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HomeMy WebLinkAbout2074 REPUBLIC AVE - Building Permits PROJECT ADDRESS: 2074 REPUBLIC AV UNIT: CITY OF COSTA MESA — BUILDING PERMITPERM NO: IB 047314 OWNER'S NAME: ROBERT OBBARDS ADDRESS: SAME PERMIT NO: IB 047314 PLAN CHECK NO: N GOVT: N SUPP : Y CONSTRUCTION TYPE: PERMIT TYPE: OTH SIR PURPOSE: OTH 645-6223 ARCLUENGINEER: REO.NO.: JOB DESCRIPTION : FINAL INSPECTION SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 /M-1 PERMITTEE: ROBERT OBBARDS ( 714 ) 645-6223 ADDRESS: 02 i< 074 REPUBLIC M CA 92627 COMMENTS: LEIG.AL{' ESP/deep C CIE 61 2--6979 ***************** * ************ *** iTit********et********* Lir**********erdt+t****** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING `INNERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-Insure or a certificate of Workers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN npensation Insurance,or a certified copy thereof Section 3804 Lab.C). LEFT: FT IN RGHT : FT IN LEFT: FT IN RGHT: FT IN JLICY NO.: EXP.DATE: COMPANY: PARKING REQ:_ PROV: PARCEL : 42248103 ZNE: REF NO: 0 Certified copy furnished. 0 Certified copy is filed with the ci Bui 'lip Division. ' PLANNING N TES> �1/n > ��e Dale: x ) /V Applicant: / **************************************************************************it**** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section s l be completmthe permit am one hundred($100) to DEVELOPMENT SERVICES REQUIREMENTS I certify that in the performance of the work for which this ermit is issued,Ishall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: — Date: Signature: NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. diraCONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work far APPLICATION ISSUED BY: a=� DATE: which this permit a issued(Section 3097,Civ.C). **********************f .T".3•strJ ********** F it�** LENDER: ******************************************** e********************************** ADDRESS: LEGALIZATION:N F E E S U M t ARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC ME HANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish.or PERMIT 3 0 .0 0 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN ^my applicant far a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE J structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 30 . 00 0 . 00 0 . 00 30 .00 30 . 00 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale. It,however the building or REVENUE DIVISION TOTALS——> COLLECTED :_ 30 .00 OVER/SHORT • . 00 improvement of sale).sold within one year of completion,the owner will have the burden of proving he/she did not build or Improve or the purpose BLDG PMT PLUMBING ELECTRIC MECHANIFIRE SMIP/TOT GRADING PLAN—CHECK for I,as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 30 . 00 ❑ and Professions Code: The Contractors'Sate License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).lam aware *******************N'****'1F**'NlE'N'****'NN**'lE********'!f**************'N'**************** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BR E AKD OWN ol I am exempt under Section: 7 044 B.A P.C. for�this r n: OWNER DIONG WORK �/ TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: -//S. ic7 Ovine ':�'�Z" INS 1 BUILDING RE—INSPECTION FEE 30 . 00 30 . 00 I do hereby cern hat I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and END OF FEES 25534 and that I or any future building occupant will/will not(code one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. Date: Appicant: I hereby certify that I have read this application and state that the above information is•'n ct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize rem tatives o s ci ter upon the abovementioned propertytarttion urposes. Date: Si4 0 Signature: r ;—\ 01 00060341-00060841 TOT 30.00 • Driver's License or Social Security DATE: 05/15/90 TIME: 08:57 164140 White—Building;Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNhvo. JOL & SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas O Oil 23. Gas Pipe-Rough &ITest 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 17 Gas 0 Oil 25. Roof Sheathing ci 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding. ,. 