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HomeMy WebLinkAbout2269 REPUBLIC AVE - Building Permits , • 6CITY OF COSTA MESA 4 " BUILDING DIVISION > %�i , F 1 w.wIar 1 ' PERMIT -"Maw4 iv/ BO5-00511 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 2269 REPUBLIC AV Status: ISSUED Suite: Applied: 03/31/2005 Vicinity: ROOF Issued: 03/31/2005 Primary Occ: R-3 Dwellings/Cong Res<10 Type of Construction: V-N Parcel Number: 42235123 Zoning: - ,,_, / Applicant: TAYLOR, ROB --- - - ISSUED BY: \2 f l' Address: 8602 LOWMEAD DR - --. - _ - -- Phone: " 714-964-8131 - - HUNTINGTON-BEACH,-CA-. Zip: 92646 Owner: ECKERT, TROY i Address ,2269 REPUBLIC AVE - • • Phone: 949:422-8551 ' - - /COSTA MESA,CA Zip: 92627 /r v � ' Coritractor: "\TAYLOR'ROOFING --1'- 'j Z `- ,/Address: 8602,LOWMEAD DR "y"V- , �� .•///'">/ /- Phone: 714-964-8131 c . HUNTINGTON BEACH,CA `(',`VV , c A,, A 1 Zip: 92646 i `License: 784622 -.- V �1'� Arch . • - , ;moi,. Eng: Address: ' - - _ Address: - . Phone: , Phone: Zip: - -' - ' License: License: , Vc ' i \ . SCOPE OF PERMIT_ , _, TEAR OFF EXISTING, INSTALL 30#FELT UNDERLAYMENT,-&REROOF WITH 30 YEAR G.A.F•.COMPOSITION SHINGLES(16'50). FEE SUMMARY . Plan Check: - $0.00 t, . - Calc Valuation: _- $3,000.00 Permit: $97.25 : -- - --- - - - - i — ••- Claim Valuation: r7;, ' '$3,300.00 SMIP Res: $0.50 '//t • - , `SMIP Corn: - $0.00 "j Other: $0.00 ' Inspection: • $0.00 r- Total: -, $9795 / , r `.. Y\ ` PLANNING &ZONING ,3±/,-,43.33/ % /7'; -a i ,: SETBACKS' : MAIN STRUCTURE Front 0-0 - Rear 0-0 ACCESSORY • Front 01-0 - ' Rear. 0-0 - - Left • 0= � 0 Right ,--0-�0./•/"/ ice - i� PARKING Existing:_,-.0`- . Required: • .0 , ,' Proposed: 0 . - / NOTES: - , , _ ��- 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, 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. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) DECLARATIONS I ) 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: Carrier: Policy Number: (This section need not be completed if the permit is valued et one hundred dollars($100)or less.) 9r -.readily that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califor la,end agree that I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pr sloe < /��^^ -3(•O Stlari'Sighature: Dale.. WARNING:FAILURE TO SECURE WORKERS'COMPS ATI COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(S100,000),IN ADDITION TO TH T OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 37060F THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that i-am ensed un r Qroyysions of Chapter 9(commencing with Section 7000)of Division 3 of-1he•Busi9ess and Professions Code,and my license is in full force and effect.L LLL Ctass'#' C 3 Contractoo ignature: 'w/ Date -`3.3/•oS 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: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty Of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($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 an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's 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 more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,Califomia 