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Home My WebLink About3351 VIA MERANO - Building Permits(714) 754-5273 • F� (714) 754-4856 • wv+w.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: 3351 VIA MERANO BUILDING 13 Parcel Nunmber: TPN003058 Applicant: LONG, JEN Address: Owner. ,' STANDARD PACIFIC Address 15326 ALTON PARKWAY Contractor. Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting FixLs Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors to 1hp Mo[ors to 10hp IRVINE, CA -- Phone: 714-245-9760 Zip: 19� .T1S:f�:LS3C4�b/i[:] Zip: 92618 Phone: Zip: License: ISSUED BY: Status: ISSUED Applied: 02/20/2004 Issued: 03/15/2004 SCOPE OF PERMIT REF: B04-00395. NEW 7 UNIT MULTI-FAMILY BUILDING. INCLUDES ADDRESSES: 3363,3361,3359,3357,3355,3353, &3351 VIA MERANO. TR 16416, BUILDING 13. BLDG TYPE D ELECTRICAL TO INCLUDE: 7 LIGHTS, 14 OUTLETS, 7 SWITCHES, 'I- 1000 AMP SERVICE, AND 8 - 200 AMP SUB PANELS. RES SQUARE FOOTAGE-IS 11,064 SQ. FT. INCLUDES SUB PANEL FOR HOUSE METER. HOUSE METER IS P,DDRESSED AS 3351 A VIA MERANO .� $23.50 $0.00 $0.00 $0.00 $553.20 $0.00 $7.70 $15.40 $7.70 $0.00 $0.00 $0.00 $62.15 $0.00 $0.00 $0.00 Quantity •0 11064 0 7 14 7 0` 0 0 1 0 0 0 FEE SUMMARY ' Temp Dist System / Lighting -- �" '�� - Busway /100 k � Standing Section � . . _ Misc Electrical Equipment �� , Transformers up to 1 kva/kw .......:........up to 10 kva/kw .................uP to 50 kva/kw� � _. .......3........up to 100 kva%kw .................:over 100 kva/kw � Low Voltage Equipment , � Low VOIt Wiring System / Ckt � Misa Conduit Misc.�Conductor � Circus ( gen or ride) Circus (mech ride or lights)- ChristmasTree Stend � Quantity $0.00 " 0 $0.00 , 0 $0.00 0 50.00 0 30.00 0 $0.00 ' 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 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, 7241-92) 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 ot 780 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required inspectiona and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545626 2446-46 (6/00) WORKERS'COMPENSAnON DECLARAnON: I hereby aHirm undar penalty oi peryury one oF ihe following tleclarations: �I heve and will maintain a certificate ot consenl to self-Insure far workers' compensation, as provitlad for by sedion 3700 ot lhe Lebor Code, for Iha pertormence of Ihe wark for which this pertnit is issued. I have en0 will malniain workers' compensaGon insurance, as required by section 3700 oi the Labor Code, fo� the pertortnance of the work for which this pe�mit is issued. My workers' compensation Insurance carner and policy number are: �Cerrier: Policy Number. (This section need no( be comp/efed i/ the permit i valuetl af one hundred dollers ($700) or less.) ❑ I cenity ihat in the perlormance f h6We c fo i h this ertnit is issued, I shall not employ any person in any manner so as to become sublect to Ihe workers' wmpensation laws ot Calitomi end eg if shoultl ecome subject Io the workers' compensation pmvisions of Sectio999,,,��77700 Of e Lebor Code, shall forlhwith wmply with thesa provisions. � �/ / �� Appliwnt SignaNre: Date: �«'t� WARNING: FAILURE TO $ECURE WO KERS' N COVERAGE IS UNLAWFUL AND SHALL SU6IEGT AN EMPLOYER TO CRIMINAL PENPLTIES AND CIVIL FlNES TOONE HUNDRED THOUSAN�DOLLARE�E100.00OI.INAD TOFCOMPENSAiION,DAMAGESASPFOVIDEDFORINSECT10N31O60FTMELABORCODE,IMEREST,ANDATTORNEV5FEE5. LICENSED CONTRAC70RS DECLARATON: I hereby aHirm ihat I am licensed under provislons of Chapter 9(commencing wit� Section 7000) ot Division 3 oi the Business and Pmfessions Cotle, anA my license is in tull force ana ettecL Lic. M Cless q ContractoYs Slgneture: Date: CONSTPUCTION LENDING AGENCY: ❑ I hereDy aHirtn that Ihere is a construction lending agency tor ihe pedormance of ihe work for which this pertnit is issuetl. (Sec. 30W, Civil Code). Lenders Name: Lenders Address: Signature: Data: OWNER-BUILDER DECLARATIONS: I hereby aHirtn Ihat under penalry ot perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the followinq reason (Sec. 7031.5, Business an0 Protessions Cotle: Any ciry or counry which requires a permit to construct, alter, improve, tlemolish, or repair any sWcture, prior to its issuance, also requires the applicant for such permit to lile a signed statement that he or she ISlicensetl pursuant to the provislons oi tha Contractore License Law (Chapter 9(commencing with Section 7000) of DiNsion 3 of the Business and Professions Code) or that he or she is exempt therelrom and the basis for ihe alleged exemption. Any violation of Section 7031.5 by any applicant for e permit subjecis Ihe eppliwnt to a civil penalry of not more than tive huntlred dollars (5500).): ❑ I, as owner of ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, and ihe stmcture is not intended or oHered tor sale (Sec. 7044, Business and Professions Code: The Contractors License Law dces not apply to an owner of property who Duilds or improves Ihereon, end who tloes such work ' seH or herself or ihrough his or her own employees, provitletl ihat such improvements are not imended or oHered for sale. If, however, the building or impmvemem is so within one year ol completion, ihe owner-Duiltler will have ihe burden ot proving that he or she did not build or improve tor purpose of sale.). I s owner of the prope am SIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business and Professions ode: The contractors e Lew d not apply to an ownar of property who builtls or Improves thereon, entl who contracts for such project with e contrecior(s) license pursua ractors Lice e Laws.). ❑ I am exem Signature: Owner ID verif d by Verification