200 Final Re-Roaf
207 Final BIocWRetalning Well
202 Final Factory Fire Place
203 Final Sign
204 Finel Demolilion
�E IMRIAL9
3� a� /
� Date
COOE I INSPECTION TYPE
206 Finel Mechanical
20B Finel Plumbing
210 Flnal Electncal
212 Final Fire Prevention
220 Flnal Plenning Approvel
222 Final Site
250 Finel Bulltling/Occupency
PAIF II�dLfl
-J1J��1