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Home My WebLink About2050 REPUBLIC AVE - Building Permits 4` ,CITY OF COSTA MESA � .. BUILDING DIVISION f i - DEVELOPMENT SERVICES DEPARTMENTPERMIT NUMBER 1((((1-4-4-4!4 PERMIT V 807-00554 ithtivamso (714)754-5273 • Fax(714)754-4856 • www.ci.ccsta-mesa.®I LJLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: -2050 REPUBLIC AV Status: ISSUED Suite: Applied: 05/01/2007 Vicinity: Issued: 06/25/2007 Primary 0cc: R3/U1 Type of Construction: V-N Parcel Number: 42248108 Zoning: Applicant: NOONAN, GENE Address: . Phone: 714-998-6356 ISSUED BY: Zip: Owner: BROWN, JAMES G Address 2050 REPUBLIC AVE Phone: COSTA MESA,CA Zip: 92627-4016 Contractor: ORANGE COUNTY REMODELING INC Address: 2338 ALTURA Phone: 714-998-6356 ORANGE,CA Zip: 92867 License: 717565 Arch : Eng: ORANGE COUNTY REMODELING Address: Address: 2338 ALTURA Phone: Phone: 714-998-6356 ORANGE,CA Zip: License: 92867 License: C23319 • SCOPE OF PERMIT CONSTRUCT 829 SF TWO-STORY ADDITION(132.1ST FLR AND 495 SF 2ND FLR)AND CONVERT EXISTING 200 SF GARAGE TO HABITABLE SPACE(ENLARGE AN EXISTING BEDROOM)OF EXISTING SFD TO ENLARGE FAMILY ROOM AT 1ST FLR AND NEW MASTER BEDROOM AND BATHROOM AT 2ND FLR OVER GARAGE.ALSO CONSTRUCT 424 SF ATTACHED GARAGE.WORK INCLUDES REROOF OF(E)SFD WITH EAGLELITE TILES(5.5 PSF ICC#ER- 4660)AND INSTALLATION OF 5 WINDOWS IN(E)SFD. FEE SUMMARY - Plan Check: $664.14 Calc Valuation: $104,210.00 Permit: $1,021.75 . Claim Valuation: $104,210.00 SMIP Res: $10.42 - SMIP Corn: $0.00 Other: $0.00 Inspection: $0.00 Total: $1,696.31 PLANNING & ZONING• -, SETBACKS MAIN STRUCTURE 'Front 21-0 Rear 41-0 Left 7-6 Right 10-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 2 Required: 0 Proposed: 4 • 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: 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, andla I" 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 //// 2446-46(6/00) DECLARATIONS 1.--- - .• WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have 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 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 permit Is issued. My workers'compensation Insurance carrier and policy number are: f "Carder:, , Policy Number: 1 -(Thisissection need not be completed if the permit is valued at one hundred dollars($100)or less.) `� .1 1 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' `l 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 provi '•• '_ Applicant Signature: i�a— - (—Date: tA'V✓x 0-? WARNING:FAILURE TO SECURE'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE(S1 W,WO, t•DITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under• •v •ns o1 Chapter 9(commencing with Section 7000)of Division 3 of the Business andpfofessions Code,and my license is in full 1-force and Lic.# / - Class# Contractorsrs Sig Signature: � _ SDate: F!cr- 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: Lenders 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 then 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 en 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: Date: Owner ID verified by driver's license. 0 Yes 0 No Drivers License No. Expires: 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 -ore 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 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? 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 0N (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 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 agpermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LJ No (Section 65850.2 of the California Govemment 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 0 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 Duality 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? 0 Yes , 0 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. 