ot Business antl Professions Cotle tor this reason: :e. ❑ Yes ❑ No Dnver's Licensa No. of tlocumem, i.e. - property tax bill or tleed): DIVISION OF INUUSTRIAL SAFETY PERMR CERTFICATION: Expires: ❑ I hereby cenity that no exwvation five (5) or more feei in tlepih into which e person is required to descend, will be made In connection with work euthorized by ihis pertnit, and thai no 6uilding swcWra, scattolding, falsework, or demolition or dismantling thereot will be more than thirty-sis (36) feet high. (C�ap. 32, Grp 2, Art 2, Sec. 341, Title e, Calitornia Adminisiretive Cotle). ❑ As owner-builder, I will not employ anyone to do work which would require e permit from the Division of Indusirial Setety, as noted above, unless such person hes e permit to d0 Such wark from tha divi5ion. Signature: Date: Division ot Intlustrial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVA710N OF ENfRV: I certify untler penalry of perjury Ihat I have read this applicetion antl s�ate ihat the information given is correct. I agree to comply wich ell state laws entl ciry or ances relating to building conswction, entl authonze represeniaiives ot ihe Clty of Cos�a Mesa to enter upon Ihe above-descdbed property f�nspectionyurpo I � esupy`r allow occupancy of any building au�honzed by this permit until iinel inspection, COpE 1, INSPECTIONTYPE � i616 FizeO System Final Fire Prevention 1266 Pool Spa Final 200 Final R8-RoOf 201 Final BIOCWRataininq Wall 202 Final Factory Fire Placa 203 Final Sign 204 Final Demolition t� � �(i�e� �� Date � Q�jF � CSQFy� INSPECTIONTYPE 206 Final Mechanical 208 Finel Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupancy PAg It�Li IL%-CN7 � tt— (714) 754-5273 • Fax (7/4) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ,lob Address: 3351 VIA MERANO Suite No Vicinity: BUILDINCy 13 Parcel Number: TPN003058 Applicant: LONG, JEN Address: Owner. STANDARD PACIFIC Address: 15326 ALTON PARKWAY IRVINE, CA � � Contractor: Address: MECHANICAL PERMIT Phone: 714-245-9760 Zip: Phone: 949-789-1716 Zip: 92618 Phone: Zip: License: ISSUED BY: SCOPE OF PERMIT REF: B04-00395. NEW 7 UNIT MULTI-FAMILY BUILDING. INCLUDES ADDRESSES: 3363,3361,3359,3357,3355,3353,&3351 VIA MERANO. TR.16416, BUILDING 13. BLDG TYPE D � � � . � � Statos: Applied: Issued: MECHANICAL TO INCLUDE: 7 A/C COMPRESSORS TO 3HP, 7 FAU'S LESS THAN 100 K BTU, 7 FACTORY FIREPLACES, 28 VENT FANS, 7 APPLIANCE VENTS. ISSUE FEE Inst FAU <100 k BTU � Inst FAU >100 k BTU Repair hAlt Cooling/Heat Inst / Rep. Recess Wall Htr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping . Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 10000cfm Floor Furnace Floor or Suspend Heater $23.50 $103.60 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $74.55 $0.00 $0.00 $203.00 $0.00 $0.00 $0.00 $74.55 $0.00 $0.00 $0.00 $0.00 - FEE SUMMARY Quantity 7 0 0 0 0 0 0 7 0 0 28 0 0 0 7 0 0 0 0 Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler , Commerciallncineretor � DomeStiC Incinerator � Compressors / Absorption SYstems Upto3hp/100kBTU - = 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 7,750 BTU � Boilers Upto3hp 3To15hp � . � 15to30hp � , - . 30 to 50 hp Over 50 hp Other Mechanical Fee Invesfigation Fee ISSUED 02/20/2004 03/15/2004 Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 ' $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $102.90 7 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 NOTICE: The work authorized hy 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 voitl ii work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPEC710NS: In order for the work authorized under ihis 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) 7545626 2446-46 (6/00) WORKERS'COMPENSAnON DECLARAnON: ' I herehy ettirm under penalry of perjury one oi the tollowing declarations: ❑ I have and will meinlflin a certificete ot consent to self-Insure for workers' compensation, as provided for by section 3700 of Ihe Labor Code, for the parformance of ihe work tor whiCh this pertnii is issuetl. I have and will malntain workeB' compensatlon insurance, es requiretl by section 3700 of Ihe Labor Cotle, for tha peAormance of the work for whlch this permit is issued. My workers' compensation Insurence wrnar antl policy numDer ere: Carrier: Policy Number: (This section need no( be comp/e(ed i/ � e permif is velued af one huntlred dollars (5100) or less.) ❑ I certity thei in Ihe rtnan e work fo whic pi�mit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation lew �alito i ree t shoultl bacome subject [o the workers' compensation provisions oi Sectlon 370QQQ oi the La}�o r Code, I shall forihwith comptywiih Ihes mvisi� . � �� / � � � ,/ Applicam Signature: Dete: l�t C./ (..a' WAqNINO: FAILURE T SECURE W ERS' OMPENSATION COVERAGE IS UNLAWFUL AN� SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE MUNDRED hKK15ANDDOLLARE( W,OW A TOTHECOSTOFCOMPENSATION,DAMAGESASPfiOVIDEDFORINSECTION3]OfiOFTHELABOqCODE,INTEREST,ANDATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn that I am licensed under pmvisions of Chapier 9(wmmencing with Section 7000) of Division 3 ot the Business and Professions Code, anA my license Is in full force end eXect. Lic. N Class N Contrectofs Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn that there is a consWction IenOing agency for the pertormance ot the work br which this permit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lenders Addreu: SignaWre: Date: OWNER-BUILUER DECLARATIONS: I here6y aHirtn ihat under penalry ot perjury that I am EXEMP7 FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7037.5, Business end Professlons