The URL can be used to link to this page

Home My WebLink About550 BERNARD ST - Building PermitsCITY OF COSTA MESA BU/LOIN6 DIVISION 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: BC07-00026 PERMIT TYPE: B COMBO STATUS: ISSUED Sub Type: RES_ALT , DATE ISSUED: 06/12/2007 °�'�� ISSUED BY: RMD � - � ,_� y- , . .106 ADDrtEss: 550 A BERNARD ST CM� ��4 ' �;,, , Suite/Unit: A .. .. � . t, -; � � . � .. �. :. .. = . Vicinity: THROUGH OUT HOUSE� ,�. ,� Primary:Occ Const Type: V-N .�� `i� SQ F7'r ""� �0 ValuaUon .$0:00 , ,, ,,.i . , %�(�. ,„,�^ � SCOPE OF WORKi MISC INTERIOR NON-STRUCTURAL REMODEL TO SFD WITH ECECTRICAL;iMECHAP PLUMBING WORK. . ' � �" �'•-�" OWNER: PHONE: . � r rt;r' Y.., � � _ ^ � � � ._ , ' � � . � � . C r �:', . `.. � T � 128 PROPERTIES LlC ,�'<� �"� - '"Addiess: 726 E i6TH ST �_Unit .��. i 949-548-2720 ,.T r s,''� 4 -� + � "�r;.: � ��.'�City/State/Zip.;�._�COSTA�MESA, CA APPLICANT: MOHART; �JOHN #-_�� Address. ,� Umt � _ ��-�� PHONE: . 949-548-2720 ,; , ., .� .� � �. ; -' . ..:,. City/State/zZip: . ... �- ,. '° �: " r. i _. : _, � , � � ; �';7 R: OWNER-BUILDER F� �{ �� License No.'' 000000 . - Umt „i; I ..'." r PHONE . . �- : .-- `. �" � + j;� - � �.r � : `;; � - � ZipCode - 1 -. CELL: . - , .. License No. .t.�. : ` ;� t' �PHONE�I�: •: . .c., . �., . �. ` � License No. - .s � I. � . �PHONE:;% . . . . ! ��`rl .,�, . .. . s .. r �� ti + �. s. ,.: . x:;r t ATION PERMIT FEE�'SUMMARY "-� �, _ �� , ��`�' COIVTRACTO Address: City/State: ARCHITECT: ENGINEER: Building PlamCheck: ": $0.00r'.; � * t ' �" Building Fees: { $0.00 Electrical Fees: � , ;� � " $6310 ;; ., � ?' � � Mechanical Fees: ; � 2 $53.20 = � "` - .a�' Plumbing Fees: ' r", $127 50 � . � ` � � " � S-"� � . SMIPResidential: _ � '�$0.50 �`'��* �;�,t` * � SMIP Commercial: �$O;OQ . ,_ , - °'"r""" TOTAL FEES: $285 30 ;`; __ _ _ �.' ,= "Refer to fee recelpts for ail fees paid (or project � NOTICE: The work authoiized 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 authonzed under this permit to be wnsidered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. FaiWre to obtain inspections and final approval will result in the expiration of this permil. LQOE /. INSPECTIONTYPE 1616 � Fixed System Final Fire Prevention 1268 Pool Spa Final - '200 �FinalRe-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition A�F INnn��s 4QQ�a INSPECTIONTYPE 206 Final Mechanical 20B Final Piumbing .__ 210 Final Electnwl 272 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy fLATF� INTITIpLS � ♦ r � / / WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalry ot perjury one of lhe fou�wing declara[ions: ❑ I have and will maintain a certificate of wnsent to self-Insure �or workers' compensation, as provided for by section 3700 of the Labor Code, lor the peAormance of the work�for which this permit is issued. ❑ I have and vrill maintain vrorkers' compensation insurance, as required by secl'an 3700 of the Labor Code, fw ihe peRormance of the work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Cartier. (ihis sectbn neetl not Ee comWetetl d tbe permd is valued af one hunOredCWlars (8100) w IessJ Policy Number: ��I ceAity that in the performance of the work tor which thi@ permit is Lissued, I shall not employ any person in any manner so as to become subject to Ihe workers' �ei�e nsation laws of Calitornia, and agree that it I should become subj EE to (e vrorkers' co pensation provisions of Secti 3700 the Labor C de, I I dy with these pmvision D i n s ignaWr _ J � WARNI . FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS U WFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA TIES 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 LA60R CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under pmvisions ot Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professions Code, and my license is in tull force antl eflect. Lic. # Class # GoNraclor's Signaiure Dale CONSTRUCTION IENDING AGENCY: ❑ I hereby affirtn that there is a constructbn lending agency for Ihe perfortnance of the v.ork for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signalure Dale OWNER-BUILDER DECLARATIONS: � I hereby affvm that under penalry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Cotle: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structura, prior to its issuance, also requires the applicanl for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Conirectors License Law (Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professions Code) or that he or she is exempt iherefrom antl the basis for the alleged exemption. Any violation of Section 7031.5 by any applicaN for a permit subjects the applicant to a civil penalty of not more than f^ve h/uy�dretl dollars ($500).): C�I, as owner of lhe property, or my employees with wages as