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Home My WebLink About3351 VIA SIENA - Building PermitsMay 12, 2003 G OF COSTA MES� p.0. BOX 7200 • 77 FAIR DRIVE • CALIFORNIA 92628-1200 DEVELOPMENTSERVICES DEPARTMENT To: Building Safety Division Code Enforcement Communications County Clerk County Planning and Dev. Services County Registrar of Voters County Tax Assessor Engineering Division (2) ESRI Fire Admin. - Training Officer Fire Admin. - Mark Brown (Station 6) Fire Prevention Irvine Ranch Water District Mesa Consolidated 1Nater District OLD ADDRESS 1325 Sunflower Avenua AT&T Broadband Newport-Mesa Unified School. Dist.42) Pacific Bell Police Dept. - Planning & Research Sanitary District Engineer Sanitation Division Office So California Edison Company Southern California Gas State Board of Equalization U. S. Post Office - AIS U. S. Post Office, Adams Thomas Brothers File (2) NEW ADDRESS 3351 Via Merano 3353 Via Merano 3355 Via Merano 3357 Via Merano 3359 Via Merano 3361 Via Merano 3363 Via Merano 3350 Via Trentino 3351 Via Trentino 3352 Via Trentino 3353 Via Trentino 3354 Via Trentino 3355 Via Trentino 3356 Via Trentino 3357 Via Trentino 3358 Via Trentino 3359 Via Trentino 3360 Via Trentino 3361 Via Trentino A. P. NO. 140-041-60 Building Division (71A� 75d-5273 • Code eNorcemant (714) 754�5623 • Planning Division (714) 754-5245 FAX��<)754�4856 • TDD(7io)754-5240 • www.ci,cosla-mese.ca.us OLD ADDRESS 1325 Sunflower Avenue NEW ADDRESS 3350 Via Parma 3352 Via Parma 3354 Via Parma 3356 Via Parma 3358 Via Parma 3360 Via Parma 3351 Via Siena 3353 Via Siena 3355 Via Siena 3357 Via Siena 3359 Via Siena 3361 Via 5iena 3350 Via Siena 3352 Via Siena 3354 Via Siena 3356 Via Siena 3358 Via Siena 3360 Via Siena 3351 Via Tivoli 3353 Via Tivoli 3355 Via Tivoli 3357 Via Tivoli 3359 Via Tivoli 3361 Via Tivoli 3352 Via Tivoli 3354 Via Tivoli 3356 Via Tivoli 3358 Via Tlvoli 3360 Via Tivoli 3362 Via Tivoli 3364 Via Tivoli 3366 Corte CasslS 336A Carte Cassis 3370 Corte Casshs 3372 Corte Cassis 3374 Corte Cassis 3376 Corte Cassis 3378 Corte Cassis 3380 Corte Cassis 3382 Corte Cassis 3384 Corte Cassis 3386 Corte Cassis 3388 Corte Cassis 3364 Corte Cassis A. P. NO 140-041-60 OLD AODRESS 1325 Sunflower Avenue NEW ADDRESS 3367 Corte Levanto 3369 Corte Levanto 3371 Corte Levanto 3373 Corte Levanto__ 3375 Corte Levanto 3377 Corte,Levanto 3379 Corte Levanto 3365 Corte Levanto 3366 Corte Levanto 3368 Corte Levanto 3370 Corte Levanto 3362 Corte Levanto 1336 Corte Venosa 1334 Corte Venosa 1332 Corte Venosa 1330 Corte Venosa 1328 Corte Venosa 1326 Corte Venosa 1328 Corte Maltera 1326 Corte Maltera 1324 Corte Maltera 1322 Corte Maltera 1320 Corte Maltera 1318 Corte Maltera 1316 Corte Maltera 1314 Corte Maltera 1312 Corte Maltera 1310 Corte Maltera 1308 Corte Maltera 1306 Corte Maltera 1304 Corte Maltera 1302 Corte Maltera 1300 Corte Matlera 1323 Corte Maltere 1321 Corte Maltera 1319 Corte Maltera 1317 Corte Maltera A. P. NO 140-041-60 OLD ADDRESS 1325 Sunflower Avenue NEW ADDRESS 1315 Corte Maltera 1313 Corte Maltera 1311 Corte Maltera 1309 Corte Maltera 1307 Corte Maltera 1305 Corte Maltera 3383 Corte Cassis 3381 Corte Cassis 3379 Corte Cassis 1324 Corte Alemano 1322 Corte Alemano 1320 Corte Alemano 1318 Corte Alemano 1316 Corte Alemano 1 314 Corte Alemano 1 31 2 Corce Alemano 1 310 Corte Alemano 1308 Corte Aiemano 1306 Corte Alemano 1 327 Corte Alemano 1325 Corte Alemano 1 323 Corte Alemano 1321 Corte Alemano 1319 Corte Alemano 1 31 7 Corte Alemano 1315 Corte Alemano 1313 Corte Alemano 1311 Corte Alemano 1309 Corte Alemano 1307 Corte Alemano 1305 Corte Alemano 1 303 Corte Alemano 1301 Corte Alemano A. P. NO 140-041-60 Your cooperation in this matter is appreciated. - �' � �� C��/,�� Sincerely, /30� i3a6 Willa Bou - illeen ��' S r Planner /3/� i3,a c: Kimberly Brandt �3 �c�C / 3 /,6 Dana Bleber �3�0 Standard Pacific � 15326 Alton Parkway /`3�0 Irvine, Californla 92618-2388 �a� �� ,...t.,�� .�� T '_-� ^ —1 � i , -- _•� -r� , .� I , -.Tr—._ ,�T-_,.,_ r � -.,.-__ L�I �' . u � 1 � �`�,r ' � � C7�• � �i p u '>`• p �II � �. �, , �_ � i a � i� � } i n � i �,i �' ' � � 1". ., . I. � I la �� . il .� i i II I �' � . -� I ii i- 'i, � i' i' '.� �-- -�--1 � •'"" "'� ! 4' . ;: - � - " �' = ' J-�:' � _j I_ � �i _ . , � ai � _y� �,. _�� j Cone Mauera . 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I ° + d �I 1 �� ; _ a II ji �, ' i y\' � A�� '� �� : �� II � �' ��'�_� �s�� I I �II �m I � 3 � u: ��I . � a i �I 1� O B � s- � ii � . a 3 li I i�� ',I I ' �, i � I II � � � � � . '� �'' �y � � �II �'0 . �� ' _' " _ _ __ I - .� ..._ _ � , aw �� Cone Novara ��y � ' � -... :- IM I N .w unz I � ou�.aYv. , , � � � ! - ' " � � �1� - r ,�� : ; ,��` j. � �:;j 64 Corte Cassis (Par (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.g{�pLDING PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 3351 VIA SIENA Suite: Vicinity: 3351,3353,3355,3357,3359, 3361 - BLDG 9 Parcel Number: TPN003054 Applicant: LONG, JENNIFER Address: J.L. HARE AND ASSOCIATES SANTA qNA, CA � 505 N TUSTIN AVENUE SUITE 212 . Owner: STANDARD PACIFIC Address 15326 ALTON PARKWAY � �IRVWE,CA ConVactor: Address: Zoning: Phone: 714-245-9760 Zip: 92705 Phone:� 949-789-17�6 Zip: 92618 Phone: ISSUED BY: , � ,� . Status: ISSUED Applied: 10/30/2003 Issued: 11/10/2003 Zip: License: � � Arch : BASSENIAN/LAGONI , Eng: RICHARD MOORE/MCE CONSULTANTS Address: 2031. ORCHARp DR � , ' Address: 1100 S COAST HWY, 318 � SUITE 100 Phone: 714-553-9100 - Phone: 949376-6407 NEWPORT BEqCH, CA LAGUNA BEACH, CA - , � � Zip: 92660-0753 License: C8395 92651 License: C23971 JI.V� CONSTRUCT NEW�9,476 S.F. 6-PLEX WITH 2,654 S.F. ATTA6HED BLDG 9. " - - ' ADDRESSES INCLUDE: 335y, 3353, 3355, 3357, 3359, AND 3361 VIA SIENA. SEE PA-02-41/T-16416 , 131 S.F. PORCH/DECK AREA. "BUILDING TYPE - B" 3361/UNIT 53 - 684 SQ. 1ST FLRT/1023 S�. FT. 2ND FLR. 455 SQ. FT. GARAGE/ 11 SQ. FT PORCH. TOTAI LIVING 1,707 S�. FT. (3D) � 3359/UNIT 54�- 560 S�. FT. 1ST FLR/917 SQ. FT. SND FLR, 436 SQ. FT. GARAGE, 4 SQ. FT. PORCH. TOTAL LNING 1477 SQ. FT. (1C) ' �3357/UNIT 55 - 589 SQ. FT. 1ST FLR, 965 SQ. FT. 2ND FLR, 436 SQ. FT GARAGE, 25 SQ. FT. PORCH, TOTAL LIVING 1554 S�. FT. (2D) - 3355/UNIT 56- 589 SQ FT 1ST FIR, 965 SQ FT 2ND FLR, 436 SQ FT GARAGE, 20 SQ FT PORCH. TOTAL LIVING�1554 SQ�FT. (2C) � 3353/UNIT 57 - 560 SQ FT 1ST FLR, 917 SQ FT 2ND FLR, 436 S� FT GARAGE, 4 SQ FT PORCH. TOTAL LIVING 1477 SQ FT. (1E) '. / 3351/ UNIT 58-- 684 SQ FT 1ST FLR, 1023 SQ FT 2ND FLR, 455 SQ FT GARAGE, 11 SQ FT PORCH. TOTAL LIVING 1707 SQ FT. (3C) Plan Check: $867.43 , Pe�mit: $5,338,00 SMIP Res: $94.23 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $6,299,66 FEE SUMMARY � � � ' - �': Calc Valuation: gsa2,sn.32 Claim Valuation: go.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 1, 12-21-g2) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned tor a period of 1 BO days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inspectlons and final approval must be obtained. Failure to obtain inspections and tinal approval will result in the expiration of this parmit. FOfl INSPECTIONS CALL: (714) 754-5626 zaasas (e�ao) WORKERS' COMPENSATION DECLARATION: � �' I hereby aRirm under penalry of perjury one of ihe tollowing declarations: ' ❑ I have end will maintain a certificate ol consent to setl-Insure for workers' compensetion, es pmvided for by section 3700 ot the Labor Cotle, for the peAormance ot ihe �work for which [his permit is issued. I have and will maintain workere' compensation insurance, as requiree by section 3700 of the Lebor Code, for the peAortnance of the work for which this pertnit is issued. My workere' compensatlon Insurance carrier antl policy number are: Cartier: � � Policy Number. (This section need not be campleretl il the permit /s velueU at one huntlretl dollars (5100) ar le�.) ❑ I cetlify that in the ped man e ork tor w'ch this permit is issuad, I shall not employ any person in any manner so es to become subject to the workers' compensation laws of a, n ee at if I should become subject lo ihe workers' compensatlon provislons of Section 3700 oi the Labor Code, I shell forthwith comply with ihese pr ' i s. Applicant Signature: Date: / �' �� ' � W/RNINO: FAILURE TO SEC RE WORK ENSATION COVEfiAGE IS UNL4WFtIL AND SHALL SUBJEGT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVI� FlNES UP TOONE MUNDRED THOUSAND DOLLARE ($100, , IN T E COST OFfAMPENSATION, DAMAGES AS PROVI�ED FOR IN $ECTIIXJ 37060FTHE LABOR COOE, INTEREST,AND ATTOflNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I here6y ettirtn that I am licensed under proNsions ot Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code, and my license Is in full torce antl eHect Lic. N Class N Conirectofs SignaWre: Date: CONSTRUCTION LENDMG AGENCY: ❑ I hereby attirtn ihat there is a construction lending agency for fhe perfortnance of Ihe work for which ihis permit is issuad. (Sec. 3097, Civil Code). Lentlefs Name: Lender'S Atltlress: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby flffirm Ihat untler penalry of perjury that I am E%EMP7 FROM THE CONTRACTORS LICENSE LAW tor the following reason (Sec. 7031.5, eusiness entl Professions Code: Any city or counry which requires a permit to constmct, alter, improve, demolish, or repair any sWcture, pnor to its issuance, also requires the applicant for such permit to file e signed statament that he or she is licensed pursuant to Ihe provisions of tha Contractors License Law (Ghapter 9(commencing with Section 7000) oi DlWslon 3 of the Business antl Professions Code) or thet he or she is exempt therefrom and the 6asis for the ellegeA exemption. Any violetlon of Section 7031.5 by any applicant for a permlt subjects the applicam to a cNil penalry of not more than five hundred dollars (5500).): ❑ I, es owner of the property, or my employees with wages as Iheir sole compensetion, WILL DO 7HE WORK, and the stmcture is not intended or ofleretl for sale (Sec. 7044, Busineu and Professions Code: The Conirectors License Lew does not apply to an owner oF proDerty who builds or improves ihereon, entl who does such work �imself or herself or through his or har own employees, pmvided thet such impravemenis are not Intended or oHered lor sale. If, however, Ihe building or improvemant is old within one year oi completion, the owner-builtler will have ihe burden ot proving that he or she did not build or improve tor purpose of sele.). ' I, es owner oi the property, am EXCLUSIVELV CON7RACTING WITH LICENSED CONTRACTORS to conswct the project (Sec. 7044, Business and Pmfessions Cotle: The co�ntrte'ctor I �s not eppl'to an owner of property w0o bullds or improves thereon, and who contracts for such pmjact with e contractor(5) license Ours onirectors Lic nsa Lews. . � I em exe t w C Signeture: Owner ID ve fied by Vedficetion of ei Business antl Prolessions Code lor ihis reason: ' ♦ / Date: / ( � / ( l ' :e. ❑ Ves ❑ No Drivefs License No. � � Ezpires: oi tlocument, i.e. - pmperty ta: bill or deetl�: DIVISION OF INDUSTRIAL SAFE7Y PERMI7 CER7IFICA710N: ❑ I hereby certity that no excavetion five (5) or more feet in tlepth into which a person is required to descend, will be matle in connectlon with work authorized by Ihis permit, antl Ihat no building siructure, scattolding, falsework, or demolition or dismantling ihereof, will be more than thirry-six (36) feat high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Atlministrative Code). ❑ As owner-builtler, I will not employ anyone to do work which would require a pertnit from ihe Division of Intlustnal Salery, as notatl a6ove, unless such pereon has e permit to do such work irom the tlivision. Signature: Date: Division of Industdal Satery Pertnit Number: CERTIFlCATE OF COMPLIANCE AND AI7THORIZATION OF ENTHY: I certiry under penalry of perjury that I have read this epplication and state thet ihe information given is correct I agrae to comply wit� ell state laws entl ciry ordinances relating to building construction, end euthonze representatives ot the Ciry ot Coste Mesa to entar upon ihe ebove-descnbetl pmpe ' s urposes. e not to acupy or allow occupency ot any Duilding euthorized by this permit until linal inspection. COOE I. IHSPECTIONTYPE \/ 1616 Fixetl System Final Fire Prevention 7266 Pool Spa Finel 200 Finel Re-Roof 201 Final BIOCWRetaining Well 202 Final Factory Fira Place 203 Final Sign 204 Final Demolition � � r �s COUEt INSPECTIONTYGE 206 Final MecheniCal 208 Final Plumbing 210 Final Eledrical 272 Final Fire Prevention 220 Final Planning Approvel 222 Final Site 250 Final Building/Occupancy NEWPORT-MESA UNIFIED SCHOOL DISTRICT CERTiFICATE OF COMPWINCE OF DEVELOPMENT FEES PURSUANT TO A@ te00 AND AB 181 To: ( ) Ciry of Costa Mesa ( ) City of Newport Beach ( ) County of Orange Applicant: Address: Telephone Number: __f L � i TracUParcel and Lot Number(s): Location of Project: � Number of Square Feet o"r � Residential Space Commercial and Industrial Space CommerciaUlndustrial Project is: (Check One) Warehouse R&D Movie Theater Mini-storage Heavy Industrial Regional Shops Light Industrial _ This project is exempt because N° 4920 Distrid Receipt No. � ZUUCJ� Plan Check N�UJ' d� 0- Il ,/� �\ �`--- � �/v \�. --- l l��> x E1.84 Total x S .30 _ Motel Bank _ Neighbo►hood Shops _ RacqueUHealth _ Hotel Medical Office Office Park Total Preschool Auto Repair Hosqtal Large Otfice Oifice Bldg. Restaurant Fast Food This certifies that the above-named Developer/Applica�t has paid school faciHty fees in comptiance with Government Code sections 53080 and 65995. The Building Pemits for this square footage in this proposed development may now be issued by your jurisdic6on. Checks are to be made payable to Newport-Mesa Uni The above representation as to square footage is We. Appkcant agrees fhat if k is later determined that such representations are not true, then this certi6cate shali automatically terminate and the app�o ' oun all b��e�3/3:11 RM/f 72461.64 RCP7'�:81-0123372 ' O 12b887 Date: nt (714) 754-5273 • Fa�c (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 3351 VIA SIENA Suite No Vicinity: BLD 9, 3351,3353,3355,3357,3359,3361 Parcel Nunmber: TPN003054 Applicant: LONG, JEN Address: Owner:- STANDARD PACIFIC Address � 75326 ALTON"PARKWAY Contractor: Address: Arch / Eng : Address: ISSUE FEE BackFlow irngalion BackFlow Preventer Bathtub Clarifer System Connect Qce,Soda,etc) Dental Units IRVINE, CA - ISSUED BY: Phone: 714-245-9760 Zip: Phone: 949-789-1716 Zip: 92618 Phone: Zip: License: Phone: Zip: - -- �License: - Status: ISSUED Applied: 10/31/2003 Issued: 11/10l2003 SCOPE OF PERMIT REF: B03-01890. BLDG 9, BLDG TYPE B. - �� , , 6 UNIT MULTI-PAMILY BUILDING INCLUDES ADDRESSES: 3351, 3353, 3355, 3357, 3359, 3361' VIA SIENA. . � , PLUMBING TO INCLUDE: 8 BATHTUBS; 6�CONNECTS ( ICE;'SODA), 6 DISHWASHERS 6 GAS 1-4 ' OUTLETS, 6 GAS OUTLETS OVER 4, 6 GAS SERVICES, 6 LAUNDRY TUBNVASHER, 6 PRESSURE , ' REGULATORS. 6 SEWER CONNECTIONS,�6 SHOWERS, 26 WASH BASINS,�6 KITCHEN SINKS; 8 WATER ' CLOSETS, 6 WATER HEATER/ VENTS, AND 6 WATER SERVICES. � AMT $23.50 $0.00 $0.00 $78.40 $0.00 $58.80 $0.00 �n 0 0 8 0 6 0 FEESUMMARY AMT Laundry Tub / Washer $58.80 Landscape Irrigation $0.00 P-Trap. � $0.00 Pressure Regulator � $58.80 Process Piping (per10 fp $0.00 Recep[ors $0.00 Septic Tank $0.00 QTY 6 0 0 6 0 0 0 SumpPump.� � Swimming Pool Trap Primer Urinal Vacuum Brkr Bkflow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin 0 AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $254.80 QTY 0 0 0 0 0 0 26 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 1247-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspendad or abandonetl for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to ba considered legal, such work must comply with all applicable codes, and all requlred Inspeetlons and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration ot this permit. FOR INSPECTIONS CALL: (714) 7545628 zaae-as (aoo� WORKERS'COMPENSAnON DECLARATON: � '�' 1 hereby atfirm under penalry o� perjury ona oi the following tleclarations: ❑ I have antl wlll maintein e cenificate oi wnsent to self�lnsure tor workers' compensation, as providetl tor by section 3700 0l the Lebor Coda, lor the performance of the �work br which this pertPit is issued. . I have and will maintain