77. FIXED SYSTEM FINAL 29. Insulation ': .1 78. FIRE PREV. FINAL 30. Drywall Nailing ; HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coj 79. FINAL INSPECTION 32. Electrical Power Neter-Final 80. FOOD CERTIFICATE ISSUED I{- 33. Final Electric Note s• `r 34. Final Heating& A:r Conditioning Sa/�AY-+1 /: "4 sac 35. Final Gas Pipe-Test v `"'1 36. Hood or Canopy , 37. Final Factory Fireplace 38. Final Final Plumbing ' 39. Water Service-Final 40. Gas Service-Final, 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING s a° �/ I ,CJA � - 48. FINAL PLANNING � -- - 49. Electric Release to Edison 50. Gas-Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date CIT" OF COSTA MESA CALIF._..iJIA 92628-1200 P.0.BOX 1200 Insulation Certificate g07 Repah/<< Ate. G,soi 5)19 Number and Street City orM County Subdivision Lot Number Description of Installation X ROOF Material Brand Name Thickness(inches) Thermal Resistance(R-Value) Y. EXTERIOR WALL /� Material JL/_/rr 5.? `✓7 Brand Name 04- Thickness(inches) - ' 1' Thermal Resistance(R-Value) /f'// CEILING Batt or Blanket Type i1/2 r 6/9 SS'efit Brand Name t9/C. � Thickness(inches) l / Thermal Resistance(R-Value) / / 9 Loose Fill Type Brand Name Contractor's minimum installed weight/ft2 lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value) RAISED FLOOR Material Brand Name Thickness(inches) Thermal Resistance(R-Value) SLAB FLOOR Material Brand Name Thickness(inches) 4' I' Thermal Resistance(R-Value) Width(inches) FOUNDATION WALL Material Brand Name Thickness(inches) Thermal Resistance(R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Adininistrativ: Code. Gam.. (Buildeyr , License umber gr. Title Date Su. :.nlnstaller) Lic�ttseNumber �wAtBr �� 5� Si�ature and Title Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CO ST CTI ON PERMIT - PERMIT NQ. TRACT NO. LOT NO. UNIT Ng''•`t.' '• • Prt Aress a( ,4,0 y� 4,�., 0M. `6- 6? 77 / 7/ 2, /7b / - 0625 (/26/87 257'053 TL TYPE OF CONSTRUCTION LJ NEW ADD H ALTERATION U . , .. , •Applican��'S5 Mailin Ad•ress �'� • Name if o/r Yf USfi✓Phone �', a / — T / ' O3 /�I • • DESCRIPTION OF WAR K/US F BLDG. '���-`/ DIA I/� �z(..I A.P.A P # 2 7, C2 Zone Adoess ,--/ ` . a n t II — -E,1"1/ JO G/f4 yam/ . • a, S Main Building: L7 Accessory Building: Arch/Eng. e I ' License No. TYPE OF PERMIT• ❑ GRADING Q FOUNDATION RU STUCTRAL' E- /2 Front 7 r- n n ZO c ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B / N Address - ' ``'' - Rear 0-j r — n `//A / I (gntractor'S Name ©/6 Phone .❑ OTHER Te /�'�I - t C Right /�. N f - PROJECT DESCRIPTION SQ. FT C4C4� re3 OCCUPANCY K S G Address(mailing) • 1, CONSTRUCTION TYPE J ' VALUATIONS V! S Left /4'ir - City License No. - - ZONE • GRADI CU.YDS. ACRES ," R LICENSED CONTRACTOp DECLARATION r Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: L� • �//,,...,� ^ D Plannin Notes: Q with section 7000) Of Division 3 of the Business and Professions Code, and / • �� /TCl• C' �/✓• Z�p 7 g G/Y/A!G /GM S 0/N//v L K /✓1 Apt-N>•I cry M my license is In full force anE'effect.LiA�', !— e7 S I. ,4-rr74e�/-,E' r A-/CAG-�E T cense Class $License No. /C? / PLUMBING FEES Date Signature •- WORKERS' COMPENSATION DECLARATION Bar Sink - Showers' - I hereby affirm that I have a certificate of consent to self-insure or a certificateELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section • 3800, Lab. C.) Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW Policy No. • Company '- Backflow Irrigation Sewer Ca I 0 50+ KW 8 Certified copy is hereby furnifhed. P Construction Pole Sub. Certified copy is filed with the City Building Division. s ��c Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps s Date Applicant •))' Clarifiers EXEMPTION F ROM WORKERS'COMPENSATION DECLARATION Solar Collectors Dishwasher Meter Clover 100 amps (This section need not be combleted if the permit is for one hundred ($100)or less). V Dishwasher Solar Piping ' Dryers XGas DElectric Sub Panel . I certify that In the performance of the work for which this permit is issued,I shall not employ any person in any manner • a_ o become su••-ct to the Drinking Fountains Solar Tank Fan Workers' o,5mpensallonLawsofCaliforn - ,� Motors❑D-iHP ❑1S-B pC Date 7r/ j'i Signature /�� _ /_ • Floor Drains - Swimming Pool w/$pa F.A.U. - NOTICE: It,S fter making this declaration,you shou f •ecome subject to the - r� Inc.Solar 0$-15 HP 016-15+ • Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks • Urinal ` Fixtures comply with such provisions or this permit shall be deemed revoked. ,c�'� r7 Microwave CONSTRUCTION LENDING AGENCY N,a1GJ Gas Service Outlets � Water Closet � CO Device Boxes Pole ' I hereby affirm that there is a construction lending agency for the performance 4e'•' Light of the work for which this permit is Issued (Section 3097 'Civ. C.) ` Interceptors Water Heater Outlets Lender's Name /Q _ Range I • a o6 Lender's Address Kitchen Sink Water Service ' OWNER BUILDER DECLARATION — 7 Switches Sign • / I hereby affirm that I am exempt from the Contractor's License Law forthe Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair / P—Trap • LaundryTrays any structure, prior to its issuance, also requires the applicant for such permit l - V 00 Generator ❑D-5 KW ❑5-15 KW to file a signed statement that he/she is licensed pursuant to the provisions of r - , Trash Compactor the Contractor's License Law(Chapter 9,(commencing with Section 7000)of _ Roof Drains , , Professions Code) or that he/she is exempt i reio 3 of the Business and t - - - therefrom and the basis for the all¢getl exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil alty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not Theed or offered Reinspection Fee I $15 Issue Fee • $ 3 ' for sale (Section 7044, Business and Professional Code: Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her Own - DEVELOPMENT SERVICES R EQUI- ENTS: • employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ / sale. If, however, the building of improvement Is sold within one yearearofof com- Canopy Type II 0 Zoning Approved By — .! CONSTRUCTION AND PLANNING POOL&SPA APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector I - 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • 4. Electrical Conduit-Undrgrnd. • 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. s/dir lse' 57. APPROVAL TO COVE R-GUNITE 7. Footings L _ irn G,,/ 58. Electrical Conduit-Undrgrnd. 8. Foundation ' ' sift, .5-(" 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. • 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor,System 61. APPROVAL TO DECK 11. Property Sewdr Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap I 63. Heater & Vent-Final 13. Roof Drains ' 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit �/ 66. Solar System-Final 16. Rough Electric Wiring ?MA) . Fencing & Access Approval 17. Rough Wiring Sign O ScQ-1,{yA^�c� 68. APPROVED FOR PLASTERING ' 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating:& Air Conditioning FIRE DEPT. REQUIREMENT • ' .• 20. Rough Factory Fireplace 743V7 Gip APPROVALS Permit# _ 21. Ducts, in Structure f 70. Underground Hydro 4. 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough&Test 72. Underground Flush ' 24. Roof Framing^1 73. Undergrnd.Storage Tank 0 Gas 0 Oil r 25. Roof Sheathing a4.07 Gr' 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - 27. Frame and Flashing76. Dry Standpipe - .. ��3 87 6,01/4./ 28. Lathing & Siding // 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL , 30. Drywall Nailing: HEALTH DEPT. REQUIREMENT ' ' 31. Plaster Brown Coat ill1d 79. FINAL INSPECTION 32. Electrical Power Meter-Final 111 p 80. FOOD CERTIFICATE.ISSUED 33. Final Electric Qt.9-� O _ Notes:6/fs k7 Oi [/ 7, &' i-r �,T ,6 y,, 34. Final Heating &`Air Conditioning 4/-2244 mei Vissi ?