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 end 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? ❑Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic 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 ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 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 apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? lJ Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 It a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required tor the work which is the subject of this application,have all of the disclosures prescribed by California Health end 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 state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. piklIgn Let g51 Owner(s) Date 7 3t-or. And/Or. t 'ze Applicant r-LYalae -. CODE 1 INSPECTION TYPE SATE METRIAL/ COOEE 1NSPECTIONTYPE SASE {Dols 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final A ,T 208 Final Plumbing 200 Final Re-Roof Cc-16k� `t \ 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 itge • OWNER FREITAG, B.S.L. & ETHEL H. DATE 10-4-60 JOB ADDRESS 2269 Republic Ave. BUILDING PERMIT NO. 12941. GENERAL CONTRACTOR Owner-Bldr. VALUE $ 256.00 AP. No.119-501-23 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Patio Cover INSPECTIONS DATE GROUP J TYPE V ZONE Rl Underground Soil U.G. Water PERMITS ISSUED Underground Gas — — SUBCONTRACTOR DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line House Con. St. Swr. _ Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test _ Construction Pole Underground Power Rough Wiring Trenches Forms Steel Floor System Steel Reinforce Chimney Re-Rod Bond Beam SheathingF. (0—2.1 '1T Frame and Flashing { (p -A.4-1-61 Lathing, In Out Plaster, brown coat Plumbing Fixtures, Final Electric Fixtures, Final rr Building, Final gra-4 /O .–.t- –{1 OCCUPANCY ' Form 410-5M-11-59 S-B P 127141 • r 1294 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT 0 -H_I 96 a oKrytt P. O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely APPLICbT'YI1 gtT$ER7v11T TYPE OR PRINT BUILDING BUILDING ADDRESS 2269 Republic. Aver . COSTA MESA. CALIFORNIA For Office Use Only • RECEIPT NO. I�c• OWNER B'. S'/.(]L. Ethel H. Freitag 041 II••VVJJ MAIL 2269,, Republic, Ave RECEIVED BY DATE RECEIVEDDATE ISSUED ADDRESS { p E' /1'I"�� I O 'f --6#0 I /0- `4-66o CITY Geste Mesal: - NO`li-8050( ADDRESS ARCHITECTOR ENGINEER r�R'. S'. L. Pre 5fl- COSTA MESA. CALIFORNIA S ADDRESS 2269 Republic, Ave V_ FIRE' pr.- -... ZONE TYPE GROUPCONTRACTOR WC P1F' BYPROVED 6J ?7A VI D•ATE /o / /6 ADDRESS 2269 Republic Ave. v �/I ZONING --L' !!tt t..L *R ZONE r I NO.OF USE OF NEW i 0=�e✓✓ CITY aostC� Mega \ l�t PLANS BUILDING, i LIC NO. None, NO. None LEGAL 111 / C 7J T IR,•a "3'73 SIZE 601-5r ,q�I j /{�/ DESCRIPTION OF LOT • f L�' ( ! I Now DNBLOTe5 , A.P.NO. I I S-' CrI ---)- USE OF Living & Garage YARDS EVES EXISTING BLDG. 1� APPROVED. ALLOWED SETBACK LINE PROM 70 1- REAR YARD 911:_1 R(CENTERTLINE eT.l ��I / CENTER OF STREET 61FRONT +/�� ,y', �.I;r SIDE YARD I LEFT 7-A-1 I RIGHT R.SIDE 3S.FT. //.' N. DESCRIPTION OF WORK L.SIDE / FT. /moi ,N. NEW - I XII ALTERATION I II ADDITION I 'BEAR ?