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Home My WebLink About3351 VIA TIVOLI - Building PermitsMay 12, 2003 Gsi� OF COSTA MESri P.O. BOX 1200 • 77 FAIR DRIVE • CALIFORNIA 92b2B-7200 DEVELOPMENT SERVICES 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 Water District OLD ADDRESS 1325 Sunflower Avenue AT&T Broadband Newport-Mesa Unified School. Dist.12) Pacific Bell Police Dept. - Planning & Research Sanitary District Engineer Sanitation Division Office So California Ediso� 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 Buildmg Division (71d) 75d-5273 • Code entorcemanl (71a) 75a-5623 • Planning Division (714) 754-5245 FAX (7ta) 75a-<B56 • TDD (71a� 75a-52aa • www.ci.costa-mesa.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 Siena 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 Tivoli 3360 Via Tivoli 3362 Via Tivoli 3364 Via Tivoli 3366 Corte Cassi$ 3368 Corte Cassis 3370 Corte CassFs 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 ADDRESS 1325 Sunflawer Ave�ue 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 131 H 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 Maitera 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 Maliera 3383 Corte Cassis 3381 Corte Cassis 3379 Corte Cassis 1324 Corte Alemano 1322 Corte Alemano 1320 Corte Alemano 1318 Corte Alemano 1 316 Corte Alemano 1314 Corte Alemano 1 312 Corte Alemano 1310 Corte Alemano 1308 Corte Alemano 1306 Corte Alemano 1327 Corte Alemano 1325 Corte Alemano 1323 Corte Alemano 1321 Corte Alemano 1 319 Corte Alemano 1317 Corte Alemano 1315 Corte Alemano 1 313 Corte Alemano 1311 Corte Alemano 1 309 Corte Alemano 1307 Corte Alemano 1305 Corte Alemano 1303 Corte Alemano 1301 Corte Alemano A. P. NO 140-041-60 Your cooperation in this matter is appreciated. Sincerely, � '� � �� U�-'L /30� /3a6 Willa Bou - iUeen ��g S ' r Planner /3jQ �a �a c: Kimberly Brandt �3 �� Dana Bieber �3 1'6 Standard Pacific �3�� 15326 Alton Parkway /`3a0 frv'me, Califomia 92618-2388 �a� /�_ , 9 yl�� C.B'Yit4.. </ • SllJhIUWtX /.VEM,E �r � u—.� — -�T- - �� ' u y ��,� I� � �� " ;, ,rn � �'�,.��..,,, ' q � � � ,� � ' , >' `�� O � � � �. �i „� �;_ , ,' .�, '� � �'m � .'��'. j �, j , ��,. �Jr ,�, , � f - � ' �-r � �' ... ,n I,��'� . ?' ' u .f�.:i'�J 1�1 �!� � yil � �p �1��{ I.J � `� I I i _ , �.r_�.i , �� _'`�-�-'_ . . ; ; � � � .� . . ��.n:i i4i:' i �'i � � - di ' .i4 _ � Il4. . � _ a. . i ,�y�.. '1 _ 5 f 't. '� . ., i. ' e . _ r�[� r o :A �-. - � . -�.:i. . � _� � , Cone Maltera . � i I� �.y ,r . � -1 1 +. � � I;.. 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HARE AND ASSOCIATES SANTA ANA, CA . � 505 N TUSTIN AVENUE SUITE 212 - " � Owner: STANDARD PACIFIC Address 15326 ALTON PARKWAKY �' , . ' -IRVINE, CA � Contractor. � , � Address: 2ip: Arcn : BASSENIAN/LAGONI Address: 2031.ORCHARD DR � SUITE 100 . NEWPORT BEACH, CA Zip: 92660-0753 � Zoning: Phone: 714-245-9760 Zip: 92705 Phone:� 949-789-1716� Zip: 92618 Phone: License: Phone: 714-553-9100 License: C8395 ISSUED BY: Status: ISSUED Applied: 10/30/2003 Issued: 11/10/2003 �' � Eng: RICHARD MOORE/MCE CONSULTANTS Address: 1100 S COAST HVJY, 318 Phone: 949376-6407 � LAGUNA BEACH, CA ' � 92651 License: C23971 SCOPE OF PERMIT CONSTRUCT NEW 9,476 S.F. 6-PLEX WITH 2,654 S:F. ATTACHED GARAGE AND.131.S.F. PORCH/DECK AREA. "BUILDING TYPE - B". . BLDG 7. . . . . . . . . . . . . . . . . . ... ADDRESSES WCWDE: 3357, 3353,3355,3357,3359, AND 3361 VIA TIVOOLI. SEE PA-02-41/T-16416 � 3361/UNIT 41 - 684 SQ. 1ST FLRT/1023,SQ. FT. 2ND FLR. 455 SQ. FT. GARAGE/ 11 SQ. FT PORCH. TOTAL LIVING 1,707 S�. FT. (3D) 3559/UNIT 42 - 560 SQ. FT. 1ST PLR/917 SQ. FT. SND FLR,.436 S�. FT. GARAGE, 4 SQ. FT. PORCH. TOTAL LIVING 1477 SQ. FT. (1C) 3357/UNIT 43 - 589 SQ. FT. 1ST FLR, 965 SQ. FT. 2ND FLR, 436 SQ. FT GARAGE, 25 SQ. FT. PORCH, TOTAL LIVING 1554 SQ. FT. (2D) 3355/UNIT 44 - 589 SQ FT 1 ST FLR, 965 S� FT 2ND FLR, 436 SQ FT GARAGE, 20 Sa FT PORCH. �TOTAL LIVING 1554 SQ FT. (2C) 3353/UNIT45- 560 S� FT 1ST FLR, 917 SQ FT 2ND FLR, 436 SQ FT GARAGE, 4 SQ FT PORCH. TOTAL LIVING 1477 SQ Ff. (tE) . 3351/UNIT46 - 684 SQ FT 1ST FLR, 1023 SQ FT 2ND FLR, 455 SQ FT GARAGE, 11 SQ FT PORCH. TOTAL LIVING 1707 SQ FT. (3C) . Plari Check: $867.43 Permit: $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: Ssaz,3n.sz , Claim Valuation: ' ,� So.00 PLANNING & ZONING NOTICE: The work authonzed by this permit shall comply with all applicable handicap access requiremenis under Calitomia statutes and ielated �� regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permit to be consitlered legal, such work must comply with all applicable codes, and all requlred inspectlons 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 zaaare �6�00) ✓' WORKERS' COMPENSATON DECLARATION: - I hereby atfirm under penelry of 0erjury one of ihe following declarations: ❑ I have end will maintain a certificate of consent to seli-Insure for workers' compensation, as provitled tor by section 3700 of Ihe LaDor Cotle, for the peAarmence of the ork tor which this permil is issued. have end will maintain workers' compensetlon insurance, es requiretl by section 37�f the Labor Cotle, for ihe pertortnance of the work for which Ihis pertnit is Issued. My workers' wmpensation Insurence carrier and policy number are: Carrier. 