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Home My WebLink About295 Avocado St - Building PermitsCITY OF COSTA MESA BUILDING DIVISION i 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754-5626 PERMIT NUMBER: E10-00101 PERMIT TYPE ELEC STATUS: ISSUED APN: TPNO09028 DATE ISSUED: 06/04/2010 ISSUED BY: BJZ JOB ADDRESS: 295 AVOCADO ST CM Vicinity: PARKWAY Suite/Unit: SCOPE OF WORK: NEW 200 AMP SERVICE PANEL FOR AN AT&T PEDESTAL LOCATED IN PARKWAY OWNER: CITY OF COSTA MESA PHONE: Address: Unit: City/State/Zip: APPLICANT: JOSEPH NARVAEZ Address: 244 JASON CT Unit: PHONE: 562-522-8580 City/State/zZip: CORONA, CA CONTRACTOR: JOHN GRIFFIN CONSTRUCTION INC License No. 618983 Address: 244 JASON CTUnit: PHONE: 951.278-2377 City/State: CORONA, CA ZipCode: 92879 CELL: ELECTRICAL PERMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $54.00 Reinspection Fee $0.00 TOTAL FEES $54.00 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 will result in the expiration of this permit. CODEC INSPECTION TYPE DAIS INMIALS CODEC INSPECTION TYPE DATE INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 Final Block/Retaining 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 WORKERS`COMPENSATION:DECLARATIDN: Owner ID verified by driver's license. ❑ Yes ❑ No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: r ❑ I have and will maintain a certificate of consent to self -Insure for workers' Verification of Ownership by (type of document, i.e. - property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy ❑ I hereby certify that no excavation five (5) or more feet in depth into which a number are: person is required to descend, will be made in connection with work authorized f (' CO by this permit, and that no building structure, scaffolding, falsework, or demolition V`- F0_ V` t7 �r rli lNsL) rr4 u e rf or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp (Thu section need not beconplete''IIdg1��di�the permis valued at one hundretl outlets ($100)orletri 2 Arlt Sec. 341, Title 8, Califomia Administrative Code). Po %1WA C,( rit e.�_ &d1 ❑ I certify that in the performance of the work for 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 shall forthwith comply with these provisions. Applicant's Signature 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 DOLLARS ($100,000), 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-DECL'ARATIOW. I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. <LTc.- C —Ca'lr gnarur 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). Lender's 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 and 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 ($501 ❑ 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 sec. Business and Professions Code for this reason: Signature 305716(3/0]) ❑ 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. Applicant's 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? ❑ Yes ❑ No (Section 25505 of the California Health and 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? ❑ Yes ❑ 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 feel 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? ❑ Yes ❑ No 5. Does or will the applicant or present or future building occupant require for the work which is the subject of this application a permit 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? ❑ Yes ❑ No (If yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and 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 ❑ No 8. (If "yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I 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. 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 and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Sig lure of Legal wner(sl ATOIpr'ApthO pptiCalu� /Date Planner: Jeff Irby BoNtAem =zllrcrn;x Office (714) 796-9817 EDISON S—A..'p.N.—t Cell: (714) 625-9984 WARNING THE EXCAVATOR MUST TAKE ALL STEPS NECESSARY TO AVOID CONTACT WITH UNDERGROUND FACILLTIES WPICH MAY RESULT IN INJURY TO PERSONS OR DAMAGE TO FACILITIES IN THE AREA THE INDICATED LOCATIONS OF EDISON UNDERGROUND FACILITIES AS PROVIDED, ARE RELIEVED TO BE ACCURATE, iOWEVER, THE FINAL DETERMINAI ION OF EXACT LOCATIONS AND THE COST OF REPAIR TO DAMAGED FACILITIES IS 1 HE RESPONSIBILITY OF THE EXCAVATOR. UNDERGROUND SERVICE ALERT 1-800-422-4133 or 1800-227-2600 Call USA for underground locating 2 working days before you dig. CONDUn RA.DI'.°5 FECUI2ELIENTS: A- the nan mlml wdua rcr bcncb alc 36" mr cardw- > in diameter at snaller 427 for conduis i` arj 5' ir, dim>Eier i0" Tv 6' dhmner condut 6= The mintnum radius far :weeps ars: 30 ?cr can:fuis 5` in diameter al anal!=r 7�-E` u cuida'ra 4' in di:arcia and lalacr, W:L-s� atP.eleir Iwcd. CUSTOMER NOTE: CITY OF COSTA IWESA PAGE 1 OF 1 Pali. RLSFA BEND STANDMI) L(CATIDN 1- SCHEDULE 40 PVC 2- 2-1/V & 3" DUCT = 36" SWEEPS 4" DUCT = 48" SWEEPS 3- SCHEDULE 80 SWEEP AT RISER POLE 4- DUCT TO BE MINIMUM 30" BELOW FINISHED GRADE 5- INSTALL %" POLY PULL ROPE IN DUCT FOR MANDRELLING 6- DUCT MUST BE INSPECTED BEFORE BACKFILLING 7- DUCT MUST BE MANDRELLED AFTER BACKFILL A 48 hour advance notice of intent to start construction is required from the contractor to the underground division of the Southern California Edison Company. Inspector: Circuit Information: Bass 12kV/Bayside I 7 I I . I v—T v.. 1670558E RISER DETAIL Ex. 3" RISER:30' )- RUN: 60' New 3"TOTAL: 90' WN LATITUDE: 33° 39' 15.9" LONGITUDE: 117° 54'43.3" P _-- L CSW 4' Ex. 1249354E 45 25!12 PKWY 6' 120/240 : curb face curb face y PKWY 5' CSW 4' TRENCH FINISHED GRP; r GUTTER 112' MIN. RADIN-L' ROM TFLCOI -� 1" SANDIGRAVEL 40 > l P o -- L a> CSW 4' ZD a PKWY 6' 7 _ lZ' Fs. 6d 120v 160' curb ,,v 20' face STA Ex. 771710H 1 50 In: 50kVA/12 S/N: In: 50112 1201240 7? I 11 -, 1201240i}' Ex. 7-73 t1 Ex, 110 WAL 120/240 112' I- CO 1 - 3" Duct (Sch 40) 60' —> 1 45' - - - �36R j. 15' 0 nu4 120/240 1p 3W In: Riser 3 x 2 In: 3-1/c 2 1/0 & 1 #2 AL CLP 600V 90' In: 1P TERM 2-1/0 & 1-#2 600V UG TO OH COLD SHRINK In: ZMTR 108 SG1 im Title Block curb Ex. 1348471E —45 — 75!12 0 Avocado Street 771710H LIS PLANNER: JOB NAME. - - _ FOREMAN'. DISTRICT: ch OW'D, JOB IOCA1,DN TRUCK PIE DATE SENT TO BJW DIST. SKETCH # 6433 2040 291 f,vocado Street, Costa Mesa CA 92626 ' At NO: 8-2173 TLM-CSO LZREQUIRED YESNO X TLM. DATA Exlsr. SIL "A GUST %LOAD 75 105.6 65 140.8 Rang. 50 61.3 26 122.6 DRAM BY: IRB INV 33-12D J,PA NO.: GRIDNO.: �THOMASMAP WORKED BY: NhA 1 040I888 J2 VOLTAGE DROP: 7 11 Ir'KGR CP TITR' -- MAP NO'S. .._ Dl$OVTMEAN CALIfaANI EDISON n An EPSON INTERNATIONAL DOTa2T, I SCALE: N.T.S.