Cotle: Any ciry or counry w�ich requires e permit to consWct, alter, impmve, demolish, or repair any stmcwre, prior to its issuance, elso requires the epplicanl for such pertnit to tile a signed statement that he or she is licensed pureuant to the pmvisions of the Contracbrs License Lew (Chapter 9(commencing with Section 7000) 01 Division 3 ot the Businass end Professions Code) or that he or she is exempt iherefrom antl Ihe basis for ihe allegetl ezemption. Any violation of Section 7031.5 by any epplicant for a pertnit subjecis the applicent to a civil penalry oi not more than five hundred tlollars ($500).): ❑ I, as owner oi ihe property, or my employees with wages es Iheir sole compensation, WILL DO TME WORK, entl ihe sirucNre is not iNended or oHeretl for sale (Sec. 7044, Busineu and Professions Code: The Contractors License Ww does not appry ro an owner of property who builtls or improves thereon, and who does such work himself or hersetl or ihrough his or her own employees, provided ihat such imprwements ere not Intendetl or oHered lor sale. If, however, the building or improvement is sold within one year ot completion, the owner-builtler will have the hurden ot proving that he or she did not build or improve tor purpose of saie.). I, as owner ot ihe property, E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct tha prolect (Sec. 7044, Business and Professions Cotle: The contracty aw @s not epply to en owner of property who builds or Impmves thereon, and who contrects for such project with a contrector(s) license pursua/Rt6 th n tors,/c�pe4�aws.). ❑ I am exempt Signature: _ Owner ID venFied Verificelion oi Owi Business antl Profassions Code for this reason: ❑ Ves ❑ No Dnver's License No. document, i.e. - property taz bill or deed): Expires: DIVISION OF INDUSTRIAL SAFETV VERMIT CERTIFICATION: ❑ I hereby certify that no exwvation five (5) or more teet in depth into which a person is required to descend, will be meda in conneqion with work authorized by this pertnit, antl that no building structure, scaHolding, talsework, or demolition or dismantling thereot, will be more Ihan ihirty-six (36) faet high. (Chap. 32, Grp 2, Art 2, Sec. 347, Tula e, California Administrativa Cotle). ❑ As owner-builde�, I will not employ enyone to tlo work which would require a pertnit irom the Divislon ot Industnal Safery, es notetl ebove, unless such person hes a permit to tlo such work irom ihe division. Signature: Date: Division oi Indusirial Satery Permit Number: CERTIFlCA7E OP COMPLJANCE ANO AUTHORVATION OF ENTRY: I canity under penalty of perjury that I have reatl ihis applica�ion antl state that tha information given is correct. I egree to comply with all state laws antl ciry orainances relating ro building constmction, and authorize represen�atives of ihe Ciry of Costa Mesa m eNar upon the ebove-tlescribed property for �ection purpose upy or allow occupancy of eny building authonzetl by this permit until final inspection. CODE I. INSPECTIONTYVE 1fi16 Fized System Final Fire Prevention 126fi Pool Spe Final 200 Final Re-Roof 201 Final BIocWReteining Well � 203 204 Final Factory Fire Place Final Sign Final Demolition PAS€ IMRIRLS LJ'�Y' / `7 Dat SODE� INSPECTIONTYPE �� p��E�� 206 FinalMechanical /!J/CL.7/FyY ��r— 208 Final Plumbing 210 Pinal Electncal 212 Flnal Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final BuildinglOccupancy (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3351 VIA MERANO Suite No Vicinity: BUILDING 13 Parcel Nunmber: TPN003058 Applicant: LONG, JEN Address: Owner: STANDARD PACIFIC Address 15326 ALTON PARKWAY Contractor: Address: Arch / Eng : Address: ISSUE FEE BackFlow irrigation BackFlow Preventer Bathtub Clarifier System Connect pce,Soda,etc) Dental Units Dishwasher IRVINE, CA PLUMBING PERMIT Phone: 714-245-9760 Zip: Phone: 949-789-1716 Zip: 92618 Phone: Zip: License: Phone: Zip: — - License: Status: ISSUED Applied: 02/20/2004 Issued: 03/15/2004 ISSUED BY: SCOPE OF PERMIT REF: B04-00395. NEW 7 UNIT MULTI-FAMILY BUILDING. INCLUDES ADDRESSES: � 3361,3359,3357,3355,3353, & 3351 VIA MERANO. TR 16416, BUILDING 13. BLDG TYPE D � PLUMBING TO INCLUDE: 9 BATHTUBS;�7 ICE CONNECTS, 7 DISHWASHERS, 7 GAS (1-4 OUTLETS), 7 GAS OVER 4 OUTLETS, 7 GAS SERVICES, 7 LAUNDRY TUB/WASHERS, 7 PRESSURE REGULATORS, 7 SEWER CONNECTS, 7 SHOWERS. 30 WASH BASINS, 7 KITCHEN SINKS, 21 WATER CLOSETS, 7 WATER HEATERNENTS, AND 7 WATER SERVICES. ' � AMT $23.50 $0.00 $0.00 $8820 $0.00 $68.60 $0.00 $68.60 QTY 0 0 9 0 7 0 ' 7 FEE SUMMARY AMT Laundry Tub / Washer $68.60 Landscape Irrigalion $0.00 P-Trap � , , $0.00 Pressure Regulator � $68.60 Process Piping (per 10 ft) $0.00 Receptors $0.00 Septic Tank $0.00 Sewer Cap for Demo � -�- '$0.00. QTY 7 0 0 7 0 0- 0 , 0 SumpPump Swimming Pool- � . Trap Primer � Urinal Vacuum Brkr Bkflow(1-4) � Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $294.00 $0.00 aTY 0 0 0 0 0 0 30 0 � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regula[ions. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period ot 180 days. , INSPEC7IONS: In order for the Work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all �I required inspectlons and final approval must be obtained. FaiWre to o6tain inspec�ions and final approval will result in ihe expiretion of this permit. �� FOR INSPECTIONS CALL: (714) 7545626 I 2466-bfi (6I00) WORKERS'COMPENSAnON DECLARAnON: I nereby attirtn under penalry oi perjury one oi the tollowing tleclarations: ❑ heve antl will maintain a certificata ot conseni to selt-Insure for workers' compansetion, es provided tor by section 3700 of lhe Lebor Cotle, tor ihe peAortnance of the ork tor w�ic� ihis pertnit is issued. I ve an� will maintain workers' compensation insu2nce, as requiretl by section 3700 of Ne Lebor Cotle, for Ne peRormance of Ihe work tor which Ihis Dertnit is issuetl. workers' wmpensation Insurence carrier antl policy number are: C rner: Policy Number: (Tliis section neeA not 6e canplefed il fhe ermit is velued ef one hundred dollars ($f 00) or /essJ ❑ I cenify thet in the peRormep e oi � ork tor which t is pertnit is issued, I shall not employ any person in any manner so as to become subjecl b the workers' compensation laws ot Ca'forni n�; e Ihat it I sh 16�bacome subjeci lo iha workers' compensation pmvisions ot Section 3700 of Iha Lebor Code, I shell forthwilh comply with these pravi ns 2 ApplicamSignature: Date: �/. - D y WARNING. FAILURE TO SECU E WON S' PENSATION COVEPAGE IS UNUWFUL AND SHP1L SUBIEGT AN EMPLOYER TO CRIMINAL PENPLTIES AND CIVIL FINES UP TOONE MUNDRED THOUSANO DOLURE (E100,000 , DITI TO THE COST OF COMPENSATIqJ, DAMAGES AS PROVIDED FOR IN SEGTION 31060F THE LABOR CODE, INiEREST, AND FTTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm Ihat I em licensed under provisions ot Chapter 9(commencing with Section 7000) of Division 3 of the eusiness and Professions Code, anA my licansa is in full ��. force ana ettect. Lic. # Class # I CONractoYs Signeture: Date: CONSTRUC710N LENDING AGENCV: ❑ I hereby aNirm that ihere is a consiruction lending agency for the performance of the work br which this permi� is issuetl. (Sec. 3097, Civil Gode). Lentler's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby ettirm thet under penalry of perjury Ihat I am EXEMPT FROM THE CONTRACTORS LICENSE LAW For Ihe following reason (Sec. 7031.5, eusiness end Protesslons Cotle: Any ciry or counry which requires e pertnit to consWcL alter, impmve, demolish, or repair any structure, prior to its issuance, also requires ihe epplicant for such permit to tile a signe0 stetement thal he or she is licensed pursuant to the pmvisions of the Contradors License Law (Chapter 9(commencing with Section 7000) oi DiWsion 3 of the Business and Professions Code) or Ihat he or she is exempt iherefrom end the basis lor Ihe alleged exemption. Any violetion of Saction 7031.5 Dy any apPlicant for a pertnit sublecis the applicant to a civil penelry oi not more than tive hundred tlollars ($500).): ❑ I, as owner of Ihe O�operry, or my employees with wages es Iheir sole compensation, WILL DO THE WORK, and Iha structure is not intentletl or ofleratl tor sale (Sec. 7044, Business and Protessions Code: The Contractors Licensa Lew does not apply to an owner of property who builds or improves ihereon, and who doas such work himself or herself or through his or her own employees, providetl �hat such improvemenis ere not intendetl or oXered for sale. If, however, Ihe building or improvement is sold within one year ot completion, the owner�Duiltler will hava the burden ot proving Ihat he or she did nm build or improve for purpwe of sale.). � as owner ol the prope IVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 704d, Business entl Professions Coda: The contr rs ' ense Law do not appty to an owner of pmperty who huilds or Improves thereon, and who contrects for such pmjeci with a contractor(s) license purs to tra ors Lic se we:�� I am exem un r Busine5s and Professions Code for t�is reeson: � / �// , ��- SignaWre: � E 7' - Verilicatlon oi Ownership�by�(rype oi documenl, I.e. - pmperty tan bill or tleed): DIVISION OP INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ 1 hereby certify �hat no ezcavation tive (5) or mora feet in depth into which e person is requirad to descend, will ba made in connection with work euthorizetl by this permil, antl t�at no building siructure, swltolding, talsework, or demoli�ion or dismantling thereof, will be more Ihan ihirry-siz (36) feet high. (Chap. 32, Grp 2, Art 2, Sac. 341, Ttle B, Califomia Atlministrative Coda). ❑ As owner-builder, I will not em0loy enyone to do work which would require e permit irom the Division of Industriel Safery, as noted ebove, unless such person has a permit to tlo such work Irom the division. Signature: Date: Division ot Industrial Safety Permit Number CER7IFlCATE OF COMPLIANCE AND AUTHORIZATION OF EN7RY: I cenity under penalry ot perjury that I have read ihis application and state that the information given is correct. I agree to comply with ell steta laws and ortl tating to building construction, and authonze represen�atives of ihe City ot Costa Mesa to enter upon ihe abova-described properry for inspectionyur�se� e not to occ y or allow occupancy of any building authorized by this permit until final inspeciion. COOE1, INSPECTIONTYPE �� 1616 Fizetl System Final Fire Pi 1266 Pool Spa Final 200 Final Re-Root 201 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition �� INTRIALS • �L COUE• INSPEGiIONTYPE 206 Final Mec�anical 20B Final Plumbing 210 Final Elecirical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Builtling/Occupency Qe7f. li{II�LS �li.[F`7 / (714) 754-5273 • Fax (�14) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 FIRE SUPRESSION PERMIT JobAddress: 3351 VIAMERANO Suite: Vicinity: Parcel Number: TPN003055 Zoning: Applicanc FIRE SPRINKLER SYSTEMS INC Address: 705 E HARRISON�ST'`." „ . ' SUITE 200 �, :' - � � � Phone: (800) 915-3473 ," , CORONA, CA , � - � , Zip: , 92879 � owner. �STANDARD PACIFIC - Address-�'A5326ACTONPARKWAY� - � � - " � . � Phone: 94&78&1716 �- �- .IRVINE;CA/� � - Zlp: 92618 .� ._ ',/.