4' K Policy Number: (7his sectlon neetl not be complefed il the perm/f is velued et one huntlretl tlollars ($100) or less.) ❑ I certify lhei in the peAormance oi ork for which his pertnit is issued, I shall not employ any person in any manner so es to become subjecl to the workers' compensation laws of Califp a, g ee thal if 1 s ould become subject to the workers' compensatlon pmvisions ot Section 3700 of t�a Labor Code, I shall fotlhwith comply with IheSe pmvi 6n /'� j �j Applicant Signature: Dale: /� � l( l' C� �\ WARNING: FAILURE TO SECU E W I RS' C MPENSATION COVERAGE IS IINLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTtES AND CIVIL FINES UP TOIXJE MUN�RED TFKKISANDOp1ARE(5100,000, ADD OTHECOSTOFCOMPENSATION,DAMAGES0.5PROVIDE�FORINSECTION3/060F'fHELABORCODE.IMEREST,ANDFTTORNEI"SFEES. LICENSED CONTRACTORS DECLARATION: I hereDy aHirm Ihat I am licensed under pmvisions ot GhaD�er 9(commencing with Section 7000) oi Division 3 oi the Business and Professions Code, end my licensa Is in full torce end ettect. LiC. N Class N Contrector's Signamre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby a%irtn that Ihere is a construction lending agency for ihe peRormance of ihe work for which this permit is issued. (Sec. 3097, Civil Cotle). Lentlefs Name: Lender's Address: Signalure: Dete: OWNER•BUILDER DECLARATIONS: I hereby aHirtn Ihet under penalry ot perjury thet I am E%EMPT FROM TF1E CONTRAC70RS LICENSE LAW tor ihe tollowing reason (Sec. 7031.5, Business end Protessions Code: Any city or county which requires a permit b construct, alter, improve, demolish, or repair any structure, pnor to its issuance, elso requires the appliwnt for such pertnit to tile e signetl stetement Ihat he or she Is licensed pursuent b the provisions ot Ihe Contractors Ucense Ww (Ghapter 9(commencing wlth Sectlon 7000) of Divlsion 3 01 the Business end Professions Code) or that �e or she is ezempt Iherefrom and the basis tor the alleged exemption. Any violetion of Section 7031.5 Dy eny epplicant for e pertnit subjecis the applicant to a civil penalry ot not more than five �undred tlollars ($500).): ❑ I, as owner ot Iha properry, or my employees with wages es their sole compensation, WILL DO THE WORK, antl the strucNre Is not Intended or oHeretl for sale (Sec. 7044, Businass and Protessions Code: The Contractors License Law does not apply to an owner of pmperty who builtls or improves thereon, and who �oes such work �/�himself or hersefl or Ihrough his or her own employees, provitletl that such improvements are not Intended or oflered for sale. If, however, the building or improvement is \v old within one Year of completion, the owner-builtler will have Ihe burden ot Proving that he or she tlid not build or imProve for purpose oi sale.). � as owner oF t�e property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the project (Sec. 7044, Business and Professions otle: The coniractors Lice Ot appty to an owner ol property who builtls or Improves thereon, and who wntracts for suth prolect with a contrector(s) license pursu t to m actors Licens ws.). ❑ I am axempt e ec Business and Professions Code for Ihis reason: SignaWre: , ' �� - Emires: 'V �%'�� Venticatlon ot Ownership by (type oi document, i.e. - pmperry tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity Ihet no excavation five (5) or more feat in depth into which e person is required to descend, will be made in connection with work authonzed by Ihis pertnit, end that no building sirudure, scaHolding, ialsework, or demolition or dismantling thereof, will be more Ihen ihirty-si: (36) feet high. (Chap. 32, Grp 2, Ar12, Sec. 341, Title 8, Califomia Atlminisirative Coda). ❑ As owner-builder, I will not employ anyone to do work which woultl require e permit from the Division ol Industriel Safery, as noted above, unless such person has e permit to do such work trom the division. Signature: Date: Division of Industnal Satery Permii Number: CERTIFlCA7E OF COMPLIANCE AND AUTMORVA710N OF EMAY: I cenity untler penal�y of perjury ihat I have read this application antl state ihat the information given is wrrect. I agree to comply with all siate laws and city ortlinances relating to building conswction, entl authorize representatives of ihe Ciry of Coste Mesa to enter upon the ebove-descnbed property for inspection pulpeses. I agree not to occupy or allow occupancy of any building authonzed by this permit until Tnel inspection. cooe �. 