workers' compensetion insurance, es requiretl by section 3700 of Ihe Labor Code. b� Ihe pertormance o1 t�e work for which this pertnit is issued. My workers' compensation Insurance carner and policy num6er are: Cerrier: Policy Number: (This secNon need nof be comp�eted il (he permi( is valuetl et one hundred dollars ($ f 00) or less.) ❑ I certity that in Ihe pertormence ol � or w lhis permit is issued, I shall not employ eny person in flny manner so as to hecome subject to the workers' compensation laws ot Gelifo �i , g e hat If I houltl hecome subject to the workers' compensation provisions ot Section 3700 ot Na Lehor Code, I shell totlhwlth comply wiih ihese pr isi s. -- /� Applicant Signature: Date: �l' � I / � �� WARNINO: FAILURE TO SECU WORKE S�COI IPENSATION CAVERAGE IS UNLAWFUL AND SMALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTtES AND CMl FlNES UP TOIXJE HUNDRED THOUSANDDdlAFE�E100, THECOSTOFCOMPENSATION,DHN.AGESASPfiOVI�EDFORINSECTIIXJ3]O60FTHELABORfAOE,IMEFEST,ANDATTORNEI^SFEES. LICENSED CONTRACTORS DECLARATION: I hereby attirm that I am licen9ed untler provisions of Chapter 9(commencing with Section 7000) ot Division 3 of the Business antl Professions Cotle, end my license is in full torce and eflect Lic. a Class n Coniractofs SignaWre: Date: CONSTRUCTION LENDING AGENCV: ❑ 1 hereby aHirtn thai there is a construction lentling agency for the pedormance of ihe work for which Ihis Oermit is issued. (Sec. 3097, Civil Code). Lande/s Name: LefWer's Atltlress'. Signature: Date: OWNER-BUILDER DECLARAnONS: I hereby affirm Ihat under panalry of perjury that I am EXEMPT FROM 7ME CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Busineu and Professions COCe: Any ciry or wunry whiGh requires a pertnit to construct, alter, improve, tlemolish, or repair any sfmcNre, pnor to its issuance, also requires the applicant for such permit to tile a signetl stetemem tha� he or she is licensetl pursuant m the provislons of the Coniractors License Lew (Chapter 9(commencing with Section 7000) of Dldslon 3 oi the Business end Profeuions COde) or lhat he or she is exempt theretrom end the basis 1or iha alleged exemption. Any violalion ot Section 7031.5 by eny applicant for e permit sub�ects the applicant to a civil penalry of not more than five hundred dollars ($500).): ❑ I, as owner oi the propehy, or my employees wi�h wages es iheir sole compensation, WILL DO THE WORK, and the siruc�ure Is not intentletl or oNered for sale (Sec. 7044, Business and Proiessions Cotle: The Contractors License Law dces not apply to an owner of properry who builds or improves ihereon, antl who tloes such work himself or herself or through his or her own employees, provided that such improvemenis are not intended or ottered for sale. If, however, the builtlin9 or improvement Is sold within one year of Gompletion, the ownerbuilder will have the burden of proving that he or she did not build or improve for purpose ot sele.). ' I, as owner of [he Oropehy, ^ IVELY CONTRACTNG WITH LICENSED CONTRACTORS to consimct ihe project (Sec. 7044, Business and Professions Cotle: The contractor � nse Law does ot eppty ro an owner oi propeny who builds or improves thereon, antl who conirects tor such project with a contrador(s) license pur$nanytyl ntractors Licens Laws.). ❑ lam� Signature: Owner ID v VeriNcatlon Business and Professions Code for this reason: s li sa. ❑ Yes ❑ No Drivef5 Licensa No. by (rype ot tlocument, i.e. - pmperry tax bill or tleatl): DIVISION OF INDUSTRIAL $AFE7V PERMIT CERTIFICATION: Expires: ❑ I hereby certity ihat no ex��ation five (5) or more feet in depth into which a person is required to tlescentl, will be made in connection with work authodzetl by Ihis pertnit, and thai no buil4ing structure, swflolding, talsework, or demolition or dismantling ihereof, will be more than �hirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title e, California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a pertnit from the Division of Industrial Setery, es notetl above, unless such pereon hes e permit to tlo such work from ihe division. SignaNre: Date: Division ot Industrial Safery Permit Number: CERTFICATE OF COMPLIANCE AND AUTHORIZATION OF EMRV: I certify under penalry of perjury Ihat I have reatl Ihis application and state ihat Ihe information given is correct. I agree Io comply with flll state laws and ciry ordinances relating to builtling consirucfion, antl au�hodze representatives of the Ciry of Cos�a Mesa to enter upon Ihe ebove-described properry for inspection rpo es. I a9ree not to occupy or allow occupancy of any building authonzed by this pertnit until final inspection. CODE t. INSiECfION TVPE �� `� 1616 Fixetl System Final Fiie Prevention 1266 Pool Spa Final 200 Final Re-Roof 201 Final8lock/Retaining Well 202 203 Final Fectory Fire Pla�e Final Sign 204 Final Demolition D�TE � IMRIpLS /! ' /l�� D�t4 CODE� INSPECTIONTYPE �g � 206 Final Mechanical 208 Flnal Plumhing � � 210 Final Elecirical 272 Final Fire Prevention 220 Final Planning Approval 222 Finel Site 250 Final Building/Occupancy (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT Job Address: 3351 VIA SIENA Suite No Vicinity: BLDG 9, 3351,3353,3355,3357,3359,3361 Parcel Number: TPN003054 Applicant: LONG, JEN Address: Owner: , ",STANDARD PACIFIC Address: 15326 ALTON PARKWAY IRVINE, CA Contractor: Address: Phone: 774-245-9760 Zip: Phone: 949-789-1716 Zip: 92618 Phone: Zip: License: Status: ISSUED Applied: 11/06/2003 Issued: 11/10/2003 ISSUED BY: , �, SCOPE OF PERMIT ' � REF: 803-01890. NEW 6 UNIT MULTI-FAMILY BUILDING. � � INCLUDES ADDRESSES:3351,3353,3355,3357,3359,3361 V1A SIENA. TR 76416, BUILDING � 9. BLDG TYPE B. � - � MECHANICAL WORK TO INCLUDE: 6 COMPRESSORS UP TO 3 HP�(PKG UNIT), 6 FAU'S LESS THAN t00K BTU, 6 FACTORY FIREPLACES, 24 VENT FANS; 6 APPLIANCE VENTS. ISSUE FEE Inst FAU <100 k BTU � Inst FAU >100 k BTU - Repait/Alt Cooling/Heat Insl / Rep: Recess Wall Htr Refng Sys <100 k BTU� Refrig Sys�>100 k BTU � Gas Piping �� . Factory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Singl@ Duct Appliance `. Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Furnace Floor or Suspentl Heater $23.50 $88.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $63.90 $0.00 $0.00 $174.00 $0.00 $0.00 $0.00 $63.90 $0.00 $0.00 $0.00 $0.00 FEE SUMMARY �uantity Repair / Alt Absorbtion Unit 6 � Repair / Alt Refrigeration Unit 0 Ventillation System 0 ., -. �� Evaporative Cooler 0 , ,:. � %. . Commercial Incinerator . 0 - Domesfidlncinerator � 0 � Compressors'! Absorotion.Svstems � ' 0 _ � Up to 3 hp / 100�k BTU ', " 6 " 3Tot5hp/SOOkBTU � 0 15 To 30 hp /�1,000 k BTU 0 30 To 50 hp / 1,750 k BTU 24 � Over 50 hp / Over 1,750 BTU . 0 . Boilers , . _. 0 Upto3hp 0 3Tot5hp . 6 15to30hp , 0 30to50hp - 0 Over 50 hp 0 Other Mechanical Fee p Investigation Fee � 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 $8820 6 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremants 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 ot 180 days. INSPECTIONS: In order for the work authorized under this permit fo be considered legal, such work must comply with all applicable codes, and all required Inspeetions and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (774) 7545626 2448-46(fY00) WORKERS'COMPENSAnON DECLARAnON: -- 1 Mere6y aMirtn under penalry of perjury one of the toliowing tleclarations: � , � [] I have and will main[ain a certificate of consent to self-Insure for workers' compensation, as pmvidetl for by section 3700 0l the Labor Code, for the pertortnance of ihe ' �/,�` work tor which this pertnit is issuBC. S I 1 I have and wf�l mainWin workers' compensation insurance, as requiretl by section 3700 0l tha Lebor Code, tor the peAormance of Ihe wark for w�ich Ihis permit is issued. �-� My workers' compensation Insurence cartler and policy number are: Camer: Policy Number: (Thls section need nof be complefeO i/ the permif is velued et one hundred dallars ($100) or /ess.) 'Q I certify ihat in the pertormance of � erk101i ich this pertnit is issued, I shall not employ any person in eny manner so as to become sublect to t0a workers' V compensation laws of Ca�t agree ihat i I should become sub�ect to the workers' compensation provisions oi Section 3700 0l the LaDor Code, I shall torthwith comply with ihase Drov'�on / //�� qpplicant Signature: Date: �( ' �Q '( J � W(�RNING FAILURE TO SE RE WORK RS' C MPENSATION COVERAGE IS UNI.AWFUL AN� $HALL SUBJECL AN EMP�OVER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRE� T�{OUSANDWLLARE�5100, �,IN TION THECQSTOFCOMPENSATION,OPMAGESASPROVIOEDFORINSECTION3]O60FTHELABORCADE,IMEPEST,ANDNTTORNEV'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirtn Ihat I am licensetl under pmvisions ot Chapter 9(commencing wit� Section 7000) ot Division 3 of the Business entl Professions Code, antl my license Is �� lull fofce antl efiect. Lic. A Class M Cq�tracto�'s Si9nature: Oate: CpNSTRUCTION LENDING AGENCV: ❑ I hereby aHirm that ihere is a construCtion lentling a9ency for �he performance of Ne work for w�ich ihis pertnit is issued. (Sec. 3097, Civil Code). Lentlefs Name: Lantler's Adtlress: SignaWre: Date: OWNER•BUILDER DECLARATIONS: I Bereby ettirtn that untler penalry ot perjury Ihat I am EXEMPT PROM THE CONTRACTORS LICENSE LAW for the following reeson (Sec. 7031.5, 8usiness entl Professions Code: Any ciry or counry which requires e permit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also raquires the epplicant for such permit to flle a signetl statement ihe� he or she is licensed pursuant to Ihe provisions of ihe Comraclors License Law (Chaptar 9(commencing with Sectlon 7000) of Division 3 of the BUsiness and Protessions Code) or that he or she Is eaempt t�ereirom and the basis tor the alleged exemption. Any violatlon of Section 703t.5 by any applicent for e permit subJects Ihe applicant to a civil penalry of not more than five hundred dollars ($500)J: d I, as owner ot the propehy. or my empfoyees with wages as thair sde compensation, WILL 90 TNE WORK, and ihe strucwre is frot iMentleC or otteretl tor sals (Sec. 704d, Business and Proiessions Code: The Coniractors License Law does not apply to an owner of properry who builds or improves Ihereon, end who tloes such work himself or herseN or through his or her own employees, pmvitled that such improvemems are not intended or ottered for sale. Ii, however, Ihe building or improvement is old within one year of completion, ihB owner-builtler will have [he burden of proving Ihat he or she tlid not build or improva for purpose of sale.). I, as ownar of t�e property, em EXCLUSIVELV CONTRACTING WI7H LICENSED CONTRACTORS to consiruct tha prolect (Sac. 7044. Business antl Professions Cotle: The conirecrors 6' aw o ot apply to en owner o� pwperry who builtls or Improves thereon, and who contracts for such pmject with a