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 stale 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. Signature Of Legal Owner(s) tD ."5 ODate �liri� Q( 7 r And/Or Authorized Applicant r----Date CODE I .INSPECTION TYPE PAIS INTITIALS CODE It INSPECTION TYPE RATE EMU 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 n�� 1 204 Final Demolition 250 Final Building/Occupancy . Jllcl �i J 06-25-2007,1 OD1.'-Om_ .- = 5 u - NEWPORT-MESA UNIFIED SCHOOL DISTRICT N° 6641 CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 181 To: (,A City of Costa Mesa District Receipt No. ( ) City of Newport Beach p ( ) County of Orange 2 , Plan Check No.1307-0a55 r j5' 9 Applicant: $ o°Ai/l�f COL r�A �� Address: 1 .. 4. .t /Q� . j(yf� I ♦ Iif vl _ .* Telephone Number: —27`7 7 LTJ to 7 ( . Tract/Parcel and Lot Number(s):�/l �� ,, Location of Project: J� 7o 52) /.'PE/0. �4' G Number of Square Feet of: !!�� j 2c Residential Spaceei4 /q x $1.84 Total `t I`'y�C9n J Commercial and Industrial Space x $ .30 Total CommerciaUlndustrial Project is: (Check One) Warehouse _ Motel _ Preschool R & D _ Bank _ Auto Repair Movie Theater _ Neighborhood Shops __ Hospital Mini-storage _ Racquet/Health , Large Office Heavy Industrial _ Hotel __ Office Bldg. Regional Shops _ Medical Office _ Restaurant Light Industrial _ Office Park _ Fast Food This project is exempt because This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code sections 53080 and 65995. The Building Permits for this square footage in this proposed development may n w be issued by your jurisdiction. Checks are to be made payable to Newport-Mesa Unified School District. By: Authorized Representative The above representation as to square footage is true. Applicant agrees that if it is later determined that such representations are not true, the is certificate shall automatically terminate and the appropriate City/County shall be notified. G-as-_o-2 �' Date: _ CITY OF COSTA MESA . BUILDING DIVISION Q i•4� �.� 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us Fr 1 �:._ • (4. FOR INSPECTIONS CALL:(714)754-5626 *4waitaroo e • PERMIT NUMBER. E07-00628 PERMIT TYPE ELEC STATUS: ISSUED . DATE ISSUED: 06/25/2007 . ISSUED BY: SOK . JOB ADDRESS: 2050 REPUBLIC AV CM . Suite/Unity '. Vicinity: . . SCOPE OF WORK: CONSTRUCT 829 SF TWO-STORY ADDITION(132 1ST FLR AND 495 SF:2ND FLR)AND CONVERT EXISTING 200 SF GARAGE TO HABITABLE SPACE. REF.: B07-00554 ELECTRICAL INCLUDES: 16 LIGHT FIXTURES,22 OUTLETS, 14 SWITCHES AND 1 SERVICE TO 200 AMPS. OWNER: BROWN,JAMES G - , ' Address: • 2050 REPUBLIC AVE Unit: PHONE: -' City/State/Zip: COSTA MESA, CA APPLICANT: GENE NOONAN Address: 2338 ALTURA Unit: PHONE: 714-998-6356'. - City/State/zZip: . -.ORANGE,CA . • CONTRACTOR: ORANGE COUNTY REMODELING INC License No. 717565 Address: 2338 ALTURAUnit: PHONE: 714-998-6356. - . City/State: ORANGE,CA • .. ZipCode: 92867 CELL: ELECTRICAL PERMIT FEES . Electrical Plan Check Fee: $0.00 ' Electrical Permit Fee: $110.46 . Reinspection Fee •- $0.00 TOTAL FEES - . $110.46 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE INSPECTION WPE, Dpi INTTAL$ CODE I INSPECTION TYPE ATS INTTAL$ 1816 Fixed System Final Fire Prevention 208 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof i 210 Final Electrical WO 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 Cr, WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivel :e. 0 Yes 0 No I hereby affirm under penalty of perjury one of the foil ..,ng declarations: Driver's License No. Expires: O 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 0 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 by this permit,and that no building structure.scaffolding,falsework,or demolition Carrier; or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp (This section need not be completed d the permit is valued at one hundred dollars(5100)or less.) 2,Art 2,Sec.341,Title 8,California Administrative Code). Policy N bec 0 As owner-builder, I will not employ anyone to do work which would certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless sued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. 