/�` ^tk. a t_ -J_��.( o1 e/b 35. Final Gas Pipe-Test q42-41"Pr. - / /a �C1'� % / lee . t • r . -1• i •P t3� A4 1 36. Hood or Canopy 37. Final Factory Fireplace el-Obn/i/0 38. Final Plumbing 1 q.42-1641 (AP° • 39. Water Service-Final r 40. Gas Service-Final 41. Solar Domestic-Final 42. Backf low Preventer . 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation / /� 46. Handicap Regulations LY 0 l('n, 47. FINAL STRUCTURE & BUILDING ._�-- �"- r 3o3 Q 121?- cJ4c. - 48. Special Requirements Completed L C 49. Electric Release to Edison y 50. Gas Release to Southern California Gas Co ` 51. CERTIFICATE OF OCCUPANCY f •.' f il No. Date - r Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - PERMIT NO. TRACT NO. LOT N UNIT NO. CITY OF COSTA MES CONSTRUCTION PERMIT g 5861 9/23/87 24075 , Project Address �0 '9 �i f P J BL 1 c. MG 303` s 1�7 \2`,r `1� - - Applicant's Mail' ddrre_ss�s Ste4/�•1t. 4,45•C al3 TYPE OF CONSTRUCTION H NEW ADD U ALTERATION ❑ REPAIR 1 1-,mss Ko&I'J2f �- .3js#& Ortse 49S El CONVERSION ❑ DEMOLISH OTHER A.P.# ( ue9/ — Q I — 0 3 Zone R , Owner's Name ne DESCRIPTION OF WORK/USE OF BLDG. - i ,Address Sl�n'L`L S Main Building: Accessory Building: TYPE OF PERMIT I I GRADING U FOUNDATION STRUCTURAL EFront Z BArch/Eng. —r — License No. T O Address / ❑ TENANT ELECTRICAL ID PLUMBING MECHANICAL A Rear N - O/ ❑ OTHER Contractor's Name /! I7 Phone C Right N • PROJECT DESCRIPTION SQ. FTI ' OCCUPANCY K G Address(mailing) CONSTRUCTION TYPE iZ - VALUATIONS &eel. $ Left R City License No. ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION - Ping. Ref.# Parking Req./Provided E Q hereby affirm that I am licensedunder provisions of Charter 9 (commencing Remarks: Planning Notes: _�y l{/ M with section 7000) of Divisionsion33 of the Business and Professions Code, and my license is in full force and effect. 4 obi-7 % T License Class License No. d Date Signature PLUMBING FEES WORKERS'COMPENSATION DECLARATION Bar Sink Showers , FEES I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) Automatic Washer Transformer 0 15.50 KW Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 050+KW • 8 Certified copy Is hereby furnished. Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter 0 u to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed If the permit Is for one hundred ($100) or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel 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 becom ject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑1'%-B perk Pgmpppsatlon Laws of Calif "Date A" 3' / Signature r- Floor Drains Swimming Pool vv/Spa f F.A.U. Inc.Solar 09-15 HP ❑1615+ 00 • NOTIIE: If,after making this declaration, you should become subject to the — / Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance - Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or p county which requires a permit to construct,alter,improve,demolish or repair • P—Trap Laundry any structure, prior to its issuance, also requires the applicant for such permit Trays Generator ❑0-5 KW ❑5-15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9 (commencing with Section 7000)of - Division 3 of the Business and Professions Code) or that he/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 g nasty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered — - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves _ thereon, and who does such work himself/herself or through his or her own Boiler DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Imorovements are not intended or offered forHood or Type I ❑ /( �+ .