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Home My WebLink About2123 UNION ST - Building Permits t l ' - u MFq CITY OF COSTA MESA ;`4ain't BUILDING DIVISION V Y�- I.r sen ' DEVELOPMENT SERVICES DEPARTMENT 4•�s^' PERMIT PER IT NUMBER 00"°"'64 8-01291 (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 • ELECTRICAL PERMIT Job Address: 2123 UNION AV Status: ISSUED Suite No Applied: 12/21/1998 • Vicinity: GARAGE&WASHROOM AREA. Issued: 12/21/1998 Parcel Nunmber: 42244209 Applicant: BISHOP,DOUGLAS Address: 2123 UNION AVE Phone: 949-460-0750 COSTA MESA,CA Zip: 92627 • Owner: BISHOP,DOUGLAS Address 2123 UNION AVE Phone: 949-460-0750 COSTA MESA,CA Zip: 92627 Contractor: Address: Phone: Zip: • License: • SCOPE OF PERMIT ADD 2 SUB PANELS&UPGRADE EXIST SERVICE UP TO 200AMP, FEE SUMMARY • Quantity Quantity ISSUE FEE $22.00 Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft . $0.00 0 Res. a/c package $0.00 Standing Section $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0 Lighting Fixts $0.00 0 up to 50 kva/kw $0.00 0 Recept Outlets $0.00 0 up to 100 kva/kw $0.00 0 Switches $0.00 0 over 100 kva/kw $0.00 0 Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0 Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0 Service to 200a $27.25 1 Misc.Conduit $0.00 0 Service to 1000a $0.00 0 Misc.Conductor $0.00 0 Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0 Motors to 1 hp $0.00 0 Circus(mech ride or lights) $0.00 0 Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $54.50 2 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $103.75 Intermed Pole $0.00 0 COMMENTS/SPECIAL CONDITIONS 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 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 will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 • DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ -r • and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the for which this permit is issued. Mhave a • -aintain works ' ••..•- .'- •n Insurance,as required by section 3700 of the Labor Code, • - •'rformance of the work for which this permit is issued. •- ars'com•• nsurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if th 'tta valued at one hundred dollars($100)or less.) ❑ 1 certify that in the performance o or which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shell forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($110,000),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 affirm that t am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license is In full force and effect.Lic.# Class N Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097.Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business end Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not Intended or offered for sale.If,however,the building or Improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions \ Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under s=c. Business and Professions Code for this reason: - Igriatur I , _ .i . 6f�a Da F 2 I It. • her ID verified b drtvers license. • Yes 0 '0 Dri . s License No. E was: . �o Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health end Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight 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 applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑Yes ❑No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health end Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No B (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:1 certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: _ Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws,@nd city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described properly for inspection pu •• ts..agree not to occupy or allow occupancy of any building a orized by thiisss rmit until �final liinspection. / IO ' .nature Of Legal P e �AnAuthorized Applicant Date CObE# INSPECTION TYPE DATE 1110101913 =El INSPFCTIONTYPF DATE MAO 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing / I' 200 Final Re-Roof 210 Final Electrical l[+ -21/-97 `9f 201 Final BIocWRetaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site _ 204 Final Demolition 250 Final Building/Occupancy 2446-46 E N u i 4799 Le /__�=_ -- f�' _�_.....