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 , shall forthwith comply with these provisions. Applicant's Signature Date 26 _-o) Division of Industrial Safety Permit Number: pl_ kant's Signature _,,Date_ ' HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: W ING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑ No _Lic.# S CElass# -- . (Section 25533 of the California Health and Safety Code, with some 6s�ac✓-/�� exceptions, requires registration with the Costa Mesa Fire Department by ` ! each business which at any one time has on hand a quantity of acutely r �:„ actor's Signature `Datehazardous materials equal to or greater than a weight of 500 pounds, or a 1---- - volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). O I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work fcr which this permit is issued.(Sec.3097,Civil Code). , prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the Califomia OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No 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 informaton 5 fu i the onCaapplicationsorniic Govemment Code requires buildingthnt the requested License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on far non-residential permits). Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes ❑No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 . five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by Califomia License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No, thereon,and who does such work himself or herself or through his or her own 8. (If yes";attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden.of proving that he or She CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given'above is correct. I agree to comply with all state laws and • • city ordinances regarding Hazardous Materials and Emissions. ❑ 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 Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: 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. egal Owner(s) , Date Signature Date 6-- 7yz ]05]-96(3/071Authorized Applicant f Date Date L/ CITY OF COSTA MESA BUILDING DIVISION • )-7-41- � 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us WC 4 *. FOR INSPECTIONS CALL:(714)754-5626 /� PERMIT NUMBER!' M07-00390 PERMIT TYPE MECH STATUS: . ISSUED • DATE ISSUED: 06/25/2007 • - • ISSUED BY: SOK JOB ADDRESS: 2050 REPUBLIC,AV.CM ` Suite/Unit Vicinity: - - - - - ` SQ. FT: • 0 SCOPE OF WORK: CONSTRUCT-829 SF TWO-STORY ADDITION (132 1ST FLR AND 495,SF 2ND FLR)AND CONVERT EXISTING 200 SF GARAGE TO/HABITABLE SPACE. REF.: B07-00554 MECHANICAL INCLUDES:.1 REPAIR/ALT C_OOLING/HEAT AND-1 VENT FAN. - OWNER: BROWNJAMES G Address: 2050 REPUBLIC'AVE Unit: .. ' PHONE: _ .,. _ City/State/Zip: COSTA MESA,CA APPLICANT:. GENE NOONAN -• - •- . Address: - 2338 ALTURA• Unit: PHONE: 714-998-6356 - . . - City/State/zZip: ':ORANGE,CA , CONTRACTOR: ORANGE COUNTYREMODELING INC.. • -.. - License No. 717565' Address: r 2338 ALTURAUnitS. PHONE: - :714-998.6356 • City/State: - ORANGE,CA ' ZipCode: 92867 • MECHANICAL PERMIT FEE SUMMARY' , • MECH ITEM FEE: $44.45 ' - PLAN CHECK FEE: INVESTIGATION FEE: REINSPECTION FEE: ,x$0:00_- -- • TOTAL FEES: $44.45 • • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28, § 1, 12-21-92) EXPIRATION: 'PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE INSPECTION TYPE DATE INT1AL$ CODE[ INSPECTION TYPE DATE •� INTniALS 1616 . Fixed System Final Fire Prevention 206 Final Mechanical �� 'c�7 I)1V 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 DECLARATION: Owner ID verified by drivel ;e. ❑Yes ❑No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ 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 