�'�. Contractor. FIRE SPRINKLER SYSTEMS INC Address 705 E HARRISON ST Status: ISSUED Applied: 05/24/2004 Iss ed: 05/28/2004 ISSUED BY: ` �� , . . � � , , -_ � � ' " �A �� ,. , . �= . ;�. , . � �. ,� � � _ . ' _;�_ i, �� - � � � ' _ � �. " - � SUITE 200 . Phone: , (800) 915-3473 • . , " �, , - CORONA. CA ' •;; Zip: � 92879 ,. � � - � � �� . � � � . - License: 684600 � � � , - � - � � � ' ,� _, ' . SCOPE OF PERMIT � , , � , , ADDRESSES INCLUDE: 3363 3361 3359.3357,3355 3353,&3351 VIA-MERANO _ SEE PA-02-41/T-16416 � �Plan Check: $117.81 Permit: "$181.25 Other.`�� .':$0.00 , . , . �� ,TotaL• � $299.06. , -��,� _. , :\ � ` `'` �- =�' � `` v. _ � . _ Calc Valuation: - $9,a2o.00 ,• Claimed Valuation: Ss,azo.00 ; � , j%,� __.. ,.; .; � � . �_ _, -' , ` " � , ,� . , , . ;i �� NOTICE: The work authorized by ihis permit shall comply with all applicabla 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 suspendetl or abandoned for a period of 180 days. INSPEC71oNs: m order tor the work authorized under this permlt to be considered legal, such work must comply with all applicable codes, and all required Inapections and tinal 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 zaasas�sroo� � WORKERS' COMPENSATION DECLARATION: � " I hereby attirtn untler penalry ot perjury one oi the following declarations: . ❑ I have and will malntain a certificate ot consent to seN-Insure tor workers' compensation, es provitled tor 6y sedion 3700 of ihe Labor Code, tor ihe peAormance of the work lor which ihis pertnii is issued. ��have and will mflinWin woAcers' compensation Insurence, as required by section 3700 of Ihe Lebor Code, tor Ihe perfortnance of the work tor which this pertnit is issuad. y workers' wmpensation Insurence carrier and policy number are: Ce nr er. ��'TE T✓�t-f� � EolicyNumber: I�O�� 1� �� QO� (Thls sec(ion need nof be comp/eted i! the permit is velued et ane hundred dollars ($100) or Iess.J ❑ I certity that in the pertortnance of Ihe work for which Ihis permit is issueQ I shall not employ eny person in eny manner so as to become subject to the workers' wmpensation laws ot Celi�i tl egree het if I should become su { t to the workere' compensatlon provisions ot Section 3700 of Ihe Lebor Code, I shall forthwith �Qcomply with t�ese provisions ,/ Ap icant Signature: �^� — �f3a� ✓��a �/� r ��ARNING FAILURE TO CUR ORKERS' COMPENSATIIXJ WVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYEF TO CRIMINAL PENALTIES AND pVIL FlNES UP TOONE HUNDRED TFKKISANDOOLLARE(E1 , 9,INAD�RIONTOTHECOSTOFCOMPENSATION,DANAGESASPROVIDEDWRINSECTION�WOFTHELABORCODE,INrEREST,ANDATTORNEI"SFEES. LICENSED CONTRACTORS DECLARATION: 1 hereby aflirtn that I am �ofCepntl eflec�. Lia M _ ConVactors Signature: of Chapter 9(commencing with Section 7000) of Division 3 oi �he Cotle, arA my licensa Is in full CONS7RUCTION LENDING AGENCY: ❑ I hereby ettirm that there is e conswction lending agency for Ihe pertormance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: LentleYs Atldress: SignaWre: Date: OWNER•BUILDER DECLARATIONS: I hereby aHirm ihat under penalry of perjury Ihat I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW tor ihe following reason (Sec. 7031.5, Business entl Protessions Cotle: Any ciry or county which requires e permit to construct, elter, improve, demolish, or repair any structure, pdor to its issuance, elso requlres Ihe applicant for such permit lo tile a slgneC statement thet he or she Is licensed pursuant to Ihe provisions of the Contractors License Law (Chaptar 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or Ihet he or she is exempt therefrom entl the besis for the alleged exemption. Any violation of Section 703L5 by any applicent tor e permit subjecis ihe eppllcaN to a civil penalty oi not more then tive hundred tlollars ($500).): ❑ I, as owner oi Ihe properry, or my employaes with we9es es ihelr sole compensation, WILL DO 7HE WORK, and the structure is not intentled or ofteretl for sale (Sec. 7044, Business and Professions Cotle: The Coniractors License Law tloes not ap01y to an owner ot property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, pmvitletl ihat such improvemenis ere not intended or oHered for sale. If, however, tha builtling or improvemant Is soltl within one year of completion, ihe owner-builder will have the burtlen ot proving that he or she did not 6uild or improve tor purpose ot sale.�. � � I, as owner of ihe propetly, em EXCLUSIVELY CONTRACTNG WITH LILENSED CONTRACTORS to construd the project (Sec. 7044, Business antl Pmteuions Cade: The comractors License Law tloes not apply to an owner of pmperty who builtls or impmves ihereon, and who wntracts tor such projed wlih e contrector(s) license pursuant to ihe Contractors License Laws.). ❑ I am e:empt untler sec. Business and Professions Code tor Ihis reason: Signature: Date: Owner ID verified by drivers license. ❑ Ves ❑ No Drivefs LicenSe N0. Expires: Veritication of Ownarship by (type at tlocument, i.a. - property taz bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify Ihei no excavetion fiva (5) or more feet in depth into which a person is required to descenq wlll be mede in connecilon with work euthorized by this pertnit, and that no building swcWra, scaflolding, falsawork, or demolition or disman�ling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Title B, Celitomia Adminis�ra�ive Cotle). ❑ As ownerbuiltler, I wlll not employ enyona to do work which would require a pertnit tmm the Division of Industnel Satary, as noted above, unless such person hes a permit to tlo such work from the tlivision. Signature: Date: Division ot Industnal Sefery Permit Numbec CERTIFlCATE OF COMPLIANCE AND AIJTHORRA710N OF ENTRY: I cenify under penalry of perjury