1616 1266 Fixetl System Final Fire Prevention Pool Spe Finel 200 Finfll qe-Roof 207 Final BIocWRetaining Well 202 Final Factory Fire Place 203 Finel Sign 204 Final Demolition PAIE It�RJALS / /� Da� ( Date cooe� ixsrecnoNirve 206 Final Mechanical 208 Final Plumbing 210 Final Electricel 212 Finel Fire Preventian 220 Final Planning Approvel 222 Final Site 250 Final BuildinyOccupancy PdIE t� To: NEWPORT-MESA UNIFIED SCHOOL DISTRICT CERTIFICATE OF COMPV'�NCE OF DEVELOPMENT FEES PURSUPfiT T�B 7600 AND AB 181 N° 4919 ( City of Costa Mesa Distrid Receipt No. I��a� ( ) Cily of Newport Beach p� ( ) Counry of Orange � . Plan Check N - �IOO-I Applicant: Address: Telephone Number: \� I �i' TracVParcel and �ot Number(s): Location of Project: --�oi.` Number of Square Feet ✓` Residential Space Commercial and Industrial Space I U�P`-��I`��( - I�x 31.84 CommerciaVlndust�al Projed is: (Check One) _ Warehause R8D Movie Theater _ Mini-storage _ Heavy Industrial _ Regional Shops _ Light Industrial _ This project is exempt because xS.30 _ Motel Bank _ Neighborhood Shops _ RacqueVHeaRh _ Hotel Medical Office Office Park To�� I �. �-3�. �— Total _ Preschool _ Auto Repair _ Hospital _ Large O1fice _ Office Bldg. _ Restaurant _ Fast Food This certifies that the above-named Developer/Applicant has paid school facifity fees i� compM1ance with Government Code sections 53080 and 65995. The Building Pemihs for this square footage in this proposed development may now be issued by your jurisdic5on. Checks are to be made payable to NewpoR-Mesa Unifl� The above representation as to square (ootage is true. Appticant agrees that it true, then this certificate shall automaticaly terminate and the a nat Date: ( � �/ A ' M shali be thatsuch representations are not 11 FN/4 17435.84 kCF�Tq:01-A123372 128887 (714) 754-5273 • Fax (714) 754-4856 •�wiw.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 3351 VIA TIVOLI Suite No Vicinity: BUILDING'j Parcet Nunmber: TPN003052 Applicant: LONG, JEN Address: . . Ownec - STANDARD PACIFIC Address 15326 ALTON PqRKWAKY IRVINE, CA Contractor. Address: Arch / Eng : Address: Phone: 714-2459760 Zip: Phone: 949-789-1716 Zip: 92618 Phone: Zip: ' License: Phone: Zip: - - License: Status: ISSUED Applied: 10/31/2003 Issued: 11/10/2003 ISSUED BY: , " REF: B03-01889 , 6 UNIT MULTI-FAMILY BUILDING. BLDG 7. BLDG TYPE B. TR 16416 �� ,' INCLUDES ADDRESSES: 3357, 3353, 3355, 3357, 3359, AND 3361 VIA TIVOLI. . , - � ' PLUMBING TO INCLUDE: 8 BATHTUBS;'6 CONNECTS ( ICE, SODA), 6 DISHWASHERS 6 GAS 1-4 � , ��- � .OUTLETS, 6 GA$ OUTLETS OVER 4, 6 GAS SERVICES, 6 LAUNDRY TUB/WASHER, 6 PRESSURE ' . REGULATORS, 8 SEWER CONNECTIONS, 6 SHOWERS, 26 WASH BASINS,�6 KITCHEN SINKS, 8 WATER . . CLOSETS, 6 WA7ER HEATER/ VENTS, AND 6 WATER SERVICES. �.r � ' � � _ - � - " � AMT ISSUE FEE �� $23.50 BackFlow irrigation ' $0.00 Backflow Preventer $0.00 Bathtub $78.40 Clarifer System $0.00 Connect(Ice,Soda,etc) $58.80 Dental Units $0.00 Dishwasher $58.80 QTY 0 0 8 0 6 0 6 FEE SUMMARY AMT QTY Laundry Tub / Washer $58.80 -6" Landscape Irrigation $0.00 � 0 P-Trap $0.00 0 Pressure Regulator $58.80 6 Process Piping (per 10 ft) $0.00, 0 Receptors - $0.00 0 SepticTank $0.00 . 0 � ' Sewer Cap for Demo $0.00 0 AMT Sump Pump � ; "i $0.00 Swimmirig Pool ' $0.00 Trap Primer $0.00 Urinal $0.00 Vacuum Brkr Bkflow(1-4) $0.00 Vacuum Brkr BkFlow(S+j $0.00 Wash Basin $254.80 Wash Basin Set $0.00 QTY 0 0 0 0 0 0 26 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 780 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for Ihe work authorized under tnis permit to be considered legal, such work must comply with all applicable cotles, and all requlred Inspections and tlnal approvel must be obtained. Failure to obtain inspections and final approval will result in the expiration of lhis permit. FOR INSPECTIONS CALL: (714) 7545626 2448-48I&00) WORKEflS'COMPENSATON DECLARATION: — I �ereby aHirm under penalty of perjury one of the Following tleclarations: ❑ I have end will maintein a certificate ot consent to self-Insure for workers' compensalion, as provided for by section 3700 oi the La6or Code, tor the pedormance ol lhe �work lar which this permil is issuetl. I have an0 will maintain workers' compensaYon insurance, as requiretl by section 3700 of the lebor Code, tor the pertortnance of the work for which this permit is issued. My workers' compensation Insurence cerner antl policy number are: Cerrier: Policy Number: (This section need not be completed i! fh re�' is va/uetl af one hundred dollars ($700) or less.) ❑ I certity thal in the peA of t�e work i r which this pertnii is issued, 1 shall not employ eny person in eny manner so es to become suhject to tha workere' compensation laws d d agree at if I shoultl become subject to the workars' compensation provisions ot Sectlon 3700 0l Ihe Lebor Code, I shall ionhwith comply with these ro si --- /-� � Applicant Signeture: Deta: � � � � (J � K3 WARNINO: FNLURE TO ECURE ' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU6IECT AN EMttOVER TO CRIMINAL PENALTIES AND CML FWES UP TOONE HUNDRED T/10USAND OOLLAHE (5 , IN ITION TO iHE CQST OF COMPENSATION, DAMA6E5 AS PROVIDED FOH IN SECTION 31060F THE LABOR CODE, IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm thal I am licensed under provisions of Chapter 9(commancing with Section 