contrector(51 license pursuant t iraaors Licens Laws.). ,❑ I am exemp tler Business and Professions Code for this reason: Sig�ature: —� � �� Ow�er ID venfi by driv �'s Iicen e. ❑ Ves ❑ No Driver's License No. Expires: '�% I V�rifiwtion of p y( oi dwumem, i.e. - properry teu bill or deetl): DI�ISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no excevation five (5) or more feet in depfh into which a person is required m tlescend, will be made in connection with work euthodzetl by this permit, and that no building structure, scattolding, talsework, or damolition or dismantling thereot, will be mora ihan thirry-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle 8, Calilomia Atlministrative Cotle). ❑ As owner-builder, I will nol employ enyane to do work which would require a permit from the Division of �ndusMal Setay, es notetl ebove, unless such person hes a pertnit ro do such work fmm the division. Signature: Date: Di�sion ot IntlusMal Satery Permit Number: CEA7IFlCATE OF COMPLIANCE AND AUiHORIZATION OP EMAY: I certity under penalry of perjury that I ha�e read Ihis application and state ihat ihe iniormation given Is correct I agree to comply with all s�ate laws end ciry ordinances relating to builtling consWction, and authonze represenlatives of the Ciry ot Coste Mesa to enter upon the ebo�e-described pmperty for inspecti es �t to occupy or aliow occupancy of eny builtling authorized 6y this permit until Finel inspection. Applicant P� INIIiIpLS 1616 Fixetl System Final Fire Prevention 1266 Pool Spe Flnal 200 Finel Re-Rooi 2p1 Finel Block/Retaining Wall 202 Ftnal Factory Fire Place 203 Finel Si9n 20a Final Demolition ! / � / � � �� Date COpE I INSPECTION TYPE / f�$ 206 FinalMechanical U�� J 208 210 212 220 222 250 Flnal Plumbing Final Electncal Final Fire Prevention Final Planning Approvel Final Site Final Building/Occupency (714) 754-5273 • Fax (714) 754-4856 • www.ci.wsta-mesa.Sa7.4,CTRICAL PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 tLt Job Address: 3351 VIA SIENA Suite No Vicinity: TR 16q76 BLDG 9 Parcel Nunmber: TPN003054 Applicant: LONG, JEN Address: Owner: STANDARD PACIFIC Address "15326 ALTON PARKWAY IRVINE, CA- � Contractor: Address: ISSUE FEE Temp service test Res. alc package� New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets , Switches Non Res Appl Res Appl Service to 200a Service to 1000a Service over 1000a Motors [o ihp Motors to 10hp Phone: 714-2459760 Zip: Phone: 949-789-1716 Zip: 92618 Phbne: ZiP: ._ License: Status: ISSUED Applied: 11/OS/2003 Issued: 11/10/2003 ISSUED BV: SCOPE OF PERMIT . REF: 603-01890. TR 16416 - BLDG 9. CONSTRUCT�NEW 6 UNIT MULTI-FAMILY BUI�DING. BLDG TYPE B. .. . . .. . _ - . . INCLUDES ADDRESSES: 3351, 3353, 3355, 3357, 3359 AND 3361 VIA SIENA. HOUSE METER IS ADDRESSED AS 3351 "A" VIA SIENA. ' 6 LIGHT FIXTURES, 12 OUTLETS, 6 SWITCHES, 1-1000 AMP SERVICE, AND 7- 200 AMP SUB PANELS. TOTAL RES 5� FOOTAGE IS 9566 SQ..FT. INCLUDES HOUSE METER FOR BLDG. ALSO. $23.50 $0.00 $0.00 $0.00 $478.30 $0.00 $6.60 $1320 $6.60 $0.00 $0.00 $0.00 $62.15 $0.00 $0.00 $D.00 FEE SUMMARY Quantity � - ' � � � Temp Dist�System / Lighting . ` . ,• Busway N00 ft��,� - � , Standing Section � �� - ��'0 � Misc Electrical Equipment' 9566 Transformers up to 1 kva/kw ' 0 ................up to 10 kva/kw 6 .................up to 50 kva/kw 12 .................up l0 100 kva/kw 6 � ..................over 100 kva/kw 0 Low Voltage Equipment 0 Low Volt Wiring System / Ckt 0 Misa Conduit 1 Misa Conductor 0 Circus ( gen or ride) 0 Circus (mech ride or lights) 0 Christmas Tree Stantl Quantity $0.00 , 0 $o.00: " " o $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 $0.00 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all �'. requlred Inspectlons and final approval must be obtainad. Failure lo obtain inspections and final approval will result in ihe expiration ot this permit. � FOR INSPECTIONS CALL: (714) 7545626 '418-08 (8�00) WORKERS' COMPENSATION DECLARA710N: — '� I hereby ettirtn under penalry of perjury one ot the tollowing declaretions: ❑ I heva and will maintain a certificate of consent to selt-Insure tor workers' compensation, as provitled for by saction 3700 of Ihe Labor Code, for the pertormance of Ihe �wark for which ihis pertnit is issued. I have ana will maintaln workers' compensation insuranca. as required by section 3700 of ihe Lebor Cotle, for the partortnance ot the work for which Ihis pettnit I5 issuetl. My workers' compensation Insmance wrner and potiry number are: �a��er: Policy Number: (This section neetl not be comp/eted il fhe pevnitls valued at one hundred tlollars ($ f 00) or less.) � I certity that in the paAar �� which this permit is issued, I shall not employ any parson in any menner so as to become su6iect to ihe workers' compensation laws elif nd egree iha If I shoultl bacome subJect to Ihe workers' compansation provisions of Section 3700 of the Lebor Cotle, I shell forthwlth Comply witP lhese ovi % qppllcantSlgneWre: Date: 1,� ` O'� � WpRNINp: FAILURE TO ECURE �RKE 5' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENA�TIES AND CIVIL FlNES UP TOONE HUNOflED TMOUSANDDOLURE(S , IONTOTHECOSTOFCOMPENSATIIXJ,DAMAGESASPROVIDEDFORINSECTION3]O60FTHElA80RCODE,INTEPEST,ANDATTOFNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm ihat I em licensed untler provisions of Chapter 9(commencing with Section 7000) of Division 3 of t�e Business and Prolessions Cotle, and my