-1-1/_A� sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date ` pietion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By h / Date prove for the purpose of sale). �/_/ a li/. ��'f,0 0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License.Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con OD - tractor(s) license pursuant to the Contractor's License Law). I am aware thatExhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. CHECK $ PE 0 I am exempt under Section- Tom\BB & P. PLAN PERMIT PLAMBING $ ISSUANCE RMIT pC.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers $ Date 9'23 '}327 Own�O•+ � s�r�•r"�-� I Heating System & Ducting Registers $ 0b PLAN CHECK 25% $ ENERGY P.C. $ ' • I hereby certify that I have read this application and state that the above 1/4:Q-100,000 BTU 0100,000 BT information is correct. I agree to comply with all city and county ordinances " ELECTRICAL $ 1 J D GRADING $ and state laws relating to building construction, and hereby authorize repre- sentatives f this city to e _k •on the above-mentioned property i PLAN CHECK 50% $ S inspection ses. Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ 3•5-1) CMF 0865-46,rev. 10/84 white - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL &SPA _ APPROVALS Permit Date Inspector, APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location �I r . 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement i 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE • 71. Footings 58. Electrical Conduit-Undrgrnd:. • 81. Foundation 59. Gas Pipe, 0 Undrgrnd., Test . 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, D Undrgrnd. . I 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • 12. Sewer Cap 63. Heater & Vent-Final • 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# I 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas D Oil 23. Gas Pipe-Rough &Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas D Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe • " - 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric -22-W CSO Notes: 34. FinaF'Fleating & Air Conditioning 4szern cco • 35. Final Gas Pipe-Jest 36. Hood or Canopy 37. Final Factory Fireplace • 38. Final Plumbing • 39. Water Service-Final • • • 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation • 44. ,Landscape Irrigation System 45. Sound 'Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48.,Special Requirements Completed 1. 49.\Electric Release to Edison 50. Gas Release to Southern California Gas Co • • 51. CERTIFICATE OF OCCUPANCY - No. Date . • •- r. r Y • 4 CITY OF COSTA MESA co-di het BUILDING DIVISION F ,1$ 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us v FOR INSPECTIONS CALL: (714)754-5626 PERMIT NUMBER: B11-00110 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 42248103 DATE ISSUED: 03/31/2011 ISSUED BY: RMD JOB ADDRESS: _.207: REP_UBLIC `AVCM Suite/Unit: Vicinity: ROOF Squares: 2000 Valuation: $7,500.00 SCOPE OF WORK: HOUSING PROJECT: REROOF OVER(1)EXISTING LAYER OF COMP SHINGLES WITH 30 YEAR COMP SHIGNLES ON AN ATTACHED HOUSE AND GARAGE,APPROX 20 SQUARES. NOTE:RESIDENTIAL RE-ROOF: Final approval of permit shall not be granted until access to dwelling unit(s) is provided for verification of the installation of smoke and carbon monoxide alarms by the City Inspector. See Attachment w/Inspection Card OWNER: OBBARDS, ROBERT M Address: 2074 REPUBLIC AVE Unit: PHONE: 949-645-6223 City/State/Zip: COSTA MESA,CA APPLICANT: HOPPER,TOM Address: Unit: : PHONE: 714-9600-7052 City/State/Zip: - CONTRACTOR: J K CONSTRUCTION License No. 450297 Address: 915 LAKE STUnit: PHONE: 714-404-9846 CELL City/State/Zip: HUNTINGTON BEACH,CA 92648 CELL: 714-960-7052 ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: FEE SUMMARY Reroof Plan Check: $0.00 Reroof Permit Fee: $153.25 Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES $154.25 HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3/18/2010-PER CMMC Sec. 13-279 Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibitied all hours-Sundays and the following Federal holidays New Years Day,Memorial Day, Independence Day, Labor Day,Thanksgiving Day and Christmas Day 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. CODER. INSPECTION TYPE DATE INTITIALS CODER INSPECTION TYPE DATE INTITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof y5- N/n b 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 drive nse. 0 Yes 0 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 wilt maintain workers'compensation insurance, as required by DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: 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 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 earner `T9 4 / GY / by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier / m/-4-4i," ,h/ �J or dismantling thereof,will be more than thirty-six(36)feet high. (Chap. 3.2,Grp (This section nee of be completed 4 the pe s valued al one hundred dollars($100)or less.) 2,Art 2Sec.341,Title B,California Administrative Code). (POlicy:Number: /ck'6 c 0-. 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 nppecanrs Signature Date the Labor Code,I shall forthwith comply with these provisions. , cCil3----3/—(, Division of Industrial Safety Permit Number: ��pt rifs Signature (Date 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? 0 Yes 0 No (5100,000), 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. cr7 a registration form for acutely hazardous materials? 0 Yes 0 No /Lic..#�--•7SO 297 Class# - —C r / (Section 25533 of the California Health and Safety Code, with some l� l.�-�- exceptions, requires registration with the Costa Mesa Fire Department by .1.- /dist 337-// each business which at any one time has on hand a quantity of acutely U �odlracmrs �grlTTaaSlure Gate 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)? 0 Yes 0 No / (Section 25534 of the California Health and Safely 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 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 (Section on be f2 i the Cnliapplic Government Code requiresbuilding thnt the requested License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for 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 0 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). 0 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 B. (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 0 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 contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that Q 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. Signature of Le wner(s) Date Signature Dale �/—I/ 3057-46(3101) , u ta/ nd e C_lL.Date— CITY or COSTA MESA Neighborhood Improvement Program Work Write Up Bids due to City 2/28/2011 Rtn to Dan Baker 714-754-5330 Name: Bob and Susan Obbards, 2074 Republic Phone: 949-645-6223 All work is to be done per City of Costa Mesa Building,Planning and Public Works Codes. In order to establish standards of quality, the detailed specifications may refer to a certain product by name and/or from a major manufacturer. This procedure is not to be construed as eliminating from competition other products of equal or better quality by other manufacturers. The Contractor shall furnish the list of proposed desired substitutions prior to signing the contract All items listed on the work description, unless otherwise specified,shall include all patching and finish work, including trim, hardware, patching and finish painting and/or staining. The Contractor is responsible for all permits,fees, City business licenses,plans,etc. City of Costa Mesa Standard Rehabilitation Specifications applies to all items listed on work description. Estimate Lead Based Paint Components -Front Door, Back Kitchen door and Utility Closet Door. Trim Around all three door contains lead. Using Lead Safe Work Practices remove all doors and all $2200 interior and exterior framing material and properly