7000) of Division 3 0l Ihe Business end Professions Code, and my license is in lull force antl eHect. Lic. N Class e Comractols SignaNre: Dete: CONSTRUCTION LENDING AGENCY: ❑ I hereby ettirtn that there is a consiruction lending agency for the performance ot i�e work for which this permit is issuetl. (Sec. 3097, Civil Code). Lentlers Name: Lentlefs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereDy attirtn that under penalry of perjury that I am EXEMPT FFOM THE CONTRACTORS LICENSE LAW tor ihe tollowing reason (Sec. 7031.5, 8usiness end Professions Cotle: Any ciry or counry which requires a permit to constmct, alter, improve, tlemolish, or repair eny sWcture, prior to its issuance, elso requires Ihe applicant tor such pertnit to flle a siqnetl statement t�et he or she is Ilcensetl pursuent to the provisions of the Cantractors LJcense Lew (Chepter 9(commencing with SecHon 7000) at Divislon 3 of the Business an0 Protessions Code) or ihat he or she is exempt Iherefrom enA Ihe basis tor Ihe alleged axemption. Any violation of Settion 7031.5 by any applicant for e pertnit subiects the applicant to e civil penalry ot not more than five �untlred dollars ($500)J: ❑ I, as owner ot ihe properry, or my employees with wages as their sole compensation, WILL DO THE WORK, entl the structure Is not intended or offeretl for sale (Sec. 7044, Business and Prolessions Code: The Conirectors License Lew dces not apply to an owner oi property who builds or improves ihereon, and who does such work himself a herseN or Ihrough his or her own employees, provided ihat such improvements are not Intended or oflered far sale. If, however, the building or improvemant is sold within one year of completion, t�e ownao-builtlar will have the burdan of proving that he or she tlid not build or improve for purpose oi sele.). I, as owner ot �he property, am EXCL V CONTRACTING WITH LICENSED CONTRACTORS to construct lhe project (Sec. 7044, Business antl Professions Cotle: The contracmrs Licens does not ply Io en owner ol pmpeny who builtls or Impmves Ihereon, and who conirects tor such pmject with e coniractor(s) license pursuant to �e t rs License La s.). ❑ I am exempt w SignaWre: Owner ID veritied by Venficetion af Ownei Business end Professions Code for Ihis reason: � Exo'res _r documem, i.e. - properry taz 6ill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby ceniy ihat no excavation tive (5) or more teet in depih into which a person is required to tlescend, will be made in connaction with work euthorized by this pertnit, antl that no builtling siructure, scaHoltling, talsework, or demolition or dismantling iheraot, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Calitomia Atlministretive Cotla). ❑ As owner-builder, I will nat employ anyone to tlo work which would require a Oermit irom the Division of Industrial Safety, es notetl above, unless such pereon hes e pertnit to do such work Irom the division. Signature: Date: Division at Industrial Safety Permit Number: CERTIFlCATE OF COMPLJANCE ANU AIJTHORIZATON OF ENiAY: I certify under panalty oi perjury ihat I have read ihis application and stete that ihe Information given is correct I agree to comply with all state lews end ciry ordlnances relating to building construction, and euthorize representatives of the Ciry ot Costa Mesa to enler upon the ebova-described pmperty for inspection pyeaqser. I-agree��oi to occupy or allow occupancy ot any building authorized by this permit until final inspection. GODE �. INSVEC�/ � 1616 Fixetl System Final Fire Prevention 1266 Pool Spe Final 200 Finel Pe-Roof 201 Finel BIocWRe�aining Well 202 203 Final Fectory Fire Place Final Sign 204 Final Damolition QdjE INTffIALS � �r COpE I INSPELTION TYPE 206 Final MechaniCal 20B Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy �g �fl i �1 (7/4) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT Job Address: S35'I VIA TIVOLI Suite No Vicinity: BLDG 7, 3351,3353,3355,3357,3359,3361 Parcel Number: TPN003052 Applicant: LONG, JEN Address: Owner ' STANDARD PACIFIC Address: 15326 ALTON PARKWAKY - IRVINE, CA , Contracror: , Address: Phone: 714-245-9760 Zip: Phone: 949-789-1716 Zip: 92618 Phone: Zip: License: ISSUED BY: SCOPE OF PERMIT REF: B03-01889. NEW 6 UNIT MULTI-FAMILY BUILDING. INCLUDES ADDRESSES: 3351,3353,3355,3357,3359,3361 VIA TIVOLI. - . ' - - - . TR 16416, BUILDING 7. BLDG TYPE B. � � - Status: ISSUED Applied: 11/O6/2003 Issued: 11/10/2003 MECHANICAL WORK TO INCLUDE: 6 COMPRESSORS UP TO 3 HP (PKG UNIT), 6 FAU'S LESS THAN 100K BTU, 6 FACTORY FIREPLACES; 24 VENT FANS, 6 APPLIANCE VENTS. ISSUE FEE . � Inst FAU <100 k BTU � Inst FAU ?100 k BTU . RepairGAlt Cooling/Heat Inst / 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 / Single Duct � � Appliance � . Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Fumace $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 Quantity 6 0 0 0 0 0 0 6 0 0 24 0 0 0 6 0 0 0 FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit . -''VentillationSystem ,, ,:; % : , Evaporative Cooler ' Commercial.lncinerator � Domesticlncinerator',-.