ihat I have read ihis application antl state ihat ihe information given is wrrect. I egree to comply with ell stete laws and city ortlinances relating to building constructlon, end euthorize representatives ot the Ciry of Costa Mesa lo enter upon the above-described property tor inspection puryoses. I agree not to occupy or ellow occupancy of eny building authorized by �his permit until finei inspection. GODE �• INSPECTIONTYPE 1616 Fizetl System Final Fire Prevention 1286 Pool Spa Final 200 Finel Re-Root 201 Final Block/Relaining Well 202 Final Factory Fire Placa 203 Final Sign 204 Final Demolition PAiE IMITRLS �/�-S�oa�/, �/�— Date CODE� INSPECTIONTYPE 206 Final Machanical 20B Final Plumbing 210 Pinal Eledrical 272 Final Fire Prevention 220 Final Planning Approval 222 final Site 250 Final Building/Occupancy PAg I�ALB (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: ApplicanC Address: 3351 VIA MERANO A BUILDING 13 TPN003058 LONG,JEN Owner:��STANDARD PACIFIC� �� Address 15326 ALTON PARKWAY � ' � IRVINE, CA ' Contractor. Address: ISSUE FEE Temp service test Res. a/c package New Res (t-2 units) New Res (3+units) Pool / Spa Lighting Fizts, � Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Motors to 1 hp Molors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communica[ion drops Sub panel to 200a Phone: 714-2459760 Zip: Phone: 949-789-1716 Zip: 92618 Phone: Zip: License: Status: ISSUED Applied: 02/20/2004 Issued: 03/15/2004 ISSUED BV: SCOPE OF PERMIT REF: B04-00395;"HOUSE PAETER'PERMIT ONCY FOR BLDG. 13, ALL FEES PAID UNDER ORIG. ELECT. PERMIT E04-00767. - - - - ' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 30.00 $0.00 $0.00 Quantity 0 0 0 0 0 -. 0. 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway /100 ft Standing Section . � Misc Electncal Equipment - Transformers up to 1 kva/kw - I'� � ............:...up to 10 kva/kw ,, „, .. `-.• ' � .................up to.50 kva/kw .. .................up to 100 kva/kw _� . � ..................over 100 kva/kw Low Voltage Equipmenf Low Volt Wiring Syslem / Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) " Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee - Plan Check Fee Quanlity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 " 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) I EXPIRATION: This parmit shall automatically expire and become void if work Is not commenced within 180 days, or if work Is suspended or abandoned I for a period of 1 BO days. . INSPEC710NS: In order for the work authorized under this permit to be considered legal, such work must comply with all epplicable codes, and all requlred Inspectlona and final approval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zaaerelaool WORKERS'COMPENSAnON DECLARAnON: ' ' I hereby atfirm under penalry of perjury one of lhe following tleclaralions: ' ' I have and will maintain a certificate of wnsent to self-Insure for workers' compensetion, as provitletl for by section 3700 of the La6or Cotle, tor the pertortnanca ai the work fof whiCh this pertnil is issuetl. have end will mainlain workers' compensation insurance, as required 6y saction 3700 of Na Lebor Cotle, tor the parfortnance of the work for which this permit is issued. y workers' compensation Insurance carner and policy number ere: arrier: Policy Number: M1is section need not 6e completed i/ the permif Is valued et one hundred tlollers ($100) oNess.) . ❑ I certih/ Ihat in Ihe pedo a�- the work tor �'ch this permit is issued, I shall not employ any person in eny manner so es ro become subject to tha workers' compansation laws alp mi n q r e thai If shou � subject b the workers' compensation provislons ot $aqtion 3Z(10 of lhelabor Code, I shell totlhwith comply with thes ovi fo . 1 `� i }f � � � �/ Appliwnt SignaWre: Dete: l/ UC,�'1 t/ Y WARNING: FAILURE TO SECUR RS' PENSAiION COVERAGE IS UNLAWFUL AND SHALL SUflIECT PN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FINES UP TOONE MUNDRED TFIOUSANODd1ARE(S DD I OTHECOSTOFCOMPENSATION,DAMAGESPSPROVIDEDFORINSECTION3)O60FTHELABORCOOE,IMEREST,ANDATTORNEY'SFEES. LICENSED CONTRAC70RS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000) ot Division 3 of [he Busineu and Professions Coda, entl my license Is In full torce antl eflect. Lic. M Class N Gontractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I here6y affirtn that there is a construction lentling agency for the peAormance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lendefs Name: Lendefs Address: Signature: Date: OWNER-BUILDER UECLARATIONS: I here6y aMirtn thet untler penalry of perjury Ihat I am El(EMPT FROM 7HE CONTRAC70RS LICENSE LAW for Ihe following reason (Sea 7031.5, Busineu end Protessions Cotle: Any ciry or counry which requires a pertnit to construct, alter, improve, demolish, or repair any sfructure, pnor to its issuanca, also requires the applicant for such permit to tile e signetl statement thet he or she Is Iicensed pursuant b the provisions ot the Contractors License Lew (Chapter 9(wmmencing with Section 7000) of Division 3 oi the Business entl Professions Coda) or Ihet he or she is ezempt therefrom and the Desis tor the alleqed e:emption. Any violation of Section 7031.5 by any epplicent for e pertnit su6�acts the applicflnt to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with weges as their sole compensation, WILL DO TME WORK, entl the siructure is not intentletl or oHered for sale (Sec. 7044, Business and Pmfessions Code: The Contradors Licensa Law tloes not appy to an owner of pmperty who builds or improves thereon, antl who tloes such work �himself or hereelf or ihrough his or her own employees, provided Ihat such impwvements are not intended or oHered tor sale. If, however, Ihe building or improvement is sold within one year of comple�ion, ihe owner-builder will have the burden of proving that he or she did nat build or improva for purpose ot sale.). ' ❑ I, as owner of the pmp , a SIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professions Cotle: The cont se Law do not apply to an.owner of pro0erty who builds or improves thereon, antl who coniracts tor such project with a contractor(s) license purs nt to t tr rs Lice e . ❑ I am exe t untlar Business antl Professions Cotle far this reason: '� iii i.