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Home My WebLink About2350 ORANGE AVE - Building PermitsCITY OF COSTA MESA t��p MF q B!/ILDING DIVIS/ON i� � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax Q14) 754-4856 • wHnv.ci.costa-mesa.ca.us °. � FOR INSPECTIONS CALL (714) 754-5626 `�°°�°A'' PERMIT NUMBER: E11-00073 PERMIT TYPE ELEC STATUS: ISSUED APN: 11909101 DATE ISSUED: 04120/2011 ISSUED BY: KJB JOB ADDRESS: • 2350_ORANGEaAVrC� M� Suite/Unit: Vicinity: - SCOPE OF WORK: REVISION TO PERMIT ON 04/21l11 TO INCCUDE THE CHANGE OUT/ ADD 31 LIGHT FIXTS, 17 OUTLETS, 12 SWITCHES THROUGH OUT HOUSE. . . �� SERVICE UPGRADE TO 100 AMP. OWNER: ROCHEL, RAMON PHONE: 714-3053244 APPLICANT: VELASCO,JOHNNY PHONE: 7143053244 CONTRACTOR: OWNER-BUILDER Address: Unit PHONE: City/State: , ZipCode: ELECTRICAL P�RMIT FEES Electrical Plan Check Fee: $0.00 Electrical Permit Fee: $115.93 Reinspection Fee $0.00 TOTAL FEES $115.93 Address: 2350 ORANGE AV Unit: City/State/Zip: COSTA MESA, CA Addmss: 4624 W BROADWAY Unit: City/State/zZip: HAWTHORNE, CA License No. 000000 CELL: r > i ., r,.�. :�'r'; ��; s �,.� ` �. �, ° �,,.r 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 HXPIRES 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 wmply with all applicable codes, and all required inspections antl final approval must be obtained. Failure to obtain inspections and final approval will resulCin the expiretion of this permit. COOEp. INSPECTIONTYPE OATE INiITIALS 40DE1' INSPEC110NTYPE ORTE IN1171AL5 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 2oB Final Plumbing 200 FinalRe-Roo/ 210 FIndIEI¢Ltfica� /� Jr'3�"/� � 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 Buildmg/Occupancy _ WORKERS' COMPENSATION DECLARATION: I hereby a(frm under penalty of perjury one o( the following declarations: ❑ I have antl vnll maintain a certifcale of consent to selt-Insure for vrorkers' ' compensation, as pmvided for by section 3700 of the Labor Cotle, for the peAormance of the work for which this permit is issued. � ❑ I have antl will maintain wnrkers' compensation insurence, as required by sectbn 3700 of the Labor Code, for the pedormance of the wnrk (or which this pertnit is issued. My workers' compensation Insurance carrier and policy number are: Carrier: (T�rs serlion need rrot Ee mnye(M AMe permrt is vaWetl al one �unOiM tldlars (5100) w less.) Policy Number: / �I certify tha[ in the peAormance of the work for which lhis permi[ is iss ed, I shall not employ any person in any manner so as to become subject to �he workers' compensation laws of California, and agree that if I should become subject to lhe workers' compensation provisions of Section 3700 of the Labor e, h�U.,fo�r hwi� omply with Ihese provisions. 2 pp„oms5i at al`� � WARN G: 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 (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND AiTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn Ihat 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 tull torce and eKect. lic. # Class # Camraaor's Signa W re Da�e CONSTRUCTION LENDING AGENCY: ❑ I hereby affvm that there is a constructbn lending agency tor the per(ortnance of [he �+ork for vfiich lhis pertnit is issued. (Sec. 3097. Civil Code). Lentler's Name: Lender's Address: _ �a�e OWNER-BUILDER DECLARATIONS: I hereby aKrm that Undef penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LIGENSE LAW for Ihe tollowing reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to constroct, alter, improve, demolish, or repair any stmcwre, prior to its issuance, also requires the applicant for such permit ro fle a signed s[atement ihat he or she is licensed pursuant to lhe provisions of Ihe COMraclors License Law (Chapter 9(commencing wilh Section 7000) o( Division 3 of the Business antl Protessions Cotle) or Iha� he or she is exempt therefrom and the basis for the alleged exemption. Any violation o( Seclion 7031.5 by any applicant for a permil subjects the applican� [o a civil penalry of not more than five hundred tlollars (5500).): /.