�,:. .. ' � Compressors / Absorption-Svstems Upto3hp/100kBTU - 3To15hp/500kBTU ' 15 To 30 hp / 1,000 k BTU � 30 To 50 hp / 1,750 k BTU - , Over 50 hp / Over 1,750 BTU ,... Boilers Upto3hp 3To15hp 15to30hp 30 to 60 hp . �, Over 50 hp � � � Other Mechanical Fee - � Duantity ; $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 $8520 $0.00 $0.00 $0.00 $0.00 � � � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia 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 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order �or the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspectlons 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) 7545626 zasas (�oo) WORKERS'COMVENSAnON DECLARAnON: � � I hereby afFirm und@r penalty ot perjury one of the following tleclaretions: � � I have entl will maintain a cenificate of consent to sell-Insure for workers' compensation, as provitled for by section 3700 of the Labor Coda, tor ihe peAormance ot Ihe wark far whicY� this permit Is issuatl. I have entl will maintain workers' compensaGon insurance, as required by section 3700 of the Labor Code, tor tne paAortnance of Ihe woAc for which this pertnit is issue0. My workers' compensation Insurance carner antl policy number are: artier: PoliCy Number: (This secfion need not be crompleted if fhe permit is valued at one �undred dollers ($100) or less.) ❑ I certify �het in the peAormance of cwnpensation laws of Califomi comD�Y w��h tqese pm si Applicant Signature: WARNING: FAILURE YO SECURE ORKE iHOUSAND DOLLARE (E100,000). AD O �or whi this permit is issued, I shall not employ any pereon in any manner so as to become subjed to the workers' that ii I hould become subject to the workers' compensation pro�isions of Sectlon 3700 oi ihe Lebor Code, I shall fohhwith oe�a: ( � • /� • Q'� >ATION G1�VERAGE IS UNL4WFlIL AND SHALL SUBIECi AN EMPLOYER TO CflIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED XIST OF COMPENSATION, DAMAGES AS PROVIOEO FOR IN SECTION 37060F THE tA80R CA�E, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARA710N: 1 hereby aHirm that I am licensed under provisions ot Chapler 9(commencing with Section 7000) ot Divislon 3 ot the Business and Professions Cotle, and my license is in tull torce entl ettecL Lic. # Class # Contractafs SignaN�e: Data: CONSTRUCTION 4ENDING AGENCV: ❑ I hereby attirrt� that there is a construction lending agency tor Ihe peAortnance of ihe work for which this pertnit is issuetl. (Sec. 3097, Givil COde). ' Lenders Name: Lender'S Adtlrass: � SlgnaWre: Date: OWNEq-BUILDER DECLARATIONS: I here6y aNirtn thet under penalry of perjury Ihat I em E%EMPT FROM 7HE CONTRACTORS LICENSE LAW for the tollowing reesan (SecJ031.5, Business end Protesslons Code: Any ciry or counry which requires e permit to consWc�, alter, improve, tlemolish, or repair any slmcWre, D�ior to its issuance, also requires Ihe applicant for such pertnit to lile e signed stat9ment ihat he or she is licensed pursuant to the provisions ot ihe Contrectors License Lew (Chapter 9(commencing wit� Seclion 7000) oi Division 3 of the Business antl Protess�ons Code) or lhat he or she �5 exempt Iherefrom and the basis for ihe allegad e:emption. Any violation oi Section 7031.5 by eny epplicant tor e pertnit subjects Ihe applirant to a civil penalry of not more than five hundred dollars ($500).): ❑ I, as owner o1 the property, or my employees with weges as Iheir sole compensation, WILL DO THE WORK, and the structure Is not intended or oHered tor sale (Sec. 7044, BusineSs and Protessions Code: The Comractors License Lew does not appty to an owner ot properry who builds or improves thereon, and who tloes such work himsalf or herselt or through his or her own employaes, provided that such improvements ere not intentletl or oHered lor sale. It, however, the builtling or improvement is sold within one year of complation, �ha owner-builder wiil have the burtlen of proving ihet he or she did not build or improve for puryose oi sale.). � I, as owner of the prope , am E llS1yELV CONTRACTING WITH LICENSED CONTRACTORS to construct ihe prolect (Sec. 7044, Business antl Professions Code: Tha con�rectors e aw does not\eppry to an owner ot property who bullds or Improves ihereon, and who contrects for such pmject wlth a comreaor(s) liceose oursuP�� Co tracbrs License Ldws.1. ❑ I am exe .