�-� i i Signawre: - �i � / ( Expires: Venfication of Ownership by (type of tlocument, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify Ihat no excavation five (5) or more feet in depth inio which e person is required to descend, will be made in connection wit� work au�horized by this permit, and that no builtling swcwre, scaHolding, talsework, or demolition or dismantling ihereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Gry 2, Art 2, Sec. 341, Title 8, Califomla Adminisirative Cotle). ❑ As owner-builder, I will noi employ anyone to tlo work which would require a permit from the Division of Indusirial Safety, as notetl ebove, unless such person hes e permit to tla such work fram tha division. Signawre: Date: Division ot Indusirial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUfHORIZ ON OF ENTRV: I certify under penalty of perjury that I have read Ihis application antl state ihat ihe Intormation given is wrtect I agree to wmply with ell stete laws e a relating to bulltling consiruction, entl euthonze representatives of the Ciry of Coste Mesa to enter upon the above-descnbed propertyjCP9nspection p ree not to y or ellow occupancy of eny building authorized by ihis permit until final inspection. CODE �, INSFELTIONTYPE 1616 72fifi Fiaed System Final Fire Prevention Pool Spa Final 200 Final Re-Roof 201 FIna1 BIocWRetaining Well 202 Final Factory Fire Plece 203 Final Si9n 204 Final Demolition �� CODE� INSVECPONTYPE 206 Final Mechanical 20B Final Plumbing 210 Finel Electrical 212 Finel Fire Prevention 220 Final Planninq Approval 222 Final Sita 250 Final Building/Occupency �ata� Date �g � (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Jobnddress: 3351 VIAMERANO Suite: Viciniry: 3363, 3361,3359,3357,3355,3353, & 3351 Parcel Number: TPN003058 Zoning: Applicant: LONG, JENNIFER Address: J.L. HARE AND ASSOCIATES SANTA ANA, CA 505 N TUSTIN AVENUE SUITE 2�2 Owner: STAfJDARD PACIFIC Address '15326 ALTON PARKWAY IRVINE, CA Contractor. � - .Address: . Phone: 714-245-9760 Zip: 92705 Phone: 949-789-1716 Zip: 9261 B Phone: License: ISSUED BY: Status: ISSUED Applied: 02/20/2004 Issued: 03/15/2004 nrch : BASSENIAN/LAGONI Eng: RICHARD MOORE/MCE CONSULTANTS Address: 2031 ORCHARD DR Address> 1100 S COAST HVJY, 318 . SUITE 100 Phone: 714-553-9100 Phone: 949376-6407 NEWPORT BEACH, CA � LAGUNA BEACH, CA � Zip: 92660-0753 License: C8395 92651 License: C23971 SCOPE OF PERMIT CONSTRUCT NEW 10,953 S.F. 7-PLEX WITH 3,090 S.F. ATTACHED GARAGE AND 135 S.F. PORCH/DECK. "BUILDING TYPE - D". BLDG 13 ADDRESSES WCLUDE: 3363, 3361,3359;3357,3355,3353,&3351 VIA MERANO � . SEE PA-02-41(f-16416 3363/UNIT 77 - 684 SQ FT 1 ST FLR, 1023 SQ FT 2ND FLR, 455 SQ FT GARAGE, 11 SQ FT PORCH. TOTAL LIVING 1707 SQ FT. (3DR) 3361/UNIT 78 - 560 SQ FT 1ST FLR, 917 SQ FT 2ND FLR, 436 SQ FT GARAGE, 4 S� FT_PORCH. TOTAL LIVING 1477 SQ FT. (1C) 3359/UNIT 79 - 589 S� FT iST FLR, 965 SQ FT 2ND FLR; 436 S� FT GARAGE, 25 SQ FT PORCH. TOTAL LIVING 1554 SQ FT. (2HR) 3357/UNIT 80 - 560 S� FT 1ST FLR, 917 SQ FT 2ND FLR, 436 SQ FT�GARAGE, 4 SQ FT PORCH. TOTAL LIVING1477 5� FT. (1F(S) 3355/UNIT 81 - 589 S� FT 1ST FLR, 965 SQ FT 2ND FLR, 436 S� FT GARAGE, 20 SQ FT PORCH. TOTAL LIVING 1554 SQ FT..(2G) 3353/UNIT 82,- 560 S� FT 1ST FLR, 917 SQ FT 2ND FLR, 436 SQ FT GARAGE, 4 SQ FT PORCH. TOTAL LIVING 1477 SQ FT. (1ER) 3351/UNIT 83 - 684 S� FT'IST FLR, 1023 SQ FT 2ND FLR, 455 SQ FT GARAGE, 11 SQ FT PORCH. TOTAL LIVING 7707 SQ FT. (3C) Plan Check: $964.80 Permit: $5,937.25 � SMIP Res: $108.95 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $7,011.00 FEE SUMMARY PLANNING & ZONING Calc Valuation: S�,oes;ass.ao Clairri Valuation: Eo.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or a6andoned tor a period of 180 days. INSPECTIONS: In order lor ihe work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will �esult in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446-6fi (6/00) WORKERS' COMPENSATION DECLARA710N: I hereby aHirtn under penalry of perjury one of the lollowing declarations: ❑ I have end will malntain e certiticate Of con5en� �o sel�-InSure tor workers' compensetion, as provided for by section 3700 of the Labor Code, lor �he pertormance of t�a (� /� work tor which this pertnit is issued. {jJ / I have antl will maintain workers' compensatlon insurance, as required by section 3700 of ihe Labor Co�a, tor the peAormance of the work for which this permit Is issuetl. /�'' My workers' compensatlon Insurance carrier antl policy number ere: \ Carrier: � \� Policy Num6er: (Tbls section need not be comp/eted il fbe permif is valued al one hundred dollers (5100) or less.) ❑ I certity that in iha pertortnanc �yprl or which is pertnit is issued, I shall not employ any person in any manner so as to become subJect to the workers' compensation laws oi Cal' la, Sg ee hat ii I s uM'become subject to the workers' wmpensation provisions of Section 3700 oi the Labor I�shall totlhwith comply with these pm ons. �` f"�' / �� p Applicant