by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need not be completed rf the permit is value0 at one hundred dollars(5100)or less) 2,Art 2,Sec. 341,Title 8,California Administrative Code). Policy giber: - ❑ As owner-builder, I will not employ anyone to do work which would I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued.I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Applicants Signature Date the Labor Co forthwith comply with these provisions. /(Sr-) .9e)5 . X95 Division of Industrial Safety Permit Number: dm's Signature c2 — / HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑ No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds. or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. {/� a registration form for acutely hazardous materials? 0 Yes 0 No Lich# r-W - r_ Class# ,J (Section 25533 of the California Health and Safety Code, with some L—c .e• 24''0- exceptions. requires registration with the Costa Mesa Fire Department by a�/ each business which at any one time has on hand a quantity of acutely .ntractor's Signature r Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes IDNo (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK. and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044. Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No. thereon,and who does such work himself or herself or through his or her own 8. (If"x/ attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). • completion, the owner-builder will have the burden of,proving that he or she CERTIFICATE OF COMPLIANCE:-,I certify that.under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I. as owner of the property,am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contracta(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ID exempt under sec. the information given is correct. I agree to comply with all state laws and city Iordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: 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. • Si of Legal Owner(s) Date Signature • Date 6-25-0> 905]-46(3/07) , And, Authorized Applicant • CITY OF COSTA MESA BUILDING DIVISION • FI 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./07-00428 PERMIT TYPE PLUM STATUS: ISSUED DATE ISSUED: 06/25/2007 • - ISSUED BY: SOK • JOB ADDRESS: 2050 REPUBLIC AV CM Suite/Unit: Vicinity: SCOPE OF WORK: CONSTRUCT 829 SF TWO-STORY ADDITION (132 1ST FLR AND 495 SF 2ND FLR)AND CONVERT EXISTING 200 SF GARAGE TO HABITABLE SPACE. REF.: B07-00554 PLUMBING INCLUDES:..1 SHOWER '-1 WASH BASIN, AND 1 WATER CLOSET. OWNER: BROWN;JAMES G Address: 2050 REPUBLIC AVE PHONE: - _ City/State/Zip: COSTA MESA, CA APPLICANT: GENE NOONAN • - Address: -2338 ALTURA _ - PHONE: 714-998-6356 • City/State/zZip: ORANGE,CA • CONTRACTOR: ORANGE COUNTY REMODELING INC - License No. 717565 Address: 2338 ALTURA - - PHONE: 714-998-6356 City/State: ORANGE,CA ZipCode: 92867 CELL: • PLUMBING PERMIT FEE SUMMARY • PLAN CHECK FEE: $0.00 • PERMIT FEE: $52.90 TOTAL FEES: $52.90 • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS:. In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE INSPECTION TYPE DATE INTmAL$ SODE$ INSPECTION TYPE ex.,Th INTTMLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical (] ,, / 1266 Pool Spa Final 208 Final Plumbing )0-6-0? l \,Y 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 DECLARATION: . Owner ID verified by driver .e. ❑Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: 0 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. - . CD— ❑ 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 by this permit,and that no building structure,scaffdding,falsework,cc demolition Carrier. _-.- or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This seam need nal be competed d the permit is valued al one hundred dollars($100)a/ess.) 2,Art 2,Sec.341,Title B.California Administrative Code). Policy N mber: �- -- 0 As owner-builder, I will not employ anyone to do work which would I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. 