�d� Signawre: Owner ID v ritietl by Verificetian Business and Professions Code for this reason: �e. ❑ Ves ❑ No Driver's License No. oi dwument, i.e. - property �ax bill or tleed): � DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby cenify that no excavation tive (5) or more faet in depih into which e person is required to tlescand, will be made in connectlon with work euthorized by this pertnit, and ihat no building sirucWre, scattolding, lalsework, or demolition or tlismantling thereof, will be more than thirty-slx (36) feet high. (Ghap. 32, Gry 2, Art 2, Sec. 341, Title B, Celifomia Atlminisirative Gotle). ❑ As owner-builder, I will not employ enyone to do work which wouttl require a permit trom the Division of Industrial Sefety, as notetl ahove, unless such pereon has e pertnit to do such work from t�e division. Signawre: �ate: Division of Indusinal Sefery Permit Number: (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa�C��sCTRICAL PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 JobAddress: 3351 VIATIVOLI Suite No Vicinity: TR �6416 BLDG 7 Parcel Nunmber: TPN003052 Applicant LONG, JEN Address: Owner: STANDARD PACIFIC Address �15326ALTON PARKWAKY IRVINE, CA � Contractor: - Address: Phone: 714-245-9760 Zip: Phone: 949-789-1716 Zip: 92618 Phone: Zip: License: Status: ISSUED Applied: 11/05/2003 Issued: 71/10/2003 ISSUED BY: I SCOPE OF PERMIT . REF: 803-803-01889. TR 16416 - BLOG 7. CONSTRUCT NEW 6 UNIT MULTI-FAMILY BUILDING. INCLUDES ADDRESSE: 3351, 3353, 3355, 3357, 3359, AND 3361 VIA TIVOLI. 6 LIGHT FIXTURES, 72 OUTLETS, 6 SWITCHES, 1-1000 AMP SERVICE, AND 7- 200 AMP SUB PANELS. TOTAL RES SQ FOOTAGE IS 9566 SQ. FT. INCLUDES SUB PANEL FOR HOUSE METER. HOUSE METER IS ADDRESSED AS 3351 "A" VIA TIVOLI. �. ISSUE FEE - , Temp service test . Res. a/c package � New Res (1-2 units) " New Res (3+units)� Pool / Spa ' . Lighting Fixts � , Recept OutleLs , Switches � , Non Res Appl , Res Appl � Service to 200a Service to 1000a Service over 1000a Motors to 1 hp Motors to 10hp $23.50 $0.00 $0.00 $0.00 $478.30 $0.00 $6.60 $13.20 $6.60 $0.00 $0.00 $0.00 $62.15 $0.00 $0.00 $0.00 FEE SUMMARY - Quantity - � .�� Temp Dist Sysfem / Lighting ,-. -� Busway/100�ft,.- Standing Section .- � '�� 0 -� �, Misc Electrical Equipment � - � 9566 Transformers up l0 7 kva/kw 0 - ................up to 10 kva/kw 6 .................up to 50 kva/kw� 12 .................up to'100 kva/kw . 6 � ..................over 100 kva/kw �. 0 ' Low Voltage Equipment ' 0 , , Low Volt Wiring System / Ckt 0 � Misc. Conduit 1 Misc. Canductor 0 Circus ( gen or nde) 0 Circus (mech ride or IigFits)' 0 Christmas Tree Stand e 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 , �' 50.00"' 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 Calitornia statutes and related I regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permif shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all I reqWrea Inapactlons and }Inal approval must be obtained. Failure to oblain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CAL�: (714) 7545626 - 2466d8I�00) WORKERS' COMPENSATON DECLARATION: — '�" I hereby eHirm untler penalry of pe�ury one of the following tleclarations: � � ❑ I have end will meintain a cert��icate ot wnsent b seli-Insure tor workers' compensatlon, es provided tor �y section 3700 of Ihe Lebor Code, for the peAormance ol the wark far which this permit is issuetl. I have antl will maintain workels' compensalion insurance, as requiretl by sectlon 3700 oi the Labor Code, for Ne peAortnance of the work tor which this partnit is issuetl. My workers' compensatlon InSurence carner and policy numbar are: erner: Policy Number: (This secfion need not be completeC ll fhe permitls valuetl al one hundred dollers ($100) or less.) ❑ I certity Ihat in the peAormanGe tt e work to hich ihis permit is issued, I shall not employ any person in any mannar so as to become subject to the workers' compensatlon laws ot �IR agree iha if l shoNa become subject to the workers' compensation provisions of Saclion 3700 of ihe Labor Cotle, I shall forihwith wmplY with these pr isio . �� /% /,�f�r�p��/ Applicent Signeture: Data: C 1 '/� ` C y J WqRNINO: FAILURE TO S URE WO RS' CAMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMP�OYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDflED THOUSANDOOLLARE($1 ADD TOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDFORINSEGTIIXJ3]C60FTHELABORCODE,INTEREST,ANDATTORNE`fSFEE$. LICENSED CONTRACTORS DECWAAnON: I hereby aMirm that I am licensad under provisions ot Chapter 9(crommencing with Seaion 7000) oi Division 3 ot the Business and Professions Code, and my license is in full torce end et10cL Lia M Class k Contractor's Signature: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby attirm Ihal ihere is a Gonstruction lending agency for the pedortnance of Ihe work for which Ihis Dermit is issuad. (Sec. 3097, Civil Code). Lenders Name: Lender's Adtlress: Signature: ' Date: OWNER-BUILDER DECLARATIONS: I hereby aflirtn that untler penelry o� perjury that I am E%EMPT FROM THE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business entl Professions Code: Any ciry or wunry which req�ires a permit b construct, alter, improve, demolish, or repair eny siructure, prior to its issuance, also raquires the epplicant tor such pertnit to file e signetl statement that he of she Is Ilcensed pursuent to the provisions of the Contrectore License Lew (Chapter 9(comme�Cng with Section 7000) of Divislon 3 of the Business end Professions Cade) al ihet he or she is evempt Iherefrom end the basis for the allegetl axemption. Any