�/l 0 FT. ,/IN. S REPAIR I IIMOVINGI IIDEMOLISH I APPROVED /p I G �I DATE J o-j 4 0 BUILDING ] ^ NO. OF L(/ ,..tit, �/,(yy SIZE ] 44•300/ ROOMS STORIES 1 �` j,x., : I r4__- EXTERIOR WALL none I COVERINGOzninUm /� _/ COVERING l Lo Id f�{i.,IiCi— USE OF BUILDING AND WORK TO BE PER barbecue. 61-7/4-1-h-14-12--r‘-`. re----1-04 .- alb' - ✓ . / :r_ - &:H-6, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT - OWN UNDER VALUATION IS FOR THE AND °TATA' THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDI NC AN STAT W8 P REGULATING BUILDING CONBTR t0-10VALUATION OFl PERMIT FEE S Q, SIGNATURE � PERMITTEE "4-0 N ,;22 $ a V � -- w i PLAN CHECK $ w' F AUTHORIZED AGENT � d-0d rel TOTAL FEE $ • x OWNER Bristol Estates " - - , DATE 4-18-56 . JOB ADDRESS 2269 Republic Ave. - BUILDING PERMIT NO. 2883 GENERAL CONTRACTOR S.V.Hunsaker VALUE $ 8,856.00 LOT 167 BLOCK TRACT 2873 Single Res. w/att gar GROUP I & J TYPE V ZONE RIL FIRE DISTRICT 2909 PERMITS ISSUED INSPECTIONS ,AT- SUBCONTRACTOR p�p DATE NUMBER Footing Trench (/ �'!.3_' Foundation Forms and Grade to G rage - s /vim Rough Framin // ''''Y Plumbing,Ro to Sla` itit.„, 3Y ).f,J Plumbing, Rough Complete ea-1 - - 264 ,0M G°talc";, , 5t/6-s6 9 tJ' — Temporary Pole ,,t A Wiring, Rough 4/j G'26'7L J� ., 6-/,.3 S4 �J 5 y! Heating,Rough t ..SS- /i — „— l ypg,�j -- Heating, Final /l ri,6-6 Wit Sewer;House) l/���/'L,/+Sewer,,�Stt,.r ` �-s (Q.t J (X t.1,-.3.--;3 , ..s-ct _"1-'74‘9" Septic Tank or CC p Sewer, a "i /" 71 % ?1--c .-s -7z.'�l — Lathing, In '/ Out.2( / - „�G , Plastering c�u'i6" 7^' A J y Plumbing,Final,Fixtures Complete/n4-5 �f- Plumbing,Final Gas Test /5r{M.C.5 - !at- :. , S Ina •r;I Wiring,Final ✓ , '14%n Occupancy /17�/i ) 7 FORM 210 3M 10-55 _ . .?Costa Mesa Building Department cb� ` APPLICATION FOR-PERMIT P. O. Box3!7 2909 BUILDING 1 COSTA MESA, CALIFORNIA FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN' 1 Receipt No. 1 jermn Building q V? 7 A os Address Z�(e'1 �C,�Pi�$Li e, (}- Costa Mesa, California Re t a by /Date Rec'dd.. Date Issued Nearest r{f/[. SoA) S-r. % ����J 6 �i���S Cross St. Building / - Address Owner e,rrc•G- C Jr''9 rel Costa Mesa, California Mail 9 c2 fe! 4.-7. £r /U� Az Nearest Addressf� . Tel. Cross j City /0,72/01/44C/ No,/QT 7//V 7 Zone St. VJ/I, No.of Type Group (�� r Architect or / Lic. r I Plans I moi. Engineer No. Approved // by Date Address ''// CORRECTIONS 7 �'rfr vse City Lily 6e/ V Contractor S✓� �(-�lo. iG • Address •r )21k Le I Lot Description I No. ./67 Block I TracV 7� (Attach Metes and Bounds) t Ig )il[_\‘ I U i i-t:,,\ No.of Bldgs. ttri---C-yti-i_ &,i�I 1�77 Size of Lot (pO )t /0C Now on Lot 1 .. .----- J 1 {} 0 Use of No.of I No.of - y XI Existing Bldg. Families Rooms , Setback Line from / Rear Yard Z.