license is in full tolce and eHect. Lic. N Class k Contracrofs SignaWre: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby attirtn that ihare is a construction lentling agency for the pertormance ot the work for which �his permit is issuetl. (Sac. 3097, Civil Cotle). Le�tlers Name: Lender's Atltlress: Sig�ature: Date: pWNER-BUILUER DECLARATIONS: I hereby aXirtn ihat under penalty of perjury that I am EXEMP7 FROM THE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Protessions Code: Any ciry or counry which requires a pertnit to construct, alter, improve, demolish, or repair any structure, pnor to its Issuance, also requires the applicant tor such parmit to file e si9netl statement Ihat he or she Is licensed pursuant to the provisians oi the Contractors Llcense Law (Chapter 9(commencing with Seclion 7000) of Division 3 of ihe Business entl Professions Code) or thet he or she is exempt Iherafrom end Ihe �asis for the ellege0 exemption. Any violation of Sectlon 7031.5 Dy eny applicant for e parmit subjacts the applicant �o a civil penalry of not more than five hundred dollars ($500).): ❑ I, as owner ot Ihe property, or my employees with wa9es as Iheir sole compensation, WILL DO THE WORK, and Ihe siructure Is not intentletl or oHered for sale (Sec. 7044, Business and Pmfessions Cotle�. The Contractors License Law does not apply to an owner ot properry who boilds or improves thereon, antl who does such work himself or hersalf or Ihrough his or her own employaes, provided that such improvements are not Intended or oNeretl tor sale. If, however, ihe building or impmvemen� is old within one year of complelion, the owner-builder will have the burdan of proving ihat he or she did not 6uiltl or improve tor puryose of sale.). � as owner of t�e property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business end Protessions Code: The comractore Li w not apply to an owner of pmperty who builtls or impwves thereon, and who contracis for such pmject wit� a conirector(s) licen5e Dursuant t ectors Licen e Lews.). ❑ I am exempt s. Business antl Professions Coda for this reason: � f f/.l fl� Signawra: �/}/ (�� Ezpires:' h�� Verificetlon at Owner ip 6 ype of dacument, i.e. - properry tax bill or deed): OIV�SION OF INDUSTRIAL SAFE7Y PERMIT CER7IFICATON: ❑ 1 hereby certify ihat no excavation five (5) or mora teet in depth imo which a person is required ro descend, witl be made in connection with work authonzed by this pertnit, and that no building siructure, 5�nolding, falsework, or demolition or tlismantling thereof, will 6e more ihan thirty-siz (36) feet high. (Chep. 3.2, Grp 2, Art 2, Sec. 341, Title 8, Callfornia Administretive Code). ❑ As owner-builder, I will nol employ enyone to do work which would require a permit from the Division of Industrial Safery, es notatl eho�e, unleu such person hes a permit to do such work from Ihe division. Signature: Date: Di�ision of Induslrial Safery Permit Numbec CH�IFlCATE OF COM LIANCE ANU AUTHORIZATON OF EMRY; I Gertify under penalty of perjury ihat I have read Ihis epplication and state Ihet the iniormation givan is I correct I agree Io co ply with all state I nd ciry ortlinances relating to building conswction, end euthonze represantatives of ihe Ciry of Coste Mesa to emar upon the abo�e-descnbed prop rry for ins�ectiory�u �rJrs,eS.-i-egroe�nalo occupy or allow occupancy of any building authonzetl by this permit unlil finel inspection. CODE I, MSPECTONTYPE Y � 7616 Fixed System Final Fire Pr 1266 Pool Spa Final 200 Final Re-Roof 201 FInaI8lock/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 20d Final Demolition PAIE IKiRiA�S 1(- i7 �� Date � CODE� u+svecnoxrme 206 Final Mechanical 20B Final Plumbing 210 Finel Elactricel 212 Final Fire Prevention 220 Final Plenning Approval 222 FinalSite 250 Final Building/Occupency PAIE f1�lEl5 b7.J 711 6U L (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-r�e}REey�pRESSION PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 3351 VIASIENA Suite: Viciniry: Parcel Number: TPN003054 Zoning: Status: ISSUED Applied: 05/04/2004 Issued: 05/05/2004 ISSUED BY: npplicant: FIRE SPRINKLER SYSTEMS INC Address: 705 E HARRISON ST �� SUITE 200 . � Phone: (800) 9153473 � . CORONA,CA� Zip: � 92879 ' , � , Owner: ;STANDARD PACIFIC . - Address', 15328 ALTON PARKWAY ,= " � � - , , ` , � " . Phone: 949-7831718 � . , � ' - � �. . IRVINE. CA. - . Zip: 92618 � � � � � Contractor. FIRE SPRINKLER SYSTEMS INC � � . Address: 705 E HARRISON ST . � -� . SUITE 200 Phone: (800) 915-3473 � - CORONA, CA Zip: 92879 � - � � � � � � �License: 684600� � � � � SCOPE OF PERMIT ADDRESSES INCLUDE: 3351. 3353. 3355, 3357, 3359. AND 3361 VIA SIENA. — , .