violation of Section 7037.5 by any applicant for a pertnit sublecis the eDG�iwnt to a civil penalty of not mora than five huntlretl tlollars ($500).): ❑ I, as owner oi ihe property. or my employeas with wages es iheir sole compensation, WILL DO 7HE WORK, end ihe structure is not intentletl or oHeretl for sale (Sec. 7044, Business and Professions Cotle: The Coniractors License Law dces not aDPly lo an ownar oi properry who builds or improves ihereon, and who tloes such work himself or herself or Ihrough his ar her own employees, providetl ihat such impmvements are nat intentled or oRered for sale. If, however, ihe building ar Improvement is sold within one year of complBUon, Ihe owner-builtler will have Ihe burden of proving that he or sha tlitl not build or improve for purpose of sale.). I, as owner oi the property, aT E ELV CONTRACTING WITH LICENSED CONTRACTORS to construct the projecl (Sec. 7044, Business entl Professions Cotla: Tha cnnirectors ' e aw does not ly to en owner of property who 6uilds or impmves thereon, and who contraCls tor Such project wiih e con(reclor(s) license pur5u;ri1}�t n P�ors Licanse Laws. . ❑ I am ezE Signature: _ Owner ID veri Varification of Busine55 end Professions Cotle fot �hi5 reason: ;p. ❑ Ves ❑ No Dnvers License No. oi tlocument i.e. - property tex bill or tleetl): Expires: DIVISION OF INDUSTRIAL SAFEYY PERMIT CER7IFICATION: ❑ I hereby certify Nat no e:cavation tive (5) or more feet in tlepih into which e person is requlred to descenq will be made in connection wi�h work euthorized by ihis pertnit, and that no building slNcture, scallolding, falsework, or tlemolition or dismantling thereoF, will be more than thirry-si: (36) faet high. (Chap. 32, Grp 2, Art 2, Sec. 341, 77t1e B, Celifomia Administrative Cotle). ❑ A5 owner-0uiltler, I will not emp�oy anyone to tlo work which would require a permit from the Division of Industriel Safety, es notetl ebove, unless such pereon hes e pertnit to da such work trom the division. Signature: Date: Division of Industrial Safery Pertnil Numbar. CERTFlCA7E OF COMPLIANCE AND AUTHORVJITON OF ENTRY: I cetlify under penalry oi perjury that I have read this eppliwtion antl state ihat the iniormation given is wrrect. I agree to comply with all 5tate laws antl ciry ordinances reiating to buiiding consWction, and authonze representatives of ihe City of Costa Mesa to enter upon tne ebove-described property for inspeGtion purpases. I eqree not to occupy or ellow occupancy of eny building authonzetl by Ihis permit unlil tinal inspection. COpE �. INSPECTION TYPE �� 161fi Fixetl System Final Fire Ptevention 1266 Pool Spa Final 200 Finel RB-Roof 201 Final BIocWRetaining Wall 202 Final Faciory Fira Place 203 FInalSign 204 Final Demolition P� � �/-/�� Date 1C�L$ S�4QF.� INSPECTIONTYPE 206 Final Mecnenlcal 20B Final Plumbing 210 Final Electncal 212 Final Fire Prevention 220 Final Planning Approvel i 222 Final Site 250 Final Building/Occupancy PAIE It�L$ ' � �llt (714) 754-5273 • Fan (714) 754-4856 • www.ci.costa-rtp�.Ea�f1pRESSION PERMIT 77 FAIR DRIVE, COSTA MESA, CA 92626 �ob nddress: 3351 VIA TIVOLI Suite: Vicinity: Parce� Number: TPN003052 Zoning: Applicant: FIRE SPRINKLER SYSTEMS INC Address: 705 E HARRISON ST - SUITE 200 . - " Phone: (800) 9153473 CORONA; CA � � Zip: 92879 , Owner: ,STANDARD, PACIFIC Address %, �15326 ALTON PARKWAKY -. � . � , " , . • � .� - Phone: 949-78&1716 � IRVINE, CA Zlp: 92618 Contractor. FIRE.SP,RINKLER SYSTEMS INC Address:. 705 E HARRISON ST . � � � SUITE 200 Phone: (800) 9153473 � � CORONA, CA � Zip: 92879 , - . � � � License: 684600��.' Sfatus: ISSUED Applied: OS/04/2004 Issued: 05/OS/2004 ISSUED BY: e SI J.r.l"VK�.I'1/UCI.RHKCH. iOl'JIL"UIIVb':I:�T+Y..C-�Cti-. - 'o , •' ' �. REF: 603-01889. , — . � � . ..� . �FEESUMMARY -' Plan Check: $108.71 Calc Valuation: Sa,zao.00 Permit: $167.25 Claimed Valuation: 3a,2ao.00 ' Other: �. $0.00 -� � - � � ' Total: $275.96 � � �� . �, � , r�i.'.� . . " ' '�_. . - . . � . / � �� NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requi�emenis under California statutes and related regulations. (Ord. No. 9248, § 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 abantloned for a period of 1 BO days. INSPECTIONS: In order for the work authonzed under this permit to be considered legal, such work must comply with all applicable codes, and all . requlretl Inspectlons and final approval must be oblained. Failure to obtain inspections and tinal approval will result in the expiration of this permit. I FOR INSPECTIONS CALL: (7/4) 7545626 !446d8 (N00) i WORKERS' COMPENSATION DECLARAYION: I here6y aHirm under penalry of perjury one o� the following declarations: ❑ I have and will maintain a ceniticate of �onsent to self-Insure tor workers' compensetion, es provided tor by sectlon 3700 of ihe Lebor Code, for the pertormance oi the w rk tor which Ihis permii is issued. 