-.� 1 c Oce2_ 2)4 �y� ;t /tt•-e-� H f� i — vna_.n f{iB jtp _— Tj «. ia :'ar iO4 Std Cath ( <ei a� .e cat o � ., ,4c �1Va v f I a 1 e .. 1 Contractor Address • 5 City Lic, o,-� 'h� No„ _ I I «r YI i I Size of Lot 73 / x /oo<Af mI,�5 j//--g ii4--- _ 5108 .•-_ r ,r 01 1 Setbacks CAP—Si:,eet e,at"'Rea'.- �. II if i of pi op. a' Sifr`,,e Yard m Right - /"Lef' ........ .k:42,1 11: ::"I 4i a fT a ofFence 1 ._;a- < . ,� - / f 44 I - - r t � . ` '� -- - ! I I hereby acknowledge that I have rad II Cr - .LE C& PROP. TLS F4, Cub aj 1 this application and atate that the 4 above is correct and agree to corm' • T�. 1 p I II 5 with all City Ordinances and State- 3' y.l I a Laws regulating building constretetl• i< 'i— I i 1 L'� I- 'r 1,1 111 I F" 1 > a J ; • 1 I1 I I ��= m �� in 1 {1 _ • II� �..gratura �) Id �Ii`.a I !I EI of Germi tteo /It' 41'° - / ,. t c! w 1 if Agent CO WIN I I �!s F a a• F a I ! FOR OI r rCt. USE ONLY C8 . I 1 I I I i �7 to S — permit No f 1 . ,z o < ° Q li la SEE REC ��IVE�� Roc ods to Date Iaaga c .. PI �( 3704 I ' �' ' 1 FIANCE EPT. +AL iATICnd ermit r $ - : I I wFT I. >:' - 1 CITY 9 F COST' MESI. plan Check S I I 51 .. JAI ... rd ??.u' : s'+ar '-- _ ts,.a. .,il .. ._ 6b9 ILS. 'CS- ' " TOT41, (_FFc $ �... a a I � i I ! •I I - i 1 I 11 • 1 ! h L — - - - - —... - - — - - - - - - _t?_- - -- -- + i : . . . . .;i: ri il S•nolid w OWNER "HAMNESS, WALTER SEP 2 4 1957 DATE 3-26-57 1t JOB ADDRESS 2123 Union Ave. BUILDING PERMIT NO. #1765 GENERAL CONTRACTOR Owner Bldr. VALUE $ 557.00 APU5-1111-09 LOT BLOCK TRACT -Renee' 1.„.„.(7U-a- GROUP TYPE ZONE FIRE DISTRICT 11799 PERMITS ISSUED INSPECTIONS %, DATE SUBCONTRACTOR id 5�- DATE NUMBER Footing Trench �ia4f /14 6) " "yi Foundation Forms and Grade to Garage / p- V Rough Framing ��, l Plumbing,Rough to Slab Wil`%I Plumbing,Rough Complete Temporary Pole V Wiring, Rough (' a' )r a Heating,Roughj/ Heating, Final G` / Sewer, House Sewer,St. [' Septic Tank or Cesspool ../ CI Lathing, In Out Plastering Plumbing,Final,Fixtures Complete Plumbing,Final Gas Test Wiring,Final _ ' Occupancy &it% 7- SP ' FORM 310 3M 10.53 1765 OWNER CHAMNESSI Walter MAR 11958 DATE 11-22-57 JOB ADDRESS 2123 Union BUILDING PERMIT NO. 6120 11 CJs1fJZAJ,_CONTRACTOR Owner-Builder VALUE $ 478.00 AAAP--. No. LOT 176 TRACT1872 FIRE ZONE DESCRIPTION OF WORK Storage & Garage GROUP J TYPE V ZONE PLAN NO, 6120 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Trenches Forms Steel ;t i/1•t'(i Floor System I Steel Reinforce Chimney Re-Rod Bond Beam Frame and Plashing Lathing, In Out t-c EINEMi Plaster, brown coat 11,-64 Underground soil W/G Pipe Test Top Out . Furnace Gas Vents Rough Plumbing Cesspool Septic Tank Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating Final Plumbin. Fixtures Final Final Gas Test Construction Pole Underground Power Rough Wiring Fixtures, Final wOCCUPANCY —er —I Form 210-5M-1-57 6120 J .. 6120 FEE fir 1^'` r -- 1 •COSTA MESA BUILDING DEPARTMENT i i - 3 a -51 v �` P.O. FINANCE DEPT. COSTA MESA.A. CALIFORNIAL FOR APPLICANT TO FILL IN APPLICIATION�FORUPERMIT 'ADDRESS 2 / 23 BUILDING COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY RECEIPT NO. PERMIT NO. OWNER -yidsMI rol `G' MAIL ADDRESS 2 2 J., �Jp' CITY 1 4•� _ TNO.L/ 08130(� ADIDREISS 2/ 2 UN/o ARCHITECT LIC. OR ENGINEER NO. COSTA MESA. CALIFORNIA FIRE 3 ADDRESS C" ZONE CITY LIC. ZONE TYPE CR•== CONTRACTOR , . NO. I/ ..-,f EMI TEL. APPROVED,/ ADDRESS NO. BY �/ �i I LEGAL DESCRIPTIONIMPRIMIn BLOCK TRACT/ 2 •� /'O // '-- / liti stman'a■ SIZE " EgirnCITY OF COSTA MESA OF LOT ■i USE OF ,/ • EXISTING BLDG. ' - Q x_ ?,-•,,. ,•LDG. DEPT, REIT, ■ SETBACK LINE FROM ��, .� CENTER OF STREET ! ( REAR YARD BY �' DA • /�%r� / ` iv ■ SIDE YARD RIGHT , LEFT PLAN TITCH. DESCRIPTION OF WORK --67.- mmiNEW ALTERATION ■ y' /' REPAIR ■ // ■I DEMOLISH / O / t�� 2 ` (J BUILDING A 14 ROOF / / G✓ �OOR, SIZE11�� ROOMS.OFSTORIES EXTERIOR WALL ROOF off _COVERING COVERING W� •A. ci ' 1 a+0--- L�A✓ S a9 BUILDING C USE OF NEW -71c....,.4 ala - * J• .? � , V / ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC. TION. VALUATION �� SIGNATURE OF U/. ' w 1 .�` PERMITTEE KKLL f� �yy , PLAN CHECK S AUTHORIZED AGENT 7 TOTAL FEE $ `fir