their sole pensation, WILL DO 7HE WORK, and the strucNre is not intentled or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an ovmer of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided Ihat such improvements are not intended or oHered for sale. If, however, the building or improvement is sold within one year of completion, t�e owner-builtler will have the burCen of proving that he,or she did not build or improve for purpose of sale.). � � � ❑ I, as�owner of the property, am EXCWSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Pmfessbns Code: The contractors License Law dces not apply to.an ovmer of property who build5 or improves thereoq and who cont2cts for such prqect vn[h a cmt2ctor(s) license pursuant to the Contractors License Laws.j. ❑ I am exempt under sec. Business and tessions Cotle for Ihis reason: CSIgnaNre , t�'pale ""O ]057G6 ]) Owner ID, venfied by drive ,se. ❑ Yes ❑ No O � �DriversLicenseNo. Exp��es � o. . � �Verification of Owners - property t ill or deed): DIVISION OFiNDUSTRIAL SAfEN PERMIT CERTIFICATION: � ❑ I hereby certi(y ihat no excavation five (5) or more feet in depth into which a person is required to descend, wiil be made in connectbn wi[h wark authonzed by this permit, and ihat no building strucWre, scaHdding, (alsewvrk, a demolition or dismanlling thereof, will be more than thirty-six (36) feet �igh. (Chap. 3.2, Grp 2, fvt 2, Sec. 341, Ttle 8, Califomia Administ2tive Code). ❑ As owner-builder, I will not employ anyone [o 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 vrork from the division. Apolicanl's SignaWre Date Division of Industrial Safety Permit Number NAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will Ihe applicant or present or fuNre building occupant neetl to fle antl ceniy a Business Plan for emergency response to release or threatened release of a hazardous ma[erial7 ❑ Yes ❑ No (Section 25505 of the Califomia Health and Sa(ery Code requires, with some exceptions, that a Business Plan be Ned with the Costa Mesa Fire Department by every Ousiness which �as at any one time tluring a reported year a quantity of hazartlous matenals 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 [he applicant or present or fulure building occupant neetl to file a registration fortn for awtely hazardous materials? ❑ Yes ❑ No (Section 25533 of lhe Califomia Health and Safely CoGe, wi[h some exceptions, requires registration with the Costa Mesa Fire Deparlment by each business which at any one [ime has on �antl a quantity of acu[ely 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 antl pressure). 3. Does or will the applicant or present or future building occupant need to prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Cali�omia Healih and Safery Cotle provides [hat the Costa Mesa Fire Departmen[ may require the preparation, certifcation antl filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with ihe Fire Department. 4. If an RMPP is presently requiretl, has Section 25534 of the Cali(ornia Health antl Safety Code been fully complied with7 ❑ 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 suc� conswction or modifcation fmm Ihe South Coast Air Quality Management District or (rom any other air pollution control tlisirict or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemment Cotle requires that the requestetl informalion be fumished on applications !or iron-residential building permits). 6. Will any part of ihe facility lo be cons[ructed under lhis permit be within 1000 feet (rom the outer boundades of a school? ❑ Ves ❑ No (I�'yes", the facilily must meel the requirement of Sections 25534 and 42303 of the California Health antl Safety Code). 7. If a permi[ (rom the South Coast Air �uality Managemant Distnct or other air polWtion control disMct or agency is required for the vrork which is the subject of this applicatioq have ail of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If yes", attach certifcate of compliance from the appropriate air pollution control officer). � , � , CERTIFICATE OF COMPLIANCE: I certify that under,penalty of perjury the �information givedabove is correcl. I agree to comply with all sfate laws antl ciry ordinances regaiding Hazardous Materials and Emissions. CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalry of perjury that I have read this application and state that the information ' 's correcL I agree to comply with all state laws and ciry ordinances re ting t building construction, and authorize representatives o� ihe Ci[y of osta esa lo en r upon the above-describetl propert for inspection p rp I occupy or allow occupancy any b ding authorized b is al inspection. � D _ -o-. r Si alureaflegal er�s) �Dyf�_.