$' 11-‘:-7.? _, , 18 !;±cn Z Center of Street Side Yard 5 4. JO D DESCRIPTION OF WORK r CITY nTr, nn,--r. ` New I Alteration I Addition I - . VI (JUL i/j L )i4 Repair I I Moving I I Demolish Size /C,/7 7" No.ofm / - Size Rooms Stories Exterior Wald-- Roof — - Covering .NCCn I Covering 0 Clv APPROVALS Use of Neve' -7". ..7.7:07-y" Buildin ,�/Nf /,O ,71D/0„> Foundation Location Inspector - Date .c 2Q77A(%7 Y 4194t /7 Under-orms, innerials, / / Under-Pinning /—Z5 Frame: Fire Stops, V Bracing,Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath. Int. with all City Ordinances and State Laws regulating building construe Lath. Ext Signature of ,/ /�/, Permittee 1KXC'1l1��� v ` Plaster, Int. Authorized Agt. 1` ' ' / W" Plaster,Ext Valuation 'ermit Fee $ 2 2 . GC Masonry Reinforced ff,(! Plan Check$ / Q-6 gond Beam $ (J u Total ? Fee $ .zJ�• di I FINAL �qM 204 1055 O. P.&S. ••••• •-• 1 - 4.) 15' 1 ‘11 .71 • 0 • d. • '23 1 R-56P11 teizost L - -- • • „/”.\ • • Street e") PLOT PLAN Show location and distances from property line and between buildings. •._ ‘‘ ..\\ i• / - • '• " . • • ! NI) • . . \ • • t!.‘hrt t,‘• C? OWNER TRYON, YR; -- DATE 2-20-57 JOB ADDRESS 2269 Republic Ave. BUILDING PERMIT NO. #(1381 GENERAL CONTRACTOR Parkway Fence VALUE $ 100.00 LOT 167 BLOCK TRACT 2873 Barbecue & Patio GROUP J TYPE V ZONE 1:11t_ FIRE DISTRICT 41457 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER • Footing Trench `/',/^('L `.WO Foundation Forms and Grade to Garage Rough Framing Plumbing,Rough to Slab -99 Plumbing, Rough Complete tol) _ Temporary Pole Wiring, Rough jt Heating,Rough Heating, Final �� 'r � Sewer, House Sewer,St. t. dr I1 Septic Tank or Cesspool + _ Lathing, In Out Plastering Plumbing,Final,Fixtures Complete _ Plumbing,Final Gas Test Wiring,Final � Occupancy &A$ .'-aO-S> FORM 210 3M 10-55 1 1 38p 1 445'7��� � FEE RECEIVED COSTA MESA BUILDING DEPARTMENT it •i-0 S.') -S X1 P.D. DX L FINANCE DEPT. `-'� • COSTA MESA. CALIFORNIA FOR APPLICANT TO FILL IN APFrIgtgfr A fM PERMIT (D BUILDING as / b 8.``44 AC C '-�� , BUILDING ADDRESS COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY MA.� •y(++ RECEIPT NO. PERMIT NO. //C OWNER Thyo A' T%CTvl MAIL ^ //�� 7 R/�B //� RECEIVED BY DATE RECEIVED DATE ISSUED ADDRESS 0(26 /L^•/ UNITC /. �i CO9 f •wcsA EL., ADILDING DRESS CITY J//AL ti NO. ADDRESS ARCHITECT • LIG. OR ENGINEER NO. COSTA MESA. CALIFORNIA - FIRE ADDRESS . ZONE /� ZONE PLANS TYPE GROUP ( I CITY'LIC. ' / PLArvs .- U/\J/IFS CONTRACTOR PnRk�Ay rate NO. 7`Al? ! � . ' ADDRESS /332 1-/41"RA T . BYPROVED DATE . .. LEGAL LOT Q�'7 DESCRIPTION NO. l�� BLOCK TRAY/ M. VVKKtLIIUNS A.P.NOr�L�j'�/ — _ APPROV ;�D . . SIZE (a6 / � /��7 NO.oN LOTR. / CITY OF COSTA MESA OF LOT OF p Gott L 6 U• ECT TO I�G DEPT,T. • • EXISTING BLDG. t,N. SUBJECT TO 61LDG. DEPT. REG. SETBACK LINE FROM /"-Fp R'/ CENTER OF STREET to A)(,yZLVREA YARD �/� 7 .: BY' 1Si I DATE 49-- DESCRIPTION �' / SIDE YARD RIGHT 10 LEFT - DtAN TECI4 win DESCRIPTION OF WORK '—.a -fi , NEW ✓ ALTERATION ADDITION J . REPAIR MOVING DEMOLISH 4 SIZEBUILDING/1E* ROOMS STORIES , • EXTERIOR WALLY[ y /4 ROOF ql/O N� COVERING brio`� COVERING AS, USE OF NEW b R �/��l BUILDING A ph- i •44 • I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND • STATEITYTHATAIN THE ABOVE TE CORRECTANO AGREE TO COMPLY WITH ALL CORDINANCES THES BOV STATE LAWSREGULATINGNOGREE COMBUILDING CONSTRUC- TION. WITH RUC TION. -;/�1 VALUATION ,. / SIGNATURE oFp +/ O/ `�i4!I�� PERMIT FEE $ G/{ PERMITTEE iii��` / d N/ 17/61 /D O . PLAN CHECK $ AUTHORIZED AGENT TOTAL FEE $ /19 -- Ve.MF