��1=as owner of lhe property, or my employees with wages as iheir sole �compensation, WILL DO THE WORK, and the simcture 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 vfio does such vrork himsel( or hersel/ or through his or her own employees, provided that such improvements are not intended or ofteretl for sale. If, however, the building or improvement is sold vrithin one year of completion, the owner-builder will have lhe hurtlen of pmving that he or she did not build or improve for purpose of sale.). Owner ID verifetl by driver's license. ❑ Yes ❑ No Driver's License No. Expires: Venfication of Ownerehip by (rype of tlocument, i.e. - property tax 6ill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certAy ihat no excava[ion frve (5) or more feet in tlepth inro which a person is required to descend, will be made in connectan with work authorized by Ihis pertnit, and lhat no building structure, scaFfdding, falsework, or demolition or dismantfng thereof, will be more than thirty-su (36) teet high. (Chap. 32, Grp 2. M 2, Sec. 341, Ttle 8, Califomia AOminist2tive Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Intlustrial Safety, as noted above, unless such person has a permit to do such work from t�e tlivision. AppLranl's Signalure Date Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicanl or preseni or fuNre building occupant need to file and certify a Business Plan tor emergency response to release or ihreatened release of a hazardous material? ❑ Yes ❑ No (SeClion 25505 of [he Califomia Heallh and Sa(ery 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 reportetl year a quan[ity of hazardous ma[erials equal to or qreater than a weight of 500 pounds, or a volume o( 55 gallons, or 200 cubic feet of compressetl gas at standard temperaWre and pressure). 2. Does or will [he applicant or present or fuWre building occupant need to file a registretion form for awtely hazardous matenals? ❑ Yes ❑ No (Seclion 25533 ot lhe Cali(ornia Health and Safely Cotle, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantily of acutely hazardous materials equal to or greater than a weighl of 500 pounds, or a volume of 55 gallons, or 200 cubic fee� of compressed gas at standard temperature and pressure). 3. Does or will the applicant or present or (uture building occupant need to prepare an RMPP (Risk Management antl Prevention Program for aculely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Safety Code provitles Ihal Ihe Costa Mesa Fire Department may require the preparation, certiLcation and fling with the Fire Department of an RMPP by businesses which are required to register acutely hazardous ma[erials with Ihe Fire Department. 4. I( an RMPP is presently required, has Section 25534 of the California Health and Safely Code been fully complied with? ❑ Yes ❑ No 5. Does or will Ihe applicant or present or fuWre building occupant require for ihe work which is Ihe subject of this application a permit for such canstruction or motlifcation from the Soulh Coast Air Quality Mana9emenl DisMct or from any other air polWtion control distnct or agency? ❑ Yes ❑ No (Sectbn 658502 of the Califomia Govemment Cotle requires that the requestetl informalion be fumishetl on applications fv non-residential building permits). 6. Will any part of ihe facility to be consWcted under this permit be vnthin 1000 feet from the outer boundanes of a school? ❑ Yes ❑ No (If'yes". the faciliry must meet the requirement of Sections 25534 and 42303 ot me Califomia Health and Safety Cotle). 