- � Andlor CITY OF COSTA MESA BIIILpIN6 DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 75d-0856. • www.ci.cosla-mesa.ca.us FOR INSPECTIONS CALL: (714).754-5626 PERMIT NUMBER: BC07-00027 PERMIT TYPE: B COMBO STATUS: ISSUED SubType: RES_ALT ., DATEISSUED: 06/12/2007� . - - ISSUED BY: RMD �os noortess: 550 6 BERNARD ST CMf . �' ?. � ,.Surte/Unit: B Vicinity: THROUGH OUT HOUSE -- .- `; Primary Occ: ConstType: V-N � �i�,�- SQ:�FT; �1 '` 0 Valuation;,� .'S0.00:,..} . , .. ,. . . . _ . .. � � `��F" � .. -.-i - _. � _�, . , . , SCOPE OF WORK: MISC INTERIOR NON=STRUCTURAL REMODEL TO SFD WITH,ELECCRICAL; MECHANICAL AND PLUMB�NG WORK.` • ''!=' i:�'fl� ' ,fF�-[ • . '4�:r... ` r' . . _ ,.i- . _ � _ Y�a_ OWNER: ,126PROPERTIESL6C��.'-��', - ' b��.i,."„�'.^Address: 126�E16THST'�Unit..-.. , PHONE: 949•548-2720 `�i r, �-=Ciry/Slate/Zip:'. COSTA MESA, CA - �,�:�; �. ��`� . . _ APPLICANT: MOHART,'JOHN �'� - � Address � Umk .� � ' PHONE: 949-548-2720 - � ' City/StatelzZip: . � � ' . . � ' ' -' -- _ ... ' _'.. - .. � i - i „ �.�� ,:.: . . ._. - . . -.. .. ,�,, - � , CONTRACTOR: OWNER-BUILDER ' � _ . ,� ! " ' � License No. 000000, . ! Address: Unit: .,i '-�' � �� ; PHONE: ' ' ' ., � � , City/State: � ' ZipCoda:. .- - �'. �� : �CELL: . � ' .�,�d - �_� '. � -_� . .. . . . ARCHITECT:. � ;'� +. � �-'�r � �'� License�No. � � �P�HONE';� ENGINEER: , � � LlcenseNo. �— � - , '-PHONE:' � i ,;�, i , . , , � i r�, i . . . • � ;�r COMBINTATION PERMIT FEE��SIJMMARY�;'�'� b ','', "�"'��. ' '"' '�;�',� Building Plan Check: � ,�, $0 00 � Building Fees: 1 $0:00 '- ` � 4 4 li � I. A i � A EIOCffIC21 F2B5: ' � ''��: �I � � � �; � $63 10��,J I � � �u ,� ai i � �i.�. ^I . . . _ Mechanical Fees: ��: . rI�'• $53:20 ° >�� 7` .. ` ,- + � Plumbing Fees: � , � , $121 50 }� . , ' �, �; r �� SMIPR0Sid0ntlal:� �'7$,0,50� �°r�ji � e �=r 11 � ' ' � SMIP Commercial: `$0,00 ,. �_ ''! � '. , '= �, :�-,. TOTAL FEES: $285.30"; -��- � - -:- � : '�: . "Refer to fee recelpts for all fees palC for project � � �� .. � � � � NOTICE: The work authorized by this.permit shall comply with all applicable handicap access requirem'ents under California statutes and related regulaUons. (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 tMal approval must be obtained. Failure to obtain Inspections and final approval will resulTin the expiration o� this permit. CODE/• INSPEC710NTYPE Qeg 1818 Fizetl System�Final Fire Prevenlion '� 1288 Pool Spa Final � ' 200 Final Re-Roof � � 201 '� Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition INTITIALS � 40DE� ixsrecnoxrme. 206 ' Final Methanical 208 Final Plumbing 210 Finzl Electncal � � ' 212 Flnal Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/OccuOancy Ij�j� " NTIM � /� WORKERS' COMPENSATION DECLARATION: , I hereby affirm untler penalty of perjury one o( the W,..,wing declaralions: ❑ I have and will main[ain a certificate of consent to self-Insure !or workers' compensation, as provided for by section 3700 of the Labor Code. /or the pertormance of the work for which this permit is issued.. � ❑ I have and will main�ain workers' compensation insurance, as;required by section 3700 of the Labor Code, for the perfortnance of the work for wfiich this permit is issued. My vrorkers' compensation Insurance carrier and policy number are: Carrier: (rnis setlpn neetl ml �e wmdefetl il fhe peimd is valued a! we hunamtl 6�Nars (E1001 a less ) Policy Number: �i��l certify that in the performance of the work for which this permit is �issued, I sh emplo any person in any manner so as to become subject to the cers' compen ation laws of Califomia, antl ngree tha I should beco subject to the kers' o pensation provisions S lion 37 of the L e-F's r� plywilh these provi ' s. 1 q c gnawre �'Date WARN G' AILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS FUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PE IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAF2S ($ ,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aRirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 of ihe Business antl Professions Code, and my license is in full force and effect. Lic. # Class # Gonlrador's Sie�a Wre Date CONSTRUCTION LENDING AGENCY: ❑ I hereby affirtn that there is a constructbn lentling agency for the pedortnance ot the v.ork (or which this pertnit is issued. (Sec. 3097, Gvil Code). Lender's Name: Lentler's Atltlress: Signalure Date OWNER•BUILDER DECLARATIONS: I hereby aKrtn that under penalty o� perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. �031.5, Business antl 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 pertnit to fle 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 0( 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 hy any applicant for a permit subjects the applicaN to a civil penalry of not more than flve h red dollars ($500).): �I, as owner of the property, or