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 hwith comply with these provisions. Applicant's Signature Date Division of Industrial Safety Permit Number: s5ignature C Data 7 HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNI ILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? ❑Yes ❑ No - /22-S4' rC-lass# (Section 25533 of the California Health and Safety Code, with some 6+4,1SJr2 exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely actors Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). O I hereby affirm that there is a construction lending agency for the , '3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). 'prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications fa non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes 0 No, thereon,and who does such work himself or herself or through his or her own 8 (If"yes",altachcertificale of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: (,certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. ❑ 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 Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contracta(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that 0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of • Business and Professions Code for this reason: 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. • S s:-•. -o Legal Owner(s) Date Stgnature Date &?�ej7 305736(3/07) —as. a arrndter Authorized Applicant `_Dale- ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT 1 636 North r iwoy A ® � Nq - - SANTA ANA, C FORMA EIL v FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY RECEIPT NO.. PERMIT NO. ADDRESS 2059 Republic Ave, Cj �'6 _ .10.:-3/3L SCHOOL DIST. RECEIVED BY DATE OF APPL. DATE ISSUED OR TOWN Costa Mesa NEAREST /-� ' 001 F 1 II-J5 CROSS BT. Grove Place / t— / I / 1i '• 3_4 3 BUILDING OWNER Z ��fr /I MOHICAN HOMES INC.IADDRESSMAIL rt.) ADDRESS 9363 WI LSH I RE BLVD. ORHTOWN OOL IST. eedi �Jil' s CITY BEVERLY HILLS NE.cR. 54361 iL/(�/`�p� NEAREST ��/// CROSS ST. /- l'.. ARCHITECT ppR MCKERRACHER ZONE ;gnat, TYP GROUP ENGINEERCAIN & CKERRACHER NO. SY. 611891 //X,/ I PN ANS ADDRESS 6110 E. WALNUT ST., PASADENA SETBACK LIN5,53�PM CENTER OF ST. $51.L' TEL. REAR YARD LJ ""' . "SIDE YARD 10 //( O CONTRACTOR NEWPORT VISTA CO.ND. CR. 54361 APPROVED J-. BY iC/J� . DATE J-/ ;.J. • ADDRESS 9.161 WILSHIRE BLVD. , BEV.HILLS / // LEGAL 7 n CORRECTIONS DESCRIPTION I LOT NO. 1 11 I BLOCK 1712 7 . (ATTACH METES 8 BOUNDS/ _ TRACT . - - NO.OF BLDGS. SIZE OF LOT 66c $1 O NOW ON LOT 0 USE OF I NO. OF I NO. OF EXISTING BLDG. FAMILIES ROOMS - _ _ _ DESCRIPTION OF WORK NEW I X I ALTERATION I ADDITION D D Fl REPAIR I I MOVING I I DEMOLISH I \ 2- > BUILDING NO. OF r SIZE 1034 SO.FTROOMS 5 STORIES 1 WALL I ROOF COMPO STUCCO COVERING COVERING 5 H INGLES I- USE OF NEW BUILDING RESIDENCE ,Att•Carport F APPROVALS FOUNDATION. LOCATION IN$PTOR DATE I HEREBYATIOACKNOWLEDGE DSTATHAT I HAVE READ COETHIS UNDER, MATERIALS, 0- 1/-)-- £3 APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING 1� AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS. BRACING, BOLTS Nc O 6 /liY�(-- Sa AND STATE LAWS REGULATING BUILDING CONSTRUCTION. r LATH. INT. L(L SIGNATURE OFz' / f J / PERMITTEE NEWPO/RT�/ VISTA CoC . LATH. EXT. AUTHORIZED AGT. -a. . /sac,. PLASTER. INT. /j�J �4 ' PLASTER. EXT. .+pX /. r. 774 $ 4830.00 P. C. s 2 MASONRY REINFORCED FEE /7$ ' 77 --- BOND BEAM VALUATION / L [� a FEE /L- J.— FINAL l 7 -_ - . . . _ - - r Id . -_ - .--... .. _ - __ Z .71 _ . _ , " -- .i - d -- PLOT'PLAN'_ _ _ a .. - . .. __ _ . . . _ - . 7^if fry .A,f1_,.,�,1 . . - - - . - . _. . I _' :I . .._.7 \+ r. _ • Y. 3 '.111 : ' ' - t _ . _ ' - • • ` \' I: - , . ! _ I i f Y w N • • STREET- I _ " • • .. -, % • . . r.. M1 r..... 1.1 ,. ",ll . r\ Yi i.. r ._ f -____ _- .. U . I,- . . • 1 .y 'a ., • p