7. I( a permit from [he South Coast Air Quality Management DisMct or other air pollution conlrol tlistrict or agency is required for the vrork which is the subject of this application, have all of the tlisclosures prescribed by California Healih antl Safety Code Section 42303 been made? ❑ Yes ❑ No 8. (If'yes", attach certificate of compliance from the appropnate air pollution conirol officer). CERTIFlCATE OF COMPLIANCE: I certify that under penalry o( perjury the information given above is correcL I agree to comply with all state laws antl city ordinances regardinq Hazardous Materials and Emissions. �J 1, as owner ot me propeny, am �n��wiv��. wiv��.....��..� ..� . LICENSED CONTRACTORS to construcl the pmject (Sec. 7044, Business and Professbns Code: The contractors License Law dces not apply to an ovmer of � signamre oa�e property who builds or improves thereon, and who cont2cts for such prqeclwith CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a cont2cta(s) license pursuant to the Contractors License Laws.). certity under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the infortnation given is correcl I agree to comply with all state laws and ciry ordinances relating to building conswction, and authorize representatives of Business and Pmfessions Code for this reason: the City of Costa Mesa to enter upon tne above-descnbed property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by lhis pertnit uniil fnal inspeclion. �}., / � Sigcytore o(L�pal � r(s) Dal� �ignawrer� _ ' oate_ � v/ �!,y �� / 305]-dfi�. ) �` �„� /qqNM1onEeO�APa'� L-� -�� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 2350 ORANGE AV Suite: Vicinity: ROOF Parcel Number: 11909101 Zoning: Status: ISSUED Applied: 01/O6/2003 Issued: 01/O6/2003 Applicant TOM KOZITSKY ISSUED BY: Address: 1511 S BAYLESS ST ,. � - " � � ! �� _. ,- - " �.%�. � - � '. Phone: (888) 525-5867 - � - ANAHEIM,.CA�� -" ', � � Zip: 92802 . , �� -�' " , .- � �'�� , �:, ,- - , � �� Owner. LIAO; LI=HN/A� � �, � . ' � ' ' . i � 1 "� ` � �. � � .. Address �"26881 VIA SANTA LUCIA � - - - � � �,�� `,� i i� � - - - - `�:. � "_A�\ / . i . - . - -- Phone: , �� . ' �� \ . , i�MISSION VIEJO; CA �' � � Zip: 92691 , j`� �� ! � �� ' � , � 1��> i ;' , . A � �-. , = . , . , i . --; � � _ � . � � " \`� `� Contractor � ALLTOPS=INC' �,�A ' ��`� � .�Address: 1571 S BAYCE§S ST V' ` � � �� '� ` ,;��;�� ,, \ ' , .' � . � Phonei ��(888) 5255867 ` ` � /� � '� `-�� ANAHEIM, CA '��,�A V � �� 1 ` � . Zip.' 92802' :_License � 722788_.,, �� , - . � - � �� . . . . . �� . . � t ��\` \` 5 1 , Arch : , � . . . :. . ., !�_ ,_En9. � , . � '.AA , � . '.�-�. `� . Address: ' i - _ � - -. - Address: � , , � -�� , , i . . _ ,,. , l� _Phone: - � - � � � ` � ) �/ Phone: r � �� , /-�.�� ;�i A�..,��i � `i ,' . . � i �� .Zip: . . ,✓ � . . '' License: � �� -� License: ;-�_. .� j - � , . : � �i . " �� . � , . _ _ _ _ _ _ _ _ _ _ ' _ _ ' � � �,— � , : � �.-r-�i::� -� �^ SCORE OFPERMIT-� �•-:�-: '� � ,. , — �_ �� TEAR OFF EXISTING ROOF. INSTALL TWO LAYERS OF.30# FELT, 25YR _GAI�SHINGLE WEATHERWOOD. 1,900 S.F. INCLUDE�A4TACHED ? GARAGE. . _ - . . _ " ; . � �� -- � '- . �� . �FEESUMMARY/, '�c . ;,s' ._i ,,.�i '� Plan Check: $0.00 -- -- '. - Calc Valuation t� 3a,z�s:oo , Permit � `� $111.25 � � � ,�� Claim Valuation �,;��` ; 5a,zie:oo ��'SMIP Res:', , $0.50 � � �� i l_ �' i ,,,, �SMIP Com: $0.00 _` . � rii i , _ � � � �Othe�:� ,$0.00 � �� ,; j,� /� `Ins'pection: ��$0.00 -,= �ri �� / . . .x«.,> + j; ; , �� : ._ ,- � , / i , ��TotaL•`�;5111:75� i'-�_,,,.:�. .., � � ,!