dispose of debris. Provide and install new prehung six panel metal doors at the kitchen and storage door and rehang front door after lead containing trim has been removed. Installation complete with new hardware and trim. Lockset to be schlage or equal material • allowance not to exceed $125. Fascia and Eaves: Ail areas of fascia and eaves have tested positive for lead. V Remove all existing fascia per lead abatement guidelines and provide and install $2700 � new fascia. Using applicable exterior grade plywood, properly box in eaves to encapsulate remaining lead paint. Homeowner has requested that all bare wood to have stain applied rather than paint. Roof: Confirm one laver of roofing material and provide pricing to reroof over existing roof. New roof to be 30-year architectural laminated shingle roof (Owens Corning brand or equal Class A fire rated to current $7500 U.B.C. Code and manufactures standards. Include new drip edge and flashing. Install new metal valley pans. Install new metal flashing on every pipe and vent. Seal and paint all vent and pipes. Replace all damaged underlayment if applicable with in kind material. Homeowner to select color of roof from samples provided by the contractor. Termite: Treat entire structure for the presence of both dry wood and subterranean termites. Tenting is recommended for full abatement. $N/A Smoke Detectors: Check smoke detectors, if missing or not working, install to code. $in place LEAD TOTAL $4900 GRANT TOTAL $7500 I have reviewed the above work description and understand that any changes, additions or deletions shall have prior approval by the City of Costa Mesa Neighborhood Improvement Personnel. it Bob & Sue Obbards Date r ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT 4 • 636 North BroaFOy BUILDING SANTA ANAA,, CALIFORNIALI FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY RECEIPT NO. PERMIT NO. ADD BUILDING 2074 Republic Ave. 9 ,� s-/.��� SCHOOL DIST. Costa Mesa RE EIVED BY DATE OF APPL. DATE ISSUED OR TOWN Oak ,�s ,` ^� NEAREST Oak Street / l�T • D .(3 5-j OCT 2 1 1953 CROSS ST. �7 OWNER MOHICAN HOMES, INC. ADUDRESSNG /, ' / ' 11 MAIL SCHOOL DIST. ADDRESS 9363 Wit SM 1 RE BLVD. OR TOWN TEL. NEAREST ��chh77 CITY BEVERLYOOgqHILLS NO. CR. 54861 CROSS ST. VC • ENGINEERTCAIN & MCKERRACHER No'sY. 64891 ZONE PO.LANS TYPE GROUP /�,] ) PLANS I Y--.7-- ADDRESS 2110 E. WALNUT Sr.t PASADENA SETBACK LINE FRO CENTER OF ST. 5 TEL. REAR YARD/2)44 SIDE YARD nal CONTRACTOR NEWPORT VISTA CO.NO. CR. 54361 APPROVED q��) G BY C/����%G//(rr DATE/0 -Il 'J ADDRESS 9363 WILSHIRE BLVD., BEV.HILLS LEGAL CORRECTIONS • DESCRIPTION I LOT NO. 176 I BLOCK 1712 (ATTACH METES B BOUNDS) - TRACT • NO.OFSIZE OF LOT 66 x 1 10 I NOW ON LOTS O O USE F NO. NO. OF USE FG BLDG. IO. OO.FAMILIES I ROOMS DESCRIPTION OF WORK NEW I X I ALTERATION I I ADDITION I _ Di O O REPAIR I I MOVING I I DEMOLISH I Z s BUILDING NO. OF r- SIZE 1034 SQ.FTROOMS 5 STORIES 1 WALL STUCCO I ROOF COMPO COVERING COVERING SNI Hilt FC USE OF NEW BUILDING RESIDENCE, *tt.Carport APPROVALS FOUNDATION: LOCATION INSPECTOR DATE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS FORMS. MATERIALS, / APPLICATION AND STATE THAT THE ABOVE IS CORRECT UNDER-PINNING XLH l 9-i ek AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FRAME: FIRE STOPS. x%./12 � � _d-i' BRACING. BOLTS _�f/� � AND STATE LAWS REGULATING BUILDING CONSTRUCTION. /J LATH. INT. �///�.F^], /!1 ],/.'�. SIGNATURE OF NEWPORT V I STA CO. LATH. EXT. N- - 1'0/'% PERMITTEF //I AUTHORIZED AGT. C a . !C'���r.E PLASTER. INT. PLASTER. EXT. e .,..-A-544 p P. C'483000fuhhI!IttIIIuIL/ MASONRY REINFORCED FEE it S BOND BEAM VALUATION AMEMMEW FEE 1, FINAL �.-i' if-ts-.1`Y r. • . Z A W _ _ Z • .d " PLOT PLAN ° •'. ,^ ••_i:: `_. 7 jii; i1. a _ , - .. J c1q'.., . ?i. 0 pr 1 - • ....:..: I , ._ I .. .V.,. ._ _ . 1 J t I I,: ' Y.71 " .L 1 .I _ .. p - i . .1. _ r. 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