- . . ' , != FEE SUMMARY Plan Chgck: . $10871 Permit: ' $167.25 - Other' $0.00 --- -_ -- - - - , Totel: $275.96 � Calc Valuation: $a,zao.00 Claimed Valuation: $a,zao.00 � NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § t, 12-21-92) EXPIRA710N: This permit shall automatically expire and become void if work is not commenced within 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work au�horized under this permit to ba considered legal, such work must comply with all applicable codes, and all I requlred inspections and flnal approvel must be obtained. Failure to obtain inspections and Final approval will result in the expiration of this permit. �� FOR INSPECTIONS CALL: (714) 7545626 !d46�d6 (G/00) WORKEHS'COMPENSAnON DECLARATON: . � I hereby atfirm untler penalty of perjury one ot Ihe tollowing tleclarations: ❑ I have and will maintain a certificate of consent to salf-Insure for workers' compensetion, es providetl tor by section 3700 of the Lebor Code, for iha peAortnance of the rk far which this permit Is issued. I have and will mainlain woMers' compensalion insurance, as required by section 3700 ot tho Labor Code, fo� the peAortnance ol Ihe work far which Ihis pertnit is issued. My warker ' compensation Insurance ca%r jer entl policy number ere: %(/ r �/ Carrier. �i�'%�� /CLC �'"✓ Policy Number. Y 7/�4 � L-DD� (7h15 sec7an need nof be completed ll the permit is velued af one hundred dollars ($700) or less.) ❑ 1 cerlity Ihat in ihe performance ot the work for which this Dermit is issueQ I shell not employ eny person in eny manner so as to become subiect to ihe workers' compensatlon lews of Celi a, and agrea that if I shoultl bec eri�bje� to Ihe workers' compensation provisions of Section 3700 oi Ihe Labor Gode, I shall fort�wlth comply with ih85e pr ti ions. �� ' / Applicam Signature: t^� Data: _ �'% WARNING: FAILURE T SECU WO[iN RS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA�TIES AND CIVIL FI S UP TO ONE HUNDREO TYIOUSANDDOLLARE 1 , ),INADDITIONTOTHEC0.STOFCOMPENSATION,DAMAGESASPFiOVIDEDFOPINSECTIqJ3]O60FTHELABOFCODE,INTEREST,AN ATTORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby aflirtn that I am lorce and eNecL Lic. N Contractors Signawre: of Chapter 9(commencing with Section 7000) of Division 3 ot Ihe B Class # � Date: _ anA my Ilcense is In full CONSTRUC710N LENDING AGENCV: ❑ I hereby aflirm Iha� �here is a consWction lending agency for the performance of Ihe work for which ihis pertnit is issued. (Sec. 3097, Civil Code). Lentlefs Name: Lender's Address: Signeture: OWNER-BUILDER DECLARATONS: Date: I hereby aHirtn Ihat under penalry of perjury t�et I am EXEMP7 FROM 7HE CONTRACTORS LICENSE LAW tor iha followinq reason (Sec. 7031.5, Business entl Professions Code: Any ciry or counry which requires e partnit to construct, alter, improve, Oemolish, or repair eny sWciure, pnor to its issuance, also requires the applicent tor such pertnit to tile e signed statement ihet ha or she is Ilcensed pursuant 10 the provisions ot the Contrectors Llcense Lew (Chapter 9(commencing with Seclion 7000) oi Division 3 of Ihe Business and Professions Cotle) o� Ihet ha or she is ecempt Iheretrom and the basis for the elleged exemption. Any violetion of Section 7031.5 by any a001icant for e permit subjeds ihe epplicant to e civil penalry ot not mora than five huntlred dollers ($500).): ❑ I, as owner of ihe property, or my employees with weges as their sole compensation, WILL DO THE WORK, and Iha sWcture Is not intendetl or oHered for sale (Sec. 7044, Business and Protessions Code: The Coniractors License Law does not apply to an owner of pmperty who builds or improves Ihewon, and who does such work himself or herself or through his or her own employees, provided ihat such improvements ere not Intendetl or otteretl for sale. If, however, the builtling or improvement is sold within one year ot completion, ihe ownerbuilder will have the burden of proving that he or she tlitl not build or improve tor purpose ot sale.). � ❑ I, as owner oi the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct ihe proiect (Sec. 7044, Business and Professions Cotle: The coniractors lJcense Law Does not appry to an owner oi properry who builds or improvas thereon, entl who contracis for such pmjact wlth a contracmr(s) license pursuant to the Coniractors license Lews.). ❑ I am exempt untler sec. Business and Professions Code tor ihis reason: Signature: Date: __ Owner ID venfied �y tlrivefs license. ❑ Ves ❑ No Driver's License No. Expiras: VanFlwtion oi Ownership by (type of documem, i.e. - property tax bill or daetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certi(y ihet no excavation five (5) or more feet in depth into which a person is requiretl to descena, will De made in conneclion with work euthonzeC by this permit, and that no building siructure, scaHoltling, talsework, or demolition or dismantling thereof, will be more ihen thiny-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle 8, Califomia Administrative Coda). ❑ As owner-builder, I will not employ enyone to do work which would require e permit from Ihe Division of Industnal Sefety, as notetl above, unless such person has a permit to do such work trom the division. Signature: Date: Division of Industrial Satety Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTRV: I certify under penalry of perjury thaf 1 hava reatl this epplication and state ihat �he information given is correct. I agree ro comply with all s�ate laws and ciry ordinances relating to bullding construction, and authonze representatives oi ihe City of Costa Mesa to enter upon ihe above-descnbed property tor inspection purposes. I egree not to occupy or allow occupency oF eny building authorized by ihis permit until finel inspection. cooe �. 1616 1266 200 207 202 203 Fixed System Final Fire Prevention Pool Spa Final Final Re-Roof Final Block/Retaining Wall Final Factory Fire Place Final Sign 204 Final Demolition p0jg RL S,� � a Data COOE� MSPECTIONTYPE 206 Final Mec�anical 20B Final Plumbing 210 Finel Electncal 212 Finel Fire Prevention 220 Final Planning Approval 222 Finel Site 250 Final Building/Occupancy QAiE L�A6$ � �s�o� c�..