- . . - - � ir, . ' / �� , . . . . , . , - . � , , :��'i � �� PLANNING'&ZONING �� j'��' �j�� SETBACKS �- . � � ' . . ` , . , , . � � � : : ;✓ i; � . MAIN STRUCTURE Front 0-� 0 . . , , Rear - � 0- 0 � � ' � Lefl �� - 0= 0 � - Right ";., �0- 0' � "� � � .. , �'„/ � � � � , ,� ACCESSORY Front� � 0- 0� Rear 0- 0-. ,�Left �--0,-.0 , Right �,, 0� 0� j P/iRi�li�i�a Existing: 0 _ Required: -0 i Pr000sed:� - 0 ,�; � -� �. / - . ,. . � . . ,. -. �, , r,%' .' - NOTICE: The work authorized by this permii shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspendetl or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapectlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the ezpiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 244fi-46I8�00) WORKERS'COMPENSATON DEGLARAPON: ' ' I hereby eMirtn under penalry oi perjury one ot Ihe lollowing declarations: ❑ I have antl will maintain a certiticete ot consent to self-Insure for workere' compensation, as providetl tor by section 3700 oi ihe Lebor Cotle, for the pertortnance of the work for which Ihis permit is issuetl. ❑ 1 have and will mainiain workers' compensatlon insurance, as requiretl hy section 3700 oi Ihe Lebor Catle, Por ��e pedofmance ot Ihe work for which this permit is issuetl. My workers' compensation Insurance carrier antl poliq number ere: Cerrier. S Y/a 'T E� tJ N 7 Polity Number. �� y SU (This section need M� be comple[etl i/ Ne pemtiNs valued at one hundred dWlars ($t 00J or /ess.J ❑ I certity ihat in Ne OeAormance oi Ihe work tor which t�is permit is issued, I shall not employ any parson in any manner so es to become subject to the workers' compenutlon IAws of Californla, entl egree th t If I shoultl become suD�ect to ihe workers' compensation provisions oi Section 3700 of Ihe Lebor Code, I shell forthwith comply with these prov�s . , ApPlicent Signeture: ��Z,/��•—�� oate: �' 6- U.3 WARNING: FAILURE TO SEC RE WORKERS' COMP AiION CO GE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOVER TO CPIMINAL PENALTIES AND GVIL FlNES UP 700NE HUNDRED TMIXISAND OOLLARE (5��1. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 31080F iHE UBOR CODE, IMEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eMirtn that I em Iicense0 under provisions af Chapter 9(commencing with Section 7000) of Division 3 of the eusiness and Professions Code, entl my license is in full force en0 ettect. Lic # ?�� _ Cless q C 3�j Comrectors SignaNra: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aNirm thal ihere is a constmction lending agency for the pedormance of the work tor which this permit is issuetl. (Sec. 3097, Civil Cotle). Lentler's Neme: Lenders Atltlress: SlgneWre: Date: OWNER-BUILDER DECLARA710NS: I hereby eNirm Ihat under Denelry ot perjury Ihet I em EXEMPT FROM 7HE CONTRACTORS LICENSE LAW tor ihe tollawing reason (Sec. 7031.5, Business flnd Professions Cotle: Any city or cou�ry w�ic� requires a permit to consiruct, alter, improve, tlemolish, or repair any structure, pnor to its issuance, also requires the epplicant for such permit to file e signed sietement that he or she is licensed pursusnt to the prodsions oi the Contrecbrs License Lew (Chepter 9(commencing wlth Sectlon 7000) at Division 3 of Ihe eusiness end Professions Code) or ihet he or she is exempt therefrom and ihe besis tor the elleged exemption. Any violation of Sectlon 7031.5 by any applicant for e permit subjects the epplicant �a a civil penalry of not more then five hundred dollars ($500)J: ❑ I, es owner ot Iha property, or my employees wlih wages as their sole compensation, WILL DO THE WORK, and ihe structura is not Intended or otterea for sale (Sec. 7044, Buslness and Professions Cotle: The Contrectors License Lew does not apply to an owner of properry who huilds or improves iheraon, and who Ooes such work himself or hersetl or through his or her own employees, provided ihat such improvements are not intentled or oflered for sale. If, however, the building or improvement is sold within