Signature: Data: � r 1 �� WAiiNINO: FAILURE TO SE RE ( R$' CA ENSNTION CAVERAGE IS UNLAWFUL AN� SHALlSU&IECT AN EMPLOVER TO CRIMINAL PENA�TIES AND CIVIL FlNES UP TOIXJE HUNDRED TKk/SANDDOLLARE(51 000),INAD IXJT ECOSTOFCpAPEN5AT10N,0AMAGE5A5PROVIOEDFORINSECTION3]O60FTHELABORCODE,INTEREST,qNDATTORNEVSFEES. IICENSE� CONTRACTORS DECLARATION: I here6y aflirm that I am licensed under pmvisions of Chapter 9(commencing with Section 7000) of DiNsion 3 of the Business and Professions Code, antl my license is in full forca and eHect Lia q Class tt Contractors SignaWre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirtn that there is a wnsiruction lending agency for the perfortnance of t�e work for which ihis permit is issuetl. (Sec. 3097, Civil Code). Lentlers Neme: Lendar's Addreu: Signature: Date: OWNER-BUILOER DECLARATIONS: I hereby affirtn ihat under penaliy of perjury ihat I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professions Cale: Any ciry or counry which requires e permit to construc6 alter, improve, tlemolish, or repair any struaure, prior to its issuance, also requires the applicaN for such permit to tila e signed 5tatemenl thet he or she Is licensed pur5uant to the provisions of the Contractors Licensa Law (Chapter 9(commencing with Seclion 7000) of Division 3 of iha Bu5ine55 end Pmtessions Code) or lhet he or she is eaempt therefrom and the basis for tha alleged exemption. Any violatian of Section 7031.5 by any epplicant for a permit su�jects the applicent to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the properry, or my employaes with wages as their sole compensatlon, WILL DO TME WORK, antl the siructure Is not intended or oNered for sale (Sec. 7044, Business and Professions Code: The Conirectors License Law tloes not apply to an owner ot propeny who builds or improves ihereon, and who does such work himselt or herself or through his or her own employees, provitletl that such improvemenls ere not intended or oftered tor sele. It, however, Ihe builtlinq or improvemenl is Itl within one year of completion, the owner-builder will have the burden of proving that ha or she did not build or improve tor purpose of saleJ. I, s owner of the propert am E%CLUSIVELV CONTRACTING WITM LICENSED CONTRACTORS to wnstruct ihe project (Sec. 7044, Business antl Professions otle: The contrect w tl not epply to an owner ol property w�o bulltls or improves Ihereon, and who contracis for such pro�ect wlt� a contractor(s) license purs n ihe tor. Lice a Laws.). I am exempt�er 5� Business and Pmfessions Code for this reason: Signa�ure: � Owner ID verifle by Venfication of �� Fxnirw<� . - of document, i.e. - pmperty tax bill or tleed): __ DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATION: ❑ I hereby certify that no excavation fiva (5) or more feet in depih into which e person is requiretl to tlescend, will be made in connection with work authorizetl by this pertnit, and that no building siructure, swNolding, talsework, or demolition or dismaniling ihereof, will be more ihan thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlministrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require e permic Irom t�e Division of Indusirial Safery, as noted above, unless such person has e permit to do such work irom the division. Signature: Date: Division of Intlusinal Safety Permit Num6er: CER7IFlCATE OF COMPLIANCE AND AUTNORIZATON OF EMAV: I cenity undar penalty of perjury that I have read Ihis application and state that ihe information given is correct I agrae to comply with ell state laws antl ciry ordinances releting to building consiruction, and au�honze representatives of ihe Ciry of Costa Mesa to enter upon Ihe ebove-descnbed property for inspection purposes y or allow ocapancy of eny builtlinq authorized by this permit until final inspection. COpE �. INSPECTIONTYVE � �� p�1j� INTRIALS 1618 Fi:ed System Final Fire Prevention 1266 200 201 202 203 204 Pool Spa Final Finel Re-Root Final Block/Relaining Wall Final Factory Fira Place Final Sign Final Demoli�ion � l.iC ��' �-/ Data CODE 1 INSPECiION TYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elecirical 212 final Fire Prevention 220 Final Planning Approval 222 FinalSite 250 Final Building/Occupancy II�I�IJIII, , NEWPORT-MESA UNIFIED SCHOOL DISTRICT CER7IFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 187 �. . To: (� City ot Costa Mesa ( ) Ciry of Newport Beach ( ) County of Orange Applicant Address: Telephone Number: Tract/Parcei and Lot Location of Project: Number of Square F 0 N° -4976 Disfict Receipt Mo. � � � 7J�' Plan Check N��f_ bQ-�s Residential Space Commercial and Industrial Space CommerciaVlndustrial Projed is: (Check One) _ Warehouse R8D _ Movie Theater _ Mini-storage _ Heavy Industrial _ Regional Shops _ Light Industrial _ This project is exempt because �� Jr.3X a�.aa x E .30 _ Motel Bank _ Neighborhood Shops _ RacqueVHealth _ Hotel Medical Office ^ Office Park To�� aD . /53 . �2- Total _ Preschool _ Auto Repair _ Hospital _ Large Otfice _ Office Bldg. _ Restaurant _ Fast Food This certifies that the above-named Developer/Applicant has paid school faadty fees in compNance with Government Code sections 53060 and 65995. The Building Pemiils tor this square footage in this proposed development may now be issued by your jurisdic5on. Checks are to be made payable to Newport-Mesa Unifi� The above represenhadon as to squa�e lootage is We. Appticant aprees t k is I r determined true, then this certificate shall automaticaly terminate and tl�e appr C' / ounty shall be Date: � representations are not :86 AM/S 37569.36 RLPTq:Bl-813d439 126452 '