my employees with wages as their sole Ccompensation, WILL DO THE WORK, and the structure is not intended or oHered for sale (Sec. 7044, Business antl Professions Code: 7he Contractors License Law does not apply to an owner of properly who builds or improves [hereon, and who does such work himself or herself or through his or her own ' employees, prov'ided thal such improvements are not intended oroftered lor sale. If, however, the building or improvement is sold within one year ol completioq the ovmer-builder will have the burden of provinq.ihat he o( she did not build or improve for purpose of sale.). � �� ❑, I,�as Owner ot Ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS ro cons[ruct the project (Sec. 7044, Business and Pmfessions Code: The cont2ctors License Law does not.apply to an owner of property who builds or improves thereon, and vfio contracts for such project wilh a contractor(s) license pursuant to the Contractors License laws.). ❑ I am exempt under sec. � � Business an rofes ons Code for this reason: Q Signalure � Oate. . 3051�d6 (3/ � �� Ovmer ID verifed by drive ise. ❑ Yes ❑ No O Driver's License,No. � ' —' E�pri es: �------ � Verification�of Owners - property tax ill or deed): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION:. ❑ I hereby ceAdy lhat no excavation frve (5) or more feet in depth into which a person is required to tlescend, will be made in connection vrith wurk authorized 6y this permit, and that no building strucWre, scaffoldinq, falsework, a demolilion or dismantling Ihereof, will be more than thirty-six (36) feet high. (Chap. 32, Gry 2, M 2. Sec. 341, Ttle 8, Califomia Atlminis[2We 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 lo tlo such vrork from the division. Applicanl's SignaWre Division of Industrial Safety Permit Number: _ HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 7. Will the applicant or present or future building occupant need to file and certity a Business Plan for emergency response to release or [hreatened release ot a hazardous matenal? ❑ Yes ❑ No (Section 25505 of the California Health antl Safety Code requires, wilh some exceptions, ihat a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time tluring a reported year a quantity of hazardous matenals equal to or grealar than a weighl of 500 pountls, 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 tuNre building occupant need to file a registration form for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 of the Califomia Heal[h and Safety Code, with some exceptions, requires regisiration with the Costa Mesa Fire Department by each business which at any one time has on hantl a quantiry of acutely hazaMous materials equal to or greater than a weight ot 500 pounds, or a volume of 55 gallons, or 200 cubic teet o( compressed gas at stantlartl temperature and pressure�. 3. Does or will the applicant or present or fuWre building occupant need to prepare an RMPP (Risk Management antl Prevention Program fo� acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Satery Cotle provides that the Costa Mesa Fire Department may require the preparation, certifcation and fling with the Fire Department o( an RMPP by businesses which are required m register awtely hazardous materials with the Fire Department. 4. If an RMPP is presently require4 has Sec[ion 25534 of ihe California Health and Safe[y Code been fully complied with? ❑ Yes ❑ No 5. Does or will [he applicant or present or fuNre building occupant require for the work which is the subjecl of lhis application a permit tor such constmction or modifcation trom the Soulh Coasl Air �ualiry Management District or from any other air pollution control dislrict or agency? ❑ Yes � No (Sectbn 658502 of the Califomia Govemment Code requires that the requested information be fumished on applications !a non-residential building permits). 6. Will any part of the facility to be consWcted under this permit be within 1000 feet from the outer boundanes of a school't ❑ 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 tor the vrork 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. Qf "yes", attach certificale 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 sfate laws and city ordinances regartling Hazardous Materials and Emissions.� � � •� SignaWre . �aie.: . • , CERTIFICATE OF C MPLIANCE AND AUTHORIZATION OF ENTRV: I certify under pen o( p rjury that I have read this application antl state that the informatio iven is orrect. I agree to comply wilh all state laws antl city ordinances r ating to uilding co struction, and authorize representatives of lhe Ciry of Costa s e r upon the above-describe prope for inspection rpos o occupy or allow occ c f any uiltling authorized b ' inal inspection. _ - nal eoLLeealOvmer(s) : Date �