one year ot completion, t�e owneo-builder will have Ihe burden ot proving that ha or she did not build or improve for purpose ot sale.). � ❑ I, as owner ot the property, em EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct tna project (Sec. 7044, Business and Professions Cotle: The contYactors Llcense Law does not eppry m an owner ol propeny who builds or improves ihereon, and who contrects tor such project with e contrector(s) liten5e pursuen� �o �he ConiractOrS LiCense Laws.). ❑ I em axempt untler sec. Signatura: Owner ID verifietl by dM�eYs Ilcense. ❑ Ves Vedlicailan of Ownership by (type of dacumem, i.e. Business and Professions Code lor this reason: ❑ No Drivefs License No. proDerty tex blll or tleetl): Dale: Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CER7IFICATION: ❑ I hereDy certify thet no excavation five (5) or more feet in depth into which a person Is required to descend, will be made in connection with work authonzetl by this pertni�, antl t�at no building structure, scallolding, talsework, or tlemolition or dismantling ihereot, will be more ihan Ihirry-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sac. 341, Ttle 8, CaO�omia ACminisirative Cotle). ❑ As owner-builtler, I wiil not employ anyone to do work which would require a pertnit irom ihe Division of Intlusirial Safery, as noted a6ove, unless such persan has e permit to do such work tram the tlivision. Signature: Date: Division ot IndusMal 5afery Pertnit Number. CERTIFlCATE OF COMPLUWCE AND AIfT}IORVA710N OF EMRY: I certify under penalty of perjury Ihat I heve read this application end state thet ihe infortnation given is correct I egree to comp�y with all siate laws end ciry ordinances relating to builtling consiruction, and authonze representatives of Ihe Ciry of Coste Mese to enter upon Ihe ebove-descrihed proparty ior inspection purposes. I agree not to occupy or allow occupancy of flny 6uilding authorized by this permit until tinal inspecUon. COUE t. INSPECTIONTYPE 1616 Fixetl System Flnal Fire Prevention 1266 200 201 202 203 204 Pool Spe Fina� Flnai ae-aoot Final BIocWRetaining Wall Final Factory Fire Place Final Sign Final Demolidon Q9g 1[�J9LS ' + w1 Date /� (o-U� Date COOE 1 INSPECTION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Electncal 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Sita 250 Final Building/Occupancy Q� � OWNER [.��j7 JOB ADDRESS GENERAL COr AP No. 119-a INSPECTIONS 4. aAYNE J. nnTE 9-5-� range AVe . BUILDING PERMIT NO. R OWIICT-B1dT'. VALUE $ 300.00 LOT TRACT PIR� ZONE DESCRIPTION OF WORK R I Signature I llATP GROUP J TYPE jT 7.ONE PERM�'1 � SUBCONTRACTOR -.T R-1 n.�\ . . " � I7745 COS7A MESA BUILDING-SAFETY DEPARTMENT P. O. HOX 3f7 C08TA MEBA. CALIFORNIA For Applieanf fo Fill In Compleiely TYPE OR PRINT A�� E�56 �-.35� �' � Ki?-�- A��. . COSTA MESA. CALIFORNIA OWNER �rf'AYh"b r�AND�12sdIY� 0 STATE 0 i/ a NO. OF BLD08. J i� � � �7�PjJ 'aew �e� ■ eerawcrc une vaom DESCRIPTION OF WORK ING I XEREBY ACKNOWLFJ ANO BTATE THAT THE PLY W(iH ALL GfiY C BUILDINO CONBTRUCi S16NATURE O. F � PERMITTEE._�C AUTHORIZED AGENT TO BE PERFORMED FEE RE.CEI�V,aED FINANCrEn OEPMESA . APPLIC�fI�YO� FDK PERMIT euanin�� For Office Use Only PECEIPT NO. . PERMIT N( I �' RECEI O BY D RECEIVED OATE IBSUI � �s-G � � 9 s= BUILDING ' , �.��.�:a.ir� FIRE� .�'� •• :/ ZONE /// � TYPE � GRO APPfYQYEq,� BY � � "I. I DATE ) I ZONING 20NE /✓yI NO.OF II6E OF NEW __ L, I I PLAN9 �I BUILOING LEOAL .� � i / 1 � <canTers uHe er.� -t ronn�r � .� �r APPROVED V THAT � HAVE READ THI9 APPLIGTION }�{g AMOUNT 6HOWN UNDER VALUATION IS POR THE )VE CORPEGT ANO AGREE TO COM- pUfIP08E OP EBTABLIBH�NG /� vEpMIT FEE ONLY. Ip GE AN ATE LAWB H6ULATIN6 / VALUA710N , i, �^� ,� ;-, � PERMIT FEE � $ _ / � �// / j S � � � PLAN CHECK �$_ � ■