1 have and will maintain workers' compBnsation insurance, as requiretl by section 3700 of the Labor Code, br the pertortnance oi the work tor whic� this permit is issued. My workers' compensation Insuranc rzrrier and policy num0er ere: ///�p�i// Cerrier: �i%%-� %`Zl Al � Policy Number. /67�/D 7_ZDO � (This secfion need not be campleted il the permif is velued at one bundred dollars ($100) ar less.) ❑ I certify that in the performence of t�e wo� �or which this pertnit is issuetl, I shall not employ any person in any manner so as to become subject to Ihe workers' compensation laws ot Celitornia, and bgree that it I shoul e subject to ihe workars' compensetion provisions of Section 3700 of the Lebor ode, I shall torihwith comply with Ihese Dr � � ' � / Applicant SigneNre: � I-T �� -- Date: � � ��, F � WARNING: FAILURE TO RE�MPENSATION COVERAGE IS UNUWFUL AND SHALL SU�ECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FINES UP TO ONE HUNDRED THWSANO Od1PRE (E100,000),IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOq IN SECTION 3]O6 OF THE LABOR WDE, IfJrEFEST, qND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aNirtn that I am force end eHect Lic. a Contraaors SignaWra: of Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Class a — Date: CONSTRUCTON LENDING AGENCY: ❑ I hereby aHirtn that there is a consimclion lending agency for the pedormance of ihe work for which ihis permit is issuetl. (Sec. 3097, Civil Code). Lenders Name: Lentlefs Atltlress: Signature: Date: Is in tull OWNER-BUILDER DECLARATONS: I hereby ettirtn Ihet untler penalry of perjury that I em EXEMPT FROM 7HE CON7RACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or counry which reQuires e permit to consirucL alter, impmve, demolish, or repair any structure, prior to its issuance, also requires Ihe epplicant for such permit to ille e signed statement ihat he or she Is IicenseA pursuent to the provisions of Ihe Cantractors License Lew (Chapter 9(commencing with Section 7000) at Division 3 of the Busineu and Professions Code) or thet he ar she is exempt therefrom and tha basis for ihe elleged exemption. Any violetlon ol Seciion 7031.5 by eny applicent tor a permit sublecis ihe applicant lo a civll penalty of noi more than five hundred dollars ($500).): ❑ I, as ov+ner of the property, or my employees with weges as Iheir sole compensation, WILL DO THE WOiiK, antl iha structure Is not inientletl or oHered tor sale (Sac. 7044, eusiness and Professions Code: The Contractors License Law does not apply to an owner of pmperty who builds or improves Ihereon, and who tloes such work himself or herself or through his or her own employees, providad that such improvemenis ere no� in�entletl or oHered for sale. If, however, ihe building or improvement is sold within one year of completioq the owner-builder will have ihe burden of proving ihat he or she did not build or improve tor purpose of sale.). � ❑ I, as owner of ihe property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTAACTORS to construct the project (Sec. 7044, Business antl Professions Cotle: The contractors License Law d0es not apply to an owner of property who Dullas or improves thereon, entl who contracts for such project wlth e contractor(5) license pursuant to ihe Contraciors LiGense Lews.). � I am exemOt under sec. Business and Professions Code for this reeson: Signature: Date: Owner ID verified by driver5license. [� �B5 ❑ No DriveYs License No. Venfication ot Ownership 6y (type oi tlocument i.e. - pmperty tax blll or deed): Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: � ❑ I hereby certify that no excavation five (5) or more feet in tlepih in�o which e person is requirad to descend, will be made in connection with work authorizetl by this permit, and that no building sWcture, scettoltling, falsework, or demolition or dismantling ihereof, will be more than ihirry-six (36) feet high. (Chap. 32. Gry 2, Art 2, Sec. 341, Title e, Califomie Adminisirative Gode). ❑ As owner-builder, I will not emploY anyone to do work which would require a pertnit trom the Division oi Industrial Safery, es noted ebove, unles5 such pereon hes e permit to do such wark irom ihe division. -_ SignaWre: Dale: - Division of Industrial Sefery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTF�ORIZATION OF ENTRY: I cenity under penalty of peryury ihat I heve reatl this application antl state that ihe information glven is correct. I agree to comply with all state laws and ciry ordinances relating ro builtling consiruction, end authorize representatives ot the Gty of Costa Mese to enter upon the ebove-tlescnbea properry for inspection purposes. I aqree not to acupy or allow occupancy of any building authorized by ihis permil until final inspection. COUE l INSVECTIONTVPE i616 Fixetl SySiem Final Fire Prevention 1266 Pool Spa Final � 200 Finel Re-Roof 201 Final Block/Retaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demolition P� ixrrtin�s COpEt INSPECTIONTYPE 206 Final Mechanical 208 Final Plum6ing 210 Final Elecincal 212 Final Fire Prevention 220 Final Planning Approval 222 250 Final Site Final BuiltlingiOccupency PAIE lI�9Lfi •�' � �